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HomeMy WebLinkAbout026-1124-06-000 c k ( ' T 7! c § % Q! § ƒm x=z &0 o (D o , O=r (n P- I E i m # § w % t C3 = E_ ® Q A ' G t § *-% 3 go K i 2 t E r ; @ # E t , -4 3 E E 0 8 o k (] \ J C / > £ ¢ 9 c k c o ED � a o < K § . CD 4 # « «; ° k } ) 2 CO) �, z 0 0 0 3 1 rr (D i CY) C/) / 2 3 ■ ) ■ £� § E 7 ° & ; g � 2 0 m � £ = e §� I ® % o A � & , P § . � 7 E qu - 7 , L_ o f k\ E mk± ° 4 / K2 E�$� q u k 3 2 / / \ \kk� co 0 CD / { z E § [ E R R . \ CD / m CD g k ^ & o z § / z / � ; k � ^ =xm> Q,l< CL o_ ±§$ §k \ C, Z \ (cc i 0a$ % ° k2 �R > \/ � ct � 7 � �f \ 0 < t % 00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and BuOding Division INSPECTION REPORT Sanitary Permit No: 453000 0 GENERAL INFORMATION (ATTACH TO PERMIT) ; late Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ` Permit Holder's Name: City Village X Township arcel Tax No: Chwialkowski, Corey & Kim I Richmond Township 026- 1124 -06 -000 CST BM Elev: / Insp. BM Elev: BM Description: Section/Town /Range /Map No: �. �.t7 Z� Pt1C = Cc � 26.30.18.759 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ►' �' 12,56 An ifs 7 d� Dosing AItJ6 v1 i `7 oiP- we, a Aeration Bldg. Sewer r Holding St/Ht Inlet I 3 95 TANK S TBACK INFORMATION St/Ht Outlet \1 �+ TANK TO P/L WELL jBLjDG. VenttoAirintake ROAD DtInlet ` Septic y � 1 9 1 I � 1 Dt Bottom L br .2 7 S3 Dosing 1 11 I Header /Man. Olt I ,`�/ Aeration Dist. Pipe Z 't.o$ / 0 • T Holding Bot. System ?. a Io3.gZ V � PUMP /SIPHON INFORMATION Fina Grade ;LL Manufacturer Dema St Cover GPI lo• X;o 55 C6 odel Number ,gy. p t LJ � . 1r ift , Fricti Loss System Head TDH t y o X�•O -1- 3 • Z!r , •S 73- i 14 24 /o, orcemain Length Dia. Dist. to Well I i OA CO. S2 w6•V SOIL ABSORPTION SYSTEM (��_ "'�5 2 , 7q Width Length No. f Trenel M PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth S • S 1 1 3 s SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHI anufacturer: INFORMATION Type f System: CH R OR M /� 3 01 �' UNIT Model DISTRIBUTION SYSTEM Header /Manifold Distribution 1 11 x Hale Size I x Holb Spacing Vent to Air Intake �i� 2 11 Pipe(s) ' J� / 2-r 3/' a f Q ri ,c_ td. Length 2- Dia Length to Dia ' 'Z Spacing 4 if 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 No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /__/ 1/ h ection #2: t Location: 1335 140th Avenue New Richmond, WI 54017 (NE 1/4 NW 1/4 26 T30N R18W) Sunris I4leadows Ldt� Parcel No: 26.33 18.75; 1.) Alt BM Description = C Lot." o r� 2.) Bldg sewer length - amount of cover = it c, 3) A \ r c -- �� fe ct 3Prf. 3 1 �o _ 05 Plan revision Required? Yes No 3 �nse is S' nature - - - No. Use other side for additional information. 1 Date p SBD -6710 (R.3/97) � ���� r Safety and Buildings Divison County_ ` 201 W. Washington Ave., P.O. C isconsin i Madison, W 1EfjV ED ani ary Permit Number (to ti tlled in by Co.) Department of Commerce (�8) 2 - 31 Sanitary Permit Applicatio FEB 14 2p State Ian I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information ou provide Lo ­ 7 09 = �eu,* -. t t- may be used for secondary purposes Privacy Law, sl5.04(1) ) ST GROIX COON rod c Address (if different than mailing address) ;ZONI 0 33 I. Application Information - Please Print All Information I'F Property Owner's Na me Parcel N Lot # Block M Ck V) t ', G. I O W IQ 00 - ()0 0 Property OOwn 's M- tl/f �l ailing Address � Property Location S 1S +— v'Q IE �A, %,Section _ City, State Zip Code Phone Number G f`0 �S'p circl ) T N; RID o W II. Ty of Building (check all that apply) 9 1 or 2 Family Dwelling - Number of edrooms Subdivision Name CSM Number A J _._... _.