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HomeMy WebLinkAbout026-1099-10-000 ` Wisconsin Department of Commerce PRIVATE E SYSTEM County: St. Croix Safety and Building Division SEWAG S Y $ • INSPECTION REPORT Sanitary Permit No: 479491 0 GENERAL INFORMATION (ATTACH TO PERMIT) St to Plan ID No: np y�►,,� Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. S 7�`•'Y��• �� 7 Permit Holder's Name: City Village X Township Parcel Tax No: Marek, Todd I Richmond, Town of 026 - 1099 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map NO: 35.30.18.1370 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER n� CAPACITY STATION BS HI FS ELEV. Septic l t200 /(� Benchmark • $� ft- -1 Tt-- ' Dosing ��.�'►�1� ``( QW Alt. BM (•.S.3v a Aeration Bldg. Sewer r Holding St/Ht Inlet ' S r St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 3 0r Z -i DtBottom zl•9 �,• 3�r Dosing [ r � r t � Header /Man. 2. ZZ %43' Aeration Dist. Pipe Z•Z -Zs �� /Or - 2•Z Holding Bot. System 3 .OD 7 Fi i Grade \ PUMP /SIPHON INFORMATION 1_;i,wi(( I. , . - + rz 4 - J coL-r ~f 1 Manufacturer Demand St Cover �b �t1tr �;( I,.; Ifl.$ Q•f GPM " "C Model Number 5 l 7P 1d I J r Q� • Z qY_ L ac e \�O Lift Friction Loss Sys m TDH Fty0 /T�Jr . 3 . io (P •s° 2.te• S3 Forcemain Length I Dia. rl Dist. to Well ` SOIL ABSORPTION SYSTEM ) Width f Length No. Of Tfenehes PIT DIMENSIONS No. Of its Inside Dia. I Depth IMENSIONS Z) 11 SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHIN Ma acturer. INFORMATION Type Of S ste CHAMBER OR YP UNIT Y n}%� ` Mode DISTRIBUTION SYSTEM Header /Manifol /r Distribution �� x Hole Size x Hole Spacing Vent to Air Intake J FPie(s) � ---� 3 .j L[ �j Length ' � Dia Length f 3 • Dial / �! Spacing `' D l6 •� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of TSeed xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil C Yes No I N Yes L] No COM NTS• (Includ code repe pies, persons pres nU etc.) Inspection #1: 1,6 / 0 .5 Inspection #2: a vh 04 1 l ?Mc Loeeet 1394 128th Avenue New Richmond, 1 5401 • ( 14 NE 1/4 35 T30N R18W) Sunset Hollow Lot Parcel No: 35.30.18.1370 1.) Alt BM Description 2.) Bldg sewer length= 3> - amount of cover = S—p 9( f S.Z( to" _— Q T - ) _ Plan revision Re ed? [ ] Yes No Use other side for additional informatl . Date In cto Signature Cert. No. SBD -6710 (R.3197) II I , Safety and Buildings Division County Iviscon 201 W. Washington Ave., P.O. Box 7162 St. Croix Madison, WI 53707 — 7162 Sanita Number (to be filled in by Co.) Department of Commerce (608) 266 -315 ED Sanitary Permit Application State Plan I.D. um / / - s . , In accord with Comm 83.21, Wis. Adm. Code, personal inform n yo ro Q 7" 3 = S ( �a # 1 may be used for secondary purposes Privacy s T '�. Project Address Vifdi, rent than mailing address) I. Application Information — Please Print All Information ST. CROI CORWAven ZONING OFFICE i Property Owner's Name Parcel # 0 Z t # Block # Todd Marek /0 , ?q b� °yam 9 Property Owner's Mailing Address Property Location P. O. Box 228 City, State Zip Code Phone Number NE �� NE Y<, Section 35 New Richmond, WI 54017 30 1 $ (circle one) T N; R r II. Type of Building (check all that apply) Q Subdivision Name CSM Number I or 2 Family Dwelling — Number of Bedrooms 4 5, Public /Commercial — Describe Use Sunset Hollow ❑ State Owned — Describe Use City OVillage Elrownship of Richmond III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. 0 New System y ❑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 Plumber Owner q rr IV. T of POWTS System: Check all that apply) ?