HomeMy WebLinkAbout026-1163-09-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building, Division
INSPECTION REPORT Sanitary Permit No:
- 479374 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)i.
Permit Holder's Name: City Village X Township Parcel Tax No:
Oevering Homes I Richmond, Town of
026-1163-09-000
CST BM Elev: Insp. BM Elev: BM Descriptio Section/Town /Range/Map No:
7(- 2-„ Z, GS ( 25.30.18.1259
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic < <j / Benchmark
Dosing Alt. BM � ` ' c 5 -7
V1144— Bldg. Sewer
/OZ7 7. o ld .V0
Holding St/Ht Inlet
D t
TANK SETBACK INFORMATION St/Ht Outlet \
TANK TO W P /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet � 1
Septic (D 3 / /1 _ �i 1 i Dt Bottom Z
Dosing �� , 11►— r Header /Man. 57
Aeration /V T Dist. Pipe t,; ` 9Z C1
Holding Bot. System (p,`d'7 '1,9 3
>t Z • 0'% d K
PUMP /SIPHON INFORMATION
Final Grade c1 S
•G
Manufacturer n Demand St Cover
CA 3 I �f S • 7
�►�_ GPM
Model Number 6 ► \
TDH Lift 1 Frictions Loss System Head J TDH g �Ft
Forcemain Lengt�./ Dia. 1 Dist. to Well �.
SOIL ABSORPTION SYSTEM
BEDITRENCH Width i Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS "3 C
SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer:Q
r
INFORMATION CHAMBER OR 1191.0
Type Of System: 4 l /Sf v 7 )� UNIT Model Number:
d ri1a �_(
"'X., - o •moo -�-� 0 N 4—
DISTRIBUTION SYSTEM Sa o�
Header/Manifold �� Distribution s I x Hole Size I x Hole Spacing V�nt to Air Intak
�j Pipe(s) \
Length_ Dia T Length Dia Spacin
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over / D xx epth Over xx Depth of Seeded /S d xx Mulched
Bed/Trench Center 3 . $ Bed/Trench Edges` Topsoil \`* Yes [J No Yes j
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 1411 131st Avenue New Richmond, WI 54017 (SW 1/4 SW 1/4 25 T30N R18W�)Hollow Pond Lot 9 Parcel No: 25.30.18.1259
1.) Alt BM Description
I
2.) Bldg sewer length =(_
- amount of cover = C YO
J
Plan revision Required? a Yes "` No
- 2 051
Use other side for additional information.
Date Insepctors Si ature Cert. No.
SBD -6710 (R.3/97)
I
Safety and Buildings Division County
201 W. ashington Ave., P.O. Box 7162 yQ
N Visconsin � � anitary Permit Number (to be filled in by Co.)
r - 7 3 7q
'Department of Commerce
ate Plan I.D Number
Y PP
Sanitary Permit A lic ins ��
r[i ...
In accord with Comm 83.21, Wis. Adm. Code, personal infortiiation y ld
may be used for secondary purposes Privacy Law, s 1 P ject / Addres different than maili address)
N TY ! y �t d l sr. L�2 .
I. Application Information - Please Print All Information ZONING OFFICE
Property Owner's Name
Parcel # t # Block #
c , C, I
Property Owner's Mailing Address rope Locati
Gt ✓h Yt�t�+(� �� y, 4, Section
City, State Zip Code Phone Number
` / o / ircle e)
-1 `[ l T3 19N R E o
II ype of Building (check all that apply) ✓ 3 W 6 Subdivision Name CSM Num
Family Dwelling - Number of Bedrooms
❑ Public/Commercial - Describe Use — ! ClW !!
