Loading...
HomeMy WebLinkAbout026-1296-19-000 0 � © w ° 2 � $ % k Q a « ■ « o f z D o c . n o = 91 n w w =c: - E °ƒ s a: Sr 3 P ■ > ; ° S r E o . \ § § 7 & a w e E g f 2 R $ 2 2ƒ o \ ° ( �' ! o g , , � E cL ; E to ■ \ a ■ E m z > E a > CL 0, / i { ¥ 0 CD 9 0 co CL 4 k § §! r ■ $ 0 @ 8 m: ° g VT \ \ 0 0 0 {1 2 n & ca CA w ;o @ \ � \ 7 2 3 \ E o : § R § /. (D _ ° C CL z 2; CD z z k �: a / \ $ � i m � © � � [ . � \ 7 0 z 0 0 .. ■ m / w I � § z k q k K z CD C.) 8@G± ]j §k E�m0 EE$£ E2 /ƒ CL 6 CD r �� �4 // \ ' 7J} § � {/� f $ \D § �% k [) 7 �} % 0 \ CD § _ 0 \ . ® % PP'- -- 0 vy (V , I _ \ 17 \ \ \ 87,12. q 1 f ,,( ) - � 3 �� \ PT g 2.00 acr4s 96 0 \9 S 25yr 'S'TORM POND \ ELEVATION = 954.86 lol i 1 I 75 ac es 1.79 s7.12Qf g , / h �? , ! -- 1 _ ., 2.90 l \2� `s0t. I v '►� W 981.5 87, e / S82'22' 6 "E <' o I / 366,33' 98 `acres - /i 9;5.3 — / 6'27. \ `� %" Ti iti'i. Coi \ v - \ M n Pip e otN'W < 7 \; op '13, °, ge / P 'j8�46 "E % / /% i �� \ V' �, x�� / �/ �_-1.h,. u� q� 67 ft. — NA Flevotiorl i' 247.0 87,120• ,� � i 2:04 Gres o 8,, 308 S - -� � S r _ �� - es ->- — - 1 \ 5 h '� 17 I � 1 �xlstin �g60� — �,. / �� y� \, B7,120. sglf" 2.00 acr #s I I I Co 0 40 �1 1 �:, / / - ' , j w 96'0-_ \ \ \\ \ \ i� e i � She M 7.01 \ \ %sus• � i o , 12 \ 11306 sq•ft �bfO�MWA � � 1 �.. 4 217.97 111 -11 �\ 1 I /V a r d_WT y �1 i Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488015 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal informatiorryou provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Country View Ridge LLC I Richmond, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: CST 07.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic tt Benchmark I �' / Alter ' Ca o-,L, - �a • S 9$. Aeration � Bldg. Sewer X1,5 Holding St/Ht Inlet Jz- 3 2 TANK SETBACK INFORMATION SUHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Ea _6 1 1r — Septic - 76 " N zL Dt Bottom 3 �� Dosing 75 i 4 ZS i 2,5 i Header /Man. Aeration / cJ / 0 Dist. Pipe 1 �J Holding Bot. System Z 3 /40• a Final Grade c, /d PUMP /SIPHON INFORMATION r l Manufacturer Demand St Cover 5 9s g Z GPM tiGi fnft�, �O Model Number ' SZ 2-4,3 TDH Lift Friction Loss System Head TDH / e) -7 - 2 1 4. za,4 Forcemain Length / Dia. i/ Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No. Of renc PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /0 90 ' '�_ �__ �— SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR - Ty p Of Syste r / z -7 ,� r UNIT Model Number. �- DISTRIBUTION SYSTEM 10 t-t� / V Header /Manifold ,� Distribution r / x Hole Size x Hole Spacing VerAto A - Intake Pipe(s) <2 ..:;l lb �/3Zi r lJ ✓ 1..41..,✓ Length Dia Length a Dia Z Spacing Z C SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center �' 9 Bed/Trench Edges Topsoil r, es No es No COMMENTS (Include ` code discrepencies, persons present, etc.) Inspection #1: 1 24 Z / 1 spection #2: / X� / / Location: pending 98th Street New Richmond, WI 54017 (NE 1/4 SE 1/4 7 T30N R18W) Country View Ridge Lot 19 Parcel No: 07.30.18. 1.) Alt BM Description = 2.) Bldg sewer length = Z - amount of cover = L' I i - -- I Plan revision Required? Yes No ! 2' -L b� / yl ? Use other side for additional information. - _ -_- - -- - I Date Insepc is Sig lure Cart. No. SBD -6710 (R.3197) < < ' Safety and unty j n Ave � -d I� `� � • � � � Madison, 0 7-7162 S itary Permit Number (to be filled in by Co.) (6 )26649 �j i4$ /!5 Depart ent df Commerce Plan I.D. Number Sanitary Permit App . Ca 1047. Clr , , � x COUNTY /21 2 �5 info anon u Address (ifdiffcrentthanmailingaddress) In accord w ith C 8321, Wis. Adm. PrivPeiacyl� Law, sl � .CF CE= may be used for secondary purposes C/ -6 44— L Application Inforttt4 'on - Please Print AtI Information ( 5 Block #1 Parcel It Property owner's Name , n / S Z (/ l Properly on -7 Property Owner's Mailing Ad i %y Section 0 / Zip Code Phone Number City, Stale yt , /� (cir a or W on W (�-� Sub r.: 'A 2 %'.