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HomeMy WebLinkAbout026-1163-08-000 sconsin Department of Commerce_ PRIVATE SEWAGE SYSTEM County: St. Croix afety and Building Division > INSPECTION REPORT Sanitary Permit No: 479465 0 GENERAL INFORMATION - (ATTACH TO PERMIT) State Plan ID No: Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Oeverin , Ken Richmond, Town of 026 - 1163 -08 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: eK 7 - 3 CIST 25.30.18.1258 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic d , Benchmark 9 y � 7 Alt. BM b� 3. Bldg. Sewer 4= k $ , era , I Holding St/Ht Inlet � TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic - 7 /Cb A4- / W Dt Bottom 14.0 21-5 I Dosing -7 / ,/t GO I � Header /Man. 5 q Z Aeration - - ...__^ u r N+ 1 Dist. Pipe $ Cr ( 4-7 Holding Bot. System O '8L Final Grade + yp • Z PUMP /SIPHON INFORMATION 4 .1-42 Manufacturer De St Cover t • _ , 3. Model Number ! J Z T Lift �' Friction Losss System end T< /9 Ft Forcemain Length f Dia. Z4 Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width 1 Length ( No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS .4;;S % -. �e `%. SETBACK SYSTEM TO P/L JBLDG ii WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR I Type Of System: -v -,4 f UNIT Model Number. DISTRIBUTION SYSTEM J Header /Manifo� 11 Distribution x Hole Size x Hole Spacing Vert to Air Intake i- Length Pipe(s) ` r� Length Di a Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over r Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center '4 Bed( Tench Edges \ Topsoil \ Yes � j No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / 1 Inspection #2: Location: 1413 131st Av uewNNeew Richmond, WI 54017 (SW 114 SW 1/4 25 T30N R1 8W) Hollow Pond Lot 8 f Parcel No: 25.30.18.1258 1.) Alt BM Description =� 1, C �'""` 5 �� 2.) Bldg sewer length = Cr - amount of cover = -7 44L it -- - Plan revision Re — -- - -- - - -- - -- - Use other side for additional information. ,I Yes No l b Date Insepcto Signatu Cert. No. SBD -6710 (R.3/97) l • 88 00880 ©8888 .. _ 0000000000 ®0088 D © coca c ©088888 00000000888888888 . 088888000® ©888888 0 ©00 ©0 ©8888888888 c8888800® ©0888888 08 ®80000880088888. 08 ®88808888888888 p080p0000� ©888888. X08 © ©© ©8888888888 .000 ®� ®0 ®888888888 - - -0 ©00008 ©888888888- 0880000© ©88888888 0000000888 ©888888 ,.pppppp ©8088888888 .. .00008088888888888 p8ppppp ©08aeeaaee .. 000 ®0088888888888 .00880888888888888 0 ©800888888888888 08 ®8©888888888888 • ' 00000888888888888 � ®0 ©888888 ©888888 - • X0088888888888888 - - - 080 ®8888888888 MEN ' D© ©88888888888888 .. 0 ®0 ®8888888888888 �© ©88888888888888 �����NN Ne' ONE 000 ©8888888888888 MI mom ■ / /Mr!�.r1 / /I� /■N■ ©8808888888888888 is� ®..oldp 1 ���sM • : ©800808888®® ®0 080 ��� / / /'MI /go"An _ 0 ©8800©© ©00008088 • /I E 1/ / ►■ . MMMMMMM Elm ���� 'ms' .�. jd • � - MINE ®.MME■ .AMWAR Mu Ml r i.ox _ Safety and Bui on S7 201 W. Washington ve_, ani Permit Number (to be filled in by Co.) Madison Wl 53707— Q irsconsnn (60$) 6 -3151 Department of Commerce i �� State lan LD. N Sanitary Permit App icati n In accord with Comm 8321, Wrs. Adm. Code personal informs n yotlg>� ` OiX Proj ct Address (if different than mailing address) may be used for secondary purposes Privacy Law, s15. 1)(m) , BONING p F UG1y j, Application Information - Please Print All Information Lot # Block # Parcel # property owner's Name r7 3 LSE' v _ Property Location p Owner's Mailing Address Section 2 3 t� Zip Code Phone Number /7 City, State / L� N ;irc one) j j T W /j --� ok aA- csM her 11. pe of Building (check all that apply) Subdivision /Name 2 Family Dwelling- Number of Bedrooms !t:=:!: ❑ p - Describe Use .JJ ` � � � ! 