( ' /1( ❑ Non — Pressurized In- Ground 0 Mound > 24 in, of suitable soil Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank . ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber 0 Drip lame 0 Gravel -less Pipe ❑ Other (explain) V. Dis ersaVrreatment Area Information: = C l Sco Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 600 0.4 ac Soti 600 600 95.83' VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units 1 Concrete Constricted Glass New Existing Tanks Tanks T Septic or Holding Tank 1200 1200 1 Wieser x Aerobic Treatment Unit Dosing Chamber 800 1 1 800 1 Wieser x VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Roger Nelson MP226497 715 - 273 -4444 Plumber's Address (Street, City, State, Zip 122 East Summit Avenue Ellsworth, WI 54011 VIII. Coun /Department Use Onl Approved ❑ Disa roved / Sanitary Permit Fee (i ludes Groundwater Date Issued Issuing (Agent Signature (No Stamps) Surcharge Fee) 1 ❑ er G' Reason IbTDenial f 2 2 PI) S IX. Conditions of ApprovaUReasons for Disapproval / SYSTEM OWNER: 3) S � ^C L GX 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. C c n 2. All setback requirements must be maintained 99�.X�` as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 812 a 11 inches in size SBD -6398 (R. 01/03) r - id Marek O. Box 228 .Vew Richmond, WI 54017 NE %,NE%, S 35, T30N, R 18 W 1 . Sunset Hollow Lot # 9 Richmond Township St. Croix County Scale 1 " = 40' Weiser 12001800 tank BM #1 = 100.00' top of steel fence post BM #2 = 95.80' top of survey iron $o of 2 "force main ` 4y i 1 fi� i i I I y Lu Fc c i z � Loy`9 Lot /o a p Page 8 o 8 R f ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address �� 2 ZN q + -14 Property Address Z A- U� (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number d Z 6 `109 J-0S0 LEGAL DESCRIPTION Property Location 1 /4 , lV � 1 /4 , Sec., T N R�W, Town of ' 3 5 Subdivision . A 4��J C V-- _ , Lot # Certified Survey Map # 2 Volume "' , Page # Warranty Deed # 7 ,/, , Volume ,6 Page # Spec house yes 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. I /we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 7t c - W ° 'v f / 2v /---L SIGNATURE OF APPLICANT(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. 08105) Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.commer isco s in.go / www.wisconsin.gov epartment of Commerce Jim Doyle, Governor Mary P. Burke, Secretary September 16, 2005 CUST ID No. 226497 ATTN: POWTS Inspector ROGER D NELSON ZONING OFFICE NELSON PLUMBING ST CROIX COUNTY SPIA 122 E SUMMIT AVE 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/16/2007 Identification Numbers Transaction ID No. 1194155 SITE• Site ID No. 704631 Todd Marek Please refer to both identification numbers, 128TH Ave above in all correspondence with the -agency. Town of Richmond St Croix County NEIA, NEIA, 535, T30N, R18W Lot: 9, Subdivision: Sunset Hollow FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1040034 J Yp P g J Maintenance required; 600 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD- 10691 -P (N.01 /O1); 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, Co 1, stats.