HomeMy WebLinkAbout026-1075-70-100 'Wi;consiri Department ofCommerce PRIVATE SEWAGE SYSTEM Count
8t. and Buildings Division Count St. Croix
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary3PSrTRO.:
Personal information you provice may be used for secondary purposes [Privacy Law, s 5.04 (1)(m)].
Permit Holder's Name: ❑ City ❑ Vi To t ate Plan ID No.:
Biermann Homes Inc., klnmonc�`>� Amship _ 3
`� 990
CST BM Elev.: Insp. BM Elev.: M Description: I!cT Parcel Ta �IOT075 -70 -100
oU • o' �' N `e cm,�n�/ S k ^ eM Gb
TANK INFORMATION ELEVATION DATA o2Cos 3 3 V.5
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic, Benchmark c(� r
Dosing b? ` oZ • �S `p$ • '
Aeration Bldg. Sewer 7. 2S
Holding St /Ht Inlet a •j OD.� -
S
TANK ETBACK INFORMATION St /Ht Outlet r----
TANKTO P/L YV9LL BLDG. Ae lntake ROAD Dt Inlet
Septic as' r NA Dt Bottom C16.95
Dosing > So r `` -•- 3s ' NA Header / Man. b3 -9D
Aeration NA Dist. Pipe
Holding Bot. System
PUM SIPHON INFORMATIONC, Final Grade
Manufacturer [demand t cover ( S �( 3 O$• 23
D
Model Number GPM
TDH Lift(,,%, Friction () v System TDH ).3Ft Head
Forcemain Length I,cr Dia. 7 " Dist. To Well
SOIL ABSORPTION SYSTEM
Width Len th / No. f T PIT No. Of its Inside Dia. Liquid Depth
N I N i DIMENSION
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING u actur
SETBACK
INFORMATION Type Of l � r 6 3 � � -�---� CHAMBER Mode Num er.
System: Mw"g
DISTRIBUTION SYSTEM
Header / Manifold ,, Distribution Pipe() y x Hole Size x Hole Spacing Vent To Air Intake
Length _ILL: Dia. 3 Length �� Dia. Spacing _33j� T cl
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 discrepancies, persons present, etc.) Inspection #1: ID /11/0 Inspection #2:
Location: 1366 140th Street, New Ric o WI 54017 (SE 1/4 NE 1/4 26 T30N R18W) - 263018395A -Lot 1
1.) Alt BM Description = `�' � Ee„ , 6 " O = 1O(• ��
2.) Bldg sewer length —0,5 r AEE)
- amount of cover=
3.) contour = 10 • 5 CS�no�"` .S� { I ° �j•`{S
4) s
PI Y ❑ No
U S th rsid for ��d ( it'on I info r at' . . i -_
t •'c " Date Inspector's Signature Cert. No.
SB710 (R.3/ ) nn
1
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
.........
[SCAL
E
f �
u °
I
1
€ t
$° 2
r
<
Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave.
PO Box 1*5C�nsrin See reverse side for instructions for completing this application Madison. WI 553707 730?
Department of Commerce Personal information you provide may be used for secondan purposes
[Privacy Law. s. 15.04(1)(m)] (Submit completed form to county if r
state owner
Attach com lete plans (to the county copy only) for the s 'st ~ a a hh 1 an 8 -1/2 x 1 I inches in size.
