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HomeMy WebLinkAbout026-1127-43-000 0 U) 0 C v n d 0 Z O w W ', ;o N O e� • n O O O c0 N n Ut N 0, ' o S W Fr Q O_ CD to Ul N 3 �_ M o C j cn N N CL m bD \ � CD O °O -D N n O O w Ln w a o- ' o m I � 3 to p w �I 7 N O C y (D W O !r w n v D CD OO S ., C 3 O O p W W O �- ' ' (.Z1D W j W O Z O C• o o Z !I N O C a _ CD O O O •' c D 3 �E O A f�A fR fA a < 7 a u v v v 1 3 t� co A d v '' 0 v - m Ln a 3 °�'' o I N W z Z D O I o o v C 0 O C � � h CD CD N �• 3 m @ c (D N c N = CL 3 0 m y (D -1 N A _Z A Z o :3 w a O CD o CD c O. N v a - m m w cn T N 0 - A s ! -' z = v g » cn o °D CD O y Z < CD O A A 0 � Q (p S CD F w S p Q O N .i (D N O_ - H N Z fD. O 0 b O � CD S w O� S Z O O � W N N w p n a I o cD trp I m o I 0 O �o � i b Parcel #: 026- 1127 -43 -000 08/09/2005 09:58 AM PAGE 1 OF 1 Alt. Parcel M 25.30.18.853 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - NYSSE, JONATHAN R & ALICE A JONATHAN R ALICE CE A NYSSE i & L 1323 144TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1323 144TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.480 Plat: 2382- RICHMOND HILLS LOTS 5/48 '00 SEC 25 T30N R18W PT SE SW RICHMOND HILLS Block/Condo Bldg: LOT 43 LOT 43 2.480AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 25- 30N -18W SE SW Notes: Parcel History: Date Doc # Vol /Page Type 05/30/2002 680318 1900/293 WD 08/14/2001 653872 1700/121 WD 11/30/2000 634465 8/24 PLAT 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.480 33,300 185,600 218,900 NO Totals for 2005: General Property 2.480 33,300 185,600 218,900 Woodland 0.000 0 0 Totals for 2004: General Property 2.480 33,300 185,600 218,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 395256 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Becker, Brenda I Richmond Towtiship 02641127 -43 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION % . � LEVATION DATA ^ TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding SUHt Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Liquid Depth Of Pits Inside Dia. DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing 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 Bedrrrench Center Bed/Trench Edges Topsoil Fw] Yes ❑ No ❑ Yes [0 No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1323 144th Street Unknown (SE 1/4 SW 1/4 25 T30N R18W) Richmond Hills Lot 43 Parcel No: 25.30.18.853 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ❑ Yes ❑ No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3197) a �s� Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 55 t - i sennsin Madison, WI 53707 - 7162 Site Address x Department of Commerce 1 Sanitary Permit Application m"`7, P Num -(Q in accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision ma be used for secondary purposes Privacy Law, sl5. 1 m I. Application Information - Please Print All Information Sate Plan I.D. Number Property Owner's Name `� Parcel Number - 7 - Ll 3 -Uo Property Owner's Mailing Address -1 party Location r i -5Cq ',4; S r0 � 3 `-N, R eE City, Sate Zip Code �Phoce [ N r Block Number 1 C bdivision Name CSM Numbe H. Type of Building (check all that apply) ❑City w M 1 or 2 Family Dwelling - Number of Bedrooms � []Village ❑ Public/Commercial - Describe Use (downship 5% P r` er ❑ Sate Owned Nearest Road III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 KrNew 2 ❑Replacement System 3 ❑ Replacement of 6 ❑Addition to For County use System Tank Only Exis ' S sum B. [I Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44XNon - Pressurized In- Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. D' ersaLMTr atment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min./Inch) T / "� / 7� Elevation V1, Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank i 0 Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for ' tion of the POWTS shown on the attached plans. Plumber's Name (Print) Plum s S rMP161PRS Number Business Phone Number Plumber's Address (Street, City, Sate, Zip 72 s VIII. Count /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater ;Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse 3 Determination EK. Conditions of Approval/Reason for Disapproval •' SyS�G►r. y(�j b� inSyst( /A > �� /, °E�(J 0 rf9 /heL( 9dd�r ire �J�DIGil7,��� 0 t p�vri,, c�,Savc 5a, .t Gjor por 74 or. o� /l lou�P� Js :� .