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026-1142-53-000
rr__ � n H O 3-V n d `' ° c c 0 3 ^° v • 3 c w e n W 9) �1 J O) c N p y N O O ►+i (O CD O d c O 7 OD N 151 �_ 0 p_ p n 0 - I o w N 60 c cD O O O O V p CD 3 O N y w O a C V ! a CS v _ m (a ? y a a IW _ \ c c o c N 3 O� N p 0 Z p ` -I A CD O W N N ((�� oo rv� lei CD � oA N rt a CL cc 11 CC � ai ai ai a " aQ ao v C" (D m N D D o a 0 s a "MA• CD N v m � 3 a CD 1 y co c w v ca M I w il, N m w ca CL o Z 0 z � A ' A I p v O = N@ Z D Cl a Como y 7 C 00 O 7 - n 7 0) p ddA� fn y Z a 7 N o N N �+aom a co m3'm(d 0 N ! .w o c c = :3 v C m 7 to N cO .I If ps Z N cp 3 m m �, c o cv o v a 0 3 0 3 o ° a w CL E 0. 0. CL . M N co ' N I j � a o O_ m ao �o o a Wisconsin Depart amerce . PRIVATE SEWAGE SYSTEM county: St. Croix Safety and Bui - r; INSPECTION REPORT Sanitary Permit No: _ 463182 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: Beunin , Dave I Richmond Township 026- 1142 -53 -000 CST BM Elev: Insp. BM ev: BM Description: Section/Town /Range /Map No: p 2yt cr ,( 25.30.18.1037 TANK INFORMATION ELEVATI N DATA 1 1. ab TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 2 .3(.r /dt •3 /ate Septic Ck / � ^ n . ��� Be , Dosing Alt. BM Uv Pi Cap 3 . Aeration Bld er D � , yg y Z Holding t f t Inlet � bpi � TANK SETBACK INFORMATION Outlet TANK TO P/L WELL BLDG. Vent t� ROAD Dt Inlet Septic � �• ! �/ / 2 � � � � .� / Dt Bottom 96 Aeration Dist. Pipe 3 - Holding Bot. System , i z "� PUMP /SIPHON INFORMATION Final Grade Z ., t A ��•��,r�rP.cl fiT__ Manufacturer Demand St Cover i GPM 1 rrsP -r 3 S /Q • 3 i„ Model Number 15� P 41 -c�4 TDH Liff , 0� Friction Loss System He TD Z t 1� , Forcemain Length Dia. is Dist. to well Z SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length No. Of Trenchei PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS e SETBACK SYSTEM TO I P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer. �\ INFORMATION Type Of I CHAMBER OR / , Z � , UNIT Model Number. �eam 1 DISTRIBUTION SYSTEM �`� Header /Manify Id ) Distribution ( i/ x Hole Size I x Hole Spacing Vent to Air Intak Pipe(.) 3 \ ' vCI J L Length Dia Spacing —:Y— .1 00 Z�J P I a SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over ! Depth Over xx Depth of xx Seeded /Sodded xx Mulci�E� Bed/Trench Center Bed/Trench Edges Topsoil , �� � Yes j°] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_1 b Inspection #2: 5 /y Ll 05 Location: 1379 141st S et New Richmond, WI 54017 (NE 1/4 NW - 1/4 25 T30N R18W) �R7e`d/Pincorn ,r�/�st Add of 5 Parcel �o /: 25.30 18 d � 1.) Alt BM Description a�',,_O y 2.) Bldg sewer length - amount of cover �v Plan revision Required ? , Yes o Use other side for additional information A lnsepctoes __ - D -6710 (R.3/97) Date S' nature Cert. No. Oct 28 04.03:52p LISA ANN KROL� 715-246 p.2 o- u-P uq:e-ua StOel's Sail Sevice Inc. 715-684-3449 P.3 STEEL'S SOW"SERVICE INC. 3 of 3 David J. Steel Cameron Homes 994 200' St CST-POWTSb4 NEI/4,NW114.S25,T30Njt18W Baldwin, WI 54002 Lic. #249956 TOM Of R*dKnon(L SL crom Co_ Bus.(715) 684-5680 Red Pine Lot= Fax-(715) 684-3449 Lagand N I"= 40' A = Benchmark Ele. 100.0off- Top of 3/4" pvc Pipe = Alt Benchmark Eb- 99.95 ft Top of 3W pvc p ipe Borh Baring Elevations B1 99.95 ft 82, = 98-95 ft 83-, 98.15 ft B4 99.65 ft 7f Ae 1 w ,. i �, y J <0 I f LOT 8 LOT 3 < LOT as dp 116 p N s i ~� 'y ` y dq A mes �90 44k ` • LOT 10 '� ` ,� f►� � mo w• F }� • �c • • t • ate. a a � •• •� I 1580 Wisconsin Department of Commer t, O OIL EVALUATION REPORT P 1 of 3 Division of Safety and Buildings in n t1 ,AIM. Cod Steel's Soil Service, Inc. 1 County Attach complete site plan on paper not less than 8'% x 11 i in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference int (BM), direction and percent slope, scale or dimensions, north arrow, and locati and di�t�rt�to Tal�st i I Parcel I.D. Please print all informati a iewed By Date Personal information you provide may be used for secondary pu es (PriSady 1I II I N , Property Owner ocation Cameron Homes Govt. Lot na NE 1/4 NW 1/4 S 25 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P. O. Box 231 53 na Red Pine Corner City State Zip Code Phone Number _j City _j Village 1/ Town Nearest Road Hudson I WI 1 54016 715 - 760 - 0281 Richmond I 141 St ✓_.I New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement J Public or commercial - Describe:na Parent material Glacial Drift Flood plain elevation, if applicable na General comments and recommendations: Mound design, system elevation 100.45ft based on contourline elevation 98.95ft. Boring # Boring 0 Pit Ground Surface elev. 98.95 ft. Depth to Limiting factor min. Soil Application Rate Ift Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 PD2 Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -12 10yr3/1 none I 2msbk mfr cs 1c .6 .8 2 12 -24 10yr4/4 none sicl 2msbk mfr cs 2f .4 .6 3 24 -33 7.5yr4/4 none cos osg mvfr cs na .7 1.6 4 33 -54 7.5yr4/6 none cos osg ml cs 7 1.6 na 5 54 -58 10yr7/4 none racture limestone na na na .0 .0 Boring # J Boring 0 Pit Ground Surface elev. 98.95 ft. Depth to limiting factor min. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff #1 PD *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -9 10yr3/1 none I 2msbk mfr cs 1 c 6 8 2 9 -24 10yr4/4 none sl /Is 2msbk mfr cs na .6 1.0 3 24 -34 7.5yr4/6 none cos osg ml cs na .7 1.6 4 34 -36 10yr7/4 none racture Limestone na na na .0 .0 * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L CST Number CST Name (Please Print) ignature c 248956 David J. Steel Address Steel's Soil Service, nc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 10/26/2004 715- 684 -5680 J Safety and Buildings Division County �— r AN 201 W. Washington Ave., P.O. Box 7162 !� Mad tgwn, WI 53707 - 7162 Sanitary Permit Number (to be filled in Co.) (608) 266 -3151 ? le „Q - [nut f merce o State Plan I.D. Number ary Permit Application !V3%X0_ (' with Co 83.21, Wis. Adm. Code, personal information you provide s U "be us for secondary purposes Privacy Law, s15.04(1 rat) Project Address (if different than mailing address) � $oli tr on - Please Print All Information >3 y owner's Name arcel # Lot / # Block # ' ( --- Property Locati Property Owner's Mailing Address J on • �•-- L S r Section (� J City, State Zip Code Phone Number �+y trcle ) vzk. 1 ": 5 - yU/ T - 4 R 0 E oW II. Type of Building (check all that apply) L. Su ivisio Name CSM Number �1 or 2 Family Dwelling - Number of Bedrooms ❑ Public/Commercial - Describe Use ❑ State Owned - Describe Use ❑City_ ❑V' ge ownship of _ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) p - 142 - 53 — etp 6 /03-T A. KNew System ❑ Replacement System ❑ Treatmentmolding Tank Replacement Only ❑ Other Modification to Existing System B. ❑Permit Renewal Permit Revision ❑Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expirat ?on Plumber Owner _ 0 - ZM IV. Type of POWTS System: Check all that appl ❑ Non - Pressurized In-Ground _ n Mound < 24 in. of suitable soil l ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland El Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter 11 Leaching Chaco ❑ Drip Line ❑ Grav -less P' ❑ Other ( lain) l tS JP lastic V. Dis ersaVl'reatment Area Information: 00 Design Flow (gpd) Design Soil Application Rate( s Dispersal Area Required (sf) ispersal Area Proposed (sf ,5 d Ga VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Fiber Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank / O � O('�..