HomeMy WebLinkAbout026-1013-10-200
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 592239
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village Township Parcel Tax No:
Doug Anderson TOWN OF RICHMOND 026-1013-10-200
CST BM Elev: Insp. BM Elev. Description: Section/Town/Range/Map No:
/AD BM Q M 1 ejlsr 04.30.18.47D-20
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic .'et p Ad~ Benchmark
d I
I 12L Alt. BM
Aeration I ~7 t7 Bldg. Sewer
Holding St/Ht Inlet 11,o
~D
TANK SETBACK INFORMATION St/Ht Outlet A, 7 97'1
TANK TO P/L WELL BLDG. ent to it Intake ROAD Dt Inlet
Septic 9 So A)A- P/ Go, Dt Bottom
Dosing Header/Man. 1179
Aeration Dist. Pipe 'F. df 4, 9a.9
Holding Bot. System
PUMP/SIPHON INFORMATION Final Grade
3 55 /
Manufacturer GPMand St Cover
Model Numb
TDH L Friction Loss System Head TDH Ft
Forcemain Leng ia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquidd Depth
DIMENSIONS 7# Z ( f
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer
INFORMATION CHAMBER OR
Type f System: d ~
4 J (Ox Zl• / O UNIT Model umbgr: 44
DISTRIBUTION SYSTEM zf$ ~S
Header/Manifo) Distribution x Hole Size x Hole Spacing Vent o Air take
Length Dia Length Dia Spacing
_ i
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over t`, Depth Over xx Depth of Seeded/Sodded xx Mulched
Bed Trench Center Bed/Trench Edge Topsoil xx
\ es E. No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 1745 112TH ST /
C~ tJ`e~, Cam. ~i1lJ i 6 4-GS O✓\
1.) Alt BM Description =
2.) Bldg sewer length
- amount of cover
Plan revision Required? Yes ZNo .fin ('7 2
Use other side for additional information. LTV
Date Insepct 's Signat Cert. No.
SBD-6710 (R.3/97)
o, ~i
County
" .y Safety and Buildings Division .57
D s, 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
Madison, WI 53707-7162 9
z3
Sanitary Permit Appllcal State Transaction Xber
In accordance with SPS 383.21(2), Wis. Adm. Code, submission ofthis form to the appiup-_
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04(1 m , Slats. 1 C
1. Application Information - Please Prin nformation
Property wner's Name Parcel #
O v ~0~61J'64_' Gi' c 1 °l c t o
Property Owner's Mailing Address Property Location,1 -130. _,X/
Re. dot 7Z Govt. Lot
City, State Zip Code Phone Number L~ L Y4 .•SAJ 'AA,, Section
~/Cloe,~~ GAJ1 .5- e 7 Z1 -338' l~ ~y .3 k circle oney~
T O N; R E or V!
II. Type of Building (check all that apply) Lot #
~1 or 2 Family Dwelling -Number of Bedrooms Subdivision Name
Block
❑ Public/Commercial - Describe Use
❑ City of
El State Owned -Describe Use CSM Number El Village of
L
2 1 O ,f Town of t G/t
III. Type of Permit: (Check only one box on line A. Complete line B i applicable) 0
A. New System
❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
1__ ~
B. 11 Permit Renewal El Permit Revision El Change of Plumber ED] Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. Type of POWTS S stem/Com pone nt/Device: (Check all that apply
on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersal/'I'reat ent Area Information:
Design Flow (gpd) Design Soil Applic tion -14 [Dispersal Area Required (sf) Disp al Area Proposed (sf) System Elevation
30 0 lira 7'Id 9/ y'2 . Y
VI. Tank Info Capacity in Total # of Manufacturer go W
Gallons Gallons Units o b
New Tanks Existing Tanks ` o .a
Y
A)~ L) ~
a U h v C7 0.
