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Home My WebLink About026-1165-03-000 r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 506285 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: Dalstock LLC I Richmond, Town of 026- 1165 -03 -000 CST BM Elev Insp. BM Elev: I BM Descriptioh 1 Lo - � Section/Town /Range /Map No: to (' • /0 6 d/ �QJt� S w 22.30.18.1269 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark' 3 . 8 /d 3- k /Ql) • d Dosing L � Alt. BM Aeration j Bldg. Sewer Holding SUHt Ir let O �, 7, UHt C utlet 0 I TANK SETBACK INFORMATION $. 2- /�S' (o TANK TO P/L WELL% BLDG. Vent Intake ROAD Dt Inle Septic 1 / Dt Bot m , Dosing V HgaidalMan. , 9 (` n�hi Aeration Dist. P pe ,�/ g tf I FS` Holding B S INP C / �/ 3 61L Final Grade PUMP /SIPHON INFORMATION .�L4t„4 ,t f Manufacturer Demand St Coyar , / GPM d t - 3 -7 Model Number TDH Lift Friction Loss em TDH Ft /1/� A01 AZ Forcemain Length Dia. Dist. to Well 3 /� _ SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 1) I L SETBACK SYSTEM TO P/LS BLDG IWELL LAKE /STREAM EACHI G anuf r/7► INFORMATION CHAMBER OR Wt h_l tF ✓ Typ Of System: /7 UNIT Model Number: _e DIST IBUTION SYSTEM Bader/ nifold Distributio qn x Hole Size x Hole Spacing V nt to Air Intak t. Pi � 1 , I _ 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 Bed /Trench Edges Topsoil ❑ Yes No [] Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_/__Y_/ 07 Inspection #2: Location: 1470 129th St New Richrpond, WI 54017 (NE 1/4 SE 1/4 22 T30N R18W) Lundy Meadows Lot 3 Parcel No: 22.30.18.1269 1.) Alt BM Description = r Z fVr�. iQ sL -{p _Q^4- 2.) Bldg sewer length - amount of cover Plan revision Required? j_ Yes No Use other side for additional information. v V I ��/y'(� _ _!r✓ GI J__(�f -? T ��. Date I sepctor's Si ture Cert. No. SBD -6710 (R.3/97) � C- f comrtneroe.wl.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 � r ) k t n eimtinwit sco n s i n Madison, WI 53707 - Sanitary Pemut Num be filled in by Co.) of c�otnn taro 60 2— raosaction Sanitary Permit Application Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, sub N N mission of this forms for state -owned POWTS are Project Address (if different than mailing address) the appropriate govern unit is required prior to obtaining a sanitary permit. Note: Application forms th submitted to the Department of Commerce. Pgrsonal information you provide may be used for secondary / /29 s in accordance with the Privacy Law, s. 15. 1 ra , Stats. '7 � J I. A lieation Information - Please P rint All Informati parcel # Property Owner's Name / j p 3 - 6"0 l_.. ` property Location Property Owner's Mailing Address // J - (Y Govt. Lot ` City, State Zip Code Pho N '/4' S c t one 5L(O T N' R IV 11 Type of Building (check all that apply) o k - o� Lot # t[]public/Commercial p � Subdivision Name 2 Family Dwelling - Number ofBedrooms Block # u ti - Describe Use ❑ City of CSM Number [3 Village of — ❑ State Owned - Describe Use _ own of 1 L -3 C �` (,,., III. Type of Permit: (Check AnlY one box online A. Complete line B if applicable) 4 ' w System ❑ Replacement System ❑ Treatment(Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ List o Permit N r and Date Issued Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Previus umbe Before Expiration Owner IV. T of POWTS S steadCom onentlDevice: Check all that appl on - Pressurize do -Ground 11 Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil (I Mound < 24 in. of le soil l�� , ❑ Pretreatment Device (explain) l ❑ Holding Tank ❑ Other Dispersal Component (explain) V. Dig ersal/Treatment Area