❑- Public /Commercial - Describe Us l.o� k � S t m 2 ❑ State Owned - Describe Use i 3 ❑City_ ❑VillageTownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. YNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System i vi Permit B. El Permit Renewal El Permit Revision El Change of El Permit Transfer to New List Previous N umber and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) ❑ Non - Pressurized In- Ground Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Cham El D Line ❑ Gravel -le ipe Upper (explain) V. Dispersal/Treatment Area Information: 0'p ` Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Prop ed (st) System Elevation Loo t QC7 )0O I t C) VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Sept or Holding Tank lob A Aerobic Treatment Unit Dosing Chamber - 7 so I co " -,1K Y'>1 p VII. Responsibility Statement- I, the under igned, ass' a responsibility for iust n of the POWTS shown on the attached plans. tuber's Na me (P ' ) Plumber s Si gnature ) I4P AM PR umber Business Phone Number Plumber's Addre ss (Street, City, State, Zip Code) VIII. Count /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee cludes Groundwater Date Issued Is uing gent Signatur (No Stamps) Surcharge Fee) 2 � El Owner 7 D Owner Given Reason for -- •zS IX. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER; 3 ) 1 Septic tank, effluent filter aAnd - dispersal cell must all be serviced / maintained ��- as per management plan provided by plumber. V�� p 2. All setback requirements must be maintained ( bel �C a. I; as per applicable code/ordinances . ��� l kt.3 t a�� &�L� ) Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) Jan 31 06 07:55p 7152465135 p.2 I wt 1�u= ft 1 ve.v , I -- Pr I _ J. 1 I I .. o �! - -- i - -- 1, . .0y PVC r &M Pdr— cz 4G C _ !. - - - I , -- I - - -- -- - - -- - --- -- - - - - - - - -- - - - -- -- _ I _ I j— - - - -I - - - -�- , I - _ ._ . I - - -— I I -� I I I � s I , : I _� ._f I I �- ► � ! _ __•� -- t Y.- r - -I - -jam i I I I ! r Y E _ _ J JJ i . I I I � I ( I 1 - - / I -- t 1 I I ^_ i ! i f f I Jan 31 06 07:55p 7152465135 p.1 POWERS EXCAVATING. INC. 1969 185TH AVE. NEW RICHMOND, WISCONSIN 54017 FAX 'TRANSMISSION: PHONE: 715- 246 -5135 FAX: 715 -246 -5135 DATE: (P NUMBER OF PAGE CL IN COVER PAGE) ATTENTION OF: COMPANY NAN ffi S FAX NUMBER '71 vi c1f FROM: RE: 4A _ 1 O THANKS, CAL r , Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE Wl 54601 -1831 TDD #: (608) 264 -8777 I \V hsconsin www.commer . wis on i n.gov Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary February 09, 2004 CUST ID No.220537 ATTN: POWTS Inspector CALVIN W POWERS JR ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/09/2006 Identification Numbers Transaction ID No. 967091 SITE: Site ID No. 670568 Willow River Joint Venture/Michael Stevens Please refer to both identification numbers, 1335 140TH Ave above, in all correspondence with the agency. Town of Richmond, 54017 St Croix County NEIA, NW1 /4, S26, T30N, R18W Lot: 6, Subdivision: Sunrise Meadows FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 941619 Maintenance required; 600 GPD Flow rate; 44 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION cond, 2.0" SBD- 10706 -P (N.01 /01). APPS • The dose to the system is to meet five times the void volume of the distribution laterals plus the flow back DEPARTMENT (G;D ain. Five times the void volume of the distribution lateral is 121.44 gallons. 