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HomeMy WebLinkAbout026-1154-24-000 0 to 0 3 v n d O A O . C H� (D rr '1 q c d m m a, o C) � m '', � ° rn CD 3 D w wo N 3 Q. .� p N A C J N N a 7 7 rr 3 (2 O O C co 7 O N A CL N C I M U) v D m c CD W n o c o o o n 3 O m , W '< C CD O O A '! I n r N U) A A N ,.0 C lei CL 0 CL CD v O O O 7 Z N { y N N N D. A m O 6 v v o 0 N N fD lr y CL oI z z = q qo° Q -u m c m (D y A CD N O I � N• V G M v a CD N Cl) o CL A z o 0 z m w N CD m o o CL 3 A z ° o z m 00 I w Z CD a O m 7 y ° m 7c _ CL cc y 'O O O_ 3 0. _. 3 y O G ID _ (Q N O vm 3 z a m CD n m � S 0 C y y 3 C, �` S Cl y� o aO n.f Wm o av 0 O. 7 y C H y E m 'm 3'W <Qvvmm 1: m . �' . rn o c m 3 5 c Z' 3 >> m f a C y O O C =r d N 6 N A °—' m ° ° v, m a° ai m X ` mv `C W a o 3 CD a s ti CD �p s (D N m Oq O Pam Quinn From: Swim, Jerry Uswim @commerce.state.wi.us] Sent: Thursday, June 24, 2004 12:04 PM To: Kevin Grabau Subject: RE: churches and high- strength waste Hi Kevin, Most of the time? yes - testing is required. In the case of this church, they will be testing per the included management plan approx. 45 days after start -up; (please see the second heading under "Testing of Effluent" in the management plan). I didn't include the requirement for the testing in my letter because they had already stated clear enough in the management plan for me. In the future I will re- iterate items such as this in my approval letter to make it more evident that testing needs to be done. Results must be forwarded to your office per directions in the plan. Charlie and I have been advocating to designers that such facilities could split the POWTS into 2 components; a holding tank sized for "kitchen waste only ", and the remainder of the POWTS be sized by "toilet waste only ". This design would eliminate the need for testing all together since the toilet waste would basically be residential strength. Seems like a logical step to avoid the high cost of effluent testing. Please contact me if you'd like to discuss this issue any further. Thanks for checking on it. Call anytime. Jerry 608 - 789 -7892 - - - -- Original Message---- - From: Kevin Grabau [ mailto :KevinG @CO.Saint Croix.WI.US] Sent: Thursday, June 24, 2004 11:36 AM To: jswim @commerce.state.wi.us Subject: churches and high- strength waste Hello Jerry, Quick question. I am looking at an application for a church. Do they all qualify to be tested for high- strength wastes, and all associated requirements? I am looking at Trans. ID #: 1004945, which was approved June 16, 2004. Thanks. Kevin Grabau St. Croix County Zoning Department 1101 Carmichael Rd Hudson, WI 54016 715.386.4680 keving @co.saint - croix.wi.us Zoning Department Web Page < http: / /www.co. saint - croix.wi.us /Departments /Zoning /default.htm <http: / /www.co. saint - croix.wi.us/ Departments /Zoning /default.htm> > 1 n c ° n O Dl 0 r/1 CD 71 c c m w 0 �$, W 0 N z O (D 77 O N "-A. 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O N 3 O f0 O (D n O 7 m c Env3 0 -- Er w 0 rno00o n - a y CL N CD O N 0 C 0 Tc < "' N N E 3 3 CO �0- 6m m C q w 3 a � 0 m 5.v m m 0� �- < fi ID ° 0 v aC) fi mCD ti 00m3na, is acg° =• E- (Do m � a qzl Cb (D v O 'a O dA O m EA ° p * p b O n ti H I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453344 0 GENERAL INFORMATION (AAA 4L1 PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, 0:15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: New Richmond Church of Christ I Richmond Township 026- 1154 -24 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: CST BM Elev: Insp. BM Elev: 7 9 �`_> c ��7 \ L 20.30.18.1182 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. r Benchmark = jam -Z J,.5 } u� 91.0.0 `'75 0 Bostrs�' + C-S- Alt. BM 5 55 .yS (?�o4a, �t Bldg. Sewer Sow. 7.1t 19.2. 14, '7 .cli 552.0 k gilding -- St/Ht Inlet 'bC V , a � �I . l g 50. R3 ZZM L( "A% 951.5 TANK SETBACK INFORMATION St/HtOutlet5o . ;)ifm 's Z_ 95a.5Y 7 851.3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD 1� 950.3(. Q i.. 3 Septic • f ! Dt Botom S 1S.`. SHY. 0 .3 Dosirla l Hea er /Man. F;1 < 1 7 L4Z , AlUatiw Dist. Pipe r � /YL5 yy ' Bot. S ste „�� O� Final Grade PUMP /SIPHON INFORMATION V �Q p Manufacturer Demand St C oS GPM Model Number 6 2- C i. 0 950. o y TDH Lift Friction oss Systend TDH Ft - Forcer�tain Len Dia. i+ Dist. to Well Q SOIL ABSORPTION SYSTEM' pZ s BED /TRENCH Width Length No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WEL LAKE/STRIfAM LEACHING Man fajpgr', INFORMATION CHAMBER OR �IJJ Ty Of System: ,t / UNIT el N mber. 60 D ISTRIBUT ION SYS %- , I ' Heng o � i ! istribution x Hole Size x Hole Vent to Air Intake p O G �Q Pi e s Leth y Dia `/ Length J Dia Spacing - w — �� > SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only J Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Cen r / Bed/Trench Edges Topsoil Yes 1 No j' ., � ;Yes O Y COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:/ 3 / Inspection #2: (2 / 13 J Location: w I t 24 17 Parcel No: 20.30.18.118 1491 CTY Rd A Unknown NE 1/4 NE 1/4 20 T30N R18W Waldroff Meadows II Lo 1.) Alt BM Description = �a�°`'►�'"'����wl� �� 2.) Bldg sewer length = �Cku`ii �1. + "i"` 4 TU /✓lDLtQ - amount of cover Z4 , v Plan revision Required? ] Yes N i Use other side for additional information. ' °C 1 3 1 SBD -6710 R.3/97) Date Insepctors Sign ture Cert. No - Safety and Buildings Div County ,- P/ � 201 W. Washington Ave., P.O , ® , WI 53707 - 7 2 Sanitary Permit Number (to be Bled in by Co.) iseons�n Madison 46A8) 264- 3+54 3 Department of Commerce ;State Plan I.D. Number Sanitary Permit Application In accord with Comm 83.2 1, Wis. Adm. Code, personal infolanation you provide,. may be used for secondary purposes Privacy Law, A 5.04O HM) ? (.I e, Project Address (if different than mailing address) 1. Application Information - Please Print All Information St'� Property Owner's Name t� Parcel 4 t Block H Property Owner's l �/ 7 wner''s /� s�M aailing Address Property Location / / CO • /t' y., / h, Section �O City, State Zi a Phone Number ! / t /VP� it j dYlJt� `" / -`-� �/ i �� L?Z� _ZC 5 T 30 N. R �Q cE ) II. Type of Building (check a I tha y) �� � P � � Subdivision Na CSM Number ❑ 1 r 2 Family Dwelling - Number of Bedrooms / , 4r ld o r f f� PubIic/Commercial - Describe Use C. Li, U 1l'r" h/ jam/ / / ❑ State Owned - Describe Use ❑City_ ❑Village Township of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B. El Permit Renewal El Permit Revision El Change of ❑ Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a I K ?' Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ t Recirculating Synthetic Media Filter ❑ Leaching Chamber rip Line v -less Pipe ❑ Other (explain) V. Dis ersalffreatment Area Information: iZ K. Design Flow (gpd) Design Soil lira ' t Dispersa rem Required (sf) D rsaI Area Pro sed sf) System Elevation -- ` a . 9� 9 VI. Tank Info C acity i Num Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing / Tanks Tanks 2�Ur� I Septic or Holding Tank r� Aerobic Treatment Unit J Dosing Chamber 2 000 2 000 I) ✓ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's S ignature MP/MPRS Number Business Phone Number zzvg Plumber's Address (Street, City, State, Zip Code) Yom- AI �yDD� VIII. County/ e artment Use Onl Approv ❑ Disa v Sanitary Permit Fee (includes Groundwater �:;ztf.7jm�: sued suing gent Signature No Stamps) Surcharge Fee) T r ❑ er Given Reason nial �� l (� IX. Conditio of Approval /Reasons for Disapproval 3) cia� � �;� SYSTEM OWNER: J `i -v =-y 1 Septic tank, effluent filter and G�rk dispersal cell must all be serviced / maintained / ?.6Y) as per management plan provided by plumber. I 2. All setback requirements must be maintained 4) C�_& as per applicable code /ordinances. (', q�,�tdo ;;��a4j k, 0 T . A ch complete plans (tot County only) for the system pq papjr alt less than 8111 x 11 inches In size �� C1+AIL S B D 6 3 �(R. A A _ / Par oi �. f> � � 7 Its Q� ��o pose pro PO be • 5si /eva� pi t by • 50,7 ¢✓a /u a f: un P;t by A. Sckc muexr l Two(1J Gt> list/' t'a„c.rt�e 6rc.ild,�g sew: A ,,,,� La-A, " _ /0 /QCtof tnsu-,rsw /pR,b/l � 6x4.1.. r+�rK �✓�V caY71Y N ! 82- a' p i 30V • . r q4 qyg o , P �oposedt,ano u P. S / , 9� ■ – ' 051.0' w z -, R i / i • Pr"a pr seed wi Cc' n UrC{e a, w 2-000 -/M R pµMP / L�r o �o� / sham 6c/ �io+� at t ��KOh9 � r ,4.5. ■ b.8 r, �r w 63 ` a 87 � � � � • / •�i 1 1, t / • 58 C3' • 86 // t �;il d�U Iles ►ytare: To a /A "A c. Dis Ce // Con Si'st o to Pow —(4) &tCw es Piet . A 55UO"td t/PlA 4t 3s/ "x •� q f 5tandvd / / "b:o -&4445 r B irJ elev. Conv4 14-S-6- . /cac.(,iM �fis.,,6vS Tiu�c,�es �0 6t dat�c.�n, by SFn,Cana "Su.�vey�� S,Oaccd G. o'on Cc.,�Pr = 9 , rs o; P 9s3.�o'C9e.rao� J Q Prdt'O�d ,�Ql� 0 P ao P° �,,,s�.c d �'l� eit✓� �o b 95� so' ■ 50,/ a ✓a /uaf :urn P:t 1 Two(z) wr�se� fo,�ut& ba.;ldv S&$-*r. i • ;on w /sir- �►•(,P scpuc'6�►K � p /ectcl , - � strl�s w /8obt l � 1 vat ��oFSxo „d•do.,iG �5�. y�OR ✓.e. � _ --i K i ,c J2(Rlc � �iL ' FiniSF(d � /o,d2 0 00o u,G. o� seo/z, at s.r. /oca firms {A 6e 8Z 9�casc ntcr r, y5s!O - 9SS cr v- � - Pi'oPostd W 2oAO -Ri R pum p C-ka+n bu E /t ✓a lion df ta„ K6dt�M ( \ ' y � �� bz 9yz o. G -Y oAve. (+� ,Corce own � a �5 c 83 �, (; Op v i Disp - S- a a // Con S , s f S o Poct &IwAS Pik . A33umt�✓ L /ev° = /G�. L0, Q �Nx u� *41 6�.ndvd / / "6;o - 44" ser 8 �1 elty: co nv��d � G.S.6.S. t3 /taco(; a,,,,A as .-uul. Tn-yek5 fo 4e d��,� by st q ",•,d Spa 6.,O on cw, 9 SS,0; r - 000LDS PUMPS ' Submersible Effluent Pump 3885 PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant Single phase: ■ Bearings: Upper and • stainless steel. Threaded Built-in overload with lower heavy duty ball bearing Specifically designed for the design. Locknut on three phase automatic reset. construction. following uses: models to guard against • All single phase models Y Power Cable: Severe duty • Homes component damage on feature capacitor start rated, oil and water resistant. • Farms accidental reverse rotation. motors for maximum • Trailer courts Epoxy seal on motor end • Motels ■ Fasteners: 300 series starting torque. provides secondary moisture • Schools stainless steel. •'/3 and '/2 HP -16/3 STTOW barrier in case of outer jacket 208 and 230 Volt •Hospitals ■Capable of running dry with 115, damage and to prevent oil three prong plug. wicking. tandard cord is 20. •Industry without damage to • 3 /,_2 HP -14/3 STOW with g� • Effluent systems components. Optional lengths are available. bare leads. ■ Designed for continuous Three phase: Ill 0 -ring: Assures positive SPECIFICATIONS operation when fully • Overload protection must sealing against contaminants submerged. be provided in starter unit. and oil leakage. Pump •'/2 -2 HP -14/4 STOW with • Solids handling capabilities: bare leads. 