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S ;unowV /voBa;e3 epoO leloodS -lash :sleloedg EES :# 4o;ea mea uol ;eounm L :Iuno3 w1e10 :mpaao Aaano 0 0 000'0 puelpooM 000'Zt?Z 001'80Z 00£'££ 01,9'Z f4+edoJd leaauag :"OZ jol sle;ol 0 0 000'0 puelpooM 000'Zt OOL'80Z 00£'££ 049"Z Apodoad lejauag :SOOZ jol slBlcl ON 000'ZVZ 00L'80Z 00£'££ 01.9'Z Lo WIN30193N uoseeH a ;e ;S le;ol anojdwi pue saaoV sselO uol;dijosea £OOZ/ZZ /170 :paBue4O;sel muoljetlleA 0 :4ilnn pessossV :enleA;a)laeW .sled :# ilia Auvww s SOOZ OM £Ob/889L 99ZZ99 LOOZ /LZILO edR1 aBed /IoA # ooa aiea :/;aoislH laoJed :sa;oN M8IL (tq 09L tV /6 oil 6 u8- umj_ -oeS) :(s);oejl ` 1,9Z Vo9Z /6 WSO :Spin opuoO/)Ioola =10 9101 JNi38 MS MN Id M91,N NOEL L 03S 319VIlVAV ION /N :;Bid 01,97 :sarob wopciposap leBal 311M OOL L dS 1Si0 SVH3a MO U3ddn OZ09 dS ONOW1-13I8 M3N Z96E OS 00 ON Xuo bOt'b 1. uol;dijosea # Isla ed/;l AIBWIad = :( se)ssaappV AvedoJd lepedS = dS 1 = OS :s ;ou;s!a LL0b5 IM ONOINHOIN M3N 90 ON u0 Vot'L 0 W1M N3110 0 VIIN N3I10 - O NOSN30NV l (1001 l0001'NOSN3ONH jeumo -oo luejano = o joumo tuenno = 0 :(s).ieumo :ssajppV xel 0 00 adA.L IlwJad # IlwJad # uol;eollddV eaaV sales # deW elea 180IJ04SIH a ;ea uoRM3 NISNOOSIM 'AiNnoo XIOaO "1S ; j(! ;uejanO ONOWHOIN :10 NMOl - 9ZO OL LO :# IaoaBd 'IIV L d0 L 3JVd INVVZ4 5002/W/Z4 060 06 la *Jed I Wiscor Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety an Building division INSPECTION REPORT Sanitary Permit No: 395220 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID N Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: Village X Township Parcel Tax No: City Derrick Construction Inc. Richmond Township 026- 1001 -90 -010 CST BM Elev: t Insp. BM Elev: / I BM Description: _ tCyD,0 (�p.c7 � w = CST" BAlk - ( TANK INFORMATION V ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark tdo-o Dosing Alt. BM b Aeration Bldg. Sewer , / $ 2 ! $ 8 I Holdin SUHt Inlet S 8 t� A l Q f TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet I Septic ' i f Dt Bottom O Dosing Header /Man. Aeration Dist. Pipe �j p Holding 0 Bot. System r PUMP /SIPHON INFORMATION Final Grade Manu turer Demand St Cover r M 5.q3 v if Model Nu ; TD H L ' Friction Loss System Head T Ft emain Length I SOIL SORPTION SYSTEM ENC Width Lengt No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 LZ ,Sp G- C SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Man a rer: INFORMATION CHAMBER OR S� Type Of System: 3 3 , UNIT Mod I umber. C,t� 8 DISTRIBUTION SYSTEM Header /Mangold f Distribution x Hole Size Ix Hole Spacing Vent to Air Intake t k Pipe(s) 1 Length -- VZL-Dia ` Length is , O 80 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of eded /Sodded Mulched xx Se Bed/Trench Center Bed/Trench Edges Topsoil [m Yes [] No xx ® Yes ® No COMMENTS: In a dis ersons resent etc. In #1; D / Og / d Inspection #2: ( clud code p p ) p Location: 1730 140th New Rich ond, Wl 54017 (N 114 SW 114 5 T30N 18 ) A Let�p5� Parce No: 01.30.18 A40-� 1.) Alt BM Description �'e���� Q l u o - - M T S 2. Bldg ewer length g 9 - amount of cover ? SID 3) lQ �l°nC- F�, 1, a • �s- ° • y Plan revision Required? ❑ Yes No 6�i Use other side for additional information. (L Date Insepctor's Signature Cert. No. SBD -6710 (R.3197) see mmu SW &W wft Cm= � %f di. swkadm PO Box 7302 . �"o •' �On f eesoaaf Ym ponds my be mad for n=W y paepoaas ►+da UMP. wt 33m -73;02 P%va-7 Lxwr s. s o�(t) jra)l (&An* caaWkbd tuna to coaaty if"ot . A ota not Wat 4 x t state awned. L A t�tlot+� Inf atlon _ � (' \� tea Pterts+ Prue atl Inforaaatlon �, t , _ _ � /✓r y, i T3 Lk lk JWO w � /� X010 4u or CSM t Type of Bttttdiag; °(cltetk one) \ as o I er 2 �"PWAdCoMme No, ad Bedto ✓ d ,��r a,. 