�, Aerobic Treatment Unit Dosing Chamber ®o r - ®` VII. Responsibility Statement- I, the undersigned, assume responsibility for is tallation of the POWTS shown on the attacbed plans. Plu N tQe 7(Pint Plumbes Si ture P PRS Number Business Phone Number Plumber's Address (Street, City, late, Zi e) 11� VIII. County/ e artment Use Onl Approved ❑ Di roved Sanitary Permit Fee i eludes Groundwater Date Issued ssu' Agent Signature o Stamps) Surcharge Fee) �� < caner Given Reason for 1 ' 1 S ZUU IX. Conditions -prove R � .Q SYSTE R: 3 CSL �1 S l 4 n l Iv l9�+r 1 Septic tank, effluent filter and j� , n dispersal cell must all be serviced / maintained s Rrt t e�j O'1ti�t>ix "WU as per management plan provided by plumber. ` + a 2. All setback requirements must be maintained as per applicable code /ordinances'- Attach complete plans (to the County only) for the system on paper not less than 31/2 x 11 inches in size SBD -6398 (R. 01/03) l VO 5 4 :5 pkJ Bf o� 6 \\ ,.. ✓ .3 � 3b 1 No — � - � pal C� I Safety and Buildings 10541N RANCH ROAD commercdml.gov HAYWARD WI 54843 TDD #: (608) 264 -8777 isconsin www.commerce.wi.govsb, Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary December 08, 2004 CUST ID No.220357 ATTN: POWTS Inspector BRADY J UTGARD ZONING OFFICE UTGARD PLUMBING & HEATING ST CROIX COUNTY SPIA 110 KELLER AVE N APT 112 1101 CARMICHAEL RD AMERY WI 54001 -1034 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/08/2006 Identification Numbers Transaction ID No. 1089133 SITE• Site ID No. 690244 Dave Beuning Please refer to both identification numbers, 140TH St above, in all corres cpdence with the agency. Town of Richmond St Croix County NE1/4, NW 1/4, S25, T30N, RI 8W FOR: Description: New mound, 4 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 996306 Maintenance required; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; P.O.) System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01/01) Con d i The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes APPV and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in TM1 chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. ,f SAI 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. SEE CORI The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the design manuals noted above. • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the. approved plans. 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 ten ninate 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. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. I BRADY J UTGARD Page 2 12/8/2004 • 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 addate.wi.us ide a copy of this' letter to the owner and any others who are responsible for the installation, operatce of the POWTS. Sincerely Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L Shan POWTS Plan Rev, Services WiSMART code: 7633 (715) 634 -7810, F150 , M -f 7:45 am - 4:30 pm pshandorf @comm cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 !d I MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: DAVE BEUNING Owner's Name: DAVE BEUNING Owner's Address: 1379 -141 ST ST. NEW RICHMOND, WI 54017 Legal De4dription: NE 1/4 NW 1/4 S 25 T30 NR18 W Township: RICHMOND County: ST. CROIX Subdivision Name: RED PINE CORNER N'(, Lot Number: 53 Block Number: N7i! riont Parcel I.D. Number: N/A E 10m Plan Transaction No.: Page 1 Index and title D E Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank C Page 5 System - maintenance specifications t` Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 PLOT PLAN Page 9 soil test Designer: BRADY UTGARD License Number: 220357 Date: 11/04/04 Phone Number: 715 - 268 -6995 Signature: 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 9 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 ( %) 98.85 Contour Line Elevation (ft) 18.00 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 11 ,1 1 . fluent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution I Y 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 88.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 12.35 Vertical Lift (ft) 62.81 5x Void Volume (gal) 3.60 Friction Loss (ft) 79.12 Minimum Dose Volume (gal) 19.20 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 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) 35.97 Total Working Liquid Depth (in) WIESER Manufacturer 22.24 gal /in (enter result in cell 649) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) Zabel _ Filter Manufacturer 22.24 Dose Tank Volume (gal /in) IA100 Filter Model Number WIESER Manufacturer Project: DAVE BEUNING Page 2 of 9 Mound Plan View T 1/10 13: : Observation Pipe . :0 J K .y. .y.y .•. �.f� Z. Z. W �. +B+ — • L I Mound Component Dimensions A 6.00 ft E 19.44 in H 1.00 ft K flft ft B 100.00 ft F 9.25 in I 9.23 ft L 1ft D 18.00 in G 0.50 ft J 7.84 ft W 600.00 (ft') Dispersal Cell Area 1 1522.61 (fe) 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 102.12 (ft) ► — .,irirrif�� i �i {�.. F Dispersal Cell 100.85 (ft) Lateral 100.35 (ft)-1► I Invert Dispersal Cell :: = Elevation E . D . : i s j : � : � • � .. •., .y . ',� �: ,•, i m il, : •l :' �..�1, :�i_ �, S • j ' .k � ._k., �:_?,: J }, ._f' , _ ' 4 •� 98.85 (ft) Contour Elevation 2.0 % Site Slope Geotextile Fabric Cover Shading Key a Dispersal Cell See lateral details on it - Topsoil Cap 0 °• 1.5 ft •y;•.