HomeMy WebLinkAbout026-1075-10-100 Wiscolisin Departmeht of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety flnd.Building Division
INSPECTION REPORT Sanitary Permit No:
5 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No.
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ') 2—
Permit Holder's Name: City Village X Township Pa rc ax No.
Domenzain, Ed & Pam Richmond, Town of
CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /IVlap No
26.30.18. C
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header /Man.
Aeration Dist. Pipe
Holding Bot. System
Final Grade
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: UNIT Model Number:
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / q
Location: 399 140th Avenue New Richmond, WI 54017 (NE 1/4 NE 1/4 26 T30N R18W) NA Lot 3 &part Lot 1 Parcel No: 26.30.18 , 3J2XIG
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan revision Required? L: Yes I ;, No
Use other side for additional information. FTT7,
Date Insepctor's Signature Cart. No.
SBD -6710 (R.3/97)
I
RECEIVED ► ---A
�---- toffy.,.► Safety Conn t
201 W. W , . 7162. C ID )
��� � Madison, WI 53707 -7162 Sanitary P Number (to be filled in by Co.)
ST CROjA COUNTY
� �' F NING OFF1Ct
Sham Teanuotien Nv bye
Sanitary -Permit Application. /
In accordance with s. Comm 83.21(2), Illis, Aim Code, submissIgn_of this form to;the appropt ate governmental l �"
unit is required prior, to obtaining a seffitarjt permit. Note Application for" Is for stataowne d POWTS are Proje d A (ifdifferent than mailing address)
submitted to the Department of'Cominatce: = Personal infornit<tion you provide; may be used for secondary
s in accordance with the Privacy iAw, s. I5. 1 m , Slats. j 3 4� e AJ2A)
L Application Information - Plealle Print All Information
Property Owner's Name Parcel # !
Property Owner's Mailing Address Pr , 3f 2i/f 1d
2 - GGVL Lot
City, State Zip Code Phone Number /I V-f-- Y., Section
J[ D
T N; R l E W
II Type of Buildi g (check a that apply) #
Subdivision Name
2 Family Dwelling- Number of Bedrooms � /
' LYI Block # � "
❑ Public /Commercial - Describe Use ❑ City of
CSM Number �I . ❑ Village of
❑ State Owned - Describe Use I/
own of
Ill. Type of Permit: (Check only one box on line A. Complete fine B if applicable)
A. ;Before w System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
BB mit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Expiration Owner Z - % i 3 - 7--
IV. Type of POWTS System/Component/Device: Check all that appl
- ressurized In- Ground [I Priessurized In -Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other DispersaljComponent (explain) ❑ Pretreatment Device (explain)
V. Dig ersal/Treatment Area Information: real Area Proposed (sf) System Elev
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area FReqred sf) Dupe s VI. Ta�nfo Capacity in Total Manufacturer Gallons Gallons t'
New Tanks Existing Tanks
V rn rn w
Septic or Holding Tank �(
Dosing Cbamber
VII. Responsibility Statement - L the undersigned, assn possibility for installation of the POWTS shown on the attached plims.
PI s Name (Print) Plumber' tore MP/MPRS Number Business Phone N ber
1• 226 ft ZZ
Plumber's Address (Street, City, State,'!Zip Code) ^ I r
VQI. un /De artme t Use Onl
Permit Fee Date I Issuing Agent Si lure 4- pproved ❑ Disapproved f_
❑Owner Given Reason for Denial S ? ` GT
IX. Conditions of Approval/Reasons for Disapproval -
/�l � I /�v
Attach to complete plans for the system and submit to the Coady only on paper not lees than g 1 n:1l inches In size
SBD -6398 (R. 01/07) Valid thru 01/09
J LOT PLAN
PROJECT Ed and Pam Dome nzain ADDRESS 2617 14th Ave S. Minneapolis Mn 55407
NE 1/4 NE 1 /4S 26 /T 3 N/R 18 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 9 / 11 /07 BEDROOM 3
CONVENTIONAL IN -GR PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32
BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H. R. P Same as Benchmark
SYSTEM ELEVATION 95.0/94.6 3.8' below qrad
211' Property Line 140 Ave
Well is to meet all Plans Designed Using
setbacks required by Conventional Powts
WDNR B.M. * Alt.BM Manual Version 2.0 38'
LL 20' B -1 71'
4'
Vents
Pro 3 40' 61'
Bedroom 2 -3' X 65' Cells with >3' Spacing
House
10'
Huffcutt Combo Tank B -3 35'
Vent 26'
>6 " Quick4 Standard -W
of Cover Leaching Chamber B -2 109'
with 20.0 ft2 of Area
4' Long
12" 5.8ft ^2 /pair of end caps
34" Grade at System Elevation
AL
140th ST.
co
��
PL PLAN
PROJECT Ed and Pam Domenzain ADDRESS 2617 14th Ave S. Minneapolis Mn 55407
NE 1/4 NE 1 /4S 26 /T 30 /R 18 W T N Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 __ DATE 9/1/09 BEDROOM 3
CONVENTIONAL IN -G U PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32
BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100° Filter BEST Filter
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 95.0/94.6 3.8' below qrade
211' Property Line 140th Ave
Well is to meet all Plans Designed Using
setbacks required by Conventional Powts
WDNR * A1t.BM
B.M. Manual Version 2.0 38'
LL 20' B -1 71'
4'
. . . . . . ............... "� Vents
Pro 3 40' 61'
Bedroom 2 -3' X 65' Cells with >3' Spacing
House 10'
Huffcutt Combo Tank B -3 35'
Vent 26'
>6» Quick4 Standard -W
B -2
Leaching Chamber 109'
of Cover with 20.0 ft2 of Area
4' Long
12" 5.8ft^2 /pair of end caps
34" Grade at System Elevation
140th ST.
SEPTIC 'TANK g
�}MP C',RMBER CRO S
S SECTION AND SF €CLT ICAfIt? #S
WFATHERpRWF APPROVED
141N. ASOV E GRADE ,jU NCTIOM BOX MA)MOLE COY ER
11 VENT PIPE I WTNI OW WITH CONDUIT W 1 pADLIDCK £
w G
y - `ROM DOOR KE . t
.IR i�tT ' �tARdil tG LA$E..
