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Home My WebLink About026-1124-07-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. CCOIX Safety and Building Division INSPECTION REPORT Sanitary Permit No: 405067 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Willow River Joint Venture I Richmond Township 026- 1124 - 07-000 CST BM Elev: Insp. BM Elev: BM Descri tion: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELE �. If 1. Zpq Septic Benchmark t,(1 b a<o y y- Dosing l Alt. BM ` 4 4 Aeration / Bldg. Se Bldg. ? 0. . C 1 Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L EL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , lob > ( �' i �' t T+5 Dt Botto Dosing , U1 > lvV �� , / Header/Man. �� to Aeration v V Dist. Pi B 2,19 /0146 Holding Bot. System PUMP /SIPHON INFORMATION Final Grade Atli - Manufacturer / Demand St Cover do GPM r Model Number q' TDH Lift Friction Loss System Head TD�� Forcemain Length 5ia l Dist. Well 0 I Dia. f 2 v� SOIL ABSORPTION SYSTEM 1'n fK , d a (, t � •r : ; ha + �sv. 3 BED /TRENCH Width Length No. Of Trenches PIT DIMENSI S Insi ia. Liquid De DIMENSIONS 1 / r Lt�.( SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM 6L4COMG Manufacturer: INFORMATION Type Of System: i CHA UNIT OR Model Number: lqck_� ?.)/ DISTRIBUTION SYSTEM o S Header /Manifol F Len istribution x Hole Size I x Hole Spacing Vent to Air Inta1 en h I i e ) I L { / pi _ Dia gt h_ Di- / 1 Spacing s / 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 Al Yes [ _ f No Al- Yes i)j No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / - 0-,7 / 0 Z Inspection #2: A 63 Location'. 1341 140th AveNNewRichmond, WI 54017 (NE 1/4 NW 114 26 T30N R18W) unrise Mead ws Ldf 7 Parcel No: .18.760 1.) Alt BM Description of 2.) Bldg sewer length - amount of cover = 3.) Contour = S. 3 revis Plan Req l No Use other side ford ad tional SBD -6710 (R.3/97) _ Date Insepctor's Sign ture Cert. No. i Safety and &rildin8s Divisim Eumber 201 W. Rtasbingtoa Ave., P.O. Box 7162 ` _ �scor�sln . WI 53707 - 7162 Department of Commerce 5 / Z Olt �b� unreary Sanitary Permit Application 050'7 In accord with Comm 83.21. arts. Adm. Code , personal iofor you p 0 Check if Revision may be L Application In[WWAUop - Plum PriRt All Informattion state Plan I.D. Number ✓ S /T� Parcel Number Propaty Owner's Name �T - oo lu -1\ Il a u+^ � /f1 � •� e u r property Owner's Mailing Addriess ff'� p Property Location std w T 8 Eo N -A NW %, S �D T j 3 _ N, R l If City. Staoe Zip Code 1 Phone Number Lot Number Bloelc , Subdivision Name CSM Number o U:�ot `� ?CS 3 b � • � II. Type: of Ba MW9 (aleck all that apply) DCiry 1 or 2 Family Dwelling - Number of Bedrooms DViliage 0 Publictcommetaial - Describe Use 3 a �" C�cl `� ►` r 0 Stm Owned Mn4�n d 7 x 100 A r W 002 Nearest Ro At wo IQ. Type of Permit: (Owk only one boa on Noe A (numbewing ssS Aj#9@RVVse)- it B V applicable) ICE For use A. 1 V New 2 0 RgAaeement Sysseta 1 3 0 Replaces n Talc B. ❑ Check if Sanitary Fermat previously issued Permit Number Date Issued IV. Type of Permit: (Cheek all that aPP1Y)(nnmbering stheare is far internal msee) l L� 44 0 Non - Pressurized 1* 21x Mound 47 0 Sand Falser 50 Constructed Wetland 22 0 Pressurized k4round 410 Holding Tank 48 0 Singk Pass 510 Drip Line 45 0 At -Grade 46 0 mroW T reaoment Unit 490 Recirwla in8 30 0 Other V. Area Design Flow (� Dispersal Area Dispersal Area Soil Applicxaoa Percobuion Rase System Elevation lion Grad R, Proposed Rase(Gals./D (Min./1o* j ot