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HomeMy WebLinkAbout026-1082-70-300 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479277 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Smith, gerald Richmond, Town of 0 CST BM Elev: linsp. BM Elev: BM Description: Section/Town /Range/Map No l �rY` no nn nr. TANK INFORMATION 1 , ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic `7 Benchmark Zr ( , ems., Z � lbyv\ Z 5 Dosing Alt. BM l - b 760 A Bldg. Sewer G � 11. 92 .4 Holding St/Ht Inlet /z_3 TANK SETBACK INFORMATION SUHt Outlet TANK TO R/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic i _ (� -3 -3 / 3 / Dt Bottom ' J , & t Dosing -17 i A 3 3 1 I Header /Man. _ 7v 0 1 cy,- , Aeration Dist. Pipe 71 9 1 0 31 ` Holding Bot. System 1 Z `TS . oill, 6 k Final Grade , r PUMP /SIPHON INFORMATION , Manufacturer 1 C4 L GPM Dema St Cover , '3 7 , s Model Number d C 4 3 5 Ir / T Lift ,� Friction os Syste Head I TDH c l 1 Ft 1 Forcemain Length i Dia. ii Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth L i DIMENSIONS �{ I Z i r e e�, av-b \ SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: J J UNIT Model Number. a-j,�k, DISTRIBUTION SYSTEM Z3 4' Z : 5 CF, /a ,L -Z Header /Manifold /J Distribution x Hole Size x Hole Spacing Ve to Air Intake / � Pipe(s) \ Length Dia `T Length Dia_ Spacing \ \ SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over r Depth Over xx Depth of xx Seeded /Sodded xx Mulc ed Bed/Trench Center l BedlTrench Edges \ Topsoil � Yes � �,j No Yes 71�flNo I - COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1140 130th Avenue ew Richmond, WI 54 17 (SE 1/4 SW 1/4 28 T30N R18W) NA Lot Parcel No: 28.30.18.435 1.) Alt BM Description C� ��� 2.) Bldg sewer length = 33 , 61L 04- - amount of cover Plan revision Required? Yes No -- � Cart. No. Use other side for additional information. Date nsepctor's Signa SBD -6710 (R.3/97) I - - Safety and Build 8ion County _ t AV 201 W. Washington Ave., P. $ S T Madison, Madison, WI 53707 Sanitary Permit Number (to be filled in by Co.) COnS,n Department of Commerce (608) 266 -3151 a' State Sanitary Permit Appl0cation State Plan .D. Numb - ersona In accord with Comm 83.21, Wis. Adm. Code, pi information ou provide pro' t Address i different than mailing address) may be used for secondary purposes Privacy Law, s 15.04(1 m) ` ': [ U U I. Application Information - Please Print All rmation �(� �3 0� ' ,gip ST. itINT Property Owner's Name _ __ 1? # ock 1 9 V le�. (, ICIr"A. M"(Z4 q Property Lf Owner's Mailing Address erty�.oc n d r L 3S � rtu 5 ��y� s , 5 ( %, Section A- City, State Zip Code Phone Number Q W� c (circle�j�pe) H. Type of Building (check all that apply) T �� N; RE A =2 S dMsio meCSM umber �/ 2 Family Dwelling - Number of Bedrooms �^I B `I v l ❑ Public/Commercial - Describe �► ' 11 State Owned - Describe Use ern �T t (�i( 1 n'pY►t Gc.tc tr�i`, 7gsii�j J ❑City []village ownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' ew System ❑ Replacement System ❑ TreatmenUHolding 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: ACheck all that appl 011on - Pressurized In- Ground ❑ Mound >_ 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized - Ground C1 Holding Tank 11 Peat Filter ❑ Aerobic Treatment Unit 13 Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Chamber Drip Line ❑ Grav -less Pipe _ ❑ O er (explain) V. Dis ersal/Treatment Area Inf rmation: ljn Design Flow (gpd) Design Soil Application Rate(gpds Dispersal Area Required (sf) Dispersal Area Proposed tern Elevation boo 7 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic reatmentI[nit Dosing Chamber L --4 VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plum is Name (Print) P7b!e!'!7SiP;e MP /MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code)- e) To � oua /De artment Use On Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater D 7�� sued I uing Agen Sign 7 nips) Surcharge Fee) ? ,D\ c/U ( ❑ O wner Given Reason for Denial Jw % 0 6 IX. Conditions of Approv UReasons for Disappro al j� SYSTEM OWNER Septic tank, effluent filter and Z Z >� Z 3 p " 64 - l/ dispersal cell must all be serviced / maintained as per management plan provided by lumber. requirements must be maintained as per applicable code/ordinance . I d • ttac complete plans (to the County only) f& �� system on paper less th n 81fixilinche G 1 a- slz� �, /�/ SBD -6398 (R. 01/03) C S � � i C/ G l � � ` ^J)UY�G 0 V� I a� �k 2 Illy w 4 t� a 2, LO I 13 d 1•ti. �.,t CaP C2 unc. k - �-( C rn� -bfn '� ! 