FR1Eaj:
4 14IN
FI rO GRADE �(p
zY
♦ap
IN
{
� a
INLET GAS O
----
TIGH JO INTS E VIT
WATER 'FIGHT SEAL A SEAL : APpRoM pI
" oK 3
�,IQ SOIL
AppROVED C FF
PIPE ;3` A
SOIL: SOLID. - O
SOIL PUM QI'F EL£V -
BEDDING UNDER TANK CONCRETE PAD
3 n APPROV EI7
SP�CIFZCATItINS � /s�� / irn�4 �
Doscs pER
DAY; �.�.
SEPTIC ! DOSEi321+1G / / ham Gt4L-
TAN r{ANUFAC`izJRER : � E �z {} E IN
OWBAC
✓�
GAL-
SEPTIC GAL INCITES
TAIiK SIZES DOSE — / "' GA -
C A PACITIES: = A
2 INCHES
A ye rtAKVFA �1 GAL.
MonEL MJKSER'. r¢- C .� INcliES / ?
SWITCH TYPE: � � - --7--
IKCKES
pump MANiJFAL"IuR£R : I LHR 15.23 WAC
�-> i
MODEL ��� : � ._�!� pump g ALARM idIR
SWITCH 213G A-'` ,P / � FEET
Gt ,
E
BAT d TION PIPE - - EET
REQ�IR DISCHARGE EEi�i PUMP OFF AND - D ISTRIBU - . . . . _ - �E£'F
PRES U E - fRICTIp33 FACTOR V f�FEET
+ ER'fYCA i3 I NET�IORK St3FFLY FT1 IQ g .FT' DYNI�IC Mr /
M ORCEMAZN X " TOTAL ;AriETER
+ FEET P � D
PUMP `FArrK: t,£NG �
LIQUID - - '" ""
FNTERNRL DIMENgZDNS 4F
LICENSE NUM =
5IGNED *- _
ilk$
Ln -- TOTAL DYNAMIC HEAD /CAPACITY
w w HEAD CAPACITY CURVE PER MINUTE
MODELS 53/55/57/59 EFFLUENT AND DEWATERING
Model 53/55/57/59
2C � �
6 Ft. Meters Gol. Ltrs.
w ° .63
I 5 1.5 43
15 4 10 3.1 34 129
0 4 I 15 4.6 19 72
10 Shut —off Heed 19.25 ft. (5.9m)
� o
2
5 --{ 3 15/ 16 �_ 6 5/32—
4 5/8
i 1 1/2 -11 /' NFT
0 L
U.S. GALLONS 10 20 30 40 50
3 15/16
LITERS 80 160
0 -
FLOW PER MINUTE 009
� 4 1/16
V .. z �✓ c c...1'a_ ,rE N � 9 '1.9'3 � � E.�r - ,. .� j
Variable level float switches available.
Variable level long cycle systems available.
Available with special cord lengths of 15', 25', 35' and 50'. v
I
Alarm systems available. to 116
Duplex systems available.
3 3/32
5Ke58
i
SI Seal control Sehmuon Usdnga S _WC`: ON '�Gd: D'
Model volts Phase Mode I Amps Simplex Duplex CSA UL 1. Integral float operated mechanical switch, no external control n q•tired.
M53/55 & M57159 115 1 Auto 9.7 i 1 ---- Y Y 2. Single piggyback - variable level float switch or double piggyback /ariable level
N53155 & N57/59 11S - 1 Non 9.7 2 3 or 4 & 5 Y Y float switch. Refer to F1100477. BN53 115 1 Auto 9.7 - Y Y 3. Mechanical
alternator "M -Pak" 10 -0072 or 10 -0075.
BN57 115 1 Auto 9.7 - N Y
BE53r57 230 1 Aum 4.8 __ Y y 4. See FMO712 for correct model of Electrical Alternator.
D53/55 & D57159 230 1 Auto 4.8 1 -- Y Y 5. Variable level control switch 10.0225 used as a control activator, with Electrical
E53/55 & E57/59 230 1 Non 4.8 2 3 or 4 & 5 Y Y Alternator (3) or (4) float system.
'Single piggyback switch included.
For information on additional Zoeller products refer to catalog on Piggyback Variable Level Float Switches, FM0477; o c � Ev s c* n i i s� =, -
Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Sump/Sewags Basins, FM0487; and Single Phase -_ - to Ef: 3Zre y C&I aS to _ r
Simplex Pump ControilAlarm Systems, FM0732.
C. U ... _..,_. ,
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
MAIL T0: P.O. BOX " 3�yg +7
Louisville, KY 40250 Manufacturers of. .
SHIP T0: 3649 Cane Run Road
® Louisville, KY 40211 -1961 rMirY)aL(M 6 lA f /S, ' a
® PUM !O
(502) 778 -273 1 1 928 -PUMP
774.
http✓ /www.zoell ®rcom � (502) 774.3624
C Copyright 2002 Zoeller Co. All rights reserved.
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter Is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
ngenc Plan
Option #1. stem faits, determine cause of failure, use alternate area and install new
n tested replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing blomat,
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.
PI u mber: ' Shaun Bird 715- 246 -4516
St. Croix County Zoning 715 -386 -4680
Pumper Tom Mondor 715 -246 -5148
Shaun Bird #226900
commerce .wl,gov Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162 f
s co n s 1 n Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.)
t ( l oepartment or catrtmeroe
Sanitary Permit Application State Transaction Number
in accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropr al
unit is required prior to obtaining a sanitary permit. Note: Application forms for state -ow Project Address (' m
different thanailing address)
submitted to the Department of Commerce. Personal information you provide may be fo
p urposes in accordance with the Privacy Law, s. 15.0 1) m , Stats.
1. Application Information - Please Print All Information
Property Owner's Name Parcel # y'V6
Property Owner's Mailing Address Pro Location
Z Go Lot _,
City, State Zip Code Pho a Nurtt P 1 2 V. `G, Section 2 6
f J `` rrcleo
l� T Z) N R E u '
11. Type of Buildin check all that apply) Lot ST. CROIX (:
Family Dwelling - Number of Bedrooms Subd vision N me
Block
— -- - j /2
❑ Public/Commercial - Describe Use �v �a7N�2 I^ 4/361 ❑City of
GSn-t i&
CSM Number ❑ Village of
❑ State Owned - Describe Use
Townof
111. Type of Permit: (Check only one box on line A. Complete One B if applicable)
A New System ❑ Replacement System g p Y g System ( p
❑ Treatment/Holdin Tank Replacement Only Other Modification to Existing (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. Type of POMITS System/Component/Device: Check all that apply) % T'
Non - Pressurized In -Ground ❑ Pressurized In- Ground At- Grade ,,❑ Mou > ,2,4 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) C, - V � ' ( "- "` i'Q Device (explain)
V. Dis ersalfrreatment Area Information:
Design Flow (gpd) Design Soil Application pd Dispersal Area Required (sf) Dispersal Area Propos (sf) S stem Elevatiopf
Vt. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons U
New Tanks Tanks
Septic or Holding Tank 17 nAZ%W
Dosing Chamber nsz) ' /
VII. Responsibility Statement- 1, the unde Igned, a ume r ponsibility for installation of the POWTS shown on the attached plans.
