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HomeMy WebLinkAbout026-1163-04-000 �Nisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety and Buiiding Division INSPECTION REPORT Sanitary Permit No 506152 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 I Richmond, Town of 026 - 1163 -04 -000 CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No: �� (�l/L' ('xer,` 25.30.18.1254 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic !/ �a0to Benchmark 6M / Dosing _ , V I 3D Al M / p Of j /03 Aeration ) (J l (a Bldg. Sewer 3a /b • 2 Holding St/ Inlet 7 �G TANK SETBACK INFORMATION St/Ht Outlet �— TANK TO P/L WELy BLDG. Vent to Air Intake ROAD Dt Inlet Septic 6 ! f / ' Dt Bottom 1 2-r `9 d Dosing / % /� Header /Man. Aeration D ^st. Pro 2, "It ; O 103. 3 Holding Bot. System �f• 102 . Final r de / PUMP /SIPHON INFORMATION T Manufacturer Demand St Cover / /// GPM Model Number Q Z�f 3 Ly TDH Lift Friction Loss i I Syste 2 rX TDH / , Ft Forcemain Lengths / Dia. Z ", Dist. to `/ el /0 v i & + - & "A - Z • /j 3 /O� � SOIL ABSORPTION SYSTEM I t 7 BED /TRENCH Width Length No. Of Trenches PIT IMENSIO No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /O ! V ' �--- SETBACK SYSTEM TO ! P / l BLDG W LAKE /S A LEACHING Manufacturer. INFORMATION Type f stem O AM NER O U I �) Model Number: DISTRIBUTION 4m, 4 ti L W Header nifold Distribution x Hole Size x Hole Spacing Vent to it Intake W I 2 Pipe(s) 5 z Z L Length V Dia Spacing / SOIL COVER x Pressure Systems Only xx Mound 16r At - Grade Syst s Only Depth Over Depth Over xx Depth of eeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil >�h��^;► Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:_ I /_�0 / V 1 a Inspection #2:_ !__ — /__ Location: 1414 131st Aue New Richmond, WI �5�4017 (SW 1/4 SW 1/4 25 T30N R1 8W) Hollow Pond Lot 4 �(� Parcel No: 25.30.18.12 1.) Alt BM Description = ' "P 4 ' 3 A "AA " 2.) Bldg sewer length = 0* 4 ,,W /02 - amount of cover `'^" , Plan revision Required? Yes /1N o II _ Use other side for additional information. L_ � �� — Date Insepctor's Sign lure Cent. No SBD -6710 (R.3/97) C p C Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 C r 1 i n Madison, WI 53707 -7162 Sanitary Permit N (to be filled in by Co.) � $O S Y De�srht+wrtt State Transacdoa Number Sanitary Permit Applicati 1 S 7 S �o In accordance with s. Comm. 83.21(2), Wis. Adm Code, submission of this form w the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application fn wned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be use or sec pugos in accordance with the Privacy Law, s. 15.04 1 m , Stats. I. A1111fication Information Please Print All Inf mation RECEIVIED wner's Name - ,pro Parcel # C7 P (` �u L O Mailing ` Property Location Govt. Lot l ' /a j I G CityAtate Zip Code '' /y �dL ya on Q�circle o i � l T N; R l U Eo W ) II. Type Building (check all apply) --> --tg Lot # Subdivision N 2 Family Dwelling - Number ofBedrooms V o � I� 2� Block # il ❑ Public/Commercial �e� mercial - crrbe Use 1 �� �� �— � ❑ City of �. ��1✓ CSM Number ❑ Village of _ ❑ State Owned - Describe Use own of l III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ` ew System ❑ Replacement System ❑ Treatment/Holdiag Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber El Permit Transfer to New Before Expiration Owner / IV. a of POWTS Sys I tem/Com onent/Device: Chec 11 that a 1 62 CffhA�2 ❑ Non - Pressurized In-Ground 11 Pressurized In- Ground At -Grade 11 Mound > 24 in. of suitable soil Mound < 24 in of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Des Flow (gpd) Design Soil Application Rate(gpdsf) Di real Area Required (sf) Dispersal Area Proposed (sf) System Elevation / y J' J O VI. Tank Info Capacity in Total # of Manufacturer g Gallons Gallons Units New Tanks Existing Tanks S . vl I rn w t9 a Dosing