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HomeMy WebLinkAbout026-1286-02-000 ' Wiscsnsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488071 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: Sunset Ridge LLC Richmond, Town of 026- 1286 -02 -000 CST BM Elev: Insp. BM Elev: Description: Section/TownlRangeJMap No: /00 GS 34.30.18.1424 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER JZ CAPACITY STATION BS HI FS ELEV. V (eA- Septic •L, Benchmark u 100 7 (,p /07. te ✓L'a Dosing fr 14 a-- Alt. BM �, J r^ 4 . 86 0� a F 5;�� 7.%b /o 7 Aefau= Bldg. Sewer F, 7'5 1 166,1 Ho ing t/ t n et St/Ht Outlet TANK SETBACK INFORMATION BLDG. �- en o it na e ROAD Dt I ep is 1 i i o om I2,`� `J • 7 Z? I Z(o 77 7 `7 -- osmg Header/Man. 2,7 1 Z(V 77 7 7 era f 1 n Dist. Pipe o ing Sot. S yst ern . 7 4Fc PUMP /SIPHON INFORMATION F inal Grade 3 (C: manufacturer / eman over, L -•h4 L,Q : a GPM 3. 1 1 6 3.7 model um er N 3 Co.ti� l roz 7 I L Itt F - ric - rio0 ro — ss ys em ea .T. °I , 5 to �. 1 Qo i -orcemain 1 1-engin 1 ,1 /6 7- 12Z, 1, MTE SYSTEM DIMENSIONS INFORMATION 7 CHAMBER OR UNIT "_ G(-Jlo 3io' 84 ` ��� ` I \ Pipe(s) Z Length 15 Dia Z Length 0 o Dia Spacing X Pressure Systems Only xx Mound Or At - Grade Systems Only Bed /Trench Center / Bed/Trench Edges Topsoil r, ,�Pes i I No 'Yes 7]N. COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1: `4 / ZT / b Q. Inspection #2: ! / 01 r . - N Location: 1206 124th Avenue New Richmond, WI 54017 (W 1/2 SW 1/4 34 T30N R18W) Sunset Ridge Lot 2 Parcel No: 34.3 I 1.) Alt BM Description = J,-P 6 004"- d' a'M• 0� 2.) Bldg sewer length = c -7 / - amount of cover = r G(,� �,,; ,� �- 1- •ac.�,S d, �� Plan revision Yes Use others de for additional information. No Z d — - - -in tore- -- -- - - -- - - - -- — � _ - --C . -No- SBD =6710 (R.3/97) i - Safety and Buildings Division County AN AN 20 Washington j Nv scO S,n M t ison, WI 5370 7RHCEIVE Sanit. y Permit Number (to be filled in by Co.) (608) 2116-3151 De artment of Commerce 0 O0 Sanitary Permit AQ o FEB 0 9 200 State "an I Number In accord with Comm 83.2 1, Wis. Adm. Code, person formation ou provide 3 7? Y 7 may be u for secondary purposes Privacy La , si 5.o4(1 m) ST. CROIX COUN ojec Address (if different than mailing address) ZONING OFFIC I. Application Information — Please Print All Information Property Owner's Name Parcel # Lot # lock # Property Owner's Mailing Address ,,,Q Lq — Property 11 Locatioon� t& ' ' `� l �6) _� /. Section City, Sta Zip Coe Phone Number II. Type of Building (check all that apply) Subdivision Name CSM Number 2 Family Dwelling — Number of Bedrooms ❑ Public /Commercial — Describe Use ❑ State Owned — Describe Use ❑City Elvin 9 wnship Of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) c� Q A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumb Owner IV. T e of POWTS S stem: Check all that appl p r ❑ Non — Pressurized In- Ground ❑ Mound > 24 in. of suitab soil ❑ Mound < 24 in. of suitable soil 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 Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersabTreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) ystem Elevation VI. Tank Info Capacity in Total I Number Manufacturer Riefab Site Steel Fiber Plastic Gallons Gallons of Unit ty C /�� I C /+ tlete Constructed Glass New Fafisting �; 1 Tanks Tanks 1, Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement - 1, the undersigned, ass r sponsibility for installation of the PO S shown on the attached plans. PI ber s Name (Print) Plumber's Sign MP/MPRS Number Business Phone Number X26 v� / j f Plumber's Address (Street, City, State, Zip C y o/ 1. Coun /De artment Use Onl Approved ❑ D rov Sanitary Permit Fee (i Ludes Groundwater Date Issued suing gent Sign Stamps) Surcharge Fee) ❑ iven Reason for Den 1 I Q IX. Conditions Appro SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 s I1 inches in size SBD -6398 (R. 01/03) Safety and Buildings 10541N RANCH ROAD commerceml.g& HAYWARD WI 54843 TDD #: (608) 264 -8777 i scons i n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary February 07, 2006 CUST ID No. 226900 ATTN.- POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/07/2008 Identification Numbers Transaction ID No. 1237987 SITE: Site ID No. 709426 Sunset Ridge LLC Please refer to both identification numbers, 124TH Ave above in all correspondence with the agency. Town of Richmond St Croix County W1 /2, SWIA, S34, T30N, R18W Lot: 2, Subdivision: Sunset Ridge FOR: Description: New at grade system, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1061474 Maintenance required; 450 GPD Flow rate; 39 in Soil minimum depth to limiting factor from original grade; System(s): At -grade Component Manual, SBD- 10570 -P (R.6/99) 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, P.O •N stats. Condit The following conditions shall be met during construction or installation and prior to occupancy or use: APPR General Approval Conditions: 7ME of SM • This system is to be constructed and located in accordance with the enclosed approved plans and with the design manuals noted above. • In the event this soil absorption system malfunctions so as to create a health hazard, the property owner in st SEE CORR1 follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described the At Grade Component Manual are complied Key Item(s) • The designer proposes to install an effluent filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. Reminder • The orientation of the at grade system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the at grade per At grade Component Manual. • Surface water drainage shall be diverted away from the system area. • Materials shall conform to the requirements of COMM 84. • SHAUN R BIRD Page 2 2/7/2006 • Maintain well and waterline set backs per COMM 83.43(8)(1). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/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, operatio r main nance of the POWTS. Since Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L dor POWTS Plan Rev ewer, , Int ated Services WiSMART code: 7633 (715) 634 -7810, F (715 34 -5150 , M -f 7:45 am - 4:30 pm pshandorf @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 i I Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 1/30/06 Owner:Sunset Ridge LLC Location:W1 /2 SW1 /4 S 34 T30 N,R18W Lot 2 Sunset Ridge Richmond System type: At - Grade Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01 /81) Page# i T.S• 1. Cover Page � 2. At -Grade Plot Plan 3. At -Grade Cross Section C E 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section :s� CE 6. Pump Curve rl 7 -8. Maintance and Contigency plan 9 -11. Soil test Shaun Bird Signature License nu er 226900 PLOT PLAN PROJECT Sunset Ridae LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54017 W 1/2 SW 1/4s 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 102.9' BEDROOM 3 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark AL Property Line Area 15' below 102' system is to remain B-2 Scale = 1/4" = 10' undisturbed 102.9' 5% Slope 103' Grading is to be done to divert run -off away from system Tank is to be 0 properly bedded and B - 3 provided with lockdown covers with approved warning labels Huffcutt Combo Tank Well is to meet all setbacks Pro 3 found in Comm. 83 Bedroom House 342' Property Line 124th Ave s � _ >5i B ? 