3 /a" maximum. MOTORS AGENCY LISTINGS • Discharge size: 2" NPT. ■ Designed for Continuous 9 ■Fully submerged in high- • Capacities: up to 140 GPM, grade turbine oil for lubrication Operation: Pump ratings are Tested to UL 778 and • Total heads: u p to 128 feet and efficient heat transfer. within the motor manufacturer's CSA 22.2 108 Standards TDH, recommended working limits By Canadian Standards ■ Class B insulation. Association be operated continuously �c us File #LR38549 104 °F (40 °C) continuous without damage when fully 140 °F (60 °C) intermittent. submerged. Goulds Pumps is ISO 9001 Registered. • See order numbers on METERS FEET reverse side for specific HP, 40 130 voltage, phase and RPM's - Er ►, _ - -- - --- - - -} �s zE : s/ SOLI 120 available. - - -- - - -- ! -= - -~ RPM. 3300 8 + - 35 — -- 110- 0 - - _VV - ► S GPM 1 FEATURES 30 100 - - ---- ----- s FT - i (- ■ Impeller: Cast iron, semi W zs 90 open, non -clog with pump -out 80 __ __ __ ___ _ __ _.._ _ _ _ ------ _. - vanes for mechanical seal zo - - - - - protection, Balanced for > 20 60 __, ,- -- -. smooth operation. Silicon w o T bronze impeller available as o 15 so o )1- an option. ao - - - 10 t ■ Casing: Cast iron volute type 30 for maximum efficiency. 20 -- s 2' NPT discharge. 10 ■ Mechanical Seal: SILICON o ° 0 10 zo 3o ao so 60 70 8090 1 100 110 120 1 3e 1 i4o 1 150_7 60 CARBIDE VS. SILICON GPM CARBIDE sealing faces. o s 1 I 1 20 - - - � zs 1 30 3s m Stainless steel metal parts CAPACITY BUNA -N elastomers. Goulds Pum (D 2002 Goulds Pumps ITT Industries Effective October, 2002 www.goulds.com 83885 • 1871 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 4 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8' %x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. 026 - 1154 -24 -000 Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, S. 1U4 (1) (m)). Property Owner Property Location New Richmond Church Of Christ Govt. Lot NE 1/4 NE 19 S 20 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1491 Co. Hwy. A 24 1 Waldroff Meadows III City State Zip Code Phone Number _J City _j Village ✓j Town Nearest Road New Richmond WI 54017 1 (715)- 263 -2335 Richmond I Co. Hwy. A New Construction Use: J Residential / Number of bedrooms Code derived design flow rate 1539 GPD Replacement ✓J Public or commercial - Describe: Church & Assembly Hall Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: ys4e4l FTI Boring # J Boring ✓ Pit Ground Surface elev. 950.62 ft. Depth to limiting factor >113" in. Soil Application Rate Horizon Depth Dominant Color Redox Description iur Structure Consistence Boundary Roots GPD/f? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0 -10 10yr3/2 none slfill 1csbk dsh as 2vf,f na na 2 10 -20 10yr6/4 none s & gr 0 sg dl gw - 0.7 1.6 3 20 -113 10yr5/6 none strat. s 0 sg dl - - 0.7 1.6 i I _ a V1 Bo ring # 1 Boring Pit Ground Surface elev. 941 .64 ft. >98" in. Soil Depth to limiting factor App lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 I `Eff#2 1 0 -12 10yr3/2 none slfill 1csbk dsh aw 2vf,f na na 2 12 -32 10yr6/4 none s & gr 0 sg dl gw - 0.7 1.6 3 32 -98 10yr5/6 none strat. s 0 sg dl - - 0.7 i 1.6 Effluent #1 = BOD ? 30 < 220 mg /L a d TSS >30 <1 mg /1�,__ _ ,,Effluent #2 = BOD IS mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur . CST Number James K. Thompson ~ v 5 - 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceo 1 54020 12/4/2004 715- 248 -7767 Property Owner New Richmond Church Of Christ Parcel ID # 026 - 1154 -24 -000 Page 2 of 4 3] Boring # J Boring ✓I Pit Ground Surface elev. 951.45 ft. Depth to limiting factor >121" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0 -9 10yr3/2 none sl fill 1csbk dsh as 2vf,f na na 2 9 -25 10yr6/4 none s & gr 0 sg dl gw - 0.7 1.6 3 25 -121 10yr5/6 none strat. s 0 sg dl - - 0.7 1.6 7 Boring # Boring IJ/ Pit Ground Surface elev. 942.68 ft. Depth to limiting factor >100" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0 -10 10yr32 none sl fill 1 csbk dsh as 2vf,f na na 2 10 -22 10yr6/4 none s & gr 0 sg dl gw - 0.7 1.6 3 22 -100 10yr5/6 none strat. s 0 sg dl - - 0.7 1.6 a Boring # Boring V Pit Ground Surface elev. 946.79 ft. Depth to limiting factor >110" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPD ' in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 I 1 0 -14 10yr32 none sl fill 1 csbk dsh as 2vf,f na na 2 14 -26 10yr6/4 none s & gr 0 sg dl gw - 0.7 1.6 3 26 -110 10yr5/6 none strat. s 0 sg dl - - 0.7 1.6 Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD <_30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. Property Owner New Richmond Churc Of Christ Parcel ID # 026 - 1154 -24 -000 Page 3 of _4_ 76 # J Boring ✓f Pit Ground Surface elev. 949.26 ft. Depth to limiting factor >115" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots / in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0 -18 10yr3/2 none sl fill 1csbk dsh aw 2vf,f na na 2 18 -24 10yr5/4 none sil 2fsbk mfr gw - 0.6 0.8 3 24 -28 10yr5/6 f2d 7.5yr5/8 sil 1 fsbk mfr ai - 0.4 0.6 4 28 -36 7.5yr4/6 none Is & gr 0 sg dl cw - 0.7 1.6 5 36 -86 10yr4/6 none strat. s 0 sg dl gw - 0.7 1.6 6 86 -115 10yr5/6 none strat. s 0 sg dl - - 0.7 1.6 Redox. concentrations identified in H #3 located within the lower 2" - 4" of horizon and are associated with the greater matric potential of finer textrued silts overlying coarser loamy sand. Comm 85.30(3)3 applied to discount redox. as limiting factor. F7 ]Boring # J Boring ✓j Pit Ground Surface elev. 950.17 ft. Depth to limiting factor 0" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ftz _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0 -84 multi- colored na various na various na na na na i i Profile consists of many stratified layers of multi - colored and mufti - textured fill materials too numerous to enumerate. a8 Boring # Boring ✓J Pit Ground Surface elev. 953.42 ft. Depth to limiting factor 0" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -96 multi- colored na various na various na na na na I Profile consists of many stratified layers of multi - colored and multi - textured fill materials too numerous to enumerate. Effluent #1 = BOD ? 