Chamber VII. Responsibility Statement - I, the undersigned, assume s onsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's tune MP/MPRS Number Business Phone Num )er Plumber's Address (Street, City, State ip Code) oun /De artment Use Onl T Permit e Date I sued ssuing Agent igaattue Approved ❑ Disapproved � Owner Given Reason for Denial ' IXE�lpigtOWWf ApprovaVReasons for D' 'provay — S eptic tank, effluent filter and c 0,,Z, t�_ 9,, dispersal cell must all be serviced / maintained - as per management plan provided by plumber. Z All setback requirements must be maintained as per applicable co a ate plans forth ter and submit tat a County only on paper not less than 8 Ins 11 inches in size A a SBD -6398 (R. 01/07) Valid thru 01/09 r PLOT PLAN PROJECT Oeverino Homes LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54016 SW 114 SW 1 /4S 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 102.9' BEDROOM 3 CONVENTIONAL AT -GRADE XXX 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 Survey Iron ASSUME ELEVATION 100 Filter BEST GF10 -8 ❑ BOREHOLE WELL *H.R.P. Same as Benchmark B• * 285' Property Line Area 15' below 101' B 8% Slope system is to remain Scale = 1/4" = 1 2 Acre Lot undisturbed B -2 102.9' 103' � Well is to meet all setbacks found in j >1� Comm. 83 D B -3 Grading is to be done to divert run -off away from system Huffcutt Combo Tank Tank is to be properly bedded and provided with lockdown 40 covers with approved warning labels � Pro 3 Bedroom House m ,1 131st. Ave Safety and Buildings 4003 N KINNEY COULEE RD commerce.Wl.gov LA CROSSE WI 54601 -1831 ' . TDD #: (608) 264 -8777 scons I n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary April 18, 2007 CUST ID No. 226900 ATTIC- POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/18/2009 Identification Numbers Transaction ID No. 1385956 SITE: Site ID No. 724223 Oevering Homes LLC Please refer to both identification numbers, 131 st Avenue above, in all correspondence with the a enc . Town of Richmond St Croix County SWIA, SWIA, S25, T30N, R18W Lot: 4, Subdivision: Hollow Pond FOR: Description: Three Bedroom At -grade System / New construction Object Type: POWTS Component Manual Regulated Object ID No.: 1126595 Maintenance required; 450 GPD Flow rate; 36 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 - Version 2.0, SBD- 10706 -P (N.01 101) 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 enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. r SHAUN R BIRD Page 2 4/18/2007 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 * Fee Received $ 115.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7631' jerry.swirn@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. I sAF z X00/ Cover Page Nis Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 4/9/07 Owner:Oevering Homes LLC Location:SW1 /4 SW1 /4 S 25 T30 N,R18W Richmond Lot 4 Hollow Pond 131st. Ave 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 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contigency plan 9 -11. Soil test Shaun Bird Signature Jkq License numbe 6900 �zY ANO tsutt.r;'11 pIUiS';rtt Zit SEE G�E�R NpENCE PLOT PLAN PROJECT 0ev6rina Homes LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54016 SW 1/4 SW 1/4S 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 102.9' BEDROOM 3 CONVENTIONAL AT -GRADE XXX 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 Survey Iron ASSUME ELEVATION loo' Filter BEST GF10 -8 ❑ BOREHOLE O WELL * H.R.P. Same as Benchmark B. M. * 285' Property Line Area 15' below 101' B-1 8% Slope system is to remain Scale = 1/4" = 10' 2 Acre Lot undisturbed 102.9' B - 2 103' Well is to meet all setbacks found in Comm. 83 B -3 Grading is to be done to divert run -off away from system Huffcutt Combo Tank Tank is to be properly bedded and provided with lockdown covers with approved warning labels Pro 3 Bedroom House 131 st. Ave B y� up5" - T*5 .