5 ` PA �aALE.NtAI id ._� w �c1 STfEgl s�£D o�� -:RT4brs WELL [� Ir 5' 6 B 1/6 1/2 B A _ V�� F . r f, 8 = � RE L =C f:-L. CELL of Vii. — ZJ2 A�66itF.C. tt -TE ��Qpb�F b S uT � 1=ahr;c } Distribution Lateral Soil Coyer .STFt5ILMr-b Observation Well Z , t - 1 j # bV1fE© L f IL4 s -2: o w an d Cross Section of �Giscoxasin Eft -grade �3nit witls a plan Vxe in Site Single Absorption urea on a slop r - Page Of Distribution Pipe Retail For Lateral Network ACCers TuRk -uP (CLftnOUT) PVC Force in pvC gistribution Pipe = P Last dole Should Be Next To Tuttle -uP -- Hole Diameter `' "`" Inch P _ Lateral Diameter �- Inch {es} �( j` Inches .� Force Main Diameter Incites Yc inches of Holes/Pipe Invert Elevation of Laterals 42; Ft. Signed: License Number: Date: i SEgTTC TANK PUMP Ci,Rt�BFR CROSS SECT�D A�� SP£CZT FCATIt�t�S jEAMRPRWF APPROVED ,t MIi�. ABp�E GRADE JvNCTION BOX µ" G:: V ENT PIPE i I NI3f� GR w I -TH CONDO I T MART I4LE COv ER DOOR, W 1 PADLOCK � FRE ^a LR itTAXE . ter± d �tpsRMl�dG LABEL rimf / Zit p INLET GAS— a ` D TIGHT JiDI siTS VITH WATER TIGHT c�LS � SF-AL- � L ALM App�t(} PIPE SpLIO SOIL APPROVED C r PIPE 3 OFF p}m S()LID FT_ SOIL PI#mP OFF E D BE -DDING UXDER TANY _ PAD 3 u c,V ED C CRETE A PP l:�� SPrL }FIi � DAY: DOS �M$LE Dt3 SES ?Eft ---- -~ SEPTIC T U R ER � r i NC LuDT TANK �� GAL - 2'�A2�',1T AC T#.iRER _ T3{}SE GAL. FI.DLJ$f�CIC: ��- -- � 7 ii,AL TA1tK SIZES -- SEP'TIC L _ _ � riCIiES = ...� DOSE ' y TIES: GAFRCI :� � B __ Z INCHES GAL = �- �-'_ MANUFACTURER GAI-- A - ' MODEL NftIIS£R � i t lL�� _ /� r � INCITES _� ----- SwITCFI 'TYPE: ,� tJ C - - - ---- � j GAL - ry INCt�£S — PUMP EAC vJR� = ripid€J ' C%C/_��J - R5. 23 t,IAC Mt)DEL INtiB£R = " �� ,� _` ` � t/ r M �IIR� I�G AS 'PER I L�3 sw;'TCH TYPE= -a Pr 33P E' � FEET RAT --- Tl pti �' P -FEE'T REQ� ;rZE3 DIS DIS"Ir_ p�Mp QF F ARD FEET VERTICAL DIFFERENCE $E E FR£SSUI�E - RICTION FACT 3PPLY ++ T FT- F. NAMIC MEAD 4, MIN114JM F££ o R ( N � � - F / I€� g T£3Tf L DY - DIAMETL NSIDA� {}g FMP IAitK= L£I1Gsh jNTERNA L ? IttE LIQ - D A"= E S IG NED = ;�, r--' TOTAL DyN` ER , WNUTE Pt. HEAD CAPACITY CuRV AMID E EFFLUENT D IDEEWATERING 1Y MODEL 1 5-2 _ 152 50- Feet Meters Goi. 1 Liters Go.;- LiterS 1 1 , 69 261 I 77 291 153 j 5-, 231 „� 2 - 40 152 1 ii 1 A 20 1 61 123 1 i ) ! : ^_ 5.1 I 44 157 52 1 ; 9 30- 2 3 7.6 3 1 29 j -42 1 30 9. 87 I 3z 3 12 T I i 0. 7 J 22 85 1 20 o '2.2 6rn 44, 4..—.) 4 LO c k V-�Ive: 2 1 D 4 C o0 80 100 CA 0Nq iM”, L,T, + 24 320 3 27/32 5/ 8 7 FLOW H i,11NuTE CONSULT FACTORY FOR SPECIAL APPLICATIONS J Timed do-sing panels available. 3 -77/ 32 Electrical alternators: for duplex systems, are available and supplied with an alarm. Variable level control Switches are available for controlling Single Phase systems.. Do'- variable level float switches are available for variable level long and snort cycle controls, L I U Sealed Qwi.k-Box available for outdoor installations. See FIV1 • Over 130 °F. (54*0.) special quotation required. 