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HomeMy WebLinkAbout026-1126-08-000 c0 ',j3vc� � ro - _. ... ro '^ A N O y O 0 (WO W N N N• 3 L 7 C "" (D N Sr W i" M" L S. m ro cn cn m O O � ° m y c w n 3 � N O � C — O CD N N 7. y �. OD O O 1 N N N O. r m O -1 O O O O n M O m C -1 O OD O O O C ro C N CL ! O O fO 00 3 N O O p ° a co v co m° m m A a y � v S O p m Z w 0 U01 N N n -< O O O n 0 C N(D N 0 1 N a S 3 n O O O rr c c g N N N w CD Q M o V < m ID n y m v ro = a < •°* d OD m NZ T o° D o O CD -^ — = O O m �+ n> nroi Om�pf 3 °: o� O = O. N m O N m • m > > O < 7 7 C (� N m �1 s m CD O O n 3 ro 7 g CD C 7 O O a! Z ro p C f%1 C 7 M ur m 3 '!I A Z O fD T p� O CD CL a o f W 9 it m o w CD a m al z 7 N O r cn < O. CD y v < G A CD p II N a < d C O ] T N C Z 7 O Q p U) N N CL N N O 0 C A I I a N N O O A O b Oo 3 Cn CD A ti 00 O O a ti 089ti �L :auoyd 989V U :xe sn•Inn•xloao- ;ules•00 z :Ileu:3 91�O1jpS IM 'uospnH 'peo21 loego u mt) LO b I 'aa ;ua:) ;uauauaawoO ;uempedea 6uluoZ 1 8 6uluueld A ;unoO xiwo • ;g s ;uou:woO oOueulp.:O :ol 0 &OZ 1 9 q *jo 1 'Aeplad •u:•d 9 Aq uan ;aa •pepeou se se6ed leuol ;Ippe 4384 4e aseald •aui ;ae;uoa aseaid r-;uaunaoa Sm o; asuodsaa a anq pinons j :Paula :auogd :ssarppv :(due 11) uoi ;gr . v :aw"N 0109 `v W.... PJ183 juaUHUO3 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: ( 5� 399535 ATTACH TO PERMIT) GENERAL INFORMATION � State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Q Permit Holder's Name: City Village x Township No: Brush Mound Partners Richmond Township Parcel Tax 026- 1126 -08 -000 CST BM Elev: Insp. BM Elev: BM Description: vD. [Co. o' I q C 1tA S-�- TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM a -ID O Aeration Bldg. Sewer 5- 9 � � a•'r t Holding St/Ht Inlet � ; •• TANK SETBACK INFORMATION St/Ht Outlet 1 qb • `f L TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic t Dt Bottom Dosing Header /Man. Aeration Dist. Pipe X5.6 Holding Bot. System R S` Q ,/ 36 i • ! `(. Final Grade PUMP /SIPHON INFORMATION Manufacturer — �\ Demand St Cover q GPM ID ' 3Z Model Num TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM Z5WRENCH idth t Length No Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM 3 8� 3 SETBACK SYSTEM TO P/L BLDG IWELL LAKE/STREAM LEACHING Manu INFORMATION CHAMBER OR t1y�t� ��C91t►� Type Of System: UNIT Model Number DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x H Vent to Air Intake � Pipe(s) Length is Length Dia Spacing �D SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [* No F Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 01/0 -/ 0 2-- Inspection #2: F- -4 - Location: 1638 Waters Edge Drive New Richmond, WI 54017 (NE 1/4 SW 1/412 T30N R1 8W) Water Parcel No: 12.30.18.769 1.) Alt BM Description = eP 2.) Bldg sewer length - amount of cover 3) 4 -too U Plan revision Required? ❑Yes No / Use other side for additional information. • d � Z� 4 � Date Insepctor's Signature Cert. No. SBD -6710 (R.3197) Safety and Buildings Division Coun 201 W. Washington Ave., P.O. Box 7162 N Visomisin Madison, WI 53707 - 7162 Site Address Department of Commerce �� �' ��• Sanitary Permit Application Sa mmy eerm Numbers' In accord with Comm 83.21, Wis. Adm. Code, personal information you pro „� C if. Revision may be used for secondary ses Privacy Law, s15. 