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HomeMy WebLinkAbout026-1286-13-000 n ■ o ■ . n k E & § 7 § / n� 0ƒ J 2/ 0 A l / B « E s a$ 2 �;$ m / 2 E 0 \ n ` \ \ \ ) / § & ; = S \ § e 8 2 G W 2 m /) Q C) \ ( ( A \ 0 § CD @ > E e E a co e . Co °� 0 § E 2 k: � ® ƒ \ \ m — . $ I \ ) 3 § E £ m ic r? I k -1 - �. 0 0 o - " G e � A § ■ ■ ■ §; e Q o 7 / ��Im' � § k \ c ( w (D i i o 2 / §/ "IRA- �� Oro : � e aid @ oe 2 w a P I / § { CD § cn d k � CL o \ ® » / z 2 � 2 2kCL E§ 5 § CD U° - §2 �Q0 R §M( Q � � \ � \ $ � / $ D $ � � \ � � \ 0 § i Parcel #: 026- 1286 -13 -000 09/22/2010 02:59 PM PAGE 1 OF 1 Alt. Parcel #: 34.30.18.1435 026 - TOWN OF RICHMOND Current OX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 08/26/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner 0 - OEVERING, SUSAN SUSAN OEVERING 1217 120TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property A dress(e ): Primary Type Dist # Description " 1217 1 T SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.200 Plat: 10 -073- SUNSET RIDGE LOTS 1/21 026 -05 SEC 34 T30N R18W PT SW SW SUNSET RIDGE Block/Condo Bldg: LOT 013 LOT 13 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 34- 30N -18W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 12/2812009 909220 QC 10/25/2005 810343 2915/503 WD 10/25/2005 810342 2915/502 WD 10/25/2005 810341 2915/501 WD more... 2010 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/23/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.200 50,400 197,200 247,600 NO Totals for 2010: General Property 2.200 50,400 197,200 247,600 Woodland 0.000 0 0 Totals for 2009: General Property 2.200 50,400 197,200 247,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 06/01/2007 Batch #: 07 -03 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division , INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 463440 0 GENERAL INFORMATION 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 I Richmond, Town of CST BM Elev: Insp. BM Elev: BM Description: Sectionlrown/Range/Map No: IU G o'%' 34.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /ao °7 Q Dosing Alt. BM j 1 A Bldg. Sewer Z a Holding St/Ht Inlet 1I i IT 8 7 , TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic I 1# / / Dt Bottom 1 .1 pL cfg Dosing / � a 1 Header /Man. 3 , 3 QT_3 Aeration Dist. Pipe 3. 3 Z c l 7. 3 Holding Bot. System PUMP /SIPHON INFORMATION Final Grade Z 3 `l3 Manufacturer Demand St Cover I.ab -Z GPM 1 • C� °F� Model Number 0 ! 5 Z / �D a TD H Lift 5 Friction Loss t1 System TDH / , + . Forcemain Length LlD Dia. Z it Dist, to Well SOIL ABSORPTION SYSTEM_ cy, BEDITRENCH Width Length ✓ N PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 7 p `� SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of S m: / UNIT Model Number. of Z I AIA- A DISTRIBUTION SYSTEM Header /Manifcjld , I Distribution // / x Hole Size ) x Hole Spaci g Ven Air Intake E1 Length_ Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Se ' eded /Sodded xx Mulched Bed /Trench Center Z Bed/Trench Edges ` Topsoil , Yes No Yes No �� \\ /'� COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: g / P Inspection #2: 1 2 r,J F 1-1 o Location: 4"ding 120th Street New Richmond, WI 54017 (SW 1/4 SW 1/4 34 T30N R1 8W) Ridge 13 A reel No: 34.30.18. 1.) Alt BM Description= `r �`' C�� i t 2.) Bldg sewer length 6 P-'— - amount of cover = Plan revision Required? Yes p �� Use other side for additional information. U J Date Insepctor's S ature Cert. No. SBD -6710 (R.3/97) S ety and Buildi s Div F MY�i,�, � /7 201 W ington Av ., P.O. Box' V D l ' (� ,�c / I fisconsin I 5 Q7-7162 Sanitary P rmit Number (to be filled in by Co.) Department of Commerce P 2 4 /p 3 Z: > Sanitary Permit Applicatio ersonal information T c R O/x 2 P I.D. Number � l - p COO TY In accord with Comm 83.2 1, Wis. Adm. Code, i IAl1NG �F� / � may be used for secondary purposes Privacy law, s15.04(l)(m) Project ddress (if different than mailing address) I. Application Information — Please Print All Information • Ya //� ��� Ste+ Property Owner's Name arcei # 61 Lot # Block # F 4 - 4- L ,, r e� ( I 3 Property Owner's Mailing Address p Property Location ` t� 3 3 s yV� ;�.P/L� T 1 City, State • Zip Code Phone Number 5 � �, Section D 1 .