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HomeMy WebLinkAbout026-1064-11-100 (2) I 0 g { o / , n R g � ' _ @ i 'f § C/) 7 I « E f � e E« g g §\ 2 \ \ § i ° \ / 2 2 @ � / / ■ CD { § 8 & � F� _� ■ � 7 / § ¥ ¢ \ _ 3 \ 4 # § R § « § § ƒ » $ e e ®! cn E c � . ic r cr / 0 0 0 § ., 3 CO) 2 CO) 7§ � \ 2 \ g & i j \ § 2 2 \ 9 t / t 0 5 / / 0 \ , . } zr 0 g ) . = E ƒ N } E � / \ C6 � k / � - ; e � CL 0 R E z \ 2 z 3 z F co _ # . � 2 / ; 2/k ; EE& § \ CL % : (A 0 \ \� ƒd \ 7 � k0 E\ $ C CD 2 � ' ■ CD § \ _0 ; \k �2 Parcel #: 026- 1064 -10 -200 10/01/2004 04:56 PM PAGE 1 OF 1 Alt. Parcel #: 21.30.18.318A -10 026 - TOWN OF RICHMOND Current 1XX1 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): ' = Current Owner RONALD L & KATHLEEN T DERRICK DERRICK, RONALD L & KATHLEEN T 1462 112TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description " 1462 112TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 29.530 Plat: 1295 -CSM 15/4112 026/01 SEC 21 T30N R18W PT SW NW & PT SE NE SEC Block/Condo Bldg: LOT 01 20 BEING CSM 15/4112 LOT 1 29.530AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 21- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 07/16/1998 583159 1341/057 WD 07/23/1997 930/54 07/23/1997 746/311 07/23/1997 649/205 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 513,000 Valuations: Last Changed: 06/30/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 54,000 372,600 426,600 NO UNDEVELOPED G5 24.530 30,700 0 30,700 NO Totals for 2004: General Property 29.530 84,700 372,600 457,300 Woodland 0.000 0 0 All 29.530 84,700 372,600 457,300 Totals for 2003: General Property 29.530 115,300 372,600 487,900 Woodland 0.000 0 0 Total 29.530 115,300 372,600 487,900 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 533 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 `ST. CROIX COUNTY 09 -. /O!o L{ ` ID- Z,'O D , • RONALD F. .111 JOWSON t7 oZ !o 10 - - 3 0 -ZD 6-1 ISO Wis. (Pl4q.5-344 M-Wilm" ,rte.. p $ It not recorded within 30 days of (�,? �L - ° aQ • II �► -9 E't � approval date approval shall b -�G � � �, w � • � °� N: �•�� E R T I F I E b andv q� u a � � �O�y 31$ z � o Located in Part of the Southwest Quarter of the Northwest Quarter of Section 21 and part of the Southeas _ Quarter of the Northeast Quarter of Section 29. all In Township 30 North, Range 18 West. Town of Richmond, St. Croix County. Wisconsin. Prepared for p o and at the request of: � �c � MEST 114 ca?AER OMMER• I ! SECWN 20- ,Jo• -18 Ronald L and Kathy Derrick xc r! 1505 State Trunk Highway '65' L o q { A ; P.O. Box A a : p O • ! ° New Richmond, WI 54017 F I Drafted by Ty R. Dodge Z I �c �,+ J �J •* Z0 v v m -•i o m cn o rn ?O a a m e O w a -moo I Z H]5 �/ r�1 � I tG 2 O O a- O 3 W .+ M'4- Cr a u w u w g o ° �D i g3 Q03+ `�� � n 0 to m N o gnaw 0.0 CZ0 CA i o CA 1 D W � . �. • � _ '` ' AFlPAK . QF • ` N � a W z rrEn�s `�D `� a, n n 3 3 \ F,o n I •►,n 3 V� S C� a n o 3 to i \ I s a c c •+ c C °� a + Elsr 11 4 c mER jRvA • • • • w • + srCnav 2+0-JO -1e / • ' ' ........ N E+sr/arE c�•>>� !vE - 1 /4 sECncw 20 t z o f r — 626.8Q; . • SDO'26'02'E 521.30' 1496.07''�� 0 ! ' NEST 1/4 CLW DP- . 1. 14 O Q� ! C7M 21 -30-18 i vmusr '' y,a ZO Swim 20 -30-18 '+ ?�tt'lar'� [� o0[g, V RIGHT OF WA Y DETAIL r- ti I'D Q� f f o I r 0 O my � -•-0 r O N O f f 1 4 rill in ca Z v ` C m� Am ... m j JOINT DRI!fE A 66.00' - 'A I D A Z p tip m_ I EASEMENT F4 y O �1 $ i� 5 CO 'Con ° �o, # $I a°c,+��m .4 ... C.0 p wo, � O f�z in I w ' ;t/3 >6°, Ch -•� A; > > � -4 —I > awl —i Ohm IZ j S 00'13'01'E 560.77 I mo m0 ma mD� 41 2aQ2a N► m 00 8 N� 206.01' 167.75' Z 1 CA may N- N' Qo 3c8 {i`• -'Ea 3(9 z ,9 m R z I 1� - { I� :I, ' m 1 # X X C11 coo m C46 0!9 I t3i Aa t � C �o JOB �{ A00112 Prepared b y. $ JEO Consultin Grou Inc. , -S o0 1 " A 62 77=w ®� . �, g p, ---I t 200.01' 167.757 +193.01_ RxPrr CE rr4r Phone No. (715) 246 -4319 109 East Third Street, P.O. Box 325 -�— — --� v-E- — — - New Richmond. WI 54017 G' EAST LOVE OF 7W SW 114 dE71► BEARINGS ARE REFERENCED TO THE EAST -WEST 1/4 co OF 1W JVIV W ra�trEt LINE OF SECTION 20. TOWNSHIP 31 N., RANGE 18 W. i PLA LANDS WHICH IS ASSUMED TO BEAR N89 31'37 "W. NOTE: The p arcels shown on this ma are subject to State Coun � EAST 1/4 CQRNER P p � and � S><C7W 21 -30-18 Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel. contact the St. Sheet 1 of 2 Croix County Zoning Office and the appropriate Town Board for advice. VOL. 15 PAGE 4112 Wisconsin D@partment of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Divisioel�of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code GOUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point ction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and di c �i a d. 026- 1064 - - 000 R IE BY. ATE APPLICANT INFORMATION -PLEA ALL NFO MA�,ION E ' PROPERTY OWNER: N 1 - y L .,: k:' i PROPERTY LOCATION ,t Robert Peterson n, GOVT. LOT NW 1/4 SW 1/4,S21 T 30 N,R 18 )&or) W a PROPERTY OWNERS MAILING AD DRES ,� LOT # I BLOCK # I SUBD. NAME OR CSM # CQ St c 1 �: na csm HY. #65 1353 CITY, STATE ZIP 0A N ER ; "' ❑CITY OVILLAGE KrOWN NEAREST ROAD New Richmond, WI. 5401 Richmond 112th. St. ( )t New Construction Use [x] Residenti tl�nl�r 4 [ J Addition to existing building j J Replacement [ ] Public or commerce scribe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate _,7 _ bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) 96.80 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S ❑U ®S ❑U ®S OU aS ❑U ER S ❑U ❑S flU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed TT-w& 1 <: 1 0 -10 10yr2 /2 none 1 lcsbk mfr cs if .4 .5 2 10 -26 10yr4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 26 -84 7.5yr4/4 none co s Osg ml na na .7 .8 elev. 10 ft. Depth to limiting factor 84 ,1 Remarks: Boring # 1 0 -16 10yr2 /2 none 1 lcsbk mfr gw if .4 .5 2 2 16 -26 10yr4 /4 none sicl lcsbk mfr gw if .2 . 