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026-1173-42-000
Parcel #: 026- 1173 -42 -000 12/06/2007 08:08 AM PA 1 OF 1 Alt. Parcel #: 20.30.18.1396 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10/21/2004 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current CO -Owner 0 - LEWIS, KENNETH R & ANDREA J KENNETH R & ANDREA J LEWIS 1098 145TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 1098 145TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.500 Plat: 10- 036 - WALDROFF MEADOWS IV 020 -04 LOTS 251 SEC 20 T30N R18W PT NE SE BEING WALDROFF Block /Condo Bldg: LOT 42 MEADOWS IV LOT 42 (1.500AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 20- 30N -18W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 11/06/2006 838238 WD 05/19/2005 795386 2805/436 WD 10/21/2004 777692 10/36 PLAT 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/22/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.500 24,200 199,600 223,800 NO Totals for 2007: General Property 1.500 24,200 199,600 223,800 Woodland 0.000 0 0 Totals for 2006: General Property 1.500 24,200 199,600 223,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 C) ° N M b h op 0. o O8 0^ m 3 m Y o c a�i v 'O M L > ca o N Co O (n . u7 p N F= O N N O >. N W C cL w N V N y F > - 0 3 N L C (n f0 C Q O co N C Q C U "O U (0 O U y E•- @tea mL x 62 E� mw m , a O 6i - O 3 0� - O Q E N N N N O O m w C 'O (0 p '� C (O N C U C .0 0 O c A o U) w N N O N C W L 4? . , 'O a O E a c � LL p N L N p O _j ( O O r N N> O N C O- U N f0 f6 7 p N Q E O C ?i O C. @ a 'O 3 N N •O N y L N O N O 'OO 'O E N c vi N N = L d a E c L C� c a) M o� E E- w d�� N o o Q) am m nn 3 u owe °3 E a.N C6 o N U •0 O N N C Q, i y -O C c c 3 In y C O L Cl] L E N O @ N f6 C ` .0 N -p N'� p y m . N 3 0 q m E O " L� a�a o' p ago N _ ] U C C N co 7 V O C� C N M N a O ' N N 0) O" o) = C N N p N 0Eo@•oEoo� @o��o�E�aNi @�oc - C 'O N m C Ul )n (D• n p'F )n o. O) i� c o N c c E 0 a� E — O m o \ O y N U U O.o N O C =O N p O _� 0 0 3 E C_ E (O N 7 E L N p d' C C (0 U O L a y > . C di 0 •�- O O U N O O 2 N N c E f 2 X 0 y m d 7 m Q r C- C N�fn W U > o. .o WNL aNQ- .0 U � md m V O E Z v Z N W r F - (n O Z d N F- e- N N !mil N L cA Ak m m a �i 0 U My Z `� • Z i rn o c TTT 0 F- 04 (O C N 7 O � '3 "-U6 CJ E O r 0 O N O &- O m Z a. Cl = xc a • CL d .0 A 0 awl'' F7 37 " 'sin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix safety and Building Division Sanitary Permit No: INSPECTION REPORT 463488 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 PwI ler's Name: City Village X Township Parcel Tax No: Murray, Daniel I Richmond, Town of 026- 1173 -42 -000 CST BM Elev: Insp. BM Elev: BM De Section/Town /Range /Map No: Co. (� /Vo . Q I V 'P kn 30.18.1396 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic B enchmar k / b . 4 // ' ( W. O Dosing Alt. BM 't fi- C4 ?�- Aeration b l/ Bldg Sewer /V . c') /0 Holding ` St( -lplet (O TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/ LL BLDG Vent to Air int e ROAD Dt Inlet Septic ` t /� Dt Bottom �. D L i� / V. J Dosing Header/ an. a?.13 /02' Aeration Dist. + i e 1 / ! a ?. 7 Holding Bot. Syster _ 11 /3� S 0 2 Q� Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover � r r / 0 L GPM 1 Model Number (__ S TDH Lift Friction L Sys ead TDH Ft Forcemain Len Dia. Dist. to Well SOIL A ORPTION SYSTEM Z BED /TRENCH Width +j Length No. Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS J C 9 1 SETBACK SYSTEM TO (/• P/L BLDG WELL LAKE /STREAM LEACHING Manufactu c INFORMATION CHAMBER O H J / r Ty Of System: t UNI Model Number: L_ 1 3v 40 �I / 1ST IBUTION SYSTEM Header anifold Distributio , Tole Size x H e Spacing Vent to Air Intake I / Pipe(s) x ,, Length Dia l 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 Bed /Trench Center Bed/Trench Edges Topsoil Yes 1 No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: /31 Inspection #2: / / Location: 1098 145th Av�ni New Richmo _W (NE 1/4 SE 1/ t2l 3 0N R1 8W) Waldroff Meado s I of 42 Parcel No: 21.30.18.1396 � 1.) Alt BM Description — (� • V�"�� �1- 2.) Bldg sewer length = /n0/ - amount of cover = > q / Plan revision Required? l Yes ' o � N Use other side for additional information. D Insapctor , s g n a t r u SBD -6710 (R.3/97) Safety and Buildings Division County m 201 W. Washington Ave., P.O. Box 7162 isconsin Madison, WI 53707 - 7162 Sanitary PennitNumber (to a filled in by Co.) Department of Commerce (608)266 -315 - _ d Sanitary Permit Applicati Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal informati n you 1�1 ,)Uj maybe used for secondary purposes Privacy Law, s15.0 I)(m) ct Address (if di rent than mailing address) I. Application Information - Please Print All Information 4 . i _ . ��, Prope er's Name SY CROIX L Lot ock ZONING OFFICE Prope wner's Marlin Addres Property Location L - ' 7 % <, + $k %., Section ,�/ �• 31 J lty, State Zip Code Phone Number (circle ) T_ N; R_/9E o& IL Type of Building (check all that apply) u A or2 Family Dwelling - Number ofBedrooms ` Subdivision Name 6SA4IVambnr ❑ Public/Commercial -Describe Use ❑ State Owned - Describe Use jr ❑City illage1 ownship 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 B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 'l IV. Type of POWTS System: Check all that a Non - Pressurized In- Ground ❑ Mound _> 24 in. of suitable soil ❑ Mound < 24 in. of suitabl it ❑ At -Grade ❑ Single Pass Sand Filter ❑ Co 99and ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter 0 Leaching Chamber Drip Lie ❑Gravel -le P'pe Other (explain) V. Dispersal/Treatment Area Inform-ay--Ow 5 ' K Design Flow (gpd) Design Soil Application Rate(gpds ispersal Area Re fired (sf) Dispersal Area Proposed (SO System Elevation "7 k - r R-� VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Respogsibility Statement- I, the undersigned, assume sponsibility for installation of the POWTS shown on the attached plans. Plum is ( )' Plumber' Sign MP/MPRS Number Business Phone Number �i E ] er' ddress (Street, City, tate, Zip ) VIII. oun /De artment Use Onl pproved ❑ Disapproved Sanitary Permit Fe (includes Groundwater Da_V Issued uing Ag t Si o Stamps) Surcharge Fee) ��y� pV El Owner Given Reason for Denial E / Q� IX. Conditions of Approval/Reasons for Disapproval STEM O t�� 1 eptic tank, effluend _ dispersal cell must all be serviced / me as per mana mber. 3 64X ;V Eck requirements must be maintained as per applicable code /ordinances. a k vi Attach complete plans (to the County only) for the yatem o pa r /2 :11 iDCh si SBD -6398 (R. 01/03) 1 ,,..�r.. � __ ��� ��, ,� R � ; ...fir c�o?.33 Wo, lWa AE 149 //Q K n � � • �ouaF_ a ,J,� /l 1 hz - /a8.o -15, 2 ,may' YS -Y M i/'�` dl on'll , Wd, Ll "lI .A _ 7 5)" AC won s , Wisconsin Department of commerce SOIL EVALUATION REPORT P age 1 of 3 Division of Safety and Buildings in a WaW with Comm 85, Wis. Adm. Code Ian Attach complete site on paper no l ess th6.41,. t County St. Croix p p pap sue, Plan must - include, but not limited to: vertical and orizontal referen ), direction and Parcel I.D. Pending percent slope, scale or dimensions, n rth arr0� P d location and distancb to nearest road. Please �t all Wori6l'WOA eviewed Date (J4' Personal information you provide may used dud s ary purposes (Privacy Law, s. 15.04 (1) (m)). S Property Owner INr OFF Property Location David Waldrof Govt. Lot NE 114 SE 1/4 S 21 T 30 N R 18 E (or) El Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 398 River Road 42 - Waldroff Meadows IV City State Zip Code Phone Number i(y 0 illage ° Town Nearest Road Hudson WI 1 54016 ( 715 - 549 - 6601 1 1441:11 Avenue Richmond New Construction Used Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement ❑ Public or commercial - Describe: Parent material Loess over outwash sands Flood Plain elevation if applicable IA44 ft. General comments * with discontinuous layers of sicl, 2.5yr5/3, c2d yr5 /8 sh. Recommendation is to install