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HomeMy WebLinkAbout026-1286-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 552305 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Oeverin , Kenneth J. & Am aro Richmond, Town of 026-1286-20-000 CST BM Elev: Insp. BM Elev: Description: Section/Town/Range/Map No: )106. . b BM S e~- l 0-,~ 34.30.18.1442 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. . l /o3.1 ~6 Z1 Septic -f4-V14 / d l n Benchmark 1 03 •1 AZO d ~ J Dosing D W / D Af /M o~ ~~vytaQ w Aeration Bldg S~ew`e Lo 9 Holding St/Ht Inlet ~ TANK SETBA INFORMATION St/Ht Outlet TANK TO fLL, WELL BLDG. vent to Air Intake ROAD Dt Inlet / T 0~ I Septic J 14. Dt Bottom 17 3 0 113. Dosing '1V~ X20 L(~ Ve✓ Head a Aeration Dist. Pipe Holding Bo10 1 slgrq , Q 3'3 PUMP/SIPHON INFORMATION b(IWJOL ~4• S~i[A ~?T Fin~Graded fit c4el Manufacturer + B r ~ Demand St Cover /~Y( Z H. L ~GPM 3 Model Number C~Mhv~ 3. TDH Lift Friction Loss Syste Head TDH Ft LLr. ' 1I' (0 -9 AZ rkul Al li ,,a- S s Forcemain Len th Dia. Dist. to Well 44 SOIL ABSORPTION SYSTEM BEDITRENCH Width Len th No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS to i~ SETBACK SYSTEM TO V P/L BLDG WEL LAKE/STREAM -bEACHING/ Manufacturer: INFORMATION CH BE R - NO Typ Of System: Model Number: ua~ 2 >0 DISTRIBUTION SYST 1 ' Header/M of Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) 4 Length Dia Length Dia_, Spacing AZA i I 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 0 Yes ~ Now / COMMENTS: (Include code discrepencies, persons present, etc.) nspe tion #1: Inspection #2: / v D/1 7Y Location: 1239 121st Street New Richmond, WI 54017•(NW 1/4 SW 1/4 34 (3001N 4 6 8W Su et idg 0 / Parcel No: 34.30.18.1442 bl 1-06 GQ,r a.e t.~ 10~ of Vr Cc 1.) Alt BM Description = 2.) Bldg sewer length ula'a E r - amount of cover = s(//hC~- rGtc1 rW.V-~lG Plan revision Required? Yes jNo - - - f-- 71 Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's ignature Cert. No. PLOT PLAN PROJECT Ken Oeverina ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NW 114 SW 1/4S 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 99.4' BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE • LOAD RATE ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter BEST GF10-8 ❑BOREHOLE O WELL *H.R.P. Same as Benchmark Scale = 1/4" = 10' 308' Property Line 1.5 Acre Lot QQ'~•~,~r~ 121 st. St. ro 3 Bedroom House Well is to meet all huffcutt corr~0 ank o setbacks found in Comm. 83 Tnak is to be properly bedded and provided with lockdown covers with approved warning labels t! Area 15' below system is to remain undisturbed via- 4% Slope 6b N/¢ CJ~ 99, Grading is to be done to 3.3 divert run-off away 99.4' from system B-2 - 100' B.M.* 271' property line FIG 1 5 2012 t'P1i tigItcal"Unne Safety and Buildings Division County c- INGOP CE 201 W. Washington Ave., P.O. Box 7162 1. X29 Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) I 5,g5 2- 0 ary Permit Application State Transaction Number Sanit In accordance with s. Conan. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental ~2U unit is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are Project Address (if ditfertmt than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary purposes ? in accordance with the Priv Law, a. 15. 