❑ State Owned - Describe Use
n0 ❑City_ ❑Villa hiftof
III. Type of Permit: (Check only one box on line A. Complete line B i plicable)
A. w System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System
or
List Previous Permit Number and Date Issued
B. El Permit Renewal ❑ Permit Revision El Change of ❑ Permit Transfer to New
Before Expiration Plumber Owner
IV. Type of POWTS System: Check ell that apply)
/ ST ❑
surized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At- Grade - ❑ Single Pass Sand Filter
Constructed Wetland El Pressurized In- ound ❑ Holding Tank ❑ Peat Filter El Aerobic Treatment Unit El Recirculating Sand Filter Cl
Recirculating Synthetic Media Fil Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (ex ain)
V. Dispersal/Treatment Area ormation: Proposed ersal Area Pro s S stem Elevati n
Design Flow (gpd) Design Soil Application Rate f) Dispersal Area Required (sf) Dis p p ( f / �
Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glas
VI. Tank Info s
New Existing
Tanks Tanks
Septic or Holding Tank
Aerobic Treatment Unit
W
Dosing Chamber x V
VII. Responsibility Stateme t- I, the undersigned, assume responsi ' ' r installation of the POWTS shown on the attached plans.
Plumb is Si ature MP/MPRS Number Business Phone Number
Plum is Name (Print)
— 7 �cJ L V
Plumber's A tty, State, Zip Co
C Jr-/
VIII. oun /De artment Use Onl
Sanitary Permit Fee (includes Groundwater D Issu d suing Age Si to o tamps)
Approved ❑ Disapproved Surcharge Fee)? O� (� Dd
❑ Owner Given Reason for Denial J `
I , � , . ,, �` a �- ttions A p UReasons for Disapproval
�ICM �2Tj_ c,/wa,w
1 ep tank, effluent filter and
dispersal cell must all be serviced / maintained v
as per management plan provided by plumber. 3�
2 ac regwremen s mus a mam alne � - /' �Gti1.2_
as per applicable code /ordinances. 3 N . ��" /� !/Y��.Cti s"-
It complete ns (to t4c Co my only) the sygem o paper not less an s12 x 11 inches in size
t 3
SBD -639 (R. 01/03) / `
� Cdr^ YY
P OT PLAN
PROJECT Oeverina Homes ADDRESS 838 Summer Pines Circle Hudson Wi 54016
SW 1/4 SW 1 /4S 25 /T /R 18 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 8 BEDROOM 3
CONVENTIONAL IN -GRO PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK ZE 1000 gallons LIFT TANK SIZE630 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30
BENCHMARK V.R.P. Top of Fence Post ASSUME ELEVATION 100' Filter Zabel A -100
❑BOREHOLE O WELL *H.R.P. SameasBenchmark
SYSTEM ELEVATION 92.5/92.3 4' below grade
t
Alternate Benchmark Top of survey iron 96.2' b,'Z
k
Property Line t.B.M. S
B.M.
Well is to meet all Plans Designed Using
setbacks required by Conventional Powts
WDNR Manual Version 2.0
100'
4% Slope
2 -3' X 94' Cells with >3' Spacing (! -3 45' b ir
Pro 3
Bedroom
House Vents
35'
5'
0' Mew
Combo Tank -2 90
Vent
> 6» Standard Biodiffuser
of Cover Leaching Chamber
with 3 1. 1 ft2 of Area Property
'Long
11 " Line
34 " Grade at System Elevation
P OT PLAN
PROJECT Oeverina Homes ADDRESS 838 Summer Pines Circle Hudson Wi 54016
SW 1/4 SW 1 /4s 25 /T /R 18 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 8 BEDROOM 3
CONVENTIONAL IN -GRO PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK/
MOUND SEPTIC TANK ZE 1000 gallons LIFT TANK SIZE630 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30
BENCHMARK V.R.P. Top of Fence Post ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 92.5/92.3 4' below qrade
I
Alternate Benchmark Top of survey iron 96.2' Z
q �k
It.B.M.
Property Line
B.M.