1 /9- 152t153 ' Series �7 I52I53 AAODEL s I Control selection 11 Mode �Ap. I DapieX 2.13 I 3N152 115 1 Auto 2-13 -42 E152 1 230 1 1 Non 4.3 ppj; I )V I I Auy) 4.3 Included J 2 or J 1 N163 1 1 Non 10.5 1 2 o 3 eN153 115 1 Axo 10.5 lncjuded= 2 =-,� SELECTION GUIDE I� E 153 1 230 1 Nor. 5.3 1 2of J 1 Sing ppiggyback varia bie !evel float switch 0. double piggyback variable ievaf "nowt 1 LfLa 23u 1 l ro 5 - 3 j injcuo� 2 aj 3 . :t--, �W' - '4?7. � ac�n- ReferiocMf, IA CAUTION 2. See RAD712 for correct model of Eiemdcal Aftermlor E-Pak- All 7 of controls, protection devices and wiiing should be dc)na by a qu3ijfed 3. Variable level cant cl switch 1 0-022 2 ' , used as a control 3ctir3lor, specify duplex (3) licensed electrician. All electrical and safety codes should be followed i the incst or fl aT SYSTEM. recent National Electric Code (NEC) and the Occupational Safely and Health Act (OSHA). , 11 RESERVE POWERED DESIGN For unusual Conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL 1 P-o. BOX 1 6347 I KY 4025 -0347 0 .07 - ,ie .Run Road Si0 TO: 3649 C- Louis-ifia, KY 40211-1961 awTy Ailws 51 /9ff A/W I F (502) 774 C Copyright 2000 Zoeller Co. All rights reserved. � PLAN Page os ' NE�.ys MANUAL & MA�A�ENCE� oxs 90WTS OW SPEC(FiCA11 SYSTEM F[r a 1tdFORMAn Septic Tank CaPacitY `l' C at © NA owner Septic Tank Ntanufacturer - �/' t A Perm - 0:7/ Effluent Filter Manufacturer Q NA _ ) 0 NA t3ESio PARAMETER CI NA Effluent Sifter Model R Tank CaP2C'W U al D Number of Bed Pump Number o €Commercial knits afda P ump Tank Manufacturer �, �'- NA ❑ NA Esdmated flow WeMge) and _ pump ManOidulef ,� - X'-s Model r, J' �� aeSVn DOW {Pe3k)� ( -- avda lft� Pump Sail �+P b°r' Rate Monf * average' Prste ea ant un Fttter D Peat Fatter � p Wetland rrrtluerrYEffluent Qu ntg/1 p fll[ed►anical Aeration Fats.. 0H & Grease tFQG) o cnher- ! Oxygen Demand (BOD g72o mg/L fl DjS7 infection Biortlern� Solids ass) Si So m IL Manufacturer Total Susf round (P read Cell(s) Q in-ground Monthly average"` DisQe rev ty) ressurized} P rod Effluent Quality p 1 .ground (g p Mound Ss0 mgtL en Demand (800--) _grade fl other Biochemical oxyg SS 53o rns ine Tota Suspended Solids (T SS) 510,c cfufloomi Q Qn wastawatnranQ Fecal Cottfo[sn (geometric mean) values vplc l for dacnesLc (noaoornrnerc>an �g inch diameter �� tank went Maximum Effluent Particle Size • • values types for predated wastev+Ater. [dlAltiTENp►NCE SCHEDULE Service Frequency r� tirlee Event 0 months �5) (Maximum 3 yrs.) At least once every �- j e oats one -third ( ) of tank volume Inspect condition of tank(s) vVnen combined sludge and scum Q Pump out contents of ta(�k {s) v p months ,�ea (Maximum 3 Yrs -) At 3east once every ar(s) inspect dispersal cells) D months . At least once every ears) p NA Clean effluent filter contents of the tank shalt p months ump oo npvts & alarn; At least once every Inspect Pump, P At least once every' �� ❑ month year p NA Flush Laterals and pressure test p months fl Year(s) p NA At least once every ots,nr p months Et year D NA At least Once every O'r n one of the following licenses or uw N['ENAN� wSTRUC'nON5 tor. POWTS Maintainer Seprage , [ �� and dispersal cells shad be made by an individual canyi g a n missing or broken t�tictons ng Operator. Tan :Master Plumber: Master Plumber Restricted Sewer Pfl o the ta,,k(s) to en�Y y back up Servidis inspections must include a visual inspe t lack k f effluent levels hardvhardware, kfentrfY any or leaks, measure the volume of combined sludge and scorn and t check for any npund surface- The dispersal caeli shall be visually ndi of effluent on the or pondog of effluent on the g for any ponding of effluent on file ground surfam The po "g authority - in the observation pipes and to check req u ire s the I.rnrnediate notification of the Local regulat,xY ground surface may indicate a falling �ndition and o ats one -third �X) or more of the tank volume, NR When the combined a�umulation of sludge and scup► in any tank e!; erator and disposed of in accordance with entire be remove by a Septage servicing Op 13 WjSC;tSn51n Administrain'e Code- onEnt5, pretreaterrlentrnponents, and