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026-1077-70-250
^i v i 1 N y � ° I ° m o 0 • C > 3 ° O O N L O y N O U c z N c N U _ C c0 c a r o E x ° N I ° � °o c ° ° o 0 O N f0 U U c -O cu LL c O ._ r- N (D O 0)0 c � '0 E ._ �n E 2, > j `- 2 ¢ d 3 � Z .. 00 w E U) o° v E z d co C:) w a m N f- U) lit ' I O Z d Q� !• to N O 0 o Q azz c M lf) l0 E N ►��. a C - m r a • ;a cv o 0 o a c N zw >000 IL CO • wv m -0 n. a a ° g 'I E Q ► o cn v o o °' � fn J U O N O T.) Z CD a) O E fn O O = d M ' c7 n m C O III: 3 r C N N O ch c N C •ir N U 3 O O O p co 0 7 ` c ' L+ O E N 00 tt �, • r, N (O U fD O J U) �Y L O N E Lo O z N C' x U) V d •• c W . ad.� �a 3 L A U a 0 in ci 7 Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix _..d Building Division INSPECTION REPORT Sanitary Permit No: ' I (ATTACH TO PERMIT) 5062$4 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Maple, Mark I Richmond, Town of 026- 1077 -70 -250 CST BM Elev: Insp. BM Elev: BM Descri tion: Section/Town/Range /Map No. �� ; 26.30.18.407C13 TANK INFORMATION ELEVATIO DATA TYPE MANUFACTURER , A.5 CAPACITY STATION BS HI FS ELEV. �r Ben e I 1 Se pt ic VI. t Z Sb A) r Q `Y . 1 1&4. f Me> Dosing co 75� Alt. B ,�� � ✓ Cy t,.ti.J ' Aeration Bldg. Sewer Holding St/Ht Inlet G TANK SETBACK INFORMATION St/Ht Outlet \ TANK TO P!L WELL BLDG. Vent to Air Intake ROAD Dt Inlet _ Septic r75 57 1 33 1 J45 Dt Bottom ' ,t Dosing 75 s.? 33 TS 1 Header /Man. y Aeration Dist. Pipe Z 1 Holding Bot. System / P © b PUMP/SIPHON INFORMATION Grade FORMATION Manufacturer Demand StCover�� � 3 Model Number t'T Z–? C. �� }� 3. /66. (V f TDH Lift FrictiotlDia System Head T $ Ft ♦ + k ' Forceain m Leng 11 Dist. to well' 57 � SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 16 /*5 o SETBACK SYSTEM TO P/L t BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION � CHAMBER OR Type f Sy tam: J T ♦ �� , y /� Y �,/� UNIT Model Number: u DISTRIBUTION SYSTEM Header /Manifold Distribution i t x Hole Size I x Hole Spacing, Ve to Air Intake Pipe(s) ay �` .5' Length Dia _ Length l U Dia 7— Spacing f 32 7 / SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only w Depth Over 1 Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center !^� Bed/Trench Edges Topsoil .j es [ No es s COMMENTS: (Include code discrepancies persons present, etc.) Inspection #1: $ / 15 1 a-7 Inspection #2: ! ✓ Location: 1314 140th St. N w ond, WI 54017 (SE 114 SE 114 26 T30N R18W) NA Lot 8 Parcel No: 26.30.18.4 1.) Alt BM Description = R G� 1 - 5 1 a pC r' pit 2.) Bldg sewer length L = 'C�-q �' r••-� "' aC 4 r._ � - amount of cover = 35 1 �1 ,o Plan revision Required? Yes No –7 6 Use other side for additional information. Date Insepctor's Signat SBD -6710 (R.3197) 7'1 i commerce.wi.gov Safety and Buildings Division County _1 201 W. Washington Ave., P.O. Box 7162 T j �+ co n s H Madison WI 7 -7162 Sanitary Perm / it Number (to filled in by Co.) D of Commerce 5� So °�' Sanitary Permit Applicatio�„ State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the app govermen unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owne S are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for seco u oses in accordance with the Privacy Law, s. 1 5.04 (1)(m ), Stats. -- / ? / L L Application Information - Please Print All Informs ' J 7 Property Owner's Name / Parcel # ma G. �- ii 2001 0C4, 7 - p_ Property Owner's Mailing Address Property Location / 4 1 A j� 3 CROIX COUNTY Govt. Lot (/ o Z / City, State Zip Code Phone Number J � 1/ ,tom 1 A, Section (� 1 , (circle o N Q J t \ C�k (,� S`[ T a o N; R E r W I1. Type of Building (check all that apply) Ll 1+0 Lot Subdivision Name I or 2 Family Dwelling - Number of Bedrooms __. _ _. Bloc �_ C f/!�t__ ❑ Public/Commercial - Describe Use �f ❑ City of CSM Number ❑Village of ❑State Owned - Describe Use Town of Ill. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' w System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Dare ssued B. ❑ Permit Renewal Z rmit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner Sob Z3 07 IV. Type of POWTS Sys em/Com onent/Device: Check all that appl ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank C3 Other Dispersal Component (explain) _ ❑ Pretreatment Device (explain) V. Dis ersahTreatment Area Information: Desigp Flow / Design Soil Application Rgle(gpdst) Dispersal Area (st) Dispgtsal Area posed (�) S cem Elevation VI. Tank Info ' Capacity in Total # of / Manufacturer / /Q .2 Gallo Gallons Units � j N = New Tanks Existing Tacks /' a U � 9 y w ti Septic or Holding Tank V Dosing Chamber u VII. Responsibility Statement- 1, the undersigned, assum a ponsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's ture MP /MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code VIII. County/Department Use Onl Approved Disapproved Permit Fee Date I ued lssuin gent Signature rven Reason NDenial IX. Cond11 for Disapproval i . Septic tank, effluent finer and dispersal cefl must all be services I maintained as per management plan provided bypktmtlisr. 