HomeMy WebLinkAbout026-1306-00-060
s4i5:cnsin I,r c- -r me me PRIVATE SEWAGE SYSTEM Cnlnn' St. CLOIX
Sa'ety arc Buildmy :)rfl&QM
INSPECTION REPORT $anltaryPe'nlNo
600351
iAFIACH TO PERIAIT
GENERAL INFORMATION Slate Vlan. ID Nc
Pmsonal mfornabc- ycu prc'odc rnoy :.r seYnr secondary purp:,srs jrrx:ar<y I ao'. s 15.04 i
026-1306-00-060
Ryan &r Shannon Noll TOWN OF RICHMOND PaT' T. NO
ICST FM I -.c. Inep nrd . e, BM C~cs $ecKUn:TDwvRangc NnF Nn
err .Ahs; ( ;r 18.30.18.1667
TANK INFORMATION ELEVATION DATA
TYPE MAN-I-A;:TURER CAPAC TY STATION 3S H'. rS EI EV.
Sepllc P.enahmark -
L lP.( Alt I??, c rxx tr/
Aera:icn Bldg. Sewer
Holding SI*T it inlet 55
TANK SETBACK INFORMATION S1,1 It cute)
r'. -b'~ 21a.2•~
TA\K TO FiL *FLL BLU;; ent!, Ai: I. late RCAC DI Intel -
Septic D(Follom
Losing Hcadc(tMan p.iD l~. l
AC'alion - Uisl. Pipe 4 ~ l f
p1 H,4 T
holding- - - Rol. System r, (D'ID /J.?
~
Final Grade S /a~I
PUMP SIPHON INFORMATION
ManufacturQ' j )emacd SI (:over
Model Number
Losrti i
Ti)H L~fl Fw7 ti System (lead U ~I - _ _ _ - - - -
Rncemain ength pia. Dist I,
SOIL ABSORPTION SYSTEM
BED/TRENCH P:7h Ler Pth I N:, !1 it, PIT DIMENSIONS 'Jn f:~-y/1 Ire: =e Uia -cwtl De DIJ'
DIMENSIONS
SETBACK S-FIo1 TO P1L B_C)G '':'&LL IAK tS I REAM LEACHING Y1an-'ami.mr ,r- G k~
INFORMATION CHAMBER OR +r^'TL
i y;.. ')I,:}stem: / UNIT }Acct. Nu-nbe`
(Pn 1✓~ fi/ I C~.
DISTRIBUTION SYSTEM
rieader'IJan InId D stnnulle- x nc e qv- x Hole S -1 n 'dent Air I- ta.e
L, tiI,
L m 16 n 1- Lc ~r ",a " n9
SOIL COVER x Pressure Systems Only xx Mound Or Al-Grado Systems Only
Ccp'h O.'er )1: Ili Cver =_x Ur:rlb c• rx':eeccd: soAdrl l - Ahdchrol ~ -
6sr:Tr°^ Comer LJ , KI P.,md11'-nCn Edges j- i;rpc::nl Ycz _ _ G> Ycs •Jo
COMMENTS: (lnducle code ciscrelt(MOCs, persons present Inspection #1* Inspection B2
Location: ggd 162ND AVC
,1LS D
1 1 Alt R!A Description
l
2.: 6llq server length = r
- amount of cover L, ~~T /U/~ III aI
Par ievislon Requiree? Yes - No J J I ! V~ ~~I~
I
Use ::Iher side for a:f:falonal !rwriahon. _ - - - -
Dare Insepdors :'at:rty+.. i Cer, mo
tJ----T-7- County
RECEIVED SA (l 3_ ° ~
Safety and Buildings Division L S GXG U `~~lw '
201 W. Washin ton Ave., R0. Box 7162 ~~L~---1
9 canhary it Number (to be filled in by Co.
Dladiewl, 1M 53707-7762
- A -
A ber
Stag Tmn slum
T3WHDS9C7Z3DE. -
[n rrtxxmtv,rc wire $3Q W IS in. (.,ode n
, ,bmission unit
is rcqu;rcd prior in obtaining a saoeary pemdt Note Appncation firm::: !or slate-ounut POWI'S arc submitted to Project Address (ddiffurnt Iran mailing addrrss)
the Deparlmem 01'Safety and Profcssunal Semi" PetsomJ mlurmmiu:: you provide. may ne aserl £nr secondary
,t
putpnser in accordance with the Privacy' larw, s. 15.04(I)(m), Slats.
