HomeMy WebLinkAbout026-1302-11-000'
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM county: St. Croix
Safety and Building Division INSPECTION REPORT Sanitary Permit No:
574337 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)).
Parcel Tax No:
City Village X Township
Permit Holder's Name: 026-1302-11-000
Clevering Homes LLC, aka Oeverin Pro ertie Richmond, Town of Section/Town/Range/Map No:
CST BM Elev: linsp.BM Elev: BM Description:
/Ob �M I G ST 07.30.18.1588
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
i
Sept �r Benchmark `
p J e v --_ F (off /d01� 3 104
o �� Alt.BM y�, 3
Aeration Bldg.Sewer f/� damMw 3
Holding St/Ht Inlet ' 3 g c,�• S
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. 7Air Dt Inlet
o C J•�
Septic Q/ 17 Dt Bottom 1-76 $(o-g'
Dosing �p Header/Man.
Aeration NA 191-7 /ca Dist. Pipe 4�7 1-5
Bot.System G 5 J
,
Final Grade � J �� •�'
PUMP/SIPHON INFORMATION
Manufacturer Demand St Cove!Ftlg
,`�Model Number ` Z4. 3/lJ Lie
TDH Life Friction System Head TDH �Ft
Forcemain Length i Dia.Z f( Dist.to Well /J�
9d
SOIL ABSORPTION SYSTEM 5• S
BEDITRENCH Width /Z Length No. R12 the EWE� PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG LAKE/STREAM LEACHING Manufacturer:
CHAMBER OR
INFORMATION T f stem: / w / UNIT Model Number:
yve y} �v J �(G.d.1 rZ �'g' �QS �tJ
DISTRIBUTION SYSTEM wee Ve Air Intake
Distribution ' .I x Hole Size, , x Hole Spacingr
Header/Manifold !J z
Pipe(s)
Length ` Dia`� Length a Dia Z Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only AV ,«Mulched`r
Depth Over xx Depth of xx Seeded/Sodded
Depth Over Bed/Trench Edges �� Topsoil ( Yes No
Bed/Trench Center n Yes [ '>' No
f� 9 S / /
COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / /
Location: 958 165th Ave.New Richmond,WI 54017(NW 1/4 SE 1/4 7 T30N R18W) Ninety wfttreetit S ite Lot 11 Parcel No: 07.30.18.1588
F'6 1� G o�-cti_ t✓-� rod-- �.-�..
1.)Alt BM Description= /
2.)Bldg sewer length= '97 G a„,�. S �- I e c.LS C V-�,
-amount of cover
7 `fL or. � 3�! nL�'gL�.tS wt�.Q •�-+5 1- 'r
Plan revision Required? ["] Yes /No
Use other side for additional information. L -- - -- Cert.No.
Date Insepctors ignature
SBD-6710(R.3197)
PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 SE 1/4s 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST.CROIX
MPRS Shaun Bird 226900 DATE 7/17/14 BEDROOM 3
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. SameasBenchmark
SYSTEM ELEVATION 99.0'
All piping shall be SDR 30/34,within 10'
of tank,piping shall be Schedule 40.
Property Line (not to scale) Property Line (not to scale)
99.5' 99' 98.5'
5% Slope
B- 1
Area 15' below system is „ ,
to remain undisturbed Scale = 1 /4 = 1
B-3
Survey iron
foun Well is to meet all WDNR Setbacks
Huffcutt Combo Tank
ED-
B.M. 2
Tank is to be properly Pro 3
Grading is to be done to divert bedded and provided Bedroom
run-off away from system with lockdown covers House
with approved warning
labels
Property Line
+� 2D1 W.Was*ow Am,P.O.Box 7162 saeilay Pwak Nambrr OD be OW is by Co.)