3 � I G ❑City_ ❑villag hi of ❑ State Owned- Describe Use ©Z j III. Type Permit: (Check only one box on line A. Complete line B if applicable) C] other Modification to Existing System A, stem ❑ Replacement System [j TreatmenrlHolding Tank Replacement Only _-- - - -- List Previous Permit Number and Date Issued ❑ Permit Revision ❑ Change of ❑permit Transfer to New ^ ! B. ❑ Permit Renewal Plumber Owner 4v Before Expiration 1V. a of POWTS S stem: Check all that a 1 [3 Si pass Sand Filter ❑ At ressurized In - Ground ❑ Mound ?: 24 in. of suitable soil [I Mound ` 24 in[ II Aer�`c Treatme nt lC] Unitt ❑ Recirculating Sand Filter C1 Constructed Wetland ❑ Pressurized I ound C] Holding Tank [I peat Filter c lain G Chamber ❑ Drip Line ❑ ess Pi Gravel -lpe ❑ Other ( ) f Recirculating Synthetic Media F' thing System Elevat n ✓// V. Dis ersaVrreatment a Information: Dispersal Area Required (sf) Dispersal Area Proposed fl S t Design Flow (gpd) Design Soil Ap licarioft Rate(�sf) /. /� - - -J v J ✓ CT Prefab Site Steel Glass plc ^7 Total Number Manufacturer Concrete Constructed Vl. Tank Info Capacity m Gallons Gallons of Units it I cc) 4 1 1 t NewNewExisting Z . Tanks Tanks Septic or Aolding Tack y vv lV Aerobic TreatrOwt Unit Dosing Cltambcr 3 shown on the attached Pans utne responsibiltty for installation of the pOWTS Business one VII. Responsibility Statement L the undersign Plumber' ature MP/MPRS Number /� Plumber' ;Name (Print) , Plumber's Address ( treet, City, State, Z' e) n `/ f VIII. oun IDe artment Use On l Sanitary Per Fee (includes Groundwater Date Is ed m it Issuing ent Signs (No P Approved ❑ tsapproved Surcharge Fee) n Q � �j y 9 r� ❑ Criers eason for Denta J a � tea.` ,^4& rovaUReasonsforDisapproval 3) 6J,kkA_,_ " s iX. Conditions of App SYSTEM OWNER' p dc,�— 1. septic tank, effluent mar W J APO" CO must aM 124. — �--- �j�t6�w�- -0 l � N .I � Plan provided by elnerits must be mak"ned / k $ a„SG� e, 2. as ap1e code t ordinances• �( a , ; „-..*t— per to t6c County only) for the system on paper not toss than $in >< t t inches in size Attach complete plans ( SBD -6398 (R. 01103) P PLAN PROJECT Ken Oeverina ADDRESS 838 Summer Pines Circle Hudson Wi 54016 SW 114 SW 114S 25 IT 30 /R 1 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 917J05 BEDROOM 3 CONVENTIONAL IN-GROUND jqRESSURE CONVENTIONAL LIFT )00X HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 hk BENCHMARK V.R.P. Top of Steel Corner Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 91.1190.9/90.7 5' below grade Well is to meet all Plans Designed Using setbacks required by Conventional Powts Scale is 1 " = 40' WDNR Manual Version 2.0 unless otherwise noted 412' property line To Town road to 140th ST. Pro 3 Bedroom 25' House 90' 3 -3' X 83' Cells with >3' spacing Alt. B. M. Top of 1J2" * B.M. 0' B -2 pipe C 95.0' AC 30' 50' 40' B -1 0' Vents 250' ' � 5% Slope 95' B -3 10' Rentention Pond Area Vent >6„ Standard Biodiffuser of Cover Leaching Chamber , with 31.1 ft2 of Area i 6' Long 11 " 84' Property Line 3411 Grade at System Elevation Property Line V PLAN PROJECT Ken Oeverina ADDRESS 838 Summer Pines Circle Hudson Wi 54016 SW 1/4 SW 1 /4s 25 /T /R 1 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/7/05 BEDROOM 3 CONVENTIONAL IN- GROUND RESSURE CONVENTIONAL LIFT )00X HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of Steel