0 Anaerobic Treatment tanks locat ed below ground shall have a manhole opening over the SEE CORRE ream compartment, in each compartment, and over all treatment apparatuses. • An overpayment of $60.00 was paid. As of today's date, our records indicate that a refund in the amount listed in the FEE portion of this letter is due. The refund will be sent to you under separate cover. Please expect a 6 -8 I week time for fiscal processing. Refunds will be made to the payer. t CALVIN W POWERS A Page 2 2/9/04 • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 235.00 Refund Amt $ 60.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 , - PAGE _-- I OF MOUND SYSTEM, FOR s�FF� p X0 Ati -! BEDROOM RESIDENCE e z� has with the i MouDa COURPOncnc Ml V' a SBD- W -P �el� DisbrNgion MVWW SBD- 10573-P. /e7? c e - r ( N c l le ;) Y4 c4 t,60 "c i- i / - i" l k!"% %; ) (ER- ) LOCATED IN THE �r' 1 114 OF SECTION R W, TOWN OF ; [j !� ._...._ q� ST. OIX COUNTY, WI ONSII�I. - IN PEN PAGE 1 OF 7 TFI - LE SHEE1 PAGE 2 OF 7 PLOT PLAN PAGE 3 OF 7 PLANVIEW CROSS SE PAGE PAGE 4 OF 7 DISTRIBUTION PIPE LAYOUT PAGE 5 OF 7 PUMP CHAMBER CROSS SECTION PAGE 6 OF 7 SYSTEM MANAGEMENT PLAN PAGE 7 OF 7 PUMP CURVE ! e PREPAKED FOR W i � Cats o N i o k ✓' - 3G , a 1� i } �2 J\ U a.d.S2 - -.�1� t ` f �c� }G `E a o-13 ocl PR P POWERS EXCAVATING INC. 1969 185 " AVE. NEW RICHMOND, WIS. 54017 PHONE: 715 -246 -51:5 FAX: 715- 246 -5135 1o1�'Q�l v 8D R pMMERC Ym lLCIkGS SPONI)E E a W tf ^� n il+. ►' ..Ocx�.. ►U Q ""r'i_A.�sQrl ur.-p /Y1, r"4 Wk' \ �H -t�{a k -e-wy< Oy P v A ir C' z I- rl t Page 2 of 7 r Synthetic C ov ring Aqm- C33 Distribution Pipe Medium Sand Topsoil ... z F 103, f 3 0. % Slope Bed Of 2' Force Main Plowed Aggregate Layer ,r D Ft. , Cross Section Of A Mound System Using F 8' I t Ft. rr F 8 Ft. A Bed For The Absorption Area X G Ft. � A 11 5 Ft. H Ft. � ' { 1- _ K Ft. L Ft. J �,� Ft. Position I /7, Ft. of Force gain W _ Ft, ._._._� L J x Observation Pipe LAQ- _ A k-*,8 O t ..__ _______- _ - - - -_ --------------------- W Distribution Of 2 "_ 2 Pipe Aggregate Observation Pipe Eagc't+or s� cv n.i Plan View Of Mound Using A Bed For The Absorption Area Distribution Pipe Layout page of Place the holes at the bottom of the diatrlbution pipes at equal spacing. Remove all burrs from tt%e pipe and hales. F.aa mad the and of each boaW up w* dw use of leas tum or 45' &=B m a pOM *nbm Sac imoAw of dw SW Vada. Temlina Go NO& o f &g wo e nalve6 S ombd cW ar . ac=es �+aa3 hod ode star the wd + ar t�ttad�ed glut *cu U&- tr is Wd * I a 1 2 1 Ta I e �t RN V e i�3 �' p !lttt" Imw p . 2CEMM - -s♦ h hitA+00� P (gyp F Mole Oiaaeter - inch tsten S ,a5 Ft. l ` , //2Inch(es) R ,. #9 , IMCI s Manifold Inches Al Force Nit is Inciiss / of holes /Pipo— 7 Invert Elevation of L atar'ats,'&jk Ft. ....._ -_��. - -• - v ✓. +.. w i v a r f d r 11 N r.. 1 { L Y i• i v♦ a 4 i r i 7 V } {a S117 CI VEN 12 MIN. NT PIPE I2 MIN. AB OV E GRADE 6 2 25' FROM-DOOR, WINDOW OR WEATHER PROOF FRESH AIR I-RTAKE JUNCTION BOX APPROVED WITH CONDUIT MANHOLE COVER ti" Cl RISER W/ PADLOCK 6 " MIN. - ---- -, WARNING LA _ ABOYE G ADE � _—- k" MIN. 1811 SEE CONI P ONDEN C HLET `, } it t; f, a_ 'WATER TIGHT SEALS t ' GAS- , # „ TIGHT '� f :I PIP£ 1k�o A SEAL r t APPROVED ' ONTO ALM JOINTS W/ B PIPE 3' ONTO OIL �' E � ON SOLID SOIL O C f PUMP OFF ELEV . FT. ,- r. 0 ** RISER EXIT L D PERMITTED ONIA IF.TANK MANUFACTURER 3" APPROVED BEDDING UNDER TANK HAS APPROVAL N T CONCRETE PAD SPECIFICATIONS _ EPTIC / DOSE ANK MANUFACTURER: ,, ('„ NUMBER DOSES PER DAY: LNK S_ I ZES - SEPTIC GAL. DOSE VOLUME INCLUDING DOSE ? 