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HomeMy WebLinkAbout030-2141-00-014 F Wiscor;. Department of CommercA PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division I � F INSPECTION REPORT Sanitary Permit No: 514861 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: Grand Properties LP I St. Joseph, Town of 030 - 2141 -00 -014 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 6 U M t 5 36.30.19.2064 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER , , 5 CAPACITY STATION BS HI FS ELEV. Septic Zn. ! Benchmark �✓F c F. ►1,. , loon Desing Alt. BM Aeration IF Bldg. Sewer • ?� �� • / Holding ti St/Ht Inlet c7 O • TANK SETBACK INFORMATION SUHt Outlet 1 35 TANK TO P/L W ELL EEnt ntake ROAD Dt Inlet Septic 5;q 4 Dt Bottom Dosing Hea der /Man. Aeration Dist. Pipe U Holding Bot. System �• J PUMP /SIPHON INFORMATION Final Grade L5 a Manufacturer Demand St Cover GPM Model Number 2 TDH Lift Friction Loss System Head_ TDH Ft Forcemain Length Dia. Dist. to Well - - -- SOIL ABSORPTION S YSTEM BED /TRENCH Width Length No. Of T PIT DIMENSIONS No. Of Pits Inside Dia. Liq�Depth DIMENSIONS 3 (0 ?_ 11'E,,."s I I - _ - I,--- SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer:/ INFORMATION CHAMBER OR Type Of System: UNIT Model Number: -n 3-1 �� i� , eA I✓ DISTRIBUTION SYSTEM I fig}- 1( 44V - 3 +-�_, Header /Manifolg it IlDistribution x Hole Size x Hole Spacing Vent to Air I take Pipe(s) �, --,� Length Dia Length ` Dia ` Spacing � 1� .7-1 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded Mulched Bed/Trench Center S• Z Bed/Trench Edges ` Topsoil Yes F xx No '* Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1259 84th Street New Richmond, WI 54017 (SE 1/4 NW 1/4 36 T30N R19W) Natalie's Ridge Lot 14 Parcel No: 36.30.19.2064 1.) Alt BM Description F:1 �.•.,, C,.j .�. = � `> 2.) Bldg sewer length = Z1 - amount of cover = < < r � Plan revision Required? Ej Yes ^No Use other side for additional information. SBD -6710 (R.3/97) Date Insepct ASignat Cert. No. r Fcvisloo corrin%ermcB.vA.j9 av Safety and Buildings Divis County 201 W. Washington Ave., P.U. Box 716 sCo Madison, WI 53707 -7162 S Permit Number (to be filled in by Co.) caimin"ilogi Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83,21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required Prior to obtaining a sanitary permit. Note; Application forms for state-owned POWTS ate submitted to the Department of Commerce, Personal information ou provr Project Address (if different dram nailing address) purposes in accordance with the Privacy Law, a.1 S, 1 m Scats. / ZS A � L/ � 5 1. Application Information - please print AB Infotrmad :1 / Property Owner's Name p� Y� OCT 0 2008 Parcel # - Property Owner's Mailing Address Pert Location Sl.CROIX000NTY Lot C � ZU(p City, State `" ' �! Zip Code rse .� /"'vWY, section 3a r' �=� ' - 1 42.E �� -� '7'�7 d4 (Cho* one) 11. Type of Baiklbtg (check all that apply) /�� 1 of # T 2,FN; R l7 p ❑ E W 1 or 2 Family Dwelling -Number of Bedroorm � t Subdivision Name ❑ PaMic /Commercial - Describe Use 0� t �1 � � ��j loc /(�GL r J 0 City of ❑ State Owned - Describe Use CSM Number of Evillage Tawn of - 5 j 111. Type of permit: (Check only one box on line A. Complete But B if applicable) A. New System Re lacemern TreatmeaLft1din Tank Y 17 p g Replacement Only Odter Modification to Existing System (explain) ...