1 m Stats. I. A Ucation Informatioa - Pluses Prlat All Info n T' Properly Owner's New, Parcel # ve Pte. 066 6--nj- Property Owner's Mailing Ad&occ Property Location /tT1LILI2 Oovt t L, city, State L Zip Code Phone Number t~ , 00, Section C v.7~j /,t ' / TL N, R. B U. Type of Building (check ail dart apply) Lot h 1 or 2 Family Dwelling - Number of Bedrooms Z C/ Subdivision Name 6)-e t Block# u , ❑ Public/Commercial -Describe Use s ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of _ - Town of III. Type of Permit: (Check only one box on tine A. Complete Use B N applicable) A. New S stem ❑ Y Replacement System ❑ Treammeltt/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision Before Expiration Owner ~ - IV. Type of POWTS stem/Com onelabDeviee: Cheep all that apply) _ ❑ Non-Pressurized In-Ground © Pressurized In-Ground'~t Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 is of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) Q Pretreatment Device (explain) - V. D Treatment Area Information: / Design Flow (gpd) Design Soil Application Rs~* rAlaparsal Area Req ' (st) Di Area Proposed System Elevation' VI. Tank Info Capacity in TOW # Of Manufacturer Gallons Gallons Units - Now Tanks Existing Tanks A-)/ 8Ct ~7_ 1) CIL, Septic or Holding Tank /10 Dosing Chamber VU. Res ndill ity Statement I, the undarsilpted, aasome 1Uty for Installation of the POWTS shown on the attxehed plans. Ptum 's Name (Print) Plumber's Si MP/MPRS Number Business Phone Number 6 Plumber's s (Str ect, City, State, Zip Code) Z7 can /De ant Use Only Approved p Permit Fee bate tad Issuvan Reason for s. z- < <Q l Z ix Condlti INNIN moms for Dlaapproyat 3' ,B~r'l l 2tA?~o 1:; 'Septic tank, effluent filter and / :dispersal cell must all be services / maintained . '/a(,~ as per management plan provided by plumber. 2- All setback regt**ments must be maintained t 1 Ansich to complete plans for the system and submit the County only on paper nnot has than a Ut x 11 in alas SBD-6398 (R. 01107) Valid thm 01/09 venRrare~ Safety and Buildings Toy 141 NW BARSTOW ST FL 4TH WAUKESHA WI 53188-3789 ' Contact Through Relay ~1 1 y www.commerce.wi.gov/sb/ www.wisconsin.gov ° sRol% Scott Walker, Governor Dave Ross, Secretary February 10, 2012 CUST ID No. 226900 ATTN.• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/10/2014 Identification Numbers Transaction ID No. 2051079 SITE: Site ID No. 776558 Ken Oevering Please refer to both identification numbers, Sunset Redge Lot 20 above. in all correspondence with the Town of Richmond agency. St Croix County NW1/4, SW1/4, S34, T30N, R18W Lot: 20, Subdivision: Sunset Ridge FOR: Description: At-Grade, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1358385 Maintenance required; 450 GPD Flow rate; 38 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854 (N.03/07), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01/01); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above, The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10 14~4.01/0 1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater TreatmmSSION 2.0" SBD 10706 P (N.01/01). The building sewer and distribution network piping shall be of mated iR.