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HomeMy WebLinkAbout026-1137-05-000 " County: Department of Commerce PRIVATE SEWAGE SYSTEM St. Croix afe iId B I uildinaNivison y INSPECTION REPORT Sanitary Permit No: 404978 0 ' GENERAL INFORMATION (ATTACH TO PERMIT) State Plan I 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: Hillvale Development LLP I Richmond Township 026- 1137 - 05-000 CST BM Elev: ' Insp. BM Elev: I BM Description: • .(o7 .. / CST 82 TANK INFORMATION EVATI N DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. C Septic ' �� Benchmark Z 1 3-3 0 L✓ pZ,°I} J .E' Dosing Alt. BM Aeration Bldg. Sewer to•�fs 9'` •sz Holding St/Ht Inlet l;.$4- to TANK SETBACK INFORMATION St/Ht Outlet f TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � �+ / Dt Bottom Dosing Header /Man. -CES IS-521 Aeration .3 �" S. 4 L Cl Holding Bo . Syst m ,� Y• �fZ , PUMP /SIPHON INFORMATION Final Grade 3.36 4 - f " Manufacturer and St Cover C^ co • (} 1 GP e3" Model Nu r TDH Lift Frictio System Head H Ft Force Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM TRENCH Width ' Length No. Qf Tre c es PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM S -7 SETBACK SYSTEM TO IG /L BLDG IWELL LAKE /STREAM LEACHING f t INFORMATION CHAMBER OR ��'T ""^°r Type Of System: f _ UNIT Mode tuber: C (Z ) DISTRIBUTION SYSTEM ' Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Len Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Gra de Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #17P! 8__Z Inspection #2: T Location: 1116 148th Ave. New Richmond, WI 54017 (NE 114 NE 1/4 21 T30N R18W) Golf View Acres Lot 5 Parcel No: 21.30.18.961 1.) Alt BM Description =-eve, A0 V / S �/� 2.) Bldg sewer length = 2, .Q d ,, � +" a A seW ice!' - amount of cover = 3L �'�' 3� D Sse�► � P� /w+�' ;,�.. Z .�t. ��, �+,a..•�. - }�•�`�s n,w Plan revision Required? Use other side for additionaA tion. _ Insepctor's Signature r Certt . SBD -6710 (R.3/97) - i Safety and Buildings Division County �I / � 201 W. Washington Ave., P.O. Box 7162 E ' ' � consin Madison,, WI 53707 - 7162 Site Address 00 X 1 Department of Commerce qfd b2 0113 ( 6 A& ' Sanitary Permit Application' Permit N In accord with Comm 83.21, Wis. Adm. Code, personal info you ma be used for Privacy Law, s15. m EIVED ❑ k if Revision I. Application Information - case Print All Information S Plan I.D. Number Property Owner's Name P 1 Number 2(. 50 . ('1I • ` f � ROIX COUNT U PI - - Property Owner's Mailing Address / / l rty Location / ►/ -(. v '� 4; S 0 T VN, Ii E City, State Zip Code Phone Number Lot N r Block Number Subdivision Name CSM Number a L2P IL of Building (check all that apply) ac � '� ° '• ❑City r 2 Family Dwelling - Number of Bedrooms []Village ❑ Public/Commercial - Describe Use wnship L' ❑ State Owned Nearest R oack Z ) 3k 68.45 - ,��,2� aa III. Type of ermit: (Check only one box on line A (numbering scheme for internal tie). Complete line B if applicable) A. w 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use stem Tank Only stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. of Permit: (Check all that apply)(numbering scheme is for internal use) � i4 - 100 Pressurized In -Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment UA 49 ❑ Recirculating 30 ❑ Other V. Dispe rsalPiYeatment Area Information: 0 • '�= t' Design Flow (gpd) Dispersal Area Dispersal Area it Application 0 Percolation Rate stem E7vn Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) � Elevation VI. Tank Info Capacity in Total Number Mamifacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber VII. Responsibility Statement - I, the und ersigieQassin n e responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' lure M�/MPRS Number Business Phone Number Plumber's Address (Street, City, Sta , Z' e) I / VIII. Co tm /De artment Use Onl j Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved Disapproved Surcharge Fee) d0 ❑ Owner Given Initial Adverse Z Determination 1X. Conditions of Approval/Reasons for Disap r Q - n, s _ C n { p (l 5 rtta - i vw► 6� "�o� A I Tft6CBxrVl (v�uv►otitmo. i + aA e Attach wmplete plans (to the County only) for the system on paper not less than 8112 :11 inches in size SBD -6398 (R. 05101) ' PLOT PLAN PROJECT P.C. Collova Builders Inc. AD SS P.O. Box 489 Somerset Wi 54025 L NE 1/4 NE 1 /4S 21 /T 30 N/R W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 3/28/02 BEDROOM 3 CONVENTIONAL XXX IN- GROUND A SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA n�j # of chambers 22 ,BENCHMARK V.R.P. Top of 1.5" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL - H. R. P Same as Benchmark >�2 SYSTEM ELEVATION 96.0/95.9 1 Property Line, kent >12" h Plans Designed Using oover C'�y Leaching f C Conventional Powts Chambe Version 2.0 100' 6' Long Grade at System Elevation B -2 Vents 40' 2 -3' X 69' Cells with >3' Spacing 40 30 Y� E. 7d 20' 20' T Q O o B oo a use a� a, 148th Ave • • '•' MAMMU UlMrl.w �, ©MMMIMW �WAAF,MV�/7MVAM NA NEW," ��►�, PL T PLAN PRO E£T P.C. Collova Builders Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 NE 1/4 NE 1/4s 21 /T 30 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 3 /28/02 BEDROOM 3 CONVENTIONAL )00( IN -GRO PRESSURE 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 1.5" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.0 Property Line Vent > 12" Standard infiltrator Plans Designed Using of Cover Leaching Chamber Conventional Powts with 31.1ft ^2 Manual Version 2.0 100' 6' Long 16" Grade at System Elevation 34" B -2 40' 40' B -3 30 ' Vents 2 -3' X 69' Cells with >3' Spacing 40' 60' B -1 20' B -4 Well is >100' from system 0' Vents a T a� a 20' Pro 3 Bedroom House 148th Ave - PLOT PLAN PRdJECT P.C. Collova Builders Inc. ADD SS P.O. Box 489 Somerset Wi 54025 NE 1/4 NE 1/4s 21 /T 30 N/R W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 3 BEDROOM 3 CONVENTIONAL X)OC IN- GROUND PAR SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 IL BENCHMARK V.R.P. Top of 1.5" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark � SYSTEM ELEVATION 96.0/95.9 1 Property Line A iqt Vent Sidewinder High 4" > 12 Plans Designed Using of Cover Capacity Leaching Conventional Powts �f Chamber Manual Version 2.0 6' Long 16 )) " / 100 , 34" Grade at System Elevation B -2 Ve 40' 2 -3' X'69 Cells w th >3" *,j cing � 40' 30' g 40 r B -1 Vents 20' i' 20 ' T Pro 3 Bedroom House, a� 0 148th Ave " RECEIVED JUL 1 5 2002 ST. CROIX COUNTY ZONING OFFICE Vftwrdr Dowd of CanrWt IL EVALUATION REPORT pap of Division orSsd W mW Bps in ao<aderroe wNh Comm 86 Wfs. Adm. Cods �Y Atladn oonS I oils pion % paper not lsae ttan 8 W x t 1 :narss in sets. Plan muse