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HomeMy WebLinkAbout026-1077-50-000 I /* Wisewsin Department of Commerce PRIVATE SEWAGE SYSTEM safety and Buildings Division INSPECTION REPORT `��tyCroix GENERAL INFORMATION (ATTACH TO PERMIT) sanum nit No.: Person iinfomlation you provice may be used for secondary purposes lPdvac w. s.15.04 (1)(m)]. OW Jan ame: C ��' I�iC�a�llOffdT State Plan ID No.: CST 8M Elev.r Insp. BM E ev.: BM Description: P 02 026 - Tax 1077 77 -50 -000 6 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �l P'� k z G X16) Benchmark z — Z Dosing �cFCs It. BM 3, /01P-4 Bldg. Sewer Z i a `>! -7 Holding- _ St Ht Inlet Sy TANK SETBACK INFORMATION O Ht Outlet f , FZ / , TANKTO P/L WELL BLDG. Air to I ntake ROAD Ot Inlet / Air Septic >fo 4 - — NA Dt Bottom Dosing Ss (�' �Z' NA Header /Man. A Dist. Pipe 7,5 . 7 d , Holding Bot. System Z lb r PUMP / SIPHON INFORMATION Final Grade S over Manufacturer Demand Model Number G Zy• rGPM H Lift Friction S� ystem DH L, G S' [Forcemai �' Z Z 1 H n I Length k 3< I Dia. 7 V I Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width i Len th , No.Of renches PIT No. Of Pits In i uid Depth D IMENSIONS ey Manu nu ad LEAC �j SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LE CH BER INFORMATION TYPe O Moe u r: System: 7 �S" p� S `°� OR UNIT DISTRIBUTION SYSTEM Header / Mani fold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length _ Dia. Z � Length 3- Yy Dia. - L L / z - Spacing 3 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes (I No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons pi esent, ;;pection #1: Idl ail o� Inspection #2: / Ly pl 67 j Location: 1368 130th Avenue, New Richmond, WI 54017 (NW 114 SE 1/26 T30N R1 8W) - 263018406A -L 1) Alt BM Description = 3 d °5- A4�� q� 91 �z �P ��P� Yzc„vKS 2.) Bldg sewer length = =� k7' n S') M (pcl� a,� ^^� // - amoun ver = > lP� r tu '`l/ iws��/ iµsu�a.�u. % `/2" is Ap6( rLvaiI�1f t_11e,- 3.) contour 3p- = �. Plan revision required? ❑ Yes No Use other side for additional informSion. / p SBD -6710 (H.3197) Gate' Inspector nature Cert No I � 76— D ?30, 4 0 1 36 I Ave , Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washin gton Ave. See reverse side for instructions for completing this application PO Box 7302 i ;ai nsin Personal information you provide may be used for se oses Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. ,t+I ' (Submit completed form to county if not ^ state owned.) Attach complete plans (to the county copy only) for the sy t �t5I1 p ern less 8 - 2 x 1 I inches in size. County State S itary Permit Number ❑ Check ' ton to p , plicatio y s to Ylan I. D. Number I. Application Information - Please Print all Information — 1,9 ation: Property Owner Name c � erty Location n1 w -s 1/4 1/4, S T ,N, 4A (or Property Owner's Mailing Address, t Number Block Number City, S to Zip Code 'subdivision Name or CSM Number - - (_ ) � i II. Type of Building: (check one) r ity J� 1 or 2 Family Dwelling - No. of Bedrooms : 3 �� illage ❑ Public /Commercial (describe use):_ �% {;4 own of ❑ State -Owned Nearest Road � ab � lO � ?+ P el Tax Numbe s) ��6 tl 7 - - - a .3a. III. Type of Permit: (Check onl one box o n line A. Check box on line B if applicable) A) 1. RNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) 1:1 Permit Number Date Issued A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) X pgEL A - 1cm a . ❑ Non - pressurized In - ground 9 Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade 6 I D ua it Aerobic Treatment Unit ❑ Recirculating ❑ Other: � -� o 0 V. Dispersal/Treatment Area Information: ell 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Arba 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- glastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks I ❑ ❑ ❑ ❑ A ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for install ion of the POWTS shown on the attached plans. J � Pluame tint Plumber's Si t e no stam MP/MPRS No. Business Phone Number Plifmbees Address Street, City, S te, Zip C de) I.X. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Iss ing Agent Si (No stamps) Approved 11 Owner Given Initial Adverse Surch vg- Fee) dV Determination 3ZS X. Conditions of Approval /Reasons or Disapproval: u0 P4,, C&,A& WAAtjC_ ejO4 �r &4S rye ✓� ewer. LS Iris �s�N�, i bC�¢_ /1 $ QcL T 't�l �u Q,t, t-c S C IMq,�tin:�z�i�.eDC � �. S ✓'e -P,6� F+�Q.InO� ��+.ts' . SBD -6398 (R 07/00) Ll !PEE CO, ON pND Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 I�consin www www.commerc .wis c ons .wisonsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary June 11, 2001 CUST ID No.224263 ATTN: POWTS Inspector ZONING OFFICE KIM A O'CONNELL ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/11/2003 Identification Numbers Transaction ID No. 649899 SITE: Site ID No. 189585 BILL WINCHESTER - RESIDENCE Please refer to both identification numbers, TOWN OF RICHMOND, ST CROIX COUNTY above, in all correspondence with the agency. SW1/4, SEU4, S26, T30N, R18W, 130TH AVE, 54017 FOR: DESCRIPTION: NEW MOUND SYSTEM / 450 GPD / REVISION TO 307829 OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 656593 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. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 3, observation pipes shall be provided with a suitable means of anchoring. See Figure 8 of the approved mound system component manual for complete details. 2. On page 3, the aggregate in the dispersal cell shall be covered with approved geotextile fabric that conforms to s. Comm 84.30(6)(g)., Wis. Adm. Code. Straw and marsh hay are not acceptable cover materials. 3. On page 8, the percent of the slope in the dispersal area was not shown as specified in the approved mound system component manual. 4. On page 8, the system plot plan must show two -foot contours or other appropriate contour interval within the system area as specified in the approved component manual. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at th e telephone number listed below, or at the address on this letterhead. KIM A O'CONNELL Page 2 6/11/01 f Sincerely, FEE REQUIRED $ 60.00 f' FEE RECEIVED $ 60.00 BALANCE DUE $ 0.00 PETEi E PAGEL, POWTS PLAN VIEWER II , INTEGRATED SERVICES WiSMAART -tode: 7633' (608)266-2889, - F, 0630 - 1500 HRS PEPAGEL @COMMERCE.STATE. WLUS cc: BILL WINCHESTER MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE RECEIVED Project Name: BILL WINCHESTER MAY 3 0 2001 Owner's Name: BILL WINCHESTER SAFETY & BLDGS. DIV. Owner's Address: 1756 144W NEW RICHMOND WI 54017 Legal Description: SW- SE- SEC26- T30N -R18W Township: RICHMOND County: ST. CROIX Subdivision Name: CSM Lot Number: 2 Block Number: Parcel I.D. Number: 026- 1077 -40 026- 1077 -50 Plan Transaction No.: 307829 Page 1 Index and title P O.W.T.S. Page 2 Data entry CORRECTION NEEDED COIZClitd071!ClI1y Page atera and dose tank C ORRESPONDENCE AP RO ED Page 5 System maintenance specifications Page 6 Management and contingency plan DEP MEN OF WEP.0 Pa e 7 Pump curve and specifications 01 Is S ETY N BUIL NGS age 8 PLOT PLAN ! 1 SEE CORRESPO LNCE Designer: KIM A OCONN L icense Number: 224263 Date: 05/24/ 1 P ne Number: 715 - 755 -3145 Signatur Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1,50 Peaking Factor (e.g. 1.5 = 150%) coliform of - 36 inches. 