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026-1011-95-000
t � - ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner Address City /State Legal Description: Lot -- Block — Subdivision/CSM # %, /y6' '/, 'tV& Sec. IX , T 6 N -R ,Town of PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer _(AJ u.,.a . Size4 toW Setback from: House at Well �S P/L 93 Pump manufacturer Model Alarm location C- 4�,Ids (HOLDING TANKS ONLY) Setbacks: Service road 5 Vent to fresh air intake S/ Water Line moo? Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: Width Length Number of Trenches Setback from: House — Well P/L Vent to fresh air intake ELEVATIONS Description of benchmark Elevation A-Z, Description of alternate ben"ark-I Elevation Building Sewer, ST/HT Inlet Qa 4 ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines Bottom of System r Final Grade () () ( ) Date of installation Z / ? Spermit number State plan number Plumber's signature License number as 0 T- Date Inspector complete plot plan .r NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW S3� o 3�l i INDICATE NORTH ARROW Wisco( nDftdrtmentofTCommerce PRIVATE SEWAGE SYSTEM ' Safety and Buildings Division Count ST. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary3PM93-: Personal information you provice may be used for secondary puurp L s.15.04 (1)(m)]. ftg riMM GOLF CLUB, CITY O C kttlr 6ftl- e I] Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: 7 - :5 4"",-e- M Description: Parcel Tdx� .;1011 -95 -000 /00 s TANK INFORMATION ELEVATION DATA A9800072 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 0 loo, o0 Dosing Aeration Bldg. Sewer Holding `.�- , �. Ht Inlet �- TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding ,� , Z' Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Fr' on System TDH Ft Fi Forcemai ength Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type O CHAMBER model Number: System: OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: RICHMOND 4.30.18.43A,NE,NW 1143 180TH AVENUE Plan revision required? ❑ Yes [�'No Use other side for additional information./ io �- SBD -6710 (R.3/97) Date Peet Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I, SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY DILHR —. °......e. St. Croix STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 3 O 8% x 11 inches in size. 1:1 Check if reZil preJ l application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 9810298 PROPERTY OWNER PROPERTY LOCATION City of New Richmond Golf Club NE % NW t /4, S 4 T 30 , N, R 18 jgr(or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 1226 180th. Ave. na I na CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER New Richmond, WI. 54017 1 (715 246 -6724 II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VIL ' NEAREST ROAD Richmond 180th. Ave. ® Public Ill or 2 Fam. Dwelling - # of bedrooms— PA EL x NU BER ) /� III. BUILDING USE: (If building type is public, check all that apply) 026- 1011 -95 3 0. 1 (J Q • I A 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility /Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales /Repairs 11 ® RaKt/Bar /IBC 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel /Motel 9 ❑ Office /Factory 13 ® Other: Specify amrir,a cxj IV. TYPE 00 PERMIT: (Check only one in line A. Check line B if applicable) A) 1. © New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit ## — Date Is sued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 olding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 14. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) ELEVATION 164 na na na na na Feet na Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name C oncrete Con- Steel glass Plastic App Tanks Tanks structed in Tank Lift Pump Tank/Siphon Chamber Tla VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installatiop of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber' lure: (N7Sta ► /MPRSW No.: Business Phone Number: GAry L. Steel 3254 715 2 - Plumber's Address (Street, City, State, Zip Cod . 