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HomeMy WebLinkAbout026-1296-10-000 Wisconsin �epartmentofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488204 0 Gy NERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal inf6rmation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. Permit Holder's Name: City Village X Township Parcel Tax No: Country View Ridge LLC I Richmond, Town of 026- 1296 -10 -000 CST BM Elev: Insp. BM Elev: BM Descripti : Section/Town /Range /Map No: U0 U jJ(�• O 07.30.18.1541 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Ben m rk Dosing � t � Alt. BM Aeration Bldg. Sewer Holding St/ Ht Inlet �O.O TANK SETBACK INFORMATION S t/Ht O utlet TANK TO P/L WELL BLDG. en o i Inalke ROAD Dt Inlet �T e7 c ; � � Dt E30ttom osing 14 ea are r an. ,. Aeration is . Pipe / �• o ing II Systern n , ��!. L ina ra e PU /SIPHON INFORMATION anu ac urer r eman over 4,1 0 (L GPM 14, p T t 1r) T. i'fSQ1s I .& m odel um er 3 016 i is I n oss ys em mea L2 ILL � or c ema tn i . VVaI MUM IN Ih in U1 11illulles DIMENSIONS /O ,l IL INFORMATION (/ CHAMr Of UNIT f Pip(s) w I / /� G ' Length Dia Length Dia Spacing / v/ / VVt92 x Pressure Systems Only �xx Mound Or At -Grade Sys ms Only r n nter dlTreh Edges Topsoil No BedlT a ch Ce Be nc 9 � - Yes No Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection Zt J ' ` Inspection #2: / / Location: 967 165th Ave Unknown (NW 1/4 SE 1/4 7 T30N R18W) Country View Ri ge Lot 10 Parcel No :07.30.18.1541 Vb 1.) Alt BM Description = relp 2. 9 g 4 D Bldg sewer length - ac;:2c i r /' - amount of cover = (m kirtYyt/r Plan revision Required? Yes No "v Cert'.fita Use other side for additional information. - -- Date L - nsepctor'sSignatnre SBD -6710 (R.3/97) S an Buildings Division County LL AW ash' Ave., P.O. Box 7162 T ) con sin M 53707- 7162 Sanitary Perini umber (to be filled in by Co.) r l Vi s (608) 266 -3151 �'� Department of Commerce Sanitary Permit App ca �/ stare Plan D. N '� ne " �Q' �7 e i �w � r s In accord with Comm 83.21, Wis. Adm. Code, personal' form i d6 E Di �> Z7 O u �� " 1 f`�" S may be used for secondary purposes Privacy L w, sI5.04(1)(m) Protect Address (if different than mailing address) 1. Application Information — Please Print All Information i U N t 9 2 0 0 6 (6 Property 's Name .CROIXCOUNTY PeFcel# `�# Block# Property Owner's Mailing Affiress ( Property riot 1 10 Nr� � %, Section City, State Zip Code Phone Number � rcle ) �� Gl u T� 1 a N; E W H. Type of Building (check all that apply) v' 6-t r or 2 Family Dwelling- Number of Bedrooms Subdivision Name CSM Number ❑ public/Commercial - Describe Use ` �� ❑ State Owned - Describe Use ❑City_ ❑Village ownship of 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) 026 - /C - 000 . /5 A Ne System Replacement Sys ❑ Replacement System ❑ Treatment!Holdmg Tank Replacement Only ❑ Other Modification to Existing System s List Previous Permit Number and Date Issued B. C1 Permit Renewal it Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumb ey Owner F r` r IV. Type of POWTS System: Check a 10 )< ❑ Non — Pressurized In- Ground ❑ Mound >24 in. of suitable ' ❑ Mound <24 in. of suitable soil t- e ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. DisiDersaYrreatment Area Information: Design Flow (gpd) Design Soil Application Raw(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevati9n <?co VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanis Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber 3 V11_ Responsibility Statement — 1, the undersigned, me responsibility for installation of the POWTS shown on the attached plans Plum a (Print) Plumber's S' MP/MPRS Number Business Phone Number J �2ex /s Plumber's Address (Street City, State, Zip e t W 1� VIII. Coun IDe artment use onl Pp Sanitary Permit Fee ( eludes Groundwater Date Issued Issu' gent Signature Stamps) ��A pp,ov,d ❑ Disapproved Surcharge Fee) ❑ O on for Denial --� TX. Conditions of pprov SYSTEN OWNER 1 Septic tank, effluent filter and.�1 dispersal cell must all be serviced / maintained / as per management plan provided by plumber. 2. All setback requirements must be maintained \ `� as per applicable code/ordinances. Attach complete plant (to the County only) for the system m ap not less than 8112 x 11 inches in sins / � SBD -6398 (R. 01 /03) _---� �-- ��� - -� -- - — i PLOT PLAN 'PROJECT Country View Ridae LLC ADDRESS P.O. Box 176 New Richmond Wi 54017 NW ,4/4 SE 1 /4S 7 IT 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 98.1' BEDROOM 3 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of Telephone Box ASSUME ELEVATION 100 1 Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark 165th Ave Scale = 1/4" = 10' Well is to meet all setbacks found in 97th St Comm. 83 Grading is to be done Huffcutt Combo Tank to divert run -off away from sy tem Tank is to be properly bedded and provided with lockdown B-1 B-3 covers with approved war ' g labels 98.1' Pro 3 98, Bedroom Area 15' below system is to ❑�-- -- S `� - - - -- House remain undisturbed 4% Slope 9 426' Property Line B. M. CO PY Safety and Buildings 4003 N KINNEY COULEE RD commerce LACROSSE WI 54601 -1831 TDD #: (608) 2.64 -8777 i s co ns i n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary June 15, 2006 CUST ID No. 226900 ATTN.• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL . PLAN APPROVAL EXPIRES: 06/15/2008 Identification Numbers Transaction ED No. 1278873 SITE: Site ED No. 709656 Countryview Ridge LLC Please 'refer to both identification numbers, 165th Avenue above, in all corres ondence with the a enc . Town of Richmond St Croix County NWl /4, SE1/4, S7, T30N, R18W Lot: 10, Subdivision: Countryview Ridge FOR: Description: Proposed Three Bedroom At -grade System Object Type: POWTS Component Manual Regulated Object ID No.: 1062643 Revision; Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System(s): At -grade Component Manual, SBD- 10570 -P (R.6/99), Pressure Distribution Component Manual, SBD - 10573-P (8.6/99) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were approved on 2/16/06 under Transaction ID No. 1240241 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 component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS 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. • 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 inspection by authorized representatives of the Department, which may include local inspectors. R O,V'�T.S, C - PRJ" 4 VET) DEPARTMENT OF COMFJIFRCc SHAUN B 2 / 5/2006 LJN BIRD Page 6 1 S 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 $ 75.00 l �0 Fee Received $ 75.00 %( Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.sv,im@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 RF� SAFF 20 Cover Page 6 &Q > 44 , /j Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 6/6/06 Owner:Country View Ridge LLC Location:NW1 /4 SE1 /4 S 7T30 N,R18W Lot 10 Country View Ridge Richmond System type: At -Grade (Revision) Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01 /81) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contigency plan 9 -11. Soil test uF SAFETY AND BUILDINGS Shaun Bird SEE GOR FON�FNCF_ Signature ° JJJ License nu Ir 226900 PLOT PLAN PROJECT Country View Ridae LLC ADDRESS P.O. Box 176 New Richmond Wi 54017 ANW f/4 SE 1 /4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 98.1' 3 BEDROOM CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOA XTE_ BSORPTION AREA 900 # of chambers none IL BENCHMARK V P. Top of Telephone Box ASSUME ELEVATION 100' Filter Zabel A - 100 ❑ BOREHOLE O enchmark 165th Ave Scale = 1/4" = 10' Well is to meet all � � setbacks found in 97th St Comm. 83 Grading is to be done Huffcutt Combo Tank to divert run -off away from sem Tank is to be properly bedded and provided with lockdown B-1 y t B-3 covers with approved war ' g labels I �f 98.1' Pro 3 98' Bedroom Area 15' below system is to 0 4;z grT House remain undisturbed 4% Slope 97' 426' Property Line B.M. } • ?5'1 B PYL �FOAL�MA tit �.