- System B. Permit 11 Permit Revision Change of Permit Transfer to List Previous Permit Number and Date Issued Renewal Retbre Plumber New Owner Expiration 1�Pw+J 5; / _ IV. Type of POWTS S tem /Con nentlDeviee: Check all that f ppW Non - Pressurized !n- Ground Pressurized In-0round At- (grade Mound > ?A in, of suitable soi! Mound <24 in. of suitable soil n ing Tank Other Dis iersai Component (explain) []Pretmatment Device (explain) V. DispersaliTireatment Area Information: ` Design Flow (gpd) Design Soil Application Rate(g Dispersal Area Requsfj spersal Area (st) I SYsbetn Elevation / V1. Tank info Capacity in Total # of Manufacturer Material Gallons Gallons Untts New Tanks Existing Tanks Q Septic or Holding Tank 4 �— Dosing Chamber VII. Responsibility Statement- 1, the undersigeed, amame respossibilfly for Ingtallatfon of the POWT3 en the attached plans. Plumber's Name (Print) Plumber's Signat Ntttnbd Business Phone Number 71 - -qee - - Plumber's Address (Street, City, State, Zip Code) V111. Coun epartment Use O proved _ Disa roved Permit Fee Da Issuing Signatim owner a' easo rl iat $ , � Ds �_ IX. ConditWNTf fppromogieasons for Disapproval p f. Sept a., . eftlittlMIPWand 3� 9vi dispe ,i cetl moot' all be services / maintained �. D I as p rn er al siolli oW plan provided by plumber. Pvw'C� r `C�►n d a 1� 2. All setback�edtents must be maintallod v as Pw spolinble eoft / ordinances. A& W2 i Attach to cmmplete plans for the systms and subsait to the Cosmly a* an paper not IM Ohm a 1 12 2 11 hselaa in site SBD -6398 (R. 01/07) Valid thru 01/09 o � Q � V v 6 Gtr CP Q a � Q T K ` Q A d Ecopy r 1 0 e e m 0 �k4 e Rl T se R n C �. LA or 4 °A L Q 1�► V 1 1 P Wisconsin Department of Commerce SOIL EVALUATION REPORT of Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code County � f Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Review y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). /� g Property Owner yap Q�� r� Property Location Govt. Lot ,S� 1/4 1/4 S l T 6 N R ! E (or Property Owner's Mailing Address Lot # I Block # Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village RTown Nearest RdW Sel kn e Ys s ( ) - - 4­ 5 70 If I - �I. G•. R New Construction Use: (RI2esidential / Number of bedrooms _ � Code derived design flow rate _ �-/ �TJ /fie, �/� GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable i General comments A f �e(o� (°�,1 �, ,r E IVE D e t v 3 7 and recommendations: �-- • OCT 0 9 2008 X COUNTY Boring Boring # / [� pit Ground surface elev.r �.(J Z Z ONING OFFICE — 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 �I S,' I ►,- I Lj S fo r Boring # Boring pit Ground surface elev. ��bt. Depth to limiting factor 1,3 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 r C-11 z o / S ci S c, Nn — I All Z ►� ,f ti Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mgA- and TSS < 30 mg/L CST Name (Please Print) _ - Signatu ,_ CST Number 4 01 22:J Address -/ `- Date Evaluation Conducted Telephone Number Property Owner ` n Parcel ID # _ Page Z of [-31 Boring # ❑ Boring ® Pit Ground surface elev. F17 70 ft. Depth to limiting factor 3 C in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/M in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 G Z G 3 r ✓� �r C V Z Z i a Boring # ❑ Boring ❑ Pit Ground surface eiev. ft. Depth to limiting factor in. F*EfMf#1 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#2 F-1 Boring # a 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/if in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 •Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD, 130 mg/- 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. SOD-8330(RAM) Property Owner U CJ ` n C) v\ Parcel ID # Page Z of 1-31 Boring # ❑ Boring ,,// ® Pit Ground surface elev. F7, 7b ft. Depth to limiting factor / 3 G in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKff i in Munse Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 } 6' l Z G J�3 _ f l 4 ✓Vt �'r c v , Z l 2 3c9 6 c f i F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor P 9 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 ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 •Etf#2 Effluent #1 = BOD > 30 1220 mglL and TSS >30 < 150 mgA. Effluent #2 :* BOD < 30 mg/L and TSS 1 30 mglL w 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- 2648777. SM4330 (RAM) too. o ►�aT�� f�QC �,� S S L�-el\ 34o G 6 -2 t � 6_r T Safety and Buildings Div' ion Cody X 201 W. Washington Ave., P 7162 BYO ■ to be filled in by Co.) _ um S �O a � Madison, WI 53707 I Sanmey Permit 1x� SO" Tnes at tiem N umber Sanitary Permit Application In accordance with s. Comm. 8321(2), W is. Adm. Code, submission of this form 10 the unit is required prior to obtaining a sanitary permit. Nole: Application forms for sta Projaa on Address if different than mailingaddr / s) submitted to the Deptbtmetrt of Commerce. Persal itrfom�tion you ide may be used ^ � ,/' /�/ /t in accordance with the Prtvacm Law. a. 15-040 m State. 1. APTWestim Inforretation -Please Print AM 181MUatioa Ferret # Property owncesN 0 3 0 -d/ y —00-0/c/ t? Y! .f f° party l.,or r- eA Property owner's Mailing Address 2008 �olDq) 714 �� `u s .r < °r� ST. Govt. Lot - 5 " 0 NTY S� r,, a1 v., Section City, State Zip Code P FF /CE P1"*oHA 561"'1 e " AV r r �5` 0.� l�'- ,2 T� j' R 1 ❑ E O 11. Tape of Building (check all t apply) Lot # "siat Name �1 nt 2 Family Dwelling - Number ms Block # is i Public/Commercial - Dmscril UseJ ��-�� City of U CSM Number ❑ Yliage of r] Slate Owned - Describe —1-1� Town eef s -„ T6 lli. Type of fern w. (Check only one Iron on li■e A. empietae Bite i8 if applka A• , System Replacement )ding Tank aceremet Only ON►er Modification to Existing System (explain) System g. Permit Permit Revision Change perrr►it Transfer to List twe Issued a Provtous Permit Ntnnber Ronmwal Before Plumb" New Owner Tvr itsnlion IV. T of POWTS S Com onent/Deviee: Check all trot < yt in. of s»iasble soil Non - Pressurized in- Ground Pressurized In -Ground At red >_ 24 in. of suitable soil Holding Tank ❑ otltmr Dispmrsa p`tdern) explain) V. Dis rssl/1'ttiattaent Ares Information: Elevation Design Soil Applcaon Rate(gpdst) I Arms Required (110 Atha G Design Flow iti (Bpd) 0 � — -�-� ," iVlata'ial VI. Tank info Capacity m Total p of Gallons Gallons Units New T=ks Existing Tie Septic or Holding Trek Dating ah■nber f iasm moon of the POW7'S N tie Pte* VII. Res alibi Ststeentntt 14 the a � soame iesP Number >htsinw Phono Nttatber FI s Name (Print) / s Signature Plumber's Address (Street. City. State, Zip Code) VII one t U D i sapp roved se 1 Permit Fee Ilet (� )salting G �ZV -1`�" Apps _ D i sapp roved _Owner Given Reason for Denial $ 1X. Conditions of ApprovaURessons foi isapproVal ae STEM OWNE���� /1 Sepf c, effluent filter and l dispersal cell ,,, ,�L,,..tl,ortlysopgwr•erloss lbeveeetn:lt as per management pi 0V y plumber. 2. I setback requirements must be maintained as p applicable code /ordin ysD -6399 (R BI /()7 }.�la[idSbnrtt.S!l[1Jx. -- � z n Q Q o� Ab A 1 v � � Q Q o� v k3 n �. Cy eL `C ri � V � T � � �Sz a a 1 33' 33' - - - - - - - - 463' • I I ' 6W I �! x 923.4 x Z 9226 .. _ _917.2 D x t� x 923.2 i ( T12 3.013 AC. (2.34 AC.) I I 75 L.B.O.= 918.0 6 J920.8 I 4701 I I A x I I I - 921.2 921.4 Q� I � S- x 8 I x 921.1 L O 917 � • ,, • LOT 13 .�� I I � 40 r t o 3.007 AC. I (2.63 AC.) L.B.O.= 918.0 x 919.6 p1 x 918.7 I � \ / x 918.8 3Y00 AC. 0.0/ x ( .20 AC.) L.B.O.