`,r't The following conditions shall be met during construction or installation and prior to occupancy or use: DEPART ME Reminders y OF -O' SEE COR • 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.01 /01). • 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) ". • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, e vati vehi vehicular traffic and other similar activities that act the treatment and impact S xca on, cu ff p dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19 Wis. Stats. ROGER 1) NELSON Page 2 9/16/2005 • Inspection of the POWTS 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 II, Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Todd Marek 4 bedroom Mound system Owner's Name: Todd Marek Owner's Address: P. O. Box 228 New Richmond, WI 54017 Job address: 128th Avenue Legal Description: NE 1/4, NE 1/4, S 35, T 30, N R 18 W Township: Richmond County: St. Croix Subdivision Name: Sunset Hollow Lot Number: 9 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings gecENE Page 4 Lateral and dose tank 2 2005 Page 5 System maintenance specifications SEP 1 Page 6 Management and contingency plan -� &BUILDINGS Page 7 Pump curve and specifications " SAFE Page 8 Plot Plan erer c: F7EY,1 j ,tSPC, JOE;vCU Designer: Roger Nelson License Number: MP 226497 Date: 09/06/05 Phone Number: 715 - 273 -4444 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 600.00 Design Flow (gpd) 5.00 Site Slope ( %) 95.00 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution F Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 12.00 ft /orifice 2.00 Forcemain Diameter (in) 80.00 Forcemain Length (ft) Does the forcemain drain back? Y 80.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 13.05 Forcemain Drainback (gal) 15.50 Vertical Lift (ft) 46.79 5x Void Volume (gal) 0.77 Friction Loss (ft) 59.84 Minimum Dose Volume (gal) 22.77 Total Dynamic Head (ft) 20.60 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 1.50 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser 800 - 325 -8456 1 Manufacturer gal/in (enter result in cell B49) Dose Tank Information Eff Filter Information 800.001 Dose Tank Capacity (gal) Zabel 1- 800 - 221 -5742 Filter Manufacturer 22.241 Dose Tank Volume (gal /in) JA100 Filter Model Number Weiser =Manufacturer Project: Todd Marek 4 bedroom Mound system Page 2 of 8 I _ Mound Plan View T 1/10 B :. :� • J F . . . . . . . . . . . . . Observation Pipe : ::.: : ::: :. ti • '.,�• • • • '� 213 5 .A •: :: �: l•f �'r�',rtiJ: jtif:,rti� .'f. J.:: f ::�ti::l: jti,r: ftif: f:1•tif:rti:.':.r: f . , -.. I Mound Component Dimensions Down slop toe extension made. A 8.00 ft E 14.80 in H 1.00 ft K aft ft B 75.00 ft F 9.25 in z 12.00 ft L ft D 10.00 in G 0.50 ft J 5.49 ft W 600.00 (ft Dispersal Cell Area 1 1500.00 (ft Basal Area Available 8.00 (gpd /ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 97.60 (ft) ► G H F { { Dispe JJ r l s J 77 a '' I Cell 96.33 (ft) La teral 95.83 (ft) --110- -- Invert Dispersal Cell t Elevation E D ...... .......... 4 4 95.00 (ft) Contour Elevation 5.0 % Site Slope Geotextile Fabric Cover Shading Key Q. T Dispersal Cell See lateral details on Q _ Topsoil Cap a 1.5 ft •ti Page 4 for number, size, Subsoil Cap and spacing of laterals. © ASTM C33 Sand .`0-a Z ?•r•r •'r� r • : Laterals are e q ual) ®® Tilled Layer d 0.5 ft :;: Typical Lateral r: spaced from the Y vt • ti•ti:; :�• ••ti'; • •• •• Aggregate r.�.:..:•: • :•:.: distribution cell ❑5 r.:.:.