HomeMy WebLinkAboutSAN-2022-315 026-1130-43-000Wlconsin D6parlmcnt ol Commerca
Safety and Building DivBion
GENERAL INFORMATION
PRIVATE SEWAGE SYSTEM
INSPECTION REPORT
(ATTACH TO PERMIT)
Palsonal intormalion you povid€ mey ba us€d for locondary purposes lP.ivacy Law, ..15.04 (1)(m)l
Jeff lverson Cily
TOWN OF RICHMOND
8M D.3cription:
TANK INFORMATION ELEVATION DATA
TYPE try
Septic
Dosing
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO PIL BLDG ROAD
Seplic
Dosing
Aeralion
Holding
PUMP/SIPHON INFORMATION
Menufacturer Oemand
GPM
Model Number
rS ELEV
E-I'n
lnlel
Outlet
Dt Inlet
Bot. System
FinalGrade
SOIL ABSORPTION SYSTEM
DISTRIBUTION SYSTEM
St. Croix
5445
No:
l0 No:
102202440-c
026-1 130-43-000
25.30.18.903
No:
BEONREiICH
olME {3tot{s
L6ngrh No.MIII:llFIFiIFl
lLiquid
oeethlnside Dia.
TO WELLSETBACK
r{FoRMATtOt{
No Ol Pits
P/L BLDG LAKE/STREAIII LEACHING
CHAMBER OR
UNIT
Pipr(s)Lenglh_
x Holc Spacing to Ah lntak€
l"*'
x Holo Siz6
sotL covER I Prollure
COMMENTS: (tnctude code discrep€ncies, persons present, etc.)
Locatlon: 1425 t 36TH AVE
1.) Alt BM Description =
2.) Bldg sewer lenglh =
- amount of cover =
II Mound Or At-Grads
lnspection #1:
Plsn revision RequiredZ I ves I tto
Use other side lor additional information.
sBD-6710 (R.3/97)
DEplh Ov€r
Bcd/Tronch C.nl.r
lD.pth Ov6r
l8€d/rr.nch
Edses
)o( S€odld/Soddcd lr Mulchad
Ir- ye! -No I -lyss JNo
xx Dsplh of
Topsoil
Dat6 lns.pcto/s Signatur.
lnspection #2
Csrr. No.
, (kw
Sannar)' Fermit l.Iuder (to be filhd in by Co-)
b45'l'15
StafeTrmsmionNumbcr' PwrS * lo il)o V7o- c-
hqFct AddEs fifdifrm rhrr Daitiug addrcss)\-/tup)
kcel #
o 3o--De
W. lB. Qo3
Cro$-I-ot
Sl*lv+ lvtnlv, scaim ? f
r )ou ; R/ AHB
Subtrrvisi,ou IrI@e r
Pr*r-
E cit!'or
E viueeor
p Torru of
m.of Peraitr one bor on line A-
IV.ofPOWTS
fItr
YII.Statcocut-I, thc
Address (Srrcer CitI Srarc,ZipCodc)o Ea*
x.fiffitffi#gffinsror
dlrpersal cell rnust be qervicpclhaintained
es pcr tnanageme,rt plan proei(lcd by plumber.
2. All eetbork rcquirententt nrust bt rna'mtrimd
rl por lDplicrble code/ordheflccs.
lgmfrcssiad hfrmd fl prcssrnirea r*,crqmd fl erCr*.tloldiryTaE ElOterOispeoafComponcnr(eptain) -- h tr
E OkfifoOificdim lo Bistiq Slucm (e\plain)
I ist11il** F.rmil lTumberd Dae Issud
fl Uo-4.24 in ofsuiubh soil
Dctic,e
for instellanioa of rhe POIITS shom ou thesttrfu
Brl*ness Ptrcoc Numbcr
Sfco
t &\) tF
line B if
all &at
tu")(,tr
/oo.30
rssume
1*ffur <v\ in
Pl"^ h- AvSrF
7ts-266* a7
€?A c+
' fJ*nv"5
)
0c1 0 ? 2022
EGERDs
sP
provide
In accurdence nith Il'iS AdB-sbmissionof&bCo&,!oform Ihc rEillsarequircdptisONm:obtainfog saitrl'pcrmit.form furAppticaim statcorrncd ire submiucd totheandOeearmcmProfessiomlofSafctf'Services-Rmad inbrmatisr bc foruscd}1}u ma!'secsUarltherliths-
ilftadson.
lndustry Serubes Division
14m E Wasfrirgton Ave
P.O- Box 7162
Properq,Onu'sName
lilailingAdessPM r^;-tP-6,-
/lo 1
IfVp" of Bailding (cteck dl thtr appty)
P(J or 2 fanitf' t@ - lMcr of Bedrms
fl PuUicrcornmcrcial - Dcscrfre tlsc
PbmcNumbcr
l-ot #/3
Block#
CSMNumber
(w.os3=r.-E ncgUccnrcotSssteo
(
I,l
A.
%tu
tr Trcaffrcru/lfolding Tuk Replacemeut Oob.