Counter State Sanitary P�rt�it ,-,,er Check if vi to �ewous gPlo State Plan 1. D N� ber�
I. Application Information - Please Print all Information �' oration:
Property Owner Name 7, - , , ,f i Pkoperty Location c/
�'liln 2 �� AJ r i S 1/4 X S d6 T30 ,N. P,/,ghoo W
Property Owner's Mailing Address ;Q L, t Numberr/ Block Number
City, State Zip Code Phon uptber "Subdivision Name o M Numb
5 jai (/
II Type of B ilding: (check one) _ /_ ❑ Cit
,QC 1 or 2 Family Dwelling - No. of Bedrooms: l �""' 'Tow r
L3 Public /Commercial (describe use):
❑ State-owned
III Type of Permit: (C >ck only one box on line A. Check box on line B if applicable) Nearest Roadoe
_S
A) 1. WNew System 2. ❑ Replacement 3. ❑ Replacement of 1 4. ❑ Addition to Parcel Tax Number(s)
System Tank Only Existing System 0126 — 16 21
B) Permit Number Date Issued
❑ A Sanitary Permit was previously issued D
IV. Type of POWT System: (Check all that apply) 95 —/ 0
• Non - pressurized In- ground ,4 Mound ❑ Sand Filter ❑ Constructed Wetland
• Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
• At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
• Dis ersaUTreatment Area Information: e_j A100 c iv
1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) / L Elevation
(U 0 f- Q C-) �21 O 3- p
VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
r .ql ❑ ❑ ❑ ❑
ra sa
VII Responsibility Statement
I, the undersigned, assume res onsibili fcr installation of the POWTS shown on the attached plans.
Plumber's Name (print) Plumber Signatur no s s : /MPRS No. Business Phone Number
3,Z7
PI tuber's Address (Street, City, State, Zip Code) ), ,
.1 1 1 6 — 2�
VIII County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing A nt Si ature (No stamps)
Approved ❑ Owner Given Initial Adverse Surcharge Fee)
Determination / , A 00
IX. Conditions of Approval /Reasons for Disapproval:
Aq•t j A r'fy
ee p fi-m /Tit [�t tab -Y-
(,4 c '1
Paco 9� �'►`�t�tj�lyts
A ,4 W.� wu-n -•, i�y�ic. �J s y s
SBD -6398 (R. 07/00)
Safety and Buildings
PO BOX 7162
' A MADISON WI 53707 -7162
TDD #: (608) 264 -8777
\ *Isconsin www.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
September 09, 2000
� \� � 121
CUST ID No.691727 1., J �� %�\ ATTN: POWTS INSPECTOR
ARTHUR L WEGERER r �' ' „ `` `�F� f % ZONING OFFICE
421 N MAIN ST SST CROIX COUNTY SPIA
PO BOX 74 Sr f 'y _r:: 11101 CARMICHAEL RD
RIVER FALLS WI 54022 HUDSON WI 54016
Opp
RE: CONDITIONAL APPRO -r
PLAN APPROVAL EXPIRES: 09/014,1 p j C y Iderrtificatln rs
- (>°� � ..Transaction ID N 431990
Site ID No. 198247
SITE: Pleases refer to both identification numbers,
JOEL MARSH - RESIDENCE above, in all correspondence with the agency.
ST CROIX County, Town of RICHMOND; 140TH ST
SE 1/4, NE 1/4, S26, T3 ON, RI 8W, Lot: 1
FOR:
Description: MOUND SYSTEM
Object Type: POWT System Regulated Object ID No.: 759954
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.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
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
construction /installation/operation.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely DATE RECEIVED 08/28/2000
FEE REQUIRED $ 175.00
FEE RECEIVED $ 175.00
E E PAG L , P TS AN REVIEWER II BALANCE DUE $ 0.00
Integrated Services
(608)266 -2889 , M - F, 0745 - 1630 HRS
PEPAGEL @COMMERCE.STATE.WI.US WiSMARTcode 7633'
cc: JOEL MARSH
TITLE SHEET RECEIVE� ' � of �
MOUND SYSTEM
FOR AUG 25 Z�
A L} BEDROOM RESIDENCE
SWETV BLUES.9a�
This plan has been prepared in accordance with the Mound Component
Manual SBD- 10572 -P and the Pressure Distribution Manual SBD- 10573 -P
LOCATED IN THE S' 1/4 OF THE NE 1/4 OF SECTION Z 6 , T: 3 N, R 18 W,
TOWN OF Q -\_? -O tX COUNTY, WISCONSIN.
U37 l v!= CS M ),Q Vo t , 114, (t3 3 8 9.9
INDEX
PAGE 1 of 7 TITLE SHEET
PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN
PAGE 3 of 7 PLOT PLAN
PAGE 4 of 7 PLAN VIEW -CROSS SECTION
PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT
PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION
PAGE 7 of 7 PUMP PERFORMANCE CURVE
PREPARED FOR
6 q 5 �3E kD A AUE ,
1J'`�.1 � LC;•l ;�, �,..J ./; silo [7
PREPARED BY
WECGEE�ER SO I L TEST I NG
AND.