••••°;.;.' °••'•;_:° Page 4 for number, size, Subsoil Cap a 5 ° ° ' ° • and spacing of laterals. © ASTM C33 Sand i° ° s ° , • . Laterals are equally -{ -;, Q Tilled Layer c 0.5 ft T�rpicaf Lateral ":::• spaced from the Aggregate v c : =hz distribution cell's �' ' •_ centerline i the A distribution cell (AxB). Project: DAVE BEUNING Page 3 of 9 i Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical I P S •= Turn -up vdball valve or IF X- -+-x12 I x12 ->1 Laterals & force main of PVC Sch 40 clean out pl u g 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) 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 10.49 gpm Manifold Length 3.00 ft System Flow Rate 41.94 gpm Manifold Diameter 1.50 in Total Dynamic Head 19.20 ft Forcemain Velocity 4.28 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and — 10 Disconnect Comm 16.28 WAC 4 in. min. --�_ Tank component is properly vented Alternate outlet location rLForcuemain diameter WIESER Manufacturer 2 in. Capacityl 800.00 Gallons — fi Volume 22.24 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 24.41 542.96 C B 2.00 44.48 � P ump off elevation (ft) C 3.56 79.12 88.50 D 1 6.001 133.44 I D Total 35.97 800.00 Dank elevation (ft) ,J --' 3 7 — 'Bedding un er tank. 88.00 Alarm Manuafacturer I LEVEL_ —� Alarm Model Number DLV Pump Manufacturer IGOULDS Pump Model Number [EP05 Pump Must Deliver 1 41.94 gpm at 19.20 ft TDH Project: DAVE BEUNING Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name I UTGAR PLUMBING Phone F71 5 - 268 -6995 POWTS Regulator's Name ST. CROIX ZONING Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft' Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluenf Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Ins ect for ponding and see a e once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished •..��.•......•. ................ Grade . 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: DAVE BEUNING Page 5 of 9 I • Mound System Management Plan 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, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet finer shall be cleaped 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 inactivated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched 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 specked in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(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: DAVE BEUNING Page 6 of 9 i --7 Of 9 NGOULDS PUMPS Submersible Effluent Pump MODEL 3871 y EPO4 & EP05 Series APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction . following uses: heat transfer. Effluent systems ■Casing and Base: Rugged • • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • Farms manual operation. Auto- superior strength and corrosion /'+ Canadian Standards Association • Heavy duty sump matic models include resistance. $�` File # LR38548 • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron • Dewatering assembled and preset at the for efficient heat transfer Goulds Ptunps is ISO 9001 Registered. factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. '/4" maximum. ■ EPO4 Impeller: Thermoplas- N Power Cable: Severe duty • Capacities: up to 60 GPM. tic semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1 NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 1041E (40)0) continuous 140)F (60)0) intermittent. METERS FEEL • Fasteners: 300 series 10 stainless steel. 9 30 —� a —tSGPM • Capable of running LLL���JJJ dry without damage to s 2.5 F jr components. 25 ° a Motor: _ • EPO4 Single phase: 0.4 HP, 6 20 115 or 230 V. 60 Hz, 1550 z s V. Ro RPM, built in overload with o 15 automatic reset. a 4 EP05 • EP05 Single phase: 0.5 HP, I.- 115 V or 230V, 60 Hz, 1550 3 10 RPM, built in overload with EPO4 automatic reset. 2 • Power cord: 10 foot 5 standard length, 16/3 t i SJTW with three prong ' J grounding plug. Optional 20 ° ° 0 10 20 30 40 1 `y 50 GPM foot length, 16/3 SJTW with three prong grounding plug 0 2 4 6 8 1 12 n1 ' /h (standard on EP05). CAPACITY G Pumps 2003 Goulds Pumps L + +eclivewir, 2003 ITT Industries 83871 7 -of 3/ /, vC � y /" r V �v�- ,3 AJI P 7 - 36 S -j Q o a - 9 13 3'a f �� -13►" -1 N O —A Odt 28,04 03:52p LISA ANN KROLL 715- 246 -5700 p.4 �c ci ug,uez Stee2'fs Soil Sevice Inc. 715- 684 -3449 ,p.1 win ospartreent of Commence SOIL EVALUATION REPORT 1580 Division of Safety end BWdnps Page _ 1 of 3 in aaoordanee vvft Comm 85. Weis. Adm. Code Steeps $0 Service. tna V ildvdR but elat iW1ed Dos re is and hodmor" dX fthience a 71 ikhs b *& Pmn MM � pow pM St Croat nd f+snoseR sbOS. sasta at 6meRrsiora:, rw+flr amar, arn0 bcsbonsQdem b rnrares<tad Parcel LO. PAMMR print all &r/orrnaSo L PN Ontlidonnia d �wr 0 awdba�p� +YOwDo�sl�ragrtsr.s 1501(f)Gr�L PAviewedBy Dtste Cameron n Ho ortres Property wcaBon Prop rop Govt tot na NE 114 NW IX S 23 T 30 N R IS W erly O~s !Mailing Address t of @ Na (3lorJt s SubNam or CSIMs P: O. Bout 231 ---_ 53 no Cit Stafe Zp Code Phone Number • • - 12@d P ine Corner Wt $4016 715 — Vile C Town Nearest Road - 141 St !✓ New Carrsh"on like. se. Residentiy / Number of bedrooms _ 4 Code derived design flow rate 600 GPO RePllaasrrrsrM Public ail commercial - Oescribema Psrerrt material GCial — Generaf comma lis . _.__.. -. _ Flood plain elevation. M aPPiwble na and nxa ns: Mound design . aystern elevation 10045ft teased on coil s=lne elevation 96.951t. j 3 Swings ' soft 1�.! ✓° Pit Ground Srxfaoe elw. 98.95 ft u Harmon Depth to ttmRitg rector 54 in. Sail AWkafimr bate Do sell Qv Re SL CO S L Colo r Team C *kW" gp�, Roals S: Cad fade Gr. SC Sh 1 0-12 1opw non 1 2msbk mk cs 1c 2 1224 1004/4 none cs 2f 3 A .6 24-33 � 7.Syn4/4 none Ctrs �. an mvlr CS - - na .7 1.6 4 33.54 7.5yr416 no ne Coe a na .7 1.6 5 54-58 10yr7/4 none 8r+restone rte na rrs .0 .0 rJ Boring a v P Bo ° Ground Surface etev. 98.95 ft. Oepth to fin ng facl or 34 irk In.n OrarinansCoior R �AppitaianRats 1 QL Sr. Taure r. Sr- b Cormlenpe Ow-day Roots 1 Gr. S� Sh. trsf �•. 0-9 10y 1 norle I 2nnsblt mfr cs 1c 6 2 924 .8 10yr4/4 none 3 24-34 7.5yr4O5 nt>ne silt 2msbk nr6r a na .6 1.0 cos 059 ml ca no .7 1.6 4 34 "36 10yv7/4 nor* ractu Limestone na na Fla .0 .0 F_A ue d sf : BOO 30 c 220 mgL and 1'SS >30 c 150... ' CST Name (Please ' Mtwm s2 = BCC < 30 -9& and TSS _30..O Sgrnarun David J. $fe Nynrber 958 Address 9tsel's Soil Sernriae, Mile �� 248 994 200th St t3aldwfrt VVl 54002' Corxtutved Num TelephoNumber 715 -684. t) Oct 28 04 03:52p LISR RNN KR01 -L 715 -246 -5700 p.3 C- .'U-T ua:cva bzeel'S.Soil Sevice Inc. 715 - 684 -3449 p.2 1 • PropeAy Owner Cam Homes _ ... 'Parcel td tr Page ...? _of 3 D = �� Pit Ground Surface oleo 98.15 it Depth to frrrr ng %cwr is n_ W Appiambon Balm lloraen Dam Donwurt RO- Decedp6ar I ts*" shch" Coraslenoe in 14rrreei t]u Sz. Cont Color Gr. Sz 8h Roots 'EiNi1 X2 - 9 _ _ 0.8 10yr3l1 na . -- 2msbk m - Cs 1C 6 .8 2 8-18 10yr414' none Sid 2msbk mfr Cs na 4 6 3 18.30 10yr7 /4 none ractur limestone ml na na .0 .0 ❑ Swi ng ; ✓ Ow Ground Surbx elev. 99.65 ft Depth to limiting fac3or 48 i Sea Appicaioa Role H0 °�' p°f"n'ti r Redo><Osserom Tamrre Stnefrre Caaasenoe 'r QL 8z Cat Cda Gr. Si. Sn. Roots •Efl1N •ERS2 1 0-23 10y�11 none 1 2msl* mfr Cs 1 C .6 .8 2 23^37 10yr4 14 none Sid 2msbk mfr gw 1 f - .4 .6 3 3748 7.5yr4/4 none sct 2msbk � raft a na .4 .6 4 48-52 10y17 14 none Mcksrec limestone na na no _ 0 0 _ Owl 9onng a _ PR Ground Surface Wev. R. Depth to GnrOrg hdor in- Sal Appiraion Rate depth l7ar*O t Color Redoor Dasaiplion Tea" Struaure Cas60erioe Y Roots trial QL EL Cant Color Gr. SL Sh 'EfN11 •Ef 2 ' Etriuent 0l = SW a 30, 220 mg/L and TSS >30 < 150 nV4_ r�,,,. EtAuent = BC+D a 30 m ng2 The .