7 � (`• l � (�iM/Nu�" � �� ?-0 "I F -1-- f y (v gob I AP CnP C2 �+� � - �( c Ins. -•-bps � G h�r•�6�:.z " ? - a 11�x `- 5 3 Pte' ►isb / 75 . 0 s r k COMBINATION SEPTIC TANK /PUMP CHAMBER (No Scale) , Approved Locking Manhole Cover With Warning Label Attached 44" Weatherproof Approved Warning Label Junction Box Vgnt Ca �� U wn 4 12" Minimum =final Gr -� ' :4" Minimum Quick 1$ Minimum Disconnect �t i' 1/4" Weep Hole Baffle y Approved Joirt A sA 40 f pe � =xtending 3' Alarm �+ :into Solid Soil B 1 Approved Joint On 6; w!4'' S" � pe } C Extending 3' Elev. �; ' Cnto Solid So i Off er D Conc. Block 3" of Bedding Under Tank -/ Note: Pump and Alarm Are On Separate Circuits V 1 r O �U Tank Manufacturer: 4r i5�:cf? vr�r� Z s �J €.3t1 s,� tt 61 Tank Size- Septic /Pump: '^ - Gal ions Alarm Manufacturer* Model plumber: :; -_ j Gapac ?ties : A nches or �:,.` Gallons Switch Type: u j + B inches or 52 Gallons Pump Manufacturer: Svc -. /t C ,z + C i nches ar , Model Number: 5i D p .9 i nches or; o ;, Z Gallons Minimum Discharge ate: iq, Total..... inches Gallons Vertical Difference. Between Pump Off and Distribution Pipe : I y Feet gal/ Minimum Required Supply Pressure:.... .'_� .............f... Feet L; ,5 - Feet of Force Main x L% Friction Factor /100 Feet: f ;-,�� €; l Feet , - Inch Diameter Force Main — Total Dynamic Head:...' %_,0_5 PROJECT: Page of i w HEAD CAPACITY CURVE L', MODELS 53/55/57/59 25 - c� I ' 0 z 4 0 2- 1/2 11 112 NPI U.S. GALL ONS 10 2 30 40 50 LITERS 80 160 I � 0 � - FLOW PER MINUTE 9897 4 1/16 '= I CONSULT FACTORY FOR SPECIAL APPLICATIONS • Variable level float switches available. 4 - - -- • Variable level long cycle systems available. (- • Available with special cord lengths of 15', 25', 35' and 50 ". { , � • Alarm systems available. ° 6 1 • Duplex systems available.,, t Illlllnryn _- � - -... -_�- SK858 Sin Seal Control Selection Listings SELECTION GUIDE Model Volts Phase Mode Amps Simplex Duplex CSA UL 1. Integral float operated mechanical switch, no external control required. M531558 115 1 Auto 9.7 lor187 — Y Y 2. Single piggyback variable level float switch or double piggyback variable NSWS SN57/59 115 1 Non 9.7 2or286 3or485 Y Y level float switch. Refer to FMO477. -- -- -- I 115 1 Auto 9.7 — Y Y ' BN57 115 1 Auto 9.7 — N Y 3. Mechanical aftemator "M -Pak" 10 -0072 or 10 -0075. ' BE53157 _ 230 _ _1 ALM 4.0 — -- y -- y 4. See FM0712 for correct model of Electrical Alternator. D531 230 1 Auto 4.0 1 or — 1& 7 Y Y 5. Variable level control switch 10 -0225 used as a control activator, with E53/558 230 1 Non 4.0 2or286 3or485 Y Y Electrical Alternator (3) or (4) float system. ' Single piggyback switch included. O CAUTION For information on additional Zoeller products refer to catalog on Piggyback Variable Level Float Switches,FM0477; All installation of controls, protection devices and wiring should be done by a qualified Electrical Aftemator, FM0486; Mechanical Alternator, FM0495; Sump/Sewage Basins, FM0487; and Single Phase licensed electrician. All electrical and safety codes should be followed including the most Simplex Pump ControVAlann Systems, FM0732. 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 T0: P.O. BOX 16347 ` Louisville, KY 40256 -0347 Manufacturers of. . y SHIP T0: 3649 Cane Run Road Louisville, KY 40211 -1961 Qv /7 4[ /TY P UMP6 , /n � YCE �9ff ® (502) 778 - 2731.1(800) 928 -PUMP http.1Avww.zoe11er.c0m !O_ FAX(502)774 - 3624 © Copyright 1999 Zoeller Co. All rights reserved. StL 11W 2.20V 0 171141 7 / r MAIL To visit our web site: SHIP TO: � � x, �r k �� � �,T http: / /www_zoeller com N w -- - -__ -_ 53 - 57 Cast Iron Series ti� rii'i r C r II . N !, A , L 1 lP 55 - 59 Bronze Series (For Pump Prefix Identification see News & Views 0052) a -' CI SUBMERSIBLE