5 o
fl Stu. Or.r.A - Dcscribc use
Zip CodeCitt Stac
N.l-l,lt
B.E P.r*ncrr".r*
Befw Epiratior
I P.rrritnc"Uoo fl orangeor
Plumber
E Pcrrnf"o.frrblk
Onrr
2{in ofsuit6lesoil
Dispcrsal AEa6oona{g,dsD /, O
YL Tank Infe
t'Ierr Tdis
v-
Area (s0(@ .{
Total
il'lanufacturcrCallons
Area
0 (,oO
)= 9ZsGallons
EristingTa*s
fof
Lhits
2
=9
=Es6
I
ux
-=tr-.., E
:,a,
U;
t-t-J a:
-a=
SEtic m Holdiry Tardi leoo l,la I d E tr n
d.tl tr trDosingChailSer
Nurr6cr
?
f\'n*''a Dury*tu
fl Onu Cirtn R.ry'a fmDsril
FcrmitFc
s 68. oo WfrT/IssuiryAg.d
bo-dcac frrft
pvvtalo s/srbru rua,ainfu rwr4
65/- )rl?- lg,ge
frme
'ttADestsn rbs-fefi
-
Lut-0.r. fi.-:\
/
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L1v17-
ailI
qs
Wisconsin Department of Safety and Pnofe,ssional Servioes
Division of Industry Services
4822 Madison Yards Way
PO Box 7302
Madisorq WI53707
Phone:60&2662112
Web: htto: dsos.r.r'i.sor'
Email: dspstg) wi sconsin. gor'
Tony Evers, Governor
Dan Hereth, Secretar-r
October 4,2022
CUST ID NO.:224832
MARY JO HUPPERT
25720 FIREFLY LANE
WEBSTER. WI 54893
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES. IOIO4I2O24
MUlttICIPALITY:
TOWN OF RICHMOND
ST. CROIX COUNTY
SITE:
I\IERSON CARPENIRY & CONSTRUCTION
1425 L36TH A\IENUE
NEW RICHMOND, WI 54017
SW I/4 OF THE NW I/4, SEC. 25, T3ON, RISW
FOR:
Design Wrstcweter Fbw Velue: 600
Bedrcoms: 4
Limiting Fector(s): 38"
Meintenance Requlred: EffIuent Filter
Identification Numbers
Plen Review No.: PWTS-102202440-C
Application No.: DIS4922 47 218
Site ID No.: SIT-1O7464
Please refer to all identification numbers in each
correspondeoce with the De,partment.
CoNfiottdly
APPROVED
DEPT. OF SAFETYAI{D PROFESSIOilAL
SERVICES
DIVISION OF INTruSTRY SERVICES
E" 3--,t -- /-'t
SEE CORRESPONOENCE
Mound Component Manual - Version 2.1 (May 2A22-2027)
Pressure Distribution Component Manual - Version 2.1
(May 2022-2027)
SITEREOUIREMENTS '. A full size copy of thc ryproved plans, specifrcationg and rhis letter shsll be on-site during conslruction and opeo to inryection
by authorized representatives of the Depuurent, which may include local inspectors. A D€p8rht€rtt elealrqdc stsmP ad
signature $all be on the plms whioh ore used at the job site for construction.
Itc follmlag condldonr rhrfl bc nct durhg courttlc'tion or in r[etroa ud ptlo" to occ{pucy or u!c:
. Prc*rvc dtpcnd era prior and druing consuctimr to avoid dishubance, compsction and use of the site.
. wlth Ei con tructlo!; it is recommended not to acdvate lhe pump in the dose tank until the taDks arc pumped Prior to
hommwner occtpanc1r.
. Wartcwrlcr tcrrcrrlcd from contr.cton cleaning of equipment and tools and/tr left ov€f, construction prcducts shsll not be
disoharged into the drains discbsrging to the private onsite wastewd€r aeatment system (POWTS). Waste generated shall be
properly disposed of on-site or off site.
. Ary trll lrr tcl, fuy6 1fl 'f,pb'
qhall be cut short aod r€moved prior to tilling the suface for installatiotr to Prev€flt EaBing
under lhe dispersal rea All loose orgmic material to be removed ftom POWTS Dispo'sal Area.
. Dlvcrt rur{ecc weter from all POWTS Areas.
. Pl.lor to colrtruc,ltion of thc dirpcnd rrcr, cicck frc noilturc ont nt of the soil to a depth of 8 inches. Smearing and
mmpacting of wet mil will resrlt in reducing the infrltration capacity of the soil. Proper soil moi$ure mnt€,flt can be detsmine.d
fu rolling a soil ""mfle between rhe hmds. If it rclls into I I /4- inch wire, the site is too wet to pnpuc. If it cnmbles, site
preparadon can proceed. If the site is too wet to pleparE, do not prooeed mtil it dries.
. All plphg shall corform ro SPS Table 384.30-3 srd SPS Table 384.30-5
. hruhnc bdHing rcrcr beyond 30 feet per SPS 382.30 (l txc)
a
a
. W3[ t tbrd{r to DGGI chs. NR 8l I & 812
. T.rk llataUdlotr to follow all manufocn[e's recommendalions.
. Vcrlfy plopcrty lhc(r) pdor to ins0llalion.
. Punp no.& to bc lct ud r,crifrcd pcr rppmvcd phn Any chrngcr mey rcruh h pump rcddng to mcct TDH end GPM
Spccfficltiotrr.
. Arer! thrt rE occuplcd with rock fragments, tree roots, stumps and boulders reduc€ the amount of soil available for proper
Eeatment. If no other site is available, lrees in the basal area of the mound must be cut off 8t ground level. A larger fill area is
nec€ssary when any of the above conditions are encountered, to provide sufficient infilrative area.
Orner Rcsponsibiliticr
The ct5rcnl owtr€r, md each subsequent owrrer, shsll receive a copy of this tetter including inmuctiotrs rclating to proPer use sd
moinlenonce of the syst€Dl. Otiaers $all receive a copy of the appropriate opa'ation and maintenmce manual snd/or ownels
manual for the POW'TS desoribed in this approval SPS 3txl54(f}
In the event this soil absorptim system or arry of its component prts malfirnctions so as lo cr€ate a health hazard, the p,roperty
ovmer mu$ follow the contingency plan as described in the apploved plans.