• er o :.:.:.:•:.: •.:•:;: •: • centerline in the Ah W A �* distribution cell (AxB). Project: Todd Marek 4 bedroom Mound system Page 3 of 8 End Connection Lateral Layout Diagram Laterals centered over the A& B dimension 0 = Tu rn-up wdball va lve or cleanout plug P .I rF2!oice entical I<- X —mil Holes drilled on the bottom of the lateral equally spaced S main connection Via tee or cross to Manifold at any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.06 ft Lateral Length (P) 73.44 ft Orifices per Lateral 25 Lateral Spacing (S) 4.00 ft Orifice Density 12.00 ft /orifice Lateral Flow Rate 10.30 gpm Manifold Length 4.00 ft System Flow Rate 20.60 gpm Manifold Diameter 1.25 in Total Dynamic Head 22.77 ft Forcemain Velocity 2.10 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --► Comm 16.28 WAC 4 in. min. Disconnect ���-"`!ll --- Tank component is properly vented MForcemain Altemate outlet location diameter Weiser 800 - 325 -8456 Manufacturer 2 in. Capacityl 800.00 Gallons Volume 22.24 gal/inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 21.28 473.28 C B 2.00 44.48 P ump off elevation (ft) C 2.69 59.84 80.83 D 10.00 222.40 D Total 1 35.971 800.00 Dose tank elevation (ft) 3" Bedding un er tank. 80.00 Alarm Manuafacturer IS. J. Electro Systems Alarm Model Number 1101 HW Pump Manufacturer JGoulds Pump Model Number IPE 41 Pump Must Deliver 1 20.60 gpm at 22.77 ft TDH Project: Todd Marek 4 bedroom Mound system Page 4 of 8 I Mound System Maintenance and Operation Specifications Service Provider's Name Installed by Nelson Plumbing Phone 715 - 273 -4444 POWTS Regulator's Name St. Croix County Zonin Phone 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewater. Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 Xears Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished •••... Gr ade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral g Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Todd Marek 4 bedroom Mound system Page 5 of 8 I Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BODS, 30 mg /L TSS, 10 mg /L FOG, and 10" cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Todd Marek 4 bedroom Mound system Page 6 of 8 it ' Todd Marek P.O. Box 228 New Richmond, WI 54017 NE%,NE`4, S35, T30N, R 18 W 1 Sunset Hollow Lot # 9 Richmond Township St. Croix County Scale I " = 40' Weiser 12001800 tank BM #1 = 100.00' top of steel fence post L BM #2 = 95.80' top of survey iron �a 'of 2 "force main �y I 4 fiw 61 i o � I 1 �� D LUELG t Lot 8` Lo7-9 7- lo V O a , Pace 8 o 8 .2 T� ,4✓errKt Wisconsin Department of Commerce OIL EVA UATION REPORT Page of Division of Safety and Buildings in accordance with ComhY85 Adm. Code � ? C � Q Attach complete site plan on paper n less t-' I - 9 Wn siz n ryes County cJ ` include, but not limited to: vertical and ®FIf`diBgBM), di a 4fn Parcel I.D. percent slope, scale or dimensions, north arrow, and Iota ion t e r Please print all information. Reviewed by Date o� Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). t Property Owner Property Location < — Govt. Lot 1/4 A / 1 /4 S 3 J T N R E ( W Property Own is Mailing Address lot # Block # S . Name or CSM# City tate, Zip Code Phone Number El City El Village To Nearest Ro d New Construction Use. ential / Number of bedrooms Code derived design flow rate 4:�; GPD ❑ Replacement 1 ❑ Public �o - Desey� - — Parent material 61 , 1.1 > / c� UC_/l/ ,5�i rv�GlC�N� Q Flood Plain elevation if applicable General comments and recommendations: Boring # Boring it Ground surface elev. ft. Depth to limiting factor _- C� in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 I •Eff#2 2 -1 Orb- Z -m-- ® Boring # ❑ Boring - Pit Ground surface elev. ft . Depth to limiting factor_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 J O t� 2_ -M 7 Effluent #1 = BOD > 30 1 220 mg/{- and TSS >30 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Dat Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715 - 246 -4516 I 1 Property Owner _ 9 "] Parcel ID # Page of F-31 Boring # ❑Boring b0� it Ground surface elev. ' ft. Depth to limiting factor m. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Muns Q u. Sz. Cont. Color Gr. Sz. Sh. 4*Eff#1 'Eff#2 1. a Boring # [� Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Boring # El Boring F C1 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Effluent #1 = BOO, > 30 < 220 mg/l_ and TSS >30 < 150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS < 30 mg/L. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (RAW) I Soil Test Plot Plan Project Name Todd Marek Sh ird Address P.O. Box 228 New Richmond Wi 54017 &rm #226900 Lot 9 Subdivision Sunset Hollow Date 8/28/05 NE 1/4 NE 1/4S 35 T 30 N /R W Township Richmond F] Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation TBD *HRPSameasBenchmark B.M. 190' Property Line , Alt. . is top of Scale is 1 „ = 40 vey Iron @ 95.8' unless otherwise 95' noted B -2 50' 93' % Slope /Z Well 55 j r 1 13-1 75' 25' 40' B -3 415' Property Line 128th Ave Ir 2 RECEIVED i- 1378 Wisconsin Department of C&merc o SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildi gs O V 13 3 203 ce w h Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site pl on pfAF QH&��ht Yinc in size. Plan must County St. Croix include, but not limited : vertica0@fi*tR) F=0Wnce poi (BM), direction and percent slope, scale or d distance to nearest road. Parcel I.D. Pending Please print all information. awed gy �-� ^- ate Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 2 -z_ bs Property Owner Property Location R.J.C. Development, Inc. Govt. Lot na NE 1/4 NE 1/4 S 35 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1868 CT Hwy " C " 9 na Sunset Hollow City State Zip Code Phone Number City j Village � j/ Town Nearest Road Somerset I WI 1 54025 651 - 488 - 3051 Richmond 1 140Th St. AM New Construction Use: ✓1 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement J Public or commercial - Describe na Parent material Benches and large drainageways of ground moraines. Flood plain elevation, if applicable na General comments and recommendations: Mound design, system elevation 98.60ft based on contour line elevation 97.60ft. Minimum 12" of ASTM C33 sand Boring # J Boring 10' Pit Ground Surface elev. 98.40 ft. Depth to limiting factor 27 - in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/2 none sil 2msbk mfr gw 2f .5 .8 (P 2 8 -27 10yr4/4 none sicl 2msbk mfr cs 2f .4 .6 c 3 27 - 50 10yr8/2 c2d 7.5yr5/6 E andston residuum mvfr na na .0 .0 — a Boring # I Boring 16 Pit Ground Surface elev. 98.40 ft. Depth to limiting factor 2 6 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/2 none sl 2msbk mfr cs 1f .5 .9 ( 2 10 -26 10yr4/4 none scl 2msbk dfr gw 1vf .4 .6 3 26-59 5yr4/4 c2d 7.5yr5/6 scl om mfi cs na .0 .0 4 59 -72 10yr8/2 c2d 7.5yr5/6 sandstone residuum mvfr na na .0 .0 * Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD S30 mg/L and TSS s mg/L CST Name (Please Print) gnature: CST Number David J. Steel tJ 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 11/10/2003 715- 246 -5085 I Property Owner R.M. Development, Inc. Parcel ID # Pending Page 2 of 3 3 ] F Boring # _j Boring �0 1/ Pit Ground Surface elev. 95.70 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0 -9 10yr3/1 none sl 2msbk mfr gw 2f .5 .9 (� 2 9 -24 10yr3/3 none scl 2msbk dfr gw 1vf .4 .6 Cf 3 24-40 10yr4/4 none scl 2msbk mfr gw na .4 .6 c/ 4 40 -50 10yr8/2 c2d 7.5yr5/6 ;andstoni residuum mvfr na na .0 .0 F-1 Boring # I Boring Pit Ground Surface elev, ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 i * Effluent #1 = BOD 5 > 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 provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. Page 3 of 3 STEELS SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST- POWTSM RJC Development Co. New Richmond,WI 54017 Lic #248956 NE1 /4,NE1 /4,S35,T30N,R18W Bus.