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Home My WebLink About026-1160-06-000 t E $ � ; � I �k\ � % »2 � 2 �. 0 g C ? ) .0 ! LL f ED \ \k� S , # � § z \ k R / \ 2 \ ) z 2 _ : « m \ § — CL k 2 c @ n N c j ] � � c R \ a- e c o l 8 z I \ ' � z I \ t 2 ] 2 � ^ � . I .G SL §i j § R§ a a k m \ _ \ 0 E m � � k § 2 2 2 a_ �5 � - 2 j v E ! 8 / } � .f � .k g § 2 / ) ; 2 < t $ z n � ■ f \ o k 2 C (' § § g O 4] / GCE § ( c k /\\)L b\ 2 k / \ § { f $ . cc IAA - . § 1 \ j \ \ z / w \ � « 2 /\ E / $ « M (I E $ 'E k a f & v a �0 2 J Wisconsin Cepartment of Comrherce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division — INSPECTION REPORT Sanitary Permit No: 453245 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 Richmond Township Z-� CST BM Elev: Insp. BM Elev: BM Description: nn n[Town /Range /Map No: f& r �"� M 05 rcti 23.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /Z� /e3j� Dosing �`- Alt. BM / �q f Aeration Bldg. Sewer !f 515. Holding St/Ht Inlet <' / ''77 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic I S / • p/L -v q I Dt Bottom Dosing /� 1' � Header /Man. : Aeration Dist. Pipe St g /. T V ` 1. � Holding Bot. System 5.✓ 4 M Cie i SD /. PUMP /SIPHON INFORMATION Final Grade r 1 :6 Manufacturer Demand St Cover , • L GPM Model umber $ S w �� ecM„ TDH L' Friction Loss Syste d TDH Ft � + , Z Forcemain Le Dist. to W0 I l3.SZ �o SOIL ABSORPTION SYSTEM G� �� Zvs G�1Q� BED/TRENCH Width _ ! Len th / No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Li iq0 d Depth DIMENSIONS L1 �? 7 s (r I N SETBACK SYSTEM TO J! P/L BLDG WWEE LAKE /STR TAM LEACHING Manufacturer: INFORMATION HAMBER R Type Of � *4)'_ : n f / - l� d /t Model Number: o, a� r /1 C `1� /`f FJ DISTRIBUTION SYSTEM Header /Manifold d Dis( \ x Hole Size Hole Sp �b q Vent to Intake ' - i f ^ Pi pe e s \ Length L Dia 14 Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over j Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center ' r Bed/Trench Edges \ Topsoil \ Yes [] No Yes n No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /� Inspection #2: Location: 1340 146th Ave. New Richmond, WI 5 17 (S 1/2 NV1 /4 23 T3 N R18W) Whitetail Meadows Lot 6 Parcel No: 23.30.18` 5}. C� JW 1.) Alt BM Description= 199.6(, 2.) Bldg sewer length amount of cover ' a � Q n..- Plan revision Required? es F' No Use other side for additional info ation. L v 1_` b t 1 Date Insep oes Si ture Cert. No. SBD -6710 (R.3/97) 1 NA �y All r X� _ A Wisoon8in 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. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Own /,� Property Location V-LCIL—Je c 5zy'�'k /, `i . L I Govt. Lot 1 S T O N R E( r)w Property Owner's Mailing Address Lot - Block # Subd. Name or, M# City sta Zip Code Phone Number O city ❑ Vil�ge% wn Nearest Road tw Construction Us esidential / Number of bedrooms Code r! gn flow rate GPD ❑ lacement ❑ Public or commercial - Describe: Parent material .� Flood F ,lion if applicable ft. General continents and recommendations: Boring # Boring Pit Ground surface elev. `1 ft. Depth to limiting factor 4 in. �— Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munse Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 12A— I F-1 Boring # El Boring E] pit Ground surface elev. ft. Depth to limiting factor in. NEKplication 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 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date E ation Cond cted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �-- -) 715- 246 -4516 Property Owner _ Parcel ID # Page of 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 GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑ Boring ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. NINplication 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 1150 mg/l- ' Effluent #2 = BOD < 30 mg/- 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. seD -9330 (RAM) AUNDPRESSURE OT PLAN PROJECT Dalstock L.L.C. ADDRESS 1748 112th St. New Richmond Wi 54017 S 1/2 NW 1 /4S 2R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 22690 DATE8 /9/04 BEDROOM 4 CONVENTIONAL XXX IN- CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .3 ABSORPTION AREA 2052 # of chambe s 66 BENCHMARK V.R.P. Top of Survey iron ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 80.8/80.2/79.6 5' below qrade Alt. BM Top of 2" Pipe C 100 Scale is 1" = 40' unless otherwise 225' Property Line noted Well is to meet all setbacks required by Alt. B.M. WDNR Plans Designed Using B.M. Conventional Powts Manual Version 2.0 Vent >6 „ Standard Biodiffuser of Cover Leaching Chamber 130' with 3 1. 