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HomeMy WebLinkAbout026-1016-95-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division , y h INSPECTION REPORT Sanitary Permit No: 479224 0 GENEP.AL, IN�0F2MATION • (ATTACH TO PERMIT) tale Plan ID No: Personal infonr tion you provide msy be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Z 1 = • " Permit Holder's Name: City Village X Township Parcel Tax No: Willow River Rod & Gun Club I Richmond, Town of 026- 1016 -95 -100 CST BM Elev: Insp. BM Elev: BM Description: U Section/Town /Range /Map No: 1 Cz. / 3 Cz-.0 O I / Pvc = CS'� gu•. ( 05.30.18.59010 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 2.St�.� D / O Benchmark 5 D-S• /JD 1 Dosing r Alt. BM u� o 5 1 k 6- 35 /014 Bldg. Sewer olding St/Ht Inlet 1 1b,1 I'+ , cl7 / St/Ht Outlet TANK SETBACK INFORMATION cllik� TANK TO P/L WELL BLDG. Vent tike Ot nlet Septic (� ` 7 Dt Bottom 1 to 9 /, 4 Dosing tt 1 ? Header /Man. $:t • Z !s Aeration Dist. Pipe �M� 1 Holding - got. System Ft al Grade PUMP /SIPHON INFORMATION L*_"'tl �a �-•�° S+� = °� Manufacturer / 6 J � /� Demand St Cover C (� �1 GPM lA(t .� `el Number 3 I 'jL 9 '15.52-- V IM Friction Frictio Lo System Head TDH Ft , A �� 1D2• OD. D .� Forcemain Length I Dia. 2 �� Dist,to Well ` SOIL ABSORPTION SYSTEM J BED/TRENCH Width Length No. O en es PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufactt r :� INFORMATION CHAMBER OR Type System: ' l ,� UNIT Model Number: .� rr 6 ! J-N DISTRIBUTION SYSTEM &d t�t_ 'S e -% 0 4 'ale : d wR 1 Header /Manifol� Distribution ( I x Hole $T �� x Hole Spacing Vent to Air Intake per. 2 Pipe's) (� I 74L Length 7' Dia Length I' •,Dia1�Z' Spacing �'� T SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ] No [7 Yes [ No l i CO MEN S: Incl de co a iscre encies, per ons pr a t, etc.) Inspection #1: 7 / 26 1 65 Inspect' n OT / ( p t- I Location: 1041 Highway 64 New Rich dVl 54017 (NE 1/4 NW 1/4 5 T30N 18W) NA Lot P � ,� Pastel N #2: o. 05.30.1 .1 Z 59C10 �. a dC J, c� G m� 1-. tee✓ 1.) Alt BM Description = �� �� � � ►p�c/�' l• ��✓ 2.) Bldg sewer length •l V 1r( 1' mac ,- "`• °Qf �� - amount of cover = r V 3) N sac �. �II►� tom" It0 - • c ,�, w,Q ,w+�¢- � C �: • w .0 . �- , ' Plan revision Required? _l s )<No j — • Use other side for additiona Cert. No. l information. — ' L ________ � -_ --i Date Insepctor's Si ature SBD -6710 (R.3/97) Q JaMy ano BmWi Divlsgp County 201 W. Ave.. P.O. Boa 7 l Plank Numbs (ea be in by Co ) De " truant of Commerce �E 0 S ry In accord r j -'a a" ��0 StMe Plan 1.n- Number Wis. Adam cods_ p"" wy aw. s15.01( 'i e 3 "T -K any � tread for sa000dary pterpa� pri Li m} ST. CROIX CVU�� (if differ m mailing } !. Appiice - I- lutenwdon - Pleoae PdM AN ibafWwwom ---- z lj�o i q-s S c vv owaer•: Na �___ f (� LI ( N "' `f N� T i s V► w� on� ftopwq Block t' owner's adi ` Address C) Property Location 9 c— s (� Ca} sense zip cattle - �. • �_ u,secuon 5 N umber 111. 3ypie of IBi karat k aY that apply) l LS .� _� T � N: R E c'L% U i at 2 Fancily Dweili>g - Number of Bedroom S"bd1vW Name CSM Number 1 b1iNCotttntercW - Describe Use � ` N 'CjL i � ((��e (� 3 l Q e P ]j State owned - Describe Use .. _ —___ t -ICFty LIVdlage i ownship o f d'I UL Type of !"mail: (Cb"* ante box oa lire A. Ca lire a N applit abk) t v System "amment Syaaem ❑ TreatmemlHokling Tanit Replacement only I._) Other Modification to Existing System _ 6• U Permit Renewal ❑ Puma Revbtion Cl a of List Ptevitxts Permit Number and Dane tssncci - - Before � n Permit Tranisfer rn New Plumber Owner !V. of IPOW'1'3 ❑ Nos Avmwmd tn- Graters litomal > 24 in. of stun a sod (..] Mound < 24 m, of stnnble 9011 U At -Grade l .3 Single Pass Sand Filter j Cnrtsrrttcted Wedattd U Pnessttriaed Ia41UW U "aiding Tank { { pleat Fitter U Aerobic Treatment Unit C ] Reeimuhtting Sand Filter 5 liieaia Fitter ing Cavabcr, Drip LM 1.1 Gmvd -kms . U ( ) V. Atrea Befofmttioo: 3 w ° F (gpd) Deatge► soli Aqua Area tend (sn — ' Requ bisperaalA►es (sf) ystem Elevation j Vt. info Capacity in Taal Number MarafachWrr Gallons Prefab Siu Seal Fiber Plastic Gallons of Units New Ctxtcrete Constructed Class ExWM1g Tanks Tanks 5epric Hokleng Teak - - -- -- , Treurnew Unit — �g C7tamberCTtamGet � _ .___ _ y O 0 ` C Y LY1�►►�t2__.__ V R y y saw- t, tan eteepaatiiigtr t� of ': No tae the POWTS aboven on tan atta cbed pane. _ ( s Si , IKpRS umber i Husittess Pitorre Number St �7lS °brmber's Addis m (Street City. State. zip Code) — L s , U� AApIN.W Dist oil SatdterY Plsudt Foe ( Groundw — _ — �_ -- a t?x w ) Dine ttaated lssu Agent Signature (No Stamps) ttW X. Coadilftsrrg of ApproaifRa for SYSTEM OWNER: 1 Septic tank, effluent filter and 5 � dispersal cell must all be serviced / maintained `� _ _ U " ` 5 5 —� as per management plan provided by plumber. C"` 'f W' ( 2. All setback requirements must be maintained '�, as per applicable code /ordinances. AM" — .p&ft Vans fu A. C nm, war) tkr Ae- _— AM� ................... ............ -.. •, - lo - r Aa Pa 9j wwy R 1 000 AP oo 5, / 31 /OGRE SME Q •Q � � � �t�� f c , �-+"�' / t .trS I.-, r...0 -P S ec � y� Pvc ; P ,., C+ F— 10 d 3 . �Q Alt m � ��� , vc C �� 1�e.3p` AeA UM � Q V r ° rte E1 Ir Q Qt� ---r - co o t, R Safety and Buildings ' 4003 N KINNEY COULEE RD commerce mi.gov, , LA CROSSE WI 54601 -1831 �, TDD #: (608) 264 -8777 S n s I n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary May 24, 2005 CUST ID No.220537 A7TN.• PO WTS Inspector CALVIN W POWERS ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/24/2007 Identification Numbers Transaction ID No. 1140231 SITE: Site ID No. 698816 Willow River Rod & Gun Club Inc. Please refer to both identification numbers, 1041 Hwy 64 L above, in all correspondence with the agency, Town of Richmond St Croix County NE 1/4, NW1 /4, S5, T30N, RI 8W FOR: Description: Proposed Commercial/Public Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1019326 Maintenance required; 447 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade System(s): EZflow Mound Component Manual, (N.6/03), Pressure Distribution Component Manual - Version 2.0, SBD -1070 -P . /0 Bio i ter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the EZ flow Mound Component Manual (June 6, 2003). • The pressure network is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P (N.01 101). • The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12 o'clock position. The laterals shall be fully drained after every dose. • The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. The observation pipes shall also be located in between where bundle(s) come together. These requirements must be followed so that the aggregate bundles will not be damaged during the installation process. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. PO •WTS• C Ondiiio; ;all i APPH-01/;:n + CALVIN W POWERS JR Page 2 5/24/2005 • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspections authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - 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. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 y TITLE SHEET )00—S PAGE�OF_ DATE: �� MOUND SYSTEM R EC�lttO A ©ua d oo R0 1 l �IFE ��S This Plan has been prepared in accordance with the EZFLOW Mound Component Manual VERSION 2.0 (N. 06 /03)and the Pressure Distnbution Manual VERISION 2.0 SBD- 10706 -P. (N. 01/01) LOCATED IN THE 1 /4 OF THE N Q 1 /4 OF SECTION J ,TjQN, R-J.