1 m Application lication Information - Please Print All Information c. Plan I.D. Number PP i f � Property Owner's Name ; 6 �, ,t Patcet ber rw6 OKnd T�er� d', - O - cZ Property is Mailing Address 1O on W PC) 0 O i� Ca> '�: S I T 6 N. R City, State Zip Code Phone up► °'Nf3I ber Block N be se A G vision Name (( CSM Number i l— O / 7 (S 51 �C II. Type of Building (check all that apply) ❑City (� 1 or 2 Family Dwelling - Number of Bedrooms ❑village b Public /Commercial - Describe Use ownship ` State Owned I;, I ✓ Nearest Road 3 - 7 - re nck5 as C w M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if ap licable) A For County use 1 X New 2 11 Replacement System 3 C1 Replacement of 6 ❑ Addition to , stem Tank Only Existing System B. Check if Sanitary Permit Previously Issued Permit Number Date Issued 2 - 51 S IV. Type of Permit: (Check all that apply)(m mbering scheme is for interval use) 44) Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. D' rsaU'IYeatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min -Anch) Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank O6 x Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name rint) Pi ber' Si MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) VIII. Count /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved ❑ Disapproved Surcharge Fee) ❑ Owner Given Initial Adverse �7 - Determination EX. C of Approval/Reasons for Disapproval 1 �F Of I k � t % ! tC✓ -4 41- h�Q � ��C �'K ta( x� c v /Y� � l k ✓ors YP C aua rN G�- ��f`d►� 5 . '7Ki6 ✓ev(' i,✓AI Sf�bNti]�tc1 `�v VCt�i�Ef Q/ � %u sys�� /occ�f:o�. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in she SBD -6398 (R. 05101) -Plot -Rct �;•� %(A At �c�Nr��rs /lY�:cvaa S:T%ev E ns n!� /c�SW 7�(-S I aria A.) Ag w P. o ax ��� ,�•o�� sT: Cro ix J+q-S wcc - " 'Yo f Q Art 8 10 a ao s „9 O I t 1 _ ^_ 8y- ....... �_ ��- .�90 Plot Rt rno �Qr�n /m eu e �g N y S w S 1 d T3a N iQlg P 0 ®x A+ moAS f sT o,x �E �p F5 o � bI A B m =Ta s 1 - I >v 0 t I H C B CL AD r- ttJ C © E7 • x CQ (u • U 0 mL E� cam V 'c: $a 5 c }fA i U � J LL x 78 J { U) If ID to y s E i 9 lV y t vi [ g � r VJ j .• k � m r r� a p O a �•" i LV V"' e • G'd -o :yr P"VE'VE WiSoonsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code _� C ' . T CRDX Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County St. Cr LUOlf11� include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 026-11 �6 ' - ' 08- 0 oF Please print all information. R viewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) Property Owner Property Location 1 Derrick Const , Inc. Govt. Lot NE 1/4 SW 1/4 12 T 30 N R 18 )IZ (or) W Property Owner's Mailing Address Lot # Block # Subd. Name CSM# 1505 Hy. #65 8 na Waters ge City State Zip Code Phone Number ❑ City ❑ Village UTo Nearest Road New Richmond WI. 54017 ( 715 246 -2320 Richmond Waters Edge DR. © New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate 60 GPD [I Replacement . ❑ Public or commercial - Describe: Parent material pitted glacial d rif t Flood Plain elevation if applicable ft. General comments and recommendations: trenches @ el. 94.40 ❑ Boring # r] Boring 98.70 90 1 pit Ground surface elev. ft. 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 'Eff#2 1 0 -12 10yr3/3 none L 2msbk mfr cs 2f .5 8 2 12 -25 10yr4/4 none sil 2msbk mfr 9W if .5 .8 3 25 -90 7.5 4 6 none 1 na F 2 Boring # Boring 98.60 90 ® Pit Ground surface elev. ft. 