S
"Permit Awfication � LIVI b
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V. A.Avpoaod(s*
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VL, a Capacity in TOW #of l
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DL Coadidens of Appro eUReaseas ter Diis pravai
SYSTEM OWNER:
7 Septic an ,e cent filter and n
dispersal cell must be serviced/maintained
as per management plan provided by plumber.
as per applicablcA oise Ihftbrdw t°d e°&BC$mwy°*"pww"t b`S'os0xmad esias
OD-6398(R 11/11)
X10 AR DIVISION OF INDUSTRY SERVICES
141 NW BARSTOW ST FL 4TH
WAUKESHA WI 53188-3789
3 k Contact Through Relay
7 www.dsps.wi.gov/sb/
~G www.wisconsin.gov
4�EssNP Scott Walker,Governor
Dave Ross,Secretary
August 05, 2014
CUST ID No. 226900 ATTN:PO WTS 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: 08/05/2016 Identification Net's
Transaction ID No.2441039
SITE: Site ID No. 804547
Oevering Homes Please refer,to both identification numbers,
958 165TH Ave above,in all correspondence with the
Town of Richmond do
St Croix County
NWl/4, SE1/4, S7,T30N,R18W
FOR:
Description: At-Grade
Object Type:POWTS Component Manual Regulated Object ID No.: 1495914
Maintenance required; 450 GPD Flow rate; 40 in Soil minimum depth to limiting factor from original grade;
System(s): At-grade Component Manual,Version 2.0, SBD-10854-P(N.03/07,R. 1/12),Pressure Distribution
Component Manual-Ver. 2.0, SBD-10706-P(N.01/01,R. 10/12); 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 A th theg At-grade
Component Manual, Version 2.0, SBD-10854(N.03/07,R. 1112), and the Pressure Di ution ,f t Manual-
Version 2.0, SBD-10706-P(N.01/01,R. 10/12) A /�
nRoF 1 TOF�a��,,
In the event this soil absorption system or any of its component parts malfunctions sa �j�ce 'fralth hazard,
the property owner must follow the contingency plan as described in the apprq hies. Iii' n,the owner
must comply with the operation, maintenance and monitoring duties as cri ed i action of the at-grade
component manual. A copy of this information must be given to the own ti6 f the project.
Sic
Maintenance information must be given to the owner of the tank explaining that pei 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.
SHAUN R BIRD Page 2 8!512014
I
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
contraction dir�stallation/operation.
In granting this approval the Division of Industry Services 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.
Since ly, Fee Required$ 250.00
This Amount Will Be Invoiced.
When You Receive That Invoice,
Julia Lewis-Osborne Please Include a Copy With Your
POWTS Reviewer 2,Integrated Services Payment Submittal.
(262)397-6005, Fax: (608)283-7481 Wi T's e; 7f
julia.lewisCawisconsin.gov
Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services
(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been
replaced with"SPS"to recognize the relocation of the Division of Industry Services from the former Department of
Commerce to the Department of Safety&Professional Services. Additionally, all IS(formerly S&B)codes have
been renumbered and addressed in a"300" series. For fixture reference,the Wisconsin Commercial Building Code
will be addressed by SPS Chapters 360-366.
RECEIVED
JUL :j,1 2014
Cover Page INDUSTRY SERVICES
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 7/16/14
Owner:Oevering Homes
Location:NW1/4 SE1/4 S7 T30 N,R18W 958 165th Ave Richmond
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 VS�yq
Signature
License number 22
S<;RVFC
F
.k�spOry s+
��NcF
PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 SE 1/4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST.CROIX
MPRS Shaun Bird 226900 DATE 7/17/14 BEDROOM 3
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. SameasBenchmark
SYSTEM ELEVATION 99.0'
All piping shall be SDR 30/34,within 10'
of tank,piping shall be Schedule 40.
