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HomeMy WebLinkAbout026-1130-29-000 Wisconsin De f Commerce County: Safet and Bui on SATE SEWAGE SYSTEM St. Croix INSPECTION REPORT Sanitar Permit No: 463121 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: Oevering Homes Richmond Township 026- 1130 -29 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: Ib0 /OD W CST 25.30.18.889 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 3• �3 Septic I4 J / 1600 Benchmark � da 7 /00 Dosing / Alt. BM {� 94',15 Aeration Bldg. Sewer 9�3 93.35 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ` \ Septic -s4' N - 1 q s qt ,7 / Dt Bottom '�• ` C Dosing / Header /Man. 7 '54 5 S — 3 sl ✓�. � ,.Z� Aeration Dist. Pipe 1 \ Z Ok_ Holding Bot. System PUMP /SIPHON inal Grade ON INFORMATION z • 16 /, Z Manufacturer 1 Deman St Cover $ (� et� GPM I 5 Model Number N 1 S Z... 7- q-3 C' • 94 .91S TDH Li Friction Loss System Head TDH Ft 1 Forcemain Length j Dia. �� Dist. to Well 75 2. !.4' SOIL ABSORPTION SYSTEM BED/TRENCH Width J$ Length I No. Of Trenches PIT DIIII�ENSIONS No. Of PAS Inside Dia. j Liq 'd Depth DIMENSIONS /Z 90 SETBACK SYSTEM TO / P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Ty Of System: '' / 4 9t ♦ N � w ) /� UNIT f_ '�/ µ Model Number. DISTRIBUTION SYSTEM Header /Manifold Piseisution x Hole Si ;e / / x Hole Spac� g Veto Air I ke Length Dia Length D� Dia Z 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 Bed/Trench Center Bed/Trench Edges Topsoil Z _ -L-- g \ 1 " . Yes No 'es [] No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: 16 / 20 / d Inspection #2: �i o� blc Location: 1402 136th Ave. New Richmond, WI 54017 (SW 1/4 NW 1/4 25 T30N R18W) Red Pine Corner Lot 29 Parcel No: 25.30.18.889 5 ca� 1.) Alt BM Description 2.) Bldg sewer length = L4 - amount of cover = Z it Plan revision Required? Yes No 1� / � Use other side for additional information. L 9D -6710 (R.3/97) Date Insepctor's nature Cert. No. I Safety and Buildings Division Co m 201 W. Washington Ave., P.O. Box 7162 VIsconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce a (660088)) �� 3t51 46 312' Sanitary r ® State Plan I.D. Number In accord with Cotton 83.21, Wis. Adm. Code, Personal, ado pt�vt� V 0 (o g = - Fe*) S . I & , maybe used for secondary purposes Privacy Law. 5.oglxm) 0 � ject Address (if different ) L Application Information - Please Print All Information "f'' PropectyOwner's ame OUNTY ZONINGOFFI # Lot# Block# Property Owner's Mailing Add.t Pro Location City, State 6 '�i,/ "t -� 56, Section 1 ZiP Code Phone Number �-- IL Type of Building (check kill that app ) T r W r or 2 Family Dwelling - Number of Bedrooms Subdivision N M Number Pubtic(Comraereial - Describe Use State Owned - Describe Use City_ V lagp�ownship of 111. Type of Permit: (C6edc only one box on line A. Complete line B if applicable) t 100 A S stem R laeement • y ep System Treatment/Holding Tattle Replacement Only Other Modification to Existing System B • Permit Renewal k tt Change of Permit Transfer to New List0� Pamir Number and Dube Issued Before Expiration Pl Owner JO / q / IV. of POWTS System: Check all that a 1 /C � Non - Pressurized in- Ground Mound a 24 in. of suitable soil Mound < 24 in. of suitable soil At Grade Single Pass Sand Filter Constructed Weiland Pressurized In- Ground Holding Tank Peat Filter Aerobic Treatment Unit Recirculating Sand Filter Recirar Sytrihetic Media Filter Leaching (umber pup Line v -less Pipe Other (exnlaini V. Dispenalffreatment Area Information 0 X D -6 f Design Plow (gpd) Design RaWgpdsf) � (� Dispersal Area sed (sf) S O_D .�� VI. Tank Info Capacity in Total Number Mann Prefab Site Steel Fber Plastic New Gallo Gallons of Units ��� /> -too concrete Constructed Glass Tanks Tanks Septic or Holding Tank Aembic Treatment Unit Dosing Chamber VII. Res p ondbility Staten t- I, the undersigned, bill for hufallagoa of the PO shown on the attached Plumbs ,S Name (Print) Plumber's Business Phone Number /L`rt�. 0 l umber B! ✓�������� Plumbees Address (Street, City. State, TAP VIII. Conn artment Use Onl Appmv ro s g anitary PP�i Fee (includes Groundwater Date Issued Agent Si (No Stamps) ) Owner Gives R r Denial IX, Conditions of ApprovaMeasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances Attach complete plain (to the County only) for the system on paper not less than sin x 11 Inches in size ,� � w , ..,'_ _ ...