system below this and recommendations: on C+'tarR 1❑ Boring # � Boring Q pit Ground surface elev. 109.95 ft. Depth to limiting factor 29 -50 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0 -10 10yr3/2 - sil 2msbk dsh as 2f .6 .8 2 10 - 22 1 4/4 - sil lmsbk dsh cw if .4 .6 3 22_29 7.5yr4/4 Osg dl cw - ,7 1.6 4 29 -50 7.5yr5/6 s /sicl* Os msbk* dl/dsh* c i - .2 .3 5 50 -105 7.5yr5 /6 - s Osg dl - - .7 1.6 a Boring # 0 Boring 110.00 >94 Pit Ground surface elev. ft. Depth to liming factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/3 ifs Osg ds as 2f .5 1.0 2 8-17 1 1 4/4 ifs Osg I ds cam' if .5 1.0 3 17 -94 7.5yr5/6 - s Osg dl - _ .7 1.6 4 5 * Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI September 8, 2004 715- 246 -2454 Property Owner Wald Mead ows IV parcel ID # Pending Page 2 of 3 ❑ 3 Boring oring g # Q pit Ground surface elev. 101.60 ft. Depth to limiting factor >98 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 -31 10yr3 /3 - IS Osg ds as 2f .5 1.0 2 31 -52 1 4/4 - Sil lmsbk dsh cw If .4 .6 3 52 -60 7.5yr4/4 - Is Osg dl cw _ . 7 1.6 4 60 -98 7.5yr4/4 - s Osg dl - - . 7 1.6 F-1 Boring # Boring 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/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2 F F-1 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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 * Effluent #1 = BOD > 30:s 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD- 9330Tmt (8.07/00) Waldroff meadows IV 0. Lot 42 Scam 1 " =3v 01 ",/ 4 j ob � I r )o i �v 5- 1, M. l °� 7SVh� — Top foe ST101 P oq Nran 1� 131 1 b1.95" I b 132 ) 1 D. 00 � Thomas Nelson 7 227387 05/09/2005 04:25 FAX la 007 /015 ST C coum SEPTIC TANK MAINTENANCE Ao RBBMHNT AND OWNWHIP CERTIFICAT PURM Ownc:/BuyoT �LIVI Y , - ! w a wi k i +4 Wei u lu ss i 13 i ft"W Aftm � S ^ 1 ��� Q iii L' i C I — 4 (Vwtft m Am P1a f t Dopwomw of sow vaa■W Wjjm c *&" 1. 1 , P=01 Tdwiddudoo Numb, h%W LOatiM Y�, �_ I A, Seo- T b 3��0 _ •,�;l... �..N s d:r &3 col # .. 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( wra by ►ietw d w lusoarlods (w ) am (ra) on owb *a I ) of wenaty d.Ml _ twyorded is itasialw of Deeds Otliae, bdkTE S l o l l - oz - by dw 24 ift w. • •�•�• taeiade aim ttrL aPldsOt+f�a% d Mwow wa raid � &MR tlw amobbw of •copy of d w cow4d Desk aloe �"+J' mRP tf'zfga�ee it msdt In am waev.n�y d� i POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION S SYSTEM SPECIFICATIONS Owner Septic Tank Capacity a ( O N��� Permit # �� Septic Tank Manufacturer , . C7 N • j DESIGN PARAMETERS Effluent Filter Manufacturer 11 NFL Number of Bedrooms O NA Effluent Filter Model 0 NA Number of Public Facility Units CY NA Pump Tank Capacity gal JZNA Estimated flow (average) gal/day Pump Tank Manufacturer Design flow (peak), (Estimated x 1.5) a l/day Pump Manufacturer J�NA Soil Application Rate z Pump Model ❑ NA g al /day/ft' /ft Standard Influent/Effluent Quality Monthly average* Pretreatment Unit Fats, Oil & Grease (FOG) 530 mg /L 0 Sand /Gravel Filter ❑ Peat Filter 5220 m /L ❑ NA ❑Mechanical Aeration C3 Wetland i al Oxy Demand (BOD ) m /L c Yg 6 Total Suspended Solids (TSS) Disinf 13 Other: :5150 m /L ❑ DI t 9 { Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ Nil Biochemical Oxygen Demand (BOD 530 mg /L h�In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) S10' cfu /10017)1 0 Drip -Lino ❑ Other; Maximum Effluent Particle Size Y in dia• El NA Other: ❑ NA Other, ❑ NA Other: ❑ NA *values typical for domestic wastewater and septic tank effluent. Other: C] NA MAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) - (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: J� earls) " Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA ❑ month(s) ' (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: _ji�year(s) ❑ month(s) . D N�, Clean effluent filter At least once every: ^ �� year(s) _{ ❑ month(s) Z Ni- Inspect pump, pump controls & alarm At least once every: Q