Septic or Holding Tank d~ Q / Cbv r a1~~
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plu er's Signature ^ MP/MPRS Number Business Phone Number
A I lk"_ ( /4-er g 1 ~
Plumber's Address (Street, City, State, Zip Code)
Zq /,.!rd f/. /614-
VIII. unt /De artment Use Only
Approved El Disapproved Permit Fee Date Issued Issuin gent Signature
❑ OWneL6-lven Reason for Denial $ 0.0-c' 3 /b / 7
IX. Condit%YA easons for Disapproval
t. Sept±n rkifltnt lifts*>Irti11
3 p~ ~J~1nM~e l \ I e~G
uispep. si cell !gust dll be sr-rJci?s'r nta:r ec
'As per inar;agement plan p !c daed by Nlwrtbe:. nw „
~ I
2. AN-aclWk rectdleraen.s MI-PA, De I -Urlt• ir;E I . ~ Icn V
as per apFlicttb1s cwt. I rd: is no: , Pe^
Attach to complete plans for the system and submit to the County only on14per Oilless than 8 1/2 x 1I inches i size
of ?-o KA
SBD-6398 (R. 11/I1)
CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE.
SOIL EVALUATION Scale: 1"=20' SYSTEM PAGE 2 OF
SITE MAP Zo 30 40 PLOT PLAN
PROJECT NAME: 5' DESIGN FLOW: GPD
Attach design flow calculations for commercial plans.
PROJECT ADDRESS: r & A, Sk /ct ,7 A` TAD rV /r-/8 w Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5)
SanitarySewer. ?1~ / RS~nt b3a3'1
BM Symbol: ,y BM Elevation: dad, F7 N Force Main: /
BM Description: -044" 0.~ Cs✓H~Y~yg~
Slope Gradient C Indicate north by IMPORTANT:
of Tested Area: Well Symbol (if applicable): 0 drawing an arrow Show ground elevation contours at suitable intervals.
on the approprite line.
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PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
Version 2.0, SBD-10705-P (N.01/01, R. 10/12)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-Section & Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Owner Name(s): Doug Anderson Phone: 715 _338 - 9614
Owner Address: P.O. Box 72, New Richmond, WI Zip: 54017
Project Address:
Govt. Lot: NE 1/4 of SW 1/4, Section 4 T30 N-R 18 E F or W
Township: Richmond County: St. Croix
Project Parcel ID
Designer Information
Designer Name: Michael Myers Phone: 715 -265 _4115
Designer Address: 2943 130th Ave, Glenwood City, WI Zip: 54013
E-mail:
License Number: MP/CST 267985
Remarks:
Signature: ZZe_~~ Date: 2o/ 7
Original signature required on each submitte opy.
I
CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE.
SOIL EVALUATION 0 Scale: 120 20 30 40 OSYSTEM PAGE 2 OF
SITE MAP PLOT PLAN
PROJECT NAME: 5z
7/11 DESIGN FLOW: GPD
Attach design flow calculations for commercial plans.
PROJECT ADDRESS: NE r~Y yw,/,t SY T.ro N !r-/8 cc! Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5)
/Qd . O N SanitarySewer: t? V C- / f~Srnt b.TCVV
BM Symbol: BM Elevation: FT
,y nt~ Force Main: /
BMDescription: •t'4~La p~ Co✓~rYpyS~
Indicate north by IMPORTANT:
Slope Gradient
'Sc/. Well Symbol (if applicable): 0 drawing an a ay Show ground elevation contours at suitable intervals.
of Tested Area~ on the approprite line.
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PAGE 3 OF 4
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PAGE 4OF4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall
be considered a human health hazard if not maintained in accordance with this approved management plan.
Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = 300 gpd; BOD5 220 mgL''; TSS 150 mgL"'; FOG :5 30 mgL"'
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (i.e., pump re-cycling, float switch settings, etc.)
o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Northland Plumbing Inc Phone: 715-265-4115
Local government unit: St. Croix County Phone: 715-386-4680
Local government unit address: 1101 Carmichael Road, Hudson, WI ZIP: 54016
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be
abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer (S jr,
Mailing Address Joe "6 ~ L72, 7
Property Address J ~ 12,
(Verification required from Planning & Zoning Department for new construction.)
City/State ~r LCj / Parcel Identification Number J26-/613 '16 ' Zob
LEGAL DESCRIPTION
Property Location A/45 i/4 ,'~3 w i/4 , Sec. , T ~U N R W, Town of Ke-A*t se~
Subdivision Plat: , Lot # 4-1.