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 'Eff#2 1 0 -10 10yr3/3 none L 2msbk mfr qW 2f 2 10 -24 10 4/4 none sil 2msbk Mfi W if .5 .8 3 24 -90 7.5 4/6 none sl ms 2msbk mfr " Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L a2t #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address D E aluatibn Con ed Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -15 -2001 715 - 246 -6200 026- 1126 -08 -000 2 3 Property Owner Derrick Const. r I nc. Parcel ID# Page of 3 ❑ Boring # E] Boring 97 40 90 ® pit Ground surface elev. - ft. 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 1 0 -10 10yr3/3 none L 2msbk mfr Clw 2f .5 .8 2 10 -25 10yr4/4 none sil 2msbk mf' aw 1f .5 .8 3 25 -90 7.5yr4/6 none sl /ms 2msbk mvfr na na .5 .9 Z 4 Boring # ❑ Boring ® pit Ground surface elev. 97 ft. Depth to limiting factor 96 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 I 'Eff#2 1 0 -7 10 3/3 none 2f .5 .8 2 7 -19 10yr4/4 none sicl 2msbk mfr qw i 3 19 -62 7.5 4 6 n n 2msbk mvfr 4 62 -96 7.5 4 6 none z ❑ Boring # ❑ Boring El Pit Ground surface elev. ft. 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 `Eff#2 Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD, < 30 mg1L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -6330 (RAM) STEEL'S SOIL SERVICE Gary L. Steel Derrick Const. , Inc. 1554 200th Ave. CSTM2298 NE'I S SW' -� S12- T30N -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #8- Waters Edge .A1 -1 " =40' of SW lot stake @ el. 1 90-0 ' alt. BM = top of elec. trans. @ el. 10 i X 8 q Gary L. Steel 11 -15 -2001 i 'H • Wisoonsin Department of bommerce SOIL EVALUATION REPORT Page 1 of Division of Safety and Buildings In accordance vwlh Comm 85, Wis. Adm. Gods Aftach complete site plan on paper not less then 8112 x i 1 Inches In size. Plan must CO-0 St. Croix Include. but not firnited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, sole or dimensions. north arrow, and location and distance to nearest road. 026 - 1126 -08 -000 Please print all information. Reviewed Date Personal Infam afion you provide may be used for secondary purposes (Privety law, s. 15.04 (1) (m)). ^ L PropedyOwner property Location Derrit:.k Oomt. r IM. Govt. Lot NE 1/4 S 114 S 12 T 30 N R 18 V ( of) w Property Owner's Mailing Address Lot # Bbdd # SuM Name or CSI ! 1505 Hy. #65 8 1 na Waters Ddge State Zip Phone Number CC] city ❑ Vlliage taTown Nearest Road Nei Rash WI. 54017 7i 246 -2320 Ric�mor>rd �Wate Bil ge M. ® New Construction Use: Residential / Number of bedrooms Code derived design f ow rat GPD ❑ Replacement ❑ Pubic or commercial - Describe: Parent material i ff-gid ,gj a j a] g1 rift fft Flood Plain elevation If app !cable r3a - - - - -- General condiments and recommendations: trewhes @ el. 94.40' ❑ # ® Pit Ground surface elev. 98.70 ft. Depth to limiting factor — E l In. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Con" mce Boundary Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#i •01#2 1 , 0 -12 10yr3/3 none L 2msbk mfr Cs .2f 2 12 -25 10yr4/4 none 411 2msbk mfr gw if .5 � 8 3 - 25 -90 7.5 4 6 # ❑ 98.60 90 ® Pit Ground surface elev. ft. Depth to limiting factor _ in. Rate Soll Application Horizon Depth Dominant Color Redox Description Texture Structure Consisd nice Boundary Roots GF'Ultf In. I Munsell Qu. Sz. Cont, Color Gr. Sz. Sh. 