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HomeMy WebLinkAbout026-1149-30-000 "Isconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix f Safety and Building Division Sanitary Permit No: INSPECTION REPORT 420595 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: Larsen, Melissa L. Richmond Township 026. 1149 - 30-000 CST BM El: Insp. BM Elev: Description: M 0 ,- I BM VV<C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /� O ia�`' 2•�� /02' Dosing Alt. BM 7 s'D k r 7.75 9 5 '7 Aeration Bldg. ewer /y yg �- Holding t/Ht Inle TANK SETBACK INFORMATION St/Ht Outlet TANK TO S P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic A f o i l 0 i S t otto / 3. Dosing ��� 0 Header /Man. Aeration Dist. Pipe P °� 1✓ , eo �, 3 s Holding Bot. System If PUMP /SIPHON INFORMATIO v/- /'f4CLY Final Grade - Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Y S I System Hea TD a, Ft t� i Forcemain Le gth / Dia /I Dist. to Well / SOIL ABSORPTION SYSTEM %V y BEDITRENCH Width Leng No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufac INFORMATION CHAMBER Type Of System: / 1 O / UN Model Number: DISTRIBUTION SYSTEM Header /Manifold 2 U istr "bution .t x Hole Size / x Hole Spacin Ai�lntake I /I l t Length�_Dia Length Dia p ing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded /Sodded xx Mulched D e p t h Over Center LI '� Bed/Trench Edges Topsoil I / 0 Yes [] No Yes L No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / 7 D 3 �,J{�spection #2: 1 ! Location: 1290 142nd Street New Richmo d,, Wll 54017 (NW 1/4 NW 114 36 T30N R18W) Torey Pines Lot 30 (�,�� Parcel No: 36.30.18..11�1330�r( 1.) Alt BM Description :7s p # ="" -C k 2.) Bidg sewer length =� TD J - (5 - 1 '►^ l/ n �Z� - amount of cover Plan revision Required? Yes [ 0 2 Use other side for additional information. — SBD -6710 (R.3/97) Date Insepctor's gnature Cert. No. Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. 14 5con ' sin , See reverse side for instructions for completing this application PO Box 7302 Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce (Submit completed form to county if not [Privacy Law, s. IS.04(]xm)] 3 P state owned.) Attach coin lete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County StateSanitary Pe Number Check if revision to previous application State Plan I. D. Num Cif f be 0 r I. Application Information - Please Print all Informatio .k :,. k Location: Pro rty Ow ne Name P� P roperty Location 1/4&) 1/4, So%AV ,N, >X (or Property Owtices Mailing Address Lot Number Block Number City, fate Zip ode ----- Subdivision Name or M Number H. Type of Building: (check one) ✓ 0 City 1 or 2 Family Dwelling - No. of Bedrooms : a'�- D Village Town of Public/Commercial (describe use):_ Lin D State -Owned ST e ��� Nearest Road 3x D ar III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) A) 1. New 2. Replacement 3. Replacement of 4. S. 6. Addition to ystem System Tank Only Existing System B) permit um r ate Issue D A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) 3� r p on - pressurized In ground ❑ Mound and F ter Constructed Wetland / ressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line D At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: a Fal Gra r U in 1. Design Flow (gpd) / Dispersal Area .Dispersal Area 4. Soil Application 5. Percolation Rate System