�. y.ortattttt Of Comm— is as equal opportunity service QtO vider W4 If s e 9�l and TSS < 30 nccd me2ifial in an altCmalC f �p�r' yo u ne assistance LO ac«ss swvica or omraL Dim= Contact the deoartment at 608_266 -3 151 or T'1•Y 608_264_8777. T R, p Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Sanitary PermitNumb«(to be filled in by Co.) l vi sconsin Department of Commerce (60 Sta Plan I.D. Number Sanitary Permit Applica on — = - T , rq ., s , lb In accord with Comm 8321, Wis. Adm. Code, ptxsottaI ' y� vide may be used f � secondary per �Y I xmU lr ( ect Address (if different than mailing address) P 'I .: . �� 1. Application Information -Please Print All Inforttuiti 3 9 I �" ST. CRU!r. l;i�ur� 1 x P cel # Lo Block p Pro�rty Owner'z Name t o Locatio — 11AA_R_ B 24AAS� property owner's Mailing Address % , V Nom /., "T 4, Section _ City, State Zip Phone Number � (2circle one) rS1 p�J /,S T R� N; E or W rPublkCommikercial Bull (eh k all that apply) l J visio Name �M- +r ► �- " I s ily Dwells -Number of Bedrooms "0 .N) - 'be Use l wnship of ❑City ❑ State Owned - Describe U III. Type of Permit: (Check one box on PC A. C3tnpfelt line B if applicable) p 2/0 - Z - Offl7 • /O 3 A New System ❑Rep t System ❑.Treatment/Holding Tank Replace ly ❑ Other Modification to ing System Previous Permit Num Issued B. ❑ Permit Renewal ❑ Permit R on ❑ Change of ❑ Permit T ter to New to Before Expiration Plumber Owner IV. Type of POWTS System: Check all tb l ❑ Non - Pressurized In Ground ❑ Mound >_ 24 in. itabie soil 9 Mound in. of sui ❑ Si Sand Filter ❑ Constructed Wedand ❑ Pressurized In- Ground ❑ ing ❑ Tank ❑ Peat (I Aerobic T t Unit tw ing Sand Fit 11 / R 1 Recirculating Synthetic Media Filter ❑ [�eaelting ber Drip Line Grav -less Pipe Other (sin 0 V.DistwirsalfrireatmentAires Information: C.' K 1 Requi (sf) is 1 0 (sf) Syst Design Flow (gpd) Design Soil Application Rat f) Q© I — �Y1ArN. ab S' t Fiber asttc VI. Tank Info Capacity in Total Number Manufacturer nerete Co ed Glass Gallons Gallons of Units New Existing Tanks Tanks Septic or Holding Tank / Q Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement - L the aadersign assame tespoastbility for i flat f We POWTS shown on the attached plans Plum ' ( gt) � Plumber' PRS ber Business Phone (lumber ame Plumber's Address (Street City, State, Zip Cod o N t VIII. Cou /De artment Use Onl Sanitary Permit Fee (includes Groundwater D Issued Issuin Agent Signature No Stamps Approved ❑ Disapproved Surcharge Fee) ❑ Owner Given n for Denial 0 ' 0 IX. Conditions of Approval/ sans for Disapproval 3) JAI o [b4 SYSTEM OWNS 1 Septic tank uent filter andA S • 1 dispersal I must all be serviced [maintained A `z -'° as per nagement plan provided by plumber. 4) Lj�k_ 2. All se ack requirements must be maintained e. as per applicable code /ordinances. I. Attac complete Plaaa (to the County aaly) for the tyatem nn PsPer no Oki 11 it/Z :11 ioctKa in size h SBD -6398 (R. 01/03) � T 1f !r, g _ _ w t N i lD 0 \ 5'C/ is k• 53 o � a ' t00 ys 13� k ot 5 l z•d � , r r O I Y t� v l Safety and Buildings 4003 N KINNEY COULEE RD lcommercbmi.gov LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.cbmmerce.wi . g n ov www.wi consin.gov Department of Commerce Jim D , Governor Cory L. N es, Secretary October 06, 2004 CUST ID No.220357 ATTN.• POWTS Inspector ZONING OFFICE BRADY J UTGARD ST CROIX COUNTY IA 110 KELLER AVE N APT 112 1101 CARMICHAE AMERY WI 54001 -1034 HUDSON WI 54 6 CON IONAL APPROVAL PLAN A OVAL EXPIRES: 10/06/2006 Identification Numbers Tr action ID No. 1065813 SITE: Sff ID No. 690244 Dave Beuning lease refer to both identification number 141 Street above, in all correspondence with the agency. Town of Richmond • St Croix County NE1 /4, NW1 /4, S25, T30N, W FOR: ` Description: Four Bedroom Moun stem Object Type: POWTS Component al Regulated 'ect ID No.: 98 Maintenance required; 600 GPD Flow 36 in Soil 'nimum depth to limitin original gra , System: Mound Component Manual - Ver 2.0,S - 10691 -P (N.01 101), Pressure Distribution Component M al - rsion 2.0, SBD- 10706 -P (N.01 /0 Biofilter The submittal described above has been reviewed for ormance with applicable Wisconsin Administrative Co and Wisconsin Statutes. The submittal has been CO NALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is respons' a for pliance with all code requirements. No person may engage in or work at plumbing i e state unle licensed to do so by the Department per s.145.06, COil R stats. AP The following conditions shall be met during nstruction or installa and prior to occupancy or use:. DE ARTMENT i General Approval Requirements: N OF FTI .7, • This system is to be constructed an cated in accordance with the enclo approved plans and with the SEE CORRE; "Mound Component Manual for P ate Onsite Wastewater Systems VER 2.0" SBD - 10691 -P (N.01 101) and the SSWMP Publication 9.6 sign of Pressure Distribution Networks fo T SAS (0 1/8 1) • Per manual cited above, limite activities are allowed in the area 15 feet down slop f the component area. Soil compaction, excavation, ehicular traffic and other similar activities that impact treatment and dispersal are prohibited. • The well must be a mini in of 25 feet from any POWTS tank, and a minimum of 50 feet fro a absorption area. chs. NR 811 & 8 c • A Sanitary ermi st be obtained from the county where this project is located in accordance with rY h' P J requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat it BRADY J UTGARD Page 2 10/6/2004 • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state o e local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of ty &Buildings reserves the right to require changes or additions should conditions arise making them necessary for a compliance. As per state stats 101.12(2, nothing in this review shall relieve the designer of the responsibility esigning a safe building, structure��r component. Inquiries concerning this correspondence may be to me at the telephone nu er listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this le to the owner d any others who are responsible for the installation, operation or maintenance of the PO Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 ����i� ���`�` Balance Due $ 0.00 Charles L Bratz POWTS Reviewer Il , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday cbratz @commerce. state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 7 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: DAVE BEUNING Owner's Name: DAVE BEUNING Owner's Address: 1379 -141 ST ST. NEW RICHMOND, WI 54017 Legal Description: NE 1/4 NW 1/4 S 25 T30 NR18 W Township: RIC ND County: ST. CROI Subdivision Name: RED PINE C ER Lot Number: 53 Block Num r: WA Parcel I.D. Number: N/A Plan Transaction No.: Page 1 Index and ti Page 2 Data entry Page 3 Mound ngs Page 4 Lateral nd dose tank r1�� Page 5 Syst maintenance specifications y 4 Page 6 Ma and contingency plan Page 7 P p curve and specifications aRc4 g�� Page 8 OT PLAN arcs Page 9 Joil test NJE NCB Designer BRADY UTGARD License Number. 