Plumber's ame (Print)
! 1 71,
Plumber' lure MP /MPRS Number Business Phone Number
Plumber's Address (Street, City, State, Zip Code)
VIII. Coptrity Only proved ❑Disapproved $ � �� frU D�e Issued Issuing Age �
❑ Owner Given Reason for Denial 3 U
IX. Conditions of Approval/Reasons for Disapproval( SGZ � � h����C Cif kgB �, 5Jf #
SYSTEM OWNER: Q.Q�( G�Zti n C' i vr-. Zy"
1 Septic tank, effluent filter and
dispersal cell must all be servced / maintained .H 2_ai —e -
manacl ment plan provided by plumber. " A4&
2. All setback requirement'snmta a system and submit to the County only on pat4r not less than 8 111 it I I inches In she
as per applicable code /ordinances
SBD -6398 (R. 01/07) Valid thru 01/09
C RMB£R C ROSS SECT10 ADD
S ? €CL - ICATIONS
g EP'T'TC -rAxy, E PUKP
k �RWF
TI 3m $8X Agg#��il ED
, E4I1� . AE90� E GRADE, RC COVER
n €�t'f PIPE � C€lRDU I T' Hf3
it W , NDOW OR > � rROWDOO V1 PADLOC
vf
GAS
IN
W iY£R TIC'
TS
S EALS ' �3i TPIP
SOIL
C.
pjpE ; --—
SOIL !
�� vlw1m TANS cOscRETE PAD 3 �.. APFit EIJ $� I cc 11
SPECZI'Z
QUS PER DAY: --�---
��$
SE D OSE _ '�-
TANX S IZES ? SL .
. -
m p
ANY. GAL- GAL
.._,.- DOSE �PAGITIES '. - - 2. VicliES
GAL
MODEL C
,�ft1FA�C3EtER;: C �✓ r B r �,s VICES = / ,
Pump
�LT�JR£R : z PER I LHR lei. 49 mrT
RODEL J!#8�"� - ti idlRZi�
Y3ZSCHARGE " —�'' E3ISTgI TIC PIPE • - FEET
REG°�IRf� E£3W PU14P O F AN -
ENCE $� y PRE - - €R�CTIa� �'i�,CTOR
VER'T'ICAL Djr
SUPPLY PR ESSURE . /,;o iO vJE r�
- AL DY C
rEET X ' ; €)IAMET
i�.�,�I' � il�E3�SIi?t�� �of, 1
LIC�2�S� 48 = -
SIGNED!
; 188 -
TOTAL DYNAMIC HEAD /CAPACITY
L HEAD CAPACITY CURVE PER MINUTE
y MODELS 53/55/57/59 EFFLUENT AND DEWATERING
25
Model 53/55/57/59
L -
6 20 Ft. Meters Gal. Ltrs,
I 5 1.5 43 163
G 10 3.1 34 129
Q
15 4.6 19 7 2
a 10 Shut -off Head 19.25 ft. (5.9m)
c
2
5 3 15/ 16 �-- 6 5/32
4 5/8
1 1/2 —11 - /2 NPT
0
GALLONS 10 20 30 40 50
LITERS 3 15/16
0 80 160 _ —f
FLOW PER MINUTE 009897
4 1/16
CONSULT FACTORY . I
FOR SPECIAL .APPLICATION
Variable level float switches available.
Variable level long cycle systems available.
Available with special cord lengths of 15', 25', 35' and 50'.
Alarm systems available. 101/16
Duplex systems available. I ^L
l 3 3/32
sK86a
Single seat Control selection Ustings SELECTION GUIDE
Model vows Phase Mode Amps Simplex Duplex CSA UL 1. integral float operated mechanical switch, no ememal control required.
M53155 & 069 115 1 Auto 9.7 1 -- Y Y 2. Single piggybackaivariable level float switch or double piggyback variable level
N53155 & N57/59 11 1 Non 9.7 2 3 or 4 & 5 Y Y float switch. Refer to FM0477.
BN53 115 1 Auto 9.7 Y Y 3. Mechanical atemator °M -Pall' 10-M or 10.0075.
BN57 115 1 Auto 9.7 -- N Y
BE53/57 230 1 Auk 4.8 y y 4. See FM0712 for correct model Of Electrical Altemator.
D53/55 & D57/59 230 1 Auto 4.8 1 •Y Y 5. Variable level control switch 10.0225 used as a control activator, with Electrical
E53J55 & E57/59 230 1 Non 4.8 2 3 or 4 & 5 Y Y Alfemator (3) or (4) float system.
Single piggyback switch included.
For information on additional Zoeller products referto catalog on Piggyback Varlable Level Float Switahes, FMO477; Ali instals ?ion of controls, protection devices and wiring
should be dc ne by a eualdied
Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Sump/Sewage Basins, FW4137; and Single Phase likened electrician. All elecuicai and safety codes should be ioiioaed
a cluing the most
Simplex Pump ControVAlann Systems, FM0732. recent tia� onsl Sicctft Code (NEC) and the Occapational Safety and h -as'.h Act (OSHA,.
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
AWL T0: P.O. BOXW§ g —
Louisvifle,KY 4025w Manulacfurersof..
