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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Bui15ing Division INSPECTION REPORT Sanitary Permit No: 506107 j� `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: Sunset Rid e LLC Richmond, Town of 026- 1286 -12 -000 CST BM Elev: Insp. BM Elev: BM Description _ Section/Town /Range /Map No' ° r4. :5 k7" ti' GS C 34.30.18.1434 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER n5i CAPACITY STATION BS HI FS ELEV. Septic / /O � Benchmark ? .7 Q 7 ] 7 Dosing AI B �a,n,.� d G b o of S; �t 9� . S n �� I \ Bldg. Sewer 5 3 9/ q Holding , St/Ht Inlet / SUHt Outlet � � TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 5a,3 �. Septic 1/ i N p gq , " t Dt Bottom 3 J5 C1 Dosing „ i NA- %.q c1 ii I Header /Man. Z•a 95•Z Aeration Dist. Pipe Z .a �S. Z._ Holding Bot. System �� 3•� Final Grade PUMP /SIPHON INFORMATION �'� Manufacturer L � Demand St Comer � �. � ��[• � � a GPM � 1 7 � Model Number , + �-� ^� 2 '1.3 L r,,, a q Z TDH Lif� Friction Loss System Head TDH - I , Ft Forcemain Lent j Dia. 11 Dist. to Well A)A^ •�{ (p SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length No. Of Tren es PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS A Cy 1 1 SETBACK SYSTEM TO lC � P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type f ystem� Ag ' I Ut /► _ r � UNIT Model Number: DISTRIBUTION SYSTEM $ f '� N Header /Manifold V Distribution I N x Hole Size x Hole Spacing / V o Air I take Pipe(s) 5 J Length Dia Length Dia Spacing /�� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges ` Topsoil ' ,�„• Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 7 / ZOO / 07 Inspection #2: / / Location: 1220 121st Street 1Neeaw RRichmond, WI 54017 (SW 1/4 SW 1/4 34 T30N R18W) Sunset Ridge Lot 12 Parcel No: 34. 18.1434 1.) Alt BM Description = • ' `' � �� 'N G � , � bW 0 2.) Bldg sewer length = A �n� O y`,� a �� - amount of cover = L Plan revision Required? ,i Yes ` No -7 Z1 X� ✓ Use other side for additional information. `p V Date Insepctor's ignatur Cert. No. SBD -6710 (R.3/97) I commerce.W1.90v Safety and Buildings - isio County ` 1 201 W. Was n P. Bo 2 54 t 1 ti scon sin Madi Sanitary Permit Number (to be filled in by Co.) nn a b Sanitary Permt Applica ion State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental �J unit is required prior to obtaining a sanitary permit. Note: Application forts for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information yot p urposes in accordance with the Privacy Law, s. 15.04(1)( rn , Stats. / �ZiJ /Z' S � --- 1. Application Information - Please Print All Information Property Owner's Name Parcel # JUN 1 3 M7/ o Z (o - /Z ICo -- /Z - too Property Owner's Mailing Address ST Property Location 1434 .»cttura�n /<, Yw ylnQ/✓ 7" Govt. Lot City, St Zip Code on (� ��.2y, Section � f n r - cle o Vim`' �/ T� N; R E r W II. Type of Building (check all that apply)/ Lot .2 Family Dwelling - Number of Bedroom �3 _ Subdivision Name Q i T � Block # ❑ Public /Commercial - Describe Use �^ ❑City of CSM Number ❑Village of ❑ State Owned - Describe Use /� ,, �` wn of /D d' o ld C�T� III. ypepf Permit: (Check only one box on line A. Complete line B if applicable) A. w System p y ❑ Re lacement S ' ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. ❑ Permit Renewal it Revision ❑ Change of Plumber List Previous Permit Number and Date Issued / ❑ Permit Transfer to New Before Expiration Owner q 5Z IV. Type of POWTS S stem/Com onendDevice: Che all that a l 74 60 f ❑ Non - Pressurized In- Ground ❑ Pressurized ln- Groun' t -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersaVrreatment Area Information: Deyjg� Flow _(gpd) Design Soil Application Rat y(gpdsf) ' persal Area Required,(sY) Di�pers Proposesi -(sf) System Elevation / /(�[� / r Y r VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units U u q y New Tanks Existing Teaks / ' 'L l� Cw 1 �"I` a U vt ra is C7 R Septic or Holding Tank_ Dosing Chamber I VII. Responsibility Statement- 1, the undersigned, ass responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum ignature MP /MPRSS Number Business Phone Number k Plurfiber's Address (Street, City, State, Zi od } VIII. County/lDepartmeimLUse Onl pproved ❑ isapprov Permit Fee Date Is d Issuing �ent n ature ❑Owner Given Reason fo nial IX. Con lisapproval r [ �� l 1 a7'1 ) R eJ9�� Q,�. �f 11de 1. Septic tank, effluent finer and' 3 r dispersal cell must all be Mttces / maintained as per management plan provided by plumber, � r � ro 2..Aff setback tequirements must be maintained L e ay e Attach to complete p ens or thir system and sub A to the County only on paper not (( less than s 1/2 x) t i ches in ' e 1 SBD -6398 (R. 01/07) Valid thru 01/09 PLOT PLAN PROJECT Sunset Ridae LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54016 W 1/2 SW 1 /4S 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX ' SYSTEM ELEVATION 93.8 BEDROOM 3 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark 259' property line 121 st. St. Well is to meet all 2 Acre Parcel setbacks found in Comm. 83 Scale = 1/4" = 10' Pro 3 B.M. Bedroom House Tank is to be properly bedded and Huffcutt Combo Tank provided with lockdown covers with approved warning labels 200' B- Grading is to be done to divert run -off away from system 9% Slope Area 15' below system is to remain undisturbed -3 0 ' 94.5' 93.8' 91.5' 304' property line 120th St. PLOT PLAN 'PROJELT Sunset Ridae LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54016 W 1/2 SW 1 /4S 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 93.8' BEDROOM 3 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none IL BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION loo Filter BEST GF10 -8 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark 259' property line 121 st. St. Well is to meet all 2 Acre Parcel setbacks found in Comm. 83 Scale = 1 /4" = 10' Pro 3 B.M. Bedroom House Tank is to be properly bedded and Huffcutt Combo Tank provided with lockdown covers with approved warning labels 200' B -1 Grading is to be done to divert run -off away from system 9% Slope Area 15' below system is 0 to remain undisturbed B-3 30' 94.5' 93.8' 91.5' 304' property line 120th St. Ksconsin Department of Commerce Sol PORT Page of Division of Safety and Buildings RE"WfOo m Wis. Adm. Code S County Attach complete site plan on pa not less than 8 1/2 x 11 inc es in size. Plan must rZ4 B , direction and include, but not limited to: vertical nd h ' latal r fAe�Wint(F Parcel I.D. �7 &I percent slope, scale or dimension , n Fow, n ocation and dis nce to nearest road. Please pri F #*jxrn6iWrY R Date F OM .ey . for.. ry U. pu'pos Personal information you provide may sed for secondary purposes Priv Law, s. 15.04 (1) (m)). Property Owner Property Location -57�- X -� -. ?