Loading...
HomeMy WebLinkAbout026-1126-14-000 (2) Parcel #: 026 - 1126 -14 -000 09/19/2008 04:34 PM PAGE 1 OF 1 Alt. Parcel #: 12.30.18.775 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - EDSON, CHARLES A & PAULA V CHARLES A & PAULA V EDSON 1335 AWATUKEE TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 1650 WATERS EDGE DR SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.290 Plat: 08 -013- WATERS EDGE LOTS 1/49 2000 SEC 12 T30N R18W PT NE SW WATERS EDGE Block/Condo Bldg: LOT 14 LOT 14 3.290AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 12- 30N -18W NE SW Notes: Parcel History: Date Doc # Vol /Page Type 06/25/2003 727160 2286/527 WD 05/02/2003 719751 2227/269 WD 08/16/2002 687280 1951/34 WD 09/29/2000 630775 8/13 PLAT 2008 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations Last Changed: 09/09/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.290 83,500 0 83,500 NO 05 Totals for 2008: General Property 3.290 83,500 0 83,500 Woodland 0.000 0 0 Totals for 2007: General Property 3.290 71,100 0 71,100 Woodland 0.000 0 0 Lotter redit Batch #: PRGRM � Claim Cunt: • Certification date: 12/•4/1••i Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce . _ PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420411 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you 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: Bohman, Todd & Elena I Richmond Township 026- 1126 -14 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMA N TANK TO P/L WELL BL ent to Air Intake ROAD Dt let Septic Dt ottom Dosing ader /Ma . Aeration ist. Pipe Holding t. System ade PUMP /SIPHON INFORMATION al Gr Manufacturer emand St C r I PM Model Number A0010 or TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Wtrenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing 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 Depth Over Center BedfTrench Edges Topsoil Full Yes [N No Yes [] No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1650 Water's Edge Drive New Richmond, WI 54017 (SE 1/4 NW 1/4 12 T30N R18W) Water's Edge Lot 14 Parcel No: 12.30.18.775 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = 3.) Contour = Plan revision Required? "_ q i�� Yes [] No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. stymy dad Hmaw =9rm,7 lvlscmn�wili 201 W. WaddiW= Ave_. A6dwo. Wt 5370' tnnent of Cotnerca 3 0 �Z� _ S Saner Pit APpiitt�Tio� q- j i a000ed ,a& eeae>t UM. aria. Ado. Cade. pmmd ilbneerioo roe Pw" Q Chwk it RC VWM Ds aaad far Law a15. Sim MOLD. Nm*m L Afp�aitiw fth I = F" _<%, PraMiy Owmes Ranee Pared Nrrobar pr"Noy'M 'Madan Prapeely t �s Addrma 'APW T N x lky, sm zip Code lboee Nw"m Lai 81°d` j�pgipa Name Cs4 moss r o II. Tppe r[lAii6 d d" app" s Pv ` or 2 Pau* Dot - NmW of tdoornme�� I�g+ O sm a.,oed Road ��` o � Zv (;. j mil.. Ie. r7Pe.c ••tr «m sew m A t..rerird +r �►- w a if appYntiM) A. 13OR46mmmat 6 Q AdMoa a Rr comov arse ftmm Tsl* Deb teased s. Q t�adc i< SaeiLgr Aran Pt�avbm�r taweed >� Naerba' IV. Ty" of Pla (can* alt am to ft iaeaeaal r.a) -j� ►4 `lam a O Nod - ft.oraftod MaM=d 21(� Maid a Q �aad Parer so Q coeelroead W a bod / ` 51 Cl Drip Lien 23 Q Piefaelired tat?raued 410 HAS g Task as Q swo rm fs Q A&Gcm o s Q Amoeio'ln+areeer tkW 49 obs 30 Q Odwr V. Ann t� l aw (04 Awe Area sot parr mendw Piod (trade RaeeN(Ia1r.lD III A-) ( ) C i 6� 0 , N R /0©.9 vL Tmk zaft Cap.crb� is Tad Naoior rrohb sie sled tiYoat 13a0os dTaeka rew 1Yde ld,5 c..ra, Zsa vQ. of do POW= iewa em ie aaiNI PbM f PlAerbar's Baaienea !! NswAw tee Pkmbies (Sueet. Clw. ftmu Zip Code) 5, V vm we Od Approved 0 DWOI Sdi y laeeit Pee (ieelyd. dnewdwMer Dane h+aed Afeet sataaane (No Stamps) ❑ owenr Ql m b*W Advarsn Nr � 2 �rf a ADbr��q�.