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HomeMy WebLinkAbout026-1124-08-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420723 0 GENERAL'INFORMATION (ATTACH TO PERMIT) ate Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. !W 3 = (noua6 . /h Permit Holder's Name: City Village X Township Parcel Tax No: Willow River Joint Venture I Richmond Township 026- 1124 -08 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: I ' m -0 t'JC1. 2 t V C_ _ CST g to l 26.30.18.761 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic . Benchmark 1 4A 1544- zst hsn 3.5 ob. 1) Dosing 1 ` ( • Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet I `�'• 2 89.30 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. BLDG. Vent to Air Intake ROAD Dt Inlet Septic y �S , 1 �� Dt Bottom !• .�--- �Dc�. ($•S�(�0 Dosing tt tt ` � Header /Man. /A 3.1 / Z 3. 1 Aeration Dist. Pipe C(� •13 / by • O � Holding Bot. System 4 3• d Final Grade PUMP /SIPHON INFORMATION n jt � v., - Z ll be � ti' � oa J Manufacturer �+LS p Demand St Cover GPM,(L Model Number � s tr^ �� 5 d 3 •ZD u3•� 6fl.0 Lift Friction Loss t System Head TDH Ft IT 3 .2� 23 ,S R- 9$.43 � Forcemain Length I I Dia. Ii Dist. to Well 0 2 S SOIL ABSORPTION SYSTEM S . Z• Z - 12. ( BE RENEW Width Length No. 0 'rrteaepos PIT DIMENSIONS No. Of Pits side Di Liquid Depth ENSIONS . S t + i(, i SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACH an curer. MB INFORMATION CHP Type Of System: � IT el Number: 1 01 o1,tM .. + � I DISTRIBUTION SYSTEM Header /Manifold Distribution I x Hole Size x Hole Spacing Vent to Air Intake i t+ Pi e s Z 3 (+ Length Dia Z' Length WIP Dia I 'Z Spacing 5- .0 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of eeded /Sodded 1 xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil xx S Yes No [] Yes No C ME T : (I clu a cod iscrepencies, persons present, etc.) Inspection #1:" • 03 Inspection # 3 Lo a i 1347 140t Ave Ne Richmond, WI 54017 NE 1/4 NW 1/4 26 T30N R18W) Sunrise ows L�t 8 Parcel N 0. 61 1.) Alt BM Description = -�4- • 2.) Bldg sewer length - amount of cover = 7 7t0� 3.) Contour = V.W Plan revision Required? Yes Y No Use other side for additional mformaion. SBD - 6710 (R.3/97) Insepctor's Signature Cert. No. 301 W. xj&MOa Aae.. t.Q !es 71St FV �= "Wbo . mi wal - 71st as Adbm of / a" /4 r Pmt A � 1�1�.6.. 120+23 in a and "M c,� am. WdL A&L C*tx. pmmwd Itwnnit.ial pmaidi ❑ tisot A sriia. ME 1�:�` rt C S „� ©aCD - I (a -oFs� w.*.s ow.tr�t i V%mpaV L.odt. 7PD S MAR 0 4 2003 NC chw. saw ST. CRO COUNTY Grt ZONIN OFFICE lhus cs1►IrdstAsr a "w.rommillft liars ai Mai a ,� �w►- Q s . txoo► - D4susM ua o h C1 swe or..i Cow4"w dt HL'ly�rs Ai1'1rrn1� et�ret..Ar..r< wr.. i.. L ari�t®rrr wsart..y. L1.�iw `e ii a�lieily # liar 1 ❑ 3WM I 1 w d s ® Ar11im r C1i�4 de WN f i- Cl i>M ilnirs�r #Mrie !lwisisty bassi #A�isr Dare Awed : 'hMs # lleailx !tom ai ew 4still riarisi aeAnre 1r Ar irrnrr! rah N 0 Nm l 43wamd UKUNN i p o s" Pow ma +Oanaa o d w wm d �rsEl tMmd d bO ad +at D lbw" Tw* r ❑ a*% An 5i D DdpLits Cl ai 0 Azad t It qmu urt • © as 13 odw l q=d Am V4pW + Am ski A"a"m %um meewho dolk iii TA Ait Iaft cvw* 6B Tod rmww aft sea F&W 6dhrs OWN= .t1lais arsstrts cmmwm d fist w. s�rwy 11 5 ohm iarwsas- L MAs #r a[rAs 141�liatas aw 11s ar#atAri a.r.�t iArisnar w.r #ratr.r "aisr"a "am aim aw. s amic t7bfs) ' o o t ve CI QwA[ arts iiiitt Arwss�__ m c*.