� (circle / T N; R c 7 of, ` ZI pe of Building (check all that apply) V v or __. mbe 1 or 2 Family Dwelling — Number of Bedrooms Subdivision Name u r ❑ Public/Commercial — Describe Use ❑ State Owned — Describe Use ❑City ❑Villag wnshi of III. Type of Permit: (Check only one box on tine A. Complete line B if appl ble) A. System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. ❑Permit Renewal ❑Permit Revision ❑Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (C k all that appl ❑ Non — Pressurized In- Ground ound > 24 in. of suitable soil El Mound < 24 in. of suitable soil ❑ At -Grade El Single Pass Sand Filter El Constructed Wetland ❑Pressurized In- Ground F1 Holding Tank N Peat Filter El Aerobic Treatment Unit El Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersal/T reatment Area Information: Design Flow (gpd) De ign S it Applicati n Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Pro ed (sf) System Elevation VI. Tank Info Capacity i Total Number Manufacturer refab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the under si ssume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe afore MP Number Business Phone Number Plumber's Address (Street, City, State, Zip e) VIII. C 770wner Surcharge F) /Department Use Onl ee Appr❑ Disapproved Sanitary Penn it Fee (includes Groundwater D Issu Is tng Agen Signature tamps) S- p 0 t d Given Reason for Denial pC Con iti ns of ApprovaMasons for Disapproval o NE i=< 0 45 3 1 Septic tank, effluent filter and dispersal cell must all serviced /maintained . / i as per man a C.o _ Y21.�. setback requirements must be maintained a jL d /J)L as per applicable code /ordinances. Attach complete plans (to the County only) for system on r not less than - 81/2x 11 inches in size SBD -6398 (R. 01 /03) PLOT PLAN PROJECT Sunset Ridae LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54016 W , SW 1/4S 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX • SY'STEM ELEVATION 98.5' 3 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # 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 system is 214' Propery Line to remain undisturbed Scale = 1/4" = 1 0' 4. 5' 96 .5 5 97.5'98.5 -2 11 % Slope 120th St. B -3 2_0D Pro 3 Bedroom House Grading is to be Huffcutt Combo Tank done to divert run -off away from system Tank is to be properly bedded and provided with P.L. lockdown covers with 1 approved warning labels Well is to meet all setbacks found in Comm. 83 i Property Line X_ t �J k �� 1 RIO Subdivision: Sunset Ridge Owner /Developer: Homes Oevering Category: Major Company: Township: Richmond, Town of Engineer: Ed Kromrey S 34 T 30 R 18 Company: Melchert Walkky Total Acres: 48.1 0312512005 Unknown Alex Blackburn Jeff Durkee has not approved road plans yet. 0312512005 Unknown Alex Blackburn Alex, The erosion control bid faxed to me on 3/24/05 for Sunset Ridge looks ok to me. I drove by the site yesterday and noticed two back -hoes and a grader. In any correspondence you have with the developer or engineer, remind them of the requirement to have a preconstruction meeting prior to commencing any grading. Peter Kling St. Croix County Land and Water Conservation Department 1960 8th Avenue Baldwin WI 54002 (office) 715 - 684 -2874 ext. 131 (cell) 715 - 760 -1991 pkiing @co.saint- croix.wi.us 0410412005 Unknown Pete Kling Preconstruction meeting at Melchert Wallky office. Plan to begin earthwork later this week. Expect to be finished in 3 -4 weeks. I reminded them to submit financial guarantees and that I won't release the EC monies until the site has selfsustaining vegetative cover on it. Durkee still needs to approve road plans. 0410712005 Unknown Alex Blackburn Jeff Durkee approved bids for road construction. Road plans also approved. 0410812005 Unknown Monica Lucht Financial guarantees rec'd in the amounts of $15,312 for EC and $134,148 for the RC. Expiring 4/6/06 but auto renewable. 0410812005 Unknown Alex Blackburn Left a message for Chris Woodruff that the bids were approved for road construction and erosion control. 