��- rT"* - ---- oKA, e � rr •ie lo. fir.. aus: �t i dr. i� r.e QTtn -AaoR rR (UM I -1 i 15 - =�L! k 1310, -- , - -�_- I - -1 -- - - -� - - I - -{ - - -- - - - , LAI II i I } ( I l I I , i -. f - f Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 ,scons/n www. commerce. statemi. us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary September 13, 2002 CUST ID No.220537 ATTN: POWTS Inspector CALVIN W POWERS JR ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMIC1 AEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/13/2004 Identification Numbers Transaction ID No. 785697 SITE: Site ID No. 649993 Brushy Mound Partners / Michael Stevens Please refer to both identification numbers, 1650 Waters Edge Dr I above, in all correspondence with the agency. Town of Richmond St Croix County SE 1/4, NW 1/4, S12, T3 ON, R18W Lot: 14, Subdivision: Waters Edge FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 869175 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (R.6/99). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. Condid • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption APPRI area. chs. NR 811 & 812c DEPARTMENT 01 • A Sanitary Permit must be obtained from the county where this project is located in accordance with the OF SAfETI requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CORRES • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stat • 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. CALVIN W POWERS JR Page 2 9/13/02 Owner Responsibilities: • Comm 83.52 Responsibilities. 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. • Comm 83.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. 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 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 RECEIV AUG 2 3 2002 sAF TITLE SHEET ETY & BLD V �� PAGE�OF� GS D ' Y• DATE: — 1 3 MOUND SYSTEM FOR A '�_ BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manuel SBD 10572 -P and the Pressure Ditron Manua( SBD- 10573 -P. CR. 6/99) (CR- 6/99) LOCATED IN THE 1i4 OF THE U--`• 1/4 OF SECTION � ,T�, RJ&W, TOWN OF , ST. CROIX COUNTY, WISCONSIN, INDEX PAGE I OF 7 TITLE SHEET PAGE 2 OF 7 PLOT PLAN PAGE 3 OF 7 PLANVIEW CROSS SECTION PAGE 4 OF 7 DISTRIBUTION PIPE LAYOUT PAGE 5 OF 7 PUMP CHAMBER CROSS SECTION PAGE 6 OF 7 SYSTEM MANAGEMENT PLAN PAGE 7 OF 7 PUMP CURVE Q PREPARED FOR / M0nA -, vir sq0 f 7 RE BY POWERS EXCAVATING INC. �- 1969 185' AVE. NEW RICHMOND, WIS. 54017 PHONE: 715 -246 -5135 �nally FAX: 715- 246 -5135 COA Alyp B E PONpENC� wJ V� Y s'.� KZtV �CiY�• �Q I/ / I�'��tJ'�LaJc1�1 Islet/ oY�.S �� w y Z'i ns�m«� �Ci�rto� �r �X P E4 COT Ua 16— I L7 �u ��-' esters o A' 13��,,r -� Puc:..��ppC��t !tb©•� �`•' A m, ems,= � "�`.-c��c c ©ate : 0 f , �s d r 3 {{ oil O ... Pages Qf r Synthetic Cov -ring Distribution Pipe Mtm- 03 Medium Sand G H Topsoil - F E D ` 3 , SI p Bed Of V— 2 %2 Force Main Plowed Layer Aggregate El +t Cross Section Of A Mound System Using F jb_ .t!'r, A Bed For The Absorption Area G Apt A Ft. H Linear Loading a te= s �D /N ?T i3 Ft. .. Design .�- oading Rate= aPD /S� FT K Ft. L J11 ffl Ft. Position T Ft. of W Ft, Force Main fir.. + Observation Pipe K CS 7 74 OOK A . k- Y& B: y ` - - - - -- ----------- - - - - -- -- - Distribution� Of Pipe, Aggregate Observgtion Pipe ' aAChar Se cy May Pion View' Of Mound Using A Bed For The Absorption Area Distribution Pipe Layout page Kt— of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from tae pipe and holes. Extead the end of each lateral up with the use of long tum or 43° fitting to a point witwa six inches of the Seal grade. Terminate the ends of the k mzala with a valvg,:tbreaded cap or theaded Plug- Provide ACCM from final grade for the valve; dtreaded cap or &waded plug. . '� CC� ss has~. pVC �Md �V C Cates Lstsnl x k ; t MCI Litllil b - ftojiw Lim f'C Qom` Mtn" P �L_� Ft. hole Diaaoeter h Inch s � Ft. Lateral " ' Inch x Inches Manifold Inches Force Main " C Inches #of holes /pipe Invert Elevation vf.taterals /o0,, Ft. SEPTIC TANK & ` PUMP CHAMBE CROSS SECTION AND arc.