220357 Date: 09 Phone Number: 715 - 268 -6995 Signature: 0 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 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design tae: sand fill (o) calilahons assume a 400.00 Estimated Wastewater Flow (gpd) Table 83443 in -situ sal treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) colftm of - 36 inches. 600.00 Design Flow (gpd) 3.00 Site Slope ( %) 98.80 Contour Line Elevation (ft) 36.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpdffe) 1 Influent Wa er Quality (1 or 2) Are the laterals the hig point in the distribution Y Pressure Disribution info tion network? Enter Y or N (c or e) C Center or End Man Id 3.00 Lateral Spacing (ft) If N above, a the elevation ft 4 Number of Laterals of the hig point. 0.188 Orifice Diameter (in) (e.g. 5) 3.00 Estimated Orifice Spacing (ft 9.38 ft /orifi 2.00 Forcemain Diameter (in) 60.00 Forcemain Length (ft) the force in drain back? 88.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 9.7 ain Drainback (gal) 11.30 Vertical Lift (ft) 62.V 5x id Volume (gal) 2.16 Friction Loss (ft) 7 Minim Dose Volume (gal) 16.71 Total Dynamic Head (ft) 94 System and (gpm) Lateral Diameter Sel ection bfinifol d Diameter Selec in. dia. options choice Jh. dia. options choice 0.75 1.25 1.00 1.50 x X 1.25 x X 2.00 x 1.50 x 3.00 2.00 x 3.00 x Gallonslinch Calculator (optional) Treatment Tank Information 800.00 Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) 35.97 Total Working Liquid Depth (in) WIESER i Manufacturer 22.24 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Info rmation 800.001 Dose Tank Capacity (gal) JZabel Filter Manufacturer 22.24 Dose Tank Volume (gal/in) A100 Filter Model Number WIESER Manufacturer Project: DAVE BEUNING Page 2 of 9 Mound Plan View T 1 O►, Pipe __ J •..ti••. ----- .; ,. K •. FK . •. ; •. ; ti ; • ; •. ; .. ; . ; ti ; •. ; •. ; •..- ..•.•• — T W •B f . I L Mound Component Dimensions A 6.00 ft E 8.16 in H A4.87 ft K 7.08 ft B 100.00 ft F 9.25 in z ft 114.17 ft D 6.00 in G ft J ft 17.31 ft 600,00 (ft Dispersal Cell Area 1 1243.131( Basal Area Available 6.00 (gpd/ft) Linear Loading 1 10.00 1/10 B Obs. Pipe Placement Mound Cross Se " n Vi Aggregate Dispersal ea Finished Grade 101.07 (ft) -� � .rrrrrirrr 2 rrrr rr.. .:rrrrri r�irr,. F p, 99.80 (ft) Lateral 99.30 (ft)—► — : = Invert Dispersal Cell :D Elevation E == 98.80 (ft) Conto Elevation 3 % Site Slope Geotextile Fabri ver Shading Key a Dispersal Cell See lateral details o Topsoil Cap c 1.5 ft • r ;. Page 4 for number, size, © rim Subsoil Cap a o.:.' " "- ` �~ and spacing of laterals. ASTM C33 Sand t �• `'• F Laterals are equally m 0.5 ft TYf spaced from the Tilled Layer a ,•;.- .;;;.;. Q5 '':::'r: Aggregate v r ;::s;; distribution ceps o -i- centerline in the * A distribution cell (AxB). Project: DAVE BEUNING Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are klentical S I P •= Tu rrt-up wdball vaNre or ;X Laterals & force main of PVC Sch 40 cleanoutplug per COtVp1A 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) 3.18 ft Lateral Length (P) 49.29 ft Orifices per Lateral 16 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 ft /o ' ce Lateral Flow Rate 10.49 gpm Manifold Length 3.00 ft System Flow Rate 41.94 gpm Manifold Diameter 1.50 Total Dynamic H 16.71 ft Forcemain Velocity 4. ft/sec Dose Tank Information wing me „ label device and ht Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. Disconnect Tarn component is properly vented E -- Aftemate ou tlet location Forc amain diameter WIESER Manufacturer 2 in. Capacityl 800.00 Gallons T Volume 22.24 gal/inch p` weep Hole or anti- Dimension Inches Gallons B siphon device A 24.71 549.48 C B 2.00 44.48 off elevation (ft) C 3.26 72.60 � 88•50 D 6.00 133.44 D Total 1 35.97 800.00 tank (ft) 3" Bedding urJFer tank. 00 Alarm Manuafacturer I LEVEL Alarm Model Number I DLV If I Pump Manufacturer GOULDS Pump Model Number EP05 Pump Must Deliver 41.94 gpm at 16.71 ft TDH Project: DAVE BEUNING Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name UTGARD PLUMBING Phone 715 - 268.8995 POWTS Regulator's Name ST. CROIX ZONING I Phone 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/yu/100mL Estimated Flow - Average 400 gpd Maximum BODS 22 Septic Tank Capacity 1200 gal Maximum TSS 15 Soil Absorption Component Size 600 ft Maximum FOG 3 Type of Wastewater Domestic Maximum Fecal Coliforrn >10 Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 Ars Pump and Control Test once every 3 years Alarm Should test month) Pressure System Is should be flushed and pressure tested jd*ery 1.5 years Mound for panding and seepage once ek1gry 3 ears Other Miscellaneous C�nction and Materials dndards 1. Observation pipes are slotted and materials to Table Com .30-1, have a watertight cap, and are secured in as shown in the mound corn 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), rs. A Code. 3. All gravity and pressure piping materials conform to the r in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board isel plow. 5. The mound structure and other disturbed areas will be a mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -u etail Finished •����� •����������• •• Grade \ 6-8" Diameter Lawn Cie ut Sprinkler Valve Box Plug or Ball Valy Distribution Lateral Long Sweep 90 or Two 45 Degree Same Diameter as Lateral Project: DAVE BEUNING Page 5-of 9 Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Weis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD- 10691 -P (N.01101) and SSWW Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank si ce dangerous gases may be present that could cause death. Septic and pump tarn abandonment shall be in accordance with Conan 83.33, Wis. Adm. Code when the tarns are no longer as POWTS components. Septic or pump tank manhole risers. access risers and cowers should be inspected for water tightness and soundness. openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed , or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tarn shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic outlet filer shall be assessed at least once every 3 by inspection. The outlet filter s clewed as necessary to ensure proper operation. The filter cartridge should be removed unless provisions are made to retain solids in that may slough off the filter when removed from As enclosure. If the is equipped with an alarm, the filter shall be serviced if the alarm continuously- Intermittent filter alarms may andir to surge or an impending continuous alarm. The septic tank shah have removed when the volume of sludge and scum n the exaceeds 113 the liquid volume of the tank if time contents of the tank are