� toy' /s. P / e re too' r Attach complete plant (to the County only) for the system on paper not less than 8112 x 11 inches in sae SBD -6398 (R. 05101) ,-� _ i -� to 7 S -r 101, � 1 7t Y Wisconsin Depdrtment of Commerce SOIL EVALUATION REPORT Page 1— of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. p endin g ' ! ' Please print all infoima'tlomfi R wed y Date . Personal information you provide may be used for seoehds y'purpos s (Privacy Law, s:15.04 (1) (m)). ivy 3 Property Owner CC , Property Location R J C Deveiopmnh. Tnr GOO? Cot SE 1/4 SW 1/4 S 25 T 30 N R or) W Property Owner's Mailing Address i.___.; , j ` f i C ill 5 Lot # Block # Subd. Name or CSM# 1868 Qty. Rd. C na Richmond Hill City State Zip Code one Nu a „T- 0 City ❑ Village ® Town Nearest Road New RiChmondl WI .1 54017 r 5) 294 - � Richmond 130th. Ave. KI New Construction Use: ❑ Residential / Nu f��drpi�m Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - describer Parent material gl ari a! dri ft Flood Plain elevation if applicable ft• na General comments and recommendations: trenches 3.50' below grade, spaced to code a Boring # n Boring ® Pit Ground surface elev. 105.70 ft. Depth to limiting factor +96 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 1° 0 -12 10 r 3/3 none L 2msbk DSH cs if 2 '12 -46 10 r 5/4 none sil M ' 1, 3 46--96 7.5 r4 4 none HIS os ml .7 ,, 1.2 O 51 Boring # F� Boring ® Pit Ground surface elev. 105.30 ft. Depth to limiting factor +96 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 -10 10 r 4/3 none sl 2msbk psi4 cs if .5 2 - 1 96 7.5 r 4 none HIS osQ ml t,/3.2 it ii Z 9 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L uent #2 "< 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature . CST Number Gary L. Steel 02298 Address ate EkaluafioVConduated Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 10 -19 -2000 715- 246 -6200 Property Owner R J C Developmen Inc. Parcel ID# pending Page 2 of 3 31 Boring # M Boring Pit Ground surface elev. 1 02.20 ft. Depth to limiting factor - + 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 -12 10 r 4/3 none si 2mgr :fr gw if .5 ✓ 2 1 -90 7.5 r 4 none ms os .7 1.2 ✓ 4] Boring # Boring ® pit Ground surface elev. 102. 60 ft. Depth to limiting factor +90 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 I 'Eff#2 1 0 -14 10 r 4/3 none sl 2mgr mvfr cs if .5 .9 ✓ 2 14-90 7.5 r 4 none HIS osg ml na na • 7 v 1.2 i F-1 Boring # 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 I - Eff#2 Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:5 150 mg/L ' Effluent #2 = BOD < 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. SBD4330 (R.6=) STEEL'S SOIL SERVICE Gary L. Steel R7C Development,Inc. 1554 200th Ave. CSTM2298 SEg.SW S25- T30N -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #43- Richond Hills 1 " =40' � j BM.= top oft" pvc pipe @ el. 100.00' Ian f` Alt. BM.= top of 1" pvc pipe @ el. 101.70' 1 lhJ� — lot �– alt- cSwl e al Gary L. Steel 10 -19 -2000 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak (gpd) 6CAO Estimated Flow - Average (gpd) YO O Septic Tank Capacity (gal) Soil Absorption Component Size (ft) Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). 