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026-1130-24-000
Wisconsin Department ofSommerce PRIVATE SEWAGE SYSTEM county: St. Croix Safety and Buil&ng Division INSPECTION REPORT sanitary Permit No: 430485 0 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: Wirth, Matthew I Richmond Township 026 - 1130 -24 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: /00_0 Q , 4 1 Q ✓G 25.30.18.884 TANK INFORMATION ELEVATION DATA 3 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark �/ D T. 8 C! !o 4. Y, duo. oc. Dosing Alt. BM Aeration Bld Sew er Gv 303( 7. q� -h Holding SUHt Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet r Septic Dt Bottom Dosing � V L , . i Header /Maw YZ of Aeration Dist. Pipe loo, S Holding Bot. System ter/ / OD - 7� a 3 inal G L PUMP /SIPHON INFORMATION [� F e ST , /0 /- S Manufacturer Demand St Cover p GPM '� n, ? 101-3 Model Number q ?j / TDH L Friction L s System ea�� I DH � t Forcemain Len Dia. 2 I Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH WidtF� Lengt � No. O�Tr PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 6 SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHI Manufacturer. INFORMATION Type Of System: C MBE OR M � //� / / Model Number. DISTRIBUTION SYSTEM l •(/� L Header/Mani fo Distribution x Hole j / I x Hol Intake Pipe(s ?Spacin Vent to Air Int Length 3 Dia L ngth Dia Spacing � / ��� 2 J l � /0 � -on SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Bed/Trench Center Bed/rrench Edges Topsoil h of xx Seeded/Sodded 1 xx Mulched Depth Over + 6V-Lv Depth Over xx De 5 R1 Yes No FRI Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: ° / .2 / a 3 Inspection #2: �103 Location: 1396 141st Street New � R WI 54017 (NW 1/4 NW 1/4 25 T30N R18W) Red Pine Corner Lot 24 Parcel No: 25.30.18.884 oi C �� r. {� �. � cL 4- I S r WE 1.) Alt BM Description = 3) ' ^ " 1 ' ,J _ .t /1 re- 4 2.) Bldg sewer length 0 tom, , %<- its- n- t S _ SyS� e .•,., � d � , S � . - amount of cover 3 f� '�� CG n r� < < !l S �. ; �-: : s �.. -, /� Q tc ✓ r Plan revision Required? ❑ Yes 4/No 1 Use other side for additional information. �J Date Insepct rs Signature / /O Cart. No. SBD -6710 (R.3/97) JQ Aa S Safety d Buildings Division County ma gs ' I T 201 W. Washingto ., P A -Bew 708-2- f C. ,S���S,l� Madison, WI i7-6� tC 70$2 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (60g) 1-6546 30 Sanitary Permit Applieati L State Plan I. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal informatio you provide ` S may be used for secondary purposes Privacy Law, s15.04( xm) „ Proj Address (if different than mailing address) I. Application Information — Please Print All Information ai l & - 1 P er`s Name ll c `,� PSI p t # Block # W1 ► `f' / Z 3 Property Owner's Owner's Mailing Addr Property Location Ci , State Fy O %, Sectiari I Zip Cod Phone Number ( fl circle T M N; R4 ne) E o'`.J II. Type of Building (check all that apply) Z - 3 /s1 r FM me M Number 1 or 2 Family Dwelling — Number of Bedrooms �Y j ❑ Public/Commercial — Describe Use ^ r ❑ State Owned - Describe U se b I ST. - D 6 h fov►,— ❑e5c (Townsn;p o III. Type of Permit: (Check only one box on line A. Comp ete line B If applicable) A. t� System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Exis ing Sy; B • ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Bt. fore Expiration Plumber Owner IV. Type of POWTS System: Check all that a I ❑ Non — Pressurized In -Ground ound 2 : 2 4 in. o f su itable soil X 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 ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) <� V. Dis etsal/Treatment Area Information: Design Flow (gpd) Design Soil Applica 'on Rate(gpds,O Dispersal Area Required sf) Dispersal Area Proposed sf) System Ekvadon 19 s D � a o , VI. Tank