0412012005 Unknown Monica Lucht Soil tests Lots 1 -21 were dropped off today. Lot 13 sanitary permit issued based on one /parcel. No others to be issued until final plat is recorded!! � Safety and Buildings OV commerce.wi. 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.w w ww.co e.w i. gov/s sin.go / Department of Commerce iscosin.gov Jim Doyle, Governor Mary P. Burke, Secretary � April 22, 2005 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 I CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/22/2007 Identification Numbers Transaction ID No. 1127168 SITE: Site ID No. 697159 Sunset Ridge; LLC Please refer to both identification numbers, 120th Street above, in all correspondence with the agency. Town of Richmond St Croix County W1 /2, SWIA, S34, T30N, R18W Subdivision: Sunset Ridge - lot 13 FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1014111 Maintenance required; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD - 10691- P(N.O1 /O1). • The pressure network is to be constructed in accordance with publications SBD - 10706- P(NO1 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". • 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. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Conditional v LPPRavm r SHAUN R BIRD Page 2 4122/2005 • Comm 83.22(7) - A cony 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: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - 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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. 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 &4G-� Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim@cornrnerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Cover Page ` Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715 246 - 4516 Date: 4/14/05 Owner: Sunset Ridge LLC Location:W1 /2 SW1 /4 S34 T30 N,R18W Lot 13 Sunset Ridge Richmond System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contigency plan 9 -11. Soil test Shaun Bird Signature SMEN� OF COM g�11.D ►NHS License number 2269db 9�PaR pFtiTV pNa ` Q1VIS1pN 0 Np ENGE RECEIVED SEE CORR� APR 1 8 2005 SAFETY & BUILDINGS PLOT PLAN PROJECT Sunset Ridae LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54016 1N 1/2 SW 1 /4s 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 98.5' 3 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none IL 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 system is 214' Propery Line to remain undisturbed tl Scale = 1/4" = 10' 96.5' 94.5' 97.5' 98.5 B -2 11 % Slope 120th St. B -3 B -1 -OD Pro 3 Bedroom House Grading is to be 1 'a,"' Huffcutt Combo Tank done to divert run -off away from system Tank is to be properly bedded and provided with P.L. lockdown covers with OVA approved warning labels Well is to meet all setbacks found in Comm. 83 Property Line � Designer_ N ° — - -- —' Date Non -Woven Filter Fabric 4" Observation Pipe Perforated ,Distribulion Pipe Below Filter Fabric ASM C - 33 S a n d --� (C- Topsoil E j % Slope t- Force Main ��_Ffowed Be d Of Dr�i Rock From Pump Loye 'E AL Crc�er_tion of A �' •ounnd sy stem Us "' F A B ed FoThe Absorption Area G s A Ft. s Ft. I Ft. �J J Ft. \�+ K F t. L - v "Observotion Pipe -� _ K A �l I Force Moin 0. _ - - - -- ° - - - - From Pump W _ i -_ .. _.. -_.. _.. _. C Distribution Bed Ot �2� 2 _Z Pipe Drain RocK I 4Dbservation pipe4. -� Permanent Morker o ��+ e r Rods Plan View 01 Mound U61ric A Bed For The Ab Area PAGE_ OF— PerfoWed ''iPt�; � End _ Vie* — {Pet Eorat t 0 PVC Pint ttWes Located Oa Sot ;om. Are E4udtty SaOCed $ pa - Cor c e Main on FIRST MOLL C anntc � i' J PVC Manifold Plot ,L � S'�/ (1l fr Cist.iovt�or+ \ Pipe t � rn _ � - •f Y- ��strtt�uraen - i..ayacrt P Ft. R Fi. X inches. y Inches Signed: Hole Diameter 3116 inch Lateral inch(es) License Number: Manifold 2 Inches Oate: Farce Main ?✓ Inches of holes /pipe 4- 5 Invert Elevation of Laterals P Ft. ANi3 SFECIF ICATIM S 1 • r {_ROSS s EC r POMF CHAMBE gEp'TIC TANS gEATKRPp=F AFFROV ED a* l4I1 . ABOVE C- BADE JU liCTION B OX M"HOLE COVER I70i u PENT PIPE I� �tIAt W'TK CrhDUIT W/ PADLOCK Si w G 4 ROM D4flR. '"``� W LABE zit 2g trlli� � R I NLET G'5— a FD 'rIGHT . . jDi�NtS WITH t:AT� TIGHT � s�A pppROYED gtFE ALM 3 OXM 8 SMIti SOIL APPlaVED a ' c r FF PIPE 3" r SE1IL AP pgOY ED BED�y NG V I+ID C �#CIL£TE PAD prR DAY: D SE ZC / DOSE R: L/ �� ,J vO ME Z14CLu OI1� �(� Gm.