DES 2 Gam! s��V 2 CE
Sara
P.O. Box 74 421 N.Tfain St. 10
River Falls, WI 54022 ��NS /�
Phone 715- 425 - 0165"
C' A Fax 715 -425 -6864
ART11UA L
!1� �`� 3 WEGERER
LSWO P
• LS W ORTH,
1 1 W 5.
0o s
: �e3 6 o c
c
JOB NO.
Mound System Management Plan Page Z of
Pursuant to Comm 83.54, Wis. Adm. Code
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. 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
P 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, Safety and
Buildings Division.
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 for frost protection.
Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
General
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its'
component manual [SBD- 10572 -P (R. 6/99)] 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 8- inches in diameter shall
be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component.
Contingency 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 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 adsorption
and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper
operating condition.
Questions on the operation or maintenance of this system should be
directed to the County Zoning office at 11S -380 - y 68o or to the
licensed plumber who installed the system.
PLOT PLAN
3
- Scale 1 "_ � 0 ' Page of
t�tpt8 ' X to L9
1�:)o rv or C�-j P a /
o�Z o1S'tvvz� � /
F C ZL
ioz_gs ,
� -IAIBk " /// olo rn
p�_
1\)' V U " pv e b\zf U L.
' GFrCt
i
� I
' I
l �l
Lo MA t i
tj
M i
;
I
i
t
I
r)wVrn -,tr -s'R 'ham )6 T —'TUB-
NOTES
SC�?T1C_1`P1�lhc C LS \ZV&3 GfTL,
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observation pipes with approved caps. ( Z required).
3. Septic tank to be / gallon capacity manufactured by
4. Bench mark to a_o' c+.r t�1J L.oT sT ►-��
S. Divert surface water around system to prevent ponding at the uphill side.
Pace _ OT 7
Approved Synthetic Covering
ASTM C33 Distribution Pipe
Medium. Sand
Topsoil +� r =H F G Elev. IOZ�Ss
3
E "
b
3 % Slope
Distribution Cell of Force Main Plowed
2 to 2 ". Aggregate From Pump Layer
0 o•b Ft.
,�$ Ft.
E 6
CROSS SECTION OF A MOUND SYSTEM F O. Ft.
G O - S Ft.
A Ft. H 1.0 Ft,
Linear Loading Rate= 6 - OGPD /LN FT B iop Ft.
Design Loading Rate= p 3`1.GPD /SQ FT I 1 "Z) Ft.
i 6 Ft.
K '(2) Ft.
44 Position L l��o Ft.
of
Force Main W 2 Z Ft.
I
I
j 1. - Observation Pipe
G- K-
- - - - -- --- - --
Sax
0
f
Distribution Cell of z" to 2 %"
2
Pipe. aggregate
Observation Pipe
(Anchbr securely)
PLAN VIEW OF A MOUND SYSTEM
Distribution Pipe Layout Pag S o f
Place the holes at the bottom of the distribution pipes
at equal spacing. Remove all burrs from the pipe and holes.
Extend the end of each lateral up with the use of long turn or 45 fitting to a point within six
inches of the final grade. Terminate the ends of the Iaterals with a valve,:threaded cap or
. threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug.
7 F L LASS. .S i1L11y
PV C Laterl �Mai ld Lateral
L x x x12 x12 x x x x
Length — Lateral Length — P
Distribution Line
GL
P � r�c sox
h��Fau
s
• \'OQCir Mfy1N
P 49 Ft Hole Diameter 3116 fnch"
S Ft. Lateral " I It Inches)
X ��_ Inches Manifold " .3- Inches
Force Main " I Inches
w.
#of holes pipe 1S
Invert Elevation of. Laterals 103 •SE Ft.
zsx�.� = 1b,Sx4� 6�.o Gn►j
Combination Sept,3c;Tank and
PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS ' PAGE OF �.