� N J R-- tSTl�.iz�SiTs��t LA'l�R�kt STA6ti �£� o .thTiae� yELe. l /6B l/6 B A= L = /� - CELL Of t v = Fabric Distributi Lateral Sail Cover .STP 1� isrLb observation - We ll I LAVEX t -- 5 rc 0 with ti �tcsss Section of i7iscarsia At -$r$� �3nic a P ian View an on a S3tsping Site Single Absotg t an Area r I page Of M Distribution Pipe Detail For Lateral !#et++erk Aeres�' Tufty -UP (C.#�Rr tOt1 T) r - PVC Farce Main PVC Distribution Pipe P : Last Tole Should Be Text To T�tRt3• t1P P Ft_ hole a X �� inches Lateral Diameter Inch(es) Force Main Diameter �--� Inches Y� inches / / Of Holes /Pipe Y Invert b evation Of Laterals Signed- License Wumber- Hate: SEPTIC TANK � PUMr AMBER CROSS SECT'fl. SPECI ICAT 1005 w£ATWttP�f APPROVED MTi . RBflvE �RA�� a1UNCTIO14 BOX �,. V F-NT PIPE }2 MA Ht3LE �0� ER G WINDOW OR WITH CONDUIT WI PAD X F_ y MOM NTAX � WpIMING LABEL FRESt4, � IR ;I�tTAR=' r �:c� --- --"'r' P ww rimi., GRADE i a INLET GAS " TIGHT ,pp�#YEt1 iWATER TIGHT S�5 A SEAL { . t �iAPPR� PIPE _ _L_ AI.M 3` Old $ ' ' ©u SOLID SOIL APPMED c PIPE 3` wo S In. OFF ELEV SOIL PUMP n ApP 0 ftovED $,,,,,G UND ' A t;c CC)NCRE'TE PAD SPECIFICA' IONS ����� NuliBER DOSES F Eg DAY: ,EpnC f DOSE INcI•UD11� J I,_ T K MANUFACTURER : DOSE v £3 SHE I . �ggCK : ._--- `� GAL- /' SAL - T kNK SZ Z£S : SEPTIC -. GAL- - -S IMCiiES DOSE GA PAGg TIES = A - GAL. s = ..,. 2— INCHES J'�r' A ANUF S ACTURER,= s .�.... MODEL NUMBER '°' c = �.. INCHE =�?� � L Lam I'tZ'tC8 TYPE' _ 2cES Z_ n l g ra 7 pU,Mp 14AW R : 15.23 WA MODEL Ntfi#BER ' n e., e� �IIR I HG AS PER I LHR SWITCH T3tPE= �s.Ili E A1,A,RM _ FEET Gat4 � �- FEE'S' DISCS GF F.ATE DI ST "10 - ON P P FEET REQ� ;iti put4P OFF AND _ - PRESSURE - FRICTIa FA ;T� FEET v ERTICA £. I# ;FFEgEH CE RETUEE I I€3 g - FT' N,�I£ MIN ' NET O ,,K S€ PPLY � Dip�r!£TER ._ --- FEET FORCF.M:IN X %� - flTfiL D i S�� NS L}F pMF LIQUID INTERNAL DIMENSIfl LICENSE NIMBI i SIGNED: _ Sent By HP LaserJet 31UUi 1 /10 004 0041 ; wiay 9EH SERIES SUMP /EFFLUENT PUMP ass O 0 Specifications n =21M Ws ►enpBAw uw ® aR am rtttuarlt NOR K tans r► wos f ,. w 9 it 61 s �u ►� Oki �w r :rxs 9ENw 509330 UU✓;9A a , 0 115 3A 1 3.0 1000 70 64 55 41 32 13.9 21f 24 9.11 x1L64xs94 VWX SD9340 LWW 4" 0 230 3A 6.5 1000 70 64 55 4t 32 138 2R 24 9.11 x 1164 x 8.94 9N_aAms 509350 USA 4 "0 115 N in 1000 70 Bd 55 41 32 13.8 20' 27 9.11 x 11fA x 831 *4*ff6 50936 MAMA 4-0 230 314 U 1000 70 64 55 41 32 130__ ar 27 9 t1 x 11.64 x 894 I:oe4H+eousDutyNpted —"Lille 6' iarQWuoewsBerpun�arerMedto�rwdxstlulYa% �O��Y�erunwi FLOC/— LITERS /HOUR construction 0 t000 2000 3000 Motor Housing Epoxy Coated Cast Iron i etler Material Poly Carbonate 10 im eller'I a Closed Vane 30 Volute __._... ABS __.�... 5 ; Power Cord s ►TW-A 7. w zo Mechanical Shaft Seal Nitrite with carbon and ceramic faces Q Fasteners Stainless Steel W Q ... �.. = io = Shaft _ Stainless Steel z -s Bearing s — — ' Upper Sleeve and Courser i Hall Bearings 0 TrrT TrTT 0 0 20 40 60 80 PU °P ERF O RM ANe E� C UR V E Little Giant Plump Co. _� 115V ""Z ! eo Box 12 • Wdmkoma Ctey, 09 73157 Pbaim 405:9412511 • Fa: 405.228.!550 F. -mo7: caslomersevvioeQlittlKiasteoo www. L1tt1eG1antPtump.COM 43 Form 995235 -07/03 rage 'S MANUAL & MANAGEMENT PLAN o! r PO WTS QYYi11ER SPEGIFiCATIOA[S SYSTEM �� a 13 NA Fib FpA nart Septic Tanis CapaY V i tic rank manufemirer HA oar �' r Manufacturer 2- D NA P #. Effluent pi te •Model / — vz� a NA DEStGt�t PARaM�El'E 13 n NA Nlsclber of Bedf o?ms P Tank Capac Number of ity Co Units aFtd Pump Tank Manufacture r EsdInAed 110W (2"ra e) a[/d . Pump p�es$in t1oKV (per• (� x 757 t!d Pump Mods Rage Pre��ent Unit Peat FffW San pPP' ulity monthly sys�e p Sandl p Wetland G n lMfluenVMu� Qa S30 rng/L 0 13 iVleahBnica c Fats,. 0 & Grease (FOOD) 92fl m9n on [3 Other �¢ B Q D •ssinfec ti Bi� O � sor�d SS) s'[ 5o m 11- Ma.n r'a[ Ter ) Monthly average" Dispe s p [n - ground (pressurized) p Ef fluent Qua 80D� S30 mg1L 13 Jn round (gtavnY) p Mound en Demand ( rade C3 other_ Bbohemical oxyg dad Solids � ) 0 mglL D 'ne - Total Suspen D` cfu/4 o4ml na l°"ram` r++e Fecal CWifonn (geometric mean) values typical for do t r_h diameter seprr tank eRruenL �Effluent PWIcle Size Values t Tor pre"aw u SCE SCHEDULE service Frequency Service Event [3 months r(s) (Maximum 3 yrs.) At feast once every one -third (y) of tank volume ins p cOndttlon of tank(s) When combined sludge and scum eq uals Maximum 3 yrs -) ntents of tanks) `,� © months earls) Pump out cA At } once every dks cell(s) l3 months r{s) Inspect Pew At least once every $? E3 NA Clean etiiuent filter At least once every mo 5) O HA [nsped Pump, pump controls alarrr+ �' Mon At least once every Rush lataerais and pressure test At least once every Q months 0 year(s) 0 N A orl,er p months II year(s) Q NA At [east Once every o� the made by an individual one of the folfo Ang licenses or t � NS �� acs shalt be carrY>n. Gwr. PC)WTS Maintainer. S13PM90 I Piurnber Restricted ggw8r, ppWTS tnspe to identifjl any Missing or br�olcen aa. Master plumber Mir on of the t Se�9 Operator. Tank inspections must I nclude a o lsual Inspect a an d scum and to check filar any bads is kienft any cracks or leaks. measure tft8 volume of co mbined Sludge to fluent l o evels The dispersal celf(s) shal[ tie visual[y rnsPeG'� check o f effluent on the hardwWo, of effluent on the ground surface- rend surface- The po or Potldln9 for any ponding of effluent on ttte 9 in the observation PrPes and to check n an d regcscre5 the Immediate notification of the local regulatory auti'o�' indicate a fatTing drdo e.thic� �y� or more of the tank Volume, the 9m " m in any tank equals on of in accoMance with ch When the combined aowmu[atiort of sludge a a age Servicing ( peraror and dispo entire of the tank shall be moved by t cornPonents; and anY Code - 113, W[f rtsm Adminlstrative anent$, pm POWCS Maint weer- nical Or Pressurized POWTS corny tmsd �Y The Wjicing of effluent fitters, media event other maintt�nanae or marlitorfri9 at of 12 manthS flr less si�ait be of co mpiegon of any service s h a ll prr�vided to the local regulatory autttorlty wifttin '[Q days A Send afl PERATI[3N s for the presence of painting p roduds or othe START U P AND O r N use of tW pC)WTS check treatment Wk( s) For clew oonMCtiott• pdo cell(s). s and/or damage the kiisPersal ps). If high 001710 "WnS are chemkals ttirat may impede the treatment proses a septage servicing Operator prior to use - k s} removed by of the tan - deft hire the contents - -- , ..% ► - Page of"� sr?rl 'conditions ar e frozen at the - infiltrative sulfiace- SyStgrn start u shad not occur wfren testaved file t'eSS e normal highwater levels. When Per ffi abov During pewer ,,utages PAW tanks a di cells} in one large dose, overloading the celt(s) and may result in the will be discharged to the dsspe� � this sihtation have the contents of the Pul tank removed by a wastewsw b�P or woe discharge riot to = q power to the effluent pump or contact a Plttrnbes or POW I'S Mafitainer m S�ytaSe 9 p co nWs to restore normal levels wifftin the pump tai assist in manta* OPWaft Me p+rfiF Do not drive or park vets b fft and dlspersM mK Do not drive Or park over tar of ffi' a �lsOub or tblltp�t, the ar» within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or errrninatton of the following from the wastes :AW strum may improv tilt= Pe tfvrmance and prolong the He of the POWTS: antlbto s; _dime butts. condoms; -zotton swabs; deg : dental floss: draPefT. fxxrri6ation draft (sump pomp) tinter, fruit and vegetable peelings gasp ne; grease; herbiddes; treat disirdiDictiIntr. fat scraps snedrcatlons; oily ng p��, pesftades; sanitary napkins, tampons;'and water so erler brine ASANOONjIMENT taken out of service the followng steps shaff tr- taken to Insure that the WIM the powl'S falls and/or is p�nanen system is pmperty and �Y abandoned in mprrance with ch_ Comm 83.33, Wisconsin Adminlstra6ve Code Ali plpfng to