Elev d Required Proposed Rate (GalsJday/ q. .) (MinJinch) Elevation y/f 7 (t S� "�' • to `� , f' 44� 0 9 7 too gS VII. Tank Capacity in Total # of Manafacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing S` crete structed Tanks Tanks � ���G ZS ZiSo F�u/1T ❑ ❑ ❑ D ____ ❑ ❑ ❑ ❑ Viyl s"� VIII. Responsibility Statement tPlurnibees , the undersigned, assume responsibili installat' OWTS shown on the attached plans. ame not um rs ►gnatu no ps: MP o. Business one Num r 9 Address (Street, City, State, Zip C jU IX. County/Department Use Only Disapproved Sanitary Permit Fee (Includes Groundwater DateIsued ssuing ent Signatu o stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) �•c Determination X. Conditions of Approval /Reasons for Disapproval: l off- l { am- r u Sh,Q1.,/ -1J skr, �-cl,� �l a �.�. sew thave q, /h /� s , �u.� � f3n'1 �< a f Z8✓� �r�'"��,,vrt)1 , AMA _ y onr� ceno in mints (-J/ � �7� J'ci' �� �Un ��0�� I / - �.��YY�w�' p� • (L`j � - -- r Engineerin Deto Pump Characteristics Performance Data ► Nl►t6► U.h SobunEbbe A*tnm* #.*Wt SttEi70A1 HMO"" A i i M) food AM 6 >o r .. _.... N46ta SWW for 1 4 ) VAL 1Si0 I t y 11S N — Wt 1 60 1�0'F A r•re,us ux r _ p • Atlin+t N[NU1 Do 61a A uMis«.r s 1 2� t Mdotw 4hn A Total K*4W hot 4 i 12 1 f1 20 24 W*dwp She 1 -1 /t N 139111W 0'M (U.S.) 1 . 44 11 5014 HaAq 7 /4.09M) UM W04 it 30 bin. Pews( Cord 16/7„ SM W std. Dimensi Data r,ir 114 S. Il IYurout k t=Ins Ma terial s of Construction ,p, o tit t (Wrocal W„rdor �.► N SMd6lsss Stt►61 Ry : 1/1 -d A ., L*t g* 00 DWmtrk a �►� UNION W" Maw N�+n (lot keg r We Off n P S. a,/OH Irrrl o{umdr Csrf Cast w f. yh rear to 1* w rtatr t main. w u Qilx sd,Aar . 1prdlmwro r+tlout Mnn Mladroricd SOW Fans: (slain /Grade Shaft Sod Sal kto An" ved Sprig S"Is Stod wst k.-N Ixn CAST hart Ske" tz1;f 2$ Lower 2111 bw W t s�•vs tomm P11416 tk s• U1 ►,�dn LW EagrmW 1`6mmoolk i Fell"M Stiloss Sud — G 1999 H dromolic' rumps. AsNoru], CYwo AP R' Raaved. (r1�j HYDROMATIC "' - 1840 Boner Rood A1Nwi, Chin 44105 1eM 419.1E9•3Df9 Fix 419-211-0017 Well SRe: wnr.imldrrunP IN Al SAL[S OFFK[S IN AIL NWOA CIT1[S AND COMI[S , ; y item r: w- 02.6350 1206 6M v I kW ' /�{ S 3� Tea ,� S �►� ►-1 o r �� we o, 0 z4 Scoog0004 c� 'r � S t�-� i o0 p r "I P t SC r ✓r�E 4 o l ZSo /7S'v iT - 7 �/-Pf m S R(, �owteo Tlh�'� Vf t o �. 4v N N6P t— o s�4v Moo, Illy z -2w' Z7 e s �� r� ST. CROIX COUNTY WISCONSIN •�✓, '� ...''� ZONING DEPARTMENT ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715)386-4680 Fax (715)386 -4686 Fax To 7 b D From Fax: 7/ S - 3 2 ! 9 2 Pages: 2 Phone: Da te: /Q Z� Re: 3U CC: ❑ Urgent or Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: s_ U - 7&t a IMsconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Divisinn of Safety and Buildings 1 in accordance with Comm 85, Wis. Adm. Code Cou nty Attach complete site plan on paper not less than 812 x 11 inches in size. Plan must Include, but not limited to: vertical and horizontal reference point (BM); direction and Parcel I.D. 126 -/ 16 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. O -11 o kj I wo � vela Please print all infonnadon. by Date Personal Infarmatkn you provide may be used for seca►dary purposes (Privacy Law. s. 15.04 (1) (m)). ( I s h Property Owner G9 I Property Location. _ ....... . Ib I )d GovL Lot /\.