5 / p �o mW c3 S - m. T of araelt: c�edt owe boot � li:te !l. c3�Clc boot on into 8 if JicaWe �) :. 3. a -/ 8) S IM= Tale 3 ' oar to symm waa DeftAilia IV. Type of PQ'tVT ; (Ommk an that apply) O Moand D Sand Met a Cats nn" d Wedtand 0 T O U* D�� 0p�dwr� Y. D t Area tnfftuatlon: to o ROD sk"k*n f VW Ranh d� is TOW it Of Z fatten mar Prcfib She Stoat Fhall s+iaatic Taab �. (3oa- ,� � � twee . &U S V D 0 O O O �� staet�aent of tha t'OWTS sho+M oa ft atta*Ad PbM io Cl tlr.�ba� M O"MWDepa use ©nly `� 1 D fit► tea (taataae, taws tsp�ed "Vetaa tba) A+e IL /)t'k /tos ofpA �r arm / ter DhaFProvw: Z Z S, DO ZO �¢ �`tZ- I tcew� 'Fi ��t ► stn. f Xa,{/�a� � $� ✓ v o c�� e r ►u A,.�k / � � P '4-a -L wrPr 5 v c ONa � -e�... o� �►.s� -, s (1) 704 P. o .S yes /44�y 9j+c(G , N o 4 Icy -c ► op #� a,apS3 7 0 n� I A g� i Pia'l ' �.J ©✓4S�k`�io� N V.S ` � S� S l r 73t) N �� �� R too 8,., Tod o I DuC f op l� 0 w I ID CA i 1 �tx N E` s d c6 v; En ` �b CO N I b (0°- U C Y) O >+ tt1 tJ pp _ Q .�. ti � ° x I t r ; u. •� .� [A ; .. G C ;_ i 7 Q? C_ .9) N N O •� i O L to <A In i x S Y a . ` 0 U5 1 1 r t =f > d a o 0 . R Rf if LL co U X- a i ' Wisconsin Department of Commerce SOIL EVALUATION REPORT Pagel _ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 026 - 1001 -90 -010 Please print all infor qn - ewed b Date Personal information you provide may be used for seconds fki[poses (Priveicy Law, s. 15.04 (1) (m)). Property Owner Property Location Derrick Construction, InC. Govt. Lot NW 1/4 SW 1/4 S 1 T30 N R 18 K(or) W Pro p0 t v Owner's Mailing Address Lot # Block # Subd. Name or CSM# 5 HY. #65 5 na csm Vol. 9- p92504 City State Zip Code Phone Number. _ r ❑ City ❑ Village ® Town Nearest Road New Richmond I WI 154017 (715 ) 246 Richmond 1 Cty. Rd. "GG" a New Construction Use: CR Residential / Number of bedrooms 'Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial . Describe: Parent material Pi t Cj1 af-i al drift Flood Plain elevation if applicable na ft. General comments and recommendations: trenches @ ek1. 94.95' Boring # F1 Boring 1 g Pit Ground surface elev. 9 9.50 ft Depth to limiting factor ' 100 in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF E in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'ff#1 'EM 1 - 0 -13 10yr3/3 none L 2msbk mfr 2f .5 ✓ .8,' 2 ,13 -31 10yr4/4 none sil 2msbk mfr gw if .5 ✓ .8 ✓ 3 31 -38 7,5yr4/4 none sl 2csbk mfr CfW na .5 9 ✓ 4 38 -10 7.5 4 6 none ms Fit 9. u Boring ��I Boring 2 g rJ Pit Ground surface elev. 99.50 ft. Depth to limiting factor 100 " in Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 = 0 -8 10yr3/3 none L 2msbk mfr gw 2f .5 8 2 - 8 -28 10yr4/4 none sil 2msbk mfr aw i 3 28 -38 7.5yr4/4 none sl 2csbk mfr 4 38-10q 7.5 4/4 none ms Oscr trtl ✓ !� Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L >1114ent #2 = BOD < 30 mg/L a TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address baa valu6tion corfduct6d Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 7 -31 -2001 715- 246 -6200 Property owner Derrick COSt. Inc Parcel ID # 026- 1001 -90 -010 Page 2 of 3 3] Boring # ❑ Boring 99.20 0 Pit Ground surface elev. ft. Depth to limiting factor 100 in. - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -18 10yr2/2 none L 2MSbk mfr V 2 18 -20 10yr4/4 none sil 2msbk 3 . 