3 26 -44 7.5yr4/6 none ms Osg ml gw na .7 .8 Ground elev. 4 44 -84 5yr4/4 none co s Osg ml na" na .7 .8 10 ft. Depth to limiting, factor + Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave. New Richmond WI 54017 Signature: Date: 4 -28 -99 CST Number: m02298 fill -1 r • v o .w . r n SUN S735 Z r 1 ���� � � ��•Ty/l�wr���i����i�,�_rrrwrir� , + � .: � iioa � � 111■IIi1�I���1�1 1 t =i %1011 1 .aaia.,.,.._! !! i m il _ ,�� _ _ /�`iii�i iillli�i� ■■ice ■ ■�...�.��...�. } r:J:, k:� ����r`�r� ���•r�r�� ail -, � �.�� ,MIME Iwo own HIMMIN MEN WINN .. '��� iii i■■.r11....■�.�....r..�....,�.. N ow miiiiiim NONE man I MENE PROPENrYOtER RabertPeterson SOIL DESCRIPTION REPORT p 3 PARCIL LA # 026 - 1064 -40 -000 . Baring # Horizon Dept tminant Corr Mottles Texture Structure (3PDJI in. Munsell OU. Sz. Corn cow Gr. Sz. Sh. 8ed +erct+ wmww ire: J 1 0-11 10yr2 /2 none 1 lesbk mfr gw if .4 .5 2 11 -31 10yr4 /4 none oil 1csbk mfr gw if .2 .3 Grad 3 31-84 7.5yr4/4 none co s Osg mi na na .7 .8 elev. 100"a ft j bft I�inff a Remarks: Boring # 1 0--9 10yr3 /3 none 1 1csblc mfr c e if .4 .5 f 4 ' 2 9--17 E7.5yr4/4 none si 2mgr mvfr gx If .5 ' .6 3 17 -8 5yr none co s Deg m]. na na .7 s .8 Ground. elev. � 3G f b ir�ling +84" 'J$ v for Remarks: 8oru►9 # 1 0 10yr2/2 nine . 1 1a�aiak mfr cs if .4 ~ .5 5 T- 2 12-21 10yr4/4 Wane sici icsbk Mfr gw 1f .2 .3 d 3 27 -8 5yr4/4 none co s Osg mi na na .7 .8 etev. 3 . Remarks: goring # 13 Dole i c a I I STEEL'S SOIL SERVICE Gar L. Steel 1554 200th Ave. CSTM2298 Robert Peterson New Richmond, WI 54017 MPRSW - 3254 NW4SW4 S21- T30N -R18w (715) 246 -6200 town of Richmond lot #1 -csm This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test,may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 " =40' BM.= top of 1" steel pipe by NW lot corner el. 100.00' Alt. BM.= top of 1 steel pipe @ el. 99.50' �y N I Gary L. Steel 4 -28 -99 I l /00" r Wisconsin pepartment of commerd pu' $� Sa 1 W 10 d' 1"MCIingsDivision PRIVATE SEWAGE SYSTEM C oun t y: INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary PermitNo.: Personal inforrnation you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). 384112 Permit Holder Name: ity OVillage T o : State P an ID No.: ❑C Derrick, Ron Richmond Township T BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: of .D' im. Qdc. = Cs>` W.4,1* 1 026-1064-10-14)0- 0_0 26 - 1064 -10 -19 -0_0 TANK INFORMATION ELEVATION DATA M- 30, ($r 3Q9,4Z0 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic W SEAL 2 Sb Benchmark 7. 3 �- tc4,34- Dosing Alt. BM S Aeration Bldg. Sewer Co Holding St / Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet 8,7S7 TANK TO P/L WELL BLDG. vent to ROAD Dt Inlet Air Intake Septic > jap' ( 3( ' NA Dt Bottom Dosing NA Header/ Man. jd•o 11 Iv. as' Aeration NA Dist. Pipe 9l-3z Holdin Bot. System a2 PUMP/ SIPHON INFORMATION Final Grade �°"'s z CD• Gs Man u cturer Demand St cover a.bcr� Model Numb TDH I L if t I F S stem TDH t Forcp4ln Length Did. Dist. To Well OIL ABSORPTION SYSTEM ffIft1 REN H nches Width / Length No Of Tre PIT No. Of Pits Inside Dia. Liquid Depth 1 93.E S DIMEN ION urer• SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHIIOG Manu t SETBACK CHAMBER INFORMATION Type Model Numbe System: y SD, ��• (' t OR UNIT DISTRIBUTION SYSTEM Hea / ani o d I Distribution Pipes) x Hole Size x Hole Spacing nt To Air Intake Len th � - Dia. — L- l� – acing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodc hed Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes Q No ❑Yes =No COMMENTS: (Include code discrepancies, perspns present, etc.) Inspection #1: a / I! a( Inspection #2: Location: 1462 112th Street, New Richmond, W1 54017 (NW 1/4 NW 1/4 21 T30N R18W) - 213018318A 1.) Alt BM Description= k 5� 2.) Bldg sewer length = ^ - amount of cover = d Plan revision required? ❑ Yes IP No Elul Use other side for additional information. Olt> SBD -6710 (R."7) Date inspector's Signature Cert. No. r t � 4 e CB 2 Sanitary Permit Application Safety & Buildings Division ary pp In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. �' PO Box 7302 See reverse side for instructions for completing this application Madison, WI O Box 7302 i sca ,faS fn Personal information you provide may be used for secondary purposes DoptirYm ©nt "of' Commerce (Submit completed form to county not [Privacy Law, s. 15.04(I)(m)] ' state owned. Attach complete tans to the county copy only) for t , qn a not less than 8 - I /2 x 11 inches in size. County State Sanitary Pe it Number a visromto':preylo y plication State Pla 1. D. Number s il� r I. Application Information - Please P rint all Informatlo - r. r �, Loca tion: Pro rty Owner Name Property Location k� i lJ 4 T 3C R r W - N sa i r • . V ' _ Y Lot Number Block Number Property Owner's Mailing Address C 4 i City, State " Q Zip Code Ph Hgt>Cjr_F iG s, E I Subdivision Name or CSM Number ❑ City II. Type of Building: (check one) Ks 1• _ ❑ Vill YP p`'i _ _�-- g I or 2 Family Dwelling - No. of Bedrooms : yob Town Wows Grw F$� �blic/Commerciai (describe use)-- . S 4 ❑ State-Owned Nearest Road d At, t I I a� 5 ! Parcel Tax Nu .. jO — Oc7 III. of Permit: Che only o box on line A. Check box on line B if applicable A) I. New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition t stem System Tank Only Existin S stem B) Permit Number Datc Issued ❑ A Sanitary Permit was IV. Type of POWT System: (Check all that apply) ❑ Sand Filter ❑ Constructed Wetland Non- pressurized In- ground ❑ Mound ❑ Single Pass ❑ Drip Line Pressurized In- ground ❑ Holding Tank g ❑ At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dis ersal/Trentment Area Information: 1, Design Flow (gpd) 2. Dispersal Area 3. Dispersal l A 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Gradc rn ✓ Elevatio Required Proposed Rate (Galslday /sq. tt.) (Min n r / 00. / Sooyf S) y 1 , Z) VII; 'Wank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic �,1i•r. Information Gallons Gallons Tanks Con- Con- glass 1Vtn New Existing Crete ' structed Tanks Tanks ❑ ❑ ❑ ❑ J� W ; �e v 4 ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume res on ibility for instjtTrrkn of the POWTS shown on the attachedd plans. Business Phone Number Plumber's Name gm) umber's Sid cure ( sta s): MPS RS No. `�,` 00�.3� `7 -� So .a 1 Plumber's Address (Street, City, State, Zip Code) Coe IX. County /Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing A cnt Signattrrc o stamps) XApprovcd ❑ Owner Given Initial Adverse SuLkharge Fee) Determination s f� X. onditions of Ap /Reasons for Disapproval: Na- I I I N "n9s■■■■■■ ■■■ ■�1►,11I �Llii i�'.