- TANK MANUFACTU GAL - D05£ g q,pt,,FBAC = � GAL- SIZES SEPTIC GAL . I3�1CtiES ' ,� Mt P,', �CAFR 8 = �� INCIiEs FACTRER:� GAL. AIA MODEL 1�$F.R = �' r r x INCHES ITCH TYPE: C = L GAL s� PE = I LL c M Nur'xcTug ? r/ " I i.HB 15.23 pump s - ,�, . �C r5F E Ai.AR w2RZG P'ER FEET GPM O N PIP£ - � FEET R£Iit� DISC�1pyRtoE D1STRI _ FECT CI~ �EWE£N pU,4P Or ANO FACTOR FEET VERTICAL DSFF£REH p gggSUz"ZE - - F R ;CTION + MIH NCT�ORK SUppLY 3 FTJIDO F�t-`fAL €DYNAMIC M ` T�1T£RNAL DIMENSION LIQ�IO 5I£PtED= - —"-- o f &g I TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 w � MODEL 152 153 w 50 Feet Meters Gol. Liters Gol. Liters i 153 5 1.5 69 261 77 291 40 10 3.1 61 231 70 i 265 12 152 15 4 -6 53 201 61 2.31 °a I 20 - 6.1 44 I 167 52 197 T 30 i 25 7.6 34 129 1 42 159 z 8 30 9.1 23 1 87 33 125 ° 20 I 35 10.7 -- — 22 E5 o i 40 12.2 -- E6 Lock Volve: 38.0 Ft. (144.0 Ft - (134m) 1 O J145Je 0 20 0 60 80 OC GALLONS 6 1/4 LITERS 0 80 160 240 320 - 3 27/32 4 5/8 FLOW PER MINUTE a 27/ 9 CONSULT FACTORY FOR SPECIAL APPLICATIONS _f • Timed dosing panels available. ° e 3 22/32 • Electrical alternators, for duplex systems, are available and supplied with 6 v an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available tor outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. 12 1/8 1521153 Series �(— ' T 1521153 MODELS Control Selection Model Volts -p Mo A Sim lex Duplex i 5 t�9 N152 115 1 Non 8.5 1 2or3 I _L 811 2 or 3 52 115 1 Auto 8.5 Included f sK2oe4 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Au Inclu to 4.3 ded 2 or 3 N153 115 Non 10.5 t 2 or3 SELECTION GUIDE BN153 115 1 Auto 10.5 =Md P199y E153 230 1 Non 0. S inc le piggyback variable level float switch or double IP back variable level float BE153 230 1 Auro 5.3 snitch. Refer to FM0477. v CAUT +oN 2, See FM0712 for correct model of Electrical Alternator E -Pak. y 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) All Installation of controls, protection devices and wiring should be done b a qualified licensed electrician. All electrical and safety codes should be followed including the mast or (4) float system. recent Natlonal Electric Code (NEC) and the Occupational Safety and Health Act (OSHA) RESERVE POWERED DESIGN For unusual conditio a reserve safety faCor is engineer into the design of every Zoeller pump. MAIL TO. P.J. 3OX 16347 _ Louisville, K" 4)256 - 0347 Manufacturersof. " SNIP TO 364<. Cane Run Road /7 p Louisville, <r 4;7211 -1961 QVi1UTY! OMP6 >1NCE �If ,. (502) 778 - 2731.1(60 928 -PUMP http:77wwwzoe11er.com `L/ /►' /� `uy _ FAX (502 774 -3624 © Copyright 2003 _:oeller Co. All rights reserved. I / wiisoonsin Department of Commerce OIL. E VALUATION REPORT Page ( of Division of and Buildings �� e in accordan h .UM I V — County S4- Attach complete site plan on paper not less than 8 112 x i i size. Plan must include, but not limited to: vertical and horizontal referenc "), direction and Parcel LD. percent slope, scale or dimensions, north arrow, and loca ion a Rna? teneM5oad. :JJ R Date Please print all informa on. f QW j ; ���t� Personal information you provide may be used for secondary pu ses i S 4 1� sC)Ym))- d 0 Property Owner i L, ) l /4 S l Govt. L W 1/ �)� ' N R E (o W property (hnmer s Mailing Address -./ Lot # Block # Name or CSM# ` Gty State Zip Code Phone Number ❑ City Q Village own N est Road 11 New Construction Use: esidential / Number of bedrooms _ - _�_ Code derived design flow rate `� "�� GPD ❑ Replacement Public or commercial - Describe: _ Parent material _ -- - - - - -- 1 r Flood Plain elevation if applicable _.