Total r Prefab Site Steel Fiber Plastic VI. Tsnk Ltf o Vim' m Coocreu Constructed Glass Gallons Galloas of Tanks Tanks Tanks S H Mfr Taaic Doft Cb=* r V I - Ts l b o VM Ru Statement 16 the tinder for WMMNdm of the POVM shown on the attached . Pbmuber's Name is S' MP/MPRS Number Business Phone Number `T ! (O S� � Plumber's Address (street, City, State. Zip ) VIII /De art Use Only Y Permit Fee (ittciudes Groundwater Dan Issued Signature (N PS) Approved ❑ Disapproved Surcharge ) 0 Owaer Given initial Adverse Dcwnn naWn M Conditions of &TWovaMeasms for Disapproval � . �d a dd u,F'"Z ` , ail 4pv Afm,m4 /DO `9° �, � d „-t 14,,' w.X Rk �j ?, � eooptate Plain (so dw Caaaty �) Ow do s>:sara w ant lea tins all Isetw sine tea/ r C RiIAZQR tR C115101) Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 �seons�n www.commerce.state.wi.ustsb RECEIVED www.wisconsin.gov Department of Commerce Scott McCallum, Governor MAY U 7 Philip Edw. Albert, Secretary April 17, 2002 ST. CROIX COUNTY ZONING OFFICE CUST ID No.220537 A7TN. POWTS Inspector ZONING OFFICE CALVIN W POWERS JR ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 04/17/2004 Transaction ID No. 723788 SITE: Site ID No. 643315 Willow River Joint Venture/ Michael Stevens Please refer to both identification numbers, 1341 140TH Ave L above, in all correspondence with the agency, Town of Richmond St Croix County NE 1/4, NWIA, S26, T30N, RI8W Lot: 7, Subdivision: Sunrise Meadows FOR: Description: Four Bedroom ISD Mound System Object Type: POWT System Regulated Object ID No.: 847373 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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved Individual Site Design plans, with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wa stewa. ter Systems" SB D- I0572 -P (R.6/99) and the "Pressure Distribution Component Manual for P rivate Onsite Wastewater _ Treatment Systems" SBD- 10573 -P (8.6/99). • Comm 83.44(6)(a)2. The orientation of the cell is to follow parallel to the surface grade contours on sloping sites. The u pper effective edge of the cell is to follow the 100.00 foot contour • 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 t iat impact t e treatment and dispersal are prohib COMA • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption APPOF area. chs. NR 811 & 812c ENT • A Sanitary Permit must be obtained from the county where this project is located in accordance with the Of requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CRRO • 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. CALVIN W POWERS JR Page 2 4/11/02 Owner Responsiblities: • 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/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 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 Require $ 300.00 Fee Receive $ 300.00 Balance Due $ 0 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 I ME SHEET DATE: PAGE OF 7 MOUND SYSTEM FOR A_ BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10572 -P and the PMsww Damn Manual SBD- 10573 -P. CR 6/99) (CR- 6199) LOCATED IN THE IW- /4 OF THE 1/4 OF SECTIONchp J 34QN R—'$W, TOWN OF �,�� , ST. CROIX COUNTY, WISCONSIN. 5u�r ►sue, mQ� ��;� C oTV 7 nvDEX PAGE I OF 7 TITLE SHEET PAGE 2 OF 7 PLOT PLAN PAGE 3 OF 7 PLANVIEW CROSS SECTION 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 \\ RUPARED FOR_ ` cl V�r�� ev o v.a 'ICi onb� WZ SVo I'� I P� PA D BY POWERS EXCAVATING INC. 1969 185"" AVE. NEW RICHMOND, WIS. 54017 PHONE: 715- 246 -5135 FAX: 715- 246 -5135 fi� y � I ,ppNO r A,pr 16 02 12;53p CALVIN POWERS P.2 00T �a 7 w:llo� R ,v o,- :(�.hT ve.