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HomeMy WebLinkAbout648418 026-1097-40-200Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT ATTACH TO PERMIT GENERAL INFORMATION ( ) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township ASHLEY KELLER TOWN OF RICHMOND CST BM Elev: Insp. BM Elel : BM Description: i, ! l&O•D IM.o ]�z 6� , ,2j CcsrglnA 1 TANK INFORMATION TYPE MANUFACTURER 9 5LS__ el CAPACITY Septic Dosing Ae ra Holdin TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic I Dosing rf t t f 3(o Ae ra Hold PUMP/SIPHON INFORMATION Manufacturer Demand Go L", L4 r, GPM Model Number 21�' TDH Lift Friction Loss System Head TDHH Ft \ Forcemain Len( t Dia. Dist. to Well fl ;2 rr SOIL ABSORPTION SYSTEM , pf,,_,r ELEVATION DATA County: St. Croix Sanitary Permit No: 648418 State Plan ID No: Parcel Tax No: 026-1097-40-200 Section/Town/Range/Map No: 34.30.18.522B STATION BS HI FS ELEV. Benchmark 3.L0 [[93,(o 17 � 1019�0 Alt. BM Bldg. Sewer SUHt Inlet [4 0 r 7Z.00 SUHt Outlet Dt Inlet / Dt Bottom °I.50) I�2 fl gg tjpr Header/Man. Dist. Pipe Bot. System 10 po o 3,&o Final Grade 5-30 �Q.3o� St Cover BED/TRENCH Width' Len No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer INFORMATION Type Of System: r f Q t CHAMBER OR UNIT Model Number: 5q u �l C o DISTRIBUTION SYSTEM Header/Manifold �� Distribution Pipe s) x Hole Size x Hole Spacing Vent to Inta?e ' OC Length Dia Lengt Dia Spacing ' v SOIL COVER x Pressure Systems Onlv xx Mound Or At -Grade Svste s Only ^ ✓ /'1 Depth Over Depth Over xx Depth of xx Seeded/Sodded _ xx A ulc e d Bed/Trench Center Bed/Trench Edges Topsoil Yes❑ N- ❑Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: N 13 12.021 Inspection #2: Location: 1263 130TH AVE 1.) Alt BM Description = c 6',0, r tv -S eq^ o it; -,Pr ma,%W06) 1010*51 2.) Bldg sewer length = 3 f i� r 4 0,9- Ck ,i• "'Q 1 amount of coven = �?4Z a �d4, far� ,W , t� 6e 3 QS L /Vo(ttn a,n.Q Q 0AL Vee'a . e3.56 r ��S 8✓� c1 �e ` A0-r\ kj4_ 6Aj QcQ. Plan revision Required? ❑ Yes ),No Use other side for additional information. D-671 (R.3/97)_ s � n r_ S Date ��pctor^ 's Signature � �i,,,,�� �,,� Cert. No. ) S "� �,24 ena n 9rsse�d1 Tc� - E(eU. �rw� �.6%t7•� Gf� 2'si-ra A �2/ 1'__ ,1q, I I ff) U 11 Industry Services Division i. MAR 17 2023 I 400 E Washington Ave sanitary fermi! Number (to be filled in bCo P.O. Box 71U L J, Madison, Wi 53707-7162 Sanitary Permit Application Stale Ttansacllion Number I In accordance with SPS 383.21(2), Wis. Adm. Code submission of this form to the appropriate govenimcnial unit is requiicd priorto obtaining a sanitaq. Nn-nit- Note. Application forms for slate -owned POW1 S are submitted to I the Department of Safety and Professional. Services. Personal information you provide may be used for secondary Project Address (if different than mailing add re PlITE n in arcudarice tiith the Privacy Lav�, s. )5.04(I)(m)- Stall 7t J20 1. Application Information — Please Fr*gt All Information i I j',rorerty OAner's Namr It 2 1(3) ! Parcel# Od4._ I ASH4�llr 1".A JLD - 30 Property (h%ner's Mailing Address x Property outioa,4 02-(o -JOW-Lfo- 2-On ciq, State Zip Code Phone Numbef 'A. Section 3 Y f�1e_APV'1_0'VeJ_ (chile NEW 4E ?I/5T30N ISR LEO-2I 11. Ti pe of Building (check all that apply) I/ Lot 19 1 Or 2 Family Dwelling — Numb" of Bedrooms 3 Subdiiision Name C1 Mock V lc__ ❑ State O%Aned — Describe U I ❑ C11' of Villagcof CSM Number (32- -7/ 'Itw6a Of Ill. lype of Permit: (C`lWkonly one bG1oa­line A. Complete line B if aQa!jc.able) A. "�eu �S%swni El Replacc:mentSNSICM ❑ ❑ 01herMiklification to E\isling System (c%pl reatment/Holding Tank Replacentem Cl-11, B. ❑ Permit RcTietal ❑ Permit Revision ❑ Charge of ❑ Petm i t Ty an, fer to Nest List ?ic%iou� Permit ;umber and Date Issued Before E\piraz ion i I'lumber ov.ner T e ofPOWTS Sys(ern,Component/Device: (Check all that apply) on-presstaueLln-Glu-i"Id El Pressurized In -Ground ❑ At-Gradc [I Mound > 24 in. of suilable soil I ot El iMutuld < 24 in of sailable soil *iolding _DC Tat EYOther