(L 1 /4/U w 1/4 S ( T 3 p N R 1 g E (or) Property Owner's Mailing ( Address Lot # Block # Subd. Name or CSM# P er' \ City State Zip Code Phone Number ❑ City ❑ v'dlage fEjT Nearest Road ®-New Construction Use: 0-Residential / Number of bedrooms ? ' ` . _ Code derived design flow rate GPD ❑ Replacement ❑ / Public or commerdal - Describe: Parent material 't �� __ Flood Plain ele lion If applicable ft. General comments j /� ele and recommendations: Y T &// O� C�v ❑ Boring ..._ In. a Boring # rn rr�� I pe:1. Pit Ground surface elev. �� ft. Depth to Cunning factor � V � _ .. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I G - ( 0 3) 2 — i �r' CS PVC 5 g 2 Q -3 10 r -4 S ica l rn�r c 5 _ `{ - (� m - / 2 Boring # ❑ Boring off' pit Ground surface elev. 9_ �b_ ft. Depth to limiting factor wU in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell (]u. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 vjC I _ 5 $ 2 11 -3� 1 H q S pct 2 M c `( 3 3 lcx� lU L4 6 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mglL CST Name (Please Print) Sjgnature CST Number f Aaam So y1nake r 25.3309 Address Date Evaluation Conducted Telephone Number 2113 Bw o5 . 3 orn er - ne-4 1 5 , �o zn _ �` /� °� (715)2`17-` W 8' Property Owner Any In VP�T r ngi , L L C Parcel ID # Page . 'of a Boring # ° Born ,!} `. ' ' ®-.pit Ground surface elev. 3 d f . Depth to limiting factor �Q V in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft In. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. • 01#1 •Eff#2 o- I? O z C5 Ivy .5 � Z 12 -54 !D L4114 . CA m r c 5 — -mil F-1 Boring # ° Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth - Dominant Color Redox Description.., .. .Texture . Consistence Boundary Roots GPD/ft In. Munsetl Ou. Sz. ConL Color Gr. Sz. Sh. •Eff#1 •Eff#2 F] Boring # ❑ Boring . _. ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture . Structure Consistence Boundary Roots GPD/ftt in. Munseli Ou. Sz. ConL Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD$ > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent ##2 = BOD < 30 mg/I. and TSS < 30 mg/L jo . The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to aeceis services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (807100) y PAGE OF NAM �rn � S LOT# LEGAL DESCRIPTION , VW XUw 1 4 ,S �o T � ,N R i SCALE: 1 " = lyo - 1 BM I ELEVATION (Lj• U BM I DESCRIPTION 4o o S I y a ,! c- e i y v BM 2 ELEVATION ql,• ec BM 2 DESCRIPTIO c, L 1 o c , D� SYSTEM ELEVATION ALTERNATE ELEVATION U U CONTOUR ELEVATION 4- f L-K- o y �► � JU7 n�_� Pit* W, z' d -7tv jj Ng) W AIA& a2 W n.& �- h 61 I k DATE GNATURE 7 - /Z G Z �° �� cPl we o "i 5 T �' IC ► y ZIP- /UDer`li- r r' i W� �A-a4gE. 4 [3c02oow1 o � �n Ptic Str ✓,�E R o � 2so %so Gfu � iT I� ry � �'¢►� �i a NP E � I 'lY2 N Pul- S ?,S sra �N � I fr►F - o�S � � � '�2 � � � �� s o moo' ` FROM - ': CERTIFIED SOIL TESTING � F R X NO. ( 715 233 0398 Jun. 14 2002 05: 52AM P2 _ wt�,YHERPao�;>= !�C KttJG * Cpv�R -TV N LT C IL F,*,- 7 MOrro'77 7777 - �4tCK Dr�tcwKitT� -^� p t�p►ST>J4�ED �'�, Sato. 24" Y.S. /A" r Asy- )l u-c ? ti ap►�aavc D 4 0 CET =24r.% �A F'FI. E i AL 3 • ON HE4TlOtiS "'/ K �-C Y 1 V 1 + V►�'J►aG Cs^C II Pw-LP 1 Q SEPTIC A7'J TAW -S / %AUUFACYUa C4. 'Gk QUM6E OF DOyCS: zo _..;ILK G..� TA1JK SJ�>: ; 1 L,"O ' �r�'C� 6AL.LORJS .005C VOLUAC ALAS,1� P", 4 FAtTURG4t: S ` �'- 4j� 4R1tLL14�11G 6J.CKfL.C+rl: _132 p /I ^00CL WL 04CK: 1 1 t� "`� CAPACITIES: A= 'y CM 9 v�," L3 5W)TCH TVPCt....,,_,.