-. �iSTft =T ;gut '�citTEON� > 5 tt /6 pp 44 1 B 1 - _ 1 ts0 CE LL O h- -z L : SY��L ���r�� #�`sstribuiiar� Lateral Soil Cover Weli 7. ' Pi.. Vit.ev aszd s SacLioa of �7iscvnsC� hz:•Srsd g�=►gl� �sarptiari Area arr a 5lopirrg Page �f 6istribution Pi Pe Det�"I For -. Lateral *twcrk A�ce TURN - UP ���hout) PVC Force Nain pVC gi3triWtion Pipe +� test b e Shwid Be NeXt T T URN - u� Hole Diameter 13 a- Ioth i nks Lateral Diamter T Inches Force Main Diaeeter ..__ Z_ 1whes of Holes /PiPe ��--- . Invert Eievatian of Lateral s st. Signed; License i der: Mate: £ sER CRt� SE£T.i1014- SP ECI �'ECATlI� tt SEPTIC I oy E :GRADE f U � pi4 BOX �F g ED ER ..I# .B .3 C©IT (. I V £W � 1w, NI)OW OR iii E'T ! �`P�LtAX 5 s XG -49 �r.rROK-DOOKV y {� is ' t - _ s s 's IN WE C. O rr ID SOIL (. SE3 �OG UNDO � ?� : Cfl E'TE P� .. pgov $ ooscs PER DAY = �.-- ----r' . I DOSE j,�C' Zi1G,- s r c - E ttt31.�32fE f.Low X= / L - �►- D F Lam_ /�. 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W _ �S3Lf1lCRS Soeel s sn 2 3 S haft -- - -- — Upper Sleeve and Lover Batl Bearings 0 0 pp a0 i4 FLOW- GAL.LDNS^TNUTE 80 Lithe giant PUMP CM PUMP PERFORMANCE CURVE P0q"j ,*.0Udm"CW0K73157 S1SV ti01iZ pma {Sg3f jSU - Yoe. 40.=150 4S Form 99W5 —o7ms www.uujeof"tpump.com F-R'S DUAL & MA�+l�►GE� CA�t�s PLAN POVV 'S p1t�t S (STFIA spy Q NA ty nox r.- C�i sepT �/ fl FWe► F -ra 5 �-- Q tvA oar J r ' M itt 61'c 0 MA OKA UNA PumF. wow o f OWMOMO NA Ufft pUMp Tgn iQ U .P'urnp LU Q x '€. pump Mod of E3 p Fftr a Rabe & Wrxw averAge O�� mar fl Wa tand �,,0� �O�S} ST2{3 Manse Q7CyVW De ma nd m Cetus} .dod s � {T553 cgs t?3sPe fl blFound P OAMAY . Sap g/L -S a Q" � n m ed s S) 400n'i for °°` '"�" and awan F� pow ) 3r isscridzacn°'eme� EMMA Pale S Service FsmqtsenzY s) LM'rn'srn 3 yra.} MIC SCHLF- � p snon votssrrse Ser+fte Event Rt teast once every cineeArd (10 tarjc t Cn of WOO) when carnbined Sludge a� Q '� s) (FAaxUnw 3 Yom-) . FO=P out aonWO of tan5s) At Least once enter+! -� F3 mks - s) trsspe oett(s) At Feast once every 7.4 Q mares s) II` G At Least once suety II s) Q MA t�tPp FOP � a< aisra+ At once every II months C3 yesrEs} II NA F4szsh s and pr' `test At art once ' II i £1 year II KA o0+s� At and ever or a ny ' �� � one of �, SePMOO MAROMBLAWM V491MUCTIONS by an 05 s haU bib Sewer. PO Moto hwedomw ofWM � pwn-AW on of the �) t0 � d W fb r zny > *s Sinew Pku MW. Ser"Woperew- Measure tsats3 Fd `d - � Yuen# on ire 9 a� sEse F 'lust or par," of a at�d � c � �' moires me ts�rnediabe as °n � sib Ff � t� %VWM NR inr MY 8 o � m in wy tank e qua ls posed of is a ' txsmP� PC} 1 13, f Fl psu t be V� a evert. � � of Omni g at ktwVO Im°r u oriiY + 10 � of comma F � �ae arm ago sw be � #o the tabu or ,START UP RPM OPERATION �trttertt f�ank4s3 � �{sP ass usoe of tM POW'$ � rn We the c na tp tree. For ON �atnpeds the �t�t� by a sepsa3e seMdng ope p d ft o� of the tar►�4( corncistians as3e boxers at the i Surf boo- � syswn sol is restored ..had Lip r-10" i�tsks rn�Y a j f trw. S may rss its tip �t� 0M of the p bYa to grie effluent PUMP or ocaboa s>s P m: e tt�e arses. M P a 'S arm P a ass - mss. Do no drnr8 tx ova. oFaampac acs anEd & at dosr� n swabs; degr � a the � ��Y and veget4bM peegigsC , Q� t ! dot v P � r„ is: P ' a scow aw a ga *ax c�& ASAMWISKENT n o stsrvice tfse fczios8 steps s tam irs tha2IIse Wig the 5 faft �PWM��� v � ch COMM 83 Vet C'.odec s is proPM► be �rnected a� the abandoned PIP- +OPT � ovar'a� AN P too Lantos and Pi shad stLaLF be riesxs.v d and property � of by =z� i ' at � ;as; SW be exca� assd resrlovea o: t Sod adlit WIC a�asto soFsd rna L CO Gmcy t?314H 00 *60wir;g measures have t�.er►. rr�ust falls. � Ps�e a code and CMUct Fee r ft ltse POW lass =d may be ua¢ed for Sle �°°n of � = �s p • The � � should be Proms