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HomeMy WebLinkAbout026-1163-13-000 Wiscons Department otcommerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety ap�� Building bivisiota INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 463053 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may bb used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Oeverin , Ken I Richmond Townshi CST BM Elev: Insp. BM Elev: I BM Description: Sectionf town /Range /Map No: j� X66 9 R �, j \ 25.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. /� s Od Septic Benchmark Dosing Alt. BM Aeration Z A)I Bldg. Sewer . z Holding St/Ht Inlet 7• U /06 99 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 3 5 / AJ A :Z A4 7 Al Dt Bottom Dosing Header /Man. Z (.P lou 5 Aeration Dist. Pipe z Ce i d -y-5 Holding Bot. System 3.Z$ ins : 7 61c Final Grade PUMP /SIPHON INFORMATION Z• Z ✓b G 3 Manufacturer Ul Demand St Cover / GPM 2 / 4 0(, • 0 Model Number q 246 le;3, TDH Lift Friction Loss System H ad TD t 4 Z .�`a •� �� . 3 - 7 .ti3 Forcemain Length ® i Dia. X 77 Dist, to Well�� SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liq ' Depth DIMENSIONS 1 I. I Z tj Q \ SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of yste • I y O �� CHAM UNIT OR Model Numbel�__, DISTRIBUTION SYSTEM Header /Manifold Distribution (7, r ► x Hole Size 1 x Hole Spacing > Vent to Air IntakL�Lj Pipes) 1 p Length � Dia Length ' Dia \ Spacing :~ / O 3 �� 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 6 1 i l BedlTrench Edges Topsoil I �• ? / ✓; ' es No es No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: 9 / Z' / d4 D inspection #2: FLY Location: 1406 130th Ave. New Richmond, WI 54017 (SW 1/4 SW 1/4 25 T30N R18W) Hollow Poo 1 Parcel No 2 1.) Alt BM Description= C�a: NOG J �pcJeiS aA, 2.) Bldg sewer length = 24 - amount of cover i� Plan revision Required? (] Yes No �9 ��� 6 4 1 1 � I I 7 Use other side for additional information. i__- _ SBD -6710 (R.3/97) __. — Date sepi Signature Cert. No. 20 1 W- w ins Ave.. P -O. BWE 7162 �isrn Madboo. WI 53707 -7M Sao q F - 1 Number (to be MW in by CD.) Department of C ©romerce (MB) 266 -3151 d Sanitary Permit A►PPlicat SM Phu LD. Nmnles In acand Mub weed 33.u. vrr:_ Adm. Cade: to - awma'i vat t"6vwe ' z Z Iff maybe used form eaoadYy pQpoaes Privacy Law. sts o X M) rmiea Ad I tr�mc diao add) L A rnr�ta aa - P1ea9e Prier Aa - o. o '—� .t/ i 1 f 3 s�: 4 2004 4 f Luc 1� Blacks : — ftemW Owner's M ading Ada J BONI NGO�Fit F 3p 3&.gtiw.Qe E !.� — _ - _ %. SkJ - A.Secooa A S' cry, stae tin Cbde Pheee � 7/-f - 760- Gnl g-2-- (cielegq�) T 3a N; R V 11. Type of BWM (&wk aR that apply) 3 B - o os ❑ 1 or 2 Famly Dwdit - Numbe• of Hodtoeuls 3 sedtd"iv'sioa Name C5M Number ❑ Pv idCbm==ial,- Describe use p , v zv ❑ State Owned - Dewri be Use 0 3 : ❑vahge fro.► of III. Type of ftmaiih (Check a* eue bez m Ne A. c rwe B 11f A. @ System � MWlaoment Sy mew O TiaeatradHnld6B Tanlc ftillacemeot Only O Outer MoMcution a Exhmtg System B. ❑ Pt emit Renewal ❑ Pesmit Rey wm ❑ Cbagge of ❑ Past Trmzfcr m New List Previous Permit li IF aad Dwe hmed BeCae F�grsadm Amber Otrrrer N. or Pow" Syskm (Cb e& an that ) Non wed In-Grauad QYirtomd > eat m of stiW* no O Momd < M a. ofsBMW sad 0 wt -Grade O Sipoe No sod F� W ❑ tlot ed tsaua wCftw O Ph=9w d ua Jw(;ad O F1ol�g Tack Pleat Fates ❑ Aerdre Tmnaeot Um ❑ Remadamg Sand Fier ❑ R=wada=g Sic Mcda Fier O lxacIhim- Chamber ❑ Dw1p Lae ❑ ❑ oaer V. Area el Ll i7 He WQ Dmbp sea Disperal Ara (sl) ft and 00 System - 0 !9 - , yo Vl. Tank lure Capaaty in Taal Number PreSb Sim Sums - Plastic Gadtaos Gadans " of Units Comaeae Ooasaucwd Chu New Tanks Talks 1 S-46@Wm~ AaoDic Tratmmt Unit Jr Dosing Cbaober VM ReW=s&Tq t 4 me mwwsWw4 aasmm far asbMwaa of Me POWlB shoom as the alladkd Ohm& --- PlambW-s Na me (fti* Si gmsac MPAlPRS Ai®ber Baseness IN Number Fhwabe -s Addre as (Seem sir, zrn ALL Lit- yoz - x/o ogert�r PHA & Pe* T 3T VifII. _ . ! Sashcy Prsmit Fee (idrries Gmrmdtwer Agar (No ) ❑ owner Given Re►sou Sur Dead spr r� 3 S-6, 11C, Cam far oho YSTE 1 n , effluent filter and a dispersal cell must all be serviced I maintained U3d,{jfi`�yjS �J�� �6 as per management Ian �4e provided by plumber. C �- i cam"' �. �n j� 2. a ac requiremen mus ts e e su�,1��,r1L as per applicable code /ordinances. A Pines tso dso t�uty