Well is to meet all Plans Designed Using
setbacks required by Conventional Powts
WDNR Manual Version 2.0
100'
4% Slope
2 -3' X 94' Cells with >3' Spacing B-3 45' b2 F
Pro 3
Bedroom
House Vents 35
Combo Tank B 90'
-2
B -1 10' N
N
Vent
>6„ Standard Biodiffuser
of Cover Leaching Chamber
with 3 1. 1 ft2 of Area Property
Line
6' Long
11 "
3 4" Grade at System Elevation
Wisconsin Department of Commerce N ATION REPORT Page J — of
Division of Safety and Buildings (� ' /
in acFb�rdance with ( {Q+(t\ Adm. Code
c0 County
Attach complete site plan on paper no ess th�+p P1✓ t 1 . Ize. Plan must ! ,
include, but not limited to: vertical and rizo Int (BM), direction and Parcel I.D. q
percent slope, scale or dimensions, no r a location and distance to nearest road. Z fe 3 Q
Please print all information. Reviewe Dpte
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). <
Property Owner Property Location
Govt. Lot /4 ly S j TT C)N R 6 E ( ) W
Property Owner's Mailing Address — Lot Block # S . or CS
8 - 3 3 �V
City State Zip Code Phone Number ❑ city ❑Village Nearest Road
ew Construction Use ential / Number of bedrooms _ Code derived design flow rate Jy G D
❑ Replacement ❑ Public or commercial - Describe:
Parent material C)� Flood Plain elevation if applicable
General comments
and recommendations:
0 L41
#
it Ground surface elev. � ft. Depth to limiting factor // D in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl=
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
D s / iv
® Boring # Boring
W—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 Clu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mg/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 37._0—�-- 715 - 246 -4516
Property Owner _ Parcel ID # Page Z of 3
Boring
N Pit Ground surface elev. J ` �ft. Depth to limiting factor �in. So il Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. kj�*Eff 31Z
Z - 3 1A,
lk,�P
E Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Ong # Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Sal liption 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 130 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.
SB"330 (R.WOO)
Soil Test Plot Pla jaur Project Name Oevering Homes Sh
Address 838 Summer Pines Circle
Hudson Wi 54016 CS #226900
Lot 9 Subdivision Hollow Pond Date /3/05
S W 1/4 S W 1/4S 25 T 30 N /R18 W Township Richmond
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Fence Post
System Elevation 92.5/92.3 *HRpSame as Benchmark
Alternate Benchmark Top of survey iron 96.2'
Property Line
1t.B.M.
B.M. ML
100'
4% Slope
B -3 45'
95.5'
35'
96.5' log-100, F
B -2 90' B -1 10'
Property
Line
(Established from fi)
L OT _ .`.:.
CERTIFIED SUR
N ►� --�
I o ^ M AP, - VOL UW 11-
= I
PAGE 3900
022.7
` IN 205.01'
33.00'
6 6'
I 65,
r
LOT 1 1.51 0 `r
65,603 sq. ft. t
0 1.51 acres L. ; a ° . B. 0.= 1021.x"'
_ N
to
Z -
............................................... ...
O I
24.40
M — 205.01' — — 205.01' — y
b N89'55'25 "E 434.42'
y �` O 589'55'25 "W 435.00' — 21501' C >>
.`
� r — - - -- 219.99'-
}
W W
.�
to
3
�I 07 ^ n M N
to 00 cp
:I N � LOT11 0 ;�
N I 91, 632 sq ft. Z LOT 1n Z LOT 9
h 2.10 acres 81,266 sq. ft. 89,416 sq. ft.