OWIYER RESPONSIBILITIES. The ourr€nt own€r, and each subsequent owner, shall receive s copy of this letser including hstructions relating to proper use
and maintensrce ofthe sy$un. Ovmers shall receive a co,py ofthe appropriate op€rstion and msintenanoe manual 8nd/or
owneds manual for the POWTS described in this approval and Wis. Admin. Code 6 SPS 383.5'l(l ).
. IE the event ihis soil absorptio systen or any of its compoDctrt parts malfrEctions so as to create a health hazar4 lhe property
owner musc follow the contingency plan as &scribed in lhe approved plms.
The subrnittat described above has been reviewed for cmformance with applicable Wisconsin Administrative Codes and Wisconsin
Stahrtes. The $bmittal has been CONDITIONALLY APPROVED. Ttis system is to be conslmcted aad located in accordance with
the enclosed approved plms aud wifh any compon€ot manual(s) rcfer€nced above. The owner, as defined in chapter l0l.0l(10),
WisooBin Stairtes, is rcsponsible for compliance with all code requirements.
No person mry engage in or wort at plumbing in the state unless licensed to do so by the Deparlment Ptr s- 145.06, stats.
All pemits tequired by the state or the local municipality stnll be obtained prior to commencem€nt of
construction/installation/operation.
In granting this appmval, the Division of Industry Services rcserves the right to require changes or additionq should mnditions a'ise
mating ttrern necessry for code complimce. As p€r state stats l0l.l2(2), nothing in this review Sall relieve the designer of the
responsibility for designing a safe building, structure, or componert. The Division does not take responsibility for the design or
construction of the rwiewed items.
Inquiries conceming this correspondence may be made to me at the contact information listed below, or al the address on this
letertead.
Sincerely,
Z:ro Qnrtr*€azl
Tim Vander Leest
POWTS Plan Reviewer
Division of Industry Senrices
Phone: 608-516-6134
Email : tim.vanderleest@;risconsin. gov
Fec Required: $25O.00
Fee Received: $250.00
Balance Due: $0.00
Refund $0.00
rctIID A]ID PRES$NE DISTREUNOil COFO}IEilT rSlGOI
Residential ApflEatbn
ffif ArcT]TLEPAGE
N/ERSOil CARPEilTRY t @r{sTRt crloilPrqiat ilgna:
Orne/g ilrme:
OrnCe Addtrg:
l.ogel Decsiilin:
Turdtip:
Courrf
S6dividon Nrnq
totNrmber
Parcd l.D- Nrmber
Pbn Tranr*bn ]lo:
a t.
t't-
(sanel
1.I@ HNA,VOOD TRAIL
l€r/v rocHrf,oilD, vyl 5.017
st rr l ,. oF THE lorr, 1r4,25. T30N. RIEW
RICHUOND
St. Cmix
RED PINE CORilER
ed( Ntrnbefi trlA
028-1130-{t-(m
CoNltbnClY
APPROVED
DEPT. OF SAFEW A}ID PROFESSTIO}IAL
SERVICES
OMSIOX OF II{DUETRY AERVICES
E" 2/.-..t .- /--t
SEE CORRESPOT{DEilCE
€
*
\\"
a?.8
aa a
Page 1
Pqe2
Page 3
Page 4
Page 5
PagE 6
Page 7
Page 8
Page 9
Page 10
PaOe 1 1
Page 12
lnde( md lile
Ih0a enry
ilqlnd earriEg
f.*fal rd dosetank
Wn maiErrccpecili:albne
llerrynqt and codiUpncy pbn
Pumpcuno and cpcili:eane
Pbr
E6t
afard-e,3 srnrq tE*Mrrtec
Pfuu lir..L::.
ii^ , .. ,-!i j
t
Des$ner JoDate: 09n0n2
Silnature:
1E59 - W7
715 -]fr -tni
t)
(alr,^re o;fz;zt\
t,:l llll:,
*
aa
.}
Mound and Pressure Distribution Component Design
Design Worksheet
Site lnformation
(R or C)
(C or E)
R
400.00
1.50
600.00
1.00
99.80
38.00
0.40
60.00
1.00
1
e
3.33
3
0.156
3.50
2-AO
103.00
86.00
4.55
13.89
1.70
0.00
20.14
Distribution Cell lnformation
Dispersal Cell Lengrth Along Contour (ft) =
Dispersal Cell Design Loading Rate (gpdrTt't
lnfluent Wastewater Quality (1 or 2)
Pressure Disribution lnformation
Residential or Commercial Design
Estimated Wastewater Flow (gpd)
Peaking Factor (e.g. 1.5 = 1500/6)
Design Flow (gpd)
Site Slope (%)
Contour Une Elevation (ft)
Depth to Umiting Factor (n)
tn-situ Soil Application Rate tgpdfft'?l
Center or End Manifold
Lateral Spacing (ft)
Number of Laterab
Orifice Diameter (n)
Estimated Orifice Spacing (ft) -
Forcemain Diameter 0n)
Forcemain Length (ft)
Pump Tank Elevation (ft)
Note: Sand fill(D) calculations assume a
Table 383-443 in-situ soil treatment for
fucalcolifurm of <= 36 inches.
10.00 Cell Width (ft)
Are the laterab the
in the distribution
network?
nt
Enter Y or N
lf N above, enter the elevation
of the highest point.
11.76 f/orifice
Does the forcemain drain back?