Tort Ww and wed. FIR M bo =ctuM � by � � new soli ancf � °� lb esmbfth a Uftbie be thtt fm Prated the r+� t �s =St comply vtiitit the rues in effect at In pig • �� ate bie'¢ue to setback andtor soil lunitafions- S LT A js�s?aTfed as a Last resort to replace fhe Of €he POW'Y'S a soland rnW t Ydenft{y a suitable sepi cement area. � ame is a a The aft has, no bee s: to l oca t e a �i�bTe replaces?Me� area- if no reps 'c as alas a Last resort to sapLac8 ltze fafd POityS. b St -the tsoldr�g 503 S may be f00oasbust ct €� ' attttartticsve . � s of s�ssd: sy . GASSES �)R �Ctl�f' O�XYGS�. cc�i VAR[�l Ttt TAMMS MAY CONTAN t-�� CSC T DEATH MAY SEPTLC. #'t3liilP AND 0 OR OTHM TREATMENT TANK UMoF.R ANY LT OR S�POSSfBL F- T �M OW ?HE tN1OR OF A TANK MAY SE DtFFfCi3 ADDfiTONfLL. COM POWrS MAIt�TR PQWt's tl�iSTAi1 -ER Fume e � phone Phoise 7�.s =�" �{'" �/ J- —tom LOCAL REGUi�Tt)�tYAfl� SEPTAGE SERVMG QPE ATQR E pheonn r - ey iZ altos Phone snd - . tTas do cf m. QPW Lie. � and W Zcat Cow vie of this dacac�'t'600 a' rs�s ss+in +saes � of dL CoM gam' M)(jXd" aid 83 M & W assn f►6c�"e Gut O') g0ftM=M of tine Powrs- r Virisoonsin Department of Corn S V AT O N EPORT Page of Division of Safety and Buildings Y in accordance ' h CorprA�5,'Pyis, A� (� ode County ST e �� Attach complete site plan on paper not less than 81 x 1 inches in size. Plan must include, but not limited to: vertical and horizontal referen pointct {A-C 6 . Y Parcel I.D. I ova � l 2s percent slope, scale or dimensions, north arrow, and I ion atfli 19RIekf��st ro 02-(0 - 1(te3 e 'ewed Please print all informa R by Date l at e Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 7 Property Owner Property Location . ✓ r Govt. Lot � ,j 1/4s &J11 S #I- T — 3 0 N R/ Property Owners Maili ddress Lot Block # Subd. me or CSNW ,M• yw{/�� City State Zip Code PhondNumber ❑ City ❑ illage T Nearest Road New Construction Use. Residential I Number of bedrooms Code derived design flow rate Y - -- GPD ❑ Replacement ❑ P c or commercial - Describe: - - - - - -- -- Parent material Flood Plain elevation if applicable R General comments and recommendations: Bori ® � #� Pit Ground surface elev. �� ft. Depth in limiting factor ^� Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda ry Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Efi#2 2 )3 0 j ®Boring # ring it Ground surface elev. ft. Depth to Limiting factor 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 10 r �L 1 za r''t Fr C.5 2rv1 4P c • Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 rrg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 A �S _ b 715- 246 -4516 I Property Owner _ ( �Parcel iD # Page of [a] Boring # ❑ Boring 1 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. 'Effff1 'Eff#2 G) 3fz tm " rY,f--�- Cas 2 rn e Z - � S/ �'— c l 2a► -,sue! c � � r 3 1' -7 0 e r S r I F-1 Boring # ❑Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color R xlox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Conn Color Gr. Sz. Sh. 'Eff#1 'Eff#2 E] Boring a Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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 mg1L and TSS >30 < 150 mglL ' Ef fluent #2 = BOD, < 30 mglt. and TSS <_ 30 mglL 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. sao-9330 (8.6W Soil T P Plan . So Test lot ProN ct Name Ken Oevering Shaun Address 838 Summer Pines Circle Hudson Wi 54016 C 4226900 Lot 4 Subdivision Hollow Pond Date / 25/05 S W 1/4 S W 1/4S 25 T 30 N /R W Township Richmond F1 Boring Q Well PL Property Line County ST. CROIX "BrVRp Assume Elevation 100 ft. Top of Survey Iron System Elevation 102.9' r- *HRpSame as Benchmark Alternate Benchma Top of 1/2" p ipe @ 100.4' 285' Property Line 20' Scale = 1/4" = 10' 20' 8% Slope unless otherwise noted -2 60' 101' 35' jr 80' 30' 103' 380' Property Line 131st. Ave 'I