1.87 acres 2.05 acres
� I
N89'43'24 "E
215.02 162.02 0 1 23.Q7 '
235.12' 235.12'
I POLE
BARN .3 �
/ ^Ir 40
ST. CROIX COUNTY
WISCONSIN
/ ZONING DEPARTMENT
No N W ■ M ■ "await ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
rAIN Hudson, WI 54016 -7710
Phone: (715) 386 -4680 Fax (715) 386 -4686
Memo to 'e
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
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 <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
I
RECEIVED
Wisconsin Department of Commerce SOIL E LUATION REPORT p 1 of 3
Division of Safety and Buildings FEB 0 (�(�d
in accordance bi<nm'85 Ms. Adm. Code
St. Croik
Attach complete site plan on p #es� QCiIT k CIhes in Plan must
include, but riot NY, to: vertical troriz3i lte mint (B M) direction and Parcel I.D.
percent slope, scale ordimensions , northarrow,a tlo ' �twneaiestn�ad. 02& — 6R -06a
pim" PrW am k*wmation, viewed by .Date
Personafinforrnatlon you provide maybe used for secondary purposes (Privacy Law, s. 13.04 (1) (m)). - _
Property Owner Property Location
Greg Peterson Govt. Lot SW 1/4 SW 114 S 25 T 30 N R i8 E oo W
Pmperty Owner's Mailing Address Lot # Bock # :Subd. Name or CSA�#
1611 Hwy 10 . 9 11ollow Bond
City State Zip Code Phone Number ity Village ■ Town Nearest Road
Spring Lake Park MN 55432 ( 7¢3 -780 -4996 149tk Street
E] New Construction Use[D Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD
0 Replacement 0 Pubic Or Commercial -Describe:
Parent material I:oess tsver glacial 'till Floo0nainelevation if applicable by
General co men These are massive soils with the need for ly system beibg used by -
and recommendations: installing contractor iVly recommendation wo also be to consider a _pressurized sy where the ef11 I I
S�Sa = ZZ s be dos ov a en r upon azea. Not requtr u reco ended
0 ai! z 3a D0 This site is suitable for a below grade conventional sys
�n9
tetr J�
ht
Boring # 0 ..
Pit Ground surface elev. 97.60 ft. Depth to limiting factor_ X90 in.
ticatim bate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -9 10yr3 /2 - sil 2msbk mfr aw 2f .5 .8
2 9 -16 1 4/4 - sicl lms mfr cam if .2 .3
3 16 -90 7.5yr4/4 - sl Om fi _ _ 5
J d�
F2_ fl Boring
Boring # . Pit Ground surface elev. 99.65 ft Depth to limiting factor >88 in.
Sal Appkafion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f !
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •002
1 0 -10 10yr3/2 sil 2msbk mfr cs 2f .5 .8
2 10 -25 1 4/4 sici 1 mfr cw if .2 .3
3 25 -88 7.5yr4/4 - sI Om fi - _ .5
Effluent #1 = BOD > 30 220 mg& and TSS >30 < 150 mg/1- * Effluent #2 = BOD < 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, W1 7/3/03 715- 246 -2454 r
4e
A.
Property Owner Peterson Parcel ID # Page 2 of 3
Boring ❑
Boring # El Pit Ground surface elev. 97,46 ft. Depth to limiting factor in.
Soil Apoication .Rata.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots IPD/fF
in. Munsell tau. Sz. Cont. Color Gr. Sz. Sh. *001 *C-if#2
1 0 -10 10yr3/2 - sil 2msbk mfr cs 2f .S .8
2 1020 I 4/4 _ sicl 1 mfr cs if .2 .3
3 20 -90 7.5yr4/4 - sl Om mfi - _ .5
F-1 Bo4ing # spit Boring
Ground surface elev. ft. Depth to limiting factor in. Soft Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2
F-1 Boring # Pit
.Boring Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'EW
* 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.