PUMP FOR ' m z, t �S CIj PY�y� DEWATERING (SUMP) atic ,, , `nerr 1 :werlo Sri ���tection OR EFFLUENT (SEPTIC TANK SYSTEMS) PASSES "2" SOLIDS j 1� /, � NPT DISCHARGE N AUTOMATIC ; t r MODEL I VORTEX TYPE IMPELLER l 1 nl hmim �tn_lC'�c❑ I R, , Inr 3 povv1) R BN MODEL TOUGH W'V Note � <i3��' , 3 ..fi. c �I��h ". ��i f= �t� h F'N� �.qhl ✓ , I; z � � e t .5 Wisconsin Department of -74> Comm SOIL E VAL \ PORT Page of Division of Safety and Buildings 2, ,8 215 ordance wl Com 85, Wis. Adm. r1 � County Attach complete site plan on p ti �4/�it5ches n size. Plan must include, but not limited to: verti �G�t�ff(cE point ( M), direction and Parcel I.D. A .. 1 percent slope, scale or dimens, , an o !stance to nearest road. 2 'j D Please print all information. eview Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ( oe C, I (- Govt. Lot 6 E 11451A)114 SQ T 30 N R / E (or Property Owner's Mailing Addre s Lot # Block # S . Name or CS M# City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road S ,�-�- sy� ( 15) dH� -3ga1 �� ►� N ► aT iA v e In New Construction Use: Residential / Number of bedrooms 1 Code derived design flow rate _ 11 GPD ❑ Replacement ❑ Public or co cial - `D_esscnb Parent material �_C?�fi I.J G- �f 12d Pain el t i appliraule __ ft. General comments �5tIJSSG i «— Ova �� T/`Cstie��S FOPCckG s -'i and recommendations: -r* 1 l9S.b7 -) -T,3 1 95 .35 '� - v ,uk - o F t Boring Boring # / D pit Ground surface elev. oZ ft. Depth to limiting factor D in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 - oY /a s L a � m .1 (3 1 01 RR Y s 5 L- S i2 rr, ' L. l , o 3 -3,A 7,5`I P P ---� �,"� arrts'b W- kY1 F' e W E ,'" - -------- /7 ® Boring # Boring LT a 5 ® Pit Ground surface elev. � ft. Depth to limiting facto in. Soil Appliotion Rate Horizon Depth Dominant -Color Redox Description Texture Structure Consistence Boundary Roots GPDIff f in. Murisell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 rA o2' 1 - w � ��y�s� r S V Y j i ryJ 2 y 5c L X5b W- M f r C w 1 F 8 35 2 1O '°.w` °�ww�..w� �' `' y , yvt t Jl�" v` Iti 1 J e ov) t, e r 7 s -►ro S Y s/ ------- .......� .S -5 hl L " Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD _< 30 mg/L and TSS < 30 mg/L Signature Name (Pleas Prin ) g Q t),T e Evaluation Conduc Telephone Number Add �, 3 JS -� -58 a !" Property Owner a — m is K rt1 C �j4 v Parcel ID # _ Page � of ® Boring # ❑ Boring v ((�� n —f pit Ground surface elev. _(_,Q /S ft. Depth to limiting factor 1 o _ 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 I `Eff#2 1a !x 1041, - 5 d J5 vL naFr w a F 1. V 1' a msb V- h t't' I w of , Ll Boring # ❑ Boring Q 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 ❑ Boring # ❑ Boring Ground surface elev. _ ft. Depth to limiting factor in. 11 Pit 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 i Effluent #1 = BOD > 30:5 220 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 (8.6100) SSE��y s t-.3 'i, se, . - Al 730 t �$ �'''� ! ► S 5 4 G � t ►°v� � � 1 "7 f 1.v PL n P 0.5 E T � aoa.�►r' toCtGre d t 10- o ae 4- m � l Saa ♦ � a03 4 i . .. . . . ��.a.. (Joins sheet a3 JA 0 \ LL .� y . . . . � 7 . � . � } o \ \ \ - v \ � � ) \ @ ( - «: (J sheet n 1335 m / FEET LO ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNE IIIP CERMICATION FORM Owner/Buyer � C D �£� a S, 5.�.• / — 6Lv - y�j� Mailing Address 72d''' s7- 5o010,Scl JVz J 42,S– Property Address -- (Verification required from Planning bepartnent for new construction City /State IV &) h k-v" m / j: Parcel Identification Number _ D A6 LEGAL DESCRIPTION Property Location ,V— Y4 , ,� C� V4, Sec. Z 9 T Sa_ RAW, Town of Subdivision A A'd — 6. ( ,� Lot # Certified Survey M. ap # , Volume , Page # Warranty Deex# # 7 166 !l ( , Volume ZS ti 0 — _ Page # S 31 Spec house yes na Lot 'Liner. identifiable yes no SYSTEM MAINTENANCE Improper use and mi intemncc 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 pumpei. What you put into the system can afr'ect the franction 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 Departmart a certification fort, sigaed 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 15 