•VELDT CAP WEATHER PK001r
JUIJCTIOLJ BOX .
ti C.I. VENT PIPC APPROVED LOCKING
1 10' FROM ODOR. """)MOLE COVER AJIV
.hUDOW OR FRESH
ar ZfrP 1 wA(itJ11JG LP.BEL..
u.� t'tpE A!R UJTAKE coraDuIr
w lPrLSZTI s t ,
.. •• 6 � � ._ � i
�• - ��1 y, J• s,t.. � I ,I.MIU.
_ I
• � �. I8 MI1J.
IAJLET a PROVIDE I
••;a AIRTIGHT SEAL
I I V
/ a AI> =FLE � I
Approved zr��.�' I Approved
joint to/ I joint w/
PVC pipe ALARM PVC pipe
6 I I
I 1 ou
C I I
a z.2
CLE1r. FT.
PUMP
OFF
D �
COAICKETE 17S
BLOCK
RISER EXIT PERMITTED OKJLy IF TAWK MAIJUFACTUREK HAS SUCH APPROVAL 3NAAPRatD
BCC I>v4
SEPTIC a SPEC.IFICATIOUS
DOSE
DOSE MALIUFACTUREK: W1� 1Z C�>JC / IJUMBER OF DOSES: S -
/ PER DAB
TAMK 51ZE : 1 �-S L 722 GALLOUS DOSE VOLUME I
ALARM MAIJUFACTURCR: S • S� � � `TAO SYSTC& INCLUDING, OACKfLOW: q S` GALLONS
MODEL WUMBER: - 10 L � CAPACITIES: A= �'� t{
IIJCHCS OR GALLOys
SWITCH TYPE: 1L_���Z� 5 = Z IIJCHES'0R 21 ' G�LLOLJS
PUMP MAIJUFACTURCK: C - p 9 IkJLHE5 OR I AS - I GALLOLJS
MODEL WUMBER: M E SO D= _ WCHES OR ' GALLO
SWITCH TYPE: rn k�Z- ��'�`T JJOTE: PUMP AUD ALA R�r►� _ To 2 IO
M IWIMUM DISCHARGE RATE 6 6.� GPM INSTALLED OW 5EPXRATE CIRCUITS
VERTICAL DIFFERENCE DETWCEIJ PUMP OFF A1,10- 015TRIBUTIOM PIPE.. 10 ` FEET
+ MIwIMUM IJETWORK SUPPLY PRESSURE . 3. ZS FEET
f FEET OF FORCE MAIN X 1 FXoFrFRICTIOU a -
FACTOR_, %- FEET
TOTAL DtJVJAMIC HEAD = l Q, 5L FEET l
As per manufacturer 1 .12 gal /in. Liquid depth -2 "1
ME Series M
1/3 through 1 -1/2 HP
Effluent Pumps
Performance Curve
CAPACITY LITERS PER MINUTE
0 50 100 150 200 250 300 350 400 450
i
100
90 2B
BO
24 U)
70 S� w
M W
W F �Op 20 2
60 Z
Z -
W 50 16
= J
H 40. M�SO 12 O
O I-
30
20 MF33 B
10 4
0 b .
0
0 10 20 30 40 50 60 70 80 90 100 110 120 130
CAPACITY GALLONS PER MINUTE
M"Is • 1101 Myers Parkway, Ashland, Ohio 44805 -1923
419/289 -1144 FAX 419/289-6658 Telex 98 -7443
K3327 8/92 Printed in U.S.A.
;PWisndin Department of Commerce SOIL .AND -SITE EVALUATION
Division of Safety and Buildings Page of
Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code
S
Attach complete site plan on paper not less than 8 1/2 x 11 inches ir1��p must County
include, but not limited to: vertical and horizontal reference point (BM), direction and J r
percent slope, scale or dimensions, north arrow, and Ibeation a .distance to nearept road.