2. Ail setback requirements must be makftkW upka " Godeloidbilhim. to complete plans for the system and submit to the County only on paper not less than 8112 x I l inches in Size SBD -6398 (R. 01/07) Valid thru 01/09 PLOT PLAN PROJECT Mark Mable ADDRESS 432 Oak Ave New Richmond Wi 54017 SE 1/4 SE 1 /4S 26 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 99.0' BEDROOM 4 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1000 # of chambers none BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark 140th ST. Scale = 1 /4 "= 10' 5 Acre Parcel 430' Tank is to be properly bedded and provided with lockdown covers 600' IF Pro 4 Bedroom with approved warning labels House /Moved in house, construction has already began Area 15' below system is to / B. M. * remain Well is to meet all undisturbed setbacks found in Comm. 7 0 Slope $ 3 Property Line 96 Huffcutt B - 3 Combo Tank 98 B -1 El 99, 102' B -2 Grading is to be done to divert run -off away from system Property Line PLOT PLAN PROJECT Mark Maole ADDRESS 432 Oak Ave New Richmond Wi 54017 SE 1/4 'SE 1 /4S 26 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 99.0' 4 BEDROOM CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1000 # of chambers none Ilk BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark AL AL 140th ST. Scale = 1/4"= 10' 5 Acre Parcel x 430' Tank is to be properly bedded and provided with lockdown covers 600' IF Pro 4 Bedroom with approved warning labels House /Moved in house, construction has already began Area 15' below system is to / B. M. * remain Well is to meet all undisturbed setbacks found in Comm. 7% Slope 83 Property Line 96' Huffcutt B-3 Combo Tank 98' B -1 171 99' 102' B -2 Grading is to be done to divert run -off away from system Property Line Safety and Buildings commerce.wi. OV 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 iscO n s I n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary I August 20, 2007 CUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/20/2009 Identification Numbers Transaction ID No. 1432551 SITE: Site ID No. 729335 Mark Maple Please refer to both identification numbers, 1314 140th Street above, in all correspondence with the agency. Town of Richmond St Croix County SETA, SETA, S26, T30N, R18W FOR: Description: Four Bedroom At -grade System / New construction Object Type: POWTS Component Manual Regulated Object ID No.: 1148066 Maintenance required; 600 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System(s): At -grade Component Manual, Version 2.0, SBD -10854 (N.03/07), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the effluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. P.O.W.T.S. Conditionally APPROVED DEPARTMENT OF COMMERCE SHAUN R BIRD Page 2 8/20/2007 4 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 e Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726 -2544, Friday, 7:00 A.M. To 3:30 P.M. RECEIVED -; �J ^�n7 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 8/15/07 Owner: Mark Maple Location:SE1 /4 SE1 /4 S 26 T30 N,R18W Richmond Lot 8 1314 140th St. System type: At -Grade Manuals Used: At -Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706 -P(N. 01/01) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contigency plan 9 -11. Soil test Shaun Bird Si nature r ,• g License number 226900 y....a..l vl ./ .l 1 NIN VVIL✓lIJJ w SEE CORRES NDENCE • s �' B pVf- M r BiSTlC =811Tiewt t,�l�ft��L "f srwetL�e *,r►s�s vrfiEti -„�`� >5 T- i t j j I /ro FI 6B I o B l! 2 B L = 8 0 F,. CELLO fL — Z & M"EfiATE 11 ter. - $4, S YMV91 9. Fabric Distribution Lateral STi48�i ��t.b Observation-- ,.,,,_ Soil Cover Wel ._.... ` CEO LaUA >5 A 3+iae�s Viav OXMI Cross Soar .icm of i.7iscosasin At:- a Single Absorption Area on a SIOpiuS S3.te ► :faA3ATu K L. Uc £r-lsr- page Of distribution Pipe Oet it for oral etworic Aecest' T AN -UP LIT� PVC!, Force Will PVC gistribution Pipe P * taSt Role Should Se Next To MAN- up P tb3 a flilaa�eter Inch X o 2 ` Im Lateral' Diameter Y w I Force Main Diameter Inc # Of Holes /Pipe J Invert Elevation 0f Laterals �< ' s Pt. Signed; .. license ter: Hate: • r ' g CROSS SECT ,,.ND SPEC' �' I CATi oNs SEPTIC TANK 3i�P a 4AM E GRADE �fTOi4 BOX ApPR+ I 1t 1� PIPE •I�� '14TS .:ABA L'O �T SOLE CM ER G� i�t OR Ai�TH PADU E R 6 y -3 om DOOM. 14 . 0 ti! SING IABE� . I FRESE;� f Film • smal- I;ltLECI .. GA 5- SK£ SEALS G IBT .: Ins W%Tli 'TI L tiA ttPE 3` 01 SOLID SOIL C pi • FF �£�• - - �� SOIL Pte oiT ELEV -II ` — p I is •• � • SEDnTPIG UNDER 'TAR y .. Cp C$E'i'E ?A;il APf 8 ' - gp�I�f'ZCA'�O RtI348E t gpSES• PER DAY --- SEP � F,A,C3�iR�s POSE voIJ3�E .����� /o �'- AX � _ K SIM- SEPTE � GAL. � x� �� ;!>�iFAc•t' 8 = 2 INC'SES L c 16.23 SW - i LIM � WrRT NG AS PER . Swx TPA' GPM - £ Ai+ARR FEET R VW=R�' VTSC � � �c�v psgE • FF. S E pump OFF A ND DISZR • • � CA L D pFERS;RC ESSUR - • ;C ?I FACTOR - a • FEET ET nE� � Y�>1€34 TO TAL FE L D YE ;C / F x + S - gIt1S or PUMP TANK: LEWTli Lji i3ID .r IC 1 Sent .8y:, HP LaserJet 3100; 1 715 Wz 6621 ; mity -o-wo e..uwa .. f 9EH SERIES umP /EFFLUENT PUMP o " 3 Id11a�fSM�>it� taR tstaa aatr itttttrwt Ou W Mat � � tt�s r► t1e3 1�.w �� r w >r s Sli- M Sam OUSE 4" 115 M 1 39 in A 14 M 41 32 ta3 W 2t Mt x11Sdx39t SEN.