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards act forth, herein, as set by the Department of Commerce and the Departrncnt 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. S C ?'TORE 01 DATE OWNER CE RTIFICA, TION Uwe certify that all statements on this farm are true to the best of my /our knowledge. Uwe amlare the owner($) of the pro descrriled e, by virtue of a warranty decd recorded in Register of Deeds Office SIGMA OF A PPLICANT 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 dw Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner y Septic Tank Capacity a l ❑ NA Permit # —7.1 Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units A Pump Tank Capacity '7� al , ❑ NA Estimated flow (average) 7 �v al /day Pump Tank Manufacturer �� ❑ NA Design flow (peak), (Estimated x 1.5) &00 al /day Pump Manufacturer ❑ NA Soil Application Rate 0, 7 al /day /ft' Pump Model 63 ❑ NA Standar t Effluent Quality Monthly average" Pretreatment Unit A Fats, Oil &Grease (FOG) 530 mg/L 61 ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L A ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg /L ❑ Disinfe tion ❑ Other: Pretreated Effluent Quality Monthly average =n-Ground l Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L X NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) - 51D ° OOml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. I Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 2 ,� E3 ea�lsl( (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ this) (Maximum 3 years) ❑ NA Clean effluent filter S �� �D At least once every: month (s7 ❑ NA ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) Flush laterals and pressure test At least once ever ❑ mo year(s) ❑ NA p Y: ❑ yearls) ❑ month(s) Other: At least once every: ❑ year(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Z of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cells) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWT fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replace 7Asuitable system: replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. / ab:e �1/ o ing an 772cl�Tt k a aie -I 18 > �1�✓ Ca N S ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name q 4 J-� Name Phone ­ 71 S - ?/p 1 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REG AU / Name Name ST. ( �jV N 20l 1 Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. i 796.6-e+ 1 U 2 8 1 4 P 5 3 1 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.. WI DOCUMENT NO. WARRANTY DEED RECEIVED FOR RECORD 06/03/:2005 12:06PN WARRANTY DEED EXEMPT # This Deed, made between David A. Ball and Kimberly A. Ball, husband REC FEE: 13.00 and wife and Dennis F. Ball and Nancy A. Ball, husband and wife, TRANS FEE: 3185.40 Grantors, and Gerald J. Smith a married person Grant CC FEE: WITNESSETH, That the said Grantors, or a valuable consideration PAGES: 2 convey to Grantee the following described real estate in St. Croix County, State of Wisconsin:: RETURN TO: Parcel 1: The East Half of the East Half of the Southwest Quarter Loberg Law Office 359 West Main Street / V 4 - Ellsworth, W 1 54011 /SW %) of Section Twenty Eight (28), Township Thirty (30) North, PID #026- 1082 -40 -000 Range Eighteen (18) West, Town of Richmond, St. Croix County, Wisconsin, EXCEPT Lot One (1) of Certified Survey Map filed April v 026- 1082 -95 -000 24, 1990, in Vol. 8 of C.S.M. . 2199 as Doc. M. 43, being 026- 1083 -10 -000 art o e Sout west Quarter of the Southeast Quarter (SW' /,/SE' /.) and part of the Southeast Quarter of the Southwest Quarter (SE'/4/SW'/4), both in Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West. Parce : The West Half of the Southeast Quarter '/: t _ /SE' //. of Section Twenty Eight (28), Township Thirty (30 ) North, �, V Range Eighteen (18) West, Town of Richmond, St. Croix County, l Wisconsin, EXCEPT the folio 1. Lot One (1) of Certified Survey Map filed April 24, 1990, in Vol. 8 of C.S.M., pg. 2199, as Doc. No. 457843, being part of the Southwest, (( Quarter of the Southeast Quarter (SW' /JSE' /.) and part of the _ < Southeast Quarter of the Southwest Quarter (SE' /. /SW'/.), both in Section Twenty