Info Capacity i Total Number M ufacturer tit Site Steel Fiber Plastic Gallo Gallons of Units Con rote Constructed Glass New Existing / Tanks Tanks Septic or Holding Tank / o ` 0 Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu s Sign a MP/MPRS Number usin Phone Number Plumber's Address ft -City, S Z� ! • � N VV VII . Count /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issu Issuing Agent ignature (N ) Surcharge Fee) q� �"� i (j l ❑ Owner Given Reason for Denial 5D /a Q IX. Conditions of Approval/Reasons for Disapproval ST Y (,6YL ep Ic ank, effluent filter and �p (M (NI, 3, �� �p Z/ d3 r dispersal cell must all be serviced / maintained t per management plan provided by plumber. ` requlr er applicable code /ordinances d 3 III T� oe D ompkte p as (to the County rly) r s rem oa p ■ less a 9/2 :1 es � tip sir 1 fS�l / V Cln1 w h r'c�Gt �6 V\6 ✓l�tosf of • I r I � ce � mti _1 V 05 1� 560 r sip ' `V 0 _ loo 160.1 05 ` o� I 4� a F /ol r Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST- POWTSM Matthew Wirth New Richmond,Wl 54017 Lic. #248956 NW1 /4,NW1 /4,S25,T30N,R18W Bus.(715) 246 -6200 Town of Richmond, St.Croix Co. Fax (715) 246 -9372 Red Pine Corner 1" Add. Lot, 24 Legend 1" = 40' ♦ =Benchmark Ele. 100.00Ft Top of 1/2" PVC pipe • = Alt Benchmark Ele. 100.05ft Top of 1/2" PVC pipe ❑ = Borings Boring Elevations B1 = 99.7517t / B2 = 99.75Ft B3= 99.35ft �I 1 B4 = 00.00ft V � u Y �3 -� r a }} 3 .5 ( /- o ����� ,S ,�z- Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 p hsconsin TDD #: (608) 264 -8777 erc www•comm .wis c ons vrww.wisonsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary October 21, 2003 CUST ID No.220357 ATTIC• POWTS Inspector ZONING OFFICE BRADY J UTGARD ST CROIX COUNTY SPIA 110 KELLER AVE N APT 112 1101 CARMICHAEL RD AMERY WI 54001 -1034 HUDSON WI 54016 CONDITIONAL APPROVAL / I/ 3 S� PLAN APPROVAL EXPIRES: 10/21/2005 Identification Numbers , ~ •, Transaction ID No. 930592 SITE• Site ID No. 666854 Matthew Wirth Please refer to both identification numbers' 140TH St above, in all correspondence: with the'agency Town of Richmond St Croix County NW1 /4, NW1 /4, S25, T30N, R18W FOR: new 600 gpd mounds stem &/ Object ype PPOWT System Regulated Object ID No.: 926203 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 c hapter 101.01(10), Wisconsin Statutes, is responsible for complia with all code require The following conditions shall be met during construction or installation and prior to occupancy or use: 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. 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, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Carl J Lipp rt Wastewater Specialist ,Integrated Services WiSMART c0de763' (715)634 -3484, clippert@commerce.state.wi.us MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: MATTHEW WIRTH Owner's Address: 1147 -75 TH ST. NEW RICHMOND, WI 54017 Legal Description: NW1 /4 NW1 /4 S 25 T 30 NR 18 W Township: RICHMOND County: ST. CROIX Subdivision Name: RED PINE CORNER- 1ST ADD. Lot Number: 24 Block Number: N/A Parcel I.D. Number: 026- 1130 -24 -000 Plan Transaction No.: - Page 1 Index and title Page 2 Data entry ®,.T•�° Page 3 Mound drawings Co d itiWlai Page 4 Lateral and dose tank . x Page 5 System maintenance specifications tom+ ,G Page 6 Management and contingency plan COMMER Page 7 Pump curve ands specification ENaRSME�� �Y t tot, of gpf E Page 8 SOIL TEST pONDEN SE E co Designer: BRADY UT AR License Number: 220357 Date: hone Number: 715 - 268 -6995 Signature: K�/ 6 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 2.00 Site Slope ( %) 99.65 Contour Line Elevation (ft) Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the hig75" nt in the distribution Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) b ( 10.65 Vertical Lift (ft) 62.81 5x Void Volume (gal) 3.60 Friction Loss (ft) 79.12 Minimum Dose Volume (gal) 17.50 Total Dynamic Head (ft) 41.94 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x 1.25 x x 2.00 x x 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 800.00 Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) 38.00 Total Working Liquid Depth (in) WEASER I Manufacturer 21.05 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter In formation 800.