SBD- 8330T -t (8.07/00)
OILMOW Rowv
LOT 9
�8
96'
B1
LOT IO LOT
100'
B3
218'
2%
SLOPE
411"
i
B2
37'
BMI
B M2
S LOT COBWEB
LOT 14
BMI TOp OF IBOW PIPE 100'
THOMAS WELSOW BM2 TOP OF COWDVIT 100.90'
ZZ7387 BI 97.60'
B2 99.63'
B3 97.46' SCALE I" = 40'
' RE PRELIMINARY PLA'
• (A CC
S 2003 Located in port of the Southwest 1/4 of
North, Range 18 West, Town of
COUNTY Si rer v; comer
OFFICE fE!ra kn e ° ns)
w
_CT 2
CER 1 =E ShReE_ RIC �MOND__�IL
+' MAP VO 11ME 1
l f - - ;_t 39C, pT LOT 1 l
1315.51'
T9,' JJ I 295' t 205' J02 265'
I
c' 019 021.8
Eossrnnt
NET BUILDABLE AREAS: F
- aNC- 1017.0'
65,03 sq ft. �
8 I c
LOT 1 1 .51 acres al �
58,138 eq ft. ZI 1 �y LOT 1 LOT2 �B2 q ft', LOT4
LOT 2 1.3J acres 6,� 603 sq. ft 65, B03 sq. Ft. p J8, 540 sq. ft. LO
1.51 acres 1.51 acres .cres y es ®..
53,087 sq. ft. 1, 1 B9 g 1 80 ocr
LOT 3 1,22 acres �•4�,8.0.= 1021.0' ,97251
L .S. O.= 10210' �� 2.23
LOT 4 78,340 sq. ft.
1.90 acres
87,292 a% ft. - _ t
LO S 2.23 acres - -- F -- - - 205' — - --- —205 acres
4J4' t
61,923 s ft. d
LOT 6 1.89 acre. �, ;,, — .._P19 -1( T— AVFII
LOT 7 128,029 sq. ft. cV i• 5 \\ Ca•6J' \ ~
2.94 acres kj r` — —2 -220'- 7 \, t
LOT B 90,398 sq ft. ement �9� /
`..
2.07 acres
L
LOT 9 89,416 yt
2.05 acres N .. . .... .
LOT 10 91,288 aq, ft.I� i �� t 11 i �.` -- -- .• ,
1.87 acres
LOT 11 91,632 sq. ft.
�li -
2.10 acres I - i,-:_ I (SEEN E) \
�l
LOT 12 77,88 sq. ft. (n . yl fn LOT f! `� - -_ \'.•(:.-- �---r- LOT 8 ;
,.n afros o 91 LOT 1�0 " LOT 9 ' fi 2, sq.
LOT 13 76,993 sq. ft. Q i o � I ,631 sq. Ft 61,266 s . ft. "2J5 acres
1.77 acres d•I 2 10, acres q 89, 416 sq. ft.
l.87, acres .8.0.= 1033.0'
93,544 a ft, O; • 2 O5 aC /BS -'
LOT 14 2.15 ocroe l ! g3 be RsmoHd
Uj
LOT 15 82,292 eq, ft. Q �j 'AMN
1.43 acre s r "
LOT 16 65,401 sq. ft. ZI : r 3a�N 9
1.30 aeroe � 'n I , � -' Eosempnt
X76 ?' • 1 75 ,: 497 NM��fOJf.G
t YY� 2J5' F iS'._ 417 tbo
i
a 1 e,1
l2 LOT 1(? "
LOT 14 w111—
LOT i,
77,189 sq. ft. 1. 76, 883 sq. ft. c' ' ___ (,
N 136, 336 s ft.
1.7 acres "� 1.77 acres � �' 1 ' - � q ' �'
® �- 313 acres ,
�. f03�30' 1.�
COVE 1 �Y, L.B.G
' . I
9 ^s.:
1289
------------- '-
S8 W - --1322
APPRffVINO AUTHORITY
TOWN OF RICHMOND �` - Frar- nr -ua; -- Sd9W74'W 2BELfB =-
ST. CROIX COUNTY SouMweaf Comer
SxtAwr 25 -JO -fB
PL AREA IS ZONED: AC -RES (round 71V reb-) _'_I`J °LATTE(:'_LAND$
CURRENT USE: AG -RES
ADJOINING LANDS ZONED: AG -RES
CURRENT USE: AC -RES
AREAS.