L APDlication Information -Please Print All Information
t
Proprrm Owaer's N:mw
nn \ Parcel #
__~'~'~.SRp1:INcN_~o~l
Property 0. s tv1a71inr Addn cs
Proputy locanmr -17
4s`I l j~~a I~ve -i$ yo.) r
City.' Snnc Govt Lot
r TZrp Code Phone Numba A Section
-el
IL Type of Building (cheek all that apply) 4n : T 3 V N; R J U _ F or W
i l or 2 Family Dwelling - Numba of Redranms 1 SuMlivis,nn Nan:c
~k HIOIB u)llou
O Pnhnrr!„Doan«cial - Dcscrinr use _ Li ~ 71 C;ryof_State Oww'd - Oescribbc tke e M Nranbrr - ~ ❑ V;II O of
W Town of ~(.I1 Hll tt
i III. "fype of PP.rMitr (Check on one boa on line A. Complete line Rif applicable)
I 4Q:cw System Replacement System i Trealman0iolding Tank Reptacemeot only OWa modification to f xitung Systan (m plain)
i~
ts- 13 Paton Removal I lJ Permit Revis;on L Oinge of Plumhet Damn Transfer in New List Pmvicus Permil Numb, and Date ksued
liefine Uxpirarior, Uw~r f
M of POWTS System/ComPOnmUllevice: Check all that a I~
L*(,n-Preasroimo bo-Omund n Pressurired hrtimund At-(3mde n Mound 24 in nfsuaable soil ❑ Mmmd :24 in. of suiaJ,le soil 5
7 luldinn Lmk i orher Dispaawl Comporcm. (explamVDIM.,,ni! ❑ ~gtnc rumem Device (explain)
V. DispersaVrAly ent_A_rca Information:
O:.e ign Tl\.t (}rytion Rate(gpdcn A,, RIAui: rd (s() - -Diapersal~/v~ca /P,mposed~I !Systeom Fzlev>a7tion
Tauk_St' f, - " in - --1---r-. - Y3 V _ 1 1 J . l o
Pan y ) TOW I or Manufacturer
Gallons Crallnns thials =
New lauhv - 1.,nun Tank, ` U
_ a U br 'G s u. t7 n.
SeFnw a Holding iml:
_ ~ JUi. W seA
NZf. Re5ponsibility Statement- L the
r-_
andersigncrL aswme r-espoosinitity for inatalladon of the POfVI'S shmrn oa the attached plans,
Plnmaer'R Namr. (Pant) - PI Srman
n4'/MPRS Nrunhe puslncss Phone Number 11lu:nber's Address (Snrsl rry. State, Zip Cod.)
l -
J0`~___ aear~ S~[G
✓G ountylDe artmentlis On_t Iwo Dent Si re
- ppmvcd '7I~-a~Q~ -
ivcn Rcson fr_r rat rl D / g I -
UN. Condon sons for Disapproval
1. rk, n: tlfb-tvhl ` ~ ^I a~~ ~~Gr
tihper:s: cell ll."u mutt al: be s~•,Iq._s f n,; '•ita`?L. 3J
Kt.I1Jl
ssperanarayemen•plan pine-by luoi
- 2. AL se
as per Wlierble. v,r recut co,.- ti rl -
i M apf', rt=: q-ir>
mead, m •,.mpide ptryx for ear srarem .>.M wbmit b the Cant' anlx oa popes tot lea tluu a rr_ a 1 t uNes in sire
SBD-(u"9n I, R_ 11111)
map
T ~ ti HC.N
~dl
Jo
L< C IOW1
74M
r
ub CLYr.
- d6 r 1~ , y
Q
Re,ident??i A~)pir.7?jr~r
INJtrX AND 77I l.E PAGE ~
'rojcc; Name: W S n y>NN G N ! V (J l
Owners Name.
--~jL-
Owner's Address: ~_.`._.L~.-......~.---
LLcta; rrv 1, i;Gr': __~'-=1_~~_y~J._.(/ ✓ v ` T
T, t',q'I I511ti7
S c
Ir+;ISion Nate. rk,4 co k Ns o
II
Page 5 _ 1ndax ar d title
„aBe 2
~r1of Man - -
''-9e ~ ~~ster,5 Si~:rr~ & Cross-Sec!iar: ~
pact, Q i
''arye 5 Wlairl'e.7anca ln`ormaY.`a^~.- .
Pace 6 _ _tu5anacy'er,)ent r'lan
'age 7 S' Crdjx Ct~Se'pfic rank -M2irstanarrc_ e For*n
ge 8 - :+larrenthDeed
gige 9 _ _ C3M a Plat
it,tTaGhmPJniS' Soil Tae-, $ 11014se Plans
f'rs iv I ~y° wmir=r
~++y QI~iT~e r1, Ur.En.Sa Number.
have Number _qv L
'irgr:ature ~
' ~ tt - ~,;...-r•n: 'a., nr op.~~n •..Sia,.J. ; P!:(t'C°.l, ~ 'nr O V[!' i
Map
~yAti S1,bNu~,~ klo)i J
The GIRNS c,~ Lz; )lou P- a ;ems
L<
9 3 "10
a ~~V,,I , r y
w~
h 113AWK
Tor of I n
Stud Icl
f~ pp CLyrvr;.
I
~ ~ QQ Alt
vU ~ , ~Cn r~ , \ ~l~ VPhxe~
vt y
rP F a
P V c-
F',v 7o0-o
- P4- -';c06:dthP 40
HC vent Pipe i Final grape
Will)
Leaching -
Chamber L( ~ 1` l
3 -System( pewtlon
~xi[! A43siarpt%csr~ y r
IIM
- ~ I_c~aching / -
f t•e~ch i
Ply, 1. IIl1?'~1[!1
Trench 2~ 4^ Die.