= 910. LOT 3.00 AC. ` 910.8 L.B.O. 910.0 \ �' k— • ' HAL =908.0 913.2 9M x x , 1 \� , . Ja.l - IV1 W�GR ( - LU1la 11 V1d f I"1/� IYIJ. (1JJOOJ1Gl JHFI. YJJ GYJYJJ lYJ• JJI"'lll f G ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address �� �1C�i�� <�1 © }�V►�1"�1 �� �� S Property Address i � S o n L (Verification reVired from Planning & Zoning Department for new coast wtion.) City /State L 1)&S6 i'1 (A/ Parcel Identification Number a �,.26 LEGAL DESCRIPTION Property Location 1 L a /. '/4 , Sec. , T N R W, Town of ys� )L Subdivision n0j 1 U5 1 , L.ot # Certif ed Survey Map # _ _ _ , ,Volume T � Page # Warranty Deed # y U Volume # Spec house no Lot lines identifiable � no SYSTEM MAINTENANCE AN CKBIJECATION 1=4woper use and maintenance of your septic system could result in its prraoature failure to handld wastes. Proper maintenance consists of pwnping out the septic tank every three years or sooner, if needed, by a liconsod 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 rmintenance responsibilities arc specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The prvperty owiwr agrees: to submit to St. Croix County Planning & 7onmg Departmwnt a certification form, signed by the owner and by a a water plumber, journeyman plumber, mirictod plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspootiou and puusping (if neeossary), the septic task -is lea than 113 full of sludge. I/wc, the undersigned have read the above requirements and agree to tnaintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Coranwrce and the Dopartrnent of Natural Reso State of Wisconsin. CemScation stating that your septic system has been maintained must be completed and ttturned to the St. Croix County Piasming & Zoning Department within 30 days of the three year expiration date. i /we certify that ali statements on this forms are true to dw bost of my /our knowledge. Uwe Ware the owner(it) of the property described above, by virtue of a warranty deed recorded in bgister of Doe& Office. Number bedrooms SIGNA OF APPLICANT(S) HATE "*Any information that is misrepresctttod may result in the sanitary permit being revoked by the Planning & Zoning Depamrxat. Include with this applicativa a rocordod warranty deed front the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. t�v, otuo POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of 2i FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity g a l ❑ NA Permit # Septic Tank Manufacturer ' ❑ NA . use DESIGN PARAMETERS Effluent Filter Manufacturer A ( �, ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model aD ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity Q a l ❑ NA Estimated flow (average) g al/day Pump Tank Manufacturer • sh ❑ NA Design flow (peak), (Estimated x 1.51 3 Q g al/day Pump Manufacturer ❑ NA Soil Application Rate al /da /ft2 Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA (3 Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L O Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cells) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other. ❑ NA Other: ❑ NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: 0 NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: seeds) (Mwdmurn 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA ❑ monthis) (MeAmum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 3 year ill month(s) ❑ NA Clean effluent filter At least once every: eaNs) ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: -`` ❑ yearls) ' ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: ^— ❑ yearls) El month(s) ❑ NA Other: At least once every: ❑ yearis) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113 Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized Qomponents, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. of Page 2 � START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infil trative e surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal celllsl in one large dose, overloading the cells) and may result in the backup or surface discharge of effluent. To avoid this „situation have the contents of the pump tank removed assist a Sept ist in manually operating the pump controls to Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to ass restore normal levels within the pump tank. Do not drive or,parJc vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings seated. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGEN Y PLAN If the G S fails and cannot be repaired the following measures have been, or, must be taken, to provide a code compliant replace t system: A suitable replacement area has been evaluated and may be utilized for the locatwn of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing„ and proposed structure, lot lines and wells. Failure to protect the replacement area will establish a suitable area. Replacement systems must result in the need for a new sail and site evaluation to comply with the rules in effect at that time. E3 suitable replacement area is not available due to setback an soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. site ❑ The site tank 1 1A a al of the biomat at the E3 Mound and at - grade soil absorption systems may be reconstructed in place following remov infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CO NDE A CIRCUMSTANCE D DEAT MAY I RESULT- RESCUE OF A ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK U PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDiT1ONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name 4' �-, �. G � Phone Ph one ? 1 - ....... E REGULATORY AUTHORITY SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL D E Name Name Phone Phone � S_ hapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code This document was drafted in compliance with c ' <1�� PORT PO 1331 Wisconsin Department of Comm6lo [, SOt� E►1a� ►'ION Page 1 of 3 Division of Safety and Buildings with Tom Schmitt in ' 8, �i Viq�Fp. Cod acc ° Attach complete site plan on paper not less than 8% x 11 nches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal referenc� point t$pl)� tiion(ai j N F Y percent slope, scale or dimemsions, north arrow, and loc a on ant? �� �flbad. Parcel I.D. O Please print all information. Review By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). c/ Property Owner Property Location Grand Properties, LP Govt. Lot SE 1/4 NW 1 S 36 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 14 Natalie's Ridge City State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset I WI 1 54025 715 - 247 -5900 St.Joseph I Cty. Rd. A ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash (stream terrace) Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a co nventional system w ith a 0.7gp /sgft rating. Possible system elevation for Area 1 is 96.30'. Slope is 5 %. �--' r� `ai �l tQ ti Boring # Boring ✓ Pit Ground Surface elev. 99.33 ft. Depth to limiting factor 116+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' *Eff#1 ff#2 1 0 -11 1 Oyr3/2 none I 2fsbk mfr as 2f,1 m .6 .8 2 11 -17 1Oyr4/4 none grsl 2msbk mfr gw 1vf .6 1.0 3 17 -36 7.5yr5/4 none grsl 1 csbk mvfr gw --- - .7 1.6 4 36-60 1Oyr5/4 none grcos Dag ml gw ---- .7 1.6 5 60 -116 10yr5/6 none grs Osg ml - -- -- -- .7 1.6 3 rl a Boring # Boring ✓ Pit Ground Surface elev. 99.33 ft. th to limiting factor 115+ in. Sal Dep ng Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF 'Eff#1 'Eff#2 1 0 -10 1Oyr3 /1 none I 2fsbk mfr as 2f,1vf .6 .8 2 10 -17 1Oyr4 /4 none grsl 2msbk mfr gw 2vf .6 1.0 3 17 -31 7.5yr4/6 none vgrsl Osg ml gw -- .7 1.6 4 31 -48 1Oyr5/4 none grls Osg ml Cs - - -- .7 1.6 5 48 -115 10yr5/6 none grcos Osg ml — .7 1.6 ' Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <_30 mg/L and TSS <—�0 mg/L CST Name (Please Print) Signature: / CST Number Thomas J. Schmitt �Lr,r -jai 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/18/05 715- 247 -2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 31 Boring # Boring ✓ Pit Ground Surface elev. 97.33 ft. Depth to limiting