&W, TOWN OF , t YZc ST. CROIX COUNTY, WISCONSIN. INDEX PAGE 1 OF 8 TITLE SHEET PAGE 2 OF 8 PLOT PLAN PAGE 3 OF 8 PLANVIEW CROSS SECTION PAGE 4 OF 8 DISTRIBUTION PIPE LAYOUT PAGE 5 OF 8 PUMP CHAMBER CROSS SECTION PAGE 6 OF 8 SYSTEM MANAGEMENT PLAN PAGE 7 OF 8 PUMP CURVE PAGE 8 OF 8 CROSS SECTION OF E Z FLOW PRE PARED � - , FOR t�` V�- r 10 OK 1qS . )a �41 `Jr to N��") 9,#C�rnord PREPA Y #A20537 POWERS EXCAVATING INC. 1969185 TH AVE. NEW RICHMOND, WIS. 54017 PHONE: 715 -246 -5135 FAX: 715- 246 -5135 CELL: 715 -381 -9920 AKIMENT OF COMMERCE DIVISION F T AND BUILDINGS SEE CORR ONDENCE 7PI 'P�Cj CA L't �j c - [V V A) to V T.30 IU Af-AF- 5( rC looc) z Alt m - lie _g_ q �- cl lob J pa �� C �j 3 Approved Barrier Cover r"1-CVFill Material Distribution Cell Cap. r . G J H p ed Area ,..� % Slope Figure 3. Detailed cross - section of a mound D /o? Cross Section Of A Mound Systern Using E X7,9 Z r The Absorption Areo F Z I 03 N s 1s�z_ A �_ Ft. H ' B SD Ft. K 9 8 Ft. L 99, J� Ft. J _f� Ft. Position I il ,q Ft. of Force Main_ Ft. Observation Pipe r T } — K 6 - /0 o , ---_- ___- _____�---- -------- ---______ , w ' -- - --- -- ----- --- i Distributior► Of Fl U) 5 Pipe 1 Observation Pipe QAchor ,Sec.A Plan View Of Mound Using A Bed For The Absorption Area � DISTRIBUTION PIPE LAYOUT Page of Place 4 holes on the top side of the pipe and every 5 hole on the bottom of the pipe. Extend the end of each lateral up with the use of long turn or 45* fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve threaded cap or threaded plug. Provide access from final grade for the valve, threaded cap or threaded phig. I L Lateral MandoId Lateral X x x x x/1 x/2 x c x x Lateral Len h Lateral Length Distribution Line t � 1 Lateral Access box a� Manifold —� Force main 1 ' T HOLE m LAS HoLf M 39 T%) __ P O ft. Hole diameter V8" inch S --,3—ft- lateral �/ inch(es) X -a jn- Manifold ^ inches Force main _ inches # of holes/pipe a 0 Invert Elevation of Laterals 9', Vt. 4" Cl VENT PIPE 12" MIN. ABOVE GRADE 8 WEATHER PROOF 2 25' FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT M NHHOOLECOVER WARNING LABEL 1D" iIN 14LET ' 1' WATER TIGHT SEALS GAS- + TIGHTi V u t,1� a,� �, A SEAL APPROVED JOINTS W/ CI ,I PIPE II ALM PIPE 3' ONTO 3' ONTO --- ON SOLID SOIL SOLID C 30I L PUMP OFF ELEV . 2D, FT . •- — — r' OfF P RISER EXIT PERMITTED ONL� D IF.TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: r s NUMBER DOSES PER DAY: TAN SIZES SEPTIC i00 GAL. DOSE VOLUME INCLUDING GAL. DOSE c GAL. FLOWBACK: 9 ✓ ALARM MANUFACTURER: , . ' �--- CAPACITIES: A = �._ INCHES = GAL. a MODEL NUMBER: , � r t _ 3 3�� A L . SWITCH TYPE: o B = 2 INCHES - _ G PUMP MANUFACTURER: �pu4>a5l C = 5 %S INCHES = �7 GAL. MODEL NUMBER: SWITCH TYPE: pc� D = —tom. INCHES = 15�i� GAL. REQUIRED DISCHARGE RATE GPM PUMP & ALARM WIRING AS PER ILHR 16.23 WA( VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . ... . . . . . .5 FEET FEET + FEET FORCEMAIN X / FT /100 FT. FRICTION FACTOR - FEET TOTAL DYNAMIC HEAD = INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH Alf S OWNER`S MANUAL & MANAGEMENT PLAN P � of pOWT s a WA SYSTl !!o S e1� ❑ NA lfF pnMAT10s1 Taetk Me 4.a owner p vol. 000 Da �, ` U Sa�roa D o+� �- 0-0 a D PIA Z2 Tank Merwhmtww lka l PAWiAME"M 13 Sam aDom 13 Ffok*V It HAA 6) C-) gal Numbw of 1 13 NA E"kw t FilW . 