Eight (28), Township Thirty (30) North, Range v Eighteen (18) West; 2. Lot One (1) of Certified Survey Map filed August 13, 1981, in Vol. 4 of C.S.M., pg. 1093, as Doc. No. 372738, being part of the Southwest Quarter of the Southeast Quarter (SW' /,/SE' /.) of Section Twenty V Eight (28), Township Thirty (30) North, Range Eighteen (18) West; 3. Commencing at the Southwest corner of Lot One (1) of Certified Survey Map filed August 13, 1981, in Vol. 4 of C.S.M., pg. 1093, as Doc. No. 372738, for the point of beginning; thence N89'59'15" West 20.00 feet; thence NO'01'41" East 262.00 feet; thence S89'59'15" East 224.00 feet; thence SO'01'41" West 15.00 feet; thence N89'59'15" West 209.00 feet; thence SO'01'41" West 242.00 feet to the point of beginning; 4. Commencing at the Northeast corner of the Northwest Quarter of the Southeast Quarter (NW'/./SE %) of said Section 28; thence South 16 feet; thence Northwesterly to a point 10 feet West of the point of beginning, thence East to the point of beginning. This is not homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; And grantors warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, covenants and conditions and will warrant and defend the same. U 2814 P 532 Datqg this 16th day of May. 2005. (SEAL) SEAL) David A. Ball Kimberl y A. B D� Z e� (SEAL) (SEAL) Dennis F. Ball Naficy A. Bair AUTHENTICATION ACKNOWLEDGMENT Signature(s) .4 l STATE OF MINNESOTA } } ss. authenticated this ay of COUNTY OF 20 Personally came before me this 16th day of May, 2005 the above named David A. Ball Kimberly A. Ball and Dennis F. Ball and TITLE: MEMBER STATE BAR OF WISCONSIN Nancy A. Ball to me known to be the persons (If not, who executed the foregoing instrument an authorized by §706.06, Wis. Stats.) ackno ledge the same(![ C THIS INSTRUMENT WAS DRAFTED BY `-'- L " LOBERG LAW OFFICE Notary Public County,MN My Robert L. Lobern Commission is permanent. , _.) (Signatures may be authenticated or acknowledged. Both are not necessary) (if not, state expiration date: 20 jb / SST1042 I w, NEWO -1 NOY •1, •M LW cowamom n s�s,IM Parcel #: 026- 1082 -70 -100 06/29/2005 09:49 AM PAGE 1 OF 2 Alt. Parcel #: 28.30.18.435 026 - 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): * = Current Owner " BALL, DAVID A & KIMBERLY A DAVID A & KIMBERLY A BALL 656 EDIE LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 16.600 at: N/A -NOT AVAILABLE SEC 28 T30N R18W SE SW EXC PT TO CSM lock/Condo Bldg: 8/2199 & EXC W 1/2 E 1/2 OF SW 1/4 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 06/09/1998 580720 1330/456 WD 03/24/1998 575654 1308/311 WD 03/24/1998 575653 1308/310 QC 07/23/1997 1039/455 WD more ... 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Changed: 06/20/2005 Description Class Acres Land /Improve Total State Reason AGRICULTURAL G4 16.300 2,700 0 2,700 NO UNDEVELOPED G5 0.300 100 0 100 NO Totals for 2005: General Property 16.600 2,800 0 2,800 Woodland 0.000 0 0 Totals for 2004: General Property 16.600 2,900 0 2,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 026- 1083 -10 -000 06/29/2005 12:21 PM PAGE 1 OF 1 Alt. Parcel #: 28.30.18.438A 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): ' = Current Owner " BALL, DENNIS F & NANCY A DENNIS F & NANCY A BALL W10580 HWY 16 & 60 COLUMBUS WI 53925 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 33.980 Plat: N/A -NOT AVAILABLE SEC 28 T30N R18W SW SE EXC LOT 1 GSM V Block/Condo Bldg: 4/1093 AND EXC PT TO CSM 8/21 Y Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1057/459 WD 07/23/1997 870/386 07/23/1997 860/302 07/23/1997 436/132 2005 SUMMARY Bill #: Fair Market Value Assessed with: Use Value Assessment Valuations: Last Changed: 06/30/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 33.480 5,300 0 5,300 NO UNDEVELOPED G5 0.500 100 0 100 NO Totals for 2005: General Property 33.980 5,400 0 5,400 Woodland 0.000 0 0 Totals for 2004: General Property 33.980 5,400 0 5,400 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 026- 1082 -95 -000 06/29/2005 12:25 PM PAGE IOF1 Alt. Parcel #: 28.30.18.437A 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): ' = Current