Information: ersal Area propo (91) System Etevatton Design Flow (gpd) Design Soil A plicat on Rate(gpdsf) Dispersal Area Ruired (a sP _ ., Vi. Tank Info Capacity in otal # of Manufacturer & _ H a Gallons Gallons Units New Tanks Existing Tanks J Septic or Holding Tank Dosing Chamber VII. Responsibility Stateme - I, the no eraigned, a responsibility for installation of the POWT MP�RS Numbe ed plan phone Number Plumber's Name (Print) PI r ignature 1 -2- -Z6 �` Q � Plumber's Address (Street, City, State, Zip ode) I VIII. Conn /De artment Use Onl Permit Fee Date ssued �-7 Issuing A t Signature Approved isapp7.v,. $ 456 "6 �3 / Reason Denial J V O A. Condit�o€�eesans for Disapproval 3� {3,; \ eel a f�-� . o (� ioo : �¢ ^ �^ 1. Septic tank, effluent filter slid � ��. r I n 4 � dispersal cell must all ,4e servkes / mafntaif n as per management plan provided by pkltMief. 2. AN setback requirements must be Maintained i { ) G Attu to complete plans for the system and sub it to the Co ty only on paper t th� 8 to x 11 inehes size U. l e— SBD -6398 (R 01/07) Valid thru 01/09 G. VJ PLPT P A PROJECT Dalstock LLC D ESS 1748 1 12th St. New Richmond Wi 54017 N 1/2 SE ' 1 /4S 22 /T 30 4N / 18 ;!W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 it if 8/3/07 BED 3 DATE ROOM E CONVENTIONAL XXX IN- GROUIV SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1157 # of chambers 57 IL BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Well is to meet all setbacks required by SYSTEM ELEVATION 9 4.5/94.6/94.7 5' below grade WDNR Alt. BM Top of 2" Pipe @ 100.2' LGrade > 6" uick4 Standard -W of Cover eaching Chamber Plans Designed Using ith 20.0 ft2 of Area Conventional Powts 8ft ^2 /pair of end caps Manual Version 2.0 4' Lon3 4 at System Elevation Please Note: Tested area Pro 3 may not be suitable for Bedroom desired building area. House Check system location before excavating. Please note: Lot #4 was installed in 7/07 and found to have a 30 another horizon of .7 sands, then the weak sl as listed by the cst. Please note: Installer must This system will be check by the verify all lot lines and setbacks installer at the time of the dig, to before installation. ST verfiy soils, and size appropriately. The cells will be able to be 30' inspected prior to backfill. Prope y Li &t 45 , B -3 H4 � Tested area has 0% slope and thus no 3 contours I u�'► 01 S� 40 B -1 r un 25 �, �. ess rwlse , * lt. B.M. 3-3'X7 — B.M. ZS �i•lo �- g 2 q �.. S� C 229' Property Line ,,. e-�rz PL PT P qESS PROJECT Dalstock LLC A D 748 112th St. New Richmond Wi 54017 N 1/2 SE 1 /4S 22 /T 30 �1V/ 18 TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 ' DATE 8/3/07 BEDROOM 3 CONVENTIONAL XXX IN -GROU E SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1157 # of chambers 57 IL BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter BEST Filter ❑BOREHOLE O WELL *H. R. P. Same as Benchmark Well is to meet all setbacks required by SYSTEM ELEVATION 9 5 below grade WDNR Alt. BM Top of 2" Pipe @ 100.2' Vent >6 „ Quick4 Standard -W of Cover Leaching Chamber with 20.0 ft2 of Area Plans Designed Using 5.8ft ^2 /pair of end caps Conventional Powts 12" Manual Version 2.0 '4' Long 34" Grade at System Elevation Please Note: Tested area Pro 3 may not be suitable for Bedroom desired building area. House Check system location Please note: Lot #4 was installed before excavating. in 7/07 and found to have a 30 another horizon of .7 sands, then the weak sl as listed by the cst. Please note: Installer must This system will be check by the verify all lot lines and setbacks installer at the time of the dig, to before installation. ST verfiy soils, and size appropriately. The cells will be able to be inspected prior to backfill. 