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 Management Plan for a Septic Tank and Soil Absorption Component filter it 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 scum and sludge 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 an 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. 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 r w Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep - rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. N 6 715) a� ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Boyer -. Mailing Address 7- g4 &)1e-A&0 90, 1400- W T - LV216 Property Address LDT e13 rPlAr (Verification required from Planning Department for new construction) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location V, V, Sec. a5 . T 30 N R Town of � Subdivision 9 104- InOA /6 i�iGLS � Lot # � Certified Survey Map # . Volume . Page # Warranty Deed # la53 $7o_� , Volume Page # Spec house 0 yes ❑ no Lot lines identifiable Z. yes ❑ no SYSTEM MA]fNTT<iNANCE Improper use and maintenance of your septic system could result in its premature failure to Dandle 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 maswplumber. journeyman plumber. restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system witk 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 f the three year expire n date. / 3/O� SIGNATURE Off APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p escn above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGMA OF APPLICANT DATE sass «« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. *s « « «« s« 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 a ot 1700 121 STATE BAR OF WISCONSIN FORM 2 - 1999 65:234B WARRANTY DEED • KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between RJC Development, Inc., a Wisconsin RECEIVED FOR RECORD Corporation, 08-14-2001 4:00 AM WARRANTY DEED Grantor, and Edward J. Becker, d/b /a Becker Builders, EXEMPT t CERT COPY FEE: COPY FEE: TRANSFER FEE: 102.00 RECORDING FEE: 10.00 Grantee. PAGES: 1 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 43, Plat of Richmond Hills in the Town of Richmond, St. Croix County, Name and Return Address Wisconsin. a nc G1wARb a`• f3 g �S� R rN ��Fi2f0 iQn 026 -1127- 43-000 Parcel Identification Number (PIN) This is not homestead property . (t) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of August 2001 RJC vel men Inc. John H. Carlson, President * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) RJC Development, Inc., a Wisconsin Corporation, STATE OF WISCONSIN by John H. Carlson, President ) ss. • 4 �. 1 i ► A/0 � county ) a cate day of August 2001 ��' • ?: Personally came before me this day of Cf• the above named and STATE BAR OF WISCONSIN to me known to 6� 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. blormation Prdessa** Company, Faro du laa, vin WARRANTY DEED STATE BAR OF WISCONSIN 800 FORM No. 2 -1999 wetlands, minimum lot size, occess to parcelJ���� �l s ng any parcel, contact the St. Croix County to Town Board for advice. 00 N W LOT 42 000 to wog r ti c AM MH L /NE sss•43'24 "w SEE SHEET 2. O •' 540.00' 1$7.03' ,. LOT 43 TO 1 I O i ° fOBTAL AREA: MOfV- 1018.00 1 1 1 r 0 , 000 SQ. FT. b 1 0° 248 ACRES ° I 1 N MIN. F.F p b, £. 10 14. . I O O 1 M r._.. -.._ N i of r 1 I 1 i 1 I i 1 I T 1 i 1 iv S89.43'24 "W � i 1 AREA: I I SO. Fr. ; ' • 1 LOT ® ACRES ® 1 ® TOTAL AREA. r • � 105,702 SO. FT. o° 2 43 ACRE'S g 1 N 1 S89'43'24 "W 1 c� 501.38' 589 - - - - --� • 61 I i 218.93 • ©1 1 C9 _ M 1 LOT 45 z W Cf 1 r TOTAL AREA: S89 43'2rW "' r 98,406 So. Fr, o O :— 21&8 --- ® 1 r 2.26 ACRES °° J O • I •� ®: / N m 16 CO N � � N �� /�ev • ! S89 "W r- 509.12' W • LOT 48 rT, i 1 I TOTAL AREA. , O 1 • • 1 N W 94417 $0. F. $ j O i � ® � _ 2.26 ACRES OD 1 I 1 F.F.E. 1010.0 1 I 1 1 1 1 I