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HomeMy WebLinkAbout026-1173-45-000 0 CO) 0 3 v 0 C C f c o 4t r 1 O 'S ;o Z O A Z .'0 N O • n N ,< N O O) (D 0) Sr W 0-4 d n N = 30 O M 3 0) O 7 OD N a N D. O N O O p co p CA Qi O co 3 > > y O O O A C h ° m G D N a a o -0 3 co 3 a O O 00 3 O cn P 0 rn A CD o c? y c cn cn (D z O O O (D "' �• m A f ° co Z � fA Ul Q' obi � °_ 2) `� v N 0 C CL N Z y o Z W z O D c o 0 o v • cu N N C N C CD W �• v a a 3 a z (D c/) (6 0 D -1 cn A Z (D F) — � 2 CL o a o ' 3 Z w M m N CD CD ° a Z o' g a C � 3 m OD OD !� Z CD A W 7. Q N < CL O a = N C al N a) Q 7 W 0. o a U7 CL N O O fi � y N VC O I y ti N b 3 N ° o o � CD v a o CD 4 0 N � w b9 O v p O :E y� CD ° CL ti Parcel #: 026- 1173 -45 -000 05/19/2005 09:36 AM PAGE 1 OF 1 Alt. Parcel #: 20.30.18.1399 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): * = Current Owner * WALDROFF, DAVID J & JULIE A DAVID J & JULIE A WALDROFF 398 RIVER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1086 145TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.500 Plat: 10 /36- WALDROFF MEADOWS IV 020/04 LOTS 2: SEC 20 T30N R18W PT NE SE BEING WALDROFF Block/Condo Bldg: LOT 45 MEADOWS IV LOT 45 (1.500AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 20- 30N -18W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 10/21/2004 777692 10/36 PLAT 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 03/14/2005 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 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 Wisconsin Depa ommerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Divisron INSPECTION REPORT Sanitary Permit No' 463421 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: New Horizon Homes Inc. I Richmond, Town of 026- 1173 -45 -000 CST BM Elev: Ins p. BM Elev: BM Description: Section/Town /Range /M fy\ 21. .18.1399 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic /7.) � 4 �+l �� Benchmark 1 9 16 , 3 AZ Alt. BM Z -_7 / 0 5, Aeration Bldg. Sewer , •(C'5 Holding St/Ht Inlet Tk / TANK SETBACK INFORMATION St/Ht Outlet 7. 9 ✓d 0 . LT TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ Septic ` 57 % Dt Bottom Dosing Header /Man. q 9 r 3 Z Aeration Dist. Pipe S �3 y , z Holding Bot. System r PUMP /SIPHON INFORMATION Final Grade 7 ' A Z • � Manufacturer Demand St Cover GPM ids Z M el Number 3 TD ift Friction Loss System He TDH Ft � Forcemain Lengt Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 ( CZ,, '7 — rr AA , e l� � N_ SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: _ INFORMATION CHAMBER OR f d Type Of System: 16 75 ° /JA • I UNIT Model Number: DISTRIBUTION SYSTEM / d� Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air In ke a Pipe(s) \ \ \ \ Vp ' ✓� Length_ Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center (f Y `7 Bed/Trench Edges Topsoil N1 es L No Yes ] No COMMENTS: (Include code discrepencies, persons present, etc.) n b Inspection #1: / / Inspection #2: - 4 Location: 1086 145th Avenue New Richmond, WI 54017 (NE 1/4 SE 1/4 111 T30N R1 8W) Waldroff Meadows IV Lot 45 Parcel No: 30.18.1399 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover Plan revision Required? Yes > yr� oL� (0 q 7 C Use other side for additional information. Date Insebre'sS re Cert. No. SBD -6710 (R.3/97) Safe d Buildings Division County ] 201 W. n Ave., P.O. Box 7162 I 53707 - 7162 Sanitary Permit Number (to filled in by Co.) Co Department of Commerce Y 2 O Sanitary Permit Applica rV,� LD. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal informatio provide may be used for secondary purposes Privacy Law, s 15.04( Y Proj Address (if different than mailing address) I. A lication Information — Please Print All Information II pP ST. Gkp /k ®V® � M u CU(/ V & Property Owner's Name /� Par 1# ` Lot # Block # Property Owner's Mailing Address 1 Property Locat1 "I j v 6 �'/4, �! V% Section City, state Zip Code Phone Number o _ ) JIS �� circle ype of Building (check all that apply) / d Subdivision N CSM Number or 2 Family Dwelling -Number of Bedrooms � 1 � El Public/Commercial - Describe Use �` vo t 1� ❑ State Owned - Describe Use ❑City p f ❑Villa wnshi III. Type of P mit: (Check only one box on line A. Complete line B if applicable) ® - 0 91�® . 1 A' ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. El Permit Rnewar 7 vision 11 Change of ❑ Permit Transfer to New Lrst Previous Permit Number and Date Issued Before Expiration Plumber Owner ZZ 2, w5 - IV ype of POWTS S ystem: (Ch eck all that a 1 essurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- d ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ r s Recirculating Synthetic Media Filte Ching Charpber ❑ Drip Li e ❑ G avel -less Pipe ❑ Aer (explain) V. Dis ersaVrreatment Area formation: j 2 j r Deign Flow I Design Soil Application Rate(gp sf) D' er!;l Axea Required (sf) Dispersal Are Proposed (sf) Sys evation ' 6 `� 6 VI. Tank Info Capacity in Total Number Manufacturer Pr 1 Site S&el Fiber Plastic Gallons Gallons of Units itaLc A— qa� eta Constructed Glass New Existing o • / Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersigns, assume responsibility for installation of the PO show on the attached plans. Plumber's N e(Print)Plumber' gnature MP/MPRS Number Business Phone Numbs Plumber's Address (Street, City, State, Zip e) Coun /De irtment Use Onl Approved ❑Disapprove Sanitary Permit Fee (4ludes Groundwater Date Issued Isstun gent Signature,(No Stamps) _ - - Surcharge Fee) K` " �� i Er er Reason for Denial �p 0 -- lX. Conditions o#Appro a �isapprflva4C S SYSTEM OWNER: JJ - !',� 1 Septic tank, effluent filter and d o dispersal cell must all be serviced I maintained aA_ as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances Attach complete plans (to the County only) for the system on paper dot less than 912 x 1 inches in sm L SBD -6398 (R. 01/03) it Test and System PLOT PLAN PROJECT New Horizon Homes ADDRESS 1475 Hwv 65 New Richmond Wi 54017 NE 1/4 SE 1 /4S 21 /T 430N/R 18 W TOWN Richmond COUNTY ST. CROIX 5/10/05 3 BEDROOM MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX IN -GRO ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P. Top of Iron Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark B.M. * Property Line SYSTEM ELEVATION 99.5/99.1 3.5' below qrade B -3 ♦— To be >5' from P.L. " �6 Z 5 Vents 25' v 15' 50' 70' B -2 1 6 ) 45' � Plans Designed Using Conventional Powts 2 -3' X 69' Cells with Manual Version 2.0 >3' Spacing 30 Replacement area will be Tom Nelson's Soil Test Pro 3 Bedroom House �e Well is to meet all setbacks required by WDNR J I may be confused on which way is north, If it 145thAv is wrong please change it, thanks Vent >6„ Standard Biodiffuser Of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6' Long 11 3 4 " Grade at System Elevation PY CO it Test and System PLOT PLAN PROJECT New Horizon Homes