1554 200th. Ave. Ne IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issui nt Signal ire (No Stamps) Approved El Given Initial Surcharge Fee) �O Adve 1nati n D X. CONDITIONS F APPROVAL IhI S � �,p�o,� wit(t firs IA/ lheh In,v(n6 1 bfOM&S av4 4, m' �W l -Hnoun 1�D�hGw��a ' l °hl . l At ft s 1 , � ` � SBD -6398 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & BuivWWWOM , PIN&r A r • ; :_ INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2: Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608 -266 -3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the s)rstem.i § -to be installed. II. Type of building being served. Check only one and complete ## of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1 -7. VII Tank information. Fill in the capacity of Every new and /or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete fcr all septic, pump /siphon and holding tanks for this system. Check experimental approval only if °anks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. , County /Department Use Only. Complete plans and specifications not smaller than 8'% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and purnp manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) Alp .t SAFETY AND BUILDINGS DIVISION 15837 USH 63 Nvisconsin Hayward, WI 54843 Department of Commerce Tommy G. Thompson, Governor 25- Mar -98 William J. McCoshen, Secretary Steel Soil Service Gary Steel 1554 200 Ave New Richmond WI 54017 New Richmond Golf Club Plan ID 9810298 NE,NW,4,30,18W Municipality of New Richmond Inspector: Leroy G. Jansky County of St Croix (715) 726 -2544 Private Sewage plans including the following element(s): HOLDING TANK 164 gpd 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(2)(e), Wisconsin Statutes, is responsible for compliance with all code requirements. This plan action is subject to the conditions listed on the following page. 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. All permits required by the state or local municipality shall be obtained prior to commencement of construction /installation /operation. This project is under the supervision of a state inspector. As inspection concerns arise feel free to contact the state inspector at the number listed. The inspector for this project is listed above. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Please refer to Plan ID number listed at the top of this page when making an inquiry or submitting additional information. Sincerely, Patricia Shandorf POWTS Plan Reviewer (715) 634 -4870 t SAFETY AND BUILDINGS DIVISION 15837 USH 63 Hayward, Wisconsin 54843 Tommy G. Thompson, Governor William J. McCoshen, Secretary PAGE 2 March 25, 1998 RE: PLAN NUMBER 9810298 This approval is for the following: - 164 gpd holding tank for a public building - A meter, with remote reading device, shall be installed by a properly licensed plumber, on the water system, that adequately measures the amount of water used by the structure, excluding hose bibs and wall hydrants, which do not discharge into the sanitary system. This approval will expire when municipal sewer becomes available or no later than November 1999. This plan action is subject to comments on the plan. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, Patricia Shandorf Plan Reviewer (715) 634 -4870 7:00 - 4:30 f STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 New Richmond, W! 54017 MPRSW -3254 (715) 246 -6200 Index Sheet for temporary holding tank for temporary club house prior to connection to municipal sewer extension for City of New Richmond Golf Course Club House NE'34NW4 S4- T30N -R18W town of Richmond St. Croix County contents pages------- - - - #1- -Index Sheet #2-- review application #3-- project data sheet #4-- letter from DNR #5-- letter from City of New Richmond #6-- letter from stater :building inspector #7-- holding tank servicing contract #8-- holding tank agreementt #9 - -plot plan #10- holding cross section P.o.w.T.S. Conditionally APPRO Gar teel DEPARTMENT OF CO MMERCE MPRSW 3254 iU140IM 3 -18 -98 SEE CORRESPON 0� p 9 O A Department of commerce PRIVATE SEWAGE SYSTEM SSaWy and Buildings Division REVIEW APPLICATION Bureau of integrated Services Hayward Office LaCrosse Office Madison Office Shawano Office Waukesha Office 15837 US Hwy 63 2226 Rase Street 201 W. Washington Ave. 1340 E. Green Bay St. 401 Pilot Court, Ste. C Hayward, WI 54843 La Crosse, WI 54603 P.O. Box 7162 Suite 300 Waukesha, W153188 Phone (715) 534 -4870 Phone (608) 785 -9334 Madison, WI 53707 -7162 Shawano, WI 54166 Phone (414) 548 -8606 Fax (715) 634 -5150 Fax (608) 785 -9330 Phone (608) 261 -8491 Phone (715) 524 -3626 Fax (414) 548 -8614 Fax (608) 261-6699 Fax (715)524 -3633 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Your submittal must be received at least two working days prior to the appointment at the office where your review was scheduled. Please call any of the listed offices if you need help filling out the form or have questions on what information to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form Is on the reverse side for your reference. Personal info y ou provide maybe used f se condary purpo (Privacy Law, s. 15.04 (1)(m)). 