v er ^ ��sjem a■ paps: dot gym: arks is ' e - �✓h0'LVrz Page 8 of 8 Site Plan For Oevering Homes Lot 13 of Hollow Ponds Subdivision SWl /4 -SW1 /4 Sec. 25 T30N -R18W 1 Richmond Tnsp. - St. Cro' 1 - 0 40 , ®� 3 4'x 112.50' td with a system elevation of 105.4 104 00' Level Open Fiel Site #1 I t BM = Top bf NW Lot Corner Survey Rod i HRP = Same Proposed 2" / 40 Force p ASSUMED ELEV. =__ BM #2 = Top ofNE Lot Corner 98.50' Proposed Wieser Concrete 1000 1600 Combination Tank o w1 a Zabel A -I00 FTIter O Propos "Sch. 40 105.00' _ ___. - -- _____ - --- -- Proposed 3 Bedroom Home 100'Building Setback Line I Note: Maintain Welland Waterline setbacks per Comm 83,43(8)0 130th Ave. _ONING OFF Eefab/ished �hxr, 17e+) ' w ' 2 _CE_RT SUR_V_EY , � ti ! t 1 1 1 � RICHMOND HI MAP, — VOLUME VOLUME_14-.aIj I is LO 14 --- - - - -;— ,, \--PAGE _ _3900_ _i LO T 15 tJ. f �` I � -�. �--- �C v�l 8 '55'25 "E - - - f +F, 1315.51' / 0I 3J' S C 205, JOF / 02/.6 Ya5 Q� I - ' � I i 9 `� � ! c', t �� E09arnsn! ! J� 1 81 I I i � I ` i r; Hkol017.0 t T �\ \ - it - i i ` ` LET 1 `'LOOT 2 .%LOT 31 I I LOT 4 Z q .... - 82 ,379 sq. ft, t X78 540 s ` ft. i f 6 603 s ft. 65, 603 's ft. 9 . 1.80 acres,, r , �c I ;I q• q ,.. 1.89 Acres t I; m -4. e - 1.51 acres 51 acres ...... ,.,. .., ...,,..,�,,..,.tio, 0 .. ..�, ( 0 121.0' L.8.0 =1021.0'.. \ 1 ,� "'' ? I, ! `2.12 j - 705` - -- —Y05' F4' - "• %s ° —215' � � - -zFa�— � ' �-,,��.._. x !! t � l � • � (L 4 1t 1! ( / f � i � t �'' `� , :� 'fir. ' • �� � r t 1 5 JANURE,PIT +� / IIAJ ,r�✓ � AREA (SEE NG �+ + l y�l f LOT8 LOT 11 — } t. a III ( w -i � � OZ r/ 62 sq. fit. Lo �► z i I I I 4 91, 531 sq. ft. 81266 s. ft. 89, t '�2�35 acres I � , q ' s . ft. t 't a q I � ?.10, acres .B. .-10 ,3.4 I t ; 1.87, acres 1 ti. 2.0,E acres 1 f srnroturw ro swEO u 1 { I v � I 2 1 f / t, ` be Renowd GRAIN H QI rs / j y iN dl I I I l i rf BARN „ i �n� .., ..•, r / E Z i � ' I �� S ,! ' `` ae l �' ' 773' ! ''' J 1 1 15 � II S I 4 , l2JS'. � ZJ3'� t ,r •.'' ' 417" _,• � , (/ EASING I t NAWGABLE y WETLAND II` OT 12' _ _ LOT �'�' �., .LOT 14 HWL�,029.D t S I 11 77, fh9 sq. ft. k 7 6,88,Y sq. ft `+ RA » "� 1 130 3 aq ft. 1.7 acres 1.77 acres 4 x;13 vFTS 61 /' V ''t..... -•' 0' =,103 . J ...... ..rrr . ............................rr r.,�,,, ,,. ,,, ,,..�d. r..r�. �t.Q• ,t �J — '.. -.. — -- ------ -------------- �, -- - -- - - - - -- 589' "w �""'"•* — �� — ~ � 1 aphf or -Yby £dAa aI PanE — � ..S89W ?4'W 2iBIl!«8�- SoutAwest f,arner seaAw 1 - UNPLATTED_LANDS AG —RES _ AG• -RES AG —RES AG --RES Safety and Buildings 10541 N RANCH ROAD commerce.wi.gov HAYWARD WI 54843 TDD #: (608) 264 -8777 t i c - Department cO www.commerce.wi.gov /sb/ of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 07, 2004 CUST ID No.224059 ATTN.- POWTS Inspector ZONING OFFICE KEITH E STONER ST CROIX COUNTY SPIA 23220 WOOD CREEK RD 1101 CARMICHAEL RD SIREN WI 54872 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09 /07/2006 Identification Numbers Transaction ID No. 1055238 SITE: Site ID No. 688676 Oevering Homes Please refer to both identification numbers, 130TH Ave above, in all correspondence with the. agency. Town of Richmond St Croix County SW1 /4, SW1 /4, S25, T30N, R18W Lot: 13, Subdivision: Hollow Ponds Subdiv FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 977424 Maintenance required; 450 GPD Flow rate; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01101), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 10I) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, scats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans and with the "Pressure -� Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD - 10706 -P` ` (N.01 101). (` � • This system is to be constructed and located in accordance with the approved plans, and the "Mound " ti Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD - 10691- P(N.01 /01). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to y inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of j construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. 