30' Prope y Lin 45 , B -3 Tested area has 0% slope and thus no contours 3 20' Scale is 1" = 40' 25, B -1 90' B - 2 unless otherwise * Alt. B.M. noted 3 -3' X 78' Cells with >3' Spacing B.M. 229' Property Line f Wi sconsin 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 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. Please print all information. Re wed by Date 9 �] Personal information you provide ma f be ° used for'aecon" purposw4IR 9cy Law, s. 15.04 (1) (m)). 4 J a J Property Owner Property Location �` • / //i .v �j /`-� i� Govt. Lot 1/ ,j 1/ S T N R E (o W Property Owners Mai Wig Address ? _ ' „� ,�, Lot # Block # Subd. Name or M# City late Zip Code Phone Number ❑ City ❑village .jW<T Nearest Road it (' imCY r New Construction Us Residential / Number of bedroom Code derived design flow rate�� GPD • ❑ Replacement Public or mercial - Describe:-- Parent material .r Flood Plain elevation if applicable General comments and reco s> � �w ,� L �svC,��1J�"`✓ Boring �YIA B oring — I 1 Boring # pit Ground surface elev� - -� ft. De 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 'Eft#2 ® Bori ng # Q, Boring pit Ground surface ele�` 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 7 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) W pore\— CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5 ' — f�_ Q 715 - 246 -4516 Property Owner _ Parcel ID # Page of F3 Boring # ❑ Boring Pit Ground surface elev. ft. Depth to {inviting factor —�� m. 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 r 5 1' 1 ( RI Boring Boring # Pit Ground surface elev. Depth to limiting factor / / O in Soil A licabon 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 '042 -1 0 Cj F Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F1 Pit 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 mglL and TSS >30 1150 mg/L ' Effluent #2 = BOD <_ 30 mg& and TSS < 30 m91L 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 -8710 (8.6/00) Soil Test Plot Plan Project Name William Stock/Steve Dalton Shaun Address 1748 112th St. New Richmond Wi 54017 CS #226900 Lot 3 Subdivision Lundy Meadows Date /11 /03 N 1/2 SE 1/4S 2 2 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 94.6/94.7 *HRpSame as Benchmark Alt. BM Top of 2" Pipe @ 100.2' Scale is 1" = 40' Please note: Installer must unless otherwise verify all lot lines and setbacks before installation noted Please Note: Tested area may not be suitable for desired building area. Check system location before excavating. a Tested area has 0% 0 45' B -3 slope and thus no contours 13 00 0 30' en 20' Z-.1 S el .nn+ �. B - 1 - -.__ —_ t. B.M. B.M. 229' Property Line e C ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT M M ■ N.��t ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road w 6 Hudson, WI 54016 -7710 ""— �� Phone: (715) 386 -4680 Fax (715) 386 -4686 Mem o to File From Pam Quinn Date: 4/27/2004 Rm Sandy loam structure misinterpretation on subdivision soil reports Recent soil on -site determinations have brought a problem to our attention. During these on- sites, Wings were ex gated to confirm soil conditions where. two conflicting soil reports had been submitted for zon department review. The soil profiles, evaluated by myself, Dave Fogerty, and Dave Steel (all certified soil testers) differed from the original soil reports in that massive ( structureless) sandy loams were encountered in horizons that were described as having either