= M WO 4M 2M sat a5 1000 70 5d 95 n 32 lu v 2d an :1iS/AN 5t8 aLm S0iffi0 a1C8+1 Ire it sat 1 30 1000 70 at a 41 M tti 23 V sit x11MiLP rk re m sr4 - 10oD 70 W a M s2 us w 27 3.11 ViIMXLIR txa�xoai�Nwi -•tt acta��rfr�lotro 5d53rneano/s�datw5� FLOW- LITERSMMM Vf/e>t dA 6 5006 2000 3000 / Mot" ��. t6 _._ Closed Mme. _ volute AM - Power SHW -A �� Mec�niod Shaft ftd Ntr& widt carbon mid . cammie faces s ig Fasten= _ Sninlesc Sted _ 555 � Shaft ' �i+lletaa Sad a ': gave - - --- Upper sift" and tower E�ati 8earittgx 0 20 40 60 so FLOV- G+ILLOAfSIlltldta'rE PUMP PERFORMAI+ICE CURVE L imi t Pomp CO. t15v 6ot;t too= j=W*OMmbl"CftOM lttaea M�1tfT.73ft •Pas �86.27t.!!ib F.� W W W I"eafa tp6um&.com G fawn 99&M —OWN AGS M EXT PLAN Pte cd,_..,. POWTS ;�1fM Rp , �;ATi01 ��- © tar: c'farat C � 0" — cc t SepScTat �� a xw owe afluard T n ru D'f P��N� Model . ft M W of Bed'a pla;lp'�ank Q NA Nwawof Cc ,, W cw Uras pump Tank Mati� G HA �x�� DNA Damon Pc fe t1 a Pea � soa 1�PP O ° "Ofm* B. b D we �, a a one: VmL sa �„ SOW* fie« ti ce�cs? n invound �) a �rro v M ound p , � . s'� mg/L -sue Q Darer: sows rt �?Oml Q s a TOW FOOM ODOM Y,�,d►a �p,�tordas T�WNtEN�pE SCNEDULE o snon�s uen�r s) i� '"an 9 yM.) feast onoe every dS or►e -tts (I? of tic voles Imppat C of mnk(s3 %%%on ed sictdgs and scs�m equals a) (M& dmum S yim pip oat amaw sankCs) At i3 ssa least once erstY D tno� s) �persrd oe11(s) At Est Dace evmy ' • s} p NA cssaniffAgertfse ftt Want once eve t3 s) Q NA lrapoct puecp, pump alarm At least once eVOCY a snow r3 yr�r(s) Q NA and At isast acr=e e — 13 — Np Otl+C At ;east Once a vWY nil NCE MS'lRi1CT std D+s rrssicfe by indMdstal aec °f �S SsPW hsspee6oenc o r a� � pisserbeF R r � e td� OW r � UP or broumn comb Tom � Yohuns of ba d to d>e rd�f sc!!F #W Q � '1'lse dls smu� on tm 9 ` ,no the l &a of sftWd On tv lam cr pOaBrlg Ot �d bQ o2loC�C for any p the Ytrirned s ' a 1000 , tfte in "Oboes i Ofl and Of no* o f" t� MR nw it e a f a scud min any tanit e4� ° " c! in wo ch a� °f . theaf "**W be ra w by a s~ . t �• and any t13, Wbooa �ers.�ir� °r be�� PAS M� at H o f m°l s r m 4o da of camPle f 21 e ' - A rat be � "O the I'W t ry . START AW pp�TIO14 paw dmrk � tank($) WOW P � ane For air roc . P� to um wr a the d °Wf � to cg distni� ttiW nay removed i o a SO;UgO servtc'ng oP� QeWCW f9nO fhB COtdW S! n occca ° ara� trOmen at the infiltratWe Stttf- When is Wska d IM e=ess ►s�tri siatt LIP ffi g thB ,oWKW) and M&Y refit in life Duciv s tit one i doze, � m fife this ham Un �,Or" P=W �$ be vent nom Secv�t am P'� P� �° tine etrlcrecrt pump orcatbv� s pltor m Sep � corers to res#uta ad feuds wither a lartit. a fatsks d ds . Do nd d&S arP%0VW- tu'aW d � ar comma do rd dit OrPalkVdid" S � d ataf- grade st>�t ab�rg�l Me- d* � r� 45 f8d down m may ilrlpruv�e #fis �� Qrs �e . vt the � �• � 8o diIOW lapels boa ,dam � �oM �a swabs; dWassex °� � 4At tsar PAP ' sm%w bcne- ca: s>�` Scisim ,aaaNOON f� s iq perm .fatten out of service the *go*" std ts3aest Try IIre VW" fire � mP w8h ch. Comm 83.33. � AQ� sysYetri is PmP Y a acid the abaixWted Pipe � sated- . AN pq*W to taints i�atd p s ar�d ptgwrly d of iX a Sep The oo nkni z of � "WOM and piix r gwwvocf4nd ffm wH � After � a� lsar+i�s sttd Pft slug. b e,=ava W and n moved or ter eovess i Medwftsok 9r&M craM00W buN t soOd rnatierfat- coMTW6E tCY PF AK � numures have been, or must be ta=. iD a code }f the POWTS fae�s and cerirx t be compkintt� and may be utgized for the kxa on Of f�=5 © A n �ac+ea jam b ow evskatted and shomrld riot a - Tlae area should be protected tram d�sttsrbance and carnpex�ort sedw f1cm. ea�n3 and lead.struc�ra. lot lfit�es and wrsss. �Cirir m be &*kVod upon by reqLared area Wo i in the need anew sail and siDe=evslcratT t a sc>�abie Pc 068d the r fa reP� area .� ayabems must tax+'ipiY wig the rules in yabdi r dud tFtrie. adVara s In POWTS D ass a �� b Trot �rilable'due to setback and/or 501 ern tK&ft $ �� be ]led as a last resort m replace this Sed POWTS ftdulobay The sibs ttas not beert t� idecrElfy a sine repLaOSMSCIA -Ma- upon bU of fire POWTS a soland sib- evatim*m aunt be Pie to kxate .s svliabTe reglatrrsetst area. if no rat aree is ava a hokffM tank maps be B as a t R r�ia� ne mtravai wilts bio axat 2d h e kd and a sEa ft nos � o fss h must c omply with She rotes in elliect at ft** as the lrr� tied <cVftAftNltlt AtM OR �G7EM'Oa VGM sEPTIG. PtAYtP AND OTHER ?RSA371 T TAI�1K3 MAY CO�ii'J4tirt LETNA{• � A .DEATH MY DO f IOT ENTER t SEP'Y % PUMP OR OTHER TM^TMEm it TANK u14DER AW � RESIlL T , RESt�)E OF A FiW L.T THE INTERIOR OF A TANK MAY BE D OR S amOSSM r- ADDtTI'ONAL. CO�itS PoW�s JNSTALi.ER POWTS lid NNTA ER le a ca,u / game a �✓ r Phom - 7 l� f = L - J �o phone 75, - SEPTAGE SERV�1 G OPEWOR LOCAL t GU1ATt3�ZY �BF�EIY N8R3E _ Phone 7/ Phone �•- Tt a amdtat9td bY� irdfs d't fain; ifasQ r acid IMastsfpva Cornrly ZArz�tq slid . Tt& rtieee uses - kimaeA oWmweaft aFdL Ca M in (b)(t~ acid ` Ty C$ M. Wamtsb Mitt bub a C ie. Ulik of Chit doas<nerstdoas ud grrarardee;tia pe#fotamm ofllie Povirm GMVVODt) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code r l l't71 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), dir lion and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distan nearest road. Please print all information. Review by Date Personal information you provide may be used for secondary purposes (Privac w, S. (1) ). g Zz O Property Owner ope cati Go t 1/4 5 1/4 S T �(� N R E (or) Property Owner's Mailing Address l ot # f likf # Subd. Name or CSM# L 00- k D P o - lel city late Zip Code PhbrTTWt City Village JK T Nearest Road A) e.'j o — 5 q DI ( I / t New Construction Use Number of bedrooms '`l� Code derived design flow rate GPD ❑ Replacement Public or mer9ll. -W9Ae:0 ,�7 Parent material Flood Plain elevation if applicable 4 ft. General and recommendations: 6 ✓iioieo o r P 2rM �— .