1 ft2 of Area 4 6' Long 11 " Grade at System Elevation 34" Pro 4 Bedroom Vents House B 5' Fo be 85' 5' from T roperty ine 30' 3 -3' X 138' cells 5' with >3' spa 0' B -3 ease note: System is being sized for a .4 10' loading rate, if at the time of installation, portions of the system appear to be a B -2 massive sandy loam, the system will be 56' perty Lin( increased in size to accomodate for this, sing a .3 loading rate 120 Slope 50' B -4 Cowa I SJI and Buildings Division `� • �' Q P.O. Box 7082 ( Sped is by Ca) 201 W', Washington Ave., Sanitary perattt N� >� (�� Iviadison, 11 53707 (608) 261.65 � State Plan LD. Number Department of Commerce Applicat ]Permit Pr ,f different than mmliag °ddrec °) Sanitary infotYSlatioa Yoµ ovi protect Address �Ys. Adttt. Coda v�Y w, s1S.44( Sa accord ma be of ed f f Saco�ry PusPos � I, Applicstioa Information — Please Print All In p°rccl # lot .. T ; P O Nam • i) PC I Location �^ i 2 � Address siliD S �/ Soction i !4� I Property Qwne!'S M 8 G (circ one Zip Code w City, S CSM N �� SubdivisiOa N s A g, a of Btt3ldtnS (etaedc aft that spioly) (/ / (G or2FsmilYD welliny- Number ofHodrvogo [)Cit CYilla ip ❑ publiGtUtnmercial - Dam C State Owned - Deserts be U p Usable) otie bas on Line A. Complete line B if a p Cheek only ' ens Only IIL yp C Orhe Modiftea to Existing System Te o permit: ( Tank Repittcetu [] P�p)scenteat System ❑ rreanneoDUOlding List Pn rious Permit Number and Date Issued w $ystma t Traasfcr to No - Change of C ❑ Permit i I 8. (] P erm it Renewal C Pit ACY'sion Plumber Owner Before E r a pans Sand Filter Singl Iy , a of PO S s tem: C heck All Mound c 24 in. of suitable so t a 1 able soil C il C gecin 24 in. of sui (] Aerobic Tree neat Uait °riled is.Groun d ❑Monad _ ❑Peas Filter e l - n -lkest ❑ �� wad [j R outing Tank t ( xP Coasentctod Welland r+ � Grsrel -less her Pies �• Chetnbef ❑ Drip Line Rtes Pro sac Medte Filter s per� 7f Q Raeiratlsria SY�tt tm ortasittoa: dsf) aired ( � Dis V. Dis erealr!'reaeot Area Lcation F; Plastic Flow (SPd) Design goil PP Drs Sitc Glsss �� 3 N Maattfaonuer . Concrete Constructed &I in T i I YL Tank Info CsP (lallcas of Units Gallons l y e ,,, tsisting � � � Tanks Tanks Septic or Ho tdiag U AaebicTtatYoont unk I S sha�+n oa she artsehed Plant for iasral3asioa of the POD Easiness PhoneN bet � J Dpaia °tt assume responsibility MP/1tifPRS Number `/� l VU. Reaponsibiuty Statement- I. the uadersia 7--, 1 J-6 Fl„atber' 4 N ame (Prins) I t 4=141 e) ` Ci Stam Zi ps ) Plumber's Address (Strew' h'� t Si (N Dst, Ins 1 is n8 � 1 it Fee (includes Csra+s stet aRmeat Use Onl - S Perm DiSapprovod Surcharge Fee) pproved C Q 0,,Mcr Given Reason `or Den'ai WReasons for Disapproval IX. Conditions of App rov � „Q�, �j � l ' STEM OWNER: a (J rl�+'�,�` 1 Ails tank, effluent filter and ! j%Wrsal cell must all be se rvieEd maintained 3 as per management plan provided by plumtr. 2D �ps� 2. All setback requirements must be maintained �¢ �t 3 Q ¢ �— as per applicable code /ordinances. t lef Man f : , t � l �laQde�s in aalr) for the system ea i°te Plans to the C°Ya �/ �F�'�� L PLOT PLAN PROJECT Dalstock L.L.C. ADDRESS 1748 112th St. New Richmond Wi 54 S 1/2 NW 1 /4S 23 /T N/R 18 W TOWN Richmond COUNTY ST. CROIX f MPRS Shaun Bird 226900 DATE 5/17/04 BEDROOM 4 CONVENTIONAL XXX IN -GROU D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1586 # of chambe s 51 D, `oq4 IL BENCHMARK V.R.P. Top of Survey iron ASSUME ELEVATION 100 Filter Zabel A -100 [:]BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 84.8/83.8/82.8 4.5' below qrade Alt. BM Top of 2" Pipe @ 100.2 Scale is 1" = 40' unless otherwise 225' Property Line noted Well is to meet all setbacks required by Alt. B WDNR ,� Plans Designed Using B Conventional Powts Manual Version 2.0 Vent ALo Standard Biodiffuser Leaching Chamber with 3 1. 1 ft2 of Area 1 0 Tc be 3 4" Grade at System Elevation >5 from Pro 4 pr perty Bedroom lin` House B -1 5' 3 -3' X 107' cells with >3' spacing 30' T 0 ' 30' 10 -3 15' 6' n operty Line 2% B-2 lope ase note: System is being sized fora . e loading rate, if at the time of installation, V 11 portions of the system appear to be a �- massive sandy loam, the system will be increased in size to accomodate for this, using a .3 loading rate —<-"_ PLOT PLAN PROJECT Dalstock L.L.C. ADDRESS 1748 112th St. New Richmond Wi 54017 S 1/2 NW 1/4s 23 /T N/R 18 W TOWN Richmond COUNTY ST. CROIX f MPRS Shaun Bird 226900 DATE 5/17/04 BEDROOM 4 CONVENTIONAL XXX IN -GROU D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1586 # of chambe s 51 D I „� /, WL BENCHMARK V.R.P. Top of Survey iron ASSUME ELEVATION 100' Filter Zabel A -100 r ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 84.8/83.8/82.8 4.5' below qrade Alt. BM Top of 2” Pipe C 100 Scale is 1" = 40' unless otherwise 225' Property Line noted Well is to meet all setbacks required by Alt. B.M. WDNR Plans Designed Using B M Conventional Powts Manual Version 2.0 Vent >6 „ Standard Biodiffuser of Cover Leaching Chamber 130' with 3 1. 