1. APPOINTMENT INFORMATION - If you have scheduled an appointment, fill in the information requested below to save time: Appointment Date Reviewer Name Plan Identification Number 3 -25 -98 1 Pat Shandorf 1 98 -10298 2. PROJECT INFORMATION If this review is a revision or extension to your existing plan identification number, provide that number here: Project Name County tw=ary holding tank ❑ City ❑ Village ®[Town of: Project Location GOVT. LOT NE 1/4 NW 1/4,S 4 T 30 N,R 18 es( or) w Richmond St. Croix 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one): System Type' (include now and existing tanks) A ❑ At-Grade Up To 1,500 gallon septic tank ........... ..............................$ 110 .00......................... H ® Holding Tank 1,501 - 2,500 gallon septic tank ............ ..............................$ 120 .00.......,................. M ❑ Mound 2,501- 5,000 gallon septic tank ............ ..............................$ 160 .00......................... N ❑ Non - Pressurized in - Ground (Conventional) 5,001 - 9,000 gallon septic tank ............ ..............................$ 200 .00......................... P ❑ Pressurized in- Ground 9.001 - 15,000 gallon septic tank ............ ..............................$ 300.0......................... 0 ❑ Other: Over 15,000 gallon septic tank ............ ..............................$ 500 .00......................... Up To 1,000 gallon dose chamber ...... ..............................$ 70.00................,...,.... Building Type (check one): 1,001 - 2,000 gallon dose chamber... ........... ...................... S 80.00......................... D ❑ Dwelling, 1 or 2 Family 2,001 - 4,000 gallon dose chamber ...... ..............................$ 100 .00......................... P ❑ Public Building 4,001 - 8,000 gallon dose chamber ....... ..............................$ 120 .00......................... S ❑ State -Owned Building 8,001 - 12,000 gallon dose chamber ....... ..............................$ 140 .00......................... Over 12,000 gallon dose chamber ...... ..............................$ 160 .00...,..................,.. Up To 5,000 gallon holding tank ......... ..............................$ 60.00......................... 60.00 Code Derived Daily Flow 164 gpd 5,001 - 10,000 gallon holding tank .......... ..............................$ 100 .00......................... Over 10,000 gallon holding tank ......... ..............................$ 150 .00........,................ ❑ Check if Replacing Existing System Experimental System (additional one time fee) .....................$ 300 .00......................... Revisi to Approved Plan 2 ................ ..............................$ 60.00......................... Petitions for Variance: Setback ........ ..............................$ 100 .00......................... ❑ Petition for Variance Site Evaluation. ........................... $225.00 ......................... Plumbing...... ..............................3 225 .00......................... Revision ....... ..............................$ 15.00......................... ❑ Groundwater Monitoring Groundwater Monitoring - Per Site .......... ..............................$ 60.00......................... other than a proposed subdivision) ❑ Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring ................$ 60.00......................... subtotal :. ..................... 60.00 Priority Review: Enter some amount as Subtotal :........................... -- MAKE ALL CHECKS PA TO: SAFETY AND BUILDINGS DIVISION Total Fee: ....................... 60- 6. SUBMITTING PARTY INFORMATION Telephone No. (include area code & extension) Company Name Contact Person ( 715 ) 246'_6200 Steel's- Service GAry L. Steel No. & Street Address or P.O. Box City, Town or Village, State Zip Code 1554 200th. Ave., New Richmond, WI. 54017 1 Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. 