� sa6 Z - �2b r r� System Type System Elevation 37Y Boring # ❑ � Boring �'J �Q ,� 0 • � tom Pit Ground surface elev. ft. Depth to limiting factor in. Soil Appl tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ® Boring # C Boring ✓ Pit Ground surface elev. Oa I ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r N ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Nam (Please Pratt) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 — j _ ? 715- 246 -4516 Property Owner _ Parcel ID # Page of Ong # t7 ❑ Boring L I� pit Ground surface elev. ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture ,.Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color' Gr. Sz. Sh. •Eff#1 `Eff#2 l -7 ,s F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. - go — ilApplication 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 •Eff#2 � E] Boring � # Ground surface elev. ft. Depth to limiting factor in. 1 Bod ❑ Pit P n9 Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • _ > < > < 150 m • Effluent #2 = BOD < 30 and TSS 5 30 mglL Effluent #1 BOD 30 220 ,.�.n and TSS 30 _ gIL _ rrxyL _ S rrlglL 3 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 (8.6/00) Property Owner _ F1 Boring Parcel ID # Page of FS-1 Boring L/ ng # �— 0 Pit Ground surface elev. � ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture " Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color' N Gr. Sz. Sh. 'Eff# / 1 'Effl#2 3 22 41 -- S Al s `n Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure . Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring F ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD1ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mgA. ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mglL 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 (RAMO) Soil Test Plot Plan;' Projdct Name Mark Maple Sha, F r Address 432 Oak Ave New Richmond Wi 54017 M #226900 Lot 8 Subdivision --- - ---- Date 8/15/07 SE 1/4 SE 1/4S 26 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of Siding System Elevation 99.0 *HRPSame as Benchmark 140th ST. Scale = 1/4"= 10' 5 Acre Parcel Scale is 1" = 40' 430' unless otherwise noted 600' IF Pro 4 Bedroom House /Moved in house, construction has already began / B. M. 70 Slope Property Line 9 6' B -3 98' B-1 99 102' B -2 Property Line - t ST. CROIX COUNTY WISCONSIN ZONING OFFICE N t! N M w ra.rr�i ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road •� -.--- Hudson, WI 54016 -7710 j (715) 386 -4680 FAX (715) 386 -4686 COUNTY ON -SITE VERIFICATION FORM l PropoftyLocalon 1 r Gmt. Lot SE 1Pt 5E 114 B Z (p T 36 N R /$ E (or )g Propedy Owes Mailing Ad�O 4,- � J^ Lot 9 BI ck # Stbd. Name or CSW4G Crly State Tip Code Phone Number ❑C' `` ❑Village NearestReee�d ❑ New Construe6on Use: ❑ Rasidential f Number of bedrooms - - - -_ Code derived design flow rate _ —_— —_ - - -_ GPD ❑ Replacement ❑ Public or commercial - Describe: — .,.,._.. _._ _.. -- _...._._ - - -_._. _...,_ — _ — _-- - - - - -- Parent material - - - - -- ` -- — -- _ _ - -- Flood Plain elevation if applicable —_ - - - -� - - - -- fl. General comments A and recommendations: � � � 1 F] Boring # ❑ Boring _ 1 p pit GroundsurFaceelan__.______tt. Depth to limitingfacbr_�in. Sal Application Rate Horizon Depth Dominant Color Redoa Description Texture Structure Consistence Boundary Rods GPDAP in. fdunsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E1191 'F02 ' ( 0 1.0 k A " 1 7b �b r u b L _M_ M y ❑ Boring # ❑ Boring ❑ Pit Ground surface ebv. __ —___ ft. Depth to limiting factor __ — in. Soil licatian Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDf1P in. Mansell Ou Sz. Cont. Color Gr. Sz. Sh. 1 1201 'Effft2 • t comrslerce.wi.gov Safety and Buildings Division CountyCC t 201 W. IV gto ve., .O. 7162 C��' �✓� j /'t/'� i 1 M 7 71 Sanitary Per / mitt Number (to be filled in by Co.) O of cvmrne 5 a w zS Sanitary Permit Application State Transaction Number N� In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal infomtatio ndary ` 3/ # 691 0 u oses in accordance with the Privac Law, s. 15.04(1)(m), L Application Information - Please Print All I madon ` Property Owner's Name / / Parcel # - ,roc a /� AUG 0 2 2007 p2( -- /677 7b -- 250 Property Owner's Mailing Address ST. CROIX COUNTY Property Location 46 G^ /3) 7--A:7!- oto - Govt. Lot City, State Zip C ode ode s '/. '/4, Section y� cle o lit T -// N: R E r W II. Type of Building (check all that apply) k c� Lot # Subdivision Name r 2 Family Dwelling — Number of Bedrooms � Block # G5 rvv ❑ Public/Commercial - Describe Use ❑ City of CSM Number ❑ Village of ❑ State Owned - Describe Use ^ 2 0 —513 Town of 3 U ib w Zo •J- ZO +. ZC� C-L 1:11. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' Ne w System ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner t 1 Cn. IV. Type of POWTS S stem /Com onent/Device: Check all that appl on- Pressurized !n- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil 11 Mound < 24 in of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersaVrreatment Area Information: °71 Y 69t- Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (st) / Dispersal Area Proposed ( ;t) System Elevat' n Ubk— V1. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units N t j v m v New Tanks Existing Tanks a U Septic or Holding Tank � Dosing Chamber VII. Responsibility Statement 1 , the undersigned, assume sibility for installation of the POWTS shown on the attached plans. Plu 's Name (Print) Plumber's ure MP /MPRS Number Business Phone Number Plumber's s (Street, City, State, Zip Co z (0) �4 - 7 VI1I. County/ e artment Use Onl A pproved DisappZm Permit Fee D sued Issuing ent Signatur �Reo Denial $ " / 5 , 00 v 3 D7 IX. CondtMAbne reasons for Disapproval 3) P j U L I „ _ I� e,/` 1. $aptic tank,.eftluenl,W anCF J f �► C� F -d�ca 1 dispersal cell must a1• services ! mainta ed (� r � as per management pbP provided by plumber. t'O z .AN adback requiremenhil lfmist be maintained �� � � ��r j e— 1-5 CA6ZLI as PiK Attach to complete plans for the system and submit to the County yon paper not less than 8 V2 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 PLOT PLAN PROJECT Mark Manle ``A DRESS 432 Oak Ave New Richmond Wi 54017 SE 1/4 SE 1/4s 2 6 /T 30 ` / 1 / W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 7/31/07 4 DATE BEDROOM CONVENTIONAL XXX IN -GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1217 I L # of chambers 60 BENCHMARK V.R.P. Top of Survey pipe ASSUME ELEVATION 100' Filter BEST Fi lter Iter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark B.M.* SYSTEM ELEVATION 96.8/96.6/96.4 2.5' below qrade Property Line 3 -3' X 82' Cells with To 140th St. >3 Spacing 40 P g Vents B- 4% Slope 50' Well is to meet all 40' setbacks required by 0' WDNR B -3 Pro 4 Bedroom House (moved in) 0 ' 3 ST • B -2 10' 3 0' \r"' Plans Designed Using Conventional Powts Manual Version 2.0 Please note: additional boring to be done to lower system elevation if possible Vent >6 „ Quick4 Standard -W of Cover Leaching Chamber with 20.0 ft2 of Area Pro pert Line 5.8ft ^2 /pair of end caps p y 4 Long 12 34" Grade at System Elevation PLOT PLAN PROJECT Mark Maole ; ADDRESS 432 Oak Ave New Richmond Wi 54017 SE 1/4 S E 1/4s 26 /T 30 / 1 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 7 /31 /07 BEDROOM 4 CONVENTIONAL XXX IN -GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1217 # of chambers 60 IL BENCHMARK V.R.P. Top of Survey pipe ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark B M * SYSTEM ELEVATION 96.8/96.6/96.4 2.5' below qrade Property Line 3 -3' X 82' Cells with To 140th St. Illo- 40' >3' Spacing Vents IF B- 50' 4% Slope Well is to meet all 40' setbacks required by 09 WDNR B -3 Pro 4 Bedroom House (moved in) 0 ' 30' ST 10' 30' B -2 Plans Designed Using Conventional Powts Manual Version 2.0 Please note: additional boring to be done to lower system elevation if possible Vent >6„ Quick4 Standard -W of Cover Leaching Chamber with 20.0 ft2 of Area 5.8ft ^2 /pair of end caps Property Line 4' Lon g 12" 3 4" Grade at System Elevation : ntW IVED Witconsin Department OYMM Of Sao* aw B ofCa►vne 9) AWIL VALUATION REPORT p age � of c� S� 5. Ms. Adm. Code Attach complete alts pan on r* inches size. Plan must inductslimited to: vertical and horizo reference poi ). direction and Parcel I.D. percent slow scale or dimensions, north arrow, and location and distance to nearest road. e i CS �1 Pt"So print all Information. M Date Penwnel IMW-00n YOU POVWO MY be used W seWndsry purposes (Pdv*W Low. s. 15.04 (1) OW Property Owner P SKY lacetion 14 c+ � : Z r Govt. Lot /� 19, 1/4 S 4r T N R j - E (a) P " 0 p °n y s MaDirip Aft"al Lot Bock N Sift. N" or C" 1 Sic ��< war � 3 3 iz ��j5I/ tat° Zi UZ Phone W=W O City O WW ($Town Nearest Road e 1c: 1( ) 2- Y6 - C -�3'1 — q New Construction Ufe: F. RsddsntW I NumbW of bedrooms Code derived design lbw rata GPD O Reowwnent 0 Public or oommerdal - Descr be: Parent roatedal I t I Flood Plan elevation H appGt" -- R General omvrw is and ►eoorrtm.ndatbns: > y S �'-: !� �. �'C ; t> l c . d— , r' Bores # U l Pit Ground s(artace wev. Sol Rats Horizon Depth Dominant Color Rectos Description Texture Strocturs Consist Bo ence undary Roots GPM in. Munsell M. SL Cont. Ccbr tar. ft Sh. / •EfW1 •F-f #2 Z - 1 AL 3 O Soriw Pit Ground surface alev. / `� S C R. Depth to Gmitinp factor �X`f in. Sot Apppgftn Rate Horizon Depth Dominant Color Redox Desw"on Texture Structure CowWw= Boundary Roots GPOMP in. Munsell t]u. Sz. Cont. Color tar. SL Sh. •E1tff1 •EM " - /4'a i EA uwd 01 = 800 > 30 < 220 moll. rand 50 mglL • EII m t 02 • BOD < L an 30 wq d TSS _< 30 n9t CST Name (Msvve nt) — Pri � . - CST Number 0i "� �` Prop" Owner ✓ Parcel iD # _ Page ot Solin # Ground rface a F31 0 suloe. -� ` . Dept t linti ft factor G in. Pit ft epo � Rate Flarizort OepM Dominant Color f;Wft Description Texgne Structure Consistence Boundary Roots C~ in, Muneen tau. SL Core. Cola Gr. Sz. Sh. •E ff#1 •ER#2 WoV El # ° Boring ❑ Pit Ground VON* elev, ft. Depth to Ikniti V rector in. see Rtee Holton Depth Dpmlrant C01W Radom Description Texture Structure Consistenos Boundary