� � _.. �� 1��'� ♦ r irk", �! �,..1� i _t �r i Y i ' PLOT PLAN " Homes ADDRESS 838 Summer Pines Circle Hudson Wi 54016 1 /4S 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX ELEVATION 98.9' BEDROOM 3 TIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK UND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 F OLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter ZabelA - 100 ❑ BOREHOLE O WELL *H. R. P Same as Benchmark �' 136th Ave r — �' Scale = 1/4 = 10 ' Grading is to done to Well is to meet all divert run -off away setbacks found in Comm. from system B.M. 83 B -1 - Alt.B.M. Huffcutt Combo Tank 98.9' is top of 1/ ❑ B - 3 0 pipe @ Pro 3 Tank is to be properly 99.3' Bedroom bedded and provided with 2% House lockdown covers with Slope approved Area 15' below system to remain undisturbed warning labels Q 0. C (1� N� O Pe10 � GO - 1 Safety and Buildings +� 4003 N KINNEY COULEE RD commerce LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.w w ww.coe.wi.gov/s sin.go / iscosin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary October 11, 2004 CUST ID No.226900 ATTN: Rod SHAUN R BIRD ZONING OFFICE 1 BIRD PLUMBING, INC ST CROIX COUNTY SPIA pO• 1008 192 ND AVE 1101 CARMICHAEL RD Conde NEW RICHMOND WI 54017 HUDSON WI 54016 p p CONDITIONAL APPROVAL EPARTM� PLAN APPROVAL EXPIRES: 10/11/2006 Identification Numbers ` CF Transaction ID No. 1068776 SITE: Site ID No. 690809 0 Oevring Homes Please refer to both identification numbers, TS;7 136TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County SWIA, NW1 /4, S25, T30N, R18W Lot: 29, Subdivision: Red Pines Corner FOR: Description: New 3BR Design Object Type: POWTS Component Manual Regulated Object ID No.: 986036 Maintenance required; 38 in Soil minimum depth to limiting factor from original grade; System(s): At -grade Component Manual, SBD- 10570 -P (R.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (R.6/99); Zabel A -100 Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and with publication SBD - 10570-P (R. 6/99) "At -grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems ". • The pressure network is to be constructed in accordance with publications SBD- 10573 -P(R. 6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". 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. ti SHAUN R BIRD Page 2 10/11/2004 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 &son � Balance Due $ 0.00 ennis R i Wastewater Specialist, Integrated Services WiSMART code: 7633 (608)785 -9336, 1 dsorenson@commerce.state.wi.us I, 4 Cover Page Shaun Bird Bird Plumbing Inc. N �n�lly 1008 192nd Ave ttio New Richmond Wi 54017�� MERCK �s 715- 246 -4516 �' ONO � N GE Date: 010/05/04 Owner:Oevering Homes Location:SW 1/4NW1/4 S25 T30 N,R18W Lot 29 Red Pine Corner Richmond System type: At -Grade Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Page# 1. Cover Page RECEIVED 2. At -Grade Plot Plan OCT - 6 2004 3. At -Grade Cross Section S,p,F,E -�y & BLDGS DIV. 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Conti ency plan 9 -11. Soil test Shaun Bird Signature License num r 226900 PLOT PLAN PROJECT Oeverina Homes ADDRESS 838 Summer Pines Circle Hudson Wi 54016 SW' 1/4 NW 1 /4S 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 98.9' 3 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Scale = 1 /4" = 10 i Grading is to done to Well is to meet all divert run -off away setbacks found in Comm. from system B.M. 83 B -1 B -2 99' Alt.B.M. Huffcutt Combo Tank 98.9' is top of 1/2" ❑ B-3 8.5' pipe @ Pro 3 Tank is to be properly 99.3' Bedroom bedded and provided with 2% House lockdown covers with Slope approved Area 15' below system to remain undisturbed warning labels fit Q o sale dlttiori �o co OF''� a t 1 5 B _5 PVG �OALEMAI N >r -Z • I TUPW -UPS" • 'Af 1fY n �ST!► @t�.���D aA:Vh7►aN V�tELL� i 5' !!6 B 1 /6B 1/2 B A B = L = �Y.�__ t • CE L L o f kZ - Z /2 AG&P. f. &ATE vJ = ft. f4PePbvr.b S ymTftmf- Fabric Distribution Lateral STRI IICMLb Observation ---- -�, ., f2 Soil Cover i n � Well _ 2'� i 6 •::\ fLbWl LaY�R > 5' A �Z` ' ? 5�. P Yo Sl.o E plan view and Cross Section of Wisconsin At -grade Unit with a Single Absorption Area on a Sloping Site S, 1L,NATu RE : Ltic�ntsE• page Of Distribution Pipe Detail For Lateral Network iQCCe sf TURN -uP (CI- tR�OUT� - . e Mai n . Forc _ .. PVC pvC Distribution Pipe P * Last dole Should Be next To TURN• �P �_ -� 3 �- p .5 -.- Ft. Hole Diaml Di Inch Inch(es) Lateral �' X 2 inches -- — ' v Inches Force Main Diameter �Inches f Of holes /Pipe Invert Elevation Of Laterals Ft. Signed: License Number: Date: I • SP£Ltr ICATIONS SEPTIC TANK . UM CiiR�''18£R CROSS SECT`ON h� wEAtNfitpW ppFROV ED .. 141N. A gpvE GRADE JUNCTION BOX MMffOLE COYER PIPE 3. 0r OR WITH CONDUIT W I PADLOCK S C,I vERT WARNING iA$E:. � 18 � PROM D4flR, , 4 ;i+t ?KE �F 4 ti MIN • FRES -° IR A E +� FYriI "� GRw T IS° vt , INLET GA5 ' ED --�-- TIGHT `,� JOINTS VITiPE W_4TER TIGHT S 5 ST-AL- _ RL►i S N 3 SMj� IL i Y Y APPIOVED C " T O FF ONTO SQ�,ID lriP flFF £LE'V • [ . FT - D SOIL UNDER TANK SEDDIItG CONCRETE PAD 3 , APPgO Y ED ��c4, / LJY�Z gPECIFICATIDNS 5 mu BEg D c OSES PER DAY = r DOSE: DI"a 7 GAL- S � 2 K 'rACTURER: DOSE o:3. MC gLcvjs&Cj _ j �- 3 AL T GAL' Z - J� 5Y ZES = SEPTIC 3 GAL. _ r ;3�1CftE5 TAIiiC HOSE v CAPACITI�' A .. _ 2 INCHES = - b .