factor 100+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -11 1Oyr3/2 none I 2fsbk mfr cs 2vf,1f .6 .8 2 11 -20 1Oyr4/6 none sl 2msbk mfr gw 1vf .6 1.0 3 20 -31 7.5yr4/6 none cbls Osg ml gw -- .7 1.6 4 31 -64 10yr5/4 none cbms Osg ml cs --- .7 1.6 5 64 -100 1Oyr5/6 none ms Osg ml -- ----- .7 1.6 AN VF V 111, it F-1 Borin 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 *Eff#1 *Eff#2 F-1 Borin 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 QPD 'Eff#1 *Eff#2 Effluent #1 = SOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD S_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. -3c f� Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name Grand Properties, LP Thomas J. Schmitt, CST 227429 Address: 712 Rivard Street 1595 72nd St. City, State, Zip: Somerset, WI. 54025 New Richmond, Wl. 54017 Phone: 715- 247 -2941 Subd.Name: Natalies Ridge Lot No.: �� QS Legal Description: 5F 1/4 AAA S36 T30N R19W Township of St. Joseph, St Coix County ® Soil Boring ® Bench Mark El. 100.00' Tap of 2" pvc pipe 0 Alternate Bench Mark El. Top of 2" pvc pipe Slope =_ Contour Line El. r�✓/' Scale 1" = 40' 1 � i f` l y9i A This soil report was dodo to fulfill a zoning requirement. it may or may not be in a location suitWe for your use., SEPTIC TANK E DUMP CHAMBER CROSS SI: G�IU:V AND SPiCIFIC= A'1'iU 4" CI VENT PIPE'12" M K. 'ABOVE GRADE NC�TION�BOX APPROVED ? 25' F ROM DOOR, WINDOW OR FRESH AIR INTAKE WITH CONDUIT MANHOL OVER PADLOCK FINISHED GRADE WARNING LABEL 4" CI RISER 4" M GAS 7_ IN. 1$" IN. 61, MAX. 'NLET {t WATER TIGHT SEALS TIGHT �� A SEAL ' ; J�INTS PPRaVED i ALM APPR PIPS 3' ONTO IPE 3' -"i"" ON SOLID SOIL NTO SOLID r C *a RISER EXIT OIL PUMP OFF ELEV . FT. -- OFF PERMITTED ONLY D IF TANK MANUFACTURER HAS APPROVAL 3" APPROV ED. BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE NUMBER DOSES PER DAX: TANK MANUFACTURER: TANK, SAS : SEPTIC �J�_ GAL • DOSE VOLUME FLOWBACK: � GAL' DOSE �, GAL ALARM MANUFACTURER: / - .• (/ Slav CAPACITIES: A = „� INCHES = _,�� GAL MODEL NUMBER: �.. B 2 INCHES = 32 ... GAL. SWITCH TYPE: , e r. PUMP MANUFACTURER: C = $ INCHES = /9 � — GAL. MODEL NUMBER: a D = INCHES = _ GAL. SWITCH TYPE: REQUIRED DISCHARGE RATE _ GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC FEET VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE - FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . • • • • • . 4 ' ' ' FEET + � FEET FORCEMAIN X .!d FT 1100 F T . FRICTION DYNAM -" ZFEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH DIAMETER ; D�I� LIQUID DEFTR SIGNED: LICENSE NUMBER: =Iig 7 PQQ DATE: 1/88 [QGOULDS PUMPS Submersible Effluent Pump 3871 EPO4 EP05 APPUCATIONS • Fully submerged in high ■ EP05 Impeller. Thermoplas- ■ Bearings: Upper and lower Specifically designed for the grade turbine ail for tic enclosed design for heavy duty ball bearing S P� Y lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance. Qnedim Auodgm • Heavy duty sump matic models include • Water transfer Mechanical Float Switch ■Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "F" or "Co.) factory strength, and durability. SPECIFICATIONS ■ Motor Cover. Thermoplastic c BPS 6150 9001 Registered. FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 3 14" maximum. ■ EPO4 Impeller: Thermoplas- m Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet pump out vanes for mechanical • Discharge size: 1 NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA N elastomers. • Temperature: 104OF(40 continuous METERSFEET -- -._._......_._.._._...._.__.. 140OF (60 intermittent 10 I i •Fasteners: 300 series -�__ -_ .__. _ —� _....._. stainless steel. ,...... s 9 30 • Capable of running _...._. ...... _. 2.5 Fr dry without damage to $ i _ i components. 25 4 7 }....... _ _. ..