tanks and pits shalt -be disc_ onnected and the abandoned pipe openings sealed. The conrerfs of an ranks and Otte disposed shat! be removed and properly posed of by a Septage Servicing Operator. • After pumping all tanks and pits s hall be excavated and removed or the covers rsmovedand the v[ud space filled with soil, gravel or another inert so &d materiaL CONTINGENCY PLAN the following measures have been, or must be taken. tD provide a code If the POWTS fails and cannot be repaired compliant replacement system fl A suitable repiacBmenCar+ea has been evaluated and may be ufEliz_ed for the location of a replacement soil absorption system. nt re placement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from e�asVng and Proposed structure, tot lines and wells- Failure to protect the replacement area win result in the need for a new soil and site °evaluation tD establish a suitable replacement area Replacement systems must comply with the rules in effect at that time. D A suitable replacement area is not available due to setback and/or soil limitations- Barring advances in Pi technology a holding tank may be installed as a last resort to replace the failed POINTS. a suitable re facemen', area upon failure of the POVYTS a soil.and e: site has not been evaluated to identify p Site evaluation must be performed to locate a suitable replacement area if no repla rent area is evadable a oIdim tank may be installed as a bast resort to replace the failed POWTS- the blamer at curd and at -grade sod absorl�on systems may be reconstructed in place faffcming the Infi(frative surface., Reconstructions of such systems must comply with the rules in effect at that time. ccwl(ARNINC>> SE PUMP AND OTHER TREATMENT TANKS T REATMENT TM[K UNDER Al1tY CtRCFJMSTj1At DE1�TH DO NOT ENTER A SEPTIC, PUMP Olt OTHER RESULT. RESCUE OF A PERSON FROM THE IN ER1OR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ADDITIONAL COMMENTS POYYTS INSTALLER POWTS MAINTAINER F Nam e Name Phone �/f •— �/ C� SEPTAGE SERVICING OPERATOR PUMP LOCAL REGULATORY QUTH ft Y Herne 1 6 1 7 Agerlc}� D/ Phone L� Phone r7afforr V=iM + This docrur fd mess This aoaarren2 was draped by rte stems of the Green Lafce rKa , tquatfa and Waushard Courtly .7 ntng and Stn me mini rum mquirernarm of ch. Conan 83 54(l). (Z & (3). Wisconsin AQtirhrisrratfm "i the of dib d6aen mt dfxs fWt guacarRee the performance of the Po wrs. {',1AW (1Jpt} I 3s �� L 6 do � 2 I Wisconsin Department of Commerce SOIL EVALUA O RT Page of Division of Safety and Buildings in accordafrence Cpom�m��++85, Wis. Adm. C e Attach complete site plan on paper not less than 8 11s�� �ust ro j include, but not limited to: vertical and horizontal ref point (BM), dire io and Parcel I.D. percent slope, scale or dimensions, north arrow, an ation and distance to nearest r ad. Please print all info tj�h N 8 2006 Review y D Personal information you provide may be used for second ure rivac Law, s. 15.04 (1) Property Owner ro erty L cation f' o 1/,E 1/4 S T� N R j S E (or Trope Owner's Maili ddress ^� L Block # Subd. Name or CSM# - d 1 \% D / Ore j City State Zip Code Phone Number ❑ City g Village o j rest oad, Nu- New Construction UsK Residential/ Number of bedrooms _ Code derived design flow rate � O GPD ❑ Replacement Q Public or commercial - Describe: ________ Parent material Flood Plain 3y ition if applicable /'-//� ft. General comments J�evJ � Arer and recommendations: J��y System Type ! a System Elevation / V F-11 Boring Boring Bon # � pit Ground surface elev. �r �. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM i in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 M/4 Vow ®Boring # Q Boring Q 7 IX, pit Ground surface elev. ( r `^ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 I •Eff#2 Z z- ZZ Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 1150 mglL ` Effluent #2 = BOD 1 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715 - 246 -4516 f t f Property Owner _ Parcel ID # Page of Ong # ❑ Boring + Depth t limiting factor, q . Ground surface elev. ft. Dep o ng � in -Pit 4--- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 'Eff#2 I 0 3 j I Boring # ❑ Boring Ground surface elev. ft. Depth to limiting F E] pit DP 9 factor in. _So Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I ❑Boring a Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon ')epth 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 mglL and TSS >30 < 150 mglL ' Effluent #2 = 1301) :< 30 mglL and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. 580.8330 (RAW1 - Soil Test Plot Plan Projgct Name Country View Ridge LLC 9 Shaun d Address P.O. Box 176 1 _,/ New Richmond Wi 54017 CS #226900 Lot 10 Subdivision Country View Ridge Date 6/6 6 NW 1/4 SE 1/4S 7 T 30 N /R W Township Richmond [ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Telephone Box System Elevation 98.1 *HRpSame as Benchmark 165th Ave Scale = 1/4 = 10' Scale is 1" = 40' unless otherwise 97th St noted B -1 B -3 El Pro 3 1 98' 98.1' Bedroom L B - 2 House 4% Slope 97' 426' Property Line B. M. r 1 4 COUNTR Located in part of the Southwest Quarter of the s the Northeast Quarter of the Southeast Quart Township 30 North, Range 18 UNPLATTED LANDS Bench Mork -� Top of 2 O. O. Um Pipe vation \� C Ele 977.14 fl - NAVD 88 �1 N88'57'22 00' "E 1048.00' 220. 220.00' 168.59' 196.09' 243.33' 2 � 3 f `o• t -- R, of the 1-, ` t• C th Line or the ro Northeast Ouorfer of N `� Northwest (Ararter o{ tT the Southeast Ouorter M 81,611 sq.ft. the Southeast OUarter M n 1.874 acres ✓, l80 = 975.00 a 9 s 97,914 a .etl R . 7 3 6 3 2.248 3 « 00 82,792 h 87.918 sq.il. u0 87,918 s9. . !' 2.018 acres 2.018 ones e7 1.901 acres sq.fl. N N M r t-porory sio nshed p uon Z Z 2 ngu - 23.25 -c,- r P i J -220.00' - - - - 112.44'-- 3 _! -- 246.68'- �- - -_- _ -_ I20.00' - - -- - - - 7•__ a o NaB'57'22 "E 799.12' 1 65TH _ Y % N8857'22'E 426.69' N88 57'22 "E 30698' . _f ?264' -m �_ -- 278.52' - - -- I� - - - - -- f 47.8x ! \ t `G- 1 33• 33• f N26'12'26 "W�_ -- Y \ t I I 56 -01' o.'S o ml Im i �YZVI W 3 a adinq s< ro o - 1 1 1 I M m X20, i •g �i iM I 16 7 I Z I 87.1 sq.rl. \u MI I I0 100• I 87.121 aq.tl. 1 / ! O l QI 2.000 acre �\ I of I o 2.000 oar<a h 87.130 aq.fl I JI LBO I Z 2.000 ZI M pl m m 1 O5 1 ZO n S8647'12 "E 426.59' I I v Z ! a 0 t tiI I N ! W t n ZI 3 e s. bl « \ s4o49 7 .� I m f o / v ces 65.55• M�,rJro / / ,� ^, �\' �• 984.00 - 6 N p J / 237. p 1 2� 0 I S 245.75' N8236 73 �/ 30.80' 2 / i 41& _ / N32.30'57'E 0 "E '^)^ S83 / o / 49.56' / s r �1 33 0.08' y ! a \m t ( / / R o z 1 �°�- � 137. 15 o 2.000 / a l r ! 80 ls 45 18 �fs \ \ \ � T I l ` ] a1 I I I I ` \' ss7a4zzc P L 82.01? 130 57 sq /l e fi �i U3 = 959.00 9 1 8 o 297 .86' r \� i - i� , •', O ' di 11 I 1 5579427"E�� . _ }'✓( 19 rn 1 75.65' $79 97.63• �elA9 �.�j \N N89'52'41 "E 301.71' 85.690 aqA I I 1 4 ° 58 4.87) 7 r ,, 967 0< m 9 \\\". LBO = 959. al f 7 -a d -6a t _ osemoeny - t I 3 1 3 0 130.693 agJL = ��,,,,tt,, 6 na4e i W \� f Sgonahed aeon 1 of 3.000 Oro' oc �" ^' 3"- Easevnmt O \" ood ext i \ N LBO = 959.00 '�.,1 �j63� /\ �- •h �o 0 1 /' 1. ;i p 0 ' o a \ s o v o0 13 X0 \,� 9 E ,- E i N 76,222 sq.ft, 1 ✓' I `a Z z I d •11 B /U 1.750 acres N 3 I I N 8\ -, 6•g 'f 1 I ' 6 -5 i 9" 1 \ 1 ^ !P NB9'1B'S7 E! =" �? E fi \J ! 