&� 4- 11 L Govt. Lot 60 1/4,,614/ T N R Property Owner's Mailing Address J Lot # Block # ftd. Name or CSM# ' ?'3 Z .5 a- A- P) ),& (,,-" al 1 City State Zip Code Phone Number 0 City C3 Village -- A Town Neareg IL�� I W I I ' 0/ 4 ( - 1 4 C') 0�t� 1 Zf-�Lew Construction U esidential / Number of bedrooms Code derived design flow rate GPD 0 Replaoement Ej Public or commercial - Describe: Parent material - Flood P1 i levation if applicable - All,# General oomments A4aj:z and recomirnendations: System Type System Elevation I F-1 Boiling # Boring I i Pit Ground surface elev. 2L Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 - Eff#2 - T - 0 -/ X /&,- �/ -L- � */-/ , In Jr-- P,— ;��- -9 *7- S V , nIJ An i( 4 j /0 76 7, sq, -4-- 47Jq A Fg� Boring # Boring Pit Ground surface elev. Depth to limiting factor in. Soil A Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 2— -3 Z4 1 7b Z VA 6�L ZZ 4 - Effluent #1 BOD > 30 < 220 mg/L and TSS >30 1150 Effluent #2 BOD, 30 mg& and TSS < 30 nVL CST Nanry (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird "-X'AW5� 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 540� 715-246-4516 r Property Owner _ Parcel ID # Page of Boring # ❑ Boring it Ground surface elev. ` 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 F-1 Boring # El Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 E Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eif#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mglL and TSS >30 1150 mgA. ' Effluent #2 = BOD, < 30 ffKA 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. M4330(R.W00) Property Owner _ Parcel ID # Page of a Boring # ❑ Boring Pit Ground surface elev . /' ft. Depth to limiting factor 32 in. 7*Eff#1 Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots DIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2 z 3 -2- 3$ -1 n Al A4- Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soi! iption 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 ❑ pit Ground surface elev. ft. Depth to limiting factor in. F Soil Application Rate Horizon 'lepth 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 I I Effluent #1 = BOD > 30 < 720 rng/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg/L and TSS < 30 mg/L I 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 -9330 (8000) Soil Test Plot Pltid Project Name Sunset Ridge LLC S Address 838 Summer Pines Circle Hudson Wi 54016 c6900 Lot 12 Subdivision Sunset Ridge Date 5/10/07 W 1/2 S W 1/4S 3 4 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX , BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 93.8' *HRPSame as Benchmark 121st. St. 259' property line 2 Acre Parcel Scale = 1/4" = 10' B.M. 200' B -1 9% Slope B -3 30' 94.5' 91.5' 12 0th St. 304' property line Safety and Buildings 4003 N KINNEY COULEE RD commerce.Wl.gov LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i scons i n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 04, 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: 06/04/2009 Identification Numbers Transaction ID No. 1396530 SITE• Site ID No. 723266 Sunset Ridge LLC Please refer to both identification numbers, 121 st Street above, m' all comes ondence with the agency .; Town of Richmond St Croix County WI/2, SWIA, S34, T30N, R18W Lot: 12, Subdivision: Sunset Ridge FOR: Description: Three Bedroom At -grade System / New construction / Revision Object Type: POWTS Component Manual Regulated Object ID No.: 1122209 Maintenance required; 450 GPD Flow rate; 38 in Soil minimum depth to limiting factor from original grade; System(s): At -grade Component Manual, SBD- 10570 -P (R 6199), Pressure Distribution Component Manual, SBD- 10573 -P (R.6/99) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will . become an addendum to the plans that were Weviously approved on 3/16/07 under transaction ID No. 1380099. 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. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - 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 ' SHAUN R BIRD Page 2 6/4/2007 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. • Comm 83.52(1)(a) - 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). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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, Required 75.00 Y� q $ Fee Received $ 00 0. Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART 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. Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 5/10/07 Owner: Sunset Ridge LLC Location:W1 /2 SW1 /4 S 34 T30 N,R18W Richmond Lot 12 Sunset Ridge 121 st. St. System type: At -Grade (Revision to plan #1380099) Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01 /81) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Crass 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 Signature License number 26900 DEPARINIENl Ut COMMERCE DIVISION Of SAFETY AND BUILT INGS SEE CORK P0NDENCE ;Vt }� a B > 5 ,� ..... 