year(s) ❑ month(s) r: L3cN� H Flush laterals and pressure test At least once every: ❑ year ls) ❑ month(s) 0 NA Other: At least once every: 0 earls) Other: Q NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tanis inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding a indicate a f ailin g m I d of effluent he round su rf a ce Y 8 condition and requires thu of effluent on the ground surface. The ponding a uen t g immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the. servicing of effluent filters, mechanical or pressurized compone P retreatment f 2 the shall be units, and any servicing at intervals o 51 m on ths, p erformed by a certified POWTS Maintainer, p A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. CfMW lain t f START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cellis►. If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(sl in one large dose, overloading the oellls) and may result ln backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servioing Operator prior.to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually - operating the pump' controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells, Do not drive or park over, or otherwise disturb or compact, the Grob within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat, scrapa; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: 0 All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed, s r: . • The contents of all tanks and pits shall be removed and properly disposed of by a Septage ,Servioing Operator. 0 After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. D A suitable replacement area is not available due to setback and /or soil limitations, Barring advances in POWTS technology a holding tank may be, installed as a last resort to replace the failed POWTS.� - L7 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area.. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Cl Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time, < < WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES DEATH MAY RESULT, RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTAL POWTS MAINTAINER Name 3 Name r Phone c Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone !'his document was drafted in compliance with chapter Comm 83.22(2)(b)(l)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code, 7 � U 2805P 436 KATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX Co., MI Document Number Document Name RECEIVED FOR RECORD 05/19/2005 10:15AN WARRANTY DEED EXEP PT # THIS DEED, made between David J. Waldroff and Julie A. Waldroff husband and REG FEE: 11.00 wife ( "Grantor," whether one or more), TRANS FEE: 131.70 and Daniel L. Murray COPY FEE: ( "Grantee," whether one or more). CC FEE: PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is - needed, please attach addendum): p,,.} Estreen & Og 1and Lot 42, Waldroff Meadows IV. St. Croix County, Wisconsin. ` �"� 304 Locust Street Hudson, W154016 Part of: 026-1064-40-000; 026- 1062 -60 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of ecord, if any. Dated 7� ,- 2 , / U � s� (SEAL) (SEAL) * id J. Waldroff (SE (SEAL) * *J a A. Waldroff AUTHENTICATION ACKNOWLEDGMENT Signature(s) David J. Waldroff and Julie A. Waldroff husband and wife STATE OF ) authenticaudo� ) ss. COUNTY ) *Kristina O land Personally came before me on TITLE: MEMBER TATE BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Ogland Notary Public, State of Hudson. WI 54016 My Commission (is permanent) (expires: _ ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED © 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. INFO -PROTm Legal Forms 800 - 655 -2021 www.infoproforms.com 0•-.r�16 }2005 04 : 51 FAX Q002/004 • State Bar of Wisconsin Form 2 - 2003 W DEED Document Number Document Name THIS DEED, made between David J. Waldroff and Julie A, Waldroff, husband and wife ( "Grantor," whether one or more), y and Daniel L. Murray ( "Grantee," whether one or more). .� Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant ecording Area interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Na a and Retu Addr Lot 42, Waldroff Meadows IV. St. Croix County, ''Wisconsin. � I !/ O � I Part of:02�4- 40.000. 026 -1062- 60-000 Parcel Identification Number (PIN) This Is not homestead property, (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way o ecord, if any. Dated U S (SEAT.) (SEAL) Id J, Waldroff * (SE (SEAL) *J a A. Waldroff AUTHENTICATION ACKNOWLEDGMENT Signature(s) David T. Waldroff and Julie A. Waldroff husband and wife STATE OF authenticat d o ) ss. COUNTY ) * r' land Personally came before me on TITLE: MEMBER TATS BAR OF WISCONSIN the above -named ' (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Attor OY Kris 'na Opland Notary Public, State of Hudson, WX 540I6 My Commission (is permanent) (expires: ) (signatures may be authenticated or acknowledged. Both arc not necosanry.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED, WARRANTY DEED 02003 SPATE BAR OF WISCONSIN FORM NO. 2-2003 Type name below signatures. INFO -PROT" Legal Forms 900 - 665 -2021 www,Info ro P foRT15.COm ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 EROSION & SEDIMENT CONTROL PLAN Parcel #21.30.18.1396 Site: 1098 145`" Ave., Lot 42 Waldroff Meadows IV (Richmond Two – owner(s) Dan Murray Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and /or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be excavation for the driveway and house foundation, as well as any soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on any exposed soils will prevent erosion. Schedule application of seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement off site. Surface drainage is northerly and will be >100 feet from navigable water and wetlands identified on the subdivision plat map. 2. Create temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (this includes driveway & road ditches) by routing contaminated runoff into vegetated buffer areas on owner's property. Do not allow diverted runoff to be directed onto neighboring properties. (Refer to specification sheet for temporary diversions provided by county) 3. If sediment cannot be contained on owner's property with temporary diversions and vegetative buffers, then installation of approved sediment control products (straw wattles, silt fence, etc.) will be required. The POWTS inspector and/or building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation – do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance h the ESC Plan. Please feel free to contact me with questions regarding erosion &sediment ntrol i tall o Prepared by: Pamela Quinn, Soil Erosion Inspector #6650 Owner acknowledgement of ESC Plan requirements: —/—/2005 ST. CROIX COUNTY WISCONSIN ZONING OFFICE a - ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road " Hudson, WI 54016 -7710 (715) 386 -4680 r Fax (715) 386 -4686 EROSION & SEDIMENT CONTROL PLAN Parcel #21.30.18. 1396 Site: 1098 145`" Ave., Lot 42 Waldroff Meadows IV (Richmond Two) - owner(s) Dan Murray Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and /or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be excavation for the driveway and house foundation, as well as any soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on any exposed soils will prevent erosion. Schedule application of seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement off site. Surface drainage is northerly and will be >100 feet from navigable water and wetlands identified on the subdivision plat map. 2. Create temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (this includes driveway & road ditches) by routing contaminated runoff into vegetated buffer areas on owner's property. Do not allow diverted runoff to be directed onto neighboring properties. (Refer to specification sheet for temporary diversions provided by county) 3. If sediment cannot