SHIP TO: 3649 Cane Run Road �? X70
®
O w e Louisville, KY 40211.1961 �6i4urr)Zmw Sea' /10 h co PUMP , ( ) FAX �) ��4 PUMP
0 Copyright 2002 Zoeller Co. All rights reserved.
LN/R T PLAN
PROJECT Ed and Pam Domenzain DDRESS 2617 14th Ave S. Minneapolis Mn 55407
NE 1/4 NE 1 /4S 26 /T 3 18 W TOWN Richmond COUNTY ST. CROIX
9/11/07 BEDROOM 3
MPRS Shaun Bird 226900 DATE
CONVENTIONAL IN -GR PRESSURE CONVENTIONAL LIFT )00( HOLDING TANK
MOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32
IL BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL «H.R.P. Same as Benchmark
SYSTEM ELEVATION 95.0/94.6 3.8' below grade
211' Property Line 140th Ave
Well is to meet all Plans Designed Using
setbacks required by Conventional Powts
WDNR B * A1t.BM Manual Version 2.0 38'
.M.
B -1
20' 71'
4'
Vents
Pro 3 40' 61'
L Bedroom 2 -3' X 65' Cells with >3' Spacing
o a
ing
House 10'
Huffcutl :Comb Tnk ��� B -3 35'
Vent 26'
>6 „ Quick4 Standard -W
Leaching Ctiamber 109'
of Cover with 20.0 ft2 of Area B -2
5.8ft ^2 /pair of end caps
4' Long 12"
Grade at System Elevation
34"
140th ST.
NV IsconsinSOIL EVALUATION REPORT #2076
Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3
Division of Safety and Buildings Steel's Soil Service
Attach complete site plan on paper not less than 8% x 11 inch siz Plan must County St. Croix
include, but not limited to: vertical and horizontal reference p rect an
percent slope, scale or dimensions, north arrow, and location and i ear oad. Parcel I.D. 2
�- Pending
Please prin i ``'' n Revi ed By Dat
Personal information you provide may be u d for sPftKF j EE&acy L , s. (m)). 3 L/
Property Owner 11 roperty Location
Ed & Pam Domenzain SEP 1 1 2007 G ovt. Lot na NE1 /4, NE1 /4, S26, T30N, R18W
Property Owner's Mailing Address of # Block # Subd. Name or CSM#
2617 14th Ave South ST. CROIX COUNTY 3 na CSM 2� - , j f
city tate Phone Number y g j Town Nearest Road
ty Cit Villa e
Minneapolis MN 55407 1 612 -501 -5430 Richmond 140Th St.
New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
F Replacement ❑ Public or commercial - Describe na
Parent material Pitted outwash plains Flood plain elevation, if applicable na ft.
General comments Conventional system 95.05ft. Trenches spaced and depth to code 3.75ft below grade.
and recommendations:
❑ Boring #
Ll Ground surface elev. 98.80 ft. Depth to limiting factor 110 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistency Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2
1 0 -12 10yr 3/1 none sil 2msbk mfr cs 2c .6 .8
2 12 -34 10yr 4/4 none sicl 2msbk mfr cs 1C .4 .6
3 34 -75 7.5yr 4/4 none grcos osg mvfr cs na .7 1.6
4 75 -110 7.5yr4/6 n one cosy osg ml na na .7 1.6
Boring #
Ground surface elev. 95.30 ft. Depth to limiting factor 84 in., Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -12 10yr 3/1 none sil 2msbk mfr cs 2c .6 .8
2 12 -34 10yr 4/4 none scl 2msbk mfr cs is .4 .6
3 34 -83 7.5yr 4/4 none grcos osg mvfr cs na .7 1.6
4 84 -95 10yr7 /8 fra ctured lime tone na na na .0 .0
l�
`1
* Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L Effluent #2 = BOD < 30 mg /L and TSS S mg /L
CST Name (Please Print) - Signature: CST Number
David J. Steel - ..� 248956
Address Steel's Soil Service Date Evaluation Conducted Telephone Number
1699 150th St New Richmond, WI 54017 9/5/2007 715 - 760 -0347
SBD -8330 (R.07 /00)
Property owner Ed & Pam Domenzain Parcel ID # Pending Page 2 of 3
Boring # Ll
Ground surface elev. 95.30 ft. Depth to limiting factor $3 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Cclor Gr. Sz. Sh. *Eff#t *Eff#2
1 0 -12 10yr 3/1 none sl 2msbk mfr cs 2c .6 1.0
2 12 -34 10yr 4/4 none Is osg mvfr cs if .7 1.6
3 34 -83 7.5 4/4 none cos osg ml cs na .7 1.6
4 83 -90 10yr7 /8 ractured lime stone na na na .0 .0
F-1 iI
Boring # Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Cclor Gr. Sz. Sh. *Eff#1 *Eff#2
F-1 Boring # r ',
�; Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *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) Steel's Soil Service
STEEL'S SOIL SERVICE 3 of 3
David J. Steel Ed & Pam Domenzain 1699 150th St.
CST - POWTSM NE1 /4,NE1 /4,S26,T30N,R18W New Richmond, WI 54017
Lic. #248956 Town of St.Richmond, St.Croix Co. Direct 715- 760 -0347
CSM Lot 3 Fax 715- 246 -0318
Legend N
1 " =40'
♦ = Benchmark Ele. 100.00 ft
Top of 3/4" pvc pipe
•
=Alt Benchmark El 99.95 ft
Top of 3/4" pvc pipe
❑ = Borings
Boring Elevations
B1= 98.80 ft
B2 = 95.30 ft
B3 = 95.30 ft
___ B4 = 0.00 ft
.4 - I
- 7 1 1
ALO
-7"a ?
.
t
/ oi l
f ��
VOL 22 PAGE 5351
KAVEM H. MiA1rSA - --
REGISTER OF DEEDS
ST. CROIX Co., WI
RECEIVED RECORD
CERTIFIED SURVEY MAP 02 / 0 1/2007 OR 02:15PH
Located in part of the Northeast Quarter of the Northeast Quarter of Section CERTIFIED SURVEY MAP
26, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, REC FEE: 13.00
Wisconsin; including Lot 1 of Certified Survey Map Number 688845 recorded in COPY FEE: 3.00
Volume 16 Page 4361 in the St Croix County Register of Deeds Office. PAGES: 2
BEARINGS ARE REFERENCED TO THE EAST LINE OF THE
NE 1/4 OF SECTION 26, TOWNSHIP 30 N., RANGE 18 150' 0 150'
W. RECORDED BEARING S00'19'18 "W.
GRAPHIC SCALE
SCALE IN FEET: 1 inch = 150 feet
'VCR OUARTr CORNER N. LINE OF THE nE AS T CO RNER
NE -114 SEC. E T C
NER
SEC. 26, T30N, R18W (FAD ALUMINUM MON.)