Certified Survey Map # , Volume , Page #
Warranty Deed # (before 2007)Volume , Page #
Spec house 0 yes,9no Lot lines identifiablekes ❑ no
SYSTEM MAEVTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources,
State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix
County Planning & Zoning Department within 30 days of the three year expiration date.
Uwe certify that all statements on form are true to the best of my/our knowledge. Uwe am/are the owner(s) of die
th/
property described above, by virtue of a w arty deed recorded in Register of Deeds Office.
Numher of bedroo v2-
NATURE OF APPLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application 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.
(REV. 04/12)
ECEIVE CST_1 000 _vsl
SOIL EVALUATION REPORT #103
SP Department of Safety and Professional services Page 1 of 3 _
Division of Safety and Buildings Northland Plumbing, Inc.
in accordance with Comm 85, Wis. Adm. 1
Attach complete site plan on paper not less than 89/2 x 11 inches in size. Plan must County St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and - - -
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
Please print all information. 62 - a1 - /04
Revi d By Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Doug Anderson Govt. Lot N E 1 A S/1 S4, T30N, R18W
Property Owner's Mailing Address Lot # Block # Subd. Name CSM#
P.O.Box 72 g
City State Zip Code Phone Number city Village Town Nearest Road
New Richmond WI 54017 715-338-9614 Richmond 112Th St
New Construction Use: Residential / Number of bedrooms 2 Code derived design flow rate _ 300 GPD
Replacement Public or commercial - Describe:
Parent material Flood plain elevation, if applicable ft.
General comments
and recommendations:
Boring
1 Boring #
Pit Ground surface elev. 94.98- ft. Depth to limiting factor >98 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Effa1 -Eff#2
1 0-10 10YR3/2 sil 3sbk mvfr cs if .6 .8
2 10-19 10YR5/3 sil 3sbk mvfr cs if 6 8
3 19-48 10YR6/8 s Osg ml cs 7 1.6
4 48-55 10YR5/8 scl 2sbk mfr gs .4 .6
5 55-98 10YR6/8 fs Osg ml gs 5 1.0
A17
-
At-
Boring 1-3
F2 Boring #
Pit Ground surface elev. 95.34 ft.
- Depth to limiting factor >96 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 Eff#2
1 0-8 ! 10YR3/1 sil 3sbk mvfr I cs 1m .6 .8
2 8-20 ; 10YR5/3 sil 3sbk mvfr cs if .6 .8
3 20-54 10YR6/8 s Osg ml cs if
7 1.6
4 54-58 10YR5/8 scl 2sbk mfi gs .4 .6
5 58-96 10YR6/8 Osg ml gs 5 1.0
005
Effluent #1 = BOD,> 30 < 220 mg and TSS >30 < 150 mg/L ' Effluent #2 = BODS <_30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sig ture: CST Number
Michael J. Myers 267985
Address Northland Plumbing, Inc. Date Evaluation Conducted Telephone Number
2943 130th Ave Glenwood City, WI 54013 2/23/2017 715-265-4115
SBD-83 30 (R. IN I1 1)
Property Owner Doug Anderson Parcel ID # Page 2 of 3
Boring
F3 ]Boring # Pit Ground surface elev. _94.4111 ft. Depth to limiting factor >95 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-10 10YR3/1 sil 3sbk i mvfr cs 2f .6 .8
i
2 10-24 10YR5/3 sil 3sbk mvfr cs if .6 .8
i
3 24-35 10YR6/8 s Osg ml cs 1 .7 1.6
4 35-38 10YR5/8 scl 2sbk mfi gs .4 .6
5 38-95 10YR6/8 fs Osg ml gs .5 1.0
Boring
F 4113oring # Pit Ground surface elev. 94.4 ft. Depth to limiting factor >96 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure IConsistencei Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-10 10YR3/1 sil 3sbk mvfr cs 2f .6 .8
2 10-22 10YR5/3 sil 3sbk mvfr cs if .6 .8
3 22-38 10YR6/8 s Osg ml cs .7 1.6
4 38-45 10YR5/8 scl 2sbk mfi gs 4 .6_
5 45-96 10YR6/8 fs j Osg ml gs .5 1.0
Boring
F-s Boring # Pit Ground surface elev. 93.61 ft. Depth to limiting factor >94 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I 'Eff#2
1 0-10 10YR3/1 sil 3sbk mvfr cs 2f .6 .8
2 10-20 10YR5/3 sil 3sbk mvfr cs if .6 .8
3 20-45 10YR6/8 s Osg ml cs .7 1.6
4 45-47 10YR5/8 scl 2sbk mfr gs .4 .6
5 47-94 10YR6/8 fs Osg ml gs .5 1.0
I
Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L
The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay.