1 ft2 of Area 6' Long 11 To be 34" Grade at System Elevation >5' from Pro 4 property Bedroom line House B -1 5 , 3 -3' X 107' cells with >3' spacing 30' T 0' 30' 10 -3 15' 6' Pi operty Line 2% B-2 lope ' ,1'166 — se note: System is being sized for a. loading rate, if at the time of installation, Vents port ions of the system appear to be a massive sandy loam, the system will be increased in size to accomodate for this, using a .3 loading rate_ yt 45 G 6)A- _._ Bird Plumbing Inc. 1008 192nd Ave New Richmond WI 54017 715- 246 -4516 Subject: Whitetail Meadows Soil Tests To Whom it may concern: I Shaun Bird did the soil tests on this subdivision known as Whitetail Meadows in Richmond township. Aftbr a couple of installations, some of the soils were found to have a more weak structure than what was found in some of the borings. In order to protect home owners and contractors, it is my recommendation after discussing the issue with Pam Quinn from St. Croix County Zoning office that the systems be oversized using a .3 loading rate instead of the original . is that were originally size or a . , using a.4, not the new .6 that the state has suggested. The soils are what the tests indicate but the large areas tested did not reveal some of the weaker structures that were found upon installations. If a installer can prove otherwise, that the weaker structures do not exist, then the installer should proceed with the soils that he /she believes are present. Shaun Bird CST #226900 z -d ds4 =TT 40 sz add ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT a t N a ■ ru■r ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 r — Phone: (715) 386 -4680 Fax (715) 386 -4686 Memo to File From: Pam Quinn Date: 4/27/2004 Re: Sandy loam structure misinterpretation on subdivision soil reports Recent soil on -site determinations have brought a problem to our attention. During these on- sites, borings were excavated to confirm soil conditions where two conflicting soil reports had been submitted for zoning 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 (lmgr) 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, "lmgr ". 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 "1 mgr' 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 "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. I Wisconsin Departrnent'of Commerce SOIL EVALUATION REPORT Page J_ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code i County Attach complete site plan on paper not less than 8 112 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. Revi ed by Date P leaser print all information.___ ...., Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location G/�✓ ' ± Govt. Lot 1 14 S,23T N R E ( W Property Owners Mailing Address - Lo t# Block # Subd. Name or CSM# City State Zap Code Phone Number jY ❑City ❑ Yffiage own Nearest Road 1. New Construction Us� Residential / Number of bedrooms Code derived design flow rate �� GPD Cl Replacement ❑ Publi or commercial - Describe: �� -- - - - -- - -- - -- Parent material 'w ' Flood Plain elevation if applicable ft General comments 2 1e v 7 � and recommendations: �{ 1 1 4u � # U l BoBoring ng / �] tt Ground surface elev.�� ft. Depth to limiting factor 1 " in. I 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 I •Eff#2 C 2, k Borirmj # Boring �g Pit Ground surface el — ' _. ft. Depth to limiting factor in. Soil lication 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 � lL ry) 0- a 1� Cl Effluent #1 = BOD > 30 <_ 220 mg/L and TSS >30 1150 ` Effluent #2 = BOD 130 mg/_ and TSS < 30 mg/L CST Name (Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ' __0 715- 246 -4516 Property Owner — Parcel ID # Page of F3 _1 Boring # [] Boring it Ground surface elev. Y�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. 'Eff#1 'Eff#2 -� )oy,� ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots 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 130 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. 