�l�l,!�!1 ■ ■� ■ ■■■■■■■■■■■ ■per■■■■■ ■■■Ill .►�!.!'► dill') ■ ■ ■OMEN i'i ■ ■ ■ ■ ■■ r■■■ OMEN ■■ ■■■■■i min R )i R�.1 C BMW r' P. No lL�!'F� ii■o�■i ■ ■ ■:� ■�■et ■r■■rr■■■ ■■■ ■■■ER ■�► ■ i ..Ilt�[■■i■i■ ■MEN ■■■■■■■ name i. ar!L rs ■�! a�� ■■■■■■■■ ■■■■■ Zvi■ ■ ■■■■■■ r NOR, 10 MEN ■���J ■■■■■■■■ ■ rar■■■■■■ ■ ME '�" 3't�iM Ill i■■■■■ ■■[�i110W3 ■ ■ ■ ■■ ■ ■■ ii" / ■■■■■■■ ■■■i ►ido■■■■■■ ■■■ ■■ ■■■��■■■■■■■ ■ Ill ■Ill ■Lr�0■■■ Ill ■Ill ■sIll ■ ■Ill ■■■ll■■■■Mi MEN ��!� ■ ►,■■■■■■■■■■ ■ ■■■ ■ ■1A■iiimi ■C s�/i1!r ■ ■ ■■■ ■ ■ ■■■ ■■■■■�'■■■■ ■■■C ■■■■■��.. ■ ■■■■■■■■ ■■■ ■■IU■■■■ ■■■■■ Ill ■■■■■ ■■■■■■■■ ■ ■. ■■m■■■■■■■■■■■■■E > »■■■o■■■■■ ■■■�I■■■■■■■■■■ Ill ■■■■■■� - --,�■■■M■■■■ ■■po■■■m■■ ■■ ■ Ill ■■ ■■■E�:_ 9 : '!MM ■■i■■ ■■ rmm ■■ ■ ■ ■ ■ ■■■s l�;��ii■ ■■■ ■■ ■■■■■ w ■ ■ ■ ■ ■■■r�..i1i�,�ai�1r■■ ■ ■■■■■■��■■■■ ■ ■■■ ■■■■r�i■�.Q ■�a� ■■ ME ME ME Ill /i ■■�10 PAM ■■■ ■MINE ■■■■ ■■■■■■■■■■ 00 C i.ri■ ■■■ ■ ■1■■■ ■ ■ ■ ■■ ■■■ ■ ■■ ■ ■ ■ MERE ■■■ ■■■■■■�� ■ ■ ■■■■■■ ■ ■■■ 1 ■ ■ ■ ■■ ■■ ,O■■ ■ ■■■■ ■■■■■■ �■■ ■■ __� ■ ■ ■J MEN ■ ■■ ■■ ■■ ■■■■ ■��"'� ■■�r ■■ ■Ill ■■ ■■■■■■■■ �►.i� ■■■ ■ ■■ ■ ■ ■ ■■ ■■■ ■ ■ . ■■ ■■■■ ■■■■ ■■ ■�7■ ■ ii, ■ ■■ iii ■■ I ■■ ■ ■ ■■ ■■■■■!'f��■■ MEMENOMMOME MEN ON ■■■■■■■■■■■■ ■ ■ ■ ONE ■ ■■ ■ ■ ■■■ ■ ■■ TA E f 1 1 f � , � r y , r i t 1. 0 i f lc j , Q' Y ' j (1 • i i i a l + 1 , , + , I , ' ; 1 I i , I � f ' I i - - I 1 I , 3 i ' 1 i - - -- - -- - -- -- f • : 44 f i k i I +- r f 1 ' L t ! f E I ' : , 1 7 r _ , r = i i : , ' � � I �_ I � , � , , , � � i i I - '� i �, � �. - � i ' j ,f. a � I 1 i ? j 1 , - � i 1 i � �. � � I , r , I i ; I � ' ! 1 I r i � � t '. i ..1 -�- � i , � � ,, ! I � i i i I I � � i , : i ; .. � 1_. , � � � � � � i i i i � � � � _ , j � � � � �` _ . - - __._ � � I , I r w 'I I j i ;. _ r ._ . . -_ _: ._ _ _ _ _ - _ _ -- _ -_.. - r- - - _ ._ II ! � ! � i i i , ; i 1 l i . __ + , , � { j i ' I � ,_ ____ _ _ _. �, , ; r i � ��_ � - _ � ; I � 1 � , r 1 —'— _� , I � j { ;. I i. { ' I I , � o I i I 1 i � i i � i � !` s -_._ .. _ , __. . -- - -- - -._ __ . _ .__ f I � � � i i i t + i � i ' 1 f _ _. _ _ r__ , � � ; f � i , � , �,- i , y � j , - -- r � , '' ! i 1 i. -- - _ _ - -; _ C _ . _ _._._.. i i � i �. I � � t � 1 I � � I If i - , L . i . ' i i I _ __.�._. _ -- , _ , __ .. � -- _ - -_ � i I ; � � j 1 j -_ � � ,, � I � , ' ' ! � ! '• I � � i r ;. � _ � ' i � ' '� { � , � � r i ' i � _ i -- _ - _ -� -- — ( i � ,, � , t -. -._ . _ _ __.. _ ,. _e _ _- - __ __ —_ - - -- - -- , I i - � � ', � f , : :.: , __.._ _.� � e. __ _ __ , ... -- _.. _ _ _ _ .... � -..._ r- . _... � � � - j �, , � �, I - . � 1 ,, .,__ __ ._ j -- � - -___. ' , _, _ .