SBD-8330Test (R.11/11) Northland Plumbing, Inc.
Property Owner Doug Anderson Parcel ID # Page 2 of 3
F3 Boring # Boring
Pit Ground surface elev. 94.40 ft. Depth to limiting factor >95 in
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary I Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Ett#2
1 0-10 10YR3/1 sil 3sbk mvfr cs 2f .6 .8
2 10-24 10YR5/3 sil 3sbk mvfr cs if .6 .8
3 24-35 10YR6/8 s Osg ml cs 7 1.6
4 35-38 10YR5/8 scl 2sbk mfi gs 4 6
5 38-95 10YR6/8 fs Osg ml gs 5 1.0
4 ❑ Boring
Boring #
Z Pit Ground surface elev. 94.4 ft. Depth to limiting factor >96 in.
Soil Application Rate
Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. I Munsell I Qu. Sz. Cont. Color I Gr. Sz. Sh. I `Eff#1 •Eff#2
1 0-10 10YR3/1 sil 3sbk mvfr cs 2f .6 .8
2 10-22 10YR5/3 sil 3sbk mvfr cs if .6 .8
3 22-38 10YR6/8 s Osg ml cs .7 1.6
4 38-45 10YR5/8 scl 2sbk mfi gs .4 .6
5 45-96 10YR6/8 fs Osg ml gs .5 1.0
157 Z Boring # Fj Boring
Pit Ground surface elev. 93.61 ft. Depth to limiting factor >94 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure (Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 I •Eff#2
1 0-10 10YR3/1 sil 3sbk mvfr cs 2f 6 .8
2 10-20 10YR5/3 sil 3sbk mvfr cs if .6 .8
3 20-45 10YR6/8 s Osg ml cs 7 1.6
4 45-47 10YR5/8 scl 2sbk mfr gs .4 .6
5 47-94 10YR6/8 fs Osg ml gs .5 1.0
Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L
The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay.
SBD-8330Teg (R. 11/11) Northland Plumbing, Inc.
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Wisconsin d i Department Industry,
Labor and 4 ~y.an Relations SOIL AND SITE EVALUATION REPORT ~P e l of 3
Divisi; n tf Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code L f7-
COUNTY
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but St. Croix
not limited to vertical and horizontal reference,pgiatfB"
Oction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location an ist4rtce to rie+arb`st Rad. 026-1013-10-100
APPLICANT INFORMATION-PLEA`7.E,,PRINT A*~ INFORM`ATION TJWE B Y DATE
w 3 AT gs
PROPERTY OWNER: PROPERTY LOCATION
GOVT. LOT NE 1/4 SW 1/4,S4 T • N, 18 xE (or) W
A,1 Schul t-.7. f':+
PROPERTY OWNER':S MAILING ADDR SS LOT # BLOCK # SUBD. NAME CSM #
1129 175th. Ave.:. 3 na na a
CITY STATE ZIP CODE - PW 'NUMBER ❑CITY [-]VILLAGE KFOWN NEAREST R AD
&&'k Richmond, WT. 54p17 Richmond 112 th. sT.
[ New Construction Use [x] Residential! Number of bedrooms -3-4 [ J Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate 4 bed, gpd/ft2_15_trench, gpd/ft2
Absorption area required 500 bed, ft2 500 trench, ft2 Maximum design loading rate • 4 bed, gpd/ft2 - 5 trench, gpd/ft2
Recommended infiltration surface elevation(s) 100.00 ft (as referred to site plan benchmark)
Additional design / site considerations system el. based on contour line of i "_99'
Parent material 91acisl drift Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT SYSTEM IN FILL HOLDING TANK
U =Unsuitable fors stem ❑ S C U RS S ❑ U ❑ S ERU El S CCU El S CCU ❑ S CCU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 -9 10yr3/2 none 1 2msbk mfr cs 2f .5 .6
1
2 -22 10yr4/4 none sicl 2msbk mfr gw 1f .4 .5
Ground 3 2-31 7.5yr4/4 none scl lcsbk mfi 9W
if .2 .3
elev.