not at the time of a triennial assessment, maintenance shall advise the owner of when the rod service needs to be performed to mai less than maximum scum and sludge accumulation' ' tank. The addition of biological or itives to enhance septic tank penfonmace is not required. However, if such products are used they shall be approved for septic tank by the Department of Commerce. Pump Tank The pump ( dosing) tank shall be inspected at every 3 years. AN s and pumps shag be tested to varffy proper operation. If an �Flkuent filter is installed within the tank be inspected and as necessary. Mound mra Distri S stem No trees or shrubs should be planted on the mound. Planting ay be mad round the mound's perimeter, and the mound shall be seeded and and mulched as necessary to prevent erosion a to provide me so action m frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended sate sal compactio ay nder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not emceed 220 mg1L 1 TSS, ad 30 mg& FOG for septic tank effluent or 30 mglL BOD 30 mglL TSS, lo mglL FOG, and 10 cfu/1oo mL for highly ntluerd flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing . at the end of each and A is recommended that each lateral be flushed of accumulated solids at least once every 18 morths. When a test is perfamned be compared to the irrAral test when the system was installed to determine if orifice cbgging has oocu and if orifice leaning is to maintain equal distribution within the dispersal loll. Observation pipes within the dispersal cell shall be ch for effluent poling. Pond ing levels I be reported to the owner, and any levels above 6 inches considered as an impending hy&Wic fai iring additional, more frequent rmnonit Contingency Plan If the septic tank or any of its components bacons the tank or component shall be repaired or to keep the system in proper operating condition. If the dosing tank. pump, pump controls, alarm wiring becomes defective the defective carrnponent(s) sha immediately repaired or replaced with a component of the same or equal omnance. If the mound component fails to accept was er or begins to discharge wastewater to the ground surface, A will be replaced in its' present location by increasing basal area 9 leakage occurs or by removing biologically clogged absorption and dispersal and related piping, and racing said components as necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and number of your local POWTS regulator and service provider. Project: DAVE BEUNING Page 6 of 9 1 of 9 t [q GOULDS PUMPS Submersible Effluent Pump MODEL 3871 EPO4 & EP Series APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- rings: Upper and lower grade turbine oil for tic enclosed design for eavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. • Effluent systems ■Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provid AGENCY LISTING • Farms manual operation. Auto- superior strength and corr on sA standarca nssmiaa«t • Heavy duty sump matic models include resistance. Fie # ta311549 • Water transfer Mechanical Float Switch ■ Motor Housing: C iron Gourds Pumps is ISO 9001 Registered • Dewatering assembled and preset at the for efficient heat tra er, factory. strength, and dur ity. SPECIFICATIONS ■ Motor Cover hermoplastic TURES cover with int ral handle and • Solids handling capability: float switch chment points. 3 /4" maximum. ■ EPO eller: Thermoplas- m Power ble: Severe duty • Capacities: up to 60 GPM. tic semi -op esign with rated of d water resistant. • Total heads: up to 31 feet. pump out van mechanical • Discharge size: 1 NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic stationary, BUNA -N elastomers. • Temperature: 1041(40)C) continuous 1401E (60)Q intermittent. METERS FEET • Fasteners: 300 series ° stainless steel. 9 3 0 i —► 5GPM • Capable of running LL��JJ dry without damage to s +-2.5 Fr components. 25 a 7 Motor: _ • EPO4 Single phase: 0.4 HP, `-' 6 2° t/ 115 or 230 V, 60 Hz, 1550 a / b 7� RPM, built in overload with o 5 automatic reset. Q 4 EP05 • EP05 Single phase: 0.5 HP, o 115 V or 230V, 60 Hz, 1550 '- 3 to -- RPM, built in overload with EPO4 automatic reset. 2 • Power cord: 10 foot s 1 [ standard length, 16/3 S1TW with three prong 1 y y t grounding plug. Optional 20 ° % 10 20 30 40 so GPM foot length, 16/3 S1TW with three prong grounding plug o 2 4 6 s 10 12 m3 /h (standard on EP05). CAPACITY Gould P u mp s ,t> 2003 Goulds Pumps ITT Industries Effective July, 2003 83871 S 53 t o j IC • l a•d Aug 27 04 07:11a LISA ANN KROLL 715 -246 -5700 P.1 3 Wisconsin Osyerrrrrent of Commerce SOIL EVALUATION REPORT Page � of Division o! Safety and Buildings in a000rdanoe with Comm 55. Wrr. Adm. Code Colinty St. t.�, 'piX Anach complete site plan on paper not less tha 1 ry size. Plan must include, W not "ted to: veNcal liftd hoAiyr ! irectlOn W4 Pan:al LD. percent slope, skate or dimsnslons north rrtbw, v�locellon a�td QatanY{ to nearest road. pending �\ P b Date Please prl�it alf In ` �L11 �• Pers hdaffn&U00 you prw'idv may N used rw rr a Prlracy iY� A. 6.04 ( (-))• Property Owner r t r y �'JU1 ` Location Oakwood band Devi x La NE tk NW %14 S 25 T 30 N R1 )f tor; w Property Owners Mallinp Address TV N Stock N Subd• Name or CStWI 1611 HJY. #10 NE. ortN+G 53 ria Red Pine Co rner City State Zip Cod Pnons \C> 0 City O VRlage (� Town Nearest Road Spring Lake k, M. 554 �- -61)2`'J89� Ric 140 New onsction Use: Residential / Number of bedroom$ 4 Code derived design 11ow rate 600 GPD C tru 1 Cj Reptacement 0 Public or commercial - Describe: I i Parent material alacial drift ft Flood PlWn elevation if appfpbN _—A rt Generai comments f and recommendations: mound @ el. 99.80', based on c:ontou: 1 ine of el. 98.80' I a�ng N Bon Pit Ground surf e!W. 99.20 tt. Depth to limiting factor 36 tn. Soil IlWtior•, Rate Horizon Depth Dominant CA90rj Redorc Descriptbn Texture I Structure Consistence ew -4ary Rooks GPOW in. Munsell Gu. Sz. Cont. Color , Gr. Sz. Sh. I •EfOtn1 'EffN2 M 1 0 -12 1 2 12 -21 7.5yr4/4i none si 2msbk wfir ow l 3 21 - 36 7.5 4/6 ncrie 4 36 -50 1 1Oyr7/3 none frac Iteme rM rim nn i t Botir,o N 0 Boring 2 Q Pit Ground wrtace elev. 99.00 fL Depth to amitirtp boo, 36 In. Sol k ;sb n Rate Horizon Depth Dominant Color Redox DeeMptlon Tetdune StrucWm ConNdence Boundary Roots GPM in. Munsel Qu. Sz. Cont Color Or. Sz. Sh. 'MI T1192 1 -12 10yr3/3 nave L .5 .8 2 2 -20 7.5yr4/4 rione sil 2msbk 3 -36 7.5 4/6 none ` 4 6-46 ?Oyr7 /3 none fro n I i • Elnuent #1 s BOD > 30 _< ?2o mplL and TSS >30 _ 150 nv& W&4WjyW ■ BOO —< -Q& and TSS a 30 mplL CST Name (Please Print) Signature CST Nkxrrbsr Gar L. Steel 02298 Address Tetephons Numuer j 1554 200th. Ave., New RiChtttond, WI. 54017 8 -7 -2001 715 - 246 -5200 Rug 27 04 07:11a LISR RNN KROLL 715 - 246 - 5700 P.2 i y p„ Ktsr Oakwood Land Dev . Pants! to 6 Ps9e 2 3 at r--- tag ri Q Borrnp 97.80 & Dope% to iD lactor 3b ;t t Soil Rate pit Graxtd trturlace Nov. Roots GPOIN Horizon Oeptli Oomitm" color -Rl4ox t�P�i Tetttun vc. ft Sz �+. •Etts ra Corsht+sr+os 8ourtdsrY Gr. 1 'EtrM2 in. tunes Qu. SL Cons color mfr CS Zf . 