20 -40 10yr4/4 none sil M. na na 0 .2 4 40-100 7.5 4/6 none ms 0 '' F-1 Boring # ❑ Boring �] pi Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L 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- 264 -8777. SBD -8330 (R.6/00) I - STEEL'S SOIL SERVICE Gary L. Steel Derrick Const. , Inc. 1554 200th Ave. CSTM2298 NW4SW4 S1- T30N -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715)`246 -6200 lot #5 -csm N 1 11 =40' BM.= top of 1" pvc pipe @ el. 100.00' alt. BM.= top of 1" pvc pipe @ el. 99.30' V� 2V p? 0 FT � t --7 Z Gary L. Steel 7 3T- 1 2001 I DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115 MADISON W 53707 HUMAN RELATIONS (H63.09(1) &Chapter 145.045) LOCATION: SECTION: TOWNSHIP /Ml1PC�TY: LOT NO.:BLK. NO.: SUBDIVISION NAME: NGI � ^ 7 1 1 / j30 H /R (or) W Richmond 1 n/a n/a COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: St. Croix Derrick Const. Inc. 1505 Hy. #65, New Richmond, 14i. 54017 USE DATES OBSERVATIONS MADE + NO. BEDRMS.: COMMERCIAL DESCRIPTION: PR FILE DES RIPTIONS: PERCOLATION TESTS: I83Residence 3 n/a New ❑Replace 6 -3 -92 6 -3 -92 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM -IN -FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U E3 S ❑U IS ❑U ❑ S EU ❑ S ®u conventional If Percolation Tests are NOT required DESIGN RATE: q If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n /a, Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 28 SIA BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) SIT — B-1 90 99.85 none >90 — ' 7.Syr4/4, l.s.; 38 -90, 10yr5/4, Co. S. 2 84 99.95 none >84 0 -12, 10yr3/3, 1.; 12 -29. 10yr5 , si .; - (C S) B- 7.5yr4/4, s.l.; 32- 39,7.5yr4/4, l.s.; 39- 84,10yr4 1 +. 3 87 99.45 none >87 0 -16, 10yr3/3, L.; 16 -32, 10yr4/4, sil.; 32-40,7.",- B r4/4 s.l.• 40 -87 7.5 4/6 co.S. B-4 86 none >86 99.03 0- 18,10yr3/3, L.; 18 -33, 10yr4/4, sil; 33-38, - B 90 99.00 none >90 0 -1 ,10yr3/3, .; 15-40, Oyr4 /4, sil.; 40 -44- 4 • 4- 4 4 B- deciaml PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER tS AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD2 P R PER INCH P_ 1 3.90 none 3 6 6 6 <3 P_ 2 4.00 none 3 6 6 P_ 3 3.50 none P -_ P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale cribe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevatio i, n t ® 'rection and percent of land slope. SYSTEM ELEVATION 95.95 i 1 6 ' A �1 � i l �(► } 4 , lo 2' 0 i , - N � E , E I F � ,�A' F j 1 3 , I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 6 -3 -9 ADDRESS: CERTIFICATION NUMBER: ; 5-246-6200 HONE NUMBER (optional): 1554 200th. Ave., New Richmond, lei. 54017 CST S RE: UTION: Original and one copy to Local Authority, Property Owner and Soil Tester. -6395 (R. 02/82) — OVER — , INSTRUCTIONS FOR COMPLETING FORM 115'SBD'6395 � � To baapomplete and accurate Soil test, ymur mpol'tnxct indodo: 1, Complete legal description; 2. The use section must clearly indicate whether this is * residence or commercial project; 1 MAXIMUM number nf bedrooms or commercial use p|annvd; 4, |s this o new or replacement system; 5. Cumcd,y* the Suitability rating boxes, AS/TE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED 0N SOIL CONDITIONS; G� PLEASE use the abbrev shown he for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations, [xamlng to scale is preferred. /\ sepal art rhme/may be uxed if desire(]; S. Make sure your benchmark and vertical elevation rvfrrcno: point are clearly shovvn and mu permanent; B, Complete all