Dispersal Component (explain) ❑ Pretreatment lain) r < V. ispersal/Treatment Area Information: J 0 t J -F r,'—'M DeJi2n Flou (gpd) Design Soil Application Dispersal Area Required (sf) We-. ation 7_5-0 V1. Tank Info Capacity in Gallons Total Gallons of Unit, Manufaclurer R E N;-:%% Tanks Enis4vir T211LE Septic or Holding Tank 61w_ Dosing Clamber sQ -IMW &so El El F] VII. Responsibility Statement- 1, the undersk-need, It responsibility for Installation of the POWTS shuA a on the attached plans. Pluniber's N2mc (Print) &APL( Plum %IP,,%IPRS Numbei BusFnts5 Phnrie Number Ork)4Ki) Plumber's Address (Street- City, State- Zip Code) A ! e- & ! 3 0-1 t"'r I VIII. Counts`/Department Use Onto' CA Approved ElI E]P pro�IPermit Fee � 1Date I -sued IS50-12 Agent .) ture nl%eReagan m for "S n�3At23 �Ili. Conditions o Aoorova Ong F�Or- Di5_APPFa%-AL3) 5o`t[S �P_ e. ft&kd&6�'n SYSTEM (YVVNER 11. Septic lank, effluent lifter and dispersa; call X?A 2 "?_ Les � C- — 2-,F5Lk nwSt be serviced I rraOnllaned as per %management plan pravided by �ilumber, tt All setback require—t3 ­ut lz-a maintained M&2r=. 'lye - as pere V-2 ble + 3qflS6bM1f_tO1[se C_ N h PO "all h3 i es I r . .3 7, If ig — +) (0 6) �7 VA R , UJn U rn 4j/yrrakAAAA,! CONVENTIONAL COMPONENT DESIGN r'i'ejin2ntia.:�i7pi icatc^ INDEX AND TITLE PAGE Project Name &9J=- Owner's Name � Owner's Address: tC (y q z L2�' . Legal Description: Township: County:, [� S:Jnj'V:sl7-! Name: �- t_at Nimher' Parcel ID Numae- D'Y 7 Pace 1 Index and tithe Page 2 Plat Plan Page 3 System Sizing & Cross -Section Page 4 Filter Specs Page 5 Maintenance info-�an-^ Page 6 Management Plar Page 7 St. Croix Gty+ Septic Tank Maintenance Fc-r,- Page 8 lNarranty Deed Page c CSM or Plat Attachments: Sail Test &'-louse Pans DesiaherfPlumber: W T ti j(ry#Kg:.�cer.se Numcpr ; 42 f Date 3--12 Phone Numoe- ?/J —2(, 6 — Signature anec p� soon: 1: the 1 1nb Sot, Absaratro- Zomnanen: r0a%a to• POW--c ` s,siar 2.0 5K)-'17C5-P frti.w' page 1 Q 13a y 71 L � /3/K � �a-f Slad rrrv\- COPY - -q� ry°Jw� r . V1M1 \ Pk. N t� l �0 2$ l boa 4 s 0 r I , I r mmm—wi ME W, EAUA MINE MaJOIN., M M 0 Ell WAll jMh i MO , � WoM 1, a M--,, a, MW - Va � —9 m Emm"'Ej mv-lrlmmmo W), 0, PA moommo / musm'.0-i ,, ownsammea im,v - W100 I O ===wme IME�:in,IAM�21 IIIIIIIIIIIIIIIIIIIN y+�� l C 81K _rocsoz ' 3-OF'o �7Qrloa l ;r ``tom 9JA pj_� Vlke-� f s�� MS, 7s" r 17,s4,? r Grass Section of a �t Cell EZ Flow In -Ground Dispersal Component )n alirfiY, I:t li ` r'Eysis,ii t } � ff � 1 , •� - a .� 1t Geil # t Cell #2 I)eSicylf I !;l,,v ysO or')ding Pale, R i?C�r{clilf�E4 tlls{ar�lti��! aEE'.E] 7. � 50 (l._ISA) _ (11tll[ll)f't of t.trliiS,} Owolexlilp lalmr.. to meet Comm 6,1.:30(6)(g) Mr, /ldin t odr., Minimum (if 12" of r:ovt.r over top of uFA Iwo obgervalio n/vetil pijx-, to hP povidod fret tell Not It) scale r / r_;),- Coll fil Cell #2 r System i levaboll •�ro�l I / .iy+tf'I�I I If?V�I1C741 VRT I q_ 4? R? F 1 ,f ii jai C rl jade (�� �-1 ` 1 it cal C f ndrry - - I inAl ad¢ l ilml E"r.3cie (}bst?rvMiolt MpF 6;F�r,ItsWiVIF f Ahm 6 112" B&L CHECK EXCEPTS fin FOR INLET EXTENTION -ET BUSHING EXCEPTS ;Cf-I 40 & 61, SCH 40 I-- - - 10-68 PL-525 FILTER HOUSING 1-i m I Na,- Jul 4z-ozo MATERIAL: HOUSING - POLYPROPYLENE OUTLET BUSHING -PVC 6.5 BALL - HDPE 1 18.34 33M - ri PQWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of -2, INFORMATION 0"vner ?zrmit DESIGN PARAMETERS Number of Bedrooms 3 G NA Numbe, of PabliW Faciir�, inits := NA Estimated flo . iaverage) 3Gb gal/day Design (pesVI, (._stimaten . 1.5, -a4iday Sail Application Rate 0a.,Ida)EftZ Standard In luezvzffiuzni C?raio4 --i�.;cr. :y average* Fats, Old & !=OGI � mg Biochemical Oy.vaan Demand 130Ce) z�-720 T1C%L }CIA Total 5usaended Solids (-SS} s i 50 mrg!L ?retreated E-Muent Quai'r.),r :�jlanzhiy average Biacinemica( Qxvgen Demand (EIO:),, - K rng.1 crai Suspended Solids (T 55} C30 mglL Feca`: Conform iaeametric meant S104 cfu'1a:,r;ni Maximum Efli,ient ParScle Ste a in dia. C NA — P� A "Values zypicai for dornestic tvascevza:e: and seria :ank:- rJIllrI .dir11 4i3� SYSTEM SPECIFICATIONS Ssptia Tank 'Capacity �I QQQ gal ` NA Septic Tank Manufacturer G ItiA E;fiuen; Fixer Manufacturer ll ;VA Effluent Hiter Mode! �y �-^ � �dC J ❑ NIA Rump Task Capacity [ al G NA Pump Tank Manufa.