TOTAL AREA OF LAND 1O BE PLATTED: 1,543,552 S0. FT. I heresy aen
35 44 ACRES direct super%
MINIMUM LOT SIZE REOUIRED; 55,340 SO. FT., 1.50 ACRES NOTE: The parcels shorn on this mop are sub)sot to State. County and Township knowledge or
AVERAGE LOT SIZE: 87,553 SO, FT., 2.01 ACRES laws, rules and regulations ( Le. wetlands, minimum lot size, came to parcel, the laws of
THIS ADDITION WILL CONTAIN 18 LOTS etc.). Before purchasing or developing any parcel, contact the St. Croix County
PROPOSED TOTAL LENGTH OF TOWN ROAD: 737 L.F. Ioning Office and the appropriate Town Board for advice.
R.O.W. DEDICATED TO THE PUBLIC: 142,705 SO. FT., 3.28 ACRES TY DODGE, R
ST CROM COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNER CERTIFICATION FORM
S'
u er
OwnerB -
Mailing Address
property Address
erification requued from Planning Department for aew construction)
X26 -1i��
� �kt Parcel Identifi cation Number = ______ ---
�ty/State
asc f)
LEGAL DESCRIP
2-S W W, Town of
.( i /� , Sec. 1�I
Property Loeati o Lot it
'vision
Subdi Volume , Page #
. —.-- --
Certified Survey MaP # p e #
Volume Z �5
warranty Decd # no
Spec bous no
Lot lines identifiabl
M E CE NAN
SYSTE tic system remature failureto handle wastes.Proper o f ttsIIa�
ceof your septic could result i its b er. What You Put i nto ft m
I use and mainten� ears or S ��r, if needed Y
a licensed pump
cons of pumping out the septic tank every three y sal system -
disposal tic tank as a treatment stage in the waste by the o wner and by a
can affect the function of the septic a C= t fiction form, signed
rope ty ow l agrees to submit to St. Croix Zoning �'� vetrifying that (1) the on -site wastewa ludge. u U o f
P plumb restcictedplumber or a licensedPmn resary)� the Septic tank is less than
master Plumber, jotuneymanp lion and pumPmg (
condition and/or (2) after iospec with the standards
is an P operating taro the private sewage disposal nsin Certification
e requirements
the above and aSF� to main State of Wisco
Vw� the un �ignod have read t of Commerce and the Department of Natural County Zoning Of within 30
Cro
set forth, herein, as set by the Departmen must be comple.ted and returacd
Stating that your septic system has been m aintained must
--p--
days of the tbree year expiration date. 13
DATE
f 11111111 e ill
SIGN OF APPLICANT
our knowledge. I (we) am (are) the o wner(s)
01
OWNER CERTIFICATIOl�i Office. are I (we) certify that all statements on this fo deedhrecorded �n Register
of Deeds
the property described above, by virtue of a warranty per'
DATE
OP APPLICANT « « * «+
rmit being revoked by the Zoning nt.
Del?�
Any information that is mis- represented may result in the sanitary pe
t warranty deed from the Register of Deeds office
«« Include With this applieltion a s if reference is made in the warranty decd
a copy of the certified survey map
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
tinge cy 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 -09 -000 08/08/2005 05:11 PM
PAGE 1 OF 1
Alt. Parcel M 25.30.18.1259 026 - TOWN OF RICHMOND
Current X'', ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
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 ' 1411 131 STAVE
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 2.050 Plat: 10/03- HOLLOW POND 026/04 LOTS 1/16
SEC 25 T30N R18W PT SW SW BEING HOLLOW Block/Condo Bldg: LOT 09
POND ('04) LOT 9 (2.050AC)
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
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 M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/21/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.050 29,200 0 29,200 NO
Totals for 2005:
General Property 2.050 29,200 0 29,200
Woodland 0.000 0 0
Lottery redit:
ry
Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
p P 9
Total 0.00 0.00 0.00
U 2685P 179
7783'7
STATE BAR OF WISCONSIN FORM 1 — 1998 KATHLEEN H. WALSH
WARRANTY DEED REGISTER OF DEEDS
ST. CROIX GO., WI
Document Number
RECEIVED FOR RECORD
This Deed, made v alFe 6aa LLC a Corporation 10/29/2004 08:25AK
Grantor, and enneth J. Oeverin rin . _ _ _, rantee. WARRANTY DEED
Grantor r a valuable consideration conveys to Grantee t Ilowing EXEMPT !