- - C ' AL- VL 8 ,- L A�pDELtls£R e T C = ;NCtlES = �a� . HSWITCH ?'YPE' 1 GAL lucs Mp�FAC?iIRER = I LMR 15.23 WAC p,y�,g14 wycla �i. AS PER H SWITCH T�' - � � 3 (;P.M PUl3I' � PIP£ 11 l � gEE DISCH"GE MATE --- DI S•FgIBU`tT T FEES REtK3ZRF -n pUtFP QFF AND FACTQR - FEET CE pEPRESSURE - FRZCT I C %� V ER'!'ICAL OTFFEIii R 3 �'OaFAL DY MINmI t}gT4iGF4 SIN }� n f FTI COQ FT` FEAT i / DIAMETER r--- -- WwTH ENSIONS OF pUMP LIQUID Lt�TfgMr►L D 1M _ DA SIGNED= _ " 'too • TOTAL DYNAL7iC HEAD /CAPACITY PER MINUTE TY CURVE HEAD CAPACI AND DEWATERING MODEL 1 52/153 MODEL i 152 153 Feet !meters Go!. Liters Go!. i Liters 50 5 1 69 251 77 291 153 10 3.1 61 231 70 265 40 1 4.6 53 201 61 231 12 152 20 6.1 I 44 167 52 197 0 .� = 30 25 7.6 34 129 42 159 30 9.1 23 87 33 ! 125 8 , 7 _- - -- 22 85 35 1 20 40 12.2 o 38.0 Ft. (11.6m) 44.0 F (13. l ack Valve: ! r- I 01450E 4 10 0 20 40 60 80 100 GALLONS LITERS 0 8D 150 240 320 - 3 27/32 j- ---fi -4 ' /e-"I FLOW PER MINUTE I 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS r 3 27,32 • Timed dosing panels available. l with • Electrical alternators, for duplex systems, are available and suppi an alarm. • Variable level control switches are available for controlling single phase systems. I ! • Oouble piggyback variable level float switches a re available for variable level long and short cycle controls. , • Sealed Qwik -box available foroutdoor installations. See FM1420. r • Over 130 °F. (54 special quotation required. 1521953 Series' ! u � �n m 1 MOD ontr sls on 5 :/3 e Am a Sim Iez D le: i N e Ph eKZOe4 — 1 2 or I Non E.5 1 dad 2or3 -- 8.5 Inclu 1 1 Non 4.3 1 2or3 2 or 3 Au 4.3 I ncl uded — 1 2or3 SELECTION GUIDE 1 Non 10.5 e level float 7 10.5 Included 2 or 3 back variabl 1 Auto 1 2 or 3 1. Single piggyback variable lavel float switch or double piggy E153 230 1 Non 5.3 E153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. 6 mod of Electrical Alternator E -Pak. r ct m for correct 2. See FM0712 cnunoN . Variable level control switch 10 -0225 used as a control aclivator, spedfy p ( ) All Installation of controls, protection devices and widi np should be done by a qua oft 3 or (4) float system - duplex 3 licensed electrician. All aiectrical and safety codes shoul followed Including the m most. recent National Electric Code (NEC) and the Occupational Saff ety and Health Act (OSHA)• RESERVE POWERED DESIGN Zoelle ump. For unusual conditions a reserve safety factor is engineered into the design of ever P &IL TO: P.O. BOX 16347 Manufacturersof.. i Louisville, KY 40256.0347 SHIP T0: 3649 Cane Run Road 1 " v ULLW� Sr /939 ' KY 40211196 Q WT PUMP �� 0217 FAX (504 774 - PUMP /tpysyaosller.com All ri hts reserved. m Copyright 2000 Zoeller Co 9 + T PLAN Page o1 — S 01NNER'S MANUAL & MANAGES EF ATIONS P01A(Z' SYSTEM SP Septic Tank CaPa A4Lr �D at ❑ NA NA FILE INFORMA10ON 0 e- v L!'� Septic Tank Manufacturer u- ow�ef ❑ w'► Effluent Filter jylanufacturer Effluent Filter Model � �� �� 13 NA PA��� � NA Tank t3apacdtYv 3 • a1 ❑ NA Number of Bedrooms Pump. NA Number of Cornrt>�l Units Pump IS Manufacturer aVd 1� 0 NA' d flaw (average) aVd . Pump Manufacturer Design fk w (Peak} (Estimated x t Pump : 5) Model 1 `�v ❑ J aUda /'hz Sol] AppQcs*)n Rate Monthly average• Pretreatment Unit ❑ Peat Filter O Sandt0mvel Filter C3 Wetland InfluenVEffluent Quality Fatsr Oil & Grease (FOG) -930 mgr' [3 Mechanical Aeration 0 Other. en Demand (BODs) 15220 mgt [ 3 Di Bioclte el Oxyg S Solids (TSS) 6g' W n- Manufacturer TOW � Monthly average" Dispersal Cetl(s) . r3 in-around (Pressurized) Pre treated Effluent Quardy O ❑ round (9w�') S30 mg/L rode ❑ Mound en Demand (BODs} -g p Other. t3ioat Tota Suspended Solids (TSS) +mcfWti00m1 13 Dri the - Fecal Cotiforrn (geometric mean) . Values typicst for domestic 00n-�ffT n and Y inch diameter xPw tank effluent Maximum Effluent Particle Size .. Values typid for pretreated +�+stewater. MAINTENANCE SCHEDULE Service Frequency Service Event p months ar(s) (Maximum 3 yrs.) At least once every uais a e -third (y,) of tank volume fnsped condition of tank(s) When combined sludge and scum eq Pump out contents of tank(s) At least once every 3 E3 month r(s) (Maximum 3 yrs.) inspect dispersal celt(s) ❑ mon - ar(s) At Feast once every s ) ❑ NA clear, effluent fitter ❑ months controls 8� alarm At least once every s ) ❑ NA inspect pump, pump months ❑ At least once every Flush laterals and pressure test p months 0 year(s) ❑ NA At least once every ❑ NA cow.. L3 months c3 year( s ) At least once every oar &WNTENANCE INSTRUCTIONS n the one of the following ricenses or Of tanks and dispersal cells shall be made by an ind'rvtdPO��nspe�r; POWTS Maintainer, Septage Inspe Master Plumber. Master Plumber Restricted Sewer, m or broken iQ identify any mss S motor• Tank lnspections must include a visual inspection of slu ge a scum and to check for any back u level packs or leaks, measure the volume of combined a via y to check the effluent s hardware, klenHtY ` round surface. The dispersal cell(5) shall be visu s Th Q° nding of effluent o or �'fng of effluent one to check for any ponding of effluent on tits ground sace• T authority. in the obse WWOn P uires the .immediate notification of the local regulator' ground surface may indicate a failing condi0on and req eq uals one-third (y or