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD S_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. l Q 0 p e • 5ei /eva� p;,Eby nlSli< q5(o 50 ■ SOiI Q ✓Q /Ka�iun D�'r P,& by A. Sc mute 1 I t Two(z) Wieser- 52- avt oFSeco d-b�.uG 4;�.5.�� 3a3S/ ' • e#'luu1� lint. Pro po s�dz,o�$a.:o. ,q5, BL g/' i n�cr r Lirc}ur' Can cre- ■ --) zoo -tqK � � CIO 4 glapfo �� ® Q�o Postd � u �r, c.rcfie �\ w zo0o -M R p M p at- tan i� L sham bu; It ✓�Eion vc Q�Siw�i� �O �ki 83 a` a , • • • 6 8 8¢ncl, nMr�: Top o{ //z ,P ✓, c. pisp4e - sal Ce // Cori Sys f S of Four(4) &lend s Pi� • /�53wnce/ L le� = /C0. t0; 4t3s/ Stondwid / / "v%o -D.' str Girl elev. ConV4 C - 6* G.S.G•S /cac�,a�. els.,,6v - rn4ares &6t d�ttcin, by SF/1larld Su�ucy� S cvE G,o'on Ct.,w° = 955,O. .a. T a�/ z pr _ 9s3.�o P� . �o�� �p UU O� O O O O � H J � . N � i ti r QA v ` G O O O O - - -------- -- ---- ----------- ew MO WOWGZ , o 0 0 1 DOC) QUO O V ( IJUUU 0000 I 5 1 �� �: � II I u uuu uuuuj u C)C)L=U 'R UL)UUUU ---------- - --------------------------- F= + 1z, m :1 H .1 ---------- < < 0_ o cl X ail m C) Q 0 1 .0 --.z 1 . n n (IVNOIIdO) llvm 319vimod F .0 (CP CP C I ,) C� Ge A MW �J OWSNVVV Z xl ,Z —!!! — - - - - -- - iz --- ----- --- � 0 ONLVU �i(o t .9 .0—.9 .0—.9 .0 .o — , e .0—.09 Safety and Buildings 4003 N KINNEY COULEE RD commerce.Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isco n s i n www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary June 16, 2004 CUST ID No.220853 ATTN: POWTS Inspector DALE E HUDSON BOLDT'S PLUMBING & HEATING, INC. ZONING OFFICE 820 MAIN ST ST CROIX COUNTY SPIA PO BOX 78 1101 CARMICHAEL RD BALDWIN WI 54002 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/16/2006 Identification Numbers Transaction ID No. 1004945 SITE: Site ID No. 669582 New Richmond Church of Christ Please refer to both identification numbers, 1491 County Roads A above, in all comes ondence with the agency. Town of Richmond St Croix County NEIA, NE1 /4, S20, T30N, R18W FOR: Description: Proposed Commercial Non - pressurized POWTS Object Type: POWTS Component Manual Regulated Object ID No.: 936594 Revision; Maintenance required; 1,352 GPD Flow rate; 118 in Soil minimum depth to limiting factor from original grade; System(s): Conventional POWTS Component Manual, SBD- 10567 -P (R.6/99); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with publication SBD- 10567- P(R.6/99) "Conventional Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems ". • The leaching chambers must be installed in accordance with the manufacturer's printed instructions, the plan approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • 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. P 0. A r 14 ' ( fio,111 tily PPI?n ur DALE E HUDSON Page 2 6/16/04 • 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. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 NON - RESIDENTIAL CONVENTIONAL POWTS DESIGN INDEX AND TITLE SHEET Project: New Richmond Church of Christ Contact: Mike Ninke Address: 1491 Co. Hwy. A New Richmond, WI 54017 Legal Description: NE1 /4NE1/4, Sec. 20, T30N, R18W. Township: Richmond County: St.Croix Subdivision Name: Waldroff Meadows III Lot No.: 24 Parcel ID Number: 026- 1154 -24 -000 Plan Transaction Number: Previous: 956281 Index and title sheet Page 1 Site Plan Page 2 System design calculations Page 3 RECEIVED Pump Chamber calculations Page 4 Pump Chamber cross section Page 5 MAY ? d Pump Curve Page 6 System Cross section Page 7 SAFETY & BLOGS DIV, System Management Plan Page 8 Attached soil evaluation report Page 9 Designer: Dale Hudson License Number: 220853 Signature: �� �'��1 Phone No.: (715) 684 -3378 Date: May 21, 2004 ULPART y MFNT OF COMMERCE E DIVISION AFETYAND D SEE CO RRESPONDENCE �• h/wy. � P a��� �� Q� Q pose 0 pro 9 S� 50 P %t ► Two(2) wreser (o+�crtft buildM Se,uer 1 D el /0 /oct d i n.ser��s cv /ge,6tl I � /u �eCO fi X a t I ¢sit. y/oP. ✓.e. •911 e;r1&c �._ -- a�'o(�o5edt,0 Qt S.T. /OCLL6iGYt1 ><A be ySs!a = 955, p,' BL �r•ca5c � rlttrC.t��vr e. )wwr Con cr°fe PreFastd u?,isef C erc W 2000 -m R PUM c-kam bu; Ele %bion 0, at ta„ Kbdt�an, tO be 9117-0, (/0 Ave. Yj f'or'Ctirlain � V 4 83 112.5 8¢ c To�ooc /j , P ✓. piS�02/Sa/ a // C on 5".'S1�s 0 F©c(p & dies Pi ct . As5am 4I&A : /W. c0; 4t 3el uS, q *41 F I 8„d..d /i "6;o- &414str 8 irl e/tv e-omv4-&-d tc G.5.6.S IN c l,� &44,,, 6vs,oc�t /LnC�i . 7�u uses �v 6t d. �.�, by soh ta•�d su ��t y� r/ S�oac G.o'on Canes = 9sS,o: Top a P2 6 9 9s3.�o' 9 8 � � a� JU N -0$ -2004 09:11 PM A.C.E. Soil & Site Eval. 715 248 7764 P.02 Daily Flow Calculations J0B DESCRIPTION: New Richmond Church of Christ Assembly hall, Sunday school, and dining hall with kitchen and dishwasher. Highest singiv per function occurrence generated by use of a 2000 sq. ft. dining area and kitchen with the capacity to serve 175 meals. Other uses include Sunday & wednasday church services, Sunday school, group meetings of 2 — 20 people one time per week, and ono office with two employees. These uses are incidental and will generate lower daily flow values than the peak use created by serving meals in the dining hall. NCIRPTItIN AREA Ci7iNC CAi CIII,A't'WKS: 1. Total daily wastewater flow: _ -1 519-0(1 God Design VI (5 floor drains)(25 gal.) = 125.00 Gpd (2 employocs)(13 gal.) - 26.00 Gpd (175 m cals)(5 gal/meal smrvc d) = 27 00 God 1,026.00 Gpd estimated Bow (1,026.00 Gpd)(1.5 conversion factor) = 1,539.00 Gpd design flow 2. Existing grade elevation: - 9UAQ'_ALBA- 3. Depth to limiting factor: ?118" (elev. = 944.27') 4, System Elev.: *` Fw.r�rRne s+t 948 0'� I'wo t 949 < �� L ! 