-Table 384.30-3 and 384.30-5, Wis. Adm. Code. In the event this soil absorption system or any of its component parts malfunctions*o as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII of the mound component manual. A copy of this information must be given to the owner upon completion of the project. All holding/treatment tanks are to comply with SPS 384.25(7)(a). SHAUN R BIRD Page 2 2/10/2012 Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. Owner Responsibilities: • SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. :a2~ Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Julia Lewis-Osbome POWTS Reviewer 2, Integrated Services WiSMART code: 7633 (262) 397-6005, Fax: (608) 283-7481 julia.lewis@wisconsin. gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety & Buildings will be modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety & Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. 1 Cover Page RECEIVED FEB - 8 2012 Shaun Bird SAFETY & BUILDINGS Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 2/4/12 Owner: Ken Oevering Location:NW1/4 SW1/4 S34 T30 N,R18W Lot 20 Sunset Ridge Richmond System type: At-Grade Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01 /01) Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. Soil test 12. Filter Specifications Shaun Bird Signature License number 226900 c~ PLOT PLAN PROJECT Ken Oeverina ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NW 1/4 SW 1/4S 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 99.4' BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE , LOAD RATE ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100° Filter BEST GF10-8 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Scale = 1/4" = 10' 308' Property Line 1.5 Acre Lot 121 st. St. Pro 3 Bedroom House Well is to meet all huffcutt combo tank setbacks found in Comm. 83 Tnak is to be properly bedded and provided with lockdown covers with approved warning labels Area 15' below system is to remain undisturbed 4% Slope B-3 99' Grading is to be done to divert run-off away 99.4' from system ~ B-2 0 100' B.M.* 271' property line At-grade System Sloping Site Cross Section and Plan View . ~ . _ E t + Dimension Feet t, 1 rti ~J'MJR:'~ f r J~ yr ~r 1 A 2- 1 /6 B I„ r J J J J•J• C r•r•r.r.f.r■rr~',~~'rti~ti D 2.0 Al A 1 :~:ti~ti'=~~1r~~'~:3j~r~j' J"'r ~;ra L" ti•a•ti• rti1 E 5.0 tirL{'wr■r rti?wd.} ~'r r r r j r7r r 1 f;~'•r;:;:tir:;.'~'~; f~~~ J }ti} r 1 F 0.5 rf ■ 1.0 1/6 B it W 2 Z - - - - - - - - - - - - - - - - - - E 4--- B-___4 - Slope L Plowed MH = Clean aggregate 0 4 in. sch. 40 pvc basal area Y2 to 2 `/z in. dia. observation pipe t Lateral with 2" Topsoil Cap aggregate over pipe Observation Pipe Geotextile With Cap Fabric' Ft Lateral Invert Topsail Ca F - p Ft Contour D Plowed Surface C Slope Direction GENERAL INSTALLATION: The at-grade area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The basal area (L x W) is staked out and plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a Y4 inch soil wire when a sample is rolled between the palms of the hands. The A x B area is covered by clean aggregate deposited overhead by a backhoe. Special care must be used when placing the aggregate to minimize compaction of the plowed surface. After{the topsoil cap is placed, the entire at-grade is seeded and mulched to promote vegetative gro,< 4,, limit erosion and protect from freezing. The observation pipes are perforated in the lower 6 inches and secured in place. 