+1M..a .r n 1#Ils `- ft, aJk IDA" 91- iQA . tl ` drlrta ±trs/Ms�asstMs�s+[�rrs� �•••• .a.dr.asat r f _ J ` '� m1 r� hwa C G" / ao a•o (.,Cr yet c�¢S cse s WA&* � P'�' _ �nnau4JY a fl i I T i N"y� • ( m LM IT ' s m ��'• X /s l,y : Z 4 V ; fib - tta�` q i `` y p • : y 1 , • : i i i _ : a a � - apt• . � A ` a e " Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Nvisconsin www.commerce.statemi.us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary February 28, 2003 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: 02/28/2005 Identification Numbers Transaction ID No. 826143 SITE: Site ID No. 654729 Willow River Joint Venture/ Michael Stevens Please refer to both identification numbers, 1347 140TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County NE1 /4, NW1 /4, S26, T30N, RI 8W Lot: 8, Subdivision: Sunrise Meadows FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 887287 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(]0), 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 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 2.0" SBD - 10706 -P (N.01 /01). • The mound area must be deep chisel plowed to help break up the platy soil structure that was reported at the site. The county may, at their discretion, request verification of the plowing prior to continuation of system construction. • Per telephone conversation with the Dept. of Commerce, Wastewater Specialist, Leroy Jansky, the soil Com application rate for the platy soil structure reported by CST Gary Steel will be no greater than 0.2 gallons per APPI square foot after chisel plowing. Do to the consistency of the soil profiles the system is being permitted to extended beyond the soil pits by about 20 feet. DEWMIM OF • The Wieser 1250/750 MR tank is registered as having 47 inches of liquid capacity at 16.12 gallons per inch in the pump chamber. The setting for the dose shall not exceed 9.0 inches. This should yield a dose of 121.5 $EE, COM gallons after drain back of the force main. If the force main is shorter than 150 feet the dose maybe adjusted to meet the 5 times the void volume of the laterals. • 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. J CALVIN W POWERS JR Page 2 2/28/03 • 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 $ 175.00 ✓ Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11 , 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 TITLE SHEET PAGE OF DATE:- I - MOUND SYSTEM FOR A BEDROOM RESIDENCE This plan has been prepsured in accordance with the Mound Component Man �1 SBD- 10572 -P and the P DWr&dion M� SHD- 10573 -P. SEE c;ORRESPONDENCE CR. 6199 (CR- 6/99) LOCATED IN THE N _Ir 1/ 4 ON THE N w 114 OF SECTION .�q_,T3�C N, R_tKW, TOWN OF r`�c�� _, ST. CROTX COUNTY, WISCONSIN. S t! t1 hi a2. �2t1�QU L' _ IN DE PAGE 1 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 PREPARED W Al \cam v e� o P P POWERS EXCAVA I INC - aaa s 7 1969 185 AVE. NEW RICHMOND, WIS. 54017 PHONE: 715 -246 -5135 FAX: 715- 246 -5135 '�t��ntrll .Y ? OVED IT COM RECEIVED BUILO FEB 2 6 2003 E SAFETY & BLDGS DIV, -_ :. ��� w � � rt� V�v� �.at.r�A. �/'►1��c �� �s .cis if tp V� Owl " tat f, 3 _ M Page- of Synthetic Covering MTM -03 Distribution Pipe Medium Sand 0 Topsoil -- F C ;L % Slope Bed Of V-2 Force Main Plowed Aggregate Loyer D / Ft. J3ryy Cross Section Of A Mound System Using f i F !j ft. Ft. !a A Bed For The Absorption Area - ��� G . S Ft. A q.5 _ Ft. H �_ Ft. , . r ui c {_ _; B /�34_Ft. K 8,_7_ . L Ft. j _,, 4 1 0 Ft. of Position Ft. Force Main �"`� -r. W a Ft. 1 Observation Pipe was A k- *6 L -------------------- .1�1 W � ,Distrlbution 0 f 2— 2 g Pipe,- Aggregate 1 Observation Pipe dAckor ?r cv m1�, Plan View Of Mound Using A Bed For The Absorption Area Distribution Pipe Layout page __-� of Place the holes at the bottom of the dfatribution pipes at equal. spacing. Remove all burrs from the pip* and holes. Umad tiee end of each king up with dw use of long v= or 43' fitting oo a point within six Of dW fir! grade.. TeMitifa tho +assist of *$ Jsses s whiz a valve.