�f - - -' - - ft• General comments -�' �- - -- — and recommendations: / 21 Boring # ❑ Borings / it Ground surface elev. f . _ Depth to limiting factor 3 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description [Fxture Structure Coruistence Boundary Roots .Eff#1 Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. A / D (Z ❑Boring Pit Ground surface elev t - Depth to limiting factor in. Soil ication Rate ,�/ Horizon ADe Redox Description Texture Stru cture Consistence Boundary Roots •EGPD Eff#2 Qu. Sz. Cont. Color Gr. Sz. Sh. X1 B • Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < * Effluent #2 = BOD < 30 mg/L and TSS 130 mg/L CST Number CST Name (Pleme print) 226900 Bird Plumbing, Inc. Shaun Bird _ Date Evaluation Conducted Telephone Number Address 715- 246 -4516 1008 192nd Ave, New Richmond, WI 54017 ��-- Property Owner _ Parcel ID # —__ _ -- Page of [ _31 �] Boring Boring Bon # it Ground surface elev. � � > ft. Dep ":t. tc li fader � "" in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture >'n , (:lure Consistence Boundary Roots GPD/k? in. Munsell Qu. Sz. Cont. Color _;,f. 5h. 'Eff#1 •Eff#2 — F-1 Boring # ❑Boring - -� ❑ Pit Ground surface elev. ft. Dept o limiting fade' in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture :- tr 1,tture Consistence Boundary Roots GPD/f Qu S z. Cont. Color C-; -. 3z. Sh. 'Etf#1 Eff#2 in. Munsell ._ ❑ Boring # Boring Ground surface elev. ft. Dept i .c limiting factor in. F ❑pit Soil ADPlication Rate. Horizon Depth Dominant Color Redox Description. Texture �'-tE ucture Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color ';r. Sz. Sh. `Eff#1 'Eff#2 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS _< 30 mg/L The Department of Commerce is an equal opportunity service provide employer. If you need assistance to access services or need material in an alternate format, please contact the derar'ment at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8370 (IL60) I Soil Test Plot Plan Project.Name Sunset Ridge LLC Shaun Address 838 Summer Pines Circle Hudson Wi 54016 CO 226900 Lot 13 Subdivision Sunset Ridge Date 4/14/05 W 1/2 S W 1/4S 34 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron ystem Elevation 98. 5' *HRPSameasBenchmark Property Line 214' Propery Line Scale is 1" = 40' 96.5' unless otherwise 94.5' 97 noted B - 2 11 % Slope 120th St. B -3 B -1 P.L. Property Line FROM :OEVERING HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P12 1 c c ai i r f r ' w � a a - -- ---------------_--- e FROM :OEVERING HOMES LLG FAX NO. :7155311282 Dec. 14 2004 10:14PM P11 A i� 1711 ISM y . , .— .— . - - - -- - _ - N 17:0'17 !� N O gig s'r N 5A ( 1 al y' f P age _ V1/NER'S p�iraNUAL & MANAGEMENT PL POWTS O SYSTEM SPECIFICA Septic Tank Capacity - gal ❑ NA F[ FORMATIO N l G -� Septic Tank 0 HA owner permit #. `� O �_ Effluent Filter Manufacturer ,� 0 C3 NA D1rSICN PARS �_ Effluent Fitter Model — O NA umber of gedr+ooms Pump Tank _ � Capacity gal is o NA Number of CO dal Units 11 NA a - Y'7 _ 7 gda Pump Tank Manufacturer esftated flow (aVela9e) �° aVd Pump Manutad M (3 NA 7.5 a _.. _ .. O NA De ion fiaw Own (��rnated x } c t ... /ftz Pump Model Rate' l� Pretreatment Unit Son APp Monthly ave rage' O Peat Fitter rrflcuent/EfflUentQuc Quality ❑ ���� l Aeration Wetland 530 mgr1.. p Mechanical An ❑ Other Fats, 00 ✓� Grease (FOG) rn(. � Biod�e+�l oxygen Demand (BODO ❑Disinfection Total Suspended Solids (TSS) 5950 r M anufacturer Monthly svt-1age'* Dispersal Cell(s) ❑ n�round (pressurized) Pretreated Effluent Quality :_. [3 In- ground (gtavltY) Mound Bloch 530 mg ;' 13 emical Oxygen Demand (130 At -grade ❑ Other. ded Solids (TSS) 5;30 mg1' p Dri ine Total Suspended 510 cf�.'IDO mi Fecal Coliform (geometric mean) Yatues � for domestic fro „� wastewater and y inch ti i., sr t arok etnuem Maaamum Effluent Particle Size �. ve� �� ror prevented „�tewater. MAINTENANCE SCHEDULE Service Frequency Service Event p months ears) (Maximurn 3 yrs.) At least once every of tank volume inspect condition of tank(s) — uals one -third (�) When o: sludge and scum 0 s Maximum 3 yrs.) Pump out contents of tank(s) At least �, nce every "� [3 months Y r() dispersal cells) — 13 months ear(s) inspect A l ieeast cnce every I� p NA Clean effluent filter — _ 0 months jrear(s) controls 8 alarm At least ( :,nce every s) ❑ NA inspect Pump, Pump _ ❑ months press test At feast c nce every ❑ Flush laterals and press At leas (,nce every