5b GAL. FLOWBACKs 137,2 GAL. LARM MANUFACTURER: _� onus CAPACITIES: A = .� _ INCHES = yQ3 GAL. MODEL NUMBER: try I3 SWITCH TYPE: `t 8 = INCHES = 33'J GAL. -IMP MANUFACTURER: MODE NUMBER: lJ �o.5 tt CQ �__ _ INCHES = 13� q GA SWITCH TYPE: S D - /,5 INCHES - ;< GAL. :QU I R ED DISCHARGE RATE GPM PUMP & ALARM WIRING AS PER LLHR x6.23 WAC : TICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE /! FEET MINIMUM NETWORK SUPPLY PRESSURE FEET FORCEMAIN X ,�? FT /lOt3 FT. FRICTION FACTOR 2 5 FEET i FEET TOTAL DYNAMIC HEAD = I I ?S FEET TERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH f 7 z luaaa ., pOWTS OWNERS MANUAL & MANAGEMENT PLAN tuE s�rsltall1 o NA Glwnar TaNc llNlar t ' Permit 53. own o "owe Vol t `' t s (bm 0 AA r vd. 0 by ph w d 0 MA � t� ® Hari D NA Mumber of UnItF; eMwa � � fiavr _ a © NA Design (POW flow — r"a:ed x 1. 5i {� Ko Ko � o.S 14 o �A SW Ap#k&Gon fkft �t r+veaa0e rdrrlt tia�+�� + a pad fVW F*is Cfd A C,'resse IKMI 530 m9k , ❑ Wstlww D" nd ( s-o � E) NA a Deter. Total S oul [r= S1Sfl nis& ifr ansr"Ie } ❑ NA Okwhea nk;W !::1 m'3 nVA- 13 1n -Qrour d T a+ii& 0 HA rIC33 t duft -Qrada D Otltar mwdmum Effluent Particle '$ , dia. ❑ NA � DdP-� © NA ❑ NA ❑ NA Odwr- - Yaluss typirad tar d v msuvwwwr wW sspt c w* iMASd�f 81i >�' SWOUS ant #AgWkwo 3 ve@00 ❑ NA of tankls) At least � s� and scasa a Deft an a W of tank voAmo ❑ NA la Ou t oa ntents. of tankisl d Wherl the high wWW alsrrw Is a 3 vwm1 ❑ NA � cow At lepptt erwe eyary fl Inspect C] NA Clow effluent fIltw At WOO Of o "Koo" 0 NA pump inspect pump ca�ntrots d At least once every: ❑ NA. Wish tal aid pressure test At least arrcA every- 3 E3 NA At lust macs W#w - ❑ NA ore of the iapovring mss or ,�rtiftceiiox�s lnspectior�s of tanks and + « s be made by an + car Oparat t >W). pOtIYTS �% �+� or Master Plumber. Master Plumber er; Sew POWTS at broken hwdwWa. Washy any cracks or Tank aunt include a visual ` of the tw*W to idwvWv WW be& Up ar � of etff«rarst on the g round looks, mom" the volrxso of combined sludge WW scum and a check for Seel► pipes and to O"ck for and uffface. The dispersol cast l del be v k & WIV kapooted >o d � swfeca ► a t � am pondbv of eff[uent an the ground surfum- The PO - di "Kluirss the erwnedife notification of the local TOW su*w"W- orre third iY or more of the tank volume, tN When title carnbined sccatsrr� Anson of and scan: in ow treatment tasrdc squats *t in — kin 113 entire core of the tonic at" be M"wnud by a Wisconsin AdmitwixtretWe Coda- cam er , pretreatm AS O"w services. � but not � to the erg of a"luesu faws. � 96fc l or pry units. and aria °e• v°"f'l at intervals at s12 mo be pwfamwd try a � ANTS Mme- wWdn 10 dwp oaf C orpoWon of SM aarvm& °vend- 02 START UP AND OPSIATHM d nh peon. prior to use at the POWYS crack M ay i ve that may the eft( We"" t tanktsl for the pre o f pw products, solvents or othe �anr of the tankts} by a � °°„ ohexator its}. if � are Prim to use. t+p shall not occur syMra � era � at the infilb:reve surface. deftcft tAeft �+ded paws[ PUFIMP tarrb dilwharge Of ID mtwwv T�ar9ed to the sat OO In PwMbw or PM