^ttuer A Damp Manufacture- C NA .%MP ivlads: ��- C NA Pretraatrre e* ��;4 'C NA Sarni uravei :=Fite: 0 Peat Filter _ M:e :'ianicC&' Aerauan El Wetiand 0 Disinfection C Rider: Dispersal Cslils) 1 NA .-3'aunnd (g-avitO C in -Ground irsresskuizadi A: -Grade -:I Mound C D, ip-Line El Otn'e n i?tFaa^ 12 NA r„e.. NA .er. M NA Service Event Service Frequency Inspecrconditiorr of tans-!sj A-, l5= n..c e "anr: 3 - morr*hisi (Maximum 3 years) � yearis7 0 NA Pump art contents of ta-sr:is} 111hen ca*nmir.e-- sludge and scum equals one -bird { } of tank volume 0 NA Inspect dispeal "ell(s) . AT. least a:Ice eve:'y: 3 th Aeai-iC ywss3 (Maximum 3 years} j El NA Clear. effluent f ire. leaz;z once every.1 1q mo;rtrifs' :" NA InSj7eCr C1i237T:?, i7L'mS: CCnIrC31S G aIsiT At least 'JZC3 L'v@:l': JJ C rrionti(s'r ❑ NA Flush leterais and pressure test At iaas: once er4wy: G ri'i) yearts ye NA Othon At least unue evert-: month(s? C year(s) NA © NA ;LAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal calls shall be made by an individual Carrying one of the following licenses or certifications: Master Plumber: Master Plumber 9estricted Seaver; POWTS Inspects; PO TS Maintainer Septage Servicing Operator. Tank inspections must include a visual tnspectior of the tank(s) to identify env missing or broken hardware, identify env cracks or leaks. measure tins volume of combined sludge and scum and to check for any bark up or ponding of. affluent on the ground surface. The dispersal cellis) shall be visually inspecMd to check the effluent levers in the observation pipes and to check for anv ponding of effluent on the ground surface- The ponding of sffiuerrt on the ground surface may indicate a failing condition Bind requires the irrimediaEe notification of the local reguiatory authority. Viheri tine ctumomsa accumulation of sludge and scum in any tank equa"s onem- third (Ys) or more of the 'tank volume, the entire contents of the tank shall be removed by a Septaga Servicing Operator and disposed of in accordance with chapter NR 113. Wis--nnsin Administrative Cade. All othsr san1ces, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 57 2 months, shall be performed by a certified PORTS Maimainer.. A service report shall be provided to the local regulatory authority A thin 10 days of completion of any service event. effluent. To avoid this r4uatiott have the contents at the pump tank removW cy a aeptage --ervKw'U uperiaten MAm w raattAllov power to the effluent pump or contact a Plurrnber or POWTS Maintainer to assiat in rnanuai#y operating the Pump controls to restore normal levels within the pump tank. Do not drive or park 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 at at -Undo soil absorption area. Reduction or elimination of the fogowing ftorn the wastew'mw scream may knprove the performance and prvlom the life of tine POViTS: antr�aiotics; baby mipW aigarate buttes condoI oettaru sweW degnawaKv; dental figs: dupers: disinfectants; fat; foundation drain (sue pump) water. frailt. and vegatahle P herbickfas: meat wraps; medications, oil; painting products; pesticides: sanitary napkims; tamp ww and water softener Mine. ABANDONMENT When the POWTS fares andlor is pen ywwndy tuns sarjke the foliawiing steps shall be taken to Kwffe that the system is properly and safely abandoned in comp iwou whits Cbmm 83.33, Wisconsin Adrn*vis� Code: All piping to tanks and pits 8tW be So c1e and the abandoned pope openings sealed. The contents of all tanks and pits stmM be ratrmved and property d posed of by a SePMO 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 rnaltedal. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the foltowhm measures have been, or.must be taken, to provide a code compliant replacerrient system: A suitable replacement area has been evaluated and May be utilized for the Wcation of a replacarnent soil absorption system. The art area should he protected from disturbance and compaction and should not be infringed upon by required wdmko from wdsalnu acid proposed structure, lot lines and smells. Fare to protect the replaceaw nt area will result in the need for a new sob and she evaluation to establish a writable replacement area. 'Replacement systems must comply with the rules in effect at that time. © A suitalate replacement area is not available due to setback wWfor said limitations. Barring advances in POWTS technology a holding tank may be installed as a fast resort to replace the failed POWTS. slue ' tank Mound and at-grMe soil absorption systems may be reconstructed in plow foltowfng reffxnW of the bkmM at the infiltrative surface. Reconstructions of such systems must comply with the nd" in affect at that time. < C WARNfNG > 7 SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAI. GASSES ANDfOR INSUFFICIENT OXYGEN. 00 NOT ENTER A SEMC. PUMP OR OTHER TREATMENT TANK UNDIM ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM IM 91iiE3l W OF A TANK MAY BE DIMCULT OR I'MPOS=LE. 1i i r wr . _.-flit POWTS INSTALLER it - T1-199 1,T-AMt11�. ;W ST. �t:C11-�[1R1Ti'SANITARY SYSTEM File#: Only F OWNERSHIPIADDRESS FORM Office, r 12021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Propq y F - 3 ' �ant� r l weblink. OWNERIBUYER INFORMATION Owner/Buyer Mailing Address __14.p 1 I 13,0 �` � U�E City/State/Zip N [J Phone Number (required)7I5- Email Address (required) LL Parcel Identification Number Z 69 7 30 bd -_--_ (found on the property tax bill) ()2� 10q 7 NEW SYSTEM: LEGAL DESCRIPTIO Property Location t/a , 1/a , Sec. _�!Y T -5DN R W, Town of Subdivision Plat: r Lot #. Certified Survey Map # / 5­9 1 Ll _= Volume . Page # Warranty Deed # 1159 7S �j .(before 2006)Volume Page # Number of bedrooms 3 Spec house 0 yes Arno Lot lines identifiable)g:i yes © no New Property Address t 7 63 C� OFFICE USE ONLY �'F , dew A'C-Ar"m (Verification of new address required from Community Development Department for new construction.) 2I r 202� (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department— Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd al GC i,cjoy. 1101 Carmichael Road, Hudson, WI 54016 tiv�vt, [ i.V11 r r State Bar of Wisconsin Form 1-2003 WARRANTY DEED Dacurnew Number Document Name THIS DEED, made between Herman W. Keller. Jr. and Susan Dahl, each single and Ashlcv i{eRer, a,511i le _("Grantor," whether one or mare), crsOn ("Grantee," whether one or more). Grantor, for a valuable consideration, convoys to Grantee the following described real estate, together with the rents, profits, fixtures and Other aopurtc:nant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 2 of Certified Survey Map filed September 23, 2022, in Volume 32, Page 7179, as Document No. 1159149 located in the Northwest Quarter of the Northeast Quarter (NW'! of the NF.r/), Northeast Quartcr of the Noohwcst Quarter (NC'/4 of the N WYi), Southwest Quarter of the Northwest Quarter (SWA of the NW'A), Southeast Quarter of the Northwest Quarter (SE! of the NW'/.) and the Southwest Quartcr of the Northeast Quarter (SW'/r of the M?',4) of Section 34, Township 30 North, Range 18 West, Town of Richmond, SL Croix County, Wisconsin Grantor warrants that the title to the Properly is good, indefeasiNc in fee simple and free and clear of encumbrances except: casements, restrictions and covenants of record; highway and strcef rights of way; and Municipal and zoning ordinances and agreements enturcd under- them; and further except real estate taxes accruing in the year ofthis conveyance Dated ZC),`Z'j AUTHENTICATION Signature(s) authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by Wis. Stat. § 706.06) TIiIS IN:STRUMFNT DRAFTED BY; Lots r l .aw Office, LLP Rtihcrt L. Lobcrw, mrnw/Airy-, 1-Hot-man W. ' Susan Dahl 1159784 BETH PABST REGISTER OF DEEDS ST. CROIX CO., VJI RECEIVED FOR RECORD 10/10/2022 03:27 PM ExEMPT#: 8 REC FEE 30.00 PAGES: i "The above recording information verifies that this document has been electronically recorded & returned to the submitter Rcwrding Area Name and Return Address W Loberg Law Office, LLP 359 W. Main St. Ellsworth, wl 54011 A Part of 026-1097-30-100 Parcel Identification Number (PIN) This is not horn estead property ACKNOWLEDGMENT STATE OF WISCONSIN ST. CROIX COUNTY (SEAL) --•r�uu 1 r n r €rrr�r� RA 41/4 ����,; • pU9 L IC : ��=tip 1 •.....,.