��` g,e - - JAJCHE- 04 PUMP 11 AkJUFAGTUKCx , i>JLPttS09 + � ���!� i t;s t MOD£L WUlrI6CR: pw „� ttt�lit5 OR X02. 2 .GJ t_G�;: SWITC -K Tioc, 1�►C�v r " "� 1J T : PUAP AWD kLARM ARE To 0C 1" W1MUM CISCFIAft" R .r._._. ZGj INSTALLED Oki SEPARATE C L-• , 1 VEKT)CAL DtFFEXEW bf7W[C1,! PU"i OFF AWD 01STR1 P / IPE.. ' + kiCTWORK 4UPP4.V PAk46UAC . . . . . . F'LCT FC ET OF rootcC PIAIIS X 1 , f ;rop JCFKICTl0W FACT01l. S ECT X . 1 i TOTAL. DUWAMIG READ FL T �^ ff 1UTCRUAt. DIMEU1,100JI OF TAUK: LEW&TN _..�;LIQti}lD OEQr►� „ 32.6 perfOrlltgnce Wholesale Products Page: 6390 -1 �qfp � Section: Performance Data Dated: January 2001 RPM: 1550 Discharge: 1 -F/2'H' PI/2H MTDROYwTk SW25/33 SD25/33 VS25/33 9 30 �-- SD33, SW33, VS33 b � 20 W Z g ° x 3 ° 10 SD 5, SW25 VS25 0 0 (opacity-U.S. G.P.M.0 10 20 30 40 50 Liters /Second 0 1 2 3 The curves reflect maximum performance characteristics without exceeding full load (Nameplate) horsepower. All pumps have a service factor of 1.2. Operation is recommended in the bounded area with operational point within the curve limit. Performance curves are based on actual tests with clear water at 70° F. and 1280 feet site elevation. Conditions of Service: GPM: TDH: I� HYDROMATIC 12/04/2002 01:54 FAX 17152352592 TLSINZPLUMBING Q02 'FROM . • CERTIFIED SOIL TESTING FAX NO. 7 tt 5 233 0399 Jun. 1 ?002 1215. Sc:!FV P2 " wt�►T4ERPRa1� LO C iet wG + covs 2 SW I'd LT �c �+ 1 AJ4 J. ,Qu e. W, 0r6cdn.dAcY --� I - IL D1 PG -%olL d� 1 tl I 40 . 2 % -0 • � t �I r KLi A4" ir (Y-T 3Dwr.5 j FiaE 11 ! , Y o�. � c D1lTi 1 i n� 2' wEG_TLO �— `►i .�. ..Q - 1 V'l7 j' co ere . SEPr�c a � SP �6V 'r 6 hA L! umm m OF 9 o SC5: T"i[ t3wLL0111 005C YDLtrMf /2 ALA'k^ rkJaw9A6L7ulLCt' S d L�.�ir�.. IWC.LL0%WC+ 5A LXf60W �•: � . 1 ??! 1�11;,�.. -s AOOCL uC4§4CK; A 1 t h4 v LAPACITIES: ♦= Willi cs OK 6%017I:Ff - r PL: ���.., Z JLCNES 04 34 .'+.�� ;-. JU P1i► Ui1GTl1RCR: C a , •77 �Ljr wE PK -. Lw.�.^ ►> r MODC• 1JUMpCIL Da IAl_MES G4 1oZ ' 4 Z GILLO.,; �vi1rCN TtJPC: ��'�"•..•~ 110TE: PUAP AW3 k6ARH ARC Tr, oL �i = OISCN/�R(� RFTE INSTALLEO O►: !L ? ARAYE CIKC - , `o VCGLT)CAL WFELEMr.[ d(TrJCLIJ PUPW OFF Ay0 013TIMUTIOLi PIPE.. FE {► Rlul^LJK MCTWORK %uPPty P$k ks Q iURE _ . . , , , , , , . FCCT / i ,j?_* f CET OF rcLCC l'M11J X f p�CiRl[T1o►I fAGTblt_ /ECT (�+ � TOTLL 0 lIC �gE a •Z F7LET IUTfi�LlA;. 0I11CL1S1obi1: 0/ TAUK: LI:WCoTM `= _;W;OTH 6 _;LIQUID DtPY" „ 3�-6 12/04/2002 01:54 FAX 17152352592 TLSIMPLUMBING la O1 T.L. Sinz Plumbing Inc. E5609 708th Avenue Phone: (715) 235 -2644 Menomonie, W154751 Fax: (715) 235 -2592 FAX TRANSMITTAL Date: O No_ of Pages: (including cover) To: Arm: From: Subject: 3o i "�! 1 o- ebsE. -l Message: Signature: Volute. ........................ABS IL L 509105 ..............1 15V 15' (4.6m) power cord. Impeller .... .......................... Vortex nylon 509120 ..............1 15V 20' (6m) power cord. Shaft Se .... .........................Carbon /Ceramic 0 s2 Bearings ...... ..........................Upper and lower Operation Sintered sleeve bearings 8E -CIM Manual FLOtt- Lrreltsi%u�t rr: 8E- CIA -RFS ................Manual or Automatic '°° Activator. _ ............... Piggyback mechanical float switch Switch on Switch off =. " 9 " - 14" 2" .. . 