appropriate boxes as to dates, namem flood plain data, percolation test exemp- tion, |fapp,oprimm; 70� If the information (such as flood p|ann elevation) doro not apply, place N,A, in the appropriate box; 11. Sign the form arid Place, you, current address and vnu/ certification num � 12. Make legible copies and disuibote as required. ALL SOIL TESTS 88UST BE FILED WITH THE � LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbo � St — Slone (over 10") 8R — Bedrock nob — Cobble (3 lO'') 38 — Sandstone gr — Ge,o| (Under 3") L3 — Limestone � °o — Sand HGv,'J — HiVhGmondvvater os — CoamwSand Pc,c — Percolation Rate. medo — Medium Sand VV — VVmU h — Fine3and 8|dO — Building Is — Loamy Sand > — Greater Than � °d — Sandy Lnmm < — Less Than °| — Loam Dn — BT mwn � °sU — 8|t Loam R| — 8|ook ui—Sill Gy—Gmy � °6 — 'Clay Loan) Y — YnUmw � � ,;(:I — Sandy Clay Loam R — Red � sid — Silty Clay Loom nmt — 110otdo^ � " »c — SandyQav *{ — with ` ^ fm sic — GUty C|ny �f — x fi^* t ' fuin ° u — Clay nn — oommon. coarxa ~ '. � pt � Pm/ mm �mny, modium — — ' ! ' � m — Muck, d — di�dnot � ^ / p — prominent � I VVL — Highw*mr|*eL ' ° " Six general mii �xwrex ' surface wata) � b/ iinokJ vva tedi,unc | . ` B — Rwnoh Mark / _ ° VRP — Verlica| Refcre.00epoi/u ' . . � ° ^ ' ` T0 THE OWNER: This ooii tvst repmr i is the fins t S n seovnny a �ani:^,v par mk. The oo"nty o, the Departmient nmvequmst � vo,ificudo^ of this moil mst [n tho field prior to ;f�rnnit iosouncc. A complete set of plans for the p,/vm: snwaoa mmtmmand o p*rmilnp6icalk� n m:ox hosubmhtwd 10 01C iocm| audm,ky innuurto ob/a/na pnrmi!_ The�an/tury p�rrn� mu� umobuaiaod end po�mJ pdurtozhe omu n[mnv cnnstmc/ion. � � � � � Private Onske Treatment System iMsnagwnont Plan Septic Tank And Gravity 1n- Ground Soil Absorption Component Pcnsuant to Conan 83.54 VVis. Aft. Code each F%vs a Ormft VV*stewltter Trealrnent System (POWTS) st" tctude irtfmna* n and p oaxkxss for rneirrtskft ow system vimin the 1 1011 1 1 1 11 00913 0f +Comm 83 and 84, and the ONMars of approval by the depai tnent. agent, car grove ,, N,M k ai urrti. The appro%ed picas and permits for system mean f+le at the county aordrrg or health depeetment. TIft MwMgWmt Ow =TOM wdh Comm 63.54. Ms. Aft. Code. and Me kr-0round Sot Alimp ion Component Manual for Priv " floe Wades rater Treabfwj Systems SBt)- IOW7 -P (R.6M). Table 1: Permit Number Number of NX&jW Design Fbw • Peak ( Es*nobd FRW - A Soil ye - TYPE Of w4oftwow Oorrnerstic Table 2: Solt - Loft of Relfalnla SOPOC Tank Component &A Abw"m CwWmwd biiiFn Flow - Pbefc M+eodtritim kluerit Partlde Sine 118 220 Mwdrmm 150 T" 3: M■bibowr ae schedule Tank Insped andior service once 3 ym test FMw once a year and clean at least once EM 3 yews SON once wMY 3 Septic Tanit The septic tank stroll be maim Wiwi by an individual wed to service septic tanks under s. 2111.48, Stalls. The conlaMs of the septic tank shat be dosed of in acomdance wFIM Pit 113, Wis. Adr n. Cott (Servickg Septic or Holdkg Tanks. PunVing Chandms. Grease Infercepkars, S®epege Beds. Seepage Pits. Seepage Trendies. Privies. or Portable Rest, ooms). The operating oorrcll on of the septic tank and outlet lifter shall be assessed at least once every 3 years by ii►speollon. The outlet finer shad be charred as necessary to ensure proper operation. The filler cartridge sftW not be removed unless provisions are made to retain svdds in tine teak OW rosy slough off the filter when removed from its endosure. if the