'Eft81 -002 1 0 -10 10yr3/3 none L 2msbk mfr 2 10 - 24 i 4 4 none if .5 '81.1 3 24 - 7.5 416. none sl y ' , _ > #2 u < 3p and TSS < 30 Effluent #i BOD > 3q < 2Z0 and TSS 3t) _< i50 mgA. B r�'L _ mWL CST Name (Please Prin!) Signature CST Number Gary L. Steel 02298 Address CA WaMW Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -15 -2001 715- 246 -6200 Wisconsin DeDartmentof Commerce SOIL EVALUATION REPORT Page 1 . of 3 Wi Division of Safety and Buildings in accordance with Comm 88, Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 026- 1126 -08 -000 Please print all information. Revle Ned by Date Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). Propertyowner Property Location Derrick t3onst., Inc. Govt. Lot NE 1/4 SW 1/4 S 12 T 30 N R 18 19( W Property Owner's Mailing Address Lot # Block # Subd Name or CSM# 1505 Hy. #65 8 na Waters Edge City State Zip code Phone Number ❑City ❑ Village fS Town Nearest Road New Richmond WI. 54017 ( 711246-2320 Rictuttond Waters Edge DR. ® New Construction 11se: ® Residential / Number of bedrooms Code derived design f ow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 2itted Q] aci aj Arif Flood Plain elevation if app icable _ n ft. General comments ments and recommendations: trenches @ el. 94.40' ❑Boring Boring # ® Pit Ground surface elev. 98.70 ft, Depth to limiting factor _ 90 in• 1 i Soil Application Rate Horizon Depth Dominant Color Redox Desertion Texture Structure Consish nice Boundary Roots GP /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -12 10yr3/3 Wane L 2msbk mfr CS 2f 5 2 12 -25 10yr4/4 none sil 2ftt9bk mfr if 5 8 3 25 -90 7.5 4 6 a Bonn # ❑ Boring 90 ® pit g Ground surface elev. 98.60 ft Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consist once Boundary Roots GPDlfF in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "EN#2 1 0 -10 10yr3/3 none L 2msbk mfr 2 10 -24 10 4 4 none Sil if .5 .8 3 24 -90 7.5 4/6 none sl ims - Effluent #1 = Bops > 30 _< 220 mglL and TSS >30: - 150 mg/L #2 ■ BOD < 30 m and TSS < 30 mg(L CST Name (Please Print) Signature . CST Number Gary L. Steel 0 2298 Address n G d Telephone Number 1554 200th. Ave., New RiChmond, WI. 54017 11 -15 -2001 715 -246 -6200 11 -14 -1995 5 :54PM FROM P.1 - -- _ . - Froarty owner Detrick C oast. ,1 Pa ID tt 026 - 1126 =Q9-000 Paps 5 Q Pit Gtwm such* ww. 97.80. ft- Doplh b gm*k g %aW ttn� _ in. SoN � mmi mm Depth OOM*Ww cam Rodkw omat cm Tedure Seuoxs ContlsMnce 9m%Wy ROM aPau+� in. r CbL u CWOL can Gr. SL 3K ' 1 0-10 mfr cs 2f .5 2 10 -21 10yr4/4 n sil 3 21 -90 7.5 /6 rx5ee 7 ✓ y- y �J Ph Greund aufapselsx _ Il. Dopo b wo factor 9 0 in, Sam Ago Haimn Depth Dw*uw Redo* 09=r Wm Tam 51njckm G'mebnc8 Sotxd Rana GPW In. murom 0& St. conk- color Gr. SL Sh. 1 '@m 1 QM11 10 lnsbk mfr ✓ 2 11 -21 10yr4 /4 Jmfz 1f 4 3 J 21 -90 7.5xy4/6 °none WS /$l .5 v .9 ✓. tv P O in. wt cr�ound sa<sossie.►. tt Deotn a timbho 6icIor sw acts Hotfmn Depth Owkwa Ck trr Rectos OaeoQipdan Tm ti m commt nm 8mm" Reou In. Nksod GU. St. Corn. cater Cyr. Sz. M. ' 8&sj t d1= MD. s M a ?2D w9t and T= ;bW 1 150 "dL ' E'muw 02 a wlD e -V ng0. and TW _< 30 nv& 11u Dapa mwdt of t"muma ve is an ogtul oppotRtwrt service provider and emplow, If you now aaalmoae to aeeasa =Vic" or need cnatenal iA as almC una fowhat, plaice eeaaoi du deparanent at 6011- 266 -3151 or M 08- 2644771. amanoariau ' 1 r • STEEL'S SOIL SER'VIC Gary L. Steel Derrick Coast. Inc 1554 200th Ave. CSTM2298 NE�SWI S12- T30N -R18W� New Richmond, WI 5401.7 MPRSW -3254 town of Richmond (715) 246 -6200 lot O- Waters Bdge N 1 " =40' BM.