22.8cm - 35.6cm 5.1 cm - 15.2cm - 20 - Electrical - 509000 ........................1 15V 60Hz, 11.5 amps 7 ,. 10' (3m) power cord. _ 509005 ........................115V 60Hz, 11.5 amps = '° 15' (4.6m) power cord. 509125 ........................115V, 601 11.5 amps ' 25' (7.6m) power cord. 509050_ .............. 230V, 60Hz, 5.8 amps . ! ... _... _._ 12 (3.6m) power cord. ° _° " 80 a° '°° 509100 ........................115V 60Hz, 11.5 amps FLO1% GU,1.(I�snu�t'rF: 0' (3m) power cord. 509105 ........................1 15V 60Hz, 1 1.5 amps 15' (4.6m) power cord. E ) 1 to 1 ]1 a t O t 509120 ........................1 15V 60Hz, 11,5 amps 20'(6m) power cord. ' E S e r i e s I'R0DUCT CHARACTERISTICS 9E -CIM Manual Motor ........... .........................4 /10HP Shaded Pole Y, @. 509200 ..............1 15V 15' (4.6m) power cord. Maximum flow rate........._...57 GPM @ 5' vi' @' 509225 11 5V 25' (7.6m) p ower cord. 216 LPM 0 1.52m p Maximum Head . ..... ....._....23' ........................7m @" 509250 ..............230V 15' (4.6m) power cord w /out plug. Solids handling (dia.) ............ 3 /4 .. ........................19mm 9E -CIA Manual or Automatic Intermittent Liquid Temp. to ..1407 .....................60 °C Discharge ..............................1 1/2" FNPT(38.1mm) JL'@ 509300 ..............1 15V 15' (4.6m) power cord. Housing .__ . .................Epoxy coated cast iron u( sp" 509320 ..............1 15V 20' (6m) powercord. Cover ................ .............. ...... Glass-filled nylon Volute. ..........................ABS Impeller ........ ..........................Vortex nylon Shah Seal._ _ __... _.....Carbon /Ceramic E I 1 m 121 a t O t Bearings ....... .........................Upper: Sintered sleeve bearings Lower: Ball bearings Operation 9E -CIM ... ...........Manual 9E- CIA -RFS ................Manual or Automatic Activator .. .._ .................Piggyback mechanical float switch Switch on Switch off 9 " -14" 2,.6., 22.8cm - 35.6cm 5.1cm - 15.2cm Electrical FLU %% I.I'ITAISAII\I TF 509200 ........................1 15V, 60Hz, 12.3 amps . .� 120 ,.. _.. 15' (4.6m) power cord. 25 _- 509225 ........................115V. 60Hz, 12.3 amps 7 . 5 25' (7.6m) power cord. - 20 s W 8.3 y: 509250 .....................230V 60Hz, 6.2 amps y 15'(4.6m) power cordw /out plug. 5 5.0 S 509300 ........................115V, 60Hz, 12.3 amps ? 10 3.e 15' (4.6m) power cord = 2.5 ... 509320 ........................115V, 60Hz, 12.3 amps 5 20' (6m) powercord. 1.3 FIRM GAI.L.U\SAIIl l'1 When ordering, please specify Model and Item numbers. w w W. L i t t I e G i a n t P u m p. c o m FROM.:_ St Paul Radiology FAX NO. : 651 297 -6499 Oct. 36 2002 12:28PM P2. FROM : MW FAX NO. : 95289,378'3 Oat. 30 2002 11: 51AM P2 oat so 02 11:016 Banta Exc P.2 SHP= TAW marrow= Aimnmwmr AM OWNSRNW t13R9P1FWATION r Ad , • d� ar ro 6 < <0I� _ Q __ S L c - , ]� ftwm Mdm �� I St r�ty�stll� !