Property Line (not to scale) Property Line (not to scale)
99.51 99, 98.5'
5% Slope
B- 1
Area 15' below system is
to remain undisturbed Scale = 1 /4" = 10
B-3
Survey iron
f 0 Well is to meet all WDNR Setbacks
Huffcutt Combo Tank
❑ ED -
B.M.* B-2
Tank is to be properly Pro 3
Grading is to be done to divert bedded and provided Bedroom
run-off away from system with lockdown covers House
with approved warning
labels
Property Line
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• • ► • • • • •
Pressure Lateral Layout
4
One Lateral End Manifold
4 Threaded
Cleanout
j.
Force Main Lateral Turn-up ----,0 Plug
i
R
1 X � \
L Long
Sweep
90
Bend.
Pressure*stem Construetiou
Distribution Network S ifacotions
Lateral Diameter 7— In. Laterals AM constructed of Schedule 40 PVC
Orifice Diameter 5' ZIn. pipe. Orifices are drilled perpendicular to
X Orifice Spacing) In. the pip6 with a sharp drill bit and face down.
L feral Len Ft. Latero turn-ups terminate with a threaded
Force Main Diameter 2 In. cleanout plug and are enclosed in a 6-8 inch
Force Main Length Ft. I diameter lawn spfinkler valve box accessible
from`finished grade.
4
• • • • • •. • • • •- • • •
♦ • • • • Grade
6-8 Inch Lawn
Sprinkler Valve
Box
03/05 lgj Page
T.
Septic-Dose T
arlk Cross Section And Pump Performame Specifications
---
Ta�c a� Numtbr t N�
M�odet
Tank I�i�el Number tr� Pump ve S
�- /6�c7 Alarm Msmuf
Total Teplc Alarm Modal
Max.BWY Dearth Switch►Type C i
Total Dynamic Hood(TDB)-Feet
Filter� �� Elevation Head v
Filter Mods Tlumb�
Distal PreaMure
Network Loss `
Force Main Loan r ---
____-------
Z`/- GM a$; Ft TDH Total
O ale Non.4"Above Grade With MsMhole Min.4"Above Grade
hocking Doijoe. Inlet Manhole securely Mou*ed WM Locking Device
<6"Below Grade filed 'Weir-proof 1
..._""_`_'--► Junction Bone .+—
Finished Gaado '- NMI +� •• •• •�
Vent Min. 12" Disconnect
Above Grade Means
with Vent Cap
Outlet Filter `""'--,► ------
_--
Wet Bate ,, ----- - • -
A
K"
Switch and Reeery e y
•.: .; Wee
,r Tank VohirrLe= -> QPI ;;;: •' . Hole
Dimension: Inehlas Volume Gal.
B
reserve)A. . s- 3 6 7-s' ;
( off Elevation C
(�,) B 2 a ,
�. 5' Ft ..
(dose) C .,S" Bottom
(di D. D g8Elevatna
Total t7 •:::•a:a:.... 7
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GrXMAL INSTAU ATION: The wiptiWom tank is bedded and back filled r vmay not
meaufaabuar's prod ?appe e �• M °�deb"of
be exceeded without PrW Approval. h4a le covers exposad to gob have=aftove kill dove(padlock)
ingtalk& Piping at the inW and ouft is of approved t dliariaL corlinel to the tank with w*wfi ht fttbM% and
laid on stablq soil to earn or saggin& no force main is sleoved with 4"5ch.40 PVC to bridge the tank
excavation.odd the al"i is seabed watertight F. 'W sery with NBC 300 and Comm 16.28.