Wisconsin Department ofComme i allintb otri"aiffon . IVERIL ALUATION REPORT Page I of 3 Division of Safety arnd Buildings q vaitlorObmm , Wis. Adm. Code �LUU� my St. Croix Attach complete site plan on pa not 2 x 11 inches in ize. Plan must include, but not limited to: vertical nd hW" (B direction and Parcel I.D. percent slope, scale or dimension , no k4E and di nee to nearest road. Please pnmation Re iewed by Date Personal information you provid e may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 1:1 El Greg Peterson Govt. Lot SW 1/4 SW 1/4 S 25 T 30 N R 18 Property 9 Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1611 Hwy 10 4 Hollow Pond City State Zip Code Phone Number ity ❑village ■ own Nearest Road Spring Lake Park MN 55432 ( 7¢3- 780 -4996 140th Street EI New Construction Use(D Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD ® Replacement rl Public or commercial - Describe: Parent material Loess over glacial till Flood Plain elevation if applicable �T ft General comments These are massive soils wiqkthe need for extEmely careful installation techni ues of the system being y the ` and mendations: tor. My commendation woul a so a to consl era pressurized syst where effluent distribution area. Not re 3ulre nm d . ' y 3 "� = `� } �' This site is suitable for a shallow below grade conventional syste 1� Boring # ®Boring El pit Ground surface elev. 100.25 ft. Depth to limiting factor >84 i . ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda GPD/f� in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Efr#1 *Eff#2 1 14 10yr3/4 sil lmsbk mfr aw 2f .2 .3 2 14 -27 103/6 sil b mfr cw 1 f .2 .3 3 27 -84 7.Syr4/4 sl Om ' mfi • . Z i Del 2 Boring # Bon es 103.35 62 El pit Ground surface elev. ft. Depth to limiting factor 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 'EM 1 3/4 sil mfr aw 2f ' 3 1 0 -12 1 1 m Oyr 2 12 -18 7.5w4/4 sicl 1 p mfr cw if .2 .3 3 18 -32 7.5yr4/6 is lmsbk mvfr cw _ .7 1.2 4 32 -62 7.5 n rnfi cw - .5 5 62 -86 7.5yr4/6 c3d5yr5 /8 sl Om mfi - - 5 * Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 :2D :5 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson �" -- ° — -- -- -,- " 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 7/3/03 715 -246 -2454 Property Owner Peterson Parcel ID # Page 2 of 3 F Boring # Boring 0 Pit Ground surface elev. 104.53 ft. Depth to limiting factor >84 in. Horizon . Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'EM 1 0 -12 10yr3 /4 - sil imsbk mfr aw 2f . • 2 12 -23 7.5w4/4 - sicl imsbk mfr cw if .2 .3 3 23 -31 7.5yr4/4 - is imsbk mvfr cw if .7 1.2 4 31 -51 I0yr4 /6 - ml cw - .7 1.2 5 51 -84 7.5yr4/4 - sl Om mfi - - .5 ❑ Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Ong # 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/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. S1313- 8330TcA (8.07/00) ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT rower. ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road _ Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 Memo to F From: Pam Quinn Date: 7/21/2004 Re: On -Site Soil Report Verification for Lot 12 Hollow Pond Subdivision (SW % SW '/+ Sec 25 Town of Richmond) On July 9, 2004 a site visit was conducted to evaluate soil conditions reported for Lot 12, 13 & 15 within this new subdivision. After making observations in test pits and subsequent review of all soil reports submitted for lots in Hollow Pond, it appears that the recommendations for installation of pressurized conventional (in- ground) systems may not be feasible. The weather was sunny, temperature in the 70's, with good light conditions for color determination and no precipitation for >24 hours. A sanitary permit was issued for this lot and excavation for the foundation had exposed soils that caused concern for installation of a conventional system. Test pits on lot 12 had been excavated at the approximate locations of B2 & B3 on the original soil report. At B3, the soil profile was similar to that reported, but redoximorphic features (iron deposits and high chroma concentrations) were observed at the irregular boundary between a sand loam horizon and fine sands below, at gu ry y approx. 