��� �� <•����� --� 4" Cl VENT PIPE 12" MIN. ABOVE GRADE li WEATHER PROOF • ? 25' FROM.DOOR, WINDOW. OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE CO E 40 Cl RISER _ WARNING LABEL 6" MIN. ABOVE G ADE �__. - MIN. 18" t INLET A10o GAS- 'WATER TIGHT SEALS ► . A TIGHT i SEAL APPROVED 4 " .bl.. .J^ ; ALM JOINTS W CI CI PIPE B ; PIPE 3' ONTO 3' ONTO -�-- ON SOLID SOIL SOLID C SOIL PUMP OFF ELEV .FT. �- -- Y OAF't RISER EXIT PERMITTED ONLY D IF. TANK . MANUFACTURER - HAS APPROVAL 3 APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: ; e .�r� rn� NUMBER 'DOSES PER DAY : _ -S . TANK SIZES SEPTIC GAL. DOSE VOLUME INCLUDING /� GAL.' DOSE �Z GAL . F LOWBAC K:. 7_____ ALARM MANUFACTURER: �`�C` CAPACITIES: A = QS, f . INCHES = - 90q.& GAL. MODEL NUMBER: W __ ELGAL. SWITCH TYPE: W B = Z INCHES = PUMP MANUFACTURER: �i,� C = 9 # INCHES = JW GAL. MODEL NUMBER i,.z �b tl D = /�, b INCHES =_ 6_ g GAL SWITCH TYPE: REQUIRED DISCHARGE RATE Id GPM PUMP & ALARM WIRING AS PER ILHR*16.23 WA( VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET + MINIMUM NETWORK SUPPLY PRESSURE .5 FEET + 3 FEET FORCEMAIN X I-0 FT /100 FT. FRICTION FACTOR , Z FEET S- c > TOTAL DYNAMIC HEAD = _jg FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER / LIQUID' DEPTH _ 47 I (p , v_ POWTS OWNER'S MANUAL, & MANAGEMENT PLAN Pape -to- of FILE SYSIM s corn �( El NA Otar a Tank Ca G5 Permit ! Septic Tank Manufacturer 1).9 i .pc 13 NA OWN PARANIIETM Effluent Finer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units 0 NA Pump Tank Capacity `7 �� el ❑ NA Estimated fkrw (average) Pump Tank Manufactur stU ',I , Q_.x� ❑ NA Designs flow (peak). (Es*natad x 1.5) Pump Manufacturer C, ❑ NA Sad Application. flails PUMP �� (5 3 � f ❑ NA Standard I fluent/Efffuent Quality MontMy Overage' Piretrsstment Unit ❑ NA Fats. Oil it Gresse IFOGI 530 mg/l ❑ Sand/Gravai Filter ❑ Peat Filter Wmcimmicd Oxygen Demand (1300 5220 mg/t. ❑ NA ❑ Mechanical Aeration Q wetland Total Suspended Solids ITSS) 5150 ngll ❑ Disinfection Q Other= Pretreated Effluent Quality Monthly average fift I s A C.As) ❑ NA Bkunmernical Oxygen Demand t80DJ 530 mg/. p In -Ground (gravity) ❑ in- Ground (pressurized) Total SorM#a tTSSi 530 ❑ NA ❑ At- Grade %Mound � ngiL Fecal Coliform Igeometric mean) 510 cfu/100" ❑ Drip -Lde ❑ Other: Maximum Effluent Parade Size Ys in dia. ❑ NA Otltsr: ❑ NA Other: ❑ NA Other: 0 NA * valuee typical for domestic westneweW and sap tic tank effluent. Other: ❑ NA 90111MUM servos Etrerrt Service FretpentRy im mottth(s) pact condition tankis) At least once every: a1 (INIM , MI1 3 years) O NA Pump out contents of tankts) When combined sludge and scum equals one -third (Y of tank volume ❑ NA p � j ai ( 3 jai t] NA Inspetct disperse! ceNta) At least once every: p ❑ monthls) ❑ NA Clean effluent filter At bast once every: t a) ❑ month(s) p NA inapmt pump. pump controls A alarm At bast once every: s) O monthls) ❑ NA Flush laterals and pressure test At bast once every: 0 monthis) p NA At least once every: ❑ s) Duller ❑ NA MANftTiENANl� ifK�iTpUCTfOl� Inspections of tanks and diapersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Phunber: Master Plumber Restricted Sewer; POWTS ln*ector. POWTS Maintainer. Septage Servicing Operator. Tank imspuectioms must include a visual inspection of the :ankle) to identify arty missing or broken hardware. identify an cracks or leaks, measure the volume of combined sludge and scum and to duck for any back up or ponding of effluent on the ground surface. The dispersal