Parcel I.D. #
APPLICANT INFORMATION - Please print all informopm rn by Date
Personal information you provide may be used for secondary purposes (Privscq G S tS:Ef4 (1) (m)):
Prope Owne Property Location `®
d`c So v Govt. Lot S' F 1/4 N E 1/4,S,:� 1p T a ,N,R Ems) W
Property Owner's Mailing Add ss Lot # Block# Subd. Name S
: � 1 st- — (To 1. /(� 1 4, 3
City State Zip Code Phone Number
❑ City 0 Village X Town Nearest Road
` S 017 I ( '7t-S) (Z' a ol RIZA m o 118 1 611° s
New Construction Use: Residential / Number of bedrooms Addition to existing building
Replacement 9 Public or commercial - Describe:
Code derived daily flow _Ci SO gpd Recommended design loading rate ! 4 bed, gpd /ft trench, gpd /ft
Absorption area required 7..S bed, ft trench, ft Maximum design loading rate f bed, gpd /ft '.S trench, gpd /ft
Recommended infiltration surface elevation(s) USG Cr_, - to u , , — 9 1 c0 a ft (as referred to site plan benchmark)
Additional design /site considerations
Parent material �_�L 1 a Y Flood plain elevation, if applicable A ft
Eu = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
= Unsuitable for system El U S E] U El U ❑ S X] U El S ®U ❑ S ® U
SOIL DESCRIPTION REPORT
Boring Horizon Depth Dominant Color Mottles Structure GPD /ft
g Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench
...........................
0 - /0 71 $ Yr bK )^/1 0
Ground 3 - 17 16 r 8 S/ r S
elev. ,
51 0 ►r M l' C"•-+ , 3 . < .3
Depth to __5 55 45 / y- S p >r. mo _ - 3
limiting
factor
> f9 in.
Remarks:
Boring #
a
lo-4 /d ,. -5/6
S�/ a,,r, t^r1Srr C�
Ground / 9 -72 14 r 5 L � /�S r- 6 5 C� 3 .K
elev. S �a -7 ,/D /� —' S
/ 01. � ft.
Depth to
limiting
factor
in. Remarks:
CS Name (Please R * nt) Sig ature Telephone No.
Cod V � r\ t'co rs `r 5 -5 l 3
Address Date CST Number �y
1 Ki ' v E CL 0 1 3 -00 o _ /
PROPERTY OWNER e,^V i LSo�� SOIL DESCRIPTION REPORT .
Page Q of r�
PARCEL I.D.#
Boren # Horizon Depth Dominant Color Mottles Structure 2 .
9 Texture Consistence Boundary Roots N
in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench (d�
r 3/ .2
m v-S C W �,s
........................... L L �..
Ground -3D � f S D S yr C —
elev.
Depth to � �-bb 7..5 �- y �- S� >'� ► — � i , J
limiting
factor
in. '
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring #
...........................
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
Boring #
Ground
elev.
ft. '
Depth to
limiting
factor
in.
Remarks:
SBD -8330 (R. 07/96)
��� � v��wcslo-� F 3
Y� 5 a to T /V l2[ LO
C�mc nd� Sc(o! T pT
4
# a� o 5 37
,Q : A-tt. E3m op �� O pvc- F-1
0
75 _
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
:Mailx:;kg Adclrt:�; Q,5 �• i/ 260 AO&YIlT1N�5:fi0�M� , , 3
Prop;:, -ty Adel q; 04k- -,k. Q e t r h nn end s.JT 6401 Z
(Vcrificai-ion required from Planning Department for new construction) :
CitylY Late (I,gp (All_ Marcel Identification Number DZCv — /6
LEG: jL DU k;, : .jMTION ,
Prop La:ad,un !4, _ V., Sec. �,(�., T_3D N -R (g W. Town of Lh M.6
Subdivision . Lot
CerEi vied Sn:r vi::y Map # WU PIP 84 . Volume Page # r_
Warn �tnty De ec! . # 60 300 5 . Volume 7 Page #
Spec louse . ,.;!'ono ' Lot lines identifiable ❑ yes ❑ no
SY5' 1:EM 11d ! NCF
Imprope maintenance of your septic system could result is its premature.failure to handle wastes. Prt►per mapfenaacc
consis¢ : punVwj - ; • out the se .0c tank every three years or sooner, if needed by a licensed pumper. - What you put into t ' s"tem
can afl� ct the tdnd ion of the :septic tank as a treatment stage in the waste disposal system. ;
The p� »..r:::t..y owner aloes to; submit to St. Croix Zoning • Department a certification form, signed by the. owaet' „mod •by a
mast# lumbetA or -tneymaa plc: tuber, restrictedplumber or a licensed pumper verifying that (1) the on-site wastewaterdi lz pystem
is in priper opkm li; :.4 condition. and/or*(2) after inspecdon and pumping (if necessary), the septic tank is less than 1/9 full io 3iudga.