Vern OF Obwvat90n Pip, Header
1 i71" 1" 1!.11 f1 E 1
1
MMufactuRar And Modet _ ,lr
P I
EISA REttin h
4:_ Stj it per baftS ~t 1 l(' Cha(FIbPt
Soil APplicallon Rate
-~-5 !?Pd Design Flow : a-' . ' 8Pd/sq fl
ni, , ,application Rate F
F-:l _ Chambers
a 8 rave of
O"ambe
-rs each,
Page - of
Technical Specifications
PL-525 EFFLUENT FILTER (COMMERCIAL)
nreal~x I
[u a 'uc f ~ f
\ ^ it
*01,
I T /.i I
z31:
P.-52S Fut<e f3a ANC
P7UU7 sr ! ;
YATIOA1
!F%N
Xr-:76YSNNG
tEmwl~
ic\ I
Ow WL
1 iss -
f .1.3w~
f
1
• 1 I°I !ol .
_ _ Ifni R« I ~
+QTtil(Pi~i;iFL IFH I'A?'R J:~
P AR' Q 30141 ?2i
F;IAW.Li,' 8: iUib:F,iAt? I•I.tLFS ~_f.. =Fa _.~r,
at-vic Tani. Cepaal".y NA.
Fernir y aantlo -tank MenrdfndUn'ar W 1 C N N G NA
E r=PSFi f S Efflvem Mar Memdea!ewor u ~ Ci,uA
Fd'_rnltar c P~;!rJa-s ! j _a 14-A~ Er'tuem FS:ar Modat Z~ !M- NA
1-"
NA
r=m5lr of !'s:blic resT,-ty unit A Pcra? 7unR Capac* _ a!
c ratad'.[av; favarage? 300 g--ucley_t mP Tin P:,ennacutm NA
asig r.c•:~ (peeki, icstitn4.=., i.~7 U aiPump Mnm_faG:ur& NA
NA
Pump W=101
=g" 4bpGren 'a".e Ge:r~B'?(f'
e ' cretraatrr.ent Unit NA.
V:an•.it • aver n r }
;:snda;dlntuemlfi?fuam' sXty } S❑S2rd/Eraval r`~rP!it°
o l a Crarsa (FuL_I 590 mgfL i
Bidahe!nioal Omvgen Demand (aas;} :9M mo/L ❑ NA I G hg !sae c ! Aerstkm G S'k"R nd
! G i3 air scion G C~1ar Z
'i ozi susce.^dad Sci!ds rae) . 51 ~0 rg& G NA
ora:rex.ed ~4efr, G!siiv~., V'onrttT,' avera6e C , -'is:~8r£e! CEIIIn1
! i 'r~?rCUhd i0~'avi.t} s7 lr,4ramd lpram'llest}
9,znd (rc6IIe1 „S'- r.'.tt.
a G hemi a( Oxyn l G F
G
=dSaa . ioS} ^ gt a aA' nr.ip33
=J9
*!2:1 Sutar-esd _ ns u Mix,
Of," Carctn'n (se aYliC
Fr fn227S! I -r i ot~sn
= 'Yinda. 7,aA'
'A
r.:~jaXirfrsrr+ GT11d8fR ParlafE .S'S9 P, '
cnY.sr-
a=1~~.
'.'a!ues t?a!a~' sc: Sa,ttic'1r'n+Ar.>tvzv st:f eop~ - - .
76Mk'B'1•At'_SrNaDUL - 38r~1tC?irfi9zlaa
ea . l a. ,r t s yam) L1 NA I
At iaaat coca svaYm. 311
TH~ G NA
ref ect aonsr ci ank(-! ea,a^c <'rlyd 1~c} st+ank volume
When adzh.'med ShW9e ezal eum
Pu.np 0114 ran eats o; tanklei p ,;;SncR"») IT fFivtttm =Vim} E3 NA.