more of the tank volume When the combined accumulation of sludge and scum any Operator and disposed of in accordance with entire contents Of the tank shall be removed by . Se 113, Y19conS Administrative Code retreattment components. and any The SelYking of effluent filters. mechanical or pressurized POWTS components. P a certified POYYTS M�ntatner. o ther or monitoring at intervais of 12 months or less shall be peifotmed Service sent � of completion of any A servile report shall 'be provided to the local regulatory authority within 1 Q days other treatment f or or the presence of painting products or START UP AND OPERAT1oN PDWTS t�ledC if high conoentrabons are For new consMjcr3on, prior to use of file f3rsal cell(s). u, that may impede th treatment process and/or damage the di5po rator prior to use. d e tected have the contents of the tanks) removed b ' s sep servicing Pe % - Page of s l conditions are frozen at the infiltrative surface- restored e`S System start up shat[ not occur when 50r aabove normal Kighwater levels. When power iS maY overlaading the cells) an DuM9 POWef otrta9 d may result in the s Pump tank' disp$rI c* have in one large dose, tank removed by a yy71 be discha Med t the , te nt. avoid this situation have the contents of the pump p su rface Charge of ettlrn power the effluent pomp contact a Plumber or POWTS Mlalntainer to e Servicing OP�tor Prior " to restore normal levels within the pump taczk Septas a manua>Ity operafing' the Pump tic over, or otherwise disturb or compact, � r t and dispersal COILS. Do not drive or pa Do not drive y q re or park mound or at -grade soil absorption area. the area within 15 feet down slope of any ter stream may improve the performance and prolong the life Reduction or- elimination of the foilawir►g from the wastewater dgarette butts; condoms, cotton swabs; degreasers: dental floss; diapers; of the POVYTS: antIIWO cam; ItOW wlPes: water, fruit and vegetable peefings; gasoffi W=greased herbicides; meat � ndac drain (SU p rod u cts , pestiddes; sanitary napkins; tampons ,and water softener brine. scxaaps ASANDONSMENT taken out of service the following steps shalt hp taken to insure that the When the POWTS fall and/or doped in compliance with ch_ Comm 83.33, Wisconsin Administrative Code: system preperiy anQ� disconnected and the a oved and properly a bandoned pipe openings sealed. All piping to tanks curd pits shat! be disposed of by a Septage Servicing Operator. .. The contents of all tanks and pits shall be rem Afbar pumping, all tanks and pits shall be excavated and removed or their covers removed 'and the void space filled with 6011, gravel or another inert solid material. CONTINGENCY PLAN the following measures have been, or must be taken, to provide a code If the POVVTS falls and cannot be repay compliant replacement System soil 0 A suitable 17eptaeemenCarea has e rea i shdu d be proottectte rom disturbance and compa and should not absorption �tOm- The replacement from existing and proposed structure, tot tines and wells. Failure to be infringed upon by required setbacks _ protect the replacement area will resui ns must comply with the n at that time a suitable replacement area. Replacement sty O A suitable replacement area is bbe Ins f iled as a Last resort to eplace the failed POWTSng advances in POYVTS te a' suitable replacement area. If no replacement area tS available a_ chnology a holding tanic may n failure of the POVVTS a sort and e site has not been evaluated to identify a suitable replacement area. Upon rte evaluation must be performed to locate / holding tank may be installed as a last resort to replace the failed Povvrs- nd and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at e Jnfitbative surface. R of such systems must trompiy w ith the rules in effect at that time `<WARNJNG>' TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. SEPTIC, PUMP AND OTHER TREATMENT _ DO NOT ENTER OEPnP.�ON FROM THE INTERIOR p A TANK MAY B DIFFICULT OIMPOSSIBLE— RESULT., RESCUE Y AD(- )MONAL COMMENTS POINTS INSTALLER pOWTs MAINTA IVER E Name C ►✓ r� 1 ' s �. t�.tk,✓ - Z °" ,�� Z SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUMOR" Name Agency Phone - 2>.S ZV 6 ~ ,? Phone This document wu dotted by Ow itafla of the "a Lake, Marq uette and Waushara County Zoning and Sanbtion ag&1des. This document meets the minimum mquiremants of dr. Comm 83.22=tbX1Xd)&(0 and 83.54(1) b (3), VYrs=sin Adrn[nlsfretiw Code. Use of this doeiment does not guarantee the performance of the POWYS. GMVV {1/01) Wisconsin Department of Commerce N REPORT Page of Division of Safety and Buildings s in actor nee wfth Comm 85, is dm. e County �� r Attach complete site plan on paper not less than 1/2 x4�l,inches 1i g1pn mu include, but not limited to: vertical and horizontal eference point ($t5fj, n an Parcel I.D. percent slope, scale or dimensions, north arrow and I i distance to near t road. COUNTY Re ' wed by Date Please print all i G OFFICE / Personal information ou provide