describe real estate in St. Croix County State f REC "): TRA MS Ffifi FEE: 1
Wiscon in (the "Property 272.
Y - FEE.- 1272. N
COPY FEE:
7� be Clnnt) Q 1aGt.'" �.� P
PAGES ' 1
Recording Area
Name and Return Address
-;.;N TO:
,rnet Title
, _ '�(! France Ave. S.
i !r,t I ),
i MN 55435
026107 50 001
reel Identtficati bar (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 app ri ht title and interests.
og rights.
Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances
except / A
Dated this day of October 2004
(SEAL) (SEAL)
Gregory J. Peterson, Presiden
Silver Lake Land, LLC
(SEAL) (SEAL)
«
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Wisconsin,
�/�/ } as.
authenticated t 'i� E N Y da Df ATZ I N A St. Croix County +
IV V f7°� i i Y Personally came before me this "?P day of
STATE OF WISCONSIN Octobe r, 2004 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 fgre going instrument
(If not, and ackn wledge he same.
authorized by §706.06, Wis. Stats)
THIS INSTRUMENT WAS DRAFTED BY jLc) ao—
Coldwell Banker Burnet Notary Public, State 6f Wisconsin
1301 Coulee Road
Hudson, WI 54016 My commission is permanent. (If not, state expiration date:
5
(Sigma fn() )
(Signatures may be authenticated or acknowledged. X5.1 I n k
Both are not necessa
)
Names of persons signing in any capacity must be typed or printed below their signature.
G
• ROSS S£CTi4N AND SF£CIFICATia0S
SEPTIC TANK PUMP CHAMBER C
WEATMRPRWF APPR ED
14'IN . ABOVE GRADE C JUNCTION BOX
411 VENT E COVER
C ENT PIPE I CONDUIT
I`1tOM DOOR, INI3Ow 4R WITH W1 PADLOCK &
FRESH AIR INTAKE �n y1AItK ;�tG LABEL
F Ifij " .;D GRADE
` - s.c. t8u+�se-
18° f s
INLET
r
WATER 'FIGHT SEALS TIGHT r '• P YEB
A SEAL j JOINTS wITR
ALM APPROM 'PIPE
ppt�A B r ' N `n SO
PIPE 3` C s i OFF
po SOLID
SOIL pump OFF ELEV �_- FT D
BEDDIF- TANK
3 AP�'ROY ED NG UNDE � CONCRETE PAD
SpECIFICATZONS [ ✓ i �S� ai �`�
SEPTIC ! DOSE �t11MBER DOSES PER DA`f = ... ------
TAl3K MANUFACTURER: UflSE VOLUME I�tCilt 5 f 7 �GAL-
GAL. F LOWBAC K : /._ ._-- ---•–' ,/
TANK SIZES: SE IC f GA L. -y/ 3 G6 t
� INCHES
G � CAPACITIE A 2 T7 GAL -
MANUFACTURER, B c 2 INCHES
ALARM MODEL MUHBER = = ;NCKES = / GAL,
SWITCH TYPE' C '.