60 inches. The fine sand horizon from 60 — 88" appears to be weathered sandstone, with extensive iron deposits throughout (2.5 YR 7/8) in a matrix of 10 YR 8/2. Bands of 7/5 YR 4/6 sandy loam were observed starting 6" below the textural change. A test pit near B2 showed massive sandy loam transitioning to fine sands at < 48 ", again with redox features along the textural change and much higher concentration of iron staining in the fine sands. Redox features at less than 48" would limit installation of a pressurized in- ground system to less than 12 inches below grade. This would place the system on Lot 12 in silty clay loam soils with an application rate of 0.2 gpd/ft Recommendations for "pressurized conventional systems" would require a minimum of 2250 ft for a 3- bedroom house, 3000 ft for a 4- bedroom system. Due to Dept. of Commerce code changes, effective as of 2/1/04, massive sandy loams now have a soil application rate of 0.2 gpd/ft . On many lots these soils were encountered in a third horizon at depths of less than 24 inches from the surface. Pressurized pipe, not a dosed system using leaching chambers, would be needed to achieve even distribution of wastewater throughout these soils. Costs for design and installation of an in- ground pressurized system should be compared to a traditional mound system, the latter having the option of being reconstructed if a failure occurs. The existing tested areas for all lots within Hollow Pond are not large enough for installation of a 3,000 square foot system and another equal area for replacement. Additional soil evaluations will be required and the replacement areas will have to be preserved from any construction activity for sites proposing to use this POWTS option. Mound systems for lots in Hollow Pond would require designs with lower loading rates where soils exhibit platy structure in the upper horizons and/or have <03 soil application rates within 12 inches of the surface. These long, narrow systems would, however, fit within the existing tested areas provided on the original soil reports. Sanitary permit applications for conventional POWTS will not be approved for these lots based upon this on -site determination unless the following items are included: 1. Additional soil test pits have been evaluated to provide both primary and future replacement areas. 2. Documentation that redox features are >36" below any proposed system elevation. 3. The soil application rate used for sizing the system extends a minimum of 6 inches below the proposed system elevation. For example, if the system is 18 inches deep and a massive sandy loam begins at 19 ", a soil application rate of 0.2 gpd/ft would be required for sizing the system. Cc: Greg Peterson, Subdivision Developer Oevering Builders, owner Leroy Jansky, Regional Wastewater Specialist Tom Nelson, CST #227387 I ommow rowv LOW 4 BMI WW LOT COIELWES T BI sr � s4• 3% N SLOP 3S' -Om- B3 133' ■ 100' B2 102' 104' SCALE I" = 40' BMI TOP OF IBOW PIPE 100' BM2 TOP OF COWDUIT PIPE 100.33' B2 103.35' B 3 104.53' THOMAS AELSOW 22738? jr ` RE CEIVED PRELIMINARY PLA OC 2 8 2003 (A CC Located in port of the Southwest 1/4 of ST. North, Range 18 West, Town of CROIX COUNTY drat J/4 carne. ZON OFFICE (£eta Amh 2 5-JO-1 8 nee) r 2 i CEO L SIR . RICHMOND IL 11 1 i_ M�F :/l UME 1 ---- -- -- OT 5 LOT 1 o? . o�I II I NB '55'25 "E f3 1315.51' j X2 Qi -j' LLJ I I - Pandhg' �i \ Eassment� NET BUILDABLE AREAS: < ,803 s4 ft. J 85 ` _ LOT 1 1.51 acres 7 dI _ ` 13 56,130 sq. ft. �I .' LOT 1 � L0T2 O T 2 LOT 2 1.35 acres :t',.. 