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HomeMy WebLinkAbout026-1077-30-300 / / ( ( 2 T M; $ t 7 g @ � � } e■ z E z \# e m 0 2 n, o o « n n P ®- \ / ± \) ( § C 3 / CD = § E / f ; \ § o ® C ] \/) 7 I q J@ k) � 6 � 3 0 O g § § a ■ m z > E ) >` E #� 2 E e; o c = e o e e m � � $ 2 k ƒ 2 7 / o o o }'- = 2 S § ° : < Cl) z c3: ■ to co R % > ƒ 7 7 I C 7 7» g� :_0 - © # w / & § � f � / > 7 0 a o p / ( / C cn m K ° 2 E [ 3 E & 3 5 E _ § $ \ � � B / \ $ R � g to f 2 % E § z § F q 2 { k CA) £$(k / \k\ § \yak § B 0 §_�In X77` r 7[ 7 cn Co � �C ■ C/ 1:0 � \ % \ < t / f o a 8 / \ , � . / 7 ? ■ 0 � m k cn m § / C ¢ ƒ 7 s E ° & ƒ ( 91 z! CL \ � \ 0# §� _/ - � g ƒ E�§ % �, a, .��' a � c: co J � k ; ~ 3 E E § r g �§§\J © ( ® § I ƒ. \ q 2 CL � § # z \ %gym. z o c K 1 n r■ & cr ; > .. z / 0 0 0 2 f � 000 , I � ƒ # ] CO) ca CO) �� / ° § ( $ E M ° @ g d § \ , § § w 9 � [ m " § z ! c 2 z } = a o / R 0 0 O R , k }E 3} / \ ) 5 7 w C', z \ = e \ / E , 0) }/ \ R. s \ ■ m f / m < CD 0 k iz / � X o IT \ \ o z F CD d � ` C.0 ; }ƒ2 gym a- (D cn5 .k % \k( � 'R : 3 _ K )\ @ » 2ƒ A � - i 2 $ \ § 0 n G t eo \ �CL �2 Parcel #: 026- 1077 -30 -300 09/18/2006 08:42 AM PAGE 1 OF 1 Alt. Parcel M 26.30.18.404C 026 - TOWN OF RICHMOND Current �X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/02/2004 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co - Owner MICHAEL & BRIDGET REED O - REED, MICHAEL & BRIDGET 1330 140TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1330 140TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description. Acres. 3.340 Plat. 4763 -CSM 18 -4763 026 -04 SEC 26 T30N R18W PT NE SE BEING LOT 2 OF Block/Condo Bldg: LOT 03 CSM 9/2551 NKA CSM 18 -4763 LOT 3 ( 3.34 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 26- 30N -18W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 04/12/2005 792030 2782/212 WD 09/17/2004 774625 2658/158 WD 06/02/2004 764506 18/4763 CSM 07/23/1997 1202/337 WD more 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations Last Changed: 06/20/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.340 36,100 175,400 211,500 NO Totals for 2006: General Property 3.340 36,100 175,400 211,500 Woodland 0.000 0 0 Totals for 2005: General Property 3.340 36,100 175,400 211,500 Woodland 0.000 0 0 I 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 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and building Division , ` INSPECI(ION REPORT Sanitary Permit N o: 453308 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan I No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Schaefer, Bryan I Richmond Townshi CST SM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: lsp , 3 / I Oro . D SST ( 26.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic -7 Benchmark q y4f /O I / 1 - y — - (4 /! ! co Dosing ` Alt. BM Aeration Bldg. Sewer 8z 9D r 6. Lo O Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic r \ Dt Bottom r r Dosing I Header /Man. Q / Aeration Dist. Pipe Holding Bot. System 1 .25 PUMP /SIPHON INFORMATION Final Grade + /) Manufacturer \,� _ Demand St Cover 6o t GPM / o \ k d umber r DH Lift Friction Loss System Head TDH Ft Forcemain Lengt Dia. V Dist. to Well SOI ORPTION SYSTEM RENCH idth f Length No. Of re has PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM ? Z S / � 3 SETBACK SYSTEM TO P/L LDG IWELL LAKE /STREAM