maybe used for seconds u CL Y Y secondary P rposes (Pnva 1) (mp. Property Owner Property Location ev /'/ Govt. Lot 5C_ 114,41 /4 S a,5 30 N R E (o W Property Owner's Mailing AddadSs Lot # Block # Subd. Na CS Vr �- State Zip Code Phone Number I1 city ❑ Village T Nearest Road 1 SS 01 ;O I ( ) s r New Construction Use. Residential I Number of bedrooms Code derived design flow rate LI GPD o Replacement Public or commercial - Describe: Parent material Flood Plain elevation if applicable General comments / / and recommendations: S� 5. e, l.e � ,,7K / g Boring # a Boring Pit Ground surface elev ft. t;. pth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc6 Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Z S p� YY L S` Boring # ❑ Boring DI Pit Ground surface elev. 1_ L ft. Depth to limiting factor lr. 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 Z- 2 , Effluent #1 = BOD > 30 < 220 mgIL and TSS >30 < 150 ' Effluent #2 = BOD <- 30 mg/L and TSS < 30 mg/L CST Name (Please Print) - - Si re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �--� 715- 246 -4516 I - Property Owner _ Parcel ID # Page of U] Borin � Boring l n9 J 1 B �t Ground surface elev. � ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑ Boring C] 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 I 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/ff 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/_ ' Effluent #2 = BOD < 30 mg/_ 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. • SBD4330 (RAM) Soil Test Plot Plan groject Name Oerving Homes Shaun Bi Address 838 Summer Pines Hudson Wi 54016 CSTNf2 Z6900 Lot 2 9 Subdivision Red Pine Corner Date 10/5/04 S W 1/4 N W 1/4S 25 T 30 N /R W Township Richmon Fj Boring 0 Well PL Property Line County ST. CROI BM or VRP Assume Elevation 100 ft. Top of l" Pipe System Elevation 98.9' *HRPSameasBenchmar 136th Ave Scale = 1/4" = 10' 140th St. B.M. B -1 B -2 99 Alt.B.M. 98.9' is top of 1/2" ❑ B-3 8.5 1 pipe @ Pro 3 99.3' Bedroom 2% House Slope Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 4639J5 0 ATTACH TO PERMIT) GENERAL INFORMATION State Plan ID No. . Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Oeverin , Ken I Richmond Township 026- 1130 -29 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/To ange /Map No: 25.30.18.889 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION B HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht O t TANK SETBACK INFORMA ON TANK TO P/L WELL LDG. Vent to Air Intake ROAD Zt Septic 115t Bottom Dosing Header /Man. ZAK Aeration Dist. Pip Holding Bot st I Grade PUMP /SIPHON INFORMATION Manufacturer mand St over G Model Number I TDH Lift Friction Loss System He TDH t Forcemain Length Dia. Di o Well SOIL ABSORPTION SYSTEM BEDITRENCH Width L No. Of Trenches I PIT ENSIONS No. Of P OHole uid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /S AM LEA nufacturer: INFORMATION CHAM Type Of Sys tem: U M er: DISTRIBUTION SY M eader /Manifold Distribution x Hole Size pa to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Syste s ly Depth Over Depth Over xx Depth of xx Seede Sod xx Mulch; Bed/Trench Cent Bed/Trench Edges Topsoil s � No � No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / 1 pection Location: 1402 136th Ave. New Richmond, WI 54017 (SW 1/4 NW 1/4 25 T30N R1 8W) Red Pine Corn ( r Lot 29 el No: 25.30.18.889 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required ?] Yes No Use other side for additional information. L SBD -6710 (R.3/97) Date Insepctor's Signatur Cart. No. � � � � � ���� � � � � � ' , a �. - 1 � \ � � � . _ � �� ^% � � � �. � � ��� f \ \ � �« . : : y% � �` � � � a� �� ) •� , # � -t ! �� �� ■ f ..© , «� � `.� � . , : � � ■ / . , .� »� # \: � � 7 . � ® ^� f .�`� , � � � �� . � �/. &� : ^�. . �f ,� - � < � �<. ■ �� . � » �. Safety and Buildings Division County AIN 201 W. Washington Ave., P.O. Box 7162 Visconsin Madison, 6-315 - 7162 Sanitary Permit Nttt�er (m ink Co.) Department of Commerce O -3151 LPL State Plan I.D. , �•, ' N Sanitary Permit Application ` f' In accord with Comm 83.21, Wis. Adm. Code, personal information you provid l D may be used for secondary purposes Privacy Law, s15.04(1xm) Project different than mailing address) I. Application Information - Please Print All b3fwmatim G . Property Na me Lot N Block k 3 0 9 Property Owner's M ailing Address Foperty Location XTF State Zip Code Pb�e Nuatbni %.section 5 (circle one) !w T N; R LP_ E o� II. Type tnilding (check all that apply) .Q/t . Subdivision Name CSM Number @4 or 2 F welling - Number of Bedrooms Q� - ❑ Public/Co - Describe Use [I State Owned - Desc Use X - OCity_OVillage 1krownship of M. Type of Permit: ( only am box on lime A. Complete line B ie , 'cable) A ' New System ❑ ment System ❑ T eatmendHoldiog T Repl Only ❑Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit ion 0 Change of t ew Number and Date Issued Before Expiration Plumber O IV. Type of POW1S Syst _ (Check all app ly) ❑ Non - Pressurized In- Ground &Motmd > 24 i