03/05lgj Page of Pressure Lateral Layout One Lateral - End Manifold 4 'Threaded ( Cleanout Lateral Turn-up - Plug Force Main X L Long' Sweep 90 Bend Pressure System Construction Distribution Network .S ecifications Lateral Diameter :2- In. Laterals are constructed of Schedule 40 PVC Orifice Diameter S132- In. pipe. Orifices are drilled perpendicular to X (Orifice Spacing) In. the pipe with a sharp drill bit and face down. L Lateral Length) 93 Ft. Lateral turn-ups terminate with a threaded Force Main Diameter Z In. ceanout plug and are enclosed in a 6-8 inch Force Main Length Ftj diameter lawn sprinkler valve box accessible from finished grade. Grade • 6-8 Inch Lawn Sprinkler Valve Box 03/051gj Page of septic-Dose Taiik. Cross Section And Pump Perfonnance Specification, ufacturer V&9h ~___.er --iQ Yt~rt her Capacity M,U r har •,aa~lter Manufiw~turer ~ - Filter Model 'Number Total Dynamic Head (TDH)- Feet Elevation H+aad b►istel Preitsura - - - Network Lou Mi nimrunPump Perfornaeruse Required - - l~'oroe main I.oas - - - F't TDH 2< ~ Total Oatlat lbianhole din. 4" Above Grade With Looking De4ioe. hdd l q}e Mnnhole Min. 41' Above Cirade < 6" Below (tradeesled Watertight 5ecwrely Mounted With Looking Devioe We ldw-proof 4- Vat l'it~i8hed G18tie Box Min. 12" Above Grade Disconnect with vent cap Means .'Y• 'F Y ! > } Y'Y 1 Y i ! M 1 / ! Y F / Y,,1, 1,/ ~1'''1'1'IY{'•Yy!{Yy~l',/I,I YYYIF/{{YII~ 7Y/Yy Y{Y a t IYI! ~ , 1 1 F'1 Outlet Filter 57 inlet friltft Bate 11 Y,YI `i°ua Voluune • 1 V411 - Weep Dimension; Inches Volume Gal. p-p}{~~Y) A Hole +~1±1 Imsci e; 0,6 `waaa/L OfEle+vation { . . •Y " {ease) C C. e~ JV, el- Pt Bottom Total D Elevation + Y y f aF••-rri~f"T'PTTiTi-P1-P'i'T' rTS'. ~I.Y Yi IY IYt YIYi i ./1111r ~ ~t ~ I•t Itlay'~ {+1 . 1 y a+1+i~1•IYtYfYaYtIfY.YtYtY/YYY1/{I eFa*.YIFI+{Y.ti +~{~Y/Yi IYi~-1'{'Y'/'Y •S 1'i~►tY•1•!•►•1 •!•Y•!'Y / Y 1 / F Y Y i M / Y Y•Y !•I+Y•."Y •YYY11•YYF IY{.1, I+IY1,1,f+/1 J 1 1{{{/{{ 1 1{ y y l l{{•{ f f i{ f I f t 1 Y '~'-mow. Y<IIIti1, 1111111 l{/{111{1 f/{/.t+1`. GENE9AL INST,* •LA.TION.. The scNose teak is bedded and back tilled in aoo manulwtunn's product approval epecif og tions, Uninium depth of ordNnce with the be excmaded without prior Approval. Manhole '"'"a "POW to bury as spa3l l by the manufacturer may not installed. Piping at the inlet and outlet is of approved material, ll have an of aotwe louring device (padlock) laid on stable earl to prevent settlln ~eeted to the tank with watertight fittings, and exc;avatian and the sleeve is sealed g or wing- Tlm force main is sleeved with 411 Sch. 40 PVC to bridge the tank watertight. Electrical sOrvice complies with NEC 300 and Comm 16.28. U2/U5 L.l Page of egret By: MP t emeriot alga; 1 77@ ta" gaitI ; +nraY-o-uo 4.iiW`Ms 44 V 9E:M SE:RiE:s SUMp/EFF'LUIEN'T' PUMP 11.86 J f1 ` i b woo I 1 NNW mm--- mom am VAN& ark 80. MY.tK1 IrMrli N tF ~ l1s 18u N VIN 89ia1M OM 8dgt i148 1i6 apt 40 1000 78 fit s M 88 11G0 AU 811 9.11 r11:Utx0.M BBF sum t 4r~ a 811 n = 70 6t % N a 19.6 v x 811 w 11mil lm 6B~-0fi4N~ 89i~0 t1A~1 dNrr its 9I1 100 in 70 At 65 h ae 49.8 w V Lti I11d/r9o zbi.rrarlYaWr-~1Nr~ r rtAw- .L1TLMfiiltltl~t o laa~ 2000 3m Motor ~.4lidw ow iron r MdKW Po CWbOW* 1a W"._ . 