- Number US II. pe of Building (ch ec a1 that apply) -� as I Subdivision Name 2F NumberofBedroo --7 Ia ❑ Public/Commcrcial - Describe Use qq q ❑City Village ownship of ❑State Owned - Describe Use III. Type of Permit: (Check only one box on fine A. Complete line B if applicable) ❑ Other Modification to Existing System A. ❑ Re ❑ ing Tank Replacement Only System placement System TreatmenllHold _�- List Previous Permit Number and Date Issued ❑ Change of ❑ Permit Transfer to New B. ❑ Permit Renewal ❑ Permit Revision Owner Before Expiration Plumber IV. T e of POWTS S stem: (Check all that a 1) f suitable soil a P ❑Single Pass Sand Filter ❑ Non -Pressurized In -Ground E] Mound >- 24 in. of suitable soil [] Mound ¢ 24 in. o Constructed Wetland ❑Pressurized 1n- Ground El Holding Tank ❑Peat Filter ❑Aerobic T (nit � Recirculating Sand Filter ❑ Drip Line ❑ Gravel -less Pipe Recirculating Synthen c Media Filter L Chamber P V. Dis ersaVrreatment Area Information: Di rsal Area Proposed (sf) System Elevation Design Soil Application Raty(gpd Dispersal Area Re4uu ( Pe 19-0 , "// Design Flow (gpd) J / iry7 Prefab Site Steel Fiber Plastic Capacity Concrete Constructed ity in T OW Number Manufacturer Glass VI. Tank Info Gallons Gallons of Units / New Existing L-) A F� Tanks Tanks Septic or Bolding Tank Aerobic Treatment Unit Dosing Chamber responsibility for installation of the POWTS shown on the attached plans. VII. Responsibility Statement 1, the undersigned me RS Number Business Phone N umber NeUp A bcr' Name (Print) Plumber' ure Plumber's Address (Street City, State, C e) f J V VIII. on /lie artment Use Only Date Issued lssu' t Si (No Ps) Sanitary Permit Fee (includes Groundwater Approved ❑ proved Surcharge Fee) �� en Reason ia1 A. Conditions of ApprovaUReasons for Disapproval 3 SYSTEM OWNER: P 1. septic tank effluent filter J�e�.� 4 - fo J�. 1 e- dispersal cell musts" be iimg es I mabltaW q \ 4 -, p,,�S t ,- - c� es per management plan provided by plumber. J �e%r\��- t- e_f vl� �c 2. AN setback requirements must be msintairted ' ( D code / ordinances• re r �p as per MVW" Attach complete plans (to the County only) for the system on paper not less tban $112 x 11 inches in sine SBD -6398 (R. 01/03) AL 1 51314 *0 M3T2y? 1"1 tivnifi} le* w4 sr - � • l 416Wst UA S t- �1C: ;eid6JiigQ6 19C Yti i L PLOT PLAN PROJECT Country view Ridae LLC ADDRESS P.O.Box 176 New Richmond Wi 54017 NE 1/4, SE 1 /4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 100.0' 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 Survey iron ASSUME ELEVATION 100' Fi1teT Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark — Scale — 1/4 — 10 1 Pro 3 Bedroom House Huffcutt Combo Tank 98th ST. Tank is to be properly 416' bedded and provided Property lockdown covers wit B-1 Line approved warning la Grading is to be done to divert run -off away from system 13% Slope 13- Area 15' below system is to remain , 13-2 AL undisturbed 1 10 ' 96 98 , Well is to meet all setbacks found in Comm. 83 B.M. Property Line PLOT PLAN PROJECT Country View Ridae LLC ADDRESS P.O.Box 176 New Richmond Wi 54017 NE 1/4_ SE 'I/4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 100.0' 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 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 = 1 /4" = 10' AL Pro 3 Bedroom House Huffcutt Combo Tank 98th ST. Tank is to be properly 416' bedded and provided with Property lockdown covers with B-1 Line approved warning labels Grading is to be done to divert run -off away from system 13% Slope B-3 Area 15' below