5. Infiltrative capacity of natur oil 6. Absorption am requi 21 58 - 6 4--ft- 7. Absorption area as proposed: 2 , 9 3 9 20 sq ft VISA chamhers td>ni1) Standard Bio Diffuser - 0 11" chamber design loading rate = t Lg ftA 1,539.00 Gpd / 0.7 - 198.58 ft. / 3 1. 10 sq. ft 1?ISA per chamber = 70 69 chamhers Number of trenc es: g 1x chambers rash trench width (A): 32-E ✓ trench length (a): 11710' ✓ 1. Design flow= 1,539.00 Gpd 2. 1,539.00 Gpd/75gpd/person - 20.52 person equivalency 3. (1,539.00) + (11.61 x 20.52 x 2*) + (46.77 x 20.52) = 2.. 72 S 0 gAlloris minimum capacilylrgl"red * Requires a two year service cycle. proposed Capacity & Manufacturer: EXTE C.RFASK WTERrVVrQ S� iZfNG CAL.CUL ATION&_ Crease Intetncptor will be installed to collect all and only kitchen waste. Grease interceptor sized in accordance with Comm. 82.34(5)0)2b. (.1 7S meals i Pt' M0nrrmCOX 9,>Il, /'21)(6h s -) = aJI L = 1,575,00 gallon minimum capacity (2)(1 meal periods/day) 2 gjH�r 17RD FBL11rxT DI&TTR]ZuTMNi Distribution manifold and header to be constructod to equally distribute effluent to all trenches. See detail at page 7. Pg. 3 of 9 New Richmond Church of Christ Pump Chamber Calculations 1. Force Main: Diameter 2" Length Flow rate 70.00 gal. /min. Friction loss 3.73 ft, (40)(9.31ft. /100ft.) = 3.724 ft. 2. Total dynamic head: Min. supply pressure 0' Vertical lift 5.25' clM. fi of k disconnect = 953,25' t friction loss 3.73' Total dynamic had = 8.98' 3. Pump selection: Manufacturer: Zocllt� Model number: 98 Pump will discharge approx 62�gp @ 8 .98' TDH 4. Dose charnber: Manufacturer & capacity: Wieser W2000 -MR liquid depth: 47 .00" ),42.92 gal./inch ( 2,017.24 , actuafl Sizing: A) One day holding capacity: 25 83" = 1,.148.56 gal. B) Alarm setting: 2,00"; 85.84 gal, Q Dose volume + flora back: 7.17"m 307,80W. (1,539.00gal.)(20% Design flow) + (0)(40) = 307.80 gal. Max. dose D) Reserve storage: 12.00" = S 15.40 mil. TOTAL 47.00" =_ -2.017.24 &VI, «« N Invert elevation at outlet of pump chnmbcr to be - 950.92 Invert elevation at forcemain/header connection to be = 950.00':E. Invert elevation at inlet of 11" Standard H -10 BioDiffnser in highest trench = 949.54'. Positive flow of 1.38' from pump chamber outlet to chamber inlet will result in zero (0) gallons of flow back into pump chamber with all effluent discharged to dispersal cells. f�.'foP1 Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -► Comm 16.28 WAC 4 in. min. Disconnect _ Tank component is properly vented FZ Alternate outlet location Forcemain diameter Wieser W2000 -MR Manufacturer _ fi 2 in. Ca acit 2017.24 Gallons Volume 42.92 gal /inch A _ Weep hole or anti - Dimension Inches Gallons B siphon device A 25.83 1108.56 B 2.00 85.84 C P um off e levation (ft) C 7.17 307.80 1 948.00 D 12.00 515.04 D Total 1 47.001 2017.24 1 D ose tank elevation (ft) 3" Bedding un er tank. 1 947.00 Alarm Manuafacturer LevelArm __ � ] Alarm Model Number I DLV Pump Manufacturer JZoeller Pump Model Number Project: New Richmond Church of Christ Pages of 9 EFFLUENT • DEWATERING Eia ■ ■ ■Ei ■ ■ ■ ■ ■ ■■ MEN :. ■�■■■■■■ ■ ■■■■ ■■ - ONEON \► ■►���■ ■■■■■ ■ ■■■ MENOON \�'�■ 85- ►�■ �� ■■■■■■■■■■ , MENOON ■ \. �■■■� �► ■■■■■■■■■ . ■ NOON■■► �►iiiii►10 ®■■EE■ ■ ■ ■ ■■■■ =606011Im�■ ■ ■■■ ■ ■ ■■ , .. SEWAGE/WASTE PUMPS W NONE ■ ■ ■ ■ ■O■■■ ON ■ ■E ■ ■■ ■ ■E■■■ _ _ , ME mMM■■■■ ■■■N AGRICULTU Ps MEN ►��E�E \► \ ■■ ■E -H O \� \;► \ ■ ■ \ \E N EMEMEM MEMO 10, HMIs ■■■ �■ �ii■ ■■■E■ MEMEMINME ' Z „�. yo P,d,c, �'o�ceY�la�n c{ Nq, s,T. r,�, 3o3�heade� .� I _ _1 I - � "'1' P 11 ��� � 4 � Q ` c � �� � � I �� v T -� v .� � C N �� �� 0 � m C � J �” \ --1. 3t' o d n T �� v � t V / � _r.� _ J . � � O -- - ��� Y) `� � � � � l,` J � L _ _�, � ��� p Y) �`� �. 1 = � �V _ N � � �s o� � Ob'' v G � J' d S c � -- .� �— -- -� O O O O S N � �� OO � �!-Y <3 r� �'1 Kl P.�o�9 Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10567 -P (R.6/99). All local and/or state rules pertaining to system ntaiutcuance and maintenance reporting shall be complied with. Testing effluent quality The sewage effluent generated at this site may exceed the high strength effluent concentration levels as established by the Wisc. Dep't. of Commerce. Influent quality entering the dispersal component of the POWTS may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Periodic testing of effluent concentration will begin 45 days afier the syst: in is placed in service and will continue at 4 — 6 day intervals for a period of 30 days with 6 samples being collected within that period. If concentration levels exceed Dep't. of Commerce standards, a pretreatment component will be installed betwccri the existing septic tanks and the pump chamber. Effluent quality will be assessed as described earlier. Results of testing will be submitted to the County Zoning Dep't. with a copy forwarded to the Dep't of Commerce approving agent. Influent flow may not exceed maximum design flow specified in the system design and sanitary permit. Grease Interceptor An individual licensed by the Dep't of Commerce to inspect, install or service POWTS components shall inspect the grease interceptor on an annual basis. The interceptor shall be emptied of collected materials as needed to prevent their passage through the interceptor. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be <— 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service w ill be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into die tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not regtired. if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the system and will promote frost penetration during cold weather months. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the grease interceptor, septic tank, pump chamber or any of their components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to installing plumber, Dale fludson at (715) 684- 3378, or the St. Croix County Zoning Department at (715) 386 -4680. 1871 Wisconsin Department of Commence , ,, A ION REPORT Page 1 of 4 Division of Safety and Buildings ins h Comm dm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not I s than 8'% x 11 in h% i I m St. Croix include, but not limited to: vertical and h 'zontal r g�ice irlD(BB ,,�irec County or✓ 6 d percent slope, scale or dimensions, nort arrow, tion and dista o nea' st road. Parcel I. D. XLU�N� 026- 1154 -24 -000 Z//A� Please print a info�tpa�BlA G OFFi�E - Reviewed By ate Personal information you provide may be used secan 15 (1) (m)). Property Owner Property Location New Richmond Church Of Christ Govt. Lot NE 19 NE 19 S 20 T 30 N R 18 W Property Owner's Mailing Address Lot # I Block # Subd. Name or CSM# 1491 Co. Hwy. A 24 Waldroff Meadows III City State Zip Code Phone Number City J Village iol Town Nearest Road New Richmond WI 54017 (715) 263 - 2335 Richmond I Co. Hwy. A 01 New Construction Use: Residential / Number of bedrooms Code derived design flow rate 1539 GPD I Replacement 601 Public or commercial - Describe: Church & Assembly Hall Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: a Boring # I Boring Pit Ground Surface elev. 950.62 ft. >113" in. Soil .J✓ Depth to limiting factor App lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 I - Eff#2 1 0 -10 10yr32 none sl fill 1 csbk dsh as 2vf,f na na 2 10 -20 10yr6/4 none s & gr 0 sg dl gw - 0.7 1.6 3 20 - 113 10yr5/6 none strat. s 0 sg dl - - 0.7 1.6 a Boring # __j Boring 1/ Pit Ground Surface elev. 941.64 ft. Depth to limiting factor > in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 1 0 -12 10yr32 none sl fill 1csbk dsh aw 2vf,f na na 2 12 - 32 10yr6/4 none s & gr 0 sg dl gw - 0.7 1.6 3 32 -98 10yr5/6 none strat. s 0 sg dl - - 0.7 1.6 ' Effluent #1 = BOD 5 > 30 < 220 mg /L a d TSS >30 < 1 mg/ *went #2 = BOD <30 mg/L and TSS <30 mg/L CST Name (Please Print) Signatur . CST Number James K. Thompson I s - - 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, O 1 54020 12/42004 715- 248 -7767 Property Owner New Richmond Church Of Christ Parcel ID # 026 - 1154 -24 -000 Page 2 of 4 F31 Boring # Boring Pit Ground Surface elev. 951.45 ft. Depth to limiting factor >121" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sl fill 1 csbk dsh as 2vf,f na na 2 9 -25 10yr6/4 none s & gr 0 sg dl gw - 0.7 1.6 3 25 -121 10yr5/6 none strat. s 0 sg dl - - 0.7 1.6 4� F Boring # Boring ✓_f Pit Ground Surface elev. 942.68 ft. Depth to limiting factor > 100" In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/2 none sl fill 1 csbk dsh as 2vf,f na na 2 10 -22 10yr6/4 none s & gr 0 sg dl gw - 0.7 1.6 3 22 -100 10yr5/6 none strat. s 0 sg dl - - 0.7 1.6 F —sl Boring # 1 Boring 1� Pit Ground Surface elev. 946.79 ft. Depth to limiting factor >110" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -14 10yr32 none sl fill 1csbk dsh as 2vf,f na na 2 14 -26 10yr614 none s & gr 0 sg dl gw - 0.7 1.6 3 26 -110 10yr5/6 none strat. s 0 sg dl - - 0.7 1.6 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. Property Owner New Richmond Church Of Christ Parcel ID # 026 - 1154 -24 -000 Page 3 of 4 F 6 ] Boring # -j Boring Pit Ground Surface elev. 949.26 ft. Depth to limiting factor >115" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -18 10yr3/2 none sl fill 1 csbk dsh aw 2vf,f na na 2 18 -24 10yr5/4 none sil 2fsbk mfr gw - 0.6 0.8 3 24 -28 10yr5/6 f2d 7.5yr5/8 sil 1fsbk mfr ai - 0.4 0.6 4 28 -36 7.5yr4/6 none Is & gr 0 sg dl cw - 0.7 1.6 5 36 -86 10yr4/6 none strat. s 0 sg dl gw - 0.7 1.6 6 86 -115 10yr516 none strat. s 0 sg dl - - 0.7 1.6 Redox. concentrations identified in H#3 located within the lower 2" - 4' of horizon and are associated with the greater matric potential of finer textured si overlying coarser loamy sand. Comm 85.30(3)3 applied to discount redox. as limiting factor. 7] Boring # Boring il/' Pit Ground Surface elev. 950.17 ft. Depth to limiting factor 0" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -84 multi- colored na various na various na na na na Profile consists of many stratified layers of mufti - colored and multi4extured fill materials too numerous to enumerate. F 1 Boring # Boring ✓_f Pit Ground Surface elev. 953.42 ft. Depth to limiting factor 0" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -96 multi- colored na various na various na na na na Profile consists of many stratified layers of multi- colored and mufti - textured fill materials too numerous to enumerate. * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. Pare "J 4 pro�� -d g e be ���slt qSG. 50' • . Soi /eVa� pi t by T. �fearpSaq, dZ�oS/ /oS� � SoII a ✓a /uaf:un � � 1 1 Two(s� wreserr 'tdncreEt 6kildiv 54" 1 ,Old ced,'ns'i--ms&,VZ b/l 1 -4 /a Me /ue., t lcr/b�at t owt of'S[ko d�iC SliE.S.