5 • 7 0 -11 10yr3/3 norke L 2MSbk 2 11 - 16 10yr4 /4 none sl Zznsbk mfr 1f .5 •9 Is 0 mvfr na 7 1 2 3 116-24 7.5yr4/ cane i 4 24 -36 7.5yr4/ lane sl 2msbk mvfr n 5 36 -50 10yr7/3 none fr t�onie na t>� n soft i l � O ❑Pit Grouwswfsm9Wv._fL Depth to lirrtilk+p r Soil Rate Tenture sbum" CorwArA ce soundaM Roots G?Oq! Hotlzon Depth Dtttnittttnt ROOM Dt eavoo' Gr. SL Stt •Eff81 -EM I In. munsen Gu. Sz Cori. Cola t l t Q t3oring Bow x © Ground aesfaoa Nov. tt of+Pm 1D �sNor „ Sall Rate Pit Ha tLon Depth oorrtlnant Radm DasOlpBon TatAtsr t�lexoasa Cortststan0a 8orndary Room i k Munses Ou. Sz Cora. Gold► or. ft tllr. �Ef:81 'E~'f1Q 1 t • Ef s.W0 st = 900,> 30 22o nglL and 75S IM :130 "V& ' Et3uwg M2 s 800, _e 30 mpti and TS5 : 30 mgll The Depasaneac of Com coerce is an equal opportuWey service provider a" aaplCYa+- tf YOU aced assistance to stews services or need material in an aloereate foenat. please ooaaet the dsparan" at 608.266-3151 or TTY 608 2644rM AO�tI01rt.YOOi r STEEL'S SOIL SERVICE Gary L. Steel 1554 .200th Ave. CSTM2298 Oakwood Land Dev. New Richmond, WI 54017 MPRSW -3254 NE S25- T30N - R1 8W (715) 246 -6200 town of - Richmond lot #53 Red Pine Corner Ibis soil evaluation was conducted to satisfy a caning requirement, it may or way not be suitable for your use. The location of the test may or may not be as shmn as permanent lot lines were not established at the time the test macs Conducted. N 1 11 =40' BM. = top of 1' pvc pipe @ el. 1.00.00' Alt. BM.= top of.1' pvc pipe @ el. 98.30' r 4 6z n c� If • 6 � p 1 Gary L. Steel 8 -7 -2001 .. �, A4 1577 P L- A - Wisconsin Department of Commerce SOIL EVALUATION REPORT `c,(1�"' Page 1 of 2 Division of Safety and Buildings in accordance tNffode U Steel's Soil 6ervid*, Inc. Attach complete site plan on paper not less than 8'% x 11 inch in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference poi t (BM), direction and percent slope, scale or dimensions, north arrow, and location nd distffEtTnearest ron 04 Parcel I.D. Please print all information LL �V Reviewed B Date Personal information you provide may be used for secondary pu (PrivaCyjzj F ®jA �yj i Property Owner Oakwood Land Development Govt. Lot na NE 1/4 NW 1/4 S 25 T 30 N R 18 W Property Owners Mailing Addres Lot # Block # Su Name or CSM# 1611 Hwy. #10 N.E. 53 na Red Pine Comer / City State Zip Code Phone Number J City J Village a Town Nearest Road Minneapolis I MN 1 55432 612 780 - 4996 Richmond 1 141 St 16 New Construction Use: V1 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 98.20ft based on contourline 97.20ft. n� ® Boring # J Boring 16 Pit Ground Surface elev. 97.50 ft. Depth to limiting factor 30 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 *Eff#2 1 0 - 11 10yr3/1 none I 2msbk mfr cs 2f .6 .8 2 11 -24 10yr4/4 none scl 2msbk mfr gw 1f .4 .6 3 24 -30 7.5yr4/6 none sl 1 csbk mfr gw na __ .7 4 30-48 10yr7/4 none I:raGturec limestone na na na .0 .0 :�J * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L CST Name (Please Pr t) Signature: CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 10/20/2004 715- 684 -5680 i r i STEEL'S SOIL SERVICE INC. 3 of 3 David J. Steel Oakwood Land Development 994200 th St. CST- POWTSM NE1 /4,NW1/4,S25,T30N,R18W Baldwin, Wl 54002 Lic. #248956 Town of Richmond, St. Croix Co. Bus.(715) 684 -5680 Red Pine Corner, Lot 53 Fax.(715) 684 -3449 Legend N 1 " =40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 0.00 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations BI = 97.50 ft �{ B2 = 97.50 ft B3 = 95.10 ft B4 = 0.00 ft �Z AS - -� � < <r 3 3a �u s � Wisconsin De partment of Commerce SOIL EVALUATION REPORT Page 1 _of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Cr oix Attach complete site plan on paper not less tha a 1 n� n size. Plan must include, but not limited to: vertical and horiz9POa) r fr# _ nvl� ; direction and Parcel I.D. percent slope, scale or dimensions, north, 8g6w,Wd�location arh4distan� to nearest road. Pending Please print aYf' infcK ewes by Date Personal information you provide may be used for secondary 0Urp�ses (Privacy Lbw s. 15.04 (1) (m)). r Q Property Owner ? e1� i r pertyLocation Oakwood Land Development X Lot NE 1/4 NW 1/4 S 25 T 30 N R18 (or) W Property Owner's Mailing Address Gpt NUN 1 # Block # Subd. Name or CSM# 1611 HJY. #10 NE. 7 GCY " / 53 na Red Pine Corner City State Zip Code Phone Number `r ❑ City ❑ Village Q Town Nearest Road Spring Lake ark, NIl�i. 554 61 L Richmond 140th st [I New Construction User Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material glacial drift Flood Plain elevation if app' ft• General comments and recommendations: �t" /� t ) r mound @ el. 99.80', based on contour 1 ine of el. 98.80'S R Boring # E] Boring 1❑ 0 p Ground surface elev. 99 ft. Depth to limiting factor in. Soil � Apprication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fi= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I "Eff#1 - Eff#2 1 0 -12 10 2 2 2msbk 2c .5 8 2 12 -21 7.5yr4/4 none sl 2msbk mvfr qw 1m •4= 3 21 -36 1 7.5yr4/6 none ms Osa mvfr 4 36-501 10yr7/3 none fractured li n ❑ Boring # Boring Pit Ground surface elev. 99 ft. Depth to limiting factor 36 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 -12 10yr3/3 none L 2msbk mfr .5 .8 2 2 -20 7.5yr4/4 none sil 2msbk mfr •� 3 0 -36 1 7.5 4/6 none sl .5 9 .S- 4 6 -46 1 10yr7/3 none fractured limestone na na np n Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L A�0 = BOD < A mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address Dgfe Evalu lion CondtIcted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 8 -7 -2001 715 - 246 -6200 Property Owner Oakwood Land DeV . Parcel ID # pending Page 2 of 3 a Boring # El Boring © pit Ground surface elev. 80 ft. Depth to limiting factor 36 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I 'Eff#1 I 'EfF#2 1 0 -11 10yr3/3 none L 2msbk mfr cs 2f .5 .8 ( P 2 11 -16 10yr4/4 none sl 2msbk mfr 1 f .5 .9 Lo 3 16 -24 7.5yr4/4 none is Osq mvfr qw na .7 1.2 4 24 -36 7.5yr4/E none sl 2msbk mvfr qw na .5 9 •(o 5 36 -50 10yr7/3 none fractured 1' stone na I na np n F-1 Boring # El E] ❑ 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/fP 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 I Eplication 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#K2 Effluent #1 = BOD > 30:5 220 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 (R.6I00) l STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 O Land Dev. New Richmond, WI 54017, MPRSW - 3254 NEINW S25- T30N -R18W (715) 246 -6200 town of Richmond lot #53 -Red Pine Corner 'ibis 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 shorn as permanent lot lines mere not established at this time the teet vas conducted. 