02/05 U Page of
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PROJECT, HUFFCUTT 4154 rd STREET _5aA N.P.C.A. CERTIFIED PLANT
CNIPPEWA FA FALLS,WI 54729 a�B� &5a A
1,000/600 GALLON MEMBER OF:
(U PUMP OR SEPTIC TANK C 0 n C R E T E.i n C. FAX (715)7723-7111 r www,huffcutt com NATIONAL k WISCONSIN PRECAST CONCRETE ASSOCIATIONS
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POWTS OWNER'S MANUAL do MANAGEMENT PLAN Page -7 of
ILE iWoRMATiON SYSTEM SPECIFICATIONS
Owner } Hun& Septic Tank Capacity IZ7Z772 I O NA
Permit S Septic Tank Manufacturer 0 NA
ESIGN PAR1111ETElR8 Eftkusnt Filter Manufacturer �, O NA
Number of Bedmoms O NA Effluent Filter Model O NA
Number of Pulft Faskytnfls *Pump Tank Capacity t 0 NA
Estimated Clow( ) �? Uda Pump Tank Manufac�rer ❑NA
Design flow(peak),(Estlmobd x 1.5) laL�--� gal/day Pump Manufacturer 0 NA
Soil Application Rate . j avda /e Pump Model O NA
i Standard influent/Effluent Quality Monthly average" Pretreatment Unit
Fats;Oil&Grease (FOG) 530 mg/t- 0 Send/Gravel Filter O Peat Filter
Biochemical Oxygen Demand (BODe) 420 mg/L 0 NA 0 Mechanical Aeration 0 Wetland
Total Suspended Solids (rSS) 5150 mg/L 0 Disinfection O Other.
Pretreated Effluent Quality Monthly average Dispersal Cell(s) DNA
Biochemical Oxygen Demand (BODs) 530 mgA. 0 In-Ground(gravity) 0 In-Ground(pressurized)
Total Suspended Solids ITS$) 530 mg/L >NA At-Grads ❑Mound
Fecal Coilform(geometric mean) 5104 cfu/100ml ❑Drip-line 0 Other:
iMaximum Effluent Particle Size X in dia. 0 NA Other 0 NA
Other. NA Other: 0 NA
"Values local for domestic wastswasr and septic tank effluent. Other: 0 NA
NTENANCE SCHEDULE
• Service Event Service Frequency
linspect condition of tank(s) At least once every: s s (Maximum 3 years) 0 NA
Pump out contents of tank(s) When combined sludge and scum equals one-third(36)of tank volume 0 NA
Inspect dispersal cell(e) At least once every: --� months) (Maximum 3 years) 0 NA
Clean effluent filter At least once every: � moMts(s) 0 NA
nsped pump,pump controls&alarm At least once every: 0 s(s) 0 NA
1 Iush laterals and pressure test At least once every: 0 month(s) 0 NA
At least once every: mo (s) O NA
j�ther:
0 NA
MAINTENANCE INSTRUCTIONS ,
!Inspections of tanks and dispersal cells shall be madeby an individual carrying one of the fdlowing licenses or certifications: Master
Plumber,Master Plumber Reshicteed Sewer, POWTS inspector,POWTS Maintainer,Septage Servicing Operator. Tank inspections must
Include a visual Inspection of the tank(s)to identify any missing or broken hardware, Identify any cracks or teaks,measure the volume of
combined skufgs and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal call(s) shall be
Wouatly inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface.
'rho ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local
regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third I[%)or more of the tank volume,the entire contents of
j:he tank shall be removed by a Septage Servicing Operator and disposed of In accordance with chapter NR 113, Wisconsin
Administrative Code.
1411 other services, including but not limited to the servicing of effluent filters,me0wical or pressurized components,pretreatment units,
I nd any servicing at Intervals of s12 months,shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page-SL of i 1
of the POWTS check nt tank{s)for the Presence of painting products or�cher"tc"t1*t have START UP.AND OPERATION contents of thO
For new Via►, prior to use the dispersal WHO)- if high �are detected darnage
m impede the treatment�9� p�
tank(e)removed by a septape r or to use•
at the infiltrative s Per is restored the eraxss wastewater will by
System start up shall rcpt occur'when soil conditions are from of eflluerht.