d own � �w'ater wioo . rM�en n+�rrear rsetorsd the excess Agar to the St a c the pcari a kr the bhp surface Pump or Do not awolaft to drive w� rwnnat iavets t h e pwW to*. to QPWS*q the purrV irk Wit Over tanks and _ slope � 7 £ few down " hound or IM 1p s� � 41M or Park over, re a e�ttr►b ar opm�t. the aw& eduction air vi the k*owwq POWYS, ar:t�i06. baby ciq fr b the Mat era ►eve the drake tatanp °0 oat m d mod P the iite of (tee �' stautary rrapiprr� bona; and w�etsr soMr,ar � � rr�a�et :�ry� �+ f : ry OW abWWDr din � °p a, aar�e"M }t*� �F be taken to a AN O�vps• Gbrrrrer 83. 33, Ml 30wain Ad irA&M ve Cade: inavra dust the system is . 9 to tanks and Pits shah be dWconr and the abdonod p The of sit tanks and pitc !fee! be rarrgvad and seabd. e � . ap tanks and pits slam be �' Y of by a Se�nqge Sa y�B pee r. arld another arart sobd material. 'M Or (hair ccprers r raved and iha void alas MW w ittx CDNTNp �y 1� treat system; carx+ot be [spared the foRovriny +n""'aa #w'M bear!. or must be takem to provide a cods Li A �w t>Qliarra ares s�atabla rapt has be Wftmftd a a m w W the location of a t salt a raw* 1n ttra rtaed far a haw sd and �' lot tines and Waite. r-MM W Pnr� So area Waif QO"*IV vridr the ndes in oflbct &t ttM s. a t area. A9phMMn8nt s must sukable © q Mpbct+arrt Ora° is vat avatlaby d a as tq pct and�pr sort tank -w be I '"hilled as s lest The a eaaaK to O� the failed POWYS. �Q adva t is POWYS Ow"Mod to 4w* alts has not bean evake +trust a � � � failure at the POWYS a soil MW s+Ls May be wed as a last remart m � aroa. If to mP�carnerit area a hoWV ta-4 mf ratr" s s� be � b, � � �vel of < <��, y naerea Witt[ the [Was in aF�' M at that time. the biOrraat at the . PtlMp AND © TAF!►71� TA#= MAY �A# MM !`Al< A SElr TICS RAW OR 07"M T!lFATl1 T TAlp({ OXYt,T�l. DO NOT � TM OF A TANK MAY eE T Olt � AMTKNM i . OEATH MAY MMXT, RESCUE OF A CONAMMS inn" i PC a Phoro erne LQE`11i. J1TtiRY AUTI My ,none hen's Phone draped by the staffs of the cxaa„ corm:► 83 ? and 83.5+1(11. l21 & ' ftwqmft am 1� 2W*V WW Sam code. a8andss In come vrirt, G�11u5 ' i'rM, I ; r E 1:, r r f:.f + " f } =• :�I e. E. f:. tl" { '. �.... ri i,.} 1. I t.. ; ° + •"M {; ",i t:Y {.. MODEL .......... tt } 7' t•t I 1 To =477 r 1 774 e NNE man 0 010 MUNSON an Oman main VIP. Mai NONE f- t II. y I If_ t i r ff l bf 1 t 1 0fM.3 :s. }.. ! ! �r1 i t. t`(w � :e:r.. r-�l i ►' < ,�, I i t I ! . + ,, • - : 1 ! /ri / / / / /iii // / / / //i / //id �. I 11 1 f ° i i 4 Wisconsin Department of Industry S O I'L AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code � COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION RE EWED Y D TE G� g PROPERTY OWNER: PROPERTY LOCATION Derrick Construction, Inc. GOVT. LOT NE 1/4 NW 1/4,S 26 T 30 N,R 18 Por) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 6 na ' CITY, STATE ZIP CODE PHONE NUMBER [ ❑VILLAGE [$OWN NEAREST ROAD New Richmond, WI. 54017 (715)246 -2320 Richmond 140 th. ave. [ :4 New Construction Use [x ] Residential/ Number of bedrooms 4 ( ) Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate gp bed, gpd /ft trench, gpd /ft Absorption area required np_ bed, ft 500 trench, ft Maximum design loading rate np _ bed, gpd /ft .3 trench, gpd /ft Recommended infiltration surface elevation(s) 103.10 It (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 102.10' Parent material glacial drift Flood plain elevation, if applicable na ft L S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem El CCU ®S ❑ U El 30 U ®S El U El S CCU EIS [311 SOIL DESCRIPTION REPORT ��,sx, ao r 2rroa ____4 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITw& �I 1 -10 10yr2 /2 none 1 lmsbk mfr cs 2f .4 .5 .7 1 2 0 -22 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 Z Ground 3 2 -59 7.5ry4/4 none sl lcsbk mfr gw if .4 .5 elev. 10 1 ft. 4 59 -84 5yr4/ 4 none scl M na na na np .2 Depth to limiting factor 59" Remarks: Boring # , I 1 —12 10yr2 /2 none 1 lmsbk mfr gw 2f .4 .5 >? 