irrirrda but not - - t0. vsr6cal and Nartavntsl esrerarx p*d (1I". dh o cd m orrd Pm ID. pwflarttslops- sealsardrrrerniorts. norarsnow. errs beaAortaradexanee berearestnnad. Please print all bdomnadlom M Osts r rrsm.tloe 7� warms �Y ss vs�d rer..oend.r v�•P�m �7 ra.. t is W e+) emu• Z pngpsgrClt mw Properly C O GOWL Late , pn/L M T N R E W � owme sUmMMAddrom Lot 0 Cw slams. zip Cade ❑ my E3 Near" Rnad Carmbu sm / Norther of hsdroonts toes derived dmW ebw *Pee J Q GPo O A Prtic or aormnadal - aapt e Fbad Pla - LL Parert aderial :r lewaorn if �2/ /J¢ Gareral oar.rarttr CS I J -- eta ©"* Groerrtdssnrtaoselev/ Deptlr �L—{�R San Rama Horieon DepAh Daetrartt Redo rr Desaip6m Taarre Shurhrs Cartkfan m Baadery Roofs GPOW tL Manetl CkL S . Carl. Cdor Gr. Sz Sin IBM 'EM 2 Z ),2-:3 C ya✓ �/ V A , io 3 - v �— ❑� ¢ ❑ Bairg ❑ Pit erotrnd surface dev le. oeW+ to 11 11 moor Rafe Haimn Depth Dm*wd CGIM RedmCkocaipfon T®dtae skucb" Cameros Bournday Rode GFUW y !Atonal CAL SL Cori. Color Gr. Sz Sh 'E1�1 'EM c T5S >30 150 ' mmt *2 = Bl]D = 30 mgL a W MM :n 30 MIL • Ellhrent M = ®OD > 30 :S ZW usI L ad ... TM C POT 2� b ' U� _ ��-' croltne6on Carrdtr�ee Tdepteolle Wur�er s - d dSS =bO 20 21 Znc J3018 T PLAN PROJECT P.C. Collova Builders Inc. DDRESS P.O. Box 489 Somerset Wi 54025 NE 1/4 NE 1/4s 21 /T W TOWN Richmond COUNTY ST. CROIX 3/28/02 BEDROOM 3 MPRS Shaun Bird 226900 DATE CONVENTIONAL X)OC IN -GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SI7.E 1000 gallons LIrT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE • ABSORPTION AREA 684 # of chambers 22 bk BENCHMARK V.R.P. Top of 1.5" Pipe ASSUME ELEVATION 100' Filter Zabel A - 100 ❑ BOREHOLE (DWELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.0 Pro p ert Line Z. j6' Lo)ng nt qq - /�, - 4 - Standard infiltrator Plans Designed Using Leaching Chamber Conventional Powts with 31.1fr ^2 Manual Version 2.0 100' Grade at System Ele vation 34" B -2 f � 40' U� B -3 40' 30 a � Vents IOU 2 -3' X 69' Cells with >3' Spacing 40' 0' B -1 20' J DB-4 Well is >100' from system 0' Vents T a 20' a Pro 3 Bedroom House 148th Ave y-d dSS =bO 20 21 IBC FROM P C COLLOUA BURS, INC PHONE NO. : 715 549 5911 Feb. 01 2001 07:33AM P1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _ P, `b I10VA nn ' � Q Mailing Address t', ©, g® )C9 .J ©m EIL .S ET ' % / ,_5; 41c^ , Property Address 1 s� {{ (Verification required fr om Planning Deparunent for new construction) City/Stato �QJ�`h16xwl l & Identification Number LE' GA DUCIUPTION Property Location 'tV,, 'l,, Sec. & . T -RJS�W, Town of 1 � Subdivision oj Lot if _G& Cerd ied Survey M213 11 Volume Page T Warranty Deed N Volume , P3gc 9 Spec Douse ❑ yes ❑ no Lot tin- identifablc ❑ yes ❑ no SYSTEM MAl24TENANCC I=prnper use and mainteuwce of your septic system could result in its prem(urafailurc to Lsudic wastes. Proper maintcaaacc consists of pumping out the septic tank every three years or saoner, if needed by a licensed pumper. What you put into the system can affect the funetioa of the septic tank as a treatment stage in t1w waste disposal system- The property owner agrees to submit to SL Cro1% Zaaing Department a certification form, signed by the, owner: slid by a masterplumbes: joameytnanphu ibof, restricted plumber or a licensed pumper verifying that (1) the on -site wastcwaterdisposal system is in proper