be contained on owner's property with temporary diversions and vegetative buffers, then installation of approved sediment control products (straw wattles, silt fence, etc.) will be required. The POWTS inspector and/or building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation - do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance h the ESC Plan. Please feel free to contact me with questions regarding erosion & sediment ntrol i tall o Pre ared by: Pamela Quinn, Soil Erosion Inspector #6650 ` Owner acknowledgement of ESC Plan requirements: / /2005 w — — ST. CROIX COUNTY WISCONSIN ZONING OFFICE a ST. CROIX COUNTY GO IN - 1101 Carmichael Road r-468& �'1I Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 38 ow: EROSION & SEDIMENT CONTROL PLAN Parcel #21.30.18.13 6 ,�- ZONING 0FF!CE Site: 1098 145` Ave., Lot 42 Waldroff Meadows IV (Richmond Two) — owner(s) Dan Murray Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and /or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be excavation for the driveway and house foundation, as well as any soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on any exposed soils will prevent erosion. Schedule application of seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement off site. Surface drainage is northerly and will be >I 00 feet from navigable water and wetlands identified on the subdivision plat map. 2. Create temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (this includes driveway & road ditches) by routing contaminated runoff into vegetated buffer areas on owner's property. Do not allow diverted runoff to be directed onto neighboring properties. (Refer to specification sheet for temporary diversions provided by county) 3. If sediment cannot be contained on owner's property with temporary diversions and vegetative buffers, then installation of approved sediment control products (straw wattles, silt fence, etc.) will be required. The POWTS inspector and/or building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance h the ESC Plan. Please feel free to contact me with questions regarding erosion & sediment ntrol i tall o Prepared by: Pamela Quinn, Soil Erosion Inspector #6650 f Owner acknow ledizement of ESC Plan requirements: I N 4 Nk, o ! Q° IQ I• 100'00'2 428.04 109th St. :S00'0 24 E 329.93 i r SOO- W'24"E 428.04' "- I ►-. 1� ... I I I 1 rn to to� I I I w o r j I � O �' M N z I8 y 4� za v I� -� M to N t Am .p, 0 -rl � rx to � I ca y o i*I -4 00 O I n 'R� p n 00 S a "1 24 E . � N ow N n I ( 'soo'oo 329.93 Co , o W j I m co En V ! I O m r O a f .\• I I a coo I t %t I /.._.._ A as f N rn m < Oo8 -1 m� 6<0 o \ 0 t n f m �' I I °. 1 o 0 Eng � tiV ; ` ; �l ;S03"2T57 W 330,58► � to ' N 1 \ �� Ww0 ° o ° r' i �\ \�\. ° > z a jo II WD� , II J Lo CZ ' ID 4ph dOW 1p r I A -• N � i CA ca y Q LTI D r n W >m � p 1 IC Ln En 0 TIC 1"''•. I �. t-+ I C 0, 1 OD ice-• 11 3.27' 457.99' I S00 "E 571.2x' W p j (S00'04'54 "W) m i ! LOT 4_C_S.M. IN I VOL_ 14 PG. 3851 I s s' I --.------------------------------- - - - --- 33' ( 33' 1 •� 111 _ = a O C -� x DD 40b I m a a► 351' . r • x .. 3 v N - w . 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MEN ■ MEMO r ■ammom■l,r �a ■ ■ ■ ■ ■rl ■am ■ ■■ -. - - 111101119H11111111 FEE MESON ■MEN ■l� ■ ■! \ ■ ■rN ■ ■■ ■ ■■■■ ■� ■■■■■ ME NEE MEMO, NEW ■■ Wllfia� ■■ ■ ■ ■: ■ ■ ■H ■ ■ ■■ ■■■■■ ■■■ ■ ■a ■ ■ ■ ■ ■ ■ ■1■ ■ ■■a ■L!!rir ■ ■ ■ ■a: ■■ NEE ::m ©:::::m::::: :E:::::::1::: - ■a Haim ■ ■ ■ ■ ■m: ■ ■ ■N ■H ■ ■a ■ ■ ■ ■ ■ ■ ■r ■ ■ ■■ ..,:,., . ■ ■ ■ ■ ■N■ ■ ■ ■�■ ■ ■ ■ ■■a ■ ■ ■ ■N ■ ■ : ■■ ■ ■ ■: 05/09/2005 04:26 FAX Ia 014/013 "' W 1 EROSION CONTROL PLAN CHECKLIST ' Check (✓) appropriate boxes below, and complete the site diagram ?'f with necessary Information. s s.l 0 Site Characteristics z North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. Q Location of existing drainageways, streams, rivers, lakes, wetlands or wells. )•. ';� Location of storm sewer inlets. Location