2 2 2 -24 10yr4 /4 none sicl lmsbk mfr gw if .2 .3 Z 3 4 -44 7.5yr4/4 none sl lcsbk mfr f .4 .5 .� Ground elev. 4 —75 5yr4/4 none scl M na ria tia.� p .2 1Q2�1� Depth to limiting `� f factor 44" c T cq g 0 l VHV Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715-246- f Address: 1554 200t e. New Richm d WI 017 Signature: Date: 5 -12_99 CST Number: m02298 r PROPERTYOWNER Derrick Const., Inc SOIL DESCRIPTION REPORT Page? of 3 " PARCEL I.D. ;# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITwich 1 0 -10 10yr2 /2 none 1 2fj1 mfr cs 2f np .3 2 10 -20 10yr4 /4 none scil lmsbk mfr gw if .2 .3 2 Ground 3 20 -45 7.5yr4/4 none s1 lcsbk mfr gw if .4 .5 �( elev. l 1 4 45 -80 5yr4/4 wet scl M na na na np .2 Depth to limiting factor 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 Derrick Construction, Inc. 1554 200th Ave. CSTM2298 NE 4NW4 s26- T30N -r18w New Richmond, WI 54017 MPRSW -3254 town of Richmond . (715) 246 -6200 lot #6- Derri6k's Plat This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. IN it " =40' ,,BM.= top of 2 pvc pipe C el. 100.00' .,-Alt. BM.= top of 2 pvc pipe @ el. 104.15' � 2 w a� I � f D a � J � s v Gary L. steel 5 -12 -99 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND . OWNERSHIP CERTIFICATION FORM Owner/Buyer 6 �/ � 4 Ki (,4W i a L 1---o Aj 5 Ec Mailing Address g V I S /R4 >y;:� Nut t-c G✓ Property Address 3 3 5 NO - 1 -14- a c- (Verification required from Planning Department for new construction) City /State "t:1 40 —q~4 1 3, W / Parcel Identification Number G Z (0 - / Z Y - Cd b G LEGAL DESCRIPTION Property Location %,, `� y., Sec. Z� , T �' N -R g W, Town of /\ r � A4,0 At 4 Subdivision S 1 �� wS Lot # Certified Survey Map # . Volume . Page # Warranty Deed # b (0 Volume 3 �-' . Page # Spec house ❑ yes�Ko Lot lines identifiable )(yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and' by a masterplumber, journeymanpl{imber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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 Zoning Office within 30 da�v.s of the three expiration date. Z fi ; U SIGN YRE 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 perry desc ' above by virtue of a warranty deed recorded in Register of Deeds Office. J Z SIGN 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 co of the certified survey ma if reference is ma copy y p de in the warranty deed NORTH WSR17 M EADOWS __,._, 140M Avenue 3CV 320' 320' 320' 320' 320' 320' z 2 3 4 5 6 7 8 4.93 ac 4.59 ac 4 ac 4.60 ac 4.60 ac 4.60 ac 4.60 ac 4.61 ac *New Rkho" mW ❑samm ►s N 14M Awsm S NMI UMN MUM 65 12 65 1_94 (715) 246 -2320 1505 Hwy. 65 P.O. JbDER ICK Box A New Richmond CONSTRUCTIO Wisconsin Mr'i� ,- vw r.s5air wrQnoN SXSra¢ LOCATED IX PART OF TX,f Nwt /4 OF THE NW114 AND IN PART OF ME, h mpxQ.A r N7ff /4 OF SECTION 26. MON, '.R1BW, TOWN OF RICHMOND, ST C1t01� COUNIY. �f�C(1N5774 �T kR 8S� �" Ai3M1PRY r tc �' , v.t aw i Al .r It m. .