= top of SW lot stake @ el. 100.00' alt. BM.= top of elec. trans. @ el. 102.60' ma y, V q6 6 1 $r / Gary L. Steel 11 -15 -2001 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND . OWNERSHIP CERTIFICATION FORM Owner/Buyer /" — t/1 Z 11411--ti-A,,- S7CV1& Mailing Address / © fl � S, f�eZ.�1 Icq /k r1D, �l SV0 / 7 Property Address l 3 4 b (2 E &4 tom' (Ve fication required from Planning Department for new construction) City/State Ws S Y 7 Parcel Identification Number O Z (4 " o 8 - 0 d Q LEGAL DESCRIPTION Pro Location kl� %, S�'`� r / �' 3� `& Al��/K o 1-k J /, Sec. Ply T N -R W Town of Subdivision _ _ 6`& JG k-z-� Lot # Certified Survey Map # . Volume . Page # Warranty Deed # G a L / - 51 Volume f 3 . Page # 16 / Spec house teXes ❑ no Lot lines identifiable Xes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification foam, signed by the owner and by a master plumber, journeymanpl*mber, 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 Zoning Office within 30 dayt three year expiratio C S NATURE OF APPLICANT DATE OWNER CERTIFICATION I A—e) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of scribed abo e, b of a warranty deed recorded in Register of Deeds Office. F APPLICANT D ATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed -- �A 1-nA W LUNING X001 Private 4nsite Wastewater Treatment System NiOnagwWnt Plan Septic Tank And Gravity In-Ground ty nil Soil Absorption rp n Component Pursuant to Comm 83.54 Wis• Adm. Code each P ' Hunts System (POWYS) shalt irtdude it f mlotion and 4nsite Wester Treatment the parameters of Corr" a3 and 84, and the cor�ti. of W n #M p Osystem tt' spen agen or Jo�rmentai unit. The eqPproved plans and mat by t, zoning or hestth for system are on try at the courtly department. Soil This monagerOnt Plan complies with Corm 83.54, Wis. Adm. Code, and the In CoMp"It ft,111 W Pn,,*e OMM Wastewater Treatmerd Systems SBD- 10567 -P (86199). TOM* 1: tern Sa ' Permit l�xrrber of tsede+ Nim Estimated Flow - A MCI) Tank t Size Wastewater c Tads 2: Soil C • UnI is at ReMWe Opwatkm Seoft Tank Soil Absorption carvor"t ���JRM bty - Peak ff errr Partk�e 1/8 Maximum TSS 220 IM Tanis 3: Mains gntpdtdo Tank I ardlor service once 3 / 4utbt t once a r and dean at least once every ZYMS Sod once 3 veam Saffi TAnk The septic tank std be maintainsd by an individual rid to service septic tanks under S. 281.48. Stets. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adrn. Code (SerAdng Septic or Holding Tanks, Pumping Chambers, grease Interc SPa9e Beds, See page Pits, Seepage Trenches. Privies, or Portable The operating condition of the septic tar* and outlet filter shalt be mooed at least once every 3 years by inspection. The outlet filter shall be donned as ricessary to ensure operation. The filter cartridge should not be removed unless provisions are made to retain solids in qte tank that may slough off the flfter when removed foam its . If the 04!02/+)1 WED 10:27 FAX 715 396 4666 ST CRa CO ZONING Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the fiker shag be serviced if the alarm is activated cxantir►uo *' lntsrrnittent filter alarms may kxticWm surge flows or an krrpending oonliirauous