- *dvaded cap or thrmWed plu& PwvW acts ftoin fisnel grade for the valve, t tended oW or &coded plur. kcCtiss gam_ - r4` % CJ� L ZMAS .SIPLQ h-A _ pV C vvG r*v G Lamm MWW"d tatMl t I ' Lawd t 1P ` � PtcGG�.S SWX -- -o h ri'1J 1 OO�d F Ft. hole Diameter .3 Inch S Ft, Lateral " inch( ") X Nanifold Inches Force Hn i n " a Inches I of holes /pipe -_ Invert Elevation of Laterals 22 6 Ft. 4" CI VENT PIPE 1211 KIN. ABOVE GRADES J UN C TIO N EA HER PROOF APPROVED > 25 FROM.DOOR, WI WITH CONDUIT MANHOLE COVER FRESH AIR - Ii3TAKE W/ PADLOCK tv 4" Cl RISER WARNING LABEL 6 MIN. —� __�__� 4" MIN ABOVE G ADE 18" MIN `.ti 11LET GAS ! 'WATER TIGHT SEALS TIGHT SEAL APPROVED Af© A JOINTS W/ CI ,'1.. :___{__ ALM PIPE 3' ONTO I PIPE II ON ONTO —;— SOLID SOIL 'OLIO C ! RISER EXIT ;OIL OFF ELEV • FT To "' Y Off PERMITTED ONLY D IF, TANK . MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE 1zs�j/75 n � 'TANK MANUFACTURER: � }t A Agn l c ob NUMBER °DOSES PER DAY: TANK SIZES SEPTIC 15O GAL. DOSE VOLUME FLOWBACK: GAL. DOSE • y�'� CAPACITIES: A = INCHES =GAL. ALARM MANUFACTURER: � T - 1 c�"r . MODEL NUMBER: �QI .tE g _ 2 INCHES = L GAL. SWITCH TYPE: •• r10 kT G INCHES = N 5+ GAL - PUMP MANUFACTURER: MODEL NUMBER: D INCHES = 7�� GAL. SWITCH TYPE: A; REQUIRED DISCHARGE RATE GPM PUMP 6 ALARM WIRING AS PER ILHR WA( '� FEET VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE -- FEET f MINIMUM NETWORK SUPPLY PRESSURE ' FEET FEET FORCEMAIN X 0 R f.I - FT /100 FT. FRICTION FACTO FEET TOTAL DYNAMIC HEAD = • DIAMETER INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH + ---- LIQUID DEPTH 7 ��, U POINTS OWNER'S MANUAL St MA NAGERI NT PLAN P•oa Of a FRI OFORMTif N SVSTM o = zm P ' t %jA Tarok; Ceipecity O NA Pemmit : Z p Septic Tank "e""lactunsr U � �Q S `E'rS O NA PARAMETERS Effluent Fir Manufacturer 0 NA Number of 8e D NA E"kim at Fitter Me " � 1 O [7. D NA giber of Ptiafilic Fwd ft Units 0 NA Pump Tank Capacity — 75 D gal O NA �Irnated flow leverra�ge) Pump Tank Menufec'urar e 5 O NA flow (peak). x 1.51 pC g A4j ay Purnp Manufacturer O NA Sop Application Rate ' i"p Model Lo Co O NA Standard Mfl taraffiffkaent Quarky it onthiv average Preeresornant Unit O NA FaM Oil fie Grease (FOGI 530 mil/ O Sr wUGrevet Fitter O Post Fitter Siod+emicai Oxygen Oeemand IDDD 5220 ttgi! 0 NA O Mechanical Aeration O wetiand Total Suspended Somas (TSS) s15O mg/!. O Disinfection O father: P we sted Effluent Quality Month* average Dispersal Coll(s) 13 NA Sio umnical Oxygen Dennaaid « 530 mg/L D M- C� (gravity) O ln- Ground ipraesurized) Total Suspended SoNs (TSS) 530 me& O-NA O At -Graff AWound Fecal CoWorm (goometric meiuert) tt I W cdu1100m1 O Orip O Other: Maximum Effluent Particle Site )a in dia, 0 NA Other: O NA Other: Q NA otter O NA "Vaie»s typical for doetaetic wasts+waRK and septic tank effitmort. Other NA tll}AMITMifAfilt'� .Stif �IE�IAE Shelia( Seen Service Inspect condition of tar") At ham once every: 3 3 Years! O Na Pump out contents of tankfs) Whirs comeinsd sludge and sewn+ equals one -d" 0 of tarok volume D NA Inspect diaper" cell(s) At least once every: � (� 00ndirMrnA 3 ywfi) D