Uwe,; re undersi;p::�::d have ream the above requirements and agree to maintain the private sewage disposal system with •Oke e.ndards
set 01 X hereit� ia• •cet by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Cet` icarion
Stating• that your :;e:l:ndc systetn.t as been maintained must be completed and returned to the. St. Croix County Zoning aQtfice:�'r #hin 30
days it:: the a yi:.irr expirativa date.'
;.�,YPLICANT' DATE
I (we)' +.arh.fy that all statements on this form are true to the beat of my (our) knowledge. I (we) am (are) the o*.irt:r(s) of
the pre)perty de n`,I: +;d above, by virtue of a warranty deed recorded in Register of Deeds Office.
'4 ,
PLICANT
• DATE
" "r'
Any itA rriation that is mis- represented may result in the sanitary permit being revoked by the Zoning•Del*rane#'� :.
•• Inc 64de wiih th y application: a stampod warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
Z0 3Jtid VCIE)r L5 80 :60 000Z/8Z/80
K1VLK VHLLLY Hti51KHU1 t (15 6dt - (bb4 Sep 11 "UU 1b:413 1 U2
/0.00
vf);,1544 328
STAT35 13A.R,OF WISCONSIN FORM I - 1998 t�=a1l1C30279
WARRANTY DEED REGISTER OF DEEDS
Document Number I ST. CROIX CO., WI
This Deed, made between Richard A. Ferguson an d Jud A. RECEIVED FOR RECORD
Ferguson husband a nd wife „_,• -� 09 -21 -2000 10:30 AM
WARRANTY DEED
Grantor, and Biermann Homes, Inc. EXEMPT M
CERT COPY FEE:
COPY FEE:
��- TRANSFER FEE: 90.00
- - ° -- RECORDING FEE: 10.00
Grantee. PAGES: i
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in St. Croix County, State of
Wisconsin (The "Property "):
Rocordins
Name and Return Address
Lot One of Certified Survey Map flied July 19, 2000 in Volume 14, Page 3899, Biermann Homes, Inc.
Document number 626684. 1320 S. Frontage Rd
Hastings, MN 55033
026 - 1075 --70
Parcel ldentification Numlxr (PIN)
This is not homestead property.
(is) (ia not)
Together with all appurtenant rights, title and interests.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
recorded casements and rights of way.
Dated this 13th day of September 2000
,-') M, .1 A 0.1 -
. Richar A.Fe%u on , _ r J401th A. Ferguson
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN )
Signature(s) ) as.
-• -� _ —__. __- S Croix County. )
- — ••- • -- Personally came before me this 13th day of
authenticated this day of September 20 the above named
Rich A. Ferguson and Judi A. Fer
TITLE: MEMBER STATE BAR OF WISCONSIN
(Ifnot, to me known to be the person(s) who executed t foregoing
authorized by 4 706.06, Wis. Slats.) -y uutT an R acknowl a the 98et1
THIS INSTRUMENT WAS DAFTED BY
John D. Walsh * Jdn D. Walsh
l - A may be -- Notary Public, State of Wisconsin
(Signatures at thenticated or acknowledged. Both are not My Commission is permanent. (If not, state expiration date:
necessary.) November 23, 200 )
'Names of persons signing in ray capacity should be typed or primed below their signatures JOHN D. WAL8H
WleootlMn Notary Public
WANRAIV•ly tx:ra BTA'[ oa scot Or I - 1"S 8IN
roast ttw I _ rays MY CorrirriiaalOn Expkea Nov. 25, , Vol
INFORMATION PROFCq$:ONALS COAdPANV POND DU L.AC, WI 000-455,2021
ZJ
RONALD F. ' !!
!`O ."