0 NA Pkrnbw of pudic Fac'ft lhts Effluent FOW Model 0 NA Eetirnated (ate) flow Me w , PURV (f+mt flow tted X 1.5t 107 U 1 t— p�r Modal 0 NA unit sag Applicatim rd kifluen� r O Sand ! C7 pest Filter Fats, o)l A Grease (FOG) 530 0 M Aeration 0 wetland qwcherniod Demand Oxygm (BOEV 5220 WGIL NA 13 Db*00~ p other: Total Suspended Sollds fTM 51�� average mw ❑ NA prevented t QuuatitY dal ce (s) ed) Biochemical Oxygen Demand (8Ui7►s1 530 nKiA- 13 NA Q In4mw - A t ) 13 Total Suspended Sam IT= &' fJ` i>I tXtrnl 0 D 0 At -Grade ' Fecal Conform (geometric rs�san) p PIA rip- 0 NA y� in tfia. Maximum Effluent Particle Size D d NA Other Oder •Values typical for dDmmmc wager end septic tarok e ' aCtEDULIE service ❑ NA SMvb* Inspect condition of tams) At least artca � W"w scum " one-third of tarik �e ❑ NA When combined k Pump B' p out contents of tanks) L'j When ha high 0 Wt 3 ye ws) 0 NA At least once every: ❑ (s) 0 NA Inspect disperse) ps�(s) rrrarrthls) At least axw avant' Q NA Clean effluent Ow hvqmmct ptrnp p coo ntrals a alarm At least ands every' ❑ NA once every. At least Q NA Flush laterals and P test (s) At least once every' p NA licenses or certifications: MAM1TEr1W g pUC>t10NS i be made by an ir� r.arrY one of tlne following rviciang ppwator 1PumP Inspections of tanks aril cage steal , pOWTS iderrEify any cracks or Master plumber% Nlaamr Wu"n Via' POWYS tsl t bt or broken hardware, of the tankis) to identify any t n9 o f e on the �'aund Tank i must include a viauaf in s pec tion and scum and a far p° t I fib a to heck for any leaks. m we the va s t o Check the �t to le falling and bWgC surface. The the Srourtd surface- The fang of affluent ponding of effluerd on +14 the w on of the tocsl teary t tank eq one-thir (Ys) or snore of the tank volur When the ornttd m, the aooii� of sludge and scu in of in accordance with chapter a S p for and entire contents of the frank shall be removed by nts. PtOtreatrnen Wisconsin A Code. filters. me AMIAcai w pressurized compane including but not krnited to the sstvicKt6 of effluent a c� pOWTS Maint*w— AN ether serv+ces, rviCbV at intervals of 512 months, shall ba perform on of any service O vant ' units. and any ee to the local story authority vindtir► 10 days of Gmw 12102 A service report rvi be i 04 4 'k V� C)44 X. EZFLOW MOUND WORKSHEET A. SITE CONDITIONS Evaluate the site and soils report for the following: • Surface water movement. • Measure elevations and distances on the site so that slope, contours and available areas can be determined. • Description of several soil profiles where the component will be located. • Determine the limiting conditions such as bedrock, high groundwater level, soil permeability, and setbacks. Slope - & % Occupancy •- One or Two - Family Dwelling - (# of bedrooms) Public Facility - —!L gal /day (Estimated wastewater flow) Depth to limiting factor - .3cP, inches Minimum depth of unsaturated soil required by Table 83.44 -3, Wis. Adm. Code ­ 34P inches .In situ soil application rate used - gal /ft /day FOG value of effluent applied to component - < 30 mg/L BOD value of effluent applied to component -'%21 mg/L TSS value of effluent applied to component ; /5 0 mg/L Fecal Coliform monthly geometric mean value of effluent applied to component > 10 efu/100m1 Yes v Product(s) to be installed in one laying length of distribution cell - Total width of installed product(s) per laying length of product - � ft Area of product(s) per 3 ft. laying length of distribution cell - (00 W B. DESIGN WA TEWATER FLO (DWF) One or Tw o -fami Dwellin Combined was w ter flow: &0 RdE°t'" X 3,.s = d / DWF = 150 gaV /bedroom x # of bedrooms t f'/tx► - c7 r ti t r► �' S 150 day droom x # of bedrooms � ( !j gal/day „, ��� % ttt Q 4en eo �� d- 1.000” � Ring Industrial Group Page 27 of 43 1435 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 8 is. Adm. Code Steel's Soil Service Inc. County Attach complete site