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Home My WebLink About026-1147-08-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453199 0 GENERAL INFORMATION (ATTACH TO PE RMIT) 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: Collova, P.C. I Richmond Township 026- 1147 -08 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 6 E _ 0 24.30.18.1066 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / 060 _0 Benchm k 3 / �- r Do ` Dosing V WE BM a3, 7 Aeration Bidg. Sewer 303 63 oD- o Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet /O TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , 70 ' 3 o r Dt Bottom Dosing Header /Man Aeration Dist. Pipe 1 Holding Bot. System C1h PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM Model Number TDH Lift Fric �oss tem Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width ! Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. T uid Depth DIMENSIONS ' ', SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREA LEACHIN anufaTer. INFORMATION CHAMBER OR ( 6cu t� Type Of System: / UN Model Number: DISTRIBUTION SYSTEM > ` J toad (/ 96VIJ Header /Ma ifold Distribution � x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) $1 N� E':1 J _ - -- b-5 / Length Dia length Dia paang __ 0 i: SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only - Xo W i yalaj. Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center A J Bed/Trench Edges Topsoil -- �� Yes l � No _i Yes j No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: � Inspection #2: / / Location: 1414 146th Ave Unknown (NE 1/4 NW 1/4 24 T30N R18W) Richmond Meadows Lo Parcel No: 24.30.18.1066 1.) Alt BM Description = 5� CO ��z— J yS ^�_�- /_',t� - ti ` 2i(d � 4 f /- 5" y 2.) Bldg sewer length = S(� [�-(�r �IrD�.' {� „ _ (r , � C7 {,v`�vrnd - amount of cover = � � / „ _ ,� � ! �� ✓(•� -�"� sd �� j �� 5 �� Plan revision Required? Yes i No I Use other side for additional information. L_ SBD -6710 (R.3/97) Date Cert. No. Insepctor's S' nature Safety and 1luilding Division County t / 201 W. Washington x 7162 St / � /1► Madison, WI 3707 yy� ,1 anitn Perin it Number (to be title in by Co.) 5consin (608) 246-315 % f rtment of Commerc State PI-1D. Number Sanitary Permit Applicati APP 1 2o(, --- In accord with Comm 83.21, Wis. Adm. Code, personal i a you provide Proje Addr ss (if different than mailing address) may be used for secondary purposes Privacy L s15.04 ) c*- n 2 s '(' is C(iu T"� \ 1. Application Information - Please Print All Information °Z� - I arcel # of # BJasIr1F Property Oteater' al r� c (�211,110 z 51,41 Property Location Property Otw Mailing Address J J � � me Section Zip Code Phone Number City, St N, or W II. Type of Building (check all that apply) Subdivision Name CSM Number l or 2 Family Dwelling - Number of Bedrooms ❑ Public /Commercial - Describe Use ❑City ❑Villag iship of ❑ State Owned - Describe Use III. Type o Permit: (Check only one box on line A. Complete line B i f e b cale) 'D 2- 06� -" 1 - n - A. New System ❑ Replacement System C3 Treatment/Holding placement Only El Other Modification to Existing System B. ❑ Permit Renewal El Permit Revision El Change of ❑ Perin it Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System'. Check all that apply) El n - Pressurized In- Ground ❑ Mound ? 