operating condition aadlor (Z) after inspection and pumping (if neces= /), the septic tank is less than 1!3 foil of sludge. I/we, the uadnaigned have read the above requirements Lad agree to maintain th 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 Wiscunsin. Certification tbtmg that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 C ta of the three year expiration data. IGNATURE OF APPLICANT DATE OWNER CERTMCATION I (we) certify that all statements on thus form are true to the best of my (cur) knowiedge. I (we) ani (are)1he ownet(s) of the described above, by virt a warranty decd recorded in Register of Deeds Office. ��. SIGNATLVX OF APPLICANT DATE a'44ae Any information that Is mis represented may result in the sanitary permit being revoked by tltc Zoning Department. se Include with this applteallen: a stamped wasanty dccd from the Register of Deeds office a enpy of the certified survey map if reference is made in the warranty dccd Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in 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 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 -246 -4516 Shaun Bird #226900 03/31/2022 10:08 6517480441 LAKES AND HILLS INC PAGE 02 ' FRM PC CMLOM BLDR &BROTI M9 EXC FAX NO. ' 71Sn43632 Mar. 29 10M AM P2 WA, P.ELe. I I.J J�1 �.wr• .w �d P C Cat.LCN.�t �7A- LR7`7f S1� 5`'<' CROIX COUNTY surnc TANX MASNPSNANCR AdREi?MEW AND OwNMWIP =17MCA'TI4N F4ttM QwneriBuyer �. Ja 11d1filflyg Addra+Ra A 3 r IY1 S' PMcrty lutefresa —4-=.. - ,Vcdc"4irw, regudwed Cn mwt u.�+. umat for new sari r l )c�YYwV =C! 1&4f1ap"Q pmww rte `^ 5 6� Tom( � � tXOII f�� h. CC. ..,,,,,,,..., +R �� � "rp'Wli Ali �u�dlYPli d A Lal 1MulMed Survey Msp iE G War"L* Dead 0 �._�, ` �� O , VO ��Z sago Z U Ogee , t i �4r��itif�asit —60 d no mai.lamdm�ee:+aecsfyc�as OVA= wuftppW- A. pe „ o , r "fQWW10 iMadie , vadoo.Vfl* =W+ . ca. aid+Rpwrt�iP! s er .$'a�lmdt�y What 7+* +ada�ssehe fient:llaR albs � t�.ate as a 6nasimaal aepda is me titas� diapoe:d � by #Am* to Be. Cook Zmdm Dmpuubmw oeaf rmalkaSDt4 epd by &D o eaexnd b!r �1'a � LaMR s� ti�C abODR � � f�tCR tJ0 Fea1�IC i�10 }��` "'i'•""" ���' dli:lb i�C a smttat�M��e�ra�o ►Uafcnoa.aar�aa�u�eatorI�,s� sat. c�Qaas► a" 60 yaw aspav W*m retie oe- W %'fod=md be **wq and **d MrAned m the SL Ctou Caddy ZcnEell Offm WON 30 � r j (1m) daft dw A smemom gar Wo teem an trm ea e� i� rt r,►y {air} kaa+ele�d Y E`ao). ear► (gray the ov+aas fa} of deaee4i�rd ed�ra, by WWW of r w V ded recorded is Rnbtcr of Demo die' m. S lil►nA18 Q>� PATS ►++ d aw i rseastwi!>taet it sa6weanraoeaRed mag tork is s6 sa.+tuy p it beiV4 tcVQl edbY do Zoning DepacWML •.saes 1 teoude wish Wia eppilOwrffilet a std wastam7 40064 liwt We � •! Zyrr� «at)�p a daly of the epr6.t'iad Im mW if schremo is awde in the wo m V daad �oL i 52 6472 KATHLEEN H. WALSH Document Number Document Title REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 06- 04-2001 11:00 AM WARRANTY DEED EXEMPT N 3 CERT COPY FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 14.00 PAGES: 3 Recording Area Name and Return Address Northvest Title & EscrovCop. 