alarm. The septic tank shall have gs coruterrfs removed when the volume of scm and sludge in the tank exceeds 113 the irq ' uac! volume of the tank. if the contents of the tank are not removed at the time of an assessment, mairrtenance personnel Shad advise the owner of When tha next service needs to be performed to maintain less than rrtaadmum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shah be sealed watertight upon the completion of service. Any opening deemed unsound, defective. or subject to failure must be replaced. Exposed encase openings greaiter there 8-inches an diar ter shall be y rte secured b an effective bddng device to prevent accidented or unauthorized entry into the tank No ern should ~ a septic or *flyer b*@&nw t or hWft Am* lbr any reason wa► hmt being In llll compftnrao wide OSHA s dau for entorfng a conOmd space. The aftospher+e wNhJn the SOPOC or oOw bunt of bo#*V tank Maly con gn 160W 9411M and rescue of a parson fbM the Mstarrior of on atnr MW be digit or h"Passui1e. TanK abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no bngesr used as a POWf`S component. Soar ebpgnnnnComoonent The sod absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption corraponeM depends greatly on proper and timely maintenance, and system use within or below the tirnits of reliable operation. Good water oor ism valtion pmctioes by all occupants and the installation of water cortaserving P fixtures arm key factors in extending the useful Vie at this component. The soil absorption cornponeffs operation must be assessed by inspection at least once every three years. The inspection shad include recording the levels of pondkV, if any, in the obaservarbot► pipes. and a visual inspection for any evidence of surface seepage or discharge farm the c omponere. on steeply sloping sites, arses of erosion should be identilted and repongd to the owner for repair. The surface discharge of domestic wastewater or sewags from the system is prohibited and considered a human health hazard. Traffic around or over the sod absorption component should be avoided particularly during winter months. The campection or removal of snow cover over the component may lead to hydraulic fellure by freezing. This type of failure is u sually temporary, but is ddkuk or impossible to repair until weather conditions improve. in general, soil compaction over this componen w ill reduce diffusion of oxygen into the soil and dispersal cell, which may head to more intense, and earlier, organic clogging of the soil. 2 WEp 10:28 FAX 715 366 46 ST (;Pj CO ZONIN16 Management Plan for a Sepft Tank and Sol AbWPOOn Q pwn*Vs of deep. rooted. and shrubs dkft* &Mr or v AM , *n I Of the ownponent *wild be awkied sWM mot jr into the conVorient MOY Ob"W wm tw " ter Wrov, �T. cauj.& LU liuu = 586-4680 plumber = Calvin Powers - 246-5135 Replacement site will be that soil tested area by CST ($Aa-� ( # 7 /�;- • LY4 - 1pZ,7d 0 U198 heplacement site must be left undistarbed, or management/ contingency plan must be modified and filed with the zoning office, outlining the steps to be taken in event of septic system failure. 