LEACHING Manuf 6 , 6 . r: INFORMATION Type Of System: / CHAMBER OR ��O>1rF �s c.0o ` Model Number. O �� DISTRIBUTI SY TEM Lwbio, P L w► peo I qAe, k JA14 u e Header /Manifol Distribution x Hole Size x Hole Spacing Vent to Air Intake Pip s , Length Dia Lengt 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 1 xx Mulched Bed/Trench Center Bed/Trench Ed es Topsoil 9 P Yes [_] No Yes i_,] No C FNT� : Ilncl`d�e co( nn penciJ�s+ p pr ent, etc.) Inspection #1: � � Inspection #2: / La 1330 140th St E 1/4 SE 1 4 26 T30� R18W) NA Lot 3 / el No: 26.30.18. r 1.) Alt BM Description = s I ld ylaq_% 2.) Bldg sewer length= Z.S 7 3/,941 9p . Z� q'. ZJ = �1 • gs - amount of cover = 3(,,, * Plan revision Required? o Use other side for additional informs ion. } SBD -6710 (R.3/97) I (\ Date Insepctor's Signature Cert. No. C�- P�`ve�L OT PLAN PROJECT i e � ADDRESS 1378 130th Ave New Richmond Wi 54017 E NE 1/4 SE 1 /4S 26 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/6/04 BEDROOM 4 CONVENTIONAL IN -GRO PRESSURE CONVENTIONAL LIFT )00( HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of PL Post ASSUME ELEVATION 100 Filter Zabel A -100 ❑BOREHOLE O WELL *H. R. P. Same as Benchmark B.M. * It. B.M. is base of P.L. Stake SYSTEM ELEVATION 90.1/90.4/ 3 below grade 40' 40' 325' Property Line 25' B -3 5 25 5 Vents B -1 40 -2 5 0, 4% Huffcutt Combo Tank B -4 Slope 3 -3' x 83' Cells with >3 Spacing 30' Well is to meet all setbacks required by 20' WDNR Pro 4 Bedroom f t House 6A, 140th St. Vent ALo Standard Biodiffuser Plans Designed Using Leaching Chamber with 31.1 ft2 of Area Conventional Powts Manual Version 2.0 1 " j4" Grade at System Elevation t hNn SP£Cii ICATIONS ' C��RM S StR CROSS G. sr Pr T C ANK £ O MP jjEATHERP APFRQV ED •* i4ZN. AB�DYE GRADE juNCTION! BOX MAKIiOLE COVER » vENT PIPE 12 Wi2K CO W1 W1 PADLOCK 5 v c oo QR FR4H D4flR. �dr WARNING Lp►BE .. FR ,SLR It4TAKE ��, � C� , 4" HIN- E i r Ar ISWif u c . : i GAS_ ' VAppRO�ED INLET -�-- 'TIGHT JDIi+RS WITH LS sEAL ; STATER TIGHT S APPRpYED PIPE _ ' ' ALM IL -TER ' B ' '' ON 3�I0F SOIL ""- f OFF ApPO PIPE 3 �j� 1 FT- o OFF £ LEX - D SOIL PS3!'tP fl V NDE� •�A3+i1C C BETE PAL) AFFROU BEDgI2+iG SPECIFICA DOSES FEE Db4Y = HBEft y 71 GA1.- SEPTIC i DOSE V OLUME I.LOWBDIN6 TANK MANUrACTUP- : DOS£ .� (,AL �''� GAT" �HGHES s SEPTIC GAL. TANK SIZ£S= DOSE �,. CAPACITIE A S= _ GAL- C B - _..2.- INCHES AL�►RrS MANUVAC1S3it E R,' c ;NCfiES = L. MODEL tWi'ISER % r/' C / Z SWITCH TYPE • `` 7 � ZIZCKES = Mp tFAC?tIRE� = a I 15.23 WAC mm N(jPiBER = t, M iJIRZfitG / AS PER x E ITCH TYPE' pumr S � Ai.AR F PM PIP REQI3IRED DISCHARGE E FEET MAT pVt4P OFF AND Dj:SRZ FEET ^ T - - - CE BEEN - FA -/ FEET E PRES F S R FR ;CT2Ot+S CTQR IC {;, U �' VERTICAL DIFFEREN �FT / I i � D • TOTAL DYNAM R M M N 'TwoRK SUPPLY X r �j FEET FORCE"; DianETE ... ----- �? TANK : Lt.?SG I D F F� i NAL I?SMENSIOI L INTER �koo DA7,E SFGt�ED= _ :188 TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING MODEL 152/153 153 o: MODEL 152 w w " 50 Feet Meters Gal. Liters Gal. Liters 5 1.5 69 261 77 291 153 10 3.1 61 231 70 265 12- 40 152 15 4.6 53 201 61 231 °a 20 . 