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HomeMy WebLinkAbout026-1127-35-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430122 0 GENERAL INFORMATION (ATTACH TO PERMIT) ate Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. TES • �� Permit Holder's Name: City Village X Township Parcel Tax No: Dal uist, Don I Richmond Township 026- 1127 -35 -000 CST BM Elev: Insp. BM Elev: BM Description: u Section/Town /Range/Map No: C3fl �5 Ito. c7 I .'0 P JC_ 25.30.18.845 TANK INFORMATION EIEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI j FS ELEV. Septic Ce Benchmark oz. Q r Dosing I � �i _ I �r Alt. BM Aeration JQ Sew r t ,t lots Holding St/Ht Inlet F. Q 7`O . TANK SETBACK INFORMATION St/Ht Outlet _/ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic '\ toL i Dt Bottom �� �� 2.30 I f �-- 7 Dosing %A " %4 r Header /Man. Aeration I Dist. Pipe ! `f, bC- Z Holding Bot. System S. 1r0 I p 80 ��O Ft al Grade \ PUMP /SIPHON INFORMATION I�wi(� � fZ�+ 1 Manufacturer o b �• Demand St Cover 3'0 � t GPM 2•� odel Number �� ! IPA ' �,• (� .(,p �9. /o TDH Li1yt •O Friction Loss System Head TDH Ft 1.*' 4. —4.9b Forcemain Length I Dia. Dist. to Well SOIL ABSORPTION SYSTEM = CJ . G b • 6 a 1EDOXTAMW Width ! Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia' De th ENSIONS It _+5 r SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACN nufacturer: INFORMATION CHAMBE Type Of System: ! Z DISTRIBUTION SYSTE ' , p � -[•,D t h a l w no 6 Header /Manifold Distnl7ution x Hole Size Q rf x Hole Spacing Vent to Air Intake F N Pipe(s) ! ' / tt7 , 2 r Length 3. 0 Dia 2 Length Dia ' O Spacing — . I ' — SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes i-. f No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: Insp tion #2: Location: 1434 133rd Ave New Richmond, WI 54017 (NE 1/4 SW 1/4 25 T30N R18W) Richmond Hills Lot 35 Parcel No: 25.30.18.845 L 1.) Alt BM Description = J' � ' i m pjwk cftAr' 2.) Bldg sewer length = "• ID amount of cover = 47 •f`• i s e for additional information. Yes ired? Yes No _ er (R.3/97) ' +� ` insepctor's Signature Cart. No. Safety and Buildings Division County 201 W. Washington Ave., Madison, P,O. Box 7162 on, WI 53707 - 7162 Sanitary Permit Number (to be Pilled in by Co ,sc .) (608) 266 -3151 2 D / ZZ. De artment of Commerce State Plan T.A. Number Sanitary Permit Application In accord with Comm 83.21, Wis. Adm. Code, personal information yo provi )- o)ect dress (if different than mailing address) may be used for secondary purposes Privacy Law, s15.04(1)( )f ' ' I. Application Information - Please Print All Information pp i 2 � I`f3 l33 AVE Parcel Lot N Block p Property Owner's Na me Location Property Owner's M ailing Address ) 1371, St.fle 5fv'tee Y ,�l/� 'a. L�J 'A,Section City, State Zi7C Phone Number (circle ` T N; R.2,LEo II. Type of Building (efieck all that apply) '^^A Subdivision Name CSM Number ❑ 1 or 2 Family Dwelling - Number of Bedrooms hr l / lCs 1,± ❑ Public /Commercial - Describe Use U►1 Jl d da N C State Owned - Describe Use •� C& ❑City_ ❑Village�ownship of t R 4 — sw B ,O S III. Type of Permit: (Check only one box on line A. Complete line B if applicable) OZ(a ^ 2 — 3S— C A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing List Previous Permit Number and Date Issued B. El Permit Renewal ❑ Permit Revision C1 Change of ❑ Permit Transfer to New Before Expiration Plumber Owner IV. of POWTS System: CCheck all that apply) ❑ Nor. - Pressurized In- Ground M ousxi > 2A in, of suitable soi[ ❑Mound < 24 in. of suitable soil ❑ At- Grade ❑Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter C Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (so Syst��eva y� VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Grits Concrete Constructed Glass New Existing Tanks Tanks septic or HoltilnE