24 in, of suitable soil [I Mound < 24 in. of suitable soil ❑ At -Grade [I Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ound C1 Holding Tank [I Peat Filter ❑ Aerobic Treatme Unit ❑ Recirculating and Fi lter Recirculating Synthetic Media Filter eaching Ch er ❑ Drji Line ❑ Gravel -less Pipe Otter ( xplain)� V. Dispersal/Treatment Are rmation: 161 1 De n Soil A ion Rat ps) ps I Area Required (sf) ers i Proposed (sf) System Elev on / Design Flow P df Diser e // -- in 1 Number Manufacturer Prefab Site Steel fiber Plastic V1. Tank Info . yq� Concrete Constructed Glass Gallons Gallons of Units _ J Naw Existing Tanks Tanks r Septic or Holding-rank; 4 i Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, ass esporisibility for installation of the PON'TS shown on the attached plans. M /M PRS Nu ber Business Phone Number Pluthb�r's ame (Print) Plumber's Si r P Plumber's Address (Street, City, State Zib VI11. .ounty /De artment Use Onl Sanitary Permit Fee (includes Groundwater Dit Issued uing Age Signatur mps) \ Approved ❑ Disapproved Surcharge Fee) Q 6V p� ❑ Owner Given Reason for Denial � '�� vjy� - 7' IX. Conditions of Approval/Reasons for Disapproval 3 YSTEM OWNER: 1 eptic an , e nt filter and / + dispersal cell must all be serviced 1 maintained as per management plan provided by plumber. 6 y' 2. All setback requirements must be maintained a licable code /ordinances. Anach complete phsm (to the County only) for the system on paper not less than 81/2 x I1 inches in size SBD -6398 (R. 01/03) J r - - P T PLAN PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 NE 1 /4 NW 1 14S 24 /T 30 / w TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/18/04 BEDROOM 3 CONVENTIONAL XXX IN- GROUND PIUSSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 IL BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 97.4/97.1/96.8 3.5' below grade Alt. BM Top of Survey Iron @ 96.6' 146th Ave B.M. Pl ans Designed Using Alt Conventional Powts B 0� Manual Version 2.0 ZI Slope 50' —5 Well is to meet all u setbacks required by B WDNR 10' 80, B -1 5' If Propc rty Li 3 -3' X 83' Cells with >3' Spacing B -3 ents 25' 25' Pro 3 � Bedroom House , Vent >6 „ Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 11 6' Long Grade at System Elevation i 34" I P T PLAN PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 NE 114 NW 1/4s 24 /T 30 / WTOWN Richmond COUNTY ST. CROIX 4/18/04 3 MPRS Shaun Bird 226900 DATE BEDROOM CONVENTIONAL XXX IN- GROUND PIUSSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 97.4/97.1/96.8 3.5' below qrade Alt. BM Top of Survey Iron @ 96.6' 146th Ave B.M. Plans Designed sing Alt. Conventional Powts Manual Version 2.0 B.M. 5% Well is to meet all Slope 50' setbacks required by B -2 WDNR 10' 80' B -1 IF 5 ' Prop rty Li 3 -3' X 83' Cells with >3' Spacing B -3 Vents 25' S 25' Pro 3 Bedroom House Vent >6 " Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 11 „ 6' Long 34" Grade at System Elevation R % Wisconsin Department of Commerce SOIL EVALUATION REPORT Page - -/ of Division of Safety and Buildings in accordance with Comm 85,'Wis. Adm. Code - ' Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 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. ce b Please print all information. ewe by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ' al Property Owner Property Locatio ]] � . • - D Govt. Lot 1 /4 i t)14 S� T N R E (or), Property Owner's Mailing Address Lot I Block # I Subd. Name ("I e2i` i i 0 4 '4 1 , 00 3 2i C "Jv fur ��rCk City State Lip C(SdE Phone Number E] City Village wn Nearest Road New Construction UseoResidential ! Number of bedrooms Code derived design flow rate -e r-J' %2 GPD (j Replacement Public owommercial - Describe: Parent material f=lood Plain elevation if applicable 1 4 1 1 . L5 ft. General commenis and recommendations: 2 V�) L ' r Boring # raq Boring L�J Pit Ground surface elev. C g_ pepth trs Limiting 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. i 'Eff#1 °Eff#2 - �—' S 172 k . / x g✓'i /✓' --7 I ja i S L Boring