Owner DENNIS F & NANCY A BALL ' BALL, DENNIS F & NANCY A W10580 HWY 16 & 60 COLUMBUS WI 53925 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 28 T30N R18W NW SE EXC P437B AS DESC Block/Condo Bldg: 811/450 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1057/459 WD 07/23/1997 870/386 07/23/1997 860/302 07/23/1997 811/450 2005 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/20/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 40.000 5,700 0 5,700 NO Totals for 2005: General Property 40.000 5,700 0 5,700 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 5,900 0 5,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i - RICHMOND T• 3 0 N - R.1 8 V Y• 43 EE PAGE 57 K I: SEE PAGE 55 • bM:. po .. 6* X • Choi /es a • :::::. ....: :::::::::::::::::...::::::::::: ::: =:: z7 /aine .u, y K be h E at erman re '0 .39 � .SS o / `C icier Fc.:: N r e n fht 4 can a R J 9 w N o 1� v r e Doerr m m- g� ch er o/ 6 u c .......:.... ras B O .LM •' ' S �. \ ras $ XOn n� 9 `. 6 P• r M io ere bb. 40 fe /ecn � tl m S Bo JRD /7 � a f Ltck m :8 F: O s B/ � \ rc c k R n I 1 Las • /° � • �` O s WL O ardOn E. rc b G c a i .Burr � x S eta err • K. tK O O O O. i 6 S M �w Ko s f M e •S n vin — 1 n L 1 tii ti k� man Or P b N 9 t V£. ::'ii A a! p i':':�1t�1it':':`:i: �: iiiii� .`:lii���:`:i��_ ::::::::::::: 17 e o e a/d „ Ro er f end N • �P \ r .9 Ed cv v. C7 G .Y Lh vd L. � E c � y 9 u F1J , r RdeAhe �errrai/� �' 0 PA i6e :: N :::::: f rUaser V f••DaV /d LT Robs etz/ tl 0 • o ,V e • f ieckhoef 159 /56. e4 ti U J 0 W/ /a,77 � ).. rf P� • 390.77 `l n z y° on @ v C'�) Derrrrk, it n q C 3/2/9 e/a/ /bert Po .2o //n �e Jerome 01 /7 /.BS 40 eto/ ' dames W F�i� o f RU MOUND W Doiry 4O f C@a Farms, Pam/ s Co / %en f/eri Sb P✓ir /a n ,eogec y Sr>�. s Dalton Tune Sx. CaseY Mur/tt� Ps,. /ids 0 fe • rk S57 Z h • / O z•ao 236 H 79 s .PobSf sJ �.� �V W 9er 149-97 E i Nerr/rikHC �J lie 7 a66/7/7 C Ps L,1 `3B Mu C gdre 4/ •a1 R i r Ce/n s tone Frank 1/an / 7 e f , 0 0 0 7o eo ;a D V , • L, . d ,� X9 ..`/ c o \. C -'/ Dams • �- a y Me kf \ �� / Q Sfor E f /esnn /99/9 �� '� � � rr etas./ 9 .,. ,Qead�y M/x a `l � cn � uef/ • /5479 Bo Glsbor.e tieor9e. w .37.07 //endrik 1 0 .a 6 ric B /B/ Ge §Sheryl d y W hzre u dh o v`u .S.fG 5leven Dean "� Stevan JlDerr/ck O Ua/7.D Sn �Q R H Ty� ' 2G/ C� Co. /2o S /26.25 .d /30.63 .l ran hCr Davie � � 4o err � W Farm, Znc .�, f Julie l3B4e Wa/dr0 18 Mar 1 f O Mar 9 C a err 6 f C7 4 ,gnge /me .y n•rb 4 0 /loo fK � /i � Dertidc �. s T..:: ,5 �� • • ;,, G � P B ere f G Laren .;` o Herbert • W / — H 7 AVE o f Rose Laura W C k Thomas wa Derrick �• Rebhan Joh.v y' ord f/aro/d • N � r� • C �0 � C f v"ue C7 /enn e /7/ 2 C v 'I.�`I b , F H \ L e ✓erty 5 Sb KQ>`heri E ensrn Jens C V M rr'ay P Cfiriste/uen 9 Karn at o m N �� y �'C� rr LS Jyl' L. g y O s. ; 47 a9 36 Lawrence gor se/ • � C ; t?J J 3 v E f "' ' /6 0 /bo ` b b� N �• gbains 15, 32 262.32 ~ • tl © ao c s n LTMJ d Ja Davi fc d ¢vid Wan Bo Hcr =x. 13579 � f 80177 u /lHidri U Li y ° Tu /e G Hoy - t f cTo� et.3e Wa/dro {{ 40 Roos �.:� 1�Qn I>yk Sg n �S VarlDyE • 37 ao Lorra ' 9RF /s c `.e eTohn s - Richer d P - g y.o /bo M /29s yy A. / {e /.5e Barba7a f<Tanice Fe/,(Gr O .w Bss ReXee NJ 40 /ce ver c/x,mm Gi// s BO O 6 f 4B a l40 o C .(3arbard O /93 2' amain Loo G9K. l S. h' p�.� chommer' F h ro• ° U. tl C V 5 45 /vo b_tl C h .� 0'� n u.ti ' ` cSchuneman Hrn ik a �y,• r � d n 3 '� � 8/ 92 � L f / u o Wv' P3B PBO.Bb H 376 /sea/ g yan y y to V� - h cTero/rle W /26. M Dyk Fa h clan. C7rant�1 fD�anne sMax�'na y yl f 9B �^ rms S fGerit S Fir v pT o i m U N VanD k Lo/LE b MoNe/ f7///711e17 a� bPt Snc ` � v y � re r n l • arvW 79 ` /loo /s�aB an Pa7Yi 4 McQ f Qose E C a am d �. 