Pump tanks may fNl above normal highwater levels• in the backup or surface discharge
During power outages P e dose.overloading the celi(s)and may result to restoring power to this
discharged to the dispersal ceM(s)in one large tank removed by a Septiage Servicing operator normal levels
To avoid this station have the contents of the pump a�sfst in manually operating� pump controls to restore
effluent pump or contact a Plumber or POWTS Maintainer to
within the pump tank. disturb or comps,the area within
over tanks and dispersal cxAs. Do not drive or park oust",or othet��ise
Do not drive or park f any or at-grade soii absorption arse.
15 feet down sbpe of any nnsnce and prokxng the iifee of tine pOWT$:
ter stream may Improve �p�: disinfectants; fat: foundation draCin
Reduction or elimination of the fd from cot" swabs; degreaser+ medications; oil; psintnng produc*
antibiotics; baby wipes; � peelings; gasoline; grrr�� ���' rrraest ��;
(sump pump) water, Trutt vegetab brine.
pesnap";es;sanitary nap ;tampons;and water softener
ABANDONMENT shall be
taken W insure that the system is proPejtY ridlor is permanently taken When the POWTS fails in comppar with chapter Comm x33.33 wisc�onsin Admin Me�:
and safely abandoned
• All piping to tanks and pits shall be disconneded and the abandoned pipe openings sealed.Servicing Operator.
d of by a Septa"• The content:of all tanks and pits shall be removed and properly disposed 4igad with shpil,
removed and the void specs
• After pumping,
all tanks and pits shall be excavated and removed or their covers
gravel or another inert solid material.
CONTINGENCY PLAN a code osunplitpnt
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide
replacement system. be utilized for the locaition of a replacement soil absorption system.
❑ A suitable replacemen area has been evaluated and may and should not be infringed upon by r� tied
ul
The replacement area should be protected from disrittbance and compaction ilure ment area*11 result In the loin
setbacks from existing and proposed studure,lot lines and wells. Failure Replacement must corr►PiY with the ruled in
for a new soil and site evaluation to establish a suitable replacemer►t
effect at that time. advances in pOWTS technologW a
❑ A suitable repisoerrnent area is not available due to setback and/or soil limitations. Barring
holding tank may be Installed as a last resort to replace the failed POWTS, failure of the pOWTS a soli and site evsluaiOr
,�The site has not been evaluated to idsrft a suitable replacement area. Upon may be insWIed a:
'�be performed to kris a suitable replacement area. If no replacement arse is available a holding tank y
a last resort to repiace the failed PAS removal of the blomet at the inflitnstiw
soli absorption systems may be rem in place at*10ir►g
Mound and const uc s must comply with the rules in effect at that time•
surface. Reconstructions of such systems
<NVARNINt3» S ANDIOR INSUFFICIENT OXYGEN. DO NO
SEPTIC,PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GAMES
ENTER A SEPTIC,PUMP OR OTHER TREATMENT TANK UNDER ANi1 CIRCUMSTANCES' DEATH MAY RESULT. RESCUE O�
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR
ADDITIONAL COMMENTS
pOWTS MAINTAINER
POWTS INSTALLER Name
Name rz/ Sr
Phone 7JJ�' .'�
LOCAL REGULATORY AUTHORITY
SEPTAGE SERMCIND OPERATOR PU PER Name L
Name /
J �� Phone �iJ 3 9U
Phone b A�nbW"Code.
i
This d0arrrhent hwas dralbed in compliOn=with chspW SK 383.22(2)(b)(1)(d)&(t and 393.54(1),(2)&(3).
Wisconsin
FILTER CARTRIDGE INSTRUCTIONS
STEP I Dry ik the ftw case onto the end of the outlet pipe to ensure it is
centered under the access openft. If not than either Inert moor pipe into the
tank through the outlet or"ant weld(Vkm)additlonal pipe onto the outlet
pipe.
EP 2 Whge the gee is still dry fitted an the outlet pipe,measure the kMth
of'A-inch pipe needed to brace the Altar to the tank end woo if utilising the
optional supplemental We support,If side sup{tort method,is not utilized,
proceed to step four.