[:.., x ! $ xio Sze. 26. TQQN, it YiP'J rs 1..J:: Me Yn r' �:O' U'�PLATTED LAAA4 OMwt'D i V! D .D.T. NUMBER 55- 65-E968.1999 ww.x wr.cw no _ . .....:....... ..._._.....,.. NNnru an. "� ! ' �A.OTH AVENUE .xwx5wx....,awxw --__.l L.. ....... _. xa- 5w .www}w. w. w. 4RMx .........._ U w — .......� PUBLIC DEDICATED TO THE C is ? I w � • y ` I � jy V i I `�' 6 I • u .. a•.xd n;e[: u[ Till !. Yo.:T. t ^. i ... ..: LOT ! NB9'S.Y¢A V 201.13 .. a v CS LANDS 06NED QY OTHRRS i MIND'. BY OTNERS max; r Nf7t 'w.�r 1 AM>1R l °`` xtx:+ by J5 } a R Y go, R :�.k�. ,a mu WO MQ U 032P 00 STATE BAR OF WISCONSIN FORM 2— 1998 6 9 6 6 8 9 WARRANTY DEED i KATHLEEN H. WALSH REGISTER OF DEEDS Document Number ST. CROIX I � � Co • RECEIVED FOR RECORD This Deed, made between Willow River Joint Venture, a 11 -01 -2002 9:30 AN Wisconsin Partnership WAROM DEED Grantor, EXEMPT # and Corey L. Chwialkowski and Kimberely D. Chwialkowski REC FEE: 11.00 husband and wife, as survivorship marital property TRANS FEE: 109.20 COPY FEE: CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Recording Area Lot Six (6), Plat of Sunrise Meadows in the Town of Name and Return Address Richmond, St. Croix County, Wisconsin Willow River Joint Venture PO Box 445 New Richmond, WI 54017 Grantor, Willow River Joint Venture, a Wisconsin artnership, is an affiliate of Derrick Construction Co., Inc., a Wisconsin co -- —= == - - - --- - rporation. Grantor develops land and errick Construction Co., Inc. is a home construction ontractor. Grantor agrees to sell this lot to Grantee 026 - 1124 - 06 - 000 n the condition that Derrick Construction Co., Inc. will be Parcel Identification Number (PIN) I` the builder of the home for Grantee. If Grantee does not This is not homestead property. ommence construction with Derrick Construction Co., Inc. as (is) (is not) he contractor/builder within two (2) years of the date of sale of this lot to Grantee, Gran ee Ives Grantor the irrevocable right to re- purchase the lot for the same price as Grantee aid Grantor for it when Grantee bought it from Grantor. If Grantee desires to sell the of to another purchaser before constructing a home upon this lot, Grantee gives Grantor he right of first refusal to re- purchase the lot for the same price as Grantee paid Grantor or it when Grantee bought it from Grantor. Exceptions to warranties: Dated this 31St day of October 2002 (SEAL) �� (SEAL) * * Ron d L Darria (� (SEAL) 0 111J 4 (SEAL) * * Michael R. Stevens f AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. St. Croix County. authenticated this day of Personally came before me this 31st day of October , 2002 , the above named II Michael R. Stevens and nald Ro L. Derric as partners f W' �i p _ o Wi River Joint Ventu * a Wisconsin partnership �) TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be the person S who executed the foregoing authorized by §706.06, Wis. Stats.) instrume and acknowled a the silnPEIDI L. DILLEY otary Public , THIS INSTRUMENT WAS DRAFTED BY rISIn i' Willow River Joint Venture * Heidi L. Dilley I� FU Box 445 Notary Public, State of Wisconsin County of St. Croix I New Richmond, WI 54017 My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not March 26 2006 ) �� necessary) * Names of persons signing in any capacity must be typed or printed below their signature. I) STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. WARRANTY DEED FORM No. 2 - 1998 Milwaukee, Wis. j