NA Clem effluent fir At least once every: I, � O NA inspect pump, pmw controls & storm At )wait once every: 0 monthfa) O NA Flu laterals; erred pressure teat At feast once every: O w4wobw O NA O mor�(s) At feared once every: O s! O NA fth ❑NA impactions of tarots and dispersal ceps shell be made by an usdividum carrying amt of the fa owing licenses at certifications: Master Pla -mW, Master Plir *w Reetricted Sewer: POWTS i wpmtw POWTS Maiirttasier; SspRags Servicing Operator. Tank inspections must )monde a visual rnipsction of the tank(e) to identify any nasirg or broken hardware, identify any cracks or leaks. m e the volume of combined d sludge and scum and to cI c I for my !sack up or ponding of effluent an the Wound surface. The dispersal ceps) shall be visually inspected to check the effluent levels in the observation pipes and to chock fat any ponding of merit on the ground autface. The pending of effluent on the ground surface man► indicate a failing condition and requires the inunedisie notification of the local reguistcry authority. When the combined accumulation of sludge and sawn in any tank equals one- third IV or more of the tank volume. the entire contents okthe tank shall be removed by a Septarge Servicing Operators' and disposed of in accordance with chalner NR 118, Wisconsin Administrative Code.. All otter services, Including but not limited to the servicing of effluent filters. mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months. shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4101! Z'rANT U p AM OFERATM • l� te: use of the POWrS cheE:k treennen, tank poop of `_._.. 0 the to *W tw a Warow P60 to t are a the System start up *40 not occur when "I �idoae content power an frasccNt at the +e awface outapaa pump tank many 0 abotie Offitsent, t +mss! in one dOSri. and �wrw es restored Ow Mater w� b effluer►t. To s i t uation have dee o f the _ MW molt +n the backup or surface Wacharge 0 P to the offou pump or restore normal within the p� per �+ntber ar POyVTS fiAsirrta price to reatoriM Oo not drive Or pump controls tc within 15 feet down v ehic of over tanks and dlspsntal ,ceps, Do not dr" or perk over. induction or eAnination of �, marred or at -grade swif �n area. ddb cry t. the am g from the yr mart' irnprcnre the POWTS: �• baby �sewate�r stream Wipes. crgatette butts; �: cotton swabs, IIMIIP : derrta� and prolong the We of tare foerndation drain (om• pump) water; buk and pe fbose: Painting products: pesticide.. sanitary aap�: vegetable , 94MOS gr A Ndctarita: fat; ABM tarpons; and water softener brine. trniat medications. oil; Whe M and WTS fags artdlor is permanentby taken out of service the e �d r cOmPIiaraaa with chap tw Corm 83. yy � 6e ta ken to NNW* that the system is • AD piping to tanks and putts shag be a .... Md „anto the ebaromwed pipe oPw*W saais0. Code• The contents of all Uw*3 and Pas *41 be +wrovad and Aber . cep tangs and Property dirpesed of by a Sept"* OPerstor, �. gravel or another inert r ed and removed or tAeir and the void a Mato with CONTINGENCY PLAN if the POW TS fads and cannot be repaired the foibwing& have been, or must be taken, to provide a code comppant replacement system; A ate MWernent area has been evaA&W and may be uff System- The nPiacsmsnrt am shot be prated trenr wts+anoe ard� the ioo+rd�ore of a �t trap MPA sd from 0 and Proposed structwe. lot lines sad weifa. should not be inhinped upon by rssutt In the ne ed for a new soil and Oft evaluation to aUsbash a sealable Prot ci