'Mohloa Arc 7 8~7wY' A as Meet i1~11 ~rhatt asl N&AS witb urb w and / aoaaaia a~ `~niaw► Meet 8ear*P Upper sr«Lrs and r..l~ . W-1 0 80 '10 6o so rwv- G"MAsAPIDWIT PUMP pliRPdR#t81WCE CURVE utme milt r wift fr CO. 1154/ i IKtBMs 1Je9e~lI~IIL'044 'plb? lhrM~r+tAM~M1.8itt •>h~ 811wiM.1A/ 37 S.orila i PowTs oWmewe NtANUAL & Mali mem z T PLACE p gas a TlON L-kvner 'arrt>lt G~1/ p-eL) ~ f Ti c D tW © NA OWN FMAIiATI C rrCYtwt>y~Miteer s ❑ Nt~rtfberel`fedto NA Aef" `A~1o0rti - ?3 o Na J NUnhar o(COMN-W tad UtI(ft+ MA Ptntlp ae OWN* O NUS d Ifar (aMi) Pt~tnp irtAwi~o~unr NA of 1, IAO aalOtrMetllEtllwrri ~ FM4 O NA O SMaaufAENWaaa~flenW D POMPRsr tarok Od !E C~atMrw ifs ,fit rr.. D M=dwrdmd AieisaQon OWaftW 7b W lrua Nwar.d SmWO cn. ml- jg&#_mWL__ D Obbgbamn 0 Odteer_ A ebssbrd Eiff Qtaty monvily aye-010. tsoc t,am1, - oqrssn tyar oft (11413 W scat n>afil 0 In amwW WWM Gf bgmu red (per) Teutd S Q Ilpli hb (T j SW rtrWL o ❑ Mound Food GpNQMarm 2 ME- -81 EffarMtt l erftde ~Iftele tneNeAamettar • vlrfGrMSCMIM tYrrlrMr~MrM(r o81 Im 0 abr aro rMpM'n t~rdrreRrrrr~t. ~rt~ihtTENAhiQe - 8ealrvkte+ Ew~rnt asee F~MgaaseMay inspect aonfrtttOn of tmws) /At ir~lst MMios swary D a rlpMlFla s) [ibr~aune 3 ym.) Pump cult CWtlmtb of tank(s) Whoa *Ombkod sludgo and sawn his (V crank volume ±nspeClt ®sp t o.ut:y At west earric. wear r.3 MOnths (s) (Mwdmum 3 ym-) . C Wan offlumat taftr At hwW w 4a rv+t y , Q rruArr ay ,napwwt riun~A. PUMP eaerrni om a shirm At kart once e1+sY ©rriseetlsnr s) DNA r turn f and ydressum um At Mkt Once evey 13 nwr9hs D NA Ott Marrst once every Q no' aft q yaWs) O NA L odor a_ At iaast el ters'd►+stY ©nWWW ©yar~n(s) D HA taE ltata'!'[~K,'Tl0lari Ift" act ma aaFfinlart am* deMp nag anaa made tom Mtge by w bdulW,ta1 QWW" te" of go mwmwwwfw QcsnMSa or MaMrMr~ W& Mrs liMM Rftd S@wW. pppa& In 1, m. ; G Pt tNy'S am was rp ap maw rw* i~ tneest e A viaea~ h"NWlbn of p(sj io I"06 ray r N ft or Wuhan art #w jMun+d surliw& TAA d~alo mss) ~be Ali I, a lr - psoM~d ft desolc uw aM wWb NwV ~ glpW seat j oeesate tied'any pwxWV of errant ~ this D nd a1 Mai. Itspsna ft otFaMm t an the ground 6>«ott110 a *or~ And rrgtrkm the icrtre> ai ter Iwo ,may aghwfty. VVt*M MO cxttrtatW GODURSdOWn eef silradge and sauce in coy ftft g*U& d (V gr idle of iha at* VW M, V* ~ of" t&* Shea br muteeear+rt!' by a 8sPWO OWV10119 OparOW and t3boMd CO la ~ Wfth eh. MR 13~ 1Nboo Codae. W*ft Of It 111r nr, Or p ut►trl' ped PONtM OOMpstl** prettM N-111nt=Warlrr W mW arty F `"2bw lsraacae +or~ at ~ of.12 ~ a feas *W be ply tnrtad by a mfr -ld POlAlM Mme: ° its raPWDie pew fb VW IOW rogtrh ty suft* wCC n tf! "W of mnpww of my ammo Omtt :ART UP ANO OpIMTM !fir b Nts of ff►r p'41YY78 ed`Itiestlar 60 t brdgs) far fits loom dfpw" K paMOS.a ester ' peducs ore . "QW to" an C "Wft Of 90 (s! MMwsd by a a"tee o pt~en- , ane Syt*ira shad up shall not aocerrwheri saTc onditions are frozen at the infiftraffm sutwe. Durir ci power V +F t"W" MW fo above normal hghwat+er lemle. When power is recftt W the et oess Mdau" vrMWt wtil be dledmWed to am dispOrs8l MKS) in one large dose, ove . the OWS) and maY result in the orlP or rwrtrAS urge Of To avgid this situation have the caounl oft of the pwW to* Mmov~sd by a bad € Sep w or sur hws OparaSit pritrr' 1Q poWe to the effftrent pump sir coy t= t s Plumber. Or PC)WTG Mdn1sh- m eft qWN" Me parlrtia'ctorthVft to m atone nomtal levels within the pump tank-. Do ivAl drim or pads v do tf1A4lF tam and dtsp "a' Da tint drive or park 0M. oc a nus limb Or comply, the g-ta wuhin 15 fleet dOWn 810" of OW ttfOtild or at-grade soil *ecilpoon ttl1B I, Itewcaon a.ts mfn&tibrl of ifle ft"" from the waatet tKrlsl M may impr<lnve the f~ ald ptWm9 