call(s) NssN be visually inspected to check the effluent levels in the observation pipes and to check for any pondft of effluent an the ground Macs_ The pondirg of effluent on the Wound surface may indicate a fang coition and "qul s the it urmbate notification of the local regulatory authority. When the combined accumulation of sludge and stern in any tank equals one-third %) or more of the tank volume. the entire contents of the tank she* be removed by a Septage Servicing Operates and disposed of in accordance with chapter NR 113. Wisturtsin Administrative Code. AN outer services. iv **Bing but not limited to the servicing of effluent filters. mechanical Of pressur com p o nents. pretreatment units, and any servicing at intervals of 512 months. shoo be performed by a certified POWTS Mabttainw. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event• GINVN 141011 L I - MART UP PAD atructiOn• OPERA prior to use of the - Page of '• that For new may cOrrimpede rnant Process S check treatment tarok(s} for the Nice of Of the tank(s) remthe oved treatby a damage the dispersal celf{s} ff f� es ncen Painting Products Or other chemic, sag conditions prior to use. co ncentrations are detected have the conter System start up shah not Occur water stain condhdons are frozen at the infiltrative surface. Power outages pump tanks may fell are normal �9ed to the disperse CONS, in one la dose. a hrghwater levels- When Power is restored the excess w effluent, To avoid this situation have the contents of � ad� the Mills) and may r e=* in the back ewater will k Power to the effluent Pump Or contact a W+mP tank removed by a Or Mace discharge c restore normal levels within the Pksrnber or POWPS Maintainer to assist ink Se Opwatw prior to restorin NAP tank.y operating the pump controls t wi thin not drive park vehicles over tanks and dispersal cells. Do not w feet down slope of any round or at -grade soli drive °r Park °�• ar Odwrvvwe disturb or Reduction or absorption area, compact, the are; etirmaiadon of the following from the wastewater stream POWTS: antibiotics; baby wipes, cigarette butts; con the Performance and Prolong foundation drain tsump Pump) water, doms; cotton s - fruit and v : dental floss; di the life of the ABANDONMENT t ; Pesticides: sanitary napkins; tampons; � �� % herbicides, meat scraps. medicatio s; oil: When the POWfS fails and/or is permanently taken out at p arnd safely abandoned an service the f o ll o w ing steps shag be taken to insure that tstem is with chapter CComm 83.33, . %ro Wnscwnsan Adrnirnistratiye C he sy ode: • All Piping to tanks and pits Mall be disconnected and the abandoned • The contents of all tanks and Pita shelf be �e Openings sealed. removed and property disposed of by s • After Pumpimg, an tanks and Pits �Rt•Ge Servicing Operator. il. gravel or li shad be excavated and removed or their covers removed and the void space filled with so gr another mart saki m ater i al. b C ONTROtiENCY PLAN It the POWN'S fails and cannot be replacement system: fePated the following measures have been. or must be taken, to provide a code compliant ❑ A suitable replacement area has been ev system. The replacement area should be Protected from be utitizad for the location of a replan soil required setbacks from existin disturbance and n and should not be inft � b resuh in the need for a new mil and Proposed structure. lot lines and wad Failure to protect the rat area will comply with the and site evaluation to establish a suitable rules in effect at that tame. �t fmPlacertrent systems must ❑ A suitabb replacement area is not available due to setback and/or so n technology a hoklbng tank may be installed as a last e ons Barring advances in POWTS ❑ The site has not been ev resort