the area win X11 wilt the ndeat in effect at that titres. �t area. Amt Systems must 0 A statabie ro� area is riot "a " due to setback ardJa stilt �, Y a holding tank may as a last resat to replace the failed POWTS. adver�ces in FOOTS 0 The sibs has not been evaluated to koangf a hokling tan won must be pwfo.W t a ° aae Upon Ish" of the POWTS a snit and sits may bee i staked as a fast A.M area. if no � area is available i, reerort to talNace the.failad f'OWTS, a " slostsms May be re onstructed in place fodowing removal of `W r > ertreires of such systems rmnt cw�r with the ru%s in effect at that time. the biontat at the PUMP Allb OTHM TMAINR TANKS MAY CCWTAblll WTIA�, Oi8 A �M• l OR OTMW TWAT"&" TANK tMIg M ANY blr�itl OXYtb�tsl, 00 NOT SON RUM THE NflVWR OF A TAM MAY 8E O�WMT OR ANDS. DEEATM MAY MMT. ROGUE OF A ADDI TMAL COsmmm=vg POMMTS MIMTALLER Name POWTS IIRA■r =A Phone t S , 51.3 Phone O Marne 1�EsRATOR Pumps" LOG/11 �9ULATORY �WTNWNTY Phone MIMS flia 80CUMMW da tud in Phone 38 El +with smote► Crown 83 .22l2RW(i iaftl and 83-S ltl. fZl & Of. Wk i„ A nW" Code. r U U ti t UJ , Effluent PUMP U RDU 38 85 Y.• APPUCATIONS • Overload protection mist smooth operation. y SIR= can be operated continuously be provided in starter unit. bronze impener available as without damage. Specifically designed for the :..: . . following uses: Shaft: threaded, 400 series an option , . � ■Bearings; tipper and • Homes stainless steel. ■ Casing: Cast Iron volute heavy duty bail bearing • Farms • Bearings: ball bearings type for maximum effiuciency. construction. • Trailer courts upper and lower. 2' NPT discharge adaptable n Power Cable: Severe duty • Motets • Power cord: 20 toot fdr slide rail system rated, oil and water resistant. • Schools standard length (optional m Mechanical Seal: SIUCQp Epoxy seal on motor end • Hospitals lengths available). CARBIDE VS. SKJC0N pmvides secondary moisture Industry Single phase: CARBIDE seams faces. barrier in case of outer jacket • Effluent systems • % W % HP -16/3 SJTO Stainless steel metal parts, damage and to prevent oil with 115 V or 230 V three Bt1HA -N dastomem wicking, prong plug. SPECIFICATMS •'y -I % HP -1413 STO with m � Corrosion-rssi w 0 -ring: Assures Positive bare leads. stainless sleet. Threaded sealing against contarninants Pump Three phase: design. Locknut on three and oil leakage. •Solids handling capabilities: . , -I % HP -14/4 STO phase models to guard % maximum. t component damage • Discharge size: 2' NPT. with bare leads. On CSA � AGENCY LISTINGS fisted models - 20 foot on accidental reverse rotation. • Capacities: up to 128 GPM, length SJTtN and STW ■ Now. Fully submerged in @ Cm " � • Total heads: up to 123 feet TDH. are standard. high- grade turbine ON for • Mechanical seal: silicon lubrication and efficient heat �L carbide - rotary seaVsllicon FEATURES transfer. carbide-stationary seat, 300 ■ Impeller Cast Iran, semi - w designed for Continuous series stainless steel metal opera" Pump ratings are rts. pa BUNA -ly elastomers. out vanes ar open, non-dog f for p within the molor manufacturer's • Temperature: Balanced foor r seat recommended working limits, 104 °F (40%) continuous protection. Ballanced 14O•F (60 Intermittent. MUM • Fasteners. 300 series stainless steel. SEWS: Dios • Capable of running dry 25 eo wE1 PM without damage to sc� c omponent s. 70 SFr - 20 Motor Single phase: : * K HP, 11 S V. 200 V, 230 V, 15 so 60 Hz, 1750 RPM; % HP, 115 V. 60 Hz, 3500 RPM; S 40 %HP -1hHP, 23OV, 10 , 60 Hz, 3500 RPM. so • Buill -In overload with automatic reset.' * Class B insulation. 