O months 0 Year(s) Septage o� — C] mo nths ❑ year(s) ❑ NA At leas, t; nee every Other M ENANCE INSTRUCTIONS made b,; an individual one of the following licenses or of tanks and dispersal cells snail be idua Maint l carrying r POY1ri -S ainer; Inspections a missing or broken o ens: Master Plumber, Master Plumber Restric":� � Sewer. ROSS Inspector . uP Serv operator. Tank inspections must include a visual inspection of the tank(s) to identify an back at any cracks or leaks, measure th volume of combined sludge and scum and to �e effluent levels hardware round surface. The dispersal cell(5) shall be visually inspected check of effluent on the d to check for any Po noti or porem of effluent on the g ndin of effluent on the ground surface. The Po n9 authority_ in the observation Pipes an 9 ground surface may indicate a failing condition and requires true immediate notification Of loca m o the tank volume, the the When the combined accumulation of sludge and scum i.l any tank equals one -third {J of the tank sh Servicing Operator and disposed of in accordance with ch �� co ntents of be removed by a Sept 113. Wisconsin Administrative Code- onents, preUeatfinent compo rents: and any The servicing of effluent filters, mechanical or pressurized POWTS comp ��� a �r6fied POWTS Maintainer. other maintenance or monitoring at intervals of 12 montt s or less shat of completion of any service event A servir�e report shall 'be provided to the local regulator; authority within 10 days START UP AND OPERATION nti the pence of pal n9 P roducts or other For new consMidon, pri or to use of the P01NT and/or S �� t eatment tank {s} for damage the dispersal cell(s). if high concentrations are chemicals that may imjoede the treatment proces s a e servicing operator prior to use. detected have the contents of the tanks) removed by a _ / - Page G of - r vrtlen sod-conditions Gr a frozen at the infiltrative surface- hall not +oc cu is restored the excess System start up fin above nom iz highwater levels. When power m result in the During t adages pump tanks s �� cell(s) i i :me large dose. overloading the pu rr may by a tank * ter yell be di�haTed to the L To avoid this s tuation have the contents of the p ump discharge of emUen m o contact a PlUmber or POWTS Maintainer to tip or *urface t6 t�� power' tc . re effluent pu F tank age Serv►dng OP&atwP Pi p contDls to l'E5ttn:' normal revels within the P ump . en mist in rnarltrallY Operating n9 and dispersal c: l!s_ Do not drive or park over or othFrise disturb or zompact, Do not drive or park vehicles over tanks the areai1n 15 feet down slope of any round or at g jade Sal absorption aura or eCtminatlon of the following from the was :e ++rater stream may improve the perfor dental floss; diapers; ffie Reduction de rte butt ;, =doors; cotton swabs; g of the POWTS- antibiotics; -baby l d gait and vegetable peeruigs; gasoline* grease; herbicides; meat disinfedartts: fat; foundation disin (SW* pump) water; scraps" s; otl Pain#tng produc pesticides; s •,snrtary napkins: tampons: and water softener brine. ABANDONWENT taken of rt :)f service the fotlowing steps shall tie taken to Insure that the When the POWTS falls andlor is pe��n comPlianca ,yith ch. Comm 83.33, Wisconsin Administrative Code: system is pro perly and safely abandoned nin s seated_ Ali piping to tanks and pits shall be disconnect and the abandoned Pipe o of y SeF�9e Servicing Operator. .. The con of all tanks and pit Shall be remo °d and properly disposed After primping, all tanks and pits shy be exca` _,,,'.ed and removed or their covers removed and the void space Titled witty soil, gravel or another inert solid mats :at_ CONTINGENCY PLAN aired the following •neasures have been, or must be taken, to provide a code If the pOWTS fans and cannot be rep comprrant replacement system: evaluatec and may be utilized for the location of a replacement soil p A suitable reptacement_area has been co and shout not absorption system. The replacement area shoo' J be protected sed strvctur�e, lot lines and wells• Failure to be infringed upon try required setba fr °m er ;ring and propo