�/7 3a3f/ ' q46.0 qq%.o �qS, gt g l5l 4rtasc ir1}tr r Li rcxr Con Cr � � / i • � g10 SiAl�lar►�Eo P ro p o Ud Ut?c 1?0neltl W ep ao -ni k p rn p Icar'ce n dda 8/ v� YO / / r V /Sih�ilo ✓tY+ \V 87 t i i • l/ frlt� . // • g . 8 pispzrsaI CC // Con S.'s o P- & A,/a As r,ec✓e % = � f at3s� "x /ia.sus. 4&0 -&46 &,W. elev eanv�tedf� G.s.6.s. /,e oc.(,i� �..�,s,o- �. Tnwcks & Ae S o� G. o'on Cln'�Pi: . = 9SS, O; b : To cal %2 `PP Wwonsin Department of amerce SOIL EVALUATION REPORT Page of _ 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must QI include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel ID. north arrow, and location and distance to nearest road. or dimensions . percent slope, scale , Reviewed by Date Please pdn - Personal information you provide may be for y Law. . 15.04 (1) (m))• Property Owner ropeRy Location 4 L �Ar325203 Lot 1l4 N E N4 S 20 T U N R E (or) �Vj Property Owner's Mailing Addre # Block # Subd. Name or CSM# _ of ? 9 ST. ('!?OIX COU ^1 - iY Z`� rG City S to Zip - - ❑ City ❑ village Q Town Nearest Road cN o c ) — I 4 , 'c h ov New Construction Use: ❑ Residential/ Number of bedrooms _ — Code derived design flow rate GPD ❑Replacement Public or commercial - Describe: I I 7- P 0 t),(1(� �(`'I. Parent material __ d [ t a S k Flood Plain elevation if applicable , ft• General comments SYS� CNn Q l V �� 9 " W - r and mss: F Boring E] Boring �1 C # 50 Pit Ground surface elev. �~ . ft. Depth to limiting factor _ I I o In. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. „Cont. Color Gr. Sz. Sh. •Eff#1 - Eff#2 I 0 - 10 i 0 3 L S s 14r SS 5 9 r v Z 10-20 I 313 — - 2 5 �' 3 2p y IL� l . Z Boring # ❑ Boring C� F2-- I 2 © Pit Ground surface elev. 1 y ' � � ft. Depth to limiting factor in. SW tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Etl#1 1 I - ' In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. EB#2 I -H IC7 �31�I — LS rr r L Z z - 2 - c .5 14 5 I `I 2 � � Z S 3 — — — - 1 I . Z 4 y4 - i v (� o _ • Effluent #2 = BOD < 3p L and TSS < 30 mg/L Effluent #1 = BOD > 30 < 220 /L and TSS >30 < 150 mg/L _ n m9 CST Name (P ) ignature CST Number a Address Date Evaluation Conducted Telephone Number Property Owner Parcel ID # Page Z of- ]Boring [] BoringQ 25 in. # ❑ Pit Ground surface elev 1 • I (� ft. Depth to limiting factor salt Applica Rate Texture Structure Consistence Bou Roots GPOff ndary it Horizon Depth Dominant Color Redox Description •1 •Eff#2 In. Munsel Qu. Sz. Cont Color Gr. Sz Sh. Eff# SL ems r c5 (v�. - � 6-1, 1 0 _ Boring Boritrg # ❑ Pit .Ground - surface elev. R Depth to factor in Sol Awlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft? In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E'�1 �R#2 F—I Bo # El Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil lion Rate Horizon Depth Domtnart Color Redox Description Texture Structure Consistence Boundary Roots GPDNP •Eiftfl •Eff02 In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. • Fjuent #1 = BOD 30 <_ 220 mgA_ and TSS >30 <_ 150 mg1L • Effluent #2 = BOD <_ 30 nWL and TSS <_ 30 mgA. 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 60 8-266 -3151 or TTY 608- 264 -8777. sao- U3G(R.O?M) PAGE 3 OF NAME: I,,,Et,ld M-" LOT # LEGAL DESCRIPTION:,VC /4 /4,S z o T 3o ,N,R,i� SCALE: 1 "= ELEVATION: 02 CJ /)ZBM DESCRIPTION D� 2 ELEVATION: 2 DESCRIPTIONA /Z "c- D• D SYSTEM ELEVATION: 40p IZ, Go Low 7/.0c V SYSTEM TYPE: go u 110 t � i 1� \ i DATE: SIGNATURE: � 3 _z t vurscons�► Department of Commerce SOIL EVALUATION REPORT Page Division of Safety and Buildings in accordance with Co►tim 85, Wis. Adm. Code county Attach complete site plan on paper not less than 8 112 x 11 inches in s¢e. Plan must V I include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percents", scale or dimensions, north arrow, and location and distance to nearest road. Date Please prim Re by Personal information you provide may be usa I for y Law. . 15.04 (1) (m)). I I 1AA 2 Property Owner roperty Location f 5 2 ovt Lot 114 SZU T U N R E(or) Property Owner's Melling Address of + #� Bbdc # Subd. Name or CSM# Q ` J 9 le City S Zip = ❑ City ,,pp❑ Village 19 Town Nearest Road / � IN � Q ( ) - I 4 "C k Ovl C f't'. W New Construction Use: ❑ Residential / Number of bedrooms _ ` Code derived design flow rate _ GPD ❑ Replacement fA Public or commercial - Describe: I _ [n. w rc' �l ./ — At - -P n Parent material _ — J CA a s k . Y - - - -- Flood Plain elevation if applicable General comments SYSie Q (IC V • 110f 9Z, o U C and mss: 6 C16 Fff F 1-1 Boring # Bourg g [ ] pit Ground surface elev. _ • ft. Depth t0 limiting factor _ ' in. Sol Appka lion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNCr ,� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 l - 1O j p 3 L S 5 r r c'S 1 I. 2 .+ Si, 2r, s rnj�r c s I v 5 9 • (� 3 26-3 ICS 0 y y — :S-- I 3, Y.st r r , �`� c w - C� • 4 / 2� - Boring # Boring G� t i © Pit Ground surface elew ! -IL ft. Depth to limiting factor 12 t in. Applica 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 I - Eff#2 I -Iy lb i X31 LS � n4 c - - i l . Z 2 v� 3 22 -qty I (� r (�! _ I nn5bk m � , w — `( • T y y1-t -121 I D I ►-y-1 Effluent #1 = BOD > 30 < 220 mg/l and TSS >30 150 ng/L ' Effluent #2 = BOD < 30 mg1L and TSS < 30 mg/L CST Name (Please Pmt) ignature CST Number a Address Date Evaluation Conducted Telephone Number Property Owner _ Parcel ID # Page Z of _ 3 ❑ Z a Boring # Boring Pit Gmwd surface elev. l (� ft. Depth to limiting factor 5 n. Sod tron Rate Horizon Depth Dominant Coor Redox Description Texture Structure Consistence Roots GPDfiF tl Qu. Sz. Cont. color 3/-1 Gr. Sz Sh. 