450.00 Design Flow (gpd) 5.00 Site Slope ( %) 106.10 Contour Line Elevation (ft) 47.00 Depth to Limiting Factor (in) 0,40 In -situ Soil Application Rate (gpd/ft Distribution Cell Information A I Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) Dispersal Cell Design Loading Rate (gpolft Influent Wastewater Quality (1 or 2) Are the laterals the highest oin_t in the distribution L Y Pressure Dieribution Information network? Enter Y or N (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 4,00 Estimated Orifice Spacing (ft) = 11.84 ft /orifice 2.00 Forcemain Diameter (in) 35,00 Forcemain Length (ft) Does the forcemain drain back? Y 97.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 5.71 Forcemain Drainback (gal) 9.43 Vertical Lift (ft) 67.38 5x Void Volume (gal) 0.48 Friction Loss (ft) 73.09 Minimum Dose Volume (gal) 13.16 Total Dynamic Head (ft) 24.90 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia . ^ options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x 1.25 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information 1000.00 Total Tank Capacity (gal) 1000,00 Septic Tank Capacity (gal) 52.00 Total Working Liquid Depth (in) weeks Manufacturer 1'9.33 galfrn (enter result in cell B49) Dose Tank Information Effluent_ Fil ter Information 8W.001 Dose Tank Capacity (gal) Zabel Filter Manufacturer 19.041 Dose Tank Volume (gal/in) IA100 Filter Model Number weeks 1 Manufacturer Project: BILL WINCHESTER Page 2 of 8 Mound Plan View 1/ Observation Pipe 3 T F-4K ® A W #� f3 — � I LJ � L Mound Component Dimensions Down slope toe extension made. A 6.00 ft E 9.60 in H 1.00 ft K [ Aft ft B 75.00 ft F 9.50 in z 9.00 ft L ft D 6.00 in G 0.50 ft J 4.67 ft W 450.00 (ft Dispersal Cell Area 1 1125.00 (ft Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 108.39 (ft) a. G H a F Dispersal Cell 1 07.10 (ft) Lateral 106.60 (ft) -� "�� Invert Dispersal Cell 3 �� J' O I 1 E D Elevation �F�+��F a O F F 1 10 ft Coat Elevation Contour ev on O c� 5.0 % Site Slope 41te textile Fabric Cover Shading Key �spp�rsat Cell lateral details on Q Topsoil Cap n 1.5 ft Page 4 for number, Subsoil Ca 5 size, and in of © ASTM C33 Sa a / 'v F laterals. Laterals are Tilled Layer Ci 0.5 f Typical Lateral equally spaced from 0 Aggregate v o the distribution cell's A centerline in the distribution cell (AxB). Project: BILL WINCHESTER Page 3 of 8 i End Connection Lateral Layout Diagram Lakerals centered over the mension = Turn -up %V bat Ivalve or aleanoutplug P All laterals arc identical I<- X —al Holes oirw on t he bottom of the lateral equalh spaced $ Force main oonneetion via tee or cross to manifold at any paint. ! sterals &force main at Pic sch 40 (per COMM Table e4.30.5) Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 4.08 ft Lateral Length (P) 73.44 ft Orifices per Lateral 19 Lateral Spacing (S) 3.00 ft Orifice Density 11.84 ft /orifice Lateral Flow Rate 12.45 gpm Manifold Length 3.00 ft System Flow Rate 24.90 gpm Manifold Diameter 2.00 in Total Dynamic Head 13.16 ft Forcemain Velocity 2.54 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ----, Comm 16.28 WAC Di �� 4 in. min. t Tank component is properly vented E — Alternate outlet location Forcemain diameter weeks Manufacturer 2 in. Capacity 800.00 Gallons Volume 19.04 gal /inch A Weep hole or anti - Dimension Inches Gal lons B siphon device A 27.23 518.46 C B 2.00 38.08 d eump off elevation (ft) C 4.79 91.14 97.67 D 8.001 152.32 D Total 42,021 800.00 tank elevation (ft) T Bedding under tank. 97.00 Alarm Manuafacturer I S.J. ELECTO SYSTEMS Alarm Model Number HW 101 Pump Manufacturer I GOULDS Pump Model Number LWE031 1L Pump Must Deliver 24.90 gpm at 13.16 ft TDH Project: BILL WINCHESTER Page 4 of 8 I I Mound System Maintenance and Operation Specifications Service Provider's Name KIM A OCONNELL Phone 715- 755 -3145 POWTS Regulator's Name ST CROIX COUNTY ZONING Phone 7156 -0 System Flow and Load Parameters Design Flow- Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow- Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Conform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank - Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundl Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards I. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5, The -mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion, and help reduce frost penetration. Lateral Turn -up Detail Finished Grade 6 -8" Diameter Lam Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral --- Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: BILL WINCHESTER Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.64, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with Rs' component manuals (SBD- 10691 -P (N.01101) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 84nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fiker cartridge should not,be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank If the contents of the-tank are not removed at the time of a triennial assessment, maintenance personnel.shaU advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent titer is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODs, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the -end of each lateral, and it is- recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure testis performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Co ntingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition, If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: BILL WINCHESTER Page 6 of 8 Performance Effluent Curves�j�r r METERS FEET r 90 MODEL 3885 25� 30 SIZE 3 /4 " Solids Q 70 Q - x 20 WE10H - - -- — — _ . J 60 i O WE07H 1 s - 50 I W E 0 5H -- -- - --- - - -- -�- fl 10r 30 WE03M 20 PW E03L 10 01 0 __L_ _ 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM L —_- _ -. 1 0 10 20 30 ml/h CAPACITY gGOULDS PUMPS, INC. seE{A FALLS PEW YZ)W 13146 METERS FEET 120 MODEL 3885 35 —�— — +— - t - SIZE 3 /4" Solids 110 WE15HH 100 30 I 90 25 80 - k - 4— I ' - - { - - - -- -- - - - - ± -- t - -± -- x ! I 60 O 15 50 WE05HH 40 101 30 j 20 P j 10 OL 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM 0 10 20 30 m' /h CAPACITY nowws Purnps, Inc EHeclive July. 1985 C3RR� 1 1 T 1 C a SEE C ECTjpN NE �RRESpp 7 u Wisconsin D& ,a rtment of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor a-4 human Relations ,Divisioh I Safety & Buildings in accord with ILHR 83.05, W;I� ��ocye; ',> COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size an must in _ Abut " St. Cr oix not limited to verif; al and horizontal reference point (BM), direction and % lsfppe, scaiA €a[r� � EL I.D. # i arrow, and location d istance d dimensioned, north o and d lance to nearest road. 1077 -50 -000 s ED BY DATE APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATI N ,1 t 2 -2— PROPERTY OWNER: PROPEj,T1QS�lPA9 N �`;; J. E. Brown ..GOVT. � FFi� t/ ,S 26 T 30 N,R 18 x:R(or) W PROPERTY OWNER':S MAILING ADDRESS L •T # BLOCK# St)$IL ME OR CSM # *. 723 Somerset Rd. n4 sm pending CITY, STATE ZIP CODE PHONE NUMBER ❑CITY tWOWN NEAREST ROAD New Richmond, WI. 54017 (715 246 -7965 Richmond I 130th. Ave. [x] New Construction Use tc I Residential / Number of bedrooms 2 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 300 g pd Recommended design loading rate • 4 bed, gpd /ft . 