4255 White Bear parkway Suite #1300A Vadnais Heights, MN 55110 0�6- lD - / 0 -00 0.2� - /olo o - dr0 -ooa Parcel Identification Number (PIN) 0110 -/0 m3 - - 00 0 0 A ro - /Ofo V -/0 -000 This information must be completed by submitter. Qg4;ur title, name & return address and PFN (if required). Other information such as the granting clauses, legal description, etc. may be placed on this first page of the document or may be placed on additional pages of the document. ore• Use of this cover page adds one page to your document and $2.00 to the recording fee Wisconsin Statutes. 59.43(2m) WRDA 2/99 215-32 (2199) VOL H52►ia 208 Form No.9 -M— WARRANTY DEED Minnesota Uniform Con' in Blanks 1978 Hoisted & Larson, P.L.C. C�orpoiatibn or Partngrship to Corporation or Partnership z No delinquent taxes and transfer entered; Certificate of Real Estate Value ( ) filed( ) not required Certificate of Real Estate Value No. 19_ County Auditor by Deputy STATE DEED TAX DUE HEREON: $ (reserved for recording data) Date: April 30 20 01 FOR VALUABLE CONSIDERATION, Lakes & Hills Inc. , a Corporation under ws of Minnesota , Grantor, hereby c and warrants ter Hillvale Development Limited Liability Partnership tee, a Partnership under the laws of Minnesota real property in St Croix County, Wisconsin, described as follows: See attatched legal description "The seller certifies that the seller does not know of anv wells on the described real property: together with all hereditaments and appurtenances belonging thereto, subject to the following exceptions: Easements, covenants and restrictions of record. Lakes &Hills, Inc. z By. 'chard S. 74elson Affix Deed Tax Stamp Here Its: President STATE OF Minnesota ss. COUNTY OF Ramsey The foregoing instrument was acknowledged before me this 30 day of April 1 20 01 by Richard S. Nelson and the President and of Lakes and Hills, Inc. a Corporation under the laws of Minnesota ol� behalf of the Corporation NOTAR RANK) DEBORAH L. TEICH DYE C NOTARY PUSUC- WNNESOTA SIGNATURE OF PERSON TAKING ACKNOWLEDGMENT MY COMMISSION EXPIRES JAN. 31, 2005 Tax Statemew far the real property described in this instrument should be sent to (Include name and address of Orantee): Hillvale Development Limited Liability THIS INSTRUMENT WAS DRAFTED BY (NAME AND ADDRESS): Partnership 1611 Highway 10 WE Northwest Title & Escrow Corp. Spring Lake Park, Pod 55432 Suite #1300A 4255 White Bear Parkway Vadnais Heights, MN 55110 4 1 _ 1 � • s V91. 1652 PAGE 209 EXHIBIT "A" THE W112 OF NW114, SECTION 21; THAT PARTOF THE E112 OF NE114 LYING ELY NO SLY OF THE CHICAGO, ST. PAUL, MINNEAPOLIS AND OMAHA RAILROAD, SECTION 20 EXCEPT; A PARCEL OF LAND LOCATED IN PA_ RT OF THE SW114 OF THE NW114 OF SECTION 21 AND IN PART OF THE SE114 OF THE NE114 OF SECTION 20, FURTHER DESCRIBED AS FOLLOWS: BEGINNING AT T14E WEST 114 CORNER OF SAID SECTION 21; THENCE 389 DEGREES 36 MINUTES 37 SECONDS ALONG THE EAST -WEST 114 LINE OF SAID SECTION k1, 1299.53 FEET TO THE EAST LINE OF SAID SW114 OF THE NW1 14; THENCE N00 DEGREES 13 MINUTES 01 SECONDS W, ALONG SAID EAST LINE, 626.77 FEET; THENCE N89 DEGREES 36 MINUTES 37 SECONDS W1302.00 FEET TO THE EAST LINE.OF SAID SE714 OF SECTION 20; THENCE N00 DEGREES 26 MINUTES 02 SECONDS, ALONG SAID EAST LINE, 521.30 FEET; THENCE S89 DEGREES 33 MINUTES 68 SECONDS W 232.27 FEET; THENCE S39 DEGREES 46 MINUTES 23 SECONDS W 691.34 FEET, THENCE S15 DEGREES 15 MINUTES 37 SECONDS W 630.03 FEET TO THE EST -WEST 114 LINE O SAID SECTION 20 THENCE S89 DEGREES 31 MINUTES 37 SECONDS E ALONG SAID EAST —WEST 114 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. ALL IN TOWNSHIP 30 NORTH, RANGE 18 WEST, ST. CROIX COUNTY, WISCONSIN. turbed will be subject Located i n part of t he NW 1 14 of the N W /4, 21, and part Of the NE 114. of the NE 1 14, and ' I all lying Southeasterly of the former Chicago, LOT ' _ 3 T30N, R18W, Town of „ichmond, St. Croix Coup, RTtFIED SURVEY MAP �.