Management Plan for a Septic Tank and Soil Absorption Component filter is eWipped with an alarm, the fitter shall be serviced If the alarm is activated continuously. lrftmdWt #file alarms may indic ele stage tows or an Impending Count rtuous alarm. The sepb tank shall have Its contents removed when the volume of scum and sludge in the tank exceeds 113 the liquid volume of the tank, if the contents of the tartic we not removed at the time of an assessrnwt, mwftngnc& personnel shall advise on owner of when the next service needs to be perkxrtted to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, seem risers and Covers should be inspec led for water tightness and soundness. Access openings used for service and assaw" d shell be sealed watertight upon the completion of service. Any opening deemed unsound. da*x*ve. or subject to failure must be replaced. Exposed access openings greater thwn 8 inches in dis amAer shell be secured b an eflactive hocking device to prevent accidental or unautfior zed entry into the tank. No one should e~ a agpfic or other b ar hokft taut flzr any reason wWKwt befog in fUN oanplllanWe with OSHA sammlertfs floc Ong a eonfted space. The aanospham **W Ow sap* or othar boab+rant out Mddietg t� mstir ooRtain l►etNsef and rawaae of a pewsoa fires tbo kner for of rile I&* my be dNftu or hoposaft/e. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Abeorotl'arn CsmfQoneM The soil absorption component serving this stnrcture is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown M Table 2. The Iorfgevity of a sod absorption component depends greasy on Proper and *rtely Fnaintenanoe. and system use within or below the firms of Whit le q)eraWn. Good water conservation pradIc es by ON occupants and the Oslallafim of water Conserving Plumbing fixtures are luny factors in extending the useful We of this component. The soil absorption component's operation must be assessed by inspection at least once every Om years, The an on shell kv*4e recording the levels of pondirng, if any, in the observation pipes, and a vft uatl inspection for any evidence of surface seepage or dixhmige from the eomponW& On steeply sloping sites, areas of eromon should be Mwiffi d and r�oR6d to the owner for repair. The surface discharge of domestic wastewater or sewage frorn the system is prohibited and considered a human hearth hazard. TraffMo around or over the sos absorption component should be avoided particilOrly during winter mot'nthts. The compaclion of removal of snow cover over the component tray head to hydraulic fallum by finezkg. This type of fame is usually lemporacy, but is dWicuK or impassible to repair until weather cwx% Oms improve. in general. soil compaction over this component will reduce diffusion of oxygen into the sON and dispersal cell, which may lead to more intense, and earlier, organic dogging of the soil. 2 MarWgWtsnt p4gn for a Sepgc Y and SON Absorption Cprflp WW' PNWOVS of deep - roofed it iind sus ditKW over or vAv*% ton bet Of ft aor+�porrsnt Ojo% Md be avokW Sk" root Dior► into V* Cwnponwd MW Ob SVW WUNW*MW NOW. +rtt .j'L. i;tt�l IiJlllv = jb - 4 t?tf ** plumber = Calvin Powera3 - ',?461--' 155 ** Replacement Bi te will :_e that -�uil tested - -irea by * iteplacemer.t site gust be le-ft LAndis or° management/ contingency plan mint be modified and. filed with the zoning off ice, ou tlinin.tz the steps to be taken it, t�ve-it; c)f' : ept.ic. system failure. 