__. ' _._ ' _ j - - -- — j � � i � � ' i �� i ! t I � -, t , i i �� I i i � � � � , , I ' ' � , — __. __. _ , I J i I � I i � t I i � , I I � � � ; , I I i ,_ � _ . 4 i , ; , i �' _ _. i ... ', I � ' Z , � � � i � i j ' i � � � , I ,� � � � i 1 , r , i I � i 1 , � � � � j 1 �.. � 1 � - t j i , � r � , �. - � i t i � , ', I i i � t I i , -- -- - - -- � � i , i �, 1 � ' i I i j I i 1. �ofIndustry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 tions Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site Ian on paper not less than St. Croix p p p p �c' I1 i, c�$3s�n "size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference ); direction and %,,of slope, scale or dimensioned, north arrow, and location and is nce to near�ct road. eridiri APPLICANT INFORMATION - PLEAS�Plilk AL`L INFORMATIONN ` VIEWED Y DATE M I PROPERTY OWNER: P 0PERTY LOCATION Ron Derr' �� G VT. LOT NW 1/4 NW 1/4,S21 T 30 N,R 18 Nor) W P OWNERS MAILING ADDRESS T # BLOCK # SU A OR CSM # PROPERTY 0 j 1505 Hy. #65 "` -,�L 1 na csm joaq 67 ` CITY, STATE ZIP CODE PHONE NUMBER [:)CITY OVILLAGE [NEARESTROAD New Richmond, WI. 54017 (715)246 - 2320,.; Richmond 112 :K] New Construction Use [x] Residential / Number of bedrooms 4 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily now 600 gpd Recommended design loading rate .7 bed, gpd /ft — $_ trench, gpd/ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Recommended infiltration surface elevation(s) 96.10 It (as referred to site plan benchmark) Additional design / site considerations trenches 4.00' below grade Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDIN5TAN U= Unsuitable for s stem ®S O U ®S O U ®S O U ER S O U �7 S❑ U ❑ S SOIL DESCRIPTION REPORT Bax>�ry Depth Dominant Color Mottles Texture Structure Consistence Roots GP Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTrench 1 -20 10yr3 /3 none 1 2msbk mfr cs 2f .5 .6 •5� 2 0 -32 10yr4 /4 none sil 2msbk mfr gw if .5 .6 Ground 3 2 -45 10yr5 /4 none sil M na gw na pp .2 t) ----. e lev. 4 5 -110 7.5yr4/6 none ms Osg ml na na .7 i.8 Depth to limiting factor +110 Remarks: 15 sil lens 10yr5 /4- mot7.5yr5 /6 -, non- contiguous in H -4 Boring # 1 -10 10yr3/3 none sl 2mgr mvfr gW 2f .5 .6 2 ' > 2 0 -25 10yr4/4 none sl 2msbk mvfr gw if .5 .6 .S ................. 3 5 -100 7.5yr4/6 none ms Osg ml na na .7 .8 .� Ground elev. 9 Depth to limiting factor +100" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Av . !Jew Richmond WI 54017 Signature: Date: 5 -11 -2000 CST Number: mO2298 4; __ - I i PROPERTY OWNER Ron Derrick SOIL DESCRIPTION REPORT PARCEL I .D. # pending Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -20 10yr3 /3 none sl 2mgr mvfr gw 2f .5 .6 f3 � 2 20 -99 7.5yr4/6 none ms Osg ml na na .7 .8 Ground elev. 9 9.5 ft. Depth to limiting factor +99" ADD Remarks: Boring # 1 0 -12 10yr3 /3 none sl 2msbk mfr gw 2f 1 .5 ':..6 s � <' 4} 2 12 -24 10yr4 /4 none sil 2msbk mfr c3.w if .5 1.6 S' 3 24 - 88 7.5yr4/6 none ms Osg ml na na ,7 i.8 .