(715) 246 -6200 Town of Richmond, St. Croix Co. Fax.(715) 246 -9372 Sunset Hollow, Lot 9 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' ( A Benchmark Ele. 1 00.00F t `T p of 1/2" pvc pipe ( • Alt Benchmark Ele. 99.50Ft 'top of 1/2" pvc pipe �— C = Borings Boring Elevations B 1 = 98.401 B2 = 98.40Ft B3 = 95.701 B4 = OO.00Ft 2q6 �- c �. 97 n cl' /l �0 - - 71,002 sq. ft. 1 o \ \ N. B. 72,954 sq ft. \ N - o 1.63 acres 9 \ . 1 I \ \ \ `1.67 acres: 1 N ) I I \ \ \ \ Joint Driveway a / I 1 275' / / \ F \ _- - N 305' \ LOT 1I - <' '76, 251 sq. ft. \ ! o BLOT 7� \ n - - o ! - 74,251 sq. e ft. \ N N 11 N.B.A.res� \ N to ` \ 1.70 acres\ \\ 72, 928 sq. �ft. \ 1 \ \ = \\ 11.67 acres: \" \ \boo 275' X305' : \ 1 . I 190' �\ \ 190' 200 \ W i 000 Crji i F h� \ O 8— — OT 9 C 1 , 0 4 Jim - " 78 sq. ft. 001 sq. ft.\ ao \ \. 8 acres 1.81 acres 1.91 acres \ °O 0 N \ I - - -- \\ \\ I'i U h - / - -- \- 1 ,1, 33'33' �__ _ •190' — 190 \ . I -200'- 33' PJ90PC�S,ED� _ = - 128 Tf-/ -6 -A VSVUF 968 ' I -\ ' 230' --\ 230' 245' • 33' 0. -- ._• -� - - -• -- - -- �- -- --------- - - - - -\ ----- -\ - t -- I U 2 8 6 9 P 14 1 6rb3735 i KATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., NI Document Number Document Name RECEIVED FOR RECORD 08/17/2005 02:00PH WARRANTY DEED EXEMPT # THIS DEED, made between RJC Development, Inc. REC FEE: 11.00 ( "Grantor," whether one or more), TRANS FEE: 363.00 and Todd 9mE k COPY FEE: CC FEE: PAGES: 1 ( "Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant avid J. Estreen W ` interests, in St. Croix County, State of Wisconsin ( "Property") (if more space , 304 Locust Street GQ% is needed, please attach addendum): Lots 1 9 nd 17, S unset H oll ow. St. Croix County, Wisconsin Hudson, W154016 026- 1099.60- 050:026- 1099- 10.000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated RJC Development, Inc. (SEAL) 4� , ) (SEAL) * *By John H. Carlson � (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) RJC Development, Inc. By: John H. Carlson— STATE OF ) authenticated ) ss. W f COUNTY ) *Kristina land r Personally came before me on , TITLE: MEMBERISTATE BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Attorney Kristina Oeland Notary Public, State of Hudson. WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 • Type name below signatures. INFO -PROTM Legal Forms 800- 655 -2021 www.infbprofonns.com i _ Y 'ate " — LOT 6 m C." N �sts' w 7 1,002 sq. ft. o o N I +�v 1.63 acres o° LOTm ° I' ° s 6 rn 76, 251 sq, ft. I w :01 1.75 acres 589'49'15 "E I CA 275.00' S89'49'1 5 "E V 305.01' N W O 288.24' o v ^' ^' Z o LOT 7 0 o LOT tl N O o I o 74, 251 sq. ft o ° $ 76, 251 sq. ft. o I 0o m N 1.75 ' O u' 1.70 acres acres o 0 N O OD N s ^, S89'49'1 5 "E 580.01' M O C 275.00' ft. 0 190.00' 305.01' o I 190.00' 200.01' ( PI t � N OD 1047.75 i Ln m LI) I ' LOT 8 LOT9 I 14 78,851 sq. ft. LOfi v I rq � I . 1.81 acres o ft. Z 83, 0 01 ' sq. ft. I 0 1.81 acres 0 1.91 acres CA L OD Q s CA - I p I o tr I 00 V g w .............. i I . I I 33' 33 L L — 190.00 - 190.00 N89'49'15 "W 200.01 O WN - A 12 - 580.01' w • ~' S89'49'15 "E 230.00' 935.12' • 0 { i 230.00 245.12 ' --