system is to remain 100' B - 2 AL undisturbed 96' 98' 102' Well is to meet all setbacks found in Comm. 83 B. M. Property Line Safety and Buildings commerce.wi. OV 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 1 sco n s' n www.w www.coe.wi.gov/s sin.go / Department of Commerce iscosin.gov Jim Doyle, Governor Mary P. Burke, Secretary November 11, 2005 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 Identification Numbers PLAN APPROVAL EXPIRES: 11/11/2007 Transaction ID No. 1212675 SITE: Site ID No. 707232 Countryview Ridge LLC Please refer to both identification numbers, 98` Street above, in all correspondence with the agency. Town of Richmond St Croix County NEIA, SETA, S7, T30N, R18W Subdivision: Countryview Ridge; lot 19 FOR: Description: Proposed Three Bedroom At -grade System Object Type: POWTS Component Manual Regulated Object ID No.: 1050401 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), publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) "; 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 approved plans, and with publication SBD - 10570-P (R. 6/99) "At -grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems ". • The pressure network is to be constructed in accordance with publications SBD - 10573 -P(R. 6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and /or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". • 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 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 b construction and open to inspection by authorized representatives of the Depart n>�r .wwhi dr LWX rn d1We local inspectors. l 11 V APPROVED nail. ?EPARTMENT OF COMMERCE_ SHAUN R BIRD Page 2 I1 /11 /2005 Owner Responsibilities: p es. • 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 Cover Page g Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 11 /3/05 Owner:Countryview ridge LLC Location:NE1 /4 SE1 /4 S 7 T30 N,R18W Lot 19 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 DECEIVED 2. At -Grade Plot Plan NO V 0 7 2005 3. At -Grade Cross Section SAFETY & BU'L1)1NGS 4. Pipe Cross Section /Pipe Layout _ A EZ AND BUILDINGS 5. Pump Chamber Cross Section 6. Pump Curve ONDENCE 7 -8. Maintance and Contigency plan SEE GORP ES 9 -11. Soil test Shaun Bird Signature Ik License number 6900 L i � 2: _ 5 P W Irulk14- UPS 5 #-- I�iSTi'RL ��TiCw1 LAti�CL EA STAgt i �� o$� ��PtTimri VJIELL j 5 I [ jJ/6B I/ro B 4/ $ A = l F- 8 = L Ft. K „ L = F { CELL of fz �tpe2b�rFa SY�.►�'iiE s. Fabric DristribUtion Lateral SMB81 1V-b Observation-----,,._ Soil Cover We ll T � • > 5I A ' Sj a S L OPE pl View and Cross Section of scorssin At - grado uni wir a Single Absorption Area on a Sloping Site LIC E n! 5L�� Page Of Distribution Pipe Detail for Lateral Oetwork Acc sf' a t UKK - uP (CLER T 40wr) - PVC Force Hain PYC Distribution Pipe P * Last Bole Should Be Next To ruR�i -�sP _: LCj Inch � Hole Bia�aeter - ,� -�--- P Ft. X inches Lateral diameter L Inch {es} � ..� Yc Inches Force Main Diameter Inches F o f Holes /Pipe J Invert Elevation Of Laterals � Wi t• Signed: License lamer: Hate: I I� S SpECIr ICATIQ NS SEPTIC TANK PUllr CHAMBER Cr�,flSS SE�TzG AND PE I �.= 'Cif. ABQvF, GRADE WEAlHEitpitODF APPROVED M _ Jib 3�C'f IAN BOX W HOLE C F.�t _= V ENT PT INflfl�1 QR #KITH CONDUIT W/ PADLOCK E > I`$0!S Dfl4R , RING LASE' IN 'M TR KE W e � . r f� FRE � �i GWE Ar meat. INLET GAS- s pp D '�ISHT SEALS TIGHT r rt - jolwn WITH TER SEAL. . � Wfi A ; ALM AppR pTPf { �L3�R s N 3 SOIL soLIlD APPROVED . ; s Pik 3` C F wo SID. SOIL pul4p OFF BEDIDING UNDER T"y_ 3 � 1�I'RQV Ei7 CQ13CIiETE PAD SpECIFICA.TIo,s I iJ�rx �j DAY: �Ma QOSES ? �---- SEPTI At�fDAC3z3RER = (f. E 3i f) HE i KC j DZR6 � 7­5 c- AL Tf K GAL- i3L35 �'Lt $IiCK' — �'....'"'' TAIiK SIZES = SEPTIC GAL _ ' -- 3:21 CUES DOSE � CApACIT 3YAi�JFAC1'�3RER= 8 = �_ INCHES = ��—� GILL L ALARM NUMBER- = r _ / 7 �° CA EL ..