f suitable soil ❑ Mound < f suits a Grade ❑ Single Pass Sand Filter 0 Constructed Wetland ❑ Pressurized Lr- Ground otding ❑ Peat Filter unit ❑ inarlating Sand Ater ❑ Recirculating Synthetic Media Filter ❑Leaching Drip Line ❑ (exPndn) f V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rat Area A (st) D Area (s S Q VI. Tank Info Capacity in Total r ben Manufacturer fab Plastic Gallons Gallons nits New Exhft Tanks Tanks — Septic or Holding Tank AOFAW:F NJ O Dosing Chamber 2 — VII. Responsibility Statement I, the assume rdspondbWdy for installation of WTS shown o n Plumber's Na me (Print) P 's Si gnature SRS Number Number Fogerty Plumbing Phnnbe!gs eE�F 4 Code 7/5 - �► 3s = S �2 �-G X Spooner, WI 54801 4x VIII. - 3 7 L Droved ❑ Disappro Sammry Permit Fee (includes Groundwater Date Issued t S o Stamps), ❑ iven Reason for Denial Surcharge Fee) 2 D . O G IX. Conditions of Approval/Reasons for D isapproval, J ✓ u v YSTEM OWNER: � � ��'�•� (� ep is tank, effluent filter and � dispersal cell must all be serviced / m ntained / ��// ��r as per management plan provided by plumber. 2 requirements mss e as per applicable code /ordinances. Attach complete plans (to the County only) for Poe system ou paper wt hm than 8112 x 11 inches in size N .et A t,W ao�° m U o a� tl .low a a v � U � a S ON C j '�r � o ' i c o t � d• � U N ° U , -mw a w a n � n a \' q as a g 1 4S y1off ra Q aw-D— -1 0 N U 00 a bo U ° o r, E° a Q C N 0 it i t o� X00 .o C h o V o U ;� II _ oo `, a 0. N u 0 i Safety and Buildings t i � commerce.wi. OV 10541N RANCH ROAD g HAYWARD WI 54843 TDD * (608) 264 -8777 sco n s i n www.comm vAsconsin.g v epartment of Commerce wuuw.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 13, 2004 CUST ID No.224059 ATTIC• POWTS Inspector ZONING OFFICE KEITH E STONER ST CROIX COUNTY SPIA 23220 WOOD CREEK RD 1101 CARMICHAEL RD SIREN WI 54872 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/13/2006 IdentificationNurnbers.. _. Transaction ID No. 1056471 SITE: Site ID No. 688912 Oevering Homes Lot 29 Please refer to both'identification'aumbers 140TH St above, in all co espondence'wrtli.the agency. Town of Ric nd St Croix County SW1 /4, NW1 /4, S25, ON, R18W Lot: 29, Subdivision: Re ine Comer Subdiv FOR: Description: New moun . bedroom residence Object Type: POWTS Compon anual Regulated Object o.: 978279 Maintenance required; 450 GPD rate; 29 in Soil depth to limiting factor from original grade; System(s): Mound Component Manua ersion 2.0, SBD 691 -P (N.01 /O1) . p.0 The submittal described above has been reviewed co nf ce with applicable Wisconsin Administrative Codes C o I l l and Wisconsin Statutes. The submittal has been CO ONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible ompliance with all code requirements. N? V No erson may engage in or work at plumbing in state licensed to do sob the Department per s.145.06, AR1 Y P g Y eP P 0 stats. 0 The following conditions shall be met during struction or installation and prior to occupancy or user General Approval Conditions: SEE • This system is to be constructed and cated in accordance with the enclosed approved plans and with the design manuals noted above. • In the event this soil absorptio ystem or any of its component parts malfunctions so as to create a health hazard, the property owner m t follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Key Item(s) • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. KEITH E STONER Page 2 9/13/04 1 r • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(i). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. 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 Patricia L Sh dorf POWTS PI Revie er, , Integrated Services WiSMART! cpde7633':. �.. (715) 634 -781 , ax: (715) 634-5150, M -f 7:45 am - 4:30 pm pshandorf @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Oevering Homes LLC Lot 29 Mound Owner's Name: Oevering Homes LLC Owner's Address: 838 Summer Pines Circle Hudson WI 54016 (715) 760 -0001 Legal Description: SW1 /4 -NW1 /4 Sec. 25 T30N - R18W Township: Richmond County: St. Croix Subdivision Name: Red Pine CornerW S• Lot Number: 29 Block Number: NA IL l,iti Parcel I.D. Number: A Plan Transaction No.: EN P NO Page 1 ex and titl 0 ?' Page 2 D entry I Page 3 Mou ings D �j Page 4 Lateral dose tank Page 5 Sy st ma enance specifications Page 6 Ma gement contingency plan Page 7 P p curve and cifications Page 8 of Plan C ```p` ��a�puuor ng Designer: Keith ° Sto6er* License Number: Designer# 1575 -007 Date: 08/22& Sr F Phone Number: (715) 653 -2324 Signature: c (,' Wsigne�ursuant to the Mound Component MaNtlralrAr S 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 300.00 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. 450.00 Design Flow (gpd) 2.00 Site Slope ( %) 98.70 Contour Line Elevation (ft) 29.