78 - 15 217.99' h - -- 328.46' � - 1 30.o0' -- 533.57 soath Lme of the North Zf the southeast Ouarfer S89'18'52 "W 1t46.36' - -� UNPLATTED LANDS Safety and Buildings Division County n t _ 201 W. Washington Ave., P.O. Box 7162 ��. + �, l ) ` �O�i�J� Madison, IV Sanit Permit Number to be filled in by Co.) (608) 66 -31 L�Z Q De m of m ice ry Permit Applicatio MAY (� 5 200") state I.D. Number z 7 5 C d with Comm 83.21, Wis. Adm. Code, personal informatio you provide / ma r secondary purposes Privacy Law, s 15.04(1 (m ST. ChC�IX COUN � ./� ) oIe t ddress (0 d ifferent than m g address) ) I. Application Information — Please Print All Information rT 9�0 7 s Property Owner's Nam ,, ) Parcel # Block # .pun '' Property Owner's Mailing Addres Property Location 'AJ� A Section City, State Zip Code Phone Number `` .. ) rcle o C<✓ S` �� T RZIE or II. Type of Buildin beck all that apply) O k q� SJb S ision Name CSM Number 1 or 2 Family Dwelling umber of Bedrooms A4 0 y 5 � `�- ❑ Public /Commercial - Descri se City_ ❑Vil e�o ip of ❑ State Owned - Describe Use k III. Type of Permit: (Check only o box on line A. Complete line B if applicable) 62( - / 2`I to ° A. w System [I Replaceme stem El Treatment/Holding Tank Replacement y El Other Modification to Existing System - -- List Previous Permit Number and ate Issued B. ❑ Permit Renewal ❑ Permit Revision C1 Change of El Permit Tr to New D Before Expiration Plumber Owner IV. Type of POWTS System: Cbeck all that a 1 CL � � • ❑ Non - Pressurized In- Ground El Mound > 24 in, of suitab oil ❑Mound < of suitable ❑Single Pass �tnd Filte Constructed Wetland El Pressurized In- Ground 11 Holding T ❑ Peat F' ❑ Aerobic Tril nit C1 RecRulating San ilt� Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Dr ine Gravel -less Pipe xplain) V. Dis ersal/Treatment Area Information: s lev n Desr Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Required (sfJ Dispersal Area Pro s (s� C � 7 � r `' ter^ fa to Steel Fibe PI VI. Tank Info Capacity in Total Number ufacturer Gallons Gallons of Units C re cted New Existing Q C6 Tank Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber Zj VII. Responsibility Statement- I, the undersigned, responsibility for installation of the P S shown on the attached plans. nsibil Plumber' Name (Print) Plumber's S' M�� Number Business one Num��� plumber's Address( eet City, State Zi e � VIII. Coun /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date slued suing nt Signatu (No ps) Approved ❑ spproved Surcharge Fee) wn en Reaso r Denial J,� JJ ✓ IX. Conditions of Approva,1Reaso for Disapproval 3 \ SYSTEM OWNER: J dt�( 1. Sep tank, effl filter and � e dpersal cell st all be servibes / maidakl2d as per mana ent plan provided by plumber. 2 AU setback nts must be mainWned \ A— -j 4-6,, � e_ as per code / ordinartoes. J Attach complete plans (ta the County only) for the system on pepe r not lep��� x 11 �c�n size � � ` 5 � SBD -6398 (R. 01/03) 2b 6 ( I 1 � I r� f ,,� � ' �_ * �... � - �.�.� j� : �' • �.;� � `. ���` �, , ,.:, �- �,: , ��' ;� ., <,� _ ,� ,.,, . ,, ;,. y . � :. PLOT PLAN JECT Country View Ridae LLC ADDRESS P.O. Box 176 New Richmond Wi 54017 W '1 /4 SE 1 /4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 97.9' BEDROOM 3 CONVENTIONAL AT-GRADE ) CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of Survey iron ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark • 165th Ave Scale = 1/4" = 10' Property Line Well is to meet all setbacks found in Comm. 83 Area 15' below sy is to remain undis bed Tank is to roperly 97' B-1 7% Slope bedded and pr ' ed Pro 3 Bedroom with approved war House 97 labels 8 t7 Huffcutt B-2 Grading is to be ne to B - 3 Combo divert run- away from Tank B. M. * system 426' Property Line I •" Milk a t o p A' Safety and Buildings { COnt111@TC @.WI. OV 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 merce www.wisconsin:gov �•commerce.wi.gov /sb/ isconsin Department of Com. Jim Doyle, Governor Mary P. Burke, Secretary May 23, 2006 CUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND VE 1101 CARMICHAEL RD NEW RICHMO WI 54017 HUDSON WI 54016 CONDITIONAL AP OVAL PLAN APPROVAL E S: 05/23/2008 Identific Numbers Transaction ID AT 1270858 SITE: Site ID No. 79956 Countryview Ridge, LLC Please ref both identification numbers, 165th Avenue above, comes ondence with the a enc Town of Richmond St Croix County NWl /4, SE1 /4, S7, T30N, R18W Lot: 10, Subdivision: Countryview Ridge FOR: t r Description: Proposed Three Bedroom At -gra System Object Type: POWTS Component Manual Re ated Object No.: 1062643 Revision; Maintenance required; 450 GPD Flow 36 it minimum depth to uniting factor fro o �rade System(s At ade Component Manual SBD - 105 / Pr D gr p ( 99), Pr i trtbu ion Co ent M SBD - 10573 -P (R.6/99); Revision The submittal described above has been reviewed for co rm with applicable Wisconsin A tive Co and Wisconsin Statutes. The submittal has been CO ND IONAL APPROVED. The approved c es wi become an addendum to the plans that were previousl pproved on /06 under Transaction ID No. 1240 The owner, as defined in chapter 101.01(10), Wisconsin atutes, is respons for compliance with all code requirements. No person may engage in or work at plumbing ' e state unless licensed to o by the Department per s.145.06, stats. The following conditions shall be met durin onstruction or installation and prior t cupancy or use: • This system is to be constructed and ated in accordance with the enclosed appro plans and with the component manual(s) referenced a e. • A sanitary permit must be obtain from the county where this project is located in acco ce with the requirements of Sec. 145.135 a 145.19, Wis. Stats. • Inspection of the POW] ins lation is required. Arrangements for inspection shall be made the designated county official ' ccordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet h zontally below the system shall remain undisturbed. Vehicular traffic or it compaction in this area ' prohibited. • A state approved effl t filter is required. Maintenance information must be given to the owner of the t explaining that per' is cleaning of the filter is required. Access to the filter for cleaning must be provi per Comm 84 pro uct 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 inspection by authorized representatives of the Department, which may include local inspectors. P. C011d tiro SHAUN R BIRD Page 2 5/23/2006 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 $ 75.00 Fee Received $ 75.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART; code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I t Cover Page Shaun Bird RECE Bird Plumbing Inc. 1008 192nd Ave MAY z New Richmond Wi 54017 SAFELY& BUILDING 715- 246 -4516 Date: 5/9/06 Owner:Country View Ridge LLC Location:NW1 /4 SE1 /4 S 7T30 N,R18W Lot 10 Country View Ridge Richmond System type: At -Grade (Revision) Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contigency plan 9 -11. Soil test Shaun Bird Signature License number 226 j L i 1, , 4 )L , DEPARTMENT Of Colifl FRCE A V15 "'"" F Y ND ButCD[N( 5 SEE CORR2S NDENC C i >_5 B >_5 PYL �dAE.E.MA1�3 UPS • • �-- STlSs! LATg.RRt Yy EA ST'A13il.I tf-D O i �ttt�t ►brs WELL. #�... a - o Ir > t 1/6 B 1 /68 t12B A 8 = 1 fit. CEtf... of fZ ' Z /L AtS6K£.C�&TE y _ Z'Z� ft. Aeeata%mb SymTt c. Fabric � Distribution Lateral 5T416MIrLb Observation--- -----,,_ �.�: 1:2 � �, � --So Cover Woe l l � _ ._ � LAUX I >5t A --2 2:5' Plans View and Cross Section of Wisconsin At - grade Unit with a Single Absorption Area on a Sloping Site . Page Of Distribution Pipe DetAil for Lateral Oetwork ACresf . Tutu -up" ( CLERNOU - r - � - PVC Force Main ;� PVC Distribution Pipe - P * Last Mole Should Be text To TuRU- uP P Ft. ttul a Diameter �3�- Inch X � Inches Lateral Diameter Z' Inch {es} Y Inches Fame Main Diameter Inches 0 Of holes /Pipe q � Invert Elevation Of Laterals / Ft. Signed- License number: Date: I ANI} SPECIFICATI SEPTEC TANK CROSS Ct#AM8£R CROSS S£CTIG- w£AtH£RPRWF APPRCV ED 4 G.� VENT PIPE } 2" 141N- :�Bi7�£ GRADE � jUNC 8flX }�iH01.E CO51 ER ` £ROM DOOR idII�I3fl�? T CONDUI W 1 PADLOCK FREE TR INTAKE WpIMING LABEL rv t FItRI _".fl GR ,.,,,�. HIlR. INLET . GA5- � wAT£R Tlr.HT SEAS iA T IGHT ; _ IPPR ENjT11 s t 31.7 f — % _ _ _ ALM APPROVED PIPE 3` ONTO APPRt11fED f { R SOLID SOIL PIPE 3` FF mm SOLID. —� SOIL PUMP OFF ELEV - � 3a APPROVED SEi3D'XG Ui+tDER - K DNCRETE PAD SPECIFICATIONS l SEPTIC f DOSE u �',�L IIUtfBEg DOSES PER DAY: - ----- __.._ iAI�iK MANUFACTURER: 9� / GAL DOSE; vow ME FN�BACKK: GAL - TAIRK SIZES - SEPT / GAL. 3�7 7 GAL , °1°`'a Ci;FACITZ S: A 6/ � INCRES = — _ ALAIi?s 1SAIFAC3VZiER;: C/�` - .2 TNCHES = .