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 21.05 Dose Tank Volume (gal /in) IA100 Filter Model Number WEASER I Manufacturer Project: Page 2 of 8 Mound Plan View 1 / J Observation Pipe - 33 K •ti •ti•' ••'.•ti•ti.'. � . ti . ti ti.,,.ti.ti. • ti . ti . ti . ................. — T • r•r•r;r• ;'•r'1'•r r•r•r•r r r r r r r r r r r r r ti r ti r ti }• ' . ti•ti ti •. ti ti ti ti :..• ;.ti {•:,. {.;.�.:,.:,. {.:..;. ;.• .:,,,,• A ' r•r•r :� r•r•f•r•r.f r.;•lF r•r•r•r•r•r•r•r • r • r•r•r•r. ti•ti•ti• ti•ti.ti•�.ti,ti,ti,ti, ti•�•ti •.•ti•ti•ti••.• r r•r•r. W r•r; r; r•r•r; r; r, r•r.r•r•r.r r•r; r; •. ti }: f; ti•ti•ti• r; r;. r.r•r; r.r•r.r. r•r•r•: •r; . B L`J • I L Mound Component Dimensions A W60 E 7.44 in H 1.00 ft K 6.99 ft B F 9.25 in z 6.03 ft L 113.99 ft G 0.50ft J� 5.01 ft W 17.05ft 600.00 (ft Dispersal Cell Area 1 1203.46 (ft Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.92 (ft) —► 2 ..... ii.. G F Dispersal C ell 100.65 (ft) Lateral 100.15 (ft)--00- - Invert Dispersal Cell t Elevation E D: , 4 Y 99.65 (ft) Contour Elevation 2.0 % Site Slope Geotextile Fabric Cover Shading Key m a Dispersal Cell See lateral details on _ Topsoil Cap c o. 1.5 ft f,r 9 Pa e 4 for number, size, I / /tI i O 5 r '' r; t ti • r• •'� f o ti .ti , Subsoil Cap .. ti f fti:ti f and spacing of laterals. ? r• r ;•r•r f•r.' Laterals are equally © ASTM C33 Sand Z r�:ti�ti;ti•ti . ti••.••.;ti•ti•ti F ® ® Tilled C Layer d 0.5 ft r tir Typical Lateral rtiftif' spaced from the Y y 1•ti•- .•ti•ti� � - .•ti. -,. . O L•ti.ti — Ag gregate r,r ' r• .'r•r•r•r 5 • di 5 r.r•r •a ti • ti '• ti'ti'ti ti•ti•ti• ❑ © 0 � r•r; r; r•f•r; r•r; r.r; n Cell S centerline in the — A. — � distribution cell (AxB). Project: Page 3 of 8 Center Connection Lateral Layout Daigram Force main oonnection yia tee or cross to maaold at any point. Laterals are identical P S •= Turn -u p wWbal l valve or I*-x---+- r12 I sf2 +I Laterals & Force main of PVC Sch 40 clean out pl u p per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing X p 9( ) 3.18 ft Lateral Length (P) 49.29 ft Orifices per Lateral 16 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 ft /orifice Lateral Flow Rate .49 g Manifold Length 3.00 ft System Flow Rate 41.94 gp Manifold Diameter 2.00 in Total Dynamic Head 17.50 ft Forcemain Velocity 4.28 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and —► . Comm 16.28 WAC 4 in min. Disconnect _ Tank component is properly vented F Alternate outlet location Forcemain diameter WEASER Manufacturer 2 in. Capacityl 800.00 Gallons Volume 21.05 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 20.25 426.18 C B 2.00 42.10 Pump off e levation (ft) C 3.76 79.12 —t 1 90.00 D 12.00 252.60 D Total 1 38.001 800.00 IF D ose tank elevation (ft) 3" Bedding uncier tank. 89.00 Alarm Manuafacturer LEVEL Alarm Model Number DLV Pump Manufacturer IGO _ Pump Model Number I EP05 Pump Must Deliver I 41.94 gpm at 17.50 ft TDH Project: Page 4 of 8 I Mound System Management Plan ��M 3d�� Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] 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. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Starts. 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 kit 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 finer 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 teak. 