tttd Gfie of Qtly PUWTS- WW0G0KbabyWVNW.dganMW butts; condoms. aotbn swabs, deamemts: d9W S: dttWW. drtrirdiecbni W fa~ri drAl (tromp PUMP) wrabsr, fruit and vagetltbfe pet~ B's~ g lirttliaw, meat ,cr44ti p % per; sanitary napkins: tamMxW,and waMr safEaner blind. At3ANtM1~N~Nt.M" vvtren the PoW rS tansy arvti/+orr is pet'l1't muntly.taken out of service the following steps sttaif tip taken to Insure that the systwo is prvpedy-and safety ahanAxied in eompriarme with ch_ Comm 83-33, V1 bm=sin Adtnirtte Sgm Code AN ph*V to tanks and pits shad be disconnected and the abandoned pipe openfts sa8kk - Th.,.*, is Of so tanks and Pita $haff'b& removed and properly disposed of by a Septage Servicing Operator Altar pUmPhg'alf tanks and Pgo Shag be W=WaLad and removed or their aavara nemc vrd•and the void sparse titledWo ?soil grAVW oralt~ hted solid rrtatetial. CONTI!!liwACY PLAN if tite f„tjWTS fi& and cannot be the following measures have beers, or must be fatten, do provide a code mmp69nt ttepieaarrtertt system: n A suitable fSp1 •am has been evaluated and may be utrflimd for the 10c81l10n Of a r+e ement anti absorption system- The root area should be protested from dishsr bancs and stomplttsi*n and sht W not be infringed upon by requinso setbaCka from existing and proposed stMicture lot lines and welds, Failure to pCotect the replacement am VM eiasuit in the need for a new soil and sit -OValugttictt of esUiblish a;suitable replacement area_ Replao mer►t systems must comply with the rules In etTed at that tirne_ O A suitable replacement area is not available due to setback and/or soft limitations- Barring advances in POWTS technology a balding tari§Lmay be iraswow as a last resort to replace the fa7eed POWTS. The sun tms not been evabsdW to identify' a suitable replacement area. Upon (allure of the Pd1M 5 a Soil -and sue evaluation must be ~ to locate a' suitable replacement area tf no repracs+ment area is avaiieble a ialding tank may be installed as a last mart to replace the failed POWTS_ ;~arnd aric! -grade aolf SW n s +s may be mwaswcted in place tofimnrlirg ►~arrwval or the biomat at I. a inftaffw surtisae, Reconsbvcl ons Of such systems must comply with the rules in eNatthetime <cWARM~111G» SLPTIt;:, PUtiliP AND OTHER TNE^TMMMT TANKS MAY CONT_VN LETHAL GA$SE8 AMIMM INSUF'FICIE11fT'OXYGEN_ 00 I1It7i' EP[TER A SEPTIC, PUMP QR CrMM TREATMENT TANK UNDER. ANY C'MMANSTANCES. DEATH MAY RESuu;r. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY HE DIFFICULT OR IYPOSSIBLE_ Af)l7rt MAL COMMENTS Powys INSTALLER 44- POWTS MAtNT ETt Name Name 51,t Phor re SEPTAGE l;ERVICWG OPERATOR MP 1_oCAt_. REwLAT~~aff YAUTHOWY Name M, ' Agency 1. 1.~.~ Phone 4 P 7 J U stone J'r ~q t7.is aoax..ea¢ r~s ~rflyd by. Awn seatfr of trw G1i son take. Matgraette and 1Ma+cshsra CouatK 7~onTng and Sinn aipsltliba.. This QodNtbflt meets u e,nt MUM! npur ataxy, G"" a8_=(2K Xrx% W _K163_5401(2) 4L (31 yVkxwnsin Atktthrl9isffm cede. clsi. of e+Js deautnenr dws not guaranim tte,.: pedwmanae of the PCfYS/M. (,II,iW (?lot) Feb-06-2012 08:13 AM St. Croix County Plan/Zoning 715-386-4686 ' i/4 WkwanWn Depwi nentof Comtnarr-e SOIL EVALUATION REPORT t7Wdon of "and Suiklings page f C, 3 with r t ► AttuM ootnlrlate site plan an paper not legs hip in sae. Plan . t Include. but not Bmifed to: wrtinal and herf (ah} drocknand pstiant elope. 