Roots GPOW !n. Mutad QL SL Cont. Color Gr. SL Sh. 0 0141 'EfM a go" # ❑Pit Ground surface Slay. _ ft. Depth to ftWng factor _ Sol Rate GPQff Hortwn Depict Down*kw t Redox Description. TSOCturs StnicdXe Cortslstsrtca Boundary Roots In. Muted Qu. SL Cont. Color Gr, Sz. Sh. •EfpP1 -002 ' EBkurtt #1 a SODS 2.30 1220 mgll and TSS >30 S 150 nVk ' Effluent 02 ■ SOD, 130 rW. and TSS 130 rnlri The Department of Cottunerce 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. as�uwtR+mi r �} 1 c ___._ 3 PlvPeftY Owner ID Page— of � � � soling a n surface elev. R. Depth to limiting factor G in. R Pit Ground state �� Soil ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Mum" Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 got" a 0 eons O Pit Ground surface elev. n. Depth to IirrtitkV factor ❑ Soy N g L O M Rate Horizon Depth Dominant Redoot Description Texture Structure Consistence Boundary Roots GPM In. MW" Qtt. Sz. CCortt.. Color Gr. Sz. Sh. - EN 1 102 # O eft Ground surface &v. _ It. Depth to limiting tailor _ In. O Pit Soil Rate Hodwn Depth Don*vrt Redox Despip w. Texture Stnu Consistence Boundary Roots GPDff in. Mtxlod CAL SL Cont. Color Gr, Sz. Sh. • Eawtt vi a 8W -,# 301220 moll, and TSS >30 _< 150 m#t ' EAuent 02 • BOD, 130 nV& aril TSS 130 n4l. The Department of commerce is an egwl opportunity service Provider and employer. If you need assistance to access services or need material in an shernste format. Please contact the department at 608.266-3151 or TTY 608.264 - 8777. swuw fR.srooi PAGE _ OF I— NAME ll eff o l LOT# LEGAL DES CRIPTIONS /4>-- `A,S?(- T ?,n a E(ORV SCALE: I" BM I ELEVATION BM I DESCRIPTION BM 2 ELEVATION BM 2 DESCRIPTION SYSTEM ELEVATION +- <<'✓ '�� G SYSTEM TYPE l b,1✓ rti^ r� = SIG !. DATE '4� lov 3.3 $ 1 4 9 8 7 VOL 20 PAGE 5134 KATRGEM H. ILSK REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR 6tECORD 12/27/2005 09s00AM CERTIFIED SURVEY MAP Ree CERTIFIED SURVEY MARL Located in part of the Southeast Quarter of the Southeast Quarter of Section 26, Township 30 North. Range 18 West, Town of Richmond, SL Croix County, Wisconsin, being Lot 6 of a Certified Survey Map recorded in Volume 13 page 3712 Document No. 609354 at the St. Croix County Register of Deeds Office. OWNER/PREPARED FOR: Frank J. and Jean A. Hegner 1310 140th Street New Richmond, WI 54017 East 1/4 Comer Drafted By: Jason M. Gustafson Sec. 26- T30N -R18W (Bemsten Survey Nail) Zoning A/otice Each parcel shown on this map is subject to State, County, and Township laws, rules, and regulations (i.e., wetland, minimum lot size, access to parcel, etc.). Before purchasing or developing any lot, contact the St. Croix County Zoning Office and the Town of �) Richmond. r ~ LotAreas cli' Lot 7 g Total Area:109,854 Sq.Ft.2.52 Acres Excluding ROW:101,233 Sq.Ft.2.32 Acres, m fn _3 Loth s RECEIVED Total Area:108,854 Sq.Ft.2.50 Acres � � I l Excluding ROWA06.761Sq.Ft.2.45 Acres o c L9tA .5 V5 1 Certified Sury m e1r Map s w 11 0 i iD0 4 I Volue 13 Page 3620 33` own 133' m (675.01') 11 sr. atoix COUY 1 �` I NT S 89 °40'10" E 674.92• "`' SURVEYORS RECORD CU Ln a l�i in LO( M ® N °40'1 " W 424.9 ' I � dI N ® _ v)I q c-W 3 �C :531.6 ' �� o a) I s j I L g j a ® M� L OL 7 `O `�r I � m rn C6 C Vi �I -� * p �� shed MN � l � f LOi O �N House � N M I OI p, O I Ul >� Z Ex.D r ° 2-in 00 3 3.84' l 1 5 - 2 N 89 °40'18" W 674.95' j N (675.017 c _ 33 Lot 10_ Certi ed Surve Ma I W — — — — w o rn — 33' � I Volume 19 Page 4949 Cal 1 Z rD I Ll 1 1 ( I 1 1 �1�1 Southeast Comer U l >l o S T30N -R1 Z' (3/a /4" Iro Rod) Legend Section Corner Monument ® O Set 1'724" Iron Pipe weighing a minimum of 1.13 pounds per linear foot. , 0 Found 1" Iron Pipe Graphic Scale ® Soil Test Location 200 O 200 ® Well Job 11050029 R.O.W. Right- of-Way Line Prepared By: Ex.D Existing Driveway SCALE IN FEET. 1 inch =200 feet Gustafson Geomatics, LLC - -- Proposed Driveway O P.O. Box 274 . Building Setback Line Bearings are referenced to the East Una of the Southeast Hammond, WI 54015 100' From R.O.W. Quarter of Section 26, Township 30 North, Range 18 West Phone: 888 - 245 -6934 (xxx.xx') Record Measurement which is assumed to bear N 00'37'27" E. ' Sheet 1 of 2 Sheets Vol 20 Page 5134 s FILED $ AUG 2 7 1999 ► 9 KATHLEEN H. WAL.SFI G 09354 Z ftster of Beefs st. cloi><co.wl CERTIF . VEY MAP Located in part of the Southeast Quarter of - thei , th "'at Quarter of Section 26. Township 30 North, - Range 18 West. Town of Richmond, St. Croix County, Wisconsin; being Lot 5 of a Certified Survey Map recorded in Volume 13 page 3620 Document No. 600287 at the St. Croix County Register of Deeds Office. Prepared for and at the request of: ` Frank Hegner EAST I/4 CORNER . � 450 Hu NE SEC. 26 -JO -18 % Fridley, MM 2 (ALUM. CO. MON.) I OWNER: ti Margaret A. Brown , Drafted LOT 2 I b .. Krlsti A. Eoundt CERTIFIED SURVEY MAP I t � ection Corner Monument VOLUME 9 PAGE 2551 I' S • Set 1" x 24" Iron Pipe weighing NORTH LINE OF 7HE SE I 1 a minimum of 1.13 pounds per - I/4 OF 7H,- SE 714 1 sal I N lineor foot. I O Found 1" Iron Pipe - - -�- - - - .- - - - - - , Hs..ra — v u m � •y i9 f� � I LOT 4 b l '�I 1 RONALD F. 1 CERTIFIED SURVEY MAP ) JOHNSON I VOLUME 13 PAGE 3620 g1 I I W 'oo o v 0 6-t 1 els Z o ° AMF-RY VtI13.,jF• 1 C! I I 1 a E o <, ..