Enter Y or N
System Head (fi) x 1.3
Vertical Lift (ft)
Friction Loss (ft)
ln-line Filter Loss (ft)
Total Dynamic Head (ft)
16.80
80.60
97.40
27.46
Forcemain Drainback (gal)
5x Void Volume (gat)
Minimum Dose Volume (gal)
System Demand (gpm)
Gallons/lnch Calculator (optiona l)
Treatment Tank lnformation
Tank Ca pacity (gal)
Manufacturer
Dose Tank lnformation
Dose Tank Capacity (gal)
Dose Tank Volume (gal/in)
Manufacturer
Total Tank Capacity (gal)
TotalWorking Liquid Depth (n)
gaUin (enter result in cell B49)
Effluent Filter I nformation
800.00
22.24
Weiser
PotyLok
525
Filter Manufacturer
Filter Model Number
Y
l*ateral Diameter Selection
in. dia options choice
0.7s
1.00
1.25 x
1.50 x x
2.00 x
3.00 x -
II
Manilold Diameter Sebction
in. dia.options choice
1.25 x
1.50 x x
2.OO
3.00 -
Wieser
I@
Project: IVERSON CARPENTRY & CONSTRUCTION Page 2 of 13
Mound Plan and Gross Section Views
?
J
+
A
I
W
L
10.00
60.00
6.00
600.00
10.00
ft
ft
ft
K
L
W
ft
ft
ft
H
I
J
A
B
D
1.5 ft+
0.5 ftJ-
ft
ft
in
E
F
G
tn
in
Mound Component Dimensions
Down slo toe extension made
1.00
15.00
5.22
7.03
74.O5
30.22
1d; aasal Area Available
(ft) 1/10 B Obs. Pipe Placement
00.80 (ft) Lateral
lnvert
(f) Oispersal CellArea
(gpd/fi) Linear Loading Rate
1500.00
6.00
100.30 (ft)+
Mound Cross Section View
Aggregate Dispersal Area
1.O o/o Site Slope
Y Dispersal Cell
I
H
1
IG
F
T
F
+
Dispersal Cell
Elevation
AAAJ.AA
.80 (ft) Contour Elevation
Shading Key 8BEo.O-
rDo
#Eig':Ilso
Geotextile Fabric Gover
See lateral details on
Page 4 for number, size,
and spacing of laterals.
Laterals are equally
spaced from the
distribution cell's
centerline in the
distibution cell (AxB).
Topsoil Cap
Subsoil Cap
ASTM C33 Sand
Tilled Layer
Aggregate i-n#
7.2A
9.50
0.50
DispersalCell
4
EAHA
E
m oP
Lateral
1
an
Project: IVERSON CARPENTRY & CONSTRUCTION Page 3 of 13
{t/3{q} y'
^3++++1
Finished Grade 102.09 (ft)
)
,
Ei
:.:.:
D
6+44
tttrLUU
).A).
ixt
ll I.r.
t \}'}a?III,r'.l.
K
B
fl:
1t10 .'. Observation Pipe ::::tr
E
Typrcal
End Connection Lateral Layout Diagram
Number of Laterals
Latera! Diameter
Lateral Length (P)
Lateral Spacing (S)
Lateral Flow Rate
System Flow Rate
Total Dynamic Head
Weiser
Capacity 800.00
Volume 2..24
Dose Tank lnformation
in
ft
gpm
gpm
!n
fi
florifice
ft
in
ft/sec
Orifice Diameter
Orifice Spacing (X)
Orifices per Lateral
Orifice Density
Manifold Length
ManifoH Diameter
Forcemain Velocity
0.156
3.66
17
11.76
6.67
1.50
2.80
Ebctricalas per NEC 3(X) and -'*
sPS 316.300 WAC
Tank component is properly vented
Locking @ver with waming
label and locking device and
sealed watertight
4 in. min.____
(- Altemate outlet
location
Forcemain diameter
2 in.
Weep hole or anti-
sifion devi:e
n
- Dose tank{-elevation
Note: Switches
containing mercury
may not be used in
this system.
Manufacturer
Gallons
gal/inch
--'?-
A
-,LfB
c-t
D
Alarm Manuafacturer
Alarm Model Number
Pump Manufacturer
Pump Model Number
Pump Must Deliver 27.46 gpm at
Ldcrats &forcemahr Sch 40 PVC per SPS Tatcle 344-30-5
Forco rn:irr corrroction vaa t.a crr crorr to rn:nifold.t anI poarrt.
-
s
rD- fsrTt-rp tnf brll rralva or olcrnoutplugCrntcr tlr l.t??.lr or,.r the A & EI dimcngion
All l.tarals .rc idontacll l<- X--+l Holos drlLd on th. botlottr o, th. l$erd
' cqur[grp.o.d
(-P
3
1.50
58.56
3.33
9.15
27.46
20.14
tank.u3"
Iffi
I
I IEt
Dimension lnches Gallons
A 18.69 415.71
B 2.00 44.48
c 4.38 97.40
D 10.90 242_42
Total 35.97 800.00
reI
SJE Rhombus
Tank Alert
GOULD
PE 41
-firiaProject: IVERSON CARPENTRY & CONSTRUCTION
TDH
Page 4 of 13
Mound Svstem Maintenance and Operation Specifications
Service Provide/s Name
POWTS Regulato/s Name
POWERS
St. Croir County Zoning
Phone
Phone
715-246-5738
715-386-,4680
Svstem Flow and Load Parameters
Design Flow -
Estimated Flow - Average
Septic Tank
Soil Absorption Component Size
Maximum lnfluent Particle Size
Maximum BODS
Maximum TSS
Maximum FOG
Maximum Fecal Coliform
1t8
220
150
30
>1 0E4
in
mg/L
mg/L
rng/L
cful100 mLType of
Service Frequencv
Septic and Pump T
Effluent
Pump and Confrob
Alarm
Pressure System
Mound
Other
M iscellaneous Construction and Materials Stqndards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap,
and are secured in as shown in the mound component manual.
2. Dispersal cell aggregate confornrs to SPS 384.30 (6X), Wis. Adm. Code.
3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce ftost penetration.