�'e,w R'�c.h,..,w �W �denttioa N�ber , -- pmpav ulauim 4 K sft 310 T T.. +C1tCe� Sptq► Map Vale . pop # s pa Q yai w mw fcCaad&* yali p w � R1n � �� dMlw oa�ald alt b ��aeatoaa tli�llta b lwwlla �wlaa. lk�por maiaaaaeace aaarl� at* bpl *A §WW IN* ffft dm ymw a lfoaW if ll Iloelnadtom. WW 7w pat W4 do e"m orn rtt q1f the Sq& In* a$ 0 &won* Ibm ill 401x" diwiarsl �qp. � ' + I 1 4rm io albolit to + oitt s OwNubom h m, by till oww ad t# � '., matAlaabrra� leted�ambeareippw�eapMp�et ' i�tC =y�ar��wlNpl��tetrd��awityM� b l apgdit6on mac(�� silr+i (itl�k�t tam arc ie to than In an Af ww* rhn.. � �dnaidllwl iwv+a seed � �, � ud 11�dC to m�Alda the pe;vara a d�xla�li p�aMale tbhe aaaodaer� wt hrk bee* w rt by tlls atatm os mad t>N Dew aPt�luepeal itawpa+xy aoaa wi�rooaaia. rtl�adaa that Ym m ym w adaawt be alNapMr4 OW lw�uwed w do ft t� C7=* Zonis{ Cfft m �a a / ARM CjW=AI20N 1 (" arft 00t all a as W4 Mara m *0 M aw beat of air (out) bwwtadea Y ( am (so) 00 owael(a) of m° da="� o ' dead mmWW in RgVW i of D" t]tibm. MMURN DATZ . *.... Aw Napa ftf lr ftwmm�Nww m q ialW is 90 S mIk V PmW bekS WV46d by *s Z=bX D.partWo. �....� •• xnetw� with tW, applia�tlaeu a 46mp. w4w4r# dW span elal ftWW of Deeds low ""Hw omw +gyp if mommo is mach fa else �alawlty decd 08; ;8:01 TUE 18:11 FAIL 715 886 4686 ST CRI CO ZONING � dgx 2001 POWTS OWNER' MANUAL a InAMAyC1'''><cm rL^i4 --- FiLE INFO SyS TIM APECIFICATIONS , ivr Septic Tank CapacityQ gal ❑ NA Permit # a Septic Tank Manufacturer jj ❑ NA DESIGN I'ARAM1ETiE~RS Effluent Filter Manufacturer ❑ NA Nber of Bedrooms Cl NA. Effluent Filter Model TQ$ZZ NA um g Cl NA P ump Tank Capacity 8 Number of Commercial Units / Estimated now (average) ga( /day Pump Tank Manufacturer p NA Design flow (peak), (Estimated x 1.5) pp g aVdaY Pump Manufacturer if�/'T" ❑ NA Soil Application Rate gaVdaY /ft Pump Model la NA lnfluent/fiffiuent Quality Monthly average* Pretreatment unit ❑ Sand/Gravel Fi1tQr ❑Peat Filter Fats, Oil a Grease (FOG) 530 mg/L p Mechanical Aeration ❑ Weiland Biochemical Oxygen Demand (BODs) 1220 mg /L ❑ Disinfectlon ❑ Other: Total Suspended Solids ( TS5) 5150 mg /L Manufacturer Pretreated Effluent Quality ' C3 NA Monthly average" Dispersai cell(s) Biochemical Oxygen Demand (BODs) 530 mg/L *in- ;round (gravity) 4 in- ground (pressurized} Total Suspended Solids (Tl'SS) 530 mg/L C3 At -grade L3 Mound Fecal Collform (eomeu is mean ) s 10 cfu/ 100m1 ❑ Dr1 -line ❑ Other: Maximum Eftfuenc Particle Size h inch diameter * Values typical for domestic (non - commercial) wassawatef and septic tank effluent. * * values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of tank(s) At least once every ❑ months ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (Ys) of tank volume Inspect dispersal cell(s) At least once every ©months earls) (Maxsr>httm 3 yrs.) Clean effluent filter At least once every / ❑ months ,Fe'Year(s) inspect pump, pump controls ax alarm At least once every 3 ❑ months O ears) Cl NA D months C1 year(s) 014A Flush laterals and pressure test At Least once every thcr: At least. once every ©months ❑ year(s) A Other- At least once every ❑ months Q year(s) 0 prNA MAINTENANCE INSTRUCTIONS Plumber; M as sinks and ter Plumber Res raai cells shall Sewer, be Inyspector,• Individu carry one M ntai er 5 the following licenses or ptage Servicing Operator. U T Tank Inspectior Plumbr; asr Res , p must Include a visual Inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure t volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surfa T effluent ers al ce ll(s) shall be visually Inspected to check the effluent levels in the observation pipes and to check for any pa the ground surface. The ponding of effluent on the ground surface may indicate a falling condition and requires the immediate nodflcation of the local