1 KEITH E STONER Page 2 9/712004 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Since y Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Thomas E Devereaux Plumbing / POWTS Reviewer II, Integrated Services WiSMART code: 7633 (715)634-3026, 7:15 am - 4:00 pm Mon. - Fri. tdevereaux@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 r r y MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Oevering Homes 3 Bedroom Mound Owner's Name: Oevering Homes Owner's Address: 838 Summer Pines Circle Hudson WI 54016 (715) 760 -0001 Legal Description: SW1 /4 -SW1 /4 Sec. 25 T30N R18W Township: Richmond County: St. Croix Subdivision Name: Hollow Ponds Lot Number: 13 Block Number: NA Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title ". •�' Page 2 Data entry Page 3 Mound drawings � Page 4 Lateral and dose tank ` Page 5 System maintenance specifications " '�,Mtf otNGs Page 6 Management and contingency plan t�tiF t ptJO Gtr Page 7 Pump curve and specifications of Page 8 Plot Plan EN � CroR S � 2 4 Designer: Keith E. StoAf, d License Number: Design r# 1575 -007 Date: 08/16/04 •• '• • �'y ¢ Phone Number: (715) 653 -2324 Signature: R • . *_ en, e Wis %� 6 'Q%siRngd•Pursui 0 to the Mound Component Ma%Wf� PP S V,*Con 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Desic?NOCAa a Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) colifonn of <= 36 inches. 450.00 Design Flow (gpd) 0.00 Site Slope ( %) 103.90 Contour Line Elevation (ft) 18.00 Depth to Limiting Factor (in) y i 0.60 In -situ Soil Application Rate (gpd /ftz)''" S� Sd t LS Y -1 Z S/c �d 1� a J Distribution Cell Information 112.501 Dispersal Cell Length Along Contour (ft) = 4.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 0.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 025) 1.50 Estimated Orifice Spacing (ft) = 6.08 fe /orifice 2.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) Does the forcemain drain back? F Y 95.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 9.90 Vertical Lift (ft) 50.90 5x Void Volume (gal) 3.28 Friction Loss (ft) 67.22 Minimum Dose Volume (gal) 17.73 Total Dynamic Head (ft) 39.85 System Demand (gpm) Z6 L Diameter Selec Manifold Diameter Selection / do �b in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete I Manufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 602.82 Dose Tank Capacity (gal) JZabel _ Filter Manufacturer 11.821 Dose Tank Volume (gal /in) IA1 r _ Filter Model Number Wieser Concrete IManufacturer Project: Oevering Homes 3 Bedroom Mound Page 2 of 8 I Mound Plan View ..... .......... .... ........... . I t 1/10 B :: J Observation Pipe K — 5 . U �] A W .. : B _ � no d 1 3 . • ►` ) n ... ......... . . ................................ .'.- ...•...'.'..- .'..- .- : -: -..- �°� 007 510' L Mound Component Dimensions A 4.00 ft E 18.00 in H 1.00 ft K 9.88 ft 8 B 112.50 ft F 9.50 in z 8.38 ft L 132.25 ft D 18.00 in G 0.50 ft 8.38 ft W 20.75 ft (A 450.00 (if) Dispersal Cell Area 1 2334.38 (ft) Basal Area Available j3q 2. 4.00 (gpd/ft) Linear Loading Rate 11.25 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 107.19 (ft) -► .�rrrr�irri 2 r�rrrrrr.; 1 F Dispersal Cell 105.90 (ft) lateral 105.40 (ft)-► — Invert Dispersal Cell - .. ' : t Elevation E D 1 A 1 J J J - ' 103.90 (ft) Contour Elevation 0.0 %Site Slope Geotextile Fabric Cover Shading Key a Dispersal Cell See lateral details on 1Q EmTopsoil Cap c 1.5 ft ... Page 4 for number, size, ® rrrrr Subsoil Cap 0 o and spacing of laterals, a . Laterals are equall ASTM C33 Sand � F =Tilled Layer 0.5 ft Typ�cai Latera spaced from the 05 Aggregate er c �. distribution cell's 9 centerline in the A — * distribution cell . AxB t ) Project: Oevering Homes 3 Bedroom Mound Page 3 of 8 Center Connection Lateral Layout Daigram l P ) I IE X- 3'Ex02 ( x1231 Laterals & force main of PVC Sch 40 (per COP W Table 84.30 -5) Holes drilled on the bottom of the lateral. 0 = Turn -u p wt ba l lvs lve or cl can outpl u g equa ft spaced Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.52 ft Lateral Length (P) 55.48 ft Orifices per Lateral 37 Lateral Spacing (S) 0.00 ft Orifice Density 6.08 fe /orifice Lateral Flow Rate 19.92 gpm Manifold Length 0.00 ft System Flow Rate 39.85 gpm Manifold Diameter 0.00 in Total Dynamic Head 17.73 ft Forcemain Velocity 4.07 ft/sec Dose Tank Information Locking cover with warning label and locking device and Electrical as per NEC 300 and --► sealed watertight Comm 16.28 WAC Disconnect 4 in. min. �—^•-�� -- 1_ Tank component is properly vented E— Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Ca ac 602.82 Gallons Volume 11.82 