protect the replacement area 'AU S is th ust.I�mply with the inteffect at that time . a suitable replacement area- Replacement syste O A suitable replacement area is not available due 3 setback and/or soil [imitations. Barring advances In POWTS technol a holding a last resort to replace the farted POWT tank. may be installed as of the POWTS a so d k n to identify a suit 51e r Placement area upo en rs available a. The l to a s�:!a re ceme area_ site _place the fasted ppVYTS. hold k tal a t r removal of the biomat at Mound a a7 absorption systems n be reconstructed in pia t,e(es effect at that time_ ) e infiftraWe surface- Reconstructions of such ::.rstems must comply witty <<WARNIN(>> M TANKS AMAY CONTAIN LETHAL. GASSES ANDIOR INSUFFICIENT OXYGEN. SEPTIC, PUMP AND OTHER 7RF- ATM TA EHT CIRCUMSTANCES. DEATH MAY DO NOT ENTER A SEPTIC, PUMP OR OTHER TREK TIi PENT TANK UNDER ANY RESULT.. RESCUE OF A PERSON FROM THE IN7ERi::)R OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. AD D ITI ONAL COMMENTS POWTS MAINTAINER poWrS INSTALLER - ^ Name ✓ �,�r ��: c.� r� Name _ ` ti A.' - ka Phone I'J a Phone 1.- _. SEPTAGE S ERVICING OPERATOR PUMPER LOCAL REGULATORY AMORFfy Ag encyC tx Name r Phone Phone This document meets This docu nad was dratted try. the staffs of the Green Lake. Martluetfe a x' Waushara County Zoning and Sanitati agende5 document doss not the minimum mquimments of ctt Comm 83.22j2 )(j)(d)&(0 and 83.54* 7; (2) C3). Wisconsin AdmW�b� � WO I) guarantee the perfotmanoe of the POWTS- r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM � Owner/Buyer Mailing ddress -SL` '�' ' '� g ,. - 4 Property Address � (Verification required from Planning Department for new constiu ), City/State N11.(l J Parcel Identification Number LEGAL DESC RIPTION p Location w , ' /•, Sec. 31 , T 30N -R It , Town of property �. � t it Subdivision f -S&W &�� Certified Survey Map # Volume �.— Page # Warranty Deed # 7 -7 6 ! LIO , Volume Page # Spec yes no Lot lines identifiable�eS 0 no u �' \_ SYSTEM MAINTENANCE Improper use and maintenance of your septic sytem s if needed by�a licensed pumper. �Wl�at you put into the system consists of pumping out the septic tank every y e ars can affect the function of the septic tank as a treatment stage in the waste disposal system. owner a to submit to St Croix Zoning Department a certification form, signed by the owner and by a 'fie p owner verifying that (1) the on -site wastewater system mastor plumber, journeyman plumber, restricted plumber or a licensed pumper v the s e p tic tank is less than ter full sa sludge. is in proper operating condition and/or (2) after inspection and pumping (if necessary), ep I/we, the undersign ed 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 Z on i ng O�� within must be completed and returned to the St. Croix County 'tbin 30 stating that your septic system has been maintained days f the three year expiration date. ys �- Q " ,' DATE SIGNATURE OF APPLICANT OWER CERTIFICATION ou r knowledge. ( ) I we am (are) the owner(s) of the property d I d es cr ibed by _ b dt bo b virtue of a warranty deeds tru in Regist of Deeds Office. --� �--� DATE SICINAT[JRE OF APPLICANT « «ss*s Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning D * * * * ** «« 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 i Parcel #: 026- 1098 -20 -000 04/27/2005 11:23 AM PAGE 1 OF 1 Alt. Parcel #: 34.30.18.530 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner ' H W SR, &HWJR & KM KELLER KELLER, HWSR, & HWJR&KM 1277 130TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 34 T30N R1 8W 40A NW SW Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 34- 30N -18W NW SW Notes: Parcel History: Date Doc # Vol /Page Type 02/13/2001 638449 1586/246 TI 01/02/1998 570675 1285/592 WD 07/23/1997 976/117 LC 07/23/1997 936/266 more 2004 SUMMARY Bill M Fair Market Value: Assessed with: 20404 Use Value Assessment Valuations: Last Changed: 06/3012004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 39.000 6,300 0 6,300 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2004: General Property 40.000 6,400 0 6,400 Woodland 0.000 