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HomeMy WebLinkAbout026-1130-22-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 420374 0 GENERAL INFORMATION 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: Miller, Sam I Richmond Township 026 - 1130 -22 -000 CST BM Elev: Insp. BM Elev: BM Description: bo O t ( • d Q UC. r = c5.K 1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark - ` Dosing Alt. BM ' f Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic } r / \ 1 3 t Dt Bottom Dosing -- Header /Man. Aeration Dist. Pipe 10 3 .0 1 0 f* f Holding Bot. System PUMP /SIPHON INFORMATION Final Grade l ` S � , (� � �- C-,� Manufacturer Demand St Cover Model Number TDH Lift Fr' o oss System Head TDH Ft Forcemain X r gth Dia. ist. to Well SOIL A RPTION SYSTEM 3 c k a a�Q RENC idth Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIME S f 3 1 1 W, 7r 4!�IIQ 0 SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufactur • INFORMATION Type Of System: �_ CHAMBER OR dU yp y C� AX . I �/ �\ UNIT Model Number: l t /1 DISTRIBUTI SYST J Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake a Pipe( Length {�S 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 [y] Yes '] No [W Yes j ] No CO EFTS: ,(Include code discrepencies, persons present, etc.) Inspection #1:�/ 1 /2 Inspection Loca ion: 1 88 41st Street New Richmond, WI 54017 ( � NW 1/4 NW )/, 2(�5 ed Pine CQrnero -f ,2,2 Parcel No: 25.30 18 1.) Alt BM Description = 6 5��"' 1 l � t Sires � W 2.) Bldg sewer length = M -amount of cover= P Z -Q n- 6-45 GAIL ` R.u�6K lrns� rte-,. - Plan revision Required? l Yes Use other side for additional informatbn. No �� �� -� �� i .. SBD -6710 (R.3/97) Date Insepctor's Signature Cert . No. R.Evt t3,�1 and Buildings Division County 1 W. Washington Ave., P.O. Box 7162 j r . C" / N Visconsin Madison, WI 53707 - 7162 Site Address De artment of Commerce /� �L - -,) io3 f 3 9X 5 l y�' Sf-. Sanitary Permit Application Sanitary Permit Number / In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Z C 3 7 L7 may be used for secondary purposes LRdyacy Law, s15.04(1 m Cb eon I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number S 4!?( /,///Z 6 Grp-- 024.- 1077- ` Property Owner's Mailing Address Property Location A ff 41 -A. SZ s'T3 0 N.R�� City, State Zip Code Phone Number Lot Number Z Z Block Number Subdivision Name CSM Number /a S S LIU 1 S' 74 IL Type of Building (check all that apply) ( ,r D ��.�1 a L �' 5 1 L / T amity 1 or 2 Family elling - Number of Bedrooms � - Q Brn� []Village C1 Public/Commercial - nbe Use Township ❑ State Owned ( r' . 0 1 L. Nearest Road III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B V applicable) A. 1 VNew 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use stem Tank Onl stem B. Check if Sanitary Permit Previously Issued Permit Number te �JJ IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) L E A e H rti1 E� $ r o E7 ��uSmc"✓S 44 )(Non- Pressurized In -Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 54 22 ❑ Pressurized In- Ground e µ 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip ice P 3 /, ( Sdt Pr 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other /Z.A - 1 I