__ } F Motor. i - - ti _ _ �� __ "� - - -• i • EPO4 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 �d 5 . RPM, built in overload with - automatic reset. 4 i EPOs • EP05 Single phase: 0.5 HP, a 115 V, 60 Hz, 1550 RPM, 3 10 _..._ _� _... _- _.__,..___ s _r. �- - - " -; built in overload with ; . _...... 1. -. _._ -- automatic reset, 2- ... — • Power cord: 10 foot ` standard length, 16/3 __ .. r ._...._ STOW with three prong .. .. ............ ......_._ grounding plug. Optional 20 0 00 .- .__.. _ iQ Zo _.. 30 40 50 GPM foot length, 1613 S1TW with three prong grounding plug 0 z 4 6 8 10 12 mlln (standard on EP05). CAPAWY Goulds Pumps ITT Industries m 2000 Goulds Pumps <& Effective February, 2000 63871 U 2 8 1 2 P 6 1 8 796�.4�4 II KATHLEEN H. WALSH DOCUMENT NO. �! STATE BAR OF WISCONSIN FORM1 - 1 998 REGISTER OF DEEDS I ST. CROIX CO., WI WARRANTY DEED RECEIVED FOR RECORD 06/01/2005 11:40AM This Deed_ m�41�_ � Y�� ri -_ Ray.._a -.. ElrcLwn- ._and_ __ _________ __•_ - -- WARRANTY DEED iiei n _.Jar o3aLn r husband..a rid _.w;LZe-,>;zantoss- • -- --- -- EXEMPT 9 ....... .......... .................... - - - - -- - - -- --•---------•----------. _...._._....._..- -- -•- •-- • ----- REC FEE: 13.00 and G rand. _P�olaer times- r --- LE-•---•------------------- --- --- -- ---- -- ----- ----- - --- -- TRANS FEE: 5445.00 ...................................................... Gw-am tee ...................................... C C OPY F EE: PAGES: 2 ......... ....•.. _.._..... -------• ° - - •- --- . --•-- ---•-----•-••-------••-°- ------ --•----- -•-•- °.._..._.... I ..........-•--••----•----•--•--------------------------------------------•---------•-•--------•-•-•...--•---•-••- the following described real estate in -------------------------- County, State of Wisconsin: scrusw To See Attached Exhibit A // - SMAU Tax �arcel No C9:U COO - 0 �\ 069:1 t� Togebher with all appurtenant rights,title and interest. Grantor warrants that the Title to the Property is good, indefeasible in fee simple and free and clear of encumbrances This ......... rii?t............. homestead property. (is) (is not) Datedthis -U 9it..-•--- _..__._ ... day of .. ..............Ms' s ............................................ .. 1920A -5 (SEAL) `4=Y.i ............. (SEAL) w ...................•-----•-•--•••- •- ................- ----•- •- °•-- . Ray. rG 8X PIKF1 .................................... .............(SEAL) T . -.............(SEAL) . ................................... ....._......_.._•-•---•........ ........................ AUTHRNTICATION AC$NOW LODGMENT Signature(s) ........ ..... .......................... __ STATE OF WISCONSIN _St___JCraiac___ -----•--__-County. authenticated this ........ day of._ 9 �SG� 19___ -_- Personally came before me this - 31 ____d of O •___ t Ky_ -- _-- -__._•____________________ 19.20A m _5the above naed .......................................... �j�e- -•---- -- -- --- ----- -- - - ---- RAY_ . ............. i ' .............................................................................. - .Br.awn, husband__ and.."Ze....................... TITLE: MEMBER STATE BAR OF WISCONSIN _ __ __ ___________________________________________ _________ ______________________ (If not - ------ ----•----- authorized by § 706.06, Wia. Stats.) to me own to be th perso who executed the foreg strume an c e e he same. THIS INSTRUMENT WAS DRAFTED BY II ........ _ _ ... .. .... ............................. x ax�3..A..__.Fxinksnn .... . _____ _ __ _ _ _ Erickson and Schuller .. - • -----. .... t. ...... Notary Public t.L/L.�.