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd /n Distribution Cell Information 1 00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) Dispersal Cell Design Loading Rate (gpd /ft Influent Wastewater Quality (1 or 2) Are the laterals the highest poi in the distribution Pressure 'bution Information network? er Y or N (c or e) c Ce r or End Manifold 2.50 Latera acing (ft) If N above, enter levation (ft) 4 Number o terals of the highest p ' F 0.156 Orifice Diam (in) (e.g. 0.25) 2.50 Estimated Orific acing (ft) = 6.25 ft/orifice 2.00 Forcemain Diamete in) 100.00 Forcemain Length (ft) Does the force drain back? Y 88.50 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 13 16.3 orcemain Drainback (gal) 10.45 Vertical Lift (ft) 81 5x Void Volume (gal) 3.12 Friction Loss (ft) 56 Minimum Dose Volume (gal) 18.12 Total Dynamic Head (ft) 8.77 ystem Demand (gpm) Late Diameter Selection Man Id Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 _ _ x 1.00 1.50 x _ x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculato tional) Treatment Tank Informatio Total Tank Ca ity (gal) 1000.00 Septic Tank C city (gal) Total Working Liq i Depth (in) Wieser Concrete M ufacturer gal /in (enter result in 11 B49) Dose Tank Informati Effluent Filter Information 602.82 Dose Ta Capacity (gal) Zabel _ Filter Manufacturer 11 .821 Dose T k Volume (gal /in) A100 _ Filter Model Number Wieser Concrete Manufacturer Project: Oevering Homes LLC Lot 29 Mound Page 2 of 8 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical der 5 P •= Turn -up vWbeII vaWe or I¢ XC—�I fJW241 Laterals & force main of PVC Soh 40 cleanoutplug per COMM Table 84.30 -5 Notes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 44.28 ft Orifices per Lateral 18 Lateral Spacing (S) 2.50 ft Orifice Density 6.25 ft ce Lateral Flow Rate 9.69 gpm Manifold Length 2.50 System Flow Rate 38.77 gpm Manifold Diameter 1 in Total Dy mic Head 18.12 ft Forcemain Velocity .96 ft/sec Dose Tank Information L ing cover with waming el and locking device and sealed watertight Electrical as per NEC and - -► L 4 in. min. Comm 16.28 WAC Disconnect _- ______ Tank component is properly vented �— Alternate outlet location Forcerrtain diameter Wieser Concrete Manufacturer 2 in. Capacityl 602.82 Gallons Volume 11.82 gal /inch Weep hole or anti - Dimension Inches Gallons B siphon device A 30.75 363_.42 C B 2.00 23.64 Pump off elevation (ft) C 8.25 97.56 89.33 D 10.001 118. D Total 1 51.00 602 2 Dose t elevation (ft) Bedding un er tank. 88.50 Alarm Manuafacturer S. . Electr Alarm Model Number 1 -01H �— Pump Manufacturer Goulds Pump Model Number #3871 EPOS Pump Must Deliver 38.77 gpm at 18.12 ft TDH Project: Oevering Homes LLC Lot 29 Mound Page 4 of 8 Mound System Maintenance and Operation Specificatio Service Provider's Name Tri- County Sanitation Phone (715) 386 -0114 POWTS Regulator's Name St. Croix County Zoning Offic Phone (715) 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 fe Maximum FO 30 mg /L Type of Wastewater Domestic Maximum Fecal Coli m >10E4 cfu /100 mL Service Frequency Septic and Pump Inspect and /or servic nce very ears Effluent Filte Should inspect and clean j6 least once every 3 years Pump and Controls Test oncif every 3 years Alarm ShoL0 test month) Pressure System Late s should be flusheff and pressure tested every Lea ears Mound 1 e .t for ondi and see a e once ever 3 s Other Miscellaneous Const n and Materials Standards 1. Observation pipes are slotted and materials c for o Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound c ponen anual. 2. Dispersal cell aggregate conforms to Com .30 (6)(i), is. Adm. Code. 3. All gravity and pressure piping materials form to the r . ments in Comm 84, Wis. Adm. Code_ 4. Tillage of the basal area is accomplished ith a mold board o hisel plow. 5. The mound structure and other disturbe areas will be seeded mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished • • 0 ••• ••••••••• 0 . 0 .9 Grade 6 -8" Diameter Lawn Threade Cleanout Sprinkler Valve Box Plug or Ba Valve Distribution Lateral _� �--� Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Oevering Homes LLC Lot 29 Mound Page 5 of 8 Wisdonsin Department of Commerce SOIL EVALUATION REPORT Page �_ 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 ,81 %2,X 11 `inches iWsiz "lan must include, but not limited to: vertical and horizontal rXetence point (BM); dirt • n and Parcel I.D. percent slope, scale or dimensions, north a7y W,'bpd location. d distaff to arest road. OZ — .. '00 r ^r I t I i ;\ R ewed Date Please print formAQJjL i for secondary purposes (Privacy Law, s. A5,0 1 m) . Personal information you provide may be used e ry p p ( y () ( ) O Y .. Property Owner Litt I c J j PrOi*rfy Location Oakwood Land Develo t ; S7 CRC�iY. G vl: I:ot SVil 1/4 1/4 S25 T 30 N R 18 J1 (or) W Prop r�cQ wner's M i Address Z-0tVING0 TICS �Ot Block# Subd. Name or CSM# M 1 HY. M N. E. na Red Pine Corner City State Zip Code PhqI6 VM -.