• ' v Personally came before me on a!- L ey -1 Z027- , the above -named Herman W. Keller, Jr. and Susan Dahl to me known to be the person(s) who executed the foregoing instrument and acknowledged the same, Notary Public, State of Wisconsin My Commission (is permanent) (expires�Q7. (Signatures mRy be authenticated or acknowledged. Botb are oak netcssatry•) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. I-2003 • Type name below signatures. St. Croix County 1159784 Page 1 of 1 CERY FI En S V RVEY MAP LOCATED IN THE NW7/4 OF THE NE7/4, NE7/4 OF THE NW7/4, SW1/4 OF THE NW7/4, SE1/4 OF THE NW1/4 AND THE SW7/4 OF THE NE1/4 OF SECTION 34, T30N, R18W, TOWN OF RICHMOND, ST. CROIX COUNTY, WISCONSIN. SURVEYOR OWNER MICHAEL ERICKSON ERMAN KELLER FOUR SEASONS LAND SURVEYING, LLC LOT i HUSAN DAHL 848 WILLOW RIVER DRIVE C.S.M. IN VOL. 8, PG. 2377 f------------------------ 1269 130TH AVE HUDSON, WI 54016 I I SMALL DO_C_._#4_7_1_3_9_2 NEW RICHMOND, WI UNPLATTED LANDS --- ---- ---- I I TRACT 54017 1159149 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 09/23/2022 11:09 AM CERTIFIED SURVEY MAP VOLUME:32 PAGE: 7179 REC FEE: 30.00 PAGES: 3 NW CORNER SE FD N 34 i N1/4 CORNER I UNPLATTED LANDS SECTION 34 N89'37'll"E i ALUM MON FD I 130TH AVENUE NORTH LINE OF THE NE1/4 OF SECTION 34 — = � � -- — — N89°57'45"E 1315.10'— — 128TN ;,1 O F—' O' J, 293.12' ( NORTH LINE OF THE NWI/4 OF SECTION 34 AREA LOT 1 3.32 ACRES N144,440 SQ. FT. INC. R/W 3.03 ACRES 131,797 SQ. FT. EXC. R/W AREA LOT 2 1.69 ACRES 3,529 SQ. FT. INC. R/W 1.50 ACRES 65,537 SQ. FT. EXC. R/W LOT 3 133.25 ACRES 5,804,528 SQ. FT. INC. R/W 131.58 ACRES �P `�\�►�++++ v 5,731,655 SQ. FT. EXC. R/W AdImCKAEL s slam �►�` HUDSO�� = �.d"q � NOTE: �,.c✓(/'��G THIS MAP COf4TAINS AREAS THAT ARE SUBJECT TO THE SHORELAND OVERLAY ZONING DISTRICT; ADDITIONAL RESTRICTIONS APPLY. CONTACT THE COMMUNITY DEVELOPMENT DEPARTMENT FOR FURTHER INFORMATIOIN. NOTE: LOTS 3 & 4 HEREON IS OVER 3S ACRES AND IS NOT REGULATED UNDER DESIGN STANDARDS WITHIN ST. CROIX COUNTY LAND DIVISION REGULATIONS. CONTACT THE COMMUNITY DEVELOPMENT DEPARTMENT AND THE TOWN OF RICHMOND TO VERIFY COMPLIANCE WITH ANY APPLICABLE STANDARDS PRIOR TO COMMENCING IMPROVEMENTS ON LOTS 3 OR 4. i ,MATCH LINE j EAST - WEST 1/4 OF SECTION 34 W 89'S7'4S"E D 20 z tb.S89' ' "V 242.18' 1314.80' g LOT 1 i_� '57'45"W 381FIT 0 M NE CORNER SECTION 34 3/8" ROD FD LOT 4 35.00 ACRES 1,524,622 SQ. FT. INC. R/W 34.78 ACRES 1,514,824 SQ. FT. EXC. R/W SCALE IN FEET 1" = 300' UNPLATTED LANDS BEARINGS ARE REFERENCED TO THE NORTH LINE OF 1318.10' ------------------ THE NE1/4 OF SECTION 34, BEARING N89'S7'45"E. 0 300 600 SHEET I OF 3 SHEETS (ST. CROIX COUNTY COORDINATE SYSTEM). SHEET 1 OF 3 SHEETS -3a-"7)-79 St. Croix County 1159149 Page 1 of 3 Septic -Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Tank Model Number jppie 16,5_0 Total Tank Capacity 1004> 67-, Ccu-l3 PG, Max. Bury Depth Fy lter Manufacturer Filter Model Number Inlet Minimum Pump Performance requirgiDHd GPM Pump Manufacturer (r Pump Model Number d S Alarm Manufacturer Alarm Model Number 011, V switch Type /V" —d Total Dynamic Head (TDH) - Feet Elevation 1-lead ' Distal Pressure --� .---• Network Loss Force 'Main Loss FTota! � 3 Outlet Manhole Min. 4" Above Grade With Locking Device. Inlet Manhole Manhole Min. 4" Above Grade 6" Below Grade Sealed Watertight Securely Mounted With Locking Device Weather-proof Junction. Box a Finished Grade — -� -� .