plan on paper not less than 8% x 11 inches in size. Pla %,1D St. Croix include, but not limited to: vertical and horizontal reference point (BM), di percent slope, scale or dimemsions, north arrow, and location and distance to rest Parcel I.D. , J �� C7 S� ,00 Please pri 1t� iewed By Date Personal information you provide may used for e P vary Law, 15.04 (1) (m)). �� 03 Property Owner Property Location Willow River Rod & Gun Club .JUN 1 1 ?004 Govt. Lot na NE 1/4 NW19 S 5 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P.O. Box 145 1041 Hwy 64 _ ' X I o na 3 ! �� 5 City State Lzi City I Village 01 Town Nearest Road New Richmond WI 54017 1 715 - 246 -4884 Richmond I Hwy 64 01 New Construction Use: I Residential / Number of bedrooms 0 Code derived design flow rate 447 GPD Replacement 1V1 Public or commercial - Describe: door sports facilitiy Parent material Knolls of river terraces and pitted outwash areas Flood plain elevation, if applicable na General comments and recommendations: Mound Design. System elevation 96.40ft based on contour line elevation 95.40ft. Size for 60 patrons, 3 floor drains, 1 employee. F-71 Boring # I Boring Pit Ground Surface elev. 99.00 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 0-11 10yr3/2 none I 2msbk mfr gw 2c .6 .8 2 11-44 7.5yr4/4 none scl 2msbk mfr gw na .4 .6 3 44 -96 7.5yr4/4 none sl om mfr na na .2 .6 a Boring # Boring im Pit Ground Surface elev. 98.00 ft. Depth to limiting factor 96 in. Soil Application 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 1 0-4 10yr3/2 none I 2msbk mfr gw 2c .6 .8 2 4 -29 7.5yr4/4 none sicl 2msbk mfr gw na .4 .6 3 29-96 7.5yr4/4 none sl mfr na na .2 .6 Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg /L " Effluent #2 = BOD < mg /L and TSS < 30 mg /L CST Name (Please Print) ture: CST Number David J. Steel _ ' 248956 Address Steel's Soil Service Inc. Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 6/7/2004 715 - 246 -6200 Property Owner Willow River Rod & Gun Oub Parcel ID # Page 2 of 3 3] Boring # Boring 1f Pit Ground Surface elev. 92.4 ft. Depth to limiting factor 32, in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -11 10yr3/2 none I 2msbk mfr cs 2c .6 .8 2 11 -32 7.5yr4/4 none Sid 2msbk mfr gw na .4 .6 3 3 -50 7.5yr4/4 c2d 7.5yr5/6 SI 2msbk mfr gw na .6 1.0 4 50 -96 5yr4/4 f2d 7.5yr5/6 SI om mfr na na .2 .6 ❑ Boring # I Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPDMI in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Borin F—I Boring # g Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QP D 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. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST -POWTS Willow River Rod & Gun Club New Richmond,WI 54017 Lic. #248956 NE1 /4,NW1 /4,S5,T30N,R19W Bus.(715) 246 -6200 Town of Richmond, St. Croix Co. Fax (715) 246 -9372 31 Acres Legend 1 S ♦ =Benchmark Ele. l 00.00ft op of 3/4" PVC Pipe • Alt Benchmark Ele. 100.30ft op of 3/4" PVC Pipe ❑ = Borings Boring Elevations B1 = 99.00ft B2 = 98.00ft 15 r B3 = 92.40ft = 00.00ft " - 73 b uVI C 4R ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buycr J ' I , 1� ; y Q.,� a °� 1 t I ._..L JA Mailing Address P C) 144 S L Q I syo /� Property Address �CP _ y�-, Q ('Verification required from Planning Department for new construction) City /State g.p ") `� % 'I L IM n i Parcel Identification Number LEGAL D ESCRIPTI O N Property Location 'l., (11 tJ y,, Sec. , T 3 U N -RAW, Town of LJ rn 0 a . Subdivision G7 ,Lot #1 Certified Survey Map # Volume ; Page # Warranty Deed # . Volume 31- . Page # S _ . Spec house ❑ yes V no Lot lines identifiable X1 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof 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 master plumber, journeyman plumber, 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 r system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 laa year expiration date. 