99.3ft. 4 1-52 7.5yr4/4 none sl 2msbk mfr 9W na :5: .6
Depth to 5 2-72 5yr4/4 c2p 7.5yr5/8 sl j lcsbk mfr na na .4 .5
limiting
factor
521,
I
s
Remarks:
Boring #
1 -9 10yr3/2 none 1 2msbk mfr cs 2f .5 .6
....2...-. ? 2 -19 10yr4 /4 none sicl~2msbk mfr
9w if .4 .5
3 9-37 7.5yr4/4 none scl lcsbk mf: gw na .2 .3
Ground
elev. [:4~L7-455 7.5yr4/4 none sl 2msbk mvfr
gw na .5 ~ .6
99.00ft. - 1
5 5-65 7.5yr4/4 Ic2d 7 5yr5/6 sl lcsbk mvfr na na .4 .5
Depth to I -
limiting
factor
45"
Remarks:
CST Name:--Please Print Gar L. Steel Phone: 715-246-6200
Address: 1554 200th. A ew Richimonfl. WI 54017
Signature- 3-20-97 ? e~ CST Number: m02298
Al Schultz
PROPERTY OWNER SOIL DESCRIPTION REPORT Pageof
PARCEL I.D. #026-1013-10 lot #3 '
G
h Dominant Color Mottles GrStructure PD/ft
Dept
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Consistence Ba~xlary Roots
. Sz. Sh. Bed Trench
1 -8 10yr3/2 none 1 2msbk mfr cs 2f .5 .6
3
2 -19 10yr4/4 none scl 2msbk mfr gw if .4 .5
Ground 3 9-45 7.5yr4/4 none sl lcsbk mfr gw na .4 .5
i
elev. 4 5-65 7.5yr4/4 water sl lcsbk mvfr na na .4 .5
97.2 ft.
Depth to
limiting
factor
45"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
13
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
RRr)-833o(R.05/92)
f
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Al Schultz New Richmond, WI 54017
MPRSW-3254 NE4SW4 S4-T30N-R18W (715) 246-6200
town of Richmond
c~ lot #3-csm
N
1"=40'
BM.= top of NE lot stake C el. 100,
Alt. BM.= nail in Pine tree el. 99.56'
p_l
Q- N
E
T
0
Gary L. Steel
3-20-98
Parcel 026-1013-10-100 05/26/2005 08:46 AM
PAGE 1 OF 2
Alt. Parcel 4.30.18.47D-10 026 - TOWN OF RICHMOND
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): Current Owner
" PETERSON, JOHN T & JUDITH ANN J
JOHN T & JUDITH ANN J PETERSON
1135 175TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1745 112TH ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 2.650 Plat: 0653-CSM 12/3428
SEC 4 T30N R18W PT NE SW BEING LOT 3 CSM Block/Condo Bldg: LOT 3
12/3428 1.470AC & INC PT LOT 2 CSM
12/3428 DESC AS COM W COR SEC 4; TH S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
89'E 1330.59FT; TH ALNG W LN OF SD LOT 04-30N-18W
2 225.03FT TO POB; TH S 89'E 159.57FT;
THS01'E135.03FT;THS89'E
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
06/08/1998 580598 1330/075 WD
07/23/1997 504/612
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/19/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.650 33,800 0 33,800 NO
Totals for 2005:
General Property 2.650 33,800 0 33,800
Woodland 0.000 0 0
Totals for 2004:
General Property 2.650 33,800 0 33,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 026-1013-10-100 05/26/2005 08:46 AM
> PAGE 2OF2
Legal Description: cont.
163.59FT TO E LN OF SD LOT 2; TH S 001W 10OFT TO N LN OF LOT 3; TH N 89' W
321.85FT TO SW COR SD LOT 2; TH N00'W 235.04FT TO POB