__ MODEL WKSER SWITCH TYPE -111 "...... i ^ C J� C INCHES = / � GAL FuMP MANUrACSURER D = xIR KES = GAL MODEL NUM BER : - �� 15.23 W A S f e T I T C H TYPE:: n !t WIRING AS P E RI LHR $ AL %R REQUIRE DISCH&RGE RAT FEET • FEET V ER1'2CAL DIFFERENCE $rTi�1E£N PUMP OFF AND OISTgIBu"'�I FIF£ + MINi!'Rz3M NET�+Tt13iK St3FFYM gE.StIRE - - - - RC SA FT /100 FT- FRI NAMIC HEAD / - I'EET f � FE£T F© TJ)TAL Dy 1 .5 — - WIDTH -6. DIAMETM .. INTERNAL DIMENSIONS ()r PUMP TANK: L��G 1T ATE ' SIGNED. I188 Sent By: HP LaserJet 3100; — 1 715 552 8827 May -5 -06 2:56PM; Page 213 9EH S ERIES Sump PUMP 8.45 Q 0 Specifications M CA mix 8P "M � � !B/srYflCEli111 ®� sow PWIft low fDI o = 231 ill K ft.hi AWAMM f tf ti' 7P fu Rl a" p21xID 9DRIMO 509330 MCA V-D 115 34 13.0 1000 70 64 55 41 32 13.8 20 24 9.11 x 11.61 x 6.94 904-OM SM340 W= 4"0 230 34 6.5 1000 70 64 55 41 32 13.8 21F 24 8.11 111.64 x 9.94 881 -4.M 509950 Ut4SA 4K 0 115 34 13.0 1000 70 64 55 41 32 13,8 w 27 9.11 x 11.60 :8.84 S O t 1 A • 1 S S 509960 M G A A - 0 a90 3d 64 1000 70 64 55 41 32 13.8 w 7 911 s 1160 x 894 Cor4nrrouSDulY�ttd " IA�Cau4W> Sro111alerprxnp5arosakdcoMsdWYaSbADaSlheYarerunwmxnfreD�ishedrrfnOslalMscoumos .• PLOW- LITERS /HoM construction o soao zooa 3000 Motor Housing B x Coated C iron ' Po Y Cast Impeller Material Pol Carbonate 30 10 Irn eller'r a Closed Vane Volute ABS 7.50( d Power Cord La `` zo Mechanical Shaft Seal Nitrile with carbon and o � , ceramic faces a . Fasteners Stainleu Steel = 10 = . 2.5 Shaft StamleSS Steel — — - — _,.. Bearings j Upper Sleeve and Lower a a i ball Bearings 0 20 40 60 so PLOW- GALLONS/MINUTE PUMP PERFORMANCE CARVE IISV 604 Z , , Little Giant ft ml3 Co. ..r PO Bas 13818.0111dLoma CU% Or, 73157 P6oae: 485947.2511 • Pas: 405.228,1558 wlww-UttleG1ant.rUMP.c0n1 E m>B: casiaurrservtc�itetgliaatco® Form 995235 — 07!03 II • . Qowrs o" FWs MANUAL & MANAGEMENT PLAN • SYSTEM SPECIFICATIONS F INFO R1V44noK Septic Tank Capacity l al DNA Owner u Vi t`J Septic Tanik Manuf aum CL ❑ NA Penn went Fitter Mwwf ;tuTr Q fYA Uwo PAMEVERPS _ Q NA Effluent F1'br'Model ,4 vv ON I A Number Of &Xtc ms Pump -Tank Capaatx 5.30 Ga l fry NA Number Of Commeraal Units G (TLS alfd Pomp Tank Manufattu�aer �,.�- NA Gat `b (Sv" `V) _ ■ / el.'1 NA. stied x 1..5) S Ptlrrlp! irl3f�tl�diKef / 1385W 0 (P+ (6st<m Pump Model Q SoV APPS' Rate Prob- saurent Unit _ �uft-w f UwA Quarrty Monthly average- 0 SandtGrawel FUW 0 Peat Fitter _00 mg n D Wetland ' Fats,Q� � Grease (FO /L D Mechanical Aeratia Q Other. Biochemic W OrAw Demand (BOfl 520 mg/ D Disinfection Tow a4 spended Scede (Tss) 5150 m 1L Manvfac6 rrer Monthly average" Dispersal Cents) pfd Effluent Qualdy NA 13 In -ground (gravity) D in- ground (preessufted) Biochemical Oxygen Demand (SODS) S30 mg1t. .grade 0 Mound Total Suspended Solids (TSS) 530 mgfL e 0 Other_ Fecal Conform (geometric mean) s10` c fut40oml ❑ n n Y inch diameter values typleal for domestic oor (non- tun tCW* wastswaW -W mwdrnum EfRuent Particle Size seprn rank etriuent «� values typlew for pmveated wastewater MWNTENANCE SCHEDULE Service Frequency Service Event � months r(s) �(!2,m7�um �yrs_) At feast once every of tank volume pect dition of tanks) equals one -third (X ins con ,) When combined sludge and scum eq Pump out contents of tank(s) D months Ks) (maximum 3 yrs.) At least once every Inspect dispersal cell(s) rp months r(s) Clean effluent fifer At least once every At least once every j D months s) ❑ N lnsped pump, pump controls & alarm Q months s) Q NA At least once every Flush laterals and pressure test otf�er: At least once every C3 months C1 year(s) ❑ NA At least once every C] months 0 year(s) D NA Outer- &WNTEWMCE INSTRUCTIONS one of the following ricenses or lnsp and drspen i tails shall be made by an individual carving co �-u r POWTS Mainner. Septage eer6tk tiaras: Ma ster Plumber: Master Plu r' mb Restricted Sewer, pOWTS Inspector to identify any missing or oxe S operator. Tank inspections must include a visual Inspection of the tan any cracks or teaks. meas and scum and to check for any back up dardwwe, kkni fy uro �e volume of com s a s 'VI to check the effluent levels or wing of effluent on the ground rface su - The dispersal ceU{s) shall be vnd sur face. inspe� nd of e}nuent tin the for any pondina of effluent on the ground surface. The pa in3 in the observation pipes and to check u i fes the immediate notification of the local regulatory auk ground Y indreate a fatTing coaditlon and req or more of the tank volume, the When the combined aCC mula[ a of sludge and scum in any tank equals one W entire cont@ntr of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with cl' NR 113, WLgconsin Adminislrabve Cade. t �ponents; and anY The sung of went fibl�S, mechanical or pressurized POWTS Compone� c fred POWTS Ma ntatner. by a other maintenance or monitoring at in of 12 months or less shalt be p? wiftlin 10 days of compieb�on of any st r� event A SWA0 MPOft shall - be prumided to the total regulatory authority START UP AND OPERATION nCar pa�Ing P�u� or other For tre+�r oonstiucxiM, P� to use of the poWTS check tank($) for thee p� if oonoerltr8tionS a chemi t ' c� that may impede the treatment process and/or damage the dispersal Cell {s). detecMd have the contents of the tank(s) removed by a septage servicing operator prior to use_ bystem start up sgail not oc = when said conditions are frozen at the infiltrative S urface. - Dwing Po+�rrer °images pump tanks rMay frig above normal tfQhwater levels- Y�+tsen power is the f_'7n S �va be disch� to the dispersal caett(s) in one Large dose, overloading the Ceks) and may result in the bad or sarface discharge of efd�ent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Qpftwac pt tp`t frig porter to the effluent pump or contact a Plumber or POYYTS Nlakdainer tD assist in ffmu* operaff ft Pump controls to restore normal levels wfthin the pump tank Do not drive or park VeW*5 over tonics and dispersal tells- Do not drive or patfc oven or oftlenvise disturb or compact the arena within 15 feet down slope of any mound or at -grade solll absorption area. Reduction or-errminadw of the fdbwing fruit the wastewater stmaam may improve the perfomta rice and profong the fife of the POWi'S: antlbfo6Cs; -babyVdPes: d9arede butts; condoms; cotton swabs; degnumers; dental loss; drapers; disk s; fat: foundation drakt {SCttnp PUMP) Water, fruit and vegetable peerrngs; gasoline; grease, herbiddesi meat scraps; rt> ors; 0* tenting products% pesflddes; sanfiary napkins: tampons: and water softener brine_ ASMOONMMENT When the POYY'r5 tags aandfor is petmanently.taken out of service the follovAng steps shall tie taken to Insure that the system is propertyand safely abandoned in compliance with ch_ Comm 83.33, Wisconsin Add Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe opening$ seated_ The contanfs of an tanks and prfs shall be removed and property disposed of bar a Se~ Servicing Operator_ • Auer pumping, all tanks and pits shall be excavated and removed or their covers ,removed - and the vow spade filled with soli, gravel or an other inert solid material. CONTWGENCY PLAIIL if the POWT'S fails and Cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacenment systern: 0 A suitable replaoemmnt has been evaluated and maybe uwized for the location of a replacement sod absorption system_ The replacement area should be protected from disturbance and Compaction and should not be infringed upon by required setbacks frorn existing and proposed structure, tot Fines and wells_ Failure to protect the replacement area will result in the need for a new soil and site tevaluation to establish a suitable replacement area_ RepLaeement systems must comply with the rules in effect at that time- 0 A suitable replacement a is not available due to setback and/or soil limitations- Barring advances in POYVTS echnology a holding tank may be installed as a last resat to replace the. fazed POWTS. — sifie