•• . Sa9'40'15'E 675.01' a l l i g C nm r Np SUR f� a OT - -- c W j OTAL AREA 33.00'"=° SGs d o e I 18.236 50. FT. TEST i M 8 V o N 5.01 ACRES ARE NIN I ~ 1 n:.� n M AREA EXCLU R.O r .W 33.00'x. ;� r1 +"'� I Wj e `o 207.566 SQ. FT L�KI' I Ins % g c r 1 4.77 ACRES FENCE °zi r j •� ° c n i 642.01' j �� 1 I I S89'4017 675.01' I ml ODI Si L <I �1 a► I `� I LOT 7 W 1 r ° ..�! �i �I I TOTAL AREA " m y a' I =I o.l '"� I 455,797 SO. FT. O r; a °I o f °'� 10.45 ACRES < f . i o ■i d N wi w i AREA XCLUD. R.O.W.: CL n c 412,684 SO. FT.I H n� o' �I �i i ' 9.47 ACRES Z 7` I �' Vi e" ' g� �' I W 3 o c ^ BARN m C4 in Iyj z r ° U I 1D t O SILO I O I nn , I I WELL SHE ( ' e e� ,iN CENTERLINE I I I ih DRIVEWAY LHOUSE I I SOUTH I/4 CCIRNER I i !� • .. 33! i y SEC 26 -30 -18 I / '`' R.O.W. 1 130th !/ 1 �13 �N r 931.64 P /PE) - - - I` 4 i �� Avenue teFND I' IRO 38937'32 1 M3 • - n _ NH9_37'32'W 875.01' - -- N89'37'32 "W 2606.85'- - - - - -- - - - r - - - ' 130th Auveenue - 130TH AVENUE ^ 133 SOUTH THE SE I/4 OF SEC770N 26 1 1 UNPLATTED LANDS LINE OF I , I I JOB #99083 (stal) 200 a 200 NO l I Prepared by. A & E GRAPHIC SCALE LAND SURVEYING de CIVIL ENGINEERING SCALE IN FEET: 1 inch - 200 feet Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO THE SOUTH UNE OF THE 109 East Third Street. P.O. Box 325 SE 1/4 OF SECTION 26. TOWNSHIP 30 N.. RANGE 18 W. New Richmond. WI 54017 WHICH IS ASSUMED TO BEAR N89'37'32"W. Sheet 1 of 2 Vol. 13 Page 3712 Parcel #: 026- 1077 -70 -200 12/20/2005 11:13 AM PAGE 1 OF 1 Alt. Parcel #: 26.30.18.407C -10 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner 0 - HEGNER, JEAN ANN & FRANK J (LE) JEAN ANN & FRANK J (LE) HEGNER C - ET AL ET AL 1310 140TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 1310 140TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 5.010 Plat: 0913 -CSM 13/3712 & CSM 13/3620 SEC 26 T30N R18W PT SE SE BEING LOT 5 Block/Condo Bldg: LOT 6 CSM 13/3620 15.470AC NKA LOT 6 CSM 13/3712 5.01AC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 26- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 08/29/2003 738173 2395/56 QC 10/07/1999 611807 1462/153 QC 07/23/1997 1030/27 TI 07/23/1997 777/261 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 95964 239,000 Valuations: Last Changed: 06/20/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.010 42,000 163,000 205,000 NO Totals for 2005: General Property 5.010 42,000 163,000 205,000 Woodland 0.000 0 0 Totals for 2004: General Property 5.010 42,000 163,000 205,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 12/04/1998 Batch #: 529 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I AMMS Viewer Page 1 of I a f, i i http: //72.21. 230. 178 / website /LRPortal /ARCIMS/MapFrame.asp ?PIN= 12/21/2005 36 SOIL SURVEY Most areas of this soil are in pasture. Where erosion ; - "4' " -!' . .Rt.. (1•ry [ tom,• . and flooding are controlled, the soil is well suited to corn ^' �►�, . + 4 <, , : . and other row crops. Capability unit IIw -11; woodland group 2o1. 4, Jewett Series The Jewett series consists of nearly level to sloping,? } well drained soils in till p lains ridges and wide drain - ageways of ground moraines. T hese soils formed in silty sediment and the underlying reddish sandy Y g d loam and loam till. Native vegetation was mainly native prairie - -: • `. grasses and oak savanna. ,. In the representative profile the surface layer is very t dark grayish brown silt loam about 9 inches thick (fig. 5). The subsurface layer is dark grayish brown silt Sa loam 2 inch es thick. The subsoil is about 26 inches thick. - � � ��- �. In the upper part it is brown, friable silt loam; in the k middle part it is brown, friable heavy loam; and in the lower part it is yellowish red, friable, sandy loam. The substratum, to a depth of about 60 inches, is yellowish tom_ red sandy loam.'. Available water capacity is high, and permeability is moderate. Natural fertility and the organic matter 4. R content of the surface layer are high. Y Most areas of these soils are cultivated; they are used to grow corn, oats, and alfalfa. Representative profile of Jewett silt loam, 2 to 6 percent slopes, in a cultivated field, 200 yards south and ;' = kk„ 80 yards east of center of southwest corner of sec. , 19, T. 30 N. R. 17 W.: Ap-0 to 9 inches; very dark grayish brown (10YR 3/2) silt loam; moderate medium sub .�, � angular blocky structure; friable; many E roots; neutral; abrupt smooth boundary..° 9 to 11 inches; dark grayish brown (10YR; ���� �. gyp.. "�*+t'- -�, 4/2) silt loam; weak medium subangular - blocky structure parting to weak thick` platy; friable; common roots • some very ` Y - rs dark grayish brown (10YR 3/2) earth- A worm casts and coatings in root channels; slightly acid; abrupt smooth boundary. B1 -11 to 19 inches; brown (7.5YR 4/4) silt loam; ,. ,msst► moderate fine and medium subangular""` blocky structure; friable; few thin patchy clay films; common roots; strongly acid; clear smooth boundary. '►, r� ' IIB2t -19 to 26 inches; brown (7.5YR 4/4) ea loam; moderate medium and coarse sub k angular blocky structure; friable; thin patchy clay films on faces of peds; com mon roots; band of cobblestones and pebbles in upper part; strongly acid, gradual wavy boundary. �r ` IIB3 -26 to 37 inches Yellowish red (5YR 5/6) heav sand weak coarse sub- Figure 5.