� ��.� /in;c1►�r.�i. �� 1U � •y y N(�Y y S db - C - 3o ti R �� N r ovv%Ain�.�(� L � y � 7 X l f 5 UL v.r � S.cZ )b\.�ci �c L�� T � 1p lKQL ��, b x 0 to J,;oc i J/ 5 X 63 \ i 4` \ y7' Q gm g,m Page Of L r Synthetic Cov:ring ASTm C33 Distribution Pipe Medium Sand /bZ•� Topsoil G _.� 1 F /0/-0 3 E p t % Slope Bed Of 2:2 (Force Main Plowed Aggregate Layer ll o}- E 13.5 of Cross Section Of A Mound System Using A Bed For The Absorption Area F /0 Wt! A (o Ft. H Design _oat t_.yr`,= ,. PD /3� FT B /m Ft. K 9 1 Ft. L / /7.g Ft. J Ft. of Position Z Ft. Force Main W Ft. L Observation Pipe Gj- --------------- - - - - -- ---------- - - - - -- - -- r ' wp s -- W �.- - -- --------- - - - - -- ---- - - --.� Distribution 0 f %+— 2 Pipe, - 2 2 I Aggregate Observation Pipe anchor x c m' Plan View Of Mound Using A Bed For The Absorption Area Distribution Pipe Layout p4ge _ of,7____ plaoa the holes at the bottom of Cho distribution pipes at equal opacind• Remove all burrs from the pipe and holes. 60 ad the and Of"' h kft* VP "ft dw use of ImS ma or 45' fimg 0 a pow wig sin i auhw ad'ths god SM& Te iftW the a6 of dw hoods Frith a value - d cap or *Rmdod phi Peovke am= OM &W tads for the raise, ar threaded prof. IAcOFEss !ax_ `cross sSMqN *vC 'PIC tvG I F1 �aaarr — UWA11 Lab" R ... j i g 1 a Lhw P L �►N Vim — M[e=. P Ft. / Not• Diamete CIL Inch 5 _ Ft. Lateral / Inch(es)'� x .- Inches Kanlfold - _ Inches L" Force gain inches . of Ro tes /pipe Invert Elevation of Laterals Ft. {- SEPTIC TANK S PUMP C_ AMBER_ CROSS SECTION AND SPECIFICATIONS 4" Cl VENT PIPE 12" MIN. ABOVE GRADE !i WEATHER PROOF >_ 25' FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR-INTAKE WITH CONDUIT MANHOLE COVER 4" Cl RISER W/ PADLOCK E 6" MIN. - WARNING LABEL ABOVE G ADE �� ----- 4 " MIN. 18" ST IN [ NLET I' WATER TIGHT SEALS GAS- TIGHT i 4" Zb)e A ioo A SEAL 1 fA PROVED - I PIPE — ; AINTS 41/ CI 3' ONTO B O PE 3' ONTO SOLID �- , LID SOIL SOIL C I PUMP OFF ELEV . U5 FT. -I— p RISER EXIT D RMITTED ONLY -TANK NUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE w 1.�5o /�Sp mP TANK MANUFACTURER: NUMBER DOSES PER DAY: S TANK SIZES SEPTIC Iac'C: GAL. DOSE VOLUME INCLUDING DOSE 7SO GAL. FLOWBACK: 1 ,2q, Z.. GAL. ALARM MANUFACTURER: - 64 "friL CAPACITIES: A =^ INCHES = Lb,S GAL. MODEL NUMBER: /D / � SWITCH TYPE: ' �.f B = 2 INCHES = , ? __ GAL. r PUMP MANUFACTURER: �� C = INCHES = a I GAS.. MODEL NUMBER. p SWITCH TYPE: A D =_ INCHES = REQUIRED DISCHARGE RATE _ GPM PUMP S ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . FEET + MINIMUM NETWORK SUPPLY PRESSURE .LL .3 FEET + _ FEET FORCEMAIN X j, FT /100 FT. FRICTION FACTOR • . /,4,5 FEET TAT L D FEET A DYNAMIC HEAD , /S F INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH III r Mound System Management Plan Pa of 7 Pursuant to Comm 83.54, Wis. Adm. Code Tara The septic tank shag be maintained by an individual cen ied n service septic tanks under s. 281.48. State- The contents of the septic tank shaN be disposed of M accordance with NR 113. Wis. Adm. Code. The operating condition of the septic tank and outlet MV shay be assessed at least once every 3 years by inspection. The outlet fter Sheri be cleaned w necessary to ensure proper operation. The litter cartridge should not be removeo unie" provisions are made to retain solids in fine tank that lib off the Attar when horn its enclosure. If tin liter u with an alarm. the filter W*N