aftY rformed dY a cel'tified POWfS Maintainer - Tlte seividng of effluent filters, mach tel+rais of 12 mo the of less shall be {�? r of a service sent o€h ermalntenancaeormonit ofc0Mp1efra W A service report shalt be provadeti to the local regulatory authOClty in 10 clays ntin roditcts or ether RT STA UP AND OPERAT10fti the Presenc e of poi Q are For new constluuc�n. prior to use a the t p c s c heck treatrnent andfo damage the dispersal Cellos)- if high concentra6ort chemicals Mat may impede the treatment proses o rator prior to use - deteded have the contents O f the tan k( s ) removed by a septage servicing Pe Pa of_...-- r1 - S a ll col are frozen attire infiltrative surface System start LIP shall no[ occur When Po we r is restored the excess er ��es pip tanks May fill above normal Sit�hwater levels When 0,.j.9 Pow • P ge d a ed to the dispe celf(s} in one Larose, overloading the cats) and r>1ay result in the �e+srater von be disch To avoid this situation haves the cor�tersts of the pctm r lank removed try a badatp or Urfa, dtschmue of efttr� t ar contact a Piun der or POYVTS Maintainer to age r Sev+an9 O�Ot tsi restoring power to the effluent pump um tank. Septa iin Se rIlI3tly t ermtor p Me p F controls to restore normal levels within th p ump P assLif drive or vehicles over tam and dispersal Mils_ Da not drive or Pad over or otherwise disturb or compact Do not P mound or at -grade soli absorption area- the area within 15 feet down slope of airy ro n - nance and prolong Vv (rfe g Redaction or - efrminatlorz of the follOWin from the w astewater stream may imp ve the perfo ; s; den degreasers; floss; diapers of the POWTS_- antibiotics; baby VOCS. Clgarttte butts; condoms; �tfon swabs, pump) water; fruit and vegetable peetirtgs; gasoline; grease: herbiczrSt s; [neat disinfect mts; fat fourid$6on di aln {s pastilles; sanitary napkins: tampons; and water softener brine. sue; medx�ns; oil„ painting products; _- ABANDON WENT anerroY taken out of service the following steps shad tae taken to insure that the When the P'OtAr S falls andfor is perm 33, 1A(s�nsin Administrative e= sit i p and safely abandoned in oontprrance wilts ch Comm 83_ r nings sealed - A,1t piping to tanks and pits shall - be disconnected and the abandoned p pe ope - Ttte contents of aII tanks and nits shall be removed and properly disposed of by a Septage Servh v Operator. After pumping, all tanks and pits shall be excavated and removed or their rovers rsrnoved and th void space fitted wv h soil, gravel of an [Wert solid material- CONTINGENCY PLAN measures have been, or must be taken, to provide a code if the POWYS fails and cannot be repaired the fotiowsng compliant mpiacernent system: O A suitable replacement area has b evaluated and may be ufifized far the iaca6on of a replacement soy absorption systern- The replacement area should be protected from sere lot r a and com n and re oo (d not be infringed upon by required setba from existing and propo pro the replacement area Will res ult in the need for anew soija ed sry effect eval That time a suitable p R systems must comply replacement area_ p D A suitable replacement area is not available due to setback ar ic.f' or soil limitations_ Barring advances in POW r technology a bolding tank may be in52lled as a last resort to replace the failed POWTS- a suitable replace rer:t area. Upon failure of the POWTS a soil and The site has not been evaluated to ide ntify €-rent area is available a perfor site evaluation must be as a last re med to locate a suitable replacement area_ If no replace site hol tank may be installed