580.8330 (RAM) Soil Test Plot Plan Project Name William Stock/Steve Dalton Sha ird Address 1748 112th St. New Richmond Wi 54017 C§` Al #226900 Lot 6 Subdivision Whitetail Meadows Date 8/15/03 S 1 /2 N W 1 /4S 23 T 30 N /19118 W Township Richmond R Boring () Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 84.8/84.0 *HRPSame as Benchmark Alt. BM Top of 2" Pipe @ 100.2 Scale is 1" = 40' unless otherwise 225' Property Line noted Please note: Installer must Alt. B.M. verify all lot lines and setbacks ,� before installation. B.M. Please Note: Tested area may not be suitable for desired building area. Check system location before excavating. 130' B -1 5' a� 10' B -3 15' 12% B-2 lope 89' r� 87' ST CROIX COUN ' PENANCE AGREEMENT SEPTIC AIM . OWNERSHIP CERTIFICATION FORM 1 OwnerBuyeT J Mailing Address Property Address D e p artment for new construction) (Verification required from Planning eP ' (,l/�arcel Identification Number -G�lti. City /State LEGAL DESCRIPTION cc. Town of 21 av � � T .�- " X� W, � i ' S # Pr operty Location Lot Subdivision Page age # Certified Survey Map # 3 page #. 7 q t y , Volume Warranty Deed # Lot lines identifiable es 0 no Spec house ;R, yes no NANCE remature failure to handlewastes. Proper maintenance SYSTEM of your septic system could result in its P a licensed pumper• What You put into the system Improper use and maintenanc tan every three Years or sooner, if needed by in out the septic tank a in the , waste disposal system. consists of pump S t stag can affect the function of the septic tank as a artmeat a certification form, signed by the owner and by a ng that (1) the ou - site wastewaterdisposal system The property owner agrees to submit to St Croix Zoning Dr tic tank is less than 1!3 full of sludge. leymanPlumber, restrictedplumber or a licensed pumper verifyi necessary) , the Ser masterplumb er, jour' Z after inspection and pump g is in proper operating condition and/or () sal system with the standards agree to ma i n tain rivate sewage dispo have read the above requirements agr i the P Resources, State of Wisconsin Certification undersigned t of Comd the Department of Natural Zoning O h ffice within 30 Vwe, the set fo erein, as set by the �epart�n merce an feted and returned to the St. Croix County t our septic system has been untamed must be comp stating Y S the e r expiration date. DATE S NA" OF APPLICANT OWNER CERTIFICATION our) knowledge I (we) am (are) the owner(s) of e t the best of MY 4 , ATrLt y we) certify that all statements on this fort' deedrerecorded in Register of Deeds Office. th d d above, by nu virtue of a warranty AT E ME OF APPLICANT « * * * ** ormation that is s rep resented may result in the sanitary permit being revoked by the Zoning Department. A inf warranty deed from the Register of Deeds office decd ** Include with this application: a stamped if reference is made in the warranty a copy of the certified survey trap Maintenance and Contingency Plan for a Septic System Maintenance Plan once eve 3 years. 1. Septic Tank is to be pumped every 2. Effluent fitter 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 evJary 3 years, cells are to be inspected via the in 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. Watershod is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan Option #1. if system fails, determine cause of failure, use alternate area and install new system in tested replacement area. tion #2. stall system at a lower elevation, by removing chambers, removing biomat, and install new system. area, and elevation Option #3. No adequat e area is suitable for replacement a Y cannons be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber::)haun Bird 715 -246 -4516 St. Croix County Zoning 715 -386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900 U 2939P 63y 7 _ 4 3 2;-- 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 09:45AN 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 '/2 of NW '/. 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 % 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 L 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 Sienature(s) L. Lawrence Williams and STATE OF WISCONSIN ) Vireina 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 Derson(s) who executed the foreeoine authorized by §706.06, Wis. Stats.) 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.) ) ' Names of persons signing in any capacity must be typed or printed below their signature. 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