V. DLVmaVIWAt vent Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.FL) (Min./Inch) Elevation Do, . VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Y - /,60,0 WE (S � - Dosing Chamber © Z �- 1 4 ✓" VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumbees (Print) / Phumber's Signature '/ /} MP/WRS Number Business Phone Numbber 9 Plumber's Address (Street, City, State, Zip Code) VIII. Cozen /De artment Use Onl Appved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issu Agen ro t Signature (No Stamps) Surcharge Fee) ❑ Owner Given initial Adverse # go Determination `{.P IX. Conditions of Approval/Reasons for Disapproval 4b lrtit Bty?� t •{v : do a 1. OAkA. , �tnro ae� ► a S S wS 4 D. Attach complete pl w On the County only) for tbi system on papa' not 3112 z 1 SBD -6398 (R. 05101) In l L LCD._ o'F-0 X cT /3$ I Y1 sT s7A--rr-7 \ NO 7 �1 f�EVrS�o►� r � 3 7N S J Ir \ t om. ,;• ,� ® 00 T �`t' a �� \fin ��'<^ � � 1581 v Wisconsin Department of Commerce SOIL EVALUATION REPORT page I of Division of Safety and Buildings 7 9 -/ a -O L A C.E. Sal &Site Evaluations in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croi x__ include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 026- 1130 -22 -000 Please print all information. gy Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - ►Z /ps pZ Property Owner Property Location Miller, Sam Govt. Lot NW 1/4 NW 1/4 S 25 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P.O Box 151 2 2 Plat O Red Pine Comer City State Zip Code Phone Number .J City _j Village to Town Nearest Road Hudson WI 1 54016 1 (715) 386 - 2769 Richmond 1 1388 141St. Street New Construction Use: 0 Residential / Number of bedrooms 3 Code derived design flow rate _ 450 - GPD Replacement Public or commercial - Describe: Parent material Glacial Till _ Flood plain elevation, if applicable na General comments and recommendations: Soil evaluation completed to expand area evaluated by Gary Steel 11/15/00. Install three trenches at 96.70' using 39 leaching chambers. Boring # - I Boring Pit Ground Surface elev. 9 9.46 ft. Depth to limiting factor 8 2.1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fV *Eff#1 - Eff#2 1 0 -11 10yr3/2 none s l 2fsbk mvfr cs 2fm,1c 0.5 0.9 2 11 -28 1 none grsl 1msbk mvfr gw 2fm,1c 0.5 0.9 3 28 -52 10yr4 /4 none sl 2msbk mvfr gw 1 fm 0.5 0.9 4 52 -82 7.5yr4/4 none sl 2msbk mvfr cw if 0.5 0.9 5 82 -97 5yr4 /4 f2f 7.5yr5/8 sl 1 msbk mvfr - - 0.4 0.6 F61 13oring # Boring Pit Ground Surface elev. _ 101.71 ft. Depth to limiting factor - ? 108 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sl 2fsbk mvfr cs 2fm,1c 0.5 0.9 2 9 -18 7.5yr4/6 none gr sl 1 m mvfr gw 2fm,1 c 0.5 0.9 3 18 -57 10yr4/4 none sl 2msbk mvfr gw 1fm 0.5 0.9 4 5L-, 7.5yr4/4 none sl 2msbk mvfr cw if 0.5 0.9 5 90 -108 7.5yr4/4 none sl 1 msbk mvfr - - 0.4 0.6 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS > < 150 mg/L j BOD <_30 mg/L and TSS <30 mg/L CST Name (Please Print) Sign re: CST Number James K Thompson �-� 3602 Address A.C.E. Sal & Site Evaluations D e Evaluation Conducted Telephone Number 340 Paulson Lake Lane Osceola, WI 5402 9/3/02 715- 248 -7767 �' • 50 :/ eda�ua�' p; b IT-7t . • So. � a� l.P,f 