sort to replace the failed POW TS- 4O ound and at -grade sort absorption syste ms may be reconstructed in place following removal of the biomat at the iri ittraiive surface- Rearns>W�ns of such sjrstems must comply w e Wires in effect at that dine. " <<WAP.N TANKS MAY CO NrTAIN LETHAL GASSES ANf3fOR INSUFFIGIENT OXYGEN_ SEPTIC, PUAKP AND OTHER TREATMENT CIRCUMSTANCES_ DEATH MAY TAN NOT ENTER A SEPTIC, PUMP OR QTHER TREATMENT TAK UNDER At`TY RESULT_ - RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE- ADDITIONAL COMMENTS P:?Ytr3"S INSTALLER POW +"S MAINTTAINER Name I ' B Phone SEPTAGE SERVICING OPERATOR PUMPER} PL IzEGULATCIRYkUTHORITY i�� 4 mama Agency 1 Phone 13 f ony � � r Y/ €his dowmem- - as dratted bythe staffs of the Green Lake, MaMuette and Wasrshara County Zoaing and Sanitation agents. This dOCIrTrJetit meets me,amzimum requirements of dt Comnn g3 }{b){i}{d)&;0 and 83- 56(t)- (2) & (3j. Wisconsin .4drty#Nsitafr� " Use of this daarmen[ does not �r (7101) guarantee the performance of the POWTS- PLOT PLAN PROJECT Sunset Ridae LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54017 W 1/2 SW 1 /4s 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 102.9' 3 BEDROOM CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P Same as Benchmark Property Line Area 15' below 102' system is to remain B-2 , undisturbed 102.9 Scale = 1 /4 �� = 10 5% Slope 103' - Grading is to be done to divert run -off away from system B- Tank is to be properly bedded and B-3 provided with lockdown covers with approved warning labels Huffcutt Combo Tank Well is to meet all setbacks Pro 3 found in Comm. 83 Bedroom House 342' Property Line O 124th Ave Wisconsin Department of Commerce SOIL. E VALU PORT Page of Division of Safety and Buildings in accordance v ith CoR> s I VE a my Attach complete site plan on paper not less than 8 112 x 1 incheE is i stze. Plan must include, but not limited to: vertical and horizontal referen a point (;3P, "`, direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and I tion arA R f a ng @@� road. Reviewed by Date Please print all informs ion. ST. CROIX COUNTY ` Personal information you provide maybe used for secondary Q pose: (p.�y�v r pp (1) (m)). O Q 240 Property Owner r t Location Govt. Lot W 1/ �(J /4 S T3 C) N R E In W Property Owners Mailing Address 7 ./ Lot Block # Name or CSM# City. State Zip Code Phone Number E] City [] Village own N est Road 71)7 Z " & /r" j A as New Construction Use esidential /Number of bedrooms _ -_.�_ Code derived design flow rate GPD ❑ Replacement _ ^ � /Public or commercial - Describe: -- - - - - -- -- — - - -- - - -- -- Parent material __ _ Flood Plain elevation if applicable + cif ft. General comments / Z and recommendations: B surface Boring ` it Ground elev. V f . Depth to limiting factor 4 ; in Boring # Soil Application Rate Horizon Depth Dominant Color Redox Description — exture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 Z-_ ,� ---��� v✓S`��� 4 yv � — E14 O Boring Boring # / �z� t- Depth to limitin factor in• Pit Ground surface elev. /, 4 g Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP •Eff#1 `Effff2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 043 r 3 / ` Y S i J /.0 2 - O ,.S/ _ C. 1 t� to 5 . r y/_ k t,J 1 0- 0- 2 (o 1 -- E�fluent #1 = BOD > 30 < 220 mg/L and TSS >30 5: (,gA `Effluent #2 = BOD < 30 - 4L and 7SS < 30 nx3IL CST Name (Please Print) CST Number Bird Plumbing, Inc, Shaun Bird 226900 Date Evaluation Conducted Telephone Number Address 715- 246 -4516 1008 192nd Ave, New Richmond, WI 54017 2, Property Owner, Parcel ID # __ Page of - Boring # ❑ Boring it Ground surface elev. �! _eft. Del:st, tc niting factor _^ in. Soil ADPlication Rate Horizon Depth Dominant Color Redox Description Texture :: n vre Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color ? :p. 3h. 