� ES .r.r ---- 14L3D / CH T YP E : s C = — r 51� L ?YP ��' = 15.23 9 = = �� � TITHES PUMP MA NJFpC URER . , WP MODEL DER H IRI NG AS PER I ..HR �s , g AL;piR gyl3�SWITCH E ' -?M FEET REQU IRro DI SCHARGE RA �` � G' if -�I pN PIP£ + -; J- �-EET pUMp Oi F' AND DIS- I-gISU T� � .�� FEET TICAL DIFFER�ICE $E'T' E PRESSURE - FRiCTZON FAC _ FEET V ERTICAL Y S• 3m[ IIETWORK SUPPLY F'F1 ID g £T 'E fries j MIi� X D / N AL r� � FEET Ffl?iC£�� �--� �E`T .,�- (� ; DIAn * .�--- nTy IN ANAL DZMEI�SIOA S OF PLI!'iP TATiK: ,£ I1GTH y LIQUID DATE - LICENSF. 5IG NED- 1$S TOTAL DY M' iC HEAO!CAPAOTY PER MINUTE HEAD CAPACITY CURVE EFFLUE AN DEWATERING MODEL 152/153 MODEL 152 1 53 W h— : 50 Feet Meters Goi. Lifers Gal. (L,ters i 5 -- 71 .5 67 261 77 291 153 10 i 3.1 i 61 231 70 1 255 12 40 152 i 15 4.6 1 53 201 61 231 o 20 6. I 44 157 52 797 = 30 25 7.6 I 34 1 129 42 159 8 30 g -t 23 87 33 1 125 35 { 10.7 ; -- --- 22 i 85 a 20 40 ( 12 -2 i -- -- 11 ( 42 ° i 0ck Volve: 38.0 Ft. 1.5m) 44.0 Ft. (13 d ¢ 0]4309 10 � . I 0 20 40 60 EO 100 GALLONS LITERS 0 80 7b0 240 320 _ 3 27/524 5 /t1 � e FLOW PER MINUTE 4 3 27/32 i CONSULT FACTORY FOR SPECIAL APPLICATIONS panels available. 3 27/32 Timed dosing p ` . Electrical alternators, for duplex systems, are available and supplied with t an alarm. • Variable level control switches are available for controlling single phase systems. ' • Double piggyback variable level float switches are available for variable l ' level long and short cycle controls. i . Sealed Qwik -gox available for outdoor installations. See FM1420. 1 • Over 130 °F. (54 °C.) special quotation required. l � 157!153 Series 1 153 co Sel "on I � Model t Volts -Ph Arode Amps Sim lex Duplex N152 1151 Non 8 5 1 2 or 3 2 or 3 --r— s,aoe. aN152 115 1 Auto 8.5 Included ; E152 230 t Nan 4.3 1 2 or 3 8E752 230 t Auto 4.3 Induded 2 or 3 N753 115 1 Non 10 .5 1 2or3 SELECTION GUIDE SM153 715 1 Auto 10 - includ vel fbat ed 2 or 3 1 Si p ig g yback variable level float switch or double piggyback variable le t E153 230 1 Non 53 1 2 or 3 g P 99 BE153 230 1 Aum 5.3 Included 2 or 3 switch. Refer to FM0477. 2 See FM0712 for corned model of Electrical Aremator E-Pak. I A cAtmon► All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 1 D4225 used as a ca W activator, spec fy duplex (3) licensed elecuician. AO electrical and safety codes should be followed including the most, or (4) float System. recent Natioaai Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. AWL T0: P -o. BOX 16 Louisville, KY 40256 -0347 Manufacrsof.. SHIP 70: 3649 Cane Run Road �Q Louisville, KY 40211 -1951 5/1yXT ffff r : (502 7'82737. 1(800) 928- PUMP tAVy/www.meiler com P,(/MP IO. FAX (504 774 -3624 D Copyright 2000 Zoeller Co. All rights reserved. R Wis consiA Department ofCommerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 135, G m. C e G� //� Attach complete site plan on paper not less than 8 1/ i P must `�� " ref x include, but not limited to: vertical and horizontal re rence direction and Parcel I.D. percent slope, scale or dimensions, north arrow, an ovation and distance to p�Cest ro d. Please print all info r ation NW �� 0 ?UU' Review by Date Personal information you provide may be used for secondary urposes (Privacy P rope rty \ cation P Ownerev Vc n 7 /- �' � ) A S� Govt. Lot r 1/4 3) S / T � N R f d E (o W Property is Mailing Add / r�C/ Telock # Subd. Name or CSM# , ) U / ? — & (, it 7`- l t! O ?