regulatory authority - ore of When the combined accumulation of sludge and scum in any tank equals nd d ispos e d ( o ) f In a ccordance ch. NR 1 �3, W sconsi contents of the tank shall be removed by a Septage Servicing ope Administrative Code. t$, pretreatement components, and The servicing of emuent filters, ge�no�i 2 months ze d p s h a ll be performed by a certified POWTS Mairltaine other maintenance or Monitoring at In A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPE ATION tank(s) for the presence For new construction, prior to use f the for dunage ttreat ersal cell(s). If high concentrations are detected have con e that m impede the treatment process nr rks rarsirhl rpmcvpd by a senwe se rvicing operator prior to use. a +18/ 28!01 TUT 15:11 FAX 715 386 4686 ST CRX. CO ZONING 002 Pip .._of..._ System start up shall not octvr when soil conditions are frozen at the Infiltrative surface. During power outages pump tanks may lilt above nomtal highwater levels. When power is reswred the excess wastewater will Ot tier cells and may result in the backup or surface discharge u0 discharged t4 the dispersal cell(t) in one large dose, overloading ( ) offluent. To avoid this situation hava the contents of the pump tank removed by a St;pup Ser*ing Operator.prior to resWdnt power to the effluent pump or contact a P lumb er or POWTS Maintalner to Joist in rnan4halty operating the pump controls to restore ncrmai levels within the pump tank. Do not drive or park vehicles over unks and dispersal cells Do not drive or park avtr, or otherwise dtswrb or compact, the area wtthln 15 feet dawn siepe of any mound or at -grade soil absorption area. Reduction or ellrnlnadon of the following from the wWew }tar stream mmy improve the performance and prolong OW fife of the POWTS: antibiotics; baoY w1p *s; cigarette butts, condoms; cottoa swalx; degreum; dental AoA digmisi dWnfecsanu; fat; foundation dratn tsump pump) water; fruit and vegetable petUrlim East m grea5e3 hert4ddw; meat scraps; medicatwns; 61; tainting croducu. pesticides; sanitary naokins: tampons. end water So funer brww. ARAN DON EM LENT When the POWTS fails and /or is ptmianentty taken out orst"Ice the following steps shall ba taken to lnsurt that th* system is properly a nd safely abandoned In compliance with Ch. Comm 03.33 Wisconsin Adm►ntst WV* Codes e All piping to tanks and pits shall b* Qlswimcted and the abmdoned patst pWrA>O sealed. The contents of aA urvits and plu shill be removed and properly disposed of by a Septage Servicing Operator. • After stumping, all tanks and plu shall be excavated and remov or their covers removed and the void space filled with soil, gravel of another Inert wild mArrial. CONTINGENCY PLAN if the POWTS rafts ants cannot Ix repalmd the following measurts have been, or must be taken, W protiWe a code 'compliant retslace ent system; A saleable replacement area has been evaluated and may be uti f ed for the location of a replacement soli absorption system. The replacement area should be protkcted from disturbance and companion and should not be InfKM*d upon ey reNlred setbacks from existing and proposed WVcUam, lac IIn*s. and wells, failure to protect the replacement aria will result in the need for a new soft and site evaluation to *sUNIsh a sultaNe replacerront area. Replacement systems rnust comply with the rules In effect at that time. 0 A sutUble replacertunt area is not avallible due W setback arid/or soil Uiriltatlorts. 