0�� > 5a =- L G CELL of v� Ft. l='abraC Distribution Lateral Soil Cover - STABIti - tr.D Observation ----., Well �i.sv1#ED LA`fEK t c -- 5 ��� with i�i-cv atsd c ress Section of scosssia a Site Single Abaarptian Area on a Sloping cif rtA7uRL; Page Of Distribution Pipe DetAil for Lateral Jjetwork CCe rr TURN -UP �CLERntottY� PVC Farce Main tion Pipe PVC Distribution P Last Hole Should He Next To P � � Ft. Hole Diameter �r �d� Inch X �_ inches Lateral Diameter � _ inch(es) Fame Main fliaanater � r inches Inches of Holes /PiPe ! Invert Elevation Of Laterals Ft. Signed: License der: Date: Cif ICATIONS M� CHAMBER CROSS SECT1,01 AND SP£ SEPTIC TANK WEATHERP R4€ E I � ABOvE GRADE F jU%CTTON BOX pPR{31►� u �iT FTP£ ow OR WITH CONDUIT PAD L COVER ,w Cl G� �tI NI3 N I F��K £ r p tom FRESH .IR TNTA I: ut IN G IS r � WATER TIGHT SFAIS � S ` �� _ A �FIL'TE..R . s N S OLI SOIL ApPR C. _ gg piPE 3" solL PUMP a pppR $E '�E3ECi utwrR '�A.3+T IG ' coxcR£TE PAD 3 SPyCII CA TIONS , Y SE5 'PER DAY. �� ----- e FMB 00 SEPTIC { DOSE � £ uo E TRcLuv:l ��. GAL - s AAiK TE3R= FLgAC�Cc GAL ...� — " — TA1iK SZZ£S flt?SL=L -�"` cAFAc�T� A ` -' M MES _- ( le L. A1�AAt��R1FAC$ v r _ INC€�S = � GA 3. SWITCH ; gES PUMP -L6,23 yu4 lmjliBzs,. WIRING ps PER SWTTCII TYPE` FEET Ly �. ISUT.ION PIPS /! FEET RrQy'IRv) t?ISCI#Altc,� ££fit pmt'#? Or F AND I > ISTF _ _ - - T' FEET VERTICAL DIFFER L .10g FT- ;C'TI ©H C HEA + M ;MIi4`JM N£'a$K �gPfi,Y XR£SS�RL £g J)YNICiF.AD j .>.:.� --'� FS£T FpRCII' �N TO ai TAI. AMETER LENGI'li INT�?�Pe3 31Ii'�ENSI�INS �F put4F 'TANK: LlQOTD �----- LICEN SIGHED'- Sent By: HP- LaserJet 3100; 1 71 b bb'L tftf ; 6say-o'uo c.avrms � ., .-r •• .;EH SiERIESi SUMP /EFFLUENT PUMP 11.65 i 0 Specifications �� am 11a swum fsl�tec esiwa�axE(a9Qwu� s� UL � � WAIN an AI A tIS9Me N► lMis sk.%) P !6 !!: >6 fU wt-am 50 W MOA CC 1!5 34 13.0 1000 70 54 55 41 32 13.8 2P 24 511 x41b4xH94 3A 63 1000 70 64 55 A 32 12.8 2S 24 5.11 x 11 S4 x U4 904-M 5=0 0U69► +!'0 230 41 138 20 27 9.11 1 tl.Sf x L24 961-t1AM 509 0 OLOA 4 115 314 13.0 1000 70 64 55 1 41 1 79 27 811 x 1164 x894 Co�InsoosOutyReteO— "t.BtlsSe&MlasBdw�PM�s ae �e0 con6�wo:es d�RYas lonO �Y are run rd0+in �s0u0Rxhsd nr FLOW LITEn/M31A pmstruCtio(A Motf�e usin Epoxy Coat�ed Iran . 0 1000 2000 3000 Pol Car ImpMaterial Y Carbonate to Im I'vre Closed Vane 30 volu -- - — FOWCI Cord - -- S.ITW A 75 W Nitrile with carbon and 4z0 I Mechanical Shalt Seal ceramic faces o _ 5 A Fasteners _ - Stainless Steel _. 10 inle -- - -- - Stass Steel 2•g Be i Upper Sleeve and Lower Ball Bearings 0 0 0 20 40 6o 8o FLOW GALLONS/24INUTE i (>•i Giant � PUNS PERFORMANCE CURVE n)ftx12et0.4Meta"wCI +OK 73157 usv MHz Phone: 405.!47.2511 • Fate: 4p5.22a.1359 F.�aail: eattloatexs°�aO WWW. LittleelantPamp.COM Ct forth 995235 -07103 Page of _- ` i�l -MF-t"T PLAN P�y1fTS OW14ER s MANUA SYSTEM SMair- ICATIONS O NA -rank ` Cain 0 rsn F �iFOR Tta �� S $c Tank r ?" D NA Owner ��ClL �eC Ma�� PetillifS• � NA V l3 d NA E ffluent der 1V1od� K3 Z) 0 NA �ESlts -Tank Capac w 0 Pump p NA unnber of Gomm ' uro Db a�ld Pomp TanK Mano Slaw f et } -� .pump? �� ❑ NA �e 1.s7 Pump Modol NA Desvn 11°""t unit - n peat FTW son I� NlanthiY average 0 '. i II Wetland QuaW G) -".30 ma/L. D Mechanica Aer�n II F� Oil R { 8 O � � a D 5 0 mgll sinfeac A- wtanuft-chlw solids . a Sew persal Celi(5 . II in- ground Pry E� Qc�Y © s} • ��i0 mm9n- II !nom r�ad ❑ � (gravity) 3 t:3 Mound - Other Biochema� O%YS� Oe SS) S34 rag/ � OQmI a - e � , old Total SusP � San ) : 510 t Vab"siYP ford Fecal Cam tr>c mesh inch diameter scPe� niceHUWA vrnsLswster for pv Usated Eftent partid Size .• Values types Service Frequency iViAiNTE xm Sc*103ULE p rnontt+ r(s} (�a�r3murn 3 Yrs.) Serv Event Al ieast once every - (Y,} of tank volume pact condition of tanks) When combined sludge and scorn equ� on s) (Maxlmurr: 3 Y� - Pump of tank(s) t3 m out contents At least once every L3 rnontis r( ) Inspect dIsPOrsal celi(s) Al least once every m ear p NA ©mo clean'efliuent At least once every nihs s) o NA In pump, Durnpo trots alarn+ At least once every 3 d the a Yew$) O NA Flush bstwl s and pressure tee At least once every Q Months fl year {s) 0 NA War At least Ong every WOW- �wlttg recense5 or KWXTE MC3 UC^ti0AI5 GIs �ti be made by a n in to p�OWr51 or brojean _ missirG M Plumber: Ma ns m,� etude a visual fns combined ��� and swm � "�em� up feYets Serer tpr. Tanis re tree volume of oornbin b1spee� to Of wen on the an �dcs or Walks � dispersal cell {s} 5� jnd surface 'f be i'o an y. or P� of = On note gt+�nd k dung of effluent ari the g n of the local + °w and to check for any uires the Imrned� noocaW mote of � tangy With the in rho � a � on �dr�on and rest n e4 ° of In a any NR CtL �� � sludge ar,d scum in any the com bRied by a SeptagO Series g MOM o f be removed and MY tie L tx�Pc 1�K shalt Hants. 33yy In uyL�ratnre Code- or pt essufed POVVrS components. re by a C POWTS MabWW may, Iriecw� s �. t�s shall be � . � event. uert lrth a O of 'file �� o � �stg at In#ervats of 12 m Of eamP��Or' n}' omermalwn0e or man r egu l a t o ry authority Within W d� A SWVI* rept4 st>allbe proOded to the local r of pab� �� ar other START UP PJW OPERATION pO WTS dU3ck treatment tank(s) foi celKSp�t9gh I�cen"do� 3M use Of tfie a the dispe' For dew ate• to s and/or dama9 dwntals biat may Impede the went by by a Septage servicing Operator Prior to detBMd hilt the �1�ts of the tanks} remo _ conditions are frozen at the inf a surface P SjsWn �t not Occur vM6n sod �� nOM14 highwaW W nen power smart tars aw dose, overWading the �(s} and may result ill the rva d� e a'the :t�s °� th mntessts of e P Maw to zarf oe gpe ofd, to the emuent pump or a a PiuiroW or . power badw Ss Sig t?Pr � �� ;p5fOt8 norraai fevers min the PumF Wk. as at �'o "�` - oft � abotcattp ersai z�s. Do not drive Or pa DO trot dtnre � Pa down slaps OW � or at-gmde =1 absorpton area- and P Us fits feet wsi�m may improve #fie ffe tuft R or eCallli�a'r» of the �g trom b - ndOms, �tWrz swabs; deg t�s' � Of the PUW� and innate ; fruit and vegetable Pe�� ' gross � n � water dta�Ct (sump s , sardtaty rtapwns: pons. and soaps; rtm� of � t" ARAM X AAUEKT taken auf serrioe /tie fn asnrfrng steps snail he taker: to �dw the VW= the PC3wrs fags and A+d �ndorled in �rnPJiarnce wRtt ch. comm 53.33, W system is ProPetiy acts ec ted and the abandoned pipe ow S • All piP>g to t igm and pins stroll � be rnov nn reW1 and property