(FND RAILROAD SPIKE) UNPLATTED — LANDS -
- - - - --
--------
- s 43 23 E: 2621.00 ' ------ - ------ - - UNPLATTED LAND..
-----
_� S89'43'23 "E 655.25 140th AVENUE ` k
416.01 239.24
416.01 ' -- 211.69' i
1965.75' _ -S89 55'11 "E 627.70'- - F l i
W ............
C I
.......................................... `I I
to ,� 1
LOT4
LOT 3
' _
229,069 sq. ft. 3 105, 535 sq. ft. o r— i NO) 1 Fl
5.26 acres 2.42 acres I �_ •� _
Q i (D W/O ROW � � W/o HOW ° v
�n
Z o, 215, 950 sq. ft. 0 66,759 sq, ft.
< : w 4.95 acres y 1.99 acres LOT 24
I - - - --
0 I q o 'o o
w °' "' Co
04 W
O
� � '- y O
208.00' i 210.83' I \ 0 W
t>D Ir
418.83' _ 28.38'` -i of
- O
N89'43 20 "W 447.24' -
3 LOTS a
Z l�J
H I_
,°0 97, 946 sq. ft. o N L44 Of
1
01 �; 2 25 acres : o g O j
O N W/O ROW N N ( I
91, 673 sq. ft. i _z
2.10 acres - 447.24'-
207.99' i 418.37' 28.87' � �' I
1 D
N89'43'20 "W 655.23 T I LOT 25
LOT 2 ; - - - - --
I CSM
v 3-T 33
DOC. NO. 688845 Q
VOLUME 16 PAGE 4361
--------------- - - - - -- 1 I
I I
I I
PAST 0UAR7FR CORNER 1 1 4�t 1
SEC. 25, UON, R18W
(FND ALUMINUM MON.)
•
LEGEND
Prepared for and at the request of: Section Corner Monument HUD-4)Np
Eileen Holland of Record
227 Meridian Drive Ste #1 w Set 1" O.D. x 18" Iron Pipe weighing
New Richmond, WI 54017 1 t:� nrnrnric nar linPnr fnnt �i.. .�I►11S�� c'' / I
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
S ency Plan
ption. #1 If system-fails, determine cause of failure, use alternate area and install new
in tested replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option#3. No adequate area is suitable for replacement area, and system elevation
cannont be lowered. Install holding tank as last resort.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715- 246 -4516
St. Croix County Zoning 715 - 3864680
Pumper Tom Mondor 715 - 246 -5148
Shaun Bird #226900
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer lP' ri'"`' 1 0 n : �9- Q j/ V
Mailing Address t;- 7 ZY m S ��
Property Address 1l �Id�
(Verification required from Plannin & Zoning Department for new construction.)
City /State Parcel Identification Number
LEGAL DESCRIPTION
Property Location 1 /a , �' /a ,Sec. ��� , T N R_� I W, Town of
Subdivision
Lot # 2
, � , Page #
Certified Survey Map Volume # � ( _
Warranty Deed # �� , Volume , Page #
Spec house yes no Lot lines identifiable yes ( / 9
}
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman 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 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the
property d 'bad above, utue warranty deed recorded in Register of Deeds Office. g /
/UL/L-2-7
SIGNATURE OF APPLI T(S) DATE
* ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * **
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05)
I �elll� 1t�N ■II1� II��1 ��III 1�I1 I���II II�� ���)
* 8 4 9 4 6 0 1
849460
STATE BAR OF WISCONSIN FORM 1 - 2000 KATHLEEN H. WALSH
WARRA.NT'Y DEED REGISTER OF DEEDS
Document Number ST. CROIX CO ., WI
THIS DEED, made between Eileen M. Holland and Timothy M RECEIVED FOR RECORD
Holland, wife and husband, Grantor, and Eduardo Domenzain and 05/01/2007 10:30AM WARRANTY DEED
Pamela Domenzain, rt13d and WIBC Grantee. EXEMPT II
Grantor, for a valuable consideration, conveys to Grantee the following REC FEE: 11.00
described real estate in St. Croix County, State of Wisconsin (the TRANS FEE: 147.00
" Property "): PAGES- 1
*- :5 vhr 6KP Yhayi fzd jk i
Lot 3 of Certified Survey Map filed February 1, 2007, in Vol. 22 of C.S.M.,
pg. 5351, as Doc. No. 843728, located in part of the NE' /. of the NEY4 of
Section 26, Township 30 North, Range 18 West, Town of Richmond, St.
Croix County, Wisconsin, including Lot 1 of Certified Survey Map filed
August 30, 2002, in Vol. 16 of C.S.M., pg. 4361, as Doc. No. 688845. Recording Area
Name and Return Address:
St. Croix County Abstract & Title Co., Inc.
252 S. Knowles Ave
New Richmond, WI 54017
Together with all appurtenant rights, title and interests. 026 - 1075 -10 -000
Parcel Identification Number (PIN)
This is not homestead property.
Grantor wan ants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
easements, covenants, and conditions of record.
Dated this a1 day of, 2007.
* * Eileen M. Holland
* * Timothy M. Holland c
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
COUNTY ST. CROIX ) ss.
authenticated this Personally came before me thQa day of PW 2007
the above named Eileen M. Holland and Timotholland
* to me known to be the person(s) who executed the foregoing
TITLE: MEMBER STATE BAR OF WISCONSIN ins nt n owledged the same.
(If not,
authorized by § 706.06, Wis. Stats.)
h1 • Gein 'e .ys:.
THIS INSTRUMENT WAS DRAFTED BY Notary Publi , State of Wisconsin A
Y
My commission is permanent. (If not, stag
Robert L. Lober
OA
Loberg Law Office a
(Signatures may be authenticated or acknowledged. Both are rI& fftessary.)