1 " =40' BM.= top of 1' pvc pipe @ el. 100.00' Alt. BM.= top of.1' pvc pipe @ el. 98.30' t Ire n r c� I +• 6 � � 1 Gary L. Steel 8 -7 -2001 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 0 L /9 " ^J N Mailing Address Z 2- S - -"� �/ ti i-u GrJ oo �� /�'> sS/ z-S' Property Address 1 399 tie us e l f -4 r j j 7 l ip (Verification required from Planning Department for new construction.) City /State Ag cj , & q n oy.s 4 Parcel Identification Number LEGAL DESCRIPTION Property Location %4 , � %a , Sec. v S , T NR 4 W, Town of 6 ,4 /�, O ✓ c,'1 � Subdivision Wo P" /V IF_- , Lot # -5 Certified Survey Map # , Volume , Page # Warranty Deed # 7 7 / �s� , Volume P7 6 5 ! , Page # (o Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal 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 Department within days of the three year expiration date. / SIGNATURE OF APPLIVANT DATE OWNER CERTIFICATION Itwe 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 ' e of a warr ty deed recorded in Register of Deeds Office IGNATURE OF APPLICA T DATE * * * * ** Any information that is misrepresented 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 and a copy of the certified survey map if reference is made in the warranty deed. Parch #: , 026-1-142-53-000 10/20/2004 01:44 PM PAGE 1 OF 1 Alt. Parcel #: 25.30.18.1037 026 - TOWN OF RICHMOND Current XX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * = Current Owner CAMERON HOMES INC * CAMERON HOMES INC PO BOX 164 LINO LAKES MN 55014 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1379 141ST ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.520 Plat: 2367 -RED PINE CORNER 1ST 46/57 '01 SEC 25 T30N R18W PT NE NW RED PINE Block/Condo Bldg: LOT 53 CORNER 1ST LT 53 1.520AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 25- 30N -18W NE NW Notes: Parcel History: Date Doc # Vol /Page Type 11/10/2003 746162 2452/570 WD 11/09/2001 661731 8/83 PLAT 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 27,700 Valuations: Last Changed: 04/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.520 26,300 0 26,300 NO i Totals for 2004: General Property 1.520 26,300 0 26,300 Woodland 0.000 0 0 All 1.520 26,300 0 26,300 Totals for 2003: General Property 1.520 26,300 0 26,300 Woodland 0.000 0 0 Total 1.520 26,300 0 26,300 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 L • - * U. 2 6 5 9 P 6 15 - 7 7-4875 l` STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Cameron Homes. Inc. RECEIVED FOR RECORD and Dave M. $eunine Grantor, 09/21 /2004 10 :15A)i Grantee. WARRANTY DEED EXEMPT # Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin REC FEE: 11.00 (' space is needed, please attach addendum): TRANS FEE: 140.70 COPY FEE: Lot 5 Plat o Red Pine Corner First Addition in the Town of Richmond, CC FEE: St. Croix County, Wisconsin. PAGES: I Recording Area (� A Name and Return A 15AGLEVA�.1.GI BANK 2501 Hanley Road PO Box 70 Hudson 54016 926- 1142 -Q -000 Parcel Identification Number (PIN) This is not hotnestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of September 2004 ...... * Cameron Homes, Inc. ....... ...._._ ---- ------- - - - -- • --- ------•----------•---------•-----•----•--••------ * AUTHENTICATION ACKNOWLEDGMENT Signature(s) — _ — STATE OF L - -- - - i x •• County ) authenticated this day of Personally came before me this .� day of -- -. - - -- —� Sep tember , 2_ the above named C amero n Ho mes, Inc TITLE: MEMBER STATE BAR OF WISCONSIN b —'`�� -0�]e : 1 (If not, to me known to be the person(s) who executed the foregoing authorized by -§ 706.06, Wis. Stats.) — ttittuulN instrument and acknowledged the same. THIS INSTRUMENT WAS DRA , ` Attorney Kristine Ogla -- — _� �0 T A,9 z 2 * � b � � • �C.f ` , r E t`,I `— Hudson, WI 5401 _ —_ * Notary public, State of (. 40 /� G � My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged are hb Qssarje -Ax " Names of persons signing in any capacity must be ty dy e Signature. Information Professionals Co., Fond do Lac, Wt 'IIII ttltNS*VAR OF WISCONSLN 800.655 -2021 WARRANTY DEED FORM No. 2 - 1999 I _� 1lS_PP� RED PINE CORNER FIRS T A DO/ 7"/ON LOCATED IN PART OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER AND PART OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER AND PART OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER AND PART OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER ALL IN SECTION 25. TOWNSHIP 30 NORTH. RANGE Ia WEST. TOWN OF RICHMC:::. ST CROIX COUNTY. WISCONSIN. LMIP[.t F7ED [.ANDS - ------ _____________ 58935'01'E 2397.92' ------------- % wrw «t ar •R A•,.v _ ___ AOrs, Newell ________ _ _ ••� 1 IICPPr a.wN sa 1435 .70' -- LrAwn 33'01 - E 1135 70' •, r 'r A..r. 589'55'01 - E 1162.22' ------------ - r.r. ..i'..c....r- •- T- -,i... i i� �� '�`\ RtomA4OPPIC4 ON \ „y.._..a.1ww . «w.. .....r,., Izl -'• •b. � i i�f •�\ f y �� ` 4^ \q > � ` ' N \4 YK:MY►/AP R Im S rs i' \r mw. a Ro.IP1L n. aaw mwn, w ;� kq ?_ ?. �`•; , I •.� `;? ` � •c{�.•� ). `.• / 'rte- - Iz N 1 TH „ PRA LOT 9 G° Nn to Lorm pl {m \ ) ` ' / 7 . >- S89 MOVE 296.N' 1 ,: \ , Lor i ewu.. o••. u.w.•.• /' �? tb > LQr at i'� �y Ao�si I a I W L1 I-3 J M tr.« t'� eY ..• a rMM� 'Q�`,� � • NNtJp IR � �swµvrpm•� 4 i ARr •RbC + �� � zt o rw, -d/IP Vr RM j'b ,4 � d • \, �t � Ii � I .w,•.rwr .o I •• °�!'� \ �/ LCra1 i ai h ......�..... ..w. e.NO w Gm .•.. wr, « R.H ��.•i '•,� i `` \ 4fi • esso r o i � � 7 •.»1r P.6— T�nrN LOT 54 1 • ® Y < i ,r IRN. T� Tw 1 1 \ •.1 I u L r40 •J *�Ti• $ I LOT as �• ,� eLer a 4 `iu Awr urs •er NrNraN 1 Nwie'r ir.A' l0T 12 1 A1 6 , ! - n LOT 58 0 •' Q r ° •s»J AC p / • LOT 411 A'f to ` N •M4 p/ C n - 1� LQI_13 •LNP m / ¢ NAR•r «C •vDnNTn A •r rRR Ar 0 M 1� >. AGWS f __ W r ARr ro N awv*ML ww. w.w r 1 N7 LOT 47 ry }Z ; Jg9.13 W .9 M1 1 31 1 o! i I m - C w . •r r.2�: .... . ............ 0. N«Ir . Ar. c wer o.:."' •r.. r/.�. '- • i \�. DoT {s i g l ...� o; in j N13`58 - w 1 , L --- -------- n IQ i 73.73' NOTE: NO ORNER OR RE90ENIT 94ALL 00 ANY1NN0 w9EH RO" INTERFERE {Z e �+T•' , WITH OR CHANCE THE OPERATION OF THE APPROVED COMPREHENSIVE WATER �� �- • 'NA; • ��W •'. ORANA9E AND SOIL EROSION PLAN FOR THIS PLAT. INS NCJgES Im .' \`yb°' /- 1 — �•JI• BUT K NOT LRR1E0 M MAJM0 DPON. OBSTROCRIA KiGMO, FLUNG, O OICA VATINO OR PLANING N ANY POND EASEMIOMM w DRA OIA1ER "MYL WAIDI CLILVERTR. ,� O BERMS PI / OR ASE LS , m Lar 40 .... J1 KITE: RN 0«•r• Nw, r NN •..� w w�M M N•y Eaw1r eM T-1111 /' K nAr M .•P I Le. ••YrK wWwwn M «s, r•.r 1• NrL ). MM e•.«IIrFE OMyM1 wrr Pw. «. aanNSt M EL Oeb 4wlT /'` 2w•q Owr wN Ow NI.MWi• T•r R.M M N•IOA � % � / � ,q 2 1 107 -15 a 7i CURVE DATA �' 89'32 26 119.80' R M TA TAVOOIT MI 1 - 1 I 1 1 SHEET 1 OF 2 SHEETS I