f, Boring Pit Ground surface elevi_ ft. Depth to limiting factor _ I in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlff in Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. °Eff#1 °Eff#2 j � w - -- _. yz 3Z '2 � l0 t ` Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 < 150 mg& ° Effluent #2 = BOD < 30 mg/L and TSS < 30 nxyL CST Name (Please Print) Signs CST Number f Bird Plumbing, Inc. Shaun gird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, W1 54017 715- 246 -4516 Property Owner _ Parcel ID # Page of Boring # ❑ Boring ,,Pit Ground surface elev. ! j 4X ?ft. Depth to limiting factor � in. Soil Ap ligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure i Consistence, 8- undary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ; ); A 'Eff#1 'Eff #2 1 ` � �--- ;; ) qn I p i 3 f ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Baundary Roots GPD/ff in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. I 'Eff#1 'Effi#2 d i I Boring # ®Boring 11 Pit Ground surface elev. ff. Depth to limiting factor in. Solt 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 9 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 - 3151 or TTY 608 - 264 - 8777. SB o- 8330 trt.door l Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc. Sha Address P.O. Box 489 Somerset Wi 54025 OTM #226900 Lot 8 Subdivision Richmond Meadows Date 5/28/03 NE 1/4 NW 1/4S 24 T 30 N /13 W Township Richmond R Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 9 7-4/97.1/96.8 *HRPSame as Benchmark Alt. BM Top of Survey Iron @ 96.6' Pro town Road M.a .CIA 5 0 M. 99' Slope 50 , B -2 100' 10 ' 80' B -1 5 ' 101' B -3 40 0 � �� - (n a� 9� 8 FF i�0 W \!" ^ a rn Go i O �6° - a �O 3 .0 0 �� 2 N ev co 0 "66 v 4) C \ f \ OO 1 ?ylW N U N Q1 OOry \ f7 Q \ � 0 00 9001 t n a \ - -\ — - d � u \ \c' \ \ \ 'p ao – m \ \ O 96 6 \ \ iWS�itt�\ ° OC R • �� LL A �- — — — ?'L =l \•OM �. \ M a `n c — f-- - -- �\ �0, \ \ lb M 4r c�Z F �+ 0 0*ft& 0 L 1 LOL \ \ \ s+O \ rn LL. \ as not CA m OO(cO � I �q \fi `0�!\ \ic• ol� \ I 1 Yj p v� a 0 N 1�,,,e _ -1 II rnN Q I \ I \\ � \\ y \ �o m I 1 \ x 1 / `` U, Q ) L 6 SO! LO ' 09- '16* 3•ZO.17,£•90N m .�p•3�'�. \ \ 9 '09l \ �\ \ i 36 I V)\ \ 33 ��a ! �x i NUM n v W rn u a� tD / ,,� i V • f Q Q O a rn 11 . •�� UO r C N via 0 a / Q tl? to J r M 004 M Q N �� pp / ��"• _ U / to _ M N W M � LQ W 00 � / t to U • 0 0 i II W r N J (� 0 " — O 0 to Q • r � 4 * I N m 4m �� P I / oo �oo� oasoot on " Wisconsin Department of Commerce SOIL EVALUATION REPORT Page Of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm.. Code ' Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 54. l ro 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. 241-11(1 Please print all information. by D ate Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 1. d Property Owner I V q Property Locatio ( C L G r C o vi Govt. Lot J 1/4 Uj 1/4 S T 3 N R l E (or)(3W Pro erty Owner's Mailing Address Lot # Block # I Su-bd. Name or CSM# City State Zip Code Phone Number ❑City E] Village (Town Nearest Road WWie ( ear 1k IME � _ (O (V ? G ✓�►C ✓t� IUC�f�7 St, New Construction Use: Q( Residential /Number of bedrooms Code derived design flow rate C GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material ��( Flood Plain elevation if applicabl i UtIVE General comments S�Js� PW� 2� 21� 99 O � � �� f-�/ _ T/S and recommendations: C U y) -6 o r 21 V 9 0 6 2 �� A P p 3 2 �,;� c �5 <f 7 (JS[ �+' • /) /_ T.CROIXCOUNTY 2�f r T -_ ,l ZONING OFFICE F 1 ❑ Boring # Boring CR'v do 61 /'At: 0 Pit Ground surface elev. 7 (; r S ft. Depth to limiting factor Z � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence u d Roots GPD /ft in. Munsell Qu. Sz. Cont. Color G 'Eff#1 •Eff#2 - to v r 2 lo -�- — 3 IC t' % Z 7, Boring # ❑ Boring n F Pit Ground surface elev. 