� Depth of Cover Vent Min. 12" Disconnect Above Grad,� Ft With Vent Cap Means c< t t S S S t t c c% Outlet Filter ` 41.,� Inlet Baffle rt} r> 2 > Y � 4 �fRf Switch Settings and Reserve Capacity > a fj} Tank Volume = GPI >;> Dimension Inches Volume Gal. >`r (reserve) A p =i> (alarm) B 2 f > >i> (dose) C (n. f $ 05' >> >�> (dead) D }} ><> Total Q > r _ a I A e>{ x RYS _ SYR t>4 B aaS tf { Off Elevation C txt t Ft } R S a>; °. t DY Y` tt t * t f . S>S i; c t>i>f S S<;; tl S > Outlet ' t Weep > >t t a Hole f t ft Bottom t < Elevfion i l Ft GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28 WAC. a 52ho 1 n->fnc i x Paae.. nF MITT PERFORMANCE RATINGS COMPONENTS Toad Head ifs. of vraw Gadts Per kfut'te EP04 EK5 5 53 — 16 46 62 15 36 55 20 21 46 25 Q 33 30 — 13 itrm Na. 2 Base 3 PUmp Casing d Mewdwairal Seal 5 Bd ouriltg5 6 104baM Powu Cord 8 aiFiKWMaw 9 Mattm Housing Stator A� 1 Q udw Carer GOULDS PUMP'S Wastewater K4ELERS FEEL 1° -• { 9 30 J — - -- SGtMif 8 r 25 PT - l.Y 6 20 —_ _---� rn 5 15; €P05 2 EMS L Y 4 6 8 10 12 OJh CA Ac" T JJI a ofhindus of Safety, and Prdessionel Services s ayservi,es �s SOIL EVALUATION REPORT In sOCOrdanCe withSF'$ 3M. VirtS. Adm. Code County V 7 Pkts site plan on paper not less than 8 112 x 11 inches in size. Plan must include. Part ei i.D. . W not kmitad to: vertical and honzov l rekrenoe pant (BU), direction and percent Mope, scale or dons. north arrow, and location and distance to nearest road Please print all ink nation. Reviewed by Personal in}omutpn you Provide may be used for secorxtary purposes (Privacy Low, s. 15.04(1 xm)). Property Owner h PMWIYoc�iwn (R` r Govt otl "t F % t.1 'i. S 3y Property Owner's m,�*nM Address Site Alddrim or COS and Lot # City N+,t,.� State Zip Code Phone Number ❑ Cry ❑Visage 3_ Town Page-i—of—tt— p� T r: !— 33-cc - Ir Date T 30 N R K? E (o►) "e^'Coneftx;bW Use: ResidentiallNtunberdbedrooma _ Code derived iesignflowrate —5.Q GPD ❑Replet ern m S- ❑ Public Or commercial - Oestxibe: Food Plan eie+ation if appiicabb Parent materisi J A G S% O �l Q.l' no4 t.) ckx i 2$ v 154 S+ a- trots. r-t- t!. {p' For ! A LC L. S' 4 t. be m� General torments and mcendabonS$ . t 1 'I t 93.99' T 3 9 �/. `/♦ ' -0 &L t # ®�9 tJ u ,u D Boring # air Ground surface elW. • J, b Dept' to kn&V tactW 5- in. r elev. ft. SM pnofication Rate Horizon Depth in. Dominant Color Musses Redox Desaipbon Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. , Consater A Boundary Roots GPD/Ft2 •Eff#1 I •Eff#2 f 0 - o-i tZ3 S: L.ASF . 9 9- A0 o -1 A. Y/-/ %n • `� . b a - y(U 7. S YR. YN ._ _---_.- S L IFS6K A e, J,.. w JvF 4 . —I ND-!!S"7.sYa' ---- S L_ �Sbk y 1:51Boring # pit Ground surface eiev. r i,1• . DW i to inviting factor S in. / elev. ft. ---- Soil Abok ti.n Rat. 1 Horizon Depth In. Dominant Color Munses Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistsr .�e Boundary Roots GPD/Ft2 -Eff#1 •Eff#2 - 52 7. S `f A* FSb . 7 gg.gz --i Efll,ent $1 = SOD > 30 s 220 nViL end TSS > 30 s 150 mg/L . CST a 174 e Effluent #2 = 80 5 30 mg/L and TSS 5 30 mg/L SOD-8330 (R04/21) page of Bonng Boring I PCB r l # Pit m. Ground surface elev ft, Depth to lunitrng factor Haman Bolt Application Rate Depth In. Dominant Color Munseft Redox t?esuiption Texture Stricture Consist&, :e Boundary Root3 GPD/Ft' Qu. Az. Cont Color Gr. Sz. Sh. •Eff#1 'E�2 4 5. � . 1w I -t y� ---- -•--. , L w A e- F ElBoxing # [] Boring ❑ Pit Ground surface elev. ft. Deptr to lunitmg f8clor in. I elev. ft. Soid Aooliem w Rate Honzon Depth In, Dominant Color ` Redox Descnpt,on Munself Ou. Az. Cont. Color Texture Structure Gr. Sz. Sri. Consisterce Boundary Roots GPDfFt' •EM1 'Etf#2 ❑ Bonng # ❑ Sonng Q Pit Ground surface elev. ft. Deptl to limmng factor in. / elev. ft. Honzon Depth In. Dormant Color Munsell Redox Description Ou. Az. Cont Color Texture Stricture Gr. Sz. Sh. Consister Boundary Roots GPD1Ft' 'Eff#1 "Eff#2 ' Effluent #1 = SOD > 30 5 220 mg1L and TSS > 30 s 150 mg1L . Effluent #2 = SO[ S 30 rWL and TSS s 30 mglt --JdbL.- so t-, L N f 3 q N, ►4RrSi..� Too ay2,19 it 0 �Rv�v5�i7 i '. 