5 Three phase: 10 i • h HP _ 1'A HP 20D/2301 a o 46Q V, 60 lit. 35QQ RPM. 0 10 20 30 40 50 60 70 80 90 100 110 12t? 130GPM • Class 8 Insulation. a io 20 3 0 "''"' CAPAC Effective May. 1995 0 1995 Goulds Pumps ft —c 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 o limited horizontal BM direction and % of sloe not I m ted to vertical and reference point ( ), slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION V D Y D TE PROPERTY OWNER: PROPERTY LOCATION Derrick Construction, Inc. GOVT. LOT NE 1/4 NW 1/4,S26 T 30 N,R 18 9 (or) W PROPERTY OWNERS MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CS M # 1505 Hy. #65 8 na '� D' a CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD New Richmond, WI. 54017 (715)246 -2320 Richmond I 140th. Ave. k) New Construction Used I Residential / Number of bedrooms 4 [ ] Addition to existing building j I Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate nP bed, gpd /ft .3 trench, gpd /ft Absorption area required nP bed, ft .3 trench, ft Maximum design loading rate ---LIP P bed, gpd /ft •3 trench, gpd /ft Recommended infiltration surface elevation(s) 99.10 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour 11ine of el. 98.10' 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 for s stem ❑ S ®U C S ❑ U �7 S ❑ U FI S ❑ LI El ®U El ® U 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 Tre & 1 0 -10 10yr2 /2 none mfr cs 2f np .3 2 10 -23 10yr4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 23 -48 7.5ry4/4 none sl lcsbk mfr gw if .4 .5 elev. 98.5 ft. 4 48 -74 7.5yr4/4 none sl M na gw na .3 .4 Depth to 5 74 -84 10yr6 /3 fractured limeston na na na na np np limiting fa�k�r Remarks: Boring # 1 0 -12 10yr2 /2 none 1 2fp1 mfr cs 2f np .3 2 12 -24 10yr4/4 none sicl lmsbk mfr gw if .2 .3 3 24 -44 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 Ground elev. 4 44 -71 7.5yr4/4 none sl M na gw .3 .4 9 B-5- ft. 5 71 -84 5yr4/4 none scl M na Depth to limiting � - o Remarks: H -5 has less than 50% limestone particles ` STCgaX Ai CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 0FF Address: 1554 200th. A ew RichmonA WI 54017 - 98 Signature: Date: 5 -12 -99 CST I _ PROPERTY OWNER Derrick Const, Inc. SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # t Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxl3y Roots GPD/fiLf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -13 10yr2 /2 none 1 2fpl mfr cs 2f np .3 2 13 -25 7.5yr4/4 none scil lcsbk mfr gw if .2 .3 Ground 3 25 -63 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 elev. 97.5 ft. 4 63 -84 5yr4/4 c2p 7.5yr5/8 sl M na na-4 na 0 .4 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. i ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) t 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 #8- 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 -40 , BM.= top of 2 pvc p ipe C el. 100.00' Atl. BM.= top of 2 pvc pipe C el. 97.85' -44 t �I Gary L. Steel 5 -12 -99 r SUNRISE MEADOWS NORTH I 140th Avenue 346' 320' 320' 320' 320' 320' 320' 320' t 3 1 2 3 4 5 6 7 8 CM L 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 c N 140th Avenue SUNRISE MEADOWS A 12 Roberts 65 1 -94 (715) 246 -2320 1505 Hwy. 65 DERRICK P.O. Box A New Richmond Wisconsin 1000NSTRUCTIO ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND . OWNERSHIP CERTIFICATION FORM Owner/Buyer 1:V A-L` V--0' AVM 30t#4--r V4G N yu OL — / M i C.14 A"EC, e & T%— c AJ S Pa & x 1 05 - k Z r� Mailing Address C" W�-a ALA, �-� � 7< 1 � 7 Property Address `3 - 7 774 . (Verification required from Planning Department for new construction) City/State �cAb"a&LO Parcel Identification Number �a : LEGAL DESCRIPTION p Property Location A�C % %4, Sec. Z-(o, T _�Q N -R N W. Town of A 'Q "X) Subdivision 5U kW4 Ste' Lot # g Certified Survey Map # _ . Volume , Page # Warranty Deed # (oaa Y-a . Volume 1 . Page # �9 S" Spec house ) ? ( yes O no Lot lines identifiable )<yes 0 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 furiction 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, journeymanplimber, restrictedplumber or a licensedpumper 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 t your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days ethree ear a p' e. GNATURE OF Appmcmtr DATE OWNER CERTIFICATION e) 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 pro des 've e of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICAft 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 1 —1982 WARRANTY DEED KATHLEEN H. WALSH h + ((]] REGISTER OF DEEDS ' DOCUMENT NO. Y01 141,4PACE59 5 ST. .CROIX CO., WI --- RECEIVED FOR RECORD N This Deed, made between 03 -30 -1999 3:45 PM :t Richard A Gillis and Janet L. Gillis, Husband and Wife, and each in their own right_ WARRANTY DEED EXEMPT A Grantor, 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 $ 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 NWa) of Section 26, T20N, R18W p1 This is riot homestead property. 14aIC (is not) Together with all and singular the hereditaments and a 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 10 (SEAL) (SEAL) i c h a r d A. Gillis (SEAL) a n e t L G ill i s (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signatures) State of Wisconsin, ss. St. Croix County. authenticated this day of 19 Personally came before me this 3 0th day of March , 1 named LIAr Richard i Janet L. Gilliiff. Y TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) to me known to be the person t o elle&is'dthe f ri g instrum nt acknowled a the s PUBLIC LIC ` TV INSTRUMENT WAS D T BY Kirk A. Lindell 1 23 Notary Public, St. Croix County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary.) 10/29/ , 19 99 ) • Names of persons signing in any capacity should by typed or printed below their signatures. STATE $AR OF WISCONSIN Wisconsin Legal Bla WARRANTY DEED Form No. 1 —1982 Milw y SUNRISE MEA N LOCATED IN PART OF THE NW 1 4 OF THE NW 1, NW 1/4 OF SECTION 26, T30N, R 18W, TOWN OF ei a� 3�>E CORPORATE OWNERS Derrick Constructic UNPLATTED LANDS OWNED BY OTHERS ce t said surveyed. divided. Derrick Construct; required by 5.236 approval or obje 140TH AVENUE Cannittew and the — IN WITNESS V be ! Presents to be r O N I% by Mary Ann DerriC S89 "E 2636.26' SECTI I — -- -- - --- -- � -- -- ---- -- ---- - - -- -- -- -' — In presence of IoKSC Derrick Constructic i M.VL. 888.0 O STATE OF VISCONSIP CA ST. CROIX COONTY 7 8 w Personally cww b. 6 — W Derrick, President J w c Construction, Inc.. = x "' 4.604 ACRES 4.611 ACRES p be s uch P_ resident H to 200,529 SQ FT. 200,844 SO. FT. 1, %a that execute W 9 ? said Corporation, b N ?� ° Notary " " P My [omission explr C3 W N Resolved, that the Construction, Inc., MM7r tx +i- 74' •i- . Warren Bader. Tos = I hereby certify N89.53'24 "W 2631.73' the Town Board of , }}=� Jsnlce Ball, Town 3 UNPLATTED LANDS OWNED BY OTHERS Y SV4 CdIxEN SECTION e6 IM WZM MIEMT OMA"M n MICIVEL EISN]OOM .Nos NO. N -25 OATEi 4/101ee SHE