'i q , 3 O ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture S re Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color z. S / •Eff#1 I •Eff#2 d V r V2 3 - G LE2 P 7 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 ame (Please Print) Si nature CST Number Sr Address Date Evaluation Conducted Telephone Number 11 �Sf S00Aerse Lit .3 L( 71S Zy7 400.8 SBD -8330 (R07 /00) 1 Y Property Owner 0"1 Parcel ID # Page of Boring # ❑ Boring * Depth to factor Zg in. 14 pit Ground surface elev. ft. limiting Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots tE GPD /ft Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. c M 6t -36 r C F-1 ❑ Boring Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. coil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 1ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07/00) i 1 PAGE :f> OF NAME IV 2 ,SO n TOT# LEGAL DESCRIPTION SCI 14 XJIIJ i4 ,S Z `( T :�> E(or�(/ SCALE: BM 1 ELEVATION BM 1 DESCRIPTION p a l ,OdCl BM 2 ELEVATION 9ff 6 Q BM 2 DESCRIPTIO f ` eJC_ SYSTEM ELEVATION 7 , 9 's'o ALTERNATE ELEVATION "WIA CONTOUR ELEVATION GCS i 3 -t q y. oo q4 ,y via, u r b � W `cam' $ 2 SIGNATURE S D — Q Z �N TIOP6.66'� •ww.. O / O O;S RIGHT LINE o°, y-- — / ao ha O 1 0 es O` 7 7r-, es c — - - — 7, ",5 r C 1 070.85 - � (�� E ^ 9 s NI 1 � 0 1005 CO / / t0 /, 0.00 m OS w N 1 00 / D N r l • ccoo c �� U,) !_ UN O v W �i Q / N —. O — D/ / Z Z 00 m it 01 N tD pp V (/ J N N w D N d D (- � �(j� O J _ �w Dy ^ N D _� w FOOD �. �'� 11 ( fm _V y fn a n 3 C 0 D� W — J r n� D v 0/ (J f w c c N IG o n 0 � �j ±' O � D . ^► (A n � 1 n \ \ 9 0.91' S 1 80.86' / m T - � •32'024 E � / 105 � ' � y D 8 d6 f \ / \ � l i ! \ M 0 In z O i (o , 000 \ y / > °j � / cn '� �c{'• C(1 II N N I ,yam• (N N c / r W — S OD > A v i Nye c 10a 00 \�`+ \ \ ? �w \ ` - - - _ 10,,.85 C \ _ , ' J 3�p� \ \ \ { \ � � CAM \ 4,`5 � 43 .- ��j / �a'. •\ ,\ \ �` � '�4�, \ ._ — — _J. _/ 160.8 _ _. � '�� 111, 5 . 02'IQ 5 80.04? ?� ®� 80.100' lu _ _ L.+',' � '�0•\ �'10 5 210.00' �� 1016— t�'o0 d + 466 T 71.91'\ i —�'- — -� — z _ —_ ys. \ \ \ 1 \ 9�iso0 .� � � w \ i D 0 \ L7 N ` Z \ 1 0 1 0.00 C .jp .+ D sEwo ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM P. C. COLLOVA BUILDERS, INC. Owner/Buyer (715) 2472742 P.O. Box 489 Mailing Address SOMERSET, WISCONSIN 54025 Property Address (Verification required from Planning Department for new construction) 00 e) City/State lyT Parcel Identification Number LEGAL DESCRIPTION Property Location AXE ' /,, '' /,, Sec. a—"( , T N -R A W, Town of Subdivision ��G�:1�r� 1` �ie��l0� S Lot Certified Survey Map # Volume , Page # Warranty Deed # J J , Volume c YJ Page # "7 Spec house yes Cl no Lot lines identifiable yes ❑ no SYSTEM MA I'i ITENANCE 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 masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 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 system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days X1 y iration date. P. C. COLLOVA BUILDERS, INC. V //V/ 6 v SIGNA F APPLICANT P.O Box 489 DATE SOMERSET, WISCONSIN 54025 OWNER CERTIFICATION ff cert ify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the sc ve, by virtue of a warranty deed recorded in Register of Deeds Office. P, C. COLLOVA BUILDERS, INC. �{ / �� p � (715) 247.2742 SIGNATURE OFVAPPLICANT SOMERSET, P.O x 489 DATE WIS 54025 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 front the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent fitter is to be cleaned once a year. Please note: a larger fitter is being installed in order to extend the maintenance interval of the filter. 