5 trench, gpd /ft Absorption area required 250 bed, ft 250 trench, ft Maximum design loading rate 4 bed, gpd /ft •5 trench, gpd /ft Recommended infiltration surface elevation(s) 107.10 It (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 106.10 , Parent material glacial drift Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem [IS ©U CIS ❑U EIS ®U ®S ❑U ❑S MU ❑S ®U SOIL DESCRIPTION REPORT k1 COAU [� ZWD: Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft �- .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tretl& ................. 1 0 -12 10yr3 /3 none 1 2msbk mfr gw 2f .5 (.6 57 2 12 -26 10yr4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 26 -47 7.5yr4/4 none sl 2msbk mfr gw if .5 .6 elev. 4 47 -65 7.5yr7/8 none limestone residuum na na np : np _ -- 1 05.1 ft. Depth to limiting factor 47" Remarks: Boring # 1 0 -12 10yr3 /3 none 1 2msbk mfr gw 2f .5 '.6 .S' €' 2` 2 12 -28 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 3 28 -54 7.5yr4/4 none sl 2msbk mfr gw if .5 .6 Ground elev. 4 54 -69 7.5yr4/4 c2d 7.5yr5/8 scl M na gw na np .2 1 04.8 ft. 5 69 -80 10yr5 /4 none co s Osg mvfr na na .7 .8 — Depth to limiting factor 54" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715 - 246 -6200 Address: 1554 200th. Ave. Richmond WJ 54017 Signature: A V L Date: 11 -2 -99 CST Number: m02298 PROPERTYOWNER J.E. Brown SOIL DESCRIPTION REPORT Paglr`? er 3 PARCEL I.D. # 026- 1077 -50 -000 Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Ror!s in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -11 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 ,S 2 11 -28 10yr4/4 none sici 2msbk mfr gw if .4 .5 y Ground 3 28 -60 7.5yr4/4 none fs Osg mvfr gw na .5 .6 S elev. 4 60 -80 10yr5 /4 none of s M na na na .4 : .5 /* 10 ft. Depth to limiting factor +80" Remarks: Boring # Ground elev. ft. — Depth to -- limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. j ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. TM22 1 J. E. Brown CS 98 New Richmond, WI 54017 SW�' S26 T30N - R18W MPRSW - 3254 715 town of Richmond ( ) 246 - 6200 .N 1 " =40' - BM.= top of culvert C el. 100.00 Alt. BM.= top of 1 pvc pipe C el. 101.20' \� Q- 533 TA 8 -3 5 J- ��� -7 �I Gary L. Steel 11 -2 -99 2 -02 -200 11 -05PM FROM GARY L STEEL 715 +246 +6200 P.2 y r r 6 STEEL'S 'SOIL SERVICE Ga ry L Steel J.E. Brown 1+564 200th Ave. CStW298 SWiPk 826 - T30N R18W Now' Richmond, WI 54017 MPRSW -3254 town of RiCtmond (715) 246 -6200 N 1 " =40' BK.= top of culvert La el, 100.00' Alt: BH,= top of 1'' pvc 8 e4 101.20' 8' S �V 3� f , � /IP off Gary L. Steel 11 -2 -99 l �- 6�. oLt lY1D�' I �- ✓ V i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM - Owner/Buyer Mailing Address �� JOW�5C� & Jf� �V 2 (,(J /1 �C�Z�(Gf'�C�, �� 5 � 0� Property Address .3 ' (Verification required from Planning Department for new construction) City /State , Parcel Identification Number Q_L - /077 k. LE GAL DESCRIPTION Property Location __ 'A, 'A, Sec. / , T -R Town of Subdivision _ �� , Lot #. Certified Survey a # Page # Y P � �� /� � ,Volume g ,,.Fj,�. —• Warranty Deed # , Volume , Page # Spec house ❑ yes JI no Lot lines identifiable 19 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to mail. ain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. - L"14./411 � at" z/ 1 K10 SI NATURE OF APPLICANT DATE OWNER CERTIFICATION 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 described above, by virtue of a warranty deed recorded in Register of Deeds Office. f3v A d NATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. *• * *•• ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed • STATE BAR OF WISCONSIN FORM 3 - 1999 64027 . KATHLEEN H. WALSH Document Number QUIT CLAIM DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Janice