3 1,2— .1,131 PAGE STATE BAR OF WISCONSIN FORM 2 - 1998 ��4257 • KATHLEEN H. WALSH REGISTER OF DEEDS urnent Number WARRANTY DEED ST. CROIX CO., WI This Deed, made between David L. Naser, Grantor, and Brushy RECEIVED FOR RECORD Mound Partners, LLP, a Wisconsin limited liability partnership, Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee 06 -03 -1999 9:30 AM the following described real estate in St. Croix County, State of Wisconsin (The WARRANTY DEED "Property "): EXEMPT M CERT COPY FEE: See attached Exhibit "A" / COPY FEE: TRANSFER FEE: 1047.60 RECORDING FEE: 12.00 PAGES: 2 Recording Area Name and Return Address Hendrick W. Van Dyk VAN DYK, O'BOYLE & SILER, S.C. Post Office Box 127 New Richmond, WI 54017 Pan of 026- 1037 -30 -000: 026 - 1037 - 95-000 and 026 -1038- 10-000 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Subject to all easements, restrictions and covenants of record. Dated this 28th day of May , 1999. r *David L. Naser * * AUTHENTICATION ACKNOWLEDGMENT Signatures) David L. Naser STATE OF WISCONSIN ) ) ss. l snl>ntv-A (•,C�rssaoau lou air glog •po2pajMOUxoe io poleopua pne aq Am solmugiS) L M (-- ` LZT Yog 009jo lsod :alep uo ?le.ndxa obis 'lou 3 j) `uams v a uogA `}U G NVA 'luoumuod s? uoissmlmoo KW :14C UtA 'M xupuaH u?saoostM ;o a lr1S I oT Ignd kimo xg (Ialgvd(i SVM.LN2Nnl.LSNI SI 1 90'90L § (q po zuoglne 'IOU 31) NISNOOSLM do Uv9 a,LViS xggwaw :a1iil.L 'aurzs 2111 Q2PojMOUxov Pula 3uauriulm ) TAG uEA 'M U -IPuaH Bu►oBaso; oq po oqm (s)uouod aq aq of umou)l our of ((� PaurBU anoge aq1 — 6I to (rp s our aio;aq aureo (neuosiad 6661 �EI^I �° KiRpLT SZ s?gl p 1roTluaglnr } t—NORW 114 CQ5A ©/ \� B FFUM ALkAARM1EAA A y COWrr A/aWAW%r ®� W N ° sa-w 'Vif TL'y L/# m! LOT d y AREA m SOM ! = 95* SO. Fr. ® OJ7 9.8, „ V AREA T MEANDER LIE. 93.]13 SQ. FT. Ric 214 AWES y 4% � / ` — — — — . 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FT. • ,F, 4 ....... t � AREA 70 MEANDER LAND 207* AWES M377 IQ FT. Ar 1-52 ACES �•' L O T Ye F.F.E. 10020 AREA S FT. M • L O T 18 "� ACRES Fr. 3 TQTAL ARE MFA m REANOFA UM Q M38 ACRES p 1.87 ACS /S m }y SC RRI LAC OF W AC 114 ' • \ � � ' � 1 P� r BE SW 114 . • Y 1 7; 348.84' • ' • ' - �� - - -N89 Z4'lI- -1308 525.25' — Eo t.AROS _!!!2r24 tip r wwurTm LINOS tl. 5WTH 11 4 COWER - WC770V 12 -36 -RB �(FaAW 1 AM APE) — — — — Walidng Trail m m t s a l': ,� 1 ��► swbt sips �•e se aoe� 621. Wic Adn► Lode W. �Am - h*aoael 7� ooiapMei� 1t�e amai n PO Sm 73M tPei+ar�► Law. s 1 s af(rjtiell aeoowd.rr v C a wpkftd � � ss i myifno . aoit LQ i Soft O - Mom Iwnt an int 4pcoh , o u s[ ; 'fcbmok *" (o ` € r pr2 2001 wed Aj 1, taieolc 4o�c g� To* b of D 0 task O O &W MW O �rwaed Ws�d y Aaea --- UA O i� O tal Z 3' •�S At'ea�' skvmim I f� bdbnwtim TOM #of r eA�b ales 9f, � �. to ` crt� ` i cow Ow El El Ej El Zol O O O O O co VtLL t ht afi�epOWi3�Iwwwe 1lecate sd 0 " 3 7 - 7 15,E (o- -Ssc 3S tX.� O MAWDV@d pp MwAd� ���dAiiir Aweieerod t s) as - R ,,qq. R AW e-cip ck,�, — � �d on 4> iA-% A p cat— p W Fr- MkMPPS . 3 2Q 14 ) s . �c. y� � i r�t.e.► -c c � I�H,GI I o..e 5 � (z, �. r k+,wst v �f�.�u v � 51r� % �+a''7 6G�1 f v Permi i Ll A ot v�', 3 �Y Iholy L P a�� w ��s�m; c� , �,5�'�Vphs ,I N � E"// Sw�/jSec.I ZT30A) p p. 'f S 'f� k , C. M OA c� S 7` Cow `mac N y nn v� -�xre.oQ:r rako- if ;t b -OAS -coo 0 C/ r - T � 7s �(C c t , q s Bm = - ro P i "p��P; � A,> 3 C) f V� 4 Alt" $11 -Tor A eA Qq, Os- r TI. 4 --)�os37 1oi. ,- n �r 00 ul I I � g4 / 9 3 3' o � ti •TE¢s Gp4 r1 o 01 _ 1 V H d W rTT r � 7' fR 23S'AZ' n � tr r r _ N ` r 'Wisconsin Department of Industry SOIL AND SITE E V A � Page 1 of 3 Labor and 14uman Relations Divilloon of Safety & Buildings in accord with ILHR WIS�P_WQ�4�ode R Lt�•" OUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in &I Plan must i cl�de�.