2BP �TaniceQa// d 13927 17errrck e tec ¢ hf "' • 9 O r �sii o ITC r . /zo ) q e . • c7 ro ' • Mi . f QY/ b F/errnOn V✓., Sr O O/ `" • e `9 n v e/ /e rTOhn C. ve 9 y ' A er Fred f BOnnie o J n/as d a �� �� o go Mcke /son qo as5 f cuff Ke/% b<t v j W �t Sleang �� 1/pnDk � � B�� Uudthc once aV� tlw� Ferguson • t P k 4.0 • cWO 39537 Rn/ q� F¢rm.R .2170 b 6$ L. Ken ,piclwrd r Gerrit � ,QQyever C m v b � /?enr Delric.E cTohn C. /79. s �'� Fa -rms. y � Kan fKath ell � ri cfce %won Fa/'m je Pa}ricia zno UcSy v 0 \ a //10.44 Sml h s Van DJ(k w Kent. ��v^ 3 ,Brown /5/x59 /bo TJIC l l9 r549/ v w 0 327 23 /60 o u// / O 4 • Lr O N S E PAGE 29 cSf Croix County, f to s. — O /99/ ockf rd MaP °u6 /s Inc. �� I 00 1300 1400 1500 900 1000 110 I � FAMILY DENTISTRY — ORTHODONTICS Walker Chiropractic Sales Service DR, JEROME KJOLSING Office Video Rentals - Beta /VHS 645 Hospital Road DR. SHERRY L. WALKER 242 North Main New Richmond 246 -3500 Stillwater, Minnesota 55082 439 -5965 IN THE CREAMERY 1225 North Knowles "NEW PATIENTS ALWAYS WELCOME" NEW RICHMOND New Richmond, Wisconsin 54017 246 -2555 or 246 -4361 OFFICE HOURS BY APPOINTMENT 246 -2946 Parcel #: 026 - 1082 -70 -000 06/29/2005 09:49 AM PAGE 1 OF 1 Alt.- Parcel #: 28.30.18.435A 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): ' = Current Owner * KILLIN, KEVIN W & MICHELLE E KEVIN W & MICHELLE E KILLIN 1150 130TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1150 130TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 8.260 Plat: N/A -NOT AVAILABLE SEC 28 T30N R18W PT SE SW 436/132 PART Block/Condo Bldg: OF LOT 1 CSM 8/2199 INCLUDES P438A -10 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1033/108 WD 07/23/1997 906/69 07/23/1997 867/522 07/23/1997 860/302 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/07/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 8.260 61,200 80,500 141,700 NO Totals for 2005: General Property 8.260 61,200 80,500 141,700 Woodland 0.000 0 0 Totals for 2004: General Property 8.260 61,200 80,500 141,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 210 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n;i 6- c'A M ' s'� l V 457843 ,C "1' 10 S fi � 8 /�i `� y CERTIFIED SURVEY MAP LOCATED IN THE SW I/4 OF THE SE I/4 AND THE SEI /4 OF THE OF THE SWI /4 OF SECTION 28, T30N, R18W, TOWN OF RICHMOND, ST. CROIX CO., W I. OWNED BY: FARM CREDIT SERVICES NW. HWY. 35 NORTH 1i4 CORNEROF SECTION RIVER FALLS, WI 54022. V! 28,( COUNTY MONUMENT fp FOUND) n Co t in v' NOTE: BEARINGS ARE REFERENCED TO THE SOUTH LINE OF THE SW 114. W� fj ` 1>1XV (ASSUMED WEST), ` o r !, ro 0 .NORTH -SOUTH QUARTER LINE ':I: t,° o APR2 4199 o' 9 z O'CONNEL t >> Q V ( C ° i A R 4Ister 01 Deeds t7 U N P L A T ED LANDS St. Cto1x Co.. E A S T 600.00' ^ O 247. 46 332.54' EO shed Z* 0 z 5D C5 _j. o LOT I t�0 _ corn crib? ' 0 r� shed shed born �slles 0 e. of O' e + L� 2 .j 0' to ►h.. p• N p �• a1 ,� W • C.. u Q• / ((''�� shad �' �' O hod% � .: Q' � j i tL d. z U : Qcorn crib N 0 - • W ^ N 2 �: house l 0oro 9e ti a•i �. O o eg , O W septic' - b: OZ - I Sdriveway W r.:. O Z 0 c f 4 e. v z y V C \ C '• ?� • U E4ST 600.0 M _ . EAST _ 2369.13 .n 247.00' 333.00 WEST 1 30 TH. a WES 60 AV h. S 1/4 CORNER OF SECTION SOUTH LINE OF THE SW 1/4 28..(000NTY MONUMENT SOUTH LINE OF THE SE 1/4 FOUND). APPROVED • : APR 2 4 1990 .f;., ' O: SET I "X 24 IRON PIPE WEIGHING 1.13 ST.=D(COUNTY ,,a0�t11IItt+lgN,h L B S. PER LINEAR FOOT. COMP116bR3V AA PN W -, 7K$ PLANN AND Z.O"Nr-CO NAA(rrLMf �c�E'.01�15 O 8 A 2 6 ACRES f JA11AE>3 U. ( 360, 000 SO. FT.) + S E 8 7.81 AC. EXCLUDING RIGHT-OF- WAY SPRING VALLEY 1 t (340, 200 S0. F T .) WI g• Q' i -s U R N,•w�' SCALE 1 = 150 _ �stow � - - +•...'ws JAMES M. WEBER S -1804 O' T 5' 150 300' WEBER LAND SURVEYING GATED SHEET I OF 2 90 -23 THIS INSTRUMENT DRAFTED BY - �•� .�aJ�o�. VOLUME 8 PAGE 2199 Parcel : 026 -10 2-70 -100 11/02/2005 11:04 AM PAGE 1 OF 1 Alt. Parce 28.30.18.435 026 - TOWN OF RICHMOND Current . ST. CROIX COUNTY, WISCONSIN Creation Date His p # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - RICHMOND ACRES LLC RICHMOND ACRES LLC Q� 11160 190TH AVE NW cis y"`."'