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 31.31 370.12 C B 2.00 23.64 Puff elevation (ft) C 5.69 67.22 t 1 96.00 D 12.00 141.84 D Total 1 51-001 602.82 Dose tank elevation (ft) 3" Bedding uncTer tank. 95.00 Alarm Manuaaacuurer IS. J. Electro Alarm Model Number 101 -0iH Pump Manufacturer Goulds _ Pump Model Number #3871 EP0 r Pump Must Deliver 39.85 gpm at 17.73 It TDH Project: Oevering Homes 3 Bedroom Mound Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Tri- C ounty Sanitation Phone (715) 386 -0114 POWTS Regulator's Name St. Croix County Zonin Office Phone (715) 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft' Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System La terals sh ould be flushed and pressure tested eve 1.5 ears Mound Ins t for ondin and seepage once eve 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum-up Detail Finished Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug r Ball Valve 0 9 P - Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Oevering Homes 3 Bedroom Mound Page 5 of 8 l Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals fSBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump 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 &inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. 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. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the 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 sludge and scum 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 a triennial 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. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L 13013 150 mg/L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L SOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contincmcv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Oevering Homes 3 Bedroom Mound Page 6 of 8 Page 8 of 8 Site Plan For. Oevering Homes Lot 13 of Hollow Ponds Subdivision SWl /4 -SW1 /4 Sec. 25 T30N -R18W ` l Richmond Tnsp. - St. Croix Co. # �, 0 20 40 a (om) Proposed 4'x 112.50 Mound CejU 1 in°'` 40 n with a system elevation of 105.4q# 10400' Level Oven Fiel Site #1 A BM = Top of NW Lot Corner Survey Rod 9 ` HRP = Same \ \, Proposed 2 ",ch 40 ' PA AS SUMED ELEV. Force Maim P7 A BM #2 =Top ofNE Lot Corner urveyo = ' 98.50' Proposed Wieser Concrete 1000 1600 Combination Tank a w/a Zabel A -100 Filter o Propos "Sch. 40 Pipe -- Proposed 3 Bedroom Home 100'Bu"ng Setback Line Note: Maintain Welland Waterline setbacks per Comm 83.43(8)(i) 130th Ave. N G OULDS PUMPS Submersible Pum . � Effluent p EPO4 - 38 71 EP05 APPLICATIONS • fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance. Canadian 5tarida A=10W • Heavy duty sump matic models include N Motor Housing: Cast iron (CSA listed model numbers end • Water transfer Mechanical Float Switch for efficient heat transfer, in ­C" or "F ".) • Dewatering assembled and preset at the strength, and durability. SPECIFICATIONS ctor fay. ■ Motor Cover. Thermoplastic cards ftrp a Rag jSo 9W is omd. FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. '14' maximum. ■ EPO4 Impeller: Thermoplas- ■ Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: Vh! NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA -N elastomers. • Tem 104 (4O continuous METERS FEET 140OF (60 intermittent. 10 • Fasteners: 300 series stainless steel. 9- 30 5 GPM • Capable of running dry without damage to 8 2.s Er components. 25 °¢ 7 LU Motor: s 2,0 • EPO4 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 s RPM, built in overload with o 15 automatic reset. a a EPOS • EP05 Single phase: 0.5 HP, 115 V or 23OV, 60 Hz, 1550 o 0 3 10 RPM, built in overload with EPO4 automatic reset. z • Power cord: 10 foot 5 standard length, 16/3 1 S1TOW with three prong grounding plug. Optional 20 ° ° 0 10 20 30 40 50 GPM foot length, 16/3 S1TW with _ three prong grounding plug o 2 a y a o z m (standard on EP05). CAPACITY Go ulds Pumps 82001 Goulds Pumps ITT Industries Effective May, 2001 83871 I ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT N/ p M■ Natoli ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 Memo to "e From: Pam Quinn Date: 7/21/2004 Re: On -Site Soil Report Verification for Lot 12 Hollow Pond Subdivision (SW % SW % Sec 25 Town of Richmond) On July 9, 2004 a site visit was conducted to evaluate