6.1 44 167 52 197 w 30 25 7.6 34 129 42 159 3 8 30 9.1 23 87 33 125 o 35 I -- 10.7 -- 22 85 0 20- 40 12.2 -- -- 11 42 r 4 Lock Volve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 05450E 10 i 0 20 40 60 80 100 GALLONS 6 1/4 LITERS 0 80 160, 240 320 3 27/32 4 5/8� FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS _ • Timed dosing panels available. ` ' r 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with i an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. 1521153 Series t2 t/8 1 1521153 MODELS Control Selection I Model Volts -Ph Mode Amps Simplex Duplex 5 1/8 N152 115 1 Non 8.5 1 2or3 BN152 115 1' Auto 8.5 Included 2or3 sxsoE4 V52 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 43 Included 2 or 3 N153 115 1 Non 10.5 1 1 2 or 3 SELECTION GUIDE BN153 115 1 Auto 10.5 1 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 22Q 1 Auto 5.3 1 Included 2 or 3 switch. Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Attemator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed Including the most or (4) float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL 70: P.O. Box 16347 Louisville, KY 40256 -0347 Manufacturers of.. SHIP TO: 3649 Cane Run Road [C!! v ® Louisville, KY 40211 -1961 QVg2/TYPuMP9 iNCf lo http: / /www.zoeller.com PL/MP !O. (502I� AX(502)774-3624�UMP 0 Copyright 2000 Zoeller Co. All rights reserved. \ o / \ 7 � : H ) o ) ® E 2 E § E � k} 2 k+ . ¥ »2 )G . \E _ \/ � : f0 ! §)f 7/S U. r- \( \ > 2)5 ■ ° / E - U) . 8 ». c \ CL m _ C14 R z j =- �E q 0 )z 2 /\ ) \ i U) 7 k/ 2ƒ\ z £ 2 k f 7 = e ; « } k k ) E > k ) \ 3 8 e \ .. z § 2 ] Cc CL a e 2 C 2 § � � _ § a -0 \ a < n 0 « U) U) U) ) Ee 2 � $ E 2 a a t J -i ■ § S ) O �z \ © '0 .7 a \ = b § != o o = �7 @ a V < C / C ') 2 z m R ; § ( ; ■ @ § -- g� / \ 0 12 00 � \ / � Q CS / ) / 2 \ > '� § ) / $ \ z 5 CD 2 / 2 $k' )C k E)k k f k J a �a 3 0 Safety and Buildings Division County N visconsin - 201 W. Washington Ave., P.O. Box 7162 �4. e C Madison, WI 53707 - 7162 Sanitary Perniit Number (to be filled in by Co.) Department of Commerce (608) 266-3151 _5 -330 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Rivacy Project Address (if different than mailing address) I. A Gca 'on rmation - Please Priqt All Infpfmati on -- o3 o Property Owner's N r aw• I P Lot # Block # .___ --- 1 Propertq Ow /ner's ZON OFFIC City. State Zip Code Phone Number Roped �6onn -- V4, /� /E V-. Section z4 -A I D� 1hL Type of Building (check all that apply) ct� s,,,�,,, 1 O W r 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name M Nu ber it'ublidCommen:ial t►nsF,ti+n State Owned - Describe Use City_ v' T hip of 11L Type of Permit: (Check only one box online A. tomplete line B if applicable) A New System Replacement System Treatment/Holding Tank Replacement Only Other Modification to Existing System B • Permit Renewal Permit Revision Change of Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) on - Pressurized In- Ground Mound ;_�- 24 is of suitable soil Mound < 24 in. of suitable soil At -Grade Single Pass Sand Filter Constructed Wetland Pressurized in d Holding Tank Peat )alter Aerobic Treatment Unit ling Sand Filter Recirculating Synthetic Media Filt g Chamber Drip Line Gravel -less Pipe Other(explain) V. Dispersalffreatment Area I ornia on: Des' Flow (gpd) Design Soil Application Rake(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (st) System anon s a Affi � `/I, f info Capacity in Total Number Manufacturer Prefab Site S Plastic Gallons Gallons of Units Concrete Constructed 41ass New Existing Tanks Tanks