5•.FP 3 For i+aWhooas utIlZing the optional supplemental side support:
solvent weld the%-inch pipe onto the ffiter case. If side support method is not
utilized,proceed to step four. ,
Solvent weld the Aker case onto the outlet
cartrid a into the case r pipe. Insert the Alter
9 ,Pressing down tmtM the filter locks into the bottom of
the case. :c
If a VRS switch is utilised:insert into the filter and kick by turning ;
clockwise 904.
Mablitenance
1. The effluent filter should be cleaned every time the septic tank is
serviced.
2. Open the outlet access opening to inspect the tank and fgter.
3• Pump the septic tank completely, making sure to remove the sludge
layer on the bottom of the tank and net just the scum and* luent.
4. Once the effluent level has been lowered below the invert of the
outletpype,firmly pull up on the fttter handle to dislodge the ' x
cartrifie fi'ow the case.
S. Slide the cartridge up and out of the case for cleaning.
6. If a VRS switch connected to an alarm is present,the snitch `
with water ems by�hM��d� �and cleaned
y S f
7. While holding the cartridge on its side(large sat surface facing 3
down)over the access opeedng,,rinse off the cartridge with water
only,making sure ai saptage material is rinsed back into the tank :R ..'
8. If VRS switch is utilized,re f Ce b y inserting i n
to Biter and �/ •'
turning cloclowise floe. , .N
9. Insert the Aker cartridge back into the case,pressing down until e
the flow locks into the bottom of the case.
10-Replan and secure the access opening on the tank.
a,�...:n�^:"+s:^yS;oR'�•t'+i.� -ltr.••7r••.'atnt'..t`:aaksr.�.v-.
WWW be=rGUSite com 877-MLFMItS(653-4583)
Wisconsin Department of Commerce
O EVALUATION REPORT Page of
Divi%on of Safety and Buildings D
in Comm 85,Wis. Adm. Code
County
Attach complete site plan on paper not le x 11 I ust
include,but not limited to:vertical and horiz I ref ence porn I , it nd Parcel I.D. j
percent slope,scale or dimensions,north arrow,and ovation and distance to nearest r d. L`
Please print all info atioAIJ / 2005 Review by Date4
Personal information you provide may be used for seconds purposes(Privacy Law,s.15.04(1)(
Property Owner/� / / ZONING OF �YL tionl
e- (�oA-0 VC-1 / o 0 1/4�F-1/4 T �I�N R E( W
Property s Mailing Address Lot# Block# Subd.Name or M#
rt o, �3a x ��`� "" ps�iGs� .51+���
State zip Code Phone Number ❑City illage Town Nearest Road
City p
Construction Us sidential/Number of bedrooms Code derived design flaw rate J� GPD
•
jo Replacement D ❑ Public or coe m -Describe:
Parent material ---- --y/�--------- --
/
' Flood Plain elevation if applicable fft.� � q
General comments 00,
and recommendations: 5{E+^^' o l •' — Oor-&)
Boring# ❑ Baring L,/(/
Pit
Ground surface elev. ft. Depth to limiting factor,L _in• soil j>;on Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fE°
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
�❑-..!Pit Boring /
a Boring g# Y Ground surface elev. ??i Depth to limiting factor / in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffF
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. `Eff#1 'Eff#2
2 1j 1P a 6
•
Effluent#1 =BOD >30 1220 mg/L and TSS>30:<15010 'Effluent#2=BOD <30 mg/L and TSS<30 mg/L
CST Name(Please Pent)) re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address
Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54 17 --1 715-246-4516
J
Property Owner_
Parcel ID# Page of
❑ ring
❑ ��# Ground surface elev.���� ft• Depth to limiting factor �� i"• Sal ication Rate
it
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF
in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
0_1 Z r3/Z I 2m 2 r •8
C 2-00
7,S y4 51 1 k
7� -T,S rYlL (:7 y� i v a .2-
Boring# El Boring
❑ Pit
Ground surface elev. ft. Depth to limiting factor i"• Soil plication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
'Eff#1 'Eff#2
in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh.