soil conditions reported for Lot 12, 13 & 15 within this new subdivision. After making observations in test pits and subsequent review of all soil reports submitted for lots in Hollow Pond, it appears that the recommendations for installation of pressurized conventional (in- ground) systems may not be feasible. The weather was sunny, temperature in the 70's, with good light conditions for color determination and no precipitation for >24 hours. A sanitary permit was issued for this lot and excavation for the foundation had exposed soils that caused concern for installation of a conventional system. Test pits on lot 12 had been excavated at the approximate locations of B2 & B3 on the original soil report. At B3, the soil profile was similar to that reported, but redoximorphic features (iron deposits and high chroma concentrations) were observed at the irregular boundary between a sandy loam horizon and fine sands below, at approx. 60 inches. The fine sand horizon from 60 — 88" appears to be weathered sandstone, with extensive iron deposits throughout (2.5 YR 7/8) in a matrix of 10 YR 8/2. Bands of 7/5 YR 4/6 sandy loam were observed starting 6" below the textural change. A test pit near B2 showed massive sandy fin and < 4 " again with redox features along the textural change and loam transitioning to e sands 8, g g much higher concentration of iron staining in the fine sands. Redox features at less than 48" would limit installation of a pressurized in- ground system. to less than 12 inches below grade. This would place the system on Lot 12 in silty clay loam soils with an application rate of 0.2 gpd/ft Recommendations for "pressurized conventional systems" would require a minimum of 2250 ft for a 3- bedroom house, 3000 ft for a 4- bedroom system. Due to Dept. of Commerce code changes, effective as of 2/1/04, massive sandy loams now have a soil application rate of 0.2 gpd/ft On many lots these soils were encountered in a third horizon at depths of less than 24 inches from the surface. Pressurized pipe, not a dosed system using leaching chambers, would be needed to achieve even distribution of wastewater throughout these soils. Costs for design and installation of an in- ground pressurized system should be compared to a traditional mound system, the latter having the option of being reconstructed if a failure occurs. The existing tested areas for all lots within Hollow Pond are not large enough for installation of a 3,000 square foot system and another equal area for replacement. Additional soil evaluations will be required and the replacement areas will have to be preserved from any construction activity for sites proposing to use this POWTS option. Mound systems for lots in Hollow Pond would require designs with lower loading rates where soils exhibit platy structure in the upper horizons and/or have <0.3 soil application rates within 12 inches of the surface. These long, narrow systems would, however, fit within the existing tested areas provided on the original soil reports. Sanitary permit applications for conventional POWTS will not be approved for these lots based upon this on -site determination unless the following items are included: 1. Additional soil test pits have been evaluated to provide both primary and future replacement areas. 2. Documentation that redox features are >36" below any proposed system elevation. 3. The soil application rate used for sizing the system extends a minimum of 6 inches below the proposed system elevation. For example, if the system is 18 inches deep and a massive sandy loam begins at 19 ", a soil application rate of 0.2 gpd/fl would be required for sizing the system. Cc: Greg Peterson, Subdivision Developer Oevering Builders, owner Leroy Jansky, Regional Wastewater Specialist Tom Nelson, CST #227387 ••.i.dA.SM. a/Chldltl�ICln La L.aw 1O.IM%= VVIL— L— Yl1L— VlI. Iwo •.