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. 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 sal compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Colo weather installations (October - February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing pant 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continufmcy Plan If the septic tank or any of its components became defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump contras, alarm or related wiring becomes defective the defective component(s) 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Page 6 of 8 , 4 G Subme sib 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 Motor: Available for automatic and • Farms manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical RP Points. • Water transfer 230 V, Hz, Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, , built in overload with automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with EPO4 Impeller: Thermo- construction. • Solids handling capability: automatic reset. plastic Semi -open design /4 maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal rotection. • Total heads: up to 24 feet. with three prong 9 9 grounding p SP' Canadian Standards Association • ,� ■ EP05 Impeller: Thermo - Discharge size. 1 NPT. plug. Optional 20 foot plastic enclosed design for (CSA listed model numbers seal: carbon - g • Mechanical length, 16/3 SJTW with P g improved performance. end in F or "AC".) rotary/ceramic- stationary, three prong grounding plug - BUNA-N elastomers. (standard on EP05). ■ Casing and Base: Rugged • T thermoplastic design provides Temperature: 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 components. Pump: EP05 a _ • Solids handling capability: 0 25 3 /4' maximum. w • Capacities: up to 60 GPM. 6 20 • Total heads: up to 31 feet. • Discharge size: 1 Yz' NPT. z 5 -- 1 • Mechanical seal: carbon- 0 15 rotary/ceramic- stationary, 4 BUNA -N elastomers. _- - _ —__ --- ----- - • Temperature: ° 3- 10 104 °F (40 °C) continuous j m b i 140 ° F (60 °C) intermittent. 2 _ _ _ 5 1 � 0 00 10 20 30 40 GPM L _ 0 2 4 6 8 10 12 ml /h A �� t - )o �f �C? t f qa - J ✓y '' lb 20 y' 1 1. 3ql `�. 1340 Wisconsin Department of Commerce SOIL EVALUATION REPORT P age 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 02 130 -24 -000 Please point all information. eviewed Date. Personal information you provide maY,hP u5sd1t7LS�Rp(lc7fYpudPrlYaG1C s. 15.04 (1) (m)). Property Owner I ! a, C Property Location Wirth, Mattthew Govt. Lot na NW 1/4 NW 19 S 25 T 30 NR 18 W Property Owner's Mailing Address 0 1 1 3 9 Lot # Block # Subd. Name or CSM# 1547 75th St 24 na Red Pine Corner 1 St Add. City State Zip Code Phone, Number J City J Village lM Town Nearest Road 1 11 New Richmond WI 5.M- 715 M2 s Richmond 140Th New Construction Use: ✓1 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement ;J Public or commercial - Describe: Parent material Glacial Drift Flood plain elevation, if applicable na General comments and recommendations: Mound Design, System elevation 100.65ft based on contour line elevation 99.65ft. a Boring # I Boring Pit Ground Surface elev. 99.75 ft. Depth to limiting factor 55 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. "Eff#1 I 'Eff#2 1 0-12 10yr2/1 none sit 2msbk mfr cs 2f .5 .8 2 12 -26 10yr4/4 none scl 2msdbk mfr gw 1f .4 .6 3 26-46 7.5yr4/4 none sl 2msbk mfr cs na .5 .9 4 46 -55 7.5yr4/4 none Is osg ml gw na .7 1 1.2 5 55 -85 5yr4/4 c2d7.5yr5/6 Is /scl ::(: mfr na na 0 0 a Boring # I Boring V1 Pit Ground Surface elev. 99.75 ft. Depth to limiting factor 48 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Ef1#1 "Eff#2 1 0-12 10yr2/1 none sit 2msbk mfr gw 1 c .5 .8 2 12 -20 