/ City / State Zip Code Phone Number ❑ C. ❑ ill age To Reare t Road New Construction Use: esidential / Number of bedrooms J Code derived design flow rate GPD ❑ Replacement ❑ Public or c9mmercial - D / ascribe: __ - - -__- __ - - -- - ____ - -- -- Parent material / / f Flood Plain elevation if applicable General comments and recommendations: Boring # Boring /� J� Pit Ground surface elev. V 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 'Eff#2 2 N-34; r� ®�'� # Boring ,— Pit Ground surface elev. r oft. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `E d —13 312-, 1 - -- S ( 2 r-5,- C s Z � • � l -� —2 J3 - 5/ C- grits �r �f - Q 5 9-7d i o f Vi 5 Y I v FS I C, Effluent #1 = BOD > 30 < 220 m VL and TSS >30 1 150 mgA- ffluent #2 = BOD _< 30 mg,& and TSS < 30 mg& CST Nam (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 Property Owner _ Parcel ID # Page of Boring a Boring # pit Ground surface elev. ' � ft. Depth to limiting factor ___S1__ in. F9WI ication 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 Ir F—I Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting factor r ^• Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/iP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 'Eff#2 F—I Boring # ❑ Pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOO > 30:S 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. SOD4330 (RAW) i Soil Test Plot Plan Project Name- Country View Ridge LLC Sha Address P.O. Box 176 New Richmond Wi 54017 TM #226900 Lot 1 7 Subdivision Country View Ridge Date 5/20/05 NE 1/4 SE 1/4S 7 T 30 N /R 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 100.0 *HRpSame as Benchmark Scale is 1" = 40' unless otherwise noted 416' Property Line B -1 13% Slope B -3 100' 50' 30' 30' B -2 100' 96' 90' 217' Property Line B.M. Page of , DUAL & MANAGEMENT PLAN ropil Q Oy�'$ QINNER SYS•� SPEG1F;1cA al t1 MA Septic Tank Calms O NIA F[t E IPIFOR> �� , ��;c Tactic Manufa� r ,� i= • �. 0 (314 Oe+ne ter j amftdurer / I ffl uerht >R E Perm - - /vJ 13 NA pemgi PAEU� J 0 NA Effluent F'it . DNA r Model Nulnt>erof 8edtts Pump'tank CapadtY NA er Number fOf Units Tank Pump Tank Mar+� ❑ NA' a,Aefage? Pump Masiufartu ,r�- qAA Esdrnaded ftOw { �'� aVd x /J abad 'l.5) pump Mode! n flaw (p®al�. N ,,°ter avd �� pretss�eni unit - fl Peat Fitter Soil ApP °n Rate m onthly average` 0 dlG � p Wedand Influ x QuardY G) S:iO mgn- ❑ Mecha fJ Other. O*V Oen Grease m ( y-20 mg/L [3 Disinfection her w T - ,d d Sottas CY ) ss 5p m tL Hams � NA Monthly average" Q -round (.QtavttY) t3 in d (pressured) Effluent QuaGtY - 0 mg/L O� D n rade [3 other d P en Demand (8 iql Oxy9 530 man Q Dfi ne . B'1°Che"� Suspen Sorids ��) Total S (geornetric mean) s•t 0` cful4 QOmi �� � ders� (r�n�� v,*5twwawr and Few Cpuforrrr Y inchdiameter ,p t� eRiueni r,�axirnutn Effluent Particle Size typical_ rbr p,,ted "tH�d" ` NTENppCE SCHEDULE Service Freque My mum 3 yrs.) Q months r(s) fM� service Event very tank volume At Se least once a rY ird (IS,) of e and scorn equals on 3 � ) inspect candid n of tank(s) When combined sludg r ( s ) (Ma kdrnurn Y put contents of ta nk(s) p months Pump At least once every r rsal cells) ❑months Inspect dispe At teast once every . s ) p NA Clean effluent firmer p months At least once every s) p NA Inspedpurnp. Pump Controls S alarm Q months At least Q months fl year(s) fl NA once every Flush and Pressure test At Least once every Q months II year 0 NA Clow- At least once every Odor- one of dm fo kYMng licenses or mmNTEN"CE INSTRUCTIONS ti be made by an individual canYutg pOVYTS MamtsI r, SeptWe I t tanks and dispersal cell st+a Sewer. PO n YV TS ins a ring or b Ins Master Plumber: Master Plurnber Rests on of the tanK(s) to mere for any back uP t check r. Tank inspe le I ns must include vo me of combined sludge and check ttte effluent � ar y cracks or teaks. measure the ndirig of effluent on the d Surface - The