has not been evaluated to identify a suitable replacement area Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area if no replacement area is available a Aiding tank may be installed as a last resort to replace the failed POWTS- ound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the in t>52 vte surface_ Reconstructions of such systems roust comply with the rules in effect at that tune <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUtAP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT_ RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name S E Phone 7 �J a - � 1 SEPTAGE SERVICING OPERATOR PUMPS LOCAL REGULATORYAUIHORfTY Name 6 Agerlcy t57� t Phone i Phone ' rtris aor�xr eni,.as drartsd yr fire sta!!s of the Gram Lace. rftmuetfe and W aushara County Zoning end Sanitation 39MIM This document meets me nl9 imEm mqurrtIasrrts of ck 0== 83- 222XbX1)(U18.M and 83 54(1). (2) 8 (3). Wisconsin Adn-intsbrefrve Cede. Vss of this document MODS ttOt guarantee the performance of the powrS. C44 W (M 1) l Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Mlsi6n of Safety and Buildings in accordance with Corn 85, Attach complete site plan on paper not less than 8 1/2 x 11 inche in size ` Plan mOsC M P 5 6 r X include, but not limited to: vertical and horizontal reference point M), direction and Pa I.D. percent slope, scale or dimensions, north arrow, and location an distad*reAre ft road. Please print all information. / p `' X005 Re ewed by Date Personal information you provide may be used for secondary purposes Priva, T vY3 i�4Q�� r( n11 iQ DS Properly Owner U l ion x-) Govt. Lot 4 1/4 S T 3e N R f j E ( w Prope is Mailing Addrfits ^ � O o Block # Subd. Name or CSM# 0 Sox city / State Zip Code Phona Nu ❑ c;r ❑ iliage To4W Nearest Ro L'c.l.CaC�I) IsJI /7 ) M New Construction Use: esidential / Number of bedrooms Code derived design flow rate TU GPD ❑ Replacement ❑ Public aal-Describe:-- Parent material 7 J Flood Plain elevation if applicable / ft. General and recom ndadons: S y rye t d am/ CA 7 se- ns 4� M Bon # Pit-i Ground surface elev. ' ft. Depth to limiting factor - f = — in. Soil AppAication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#t2 cc Boring # Q Boring f Pit Ground surface elev. t 0 ft. Depth to limiting factor in- Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfff in. Munsell Qu. Sz- Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 p e , h - 27 • Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg1L CST Name {Please Print) CST Nurnber Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 J l- "'� — 715- 246 -4516 i Property Owner, Parcel ID # Page of a 3 Boring # Boring A pit Ground surface elev ft. Depth to limiting factor in• mil ication Rate Horizon Depth Dominant Color Redox Description xture Structure Consistence Boundary Roots Te GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 'Eff#2 ?s ❑ Boring # ❑ ❑ Pit Boring Ground surface elev. R. Depth to limiting factor in. Soil 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 F Boring # C] Boring Pit Boring Ground surface elev. R. Depth to limiting factor in. Soil Aziolication Rate Horizon Depth Dominant Color Redox Description. Texture St ucture Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 • Effluent #1 = BOD > 30 _< 220 mg/L and TSS >30;E 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. SSV4330 WfiW1 I Soil Test Plot Plan - Project Name Country View Ridge LLC Sha ird P.O. Box 176 / Address ✓ New Richmond Wi 54017 M #226900 Lot 8 Subdivision Country View Ridge Date 5/20/05 NW 1/4 SE 1/4S 7 T 30 N /14 W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron/Nail System Elevation 97.9' *HRPSame as Benchmark Scale is 1" = 40' unless otherwise noted 188' Property Line 45' B-1 7% Slope 30' 97' B -2 B -3 98' 30' 0 , B * 100' 10' 426' Property Line ST. CROIX COUN SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer C le -I l (. Mailin g Address 7 1 ��� �''� / y D 17 Property Address (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number Z(o 2 - 9 Ie coo LEGAL DESCRIPTION j� Property Location � 1 /a , See. T W - N R JW, Town of Subdivision n t14 C� , Lot # Certified Survey Map # ,Volume = Page # Warranty Deed # , Volume , Page Spec house ye no Lot lines identifiable yes no SYSTEM MAINTENANCE 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 §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certifCation 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. I/we, 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 Planning & Zoning Department within 30 days of the three year expiration date_ I/we 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 above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF LICANT(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. 08 /05) r - U 2656P 061 774312 STATE BAR OF WISCONSIN FORM 1 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Gerald A. Kieckhoefer, Jr. and David RECEIVED FOR RECORD J. Kieckhoefer Grantor, and Country View 09/14/2084 10:20AK Ridge, LLC Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee EXEIPT # the following described real estate in St. Croix County, State of Wisconsin (the "Property") (if more space is needed, please attach addendum): REC FEE: 13.00 TRANS FEE: 1410.68 See attached Exhibit A COPY FEE: CC FEE: PAGES: 2 Recording Area Name and Return - n Address a 26- 1025 - 40-000 Together with all appurtenant rights, title and interests. 026- 102430 -000: 026- 102440 - 000: 026 -1025 -30-0 Parcel Identification Number (PIN) This is not homestead property (is) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of record. Dated this 26 '� day of 2004 0 * Gerald A. Kieckhoefer, Jr. * David J. Ki oefer * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Gerald A. Kieckhoefer, Jr, and David J. STATE OF ) Kieckhoefer ) ss. County ) authenticated thisU da of .2004 Personally came before me this _ _ _ day of the above named * Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Slats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland, Estreen & Ogland 304 Locust Street, Hudson, WI 54016 Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co.. Fond du Lac, W1 STATE BAR OF WISCONSIN 500-655 -2021 WARRANTY DEED FORM No. I -1994 U 2656 P 062 Exhibit A Located in part of the SE Y< of the NE %, the NE % f the SE' /<, the NW Y- of the 5E X. and the SW of the NE Y of Section 7, Township 30 North �Ran a 18 Of St. Croix, State of Wisconsin described as follows:I 9 Wes' T"n of Richmond, County Commencing at the East quarter comer of said Secti n 7, this also being the Point of Beginning; Thence S00 °37'1 WE along the East line of the SE'/ of said Section 7 a distance of 880.99 feet; Thence S89 ° 18'55"W on the northerly line of a Ce ed Survey Map recorded In Volume 13, Page 3752 a distance of 690.00 feet; Thence 300 °37'10" on the westerly line of said Certified Su rve y Map 428,42 feet (Record 428.50 feet); Thence S89 ° ?8'52"W along the south line of the N i4 of Thence SE '/ of said Section 7 a distance of 9146,36 fast Thence N00 °33'53"W 1384.45 fee, e N88°57'22"E 1048.00 feet; Thence N51 ° 00'00 "E 25 .00 f a point on the East line of the NE % ' /. of said Section• ; eet; Thence N88 ° 22'35 °E 507.00 feet to Thence S00 ° 40'35 "E along $etd East line of terminating. 248. 0 the NE of said Section 7 a distance of feet tb the Poinf of Beginning and there • r FROM :OEVr:RING HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P12 ■ m aXU rau —_— --------------------- kit o 17F 17 i t f r N � a - 4 .9..v J. FROM :OEVERIMG HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P11 0 =A;UV a a N O air spa R w ' iiilll r •srl w ' r S� N 1 Parcel #: 026- 1296 -10 -000 05/09/2006 11:30 AM PAGE 1 OF 1 Alt. Parcel #: 07.30.18.1541 026 - TOWN OF RICHMOND Current EX." ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 11/29/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - COUNTRY VIEW RIDGE LLC COUNTRY VIEW RIDGE LLC PO BOX 179 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 967 165TH AVE OR SC 3962 NEW RICHMOND 1642 97TH ST SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.000 Plat: 10 /090 - COUNTRY VIEW RIDGE LOTS 1 -27 026/05 SEC 7 T30N R18W PT NW SE COUNTRY VIEW Block/Condo Bldg: LOT 010 RIDGE LOT 10 (2.000AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 07- 30N -18W NW SE Notes: Parcel History: Date Doc # Vol /Page Type 11129/2005 813158 10/090 PLAT 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 02/15/2006 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 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 7 t Department of Administration UNP! r N 88 7 22 `f I 243.33' 220.00' 16f r `t4 w __ Line w of the M to M Northwest Quarter of cD the Southeost Quarter Os Os O� 0 M M 97,914 sq.ft. 8 � 2.248 acres � i,. M � 00 87,918 sq.ft. M 2.018 acres 1. • O 0 80' radius temporary Z Z — cul –de –sac easement — — to be released in writing by the Town of Richmond upon road extension b r --- 246.68'— V_ --- - -- - -- °220.00' - - -- �� N88 57 22 E 799.12 N 1s�rg a�4' N88'57'22 "E 426.69' M — + –122.64'---" s __ _ _ ._ 278.52'-- 33' o GGo l I I r• . Co I 0 CD v CO 000 20` W� n . ; . M J ,r 10 �n { 7,128 sq.ft. 00 acre • J` LBO – 0 w\ �-� p ( . Z I 87,. L� ! 1 I 2.0 JI S86'47'12 "E 426.59' { N .. 82,781 sq.ft. S40 49 46 1.900 acres ^ , E /,� , O LBO = 984.00 / _65 . ^' 3 �? / C4 g 7 245.75' N82'3 O Z 330 . 0 8' / N / 00 `E • O /� \ �` 15 j ��` $7,111 sq.ft. O N 12 ( Qa f �► 2.000 acres r 80,345 sq.ft. 100' 1.845 acres S5717422 "E 1 Q V ` A I �,� 82.01' 80,874 sq.ft. 6 6' i `� 1.857 acres 9 \ ` \ �0 � �` L80 = 959.00 297 86' d' u7 _ . `. .I' 287 M, Safety and Buildings Q 4003 N KINNEY COULEE RD commerce.wi.gov / �'' LA CROSSE WI 54601 -1831 64 -8777 i D s co n s i n vc � TDD #: (608) 2 � D `\ www.commeresconsin.gov oWsb/ www.wiscons of Commerce t 0 Jim Doyle, Governor Mary P. Burke, Secretary February 16, 2006 CUST ID No. 226900 ATTN.• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1 101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 02/16/2008 Transaction ID No. 1240241 SITE: Site ID No. 709656 Countryview Ridge, LLC Please refer to both identification numbers, 97th Street L above, in all correspondence with the a g enc y. Town of Richmond St Croix County NW 114, SE 1/4, S7, T3ON ' RI 8W Subdivision: Countryview Ridge; to 10 FOR: Description: Proposed Three Bedroom At -grade System Object Type: POWTS Component Manual Regulated Object ID No.: 1062643 Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade System(s): At -grade Component Manual, SBD- 10570 -P (8.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (8.6/99); Biofilter 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 component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of See. 145.135 and 145.19, Wis. Slats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stats. • 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 PP roduct approval conditions. P • Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. P.O.w.T.S. Conn tiollally q p►r1NICE nrpARTMENT - SHAUN R BIRD Page 2 211612006 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 &44)6-� 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 I RECEIVED FEB 13 2006 Cover Pag SAFETY & BUILDINGS Shaun Bird Bird Plumbing Inc. c 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 2 /10/06 Owner:Country View Ridge LLC Location:NW1 /4 SE1 /4 S7 T30 N,R18W Lot 10 Country View Ridge Richmond System type: At -Grade Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01 /81) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Conti enc Ian is +are �F sa�E�y a "u 9 Y p �1v 9 -11. Soil test Shaun Bird Signature License nu r22690(0 i PLOT PLAN PROJECT Country View Ridae LLC ADDRESS P.O. Box 176 New Richmond Wi 54017 I NW 1/4 SE 1 /4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 95.0 3 BEDROOM CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none IL BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Scale = 10' = 1/4" Tank is to be prope ly bedded and provided e rn with lockdown cov with approved waing labels Property Line i 97th St. Huffcutt Combo tank Grading is to be done to divert run -off away 13 B-2 Pro 3 from system Bedroom House B -3 Area 15' below system is to remain undisturbed 10% Slope Well is to meet all lil setbacks found in 95 1 93' B-1 Comm. 83 B. M. Proj?ejU Line s i p �j 5 y _ ._„ � C3 y i ' T Up'1.4- UPS" _ - w TA STA$ }t� �D o�� - _:�tPtTtters WELL J C VG B [ 11/6B r A_�_ L, _ ` CF LL. fz - Z 12 A&GRCG~ATE 'A Fabric j Dis Lateral STA 1 Observation -- - ---i.. � =` �, t �-- Soil Cover well 2 L. ^VEK ��i �f > 5' A fir �f d o with a Cross Sactian of L:isconsizz tSt -gr ada Utai t Plan Vi and single Absorgtian Area on a Slapizg Site = --- - - ------ --- Page Of Distribution Pip` Detail For Lateral Metwork TURK—UP (GLERkOUT) _ PVC Force Main ,-4 €'uC fli .tribution Pipe P * La Hole Should Be Next To fuRa3- �uP _ P Ft. Hole Di ameter ! J �' Inch x inches Lateral Diameter Inch es �. — Force Main Diameter 27 Inches Y Cj Inches -- # of Holes /Pipe t �� Invert Elevation Of Laterals 17 _Jf Ft. Signed: License lumber: Date: • SPECIr ICRTIONS r Ct�.flSS SECiiC*i �`L7 SEPTIC TANK AI3�C s P UMP C,;AMB..R r EA�RpWF APPROVED 1 u �x BL U NCTION BOX �" �$C j E V £13T PIPE I Naow OR W ITli CDNDU I T MNHOLE CCV ER FROM DOOR, W FR7E:ii`- "[R IKTAI4E °n? ^c* WARNING LABEL FIN RA DE tg"..�� i s CATER TIGHT SCA.LS TIGHT � SF�L �}�1ilTli 3 LT fP+ .— ON � �iltT{3 TFE ou SMIC SOI APPROVED PIPE 3 C OFF (3m SOLID FT SOIL P�3I'F aFf ELE`+� -' S -� • D -E - SEDD I NG UNDER SAN PAD 3 j' APPRC`� �I7 0� CONCRETE rr FIi;AiIC1taS � �/ .S�t' / �>y2 � DOSE T7 M$s - � S -PTZ C Lt_ T ?� 1. ? GAs. - ANA MAlfjrACTiT Dos!; vowmE; FLO AC SYC: / GAL GAL SEPTIC SEPTIC /— TAIi#C SIZES: � ,� CAL- A D ` J I3dCHES '`^'� OS£ � -- ^' � - CAFACITI� $ - '- y�I�ES GAL = }1I .AgH MAt�ttFAC3iTR£R= L / _ t j GAL MI'£'Y'P� �i `,/ `ir�'�C�� C = �_ ItCH£s = l -- --� _ 1 D GAL. �, ' � -�- NtiFACITRF = - PU2S�' �' Pit}D£L I+it33iSER : =� �'✓ � L! f .�� c � I LR 1f�.23 w C . PE- � co � � idIRZI3G AS F"£R SnTZ T'Cii <o . sjMp E r� �gH S RATE �_ _�_— r - I pN g I P E - REQ IRE3 DISCHARGE P OFF AN - � - � FEET VEP ICAL DIFF£R'ENC£ T EEN .��rT11�3g -FT` ' gIC'TICi3 FACTOR ` - FEET MIi�IMUM fI£T i�FoRCE Xg /S� RE TDTAL DYNAMIC kid £0 Kf TAN3c: .� 2-L INT£RNPIL DIMENSION 01. _ IQi)ID SIGNL�= _ 1188 TOTAL DYNAMIC H:AD/CAPAC•TY PER MINUTE HEAD � C U! R VL EFFLUENT AND CHWATERING VDDEL 152/15)") 1 0 D E 152 5-, 50-- Feet I Meters i G et. i Liters Gel. Liters I 1.5 Cc- f 261 7 7 29 6' 231 7 0 2 55 j - - 2— 40 1 5 2 Y.5 53 201 j 61 I 231 1 4 L 167 52 30 1 I 42 , 9-1 i3 l 87 33 0. 7 20- 2 85 42 41 1 z 8.0 Ft. ' Fc, t 3.4 1 20 40 60 80 100 GALLONS LITEPS 80 100 40 320 3 27/32 Fi-Dvi PER miNL, 3 27Y32 CONSULT FACTORY FOR SPECIAL APPLICATIONS + Timed dosing panels available. ®r 3 -2 Electrical alternators, for duplex systems, are available and supplied with an alarm. • Va ]eye) control switches are available for controlling single Phase systems. Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130 °F. (54'C.) special quotation required. 