to replace the fazed POWN - S. atuat ids a suitable replacement area. Upon failure of the PO evaluation must be performed to to loo a Il cate a suitable 1K1'S a soil and site may be installed as a last resort to replace the failed r•M POWTS. acanent area. if no replacement area is available a hOld'nng tank Mound and at- , grade soil absorption systems may be rem b Infiltrative surface, ofd strutted m place following removal of the 6iomst at the < < WAlKyIpO > > systems must comply with the rules to effect at that time. Mme. PUMP AND OTHER T REATMENT TANKS MAY CONTAIN ENTER A SEPM. pUW OR OTHER TREAT1Yf�ItT TANK UNDER AIIIyT AND/OR l ENT OXYGEN. DO NOT FROM T"E UIITERIOR OF A TANK MAY BE DFF OR NMPOSSWLE. DEATH MAY RESULT. RESCUE OF A ADD171ONAi COMIi�llTg N TS INSTALLER Name POWTS MWANIEF11 Boone Name t Phone 'TA6E Nano OI'EAATOR M ) t.00AI REGULATORY AUiHOWTy Phone Name PL P'� s IJ docurmw was � +� in � with chapter Comm 83 . 2 2(21(61 {11(dJaif) and 83-54411, t2i d► 131, ( I Wisconsin Administrati Code. t r i Goulds P 0. � EffInant Pump 3885 APPLICATIONS • Overload protection must smooth operation Silicon can be operated continuously Specifically designed for the be provided in starter unit. bronze impeller available as without damage. • Shaft: threaded, 400 series an option. following uses: ': ::; ■ Bearings: Upper and • Homes stainless steel a Casing: Cast iron volute lower heavy duty bail bearing Farms • Bearings: bow bearings type for maximum efficiency. construction. Trailer courts P upper and tower. rg p ■ Power Cable: Severe duty 2 NPTdischa a adaptable • Power cord: 20 foot systems. rated, oil and water resistant. • Motels fo rslide rail • Schools standard length (optional m Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals tingles p ava il a ble). CARBIDE VS. SILICON provides secondary moisture Industry Single ph • Effluent. systems • % and % HP —16/3 SJTO CARBIDE Sealing faces. barrier in case of outer jacket y with 115 V or 230 V three Stainless steel metal parts, - damage and to prevent oil prong plug. BONA -N eiastomers. wicking. SPECIFICATIONS • % -1 % HP —14/3 STO with ! Shat: Corrosion - resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Throe phase: design. Locknut on three and oil leakage. %* maximum. • 14 -1!4 HP —14/4 STO phase models to guard • Discharge size: 2' NPT. with bare leads. On GSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models — 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor. Fully submerged in SR Canadian StandardsAssocia80n TOH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat UL UnderwritemiallordWies carbide -rotary seat/silicon FEATURES transfer. carbide- stationary seat, 300 ■ Designed for Continuous series stainless steel metal ■ Impeller: Mast iron, semi- Operation: Pump ratings are parts, BUNA -N eiastomers. open, non -clog with pump- within the motor manufacturer's • Temperature: out vanes for mechanical seal recommended working limits, 104 °F (40 0 G) continuous protection. Balanced for 140 °F (60 intermittent MARS FEET' • Fasteners: 300 series stainless steel. 98 I SERIES: 3M • Capable of running dry. 25 eo SIZE: W SOLIDS 1NEt RAM: VARIOUS without damage to - Sc�M components. 20- 70 �1 SFT Motor o Single phase: _ so i • h HP, 115 V, 200 V, 230 V, ' 60 Hz, 1750 RPM; % HP, z is 115 V, 60 Hz, 3500 RPM; a 40 n 44 HP —1 HP, 230 V, 10 30 60 Hz, 3500 RPM. • Built -in overload with v� automatic reset. 