Lateral Turn<rp Detail
Finishgd ,.. o. a o I o .. ... t
Grade \r,
6-S"DiameterLawn .+Threaded Cleanout
Plug or Ball ValveSprinkler Valve Box
Distribution
Lono Sweeo 90 or Two
45 Seoree Bends Same
Diameler as Lateral
600
400
1200
600
Domestic
lnspect and/or service once every 3 years
ShouH inspect and clean at least once every 3 years
Test once every 3 years
and pressure tested 5 yearsLaterals should be every
ShouH test month
lnspect for ponding and seepage once every 3 years
Project IVERSON CARPENTRY & CONSTRUCTION Page 5 of 13
aaaaaoaoaaaaaaa
Mound System Management Plan
Pursuant to SPS 383.54, Wis. Adm. Code
Srosl
Thb sysEm shlll be opeIltld in rccodance wlth SPS 382€4 Wk. Adm. CodG, rnd rl[ll mrhEhed in accodsoce wilh its component
mlnuats iSBDEl Oel-P (N.Olnl ), SSVWP Puui:ation 9.6 (01/81), and Pllsstrc Distrbdion Comporc i/ianualV.r.2.0 SBlloTocP (N
olirl)l.nd bcal orltatc ruler F linhg to s)*m mairtcnance ard m.intenanca Gporting.
No ooc shodd sv3l et|tsr a s€dic or FImp tar* sinco &ngolous gas€s may be FrseIt ttBl could cau€e death.
Sepiic and Frmp tari( abandofinent shall be in accodrnce with SPS 383.3ii, \M. Adn. Code when the Enks ale no bnger uscd as
POWTS compomnta
Septc or Flmp tad( rnarfiolr islrs, acccrs rircl! and coyerB should be irFpqdcd br vraGt tigJttrtss and soundncsg. Access oFninga
us€d ior sen ice at,ld asse€emert shall bG geabd ryatertigh[ upon the completion of se]vbe. Any opening deemed unsourd, (bEdive, or
subFal b hlure mrrst be rEphc€d. Beo6ed accass ope Ogs greater tian 6{ndl6s ln dlsmeter sltafl be secuEd by 8n eibdive locling
device to prcverll acoiderialor ur|.dlprizrd entry inlo a tank or componcnt.
srldcJre
The Esptlc tr* Ehall be mamainod by an lndlvldull cedlisd b ssrvire s€ b t nks unde. s. U I .48, Stats- The contsnis ot the 86ptic
tank shalt be dbpo3ed ol h accordanca Eith NR 113, \,t ls. Adm. Co(te. The oper8tlrg condition of the septic tank and outht nter sl€ll be
asselsed !t baC onca lwry 3 ycars by irBpeclion.
The odlet flter shall be cleaned as neciseary to en$re poper operation. TtE filter ca.tidge slrould not be Emoved unles€ provisions
are made b rBtsin solids in the tenk thlt may slough otrthe fi[€rwtFn removed trcm iE enclosure. lfthe ffter b equipped with an ahrm, the
filter shall be seMced It the abm b acdvated oontnuously. IrtemitEm fiter ahms may indicate surge fldvs or an impending conthuous
alarm.
The s€pth trnk $al have ilE conb s temov€d when th€ volume ot sludg€ ard scum in the tank sxc€sds 1/3ttE lqui, rchme oflhe
tank. lftho contonts ofths tank lIc mt Emovad at tha tha ota tdennlal aSaGsaflrrri, malntemtr p.Bonnel lhat advbe the ovnat of
whrn tio ncxt scrvica ncod8 b bG pcriomad to m!lr*!ln lasa thln maximum acum and sludge accunuhtion in the bnk.
The addition of t*rlogical or chemh.l addilive3 to Gnhancc sG ic hnk padbmanc. b generalt not requirEd. tlorever, if e,lch producte
are used thcy shall bs approv€d br Ecp{ic tank u€e by the Oepaftnent of Commerce.
el0r.Ilot
ThG pump (d6ing) tank rfilll be impeGGd !t lead ore evqry 3 yeaE. Allsf,ritches, alame, and pumF shell be testcd to vedfy p(aper
operatiofl. lf an €ltuont fur b intLfl€d uithin the trr* t shai be insp€ctsd aid sarybed as ltecgssary.
lf,ound rnd Prraaurc lLstdbdlon sysftrn
No trccs or strruba stould b. ptantld on th. mqrnd. PbntiEs may be made around lfie mound's pcimebr, and thc mouid srlafl b€
sgsdsd and muhtEd aB neceGsary to prBvent ercGion and to prcvile some p(obclion liom frost perEf.ton. Trafic (oth.rlhan fur
y6gEtatiw maintenanae) on the mound is not r€commcndGd since soil oompsc.tion may hinder seration of lhe infiltralive surface within the
rnound a.rd 6now comp.dion in thq wintrf win prcmotr lioC p.neb.tion. C.ld rclt rer lnstalhtons (mber-Fetuary) dirate that the
mound bc hcavily mddrd t3 protedion fiom fieazing.
lnfiIent $Elty into lh€ mound sysiem may not exceed ZZO mglt BOO5, 1 50 mg/L TSS, 8nd 30 mg/L FOG lbr septb tenk ellltEnt or 30
mgr'L BOD5, 3) mgA TSS,10 mgy'L FOG, and lo.clu/ifl) mL 6r hlghly tr! Ld.fluent. lnlhlGr ltory may mt GreGd madmum deigr iow
sFdli.d h the Frmit for this ird.[.tbn.