moderate, medium subangular blocky (2msbk) structure by Adam Schumaker or weak, medium granular structure (Imgr) by Shaun Bird. There apparently has been a misunderstanding between "structure" caused by handling samples of the soil during texturing versus the soil characteristics in situ. The soil, when chunks were taken out of the profile to hand texture, with pressure parted into "crumbs" that appeared at first to be subangular or granular in shape. However, these were not true peds that broke apart along planes of weakness, but fragments created by handling. The soil when observed in the horizon did not have distinct units of structure and should have been reported as "massive ". Added notation: on 4/23/04 Mark Iverson (Cedar Corp. certified professional soil scientist), Shaun Bird, and myself did an evaluation of soils on Lots 6 & 9, Richmond Meadows where the original soil report described the third horizon as sandy loam, "l mgr ". On Lot 6 we checked soil profiles within a POWTS distribution cell and then excavated a test pit on Lot 9. The sandy loams in question were a weak, coarse to very coarse subangular blocky structure, where planes of weakness were just discernible when peds were parted from the profile. The peds separated with very light pressure by soil tester. Sand coatings were observed on the ped faces in the Lot 9 soils, which supported the determination that some structure existed to allow water to move through the upper portion of the sandy loam horizon. However, below the weak - structured soil we found massive (structureless) sandy loams and the boundary between these horizons was irregular, which would mean a distribution cell could encounter alternating weak and massive sandy loam. Shaun said he would amend his soil reports with a memo recommending that any sandy loams he identified as "Imgr" or "2 mgr" be assigned a lower loading rate of 0.3 gpd/ft2 (see attached memo for Whitetail Meadows) to provide a larger dispersal area. Page Two — Soil Memo 4/27/04 Massive sandy loams have been assigned a soil application rate of 0.2 gpd/ft with the code changes in Comm 83.44 -2, effective as of 2/1/04. The application rates listed on the soil reports were higher due to the structure having been described as either weak or moderate, which affects the calculations for sizing of POWTS distribution cells. Obviously, one of the concerns is to make sure loading rates for the soils are not in error and allow undersized POWTS to be installed. For example, in December 2003, Lot 35 of Richmond Meadows subdivision had to have its loading rate reduced to 0.3 gpd/sq. ft. when the installer encountered massive sandy loam at the system elevation. The sandy loam horizon had been described on the soil report as "I mgr" with firm consistence. Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this situation and advised the zoning department to require on -site verifications for any lots with this potential misinterpretation on the soil reports. All soil reports with sandy loam "1 or 2 mgr" as its structure will be required to use a design based on the current code's soil application rate for massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise. Z Page Two — Soil Memo 4/27/04 Massive sandy loams have been assigned a soil application rate of 0.2 gpd/ft with the code changes in Comm 83.44 -2, effective as of 2/1/04. The application rates listed on the soil reports were higher due to the structure having been described as either weak or moderate, which affects the calculations for sizing of POWTS distribution cells. Obviously, one of the concerns is to make sure loading rates for the soils are not in error and allow undersized POWTS to be installed. For example, in December 2003, Lot 35 of Richmond Meadows subdivision had to have its loading rate reduced to 0.3 gpd/sq. ft. when the installer encountered massive sandy loam at the system elevation. The sandy loam horizon had been described on the soil report as "lmgr" with firm consistence. Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this situation and advised the zoning department to require on -site verifications for any lots with this potential misinterpretation on the soil reports. All soil reports with sandy loam "1 or 2 mgr" as its structure will be required to use a design based on the current code's soil application rate for massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise. Z -S SEEDINGS. ' ' 1407H IAVEMA I ! 33' � 33' — r D.O.T. NO. 55 -65- 3820 -2003 MAP 144th Avenue SEC. 22 , T. 30 N., R.18 W. TOWN OF RICHMOND, ST. CROIX COUNTY, WI P V I E W ' NOT TO SCALE F 16 MEADOWS LOT 17 LOT 18 ►9.59' 251.77' 145.83' t 268.30 422.70 O O � LOS �� i 68, 036 LOT 2 ' � � - 1.56o, ITS .S 74,877 sq. ft. 1. acres acres `r ' sq. ft. 72 6 0- 090 LOT 7 F _ - A 91, 368 sq. ft. _ • �' •0 � 2.10 acres � w LOTS m ° 66,985 sq. ft. - • •�. 1.54 acres V� / \ 5 - - LOT 6 69,618 sq. ft. CII - _1.60 acres - _ N 89 3720" E 229.05' / tn LO7' 4 - ti 68,672 sq. ft. \ \ 0 1.58 acres see L T r28 . � 70, 000 sq ft. sq. ft. - N 1.61 acres % ' - acres o � N • _ C3 / LOT 29 hoc tk 76501 _ -- - - - -- - r - -- _ amis ma i " ` Ylrl $edict Caner Yaamal .I Arr/ LUNDY MEADOWS 0. "=�• o (ana YM P:e as rolA 1 A N.AwY ACOUMI7UT (.I"1.13mptlkea:x) la�RdiafdeA' RrOetNQiNaofdr, SolLRktdQa�9rd96tA' afiNd /�LUMddltSaxhu9tQWIWolSx ~ dJrL 9 Se Wle , if Ro Towtu6j )0w R+ll 11wc 4 T0"0fkduoa00tvic4*,, l wom I s I A%9/aAM19NAY � i MNrd4A1 I.Igr91.J01 kA pa kear 9rl) 6AwA1FMmiKALL A + Q M VA AaN arNM as wa MlW[MiR N %Na aAl%11AMlrA6MMw A wa6k9 kwdl�e wA(waaai a %ala9waaNaxa uQNOmaRwKMM / — — wW...y dI. mra°Nn YML U mxw ' NNw w :a ` . - S o �ru Sl�ae°1o11�a � � La w N RICIF rvrwAtlawl®.AmwKnmOW.umwNaa6na MEADOWSI NNd i/1 Caw 17 Uay 9a'"t (Ilpkd) SKI. 77 - ID - I6 — -W Fm IN low: b VA 00 ww wo *a AMR lo t 0&¢ NN tlRAN% I 17a tl M MIN70 %MIOQM aQ gkxOi W n %ONi K ill INI Wvc: N AE MR%0 Iw (lIXM **w **w NNbIblWgwwNMO ft %SIANeA NI%9111w % OGNK %rwAMNn Ijly Cabf9 maw nrf) 490. • YYxrr laeAl It" apa'M la [A90%RS MQ NNY4 aA(S MQ 4%I %AAQ 0.A%NR pYw p 0 % %R%%S I I M w.t. • MqA %Ir IW O Jr1 "� TJT 19 SKI r/e Cana Q 9x~ 11. I ka pal L � � NLt11Y 19W �. SKI 17 -.p-re LO ND '40b A— Rc LL I Ilk "11 l (lam! aY nail (ISVAIMS AA( WED ON AN M NA19 1911 DA9Y. roe tl Nbaaa SL aau axn, w W 1/1 C.- A' Al w <aaaa rahaA dlh 6le' m i1 " SMhm 7r- 6(A-fe o tl pp (.44 4u a. w Mw 1w) U.S. FISH k W1lDl IFE POND NEW (Acme x/kl 4) 2 n: rkr°IW.:e1yM, 1 / OT 16 AERDOWS 10117 LOT 18 s^ UNPLATTEDLANUS 8� FMAwI[1HL:e •- se9t3vrt sxwu'•- % I r �l2rr., ^'w' S89°5711 E 1659.!9' °"' 17409' ,111N •121 I6' 1121/ 11188 1547! 751.11' 11S6J' 16'410' 02 70 Y 711 50210'. - 151559= •'� swr Po � ^ n 70'knr IV US� � J LOT .,� f pn 65 50 It 1 IFUSFAx'Rll[( IMWP 6 IM d NNdle ¢ " J LO 1 i' Iv 4 I R61w.19Y Mllilf 1 � !ad M f°I a 0 E� 5 °' 6403F w /I 10 d LUNDY I '� LOT 12 V W LOTS A \ g q 4 g LOT2 G, N POND R(A ABOf aNAL 1 LOTH A LOT LOTS J 71.e77AAR r V I,SSaRn h I. J 1 v, A ^ I7,n1 q R 6417110 r1. '0 6S �9t A bg A aop�, rn Vnn 1 1r G� a. 6 ' / za/ A6Ars ss aan st a n ^ 16011212 LOT 7 r q5 ) R e FQFAI ........... �...,...,.., L O e J 66 W NIA a 91,616 S4 rt v, A. J ' 717AM Z10 1 31 v m `l $ werr. f G I d A4CALOTTONAL L4R• %IJ' . I I A I 1� p�9�1!' p 01 y " I 1.671 AM W ' I mre9 ors , Ne9s x .