Tank Aerobic Treatment Unit Dosing Chamber �� , t e' ,-F e b VII: Responsibility Statement- I, the undersigned, assume responsibility for alstAjlation of th POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnarure P! RS Number I Business Phone Number Plumber's Addre ss (Street, City, State, Zip Code) ef7to 5Ga VIII. Count /De artment Use Onl Approve Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issui Agent Signs a (No Stamps) Approved, 11 Surcharge Fee) 325-- r°l 3 ` ❑ Owner Gi ven Reason for Denial IX. Conditions of Approval/Reasons for Disapproval , � - �' you --,n 6-4 �Zr Attach complete plane (to the County only) for the system on paper not lass than 81/2 x 11 inches in size SBD -6398 (R. 01 /03) PLOT PLAN J, Scale 1"=5 Page 3 of 7 4 �a i 9 1� OT "M IP KT I ° I IS' I a, o I 7 N W�-L �'o. 13.�::_� S�- '-- F?uJY+�► MUvYvp--- PSI_�d5_ - -- - -- 1 363.c. - 1 N wM - EYL.TV, 100.0` OQ - TDP -- 1Pp -T_ 8Ay - LrLv , QS.QS' NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be lb / gallon capacity manufactured by CMJ cCz ('�J L So W / } 18 00 ZAREL Fi s r 4. Bench mark S oV E 5. Divert surface water around system to prevent ponding at the uphill side. Safety and Buildings 4003 N KINNEY COULEE RD t LA CROSSE WI 54601 -1831 �• TDD #: (608) 264 -8777 �sConsin `' ) www.commerce.statemims /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary June 12, 2003 CUST ID No.267341 .4 T7N: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06/12/2005 Transaction ID No. 875177 SITE: Site ID No. 660080 Donald Dahlquist Please refer to both identification nuinbers, 133rd Avenue above, in all correspondence with the agency. Town of Richmond St Croix County NE1 /4, SW1 /4, S25, T30N, R18W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 906520 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: Conditions of Approval: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the 'Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. i ARTHUR L WEGERER Page 2 6/12/03 t Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, &461� Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WitSMART code. 7633 cc: Leroy G Jansky, Wastewater S 715 726 -2544 I ewa Specialist, ( ) I RECEIVED TITLE SHEET Page of - 7 MAY 30'0 j ' '('� MOUND SYSTEM SAFE� f I & BLQGS � I V. , 73 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057P and the Pressure Distribution Manual SBD- 10573 -P C tz . b l qq C tz. 619 9� LOCATED IN THE NE 1/4 OF THE S 1/4 OF SECTION ZS ) T 30 N, R 18 W, TOWN OF 1�L0 �4k-1 p�J�> S7 C- 2Lo15( COUNTY, WISCONSIN. LET 3 S v R lCM Y'1 U 1v �� )il u- S _ INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR -- Y 3� L 6 S'm Q L e2 b 1Z 0 yc -1 31 b S PREPARED BY WEGEFr<E1=2 SCl I L . TEST I r4G AND. DES I (Sr! SERV I CE P.O. Box 74 421 N.Tlain St. River Falls, WI 54022 Phone 715- 425 -0165 Fax 715- 425 -6864 • Af PfJki L- eARTMEN7 of Coto "MEhCE wtr.:kea DIVISION OF SAFETY AND g aAis ► ' DINGS - swoaTN. '. SEE CORRES NUENCE �� ��' • • ••. y `�'$ $ 5 j Q; JOB NO. D 3 -80 Mound System Management Plan P age Z of Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank.shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic-tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg/L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral'be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R.- 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper Operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning-Office at a0 S T'- (° -�tULX The system installer at 1. S - 3�6 - LZ) 3 1 Nk0Z The tank manufacturer at =. 2-S 6 'Ail esQ The effluent filter manufacturer at S-) Lfz zVIV�Q-z- - q. q ? The pump manufactur er at - b g'w— GOVLDS r - PLOT PLAN . Page 3 of - 7 Scale 1"=50" �� VJ of o� 36y_ 80' B -� Z3 ' v► � I oI i C) 1� �o rvOT UMNzKT ' OtZ t>lS jVtZ� I g cT I 67 O y , C z r 0 co PVC rn I N ?.. Sp -= _Pizc)1'�1 )�1u1Up Pi2vL� -- I I dv-1" — �C�V . 