TfE !fe3$ne diltihdon iyClm [e p]ovucd {rith a ir.dfig poirt at thc end of eacfi hteral, and it b Ecommended th€lt each lal€ral be
llushed of accumuhted solu8 al lea€t onoc arcry I I monttc. When a prBssule ted is perbrmed it should bG comp€cd to the inithl te51
y ren lhe lydrm nrs hslrd b dotamlno I odltca dogglry ha! occufiEd lnd lf odficr dGqrirtg i3 re$Iirrd to malnt ! equal diddbution
Y{ilhin tn dEpcrsal call.
Obsrn aton dpe3 withh tha dilFllal cGllstral be ahcd(€d b] Gfltuent Fnding. Ponding tcvels rtEll be repolGd to lhe otYner, ard any
bvots abov€ 6 irrchos coniduBd as an inpendlng Wtaulc lliluE r€qui.irg ad.nbn l, morB lirqEnt monibring-
conlirGrr{ PLn
It ths s€ptb b* or any of ib cofliporErte becoma dltdive ttE trnk ol componcnt shEll be reD€irBd or rePhced to tecp the lyCem ln
proper opeEtiE condithn.' itt|G'AoAnglant, pump, FJmp co rcls, atsm or Ehted wirine beaom€a deftdive the detedive componen(s) shallbe immedhtely
rcpoirEd or l€phcad with a componsri of tha Samc or equal perbrmance.
lflhe mourd comporEn[ hiB io accept waCeulter or beginc to disa*rarge lradelvltcr to ttE grohd surface, I wil bc ]Bpaicd or
repbced in ib' prcseht bcatbn by lrcreaidng bosal a]c€ lltoe leakagp occurs or by emoving bbbgically doggEd ab€oDlbn and dispersal
media, .rd r.lrt d pipktg, .?d Eph<i.!g saH cornpo.Ei{3 r! daarn.d ncc.GEary to birE th. syEtem info ProFt oper.tng candlion
See PagE 5 of thb phn br tha rl.mr and teLphonc nunEr of }!w loc.l POVVTS regubbr and servb! Fovider.
EEtriEUlo&
The hb.matlon rnd sa|rcduh of manarEgem.nt and matrtenanca for gete*mert Ovices sucfi as aetotic trEatncot units or disinbdion
unts lre rtlrched as 3eparaE documcrts.nd ar! consldclcd pai ofthe ovsr.ll mlnagErncr{ phn br this syltem.
Project:Page 6 of 13
C
Goulds Water TechnologY
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sr..9%SANITARY SYSTEiI
OWNERSH IP'ADDRESS FORM
Fhr
Affrc Ute Oary
Cd2,QAl
Community Dcvclopmcnt Departmant will utilizc this inlormation to providc the prop€rty owncr with
information rcaording opcration md maintanancr of your ncrry or rcplac:ment sanitary systcm! This
inlormation willbc providcd.s pert ol our ongoing eflorts to protect public hcalth, your well. groundwatcr,
surfacc ryatcr, property velu6. and cornty ,csources. Oncc approvcd, this complctad lorm and educational
informrtion will bc scnt to you by email. lf you would like to view your issued sanitary permrt online. you can
do sr: by using thc Property Files Scennad wcblink.
Orner/Buyer
owlrER/BtmR r N FormAnoil
JEFFREY IVERSON
Mailing Address 1T09 PINEWOOD TRAIL
Ciry/Statc/Zig NEW RTCHMOND. Wr s4017
Phonc Nurtcr (rcqurcd)
Emeil Addruss trcqurrcdl
Parccl ldentification Number
ifound on the p'roperty tar bdl)
026-1130-4il-000
NArY SVSTEII: LEGAt DESCRIPTION
Property Locatbn SW 'a . Nw vt , scc.25 r 3O ru nf X w. Town of
tubdivision PtaL RED PINE CORNER
C.nlffGd Survry Mrp t NA
WerrentyDeod, (befora2006)Volume
Number of bcdrooms 4 Spc< housc Et ycs El no
votu*c NA . pag. * NA
Paoc *
Lot lines rdentrfrable I yes El no
RICHMOND
Lot # 43.
Cfrct Ultt OIILY
Nar PropertyJddress
rt#
tL)L5 $b+h Arx
fUcnfrton o{ nr lddrc:r rcqurud fronr
P,l[ , za--
Cornmunity Dcrctoprncrt Dcprrrracrrt for rsr corEtrucbon )
tstrft lnnEE.r lDarcl
This form must be submined with oll Privote Onsite Woter Treotrnent System (POWfg opplicotions.
XGr Sytilcm: loclu& rvrttr ths lum a recuded vrononty M tom ttre fegrster 4 Drads ffice ond o cogy ol tln certtfted
w?yey mop { clcrerce is mde n tlr- twrronty ded.
7t5-386-f680
cddrB<rcwi gov
Communrty Denelopment Deprrtment - Lend Use Drvisrcn
5t Crou County Gonernment Center
t l0l Carmichael Road, Hudson, Wl 54016
715-2154?5O Fax
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\Msconsin Degartmentof Commerce SOIL EVALUATION
Division of Safety and Building
ln accordance with Comm 85, Wis. Adm' Code
REPORT Paoe 1 of ?
-
Attach complete site plan on paper not less than I 112 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arow, and locati.on and distance to nearest road.
Please print alt inf6rmation.
Personal information you provide may be used for Law, s. 15.0a (1) (m))r
a
Boring #
Boring #
! aoring
fl pit
! eo,ing
S pi,
G&-^& -b )
Ground surface "t"r.
99. 80 rt. Depth to limiting tactor 4-6 in.
,"to. 39 in.