IiN
SO
N
00
s— 0
ttas £ 2
AMERY, �' 9 wpLSH 62C �+p
1
W18. �? Oti Ju H�N�'
�,� ��ptstxc of Oeeds wt S g
Su *•f �fl 0
ffff 0 E R T I U R V E Y MAP
Located in part of the Southeast Quarter o northeast Quarter of Section 26, Township 30 North,
Range 18 West, Town of Richmond, St. Croix County, Wisconsin.
Prepared for and at the request of: Z �NORTHEAST CORNER
R icha r d r
R : 'o� SEC11ON 26— ,JO -18
Richard Ferguson ,1vA'�t'� A FP{' Uivr�, a �� (FOUND ALUMINUM
1381 S.T.H. "65" I o
New Richmond, N 54017 M \ MONUMENT)
Drafted by. Ty R. Dodge
1
NORT// L INE OF T/ /E
UNPLATTED LANDS N '
SC 114 OF nIE NE 114
° O
_ .. — .. S89'43'1 2 "E 313.00' tU) I N
282.75'
V G
1 • / � I � M1
cu in •� / h I W to
° ° " LOT 1
I
J. U V
o j TOTAL AREA:
ao
•$ I
L ,, c f tv 97,744 SO. FT
v
° u'`o ► N 2.24 ACRES N N I i Z
_
of E= D f M AREA EXC. R -O -W:
E u o 88,196 SQ. FT. :h
( .5 am 1 2.02 ACRES ;� I I w I ~
°E>.c I I I I O
«.Uoo W t I I o
9! a, ~ I •i N Ip N I I
a o .5 Co :� I '00 -V C of N I� to I I p� tv
1
C 03
'
�I O N I �I a of
vvo o 01 F- 589 "E 313.00' I �1 I gI
E c v 5 w 28Z.10': �� i
c6 ° I W ■ u� 30.90' A I � I
5aC I V rn r I�I ■ �I
° u' ■ � Q p W I I I z i
3 c° zl Z i I .
0 °o0 :DI I LOT 2 �' I I I g
;, 2 m= TOTAL AREA:
�N 1 0 98,282 SQ. FT r I �I I
a; . >, 1 ° 2.26 ACRES ( o I ' i
AREA EXC. R —O —W: ; ( I
cu IS .9- v 88,478 SO. FT. "� ►� I
2.03 ACRES r
;ao ; i I I
zr° - 1
NO TH
APPROVED 11 \ \\ -v I
ST. CROIX COUNTY 1 NO ACCESS TO HiNYA65 \ I
Planning toning and Parks Committee t \
JUL �. 9 Z000 281.45' 31.55 � \\
N89'43'01 "W 313.00'
UNPLATTED_ LANDS I I t
if not recorded within 30 days of 66' TO BE RETAINED BY PLATTER °
approval date approval shall be I I
null and void I — — — — -- — — — — _
LFGFND L 0 T 3 1 r
I CERTIFIED SURVEY MAP PENDING I f
{� County Section Corner Monument I
ing N /
• Set 1" x 24" Iron Pipe weigh
Q minimum of 1.13 pounds per I I T
linear foot. I I z '�i EAST QUARTER CORNER
JOB , ed b f �� SEC770N 26 -30 -18
Prepared by �i (FOUND ALUMINUM
A & E 100 0 100 COUNTY MONUMENT)
LAND SURVEYING do CIVIL ENGINEERING
Phone No. (715) 246 -4319 GRAPHIC SCALE
1D9 East Third Street, P.O. Box 325 SCALE IN FEET: 1 inch = 100 feet
New Richmond, N 54017 BEARINGS ARE REFERENCED TO THE EAST LINE OF THE
Sheet 1 of 3 NE 1/4 OF SECTION 26, TOWNSHIP 30 N., RANGE 18 W.
WHICH IS ASSUMED TO BEAR S00'19 "W.
Vol. 14 Page 3899
I
CERTIFIED SURVEY MAP
Located In part of the Southeast Quarter of the Northeast Quarter of Section 26, Township 30 North,
Range 18 West, Town of Richmond, St. Croix County, Wisconsin.