E. Brown, Paul J. Brown, Lee R. RECEIVED FOR RECORD Brown and Michael E. Brown, as tenants in common, 03 -12 -2001 4:00 PM QUIT CLAIM DEED Grantor, and Janice E. Brown EXEMPT 11 3 CERT COPY FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Part of SW I/4 of SE1 /4 and part of NW 1/4 of SE1 /4 of Sec. 26 -T30 -R18W, Town Recording Area of Richmond, St. Croix County, Wisconsin, described as follows Lot 2 of Certified Name and Return Address Survey Map filed in Vol. 14 , Page 3807, as Doc. No. 61 8187. SUBJECT TO a 66 foot driveway easement for ingress and egress as the same / S� appears on the above described Certified Survey Map. c�V xa This deed is given to correct the deed recorded kev) wvj4d r U),-t5ve fn Vol. 1458, page 552 as Doc. No. 610963. P t 026 - 1077 -40 & 026 - 1077 -50 Parcel Identification Number (PIN) This is not homestead property. (M) (is not) Together with all appurtenant rights, title and interests. Dated this I + 'l\ wry- 2001 day of . * Jan ce E. Brown * Lee R. Brown * Paul J. Bro n * Michael E. Brown AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. S} G r 6 ) A County ) authenticated this day of � I; " Personally came before me t' aay of .1.aA ' 2 the V&rve named Janice E. Brown, Paul J. Brown, ti 'B vn and- Mfchael E. Brown, as tenants in common, : p : a TITLE: MEMBER STATE BAR OF WISCONSIN . ' 1 + to me known to be the persons ted e,for� going (If not, instrument and ackn ed t e.§ at�e •.! oss authorized by § 706.06, Wis. Stats.) '4, 1',' . THIS INSTRUMENT WAS DRAFTED BY IYL it Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission 49 t. (If It state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals company. Fond du Lac, wl STATE BAR OF WISCONSIN aoo -e55-2021 QUIT CLAIM DEED FORM No. 3 - 1999 ALD F• Y} FIL •`� JOHNSON FEB 1 1 2000 ► r -IIR A W i r2 Y , KATHLEEN H. WALSH 10 Register of Deeds / C.. 9- `�� SL Croix Co., WI g I 4 0 1004?0 IR I • 10 % v CERTIFI URVEY MAP Located in part of the Southwest Quarter of the Southeast Quarter and part of the Northwest Quarter of the Southeast Quarter of Section 26, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. Prepared for and at the request of: Bill Winchester LEG " 1756 144th Street W. 4Q� County Section Corner Monument New Richmond, WI 54017 of Record ? I I OWNER: • Set 1" x 24" Iron Pipe weighing Janice E. Brown, et al;. a minimum of 1.13 pounds per r I O`IQI Drafted by. Ty R. Dodge linear foot. 01 O Found 1" Iron Pipe W 04 1°1 0' 1 R Recorded As o+ IFI21 ,� • • • • Building Setback Line tn I o wio 01 i (100' From R -O -W) �Ivl >, i 3 - NOR 771 QUAR 7ER CORNER i gi o aq SEC 7701V 26 -JO -18 61E] Denotes soil test v r` (FOUND PK NAIL) N h p I I oUNPLATIED LANDS N 8i J2.0� c 0 t S89'43'01 'E 1307.09' ,� °r 0 - u e; .. 659.17' 647.92' I I N , a; , c o I t SOU 7H LINE OF THE NW 1 H£ SE • 1L4 — , • _ �_ _ . , -o ,, 0 NORTH L %N£ OF 7}l£ SW 1/4 OF THE I APPROVED SE 1� OF 7 f4 — '! 'f U o u 0 1� 041 II !I m E 1 Co oI ST. CROIX COUNTY I j o_I I o U o c01 1 I ICI Planning Zoning and Parks Committee pp �1Lo N S a m F F..6 1 ] 2000 �'f� 1w1 ,; 0 0 I Z CENTERLINE rn I Nj u v WI EXIS77NG DRIVEWAY 3I p 0 : 1 1 1 H � t� NIa. 1� O C. al r - I ? *I If not rec within 30 da y s of 1 I H Z� o v 1 n I i approval date approval shall be 1 y� 3 r �l o l v' 1 u; o n O1I r " o null and void I 0 v o 1 � �' ,�' N ►-1 �1 LOT 3 I cn �" I� I FI�I va O II aL v AS DESCRIBED IN o S89 3'00"E 663.42' W JIVi i E c o u QI w I TOTAL AREA: o 04 3. 