I Ya !'sat 3T,6a finery:
Q MA
Irs tot disaaraai aaV(a} _ ~ ~b~ 7 "I
4 r
}---I AL!eas onra a afv
_ ••^..iii.. - 4 ar:;n.;
af`iusnt flrar NA
A^. iaspt once WYY
C iispuc: puna: pvms eortrois & d;a-m ;i~„^t,a S! NA'
Ar I"m once eva,y:
♦ Fr.;aho ar't yy-ssruia nY p,•tis: NA
utlt•(: I 1Gsv once sverv: tr
_ ~ NA r
h?AiR?'_RAf= !NTMr ;-iARtS
insraations of tenks and daper3al CoTs! sh2!'. be ace ay an tact irdua aarru~9 Cot LhC 'TdifaW g fig mttuessm W g or *
ESSSr ?1um'bar: ti`ara:• Ph_-mdef tias:rlcew q;mrer; !T0r1d'S ?-:spaOor? P04kTE k 12a1l18ig a m armu or isalm,
rh
a s4oF,eY thp. grAUb' 9 r &G8
inspe ons r_us na!uda s v:svai naps Sa of r,4e tark;s' to itenti y an), missng or brakes fta d
~asm~re the yaU~na ec a6•Sfbined stsdv a^d actor and to trees for snY be m7f or ~wa~nY$ ghg:Y `Af 8Rv paneUmo-
i ha d:<parme ae!4s} e5a:i be vista=1~+ itl smd -r ;YE=!:. Zee 2:'iICiE.'f. IaVa!9 in w.8 m ayn~2an p
ef:".uert Sr the 9raURtl gurfaGa', i bending 3t e`.c:u3,: an t"a 9raund s:rra~ may tn2ia$e a fa!Irc asr '4'An and ~quu'es the
imatedlem not*?ioatten of :he'.cesi ragut='tsr? e1.11 .^6rrt'J. of cha _.ank veiys.MB, the 4T06"'4
WhLn the cgmhined s~srn:utsticn of Sludge and sasst! in a;ty'tank 8919 arsttdrd.t31 a
CarrmtS of ::76 tack shell be rsmoved by a S, gaga SEN-laing Operator and dispcsad of 'n aV•arden6s vAth ahapsar NR 113,
tM[srmnain AArnlnfsrratiWa Cr!da. !rn' an8 atreatmant
~ yt c: P
All a-ther Units, am! any~sa•-v16'scant~' 'but W, crves a45112 maortho eh_e ashs;l be pert rmad Iby a Ceri ed ?Mrs Maintmner,
A senrt.^.d raper. -her be prov'dad to the toeai mutgato-f tfAtamy mthlr. 10 davs ac a7frtWIZOW c1 aft:r swti oanw tarov
STARTUP AND OPERATION Page of _
rot new Yrlstl-J]^ron, prior to use of the FffyVTS rheck trezb-Re. t terk(s) ftr, tho Presanca of PMinting praduety or other chem!eala
he' may impede the treatment proosss and/0" damage the dfspe sa; c?JI{si. If high ceacentratla,^s am dascted heva the contras
of ,its tank(s) removed by a septage annlloing onara?or crt=to use.
S,lsnm star up shat not occ= river, soil ccndz'ers.r frozen at the !nfPcrerive su; fare.
Durin.5 poeia: cu:_gee =:rnp Mnkc rn y ;III abave [Dana! hie!nvet:r levels, When power fe ramrod the Zxaetra wastawatcr will be
dfsche-;Rd to the diapaRal cell(s) in one large dose, overloading the cell(s) .nd may result In the backup or su.;aaadischarga of
effluent. 70 avoid ils si:ua ;or, hEVa tie rcnterts of the purrp tark ramovsd by a Sep a SMI.It,
power to the er'fu" P=. cr contact a ?;hoped cr PDIAgS 1"Jalnt*iar to ass€;t in, rrmrtval! Gparat-e prior to ro;gt to
restore none levels -rifthfn tha pump tank. v ope-rating tfte tamm p p c ertm:rofs to
Da r.at drive Cr park vehio'as oyes tanks and diapersa! eels. Do not drive ^,r park over, or otherwise d*.arb or oompaot, dta area
withir, ; 5 fart cimmn slaps of any mound ar at-grade sail absorption area.
Reduction cr e;rmLna;ian of the following from the wrs-m;cstream may imarova the ppr;ormance and P:vlong-Ira Oft of the
PDUlrf3: 2rt'bict!cs: baby w1 pas;
fcurdetian drain re nicarette ottcn »abs; , or easers; dacel floss; diaaar di fL tait5: sit;
unp pur:tp) water. fruit and mpo s" i9 peslings! .;as'ler er baraasa; ketb;cidas. maa3 r-..raps; IdICrL%ans c1!;
nalr!.^.9 Freduo~s pesrticidea: sanitery~ naptirs: rars:pans; and wa:_r sassarin^.
ASA,NDON,UIEN"
LYnan d-a =ObVTS !ails ;ndlcr is ae.-ranently taken cut ct service the following steps shall !ia takan Vo jM3Lrc th,t the svetam a
c-aperly and safety abandoned In compliance wlt , ab=mar Comm MM, Wiscarsin
Adntir2strativa Code!
• AVi piping to tanks and pits 6`aL be d1sconnected and ;ha abandoned pipe opanings sealed.
The contains a a.7 tanks znd aim shzE be rsmovad and pmPerly disposd a? by a aeptagn SaNrcmo 0=reV--.
a Af tsr ..i ins and pi„ s:,zi: be ;xoa r e_+ and -,eved or fair cdvera rar,.a!'d and if. void spare titled wl;n
soli, gr-vai or anattrar fie. se!fd materiel-
MiNT!NCENEY PLAN
t'fta ?Ohre fel-6 are canner be rezr!rad : h '.allo+,vfr = maamims have Tenn, or mom: be tarn, m provide a code =m:-Lint
-.seaman' :vstsm:
91 A suitable re;.:=_P ment eroa has bean evatuated and may be w2zad for the kcad~ of a rap.~semsM soil absorb[
svsrom. The re leaerrent urea ahcu;tl be protected f.^am disturbance and compaction and should not be inMmgod upon by
mrulrad catbaclw from ex43':IR9 end rc used
F sGn:ctu,;; iaL 7w:es and Paifwa to praiett tae raplacamant arse vain
res_ l: in "ha need tar 3 new Soli znd site evSJJatfon m azrabio'h a suitable rep!acernant area, Rap!ao ment sys ams must
tcmp!v vr'.h tho rules in effect at that fine.