3 " • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer C-6 N ST7LAAC-orj O ►.t Mailing Address -0 e2aX 44 c;, l e "C=V16 Property Address �' ^• • '�` ' n "^ ^ A� (Verification required from Planning Department for new construction) r'1�- C- City/State� Parcel Identification Number OZtn — W I G l — 0 10 — O t O \Ac 1C' 9 4 01'1 LEGAL DESCRIPTION Property Location V' eW %4, S W %4, Sec. , T ' N -R t W, Town of Subdivision Lot It Certified Survey Map It S , Volume 9 . Page # 250 4 Warranty Deed # Volume -hem . Page # k' w Spec house kes 0 no Lot lines identifiable Xes 0 no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and - by a masterplumber, journeymanpl�mber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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 Commerce 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 Zoning Office within 30 days of three year expiration We 1✓P J. e ;Z/ 0 SIGRATURE OF APPLICANT DATE OWNER CERTIFICATION I ( )) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope scribed ove by a warranty deed recorded in Register of Deeds Office. x� 4yo J�- z 0 SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed W.P.D. COMPANY MMNOMONCC PALLS, WISCONSIN 4 2tOOG �aor j v N -, 'STATE OF WISCONSIN ST. CROIX COUNTY, CIRCUIT COURT PROBATE BRANCH SALE OF REAL ESTATE OF PERSONS UNDER LEGAL DISABILITY —DEED BY GUARDIAN WHEREAS, On application to the Circuit Court of St Croi County, Wisconsin, to sell all right, title and interest of Leo T. Domke, also known as Leo Domke ... Spendthri ft in and to the real estate hereinafter described, such proceedings were had that the undersigned was duly authorized as general guardian to proceed in said matter; fl+tse rt �' &pe ei a+'�- oT-I'f sr►e re++'} and whereas, the undersigned, as such guardian, has done or caused to be done all things necessary and required to be done by law in such cases made and provided, before conveyance of such real estate may be made; and whereas, the undersigned, Loi ss Hanc3rahan , formPrl)z T ni G Asp1 Lnd as such guardian, was duly authorized by order of Court herein dated on the 16th day of D mh r 19 .86 , to execute, acknowledge and deliver to Derrick Construction, Inc. a deed of conveyance of all the right, title and interest of said Spendthrift in and 0 "Sere Colmar _�` rn ✓') to said real estate: NOW, THEREFORE, I, the said r,nl R HanrlrAh;4n fnrmerl V T ni G AG= 1 nnrl , by authority of the Court above named and in my capacity as such guardian, in consideration of the premises and of ------------------ R i Yf -y T hatlsand ($_60 n00 -00_) -- — Dollars to me in hand paid by the said Derrick Construction, Inc. do hereby grant and convey unto the said Derrick Construction, Inc. all the right, title and interest of the said Leo T. Domke, also known as Leo Domke S pend 11ri f , in and to the following described real estate in St- Croix (imrr'V1`ror" or TncWpeI nT = County, Wisconsin, to -wit: The Northwest Quarter of the Southwest Quarter (NW4 of SW4) of Section One (1), Township Thirty (30) North, of Range Eighteen (18) West. ti.-CsIsfr*s C3fficE ,� SF. ' O. ROM O, WtS: sV: d. ter Reoo d MIS 2nd a= In A. D. 197 M sower of File No. N:.. 'r, (. c. L: S t� Rill: { -'. F , ..T� r,r nr :" - r •n-,f i . .. <. CERTIFIED SURVEY MAP Located in part of the NWa of the SW' of Section 1, T30N, R18W, Town of Richmond, St. Croix County, Wisconsin. d N`T SCALE IN FEET LEGEND 1 d : t+ W 0 200 400 600 Aluminum County Section Monument s Wo 4J W y • 1" Iron Pipe Found C, 0 1" x 24 Iron Pipe Set, weighing 1.68 lbs. W per linear foot. ,r, .