. Effluent #1 = BOD , 30 S 220 mglt and TSS >30 < 150 mg/L mg/L and TSS < 30 mg/L
@.It-L
,v
.4
'?
v.l
{
County St. Croix -r3'boParcer r.D. dZQ.- l/30, 'tfEiicEaa-l-
Dateby
b
Property Location
Govt. Lot SW
I
1/4IIW 1/4 S ?\T ?o w
PropertyOwner
Block #
flnrnor
Subd. Name or CSM#
Red Pi neST CROIX
I
Mailing AddressProperty
I vittage E Town
Ri chmond
Nearest Road
FtCE
69PAk, l4NSpring Lak
npund G eI. 100.60'based on contour line of el.99.60'
600Code derived design flow rate
Flood Plain
GPD
ft.
t7f
ol aci al
fY\
ri f{-Parent material
E PuUtic or commercial- Describe:
Use: EI Residential/ Numberl-t New Construction
fl Replacement
General @mments
and recommendations:
1 SoilApplication Rate
Horizon Depth
tn.
Dominant
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture Structure
Gr. Sz. Sh.
Consistence Boundary Roots GPD/ff
.Eff#1 I 'ett*z
1 0-11 1Oyr 3/3 none L 2msbk mfr CS 2f .5 8
2 11-25 1Oyr 414 none sicl 2msbk mfr gw If 4 6
3 25-4 7 .5vr4/ 4 none sI 2msbk mfr gw na 5 9
4 46-7 C
'l .5yr4/6 c7d7.5yr 5/6 SI ,2msbk mfi na na 5 9
-\I
2 SoilApplication Rate
GPD/ffRoots
,Eff#z'Eff#1 I
BoundaryConsistenceTextureStructure
Gr. Sz. Sh.
Depth
in Munsell
Dominant Redox Description
Qu. Sz. Cont. Color
Horizon
.8)f 5rr q,?m qhk mfrT1o_R lOvr a/?none
61f4mfrgw2msbknonesicl28-1 7 7 .5yr4/ 4
5 9namvfr9w2msbknoneSI317-3t7.5yr 4 / 4
npnpmRe s i dur,s 1/Lin E s tone10yr6/1 "ziTWrs /6438-s€
CST Number
o2298
Signature
Gar L. Steel
CST Name (Please Print)
Telephone Number
7 L5-246-6200f554 200th. Ave.7 New Richmond, WI . 540L7
Address
1 1 -3-2000
Date
' Eflluent #2 = BOD <30
a
,
na
..l
na
d
Propertyovvner Oakwood T,and rrevelopmenEarcel tD # pending Page 2 of 3
Boring # of
il- Ground surface "t"r.
99' 20 r,.Depth to limiting factor 43
Ground surface elev.
-
ft.Depth to limiting factor
-
in
Ground surface elev.
-
ft. Deph to limiting fador
-
in.
tn.
.k
,(
t?
-
Boring #n
tr
Boring
Pit
Boring #f] aorins
n Pir
' Effiuent #1 = BOD, > 30 5 ??:0l:q.lL and TSS >30 5 150 mgrL ' Effiuent *e = BOQS 30 nE/L and TSS S 30 mg/L
The Department ofcommerce is an equal opportunity service provider and employer. Ifyou nced assistance to acccss seryices or
need matcrial in atr altemate format, please contact the departnent at 608-266-3151 ot TfY 608'264-877'1.
3
SoilApplication Rate
Horizon Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture Sfilcture
Gr. Sz. Sh.
Consisterrce Boundary Roots GPD/ff
'Eff#1 | 'errz
1 0-8 1Oyr3/3 none L 2msbk mfr CS 2f 5 B
2 8 -20 7 .5yr4/ 4 none sicl 2msbk mfr gw If 4 .6
3 20-43 7.5yr4/6 none SI 2msbk mvfr gw na 5 9
4 1j-58 5yr4/4 c2d7 .jyr5 /_6 S1 2msbk mfi gw na 5 g
5 58-70 1 }vr6 / 1 Limestone Resi _\_duum
,z-fifr na na ND np
Soil Application Rate
Horizon Depth
tn.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture Sfucture
Gr. Sz. Sh.
Consistence Boundary Roots GPDIff
'Eff#l | 'etwz
SoilApplication Rate
Horizon Depth
in.
Dominant Color
Munsell
Redox Desoiption
Qu. Sz. Cont. Color
Texfure Sfucfure
Gr. Sz. Sh.
Consistence Boundary Roots GPD/ff
'Eft#1 | 'er*z
sBD-t330 (R.6/00)
3
Property Owner Oa kwood T,a n d D
Boring #I eoring
El pit
evelopmenEarcel lD # pendinrr Page 2 of 3
Ground surface .t"r. 99 '20 n.Depth to limiting fador t' ".
Ground surface elev.
--
ft.Deptr to limiting facior
-.-
in.
a
,(
,?
t-
n-j-- r ! aoringE,oIllg,f!pitGroundsurhceelev.-ft.Deptrtolimitingfador-in.
Boring #! eoring
n pit
. Efrueot #t = BOO5 > 30 S 220 rngi/L and TSS >30 S 150 mg/L 'EffuenttE = BOD5l30 mgrl and TSSJ 30 rng/L
The Depaltment of Commerce is an equal opporturity service provider aad employer. [f you need assistalce to.access services or
rced material ir an alternate fomat, please contact the department at 608-266-3151 or T'lal 608'264'8777.
SoilApplication Rate
Horizon Depth
ln.
Dominant Color
Munsell
Redox Desoiption
Qu. Sz. Cont. Color
Texture Sfitcture
Gr. Sz Sh.