6ata or dimenetana. north snow, a z " .2 Q " aiwt I.I. ~W Please pMrit all lnfbrma R onto Prreond kdwmto Pas provide May b■ used far..eondr y ea (F r$r= 11 f hyti _W2 411A Omar 46 41 b~ Orrnetg tiovt. Lot 1 /4 8 T ProPer r loot tM or N 2-0 taf0 103 (y va" ~tyRoad t ER"b=rw on Ute ndal 1 Numbs of bedrooms Cade dedvad daeign Pow rate Public or aammWal - Deecbsr OPD ns:~~ i t y saris it arotund surface elev... 1. No to Nit MV factor fn. Fit Depth DfAttinont Redox Dearripdart ~'(eadure 8tr+,oWre Consistanos taotmdwy Roods id. MW=1 Qu. Sx. Coto. Calm Qf. t$ Sh. Vol ' Al- J__ Z Z 51 m en X1 Ana tx ❑ care L.q A Pfe Ground wrlsom elev. ` t. Do* to ft ft botor In, SSA 62dgm- Rob Haton Depth Dominant Col RedoitDftcWw 'rvd n 8"Chn Can menae !t Rt10te MOM fn. Munsd Qu. 8. Cant. Color MA Sh. '6fpl1 z s C Mir= 4 _ "Httwd #1 a 8( a ;ip a ~0 and T88 s80 6. r ' Mod 12 a BOO a 80 nV L M TM 130 C8Y Name tPteeae printy ig COT Ntsnbw mWL Bird Plumbing, Inc. Shaun Bird 226900 addreea 1008 192nd Ave, r~it3w Richmond, Wt 8401 Data Evaluttdan Conducted Telephone Number 715-248-4518 Feb-06-2012 08;13 AM St. Croix County Plan/Zoning 715-386.4686 2!4 Property Owner Pegs ...r.~ of 6o1N>D # 0 Ewing Uek Ground swbm elev. _ L 1~_ poplts 4 -kri g favor ~ In. Hodson Depot Dominant Gofer Raft DasaiMion Tarduro m x tun Conskearree 8aurwery Roots G In. Myn"V Qa &z Copt Cofer I I t3°'Irr~ 0 ° Bono L ❑ Pit G=nd eu 1W elev. R. Dept, o 1-7*Q fedor In., SUN to Hodson Depth Donftnt Reft01 cxipf" Text{se r•trJon 0o1w t m Soundery fttro4e GPNM In. MwmV Ou, Se,. Cont Color C? dt4 fah. 'E12M1 'I~1Ct ❑ * ❑ Boring ❑ Pit Ground stafirae Nev. _ ft Ckph o if mi~g Fedor !n Hodson Depth Damitlant Cob Redorr t~rtplptfan. Teapar truobJro Conal r3otrndary Rood► In. Mmem Q& ft Gant valor ;N Sx. Sh. 'E1181 'fi iM2 •Y ' Etlkret t *4 ■ 0W,,1,30S 22Q mg& and TSB }80=180 mart. • Effluerd 02 ■ BO DsS30 malL and 7'88 a 30 mall, The fleparbnent of Commerce is an equal oppottmity service, provider aad employer, if you need assistance to access services or treat material in as aitemate format, plesse contact the dg4ttment at 608.256.3151 or TTY 606.264•$777. """duo) Feb-06-2012 08:13 AM St. Croix County Plan/Zoning 715-386-4686 3/4 Soil Test Plot Pict lime Sunse# Ridge L.LC zrd . Adi*"s 54M Lot t{ i ian Ridge jl~ 1/48 4 T 30 1 W 112 OW k W Tole Rf ❑ BerinS Q Well PL Properly Line County ST. CRQIX M BM or m Assume Elevetlon '100 fL Top of Survey lya(Ulron System Elevation 99.4' *NRP88mO48B@nOhMark Scale is V = 40' Mess otherwise noted 308' un AenY 4% Slope B-3 so' 99' s' B-2 5 100' 30' 27I' Property Line B.M. _ Sit CAN s U) It W-1 N It CO pig d ~ y6'~/, N 039P27" 308629 470, 4,E f w « U.J N Q0 _ C%4 C-4 LO Go N T- loo Ca t1 Chin c co 31o OF iao cn 1.2-7 S 121 46 '3'3,5. 6 6 ; 4 I lI1I111111N1111 lllif 11111 hill 1111 Illllf INf illl * 9 0 0 5 7 3 1 900573 STATE BAR OF WISCONSIN FORM 2.2000 BETH PABST WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Sunset Ridge, LLC, a Wisconsin 07/22/2009 08:OOAM limited liability company, Grantor, and Kenneth Oevering and Amparo WARRANTY DEED K. Oevering, husband and wife, Grantee. EXEMPT I► Grantor, for a valuable consideration, conveys to Grantee the following REC FEE: 11.00 described real estate in St. Croix County, State of Wisconsin: TRANS FEE: 413.40 PAGES: I Lots 6, 8, 14, 20 nd 21, Sunset Ridge in the Town of Richmond, St. Croix County, isconsin. Recording Area ~ Name and Return Address: Oranzo Oevering.