dispersal cells) shall ro d s rface. The Po hardwank or - rng of effluent on th Braun for any pondin9 of effluent on ttie 9 Son of the local regulatory au in the obsemabon Prl� and to check req uires the immediate notifira tank volume. � ground surface may indicate 9 fa+Ting condrtion third and reQ tine - ( V or more c h. NR of sludge and scum in any tank eq rafior and disposed of in accord Snre ' When the Combined aaxrmulatron we d by a Septage Ser�ng QPe entire tents of the tank shall be mm - t �p Mai nta��' onents; and MY 113, Wscorrsin Administra&e Code. rPWWWW antral or pressurized POWTS come onentS, p a fed pOWTS The Wxiwng of effluent fdwjs. Mech i of 12 months or less shalt be p?rform ration of airy service event othermatntenance or monitoring at lnterva wfth '10 d o �m P A sew reps SW be provided to the local regulatory authority resence Of patnflnq Products or other START UP AND OPERATION PoW rS check treatment t,ank(S) for the P trations are For new 0XIStrucdon, prior to use of the ersat cell(s). If chen>�S mat n,ay irrrpede the treatment Fmees d by a by s s eptage damage the cis servicing o pe rator Prior to use - dd haM the contents of the tank remove __ - 1 - conditions aue frozen at the iinfiitrative sutfdCe- S � up shall not occur Mmen sold w is tesWred the e=ess Y till above nonrial highwaWr levels. When power s result in the outages Pump tat>tcs rtsaY cetl(s) in one large dose, ovetioadin the aell{ 3. removed a D UM be d � �° d t , tWs: situation have the contents of the pump by bacl p Cr surf c`8 9 �t°f'�t Do`restc tn9 "P ec to the effluent pump yr contact a Plurr�bes or POINTS �r to Sepsase g pperatAr tr►ais to n�t(;M normal levels within the pump tank a marwaliy n9 p` `' dfs>Jlut1 or cart y�t>icks over fad gnd djSp�at 09ifs- Do not drive Or park overt or 1 Do nit ddYe or Park m id or at- ;grade soil absorption area the area W ithin i feet down steps of MW mound a and pr olong th e &fe Reduces or errmt -AW of flee #olbwing from the wastew2ter stream may imp ve th perfor 8rtb "bto6CS; d�tte but ;condoms; cotton swabs; degl»ase ; dettfal - tides, meat of the POWrS� drain {scgrtp pump) water; fait and vegetable peeringss gasorlrle; ,- oil; Oaa" ng products. ��d�';sanitary napkins: tampons:" brine_ ABANDOWM'ENT and/or is per taken otrt of service the following steps shoo lie taken to insure that the When the POWrS fatfs marierltly' system is pmpedy'and SaW abandoned in compliance with ch_ Comm 83.33. csconsin,gdrninlstradive Code • All p to tanks and pits shall be disconnected and the abandoned Pipe openings � S en( Op �� The contents of as tanks and pigs snail be r emoved and ProPedY disposed Of by a SePta9e" • After pumping, all tanks and pits shalt be excavated and removed or their covers rem oved-and the void space filled with soil, 3rave! or another inert solid Material CONTINGENCY PLAN the following measures have been, or must be tam. to Provide a code if the POINTS fails and cannot be repSb compliant replacement system lacement sold 13 Asuitable replaoementarea has been evaluated and may be dfr for the n c e a n Of rep neplac8ment area should be protected fram disturbance and compaction and should not absorption system. The be infringed upon by required setixacfcs from eaasting and proposed structure. lot sand wells_ Failure to protect the replacement area wig result in the rued for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must compty with the rules in effect at that bale- advances in POINT$ D A suitable replacement area is not available due to setback and/ o the failed POWi'S- Barrin technology a bolding tank inaY be milled as a last resort to rep site has not been evaivated to identify a suitable replacement area Upon failure of