'Eff#1 'Eff#2 ,. r 3` _ — C — S r yt to J. U �ZC I n r S z `f 1 7 ell E Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Dep,i o limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture ' >tr j4'ture Consistence Boundary Roots GPD/Ff in. Munsell Qu. Sz. Cont. Color G 3z. Sh. 'Eff#1 'Eff#2 E] Boring E Boring # Ground surface elev. ft. Dept 1 .o limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture �: ;tr �ctare Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color (;r. Sz. Sh. 'Eff#1 'Eff #2 ' Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 1150 mg/L ° Effluent #2 = BOD, < 30 rrKA and TSS _< 30 mg/L The Department of Commerce is an equal opportunity service provider aad employer. If you need assistance to access services or need material in an alternate format, please contact the derarement at 608- 266 -3151 or TTY 608 -264 -8777. SSO.9330 (R.6M) Soil Test Plot Pl PB* Project Name Sunset Ridge LLC S Address 838 Summer Pines Circle Hudson Wi 54016 M #226900 Lot 2 Subdivision Sunset Ridge Dat 4/15/05 W 1/2 S W 1/4S 34 T 30 N /R18 W Township Richmond Boring 0 Well PL Property Line County ST. CROIX A * r--� or VRP Assume Elevation 100 ft. Top of Survey Nail /Iron System Elevation 102.9' *HRPSameasBenchmark B.M. 60' 2C 172' Property Line 15' 102' 100' B_2 95' r- 5% Slope 1' _1 B -3 Scale is 1" = 40' unless otherwise 103 noted 342' Property Line i ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address �tZ rv► n tn� ��- 'r.�G'� /2 6 -! Y ,t`�'�� 1 `5 l� f Cl Property Address (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Iden ' ication Number LEGAL DESCRIPTION Property Location lj ' , '/a , 5ec , T ON R W, Town of �l Subdivision ' Lot # Certified Survey Map # , Volume Page # Warrant Deed # �`� �7 y , Volume Z(fy,�2 Page # v Spec hous ye no Lot lines identifiable ,yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the propert described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF A LICANT(S) DATE * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) FRGM :OEVERING HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P11 Iva - Is OIL I — - - - - -- N h N w � a�w• -- .. -...- --- �.-------- - - --- - - ---.- N 1 =f p N `_ f WC FOOM :OEVERING HOMES LLO FAX NO. :7155311282 Dec. 14 2004 10 :14PM P12 my -------------------- - do gill ! ` i f d a , — ` i I i I '�. U 2660P 305 7- 7e.9,4� STATE BAR OF WISCONSIN FORM 1 - 1999 WALSH Document Number WARRANTY DEED K ATH L EEN EGISTER OF DEEDS ST. CROIX CO-, WI This Deed, made between Herman W. Aeller, Sr., Herman W. RECEIVED FOR RECORD Keller Jr and Karen M. Keller, husband and wife 09/21/2004 10:250 Grantor, and Sunset Ridge, LLC Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee EXEMPT # the following described real estate in St. Croix County, State of Wisconsin REC FEE: 13.00 (the "Property ") (if more space is needed, please attach addendum): TRANS FEE: 1440.00 See attached Exhibit A COPY FEE: CC FEE: PAGES: 2 Recording Area Estreen & Ogland ' 304 locust Street 0 - IL4 Hudson, W! 54016 Together with all appurtenant rights, title and interests. 