's GNATURE OF APPLICANT DATE (?WIPER CERTIFICATION (we) ify that all statements on this form are true to the best of my (our) knowledge. 1 (we) am (are) the owner(s) of he p rty d d about, by virtue of a warranty deed recorded in Register of Deeds Office. 31 NATURE 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 ! +a +• +�+ +.+ uu —av vva yuanuw� Iwuuuvu rurm, va�.a a.��,va�.�ai� miller -Lavin uo., Mlnnesyons Form No. 4 r El lis *pbenture, ' ✓Ylade this ............ N ... ............................... day of .... e.G.ember. ............. .4. D. 1 95.5......, between .... rne. st.... Germain.,... .a .... single ... man., .... of .... New. ... R. ichmond.•,: .... Wi •soonoin ....................... _. ............ I ........ .................. . .......................................................................................................... .....................,., party...... of the fast part, and Wi11o�...Riyer...Rod id.... un .... Club .,.... Inc. or. porated., ............................................................... ............................... a Corporation duly organized and existing under and by virtue of the laws of the State of Wisconsin, New Ric hmond . • ............ ............................. . � ............ - ............. - ......................... _. ... _ ....................... located at................... ..... MMMMW party of the second part. Witnessed That the said part....... of the first part, for and in consideration of the sum of (.�....Q0.1.... and.... Other ....aaluahle .... co.ns3.derati on...,..._..._ ............. ............................... ................................................................... ............................... ............................................................... ............................... to.hjm.......... in hand paid by the said paf'ty of the second part, the receipt whereof is hereby confessed and i acknowledged, has......... given, granted, bargained, solid, remised, released, aliened, conveyed and confirmed, 4 E and by these presents do.e.3. giUe, grant, bargain, sell, remise, release, alien, convey and con firm unto the said party of the second part, its successors and assigns forever, the following described real estate, situated in the County of ........ St. n..... Or o. i X .............. ...........................atid State of Wisconsin, to -wit: .. ...................... I .......... ............ .... Part of Northwest quarter of Section Five, Township Number Thirty North of Range Number Eighteen West, described as follows: Commencing at the Southeast corner of said Northwest quarter; thence North along East line of said Northwest quarter 1421.5 feet to the North line of the right of way of the Soo ine Railway; thence South 57 30' West along said right of way 35.6 feet to the place of beginning; thence continuing on said right of way line South 57 30+ West 1422.8 feet to an iron pipe stake; thence North parallel ;to East line of said Northwest quarter to the South line f of State Trunk Highway "64" as now laid out and travelled; thence Southeasterly on said South line of Hi hwa to a Thirty -three feet West of said East line of Northwt that is est quarter; thence South on a line thirty -three feet West of and parallel to said East line to place of beginning, containing 30.9 acres more or less ;, i cq C• cn 0 I p ;CA P4 ce 0 0 o V K 'Y G� b o Its : PI .................. S. t . ..... Or.O.IX ............................ county. Personally came before me, this ................. 3.0th . . ............................. day of .......December . ................. J1. D. 1955 Ernest Germain, a single man, the above named ............................................................................................................................................................................... .................................. .................................. I ............................................................................................................................................................ ....... ..................................................... to 7ne, known to be the person...... who executed the foreffoing instrument and acknowledffed the same. .................................. J 'ph ... TW .... Hughes -1- AroYary Public ......... St . . ..... QrOIX ..................County, Wis. lily commission expires ... j4Aq ... 14 ......... .4. A 1959 Ii r RICHMOND PLAT • R -18 -W i See Palle 112 For Additional Names. (Landowner's) STANTON PAGE 68" ✓ 180th AVE 1100 STAR PRAIRIE PAGE 66 1 1 K _ � - Q Cortiss A4 tr F ' F,,. K r ' Pederson tl 1 Heff- erson s Gim r x g I rou I. Maz 'Jk 311 3 Robert & Jk 4 c k r 3 v c ° U 103 G this Cellottl I S: Leona Asp 2, r F lti' Pafrida 1 a n ErLL M &K ORA. Halle tr Doaz Ma a swrn C' . &teri Kerner � samm tr Builders ■ J Burn 75 yV t �. m x [, Kramer zs d �~ • Inc 62 39 GG 5 ^ rest t aM 41 Greg { y Glen- 2 w & to m 40 ! £ sK 'D a (7 z&yg}S Mut- �B n1 : to odd & 1 "^ �n' c & Nancy e r dr detta 58 .� P Musa Wrn I H t5 eh- 38 ` � N yy ' eorY r Peterson P 12 ch ° >� - _ 7 u7 g 170th AVE sT m t I)N Y 0 Gerald li � r 13 REEK �... I 8 & David ' Adeline Edmund Ivah c . eeK q Kieckhoefer Kobs Germain I Kelly ¢ Wood, vF Mound n " v Prins ` t- Pines " .C. 11 N 159 159' 80 LLP m 1 zo LLP Hopkins o Donald D o Our Oev� pmwt w zs 11 20 205 I Hll)s ° & Daniel Dalton Family Paul & tp . Derdcic t Dairy 234 Dalton 80 S0 LLP 120 ': Colleen olm & to & , Pat Pelchel, e Casey therme ; -- M Krattley rlae 40 9 & A Timm I /nt Adeline J & az Clea o R&alnd>U A attar 40 b Mumr PF 240 1 stn b 80 Dalton h AVE 114 Merkt 511 p 3_71 3 9 199 ` 6 _ a� o - ` ✓ i m e T arn- - ' ,� - — ' — - Mara><et q 0 .. n a r E Colleen I 40 Farms Inc 7 I� C 40 102 ta" 7 35 30 35 GD of o y, „ 2 mec BuE. \ N Montag & "40 ro �? Hendrik Marilyn pIoeeP , Lloyd & Cemsytone Doris rsrm VE 3 N b� Zg VanDyk Felber s d o @K Virginia I Mix Inc Osborne 1 °c 30 ean7 70 �� x 1 :90 c cmnl stock 76 1 a 1 154 160 37 6 8 G G Georg �u a -David �-T- to tr &Sheryl 1- E am Dean 0 � Steven U) Gloria Tammec 125 a, Derrick o x 161 Basel a2 I58 lam& I LLC Mao Steven 3o Derrick 80 312 Mar Angeline tr . � s s c s 234 Kelly y 40 80 � �a7 r ��75 �. Qq Simon 119 """�r s _ 80 C 160 s r N C'' Loren James m OS n DWI- - z�f — - a o & Ga8 .� AVE 40 r+l R ^ ^ / o ddb Leverty . Derrick 68 ti ebhan 67 ,e, etgerine � O Le land Glenn & 1 _ w T I lJ� r '- Williams Murray y ° n I Basel 6 I N a ° 75 .-.7 70 160 160 oUI z �� m L Richard e a "' F" David 170 16 a David Tho— Williams I & J, s°e o e Roos Nelson 80 80 Gary 75 C W illiam & II Waldzoff 40 a0 Feller R DM uu«a Mon°3& 148 Richard Mooesa Renee & anet 160 w 1240 tr 132 36 20 tr 51 Gi t V 138 rust ca a 2 I �I a - 140 " e lc a tr $ar 77 2 Schommer r Richard Steven I e ' V 0 ax Mark & `. Ferguson wood Derrick I r m 3 =on 78 $ Kc 229 DMP 9 40 Th VanDyk 4- _ m n & R & o ma a s caw & e sc6 a Michael Farms od�k 1 v rte Inc I m o Gerrit cR ck Kroll N 80 E,P &M Allen tte ' 40 ♦l z VanDyk 5 n, s t e s t eradky