100• C1 ` O� �P O� !'� PVC P! Pte% _ - - -; -- 1Pf� -T_ NOTES: I. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z requ� red). 3. Septic tank to be lb Do Asg gallon capacity manufactured by 4. Bench mark Sit E 5. Divert surface water around system to prevent ponding at the uphill side. Pace Of 1 Approved Synthetic Covering AS Distribution Pi TM C33 e P Medium. Sand Topsoil r H. =W G F E S J � ,• lev. � q- 3 E to b R % Slope Distribution Cell of Force Main Plowed Z" to 2- Aggregate From Pump Layer D d • S : Ft . E l • o� Ft. CROSS SECTION OF A MOUND SYSTEM F 0,B Ft. G 0 Ft. A Ft. H I Ft. Linear Loading Rate= 6,o GPD /LN FT a - 1 s Ft. Design Loading Rate= B- I3GPD /SQ FT I \Z Ft. J S Ft. K g Ft. L X11 Ft. - Force- Majrr- W - L_5 Ft. I �} + - Observation Pipe K 0-- ---------------- - - - - -- --------- - - - - -- - - - - - -- Sax A �--- �i6 $ - ° - - W__� -- -_ -- - - - - -= --------------- - - - - -- Force Main Distribution Cell z of 2� " o" -nos ITZE L to Pipe aggregate Observation Pi e P (Anchbr securely) PLAN DIET 'OF A MOUND SYSTEt4 Distribution Pipe Layout Paoe S of 7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each late -al up with the use of long turn or 45 ° f gong to a point within six inches of the final �*ade. Te..mirate the ends of the laterals with a valve,threaded can or • threaded plug. Provide access from final grade for the valve; threaded cap or threaded plug. i P 1 cr L LZzs S FV C PV C Lateral Manirgid Lateral x x x x12 X'2 x x x x Lateral Length — P Lateral Length — P oistributian Line � V � I h 1'ru u C �� �FrirJ P 3 ? Ft. Hole Diameter ) Inch - S 3 Ft. Lateral " I Inches) X Z k 4 Inches Manifold Z Inches Force Main " Inches # of holes /pipe 1 9 Invert Elevation of Laterals IOb.O Ft. • `1 n.7°1,c LL= 3 LL6 S1�Nj. - Combination Septic;Tank and PUMP CHAMBER CROSS SECTION ARID SPECIFI PAGE OF � VENT CAP WEATHER PKOOF JUIJCTION BOX . ti C.I. VENT PIPE APPROVED LOCKING 110' FROM 0008 MAIJHOLE COVER AJIV - -hMDOW OR FRESH wAptJIWG LN EL.. wl�� LR �c p A WTAKE coraDuIT • FlRitgl{p 6'„w. .�"C. �0� � / � Y'HIN. G ZPV0 E 18'KIK1. � ---- - - - - -- IAILET PROVIDE AIRTIGHT SEALI I Approved Z>'s8� u� "� I I f Approved joint W/ L9 C3 I joint w/ PVC pip ALARM PVC pipe a . I II • I r C i CLIY. FT I I I I PUMP --J 7 ` OFF 0 CONCRETE �F�J ct3 BLOCK RISER EXIT PERMITTED O►JLy IF TAIJK MA]JUFACTUR!`R HAS SUG H APPROVAL p 3 "APF'Ro•.tp B6pp I >v 4 SEPTIC F 5PECIFICATI Oki S DOSE T_AWKS MAQUFACTUiZER:wV��tk5Z yJUMgER OF DOSES: �• w t-P P E R DAB TANK - PIZC: ` 6So- R GALLOIJS DOSE VOLUME Z ALARM MANUFACTURER: S ' �'� -�`fR-0 S LUOIUG 6AC ZOZ. �L�7"IS INC KFLDW: ALL c G ON„ MODEL WUMBER: 1C0 H(A-) CAPACITIES: A= �� 3 0 6 INCHES OR GALLOys SWITCH TtIPE: _ "Q%cuR -� 8= � I1,lCHES OR 3 � G(1LLOilS PUMP MANUFACTURER Ga v L p S l f r. . � IUC HES OR I �Z GALLONS MODEL IJUMHER: - �� 'f' `! D= 1Z IKICHES OR Zu T GALLONS SWITCH TYPE: ?-,*)G�C-tJR-C/ IJOTE: PUMP ANLA AR T ac 6 MINIMU DISCKARGE INSTALLED iDM SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF AIJO.- DISTRIBUTIOW PIPE.. 00 FEET ' •f- MWIMUM METWORK SUPPLY PRES SURE , ; , , , . , (�. SO FLET (S - 0 Y 3� + �n FEET OF FORCE MAIN X � l F p fLFRIC71ou FACTOR FEET TOTAL OyIJAMIC. HEAD = 1 3'�s FEET As per manufacturer 1 gal /in. Liquid depth 3 Goulds )_40�-OG °1 Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. tic cover with integral handle Available for automatic and • Farms Motor: manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical Points. • Water transfer 115 or 230 V, 60 Hz, 1550 ■ Power Cable: Severe du RPM, built in overload with Float Switch assembled and duty P • Dewatering preset at the factory. rated oil and water resistant. automatic reset. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design /a maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. CO- CanatlianstanaardsAssoc;ation • Total heads: up to 24 feet. with three prong grounding 0 EP05 Impeller: Thermo - • Discharge size: 1 NPT. plug. Optional 20 foot plastic enclosed design for (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with improved performance. end in " F" or "AC ".) m rotary/ceramic- stationary, three prong grounding plug P p BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • T thermoplastic rovides em erature: design P 9 P 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running dry without damage to s 30, '- I components. Pump: EP05 — - - -- -- — -- r P' s i Fr • Solids handling capability: 25 —t— 4. 3 /4 " maximum. a 7 • Capacities: up to 60 GPM. _ ! — • Total heads: up to 31 feet. 6 20 • , I • Discharge size: 1 NPT. z -- —' • Mechanical seal: carbon- } 5 0 15 rotary/ceramic - stationary, BUNA -N elastomers. 0 4 '3' S • Temp t ' 104-F (40 °C) continuous s 10 i j t J l 140 °F (60 °C) intermittent. 2 I — j 5 1 t } ! i I ° 0 0 10 20 30 40 50 GPM 0 2 4 6 8 1 o 12 m CAPACITY 0 1995 Goulds Pumps, Inc. Effective May, 1995 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 —of 3 D(uision of Safety and Buildings � in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must St . C r oix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and locatis�istance to nearest road. endin Please print all info`rflatfjod ' ' .i e ' wed by Date Personal information you provide may be used for sec idary purposes (P 'vacy Law, S. t!9?0$ (1) (m)). Z(p/ Property Owner I Properfylocation R J C Develop Inc Govt ?.Lot NE 1/4 SW 1/4 S 25 T N R (or) W Property Owner's Mailing Address {7 xl , ;; ll,pt # lock # Subd. Name or CSM# 1868 Cty Rd. C ' na Ri chmond City State Zip Code phone Number r , j, ;hYJ � ygr ❑ Village ® Town Nearest Road New Richmond WI 1 54017 tIt )` q"-' 2�1 Richmond KI New Construction Use: ❑ Residential / Number 6*eedrpotm , "Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Desch&` — Parent material glacial drift Flood Plain elevation if applicable ft. To General comments and recommendations: mound @ el. 98.55', based on contour line of el. 97.55' Boring # ❑ Boring M ® Pit Ground surface elev. 99.25 ft. Depth to limiting factor n. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 - Eff#2 1 0 -10 10 r 3/3 none L 2msbk mfr QW 3 20 -36 7.5 r 4/4 none sl 2msbk mfr , Jw na _9 4 36 -60 10 r 6 • a Boring # r] Boring ® Pit Ground surface elev. 99.25 ft. Depth to limiting factor 44 n. Soil Ra Application te Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 1 0 -9 1 2 O. 2 9 -21 10 r 4/4 none sic 2 3 -4 .5 4 44 -60 7.5 r 4/6 c2d7.5 r na na na .0 .0 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature �Q CST Number Gar L. Steel f j 2298 Address Date Evaluation Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 10 -15 -2000 715 - 246 -6200 Property Owner R J C Developmen Inc. Parcel ID# pending Page 2 of 3 3] Boring # Boring pit Ground surface elev. 95.95 ft. Depth to limiting factor 60 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont: Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -14 10 r 3/3 none L 2msbk DSH cs if .5 .8 2 14-30 10vr 4/4 none sicl 2msbk mfr UW if .6 3 30 -39 7.5 r4 none S1 2msbk mfr na na .5 .9 4 39 -60 7.5 r 4 none fs M na - w :91 5 60 -65 5 r 4/6 c 2d7.5 r 5/6 s1 M na QW na .3 .5 ❑ Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 F-1 Boring # F1 Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOO, > 30:s 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.6/00) STEEL'S SOIL SERVICE Gary L. Steel RJC Development, Inc. 1554 200th Ave. CSTM2298 NE4SW' S25- T30N - New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #35- Richmond Hills �N 1 " =40' = top of 1" pvc pipe @ el. 100.00' t, top of 1" pvc pipe @ el 9 55' ` 010 Z© �' It 30 2 F�` 00 f ,b b� Gary L. Steel 10 -15 -2000 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer " !a' ` T' 13714; ep-eae-,e Mailing Address ,. Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location -ZO 1 /4, 5 '/4, Sec. A-f . T N -R - ZFA Town of y r",-6 rnaxi� Subdivision °`� "`a, l�s , Lot # 3s Certified Survey Map # , Volume , Page # Warranty Deed # 79 Volume Page # 3 Spec house ❑ yes P no Lot lines identifiable X yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restricted plumber or a licensedpumper verifying that (1) the on -site wastewater disposal system roper opera tin g condition and/or ( ) after is in P 2 in and (if necessary), the septic tank is less than 1/3 full of sludge. mspe pumping in P g Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SI NATURE O PLICANT DATE OWNER CERTIFICATION I f m our knowledge. I we am (are) the owner(s) of r e to the best o ) g ( ) we cer that all statements on this form are true Y ( ( ) fY the n� rty descri d a ve by virtue of a warranty deed recorded in Register of Deeds Office. / b'f�- 7 SIGNATURE OF APPLICAI DA « « « « «« A Formation that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed J 2 2 6 7 P 3 2 2 72468£3 ll STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS DocuKient Number ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between RJC Development, Inc., a Wisconsin Corporation, 06 /06/2003 02:35PM - - -- WARRANTY DEED EXEMPT # Grantor, and Donald R. Dahlquist - REC FEE: 11.00 TRANS FEE: 102.00 COPY FEE: CC FEE: -- PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot 35 Plat o R ichmond Hills in the Town of Richmond, St. Croix County, Name and Return Addres �j (� Wisconsin. 4 l) ,� F y r� ��+ tA /y tq 6 J kd P `t �'�) � 026 - 1127 -35 -000 _ Parcel Identification Number (PIN) T This is not homestead property. p() (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this Z k vg- day of June 2003 RJC Development, Inc. n + + By: Roberta J. Carlso Vice President AUTHENTICATION ACKNOWLEDGMENT Signature(s) RJC Development, Inc., a Wisconsin Corporation, STATE OF WISCONSIN ) by Robe J. Carlson, Vice President ) ss. _ _County ) authenticat this of June 2003 It ' Personally came before me this day of the above named + Kristina Ogland — TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY + Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) , •) ' Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals company. Fond du Lac, wi STATE BAR OF WISCONSIN 800.855.2021 WARRANTY DEED FORM No. 2 - 1999 / 10 JOY JL JJ C JVV.L.L r ' - `� - - TOWN ROAD - - - - a6 �■O �� O . 12 S89'52'55 "E 360.62' ,.) • i . _ .. _ .. — 8 .. ......... ............................... 4 \ 3 I i o 00 "s LOT 28 (� °° M M N o N TOTAL AREA: 1 N 106,274 SO. FT. i LOT 29 2.44 ACRES M TOTAL AREA: 92,560 SO. FT. N i Z 2.12 ACRES � 3 N89'52'55 "W 364.80' i OD i to i N�05 ' i O i 3 roe ' Z i LOT 34 M LOT 35 TOTAL AREA: N K i TOTAL AREA: N 94,079 SO. FT. O N 106 765 S4. FT. N 2.16 ACRES z . 65' 2.45 ACRES 33' 133' ^°o ' ..... ........................... ' n i i rn i i I i ••• - _ - ------------- ------- -----J L------ ------ -- - N89'52'55 "W 363.97' TOWN N8952'55 "W 364.38' M M • 663 SO. FT 1014, 0 30.04 - - - -- 334.34' - -- - -- t�s.s9' -- '�• ' �- -95.26 - - - - - - - • Q /- - Fib • 1Q�' � � . N � � � � � LOT in ........ ...... ..... H w. i i TOTAL AREA, ( � i i U') n , 97, 927 SO. FT ` CCO W L,J N w 2.25 ACRES M i W 1 LOT 12 c MIN. N. F.F.E. W N TOTAL AREA: 8 I M Z i 3, m' i p O .► ( O O , f.92 ACRES �''- �■ H.w.E imaj to I N 88.A8 1 i . j ' GO 99'54'22 "E 360.04' N89'55'11`E '3�4�.4$ X { � E � s � M �w, LINE ) II, � i i i EFT J. LOT 9 / O ktS LOT 10