ADDRESS 1475 Hwv 65 New Richmond Wi 54017 NE 1/4 SE 1/4S 21 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE5 /10/05 BEDROOM 3 CONVENTIONAL XXX IN -GRO RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 IL BENCHMARK V.R.P. Top of Iron Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark B. M. * Property Line SYSTEM ELEVATION 99.5/99.1 3.5' below qrade B -3 4 — To be >5' from P. L. - �' �a 4 5' Vents 25' 15' 50' B -2 70' 1 6) 45' Plans Designed Using Conventional Powts 2 -3 X 69 Cells with Manual Version 2.0 >3' Spacing 30 Replacement area will be Tom Nelson's Soil Test Pro 3 j Bedroom House , Well is to meet all setbacks required by WDNR J I may be confused on which way is north, If it 145thAv is wrong please change it, thanks Vent >6 „ Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 11 6' Long Grade at System Elevation 3 4" Property Owner _ P I ID # Page of a Borin ❑Boring J ' ng t��it Ground surface elev. ft. Depth to limiting factor in• mil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E 1 'Eff#2 Y F-1 Boring # El 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # E] Boring 11 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 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. SOD -9330 (8.6(00) Safety ar,3 Buildings D si County 201 W. Wasaiagton Ave., P. _15consin Madiso ., WI 53707 - 71 V Permit Number (t be filled in by Co.) (ti0s) 266 -3151 v 3 Z / Department of Commerce State 1 lan I.D. Number Sanitary Permit Applicatio RECEIVE In accord with Comm 83.2 1, Wis. Adm. Code, personal infor - cation ou provide maybe used for secondary purposes Privacy Law, sl :3.04(1) ) 2� roject ddress (if different than mailing address) Information - Please Print All Information W (O I. Application TY I � � AV C0U OIX / # Property Owner's Name -- - ZONING OF ar t # Block Property Owner's Mailing Address Property cati +� � —_ -- /<, Sl '14, Section City, State Zip Code Phone Number JE o n W� II. ype of Building (check all that apply) (� 5 _ Subdivision Name CSM Number or Family Dwelling- Number of Bedrooms _ _ W `� J ❑ Public /Commercial r Describe Use -- --- -- e -T — ykU ( ! / ❑State Owned - Describe Use _ _ �_ __ S 1.� �J o yp of Permit: (Check only one box on line A. Complett li fie B if applicable) 02-(e - �j 399 A. System ❑ Replacement System ❑ Treatment 'Holding Tank Replacement Only ❑ Other Modification to Existing System A -- -- List Previous Permit Number an Da s B• El Permit Renewal ❑ Permit Revision El Change of El Permit Transfer to New � Before Expiration Plumber Owner © IV El of POWTS System: (Check all that apply) t � D F--S AZ n - Pressurized In- Ground 11 Mound ? 24 in. of suitable soil J viound < 24 in. of suitable soil El At -Grade El Single Pass Sand Filter XEl Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank �! Peat Filter ❑ Aerobic Treatment Unit R irculating Sand Filter ❑ Recirculating Synthetic Media Filter ching Chdnber ❑ Drip Li ne ❑ ravel -] ss e ❑ Other (explain) V. Dis ersaUTreatment Area I ormation: Y, Design Flow (gpd) Design Soil Application Rate( s Di r Area Required (sf) Dispersal Area Proposed (sf) System Elevation 6 , l VI. Tank Info Capacity in Total Number Manufacturer Prefab to Steel Fiber Plastic Gallons Gallons ofUni w , Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tankr� t Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersigne some responsibilit for installation of the