0 0 Totals for 2003: General Property 40.000 6,800 0 6,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FROM :OEVERING HOMES LLC FAX NO. :7152460745 Apr. 26 2005 08:33AM P1 4- 25 -05; 3:39PM;F. N. 8.' New Richmond 04/26/2006 16:37 FAX 716 300 8680 ESTREEN & OGLAND 14002/003 U 2660P 306 ' `T -, 4 FO mot- ap STATE BAR OF WISCONSIN PORM I - 1999 Documcm Number WA►RRAIVTY DEE R It IP DMW ,ST. CRW X CO., W1 This Deed, atade between Hermnas_W. Zak--- Sr.. Harman W. acccrVED FOR Ri',CORD Keller. Jr. and go A M. Seiner. hadsmid ad V& $9/22J7.a04; 10:25A1f Grantor, and Sunset Btdea. LLC Grantee. WARRAri7•Y• DEED Gt4Ator. for a valuable consideration, conveys and warrants to Grantee EtiE]0''r Ii the fallowing described rul evato in 3t. Croix Couetty, Scare of Wisconsin REC FEE: 13. W (the "property ") Of more space is needed, please attach addendum): � yS 1440. 00 See attached EAU A ,;C FEE PAGES- 2 Reco,ding Ant, Estreen & Og)anq 304 Locust Street $ { Nudyan, WI 54016 • Pogedter with all appuranam rights, title and ineerests. is.20.000: 026.1A 4-3 -000 Parcel Idcmlfieadoa lvumbcr (P(N) This tom- hom ist:d prtrperty (is) Groator warrants clot the title to rite Property is good, Indefeasible in fee simple and froe and clear of crtcumbrances except easements, renrictitme and reser"tions, it any, of record. oaten this — dyy of V zoos * Nkrwi M. Kdlcr • _ -._. _.,�_�.�. _. " ....�..— ._�..._.. _ ._......._ ._.�__.. _ AVTHENTICATION ACKNOWLEDG signature(.e) W.1heNer bY., Ham W. Kell Jr_. STATE OF WLSCONSIN ) and Kar en M. KotUr, husband and wife sr- ST. CROIX Comity ) sudwndcated dds of r . Vl" , 1094 - - persomlly carne before. ,ne this _ day of 2006 the above named If Herman W. Koll er, Sr Fferm: W, Uller, Jr. and Karen * K ristin ., Ostend M. Keller, husband and wife IT _ T F- MEMER STATE BAR OF WISCONSIN .. __. ........._ . — (If nm • __. tome known to be [he person(::) who executed the forCOOing authodW by 1 706.06, Wis_ Stats.)� ioserum and acknowledged the same, THIS INSTRUMENT WAS DRAVWt D BY Kl*tfna Ogls aQ, &a dreca Jc tsnnd 7 _ . ....�___. _ .. — - •-- -.._._ ... . 304 Loru9t St reet, Httdbon, WI s4ow - Notary Public, State o , - - My Commission 12 pennbnent. (if not, start: expiration date: «isr,awts! rosy U* audw,tteatad or aclHO,rfedged. Both Are am ,Yeessuy.) _`_ Nemec of perionr simtina is tiny amaGily must tx typed nr printed belDM dlelf fIRMNra. Inromuilon Pr,jrc*6Pm1f Co.. FoW du Lae. WI STATE W Or wISCON31r4 WwRAANry JIM ROItlN tMs. n • 1"y 100�SS - x011 I FROM :REVERING HOMES LLC FAX NO. :7152460745 Apr. 26 2005 08:33AM P2 4- 25 -05: 3: 39PM: P. N. 1T New R l Chmoncd 04 /28/2095 16:37 FA% 718 380 6660 ESTREEN & OGLANA s 4�003 /OOa i1 2660P 307 EXHIBIT A Located In part of the northwest quarter of the soUthWOSt quarter, and the southwest quarter of the southwest quarter of SOCtion 34. Township 30 North, Range 18 Wes f. Town of Rlchmbnd County St. Croix; State of Wieconsih described as follows: Commencing st the southwest COMOr of said Se ction 34; Thence North 00 degrees 08 minutes 04 seconds East along the West One of the southwest quarter of said Section 34 a distance of 484.68 feet to the POINT OF BEGINNING; Thence contlUd 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 SO minutes 64 seconds Feat along the North (lie of the southVrest quarter of said Section 34 a distance of 1018.75 feet; Thence South 00 degrees 06 rnlnutes 04 seconds West on a fine parallel with the West tine of the southwest quarter of said Section 34 a distance of 20[ 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 Nest line of the southwest quarter 184.50 feet to the northeasterly cornAr of a Certified Survey Map rec3rded In Volume 5, Fags 1400: Thence North 87 degrees 49 minutes 24 secons West along the northerly One of said Certified Survey Map 324.40 feet to the POINT OF BEGINNING and there termiitating. St. Croix County, Wteconsin. 4 r A Z 3 I 1.00 acre§ \� O I a oe 0 o a) C 909:6 scl•Tt. // / / \ I N i, / -1 a C �s q /o /,�\ 04 000 w 19� 9:59 X36.91 I �// , ° j �/ x X Xr I / I LLJ \ \ I \ n I I � 303 Q I I � � ' I 2 ��• \` I U I \ I VoN qw, 'Ng FT i \ \