0 :> 9 n' ah "� f [ TS.La ql 4- 0 n d d 130TH ST NEW RICHMOND, Wt Al CQVER SHEET Ai ELEVATIONS A3 - ELEVATIONS A4 FOUNDATION PAN A5 FIRST FLMR P"..A U A6 ROOF LAYCXJT j A7 DETAIL5 AS CABINET LAYOUTS j ELEVATIgNS AS AID - An - j Mi _ i A13 - j M4 9 offer: s/W7022 oEa wm sr_ VOG APV VO[er Y 66 V c e�+ N Ci N Wausau Home% Now RlchmorW S75 Nona RnowkesAve KELLER WD114IRG BRENNAN New Richmond, WI S4017 715.146 9004 130TH ST N011MINARY SFT kbrla nguwBaNIhNlErpnr�nd srvlithi wausauhrarresDOM NEW iIC>iMOND M tk1r. .YiMI'T Iwr.ur. y.� ay�.r. r,� .� �wWh rllwnb w i. nsA w k tl ,.:w Wu..rurs,w.s. !al tt x. 1 u it r'.ur� nxa •V a .s /.i 1 Inu. G� Wx.. �. �, n, tirr �. i.Yl [;:VaVL Fi.M]N wmveu+Olin nnpm(Po4jlt"S ewp�ner�N�y�rrrgpyp y, y I IS F,HNNIWIIIHd 15 FM1C7Et 10,006Ot'St.L LIDWS IM 'PUOW WHV MaN %VNN OR !INOt tOM �}� any saywou)i 4110" 5LS � puowipiw Maly vawoH nesnpM lo-¥ :133M AeV.S�G! 4mILVWW ZZGZ/91/Cl � � --- --- i ; ■;/ : —�— \k\{{ ° [ vO,APIV �: ; I '32 ua CD A E DATE QKWRK ay_ VDG: A-7 j W11111111121 KITCHE N34[ L I I& 1/2.. = 1� 4T �22*3r4 1--U" (2-1%34j V lix. = 1 -C' 2lm17) = t -0" (1 !»17) = I' MAV� D*Tl: DIMM Wr VOG: APV C -4 5-F - 1,5 p"artment Gff Safety of Indus SQs Professional Se v ' Page jof _ till El1RLURT1 KI RE QRT IIla n 1 A ,. ry 7' L t V L, s s tx �elo� rdance with SFS 385.'Nis. Adm. Code Cou ity Attach complete site tan othan 8 112 x 11 inches n size- Plan must include, x but not limited to ve calmsference point (BM), direction ano percent slope. �.-d Pan ai I.D. P&'+0 '. scale or dimensions, twn and distance to nearer; road. 2 42 _ + 09 Personal information you Please print all Information. provide may be used for secondary purposes (PrNacy LaN. s. 15 04(1)(m)), Rev )wed by Date Property Owner Property La 1tion t,W1 Au$*� _ � f S � ARIL_ t� r *1 — Gov' LGt (►,jy�j '/, S 3q T 3Q N R E (or Property Owner's Mailing Address Site Aod'eS8 or CSM and Lot a city �%4, State Zip Code Phone Number ElCity ❑Village 7R Town Nearest Road 9 Dy Now Construction Use N Residential Number of bedrooms _ - Cady derv-d 1es gnflow rate �v�l(7 G1:'D ShB ase:l s@Aegs J; -f'�t�S1dF.l QReplacrarneni ElPublic or cornmercral - Des: ritze 5utlLi Flood Plan elt ia;ion if applicable ft. Parent material _`nC55 0•+1Q..i ao-A-w0-T Y'Sv��t�4 a-•rrsrLil,te,b) ror General comments and recommendations. j T- 3 rI � Y/ �� * 0* b 4e , � ®Baring r D e r r 9 c sat. O l I Baling # ❑pit Ground surface ele+v.� � / Dept Wimiting fador' lJ in. 1 eterr. i A,-',-) ! U /-,J L`✓ 0. L. / lc A eC55f" f- SL. ds�rs Solt App0cation Rate Horizon Depth l ominant Color I Redox Description Texture Structure Consister :a Boundary ' Roots GPDfFt' l tn. Munsell Qu. Az Cant Color Gr Sz. Sh. [ I 1 `Eff#1 'EfisE2 s� o-yam 7.SYRy y 5 k Ho ® Boring # o ling Ground surface elev. .4 .� Dept to limiting factor ' In./ elev'- 10ci1s :.a.i...�.�.oeT.rn.r_�,. Horizon Depth Dominant Color Redox Description � Texture Structure consister :e In Munself Qu. Az- Cont. Color Gr. Sz. Sh. Boundary I Roots GPDIFtz •t="- 1 -Eff#2 17 1 P- Y l 5 -f L IFS 5K � '� 1d �--�—, 5, L t_ 5 ki �- �Sbk h ►� ';i F 3 '- 5:1 75YR`► r '`'ir 124- r jE'?3,&kl� ,ST Name (Please Si � , t Address a 44 Q d'+►, $�Date Evaluation Conou Effluent 01 = 800 7 30 s 220 rrWL and TSS > 30 s 150 mgiL CST Number a17 y fetephore Number QQ_ (0 51 (- � ' Effluent #2 = 80 1. s 30 mgi L and TSS s 30 r-,�g;L 33D-8330 ,RG4121) Bong # i] Boring Maq r ❑ Pit Ground surface elev. ft. Page -C� of I OLy ' l Deptl • to PimAing factor in.1 slay, ft. Soil Application Rate Horizon Depth In7.. _ Domm3nt Color uunnsel! I Redox Descropl,on Texture Structure Qu Az. Cont. C ncr Gr. Sz. Sh. Cons Ste :e Boundary Roots a GPD/Ft' •Elf#t `EfF#2 .M� s.� L y q s !.0 JAI L 5S5 R! / Boring # -vt Y rf fy Boring � czv c , Pit Ground surface elev- ft. Dept to limiting faclor in, f elev, Horizon Depth In, Dominant Color MunselI Redox Description Qu. Az Cont. Color Texture I Structure ConSisterce Gr SZ. Sr. Boundary Roots yw.wc.