disposed of by a 'fig .. Ztie cones of sa tanks; and lI haf[ be excavated and removed or %heir covets rand the vOW Sr- s Atder punIpIng. aff t wdw gild pas tl�ted V� soA, gravel oraaother inert softd rrmatedaL COGENCY PLAN tine foiiowing measures have been, oc must be Laic m Pmv e a code if the POWI'S fads and Gatsaot be xepa� t �aoefrlent systen 1- be util for the iocati of a �t $oa comPrtan evacuated and may and should riot D A suitable M rarea has replac should be protected from disturbance an d and r+r sits Facture to lot a� system- The eWacks from eadsUng and proposed structure* be infringed upon by r+eQ� auk in the need for a new soil and site :evaiu2OW f* esiabosh a sulblbie protect the r�epiacern+� ' must c�arnpiy �nritii the rules in effect at ffW& tirne_ mpcacectnent area. is systems advances in POW *S D A suitaabfe to an s not available due to setback and/or $o1E rrmitat d P Sat ed as a last resort to replace the fatted t s- a Wa and t�eehrlodo3l� a holding tan irzaX � �! a suitable replacement area Upon a fa3tufe of the POWTS The site has not been. evakxa� identify area is erar�atrie a eyyuatiOn must be pef� to kite a suitable replacement area_ � no king tank matt be brlsytalied as a last resort to r the fad prJ�,rlac rz mOva�i of the bionrat at �rtfi � *a awn s ystems may be reconstructed of in place fisUoxdng tt� time. ttr2Vve Surface. Recons�ons of such systems must comply the rules in effect the «Y#�ARtKIt+lCl > TANKS BRAY CONTAIN LE HAL GASSES ANWOR tNSUFFCDMT OXYGEN. tR TREATMENT TAX UNt?ER A CCIIt�IS'TANGES' DEATH WAY SEFTiC, PUMP AND OTHER TREATMMENT DO NOT ENTER A SEP'titn PUMP OR OTH fJ T A TAI+iK MAYBE gIFRCULT OR MWOSSIBL E- RESULT.. RESCUE OF A PERSON FROM THr= �� ADDMONAL C:QMiAMTS ppWTS MAINTAIN POtfirfS JNSTALLER E Name `zl ��.fr Phone �� -- -v�� — �..� �O LOCAL REGULATCW A€ MORlTY SEP'TAGE SERYtC NG OPERATOR PUMP Ag ency E N arne Phone hone ,_1 and Waushard County Z.onLV and lrss slrzied by v a� smlfs of ibe L,iraen iaitre, ttrsarqustFn W�soortsia A6c=�° Cccic. Use Of thls 6oa�t does tit rtx r an+ cedL Cos = a3- ZaM){tX*7&M 2nd 83.54( (2? (3J. C A W(Mi) 9v amntm the pafarmtam of the POWfS. • Wisconsin Department ofCommerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Date Personal information you provide may be used for secondary Purposes (Privacy Law, s. 15.04 (1) (m)) Property Owner Property Location l c� Y'N S is l/ Govt. Lot 1<-) 114 14 S T 4P N R E ( ) W Property Owner's Mailing Address J Lot # Block # ftd. Name or CSM# city State Zip Code Phone Number ❑ city ❑ Village STrn Near Road Construction U esidential 1 Number of bedrooms Code derived design flow rate GPD ❑ Replacement n j ❑ Public or commercial - Describe: _— . - - - -- -- —7� — Pawd rw = i pll Flood Plain elevation If applicable ft. General comments and recommendations: System Type System Elevation F-1 I Boring # Boring i Pit Ground surface elev. Depth to limiting factor in. Soil Application Rate Hormon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots WWII in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 - Eff#2 A, - 2 Y zs 7 t.v7 Yd- 70 Z Y A c a Bori ng # Bori ng Pit Ground surface elev. �`r 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. I `Eff#1 `Eff#2 2i Yn ZI • Effluent #1 = SOD > 30 1 220 mglL and TSS >30 1 150 m9fl Effluent #2 = BOD 1 30 mg/. and TSS < 30 mg/L CST Name (Please Pfit) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 540 715- 246 -4516 Property Owner Parcel ID # Page of Boring # ❑Boring 3 © �it PDM Ground surface elev, ' ft. Depth to limiting factor - M— in. �on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs G In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 6 -�8 7. �✓`� S 33-I nA -- a Boring # ° Boring ❑ Pit Ground surface elev. R. Depth to Canning factor in. Sod Rate Horizon Depth Dominant Color Redox Description Texture Stnxxum Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Efl#2 # Borin9 Ground surface elev. ft. D epth to F - 1 Boring ❑ Pit 7*Effr#1 App Rate Horizon - Dominant Redox Description. Texture Str u t ue Consistence. Boundary Roots D/R` In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff# 2 Effluent #1 = BOD, > 30 <_ 220 mglL and TSS >30 _< 150 mglL " Effluent #2 = BOD, _' 30 mg& and TSS 530 m91L 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- 2648777. saaasw cn.M) • Soil Test Plot Plan Project Name Sunset Ridge LLC Shaw d Address 838 Summer Pines Circle Hudson Wi 54016 CSTV #226900 Lot 12 Subdivision Sunset Ridge Date 5/ 10/07 W 1/2 S W 1/4S 3 4 T 30 N /R W Township Richmond ST. CROIX 0 Boring Q Well PL Property Line Count BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 93.8' *HRPSameasBenchmark 121 st. St. 259' property line 2 Acre Parcel Scale = 1/4" = 10' B.M. 200 B -1 9% Slope B -3 30' 94.5' 91.5' 120th St. 304' property line m mer'Ce.wl.gov Safety and Buildings Division County bic. 201 W. Washington Ave., P.O. Box 7162 • 1 1 s j n Madi son, Wl 53707 -7162 Sanitary Permit Number (to be filled in by Co.) M of s in 5 Sanitary Permit Application s tateT 2 rans � a ( ctio � n � N J u ) m � b r er In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate go ✓ V "✓ / unit is required prior to obtaining a sanitary permit. Note: Application forms for - ned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used or ur poses in accordance with the Privacy Law, s. 15.04(] )(m), Slats. • L 1. Application Information - Please Print All Information / 7 4 Property Owner's Name . RE G` Parcel # a 01 S� Property Owner's Mailing Address r q 1 Zpp roperty Location ovt. Lot City, State Zip Code hone ul" R01Y CO ) �, �.