1,251,364 SQ. FT. J rpq- Q1 ` 28.73 ACRES AREA EXC. R -O -W: ( TOTAL AREA: O1 c p, o >1 ° 1 362,003 SO. FT.... $ 1 0�� mN > 1 o r - o •- 1,232,778 SQ. FT. I 1 8.31 ACRES �,� 3 v a u �1 1 o W N r 28.30 ACRES AREA EXC. R -0. t o u 0 �I x N 351,754 SQ. F'T. „ NI 1 8 1 1 O NOT SHOWN EASEMENT FOLLOWS I 8.08 ACRES S2 330.00 0 wt °, m 'c wl I 0f EXISING DRIVEWAY AS 7RAVELLED. 8 •-I 2 U 2 �; o C: 1 0 EASEME o NT O1 N VOL. 1459 PG, 552 DOES NOT nr 2 1 I I a o 4 w1 i Z SAID DRIVEWAY. A CORREC770VV �� ' QI�� u .2 . U+ 1 DEED WILL NEED rO BE RLE0. L � �I(01 I t-` .a o I fN ( M82 d I''�I M U`o U 1 Ig I oe.� W101 i 0 0 0 ir 0i i B10 IV) I B10 f. N N'�i z r - v 1 82M pp �WIW I Q� a V 1,-` -5 I I 66' DRIVEWAY EAS£MEN7�� ( �_ o 0 I IiI O J p I 1 FOR PARCEL r0 NOR7H —�I ( N �IUi> I / /A--- ------- SB9'43'00 "E 973.41' • -I �'8t3'- -30. �0' 633.32' — — — 1 .I 340.09 — 6 M 7 _ S89'37'32 "E A1633.3 NA9'37 :N:W _ 9 _ lJOfh Avenue � �./ -------------- S89'37'32 "E 2606.64'------------ - - - - -- SOUTH 114 CORNER 130 T H A V E N U E SOU77•l£AST CORNER SEC7701V 26 -JO -18 SEC77ON 26 -JO -18 (FOUND 1 " 1P) UNPLATTED LANDS (J /4" IRON BAR) NOTE: AREA EAST OF SHOWN FENCE IS AN AREA POSSESSED BY OTHERS. CONTACT ADJOINING LAND OWNER OR AN ATTORNEY JOB #99154 (Sto. 1) BEFORE REMOVING SAID FENCE. Prepared by. 250 0 250 NO TH A & E LAND SURVEYING & CIVIL ENGINEERING Phone No. (715) 246 -4319 SCALE IN FEET: 1 Inch GRAPHIC SCALE E 109 East Third Street, P.O. Box 325 250 feet New Richmond, WI 54017 BEARINGS ARE REFERENCED TO THE SOUTH UNE OF THE Sheet 1 of 2 SE 1/4 OF SECTION 26, TOWNSHIP 30 N., RANGE 18 W. WHICH IS ASSUMED TO BEAR S89'37'32 "E. Vol.14 Page 3807 CERTIFIED SURVEY MAP Located in part of the Southwest Quarter of the Southeast Quarter and part of the Northwest Quarter of the Southeast Quarter of Section 26, Township 30 North, Range . 18 West, Town of Richmond, St. Croix County, Wisconsin. SURVEYOR'S CE"F9CATE 1 Ronald F. Johnson, a Registered Wisconsin Land Surveyor, hereby certify that by the direction of Janice 1=. Brown, et. al;, the owner, I have surveyed, divided and mapped part of the Southwest Quarter of the Southeast Quarter and part of the Northwest Quarter of the Southeast Quarter of Section 26, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin described as follows: Beginning at the South Quarter Corner of sold Section 26; thence, on on assumed bearing along the north —south quarter line of said Section 26, North 00 degrees 19 minutes 09 seconds East a distance of 1401.97 feet; thence, along the south line of the north 1237.5 feet of the West Half of the Southeast Quarter, South 89 degrees 43 minutes 01 seconds East a distance of 1307.09 feet to the east line of the Northwest Quarter of the Southeast Quarter; thence, along last said east line and in part along the east line of the Southwest Quarter of the Southeast Quarter, this also being in part along the west line of a Certified Survey Map Recorded in Volume 9 Page 2551 In the Register of Deeds Office in said County, South 00 degrees 28 minutes 23 seconds West a distance of 743.90 feet to the north line of a Certified Survey Map recorded in Volume 13 Page 3647 in said County, thence, along the boundary of said Certified Survey Map, North 89 degrees 37 minutes 32 seconds West A30.00 feet; thence South 00 degrees 28 minutes 23 seconds West a distance of 660.15 feet to the south line of the Southeast Quarter of said Section 26; thence, along last said south line, North 89 degrees 37 minutes 32 seconds West a distance of 973.32 feet to the 'point of beginning. Containing 1,613,367 square feet (37.04 acres). Subject to 130th Avenue (A Town Road) along the most southerly line of the above described property. Also subject to all easements, restrictions, and covenants of record. I also certify that this Certified Survey Map is a correct representation