'Eft#1 'Eff#2 in. Munse S L ms r 0 rml F—I Boring # E] Boring ❑ Pit ,'Ground - surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dom.t Color Redox Descxiption Texture structure Consistence Boundary Roots GPD/fP in. Murnsell Qu. Sz. Cont Color Gr. Sz. Sh. 'EB#1 'Eff#2 t- F—I Boring # El Boring — El Pit Ground surface elev. _ ft. Depth to limiting factor _ in. Sol lion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Ifiz ce Boundary Roots GPD in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 `Eff#2 Effluent #1 = BOD > 30 220 mg1L and TSS >30:S 150 mg(L ` Effluent #2 = BOD 30 mglL and TSS <_ 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264-8777. SBD -8330 (R.07 /00) arcel ID # Page Z of _ P owner gS - -- a Bow # [� pit Ground Ground surface elerr. _ 5 l (� ft. Depth to knifing factor 25 in. son Rate Roots GPDfIf° Horizon Depth Dominant Color Redox Description Texture ==;. Consistence Boundary 'Eff#1 '1211#2 In. Munsell Qu. Sz. Con. Color ms r c5 (v� I • `f ❑ Boring # Bonin ❑ g f9round surface elev. ft m� Depth to lig factor lo• p SW Application Rate lior¢on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDffP In. Munsetl Qu. Sz. Con. Color Gr. Sz. Sh. 'Eft# 1 '1202 F-I Borg # ❑ Boring Ground surface elev. ft. Depth limiting factor in. 1:1 pit Sol Appliggon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - Eff#2 Effluent M = BOD 30:S 220 mgfL and TSS >30:S 150 mglL ` Etikcent #2 = B00 30 mgfL and TSS <_ 30 mgfL The Department of Commerce is an equal oppommity service provider and employer. If you need assistance to access servirs eE� TTY 608- 264 - 8777. — at 608- 266 -3151 or , material in an alternate fotnnat, lease contact the department �j need mat P SeD4330(R.WM) � "I � PAGE 5 OF NAME: t kdC(Vv -" LOT # DESCRIPTION:ALf1 /41 1 /4,S zo T 3p ,N,R,A_&E(or)fV i SCALE: 1 "= y� ELEVATION: , C) H / B 1 DESCRIPTION: �� d �Z PyG -z J BM 2 ELEVATION: BM 2 DESCRIPTION: /Z ,JUG D• D G SYSTEM ELEVATION: 46 `/Z, GU Low rr y/. 0 c) (/ SYSTEMTYPE: ire I ►µ�' I (5 �►,,u. f s � quo A � , G , SIGNATURE: DATE: 3 t ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM // Owner /Buyer e lv C k Y✓ 0f U lLr . c k O c Mailing Address Property Address (Verification r from Planning Department for new construction.) City/State '4'ei) 7�/C A Inch P'. LL/�> Parcel Identification Number 4* ��y 0 t • �� �Z) LEGAL DESCRIPTION Property Location A , /V '/4 , Sec. 20 , T 30 N R,/LW, Town of ;C �✓���? �_ Subdivision C�cr 1wC o Lot # �. Certified Survey Map # � Volume , Page # L! Warranty Deed # 72 � / &7 , Volume ,Z,_43 , Page # Spec house ❑ yes /no Lot lines identifiable k yes ❑ 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 County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Departm within 30 days of the three year expiration date. t ( ' art X ` A twu . $ /-�o ! SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described ab e, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** Any information that is misrepresented 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 and a copy of the certified survey map if reference is made in the warranty deed. ST. OLINTY WISCONSIN •� +'T BROWN ■n ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 July 11, 2003 File Ref: 13 -03 New Richmond Church of Christ PO Box 65 New Richmond, WI 54017 Re: Board of Adjustment Decision Dear Applicant: The St. Croix County Board of Adjustment has reviewed your request for a special exception for a an institutional use in the Ag/Residential District and has approved this application with conditions. The enclosed document is the formal decision regarding your application. Should you have any questions or concerns, please do not hesitate in contacting me. Sincerely, d ier Zoning Director dz Enclosure cc: David J. Waldroff, w /enclosures Donna Ray, Clerk, Town of Richmond, w /enclosures Pete Kling, LWCD, w /enclosures i J 2 2 6 3 P y 18 - 7 a �44r+6 XATHLEEN H. STATE BAR OF WISCO!N'SIN FOUM 2 - 1999 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX Co., WI RECEIVED FOR RECORD This Deed, made between David J. Waldroff and Julie A. 06/04/2003 i1:15AII Waldroff, husband and wife, WARRANTY DEED EXEMPT i Grantor, and New Richmond Church of Christ REC FEE: 11.00 TRANS FEE: 501.30 COPY FEE: CC FEE: 1 Grantee. PAGES: Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area of 2 aldro Meadows III, St. Croix County Wisconsin. Name and Return Address KRISTINA OGLAND ESTREEN & OGLAND 304 Locust Hudson, W1 S4016 Part 026- 1060 -20 -000 & 026- 1063 -95 -100 Parcel Identification Number (PIN) This is not homestead property CK) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this '3 day of May 2003 4 * d J. Waldroff * * ie A. Waldroff AUTHENTICATION ACKNOWLEDGMENT Signature(s) David J. Waldroff and Julie A. Waldroff, husband STATE OF WISCONSIN ) and wife, ) ss. QM County ) authenticated this day of May 2003 k89k7� , 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 Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 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 company. Fond du Lac, WI STATE BAR OF WISCONSIN eoaass•2021 WARRANTY DEED FORM No. 2 - 1999 SURVNYoft COUNTY PLAT OR WALDROFF MEADOWS III U20 YNLx STO LOCATI TM OF THE NOMMANT 1e1D901 M S OU/ MM%. AND PMT OF THE EOCRNYIAET QUAMMM Or THE NOMMEAYTT PREPMED FM- QUARTER OF EMOTION 20. AND PAIR' OP THE NoRntuvow QUARTER OF . P ff M • T NORMVMW QUARnM OF EMOTION ET, ALL IN TZON, Rl WV, TOWN W" ROAD OP RICHMOND. ET. OROOC COUMY, NAEOONEW. 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