*Names of persons signing in any capacity must be typed or printed below their signature
WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 R•
1 of 1
Parcel #: 026- 1075 -10 -100 01/23/2008 08:16 AM
PAGE 1 OF 1
Alt. Parcel #: 26.30.18.392A -10 026 - TOWN OF RICHMOND
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
02/01/2007 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - DOMENZAIN, EDUARDO & PAMELA
EDUARDO & PAMELA DOMENZAIN
2617 14TH AVE S
MINNEAPOLIS MN 55407
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1399 140TH AVE
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 2.420 Plat: 5351 -CSM 22 -5351 026 -07
SEC 26 T30N R18W PT NE NE BEING CSM Block/Condo Bldg: LOT 03
16/4361 LOT 1 (9.930AC) NKA CSM 22 -5351
LOT 3 (2.420AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
26- 30N -18W NE NE
Notes: Parcel History:
Date Doc # Vol /Page Type
05/01/2007 849460 WD
12/09/2002 701480 2073/130 PRD
12/09/2002 701478 2073/125 TI
08/30/2002 688845 16/4361 CSM
2008 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 02/16/2007
Description Class Acres Land Improve Total State Reason
Totals for 2008:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 026- 1075 -10 -000 09/13/2007 11:45 AM
PAGE 1 OF 1
Alt. Parcel #: 26.30.18.392A 026 - TOWN OF RICHMOND
Current ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
02/01/2007 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - HOLLAND, TIMOTHY M & EILEEN M
TIMOTHY M & EILEEN M HOLLAND
1767 144TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 9.930 Plat: 4361 -CSM 16/4361 026/02
SEC 26 T30N R18W PT NE NE BEING CSM Block/Condo Bldg: LOT 01
16/4361 LOT 1 9.930AC
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
26- 30N -18W NE NE
Notes: Parcel History:
Date Doc # Vol /Page Type
12/09/2002 701480 2073/130 PRD
12/09/2002 701478 2073/125 TI
08/30/2002 688845 16/4361 CSM
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations Last Changed: 04/22/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 9.930 44,100 0 44,100 NO
Totals for 2007:
General Property 9.930 44,100 0 44,100
Woodland 0.000 0 0
Totals for 2006:
General Property 9.930 44,100 0 44,100
Woodland 0.000 0 0
Lottery Credit:
I � Claim Count: rY t 0 Ce rtification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
/3
3
843728
VOL 22 PAGE 5351
KATH = H. WWESH
REGISTER OF DEEDS
ST. CROIX CO. , WI
CERTIFIED SURVEY MAP
RECEIVED 07 °R 2E�5PH
Located in part of the Northeast Quarter of the Northeast Quarter of Section CERTIFIED SURVEY MAP
26, Township 30 North, Range 18 West, Town of Richmond, St, Croix County, g
EC FEE: 13.00
Wisconsin'. including Lot 1 of Certified Survey Map Number 688845 recorded in COPY FEE: 3.00
Volume 16 Page 4361 in the St Croix Count Register of Deeds Office. PAGE
County 9 S 2
BEARINGS ARE REFERENCED TO THE EAST LINE OF THE
NE 1/4 OF SECTION 26, TOWNSHIP 30 N., RANGE 18 X50' o Aso'
W. RECORDED BEARING S00'19'18 "W.
GRAPHIC SCALE
SCALE IN FEET: 1 inch ' = 150 feet
NOR7HEASr CORNER
NORTH QUARTER CORNER N. LINE OF THE N£ - 1/4 SEC. 16, rJON, R18W
SEC. 26, rJON, R18W UNPLAI " ANDS TED L (�D ALUMINUM MON.)
(FND RAILROAD SPIKE) ------
ANDS
---------- - - - - -- - s 8s•43'2 3 E 2621.00 ---- - - - - --
" ' UNPLATTED LANDS
-�-- -- 1 -
S89'43'23 "E: 655.25 140th AVENUE ��
�� ��' „"�� ��- 32.25' 416.01 I ��30.8 239.24
�, i� -- ��` 416.01' 211.69' i
1965.75' —S89 *55'11 "E 627.70'— — Nu
......... ............................... I
.I I
LOT4 LOT3
229, 069 sq. ft. 3 105, 535 sq. ft. g I NO TH
a 5.26 acres N ° 2.42 acres
W /o HOW 3
to W/o HAW �` 86, 759 s ft.
Z I �, 215, 950 sq. ft. $ q to I
j 4.95 acres ( \ ``� 1.99 acres 3 LOT 24
C) I N 1 co 0 -
1 b V
` \ O � N
Q I Z ` �— — 239.21'— P \ O
208.00' 210.83' I N
CL I
1I ��\ 418.83' 28.38'��
N89'43'20 'W 447.24'-
1
3 LOT5 � I
t w
N b 97,946 sq. ft. -c. N W
2.25 acres a �; OU
W/o ROW N "
I w
91,673 sq. ft. ri
z I
2.10 acres — 447.24— _ 107.99' � 418.37' 1
N89 "43'20 "W 655.23' ILOT 25
LOT _2 - - - - --
CSM !
�I3J J3 I
DOC. NO. 688845
VOLUME 16 PAGE-4361 i !
EAST QUAvm CORNER
SEC. 26, TJON, R18W
(fND ALUMINUM MON.) `�����+�► pO' "
4
CLARF r:..
LEGEN[
20,
Prepared for and at the request of: { Section Corner Monument NUIXONMI
Eileen Holland Y of Record
1 " d "`
227 Meridian Drive Ste
# • Set 1 O.D. x 18" Iron Pipe weighing
New Richmond, WI 54017 1.13 pounds per linear foot �Ij SV�v a • ���
O Found 1" Iron Pipe
Drafted by. Nicole Gulick
JOB # W1057SU236 . • • • . • • • •Building Setback Line (100' from Right of Way)
Prepared by.
�,j.EO
Consulting Group, hta NOTE: The parcels shown on this map are subject to State, County and
Phone No. (715) 246 -4319 Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to
Fox No. (715) 246 -3830 parcel, etc.,). Before purchasing or developing any parcel, contact the St. Croix
P.O. Box 325 County Zoniing Office onJ the appropriate Town Board for advice.
New Richmond, WI 54017
Sheet 2 of 2
Vol.22 Page 5351
CERTIFIED SURVEY MAP
Located in art of the e Northeast Quarter of the Northeast r
Qua ter of Section
26, Township 30 North, Range 18 West, Town of Richmond, St. Croix County,
Wisconsin; including Lot 1 of Certified Survey
� 9 r ey Map Number 68884 recorded in
Volume 16 Page 4361 in the St Croix County Register of Deeds Office.