�, raw GPD/Ft' 'EI7#1 'Eff#2 17 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depu to limiting factor in. I elev. ft. Soli Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant, Color Texture Structure Gr. Sz. Sh. Consister �e Boundary Roots GPD/Ft' •Eff#i 'Eff#2 1 Effluent #1 = BOD a 30 9 220 ngfL and TSS a 30 S 150 mglL • Effluent #2 = BOC s 30 mglL and TSS s 30 mglL I�trrrp.{j Yti)tr u L a � Lr N w, Vi e, s+c.c. a g IT del K I mQ� to$v� mac- �K CSC' 17 4 �o ScQ t 1� ! - yc7 ]' M1 ('To va `r 5� C- I P: A eaaroe4� r � V 6owa k�P hoc f -A 5 1301-1' -� dye. 9, c 61 9q.03' f6;� �746 ! B'�) �a.;t9 pQ r �a�C �L 01 7, N" 17S.0 MPT CERTIF EDNVV VEV Mom'' •••`", ' ' •':.; i 7 4Z NEI,4, NEIA OF THE NW1/4, SWf/4 OF THE NW114, SE1/4 OFTHE NW 14 AND THE SW114 OF THE NE1i4 OF SECTION 34, T30N, 1118W, TOWN OF RICHMOND. ST- CROIX COUNTY. W1SCONIN- [,t r SURVEYOR OWNER I I LYX. ra1+'I*r,5 c0r1i]valcr ;nw+ VtiPCATTcDtAhl?5 +T:1yrr:' Ir' h0NtJv+. 9�A'm, Jv41ti*,� :JGi:, MP1:.(7iihlFn I r Sri Hl,i},!rC7k.w W16 NEwR�G^+AKriD W 5�T7 i ^.- I t ":"".�:i:w�Jui °:,cam-�":A+•�� �785F3111 I �NT'T[:r7c7FlFr ! �•r----- Nryq .:5"�- -- p' a0 I =f—. wt1Y-�I T310THAVEMr 4017-H LINE OF D4E ME "4 Or SE'r 0%34 rplS` p 5 — - — — NWS7'45"E 1315.1(P Jar LOTTO +- N AREA LOT 1 1' 0 CJ N '� 1�-9ra5ti"�.�T3 3 32 ACRES an %1 W 1" 44Ci So Ft iNC i7nA/ tv3 cra r4 I" .a Q Ice_ Avi I r j 3 03 ACRES 131,797 ;,'L rT EXC FWY AREA LOT 2 t 69 ACRES S''. 17 plC FiMI 1 50 ACF1S &S.`::7 ;a rT FXC RAIL+ LEGEND T ,M1+SFCT,(,-CID.-PiE t Jr_'�+Lvw T4 S 7 - C•A r F S �i +d -, r 1a' LK� PEti3Ail FOIE[] " "Olr WPF F041Nf] LOT 3 3 ',5ACWLS 5 80A 528 S(j i , �Nc Ra 131 58 ACRES 5731655 SO PT EXC R)W 1 M;T VIK% t 1,4 OF SEC I K)h 3A I RNF"; ,A I tt U _41`wUS SCALE IN FM 1' _ 3W 0 .TmCY aGU LOT 4 35 00 ACRES 1 S24, G22 SO. FT INC RW 34 78 ACHES ?5r4624SO FT EXC RN A f& , 00 �a +r t, 40 r� W ck�' Jt9 �Q t VA COMWER 6F.:dr utiSAfT[ Ft{tE.FE`tiEL' 1U "TENT.:F7'Ff SECrock 34 Ur IrL n&,:+G SCCT" tfGAv+wTir16l -4� Sf y' S4ET I,-JF3SHEETS 71 CERTIFIED SURVEY MAP LOCATED IN THE NW1/4 OF THE NE1/4, NE1/4 OF THE NW1/4, SW1/4 OF THE NW1/4, SE1/4 OF THE NW1/4 AND THE 5W1/4 OF THE NE1/4 OF SECTION 34, T30N, Ill 8W, TOWN OF RICHMOND, ST. CROIX COUNTY, WISCONSIN. SURVEYOR OWNER MICHAEL ERICKSON LOT I MERMAN KELLER FOUR SEASONS LAND SURVEYING LLC 848 WILLOW RIVER DRIVE M IN VOL 8, PG. 2377 SuSnN DAFfI SIUC.S HUDSON, WI 54016 DOC #471392 1 RICHCH AVE NEW MQND, WI 54Q17 NEW NE CORNER UlVPL4TTEC1_LANDS I N TRACT SECTION 34 ECTION 34 I I N 114 CORNER I VON Fp I i NW �37'1 ONPLATTED LANDS 31B" RO47 FD I 1 SECT ON;34 ' i ALUM MON FD 130TH AVENUE 1992 4a N890 ,— - — — — NORTH LINE OF THE NE1;4 OF SECTION 34 — — N89057'45"E 1315.10' — — N89''5T45 1315.10 — — x� +_ ^J.-?R'TH LINE OF li-IL �;4, 1,4 OF SECTIC`J 3,t 7,L HE Lu cm ea 128 TH AVE AREA LOT 1 392 60' $ 242 18 m N89 57'40E 22 LOT g c%. 3.32 ACRES 144,440 SO, FT INC. R/W 3.03 ACRES 131,797 SO. FT- EXC. R/W AREA LOT 2 1.69 ACRES 73.529 SO. FT, INC. R/W 1.50 ACRES 65 537 SQ. FT. EXC- R/W 383 13/ g 296 88 R' 1314Wyaar m Q LOT1- d w uo 93, 242 18° M z gauss ® r 7 9'57'45"W 38313 58 13' 325 DO' LEGEND ST CROIX COUNTY SECTION ('[)RNFR O POS'T'ONED FROM COUNTY COI-1RF71NATES POS T ON VERIFIED WITH V ONUMENT AS NOTED OR T FS OF RECORD • 1 114' IRON RE9AR FOUND 1 t rw^7 1G�ti,. 1t 1 IRON PIPE FOUND �P Q 3J4' X 18IRON RECAR SET WEIGHING 1 50 LES PER LINEAR FOOT --- PROPOSED DRIVEWAY SOIL TES' LOT 3 133.25 ACRES 5.804,528 SO. FT INC. R/W LOT 4 35.00 ACRES 1.524.622 SO. FT. INC. R/W 34.78 ACRES 1,514,824 SO. FT. EXC. R/W v z a c} w rn A W a w U. O 3 w 2 D w cn �l Q J an 0- Cj' co ca 3-4..oeAr"P& 5f,60& COUNTY NO. 648418 STAETAI�Y PERMIT n ►2`3 I�—RJE• L1�L PREVIOUS NO. Is) 3►,'A01r'01 Oki PLUMBER 10111104 S TIERMIT EXPIRES SUBDIVISION mftXE x ) CHAPTER 145.135 (2) WISCONSIN 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. (e) The sanitary permit is valid and may be renewed for a specified 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. History: 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. G OFFICER - DATE 21 UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R 11/20)