� f - ,A LUME 13 PAGE_3579 )CUMENT_NO_ 594358 -- -East line of the of the W st Half of th NW 1/ of Sec. 21 b IL - - - - -- - - - -- ' S00°41'43 "E "Dedicated t S00 0 41'43 "E 217.00' 217.00' - - -- - -- 216.84' -- -- 6600' - - -- - -- i - -- o — 867.34'— I I I 'rte Io �-- 100' -- IN N N 1 W I o 1 ao �N 2 ^ 3 �0 41 1 I 0 v 00 - 87,234 sq.ft. 00 �i 87,171 sq.ft. I I 87,234 sq.ft. a - N r 0 1 � I o, 0 2.00 acres rn 2.00 : acres I I 2.00 acres 0 z z z 1 �. -- 100' I 3 IN N00 041'43 "W I 00, I _ I I — ao 868.06 ao 217.00' 217.00' 216. 4' I ( I z I 427.34' 33' 33' I 440.72' (° 1 W � 1 N 00 5 ao 1 I 7 rM 4m 87,137 sq.ft. 87,938 sq.ft. z 2.00 acres II I I 2.02 acres V V I 11 1 I� / U 3 S o02 lg N o - 89,782 sq.ft. , i cO _ 2.06 acres / L � z � 11 =' \A I I l r` 1 C3 _ 0 259 �� , ., ten' i eF � m � .+ — — _ 'qw- Vftconsif) Department of commerce SOIL EVALUATION REPORT Page l of 3 Divion of safety and Bkhldiggs in accordance with Comm 85, Wis. Adm. Code County S4 C rot Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must . include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. R iewed by Date Please pdnt all i , Personal information you provide may be used for seco a[y purposes (Privacy Law. s,13.)4 (1) (m)). z Property Owner , a ,z� r` Pro Location I f ` i NW 1 /4,VCJ 1/4 S 2( T 3p N R (g E (or)N Richard e so G°"� Property Owner's Mailing Address Lot Block # Subd. Name or CSM# C- rol��iew Acres city State Zip Code NumIWOU ❑ Village [Town Nearest Road DtV ® New Construction Use: ® Residenti al /Number s Code derived design flow rate 4 4 50/( 0 80 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material C)(,>-k u– s r., Flood Plain elevation if applicable ft General comments s y S �e wk . V • 9� ` gO and recommendations: ii 1� 1 E? / V q(°• 6 F I Boring # ❑ Boring ® pit Ground surface elev. �' 90 ft. Depth to limiting factor )/0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 'EfM2 t (2 -10 S') 2 -r-- E-5 l V s 8 Z 1,0 -33 10 r y/ 2 f rl fy 3 33- 10 r y ! — OS yr ' — - 7 ) • 2 F ® Boring # El Boring Pit Ground surface elev. /U ft. Depth to limiting factor t 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 I 6 -12 Lo. t' (2 — S • I Z s v-� .s 12 - tp 3 c 1 2 rn <h k m c — `4 (o 3 33 -ut i I — 0:s rn s ' 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 (PIr'ase Print) ignature CST Number Aao►nn Se ker - 7 -- Z533c� Add Date Evaluation Conducted Telephone Number r Imp— - Properly Owner N e 150x) Parcel ID # Page 2 of 3 F3] Boring # E] Boring v 0 Pit Ground surface elev. /O ft Depth to limiting factor ! Q in. Soil Application Rate Horizon Depth 1 Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz Cont Color Gr. Sz. Sh. "Eff#1 "Eff#2 6- l 12 5 i I 2nrr -bk rr A 2 z-3`F 1 5, I 4-- — FS � ts� ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft Depth to Igniting 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 # ❑ Boring El Pit Ground surface elev. ft Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtff 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/1- and TSS < 30 mg& 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- 2648777. SBn4330 OL07 ) Property Owner N e 150 n Parcel ID # Page 2 of 3 Bo F-31 ❑ Boring ❑K Pit Ground surface elev. /OV ft Depth to limiting factor / 0 m• 7*Ef(#1 Rate Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots Dff in. Munsell Qu. Sz- Cont Color Gr. Sz. Sh. 