1521I53 Series' 152153 MODELS Control Selection Model t volts-ph uooe A S P Si m lex Duplex N152 115 1 Non i 8 1 2.13 1 /E BN1521 116 1 tg�d� I Included I 2or3 f i J Non 1 2.,3 i z 43 1 y 1 BE1521 230 1 1 Aula 43 1 included N153 115 1 1 Non 10.5 1 1 1 2or3 SN1531 115 1 Auto 10.5 Included 20r3 SELECTION GUIDE 2or3 i 1. Sin le piggyback variable leve! float switch C double piggyback vahaole level b oa! 8E153, 230 1 I A _53 Irt'JuCecs 2 0r3 sw;!cn. Refer to FM10477. IA CAUTION 2 See FN113712 for correct model of Electrical Alternator E-Pak. All installation of Controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as 3 control activator, sveC4 aupjax (3) licensed electrician. All electrical and safety codes should be followed including the ino5l recent National Electric Code (NEC) and the Occupational Saferyand Health Act jGSKA). or (4) tloar systern, RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAJIL TO: P.D. 9OX 15347 ' 3 Louisville, KY 40 -0, 4 7 SO TO: 3649 Cane Runqo3d Louisville, KY 402 f5r' 7-3-27, - I 180D, 923-PUAIP hqp.11*ww.zo *Uer. corn FAX,1502) 7741-3624 C Copyright 2DOO Zoeller Co. All rights reserved. Page oS �t1T PLA OW NER'S MANUAL & MANAGEM s 9oVVT SYSTEM SPECIFICATION ' Septic Tank C,apaciv � j'- at ❑NIA 1=1t� IrlFOitNiA nQ ,, X _ n ufacaursr c5 C� 0 NA Owner v <t n �/ S pfic Tank P I;ffluenf Pilfer Matutfatztut;r - i '�j�� Q tVA DESIGN PRS. I] NA Effluent F1fer Model z� z t- D NA fltur W of Bedrooms NA C,apa�' C 7 al O NA rl ()nits © NSA Numb�er Cc)rnm alld PUMP Tank Manufacturer trsnmaw lfow ( average) w Pump Manuf dwer �. c d NA ild - J ❑ NA - pesignfoow(P o (Estimated x 3 -53 aUda Pump Model unit IvA Soil App ' Monthly average' e � Fit ter ❑ Peat Fliter InfluenVEffluent Quality 530 mg1L p itirtectraniral Aeration D Wetland Pats,. Oil & Grease (FOG) 0 Other_ Deman (E30D5� 42t1 mg11- p Disinfection lioctwr D en Boras (TSS) s1 5o m n Manufacturer Total suspe rsat Cett(s) Pretreated went .530 mo nthly S30 man avera ❑ ln-g C3 Mound in (Pressur¢ed) round (gravity) en Demand (80Ds) grade ❑Other Biod'terTtiCal OxY9 f,30 mg11- Q Dri Total Suspended Solids (fSS) s1(7` dull 00m Fecal CoGfoan (geometric mean) t/alues wicai for dorsestic (non- =n= — ter Y inchdiarneter sepW wkettiuerxt Ma)amurn Effluent Pariide Ste K values types for pretreated vrastewater. M AINTENANCE SCHEDULE Service Frequency 5ervlce Event O months earls) (Maximum 3 yrs.) At ieast once every of tank volume inspert condition of tank s) ea s Maximum 3 yrs -) Wh n combined sludge and scum ac s one -third (y3) Pump out contents of tanks) At least once every C1 months Y r() insped dispersal cel 0 months Year(s) At least once every y ear(s) ❑ NA clean �effiuent filter 0 months controls & aisrm At least once every At least once every c� Inspect pump, pump 0 months ear( O NA Flush laterals and pressure test p months 0 year(s) D NA At least once every Omer At months g year(s) LI NA At least once every oar Septage n o ne of the foilowing licenses or N i NTENN "CE INSTRUCTIONS twiner, tnspecl5ons of tactics and dispersal parts shad be made by an ind � u ppWTS (inspector. POWT'S Main cer ns - Master Plumber, Master ust I bex Restricted Save idenbfY any mrsstng or broken Sec+ dn9 operator. r Leaks Tan i must induce a visual inspection of stud tanks) to check tts effluent levels �r cracks o, measure the volume of combined sludge and scum and ro check for any back up hardw'am, (dent fY round surface- The dispersal stlat! be visually ponding of effluent on the or ponding of effluent on the g for any ponding of effluent on the ground surface . authority - ls n pipes and to G tecic r equ i res f the Immediate notification of the Coral regulatory in the observa grtaund surface may inddcate a faring cpndi'trorl and r or more of the tank volume, the u2IS One-third (YI) a Septage S Operator and disposed of in accordance W ch- 4R When the combined accumulation of sludge and scum in any tank ell entire contents of the tank shall be removed and any 113, W54WISin Administrative Code. on entS, p Components- aniCai or pressurized POWT comp ��ed by a Ce6fted pOWTS Maintainer - The servipng of r iueni filters, ttiech 1el7on of any service diem other mafntenanix or morirtclrrrl9 at inter+rals � 12 months or less shall 5e � of camp A setviae reF ,shall - be provided to ilia local regulatory authority wittlin 10 days START LIP AND OPERATION for the o f painting products or other For new CDnStrUtX10n, prior to use of the P OWTS check . treatment the presence 1diS cell concentrations are p rocess and/or damage t he cis �e{sai t p s ior is if high h e chemiCBts thaf may impede the treatment moved b :a Se ptage servicing pe r dlatetxed have the Contents of the tank Pam or-- -" shad not tiCCtlr wRen soil rdi`aons are frozen at the in fttrative su. ce_ i System sled U P is restored the excess Dunng power eS p ��' �� � above normal highvrater levers. men Pow p,ersal deft s in one e d se, overloading the c E(s) and may result in the ,rrastawlater +lr be discharged to ttra dis t } larg cup tank removed a surface badatp or sure d of effluent Ta avoid This siixradon have fl .e contents o f the P F bl' gdge Servicing C?pelainr pdor.to restoring power to the effluent pump or con a Piun3ber or POWCS l�Ealtttainer to in mantl* Op�ling the pumP conceals to restore normal rev els vv thin the pump tank assLd drive or park vehicles over tmks and dlSpelsal Ce Is_ Do not drive or Pad Over, or otherwise disturiz or sxxltpact Do of mound or at -grade =1 absorption area_ the a= within 15 feet down slope arlY Reduction or- eliminafion of the folfow€ng from the wastewater stream may improve the performance and prolong tfle fife yy l Cigarette bum; - zondoms; cotton subs, degreasem; dertfal floss; drapers; of the POVYTS: arfliblotics; baby P dsinfectants: €af founda5on draft (surng Pump) water, fruit and vegetable peeCrngs= gasoline= greased hert�icides; meat ����'y[� Medi cation s ; ; tall ��j y� n#ing products; pestrcides; sanitary napkins: tampons; "and w2tef softener brine - AS'4AIOONOMENT taken out of service e folfosving steps shaft be taken to Insure that the When the POtli►'rS fWfls and/or is permanently sin n is p safely abandoned in compliance with cry_ Gomm 83.33. wiscoi Administrative Code All piping tQ tanks and Pis strati be disconnected and the abandoned pipe openings seared_ r The contents of an ranks and pits shall be removed and property disposed o by a $ removed oved- Servicing Operator. After pumping, all tanks and piss shall be excavated ano removed or their covers rs and the void d s filled whit sofa, gravel or anottler inert solid material - corCrI NGENCY PLATT if the pQW[ - S fads and cannot be repaired the following measures have been. or must be taicea, to provide a code comprrant replacement system 0 A suitable replacement has been evaluated and may be ut<lized for the Iodation of a replacement sod absorption system_ The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed struCture, lot fines and wells- Pasture fa protect the replacement area viiii result to the need for a new soil and site °evaluation to establish a suitable replacement area- Replacement systems must comply with the rules fn effect at that tune. D A suitable replacement area is not available due to setback andlor soft limitations- Barring advances in POV S technology a holding tank. may tae installed as a last resort to replace the flailed POWTS- e Site has not been evaluated to icrenti`y a suitable rep(acernent area- Upon failure of the POWT a soil and 'Site evaluation must be Performed to locate a suitable replacement area- if no rep area is available a holding tank may be installed as 2 last resin to replace the failed POVVTS- nd and at -grade soil absorption systems may be reconstructed in place following gym° of the blamer at the r Illative surface, RnsGFUCtions of such systems must comply with the rules in effect at that time. <<WARNfNG>> SEPTIC, PUMP AND OTHER TF2FATM�T 'r'� � LE ��` GA �DIaR lf�ISUFPfC[Fr1T OXYGEN- RESULT_RESCUE OF A PERSON FROM THE INTERIOR O T A TANK MAY BE DiFF� ULT OR IMPOSSIBLE. MAY ADDrfTONAL COMMENTS PowT5 tNSTALi.ER POWTS l4iA NT'AIf�IER ,11 1 1 7 Nne Phone �.� i � . � ph,)ne SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY �Iami? 1 phone �?�, Phone l 71-) ® OKI FR5 ooarmertt -as dialled by Me staff of the Green take. Iirt2rguette and Wausi2,a Canty Zcr?Lng and Sanitairon dgF111 S_ This dnartrlent meets tne min nsqukements of &L Comm 83 22i�(b} f iXd}�(fl and 83 -5ql). {2) & {3). Wisconsin Adc tfnlsttativc eade use of d* document does not imum guarantee the performance of the POWrS- GMW (ZMI) c 0 $m c �1 c m � ! 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