Consistence Boundary Roots GPD/ff
'Eff#1 ,Efrff2
1 0-8 1Oyr3l3 -nbne L 2msbk mfr CS 2f 5 B
2 r)8 t20 7 .5yr4 / 4 none sicl-2msbk mfr gw 1f 4 -6
3 2_O- 43 7-,5-urA / 6 none S1 2mghk-mvfr gw na 5 a 9
4 4J-58 5yr4/4 c2d7 .5yr5 /-6 sL r/{nsnx\) mf i gw na 5 g
5 58-70 1jvr6/1 Limestone Resi , LClrIUm na na ND np
SoilApplication Rate
Horizon Depfr
tn
Dominant Color
Munsell
Redox Desoiption
Qu. Sz. Cont. Color
Texture Stncture
Gr. Sz. Sh.
Consistence Boundary Roots GPDffE
'Etf#1 | 'etr*z
SoilApplicatioq 8e!9-
Horizon Depth
tn.
Dominant
Munsell
Redox Desoiption
Qu. Sz. Cont. Color
Texfure Stucture
Gr. Sz. Sh
Consistence Boundary Roots GPD/ff
'Eff#1 |',errz
sBD-r330 (R6/00)
I
STEEL'S SOIL SERVICE
Gary L. Steel
CSTM2298
MPRSW.3254
-N- 1 tt=40 t
1554 200th Ave.
Oal<\^Iood Land Developrnent
swnamw* S25-T30N-R18w
town of nichrncnd
lot #43-Red Pine Corner
New Richmond,
(715
q
4,?
\tlLsnott
).246-6200'--/
q@of SE lot stake 0 eI.
top of ShI lot stake
100-00i'o6i-8.70'
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Garar L. Stee1
1 1 -3-2000
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EAsr/fiffr MARTER L|NE Sfc 25.
LOT 43
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lL.Ln iLcouNrY
STATE S NITARY PERMIT
,/{Von-1
NO.645445
SNP a
OWNER w
PLUMBER
TOWN OF
SEC 25 .T 3oN R E
Llc.#Zzo3S-,
SUBDIVISION
z
)
ORLOT Ll3 BLOCK -,
AUT o ISSUING OFFICER - DATE
UNLESS RENEWED B o THAT DATE
z-?-
THIS PERMIT EXPIRE,S
POST IN PLAINVIEW
VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION
CHAPTER 14s.13s (2) WTSCONSTN STATUTES
(a) The purpose of the sanitary permit is to allow installation
of the private sewage system described in the permit
(b) The approval of the sanitary permit is based on
regulations in force on the date of approval.
(c) The sanitary permit is valid and may be renewed for a
specilied period.
(d) Changed regulations will not impair the validity of a
sanitary permit.
(e) Renewal of the sanitary permit will be based on
regulations in force at the time renewal is sought, and that
changed regulations may impede renewal.
(f) The sanitary permit is transferable.
Ilistory: 1977 c.168;1979 c.34,221; 1981 c. 314
Note: If you wish to renew the permit, or transfer ownership of
the permit please contact the county authority.
sBD-06499 (RlU2o)
L
State Bar of Wisconsin Form I -2003
WARRANTY DEED
Docunrenl N$nrbcr DocumcntNanre
THIS DEED,made between John Martin and Jill Martin , married to each other
1159395
BETH PABST
REGISTER OF DEEDS
sT. cRotx co., wr
RECEIVED FOR RECORD
oslgil2o22 ,-tt44 AM
EXEMPT#:
REC FEE 3O.OO
FEE 135,OO
PAGES: 2
-("Grantor,"
whether one or
**The aboye recording information
v.rifies that this document has
been electronically r€corded
& raturned to the submitter
Recordirg Area
Name and Return Address
Land 'fitle, Inc.
2200 West County Road C, Suile 2205
Roseville, MN 551l3
LT FileNo.665592
026- l r3043-000
Parcel ldeDrificarion Nflmher (PlN]
This lS NOT ho esrcud propcrly.
(sEAL)
(SEAL)
more),
Grantor, for a valuable consideration, conveys to Cmntee the following described real
estate, together with the rents, profits, fixtules and other appurtenant interests, in
St. Crcix County, State ofwisconsin ("Property") (ifmore space is
needed, please attach addenduln):
See attached Exhibit A
and J tz
-('Grantee,"
whethel one or more).
Ma in
,.J artin
AUTHENTICATION
Signature(s)
(is)(is not)
Gmntor wafants lhat the title to the Property is good, indefeasible in fee simple and free and clear ofencunrbrances exccpt:
Easemeots, Reso ictions and Covenants ofrecord, ifany.
Dated rl/ao/aoat-
G
r
ACKNOWLEDGMENT
STATE OF Texas )
)
)
ss.authenticated on
TITLE: MEMBER STATE BAR OF WISCONSIN
(lf r)ot
-
authorized by Wis. Stat. g 706.06)
-fHIS INSTRUMENl' DRAFTED BY:
Larrv S. Mou ntain. Attolney at Law
(Sign{tll, cs mc
NO l lt: l lllS IS /r S'IANlrtllD FOR
\\/AIIIIAN'fY DI'I'D
* 'lypc nolrrc bc]ow signaturcs.
o
7n
COUNTY
Personally came before me on
the above-named John Maftin ill Martin, married to each
other
to me krown to be the pelson(s)who executed the fo regorng
acknowl same.
name:
Notary Public, State ofT exas
My Commission (is permanent) (expircs
rE or
I I...+
ii
St. Croix County 1159395 Page 1 of 2
y bc aut[entic{tcd or ack orylcdgcd. l}oth src not neccss[ry.)
i}I. ANY NIODIIICATIONS 'I'O-I-HIS IIORi$ SIIOTJLD RE CI-EARLY I
@ 200t STATE RAtt Otr wtscoNstN
*
LT File No. 665592
EXHIBIT A
Lot 43, Red Pine Corner, Town of Richmond, St. Croix County, Wisconsin.
st. croix county 1159395 Page 2 of2