Septic or Holding Tank Aembic Treatment Unit Dosing Charnb r VII. Responsibility Statement- I, the and ed, a responsibility for installation of the POWTS shown on the attached plans. Plumbers Name (Print) Plumber's Sigoon, MPIMPRS Number Business Phone Nu r R'-'�7� ��✓�� Plumber's Address (Street, city, State, Zip 2 zZ�2�"ke l� d VIII. g@VttnRepartment Use Ohl Approved tr7�vcn es Sanitary Permit Fee (includes Groundwater Date Issued Agent Signatu (No Stamps) Surcharge Fee) �- Reaso Denial 2 SD — I 2QU IX. Conditions of A rova!Measons for Disapproval , _ 1} t o MMA SYST OWNER: 3)L,� 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. s` - S 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete ptans (to the County only) for the system on paper not tens than SM x 11 inches in size kR OT PLAN 4 ;; okS PROJECT ADDRESS IT7� New Richmond Wi 54017 NE 4/4 SE 1 /4S 26 / 18 w TO Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE6 /6/04 BEDROOM 4 CONVENTIONAL XXXX IN -GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of PL Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Bench ark B.M. * lt. B.M. is base of P .L. Stake SYST ELEVATION 90.1/90.4/90.7 3.5' below grade 40' 40' 325' Property Line 25' 25 5 9 Vents B -1 40 B -2 30' „ n - Slope 3 -3' x 83' Cells T with >3' Spaci Well is to meet all setbacks required by WDNR Pro 4 Bedroom House 140th St. Vent >6 „ Standard Biodiffuser plans Designed Using of Cover Leaching Chamber Conventional Powts with 31.1 ft2 of Area Manual Version 2.0 r 6'Long 11 " 34" Grade at System Elevation M aintenance and Contingency Plan for a Septic Sys Maintenanc Plan um d once every 3 years. 1, Septic Tank is to be p Pe installed in 2. Effluent fitter is to be cleaned onc fie a year. Please note: a larger filter is being ' order to exte -nd the maintenance interval of the filter inspections pipes at the ends of 3. Once evi3ry $ years, cells are to be inspected via t he p 1118 cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the sy am. 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. mm. 83 8. Discharge into system is not exceed those required as per Co C ; in Plan pt ion If system fails, determine cause of failure, use attemate area and install new s tested replacement area. r elevation, by removing chambers, removing biomat, Op' 2, stall system at a lowe and in II new system. . p ion#�3. PJo 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 -4 St. Croix County Zoning 715 - 386 -468 Pumper Tom Mondor 715- 246 -5 Shaun Bird #226900 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. evi ed by D Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). //O' Property Owner Pr ocation E' r Govt. 0 1/J 1/4 S � T 3� N R E (or W Property Owner's Mailing Address lock # Subd. df CSM# 2W ,� � am J City tate Zip Code Phone Number Village Town Nearest Road I . ( _ e New Construction Use'&�Zesidential / Number of bedrooms Code derived design flow rate : GPD [] Replacement Public or cpmmerciall - Describe: Parent material Rlc << Ct 1 iTAI" y �jlJ Flood Plain elevation if ap �ic'� EN ft. General comments f �0�� N�OOS and recommendations:�l� ❑ Boring , � •� ;:�. Boring # ® Pit Ground surface elev. Vft. /Depth to ii,uiting facto 1n; Soil Application Tate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boun ary oots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 