~ PO Box 179 / New Richmo/, WI 54016 7 026-1286-06-000;026-1286-08-000 026-1286-14-000;026-1286-20-000 026-1286-21-000 Parcel Identification Number (PIN) ~y~ This is not homestead property. Dated this y day of , 2009. Sunset Ridge, LLC, a Wisconsin limited liability company * . * By: ►2 N2t~ LZ I1Jb * * By: AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) COUNTY OF ST. CROIX ) ss. authenticated this Personally came before me this day of 3 the above named Sunset * Ridge, LLC, a Wisconsin limited liability company to me known to be the person(s) who executed the foregoing TITLE: MEMBER STATE BAR OF WISCONSIN i s ent and acknowledged the same. (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Nota Public, State f , consin Robert L. Loberg cornmiss' n t or If not, state expiration date: Loberg Law Of y Office sw/ SFA7235 M - ~ ) (Signatures may be authenticated or acknowledged. Both are not necessary.) ; "Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN .fi seQ ~j 5' FORM No.2-2000 1 of 1 ST. CROIX COUNTY SSMC TANK MA M4ANCE A~LS[~T AND OWNERSHIP CERTIRCATION FORM Ownersuyer ilC,1 d ,r Msi]ing Aide m f J S C Property Add joss (Veftam rogt eed bom Plaor - & Zoa zog D f6r sew oo om) City/s rate: Parcel Identif ioation Nom' d 0 -XID iCRi>~ION Property Luc, d ion V. ,Sec , T.,~y N Town z aw. / Subdi iWm I,ot # 2o. Cet-toed Sa rvey Map # , Volume Page # Warranty Deed. Volume , Page # Spec nQ Lot lines idangi able& no bVwper me and n aitmtence of yanr aptic system ooald raratt is its pre~mafare iijjjqna to handle wastes a ros3ete of pnmtdt d>ca the aolrtia teak rovbcy three yews der soaoew ifneadad, by a Hoamaed pamper. yo nao3abemamoe nPreinto rift sycdemn am a~a~t rite of tine septic lank as a ttaalm~- sage in ft waste disPoNd ayoeem. Owaar maitabemmpe t+eeposuabiHdw at specified in JComma. 83.52(1) and is Chapter 12 - St. Croix Cauaty 820111rY Ocdbuw& 11a p ropmrty owner agrees to submit to St Own County Plano ft & Zonings DaparbmeAMa oardfim fan fame, sigmad by the ov+nar and by, ► maa~ p ~ ph=bar, reeftioted plu~er or a licensed puareper vmil og beet (I) the dndtc wastcwatar dh posal system is in. proper o g conditiam and/or (2) after inWwdon and pampiog (if moaseary), tie septic tamk is less itten 1/36 dl of dudge: Uwe, tba eaamx*wd hw" and the above ragairmnemas and gww'to saskimindw private arwage dispoeut syseesa with t3►e .amd,.ssls eat t ~ biesato, as set try the Dapaslmemt of Commaros and the Daparrmmert drfNammai Radneces, titata of Wes. Certification a wring that your septic systam has beam maintained nmust ba aoreplated and renamed to ft St. Ckoix County Plaamag & Zonicg Depart mans within 30 days of the dim year ea an data. Uwe ratify that all suden sats.dn this fa cm are tram to the beat of my/oar imewledge. Ihm am/are the own(s) of fire pwp ety dam Owd above, by virtue of a wat any deed recorded in Register of Deeds Office. rJ Number of bedrwnw - _ GNAT OF APMCANT(S) DATE *•*A,ny m&r ration that is miscgsaeaesscmea may result to the sanitary permit being rev alaed by the Plamdng & Zoedag Departowa Wade width i We appbida do a xeotuded warranty deed Boca the Register of Deeds Of ice and a copy ofthe oerfised survey map if rtfec =e is n aria in the wan=* tined. MV1. 09" Id { 1 • • V j tWA If I f- N ~ a+~rr air ^ ~w N ~ y) M w V k r a~ t