20 s • Class B insulation. Three phase: :10 • l HP — 1 HP 200/230/ 0 0 460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 so 70 80 90 toe 110 120 130GPM • Class B insulation. I r I 0 10 20 30 m CAPACITY 0 1995 Goulds Pumps Effective May. 1995 Wisconsinl)epartment of Industry SOIL AND SITE E V A L U tsti' b`� Page 1 of 3 Labor and Human Relations Divjsion of Safety & Buildings in accord with ILHR 83.05 e F�vEO C Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. PI but S roix not limited to vertical and horizontal reference point (BM), direction and % of '1 ' AR dimensioned, north arrow, and location and distance to nearest road. GAptX n APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION LAG( I$EV • BY DATE N�N Z Z_ PROPERTY OWNER: PRO ??ION . Derrick Const. Inc. GOVT. L�NS, , t�4 /4,S 12 T 30 ,N,R 18 (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBO. NAME OR CSM # 1505 Hy. #65 14 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NEAREST ROAD N ) - (x] New Construction Use [x ] Residential / Number of bedrooms 4 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • 4 bed, gpd /ft - 5 trench, gpd /ft Absorption area required 500 bed, ft 500 trench, ft Maximum design loading rate _ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 100.90 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 99.90' Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitablefors stem ❑S ®U ®S ❑U ❑S ®U Yo ❑U ❑S 2U ILL SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tre & .................. ................. .................. ................. .................. 1 0 -8 10 r2 2 none 2msbk mfr CS If S 2 8 -18 10 r 4/4 •`� Ground 3 18 -4 7 .5 r 4 4 non elev. 1 4 1 40-501 7.5 r 4/4 none ' 3 Depth to 5 50 -80 5 r 4/4 none limiting factor 50" LI Remarks: Boring # 1 0 -10 10 r 2/2 none 1 2msbk mfr cs if •S� 2 1 10-22 10 r 4/4 none scl 2ms • `� 3 22 -52 7.5yr 4/4 none cos 0Sg mvfr 9W na 7` .8 •� Ground elev. 4 52 -84 5 r 4/4 none scl m na na na 1 _ Depth to limiting factor 52 " Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715 -246) -6)200 Address: 1554 200th. Av., New Rich and WI 54017 Signature: Date: 6 -13 -2000 CST Number: m02298 PROPERTY OWNER Derrick Const. Inc SOIL DESCRIPTION REPORT Page -.2-of PARCEL I.D. # pending a Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Borxl3y Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 2 8 -31 10 r 4/4 none sicl m2sbk mfr Cfw if .4 .5 • `� Ground 3 31 -61 -� elev. 9 8 . 7 ft. 4 61 -84 5 r 4/4 none scl M na n -� Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 4 :iY :•ii ?i }i }i ii: Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) 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 #14- 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. .-1 = 40 ' = top of 1" pvc pipe C el. 100.00 t BM.= top of 1" pvc pipe C el. 102.80' l !fir 0 ' iV� N v f lY 23 Gary L. Steel 6 -13 -2000 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer /� 5 I*oL44�0 [c.E 44 � 5 Mailing Address A P"'b se 7 ys; A cwt L44 M 4 f kl IJ 5 / Property Address �� S ® S QG7 Q/ ✓` (Ver required from Planning Department for new construction) City /State /mow /« "M'O" k:GParcel Identification Number LEGAL DESCRIPTION Property Location 5 4 f 1/4, A %4, Sec. . T N - I W. Town of k Q11 MO ADZ Subdivision ��J- ,ju2S �a . Lot # Certified Survey Map # �— . Volume . Page # Warranty Deed # �(OGV - LS 7 . Volume ` 3 Page # g Spec housexyes ❑ no Lot lines identifiableAes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and* by a masterplumber, journeyman pl*mber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 ur septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of ee ye xpira ' n c SIG A O APPLICANT DATE OWNER CERTIFICATION I (w certify that all statements n this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope desc ov e, by a warr warranty deed recorded in Register of Deeds Office. SIG A OF PI;IC DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I U 1951P 034 STATE BAR OF WISCONSIN FORM 2 - 1998 WARRANTY DEED Document Number 6 8 7 8 0 KATHLEEN H. WALSH This Deed made between Brushy Mound _ L L a P REGISTER OF DEEDS a ST. CROIX CO., W, Wiscons Limited Liability partnership_ _ -- RECEIVED FOR RECORD _ Grantor, 08 -16 -2002 9:35 AN and !odd D . Bohman and Elena M. Bohman hus a n d wif e, as surviv 1p ma rita r er EXEMPT # PEED -... -- .