� + tig LOTS : W IQI -IFM MqI IIRw IS Ji d iN j ma•,xr % �As r ' ,1 ��AV �� "�;: �LOT 'II' ^ d.4A• %1.J' / /Y1 0 JY' I .109.89 r. R X40 LOT6 s1�n 1 A GVN' i ' 1 69,618 w n Dal kwx (50' t fl -1.60 aru #Iby) I N 99:470'! 779.05 1 � 1 W RffL LOT 14 AeuAwlraxtl,• a ^ �.. LOT enul m n 107,11pf. reaw / '' w n LOT26 I N , t M Act!$ i R n .' 74N9 A7 4 `". 4i '° '. n n 5 BrbY?' A 17169' � o Ny .LOT2S N 1.79axx a \\ f \ S `n LOT4 �a, h Ay a., . n.tlelvrt. 51 'laie 6 rr ` � A "sJ tAO.•9ase' t LOTS g !teen„ 0 4 LOT29 a RW0 y N . try• ! 1 A AM1 Jas. 5 !elan! \ A '4 , 1 ,I /6r � 1'a•1ei/ Nle'R'� 6 7n� SI �7�'s1•f AN4 � ^ Wy se' / u �" ! 1 � ",t�rr • V � I : `a 0 LOT15 2 C ➢t69)+P a L0T24 a ti \- J;, x 11'•11' 0 8 113 lrlana �t ea =9611. maeiA R LOT23 A a ct. ti` 1 g P Ao ale' _ +i LOT22 R 111 , .. n.t91 a. n �\, S Y 11 g Napat516 �� r ;a LOT29 \ �ac�h.1�{> LOT tl AACAA if Alta I 2101 AM SSr ; Y u i I .l 4 S •6. I, ). LOT21 II /VIP so ff rp N71 , T 161 f An➢09 %. 4. to N a ; 250 AM y > 9 `� . 7 am A n i l 1 `• 1.40.=96/1 ( \� / LOT30 ` LOT13 ' I R 1 64 6 .{ L Sg1,53 e j.Lw era t ^ .,1 �. 12, JIJ as 1 oil.p11 A LOT31 ° GOT32 t4 \;� ean, 1 s� LOT 17 IBJ °nn^ IW mn ai AKA Aeaw 014#1 G LOT 18 ' LOT 440.912.0' k , . 7 1PIdLd�d � 94107 w x 75137 Ap R. r N' I , 20 v i e ' „a; t t j � 1 11515p SC fi 212 ws . 1.66 ems h I i LOT 9807910 A _ 1 aL 1 b71 _ V' / . 1 L n o IR C A F i 21)orro J h°.k C°,ax.1 1 I ^i h� A¢C40•%IJ' 6 S " x I8 I - ➢.127- ew° `�:^v rYrx01[ -A'. SSS \ I -10eS7u'- N i 6719' J101•71AIlmu' t i c 1 M I6 71 55111' 1 L b 75671' law w_ - .W' ._ - -_ . -. �ry \ SnaM kldlAe 80'1 a Aa,°A,xnik rx rxA h;y',tlk ^JI ' Sy VOL 3 a x- r/7oe1k5C -rp °^eEe l xl•p +k .x:lmweawmaalWlrL %. wrN UNPLAlff LANDS r� n' PAGE 2474 y ^, ^ n Cd a-Sa IA°xnrf fa ' .tlM k Mere lM rlq,kn M Y 0A M M a 1 9a[ A'OlA'A'' 7kaeaadLMld,Ce.ilNJaq'W . I a Mi"y Wye. Ashy xaa tiw St 0* rM rY1kn 9UI(w r((0 Ma.1 %hN xmil:IJarIMellnNaaarikr:9kawA: fa.lnml lane �, S WA 0 6aa UNPLATTED EANUS edMM of we 10°4 a1N: 9a wa ^,..w .AMkan mwr.k drmwAPwrrmrrpwr,+tral.0 salty, 77.10.16 Ww 17.10-18 -- w Ahw9 a wnNxa %AA (A %UA Or kmba rA � w;,lw:' p:.+ra nAwr. a a xw Aprllbr■.rdr:Ai . sfarrranrMW SHEET I OF 2 0111"d Am lane sAnw na // U.$ FISH k MtLULIFE q ,p tl pOAa It %rN It 11. w x A ow w x ., ,xI Ma, wa:" • Mxy1N ar r.,x,.Mx a A. ( 7 ! 1..: ..___ -.. -1 MM 6 .tA1AYnAr aI +N1. Wt•rA1:a:A af"awhk rw. Milk rylNwxrlaeAle:Nm ,ulwwxn.YrlhAwlxMiA1M 1:1) ST. CROIX COUNTY SEPTIC I TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer C L Mailing Address 7 `-� �� Z S A/e�,� Gam) �4�(�( 7 Property Address I Y70 1 12- s T (Verification require from Planning & Zoning Department for new construction.) City /State Parcel Identification Number 0 d- -moo LEGAL DESCRIPTION i Property Location AJ V4,, S 1 /4 S ec. T0N RdW, Town of Z Subdivision L ! ��r,�� '�u��o Lot # -- z Certified Survey Map # , Volume , Page # Warranty Deed # 3 ,9-7— , Volume 3 Page # Spec house es no Lot lines identifiable ye no SYSTEM MAINTENANCE AND OWNER CERTIFICATION i 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. Owner maintenance responsibilities are specified in §Comm 83.52() and in Chapter 12 -St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman pl =ber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operatpzg condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. i 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 system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 