'Eff#2 2►,- ir-bk. nn rrr C g Z - 3 y -lw 1 F 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 GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz Sh. 'Etf#1 'Eff#2 F-1 Boring # ❑ Boring G El Pit round l surface elev. ft Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF 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 mg1L 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. sana330 OL07/00> �w PAGE ,_ 3 OF_ NAME & LOT# 5 LEGAL DESCRIPTION N w '/4 N� /< S z I T 3 N,R 19 E (ooe SCALE: 1' y� I l BM I ELEVATION /60 • D BM I DESCRIPTION -/o p BM 2 ELEVATION q 9 • cc Z / DES CRIPTION - a y BM 2 DES fa � � .� � -� Q..e_ SYSTEM ELEVATION q & 0 r ob / ALTERNATE ELEVATION q C9 9 6 CONTOUR ELEVATION n o S /o c _no ■ } ■ d 3 -1 r SIGNATURE DATE _ Wisconsin Department of commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must X include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q Z - 3 - a 5 -0'00 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ( C Govt. Lot �� 1/4 �/ /4 Sp�� T 3 N R E (oI V� Property Owner's Mailing Address Lot # 1 Block # Subd. or CSM# City State Zip Code Phone Number ❑ City ❑ Village Town 7 ZZ AW-", S� Z l' ( ) ,,l New Construction Use :Residential / Number of bedrooms -3 Code derived design flow rate 'V J GPD ❑ Replacement ❑ Publi r commercial - Describe:- Parent material ®L U Flood Plain elevation if applicable _L✓ 1 r ed ft. General comments Sy and recommendations: ✓ Sl -- r✓ ! �Vc�%� �� V d ;F;1 F Boring # Boring It Ground surface elev. �! ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Ong # ❑ 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 GPDtW 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 CST (Please ) ature z7 Number Address Date Evaluation Conducted Telephone Number Property Owner _ Parcel ID # Page of F Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal 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 I 'Eff#2 i a 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 F Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal 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:E 220 mg/L and TSS >30:E 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 -8330 (R.6(00) PLOT PLAN PROJECT P.C. Collova Builders Inc. A ESS P.O. Box 489 Somerset Wi 54025 NE 1/4 NE 1/4s 21 /T 30 N/ W OWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 F DATE 3 / 28/02 BEDROOM 3 CONVENTIONAL XXX IN- GROUND PRESSURE 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 1.5" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL - H Same as Benchmark SYSTEM ELEVATION 95.0 Property Line tL Standard infiltrator Plans Designed Using of Leaching Chamber Conventional Powts with 31.1ft^2 Manual Version 2.0 34 Grade at System Elevation 100' B -2 40' 40' B -3 30 ' Vents 2 -3' X 69' Cells with >3' Spacing 40' 0 , B -1 20' B -4 Well is >100' from system 0' Vents � T' a� 20' 1 Pro 3 Bedroom House 148th Ave