Prepared for and at the request of:
OWNER:
Richard Ferguson
1381 S.T.H. "65"
New Richmond, WI 54017
D.O.T. TRANS 233:
As owner I hereby restrict all lots and blocks• so that no owner, possessor, user, licensee or other person may
have any right of direct vehicular ingress from or egress to any highway lying within the right —of —way of S.T.H.
"65 ", as shown on the land division map; it is expressly intended that this restriction constitute a restriction for
the benefit of the public as provided in s.236.293. Stats., and shall be enforceable by the department or its
assigns.
No improvements or structures are allowed between S.T.H. "65" right —of —way line and the highway setback line.
Improvements and structures include, but are not limited to, signs, parking areas, driveways, wells, septic
systems, drainage facilities, buildings and retaining walls. It is expressly intended that this restriction is for
the benefit of the public as provided in section 236.293, Wisconsin Statutes, and shall be enforceable by the
Wisconsin Department of Transportation or Its assigns. Contact the Wisconsin Department of Transportation
for more information. The phone number my be obtained by contacting the County Highway Department.
This restriction applies to the 50' State setback only.
The lots of the land division may experience noise at levels exceeding the levels in s. Trans 405.04, Table 1.
These levels are based on Federal Standards. Owners of these lots are responsible for abating noise sufficient
to protect these lots.
G 01V
RONALD F.
JOHNSON
8
AMERY.
WIS.
,0 S R`f '�
�•a� s+N
JOB #99162
Prepared by.
LAND SURVEYING ac CIVIL' ENGINEERING
Phone No. (715) 246 -4319
109 East Third Street, P.O. Box 325
New Richmond, WI 54017
�• Sheet 2 of 3
Vol. 14 Page 3899 l �,
9 .
a
I
r ,
CERTIFIED SURVEY MAP
Located in part of the Southeast Quarter of the Northeast Quarter of 'Section 26, Township 30 North,
Range 18 West, Town of Richmond, St. Croix County, Wisconsin.
SURVEYOR'S CERTIFICATE:
1, Ronald F. Johnson, a Registered Wisconsin Land Surveyor, do hereby certify that by
the direction of Richard Ferguson, I have surveyed, divided and mapped a parcel of land
located in part of the Southeast Quarter of the Northeast Quarter of Section 26, Township
30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin, described as
follows:
Commencing at the East Quarter corner of said Section 26; thence, on an assumed
bearing along the east line of the Northeast Quarter of said Section 26, North 00 degrees
19 minutes 25 seconds East a distance of 694.00 feet to the point of beginning of the
parcel to be described; thence North 89 degrees 43 minutes 01 seconds West a distance of
313.00 feet; thcnce' North 00 degrees 19 minutes 25 seconds East a distance of 626.28
feet to the north line of the said Southeast Quarter of the Northeast Quarter; thence, along
last said north line, South 89 degrees 43 minutes 12 seconds Last a distance of 313.00
lbct to the east line of the said Northeast Quarter; thence, along last said east line, South
00 degrees 19 minutes 25 seconds West a distance of 626.29 feet.to therint of
beginning. Containing 196,026 square feet (4.50 acres). Subject to 140 ' Avenue (A
Town Road) along the most easterly line of the above described property. Also subject to
all easements, restrictions, and covetutnts of record.
I also certify that this map is a correct representation to scale of the exterior boundaries
surveyed and described, that I have complied with the provisions of Chapter 236.34 of
the Wisconsin State Statutes and the Subdivision Ordinance of the County of St. Croix
and the Town of Richmond in surveying and mapping the same.
Ronald F. Johnso Registered Wisconsin Land Surveyor No. 1186 Date
A & E Land Surveying & Civil Engineering R, , �� y�/ ��•ee• '
P.O. Box 325
New Richmond, WI 54017
�LYS�ii7ltp��
1 RONALD F.
JOHNSON
6-11 SG
AMERY.
Wis.
S U R ` a
�ec�as►ts•
• cn�;z
—+m a
4� • .-C G O M7:
O T7
l 'Tl.• I'Tl .� A � ?
° o �tv
MD
Sheet 3 of 3 �dr�
Vol.14 Page 3899 "