be serviced d may ugh removed aQdiPped w the alarm is activated continuously. W*WMIVAnt fitter Sistine may indlCtta strnge flows or an impending continuous alarm. The septic tank "he" its contents removed when the volume of sludge and scum In that tank exceeds 4/3 the kluad vokime Of the tank. if the contents of the tw* are not removed at the time of a Merv" sssessmwnt. maintenance personnel sW advise the owner of when ft neio service needs to to pot tined to maintain less than maximum stun and sludge sccumuiationn M the tank. The addition of biolopficet or &mrical additives to enhance septic tank perlortnenoe is garersMy not regUMW However. if such product are used they shag be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Puma Tana The pump ( dosing) tank shall be inspected at Woo once every 3 years. All switches, atsrrns. and pumps shag be tested to verity proper operation. If an efterit fdNr is installed Mthin the tank It shall be inspected and serviced as necessary. Mound and PrasSM Q"ftdm Svstam No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and role mound erosion shad be seeded and mukhed as necessary to prevent en and b provide some protection from frost penetration. Traft (other than for vegetative maintensnoe) on the mound is not rtaomrnendsd since sal compedion may hinder seadon of the inAlOrative suetau wiMtin the mound and anOw compaction M tins winter wMl promo o tro=t permwown. Cold weat er insb:fladora (Q610ber- February) diktats that the mound be heavily matched #W frost protection. in%.wnt quality rib ow mound system may not exceed 2n mp/t- BoCS, 15a mg/t TSS, and 30 myl FOG Influent flow may not exceed malonmum design flow specified in the permit for thus installation. The pressure distribution system is provided with a fluiou ng point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at bast once every 18 months. When s pr"wre test is performed it should be cored to tits k4al bw when the system was installed to determine if ord'ice ck)W g ►ties occurred and if orifce clearing is required to maintain equal diztritxtl within the dispersal tail_ Observation pipes mew the disper3ei cell shall be docked tar efNueni ponding. Ponding levels shag be reported to the owner, and any levels above 4 inches considered as an impending hydraulic f requiting adadjonel, more frequent monitoring. Garewail This system 0*1 be operated in acwrdaiwe with Comm 82-84 Wis. Adm. Code. and shell nwintsirned In accordance with its,' vOrnporernt manual (SBO- 10572 -P (R. GMH and local or state rubs pertaining to system maatbtanance and maintenance reporting. No orm should ever enter a septic or pump tank since dangerous gesea may be present that coutd cause death. Septic and pump tank abandonma nt shag be in aeoordence with Comm 83.33. Wis. Adm. Code when the tanks one no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be respected for nosier tightness end soundness. Access openings used for service and asseasmertt shah be ""led wwaertight upon the completion Of service_ Any opening deemed unsound. detective, or sub(ea to failure must be replaced. Exposed access openings greater than 6- inches in diameter shell be MCurred by an affective locking device to proven accidental or unauthorized entry into a tank or component. Continaenav Pfau If the sepdC tank or any of its oomponenta become detective the tan!'