Corner Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE Q WELL *H. R. P Same as Benchmark SYSTEM ELEVATION 91.1/90.9/90.7 5' below qrade Well is to meet all Plans Designed Using setbacks required by Conventional Powts Scale is 1" = 40' WDNR Manual Version 2.0 unless otherwise noted 412' property line To Town road to 140th ST. 7\ Pro 3 Bedroom 25' House 90' 3 -3' X 83' Cells with >3' spacing Alt. B. M. Top of 1/2" * B.M. 0' $ -2 pipe CD 95.0' AC 30' 50' 40' B -1 1* � _ o ' Vents 250' ' 5% Slope 95' B -3 10' Rentention Pond Area Vent jj Gra de Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area 1 " 84' Property Line at System Elevation 34" Property Line PA Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, . �._. .. � L Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz Plan en � v t � ' nom t include, but not limited to: vertical and horizontal reference point (BM), di' ction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to neares) road Please print all information. 124viewed Date q Personal information you provide may be used for secondary purposes (Privacy w, s. 14194 ("}i ®IX v Property Owner err 1C f n� y � LJv(? / 1r Govt. Lot �., 114 JL� 14 S r(5 T N R E( W Property Owner's Mailing Address Lot # Block # S Name or CSM# ZZ City Zip Code Phone umber ❑ City ❑ Tg wn Nearest Road 1 Construction Use Residential / Number of bedrooms Code derived design flow rat GPD ti ❑ Replacement ❑ Publi or commercial - Describe: Parent material /�t Flood Plain elevation if applicable �'✓ ft. General cornments and recommendations: 10 � F1 � Boring # Boring l� 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 i �7" �l �� I 4 (. [ '3 L4 S/ i I zo / Lit Z a Boring # Burins ��,�,`� spit Ground surface elev..� ft. Depth to limiting factor --f- -- in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 Lq (�0 Effluent #1 = BOD > 30 < 220 rnci/L and TSS >30 150 mgA- ' Effluent #2 = BO- D < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 - 715 - 246 -4516 SEPTIC TAi3K L CROSS S£flT pump CtIAM 8£R SEC ADO gpE r�a IONS PAD COVER WEAMRPROOF G1 V ENT PIPE 12'= "I N . ABOVE GRADE � jU NCTION BOX MAKfiG ED ` FROH DOOR, WrN DOW OR WITH CONDUIT AitiiF- � INTAKE W/ P f�A FRESH AIR �'LR �!t t� WARNING IASEL T r � �q I 0 ( � ` � � 4" MIN . zit s► INLET s GAS- W ATER TIGHT SEALS -�" TIGHT Y A SF-AL ; JOINTS WITH 's ALM APPRWED PIPE 8 , ON 3' OIITO APPROVED SOLIc SOIL PIPE 3` C t offo SOLID OFF SOIL pump OFF ELEY . V ' � £T' D BEDDING UNDER TANK Y: APPROVED ` p ]) CONCRETE PAD l i J f r L f/ L'T'A SPECIFICATIONS - SEPTIC I DOSE NUMBER DOSES PE DAY R .� ----- TAAiK MANUFACTU Al_L9'ckA_l GAL }�QSE VOWME zNCLUDZHG CAL. SEPTIC - F LOW$AC = l �'.._--- • ---- -- ANK T uzzll SIZES = HOSE 2 GAL. Ii�iG7iES = �J GAL- r 1 � CAPACITIES t G 3 GAL. : B ^ ALARM MANUFACIURER; 2 INCHES _fir___ -- -LX" MODEL. NUMBER' l`".' ����/:� -- � /� � GAL. SWITCH C = ? INCHES PUMP 2�Ai�JFACZ'3R£R : _ Ii1CHES = I ' II MpDEL NUt#$ER = * ILR, 16-23 wAC SWITCH TYPE= PUl4P ALARM WIRING AS PER xLHR GI's --- FEET gEQU3:RCD DISCffARGE RAT£ ,�,_rr -FEET CAL DI pUtIP OFF AND_DISTRIBU"TIE)N PIPE - FEET vEtY!'2 EgE - FRiCTIaK FACTOR , -.