r Boring # ❑ Boring ❑ Pit Ground surface elev. / /' ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 tJ �© Z ;-� �i >� r . c- -5 ° -a A4 279, 4q * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Na T ease Print) Sign atu CST Number v�./ Addre Date Evaluation Conducted Telephone Number SBD -8330 (R07 /00) r Property Owner �� C/k /'C Parcel ID # Page of ® Boring # ❑ Boring " 3 _'j Pit Ground surface elev. j / r eft. Depth to limiting factor 04:;� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Aor - Boring # ❑ Boring [N Pit Ground surface elev. e e l — ft. Depth to nmiting factor - j5 ' -9 / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # ❑ Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Soil Test Plot Plan Project Name Lindale Development Corp. Byron Bird Jr. Address 964 192 Ave. N Richmond Wi. 5 4 0 1 7 CSTM 0220527 Lot 1 Subdivision ----- - -- -SE Date 6/9/01 N E 1/4 1/43 T 30 N /A W Township Richmond Boring Q Well PL Property Line o T. CROIX ,BM or VRP Assume Elevation 1 O ft.top of post pL Alt B base of post 95.8 System Elevation 90.6 H.R. same as BM B 642' PL alt 25' 40' ' B 25' 2' 40' 2, B4 �T 140th ST 495' i11/04 FRI 15:55 FAX 715 386 4686 ST CRX CO ZONING Z001 ST. CROIX COUNT' SUZY ,�pP�.cula+► SEPTIC'"ANK MAIN T ENANCE AGREEMENT AND �`� -S C OWNERS IP CERTIFICATION FORM Owner/Buyer l� Mailing Address Property Address (Verification required from Planning Department for new construction.) City /State Parcel Identification Number LEGAL DESCRIE110N T Property Location r v E '/. , '5t t/� , Sec. , T 34 N It 1 0- W, Town of IG Subdivision —�-- -, --- Lot # Certified Survey Map # Volume _ g _ , Pa g e # T Warranty Deed # -5,50 S _ , Volume Page # Spec house yes no Lcit lines identifiable no SYSTEM INT NANCE 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 soo.Ter, 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 specifsed in § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County 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 113 fuU 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 Zoning P da a year expiration date.' NA F PLICANT — DATE OWNER CE RTIFICA N I/we certify th 1 stateme is on this form are true to the best of mytour knowledge. I/we am/are the o cr(s) of the h' pro Ay sc ' e, by v o " warranty decd recorded in Register of Deeds Office URE OF APPLICANT (e I& —' DATE Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. 4S ST. CROIX COUNTY i 5�7�2 Y �pp 7 SEPTIC TANK MAINTENANCE AGREEMENT U AND I OWNERSHIP CERTIFICATION FORM Owner/Buyer _Srvr" Mailing Address / , fe Property Address - /330 1 < i� - . (Verification required from Planning De artment for new construction.) arcel I d e ntification umb C de nti LEGAL DESCRIPTION Property Location A[E 1 /4 , 1 / 4 , Sec. T N R W, Town of �(G Subdivision , Lot # Certified Survey Map # Volume _, Page # �` 3 JG " dos / 93 7 Warranty Deed # b � ,Volume Page # Spec house 0 no Lot lines identifiable�5 no SYSTEM MAINTENANCE 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 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION Uwe certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the o er(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office SIGNATURE OF APPLICANT DATE * * * * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. ST