({ Section c circle o II. T pe of Building (check that apply) D/1C ead Lot T� N; R E 2 Family Dwelling - Numbe \fBedroom A� --- Subdivision Name El Pub)ic /Commercial - Describe U �a ^- ❑ City of 11 State Owned - Describe Use CSM Num ❑ Village of 8 i� 5 7 r „/) J own of III. Type o Permit: (Check only one box � on line Complete line B if plicable) A. System ❑ Replacement System ❑ atment/Holding ank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑Permit Renewal ❑Permit Revision ❑ Change o It ber 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S stem /Com onent/Device: Check all at a Iv p o ❑ Non - Pressurized In - Ground ❑ Pressurized In - Ground ❑ At - rade ound > 24 in. of suitable soil ❑ Mound < 24 in. of s 'table soil El Holding Tank El Other Dispersal Component (explain) ❑ Pretreatment Device (explain) � r4 1 2- V. Dis ersal/Treatment Area Information: Design Flow (gpd) / Design Soil Application e(gpdsf) Dispersal Area Requir ( Dispersal Area Propos (st) Syste Elevation Elevation 7. VI. Tank Info Capacity in ;Tota # of Manufacturer Gallons Units U 2 New Tanks Existing anks .n R iE Septic or Holding Tank Dosing Chamber C /3v VII. Responsibility Stat ement- I, the unde igned, ass a esponsibility for installation of the POWTS sho on the attached plans. Plumber' Name (Print) Plumb nature MP /MPR umber Business Phone Number i ZZ 0 700 Plumber's Address (Street, City, State, Zip Code) N � ��// V Count /De artment Use Onl 1d,Approved ❑9.pf Permit Fee DatS ❑ even Reason for Denial IX. Conditions of Approval/Reasons for Disapproval 3\ 6.d .4-to � � /� S��j� Nil o 1 Sepptic to eHft finer and J e sec 1 dispersal cell must all be sen tees / maiMaitled as per management plan provided by plttfnber. j O 2. All setback requirements must be maktained e system and submit to the County only on paper not less than 8 1/2 x 11 inches size SBD -6398 (R. 01/07) Valid thru 01/09 it PLOT PLAN PROJECT Sunset Ridae LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54016 W 112 SW 1 /4S 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 97.0' 3 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK SEPTIC TANK SIZE MOUND )00C 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' )filter BEST GF10 -8 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Scale = 1/4" _ 121 St. St. 10' unless otherwise stated Well is to meet all setbacks found in 259' property line Comm. 83 Pro 3 Bedroom House Huffcutt Comb ank B - 2 Tank is to be properly bedded and provided with lockdown covers B.M. with approved warning labels B -3 10% Slope Area 15' below system is to remain undisturbed B-1 Grading is to be done to divert run -off away 96.5' copv ' from system 94.5' 96' 431 Property Line 2 acre parcel 304' Property Line Property Line PLOT PLAN PROJECT Sunset Ridae LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54016 W 1/2 SW 114S 34 /T 30 N/R 18 w TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 97.0' BEDROOM 3 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none IL BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100° Filter BEST GF10 -8 ❑ BOREHOLE O WELL *g,R.p. Same as Benchmark Scale = T/4" 121 st. St. 10 u n l e other ise St ed Well is to meet all setbacks found in 259' property line Comm. 83 Pro 3 Bedroom House Huffcutt Combo T nk B-2 Tank is to be properly bedd and provided with lockdown covers with approved warning labels B. M. 0 B -3 10% Slope Area 1 S' below system is to remain undisturbed B-1 Grading is to be done to divert run -off away 96.5' from system 94.5' 96' 431' Property Line 2 acre parcel 304' Property Line Property Line to "Po N N ~OI ail E I I o I ti I W I / • ow \ Ll y 164.•.. ` - N ' E 379.2!' - -' cr oo- g� N N ar W yl m N Z t C N z - - -2 � - - -- - - - - - 227.7W — - - - - - - --- OWN - - -- 40 - -- - - s COUN'T'`t PLAT' 01:': SUNSET RIDGE Located in port of the Northwest Quarter of the Southwest Quarter and port of the Southwest Quarter of the Southwest Quarter of Section .34, - fownship JO North, Range 18 West, Town of Richmond. County of St. Croix, State of Wisconsin LNPLATTED LANDS raw /] rorr.Br rveb BB -.. - v/ 6s P, ]I 1BU / <oer - Wa.l Wwlar Lba _._ Sae PB Rau �ENwrbn rp I "NAW tm I S- N 89'50'54" E 7018.75• -- - - 1 r — — ,I -. - � vzn' vvz uss: ,mss ,ee et I r . I V/ C /NIT Y MAP � 8 i 1po i el /°••^e �n.•.r. ..,u o iure�err.n - 3 4 t I I I j I I .. s .I - I I I� I o , r.aa -ssa] B�•Cs, �, ae .Y 5l �' Section J4, TJON, R78W e< LEGEND I i \ \$ i - _ _ _m.an•_ r U I \P6de�9',5'E \ 1 I rm.m w• -,. `dd_ -�� u St, CrolA Ceunty Section Corner, N Noted I I Po, \ ]iPr' 7 1 , ' 2.771 . 11 . 1 Boo O Set 2 and J /e• (OZ.) x 30 Iron Plpe (3.651be./Iln. IL) I F.P °ver (N 69'JJ '40' W 13U6 04) RecarO cola I i� $ 1 � • \ r " % a ° � u - - - - - - 12' JR01ty Easement I,� 4 a °�M ,r\ �`/ / lu4 ^• /1 20 I' u l ° ' aeao Ixu - -- -- - -- Bulldlny Setback Line I C I Q I °,n•v.vr ,f, Bo =sBB<rl ! I r.B. u. =r /. n. t. e, u. aet Building Opening = !z ! �1. Laweei Permuted Door or Window El—d- c l- ` -~ 2 0 41L 8 f AlI nflrer for co rs PI D evidenced OY a •.05 on (e (r.0 .os'/f•n, re), sBI $ ; : •" df l I 9 N L I I I 1ssB ter. I I t Iz 1 B Owner: 7 $ i I 1I � A i i].e Sunset Ridge, LLC N JBJ 5✓mmer Pinar Circle o Hudson, by Sd016 r_ al ,.sooQoo., I _ I � n al I I I wTUwr� ^I I I ».,r °..,,m,•, r° o °., rv000r°o ; ° r. °, I I e]']s ]s' E �"° 1 I ?s,7<•., .. 11 12) �\ SCALE IN FEET 1 12 I \ re6 1-Co' Ix r Bez nw.e 16 I 1 I n \ —T_ — — — — — -i y \ •6 12 n],]]6 - .1, I 1 I I 15 I ,zo.BU r o I I t LOT_ 18_ I I n i ' +s 6 ae z.ne °wnn LOT 77_ I I I s I 13 D U C K a O N D E S C A P E N89'S9'59 "W 694.55' _ N o o L o_ for z NeT49'2 324.40' (56, 5156" E J24,J9' Valumc_72 Volume 19 i 121ST_AVFNUE I / �I 1 - Page 4852 Pogo 4852 I sl I car 1 Ics.ru. LOT 15 LOT _16 I °I I Volume 5 4 ) Poe 1400 MELCHERT WAi.iQ{Y 9 -- landscape architecture 949 HtQn.r.> tz civil en N ° °� ^1 610[0 Phone( le 3aa eBa9p as Sheet 2 of 2 Sheets land surveying -, ( ' t fi ) nr,•b , �> gin lo.a.1 I•n•r a. Yelcxttx wale[]• I J Wisconsin Department of commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in actor rt�a�h Co Wig /+Cm.t Code m j?Z GD* y r Attach complete site plan on paper not less than 8 11 E= G. VED include. but not limited to: vertical and horizontal referen i M;, direction and P rcel I.D. percent slope, scale or dimensions, north arrow, and locate ��P R � nce to nearest road. viewed Date Please print all information. 0 2005 Personal information you provide may be used for secondary purpose (Pr vz Law S 04 7 (m)). 