the POINTS a sob "and evaluation must to locate a spitabie replacement area- if no repfaa�cnent area is available a Last resort to replace the failed POWI a las e+d gs biomat at IC be install _ Of the holding tan may pla ce faffoti+ring ��� at grads soil absorption systems m2Fy be reconstructed in w ith the rules in effect at that time the fnfiftiati surface, R u�ons of such Isystems rri�ist campy <<WARNINP> SEPTIC, PUMP AND OTHER'iRFATMENT TANKS i E CONTAI K UNDER Arty R OR GASSES ANDIOR CIRCUMSTANCES DEA DEATH MAY Oa NOT ENTER A SEPTIC, PUMP OR OTHER TREA RESULT_ , RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DiFFICtlLT OR IMPOSSIBLE ADDrnoNAL COMMFMT`' POVlt i INSTALLER POINTS MAINTAINER Name Name Phone Phone SEPTAGE SERVICING OP> tATQR PUMP LOCAL REGULATORY AUTHORITY y Name �� - Agency Phone Phone acid Sanifatbn z This dUarmerd meets This doaaneMwW dratted W o w '. s of the G�ean farce, Marquette and Waushara County Zoning not Inc minimum roquicertrer+ts of t!> Comm s3 22(Zl(6XtXd)ddf? and 83.54(1). t21 C31. VYcsconsin A6[rifnls7raisYn Cedes [!se of ttils Qnent�Ori6 guarantee the performance of the POWrS. GMW t�tl U 2656P 061 774312 STATE BAR OF WISCONSIN FORM 1 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIK CO., NI This Deed, made between Gerald A. Kieckhoefer, Jr. and David RECEIVED FOR RECORD J. Kieckhoefer Grantor, and Country View 09/14/2004 10:20AK Ridge, LLC Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee EMPT # 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 See attached Exhibit A TRANS FEE: 1410.60 COPY FEE: CC FEE: PAGES: 2 Recording Area Na Return Address -11aD „! a )\)CS tq4 V� ll�� 26- 102540-000 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, res trictions and reservations, if any, of record. Dated this ` day of , 2004 * Gerald A. Kieckhoefer, Jr. * David J. Ki hoefer * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Gerald A. Kieckhoefer, Jr, an_ d David J. STATE OF ) Kieckhoefer ) ss. County ) authenticated this da of 4� 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. Stats.) 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, WE STATE BAR OF WISCONSIN 800 -655 -2021 WARRANTY DEED FORM No. I - 1999 l U 2656P 062 Exhibit A Located in part of the SE Y4 of the NE K the NE , of the SE' /, the NW / of the SE Y. an SW Y- of the NE %- of Section 7, Township 30 North] Range 18 d the of St. Croix, State of Wisconsin described as follbws: 9 . West, Town of Richmond, County Commencing at the East quarter comer of said Sects n 7, this also being the Point of Be Innin Thence S00 ° 3T10 "E along the East fine of � 9 Thence S89 °18'551W on the northerly line of a Ce / ad Survey Map recorded In Volume 9 feet; 3752 a distance of 610.00 feet; Thence 300 0 37'10 "E on the westeri line of said Certified 3, Page Map 428.42 feet (Record 428.50 feet); Thence S89 ji 8'52V along the south line of the N % of the SE 1 % of said Section 7 a distance of 1146,36 feet Thence N00 ° 33 1 53"W 1384, Thence N88 0 57'22 "E 1048,00 feet; Thence N51 °00'00'E 25 .00 feet; Thence N88 ° 22'35 "E 507.00 feet to a point on the East line of the NE % of said Se % S00 °40'35 "E al ction ; Thence W $e1 the NE of said Section 7 a distance f g d East line of terminating. 0 248. 0 feet to the Point of Beginning acid there I FROM :OEVERING HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P11 �I .,� A-Um l 0 1 N usvn � sir sir � a K M a ' � w 000 tt �� -- --------------------- 1 ro� 1 FROM :OEVERING HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P12 4 I iRQU ki HIM ill ° ` a N f d • �a - -'— --- --- - - ---� -- -- .6 -V*9Z �9*'96 - / ,£0'991 ' ` to W Oi � 4 I O ZZ �,,/ wn ^ WI IO ___, oo rn $ �I �I I N 00 s I o Z wl of I ad o CL C M� N v0� CL r C C Oq v ^ m�rn I o N O = N °°0) o"' M w $- ~ v M w W o C14 2 00 zt*sz 3.0 UC-00S W 00 Z 0) tQ8 I � r (D ( D , V- v 1� 6S � a� .