%L -. V... rd9a' LH Division of Safety and BurlcllrW in accordance with Comm 85. Vft. Adm. Cade t Attach =npjM site plan an paper not Mess than 81/2 X 11 I m2m in Sim. Plan must induce. but not limned Im vertical and ho konlal retererm point (ft amcion and Parcel I.D. percent slope. scale or danenskM north arrow. and logation and distance to nearest road. Date plea" pdnt personal, 1 1 parr PMWd* alr be Ueea os p) " 1 Propert Owner Poverty tocatwn OE E t� 7 tovt. Lot Sw 114 r,.,, 114 - S Z S" T O N R E Property Owner's MaMV Address; tf Etlodc 1F Subd Nam I e orR.Sir>8 city State v Code — r F; C: ❑CrYy ❑ Viia9e ohm Nearest Road M Construction Lis,: / Number of bedrooms 3 Code derived design saw rate y sd GPI ❑ Rephoernent ❑ Pubic or cwwwdal - Describe: _ Parent material r,CWArrr e. S/y Flood Plain ele lion if WOCabie &,// K - ft CAMSAM aorunentS andreconve Ba1ir9 # aP8 Ground elev. a-? `1' 1L Depth to iralh9 13dw tl Sd7 gppication Rat Harpoon Depth Dominant Cdor Redox Desaiplion Texture %uctrme Consistence Boundary Roots GPM 'EfM *092 in_ Muhsei Du. Sr- Cont._ Color Gr_ Sa Sh. .. - - 3 8- z 7S =.A - F S� /� , a 5 12 - 2 ze .7 /. 5 2 -75 S' L4-lc , e ti ,ca Boft 8 ❑ eou9 ` Q'ph Ground mx1aee dev. X03.1 R Depth to ierW factor in- W A Rate Hormort Depth Dominant Color Redmr Descr"m Texture Struchse Consistence Bourdary Rooms_ GPDNF in. Mu set Ou. Sr- Cont. Color Gr. Sz SIL ' Z 8 -17 s CG S/ L 4v) a► zF % 4� M4 L s — s - VIY S I . a S e AM < 30 - • #1 80D > 30 _< 220 and TSS > 30 < 190 mpB. 82 BOD < 30 agiL and Tss _ - EfAuard t- s PST onease Print) CST Number a 0- um Evaluefort Telephone Number Address Fogerty Plumbing & Perk T 'ag 28288 McKenzie !/ O — Page - ;Z — of -� Property Owner Bt/�� Parcel ID # — - ❑ Boring # [] Boring in Pit Ground surface elev. /07 , 1 — ft. Depth to limiting factor � {date GPD1Ff Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary 'Eff#1 'Etf#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. SLL l S Af S .2 /y► Z .7 s — El Bo-rikNv � Boring # in Pit Ground surface elev. ^ - -- ft- Depth to ►9 factor Soft Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDHF in. Munsell Ou. Sz. Cont. Color Gr_ Sz_ Sh_ 'Elf #1 'Eff#2 ❑ Boring # Q Boring to factor in. Pit Ground surface elev. _ f t. Depth to Soil lion Rate Texture Stricture Consistence Boundary Roots GPD/ff Horizon Depth Dominant Color Redox Description •EfH11 •Eff#2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 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 6084PW31 D or l' 608 -264 -877 SBD -6330 (R.6/00) • � ��1` �/d � or � 9 • — � rs — C6 13- 3 X ioyo r ;1 ,I n W / �D�DS�D /oo 'La = '4cT xw� Tm� o F 'va sulea�10 c s K — ,�SoRxN6r- / 3v �Rv Fogerty Plumbing #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635 -96 . RECEIVED -_ Wisconsin Department of Corn erce FEB 0 g 2004 OI EVALUATION REPORT p age 1 3 Division of Safety and Building in accordance with Corlm 85, Wis. Adm. Code ST. CR X Coin St. Croix Attach complete site plan on aper n �1 inc s in size. Plan must include, but not limited to: ve ce in (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information, a ewed b� Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). . f0 Property Owner Property Location ❑ Greg Peterson Govt. Lot SW 1/4 SW 1/4 S 25 T 30 N R 18 E(or® Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1611 Hwy 10 13 Hollow Pond City State Zip Code Phone Number DCity E]Village ■ Town Nearest Road Spring Lake Park I MN 1 55432 1 ( 7¢3 780 - 4996 140th Street New Construction UseE] Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 � GPD 0 Replacement Public or commercial - Describe: �2 n�U- mac/ "C�YI�wz�� e�P�. ✓ 'ems Parent material loess over glacial till Flood Plain elevation if applicable WT A General oone These are massive soils with emel careful installati system be' ed by th S: ms ling contractor. y ecommendation would also be to consider a press system, h e effluent j 0 � X be dosed over the a distn ut►on area Not required, but reco end S t fs* 2" ontinuous bands o Is, 7.5yr5/6 . Suitable or a below grade con a 'oral system. 1 Borin ■ Pit Ground surface elev. 100.60 ft. Depth to limiting factor >88 in. it Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boun ary Roots GPD/ff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0 -10 7.5yr3/2 sil 2msbk mfr aw 2f .8 2 10 -25 - sicl lmsbk cw if 2 3 3 25 -51 7.5yr4/4 - A Om mfi cw S 4 51 -88 Oyr6 /6 - fs* Om 7 mf _ - • 4 6 If El Ong # Boring 100.70 >88 pit Ground surface elev. ft. Depth to limiting factor in. Soil TREication 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 •Efli#2 1 0 -11 10yr3/2 sil 2msbk mfr aw 2f • 8 2 11 -18 1 4/4 sicl lmsbk mfr cw if .2 .3 3 18 -27 10yr4 /4 - sicl 2msbk mfr cw if .4 .6 4 27 -35 10yr4 /4 scl lmsbk mfr cw - .2 .3 5 35 -88 10yr4 /4 sl Om mfi - - 3 S • Effluent #1 = BOD > 30 < 220 rrxllL and TSS >30 < 150 mg/L 'Effluent #2 = BOD < 30 mg& and TSS < 30 mglL U CST Name (Please Print) — — Signature _ , CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 7/3/03 715- 246 -2454 Property Owner Peterson Parcel ID # Page 2 of 3 Boring Boring g pit Ground surface elev. 100.60 ft. Depth to limiting factor >88 3 8 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence .Boundary Roots GPD1fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 I *EH#2 1 0 -10 10yr3/2 - sil 2msbk mfr aw 2f .8 2 10 -25 1 4/4 - sicl lmsbk mfr cw if 2 .3 3 25 -59 7.5yr4/6 - Is msbk mvfr cW - .7 1.2 4 59-88 7.5yr4/4 - sl Om mfr - - .3 .5 2. aCliYyt -� i S . F-1 Boring # Boring ppit Ground surface elev. ft. Depth to limiting factor in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rants GPD/!F in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # S Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EfW * Effluent #1 = BOD, > 30 220 mg/L and TSS >30 < 150 mgA- * Effluent #2 = BOD, < 30 mglL and TSS < 30 mg& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. S13D- 8330Tem (R.07l00) HOLL VOWID ]LOW 13 �e r of WW LOT CO RFE B Nort 9I' � �I t 53' �.r•. B � 3' NIL, or -1 d 100'- D o m �V c l )S. 8 ? -' 82 1 S � G IUI' BMI TOp OF IILOW PIPE 100' BM2 TOP OF COWIDURT 100.90' BI 100.60' B 2 100.70 B3 100.60' g.CALE I"- = 40'- THOMAo WELoow 0 227387 • R ECEIVED PRELIMINARY PLA' OCT (A Cc 2 8 2003 Located in part of the Southwest 114 of ST. North, Range 18 West, Town of CROIx CO UNTY ktet 1/4 caner ZONING OFFICE (Esta ftm Per) _c r 2 1� CER - I I SI-P _ t'_ R-- IMOND-IL MAP vl 11ME_ I __ F : _t 3�aC r �T OT , :_ Y• _ n' I N8 '55'25 "E '' 1315.51' Z, M 3 3J 295' 770 i JOZ I ZB5 5 Q I ' I, HN( +1017. a' hET BUILDABLE AREAS: H _ LOT 1 85,803 sq ft. QI 1.51 acres zl s _ L071 LOT2 ..�'LOT LOT4 LOT 2 SB;s9 �;� ' "' 6a 60,3 sq. ft. 65,803 sq. ft. 82,379 s ft' q La 9 q �'�78, 540 s ft 1.51 acres 1.51 acres \ 1.89 acres 1.80 acres.. ft. > ( B 0 = 1021.0' ®' LOT 3 53,087 sq, 1.22 acres L.Rp. =1021.0' ` 97,251 LOT a 7esaD eq. n. �' I �` 223 . .� - - �� i 180 acres LOT S 2.23 acres 81,923 sq, ft 128,029 sq. ft. .63' . 105' --- - T05' ?4 ; l t LOT 6 1.88 acres LOT 7 N r 5 Z 2.94 acme J_96q.' Ta' \1.9 90,388 s ft LOT B ly 2.07 acme h s _ t . •I•. LOT 9 894'6 sq. 2.05 acres ft. N ,. .. LOT 10 81,286 aq. ft. -,�, 1.87 acres MANURE.P17 LOT 11 91,632 aq, ft. nREA 2.10 acres ( -E) SEE NC• LOT 12 77.,89 sq. ft. N'I LOT 1> ._ '� .77 acres DI , �1 ` � 91, 631 sq. ft. 1�0 LOT 9'' - 102 #s2 6q. LOT 13 76,853 sq. ft. Q q. ft. .89 ¢16 S . ft � 35 acres .77 acres �i 2 ld acres cres q 3saa e ft, o : 205 acres LOT 14 c es w 2.15 a i j Sbvorurws ve to be Remod LOT 15 82.292 sq. ft. QN 1.43 acres _j `n LU7 16 65,401 sq. ft. Z ^ 'p '3ARN „ andm9t 1.50 acres �n 15' ZZJ' ,135' ?J5'.... / � 41 tbock� c I+ Lor12 - L07'13 \ LOT 14 elm. ,�,�_ 1 '• 77,189 sq. ft. h 76,6W sq. ft. c ': `'' (, x �, 1. 65 �, lrJ 156, 3.38 sq, ft. 1.7 acres acres , a+. ® L - 313 acres �- . k:,l .,t,H.0.= 10370' sEaii _ -- - - - 1322.24 - r S89'43 24'W r - 1 00TH A_16M E _ _ Cnnra; -..n --- APPROVING AUTHORITY --, .�� - --•.- - '�. ..�---- - - - ['+p' vw,rr. __Sd9W14'W ?B4a148 � - - - TOWN OF RICHMOND a:gnr cr -Nn, ST. CROIX COUNTY SouMwsat Comer SeetMn 15 -30 -18 PLATTE (Rend 718'rebor) 'JPLATTE : 4NDS PLATTED AREA IS ZONED: AG -RES _ - - - - - - - - - - CURRENT USE: AG -RES ADJOINING LANDS ZONED: AG -RES CURRENT USE: AG -RES AREAS TOTAL AREA OF LAND TO BE PLATTED: 1,543,552 SO. FT. I hereby aen 35.4a ACRES direct aupen MINIMUM LOT SIZE REOUIREO: 65,340 SO. FT., 1.50 ACRES NOTE: The parcels shown on this mop are sub)sct to State. County and Township knowledge er AVERAGE LOT SIZE: 87,553 SO. FT.. 2.01 ACRES laws, rules and regulations ( ,.e, wetlands, minimum lot size access to parcel, the lase of THIS ADDITION WILL CONTAIN 16 LOTS sta.). Before purchasing or developing any parcel, contact the St. Croix County PROPOSED TOTAL LENGTH OF TOWN ROAD: 731 L.F. Zoning Office and the appropriate Town Board for advice. R.O.W. DEDICATED TO THE PUBLIC: 142,705 S0. FT., 3.28 ACRES TY DODGE, R not 30 09 09:390 FOCCRTY PLUMDING 17iGaa�.�.z nay r -- ST CROIX COUNTY SEPTEC TAM MAtN1'ErIANCE AGREBMBNT AND OWNERSHIP CERTIFICATION FORM OwnortBuytx E6QwAbdft6e Mailing Add F AgAwAW A', Per Addrem / �0 (P /3 D . 