° 9- W C]I —* Existing Fenceline ; H ••. •• • • Roadway Setback Line v o L W c0 3C N Go LL-1 o m O N F -1 LrJI I t i i JI cal ZI wl LiNPLAT , LAN s� 1Y1 --- - - - - -- - - - -- �1 � U)1 CSI W} Corner of f I CS I , North line of the SW} 3C �I Section 1 N89 23 t1W d 0 0 1324.04' `4' 1 1 U-11 4— - J I ? -1 o ( F— :I o (sj I o Q:I .+. j 0- f C> I N89052121 "W LOT 8 0 •� �-- I C71 Y 0—I _JI 283:.54' a � JI — �_ I _ OD —� I fn N OO o N O N —I S I r °' 4 LOT 7 1— c M O ' 0 1 100' z „ 89 22 "E CJ I Chi -- I •� N 283:19' 1 S89 1040.00' 4' - " m - N I �- I <I CSI J1 o LOT 6 _ I �JI �I .� 1 oi l -J I= N - - -I — -� N89 "W X 11 282.91 ` 1 L.0 T G I LOT � I LOT 4 I 41 3N F -I o o+ N C.�. ! N V. i P . l 8.9 0 I LOT 5 t - 2 — I I OWNER _J1 00 ........ co M ° o_ Derrick Construction, Inc. __ _ _ 282.481 G G _ Route 1, Box 194M — C ' T ' H ' S89 "E _ T ---� --- _ Ne Richmond, WI 540 17 1 South line of the NW} of the SW} SM � RLI 01 Wl fc- Q 1 1 I N �U e Q 1 M 01 JI O � CLI _JI o l l DI H 7 SW Corner of SHEET 1 OF 2 SHEETS Section 1 VaI. y I / REPORT CAN SOIL BORINGS AND SAFETY &BUILDINGS DIVISION PERCOLATION TESTS (115 P.O. BOX 7969 i IONS MADIS , WI 53707 (1-163.09(1) & Chapter 145.045) SE CT ION: TOWNSHIP /MLTY: LOT NO.:BL . NO.: SUBDIVISION NA, n_ ` 1 �T30 p /R18 *(or) W Richmond 1 /a n/a Y l OWNERS BUYER'S NAME: MAILIN ADDRESS: /] roix Derrick Const. Inc. 1505 Hy. #65, Ne Ric nd, -Ti. 54017 'C DATES OBSERVATIONS MADE NO. BEDRMS : COMME FICIAL D S RIPTION: R FI D S I NS: 1 PERCOLATION TESTS: Residence 3 n/a )&New ❑Replace 6 -3 -92 6 -3 -92 RATING: S= Site suitable for system U= Site unsuitable for system rOgNV NAL: MOUND: IN -GROU FIESSU E: S STEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) U S ❑U S ❑U E] S EU ❑ S ®U conventional If Percolation Tests are NOT required DESIGN RATE: [Floodplain, If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n/a indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 28 SIA BORING TOTAL P H TO GROUNDWATER- INCHES CHARAC ER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED E HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) g.l 90 99.85 none >90 ' - , si .; - - 7.5yr4/4, l.s.; 38 -90, 10yr5/4, Co. S. 99.95 0 -12 10yr3/3, 1.• 12 -29. 10yr5 , si CC B-2 84 none >84 7,5yr4/4, s. - I.,• 32- 39,7.5yr4/4, l.s.; 39-8 4.' 4.' 3 87 99.45 none >87 0 -16, 10yr3/3, L.; 16 -32, 10yr4 /4, sil.; 32-40,7.'.- B_ 4 4 s.l. • 40 -87 7._5 4/6 c6.S. B-4 86 none >86 99.03 0- 18,10yr3/3, L.; 18 -33, 10yr4 /4, sil; 33-38, - B-5 5 90 99.00 0 -1 ,10yr3/3, 15- 0, 0yr4 /4, sil.; 40-44 - � none >90 _ 4 B_ decimal' PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER MIMS AFTER SWELLING IN TERVAL -MIN. p RIOD 1 PERIO 2 P R PER INCH P_ 1 3.90 none 3 6 6 6 <3 P_ 2 4.00 none 3 6 P _ 3 3.50 none P -_ P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas, Indicate scale cribe what a the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevatio t irection nd percent of land slope. SYSTEM ELEVATION 95.95 `� v T-- - 4 i i 1 ( .r I I ti t �-- v A M 3 _._. _. E Alf It ' t + - A i7 F 4 _ ... ., _ ._ .. . L. I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print : TESTS WERE COMPLETED ON: - Gary L. Steel 6 -3 -92 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, CJi. 54017 5 -246 -6200 CST S RE: 'UTION: Original and one copy to Local Authority, Property Owner and Soil Tester. ` -6395 (R. 02/82) — OVER —