CROIX C '0. TY � , . CE AGREEMENT SEPTIC T ) �, S ICATI � p C TIF � t Owner/Buy r Ad ss -3 7 Mailing D went for new construction) Property Address ed m planning ep (Verification re quired parcel Identification er City /S.tate LE GAL DES_CRI / Location 1 / 1/" Sec. 2— /b '1� -N -�` W, Town of��� Property Lot # ubdivision ?. S Volume Page # Certified Surve Map y � Volume P # Warranty Deed # Lot lines identifiab� yes ❑ no Spec house ❑ y5qE�no NANCE premature failure to handle wastes. Proper maintenance $ TE � d AN of Your septic system could result is its P a licensed per, What you put into the system every three years or sooner, if needed by Impr oP in out the septic tank a in the waste disposal system. consists of ump g trea tment stag can affect the function of the septic tank as a trea D a certification form, signed by the owner and by a to St. Croix Zoning that (1) the on -site wastewaterdisposal system V= proper owner agrees to submit er verifying tank is masterplumber, less than 1/3 fun of sludge. ourneymaaplumber, restrictedplumber or a license dpump the septic j in if necessary) is in proper operating condition and/or (2) after msPectioa and Pumping agree to ���� the Private sewage disposal system with the standards � and artment of Natural Resources, State of Wisconsin. Certification Uwe, the undersigned have read the above rem erce and the Dep Zoning Office within 30 set forth, herein, as set by D of Comm icted and returned to the St.. Croix County septic system has been maintained must be comp 50NA that y e expiration date• f Y / DATE PURE OF APPLICANT OWNER CER'T'IFICATION_ ) knowledge. I (we) am (are) the owners) of t all state on this form are true to the best of my (o� g I (we) certify that deed recorded in Register of Deeds Office. the pro des 'bed above, by virtue of a warranty DATE SIGNATURE OF APPLICANT De artsnent. resented may result in the sanitary pern it being revoked by the Zoning p pray information that is mis -rep his a lication: a stamped warranty deed from the Register of Deeds office ** Include with t PP a copy of the certified survey map if reference is made in the warranty deed WARRANTY DEED 5505100 03 �. Michael L. Beauvais and Colleen E. Beauvais, his wife, REtalSTet;� �� r' �., St CAON OO WI Fbed for Rood corways and warrants to Bryan D. Schafer • 8 1996 at 10:00 AM -: K i ,.... -4k 0 Re3!slwr of Deeds the following described real estate in . St. Croix Courtly, State of Wisconsin: RETURN TO PuZk �,. �• � N� ssi��' Tax Pawal No: 026- 1077 -30 >. Part of the Northeast Quarter of Southeast Quartet (NE 1/4 SE 1/4) of Section 26 Tovnship 30 North, Range IS Kest described as follows: Lot 2 of Certified Survey Map filed October 7, 1992 in Volume "9 page 2551, Document No. 489635. This Warranty Deed is given in full satisfaction of a certain land contract dated October 6, 1992 and recorded October 13, 1992 in Volume 0974 ", page 441, Document No. 489910 in the Office of the Register of Deeds for St. Croix County, Wisconsin. 