. or cornpon.nt shall be repaired of replaced to keep the syslsnt in proper operating condition. If the dosung tank. pump, pump OontrOts, alarm or 1`910led wiring oecornes defective the defective component shall be hvnedliiitaly repaired or reputed 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 Of replaced in its' present location by lrtoreasktg bawl area it toe leakage occurs or by removing biot► dogged adsorption and dispersal media. and related piping. and replacing said coroonents as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to the County Zoning office at yGBo or to the licensed plumber who installed the system. ' Goulds Effluent Pump 3 885 APPUCATIONS w:.. . • Overload protection must Smooth operation. SVicon can be operated continuously Specirrcaliy designed for the . Provided le starter unit. brome irnpe� avAbie as without damage. following uses Shaft: threaded, 400 series an optbn ; . ■ Homes stainless steel. Bear Upper and • Farms • Bearings: ball bearings ■ CashW fast iron volute lower heavy duty ball bearing • Traller courts upper and lower. type for maximum efficiency. construction. • Motels • Power cord: 20 toot 2 NPT discharge adaptable ■ Power Cable: Severe duty • Schools standard length (optional for slide rag systems. -_ rated, oil and water resistant. • Hospitals lengths available). ■ Mediankal Seal: SIMN Epoxy seal on motor end • Industry Single phase: CARBIDE Y3. SRXW provides secondary moisture • Effluent systems • % and % HP –16/3 SJTO CARBIDE sealing bm barrier in case of outer jacket with 115 V or 230 V three Stainless 5W rtelal paw damage and to prevent oil SPECIFICATIoNS prong plug. BUNA -N elastomers, wicking. • i4.1 % HP –14/3 STO with ■ Shaft Corroslo - resistant ■ 0 -ring: Assures positive Pomp bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. todmut on three and oil leakage. %' maximum. ' X4-I % HP –14/4 STO phase models to guard • Discharge site: 2' NPT. with bare leads. On CSA against component damage AGENCY LISTINGS • Capadtks: up to 128 GPM. listed models – 20 foot on accidental reverse rotation. • Total heads. up to 123 feet length &M and STW R Motor: wpy submerged in Cana m MaWatds A=daUm MH. are standard. high -grade turbine OR for • Mechanical seal: silicon lubrication and efficlent heat ® Undawdlas Labm carbide -rotary seat/silicon FEATURES transfer. carbide - stationary seat. etas al l series stainless steel m - ■ Designed for Continuous � ller. Cast Iron, semi Paris, BUNA -N elastomers. open, non -clog with pump - tlperallow Pump ratings are • Temperature: out vanes for mechanical seal within the motor mxj43cwWs 104 °F (40•C) continuous protection. Balanced for recommended working limits, 140°F (60 intermittent. • Fasteners: 300 series rMETEM FEET stainless steel. 90 Capable of fuming dry Ps eo SWE sOLIos without damage to - we1 Wac vARrous components. ro SG PM Motor ' SFr 0 Single phase. a so • % HP. 11 5 V, 200 V, 230 V, 60 Hz, 1750 RPM; � Hp, = 15 115 V. 60 W 3500 RPM; o 40 — % HP –114 HP. 230 V, j 60 Hz, 3500 RPM. S t o - 30 • Built-in overload with automatic reset 20 . • Class B insulation. s Three phase: 10 • % HP –I % HP 200/230/ 0 0 nsulation. 460 V. 60 • Hz, 3500 RPM o to s0 3a so � to eo 90 i Class 8 i 0-0 110 1 -20- 130GPM 0 t0 20 30 mom ri 1995 Goulft pumps CAPACnTY Ellecteve May. 1995 Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 FD TDD #: (608) 264 -8777 Nvisconsin www.wisconsin.gov r www.commerc .wis c ons 6 , .wisonsin.gov Department of Commerce p 2O NN tX C00 /v PhilScott McCallum, Governor ip Edw. Albert, Secretary G OpFtC�TY April 17, 2002 CUST ID No.220537 ATTN: POWTS Inspector ZONING OFFICE CALVIN W POWERS JR ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/17/2004 Id�ntific - s Transaction ID N&22 3788 SITE• Site ID No. 643315 W illow River Joint Venture/ Michael Stev ens Please refer to both identification numbers, 1341 140TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County _N E1 /4, NW1 /4, S26, T30N, R18W Lot: 7, Subdivision: Sunrise Meadows ) FOR. Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 847373 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: - General Approval Requirements: iC�l G 0(( U- -(-A(" 4-1 • This system is to be constructed and located in acco� with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (R.6/99). • Comm 83.44(6)(a) a orientation of the cell is to follow parallel to the surface de contours on sloping sites. The upper e ective edge of the cell is to follow the 100.00 foot contour. • 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 CALVIN W POWERS JR Page 2 4/17/02 • 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 Responsiblities: • 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 $ 175.00 Balance Due $ 0.00 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 I Wisconsin Department of Industry SOIL 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 IEWED BY DATE �0 5 PROPERTY OWNER: PROPERTY LOCATION Derrick Construction Inc. GOVT. LOT NE 1/4 NW 1/4,S 26 T 30 ,N,R 18 5 (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # - 1505 Hy. #65 7 na ' CITY, STATE ZIP CODE PHONE NUMBER ❑CITY [ ®TOWN NEAREST ROAD New Richmond, WI. 54017 (715) 246 -2320 Richmond 140 New Construction Use [x] Residential / Number of bedrooms 4 [ ) Addition to existing building (� Replacement [ I Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate bed, gpd /ft 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) 101-00 ft (as referred to site plan benchmark) Additional design / site considerations system el based on rontnllr 1 inp- of e1- 100-00 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 E3 IR ®S ❑ U ❑ S [R f3 S ❑ U EIS Z U ❑ S [R SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed T 1 –12 10yr2 /2 none 1 2fpl mfr cs 2m np .3 >s l 2 2 -24 10yr4 /4 none sicl lcsbk mfr gw if n.2 .3 Ground r450!784 4 -60 7.5yr4/4 none sl lcsbk mfr yw if .4 .5 elev. l0i 0 t 5yr4/4 c2d 7.5yr5/6 scl M na na na np .2 Depth to limiting factor 60" Remarks: Boring # 1 –11 10yr2 /2 none 1 2fpl mfr cs 2f np .3 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 0 -47 7.5yr4/6 none sl lcsbk mfr 9w if .4 .5 Ground elev. 4 7 -66 7.5yr4/4 none scl M na \,C ( ria ' , np i .2 99 ft. 5 6 -80 5yr4/4 none sl M n ,,,, na .4 Depth to 1. J EQ limiting factor 47" - 4 ST i 19 Remarks: H -5 less than 50% limestone particles ZO At CST Name: -- Please Print Gary L. Steel Phone: 715 Address: 1554 200th. AYA.. New RichmAnd, WI 54017 Signature: Date: CST Number: m02298 PROPERTYOWNER Derrick Cosnt. , Inc SOIL DESCRIPTION REPORT P 2 3 Page _ of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botary Roots D/ftie .................. in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ................. .................. ................. 