65603 sq. ft 65,603 sq. ft. � \� $2,379 sq ft: •',78� f- LC 53,oe7 a rt. 1 51 acres 1 51 acres 1, B9 acres �.. LOT 3 q ,{�,8. 0. = f02.1.0' 1 80 acres.. . 1.22 acme L.8.0.= 1071.0'- \� •.9725; LOT 4 78.540 sq. ft. 2.2J 1.80 acres \ .,i• 97.252 sq. ft. - - v LO T 5 2.23 acres ' '?a5' - - - 205 ?4'; 81,923 sq. ft, 4141 LOT 6 1.88 acre= Jq p i • l/ LOT 7 128,029 sq. ft. N 31 C•tJ 2.94 acres n I ?15' - ??0 - LOT 8 90,388 sq. ft, ( FF �Eeent 2.07 acres I 89 , 4' S a ft. LOT 9 S' q ti _ _ 1n v .., . ..................... 2.05 acres N ••.� _ _ -- •}` 81 285 ft. � , a \ LOT 10 1.87 acres LOT 11 01.632 so, ft. I h rtANAaE�aiT 2. 189 sq, ft. 0 LOT 11 10 acrse lyl rSEE -E1 l ,\ L T 8 LOT 12 77, 77 acres -- ?_�. ,• -p - O 1. g I `a r •i T LOT R7 1112,62 sq. 76.883 e rt. z l j r 91, 63? sq. ft. LOT 9'" LOT 13 t n acres a 2 10. acres 61, 266 sq. ft. B9, 416 sq. ft 2 35 acres ,: 1.87 acres `: B, 0. = 1033.0 LOT 14 93.54a aq, ft.. p : 2.05 acres. Stnmturwe to - - -- 2.15 ocros be Rsmoved LOT 15 62,292 sq. ft. QI u j I ceA'N ' 1.43 acres J in a "- LOT 16 65,401 sq, k. ZI �^ ,}.., 1.50 acres " 7i aB ?' ??J' °c � I r 6T NI9•1DJ1,6 ' `\ NAVIGA 3_� t I LOT 12 L07'13 ( LOT # NET A 0 I' 77,199 s ft. 76,8$36 q . ft. 1�r�'. Ha_ L 1 q' N j J 136 3'38 sq. ft. 1.7� acres ^ 1.77 acres 313 acre I65, 4 . can ) * 4-8-6 S�f � I JT `7 1289 r _ - $89'43'24 "W - -- _ - -r _13 - -- _1322.24' �� - 1. LLr;n(- N_er. C>a.•r. /�. -- SaBW14'W ?64414'8 - TOWN OF RICHMOND " w ST. CROIX COUNTY soutAwwst Corner ZONING- SectPon ?S - Ja - fB :_) �?LATTED L?NDS PLATTED AREA IS ZDNED: AG -RES tfound ?�• robes) - - - - - - - - - CURRENT USE: AG -RES ADJOINING LANDS ZONED: AG -RES CURRENT USE: AG -RES ABE�.r: TOTAL AREA OF LAND TO BE PLATTED: 1,543.552 SO. FT. I hereby own 35.44 ACRES I eat superr MINIMUM LOT SIZE REQUIRED: 85,340 SO. FT., 1.50 ACRES NOTE; The parcels shorn on this map are eub)act to State. County and Township knowledge or AVERAGE LOT SIZE: 87,553 SO. FT., 2.01 ACRES lawn, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, the laws of THIS ADDITION WILL CONTAIN 18 LOTS sta). Before purchasing or developing any parcel, contact the St. Croix County PROPOSED TOTAL LENGTH OF TOWN ROAD: 731 L.F. Zoning Office and the appropriate Town Board for advice. R.O.W. DEDICATED TO THE PUBLIC: 142,705 Sq. FT., 3.28 ACRES TY DODGE. R RICHMOND HILLS )T 15 LOT 14 LC' 13#5.51' 0 1910 301 77"J' 7" L�?t. 2195.36' 222. �D k- 1282.51' -- ova" t A) Fol7. o' ExtsTIlc WILD . c,or.9 K. w.E.: 1 020.a 82.379 sq. ft. !` A 0 1, f.99 acres fl �.�� ` 1.84 awns • ... • DoT 5 .� � M _ ' • • . lOt�.Spl sq; ff. .+� HA 1 A % �- •. ••. ••• 1.8.0. =to.?' d' .• t A y n i • .• -_- 7C�4 . C1 HgTpS'45 0 E 233.03 527. •' 1 24 029 T8 • s F LDT 9 0 % 102•.62 � A 19,416 sq. ft. 2. 35 acres RECEIVED ST. CROIX COUNTY MAY 1 8 2007 SEPTIC TANK MAIN DANCE AGREEMENT ST. CROIX COUNTY OWN SHIP CERTTFICA ION / FORM Owner/Buyer �. ✓ ' 1 (� Mailing Address Property Address (verification required from Planning & Zoning Department for new constructs °n ) Parcel Identification Number C� City /State LEGAL DESCRIPTION C7 9 W, Town of � Property Location S (,[/ i/a , '/a , Sec. . T N R Lot # Subdivision --- Volume Page ,# Certified Survey Map # S ' P e # 1 CE) u) Volume - W Deed # Lot lines identifiable 0 no Spec house no SYSTEM MA�TTENANCE AND OWNER CERTIFICATION Q� U re to wastes. Pr°Pea Improper use and maintenance of your septic system co t in it p mature, fail licensed pumper Wit you put into maintenance consists of pump out the septic tank every three Y ears or sooner system Owner maintenance the system can affect the function of the sept tank as a treatment stage in the waste disposal are specified in §Comm- 8352(1) and in Chapter 12 - St. Croix County