PUMP MAWjjAcTURE `Z� D = I1�CFiES = GAL -
HODEL NUMSElt : U-�,y ' — '" — pFR I L II R 15.23 WAC
SWITCH TIPS- GPl4 � ppUMp S AL-kRM W1111 IG AS
RATE �_ FEET
REQU IRED DISCHARGE DI-rloN PIPE - FEET
PUMP OFF p,}+dB - - - - FEET
vER'FICAL DNE3WORKCSUpFLYEPR £SSU;FTJ1Q0'FT-- I- RICTIbI3 C T°+ FEET
+ MIN M IN X DYNAI •
+ FEET FO�RCEMA TOTAL
-- ----"_ C� THH DIAMETER �--
ANIc : �,,£�tGTH /
INTERNAL DIME3�
PIONS Of PU LIQUID
LICENSE. 1�iIMBER
2 DA �6�� E
SIGNED'- _
it88
FROM BRIAN VAUGHT- PREFERRED PUMP FAX NO. 7154258035 Mar. 30 2005 09:57AM P'
1 � r
�:E1 VANC,t (:t)fev` El�LL1i_Ni AND
MODEL t.`�1 �4
- # �.
t 53 l - i ;;,. ..
�- Feel Motors Gat. !iiP.c: Col. , Liters I UC' - s
S 1.5 45 261 2 _...
1 4 231 G i 241 l
• 2 -
3.
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:� 151 _ .. — ; .
36 201 53 2U
30- 15 '-
20 6.1 28 167 ae i67
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151
20 25 7.6 20 129 -
34 .. ' 129 4
30 9.1 - -- 25 A7 - ..3 15 ;
1 2
35 10.7 :...
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• � Shut -o(t ltrad: 30.0 R. (9.tm) 38 n. (�L$m} 1. .__I_`__ -_.
0 40 60 a0 100 o +a�0e0,fw�
GrlIONS,
160 240 320 Models 1521153
FL PE MINUTE 014 aTCMP Mode! 151
CONSULT FACTORY FOR 6 Wx r:.
3 7/8 a 5/8 3 27/32— -•
T
SPECIAL pPPIlCATIONS — r � �
• Timed dosing panels available.
Electrical alternators, for duplex systems, are available and
supplied with an alarm.
• variaue level Control switches are available for controlling
single phase systems.
• Double piggyback variable level float swtches are avalable I
for variable level long and short cycle controls. ,
• Sealed (Wk-Sox available to outdoes insts�apons. See y'
,t
FM1420.
• Over 130 (5e'G- )special quotation required. I 1 I
ISIRSX1153 Series -�
1111lisyll 53 Cmx+el Sd t a s/0 —
itodd Y Mole
Nt51 115 1 Non t 2or3 " l
AN151 115 1 Auto 0 Ir,d,'de8 2 or 3
~ Et91 2m 1 3 ` tS,TEMP S �
1 BEt51 M t Lft 3.2 Included 200
1ST 115 1 a • 5 1
t BN152 115 1 Auto 11.5 � 2or3
I E152 230 1 Noe 13 1 7or3
BEt52 230 Auto 4.3 Itduded 2a3
t N153 t15 t 1 on 10.5 t 2ar3
I BN1531 115 1. Auto 10.5 tocwded 2a3 SELECTION GUIDE
E t53 230 ? Non 5.3 t 2 or 3 t, S "le piggyback variable fever Coat switch or double MYbaek var*b* Level float
i RIFt_53 236 t nub 5.3 H Inducted 2a 3 vxitch. Refer to FM0477.
A caunoN 2, See FW712 for cornett model of Electrical Alternator E
All ,nt WlatiM at controls. pro der ca and trfrt118 should he done by a O WSW 3. YadabLz level control swi 104225 used as a control scivator. spRcify duplex (3)
and Codes should be Followed inalaft1l the Msr
licensed electrician. All ele,:tAeat iaFety Or (4) OtA3t System
recwot National Elechia Cade (NEC) and the Ot wpatrana18of* end Wealth Ad (OSHA).
RESERVE POWERED DESIGN
For unusual conditions a reserve safely fkwr is engineered into the design of every Zoeiier pump.
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j ` r 5WT* 3649cam RunRoad
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