POWTS shown on the attached plans. PI , ' C , y } er s Name (Print) Plumber's afore umber Business Phone Number J f __ _ Plumber's Address (Street, City, State, Zip Co . rub VIII. Coon /De artment U e Onl Sanitary Penn. t Fee (' ludes Groundwater Date Issued Issuin Agent Signature o Stamps) Approved ❑ Di r Surcharge Fee) 2 rAl El owner eason or 1 3cr0 � - ZZ IX. Conditions prov SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only for the system on paper not less than 81/2 ill inches in size SBD -6398 (R. 01/03) PLOT PLA PROJECT New Horizon Homes ADDRES 5 Hwv 65 New Richmond Wi 54017 NE 1/4 SE 1 /4S 21 /T 30 N/R 18 TOWN ichmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/20/05 3 BEDROOM CONVENTIONAL XXX IN- GROUND PRESSURE F sLIFT NVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallo TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 J)B ENCHMARK V.R.P. Top of Iron Pipe ASSUME ELEVATION 100' Filter VeIA-100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 330' SYSTEM ELEVATION 98.5/98.3 6.5' belo grade Property A Line B.M. Well is to meet all Plans Desig d Using setbacks required by Conventio Powts 0 WDNR Manual V sion 2.0 B -2 3' X 69' Cells with > pacing Pi a note: further Vents 4% Slope t ing will be done lower system 90, levation or find a B -3 alternate area 'z 5' Pro 3 Bedroom House B. M. #2 06.3 45' 0' g7 , ST -1 7' Vent >6 „ Standard Biodi r of Cover Leaching Chamber with 3 1. 1 ft2 of Area r O 6, Long 11 „ , 3 4 „ 0. Grade at System Elevation 145th Ave PLOT PLA PROJECT New Horizon Homes ADDRES 5 Hwv 65 New Richmond Wi 54017 NE 1/4 SE 1 /4S 21 /T 30 N/R 18 TOWN ichmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/20/05 BEDROOM 3 CONVENTIONAL XXX IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallo s LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 C -)BENCHMARK V.R.P. Top of Iron Pipe ASSUME ELEVATION 100' Filter Z A -100 ❑BOREHOLE O WELL *H.R.P. SameasBenchmark 330' SYSTEM ELEVATION 98.5/98.3 6.5' below de Property g K A*, Z T P �' � Pe,� = 6 3 Line B. M. Well is to meet all Plans Designed I g % etbacks required by Conventional P is JR 01 NR Manual Vers' 2.0 ` B -2 2 -3' X 69' Ce with >3' Spacing Please te: further Vents 4% e testin ill be done to 1 er system 0 1 el e tion or find a B -3 mate area 'z 4 5' e m House 06.3 45' 30' ST 87' -1 7' Vent > 611 Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6' Long VI Grade at System Elevation 34" 145th Ave I lk 4' i^ v Wisconsin Department ofCommerce SOIL EVALUATION REPORT Page l of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Pending percent slope, scale or dimensions, north arro and location and distance to nearest road. Please print ll in>� p "' " "w - °- R iewed by Date ° ,4 Personal information you provide maybe used or secondary purposes ( saecy Law,;s. 15.04 (1) (m)). A, 'Jjo� zz ' Property Owner S Property Location David Wal f 'U(I4 Govt Lot NE 1/4 SE 1/4 S 21 T 30 N R 18 E (or) W Property Owner's Mailing Address I ;; ,1 Lot # Block # Subd. Name or CSM# 398 River R zCNING OFF (" 45 - Waldroff Meadows IV City State Zip Code Phone Number O El Village ■ Town Nearest Road Hudson Wl 1 54016 ( 715 - 549 - 6601 144th Avenue 0 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 bl ft. General comments * with discontinuous layers of sicl, 2.5yr5/3, c2d5yr5 /8, dsh. Recommendation is to install system below this and recommendations: restriction. FTI Boring # ❑ Boring 0 pit Ground surface elev. 106.30 ft. Depth to limiting factor 25-64 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 -13 10yr3 /2 - is Osg ds cw 2f .5 1.0 2 13 -18 1 4/4 - sil 2msbk dsh cw if .6 .8 3 18 -25 7.5yr4/4 - sl 0m dh cw - .2 .6 4 25 -64 7.5yr5/4 * s /sicl* Os lmsbk* dl/dsh ci - .2* .3* 5 64 -122 7.5yr5/4 - s Osg dl - - .7 1.6 2 Boring # ❑ Boring 104.70 24 -57 0 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3 /2 - sil 2msbk dsh cw 2f .6 .8 2 9 -15 1 4/4 - sil 2msbk dsh cw if .6 .8 3 15 -24 7.5yr4/4 - is Osg dl cw _ .7 1.6 4 24-57 7.5yr5/4 * s /sicl Osg/lmsbk* dl/dsh ci - .2 .3 5 57 -115 7.5yr5/4 - s Osg dl - - .7 1.6 Sb * Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L * Effluent 5 = 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 Property Owner Waldroff Meadows N Parcel ID # Pending Page 2 of 3 3 Bodn # Boring g F !] 103.50 28 -72 pit Ground surface elev. ft. Depth to limiting factor in. Sal lication 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 -12 10yr3 /2 - lfs Osg ds cw 2f .5 1.0 2 12 -17 1 4/4 - sil 2msbk dsh cw if .6 .8 3 17-28 10yr4/4 - sl 2msbk ds cw _ .6 1.0 4 28-72 7.5yr5/4 * s /sicl Osg/lmsbk dl/dsh ci - .2* .3* 5 72 -126 7.5yr5/4 - s Osg dl - - .7 1.6 ❑ Bonng # 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2 F-1 Boring Boring G # Pit round surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = 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. cr;n.xzsnT�, nt mmni - Waldroff Meadows IV Lot 45 ri w a� N 3 L i � Soal e 1" = 30' 8M1 Top of iron pipe 100.00' B M2 Top of iron pipe 106.36' 1 B1 106.30' B2 104.70' B3 103.50' Sw � ot CoRhe¢. Thomas Nelson 0 U 227387 jr Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. installed in 2. Eff luent filter is to be cleaned once a year. Please note: a la rger filter is being order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 C y Plan i n #1. If stem fails, determine cause of failure, use �ernate aroma and install new Opt o Y S m i sted replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715- 386 - 46 80 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 SHPT!(' T.�:Nr: �n.AIt�TT C�1,A,�iC ".E A(sI "I.,vtf�;l�T AND CERI.TIFIC;' kTIOIN FORM Prop.: Ad (V"erifica: ion required tirnn Planning Department for new ... ,.... :trccl Identification Number,_._ � _ _.,...._..._., . L EL h.L,,,S j:'. 4.i'.,. .t.!(,1' prop'! .:IV In ' /,.. ;sec, ..o ......... j'..3.��... ° ,[., ,..\� ", 'Town ut :. ,., ....... C,r. 1 S la % I cl: irl :ittl(I ...?Z:E!l�c.lL..FtI _ �.,.,, Y....•......._,._ ....._.........._......_......� Cori:f deed ►>t :r,� :.y M.U.P 4 PAgt; # J 1•t,�t.a•+ crazy L+c i N ......... � �..� -1 g �............, ti`oltxli:o ....,............. 0��_ , I ►plc;» Fi• ��..... / ,.,_.. . upcc, -louse PN C.) Lot liar's ideotit►able os ( no , I) I EI'AL :wt :f h S y • . Impro pq!r rage and main- tenanceof your septic system could result in its premature Iii lure to handld wastes, Proper ilia it�.tonance consit of putap i;►: ; out the septic ta,nl* every three yews or sooner, if'rteedrd by a ii CCDS Cd puzctiper. VhHt you pu!: into 0i,r, -. system can. af:t tct the Tvai,:.rion of the Soptic tank as a treatment stage in the waste, disposal system, 1 pzo', 1y owner ai; to subrait to St. C;rom Zoning Depar•truent a cerrtifi"tion.forsu, siRrnod by the, owner. },t:rd by a tnastev olumber„ i ui.aneymaupivwbor, r 'CStziow d p lum bor or a I