r Aria ar IX ' m anice r7 Q P 00 134 158 tr �° 5 e Ee 70 ao tr 15416 a L Q sau.na 288 B°" 120 2 O 3 h AVE ' carol Pe 3Nchael 130t �L Dale &'$ &can ohn r� a Ea t r Fred& N �40 Hi F., xeller ckelson 60 Ruth 39 Quan \ 31 a Ball a Kelleran I slo .W. o Anderson ao 100 105 JB 15 31 40 230 80 2 `� 65 J& 20 3a ^ o Craig & HH Jr Richard Ken T 20 Gerrit & �,. oo Dawn Keller ohn Gar - 1 Patricia Lo d Wachter Nickelson Inc Mazek o aced& n Van 487 o avid • 119 Q�7m rKUmb 80 120 358 3 157 160 120 T 135 E THREE LAKES WARREN AGE 32 ' RLMINGTON Top Quality Concrete Law Offices .. RADIO DISPATCHED (715) 246 -3422 ' i 1 1 126 South Knowles Avenue 280 8th Ave. BALDWIN a Personal Injury a Real Estate Ph: 684 -3020. 1- 866 - 279 -2221 a Wills & Probates a Trials Saturday Deliveries James T. Remington &Judith A. Remington I ,� ;., \� ��\ �, l � / , �v � �� Iwo Goulds - ?ft--c 6 0� • Submersible Effluent Pump r o 3885 APPLICATIONS • Overload protection must smooth operation. Silicon can be operated continuously Specifically designed for the • be provided in starter unit. bronze impeller available as without damage. following uses: Shaft: threaded, 400 series an option. ■ Bearings: Upper and l t stainless see. • Homes ■Casing: Cast iron volute lower heavy duty ball bearing • Farms • Bearings: ball bearings type for maximum efficiency. construction. • Trailer courts upper and lower. 2' NPT discharge adaptable ■ Power Cable: Severe duty • Motels • Power cord: 20 foot for slide rail systems. y rated, oil and water resistant. • Schools standard length (optional m Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals lengths available). P _ CARBIDE VS. SILICON provides secondary moisture • Indust Single phase: Industry •' /, and'' /z HP -16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket • Effluent systems Stainless steel metal parts, damage and to prevent oil with 115 V or 230 V three . BUNA -N elastomers. wicking. prong plug. SPECIFICATIONS * % - 1'/2 HP -14/3 STO with ■ Shaft: Corrosion - resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. W maximum. • '/2 -1'/2 HP -14/4 STO phase models to guard • Discharge size: 2" NPT. with bare leads. On CSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models - 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor: Fully submerged in 10 Canadian Standards Association TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat I Underwriter; laboratories tr ansfer. er. carbide rota seat/silicon a carbide-rotary FEATURES carbide- stationary seat, 300 m Impeller: Cast iron, semi- ■ Designed for Continuous series stainless steel metal open, non -clog with pump- Operation: Pump ratings are parts, BUNA -N elastomers. out vanes for mechanical seal within the motor manufacturer's • Temperature: protection. Balanced for recommended working limits, 104 *F (400C) continuous 140 °F(600C)intermittent. METERS FEET • Fasteners: 300 series 90, ; stainless steel. SERIES: 3885 • Capable of running dry 25 so _� i ' i SIZE: 3/: SOLIDS WE1$H j i RPM: VARIOUS without damage to - -- - t —� 5GPM components. 70 vlElorl FT 2° _ i 5 Motor °< 60-- Single phase: = wEOfl • % HP, 115 V, 200 V, 230 V, 2 50 1 15 : { i i i I 60 Hz, 1750 RPM; /2 HP, z 115 V, 60 Hz, 3500 RPM; 40 ` I i HP -1 %2 HP,' 230 V, F i WE05H '/2 10 � 1 ; 60 Hz, 3500 RPM. 30 • Built -in overload with - —`' - - - - -_ -- WE03 automatic reset. • Class B insulation. s Three phase: 10 _ i ! • %2 HP -1'/2 HP 200/230/ o o - - ! ! i - - - - 460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 60 70 60 90 100 110 120 130GPM • Class B insulation. I 10 I 30 m CAPACITY ®1995 Goulds Pumps, inc. Effective May, 1995 1 63885