�� S Croix t RCEL I.D. D. # not limited to vertical and horizontal reference point (BM), direction, a of sloQ� „sc d lest dimensioned, north arrow, and location and distance to nearest road. - �. 5� C �S` ' ndin �I )O O``' E EWED BY APPLICANT INFORMATION- PLEASE PRINT ALL INFORMA >..\ '�' ^ �� f _/ v/ PROPERTY OWNER: P i cO i IR IN Derrick Const. Inc. GO 1 4 SW 1/4,S 12 T 30 N,R lg (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM # 1505 Hy. #65 8 na Brushy Mound Lake CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ZKOWN NEAREST ROAD New Richmond, WI. 54017 1 715) 246 -2320 Richmond 140th. St. [� New Construction Use [K ] Residential / Number of bedrooms 4 [ ] Addition to existing building (] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate bed, gpd /ft gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate --,7 bed, gpd /ft gpd/ft Recommended infiltration surface elevation(s) 99.45 ft (as referred to site plan benchmark) Additional design / site considerations trenches spaced to code 4.00' below grade Parent material outwash Flood plain elevation, if applicable na ft 7=SUun ble for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK fors stem I ® S ❑ U F7 S ❑ U 1 0 S ❑ U R3 ❑ U 0 S ❑ U ❑ S @ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITirerich 1 -13 10 r 3/3 none 1 2msbk mfr qw 2f .5 .6 2 3 -22 7.5 r 4/4 none scl 2msbk mfr 9w if .4 .5 Ground 3 2 -31 7.5 r 4/4 none sl 2msbk mvfr gw if .5 .6 elev. 10 4 L l-96 7.5 r 4/6 none ms osa mvfr na na .7 .8 Depth to limiting V factor j �l� -i+- L' +96 3 T✓ 4 ,A, Remarks: Boring # 1 -13 10 r 3/3 none 1 2msbk mfr gw 2f .5 .6 2 2 3 -28 7.5 r 4/4 none scl 2msbk mvfr qW if .4 .5 Ground 3 8 -100 7.5 r 4/6 none ms os mvfr na na .7 .8 v elev. 103 ft. Depth to K limiting factor +100 log. ��p L -o Tr Z 2 °I Remarks: `tom o CST Name: -- Please Print Gary L. Steel Phone: 715 246 - 6200 Address: 1554 200th. AyrvNew Richmond, W 4017 Signature: Date: 5 -31 -2000 CST Number: m02298 PROPERTYOWNER Derrick Const. Inc. SOIL DESCRIPTION REPORT Paged of 3 PARCEL I.D. # ending Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0- °'" "'" °"" 2 10 -27 10 r' 4 4 none sil 2msbk mfr Qw if .5 .6 Ground 3 27 -96 7.5 r 4Z6 none ms 0SQ ml na na .7 .8 elev. 10 1.83 ft. Depth to limiting factor +96 Remarks: Boring # 2 10 -24 lQvr 4Z4 none sl 2msbk mvfr qw if .5 .6 ................. Ground 3 24 -84 7.5 r 4/4 none is osa mvfr na na .7 .8 elev. 9 9.65 ft. Depth to limiting factor +84 Remarks: Boring # 1 0 -9 10 r 2/2 none 1 2msbk mfr 9w 2f .5 .6 5 2 9 -28 10 r 4/4 none sil 2msbk mfr 9w if .5 .6 Ground 3 28 -84 01 r 5/4 none ms osg mvfr na na .7 .8 elev. 10 Depth to limiting factor + 84" Remarks: Boring # tJ Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) L r r r s STEEL'S SOIL SERVICE Gary L. Steel Derrick Construction, Inc. 1554 200th Ave. CSTM2298 NE4Sw4 S12- T30N -R18w. New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #8- Brushy Mound Lake .This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 =40' - BM. =top of 1 pvc pipe @ el. 100.00' Alt. BM.= top of 1 pvc pipe @ el. 99.05' 1 A C�A 6? 2 � 3 3 33 C Gary L. Steel 5 -31 -2000