�.. FEET MI � N , rmum NETWORK SUPPLY PRESSURE 100 g�_ 1- FRI CTION F HIS 0 --- FEET FORMAT" )C 4 y'_ IDTH CJ DiAMET FNTERNA L, D IMENSIONS Of gUt�#P TANK'. LIQi3 D �•�. � --- DATE' LICENSEJM S IGPtET): _ ;r�s FROM BRIAN VAUGHT-PREFERRED PUMP FAX NO. 7154258035 Mar. 30 2005 09:57AM P' i 0 Al rD Y K A M _IERP" - V 'URVE ,)R -ANCJ C UP U[N I AN "IT Yj A T D MODEL 'j- Feet Meters Got. 0F.m fol. I 5 1.5 45 261 69 2 10 3.1 42 231 15 4.6 Yi 201 53 20: 20 6.1 28 167 d4 ifi7 r,2 20 25 7.6 20 129 64 _i 29 30 9.1 23 87 _1 35 10.7 22 40 12-2 38 20 40 60 so 100 40 320 'LOW Model 161 flFfZ MINUTE Models 1521153 CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32—�-- • 518-J • Timed dosing panels available. $ 1 7J8 f � i .t 77 /:) • Electrical afternalors, %ir duplex system, are available and Supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available tar variable level long and short cycle controls. • Sealed! (Wk-Box available for outdoor installations. Sm NAN. • Giver 130•P. (SA*C.) special quotation required. 12 1/8 15111521153 Wes 15111521153 None s Comm ;deeftlt - Mod el 'd Model Mod Angn _Slgt& Dupleit N151 its 1 Nnn 6.0 I 2or3 ,ANisi its I Auto &Q j!!aluftd 20?3 L_Arjt 230 1 3.2 t 2w3 8E151 gX I Auto 12 Irdixilad 260 Ifil TEMP M152 I% I OLS I 2or3 I R R Nis2 Its 1 s 8.5 hWed 2or3 i52 234 1 NW 4,3 1 2q3 BE152 230 1 Avlo 4.3 Included 2or3 L!jls� ' 115 1 hw 10.5 1 2or3 I ANLUL t15 I Auto 10.5 included 200 I E153 1 230 1 Non 53 1 200 SELECTION GUIDE AF 1.i3j 230 t A.bi; ink WW 2 o 3 1. Single *yback variable towel JIM switch or double pinybadk vana64e Level fbai switch. Refer b FMO477, JA Zru 2. See FW712 for correct model of Electrical Atternelor E-Pak. AA installad no of controls. wollecdon dcwkin and wbing should be done by s quatilled i variable level control switch 104225 used as a control sctvaioT. duplex (3) licensed electician. Ali electrical and ss* codes should be followed including the linost rv.vA Natianol Eletftk Cods (NEC) aft# the Ompational 8dft end Nulth Ad (OSIA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety fecWr is engineered intcithe design of every Zoeller pump. MAX M, ACk 90X 1WJ fAukv JIM ik KY 402564u uvo*Afm sw CW% MA 16 Loo1nftKY4W?f-f96f f5Q 7781M MPWP M rAX(ja 774-30 41+ dt~Mhf 911119 7r ilar ('.m All *;.Ikle ft%*a.^,PA W OD y N08'1p'S5 "E N — w 42 9.69' . N I N00'05'55 "E• 3v z f �• �• o t 327.01 00 �' n I I G7 r W O "� r' �� i� �..eSG1. C' A D o ° w o ' o / n �� > ❑> Z m ow r4 0 r , '0 i I m w v3h N12• o: w 33 » n 1 C y II 29s 22 `� N i 4 8 9 N; cl -o `. 1 n c I �hl 0 0 0 ao 3 , 5 0 T1 x ��O ) � n 1 c z oo ;v t , • 0 ti m I n �s O(wG, R N co i C Z 00 'Pik, O c to N O�m v �i'• 4 I 00 30 �• w c N00 "E ,Taco• zt � 3 7.01 N'° cod z w L" '- 4 (b / Of n v, O m �S /" o o /" '_ v o � �� / Oy ~ Y�4 � 0 � 0 . N00'05'55 E 411.00 "I !v ? 4 6• F ICb (4 327.01' 83.99' A N o v Ln �� Z I O I I � 1 G�: O~i to o M III v O R0� v A ~ N O m ►V O 6 6 °� �� ? O ~ c OUO�O t� �. 33.00' y '"` 1 ►, r, y �! / - — 1135.06'— 327.01' v 377.13' 430.92 I0 Soo•05'55 "w 11 68.06' D v a cl m I \ £ost line of the SW, 114 of the SW -1/4 I c) I < Im ir - ` N� Q I m 00 10 l I� llk� ` t o o IW IC Iu) I cy I I°' iv 100 � IpI�ICI �.w, I IX RICHMOND HILLS I ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer / l �Lt ti S �l v Mailing Address Y` V13 Property Address _: 3 T "9 &.C_ (Verification required from Planning & Zoning Department for new construct City /State Parcel Identification Number LEGAL DESCRIPTION Property Locatiolla 1 14 , Sec. 22� , T R,/—bW, Town of Subdivision A ,Lot #�. Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house es no Lot lines identifiables no SYSTEM MAINTENANCE AND OWNER CERTIFICATION � / \ 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 Planning & 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. Uwe, 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 Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property d d 71be, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT(S) DATE * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) U 2685P 1 7 9 STATE BAR OF WISCONSIN FORM 1 — 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIK CO., MI RECEIVED FOR RECORD Document Number This Deed, made between Silver Lake Land LLC a Corporation 10/29/2004 08:25A1[ Grantor, and Kenneth J. Oevering. -_. _ _, Grantee. WARRANTY DEED Grantor, for a valuable consideration conveys to Grantee the following EXEMPT # described real estate in St. Croix County State of Wisconsin (the "Property"): REC FEE: 1 272 TRANS FEE: 12y2.. 00 C C CC PF FEE PAGES: 1 Recording Area Name and Retum Address I urnet Title _ �n Prance Ave. S. Fir.,t 1lo(q i %IN x5435 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 Signatures) State of Wisconsin, ) ss. authenticated th�s E Ny pf ATZ I N A St. Croix County �J- iV V �Hrt Personally came before me this day of STATE OF WISCONSIN Octobe r, 2Q_4 the above named Gregory J. Peterson as President of Silver Lake Land. * LLC. a ion to me known to be TITLE: MEMBER STATE BAR OF WISCONSIN the person who executed the fgregoing instrument (if not, and ackn wledge a same. authorized by §706.06, Wis. State) THIS INSTRUMENT WAS DRAFTED BY SW nOv Coldweli Banker Burnet Notary Public, State 6f Wisconsin 1301 Coulee Road Hudson, WI 54016 My commission is permanent. (If not, state expiration date: (Sigma 5 (Signatures may be authenticated or acknowledged, Both are not necessary.) Names of persons signing in any cap2clty must be typed or printed below their si nature. Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 C gen y Plan Option # . If system fails, determine cause of failure, use alternate area and install new system in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 Parcel #: 026 - 1163 -08 -000 09/0912005 01:00 PM PAGE 1 OF 1 Alt. Parcel #: 25.30.18.1258- 026 - TOWN OF RICHMOND Current �X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type j 05/07/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner KENNETH J OEVERING O - OEVERING, KENNETH J 838 SUMMER PINES CIR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1413 131 ST AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.350 Plat: 10/03- HOLLOW POND 026/04 LOTS 1/16 SEC 25 T30N R18W PT SW SW BEING HOLLOW Block/Condo Bldg: LOT 08 POND ('04) LOT 8 (2.350AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 25- 30N -18W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 10/29/2004 778370 2685/179 WD 05/07/2004 761870 10/03 PLAT 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 S Valua t i 0 t1 : Last Changed: 06/21/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.350 30,200 0 30,200 NO Totals for 2005: General Property 2.350 30,200 0 30,200 Woodland 0.000 0 0 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 FROM :DEVERING HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P11 i yf M A• A { l 0 0 N x� o if s� N � yCry N Y w r K { �f _ f - FROM :OEVERING HOhJES LLC FRX NO. :7155311282 Dec. 14 2004 10:14PM P12 AD .n 11 a ;- _ ....... -- - ----- - - - - -- - -- 1 � E r . --------- ~- - - - -- i- .�- -..�.. ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road rAN , _ 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 sandy loam horizon and fine sands below, at 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 .. K... v... these soils. Costs for design and installation of an in- ground pressurized system should be compared to a traditional mounds stem the latter having the option of being � P Y g P g reconstructed if a failure cc tested areas for all lots within Hollow Pond are not large n f or o urs. The existing s a e e ou g g � 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 r sites p roposing to use this POWTS option. h' P P g P 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 <0.3 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 WisconsinDepartmentofCommere RECEIVEgbL 4VAWATIQN REPORT p age 1 of 3 Division. of Safety and Buildings in accordance with Comm �5, Wis. Adm. Code FEB � St: Croik Attach compete site plan not ass an r s in size. titan must include, but not limited to. m and horizontal reference point (BV), direction and Pared I.D. percent slope, scale or , noo*TaVvW W tdcation and d{stanc a to nearest road. NfN QFFI�.E j viewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). L v o1 K Va ._ 0 Property Owner Property Locator r Greg Peterson Govt. Lot SW 114 SW 1/4 .S 2-5 T 30 N _R 18 E.(or) Property Owner's Mailing Address, Lot # Stock # I Subd. Name or CSM# 1611 Hwy 10 8 Follow Pond City .Zip Code Phone Number 00ity village Mown Nearest Road SpringLake.Pwk . MN 1 55432 1 ( 7¢3 780 -4996 14ft Street New Constivctlon Use(D Residential /Number of bedrooms 3 to 4 Code- derived - design flow. rate 450 to , 600 GPD 0 Replacement a Pubficor mrrurberniat- Desc ribs Parent material Loess over glacial till Flood Plain elevation if appficaMe NA General oomments These are massive soils with ter being used by the and recommendations. installing contractor. M, recommendation would also be to consider a ressurized s here the effluent be dose over a entire tstn tion area. Not required, but reco ded. This site is suitable for a below grade conventional- system. 0 Borng � E Boring # 0 Pit Ground surface elev. 100:20 ft. Depth t limiting factor 36.47 n. 1 Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bou Roots GPQ/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #i *EfW 1 0 -9 10yr2/2 - sil 2msbk mfr cs 2f .5 .8 2 9 -36 siCl 2msbk mfr cs if .4 .6 6 2 3 36-48 1 4/4 cld5yr5 /8 sicl lmsbk mfr cs - 2 3 � - 4 48 -98 7.5yr4/4 sl Om mfi _ _ .5 F 21 � Boring 99. 0 >93 Boring # El Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Tff #1 I -Etf#2 1 0 -11 10yr3/3 A 2msbk mfr cs 2f .5 .8 2 11 -20 1 4/6 - sil 2msbk mfr cs if .5 .8 3 1 20 -30 7.5yr4/4 - sicl 2msbk mfr cs _ .4 .6 4 30-40 7.5yr4/4 - is lmsbk m f r cs - .7 1.2 5 40 -93 7.5yr5/8 - s Osg ml - - .7 1.2 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg& " Effluent #2 = BO < 30 mg& and TSS < 30 mg1L CST Name (Please Prim) — — Sic��" CST Number Thomas C Nelson t 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, Wl 7/03/03 715 -246 -2454 s Y . Property Owner _ Parcel ID # Page 2 of 3 M 3 Boring Boring g F� 1 Pit Ground surface elev. 99.20 ft. Depth to limiting factor 94 in. Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GADM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 -Eff#2 1 0 -8 10yr3 /3 - sil 2msbk mfr cs 2f .5 .8 2 1 8 -17 1 4/6 - sil 2msbk mfr cs if .5 .8 3 17 -23 7.5yr4/4 - sicl 2 mfr cs _ .4 .6 4 23 -34 7.5yr4/4 _ Om i cs - .5 5 34 -94 7.5yr4/4 _ is Om mfi _ - .5 .7 eyl G4 7 F-1 Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *002 F-1 # Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Etf#2 Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg/L * Effluent #2 = 1300 : < 30 mg/L and TSS < 30 mg& The Department of Commerce is an equal opportunity service provider and employer. 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