❑ Boring
F-I Boring# Ground surface elev. ft. Depth to limiting factor in.
❑ Pit M#1 n Rate.
Horizon Depth Dominant Col Redox Description. Texture Structure Consistence Boundary Roots
in. Munsell Ou.Sz. Cont Color Gr.Sz.Sh.
ff#2
I
I
•Effluent#1=BOD,>30<220 mglL and TSS>30_<150 mg& 'Effluent#2=BOD,<_30 mg&and TSS<30 mglL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-2648777.
SBD4370(RAM)
a • .
Soil Test Plot Plan
Project Name P.C. Collova Bldrs. Inc. Sh it
Address P.O. Box 489
Somerset Wi 54025 C M #226900
Lot 11 Subdivision 95th St. Site Date 118105
NW 1/4 SE 1/4S 7 T 30 N/R18 W Township Richmond
Fj Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 99.2' *HRPSameasBenchmark
Alternate Benchmark Top of 1/2" pipe C 100.3' Scale is 1" = 40'
unless otherwise
noted
Property 391' Property Line
Line
0' B-1
5% Slo e
B-3
5'
45'
*6.MP.M.
50' B-2 30'
99.5' 98.5'
i
Property Line
244' Property Line
ST.CROIX D 0UNW
S UMC TANK MAMP,i+IAN(E AMBEMMW
AM,
OWNERSHW CER'I`MCATION FORM
owner/Buyer
MAWAgAddmw
Pr%)arty.Addiew
N required fiasu,planning&Zoning for a uaion.)
--ity State.
Parcel identification Number — RD 2 f—
Pwperty Locatlou2 �%,�L Ja, SPiC.
Lw,T Town of
Subciivioiou � s�-s-�.
Cad Survey # _ Lot#�.
Volume
W ty Dad# page
YOlume Page#_--
SpeciwuwG no
Lot liras iddedifiable y,eg In 0
SY
m'nne and of Yom
me ByB�Dt�C a��t *out the sopo every 8 � re�crltPe f to.l wastes.
rbiiitaes are of tank as a treatment �'$hce Pte: What
ed in§ComM.83-520) h-Pt 1�e system Owner x P°t into
�( )aad in C GYonc Caunty Samtlety Vie.
The property owner agrees to snbnaittn St.Croix
owner and by a U388tex Plumber,jots Ic
CODWY p�lg&Zonmg ttt a f i$cation f
asthen 1/ fog sye�m is in plumber or a i*own P VeiWng that(1) on-oft by tine
less than l/3 fnit of s � and/or(2) n and gurnping(If necesawy}.the
septic tank is
L*el the g � ads have read the abovsenis and eg�ne,to nminftin the private CertificatM0 stMg that your septie -U, must be ofNs }gay State Of v M&the
imam within 30 days of the thm year�ftM(m date. �and retmwed to the St Groot. ping&
Uwe certify*at all'StAftff-Man this foam are true the bast of my/onr hyovrrl
Y.desca'bed above,by vutae of a y deed recorded edge. We am/are the OVAM(s)of the
Regiet+er of ljecda Office.
Kannber of bedroo
GNA P PLICANT(S) ��/D�
***Ajiy DA
trextt that is �,raWt is die sanitary perm being revoked by The Planning,&Zoning „**
tnclQiie with this 't
s hcattar a +deed from tide Register of Deeds Once and a Dopy of the ceiaW sor"y reap if
refeotemce is made in ttie warranty deed.,
(RIM.etas)
DOCUMENT N0, STATE BAR OF WISCONSIN FORM 1-2003 8 Tx44 5 0 6 9
WARRANTY DEED
998979
BETH PABST
THIS DEED,made between One Corporation,a Wisconsin corporation REGISTER OF DEEDS
("Grantor"whether one or more)conveys and warrants to Oevering Homes LLC, ST. CROIX CO. WI
a Wisconsin limited liability company("Grantee",whether one or more),the 07/22/2014 11.20 AM
following described real estate in ST CROIX County,State of Wisconsin: EXEMPT#: NA
Lot 11,Plat of Ninety Fifth Street Site in the Town of Richmond,St.Croix REC FEE: 30.00
County,Wisconsin. TRANS FEE: 52.50
PAGES: 1
RETURN TO
St.Croix County Abstract&Title Co.Inc.