G A eutahle replacement area Is not available due to satback and/or soil l »afons. aarrIno ay!van:as in PORES
:acuclcgy a holding tank may be installed as a isst resat; to replace the feCed POWTS.
Tina ±ite rnas riot been evs:,l Pd to :dencify a salable rapl-zamact area. upon ra:ira ar the POWTS a sail and MU
evarue eon must ba parfmmed to locate a aultab!e .-ePfacamar.t area. If no raplaca.Rlerrt area is ateilebin a hording tank
maV be 'vrst;;ad an a lest reso:r to reafaca the faliai POiFITS.
n &,•Iotnd and et-grade so!1 abscrptlon systelrs may ha -3conStVcted in pdana wilowing removej of the blOmat at tha
infi;trews aurisca. Raccnstruations o8 rush syctams r:ur eamp(y with the rubs fR effort at tI-et iitr•a.
S EP77C, PUMP ANO 0799-R TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR jH8UFp1EL=NT OXVGEN, DO NOT
xNTER A SEPTIC, ?WJIP OR OTHER TREATMENT TANK UNDER ANY OIRDUlViSTANtS- DEATH MAY tR„gL1T. RES-=E OF A
.'ERSOP: TROM THE IITEASOR OF A TANK MAYBE D5:ptCULT OR 1MPOSSIPLe,
a:~DITiONAL COMMENTS
70%M INSTAUER wama ! 1 P4vJ MAtNTfiIN r1
1 vim!" V uw+'`Q -P ! P.1 Name Phaaai
Phone.
-p~A@E SERViCILG %JP~?,b,'~~,. I?~ n. aces ,
ecAr R :caTopv
[tame -!am : f RntYCar-r
-'zp..- JE -.Mr DP=>s-ia.'.
?Ea
rar nzvn const-~Iccien, prtn^xa ;isc a?xbe = ct
M"17,8 c bcc: -
uzsx,•;:sn, ,il:tif far a,c pracancc of a_:rt`;
-hl, mmY !,iz) ra1e toleY:aVEd zrEaS;ian: P[vQaSE a.'ai/Qr F.etlr a
a' Yf 8 is1i51 cF . after anerricnls
dama~a tsla diparae; G2il(.i• hfl; : can-1-ratiQr`S
h E 4nQ 0
Safi C 59r J: Erg d6:_+c2 h?V9'
n' Qr. :1 m USE, cP1:3nL.
.-117 err. S:~-= pC fhct l:.' C]~r ~:'j15n Sul; covd:E!Dr:F 51z ,'1Q?°a 8' irr=?,?lil[^`IVd QU: °~CQ.
iri; ppr:,_ ~;Jy=•SC^ r^TIp :9'IK~ I:1 R• :!il Cw`DYe The :Wma! Iti9nwAt^ ;'wcGv. Lvc9r au'.vEr 1^
dlechar w'll be
= _ I`o4tOr4G ATE L~ ~J~'TdNIC-y.
t- aveld aiso ?h(s _;3 c61iis1 ir 0175 !2.,a doss, Qvarlcadlnr the call?g! JYu
Rd :~x, ;.,ycl. t.Se , oqIr~p
rica::~. c r. hsvc :r= aQ -
stw.-To
zev✓er. ¢a n`ra sfi;r_*'=nt pa?Is Gr _ niE:IL; c' : e P:trc 5nF rcrrrovac ay a S3 ,w ar su:-„%_.msr.,Fa:ye Qf
.=car6 f?Ve:S : ( I acl ac. E ~lUraa'r ?p'y'!'?~ :L"2!?^lner 2P aSS:E: :sit'..Il:.~ J.a ~tcr ari:r :c r65ia
%1 f' "-nE pUP.'p Tank. aParfir'1?c #(tE p:u:1L' J'~II?!'C!9 "<C
7c -1-.t dr""lee Q; p>;k voric''s. a,2• tan-t as::!(spe«set cabs. Dc no, tl;Sre ,;7 c5r< over, or Qtheraaira dsvc: er carrc~ • Lk •-lye .;:chin i? test dorm slope sf cnq' Found
cr ;r-8."ado scl! aCsarj:inn
~'uctL c,- c;rn;-„>•u of tnE fQ1icF _ a.