BEARINGS ARE REFERENCED TO THE EAST LINE OF THE
NE 1/4 OF SECTION 26, TOWNSHIP 30 N. RANGE 18
W. RECOROED BEARING S00'19'18 "W.
CERTIFIED SURVEY MAP
I, Clarence E. Schultz, a Registered Wisconsin Land Surveyor, do hereby certify
that by the direction of Eileen Holland, I have surveyed, divided and mapped a
parcel of land located in part of the Northeast Quarter of the Northeast Quarter
of Section 26, Township 30 North, Range 18 West, Town of Richmond, St Croix
County, Wisconsin; being Lot 1 of a Certified Survey Map recorded In Volume 16,
Page 4361 in the St Croix County (Register of Deeds Office, described as follows;
Commencing at the Northeast Corner of Section, 26, Township 30 North, Range
18 West, this also being the POINT OF BEGINNING of the lands to be described;
Thence, along the east line of the Northeast Quarter of said Section 26, South
00 degrees 19 minutes 18 seconds West a distance of 660.15 feet to the north
line of Lot 2 of a Certified Survey Map recorded in Volume 15, Page 4361 in the
St. Croix County Register of Deeds office;
Thence, along said north line, North 89 degrees 43 minutes 20 seconds West a
distance of 655.23 feet to the northwest corner of said Lot 2;
Thence North 00 degrees 19 minutes 20 seccnds East a distance of 660.14 feet
to the north line of said Northeast Quarter;
Thence, along last said north line, South 89 degrees 4:: minutes 23 seconds
East a distunre of 655.25 feet to the POINT OF BEGINNING and there
terminating. This described parcel contains 432,550 square feet (9.93 acres).
This parcel is subject to 140th Avenue along its northerly boundary, 140th Street
along its easterly boundary and may be subject to easements and restrictions of
record.
_ C , I V
.,larence T Sc ltz Date ,_ � ••y,� `��
Registered Wisconsin Land Surveyor No. 2031 S.
JEO Consulting Group, Inc. r CLARE NCE �.
P.O. Box 325 yF SCHILT[ d:
New Richmond, WI 54017 203'i
9 • Humf wi
COUNTY I`REASURER'S CERTIFICATI; G�� (G i ° may
STATI. WISCONSIN)
ST. CROIX COUNT SS
I, Cheryl A. Slind, hemg the duly elected, qualified and acling treasurer of the Com1t n!'Stt Cr do hereby certify That the records in my office
sl r, unredeemed tax sales and no unpaid ta%es or special assessatcntr; as u:'I all'eeaing the lands included in this
erlifie 5orv4•y Map fur ileen Holla 111
-a �_ - v ( 7 _ APPROVED
Cheryl A . lid-T reasurer UA 1'1 ST. CROII( COUNTY
Drafted by Nicole Gulick iZ,Eflklg
Jog p W1057SU236
Prepared b FE 4.1 2007
y.
40JTO not recoraeo witriin 30 days of
!.ogcalring Group, Ine. approval daft aPPmW WiAV be
Phone No. (715) 246 -4319 mA and vold
Fax No. (715) 246 -3830 Prepared for and at the request of:
P.O. Box 325 Eileen Holland
New Richmond, WI 54017 227 Meridian Drive Ste #1
Sheet 2 of 2 New Richmond, WI 54017
Vol. 22 Page 5351
1030
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service
Attach complete site Ian on paper not less than 8%= x 11 inches in size. Plan must County
� p p pe St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. Q2. (A —�(� j5 '/O vH
Please print all information. Re ' By Date
Personal information you provide may be (Pnvwy Lew, s. 15.04 (1) (m)). 31
Property Owner t- ; tLocati
Rose Estate, Patricia NE 1/4 NE 1/4 S 26 T 30 N R 18 W
Property Owner's Mailing Address a B k # Subd. Nam r CSM# 1378 rope 140th St f ` ' �� na 2 2 S3 S 1
City State ip Ccgie ['twine Num4ef - y Village Town Nearest Road
New Richmond WI 17 ICE Richmond 140Th St
New Construction Use:, Residential / Number of bedrooms 4 Cade derived design flow rate 600 GPD
Replacement Public or commercial - Describe:
Parent material Pitted outwash plains Flood plain elevation, if applicable na
General comments
and recommendations: Mound design,system elvation 99.90ft based on contour line 98.40ft
Fq Boring # Boring
9 Pit Ground Surface elev. 99.10 ft. Depth to limiting factor 78 in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
"Eff#1 I "Eff#2
1 0-9 10yr 2/2 none sil 2msbk mfr cs 1 c .5 .8
2 9 -20 7.5yr 3/4 none sl om mfi gw 1 f .3 .5
3 20 -78 7.5yr 4/6 none ms osg ml gw na .7 1.2
4 78 -96 10yr 5/8 limestone residuum na na na na na np np
Boring # Boring
Pit Ground Surface elev. 99.10 ft. Depth to limiting factor 18 in. Soil Appl"bon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft'
"Eff#1 I `Eff#2
1 0 -11 10yr 2/2 none sl 2msbk mfr cs 1 c .5 .9
2 11 -18 7.5yr 4/6 none ms osg ml gw 2f .7 1.2
3 18 -55 7.5yr 4/4 c2d 7.5yr5/6 scl om mfr gw if .0 .0
4 55-80 7.5 yr4 /6 none ms osg ml gw na .7 1.2
5 80 -96 10yr 5/8 limestone residuum na na na na na np np
" Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg /L " Effluent #2 = BOD < 30 mg/L and TSS <30 mg/L
CST Name (Please Print) Signature: CST Number
David J. Steel 248956
Address Steel Sal Service Date Evaluation Conducted Telephone Number
1564 CR GG, New Richmond, W 1 54017 6/20/2002 175-246-5085
Property Owner Rose Estate, Patricia Parcel ID # Page 2 of 3
F 3 ] Boring # Boring
Pit Ground Surface elev. 96.3 ft. Depth to limiting factor 50 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
*Eff#1 *Eff#2
1 0 -11 10yr 2/2 none sil 2msbk mfr cs 2f .5 .8
2 11 -50 7.5yr4/6 none ms osg ml gw 1f 7 1.2
3 50 -78 7.5yr4/4 c2d 7.5yr5/6 scl om mfr gw If .o .o
4 78 -96 10yr 5/8 limestone residuum na na na na na np np
F-1 Boring # Boring
1 Pit Ground Surface elev. ft. Depth to limiting factor in. 50� Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W
*Ef1#1 *Eff#2
F-1 Boring # �I Boring
�9 Pft Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft=
*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
.1 Page 3 of 3
STEEL'S SOIL SERVICE
David J. Steel 1564 Cty Rd GG
CST- POWTSM New Richmond, WI 54017
Lic. # 248956 f c-, r;Gis oSe- , �$ f�. (715) 246 -6200
NF- 1 /4 1VA Vtf �e c (,T�o N,1 w (715) 246 -5085
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ST. CROIX COUNTY VOL 22 PAGE 5351
ST. CROIX COUNTY KATHLEEN H.