219 S.Knowles Avenue
New Richmond,WI 54017
Tax Parcel No: 026-1302-11-000
This is not homestead property
Exception to warranties: Municipal and zoning ordinances and agreements entered under them,recorded easements for the
distribution of utility and municipal services,recorded building and use restrictions and covenants,and further except 2014
real estate taxes.
Dated this 15th day of July,2014.
One Corporation,a Wisconsin corporation
/"By: Thomas D.Mews,Secretary/Treasurer
I
AUTHENTICATION ACKNOWLEDGMENT
Signatures authenticated this day of STATE OF WISCONSIN
20
COUNTY OF ST CROIX ss.
TITLE:MEMBER STATE BAR OF WISCONSIN
Personally came before me this 15th day of July,2014,the above
(If not, named One Corporation,a Wisconsin corporation,by Thomas
authorized by§ 706.06,Wis.Stats.) D.Mews,its Secretarty/Treasurer to me known to be the
person(s)who executed the foregoing instrument atjdaukn y e
the same.
\ A
THIS INSTRUMENT WAS DRAFTED BY
V.
Robert L. Loberg/Loberg Law Office * Shane A.Wiseman ;.
Notary Public St.Croix County,Wis. �;•�':fZ �'¢,-T
1418681 /alp
My Commission is permanent.
(Signatures may be authenticated or acknowledged. Both are if not,state expiration date: 1/8/2 017
i'
not necessary.)
t
*Names of persons signing in any capacity should be typed or printed below their signatures.
WARRANTY DEED Form No.1-2003
St. Croix County 998979 Page 1 of 1
Parcel #: 026-1302-11-000 08/13/2014 10:25 AM
PAGE 1 OF 1
Alt. Parcel M 07.30.18.1588 026-TOWN OF RICHMOND
Current [X] ST. CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units
02/21/2006 00 0
Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner
0-ONE CORPORATION
ONE CORPORATION
109E 2ND ST
NEW RICHMOND WI 54017
Property Address(es): "=Primary
"958 165TH AVE
Districts: SC=School SP=Special
Type Dist# Description
SC 3962 SCH DIST NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST Notes:
SP 1700 WITC
Legal Description: Acres: 2.180
SEC 7 T30N R1 8W PT NW SE; FKA LOT 4 CSM
19-4992 NKA LOT 4 CSM 19-4993; NKA 95TH Parcel History:
STREET SITE LOT 11 (2.180C) Date Doc# Vol/Page Type
12/22/2011 947755 WD
10/27/2008 883353 QC
02/21/2006 819000 10/0098 PLAT
06/16/2005 797821 2824/120 WD
more...
Plat: '=Primary Tract: (S-T-R 40%1601/4) Block/Condo Bldg:
"10-098-NINETY FIFTH ST SITE 026-06 07-30N-18W NW SE LOT 11
2014 SUMMARY Bill#: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09/27/2011
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.180 23,200 0 23,200 NO
I
i
Totals for 2014:
General Property 2.180 23,200 0 23,200
Woodland 0.000 0 0
Totals for 2013:
General Property 2.180 23,200 0 23,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
S 00'35'17" E 1384.52'
399.88' 66.00. _ 302.62' 315.45'
"o —918.64'-
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N N00'22'1 YW 660.00' ( N
CE _R_T / F_ l ED S U R VE_YMA P
VOLUME 1 9, PAGE 4992
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