� ~r .................. county, Wis. (Siunnturos may be authenticated or acknowledged. Both My Commiss on is permanent. (If not, state expiration are not necessary.) L date : - -••t'- - �------ - ---------------------------- , 19.........) U. 2812 P 619 Exhibit A Aparcel of land located in the SW 1/4 of the NW 1/4, the SE 1/4 of the NW 1/4, the NW 1/4 of the SW 1/4 and the NE 1/4 of the SW 1/4, all in Section 36, Township 30 North, Range 19 West, Town of St Joseph, St. Croix County, Wisconsin, described as follows: Commencing at the West Quarter corner of said Section 36; thence along the west line of said NW 1/4 of the SW 1/4 South 00 degrees 47 minutes 44 seconds East a distance of 45421 feet to the point of beginning, thence continuing along said wort line South 00 degrees 47 minutes 44 seconds East a distance of 874.58 feet to the Southwest corner of said NW 1A of the SW 1/4; thence along the south lime of said NW 1/4 of the SW 1/4 North 89 degrees 37 minutes 16 seconds East a distance of 100.74 feet to the centerline of County TruvkHthway "A", being a 1041.74 foot radius curve, concave southeasterly, with a central angle of 33 degrees 24 minutes 44 seconds, a chord that bears North 43 degrees 07 minutes 11 seconds Pasta weasures 598.92 feet; thence northeasterly along the arc of said curve and centerlijne a distance of 607.49 feet to the point of tangency; thence along said centerline Nortb 59 degrees 49 minutes 33 seconds East a distance of 432.98 feet to the point of curvature of a 1145.92 foot radius curve concave southeasterl with a central angle of 14 degrees 16 minutes 46 seconds, a chord that bears North 66 degrees 57 minutes 56 seconds East and measures 284.85 feet; thence northeasterly along the are of said curve and centerline a distance of 285.59 feet to the point of tangency; thence along said centerline North 74 degrees 06 minutes 19 seconds East a distance of 408.25 feet to the point of curvature of a 572958 foot radius curve, concave southerly, with a central angle of 05 degrees 06 minutes 58 seconds, a chord that bears North 76 degrees 39 minutes 48 seconds East and measures 511.44 feet; thence easterly along the are of said curve andcenterline a distance of 511.61 feet to the point of tangency; thence along said centerline North 79 degrees 13 minutes 17 seconds East a distance of 461.97 fcet to the point of curvature of a 881.47 foot radius curve, concave northerly, with a central angle of 09 degrees 50 minutes 52 seconds, a chord that bears North 74 degrees 17 minutes 51 seconds East and measures 151.31 feet; thence easterly along the arc of said curve and centerline a distance of 15150 feet to the east line of said NE 1/4 of the SW 1/4; thence along last said line and the east line of said SE 1/4 of the NW 1/4 North 00 degrees 19 minutes 19 seconds West a distance of 152726 feet to the northeast corner of said SE 1/4 of the NW 1/4• thence along the north line of said SE 1/4 of the NW 1/4 and the SW 1/4 of the NW 114 North 8� degrees 51 minutes 08 seconds West a distance of 264199 feet to the northwest corner of said SW 1/4 of the NW 1/4; thence along the west line of'said SW 1/4 of the NW 1/4 South 00 degrees 08 minutes 20 seconds West a distance of 91235 feet; thence South 89 degrees 58 minutes 39 seconds East a distance of 439.19 feet; thence South 00 degrees 03 minutes 30 seconds West a distance of 51531 feet; thence South 50 degrees 36 minutes 55 seconds West a distance of 560.70 feet to the point of beginning. Abstract. oAC. 2/. .._ • — — — AG3-- — — v I N x 923.4 917.2 X22 _ K I t3 1 H.W.t..s916.0 X 923.2 I h- T 12 C3.013 A. 1 1 ' x G� (2.34 AC.) 916.6 79 LILO.s 918.0 1 47a I i x 1 921.2 • 1 I j 921.4 I ;P' x x 1 I 917.2 ' I LOT 13 �o 3.007 AC. I (2.63 AC.) x I �' L8.O w 918.0 919.6 ♦ � � �` � X ♦ ♦ 1 9113 ♦ ` x 3.000 AC' 12.15 AC- ♦♦ L.&O. : .�.•�•• ♦ ' x 910 8 AC. ♦♦ ` t1.W.Ls908. i AC -1 08.8 � 910.0 •'- ,,�' ♦♦ / �0•-� x 913.2 x a• Vi i' ` i df � � v S1 14 C0 •1