� �i0JZ ELK RIVER MN 55330 i�� Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND / SP 8020 UPPER WILLOW REHAB DIST �r SP 1700 WITC Wei Legal Description: Acres: 16.600 Plat: N/A -NOT AVAILABLE SEC 28 T30N R18W SE SW EXC PT TO CSM Block/Condo Bldg: 8/2199 & EXC W 1/2 E 1/2 OF SW 1/4 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 2 28- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 09/13/2005 806245 2887/022 EZ -U 07/26/2005 801423 2851/077 QC 06/03/2005 796642 2814/533 AGREE 06/03/2005 796641 2814/531 WD more 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 06/20/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 16.300 2,700 0 2,700 NO UNDEVELOPED G5 0.300 100 0 100 NO Totals for 2005: General Property 16.600 2,800 0 2,800 Woodland 0.000 0 0 Totals for 2004: General Property 16.600 2,900 0 2,900 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i 6 tal 6 VOL 20 PAGE 5068 REGIS�T� OF DEEDS CERTIFIED SURVEY MAP RECEIVED RECORD 09/14/2003 68SLOAN Located in part of the Southeast Quarter of the Southwest Quarter of Section 28 CERTIFIED SURVEY NAP Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. REC FEES 13.00 COPY FEE: 3.00 PAGES: 2 I l3ERAtDQ i ( UNPLAT ED LAN S RIPLE1l ' O F OWNER 3SV N89'49'11 "E 406.41' FACHMOND � IIE1Af ., 203.50' 202.91' 2 0 g O O V On I� K Z NO TH o CA o L4 I n j LOT 1 -s LOT 2 Q U) I. IO k TOTAL AREA: TO TA L o g 1< _ o 94,615 SO. FT $ 94, 484 FT. ti 2. 17 ACRES ACRES m �` I� io AREA EXCL UD /NG R. O. W.: AREA EXCLUD /NG R_ O_ W.: 8787,759 �- rn Irn , 900 SO. FT. SO. FT. m 2.02 ACRES 2.02 ACRES to IN ................ .................�....�..... . . Ct,PROPOSEO OR /I EiYAY I I � 406.98' 111 RIGHT OF WAY I 20 _ 1 203.48_ P.O.B. S89'49'11 "W 1962.09' 130TH AVENUE I: 589'49'11 "W y2_ $ 203.50' 8 203.53' 247.00' �/ S89'49 11 W 407.03 130 TH SOUTH LIN OF TH E SW 114 OF S_EC. 28 I.S OUTH — *rsr , CORNER – (N89U5'J8 "W) S89 — W SOU7H 1/4 CORNER SEC. 28 -30 -18 2616. t 2' SEC. ?8 -30 -18 (FND. CO. ALUM. MON.) (POS/AON SET FROM AES– ROAD UNDER CONSTRUCAON) I EGEND� Section Corner Monument of Record Set 1" x 24" Iron Pipe weighing 1.13 pounds per linear foot p Found 1" Iron Pipe Building Setback Line (100' from Right of Way) (XXX) Recorded as NOTE: The parcels shown on this mop ore subject to State. County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. JOB # WI057SD48 Prepared by. BEARINGS ARE REFERENCED TO THE SOUTH LINE OF JE O Consuffing GrOU P , Inc. THE SOUTHWEST QUARTER OF SECTION 28, TOWNSHIP 30 N., RANGE 18 W., WHICH IS ASSUMED TO BEAR Phone No. (715) 246 -4319 S89 1"W. Prepared for and at the request oP Fax No. (715) 246 -3830 Jar Smith P.O. Box 325 100 0 100 11160 190th Avenue NW. New Richmond, WI 54017 Elk River, MN 55330 Sheet 1 of 2 GRAPHIC SCALE Grafted by. Mike Quackenbu SCALE IN FEET: 1 Inch – 100 feet Vol 20 Page 5068 CERTIFIED SURVEY MAP G �, Located in part of the Southeast Quarter of the Southwest Quarter of Section 28 PA Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. Lo op- L N O F OWNER ► N89'49'11 "E 406.41' 203.50' 202.91' r e 0 0 ° o NS � ni JNC TH OD � _ z C4 o � LOT 1 LOT 2 io o o TOTAL AREA: TOTAL AREA: o 94, 615 SQ. F7 94, 484 SQ. F7 co 0) 2. 17 ACRES . 2. 17 ACR M. AREA EXCLUDING R.O. W.: AREA EXCLUDING R.O. W.. 87, 900 SO. FT. 87, 769 SO. FT. 4b, 2.02 ACRES 2.02 ACRES .................. ........... 0LPR0P0S D DRIVEWAY `\ 406.98' i 3 6 RIGHT OF WAY 203.50 _ _� 20 3 .4 8' _ 0. B. c u � 130TH AVENUE u u 589'49'11 "W X89'49' 1 "W 196_ 2_ o ° o a 247.00' I/ �/ S89'49 11 "W 407.03' _ 130 TH r SOUTH L /N E OF THE SW 1/ 4 OF SEC. 28 A VE NUE_ I SO UTHWEST CORNER (N89:36'38 "W)S89 49'11 "W SOUTH 114 CORNER SEC. 28 -30 -18 2616.12' SEC. 28 -30 -18 (FND. CO. ALUM. MON.) (POS1770N SET FROM 77ES— ROAD UNDER CONSTRUC770N) LEGEND: Section Corner Monument of Record Set 1" x 24" Iron Pipe weighing 1.13 pounds per linear foot Building Setback Line (100' from Right of Way) Proposed Driveway (XXX) Recorded as NOTE: The parcels shown on this map are subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office JOB # WI057SD48 and the appropriate Town Board for advice. Prepared by. BEAR!N"S ARE REFEIRENCE^ T :O THE SOUTH LINE OF JEQ Consulting Group I n c. THE SOUTHWEST QUARTER OF SECTION 28, TOWNSHIP 30 N., RANGE 18 W., WHICH IS ASSUMED TO BEAR Phone No. (715) 246 -4319 S89'49'11 "W. Prepared for and at the request of: Fax No. (715) 246 -3830 Jerry Smith P.O. Box 325 100 0 100 11160 190th Avenue NW. New Richmond, WI 54017 Elk River, MN 55330 Sheet 1 of 2 Drafted by. Mike Quackenbush GRAPHIC SCALE SCALE IN FEET: 1 inch = 100 feet