n. fron- ; >,v Co _aieve:er s:rasn r=_c i~r~ta>L L%le pErfQ°-~lessre a:[ era'ns ^e i;- Qf the
- ria° r v; wl,-.ss; eic=_;atta ~c+!s✓~,15ar^ eQY. ? wd.c: d nz rr, dst^°
'Ei nlhn p'tp*el• fauTS Murp) `.•:ater: , i: end vE23r t es+?nna Gam Ilna; 'razca Herb., °!feTdia r .?•a!}'a; 13Y;
. pssl„ c..EG; "ripen; C.16 vuet_- scf;:na: ~r{g
t^r'e.-, xaE Fov rs la ar,d!QY s p6rr^~nentl; ?-ler am. a° sarvic_ ?a ;QI!cm'lcz s
.rQrJSrrg mad
sa:sly absndo-o in =.rp,ian= -Ai.t c -'fir Comm E,. . 1t:'i fps roll die uictrz r i^stre in'_- iae syE; it
-4 t7;b7fZZffIVj: a:
I Al' pi::: zas ar' ;,izE shat! Se r'isazrme ac :r.L 'he a ascona~ pee =5,.,dna= sedlet:,
c:+'u== cf a_1 ^+t:E ae ;,,lm she,., ae -.e-1_vaz~ ane ;irceariv dicansad of S; a 3z- e _sv aIr.7, s:
or a^c v rnar: m -'ar,G;. 3 'a" anc ha v-id 4aama tTiie' vvitr
rnsn: cyst r : t n.- bt, caL 511..wfr._ mEzS= a n_ cam, ar rl= at .r=r..
91 aystemislei~;~l~ Ent as haE boar eatua:od and may- beIri,L:aC for t:'Te ftoe n of ^sr,:.~ se ass-acv.,,,
a c - n ~irc'J3 p °
_mz-a m: cf•IS:u rb=rl^e cnG - 4 r r-
mTjk-m aC 73 4c frurn s `I 5 3rL G G iG a a ou!d P, Ir. near U,.
t✓p of S~LC'til c- ia: i61E3 and 4i 6,15 .at{„!E L bY'w'^ t'j raplacGnan r75c MM
re9U). .^.i Lf2 the t?:« c n ,I aaG Its K tisicr. 2] E,eiab ;e a a4'ii51!a 'ep!zc:n•.aq. = 5,;, 0.a2a3Camc 3ysiem2 fnugt
C-^.^~!+r m•?;I; :ha ':1!:6 'r.^ 4;E5=`
J . 5 4io I= bald_5 ,Ti? m(er a6 in: mfl.dls5 1s
in.s 5e@_cr a:.c;cr soil f.,:1=2ear15. ?achy G-tiareEe L: POI;J-g
a x rESZ- t-:. repiace the feud POW-1-
m The Ste has ac,: hoer, eve,ue, d ldomt-f- a sJ abls :ep a
avaiuslon m=,- be pr!r;mP :o JQCa°.a 1 c::cr~:; mraa. : I3cc mJ a ci the POD
:ray be i 5ta sd as a iris: rest c sulta6la aclaca!r(ant e'ca. If ne rapta,:str;e:IT ares is srz aSIr a snit snC s7te
J R r6r3:c„='h~e fdr't:-'d FIDVl?a. - h_fai,^.r -snk
a,:°.clmd ano, &i-R"sdr- bail arzapptiarl S+
Inilr:t'°.1Y1M_ a.tY l3Q?. SLer::S .."Ali r ~~n_^.5t✓L'!~..?' 4, plums-_ •
Psmonstrum cats c; such -in. e-, = tltaL,'~ the bi+)74t E; ; :a
muse eampty with the, :tiles in. 6r'~; a: t(<at h
'B✓kRW1!N,'C> >
.3EPi(C ?WVv ANC ^ P TREA
jyzY
SEPTIC. Ul',",P UP, Orrri=- 7RE f+:PK~ ru :.cTrifL G S82" kN_;~F &t$Si;v,,A L3,B i.7. ff-• l= A?
C•.-'.3~.". -^'ll'~LI ...L L~TL9,«t'3 k..: `Cf u-
& OF , TRFd{( &9k"i 3- Dt:=~r -.v:-. .~;F_T. ~S .3U= QF li
CULT G? i'IFOS9L°;:5,
F.DDITFQlti,9L COfJ.gdENT-~---~__
PDtIJT51.`du~-.AL~~ _
T PGi1vNa &9kfM1Td{74g
~f f Wnone ! -
S-P:,at?_
j (u=rr~ 1 ice: 5=r^Ofi~'A~:r:6?1~
CIE
T (::e ea c'it r 'Im"ac L: =-r
^]c?ncs m~ri: ,c^a r,:.r_7u~ 2.22 •p _
~-..,i-trt: ;;E.(r. a-a °u.c4;9i: IZr N• {3j.:vis_a:s!n a.