3 Z O Property [Owner r _ Zo K ��ation _1 t ^ f i! ,� �,. Govt. Lot / e /4 S T N R E (o W /..( Owner's Mailing Address / Lot # Block # Name or CSM# Property State Zip Code Phone Number city C3 village own N est Road New Construction Use: esidential /Number of bedrooms �_ Code derived design flow rate "�� GPD ❑ Replacement Public or commercial - Describe: _ -_ --- - - - - -- - -- - --- -- Parent material -� Flood Plain elevation if applicable _�� ft. General comments ` f and recommendations: Boring Boring # th to limiti factor in- it Ground surface elev. f . �P n+3 Soil ication Rate Horizon Depth Dominant Color Redox Description — xture Structure Consistence Boundary Roots GPD/f8 om � in. Munsell Qu. Sz. Cont. Color GrM Sz. Sh. •Eff#1 'Eff#2 ��Z / �` 'v �v 4 O Boring Boring # pit Ground surface elev. +� - t Depth to limiting factor Soil ication Rate De Dominant Color Redox Description texture Structure Consistence Boundary Roots GPD/ff Horizon P •Eff#1 •E �z- ;✓ 1 � ff#2 in. Munsell Qu. Sz. Copt_ Color Gr. Sz. Sh. �s ^ -G 2 - -i r4 r m r- / , o � _ -- • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < - 5. 'Effluent #2 = BOD < 30 mg/L and TSS <30 mg/L CST Name (Please ") lure CST Number 226900 Bird Plumbing, Inc. Shaun Bird - Address Date Evaluation Conducted Telephone Number 715- 246 -4516 1008 192nd Ave, New Richmond, WI 54 17 -L Property Owner ` Parcel ID # _ _— Page of 3 Boring # ❑Boring it Ground surface elev. ft. Depth N IiniiGng factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture n cttrrp ' Consistence Boundary Roots GPD/ft? in. Munsell Qu. Sz. Cont. Color >h, "Eff#1 "Efff#2 —� �� _{�_ 6 '2_ %- r y rn� Fr, c7 Gap es LA Yy� Y 3 I Boring # ❑ Boring ❑ pit Ground surface elev. ft. Dept i o limiting factor In. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture '- tr ictture Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color f' 3z. Sh. `Eff#1 "Etf#2 I _ _ Boring # ❑ Baring ❑ Pit Ground surface elev. ft. Deg .o limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture T `'t'Uctire Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color C:r, Sz. Sh. 'Eff#1 'Etf#2 Effluent #1 = BOD > 30:s 220 mg/L and TSS >30 < 150 m_Q& ' Effluent #2 = BOD _< 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provide- and employer. If you need assistance to access services or need material in an alternate format, please contact the derarment at 608 - 266 -3151 or TTY 608 -264 -8777. saD.8 (lLfimo) Soil Test Plot Plan Project Name Sunset Ridge LLC Shaun Bird Address 838 Summer Pines Circle Hudson Wi 54016 CST 26900 Lot 12 Subdivision Sunset Ridge Date 4/15/05 W 1/2 S W 1/4S 34 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Nail /Iron System Elevation 9 7 .0 *HRPSame as Benchmark 431' Property Line 259' Property Line Scale is 1" = 40' unless otherwise noted 40' 96.5' 94.5' B -2 40' 10% Slope IF B M B -3 70' 40' 20' 304' Property Line 228' Property Line r - Safety and Buildings 4003 N KINNEY COULEE RD commerce .Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.w www.commer isco govsb, Department of Commerce isconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary March 16, 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: 03/16/2009 Identification Numbers Transaction ID No. 1380099 SITE: Site ID No. 723266 Sunset Ridge LLC Please refer to both identification numbers, 120th Street above, in all correspondence with the agency. Town of Richmond St Croix County WI /2, SWI /4, S34, T30N, R18W Lot: 12, Subdivision: Sunset Ridge FOR: Description: Three Bedroom Mound System / New construction Object Type: POWTS Component Manual Regulated Object ID No.: 1122209 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual; SBD - 10573-P (R.6/99) 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. • 'A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - 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 D which may include local in pectors. p VV.T.S. co1', Wition ally PAf tTfJiEN� ()f COtJ1MERC .. n. cnFETY AND BUILDINGS SHAUN R BIRD Page 2 3/16/2007 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 • Comm 83.52(1)(a) - 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). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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 1 Fee Received $ 175.00 cmy / ll � Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon Fri, 7:15 am - 4:00 pm WiSMART 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. i i I RECEIVED LIAR 1 5 2007 Cover Page sAFErY BUILDI NGS I Shaun Bird Bird Plumbing Inc.. 1008 192nd Ave New Richmond WI 54017 715 -246 -4516 Date: 3/ 13/07 Owner:Sunset Ridge LLC Location:W1 /2 SW1 /4 S34 T30 N,R18 W Lot 12 Sunset Ridge Richmond System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound 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 Signature License number 226#0 4 " � O Op G F-S ND ��� I I i 0 so _ —Wovea Filter Fabric., Non 4" Observation Pipe 'Perforated ,Distribu tion Pipe Below Filter Fabric Am C-33 5and� G /v % Stope Bed Of 2 %Z FBrzt M11.Eatn _Fiawttf: Drain Ro F rom pump _ Layer . v u Of A' V-0vnd S s stm r ss Sec tion a - C _ A t i s 0 r t :an o A� b S A Bed F or T he &' k�l r L 40bservolion Pip K __ -- - - - - -- Forca Main ° - - - -- __ -- From PvItp o DiSiribUiion Z B Pips Or* ROCK 4 �3bser�ratioa Pips •`0Ca Permanent Marker pipe ar Rods • - �S�' - f � �^r' ,� � ate- 6r�'L',�� Ptnn View Qt.MoUnd t#zEn A Bed For 'The Atisor�� ion Are* fie.' #o sa ;aa fiat �e :aii r end v; PVC a.Pe o too" L=ated 00 8011081. $ Are E4M*r Sgocea f 11L�" �IZ tID g Jr PVC Farc■ Maim s� � CaA41eG f f�CST tie[.L �� ' f6 PVC i0boold P:pe L�S•�f� al+G oir•ievt.an riot r Disfrib&i0 PiP0 'LCYO P: :5 Fi. C � -"n Lev -Pry r. %j x Imes Y Inches,.. ) Signed: hole Df'ameter /� IACh Lateral " a.. Inch {es) L icense Number: Manifold a Inches !Date: Farce Main ." ; inches # o f holes /Ripe �..$ as Insert ElevAtion of laterals 7 fit: f SPEC AND )SS SE 0. CoAll FIT C, FA v F, ju scrioli BOX MOVED ER y 1 � g � t,AorM ' i r- Fittsh rR, ilI . 