- : , -, \ I In City ❑ Village Down Nearest Road Spring Lake P4lrk, t4N.554321 (612) `786��49'9S J Richmond 140th. St. New Construction Use: ® Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material glacial dri Flood Plain elevation if applicable M ft. General comments and recommendations: mound @ el. _ 99.70' based on contour 1 ine of el. 98.70' 'Lbp� Boring # Boring �0 a XQ Pit Ground surface elev. 99.00 ft. Depth to limiting factor 33 in. Soil Application ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. 'E "Eff#2 1 0 -11 10yr3/3 none 2f .5 .8 2 11 -23 10yr4/4 none sil 2rnsbk mfr rnj 5 .8 3 23 -33 7.5yr4/4 none scl 2csbk mfi qw i 33 -60 7.5yr4/4 c2d 7.5yr5/6 scl 2csbk mfi na na 4 Boring # Boring pit Ground surface elev. 9 9.00 ft. Depth to limiting factor 7Q in. Soil Applicidion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G /ff in. I Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E 'Eff#2 1 0 -8 10yr3/3 none L 2msbk mfr gw 2f 8 8 -19 7.5yr4/4 none sil 2msbk mfr gw if .5 .8 19 -29 7.5yr4/4 none scl 2msbk mfr na na .6 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L ' E ent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature ST Number Gary L. Steel 0'� 02298 Address Date Evaluation Corrducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -4 -2000 715 - 246 -6200 Property Owner OakwoOd Land Dev elOpment Parcel ID # Pending Page 2 of 3 a Boring # Boring .. ❑ 3 pit Ground surface elev. 98.10 ft. Depth to limiting factor 43 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 -9 0yr3 /3 none L 2msbk mfr gw 2f .5 .8 -22 10 4 4 none sil 2msbk 1 mfr gw if .5 .8 iI 2csbk mfi qw if .4 .6 4 -43 7 5 4 4 none sl 2msbk mvfr gw na .5 .9 5 43 -60 5 4 4 f1f 7.5 5/6 scl M na na na .0 .0 F-1 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 _ A ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 Effluent #1 = BOD > 30:E 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. SBD -8330 (R6/00) 1 V f. ry STEEL'S SOIL SERVICE Gary L. Steel Oakwood 1554 200th Ave. CSTM2298 SwS25T30 -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #29 -Red Pine Corner N 1 " =40' BM. = top of -, _ M' ` pucs.pipe -; - el. 100.00' Alt. BM.= top of 1 pvc pipe @ el. O C� V ' 20 5 r Gary L. Steel 11 -4 -2000 [1r_r 30 02 Dot 290 FOCCRTY PLUMDINC ST CROIX COUNTY SEPT[C TANK. MAIN MANCE AGRM&MT ' AND OWNERSHIP CERT FICATION FORM Owner/Buycr� .Meiling Address A AM 44 (Vatfamme requited tmm PP k=mg Dgmfteet far new aWdMCtM) — - ty/Statt: V' 'Pmml Iden0-tian - N ba B.2�r • / /j -?A._ - LEGAL DBSCRlt= t J P - Location �._ /•. �t/u> ya Se+� . T -RAW, Toga of mP�Y . Subdivision ,d ' - CerWQed Sul Map # Page # — Warrauty Deed # _7 � A96 - Volume zs2 3 . 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WALSH STATE BAR OF WISCONSIN FORM 1 - 1998 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO.. WI RECEIVED FOR RECORD Document Number This Deed, made between Oakwood Land Developm a t�3/0$/ 20tif4 12: 30PM Corporation Grantor, and ne _1 Grantee. WARRANTY DEED Grantor, for a valuable consideration conveys to G ntee the following EXE1 # described real estate in St. Croix _ County State of REC FEE: 11.00 Wisconsin (the "Property "): TRANS FEE. 9a.70 (r1Q Y r i COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address vexing es, LLC X R Comer N9," I oAg j Burnet Title 7550 France Ave. S. First Fluor Edina. NiN 55435 026113029000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Lot 29, Red Pine Comer, Town of New Richmond, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. Non Grantor warra�ts that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except t) mm Dated this day of M ck �r �W (SEAL) (SEAL) Oakwood Land Developme (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) .`'��FA RA�J r � State of Wisconsin, Vk --- -- d as Si oix County authenticated this day of _- ��, I -brsonally came before me this day of •[ j� • the above named Greciory J. Peterson Vice PTesidgrit of Oakwo evelooment, a Corporation to me known to be the person TITLE: MEMBER STATE BAR OF WISCONSIN who executed the foregoing instrument and (If not, ackno ;; g ge a same. ^ authorized by §706.06, Wis. Stats) �/� ` THIS INSTRUMENT WAS DRAFTED BY Coldwell Banker Burnet Notary Public, State of Wisconsin 1301 Coulee Road Hudson, W 1 54016 My commission is permanent. (If not, state expiration date: 3 -65889 (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of persons signino in any ca ac' must be typed or Printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 -1998 Milwaukee, Wis. i O-W ------------- I - - - - - R --------------- I ----- ----- 14 0-*TW 8 TREE T N00'07'1 7 "E 2640.56 140TH w c E Dvn9w" 140 STREEr 208.01j S00'14'27"W 1918.79' C - -6 1 6 , - - - - - -- 200.00 - - - - -- ----- - - - -- 200.00 - - - - -- ------- 200.00' 01) ct) co i Ln O LA . ............... ............................................................ (n 0) 1 �l (A I OD OD b r• CA to 0) (A (A CA r 0 14 CA C) 0: CA 1 � § 9 CA C) 0 r 0 -- I -- - - - - -- C> K) ti g O QQ�> � i i y'�� n, �� ^ � A � V CA rTi NOS *07',30-E SOOI 4'27"W 824.06' 177.99, 224.06' 200.00* 200.00' 324.06' 238.73' 61-27 O .14 co r N S h, 5 (A 0 10 Z 4 A Cb KO 0 it 0 PS ;.S. ........... kg "0 0 R