SLPTIC:'I:ANR M.ATN-F"N NCF A( RF.EWN I'
AND
C)WTIER:SIJU' CERT'WiCATION FORM
Rt[ai!ire Addr°ss I ~a✓1-~_~~ ~ 1-+YC. _
Property A ddress _ _ y 2S t~ S a ~~'e
i c iticat:i;m -u~uirec Sn+:n *'lam:urn ti Zoning Departur
e t. r tires corshvetinn)
V
CiR~;Staic ~ Parcel Tdentifica>-ion Numb:.r
LECT.NT. DESCRIPTION
Propct-, y 1--oz-lion Scr (O . T 3 0
-_iv k ~ p _\rt, Town of ! C_r1n_lLN
Silhdivision Plat: T~ r ud'ni S 0 Willow V' Ally
Lit
Certified Survey bIap _ - - Volume Pave P*
NAVarranty Deed # (before 2007)Volume Page n_
Soec hoi:V : yes D no I.Ut ;ire; ideetifraile vex un
SITSTENI iv TENANC'F. AND OWNER CERTiFTCAT IO
Improper rise and maintroance 0.,your septic System could result in its preirmlirc failure to handle wastes. i'rope.-
main:enarcc ronsistx of purging Out the septic wnk even: three years or sooner. if needed, 1>y a liccnr. i pumper- What you pm into
the system can atTrrt the function of the septic tank as a tnsta•,ent sip.?c in the waste disposal sys'Pm. Owncr maintenarce
recpnnsil-•ifiues are sner..iiicd it GCnmm. ",12(11 and in Chapter 1: - St_ Croix Coun:y Sanitary Ordinance.
The rroneriy owrrr aorees io submit to St_ Crnix Counry Planning & Zoning Department a ce .;Vcation form, signed by the
oencr and by a iraSter plumher,jot4-neymac piu;rbcr, restricted plumber or a lirensed pumper verilying that (I) the on-site
wasccivater disposal svstnn is in prayer operating condition andjor Oer inspection and pumping (if nwr ,ssaty . Ise Septic tank is
less tiiac 11-', fal l of sludtg•.
Uwe, the ardersignM have read the ahove requirements and agmc in inainwn the private sewage dispnsn! system with the
standards set ;o,, ah. hcreir,, as u: by the %pa;tmcnt ofConimerrr. and the Department of Nantral Resources, State of Nisconsin.
(TrtiB:zrinr. string thai you: s^;iii:: sys:cn: has bi. cn maintained mua br cornplrted and ;crumrd to the St. Croix C+iut:ry Pimitiing &
Yvning Department withia 3L) davs of the three year expiration date.
Uwe certify ::rat alt statcment3 i this form z-e tnic to the best of myvour knov,-14ge. dive mr./arc to owner(s) of the•.
property descrihed aboroc, b}• v'nuc of : warranty nosed rworded in Regisu-,r of Deeds Office.
Number of rooms 9. - - , r - OF Aar LiC
DATE
"`Ar...y infonrixion that is nit, epresenirxl may resuh' in the sanitary permit. being revoked by the plannigq ¢ Zoning Denartrnent. *1
].,:Jock wits ehi< a}r.licanmi z rernrded iva-anto deed brim rbe Rc gistcr of Dccds Offrire and a copy of the certified str. Vey map :f
-c{creme is made in the
'Am- deed
(RSV. two-)
9124'7017 non Lot 60 ! Docrun
r.°°ow r,o No rw m~~:,s~Crc to sipulwz_.
drn. n r i1 [n:. zh:.,.
r-' 176.12'
207.95' leg-09, 3, - 127.59' I
448.47' 30' TRA/C 93&5"
EA$&1IENT i
898'48-E 918.88'- - H3}~
m
I -
LOT 61
1.933 ACRES u
84.209 SQ. FT. NO I
LBOa941.0 LOT 60 O
w1 2024 ACRES I °
- ? 88,165 S0. FT. N
LBO-9420 I IJ
A I
O
I m
• I J
je .gtie~ I ~
C4j \ _ N69 N I
LOT 59
1 1.51 ACRES I
I 65.789 SQ. FT.
N
G
IrT
m
N84b9'49'W 456.84' ! I
- ~ 241.98' I a I
r / 214.86'
~ I
LOT 58 j
1.538 ACRES I
66.998 SQ. Ff. o ( I
I RfD.955.0
ntt(',ti lhtnr': uf~ candpmbuumeesteUereth'vl.'+n,nl-lat-ida
~~sconsin SOIL EVALUATION REPORT #lass
Department of Commerce in accordance with Comm 85. Wis. Adm. Code Page I of 3_ _
Division of Safety and Buildings Schmitt Soil Testing, Inc.
Attach complete site plan on paper not less than 8% x 11 inches in size- Plan must County SL 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 LD. /
P/easopri all i,~fM~1 ! 69
"IV E D Revi ~ By - Date
Perxnnal mrnrmal•on you provide may ue u d for. rAndary puipows (Privacy Lilw. s. 1111 r 1) em))
Property Owner ~ f P 2 6 I,Q JI_ ropeny Location
Sienna Corporation ovt. Lot NE1/4 SE1/4. S18.T30N, R18W
Property Owner Mailing Address J i 11 . -jji ihl rr of # Block # Subd. Name or CSM#
4940 Viking Drive Suite 608 60 The Glens Of Willow River
city State ip LAC Phone Number city Village Town Nearest Road
Minneapolis MN 55435 Richmond 100Th St.
New Construction Use:. Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement Public or commercial - Describe.