to scale of the exterior boundaries surveyed and described; that I have complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Subdivision Ordinance of the County of St. Croix and the Town of Richmond in surveying and mapping the same. Ro old F. Johp on Reg. No. 1186 Date A & E Land Surveying Telephone # (715) 246 -4319 P. 0. Box 325 New Richmond, WI 54017 RONALD F. JOHNSON s— I i nn Arcot Fly WIS. ' ) ) ,00 O SUR`JE to X ;c -- I M t �r• r.z*�*r— ta—m -- m-Tgi- -- c ° M m T-IfTI 1­471 C> u M::� m .o [7� = � m n r c e„� �t7 W � do o z b mr� o d cr) �+ S Sheet 2 of 2 Vol. 14 Page 3807 Wisconsin Department of Industry SOIL AND SITE EVALUATION R Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05 Vyi's Adm. Code CO �NTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size lylan must include but St. Croix not limited to vertical and horizontal reference point (BM), direction and % Qf `slope, scale or ] PARC I.D. # dimensioned, north arrow, and location and distance to nearest road. 026 - 1077 -50 -000 APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION _ VlE j ED BY DATE Ztot Z - 2 - PROPERTY OWNER: /n „ / w 1�,ROPE L' ATIOIN4_ J.E. Brown G . LOT _ SW 1 /4Sj,, 14,S26 T 30 N,R 18 9Xor) W PROPERTY OWNERS MAILING A D REVS LO # $LOCK # ,Sl, W:'NAME OR CSM # 723 Somerset Rd. i A — "" ., csm CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD New Richmond, WI. 54017 (715)246 -7965 Richmond I 130th. Ave. [ j New Construction Use [x] Residential / Number of bedrooms 4 [ ] Addition to existing building [ I Replacement [ I Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd /ft .5 trench, gpd /ft Absorption area required 500 bed, ft2 500 trench, ft Maximum design loading rate • 4 bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) 98.90 It (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 97.90' Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT- GRADE' SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S :K] U M S ❑ U ❑ S :91 U :K1 ❑ U EI S ®U ❑ S �I U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft ............... ... in. Munsell Qu. Sz. Cont. Color G Sz. Sh . Bed Trench ................. ? 1 0 -13 10yr3/ 3 none 1 2msbk mfr 9w 2f .5 .6 ................. 2 13 -29 10yr4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 29 -55 7.5yr4/4 none scl 2msbk mfr gw if .4 i .5 elev. 9 4 55 -68 7.5yr7/8 none limestone residijum na na np np Depth to limiting factor 55" Remarks: Boring # 1 -10 10yr3 /3 none 1 2msbk mfr gw 2f .5 `:.6 2 >= 2 10 -28 10yr4 /4 none sicl 2msbk mfr 9w if .4 .5 3 8 -72 7.5yr4/4 none sl 2msbk mfr gw if .5 1.6 Ground elev. 4 2 -90 10yr5 /4 none fs Osg mvfr na na .5 1 .6 9 8.4 ft. Depth to limiting factor +90 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Avg,New Richmond I 54017 Signature: Date: 11 -2 -99 CST Number: m02298 i PROPERTY OWNER J. E. Brown SOIL DESCRIPTION REPORT Page? of 3 1 PARCEL I.D. # 026- 1077 -50 -000 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -11 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 2 11 -33 10yr4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 33 -36 7.5yr4/4 none scl 2msbk mfr gw if .4 .5 elev. 4 36-64 7.5 r4/4 c2d 7.5 r5/6 scl 2msbk mfr 96.7 ft. Y Y gw na .4 1.5 Depth to 5 64 -80 10yr5 /4 none of s M na na na .4 .5 limiting I ' factor 36, Remarks: Boring # 13 Ground elev. ft. — Depth to -- limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel J. E. Brown 1554 200th Ave. CSTM2298 Sw4SW4 S26- T30N - New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 IN .1 =40' ,-BM. top of culvert C el. 100.00' /Alt. BM.= top of east side of culvert C el. 101.10' (� VIA I - l 1:3 Gary L. Steel 11 -2 -99