6r Gary 5{c a 1 /y / , N s/0 0 Pao posed 3 b ed�avw, r <sI'dexce. p o' o�u •G.s. -a Nt I • �9 ✓t10 eC A �y z o�Z Safety and Builduigs Div ion Camkky 201 Vi/, Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Sire isc®nsin z_, t g g y� De artment of Commerce Sanitary permit Number Sanitary Permit Application L f zo 31+` In accord writ4 Comm 1231 WU. Adm. Code, personal iaformatioa you provide ❑ Check if Revision im F be used for wandary MgqM Pri Law $1S. 1 m State Plan I.D. Number L Appliadon Iatoamatioei - rk�. Prior Ali Wormatlon ;° . Parcel Number © ,�j 6 // 3 0 p Owow's Name 002 k M 1 m L 4, F 1�..� � � Property Locaboa Owner's lrtaillo{ P ropel , Addtea �,� ' � ` A • s ?- S T3O N,R LSV I W Zip Code Lot Number 0 Z_ Block Nu �' State Subdivision Name CSM Number u/ ► s yes 3 '�- Z 74 >v .A- C2 IL TM of ( check that ap*) `/ t ' AA Duty F- 1 at 2 Family Dwelliq - Number of Bedms roo � "�CJ S e ?1LlY L S�'L ❑Village l..] PtibtirJCammercW - Describe Use ownshi �G 14 /�/}•�pa O ° 1 (t,t�r. L_ ". - t'6 aR �— Nearest Rol sT G� 1 rs ❑ States Owned q t us D). Complete line B if applicable) III. T.Tpe of Permw (Check only one box on line A (numbering scheme for interval A 1 $ New 2 ❑ Repiaamem System 3 ❑Replacement of 6 ❑ Addidoa to or Camty use stem Tank Ool f stem Permit Number Datc ]sued B. ❑ Check if Sanitary permit PrevioudY Issued scheme b for internal use) L�I�t! l� Genf �" � Del Ff us s a+' � IV. Type of Permjt: (Check all that applr)(n� � '0� a4JLNoo - pmwA�i=d 1a-Ground ,p � 21❑ Mound 47 ❑Sand Filar SO ❑Constructed Wetland 22 0 1 L In-0rouW 41 ❑ Hok ing Tank 48 ❑ Single Pass 510 Drip line lT/ 46 ❑Aerobic Tratiment Unit 49 ❑ Rec 30 ❑ 4S ❑ At -Grade Other d V. t Area Informations Percolation Ran System Elevation Final Grade �) Dispersal Area Dispersal Ara Soil Application d Elevation 2 � proposed Raw(Gals./Days/Sq.Ft.) (Min./inch) l f $� e • (0 2 . o Site Steel Fiber Plastic Total Number Manufacturer Prtifab Glass Vl Tank Info Capacity in Gallons of Tanks Concrete Constructed Gallons New Existing Tacks Toots Sepde at lloidins Tack - Doaloa Cumber � / �� iCi G. r/ L ?"�s �-.. VH. R bill Statement - I, the muknigmed, assume responsibility for installation of the POW'fS shown oo the atta ched Phone N umbe r Is Nam (Prmt) plumber's Signatim MP/WiPRS Number plumber's Address (Street, City. State. Zip Code) J / !.� / r 7 tU / �(� S VIII. Coun /De partin Use Onl Sanitary Permit Fee (includes Groundwater Date issued issuing Agent Signature (No Stamps) Approved ❑ Disapproved a Fee) t S u l [] W Owner Given W Adverse '2-2-E M Determination t 13L. Conditions of ApprovaUR for Disapproval [ C� the ed7 ) ref the gstea M Open lent flora al/2 :11 IatLea Y aktt Altai � plant (to Cotit7 SM -6398 (R. 05/01) ,5t4fij e il lZzE C'c k l ye 2- 1 2— 13SS ' 1415T Ta K V. /0 zc' R 16- 6At A (og- 3y .4 Qj 7, q PITT SA i>l 1Z ZEI.? Fllyf, /e fir 2 2. S 1 ' 1 ST TAKE T 5, ZZI A , ( 14 ( o F— UPA8EL tC Fri i 14 Toy 4 P✓c- 7e) 4. i� Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 _ of 3 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 to nearest road. Please print all i ormation. R viewed by Date Personal information you provide may be used for ,eccon¢ory purpos*Privacy Low; s. 1 04 (1) (m)). 