10yr4/4 none scl 2msdbk mfr gw 1f .4 .6 3 20 - 7.5yr4/4 none sl 2msbk mfr cs na .5 .9 4 40 -48 7.5yr4/4 osg ml gw na .7 1.6 5 48 -80 7.5yr4/4 c2d7.5yr5/6 Is /sicl om mfr na na .0 .0 " Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < mg/L and TSS <30 mg/L CST Name (Please Print) ignature: CST Number David J. Steel C 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 7/19/2003 715 -246 -5085 • Property Owner Wirth, Mattthew Parcel ID # 026 - 1130 -24 -000 Page 2 of 3 3] Boring # Boring Pit Ground Surface elev. 99.35 ft. Depth to limiting factor 58 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr2/1 none sit 2msbk mfr cs 1f .5 .8 2 12 -36 10yr4/4 none Is 2msdbk mfr gw na .7 1.2 3 36 -58 7.5yr4/4 none cos osg ml gw na .7 1.6 4 58 -90 7.5yr4/4 none Is /sicl om mfr na na 0 0 F—I Boring # I 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 GPDAtZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F—I Boring # I 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 GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 *Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L Effluent #2 = BOD < 30 mg /L and TSS <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. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST - POWTSM Matthew Wirth New Richmond,WI 54017 Lie. #248956 NWl /4,Nw1 /4,S25,T30N,R18W Bus.(715) 246 -6200 Town of Richmond, St.Croix Co. Fax (715) 246 -9372 Red Pine Corner 1" Add. Lot, 24 Legend 1 = 40' ♦ =Benchmark Ele. 100.00Ft Top of 1/2" PVC pipe • = Alt Benchmark Ele. 100.05ft Top of 1/2" PVC pipe ❑ = Borings Boring Elevations B 1 = 99.75Ft / B2 = 99.75Ft B3= 99.35ft B4 = 00.00ft Ap � oY o ry o �Z W F � V� jU 0 is("4 - !9z— Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ of 3 Division 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 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, andlocattorr"anddistance to nearest road. Pendin Please print al/jaormation. Re 'wed by Date Personal information you provide may be used t0 secondary purp�►,es (Privacy Lp , 6: (1) (m)). Property Owner ' ; �'' "+ T ; Pro erly Location 1 i_ r . 11 Lot 1/4 114 S T N R 9 (or) W Property Owner's Mailing Address I Block # Subd. Name or CSM# 1611 T4wv- #10 N-P C T CROIX 1 ' - Qj1 11 nn P918 Pi rnrnpr City State Zip Code•, Phone NurobWNTY Village ®Town Nearest Road rin Lake P k .55432 `, ' 612 �f�� ,," "' Richmond 140th. St. S g � !. Y J New Construction Use: R] Residential / NumbwLofbedr +' _� Code derived design flow rate 600 GPD ❑ Replacement El Public or commercial - 6e be: — Parent material g! ac; al dr} ft: Flood Plain elevation if applicable ft• ro General comments and recommendations: trenches starting @ el. 95.40', spaced to code 3.50' below grade Boring # Boring g [ pit Ground surface elev. 98' 90 F-1 ft. Depth to limiting factor +90 in. S76 Rate 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 _ 2msbk mfr qw 2c .5 .8 1m .5 .8 3 18 -44 10 4/4 none ms osg mfr gw if .7 1'2 4 44 -57 7.5yr 4/4 none sl 2msbk mfi gw if .5 .9 5 6 2 -90 F,5vr 4/4 none sl 2msbk mfi na na .5 .9 F Boring # Boring 98.90 +85 2 ® 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 1 -14 110yr 2/2 -none L 2msbk mfr gw 2c .5 .8 2 14 -20 7.5 4/4 none sil 2msbk mfr gw 1m .5 .8 3 20-65 7.5 4/6 none ms osg mvfr gw na .7 1.2 4 65 -85 7.5 4 4 non Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L ent #2 = BO < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address Date Eval ation ConcTucted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -15 -2000 715 - 246 -6200 Property Owner Oakwood Land De V. Parcel ID # pending Page 2 of 3 3 I Boring # ❑ Borin 97.90 +85 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -9 1Oyr 2/2 none L none sil 2msbk mfr qw 1 i .5 .8 3 15- 7.5 4/6 none sl /ms 2msbk mvfr