SURVEYORS RECORD SURVEYOR'S RECORD REGISTER OF DEEDS
RECEIVED
CERTIFIED SURVEY MAP 02/01/2007 02:15PH
Located in port of the Northeast Quarter of the Northeast Quarter of Section CERTIFIED SURVEY MAP
26, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, REC FEE: 13.00
Wisconsin. including Lot 1 of Certified Survey Map Number 688845 recorded in COPY FEE: 3.00
Volume 16 Page 4361 in the St Croix County Register of Deeds Office. PAGES: 2
BEARINGS ARE REFERENCED TO THE EAST LINE OF THE
NE 1/4 OF SECTION 26, TOWNSHIP 30 N., RANGE 18 150' 0 150'
W. RECORDED BEARING SOO'19'18 "W.
GRAPHIC SCALE
SCALE IN FEET: 1 inch ' = 150 feet
NORTH QUARTER CORNER N. LINE OF M.- NE- CORNER
NE -7/4 SM 26, r.30N. R18W
SEC. 26, TJON, R18W (FND ALUM /NUM MOM)
(FND RAILROAD SPIKE) U N P L A TTE D LANDS
--`—
—�---
- - S 89'43'23 "E: 2621.00 UNPLATTED LANDS
----- - - - - -- --PLA -
E 655.25 ' 140th AVENUE
�\ � -- 32.25' 416. 0 V 1 �30.8 239. `
416.01' 211.69' i
1965.75' S89X51 1 627.70'- �\ 1
1
.... ............................ i .......
, r• :
... .
M L.07'4 LOT 3
105, 5J5 I N s . ft. � O TH
229, 069 sq. ft. 3 'x q `8
�* 0 2.42 acres I .
5.26 acres v1 w 1
W�O
cn I ° a /91 DW
a
O i
21 W O ROW t 86, 759 sq. ft. I
J I w 4.95 acres I 1.99 acres l LOT 24
1 C)
1 1 00
i
CL I 208.00' k �'� 210.83' I ��
I
Z ��\ 419.83' 28 se's;% o1
N89'43'20'W 447.24'- O W fy'
3 LOTS O v °, ts
N o 97, 946 sq. ft. W
2.25 acres
W/o /70W
91,67J sq. ft. Z
_ 2. 10 acres - 447.24' - .. r 1 l 207.99' � 418.J7' 28.87 O j
N89'43'20 "W 655.23 1 LOT 25 �
LOT 2 i - - - --
CSM
DOC. NO. ... 688845 �IJ3
I
a 1
VOLUME 16 PAGE 4361
EAST OUARmR CORNER I 1 % Q Rrf r
SEC. 26, rJON, R18W
(MO ALUMINUM MON) ♦ / R aa�� w wwwew �,
w Cl R .
LEGEND
20,3
Prepared for and at the request of: Section Corner Monument HUDSQN,iaY4
Eileen Holl and of Record
227 Meridian Drive Ste #1 Set 1" O.D. e weighing
p
New Richmond, WI 54017 x 18" Iron Pi
1.13 pounds per linear foot
Drafted by Nicole Gulick O Found 1" Iron Pipe �IIIii[[���
.
JOB # W1057SU236 Building Setback Line (100' from Right of Way) ,
Prepared by.
Cnne „h;,OfoLy /„a NOTE: The parcels shown on this map are subject to State. County and
Phone No. (715) 246 -4319 Township laws, rules and regulations (I. e. wetlands, minimum lot size, access to
Fox No. (715) 246 -3830 parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix
P.O. Box 325 County Zoning Office_an,1.__t_he_appropriate Town Board for advice.
New Richmond, WI 54017
Sheet 2 of 2 mom Page 5351
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Parcel #: 026- 1075-10 -100 03/10/2008 10:33 AM
PAGE 1 OF 1
Alt. Parcel #: 26.30.18.392A -10 026 - TOWN OF RICHMOND
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
02/01/2007 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - DOMENZAIN, EDUARDO & PAMELA
EDUARDO & PAMELA DOMENZAIN
2617 14TH AVE S
MINNEAPOLIS MN 55407
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description ' 1399 140TH AVE
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 2.420 Plat: 5351 -CSM 22 -5351 026 -07
SEC 26 T30N R18W PT NE NE BEING CSM Block/Condo Bldg: LOT 03
16/4361 LOT 1 (9.930AC) NKA CSM 22 -5351
LOT 3 (2.420AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
26- 30N -18W NE NE
Notes: Parcel History:
Date Doc # Vol /Page Type
05/01/2007 849460 WD
12/09/2002 701480 2073/130 PRD
12/09/2002 701478 2073/125 TI
08/30/2002 688845 16/4361 CSM
2008 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 02/16/2007
Description Class Acres Land Improve Total State Reason
Totals for 2008:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 026- 1075 -10 -000 04/ 23/2007 11:37 AM
PAGE 1OF1
Alt. Parcel #: 26.30.18.392A 026 - TOWN OF RICHMOND
Current ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
02/01/2007 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - HOLLAND, TIMOTHY M & EILEEN M
TIMOTHY M & EILEEN M HOLLAND
1767 144TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 9.930 Plat: 4361 -CSM 16/4361 026/02
SE- G-26 T30f�t BEING CSM Block/Condo Bldg: LOT 01
16/4361 LOT 1 9.930AC
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
26- 30N -18W NE NE
l 3
Notes: Parcel History:
Date Doc # Vol /Page Type
12/09/2002 701480 2073/130 PRD
12/09/2002 701478 2073/125 TI
08/30/2002 688845 16/4361 CSM
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations Last Changed: 04/22/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 9.930 44,100 0 44,100 NO
Totals for 2007:
General Property 9.930 44,100 0 44,100
Woodland 0.000 0 0
Totals for 2006:
General Property 9.930 44,100 0 44,100
Woodland 0.000 0 0
Lottery Credit Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00