0 Z P r(y Prop Location Pro a Owner G&f. L t 1/4 NW 1/4 S 25 T 30 N R 18 js (or) W Oakwood Land peyeh=oni Property Owner's Mailing Address - C 1. Lotlt #_' Block # Subd. Name or CSM# 1611 t - • T CRQ1x -91 Red Pine Corner City State Zip Code ' one NumttgoU FFICE ,' Village CaTown Nearest Road r I Spring Lake P k . 55432 ). � 6 0 a o 1 40t h - 4996 Z' chmoncl Q eer d New Construction Use: Residential / NumbrbQfil� ` �d Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft• General comments and recommendations: trenches starting @ el. 98.70', spaced to code 4.00' below grade F TI Boring # Boring g ® Pit Ground surface elev. 10 2.4 ft. Depth to limiting factor +88 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 1 0'8 10 3/3 non 2 8 -31 7 5 mf 4 4 - F- Boring # Boring 102.7 +90 2] Depth to limiting factor pit Ground surface elev. ft. in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /f? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 i 3 21 -90 5 4 " Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L I�uent #2 = BOD < mg/L an TSS 5 30 mg/L CST Name (Please Print) Signature T Number Gary L. Steel 98 Address ate vat lion Co cted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -15 -2000 715 - 246 -6200 I l Property Owner Oakwood Land 1 v . Parcel ID # pendiagc Page 2 of 3 ❑ Boring 3 Boring # Rj Pit Ground surface elev. 100 .2 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 'Eff#2 n L 2msbk mfr qw 2f .5 .8 2 -21 7.5 4/4 none 1S" OSCF ml I qw if .7 1.2 none sl ms 2msbk mvfr ria na .5 .9 %0 RS � Boring # ❑ Boring 100.2 4 ® 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 2msbk mfr qw 2f .5 .8 2 8 -16 10 4/4 none sicl 2msbk mfr qw if .4 .6 3 16 -80 5 4/4 none sl 2msbk mfr C1w na .5 .9 4 80 -98 110yr 7/4 none LiTe stone ReE iduum np I n •� ►rte e ❑ Boring # r] 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 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 -6330 (8.6/00) t STEEL'S SOIL SERVICE Gary L. Steel Oakwood Land Development 1554 200th Ave. CSTM2298 NW4NW' S25- T30N - R 18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #22 -Red Pine Corner 'ibis soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. L� ,. 1 " =40' /BM. = top of 1 " pvc pipe 2 el. 1 D DQ ' ,-Alt. BM.= top of 1" pvc pipe @ el. 100.50' o <! � r c� q Gary L. Steel 11 -15 -2000 � f ;y �- tn -- — — Kn End 6w Av ail Universal End Cap • • Si zes Chamber 11" Stan- 14" High Ca ty Dimensions dard Capacity ddi�► Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number l fzn - 5 Number of Bedrooms Design Flow - Peak (gpd) Gd o Estimated Flow - Average (gpd) CO c� Septic Tank Capacity (gal) p z_ So Soil Absorption Component Size (ft') _ z Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) - I Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se and outlet filter shall be assessed at least once every 3 years by inspection. TIO outlet filtO shall be clea as neces sary to ensure proper operation. The filter cartridge should not be rem eov d unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm' 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health,-hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction n or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this dispersal component will reduce diffusion of oxygen into t he soil and which may P ersal cell Y lead to more intense, and earlier, organic clogging of the soil. 2 - v • � I Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. TA a- �la _CL "T VLSI Z- < Z.0 f l 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND I OWNERSHIP CERTIFICATION DORM c. e Owner/Buyer 1 54 t �'YI � 'r- 0 2 6._ Mailing Address Property Address 13 3 �s' 1 q I sT 5 2 E from Planning Department for new construction De )_ (Verification required f B P N en Q • -O dd City �� �G y MD 9 (,l� Parcel Identification Number p Z r 7 S Al N LA) /., Sec. Z r T 3 0 N -R / Town of 2 I C N H? property Location ' /�, ._. ' Lot #• Subdivision ,- Cerdned Survey Map # 6i� ( 7 3 ( Volume S Page # S Warranty Deed # (03 y . Volume / � Page # 1'3 31 Spot 110118e d y es 0 no Lot lines identifiable g 0 no tics m could result in its premature failure to handle wastes, Proper msiateaa= Improper use and mainteaaaoe of youi septic Y um r What you put into the system consists of pumping out the septic tank every three years or sooner, if needed by a licensed p pe can affect the function of the septic tank as a treatment stage in the waste disposal system. sign b the owner and by a Dep art ment a ce r tification form. bin Y r a to submit to St. Croix Zoning Dep water 1 system waste disposer The 8� the master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) th is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the abo ve req u'iremenu 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- C ertif within icati :taring tha t your se ptic system rem has been maintained must be completed and returned to the St. Croix County Zoning the three ear expira 'on date. j , / � DATE SIONANRE F da ICANT 4 r gyVNF.R C'RRTIF'ICATION ' ►, knowledge I (we) am (are) the owber(s) of 1*(we) cert th ail statements on this form are true to the beat of my (our) g above, 7� virtue of a wamnty deed recorded in Register of Deeds OfCce. DATE A O PL CANT epartment in the sanitary permit being revoked by the Zoning D.'•••'•' re&ented may result rY Pe .•••• is-re Y • An inforsration flat is p Y •• Include with this appliestion: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed i \ U 1961P 183 STATE BAR OF WISCONSIN FORM 1 —1998 KATHLEEN 8 4 KALEEN H. . MA LSH WARRANTY DEED REGIST F DEEDS Document Number RECEIVED FOR RECORD This Deed, made between Oakwood Land Development Inc., a 08 -28 -2002 1:30 Ph Corporation , Grantor, and Sam E Miller, single , Grantee. Grantor, for a valuable consideration conveys to Grantee the following XDPT # f E described real estate in St. Croix County State of XEMWT # Wisconsin (the "Property"): REC FEE: 11.00 TRANS FEE: 104.70 COPY FEE: CERT COPY FEE: PAGES: 1 rdin Area Na and Return Add s ,, Sam 1 388 N 540ITM �; r - 55�3 5 000 Parcel identification Number (PIN) This is not homestead property. (is) (is not) Lot 22, Red Pine Comer. Together with all appurtenant rights, title and interests. None Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 27th day of Au ust, 2002 (SEAL) (SEAL) * Oakwood Land Development Inc. I� LOT AC LOT S' \ 52 AC LOT 7 LOT t 9 1.52 AC � ° °6 � CF C � �r..r ..... LOT 23 , r! 1. 