34 days of the three year expiration date. I/we certify that all statements on this corm are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warran deed recorded in Register of Deeds Office. Numb , of bedrooms 3 SIGNATORMF APPLICA�T(S) DATE ** *Any information that is misrepresented ma result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warran deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) i 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 Con1jWWcy Plan p tion #1. system fails, determine cause of failure, use alternate area and install new system in tested 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 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 U 2�3QP 634 7443 (D2 �! STATE BAR OF WISCONSIN FORM 1 - 2000 KATHLEEN H. WALSH REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX Co., wI RECEIVED FOR RECORD This Deed, made between L. Lawrence Williams and Virgina R. 10/21/2003 09:45AM Williams husband and wife and each in their own right Grantor, and Dalstock LLC, a Wisconsin limited liability company Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys to Grantee the following EXEMPT # described real estate in St. Croix County, State of Wisconsin (the "Property") REC FEE • 11.00 (if more space is needed, please attach addendum): TRANS FEE: 3015.00 The South One -half of the Northwest Quarter (S '/s of NW '/4 of Section COPY FEE: Twenty -three (23), Township Thirty (30) North, Range Eighteen (18) West, CC FEE: EXCEPT Lot One (1) of Certified Survey Map recorded in Vol. 8 of PAGES: 1 Certified Survey Maps, Page 2305 as document number 465057; AND The North One -half of the Southeast Quarter (N '/2 of SE ' /4) of Section Twenty -two (22), Township Thirty (30) North, Range Eighteen (18) West. Virginia R. Williams joins in this deed for the sole purpose of conveying any Recording Area interest she may have in the subject property under the Marital Property Laws Name and Return Address of the State of Wisconsin. Robert J. Richardson Parcel Id numbers: Bakke Norman, SC 026- 1068 -80 -000: 026 - 1068 -90 -000: 026- 1066 -80 -000: 026- 1066 -90 -000 S233 McKay Ave., P.O. Box 399 Spring Valley, WI 54767 Together with all appurtenant rights, title and interests. See above Parcel Identification Number (PIN) This is not homestead property (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: easements, restrictions and rights of way of record Dated this 15th day of October 2003 * L. Lawrence Williams * Vir is R. Williams * * AUTHENTICATION ACKNOWLEDGMENT Si¢nature(s) L. Lawrence Williams and STATE OF WISCONSIN ) Virgina R. Williams ) ss. County ) authenticated this 15th da f October 2003 Personally came before me this day of 2003 the above named * ob rt J. Richardson TI LE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foreeoing authorized by §706.06, Wis. Slats.) instrument and acknowledeed the same. THIS INSTRUMENT WAS DRAFTED BY ROBERT J. RICHARDSON. Bakke Norman, SC SPRING VALLEY, WI 54767 Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) l * Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO ( 800) 655 -2021 wwwinfoproforms.conSTATE BAR OF WISCO WARRANTY DEED FORM No. 1 - 2000 FOOM :OEVERING HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM Pll Am Tli-Lul a! 1 i y I a , • w .- ---- - - - - -- TI w 9� +I 13M 0 _ N sill s +» a 1 � Y �� • Y M YI Sam p gg Y 9� -- ...----------- - - - - -- ._. -_ i . u, ' ; I _ ----T- r i r j r i i l i O �y r y - - - -- ----- - - - - -- -- -- -- - - - --. t - z ZTd WdbT:OT MW VT .3a(l ZBZTT£SSU: 'ON XUA D S34OH ONI83030: Ind