1 0 11 10yr2 /2 none 1 2msbk mfr gw 2f .5 2 11 2 10yr4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 22 -53 7.5yr4/4 none sl lcsbk mfr 9w if .4 .5 elev. 99 ft. 4 5375 7.5yr4/4 wet_ ,- scl M na na na np .2 Depth to limiting factor Remarks: H -4 has less than 50% limestone particles Boring # 13 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 NE4NW4 S26 T30N - R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #7-Derrick'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. N 1" =4 BM. = top of 2 pvc pipe C el. 100.00' f +¢D �jVE Alt. BM. =top of 2" pvc p ipe @ el. 102.60' / G f ' .O r 3 2 0 Gary L. Steel 5 -12 -99 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer A C-qAc - t- je S 7 C- V #.c Z b&qU a'F Mailing Address A /310X , Property Address (Verification required from Planning Department for new construction) City/State Parcel Identification Number 0 3 LEGAL DESCRIPTION Property Location / %., " V., Sec. 2 +Q , T � N -R W, Town of `I-( M o Subdivision `� E-�2t S �� ' S Lot # Certified Survey Map # . Volume . Page # Warranty Deed # (eCo `5 Y�a . Volume /L// . Page # ` Spec houseXyes O no Lot lines identifiableKes O 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 pl*ber, restricted phunber 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. I/we, 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 y ur septic system has been main ' ed must be completed and returned to the St. Croix County Zoning Office within 30 days of th ee xpira n da . SIG ATURE OF APPLICANT DATE OWNER CERTIFICATION I (wel 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 cribe bove, b e f a warranty deed recorded in Register of Deeds Office. — SIGNAITRE 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 CMe` O o o. o'ziI . >- A QQ - 4MEZC3> r� MOZ 19 7 r� ? "' s 0 ..•3om it I a8 1 z-< -r :3 St g I. -f z g i -fix -0 1 fn rt I 0 T'7 . 'o 0 i J Q't J (A � m U • i y ,' i t]` i- 6- f1 $ z rt�W 0 N m 5 it m- CL M X31 s° ' •d K Ol gi f a a W Lii M y f _� �' 0 f-+• (A N s I a i3� tT < X:w m Z U i m Q 1 i •' r N - CC i Z n Z Lq . °0 i, . 0 0 z z r�` •'+i� - s��^y�..�. ma . 17 I -- _. .._ f - ' a m (I � m z °C • s cjiAWLTZiIi P13 �- f ,� m a o° � &- {fit � qp m •$� '�i t a s rs s�Z � � � �� V m 4 3 L P G 01 P3 (A OW �- ri m IN I m F F3 ° m 3>0 I� 3 iAm �x m r• `- m �t'i3 Q tcs v N I m • v i ° t r t l 3 ^°8 i L f j: G3Qi 0 3 a 1 1, 5 xv p 4� N a"ti .�i• i or- IYE L5' O Fl c Oofi m m a ]D a r r °O a c N,rr- o O +P�JW ? vyG It.Z �rl. "D t1 l PA -685 ! i R. i i -99 A SNNae'ily 43tiV3 I0 SVH )103HO 1I1Nn 011VA ION? Idl3038 STATE BAR OF WISCONSIN FORM 1 — 1982 6-3. go 10 WARRANTY DEED KATHLEEN H. WALSH DOCUMENT NO. Y01 1414 PACE 595 REGISTER OF DEEDS ' ST. CRgTX CO., WT RECEIVED FOR RECORD This Deed, made between 03 -30 -1999 3:45 PM Richard A Gillis and Janet L. Gillis, Husband and Wife, and each in their own ri_ iht WARRANTY DEED Grantor, EXEMPT N CERT COPY FEE: and Willow River Joint Venture, a Wisconsin COPY FEE: Partnership TRANSFER FEE: 300.00 RECORDING FEE. 10.00 PAGES: 1 Grantee, Witnesseth, That the said Grantor, for a valuable considerati $1.0 0 and other valuable consideration conveys to Grantee the following described real estate in St. Croix THIS SPACE RESERVED FOR RECORDING DATA County State of Wisconsin: NAME AND RETURN ADDRESS Willow River Joint Venture P.O. Box A New Richmond, WI 54017 The North One -Half of the North One -Half 026- 1075 -90 of the Northwest One- Fourth, PARCEL IDENTIFICATION NUMBER (N N of NW4) of Section 26, T20N, R18W This is not homestead property. IM (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Richard A. Gillis and Janet L. Gillis warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except no exceptions and will warrant and defend the same. Dated this 30th day of March 1 19 99 (SEAL) 17 (SEAL) Richard A. Gillis (SEAL) anet L Gillis (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. G!M 'es)InemjiW 2861 — I 'ON waod (133a A.INVK*IdM oul ' oC) �usje 109 usuoosiM NISNOOSIM do HV9 31VIS -samieu8ls nays molaq paiuud io pad,G ,(q pinoys ,Gloedeo (ue ui Smu81s suosiad jo saweN . ( 66 61 /6Z/OT (C Iessaaau :alep uopeandxa a1e7s Iou jl) 'Iuauewj;)d si uolsslwwo:) AW Iou an grog •paSpalmowjor ao paluopuagmu aq /,uw saanwajS) 'stM ,(IunoO x l O a O -4s :,Ilgnd Ximopl ' .i TTaputZ •V xaix rl� J.8 1 d SVM1N3WfIti1SN s agI a paIMOU�ae Iu wlulsul S � yxa o ; uosiad ayI aq o1 umoml aw of ('siulS 's?M `90'90L§ Xq p azuoymu `IOU jI) .:. - NISNOOSIM 30 dVg 3IVIS dEjgW3)q :3 I.LIl M10 ' Z Sauer paweua �:1311 jo Iep u 0 £ slgl aw aaojaq awaa Alleuos.Iad 61 ` jo ,Cep slgl paleupuaginr SUNRISE MEADOWS NORTH I 140th Avenue 346' 320' 320' 320' 320' 320' 320' 320' LO Wif) 1 2 3 4 5 6 7 8 L . M 4.93 ac 4.59 ac 4.59 ac 4.60 ac 4.60 ac 4.60 ac 4.60 ac 4.61 ac *New Richmond ❑ DERRICK OFFICE Highway G N 140th Avenue I SUNRISE MEADOWS i 65 � 12 Roberts 65 �I (715) 246 -2320 1505 Hwy. 65 P.O. Box A DERRICK New Richmond Wisconsin CONSTRUCTIO K'S PLAT ' THE NW 11 AND IN PART OF THE NE f/4 OF THE SURVEYOR DOUGLAS J. ZAHLER TORN OF RICHMOND, ST. CROIX COUNTY, WISCONSIN. 212 WALNUT STTREET NG LEG FLD HUDSON. NA 54015 • 1' PON PIPE FOUND _ o — rao NMFOO T T PER PREPARED FOR (J I FOO "D !� Iar ROADWAY SETBACK LINE BILL DERRICK, SR I tZ WADE U TARY EAST]ENT DERRICK CONSTRUCTION INC. NEW BOX 1 � NEW RICHMONDOND , WI 54017 FROMM OWK PK MAL FOUND APPROVING AUTHORITIES TE- K FENCE TOWN OF RICHMOND ST. CROIX COUNTY PLANNING. ... NNDIN CONTOUR ZONING AND PARKS COMMITTEE j —� INOWEVIATE CONTOUR �'.��, 931.0 SPOT EIFMRON W a. A0.) NET PULDMIX ARFA N SOL BOFWM L t STONY OUTER RFTENTmN AREA >o HKN WATER UME NOTE A tlUOYG THAT WOULD ALTER THE CAPACITY OF THE STORY WATER RETENTION AREA IRS IS PROMOTED NOTE B BUIDINGS ARE PROHIBITED MT"" THE STORM WATER RETENTION AREA jj 12PERCEN1 SLOPES — _ _ __ — — — — — — — — — .— __ — _ _ _. — _ _ _ NV4 CRaNER _ SECT M N as - ... _ 32 32 _ y - � a 0' _._ — — — — — •_._ _ - - --- = eeso w N -- o' W w C *.60 AC ----- 4,60_ AC or _ <4,6] AC) v, 0' 4 ° cu to N �dQ % 3 0 C9 x 100L2 CD -� w w -- —. ° C3 I x 1002.9 - -- x 1000.8 h N- 0 %__ I 4 N S E3 1010 x I00 20 1A Z 3' / 320` x 1013.1 �1 .996 ESIDENTIAL NRD BY OTXRAS I St/•CORMWl SEC T TDN E1 SCALE IN FEET t' - 100' t00 0 100 200 300 NI-23 -- LOCATION SKETCH PRELIMINARY PLAT: D E R R I LOCATED IN PART OF THE NWY14 FN 1 AVENUE �L N1i114 OF SECTION 26, T30N, RU co A � w e�R —� 130TH AVENUE ( / ZONED AG — RESIDENT F SEC. 26, T3 F, R 1811 0 o TOTAL AREA PLAT = 39.837 ACRES (1, 735, 318 SQ. FT.) fJNPLATTED LANDS OWNED BY 07 AREA EXCLUDING RIGHT -OF -WAY = 37.124 ACRES (1,617,100 SQ. FT.) alo,� ---- -J sr rrv cr L — — — — — — — — — norm, gyve aF me nw4 140TH AVENUE - - -- ---- _ — S89.56'5 - -- - -- -- - - -- -- 3 ?0 -- -- - -- -- - t— _ DEDICATED TR_THE_ �- - - -- 'E 2636.26' - -- - -- :50'1 _ _ y i - 1000.9 369.56. 2 "E 2586.03' J� t0 � 996.0 I - - .J._._._._ x t �Q �, M � 3 Z ' ^ ! . to ' qF 1 x 9 1 -_ p l~ a Za a 2 4.59 AC x 9940 5 v ' a W J ' 3 __� i 4.59 AC 9 AC) 4,60 AC 11 low o I ! o m. 1 �o cu � N C4.60 AC) N <4.60- F c IoI v, , ,o w,- a a.yi 3 A �. C4.93 AC) x 990.9 W ° 4 0I � � 1g0..a ' _ i 1o22 .� KW a � , 32 ,1024 258L79'� ', 32f�► `� 320' LOT x roes 1 = ` N8 53'21" 31.73' C. 1N ` V- 1 F; nvz 6 nr uw4 x / �9e9.1 Y. 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