— Profile of Jewett silt loam that is underlain by s angular ocky structure; friable; few loam till at a depth of about 3 feet. thin patchy clay films on faces of peds ; common roots; cobblestones and pebbles mon cobblestones and common; medium acid; gradual wavy pebbles; me--" boundary. acid. IIC-37 to 60 inches The solum ranges from 20 to 40 inches in thickr yellowish red (5YR 5/6) The silty mantle is 15 to 25 inches thick. The sandy loam; massive; friable; few roots; horizon is very dark brown or very dark grayish br bands of loamy sand and loam till; com- and 6 to 10 inches thick. skz ST. CROIX COUNTY 02/4 , y � 7 Sl SEPTIC TANK MAINTENANCE AGREEMENT y AND. X5/6 OWNERSHIP CERTIFICATION FORM 1 ?q - >c C-6/6 - la/ 2� Owner /Buyer c��s:fx z . ,e _ Mailing; Address ©,¢/c_ }�d Property ticld esS� - _e_ _ dA-4fw /P AS 4e- - s'�l0 i7 � (1 %rriticauun ru uued lrom Planning S:Louing Depart Went for new' onsu uction•)�s SCI City /State � An sc .Parcel Identification Number 0 — )07 -7— 70 LEGAL DESCRIPTION Property Location 'i� , .S './4, Sec• b , 'l.` N RL Town of Subdivision ; Lot # D Certified Survey Map # ht�� 3 - 5 , volume 3 , Pag e # 3 71 d 2 _ Warranty D ee(l # C / ^7 Pa ge Spec house yes d) Lot lines identifiable ye no 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 duce 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 sponsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. owns The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the waste 'id by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site less than, disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is 3 full of sludge. I/w, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set t. th, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification sta,tg that your septic system has been maintained must be completed and returned to the St. Croix Co wtty Planning & Zoning Departure. within 30 days of the three year expiration date. 1 /we certify k;rt all statements on this 101 are u•t e to the best of my /uur knowledge. I /we ani/arc the owner(s) of the Property described abol by virtue of a warranty deed recurded in Register of Deeds Office. Number of bedrooms e S IGNA RE OF ! 7 APPLICANT(S) DATE ** *Any information that is niismpreserued may result in the sanitary permit being revoked by the Planning & Zoning Department. * �* Include with this application a recorded wftanty 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) 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 cy Plan Option #1. system fails, determine cause of failure, use alternate area and install new sys 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 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 626931 KATHLEEN H. WALSH REGISTER OF DEEDS State Bar of Wisconsin Form 1 -2003 ST. CROIX CO., WI WARRANTY DEED RECEIVED FOR RECORD Document Number Document Name 06/07/2006 10:15AII WARRANTY DEED EXERT # THIS DEED, made between Jean Ann Hegner and Frank J. Hegner, wife and REC FEE: 11.00 husband TRANS FEE: 189.00 ( "Grantor," whether one or more), COPY FEE: and Mark A. Maple and Melissa K. Maple, husband and wife CC FEE: PAGES: 1 ( "Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real Recording Area estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is Name and Return Address needed, please attach addendum): River valley Abstract & Title, Inc. 1200 Hosford Street, Suite 201 Part of the SE 1/4 of the SE 1/4 of Section 26, Township 30 North, Range 18 West, Hudson, WI 54016 St. Croix County, Wisconsin described as follows: Lot 8 of Certified Survey Map File #: 2689236 filed December 27, 2005 in Vol. 20, Page 5134, Doc. No. 814987. PIN: Part of026- 1077 -70 -200 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Easements, restrictions and rights -of -way of record, if any. Dated -Q 4 (SEAL) (SEAL) n Ann Hegner '' rank J Jca g A ner (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Rorer a... STATE OF WISCONSIN rl ) authenticated on St. Croix COUNTY ) ss. ) Stale of i_seon h, ` - / * 1Al Personally came before me o �P _ 20o�c TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Jean Ann Hegner and Frank J. Hegner, wife and husband (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) inst p nt owledged the same. THIS INSTRUMENT DRAFTED BY: Attorney Doug Berg Notary Public, State of Wisconsin 1200 Hosford Street, Suite 201 Hudson, WI 54016 My Commission (is permanent) (expires- Ar42 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 1 -2003 Type name below signatures. toff MR1'- 22-2 6 14:39 FRM19M MOWIS 7157494282 T0: 2469151 P:3'3 .- - <s J7^ C" ' 8 i 4987 of vix 20 Am 51 10 Imsm or OEM li/2'7/7 t y' " tow Cgl1"iFEt3D up CERTIFIED SURVEY M clot t n00W in W W" SOW*" 0 uwW Otte! SOW*" QUWW Of Ssctbn 2S, Township 301400. Re" 16 VMbM T~ OtAidlmarid, St. t.rOYt Cauitly, lMrOtMrY1. 4iiq IAI S d a CarIMOd SuwOy Map — dOS in Vokmm 13 paps 3712 Quwiwt mw 0OM4 M aw $L CMk County PagbW d DMdo 0111011. ofti PAI Mm I+OR: ftw* J. W4 im A 6 we 0 13101401h SINN NOW Awwrmd, VA SW77 i:ast 1M Cani`ar 0104811 Sy: AM M. 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