iucased,pum per Ycrtt that (1') th wast0wate;r despot ",.0. i yotem is in p.,i )per op <;r:r: iq condition and/or (2) after inspection and pumping (if necessary)., the septic tank is less than 11.3 fiilt of: I /we, it uudersi 1:):i ! have rear. the above requirements and agree to maintain the private sewage disposal system with tbe'y,tsandards set fora a, heroic. ,i:;. set by -the Department of Commerce Pad the 'Depn,rtmcnt of Natm Resoumcs; State of 'Wisconsin. Cei r?'1.kration statimp. stliat your • rtic system tas beta maintained. must be completed and returned to the St, Croix County Zoning., Offilce't-' 30 days ,,, t.hc ea, ':c 4 .:ac r?spi.r;tdo s :isitc. DMT I (we) a;ai.ify that all t�tatcments on this form are true to the best of my (our) latowledge. I (we) ant (are) the ov aor(s) of the p:r•: ;5erty dt' u:?ri red above, b y virtuo of a warranty deed recorded w Register of Ueeds Office Any i,:&6i ration that i; nos- represontedmay result in the sanitary potrn.it being revoked by Zoning Dep'amit ea.. " * * *" ltti:..ude with „h is application; a•stamped warranty dead from tho Register of Deeds oll3cc a copy of the certified s rzlap if reference is made in the we,rronry decd 04/13/2005 10:06 608- 756 -3443 AMWOOD HOMES INC PAGE 02 l � 0 � � J 6- 4 0 44' -o' 16 W-41 21'4 4 TH 2090 - I/2' TH 3050 -2 wo ... N 2 16' -8' 827 DW o TAi 2 NOOK m� W' ICAO Ps 024 NO BULKHEADS ` FIREP! ALE — om Ct m � m MI Y ROOM 3 1 9 p f 2 /05 1 - — ANTR 4 4�D TIE � /\ 16'-4?" U a 6_ cr F 4 L UN in ,° TT- 10 2/6 CLAD LIVING ROOM 210 2/8 LABEL DB I � II' 0 ER -a" I �^ 1 a FR DRS b FLOUR 12' -8 G 7RU88 ki 10' - li" i - 3n ' I+ 8D 1T -0• L all " ARA E m (2 II — LVL 6 -11 5/8' HIGH I ' d 9' WALLS J L — _ — _ CNI5 T PG N 15 PORC� 1 y, { NO EE►n �e Ac 1 roeT BY I \\ ROOF TRU95E8 I 1 \\ I ^. I I \ \ \\ 2a' 0/C 11.0" I \ 1 " 3 1 - 4" 3' -41, L VL Not\ L I q/OXB/O OVHD DOOR 1 8' WWI) OWD DOOR 1 " 2' -8" 1'-I - 1 - a o 8 -4' 1 4 9' -4' 12 9'-4" 1' -2" 23 -B' 04!13/2005 10:06 608- 756 -3443 AMWOOD HOMES INC PAGE 03 9b z Ml 9bb Ml I :r a E -,l t L uz� a�l -,ll nQ - a n� Ib •• 1 � I " � Q LLI �" I � m ' I � 3i I I N a I t ^ — n - — i;n !111 I 13h I �" n I I I I „`� `; 3n09V 7/o I n LU 00 eA f ..I Q • 3 R b 7 w r 1 N� I II /1 III p� - IS CN pl ,Z ' IIV - IZI � Z .D a/(g Lo ,s ac -Ioz II� - IE� a ILfi U 2783P 536 79 i219 a KATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGI OF DEEDS WARRANTY DEED RECEIVED FOR RECORD Document Number Document Name 04/14/2005 09:45AN WARRANTY DEED EXEMPT # THIS DEED, made between David J. Waldroff and Julie A. Waldroff, husband and wife ( "Grantor," whether one or more), REC FEE: 11.00 TRAMS FEE: 131.70 and New Horizon Homes, Inc. 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 please attach addendum): Name and Return Address _ - Lot , Wa ldroff Meadows IV. S t. Croix County, Wisconsin. n ,'I AT LAIN ` "!F; �4, W154016 Part Of. 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 reco , if any. Dated G Z t /0 (SEAL) (SEAL) * *D aldroff (SEAL} (SEAL) * *Julie Waldroff AUTHENTICATION ACKNOWLEDGMENT Signature(s) David J. Waldroff and Julie A. Waldroff, husband and wife STATE OF ) authenticated on ) ss. k�&� COUNTY ) *Kristina Oerland Personally came before me on , TITLE: MEMBERS ATE 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 Oeland 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. 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