of existing and proposed buildings and paved areas. •: The disturbed area on the lot. . M. �?p Approximate gradient and direction of slopes before grading operations. Approximate gradient and direction of slopes after grading operations. NP si Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices Location of �' • `� ❑ temporary soil storage piles. `f Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway, i; Location of access drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway So feet or to the t ' ' {. house foundation (whichever is less). Location of sediment controls (filter fabric fence, straw bale fence or 10- foot -wide -i vegetative strip) that will prevent eroded soil from leaving the site. i }S }} sA - Location of sediment barriers around on -site storm sewer inlets. '• +" Location of diversions. w Note: Although not specifically required b M!5 9 P Y q Y code it Is recommended that concen- } f,' Crated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow)from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). s: Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or seeding with use of erosion control mats. sE 3 Location of practices that will control erosion on areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected T, from erosion through use of such practices as in- channel fabric or straw bale fYs' barriers erosion control mats staked sod, and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In- channel practices should not be stif installed in perennial streams (streams with year round flow). bL Location of other planned practices not already noted. 05/09/2005 04:27 FAX Ia 015/015 � Indicate management strategy b checki ✓ the appropriate box. g 9Y Y 9 ( ) ;5 0 Management Strategies Z " 'Gfi Sy{ i ;; ( Temporary stabilization of disturbed areas. Note: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1 and September 15), or �x b other cover, such as to in or mulching. •,:; Y rP� 9 Permanent stabilization of site by re- vegetation or other means as soon as possible (lawn establishment). 4 =1 Indicate re- vegetation method: 7 Seed ❑ Sod Cl Other Expected date of permanent re- vegetation: a5 Re- vegetation responsibility of: Q Builder 1 0 Owner /Buyer Is temporary seeding or mulching planned If site is not seeded by Sept. 15 or sodded by Nov. 15? ❑ Yes `0 No 1 Use of downspout and /or sump pump outlet extensions. t Note: It is recommended that flow from downspouts and sump pump outlets be routed thro plastic drainage p e to stable areas such as established sod or pavement. g P Trap sediment during de-water �, s< pp� 9 g operations. A ^sl Note: Sediment -laden discharge water from pumping operations should be ponded A .. . behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off -site by wind or water. I... Maintenance of erosion control practices. Y k ` Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the height o f the barrier. _< p Breaks and gaps in sediment fences and barriers will be repaired imme- h g diately. 0ecom p osin g straw bales will b replaced (typical bale life is three months), is =. All sediment that moves off -site du {" a to construction ;:� ";: activity will be 3 cleaned u before the end of the same ;►�;' A workday. 41 • All sediment that moves off -site due to storm events will be cleaned u before the end of h p the next workday, rs € Access drives will be maintained throughout construction. r? All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. For more assistance on plan preparation, refer to the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW— Extension publication Erosion Control for Home Builders. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Monagement Handbook are available through the State of Wisconsin Document Sales, (608) 266 -3558. Erosion Control for Home Builders (GWQ001) can be ordered through Extension Publications, (608) 262 -3346 of the Department of Commerce, (606) 267.4405.