64rrtr g advallim In POWTS tachnulvjp' a holding tartk may be indtalled as a last resort to reptam dw fabd POWTS- 0 The site has not beets cvaluated to Identify a swit -WO nplsumerit Jim- Upon fa um of the POWTS a soil and site evaluation must be performed to locate a suitable replaces otarea. If rt0 replacement area is avisltable a hohing tank may W installed as a last resort W rcplac* the failed POWTS, 0 Mound and at -grade soil absorption syst*rns may be recgNvu4xwd In place following removal of the biomat at the Inflivative surface. Ktconstryctloru of such sy$Wuv must.compty with the rules In tffect at that time. < <WAIRNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. 00 NOT ENTER A SEPTIC, PUMP OR OTNtR TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RI $UET, 90GU6 OF A PERSON FROM TK% (NTLRIOR OF A TANK MAY BE DIFFICULT OR ImPnI IFR1 V, ADDITIONAL COMMSNTS POWTS INSTALLER POWT$ MAINTAINER Name S�itJ tr'L�6 NL Na me TL P L,�fr NL Phone ML �= Phone 5EPTAGE SERVICING OPERATOR P MP'ER >;,O R TORY AU 7M llama Avincy n — — SO V 19951' `125 + S'TATE'BAR OF WISCONSIN FORM 2.1999 6 9 2 4 6 4 KATHLEEN H. YALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Ames Investment Corpomdon, a RECEIVED FOR RECORD Minnesota Limited Liability Com 10-01 -2002 1:00 PN __- ___.�----- --_ --- _ WARRANTY DEED Grantor, and Meliss L. La rse n, EXEMPT M - -- - -- -- -_=- - -__ - -_ .----- - - - - -- - REC FEE: 11.00 — TRANS FEE: 89.70 - -- COPY FEE: CENT COPY FEE: Grantee. PAGES: 1 Granlor, for a valuable consideration, conveys to Grantee the toilowing described read estate in St Croix —_ _ County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Name and Return Address 03UU f Torey Pines 11 in the Town of Richmond, St. Croix County, r C.. 026-1101-80-050,026-1101-95 Parcel Identification Numbet (PIN) This is not homestead property. 0{) (is not) F,xceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this _ day of October 2002 l Ame�lnyre entCurporation_� AUTHENTICATION ACKNOWLEDGMENT Signature(s) _ _ — STATE OF WISCONSIN ) -- (^ ) ss. County ) authenticated this �day of Personally came before me this � �_ day of October 2002 the above named - -- _A mes Investment Corporation, a Minnesot Limite Liability -- ---- -- - - -- Company —`— TITLE: MEMBER STATE BAR OF WISCONSIN to a nown to bbe lh son(s) who executed the foregoing (If not. _ it trr sd os 1 th ame. authorized by § 706.06. Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kris Ogland Notary Publ c, State of Wisconsin Hudson, NM01 My Com iss t is mancnt. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Bout are not necessary.) r ^- 1 --Tume ) • Names at persons signing in any capacity must be typed or printed below their signature. M+p^(Mhf(?()MM liglim"v� r• F �45s L.C. nATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 -1999 Slaw U( . w'; �1 Y. •al 4 J� ?1, f `M1 .:: t } .W - \ URVEY , TOTACAF(F, ► 5.... CRES I LOT 7 0 (1.6�6QES) \` \� \\ \\ \ i LOT 2� `, • - MIN FFE \ f \ I '0 ! \ 5 1 050 1 \` I i __---- -�--�� 1: 6 ACRE ( wt (1.6 ACRES) l 2.1\ E + I \\ 1 � \ (2.1 ACRES) _- 29T 1 LOT - \\ 117 ACRES (2.3 ACRES) 1 (1.7 ACRES) IN ��' 106 __ LOT 27 1 i + LOT`1..8. - V 490' LOT 26 I /_