026 - 1098 -20 -000: 026- 1098 - 30-000 Parcel Identification Number (PIN) This is homestead property (is) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of record. Dated this day of V 2004 * Herman W. Keller, Sr. * Herman W. Keller, Jr. * K ren M. Keller AUTHENTICATION ACKNOWLEDGMENT Signature(s) Herman W. Keller, Sr., Herman W. Keller, Jr. STATE OF WISCONSIN ) and Karen M. Keller, husband and wife ) ss. ST. CROIX County ) authenticated this ? da of i " '2004 Personally came before me this day of 2004 the above named Herman W. Keller, Sr., Herman W. Keller, Jr. and Karen * Kristina Ogland M. Keller, husband and wife TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Slats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland, Estreen & Ogland 304 Locust Street, Hudson, WI 54016 Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, W1 STATE BAR OF WISCONSIN 800 -655 -2021 WARRANTY DEED FORM No. I -19" 2660P 307. - EXHIBIT A - Located in part of the northwest quarter of the southwest quarter, and the southwest quarter of the southwest quarter of Section 34, Township 30 North, R ange 18 West, Town of Richmond, County St. Croix, State of Wisconsin described as oliows: Commencing at the southwest comer of said Section 34; Thence North 00 degrees 08 minutes 04 seconds East along the West line of the southwest quarter of said Section 34 a distance of 484.68 feet to the POINT OF BEGINNING; Thence contiue North 00 degrees 08 minutes 04 seconds East along said West line of the southwest quarter 2157.27 feet to the West quarter comer of said Section 34; Thence North 89 degrees 50 minutes 54 seconds East along the North line of the southwest quarter of said Section 34 a distance of 1018.75 feet; Thence South 00 degrees 08 minutes 04 seconds West on a line parallel with the West line of the southwest quarter of said Section 34 a distance of 2007.79 feet; Thence North 89 degrees 59 minutes 59 seconds West 694.55 feet; Thence South 00 degrees 08 minutes 04 seconds West along a line parallel with said West line of the southwest quarter 164.50 feet to the northeasterly corn6r of a Certified Survey Map recorded in Volume 5, Page 1400; Thence North 87 degrees 49 minutes 24 secons West along the northerly line of said Certified Survey Map 324.40 feet to the POINT OF BEGINNING and there terminating. St. Croix County, Wisconsin. Located in part of the Northwest Quarter of the Southwest Quart Southwest- Quarter of the Southwest Quarter of Section 34, To Range 18 West, Town of Richmond, County of St. Croix, Staff I UNPLA Was# Civartar Comer I - -- --------- sftftn .! I ._ .,. �Sst + �I t ,old MA W 0 . w i i I �►' ( I t � a I i 1 I i I $7 w I i 2 .r.. I I I I� I 3W i I L _____—w—__ I � 4 6 IL ` CW"Or M44W I \ f i i (3- . 1t.) � I �� � t.** I I � a t I i INI 1 . � I f I i i I Lift Station Information & Calculations Total Dynamic Head Caics. Discharge Rate: 6.18 gpm Forcemain Lengthl 20 ft ate Forcemain Diameterl 2 in p Friction Loss from Forcemain 0.021 �7 Vertical Lift 10.00 ft fi Total Dynamic Head (TDH) 10.02 ft Dosage Volume Calcs. Does Forcemain drain back to tank ? Dose: 60 gal Forcemain VOIUmej 9.60 gal Total Dosage: 69.60 gal Tank Information Tank Manufacturer Wieser Concrete Inches Gallons Tank Capacity 600 gal A= 21.3 339.9 Tank Gallons per Inch Water Level 11.82 gal /in B= 2.0 23.6 Bottom of Tank Elevation 92 I ft C= 5.5 86.9 Pump Manufacturer /Model Little Giant D= 12.0 141.8 9EH Total= 40.8 592.3 Pump Curve Pump Tank Diagram FLOW- LITERS /HOUR 0 1000 2000 3000 Waterk*LLxknq cow t� q w� h warnnq libel 30 10 A1nmm t'nwlad Dada W 7.5 W Nternale 20 w �ulleD I ocaklai Necir" per a 5 a muwaM Comm 1628 and s NtsC :J00 req. 10 2.5 weep :de - a MtrSphon t7evice 6 0 0 0 20 40 60 so C Little Giant FLOW- GALLONS /MINUTE 9EH PUMP PERFORMANCE CURVE 115V 60HZ f7 Selected pump requires a minimum operating rating of: 10.02 feet of head pressure at 6.18 GPM