4 This i a not homestead property, ( (is not) a~ Exception to Warmntkw Sub ect to municipal and zoning ordinances and recorded easements and restrictions of record, if any, and any liens or encumbrances created or suffejd to be created by the acts or defaults of the grantee. Dated ads �D day d Se ,19 96 I (SEAL) J � SEAL_) I • ichael L. Beauvais 4. (SEAL) (SEAL) • • CA7 1 a n IF- R PauVa i m { AUTHENTICATION ACKNOWLEDGMENT Signature(a) STATE OF WISCONSIN as. Ai _4 county. aualsnticated this day of .19 Personally came before me this day of SyVtpm r ,19 Qf+ the above narmS f • R . TITLE: MEMBER STATE BAR OF WISCONSIN = (If not, to me o q Wei executed the authorized by § 706.06, Wis. State.) toregdn n�v THIS INSTRUMENT WAS DRAFTED BY r 9 Daniel M. Byrnes Law Office P. 0. Boa 179, Ame NI 54001 Notary Pudic County, We (Signatures may be authenticated or acknowledged. Both are not My Commission Is``pet ent. (If not, state expiration t wry) date 7 Nemec of P• @W*q in wV capsob ,ImA be tywe or pM,d below Mir WWMW & S02 NTF 0021A WARRANTY DEED STATE BAR OF WISCONSW Neb), Inc.. P.O. flat 10208. Green Bay, WI 54307 -0208 Form Na 2 — 19M DODGE as... 24� ° a s S•2484 F 4 -z6 - °4 764506 CLEAR LAKE.. t t WI $ VOL }ILgEERPAGE 4763 a,��D gUgVE REGISTER OF DEED - "rrrmnllnletnka ° ST. CROIX Co., MI CERTIFIED SURVEY M w P RECEIVED FOR RECORD G �7 /`1 06/02/2004 08:45AM Located in part of the Northeast Quarter of the Southeast Quarter of Section 26, CERTIFIED SURVEY MAP Township 30 North, Range 18 West, Town of Richmond, St. Croix County, REC FEE: 13.00 Wisconsin. COPY FEE: 3.00 n ) Prepared for and at the request of. PAGES: 2 ev Bryan Schafer // 1336 140th Street A special exception use permit Is required for the disturbance of slopes Now Richmond. b o WH 5401 a III 2076 or greater not ice n the approved plat or CSM. This permit � � Is applied for through the he zoning office and is reviewed through a public Drafted hearing process by the St. Croix County Board of Adjustment �P A rTW L ANDS I L.woS �• 0016'12 "E �r- 988.28'�r�Ir :41: — — X3. K3 N 00 Za NN CA -11&3 0 I as CA a P Do 1� rri - co Q� O am Go — allM D M O w — N In �] it �i -+ at w v w $ 1 APPROVED II f2 ' ST. CROIX COUNTY O �Q ;i Planning Zer" and Parks Olmmit e' m Gil E:zi on 50025'35 - W 406.28 JUN 0 2 2004 a, w y ca C :R ary l . W a w N ^ k0 Ii not recorded within 30 days Of N y X O O W ? LA approval date approval shall be �\ Wj � ,v0,. N? null and vow wu �O �D c_- L a_ 2 $ a N n rn n w o - EAST UNE OF THE SE 114 CDVTERUN ca S 00'25'35" W o O 989.29' o\ 1 406.28' O 583.01' �3 / of 406.28 50025 35 W AIL - _►7 5 W — 989.32 ti — 332 51 LOT z S00'?5 35 W 1p HSTAVE - 2643. ,58 _ mn ,x` s wjf Y 4LAP 047HA _ 66 1 (CER WY MAP l Gx/E 14 PAQK 3900 I LOT 76 R1C HM� H ZIS LOT 19 BUMF 14 PAS 3900 BEARINGS ARE REFERENCED TO THE EAST UNE OF THE SE 1/4 OF 200 0 2ao SECTION 26. TOWNSHIP 30 N.. RANGE 18 W. WHICH IS ASSUMED TO BEAR SD025'35'W. LEGEND GRAPHIC SCALE SCALE IN FEET 1 inch - 200 feet} Section Corner Monument Y of Record JOB # W1057SUISO Z • Set 1" x 18' Iron Pipe weighing Prepared by. — 1.13 pounds per linear foot 0 Found 1.25" Iron Pipe O C ow l N1a --x-- Fence Phone No. (715) 246 -4319 . ..... . Building Setback Line (100' from Right of Way) Fax No. (715) 246 -3830 NOTE: The parcel shown on this map is subject to State. County and P.O. Box 325 Township laws, rules and regulations (Le. wetlands, minimum lot size, access New Richmond, WI 54017 to parcel, etc.). Before purchasing or developing any parcel, contact the St. Sheet 1 of 2 Croix County Zoning Office and the appropriate Town Board for advice. 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