4� tax. 6'F �Lv ' - _' r a Tii TIGHT ti1L T.Tg . SE SFi* PI g3i3 ' - $ ` • _ $Q SOIL pipe r FT 4_7 ' Palo OiT T PAD - . DAY = .........�"' i r tayU FA CUM GA's.. _ ��. S AS. /..... -+- DOSE GAL OK iJ3t£K = �- �✓ "' a v - ,/ "" I x.23 Sac PER tiOD FEET _ �. U s 1s.+f�3�iRiq I�6 '` , f (J g TY� pN Scams ' IDISTRI - - 3'� Z.�1�. --]�� Fro DF g t3YR'F3! Put4P OFT _ - - ' � FA�� - � t - -FVET t-vpTor,r-;;,m ol L ijadID LiCENS£ Sent By:' 14P LaseNet 3100; 1' 715 W2 dukI rta'dy -O -vo e.QvQrm • " gE 1-'1 SE R1ES SUMP/EFFLUENT P UMP o wve� SOW � UL Rat+rli ■7� � �� � 77� �+W 57i•�R Q 1* � � 118 Zit � S.1t x11S4c68` 4L 1353 t00a 55 41 32 SRS loon �.G 115 fd 55 dt 32 iS$ W 34 $41 s11.64AU SW*A sD V-0 �p Rs BS loon 70 „ 22 in 2B v ilttll$tz&” 50➢�0 JAM 'WD 115 iaA 4COU 3Q 6d 4 n s 55 n ��y{ Jp�ysyarstaliM41W 45spt8fi11tl4�10�tNRYpAO�.- tonwaarllnb�i �struct Coated Cast Iron FLOW- 13TER5 ✓1+[7 MOtor HO . 0 1000 2000 3W Ilii�eller !material polv Cwbonmz __-_ -- TYPe Cb a Vent ._. ABS . 90 volute ABS A 7 3 pO W pt [� x�G WAh =bon and ceramic fps SLa illess SLECI' + .�lF9En14C5 $LOCI 2.3 �p - -- — Upper 3lem and Uwer J Galt H earings 0 0' 0 20 40 60 so FLLCV- r&Lmvsi� c L e Cint PmmP AL pU* pERF13PmA fCE CURVE Po BOX 7361Y• t3ir7W CjM0K 11Sv 602 NS117.2521 •Fig 466 238.7396 Fsr� w�vrw�.itnee"Strnmp co +Y3�or+n�ssss —o�ps T PLAN ., s C? FWS MANUAL POW & �pHAG � �' S YSTEM SPLCTtOi moK septic Tank Cep DNA Rw► FaJE: is 0 �" sw Tank ktan w Q i lw t NA �� Sf sr is 13 NA Of 8� Purnp•Tat* Cvaov 6 BHA units T Nlanuc ©NA C�•Y PumP NA x s Model nit R� Monthly average` pf° u - p Pe FO w � tQuaVW Sic T - II � II wedand Fats, 08 $mod 202 n9 - 13 [?rsrn °tz 160 n - Maneifae�ss Torat'aOd MorzthiY ave�gs« aisper GeQCs) g in$tbund� rad� Pr+esf'e� Oer� t�� .Sao mgn. Q �� tl rade Tdtal Par" sow t� � oorni Q v :rassrlP ford c Op1° al 1=a indt diarneter �ic � MtlPar" sine V. .. yst� SCHi33� Se FreQuesscY Ser+rice E,rwnt L' rno nths (maximum s) 3 yes.) At feast once evetY afs on (Y,) of tank volume LO= Is spea oorAWon of tank(S) When cats binad sludge and sc in M" m: 3 yes.) ' Pump VA contec s of tanks) 0 rnorrths s) At least Once ever y s) fnsp" dispen� ca(s) At least once every l3 M onths; ' 13 months Clean At least once every s) Q NA the inspad i . pump atar:n At ;east once every Flush a i s) p NA mid rnonf3ts II Yam At;east once every Cl II yeaK51 DNA Al least Once every oawc of tfse fowmft or UAIN > AMM VISTRUCTIONS oel stal . be made by an indtvldusl P QWg Ug""r. Septege Wsw pOV TS hwoecw� or broken pisu UP PIUMN r: must t inspei don of tfsa tac k($) �' an a, ahY tc , Tank volurne of =nbined sludO and m io the SOUW* . gerrrb measure the u>spe on the tsirde k>rn any oar s or leaks. The 6zspersai ceB{s) shad be "rho Porsdin3 ffi ponG'usg of effluent on ew gn�� the !Peal regLdgwy ring In t o o P n and n�� the trr m create not + ' tt101 iatlK W� MR gmund sr mw irecaDe $ sue° scorn in any eq °nom of fn a� with d'' Wtleti f31e c�lbined >>Hacum�Ot' � a Septag8 Se g at ttse sank shalt be removed and ay 113. � Admirr S"16" Code- ppY�f � comp tsl ptBif�Ea rrt o ytdir>f POWTS The wVi*V Of O ust ms's. � or pressurized St lnll n,2js of . 12 moattl or ass, s at[ be by a ° event.. Omerrr� orrr erAmin9 tatory authDrifY'wft in 10 daysjof COMP of any spa Aser� �� is the loll r� 0f or . ART UP AND OPERATION reatrnent tank {s} for � are �' ppItVTS s . If Koh For new �• P� to use � � andlor damage the e dip� i dt d l the =jWnts of the moved by a septaJe servicing ope=ras P r i or acs use i start u p, Stall not oecau vrhW � canditiOns are frozen at the infitt *e surtaoe_ Dwin P is above norm ffighwaisr ieveis_ When power is the amen D W I— d- p�saE cen(s) in one large dose. ouet�ad'zn8 the mss) and may in the To avoid 99s sitssafiorr have the c oatw fs of the pcirnF tank removed by a t> poor c+ i W the eMuent pump or a Pftttt�tsec POYYTS �m L s l to restore norma levels vrcu? the Pump tank 3 del t>ay f�P _ . drive py iaclk� and W t Do not drive arDark 0VW- orofftx� diSb'b ol'aoc pct arm „x,15 t lows of any =LW or & -grade =1 absorption area. from the wastetrater'sineam may irl*rsW Pew and prlrlolLg to a of the butts; condoms; cotton swib.S; degc : dent Roes; &*as: tat: 6islrt {std P=P wafer; �t and vegefabte p � � � niest scxs�ps � of �� A � ' napkns. �A' and vrabersa bane. ASAWONli61tENT and/or is penrsanerrtfY. tin cot Of service the fotloshtg Steps s� 1W taken to k str a that trio When the powt'S faegs systern is propeffywld Sl abandoned in Comforrance wifft cti_ Comrrr 83.33; W � Codm All ptpFng bo tanks grid piss Shalt b di scon nected and the abaridorred Fife ogerf s Sealed_ The aan�tS of off lanky and pas stsaU be remax�4 and properfy djspc�sed of by a Sepve S Open AfW p fling, all tanks 'and pas shaft be e=avateviii' d and v I �zrrlr cvvars nerzza�+znd dxs � c � tilled with soQ gravef or angler inert solid msader CONfTOGENCY PLAN the � measures have beer:, for must be taken. to Pf0vids a code -ed if tfze P011M tats and cwt be rtepar c0z np&nt went systESSz e b O A szs�abLe �aoernersCariea Iias rs valcra#ed and may be uts�ized fc}r' t#te location at' a �t sod t area should be protected from Qcstsrrbance and ooiss and s td rsoR absorpfm iY - ge from e;dsdng and proposed stry)MM lot Rnes and wear- Fa ure Lo be intrirrg upon by a SWWWe p �the area W0 result in the need for a new soil and sjteftect at giat *YO repbt=nent area_ Replamment � must eamply vsri z the rotes ir} nraj t Q A suitable repiaor=rtsffirt areea is not avarTable due to setback and/or so'E iussita xts_ Barring advances fin P4Vf!'!'S' recFznoragy a hoidfrsg t3nxinall be as a last resort to replace the fasTed POWfS_ The site tzaS riot been, erahsatatf to iderri`jfy a suitable replacement area upon far7z Ke of 87e W82 is a a sa le a Site erralsta6ot3 snust be p to tocabe a• suitable repiao�nent area - if no �t area ava3able a hokr V tank may be installed as a last resort to replace the failed POW T& rsmovar of the bbrna t at � }- #ltocu�d and at�rade soff awn s may be r�econsuuc i p�M in � at Vk 5me Vm ir>1�rative . suctions Of such systems must comply <cYIFAftNtNta> TANKS MAY CONTAIN LETHAL OAS$'ES AI1lt71ciR [NSi1f- �[CtSNT SEMC, PUMP AND OTHER TRF1RT1idf3+iT TREATMENT TANK Eil�iDFER AW � " DEATH KAY 00 NOT Mrat A 09MC PUMP OR Cyr" UZ RESULT-. RESCUE OF A PEP-SON FROLit<'L L•tl~ INTERIOR OF A TANK MAY OE DtFFfCi3LT OR i 'ADDI'EIONAL COMtif�FLKTS _ I POWTS INSTALLER PD�YTS NtfilftTF Name c5 Name .S !