Parent material Outwash Hood plain elevation, if applicable ria it
General comments
and recommendations: Area is suitable for a conventional system with a 0,7 gpdiragR rating. Possible system elevation for Area
1 is 93.70'
Boring # Boring
Pit Ground surface elev 98.37 it, Depth to limiting factor 110+ in. Soil Application Rate'
Homer Depth Dominant Color Redox Description Texture Structure Consistence Boundar✓ Rcols GPDrff
in. Munsell Qu. Sz. Cont. Color G. Sz. Sh- •Fff#1 •042
1 0-10 10yr3/2 none sl 2fsbk mfr as 1m,2f .6 1.0
2 10 21 10yr4/4 none scl 2msbk mfr gs lVf .4 .6
3 21-31 10yr4/6 none Is lmsbk mvfr cs lvf .7 1.6
4 31-41 10yr5/4 none cos Osg ml gs .7 I 1.6
5 41-110 10yr6/4 none s Osg ml .7 I 1.6
I J
eN y2'
a Boring # Boling
Pit Ground surface elev 98.37 it Depth to limiting factor 110+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundary Roots GPDr1V
in Munsell Qu Sz Cont. Color Gr. Sz. Sh. •E##1 -ettaz
1 0-11 10yr3/2 none s t 2msbk mfr as 1ni .6 .8
2 11-18 10yr4/4 none Sid 2msbk I mfr cs 1Vf 4 6
3 1834 7.5yr5/6 none grlcos Osg ml gw lvf 7 1.6
I4
4 34-110 10yr6/4 none s Osg ml I ~ .7 1.6
f 5~ i
Effluent #1 : BCD,, 30 220 mgiL and TSS >30 150 mWL ' Effluent #2 = BOD. 30 mgtL and TSS < 30 mgtL
CST Name (Please Print) Signature. / CST Number
Thomas J. Schmitt I-- 227429
Address Schmitt Soil Testing. Inc. Date Evaluation Conducted Telephone Number
1595 72nd Street New Richmond WI 54017 9/15/2006 715-247-2941
(n U...liN O,
Property Owner Sienna Corporation Parcel 17 # 60 Page 2 of 3
❑ Boring # poring
pit Ground surface elev 97.22 ft. Depth to limiting factor 110+ m. `Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDV
in. Munsell Qu Sz. Cont. Color Gr. Sz. Sh. II 'E"I 'Fff#i
1 0-10 10yr3/2 none sil 2fsbk mfr as 2vf .6 .8
2 1022 10yr4/4 none sd 2msbk mfr Cs Ivf I .4 .6
I
I
3 22-30 7.5yr5/4 none Is lcsbk mvfr gw 1vf .7 1.6
4 30-48 1Dyr5/4 none Cos Osg ml as / 1.6
5 48-110 10yr6/4 none s Osg ml .7 1.6
I A
53
❑ Boring # Boring
Pit Ground surface elev Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD4V
in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EB#1 'Eff#2
i
I
i
i
❑ Boring # Boring
Pit Ground surface elev. fl. I?epth to limiting factor in. Sol Application Rate;
Horizon Depth Dominant Color Redox Description Texture Structure Consistence' Boundary Roots I GPDW
in. Munsell Du Sz. Cont. Color Gr. Sz. Sh. •Eff#I 'EB#2
I
i
Effluent 91 = 80D, - 30 220 rng:L and TSS -30 - 750 riq - ' Ehlt,ent #2 - BCD < 30 rrigL and TSS 30 ngiI
1lie Department of Commerce i+ an equal opportunity service provider mid employer. If you need assktrmcc to access ;rrvicc~ or
need material in an allcrnale formal. pleaw contact the department at 4108-266-31 i I or 111 6I8-264-87"
SnD-N3]n iRf-A I
4}~nN GUI IcsbM, Llc_
Pave ol,
('o ducted hv: ('UIId LICIC(I For:
Schmitt Soil Testing Inc. Name: Sienna Corporation
I homas J. Schmitt. C'SF 227429 Address: 19.10 Viking Drive Suite 008
1595 72nd St. City, State. Lip: Minneapolis, NIN 55435
New Richmond. WL 54017
Phone: 715-347-2941 Suhd.Nani : fhe/Glens of `MVillow River
G•
ti ln:t,ure ~rn..e/ J, Lot No.:
Legal Description: /'✓'L= 14 SF.I:'4 S18 '1 'ON R I8X
Rackhoc pit Tocauship, County: Richmond, St. Croix
t Bench Mark F.I. 100.00' Top of live pipe
1licrnatc Bench Mark lit. /77t _ Top of / 51.
Contour Linc lit. Contotu• Line Length /✓f
Slopc-
32
Scalc 1 40'
~I
5L,9v
a'
t r j\ ,i ~I~
j4
f I /jv
Paz ' ~~~'3 L~ SY
C I~ q
C~u s' I 11 ,
t~
This Sol 13 Yilc I ValmllIIoll ..ys congtlNpl to liilliII a r,,nmg mpoco.col 11 may or mac not k in a Incrlum smlable lot you usc.