17 (Vedfictdou negaised f"M Pk=wg Depae =t for Hoar aetotntceion) - C'ity/State Pine) Identification Number £ ef -- - 1WAL DFSCRIUM Ploperiy I,ecation Sw %., ' /., Sew -2 S . T ! N -R,�LW, Town of .P i' # "e Af A . Subdivision Cart MM SurM Map # . Volume . Page # warranty DKd # 7, 2I . Volume - 7 S Pap # D S leff Ono Spec honsc D yes t�no Lot lines idm�fiab yes Lep�apar�aaiaatiln■ w. ced' 7► arse�C�waaYsai�iaibp�ISreit 'I�slaYuiewaa.I'aaper cotes ate em tb seple %x& tm1iv a vma d r wgpw NLt YM Pat how to eaa atieot Aw fi MWmK d dw Mpde tv* W a ftWft rat~ i ire' wsMa dtirasd =�.leie. lu popery mNta qp t~ ae%mk ft it C*k Zmbg Dapattaaat a a wdsoaiew hIM6 dpd by the siwaer tend by a d�i�!9►�tlr■i1�p�aeea �at(1�Ireaa�ile...teanlert�ltp� is a popeF ipe: eria ai as i�r(!� iAeeigaelG.s aai *ai�pia (tifaa�►� is wptlawat is leei em U3 9A of alad W Uwe. WAS Whthsd - setfot�beie:e.attaee6P 6e De} at�e�taft�e�dieDepNare�ioi ?r�Mwt�aaoneee�Strlsaf �aoe6/ 6ityea�sepi cspaleiMsbesaarblaiaaaaaeitl�eas�laesaaA >�itatis�.0 Cie�1/ ?�eig0 30 DATE _ 1 { -� OVy�I>9�tt clsR9RI 1 i*d trial i iia taaa a.e aas t. �s beat a[w41� loeerwledDe. I ( 4 m ( PM) Aw son"" 41C _ t6e ibrr atiaia. ti]► t+ittrc s+f: wn�st� iee! ■eowid iu ��iMSt oiDeoie Odioa - .OF . S.fC.ANt DATE- _ - w.a« �, ietfamtaGeq tbN is ��]► tesuk is De sdtery pemit btu t+etnoAood 3y the ••"•: •• Indade with d& ap ikidoa; t stp led erttiat�ty deed fiaa do Rasbow of Deed: o8ice s eOPY of the Cortina! s6vay mop if tt fe enes it A&4e in the wOktanty /wed U. 2575P 025 - 7 4E3,at c-:iPe4 4t STATE BAR OF WISCONSIN FORM 1 — 1998 KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY D RAN DEED ST, CROIR CO., WI RECEIVED FOR RECORD Document Number 05/18/2004 11:30AN This Deed, made between Silver Lake Land. LLC Grantor, and Kenneth J. Oeverina.a married person , Grantee. WARRANTY DEED Grantor, for a valuable consideration conveys to Grantee the following EXEMPT # described real estate in St. Croix County State of REC FEE: 11.00 Wisconsin (the "Property "): TRANS FEE: 438.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address URN TO. Burnet Title 7550 France Ave. S. First Floor Edina, MN 55435 A-, 026 1073 50 0011 026 107.150 0001 Parcel Identification Number (PIN) This Is not homestead property. (is) (is not) Lots 12, 13, 15 and 16 Hollow Pond Addition, Town of New Richmond, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except 1�`y� , Dated this ` day of it • ' °` 2004 (SEAL) (SEAL) Silver Lake Lan LC By Gregory J. Peterson (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) WENp1r S W. T State of Wisconsin, NOTARY PU } ss. F WIS CONSf1s( St. Croix County authenticated this day of �w Personally came before me this ��ay of 1` , 2004 the above named Gregory J. Peterson, vice president of Silver Lake Land » LLC to me known to be the person who executed TITLE: MEMBER STATE BAR OF WISCONSIN the foregiNing In n anent and ac owledge the same. (if not, authorized by §706.06, Wis. Slats) 1.0 J �z r- THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin Coidweii Banker Burnet 1301 Coulee Road My commission is perma ent. (if not, state expiration date: Hudson, WI 54016 3 -66470 Q 1 (Signatures may be authenticated or acknowledged. Both are not necessary.) " Names of persons sig in any capacity must be ty2ed or printed below their signature. o s 1.80 :............... .............................\ N o ...�� ` ate•.,..... 0 0 Z \ �� ....... I I b I - - 24..40' �-- — 205.01 -- — 205.01' b N89'55'25 "E 434.42' __�'�1 -�� ° CD - x4T - A� -`--- "' S89'S5'25 "W 435.00' C C2 r — — 215.01' — — - 219.99'- x i M N G m 0 0i I N N LO/ /I O N OD N o j 91,632 sq. ft. Z `� LOT V a 1 * LOT 9 ....... N I 2.10, acres 81,266 sq. ft. 89,416 sq. ft. o N 1.87 acres 2.05 acres to N N . 2 I ) I . � — N89'43'24 "E 121 j 21 5.02' 162.02' 223.07' 235.12' 235.12' 416.94' I POLE BARN LOT m 76,883 sq. ft. W 1.77 acres W LP TANK N LOT f? to LOT M 0 77,189 sq. ft. -, ° in ° G RA 36,338 sq. ft. N 1.77 ocres o M ° N ' acres in ' 33' "j o z L.B.O = 1033.0' . Z .. ..1.._.J........ ........... I . \ . • • 5O ' • 66' joint sEPTId I Driveway o Easement 33 m — — 236.99' — — '235.12' — --- — — 416.94' — N89'43'24 "E — _ e,►,r&Yine — S89 - 24 "W — MT YS WE 6 6' -- 589'4324 "N I LOT 2 C.S.M. IN VOL. 14 PAGE