2 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. OVER -� NOTE: Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually. S13D4748 (8.11/97) 2 P1 b. ` 60 1/78 PROJECT DETAIL DATA SHEET NAME OF BUSINESS City of New Ric bmmd Golf C lub LEGAL DESCRIPTION NEnNWa S4- T30N -R18W town of Richmond OWNER City of New Rich and MAILING ADDRESS E. First St. New Ric 1WT ZIP 54019 ARCHITECT, ENGINEER, Gary L. Steel ADDRESS 1554 200th. Ave. PLUMBER OR DESIGNER New Richmond P WT ZIP 540t TELEPHONE NUMBER 715- 246 - 6200 1. Check appropriate building usage(s) and fill in the information requested opposite each usage listed. Please consult Section H 62.20. Existing building New building X Addition ( ) Apartments and condominiums . . . . Number of bedrooms ( ) Assembly hall . . . . . . . . Seating capacity (x) Bar go lf.course service counter . . Seating capacity 16 # of meals served o ( ) Bowling alley . . . . . . . . . . Number of lanes { ) With bar ( ) Campground and camping resorts . . . Number of sewered sites - Number of unsewered sites Total number of sites ( ) Camps . . . . . . . . . . . . . ) Day use only Number of persons Day and night Number of persons ( } Catchbasin . . . . . . . . . . . . . Number ( ) Church . . . . . . . . . . . . . . . { } No kitchen Number of persons ( } With kitchen Number of persons ( ) Dance hall . . . . . . . . . . . . . Number of persons ( ) Dining hall . . . . . . . . . . . . Number of meals served daily ( } Dog kennels . . . . . . . . . . . . Number of enclosures ( ) Drive -in restaurant . . . . . . . . Inside seating capacity Car- service -- Number of car spaces ( ) Dump station . . . . . . . . Number of dump stations (x) Employees ( total of all shifts) . . Number of employees 1 { ) Hotel ( ) Motel ( ) Cottages . . . . Number of units with 2 persons per unit Number of units with 4 persons per unit ( ) Medical and dental office bldgs. Number of doctors, nurses, medical staff Number of office personnel Number of patients ( } Mobile home parks . . . . . . . . . Number of sites ( ) Nursing homes . . . . . . . . . . . Number of beds ( ) Parks . . . . . . . . . . . Number- of persons ( ) Toilets ( ) Showers ( ) Restaurant . . . . . . . . . . . . . Seating capacity ( ) Dishwasher and /or disposal? ( ) 2t� -Hour service ( ) Retail store . . . . . . . . . . Total number of customers _ ( ) Schools . . Number- of classrooms � Meals ( ) Showers ( ) Self service laundry . . . . . . Total number of machines ( ) Service station . . . . . . . . Number- of cars served daily ( ) Swimming pool bathhouse . . . . . . Number of persons { ) OTHER . . . (Specify) . . . . . . . COMPLETE OTF'ER SIDE 3 t A / 1 2. Indicate whether the following facilities are present. Floor drain yes no Number of drains Food waste grinder yes no Y Dishwasher yes no Automatic clothes washer yes no Number of clothes washers 3. Septic tank capacity Holding tank capacity 2000 aal flow rate 164 gal /dayx5 =820 gal. Septic or holding tank manufacturer w; P� Far mnr3al wr. P _�nnn 4. SEEPAGE TRENCHES: total square feet width of trenches length of trenches depth number of trenches SEEPAGE BEDS: total square feet width length of bed depth SEEPAGE PITS: total square feet outside diameter depth below inlet total depth from top to bottom of pit Signature person com eting form: FOR DEPARTMENTAL USE ONLY Address 1554 200th. ave., New Richmond, WI. Zip 54017 Telephone Number 71ti 246_6200 Date 3 -18 -98 r State of Wisconsin 1 DEPARTMENT OF NATURAL RESOURCES 990 Hillcrest Street Tomry G. Thompson, Governor Suite 104 GwMe E Meyer, Secretary Baldwin, Wisconsin 54002 MDEPT. Scott HteMckiwuse, District Director TELEPHONE 71.5-664 -2914 URAL RESO UNCES FAX 715.684b944 F ebruary 26, 1998 State of Wisconsin Department of Commerce Safety and Building Division SUBJECT': New Richmond Golf Course - Club House To whom it may concern: In accordance with s. 281.41, Statutes, the City of New Richmond can extend sanitary sewer and water to the New Richmond Golf Course provided that plans and specifications are approved by the Department of Natural Resources. Although plans and specifications have not been submitted for this sanitary sewer and water extension, I am not aware of any technical problems or environmental issues that would prevent these utilities from being installed within the County Highway K right -of -way. Please contact me at (715) 6842914 if you any additional questions. Sincerely, Z6 Peter W. Skorseth, P.E. Environmental Engineer c: Gary Johnson, New Richmond Golf Club, P.O. Box 7, New Richmond, W1 54017 Tom Aartilla - Baldwin Dennis Horner - New Richmond Quality !Natural Resources Management Through Excellent Customer Serurce 4 t t HMOND NEW RIC March 13, 1998 State of Wisconsin Department of Commerce Safety and Building Division To whom it may concern: This is to inform you that the City of New Richmond is planning to extend water and sewer along County Road & north of STH 64. This should occur by the fall of 1999, and hook -up will be available to the New Richmond Golf Club at that time. Sincerely, Dennis A. Horner City Administrator/Utilities Manager DA114ib 5 �:... „r wt..... D:,.>,,.... A Ah r;k, nfr�o& 17 %ct Firct CtrPCt a NPw Rirhmnrul WI U017 • (715) 246 -4268 F.FJIfI oi-, n U -3.1,1 1.1 fet % E.t,jg PHIIFIE HU. r'] I 1`131'. IF. 1y-b 0':1 :_i1 -H1'I PI Post -its Fax Note 7671 o ,3 16 q $ pages" / To C N From Vt ,(J HM Co. /Dept 00 Phone M Phone 1< John J Dahl �3a GCda State Building; Inspector Fax >, Fax " G GO/ Wis Department of Commerce Safety And Buildings Division 13 E Spruce St. Chippewa Falls W1 54729 Gary Johnson i°irea v6 7 /S- 0)3o) - 4G O d New Richmond Golf Course fix 7 /S- 0)30• GGO� PO Box 7 New Richmond W 54017 Dear Sir, This letter is to confirm our conversation% of the past weeks concerning; Wisconsin building code requirements for a structure you wish to move from Moulton, to your golf course, for use as a club house. It is my understanding; that the building, when placed on the new site, will be less than 25,000 cubic feet in volume. Commercial buildings of this size and of this use (clubhouse, Chapter 54 of the code) are exempt from formal plan review by our dept., and construction may commence based on obtaining the necessary local and county permits. Although exempt from formal plan review, the building is not exempt from complying with the applicable provisions of the Wis. Commercial Building; Code, chapters' SO-69. As we have discussed on the phone, the golf course has every intention of complying with the code and I will confirm compliance with a field inspection and report before the building is occupied. Sines the building was constructed to commercial standards when it was built, there should be no intrinsic structural violations in the structure itself. One concern I have is that the building be anchored properly to withstand a wind load of 20psf as per IL13R 53.12. I will accept .several options in this regard. 1) The building will be anchored to some type of piers or footing; as specified by the original builder or manufacturer of the unit. 2) It my be anchored per the approved plans of Will Studman if those plans are available to you and show sufficient detail to confirm compliance with this section. 3) It may be anchored per a new system designed through engineering analysis by a Wis. registered Architect or Engineer. The building; entrances and required exits must be accessible to those with disabilities as per chapter 69 of the code. Restroom facilities must also comply with those requirements of chapter 69 and we have spoken at some length about those requirements. If the building is used simply as a place to pay for golf with some vending, machines, then one restroorn may be adequate. restaurants and taverns must provide a toilets room for each ses and both would then need to comply. I have sent you some information on the layout requirements for thine facilities. Please feel free to provide a copy of this letter and my phone number to any local or county officials in the permit process that may have building code 4uestions. Again please call me when you intend to move the building on site and if you have any further questions. Respectfully John J Dahl 6 HOLDING TANK SERVICING CONTRACT :oniract Date March 13, 1998 This contract is made between the lolding Tank Owner(s) Name(s) and Pumper's Name City of New Richmond (Owner) I Power's Liquid Waste Management, Inc. New Richmond, WI 54017 550 Riley Ave. New Richmond Golf Club, Inc. (Leaseholder) I New Richmond, WI 54017 Ye acknowledge the installation of (a) holding tank(s) on the following property: (Provide legal description:) See Document # 537902 which is attached temporary holding tank approval expires November 1999 agrees to file a co ofthis contract with h I t unit hereinafter II m ni ` 1. The owner a 9 P the local overnmenta u t called the "municipality" alit "which has Y 9 P Y. signed the pumping agreement required in Ch. ILHR 83.18 (4) (b), Wis. Adm. Code and i with the County of St. Croix Z. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all- weather access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by s. ILHR 83.18 (4) (b), Wis. Adm. Code, and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract. the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the municipality and the County named above within ten (10) business days from the date of change to this service contract. Owner(s) Name(s) (Print) er's Signalure(s Dennis A. Horner City Administrator i �1 Subscribed and sworn to before me on this date: Gary W. Johnson Club Mgr /Corp. Agent I Pumper's Name (Print) Pum per's i 1 S Signature ,�,` •o � 41 ry obi c Tammy J. Powers i -/ commission expires: r ��qT ��•� , it Powers Liquid Waste Mgmt, Ac. G - \ / O o . e 0 0lV 9 Pumper's Registration Number a o License # 107 .,CP ~Oe�eeoaoee' ��w SBD - 7574 (N. 11/85) This instrument was drafted by the State of Wisconsin Department f�iB Of /If / / //tl /r of Industry, Labor and Human Relations, Bureau of Plumbing. 7 loc6n=tNutnber/PlanI.D.No. HOLDING TANK AGREEMENT 575161 This agreement is made between the government unit and holding tank owner(s Vame and Return Address City of New Richmond (Owner) ;� CE New Richmond, WI 54017. CR !X CO., MW Ra;'t4 for tiapgr l New Richmond Golf Club, Inc. (Leaseholder) New Richmond, WI 54017 MAR 16 1998 -'arcel identifier number (PIN) Agreement taw 11:15 A M 04)41� ';ovemmental Unji, Holding Tank Owner(s) Ra tat•r of DeWs Town of Richmond City of New Richmond RICO r%A J;Qlf (114b Ve acknowledge that application is being made for the installation o (a) holding tank(s) on allowing property: (Provide legal land description. Use reverse side if additional space is needed) See Document # 537902 which is attached ____ �cwl f��Ghrr, r_ LC3•r j Tvi7 :r that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage. Jso, the property cannot now be served by a municipal sewer, or any other type of private sewage system as permitted under Ch. ILHR 83, Wis. Adm. :.ode, or Ch. 145, Stats. >s an inducement to the County of St - Crud x to issue a sanitary permit for the above described property, we agree to do the following: Owner agrees to conform to all applicable requirements of Ch. HM 83, Wis. Adm. Code relating to holding tanks. If the owner fails to have the holding tank properly serviced in response to orders issued by the governmental unit to prevent or abate a human health hazard. as described in a. 254.59, Stats., the governmental unit may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by a 66.60, State. The owner agrees, pursuant to s. IId3R 83.18 (10), Wis. Adm. Code, to have a water meter installed in a new building or new structure. The water meter shall be installed by a plumber authorized by the State to conduct such installations, with said installation complying with State regulations and manufacturers specifications. The owner agrees to be finally responsible for the purchase, installation, maintenance, and repair of the water meter, and agrees to allow the governmental unit to enter the above described property on a regular basis to read and/or inspect the water meter. Owner agrees to pay all charges and cost incurred by the governmental unit for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. The governmental unit shall notiry the owner of any mats which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment far the abatement of a human health hazard, and the tax shall be collected as provided by law. }. The owner, except as provided by a. 146.20 (3) (d), State., agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adm. (lode, to have the holding tank serviced and to file a copy of the contract or the owner's registration with the governmental unit. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the governmental unit within ten (10) business days from the date of change to the service contract - �. The owner agrees to contract with a person licensed under Ch. NR. 113, Wis. Adm. Code, who shall submit to the governmental unit and the county on a semiannual basis a report in accordance with s. ILHR 83.18 (4) (a) 2., Wis. Adm. Code, for the servicing of the holding tank. In the case of registration under a. 146.20 (3) (d), State., the owner shall submit the report to the governmental unit and the county. The governmental unit or county may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained. G. This. agreement will remain in effect only until the governmental unit responsible for the regulation of private sewage systems certifies that the property is served by either a municipal sewer or a soil absorption system that complies with Ch. 11M 83, Wis. Adm. Code, In addition, this agreement may be canceled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit the agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is instaned. �aNa+aso � ! *# rwner(s) Name(s) - Please Print Governmental Unit Official Name - Please Print Subscribed and sworn to hKal I ttYOWn Asa Dennis A Horner, City Admin. Town of Richmond, St. Croix Co. _3 j y"$ "'a� .tl W - jnhn-,nn Corp. ACIen-F ze Owner(s) S' we(s) Governmental Unit Official Title - Please Print ; y tali Pu c Chairman of Town Board Govemriuntal Unit Official Signature % iy commission expires Ga W. Johnson eAIff � �i 1 m)). )rafted by Personal information you provide may be used for secondary purposes (+�w+� ( X 8 1 STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 plot plan New Richmond, W1 54017 MPRSW -3254 for (715) 246 -6200 City of New Richmond Golf Course£ NEV44 S4- T30N -R18W t town of Richmond, St. croix County N 1 11 =40' or as dimensioned 3LZ ✓�", A L �1 ++ t� r P v& pt - HS�-,a►1�4 fit; LO08F 8Z.3v C i t �N K k y N rAI A re OAkE (-I e L 63. 1 b 000 (C�) 9 OT r u n A r n s r .. �. t n O in b j )t w G r A I A n W < are p1 A g r Q t ` Z r 4 P (f l c . a � � `" f o r ! s t v er C `' c-t o� 0 dc N .. 19 r in a -4$z IP Zy Q gM M o "f rp A 'n � IL Q � o w o \ rl 3 m La 4 + �A n OT 40 01 3 'rd r Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page _ of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BK' irecpop % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dista aarBst fba ;! „� 026- 1011 - APPLICANT INFO RMATION- PLEASE P,R114T ALL I IOf ATION R VIEWED BY DATE �.� lL•(l'�17 PROPERTY OWNER: -_ C PROPERTY LOCATION City of New Richmond Gol C,,,.� " ub `^ Q G 6Vr. LOT NE 1/4 NW 1/4,S 4 T 30 N,R 18 k(or) W ',a PROPERTY OWNER':S MAILING ADDRESS ST 1-9 LO # BLOCK # SUBD. NAME OR CSM # 1226 180Th. Ave. coU na na na CITY, STATE ZIP CODE " • ON CITY ❑VILLAGE [MOWN NEAREST ROAD New Richmond, WI. 54017 V 246 - Richmond 180th. Ave. b [ New Construction Use[ J Residential / Num ! ` [ ] Addition to existing building j ] Replacement k ] Public or commercial describe aolf course club house Code derived daily flow 1340 gpd Recommended design loading rate .2 bed, gpd /ft .3 trench, gpd /ft Absorption area required nP bed, ft 1117 trench, ft Maximum design loading rate • 2 bed, gpd /ft .3 trench, gpd /ft Recommended infiltration surface elevation(s) 93.50 ft (as referred to site plan benchmark) Additional design /site considerations system based on 200 players, 3 employees, 2 floor drains 40 seat bar Parent material pitted glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem I ❑ S ®U S ❑ U ❑ S ® U EIS ® U [Is ®U EIS ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Y Bed Trerx I. 1 0 -8 10yr4 /3 none sil 2cp1 mfr cs if .2 " 2 8 -20 10yr4 /4 none sicl 2csbk mfr gw if .4 .5 Ground 3 20 -49 7.5yr4/4 none sl lcsbk mfr gw na .4 .5 elev. 4 49 -84 5yr4/4 c2p 7.5yr5/8 scl M na na na np :.2 9 2.5 ft. Depth to limiting factor 49" Remarks: Boring # 1 0 -12 10yr4 /3 none sicl 2c -bk mfr gw if .2 '.3 2I 2 12 -24 7.5yr4/4 none scl lcsbk mfr gw if .2 .3 3 24 -44 5yr4/4 none scl lcsbk mfr gw na .2 .3 Ground 4 44 -60 5yr4/4 cld 7.5 r5/6 scl M na na na n i .2 elev. Y Y P 9 3.5 ft. Depth to limiting factor 44" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Aw., New Richmond WI 54017 Signature: c Date: 11 -6 -97 CST Number: mO2299 PROPERTYOWNER New Ricbrnond Golf C 1 ubSOIL DESCRIPTION REPORT P�gd? s of PARCEL I.D. # 026- 1011 -95 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -10 10yr3 /3 none sil 2cbk mfr gw if .5 .6 2 10 -21 10yr4 /6 none sicl 2msbk mfr gw if .4 .5 Ground 3 21 -34 7.5yr4/4 none scl lcsbk mfr 9w na .2 .3 91.9 ft. 4 34 -63 5yr4/4 cld 7.5yr5/6 scl M na na na np : .2 Depth to limiting factor 34" Remarks: Boring # ................. Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) y STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 New Richmond Golf Club New Richmond, Wi 54017 MPRSW 3254 NE 4 NW4 S4- T30N -R18W (715) 24 6-6200 ` town of Richmond 1 =40' BM.= top of 2" pvc pipe by outlot corner @ el. 100' Alt. BM.= top of lot post C el. 104.00' cA IJ 0 L 3 �Ia Gary L. Steel 11 -6 -97 j M f F ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/B City of New Richmond Golf Club Mailing Address 1226 180th. Av.e., New Richmond, WI. 54017 Property Address zz 7x°3 1490 (Verification required from Planning Department for new construction) City /State New Richmond Parcel Identification Number 026 - 1011 -95 LEGAL DESCRIPTION Property Location NE ' /o, NW %, Sec. 4 . T 30 N -R 18 W, Town of Richmond Subdivision na , Lot # na Certified Survey Map # na , Volume , Page # Warranty Deed # 537902 , Volume 1155 . Page # 192 Spec house ❑ yes ® no Lot lines identifiable ❑ yes fl no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeymanpl} tuber, 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. Uwe, 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 Zoning Office within 30 days of the three year expiration date. 4.1 )L� _T SIGNATVkE OF APfLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of roperty desc ' d ove, by virtue of a warranty deed recorded in Register of Deeds Office. 3 /W/ SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed LK&UNIEN'l NO. WARRANTY DEED t.:' • ,, ,' " 53►7c��� RECORDING INFORMATION a�Of�oir,F48 1�55p>,Gf192 THIS DEED, made between New Richmond Colf Club, Inc.. a Wisconsin R�; QFFlCE Non -:sock Corporattan, Grantor, and the City f New Ric CROIX CO, W� ty h!°O �'° Recd !or R=4 'NrrNESSETH, That the said Grantor, for a valuable consiideration one dollar d other val..aole consideration coveys to Grantee the followin described real estate DEC an 2 8 1995 in SL Croix County, State of Wisaomin: 1A 9:3C A. � North 1/2 of the Northwest 1/4 of Section 4, Township 30 Nord. Range I West 9:3C EXCEPT Commencing at the Southeast corner of the Nor'.Seast 1/4 of the Northwest !R ;ist :r et D•_ •'l3 1 1/4; thtx M Wed along the South line of said Northeast 1/4 of the Northwest 1/4 a distance of SW feet to point of begiaasng a parcel to be excepted bearein; thence continuing West 211 feet; thence Nord 00 degrees 40 minutes West a distance of 266 fe* thence East Parallel to the Strdlr lino of the Northeast 1/4 of the Northwest 1/4 a distance of 211.0 feet; thence South 00 degrees 40 minutes East, 266 feet to the point Of beginning; o o,Q Also EXCEPT Commencing at the Northeast corner of the Nortbmma 1/4 of Section 4 ............................................. Township 30 North, Range 18 Wea4 thence West 560 feet to the point of beginning; r thence South 300 feet; thence West at right angles and parallel to the North line of said RhTGRY TOO: Northwest 1/4 290 feet; thence Norte at right angles and parallel to the East line of said Northwest 1/4 300 feet; thence East at right angles on the North line of said T.. Northwest 1/4 290 fecc to the point of beginning. PY o "� o.Ar S Np! y # aFM Tax Parcel No: 026- 1011 -95 This is not homestead property- Togethtr with all and singular the hereditaments and appunemsocee thereunto belonging; and Grantor warrxata that the title is good, indefeasible in fee simple and free and dear of encumbrances except Easements, highways, utility rights and reservations of record, and will warrant and defend the same n Dated this r� day -f �6 �G /S t r (SEAL) (SEAL) (SEAL) • • �� 16 = �., fv •.. AUTHENTICATION ACJtId�E►4ENT •� STATE OF WISCONSIN s' A SiSaamre(z) of COUNTY ST. CRODC !. � V + t j awbentie.ted Ws or , 19 i M ;fj/� of F' named / eaaae of Near i r TITLE MEMBER STATE BAR OF WLSCONsV# to ms tsamro to M tae peettoeL imtntmeett wa (If not, ~ authorized by ; 706.06, Wu. State.) acknowledged u • THIS wsmuMENr WAS DRAFTED BY: ,rt f, BAKKE NORMAN, S.C. • Debra L. yriett NEW RIC11AtOND, WISCONSIN Notary Public, St. Croix County, Wisconsin V . *Names o(persons signing in any capacity ehotm►e typed or printed below their signatures. My Commission is permanent. (If nd, state expiration date: November Z . 1997 1 y ' .'r i'�x i ►� + ��' 7 S! �7 x �r x ^,fi t f� �Rr A�F � C L�^��+e:.,7 Yi Y`44 I C .�`? ,o?` " _t r'. it�'Gr Ss •' ..•:7 ant. r. � � *� i