- -- EXEMPT Y Grantee. REC FEE: 11.00 Grantor, for a valuable consideration, conveys and warrants to Grantee the following TRANS FEE: 222. 00 COPY FEE: described real estate in St. Croix County, State of Wisconsin: CERT COPY FEE: PAGES: 1 Name and Return Address Lot Fourtee alcond, Plat of W aters Edge in the Township of St. Croix County, Wisconsin Todd D. Bohman 705 County Road E Hudson, WI 54016 026- 1126 -14 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantor, Brushy Mound Partners LLP, a Wisconsin limited liability partnership, is an affiliate of Derrick Construction Co., Inc., a Wisconsin corporation. Grantor develops land and Derrick Construction Co., Inc. is a home construction contractor. Grantor agrees to sell this lot to Grantee on the condition that Derrick Construction Co., Inc. will be the builder of the home for Grantee. If Grantee does not commence construction with Derrick Construction Co., Inc. as the contractor /builder within two (2) years of the date of sale of this lot to Grantee, Grantee gives Grantor the irrevocable right to re- purchase the lot for the same price as Grantee paid Grantor for it when Grantee bought it from Grantor. If Grantee desires to sell the lot to another purchaser before constructing a home upon this lot, Grantee gives Grantor the right of first refusal to re- purchase the lot for the same price as Grantee paid Grantor for it when Grantee bought it from Grantor. Exceptions to warranties: Dated this 15th day of Auger 2QO2 (SEAL) 1� (SEAL) Rona L. De rick (SEAL) — (SEAL) Michael R. S tevens AUTHENTICATION ACKNOWLEDGMENT Signature(s) _ - -_ —. State of Wisconsin, 55. St. Croix County. authenticated this day of Personally came before me this _ 15th day of August 2002 , the above named Michael R Stevens and Ronald L. Derrick, as partners of Brushy Mound Partners. _. LLP a Wisconsin limited liability _ partnership __— TITLE: MEMBER STATE BAR OF WISCONSIN — to me known to be the person S __ who executed the foregoing (If not authorized by §706.06, Wis. Stats.) nstrume and acknowled a same. HE1DI L. �ILLEY �� �i Notary Publio THIS INSTRUMENT WAS DRAFTED BY Brushy Moun Heidi— i,-: — )±711 . -. - -- Nota Public, State of tsconsln PO Box 445 y C unty 0 not, ate exp St.. Croix My co missbn I ermanent. ( stiration c ate: New R WI _ _. _ chmond,. 54017 �1arc� 2b�t�t 2006 ( Y Si natures may be authenticated or acknowledged. Both are not _ _.) g necessary.) Names of person signing m any capacity muse be typed or printed below their signature. STATE BAR OF WISCONSIN nc WARRANTY DEED FORM No. 2 - 1998 MdwauMee, wis. y � rt tTj CD uq a r O O �3 ..r 04 r, rD �'' Q � �•' rt ? � (p [ .� J "' o-.1 O !" 1 ^, o -.. •0 O J V rt k, 140th Street _ Q V Q .� 4. t� 5:u �� ay -, [.)S� 2 a C 1 - 1 t P S a 55. '• Lor16 TOTAL AREA: o 88.607 SQ. FT. 2.03 ACRES i T O i� TOTAL AR j 93.77 - � -� ' '�Qi+ \ ®• t �� 2.15 ACRE 1 2 � 6 • I i 5 : k �\ S89'22'56" • I LOT 15 109_52 -k. AREA TO SHORE: y ' �— R r 131,6641 SQ. FT. 3.0 ��� ti•• S890 252 ACRES 5 vi 21 `^+._ ' '' 56ar . W AREA TO MEANDER LINE: , , y_____- 52.98' rr , 129.135 SQ. FT. 2 ACRES f � O ' Z � �T 14 m $ �o REA TO SHORE a1 143, 4171 SG. FT 3.29t ACRES h L p 7 13 J e AREA TO MEANDER UN F_ TOTAL AREA: v a W 140,314 SQ- FT. 3 103,571 S4 FT- v 3.22 ACRES a Z38, ACRES SOUTH UNE OF THE NE 1/4 OF THE SW �l4 \` *1 �9B `•• . -. 348.54 188.27' ------ N89- 37 -24_ ..1306. - _ , -- 1193. - -- UNPLAT?ED LANDS i � UNPLATTED LANDS