51 AC � 1.62 .� �-,:; � �� � ° •�, e LOT Ig y 22 ° • S2 AC P LL \ , 1 .S AC \ Z LOT 19 1 2.09 AC 00 AC AC LOT 25 � 3.87 ACl •52 AC + LOT o i 1.52 A o �x 1 .53 ^AC` \ o y 1 L01 52 26 AC � <_ f-11 LOT 11 ' � ,•LOT 17 1, 54 AC 1.51 AC ,--. LOT 2 7 LO'x 12 1, 52 AC LOT 16 1.54 AC 1.53 AC / R S �`9Ir O \ '� ��. LOT 53 s•Q000 $12 Rr j • \ 1 �;,.,,_ J.S? ACRES �9• / . - • 1 . 103, 2 296.44' I 1 93.12 , °� s,�a3s'� s �' e 1 ? , e; as .�� , °• 5��.os I Or ip ooso ° s o ,�`� ;L 52 ^0e sss I N a ss 8 sn fr, I 1 . 53 A Qq b $B A jr 1 . Q4E� LO � . / `•� O s `� 6 ',off\, tip LO \ T5p 6 I•Y g T S4 p\� I St � i 65 � \` SQ s I rn t5� 6' I II �` 1 1` ' N80'45'22'E O I 376,11' i' I I I i l i I I LOT 55 1 y �a �. (,� �„ a I S ?� e6,eJ1 so, I I l i I 0 i I I LOT 49 I 2 \ 4' 1. SJ ACRES I S1, Bsl St7 f7 I 'a « ACRES I \ .. .... 1 I I 13 1 hN tis 1 I � I I i 2 30,79' N 4 .N O 44.7 I N89 53 4�3 °2,b D 6 7,?S� 2 ,M Op i / -• — r . � LOT 48 % /' 2,r � / y�' / e}• LOT , e s � SB i�'r O " ' 9 74'3 ? , IpQES' / I I O 3 0J, SS' W U) LOT 47 I � I � or N a � Fr I J 2 ?A 0 es � , a` LOT 3g , o \ N13' 8'3 ,, i >a 7 -- ------ \ 3, 7 � $ I o 3 , I� 0 SS 3 ?Oq I 6 3 w LOT 46 W 1 ss/sr S>a fr `O ; 1.54 A04ES r_ \ 4 i trj I LOT 4S a co • O h0 Qf• ON �1pr�N R GA po .C- ERTIFI�D SUR A, Lo rthwd t Part of the Northwest Qua rter of the Northwest Quarter an d Y M f — mAcon en, Quorler all In Seotlon 25, To wnehlp 30 North, Ron e Wlecon +In. 9 18 West, Town hm tha , e W �OT2 AL TOTAL. AREAL 4 D T Ll FT, 73,800 S0. F -,. TOTAL AR EAS T 76,958 S0, FT, 78 823 SREAs R - 0_W: 1'69 ACRES 1.77 ACRES FT, AREA IX0: R AREA IXC, R —O —W 1 ACRES Fr, 66,628 SO. F'T. 70,669 SO, FT, AREA EXC. R..p_}y g 1.51 ACRES 1.82 ACRES 72,288 S0, FT, 1.68 ACRES � ,�' r) Prepor °d for and at the request Oh OWNER; Steve 1438 C, T. H, •C" ' NI r New Richmond, W1 54017 // N00'13'83 "}y 3 Deafted by, Ty R, oodle 02,61 r J08 A00011 ��c,� p` 278,81'' .7NF NW �_ Cr �kG, �6 fit � , , , `s �. , ,1,.,.y r � y NW 114 0 A o 4 $ r Ap u� u ti o 's 0 6 4 rZ lo 4 i . 0 C A tx Ii 0 o ' I � O Q n JL 280 4 33,09 �i SO0'131WE 313.89' 500'13'63 "E 444,70' ' UN,C Ar ThT EA 8=oo MT � ` 0r 1) t NE' 114 OF rHE NW 114` ED � Cu,4VE ADIUS S ARC 0R0 ORCr 9MING CEN AL ANGLE 184,56 163.0 582'2006 E TANGENT BEARINGS' C -0 TOTAL 347,08' 8'2832' S76-33- 274.39 26 0 57145 42.6' 22 S49'06 SOT 3 347,08' 130,07 129.3 S59'S1 00 E 7 St9'OB'b0'E N8S'3528 6 LOT 4 347,08' 144,31' 1 28 S82'29 52.5E8 20 S49'OB'b0'E S70 10 Q u E 323,57' 194,92' 191 99 £86'2218 "E' 34�0'S3 S83 ; ; z 48'E N 50'E � v -k TOTAL 380,08' 300,48' 9 537 ' g LOT 3 380.08' 142,'44 4.6 S59'b 00 "E " S49'08'S0'E N85'3S'25 /// LOT 4 380,08' 158.04 156.90 582'29 52,5E 8 20 S49'08'80% S70'35'10 "E 23'49 25 S70'3b 10 E N85 2S'E ^�& a Eby Leo A ° Lao "0 SURVEYING 6e CIVIL ENOINEERINa Z ° :one No, (715) 246 -4319 SCALE IN FEET: A 1 I nch LE ' CS Ew Third Street, P.O. Box 325 150 feet y —d Vew Richmond, .111 54017 BEARINGS ARE REFERENCED TO THE NORTH LINE OF T?iE ee; 1 of 2 NW 1/4 OF SECTION 25, TOWNSHIP 30 N., RANGE 18 W. 1sfHICH IS ASSUMED TO BEAR N89'55'O1 "W,