- Q .00£`` � Zl£' —\ °�"°�� 20038 w c N �I .OQrzI \ , -- so S£ 8•A� 3 „0t.99.LON �'�', I 3..ZQ.ZS. *IN W ^ X� �2 - �00'b9Z z -;�. I �h 0 ,S9'L8 - . ,16'9 *1 - �) "� : -- �08'O/ I , i .(vi QI eS 6� N � mss. A /o,� �) M •` \ O` 8 N a 00 _ Z °' v rn i co rn O \ co q ,PC "k'69 \ SOg'11'27� N N M .�0 'L t£ 105. �w ��u 04 co 3- 00.6Z.LQN 509'11'27 "E N N o 103.58' �?n � ISM % � N `O d t`� I M ti C 6 2 � w I0) J wv \ i OD 04 Nh o °o to 04 V co i S"'EiulPN� W g 00 ' - 1 aO INw to • ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer L niz � /2u/ e 1 / Mailing Address X Z 7 Property Address AV (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location ' /a 1 /a , Sec. , T 0 VR/ W, Town of 0 Subdivision Certified Survey Map # , Volume �- , Page # Warranty Deed # , Volume , Page # Spec hot 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 ro ert owner agrees to submit to St. Croix Count Planning & Zoning Department a certification form, signed by the P P Y �' Y g g P 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 P P 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. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe arn/are the owner(s) of the property des 'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT(S) DATE * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. "* Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey reap if reference is made in the warranty deed. (REV. 08105) = &. k I xa �•COFg Trk RQQ a yyy Qpp N 8 Z = 8/ 3 " n s u N "3 w cA 1 I/ I g $ �@" I W byyoy 9uOdin9 � `` t w r rn 'r S •" Se'ibeck j O 3 ,t a i % N 9� 1 1 g � r ►ZS I� I "01'02'38 "W 399.63' I � \ yt,i • I 9i�u>°s03 3, 100' b I 100' - 2 241.9 ' + 1, 4, v oe 6'� I Nv Z Fes. "06'54'57 "W - 287 - �\ "'�r N _ - I aa' ss' °m I SIS m v ub I = o' m 00 b ".� w "06'54'57 "W 295.14' — 97TH 'Ar \ _ 267. 32. tit - N00'33'S3_W 196.83'I� m I I rri _ _ttf a I G " - 1 NOi'02'38 "W 399.63' I o v — c N 8 \ � STREET L". `' Olt N 0"` NY N o9 ob 9 bN ° "00'33'83 "W 197.38'1 Ni I o � I co I (J �$rTcn to u gti 3' ` 2" z•tt. s ^1 n N07'29'00` a , N Ri m� 6�•sot " 317. E a ZA tt1 606 OJ' 694.38• z I� I I 1101 02'38'W 399.63' 377.38 I i I I o . J 1 pN I i I � I f /� �\ N I N Q C F z m 3 ,\ �a� 1 w .15 u w 312 � . 170.80' �� ,�,9'toe ♦ `�'', $ 97.6J' 264 . 0 0' ©1 /45j }? ?OLD I� A NOI'S8'40 "E y / •a 35 .03' ° ' \ 1` ? E 1 j3 00' IZ or -4' e. \ \\ m 1 4 370 ?E 1 � \� - M - 10 gi oo oo'$ 731 ?' 1 . 0 0 ® \ \ \ \ a\ u$S I G $° a ro Bundles s D i t m O -4N W V. \ 3 \ °' 6 rn w TITE 428.42 N 10. \ f �\' (NOO 38'34 "W 428.50') o N \ �' m $ y} rn — m r4 tg ° &S Q$ GgN (n 3 I dog A ? ui w d; OD at se; g v yay \ \ aye � N I Ir 'ZI Do J— . N01'38'05 "W 543.37' M�y,y O Z tr 777 220.09 - " R N) \ 9Z' 104 V) j(n O \^ 188.03' 96.46' 123.63 135.25' �$ W 284.49' --- to \ 1 I o agu� = N , \ i .DOt o d I� z G j 1 I 6ax f�D I I V I� N N N ni N % R ? g 105 47 43'E 246.20' I® 1 IN 4 ° g -,j s o') g m� t^ w too' I 33' I .OS'L9Z M.90. cn I a �5 rq g N I z f V •o c v, E•A �� rn� , $H W Bubdin9 Setback V! r , Q,8 P Int wwwoy -4 I N - W L. � s -- N00'37'10 "W - -_ '' IJJ' JJ'I J - - - - - -- 247.85- - - -- - -- 160.50- - - 148.50' -- - - - -- 237.18'- - -- -- 500'40'35 'E LYQTH STBE U Dedicated tc the Public - -- 792.03 - -- — �� — S 00'37'10 E 1737.80' - ``ter_ --- - - - - -- -- -- ---- "E 2618 883910E 880 - - - - - -- .99 ------ - - - - -- - ✓=;i . - - - - -- �¢ ' �g \''- - -- ,@ (S0038'34"E 2618.98) UNPLATTED LANQS 8 6660 `�� ° R�� a A �. � � � • � m�>Aa ' w ,'p 4A�o2 4 uo f t o t>• Fe n c 6 D N A P� EC A U » 0. A oao Jm k n11 a c 3 9 ch (b ^ �s3e� 3 3 c o ° w Q Fn