3. Once eve=ry 3 years, cells are to be inspected via the inspections pipes at the ends of the ce11s. 4.Owner ac.rees 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 O 1f system fails, determine cause of failure, use alternate area and install new system in tested replacement area. O removing #2. Install system at a lower elevation, by 9 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: ')haun Bird 715- 246 -4516 St. Croix County Zoning 715- 386 -4680 Pumper Tom Mondor 715 -246 -5148 Shaun Bird #226900 U 2 5 12 P 4 2 8 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO. WI This Deed, made between Hillvale Development Limited Liability RECEIVED FOR RECORD Partnership, a Minnesota Limited Liability Partnership 02/19/2004 12:30PH Grantor, WARRANTY DEED and P.C. Collova guilders, Inc., a Minnesota Corporation EXEMPI # 17 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: 11.00 described real estate in St. Croix C ounty, State of Wisconsin TRANS FEE: the following tY. COPY FEE: (if o e space is needed. please attach addendum): CC FEE-. Lots 6, 7 8, 9, 10, 44,45 & 46 Plat of Richmond Meadows in the Town of PAGES: 1 Richmon , St. Croix County, Wisconsin. This deed is given in (partial)fulfilhnent of that certain Land Contract between the parties hereto dated January 20, 2003, recorded January 21 Recording Area 2003, in Vol. 2116, Page 009, as Doc. No. 706468. Name and Return Address FI=G S ZO ( Zact S7" So 4tA � W T- St'E U io 026- 1147 -010 ,026- 1147- 044,026- 1147 - 045,026- 1147 -046 026-1147-06,L26-1147-07,026-1147-08,026-1147-0 Parcel Identification Number (PIN) This is not homestead property (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of February 2004 * * Hillvale Development Limited Liability Partnership AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF MW T) ) ss. f e/lylf5 l/ County ) authenticated this day of — — Personally came before me this day of February — —, 2004 the above named *= MvM AR s LENE j. NELSON ■ Hillvale Development Limited Liability Partnership, a P UB Limited Liability Partnership by: —_ TITLE: MEMBER STATE B ONSI EXPIRES (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stars.) instrument and acknowledged the'same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland_ - - - -- - - - -_ _.-- - - - - -- - - - - - -- Hudson, WI 54016 Notary Public, State of Ml oUA) 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. Information Professionals Co., Fond du Lac, WI STATE BAR OF WISCONSIN 800 -655 -2021 WARRANTY DEED FORM No. 2 - 1999 HIC SCALE 2W ,W RICHMC NFm) 100 & Located in the Southwest Quarter of TO THE WEST LINE OF THE NW 1/4 part of the Northeast Quarter of the W., ASSUMED TO BEAR N00 "E. of Section 24, Township 30 North, R - - -- MATCH LINE-----,, SEE SHEET f S89V3'50 378,10 - ' f' • i 4�e f /o 3 SgFt Acres � 8 262 1 Ac t es / res 65389 SgFt res 1.50 Acres / o V. ee aFt / � �• 2 �/ / k�1O$ �� / 5�9� / �`S� y v . es 43 9 84271 SgFt Ile /'' 1.93 Acres / / 44 / 77915 SgFt / o / 1.79 Acres hO`L' , X 0 tk 4 14 - 45 69266 SgFt kri J 1.59 Acres // �,�y �,� < O .\ 118075 SgFt / O�? ~ � ! - v�`` 79566 r — \ (o_ 0(_noli A) 0 C7 m m 2. m m I cn at .. W ^_ n O Z Z ° A 0 .Z1 N° O y O w p A N • S W FBI OL CD CD o N m 3 0 0 C, o ` J CD m O 3 41 i '.I N O �• d N O (n Z D Q D I I � � a c o W °D N �CD Z N ? O 1 O °A !r ° nrtn y fT C • 000 °Y w Oro a (aC,N A C v o v j o m 'a w � CD � — w CL f y � D j N CD C CD fD Q N f0 -+ -i fA 7 p Z ID I N C + ;a M a A z 7 l i z --i N W I M W A M `-°, z o� z OD .. z w I CL CL 0 T to O z a o •• m i I I I � I A ti N O O Q o w I m o p C) m O !. i