� Ground elev. 1 00.1 ft. Depth to limiting factor +88" Remarks: Boring # 1 0 -8 10yr3 /3 none sl 2mgr mvfr gw 2f 1 .5 .6 5 2 8 -88 7.5yr4/6 none ms Osg ml na na .7 :.8 �- Ground elev. 99 ft. Depth to limiting factor At +88" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. Ron Derrick CSTM2298 New Richmond, WI 54017 MPRSW -3254 NW4NW4 S21- T30N -R18W (715) 246 -6200 town of Richmond lot #1 -csm ,/1 " =40' (0= top of 1" pvc pipe C el. 100.00' �= top of 1" pvc pipe @ el. 96.05' 4 << 8.5 3 , ID` 1 p, 2.'75' � \ v Gary L. STeel 5 -11 -2000 WZ7= kk C) 0 0 p 0 x CX- s,,,, no co - F-- i'4 ........... C/) (D CD (0 -0 0 (0 c wll� =) =r =r =r CD Z. =3 co CL 0 zr =r CD =r CD LD. ............. .. rn B o - S2 =r O. -1 C)_ - CD 0 :3 (D c o 0 to - CD i3 0 cr -,Z -i 0 (11 = o N =I: - 0 0 CD ............ 0 (0 —0 ................. D 0 W -1 ca C)L .......... to .� X CD cr - 4 0'a a (n cr 0 '--A %< V , . (D 0 0 a) X R :5 S �13 " 5' a a --r (Tj c 0 0 D (0 (1) • C -3 0 Invert I V 0 r Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 2 Number of Bedrooms Design Flow - Peak (gpd) OV Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (W) Z < < Type of Wastewater Ebmestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component , Design Flow - Peak (gpd) 17KID z _ Maximum Influent Particle Size (in) U 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Ta ble 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the nd outlet filter shall be assessed at least once every 3 years by inspection. T outlet filter all be cleaned as necessary to ensure prop o ion. The filter cartridge shou no a removed unless provisions are made o retain solids in the tank that may slough off the filter when removed from its enclosure. If the 4 Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P �►'�}� b,�/y � (�� Mailing Address j ll lb P* PO NEW /y 4 4 YM N4 W1 S o r, l 4 4p ;1- 1 1 1- Property Address X XX 11271 �� H EW KJA (Verification required from Planning Department for new construction) City /State &AVKO TWS Parcel Identification Number 1 z (& — 1o(0 0O LEGAL DESCRIPTION Property Location %lV ' /4, J) ' /a, Sec ZI T SO N -R W, Town of tclo'W-6 Subdivision , Lot # Certified Survey Map # 3 S 0 olume , Page # g Warranty Deed # 5 S 3 15q , Volume 341 , Page # 7 Spec house ❑ yes no Lot lines identifiable X 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 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 wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic s m ' atio e h een maintained must be completed and returned to the St. Croix County Zoning Office within 30 days the thr e�yyear xp ate. /'• NATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that al statertle on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pr a desc 'bed abo , y vi f a warranty deed recorded in Register of Deeds Office. G ATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I I E VOL 1`3 41 583. WARRANTY DEED Document Number REGISTER'S OFFICE LA IX CO., wI Return .Address Bank of New Richmonu 6 1998 PO Box 128 0 p New Richmond, WI 54017 ar M D eeds Parcel I.D. Number: 26- 1064 -80 -000 Glenn A. Basel a /k/a Gire A. Basel and Karen M Basel huslb� an wife, 4 conveys and warrants to Ronald L. Derrick and Kathy Derrick, husband and wife, *a /k /a Kathlee T. Der rick the following described real estate in St. Croix County, State of Wisconsin: IF A parcel of land located in part of the SW 1 /4 of the N W 1 /4 of Section 21 and in part of the SE 1/4 of the NE1 /4 of Section 20, all in Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin, furthLr described as follows: ,a X f Beginning at the West 1/4 corner of said Section 2l; thence S89 °36'37 "E, along the east -west 1/4 line of said .`' Section 21, 1299.63 feet to the east line of said SW1 /4 of the NW1 /4; thence NOW I')'01 "W, along said east line, 626.77 feet; thence N89°36'.37 "W 1302.00 teet to the east line of said SE1 /4 of the NE1 /4 of Section 20; thence N00 °26'02 "W, along said east line, 521.30 feet; thence S89 °33'58 "W 232.27 feet, thence t S39 0 45'23 "W 691.34 feet, thence S15 °15'37W 630.03 feet to the east -west 1/4 line of said Section 20: thence S89 °31'37 "E, along said east -west 1/4 line, 848.94 feet to the point of beginning. Above described parcel contains 35.00 acres and is subject to right -of -way along the east 33 feet for town road purposes and subject to all other easements, restrictions and covenants of record. This is not homestead property. fix. FE c Exception to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this �7 day of July, 1998. (SEAL) (SEAL) Glenn A. Basel, a/Wa Glen A. Basel Karen . Basit AUTHENTICATION Signature(s) Glenn A. Basel, a/k/a Glen A. Basel, and Karen A Basel, husband and wife, authenticated this day of July, 1998. Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN THIS INSTRUMENT WAS DRAFTED BY: Attorney Kristina Ogland Hudson, WI 54016 W 11 N r W Z N z (7 Z Z U 0 UO C7 J U Z 0 O ui \ w N O F- Ow w V) x {- O w Q W w 3 ~ 0 = a Z w ; Zz 0 a. -. LL z �-• M dM- O O d 0 d to 00 Z ° vi W 00 z Z� Z N m _ _ N . w — O -� - 13381S H1ZLL _ w �o -"W M N 00' 13 '01 "W 62 : gy - 89 3MI 831N33 o N00'13'01 "W 626.77' o 0 0 ° - T IN M +� EAST LINE OF THE rri >, i d M <+-• 0 +� SW1 /4 OF THE NW1 /4 L � OF SECTION 21 U >,i — N >,-Q N 4 E N 1 0 i -0 4 a-P d S iiQ1 O 'A 0 N to u1 L 3 d a a 3 VI -Y o N � - � • a E Q Q d a E c� 0 ( ' CO 5 (1 O (0 0 n 6 F—i o�d� tA �0 N N CL N d C LA (c) V N N i M (i W � � s i � v; Q A v 00 L :50 Z as lU V tn s o� O H T/�� ,Q i d-0 0 M ~ �� dI £ 8 7' - - O O d - + 3 •� O Z W U F (n I \ N 3 N00'26'02 "W 521.30' wo 0�d � 3: 11- ' EAST LINE OF THE -/+ w z N SE1 /4 OF THE NE1 /4 0 0 P7 M OF SECTION 20 coN I w 00 q z co co ° z 6+ I W ` O az O Z 1, `��� �' O M F Z � M ° U -1 • 6 00 N (V Q l N �� w - N \0p N U W U- ' 20 -OZ9 �rr 0 z S ' o - / +.L 00 Z X NWw W x W �• LLJ t w E— o - o n I� w �. pf ` z w N ° N Z O 0 p M N >- z O a W s y� f}j °' w � v� M Q ?F-E d W Lli M , a o V) z ��o�Z o °�° �0 o � N