Sanitary tment a certification €orm, signed by the The property owner agrees to submit to St. Croix County Planning & Zoning Depar v�g that (1) the on -site lumber, journeyman plumb restricted plumber or a licensed pumper (if necessary), the septic tank is owned and by a master p o grating plumber, restricted and/or (2) after inspection and pumping wastewater disposal system is in proper p less than 1/3 full of sludge. System with the e gree to maintain the private sewage disposal I/we, the undersign have read the above requirements Commerce an d and a d the Department of Natural Resources, State of Vdisconsin. & standards set forth, herein. as set by the Dopartm our to the St. Croix County Planning Certification stating that your septic system has been Maintainedate mus be completed and returned Zoning DeP�ent within 30 days of the three year xp guts on this form are true to the best of my /our knowledge. Uwe amlam the owner(s) of the Uwe deed recorded in Register of Deeds Office. pro above, by virtue f a w ty Al PLICANT permit being revoked by the Planning & Zoning DcparOm s* ** Any information that is misrepresented may result sn the sanitary pe `cation a recorded warranty deed from the Register of Deeds Office and a copy of rise certified survey maF if Include with, this a reference is made in the warranty deed. WV. 08/05) U 2685P 179 77B37t25 STATE BAR OF WISCONSIN FORM 1 — 1998 KATHLEEN H. NALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD Document N er This D ade between Silver Lake Land LC a Cor ration 10/29/2004 68t25AN Grantor, an Kenneth J. Oevering..# .. Grantee. WARRANTY DEED Grantor, or a valuable consideration conveys t rantee the following EXE?PT # described r I estate in St. Croix State of Wisconsin (th rope "): TRANS 1272 00 ,Y p � COPY FEE: CC PAGES- 1 Recording Area Name and Return Address carnet Title _ n 1'rance Ave. S. - �5435 026 1073 50 001 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Lots 1 through 11, Hollow Pond Addition, Town of Richmond, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except 4 Dated this day of October 2004 (SEAL) (SEAL) Gregory J. Peterson, Presiders Silver Lake Land, LLC (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ) ss. WENDY SWATZINA St. Croix County authenticated thrg 0 + A "Vf IV V fA rt T Personally came before me this C�r day of STATE OF WISCONSIN Octob r, 200 the above named Gregory J. Peterson as President of Silver Lake Land. • LLC. a tion to me known to be TITLE: MEMBER STATE BAR OF WISCONSIN the person who executed the foregoing instrument (If not, and ackn w1l ge a same. _ authorized by §706.06, Wis. Stats) 1 THIS INSTRUMENT WAS DRAFTED BY �j W 09-- Coldwell Banker Burnet Notary Public, State bf Wisconsin 1301 Coulee Road Hudson, WI 54016 My commission is permanent. (If not, state expiration date: 15 (Sign k (Signatures may be authenticated or acknowledged. �5 I ) Both are not necessary.) Names of p ersons signing in anX capacity must be typed or Drinted below their signature. FROM :OEVERING HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P12 rE7.� � a f N • R • -- ------------- -..� -.�- - - - - -� f 1 FROM :OEVER1NG HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P11 WXF l ip ULU p' w ' .— .— .— . —. - -- - i a 3�Cv vu Si J r r N 4 w r , d' •� a N X w W C (n I W = ;:� O q V w o LO Xf o � C 01 -4 O ,,, t` oV z oNm �i) z k I M � .; o Lo 0 2 I LO Q •M . . V UI � M co Ss�ti '� N w 00 Y N J _ 8 O co C CN � � �� �� G O B • h i / r- U-) C) I °� i Z " J t/ �- o, Q ^ $� �•�+ Meg S� / 0 _ CZ ~O1 ' .c F ° �L X 09, - w ^ ° p Or o,>" ew ' I 2 0 l i LO 4 L \ N \ .l0'OZ£ 3.92,9Z OON O O N I O cn p 0 O N it N 11 LO �h O 1 M M . st s � m o•oZc I S£ 3„,SZ.00N � w 3f _ N N ' a` LO h V 0 O z O 00 rz 'O Q O ., N O 1 : W J h ,., �O N U I l0'OZ£— — ,,; ,. 3 «SF,SOON y �' �o