na na .5 .9 E Boring # El 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 F-1 Boring # ❑ Pit Boring Ground ur ❑ d face 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 < 150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS 5 30 mg/L j 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 (86/00) STEEL'S SOIL SERVICE Gary L. Steel Oakwood Land Development 1554 200th Ave. CSTM2298 NW4NW'' S25- t30N -R18w New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #24 -Red Pine Corner This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as perma nent lot lines were not established at the time the test was conducted. N 1 " =40' �Cr BM.-- top of 1" pvc pipe @ el. 100.00' Alt. BM.= top of 1" pvc pipe @ el. 98.30' / IL a Gary L. Steel 11 -15 -2000. • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer i Mailing Address 25'17 ZE6 SA New ,�,c,�r•,o�Q , W � SyoCZ Property Address (Verification required from Planning Department for new construction) City/State Ne j R., k ,.. j hJ Z Parcel Identification Number n 2t' -1136 - 2N - o ao ✓ LEGAL DESCRIPTION Property Location NIJ %4, -&J,/ y,, Sec. ZS • T -lc-_ N- R 0A of j Subdivision J p;,, { ('„ f v. Lot # Certified Survey Map # ( 2 g (0 Volume / Page # .31 H(p Warranty Deed # ( ; Volume l Page # Spec house ❑ yes K no Lot lines identifiable ID 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 sal system. stem. y The proper"wner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restrictedplumber or a licensedpumper 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. I/we, 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. ZA4e, L49 7 SIGNATURE OF 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** Any information 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 U 1871P 080 STATE BAR OF WISCONSIN FORM 1 - 1998 6 7 E 0 q. 1 WARRANTY DEED REGISTER OF DEEDS 5T. CROIX CO., VI Document umber RECEIVED FOR RECORD This Deed, made between Oakwood Land Development Inc 04-11 -2002 9 :35 All WARRANTY DEED EXEMPT ; and Matthew G. Wirth, single Grantor, REC FEE: _ TRANS FEE: 1160 -- COPY FEE: CERT COPY FEE: _ Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property"): Recording Area Name and Return Address e i Natio k of New Richmond N hm ew chmond, I 5 - sso �ranc kuJ 02(o- i b1;), - -3O o Parcel Identification Number (PIN) This not homestead property. L�� 1 Lot K1r 24 Red Pine Corner 1`b RV I U ill Burnet Title O � Records of St. Croix County, Wisconsin. 7550 France Ave. S. First Floor Abstract Property. Edina. MN 55435 ATTN: Poxi Together will all appurtenant rights, title and interests. none Grantor warrants that the title to the Property is good, indefeasable in simple fee and free and clear of encumbrances except Dated this 15th day of March 2002 (SEAL) _ (SEAL) Oakwood Land Development -_ -. _- (SEAL) (SEAL) s x AUTHENTICATION ACKNOWLEDGEMENT Signature(s) State Of Wisconsin, I ss, St Croix County. authenticated this day of Personally came before me this • 15th day of March 1 2002 , the above named Oakwood Land Development, Inc. ` Gregory J. Peterson as Vice President TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be the person i _ who executed the foregoing authorized by §706.06, Wis. Stats.) instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED B, -�z Coldwell Banker Burnet 02 -00936 Si \ —'- 1301 Coulee Road C • 1� t. Notary Public, State of Wisconsi Hudson, WI 54016 My commission is permanent. (If not, state expiration date: ( Signatures may be authenticated or acknowledged. Both are JULIE C DOF)GE not necessary.) !Votary Pub Icibsia e of Names of persons siE!ing in any cagUity must be or printed below their signature. STA I t BAR SIN Wisconsin LegalBlank o..Inc. WARRANTY DEED FORM No. I - 1998 Milwaukee, Wis.