� r Phone E. Phone J a SEPTAG E SERVICING OPERATOR LOCAL AEGf lLATt3RY AtJ fiORFi Y Agency r�l Cow Marne Phone i J__ Xq ' Phone 7 $ and Sa - Th's This ids of ins ciao, 3rlargcratre any Warrsizan Covrrh Zorruig , Cow us"e at U& d0cwmt dam a0t r>� tz on nquie =wit of dhL C=n 8s.22WMX1 t 3 and S3-5 (2) (3). W n RtSrzstr GuNtCIJOf) 9=24tee flze pd'l+otmaam of the Powrs. I . ;I I I I 03/14/07 WED 08:03 FAX 715 386 4686 Iwjuui SOIL EVALUATION REPORT Pam In DE+tsiosi of g - � Code Bch complete ske plan on paper not tees than 81 ins cdw and P �� k ctvde. but not UmIted to. vertical and hcfto� <;, dxection and l.o. pwcw stopa. ecste or dirnensiona. north arrow. and to nearest road. t plea a prier ON fnlb�ntstioR• R. 2 0 2005 Date t+o mused f�r..co�n P.r.ont intormtia ► you osa� w" �'"'£�}!'�"k� J Q ProperArl � ZO Govt k s3 T O N R t U `I — Lot# Bicxic�i Names My r Code r t NawCon�ructicrt Ilse t Ntrrrlber of bedrooms _ - Coda derived design flow rate GPO ❑ • ,�Q Public or cortrneraaf - Oct e- • if ^V dti,r 4 !t Flood Plain etewet>on t�atontrnateeisl � — s � awncormnendallom moi, ED gpr}� # QtoUrtdSUtfir a elev. ' f _ pepth to lr n t Q factor 'n Sol Rata tforixDrt Redo" Dasaiption 7exturo SVUC$use Consister>oa 9oterdarY Roots IMI *EfW2 fn. & Qu SZ Cost Color _ Gr. SL SK IL WAO Depth L' to MOM fa= � Sol r.�s4eaetar. �'d -- f3otxrdarY Rpptg 3Pt>tf! Stru* se CO •Effte2 Hotiaon Depth Odor � SLR Gr. Sz Sh. r. { -6 FIkW t 02 r 8OD < 30 11W andT c 30 rrQL t5f . of Of r SM. a 3D 220 � aid TSS a30 1' CST Nursber CSi l�enre fee Pft 226900 Bi plumbing, Inc. Shaun Bird _ Tp h,,, e Number Data Evaluation Conducted 715- 246 -4516 Address 1008192nd Ave, New Richmond, ' WI 08/14/07 RED 08:04 FAX 715 386 4686 INuuz D it Page d yow Parcel . Cak BOdr4f a Ground surface ektvq—F ---}— tt D�tt: '109 in. Sd Rate a - Roots Horiaws Depth Dominant RedoxDescrfpHon 7exltse : �sxsure Consist Bovnd�Y •Eff#f T02 Qu. kAueKOU SL Corcolor :;_x •5h 3 d soft t Gmundaurface WW tt. Dept" D lung factor t^• Sol Rate Q Pit _ Rodo GPDrI! !Tuft Depth DW&Wt Redw Deem+ Texturo `:• 3L S Car>sistenoe Boon ty f , 1 Du. SL Coat. Color G % _ az Sh g� 6 h. Deph Y. i� factor _ m. Rate 0 Pit Groundarrrfacaetev. — Sol acwwary Rods DeO� OAtnk�artt Rodaacpeauiption. Texttae uc4�►e I i aArame• cu. Sz. Coat Color t r. Sz. Sh. a a e and 7 SS >30 S f 50 mpA. - EAkrertt #2.80D. S 30 argil. and 35S : 30 nVL Etikwg jM BOD, 30 _ 220 ntyL The Department of Commerce is as equal opportunity service provide: *ad employs. If you Decd assiatsace to access seswiees or need t: m = altetnate format, Pkm contact the &P: t at 608- 266 -3151 or TTY b08- 264 -8777. ssos>Dt�Y i 03/14/07 RED 08:04 PAX 715 386 4686 W003 Soil Test Plot Plan Projed Marne Sunset Ridge LLC Shaun Bird Address 838 Summer Pines Circle Hudson Wi 54016 CS 26900 Lot, 1 2 Subdivision Sunset Ridge Date 4/15/05 W 1/2 S W 1/4S 3 4 T 3 0 X18 W Township Richmond [] Boring () Well . PL Property Line County S T. CROIX BM or VRp Assume Elevation 100 ft. Top of Survey Nall/Iro System Elevation 9 HRpSame as Benchmark 431' Property Line 259' Property Line Scale is 1" = 40' unless otherwise �- noted 96.5' 94.5' B-2 F 40' 10% Slope B.M. -3 40' 20' 304' Property Line Pro perty Li ne II ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT OWNERSHIP CERTIFICATION FORM 0wnerBuyer j , / v VO /L Mailing Address Property Address / °2 D cued from l g & Zon�ino Department for ne construction.) (V�fioati req ' // Parcel Identification Number /7 �b City /State '�d y� DWS RII'TIQ& J �/ j� T �=�" R- 4-''`'W'! Town of property Location — Lot # /2 , Subdivision Volume Certified Spey Map # ' Volume Page Warramty Deed # J' Spec hoes yes no Lot lines identifiable( no ` SYSTEM CE AND OWNER CERTMCATION Proper us of your system could result in its premature W= ae to handle ", u put into Cr- Improper e and maintenance Y or sooner, if needed, by a licensed pump hat yo consists of pumping out the septic tank everythree years pw the system can affect ner maintenanc e maintenance the function of the septic rank as a treatment stage in the waste disposal system - in Comm 8352(1) and in Cbapter 12 - St. Croix County ordinance responsibilities are specified 8c Zoning Department a crrcficati°n�form, signed by the The pmp�y owner agrees to submit to S Croix County Planning Department (1) the on -site j lumber, restricted plumber or a licensed pumP� ). �P tank is (If owner and by a raster i proper • g�tioa and/or (2) after insPecaon land pumping wastewater disposal �' less than 113 full of slud stem: with the have read the above and agree co maintain the private sewage disposal Uwe' requiremen undersigned of Commerce and the Dep.,men of Natural Itosornbes, State of C & set forth, herein, as set by the Depaztm standards rained must be, completed and returned to tha St Croix County Planning Cetif=ation stating that your septic system bas been main Zoning Department within 30 days of the tbree year expiration date. Uwe am/are the owaer(s) of the I(we certify that all statements on this form are trot to the best of mylour knowvIedge d above, by virtue of a warranty deed recorded in Register of Deeds Office. DATE SIGNATURE APPLICANTS) * red may result in the sanitary permit being revoked by the Plataaing & Zoning Department. Any information that is * office and a copy of the certified survey map if Include with this application a recorded warranty deed from the Register of Deeds reference is made in the waaanty deed. (REV. 08/05) FROM- :OEVE91NG HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P11 i, ..� AIM If will 0 s N j�n 1 1 01 A, I =fir N S'ty � w Eldig Al y N r -- -- ---- -- ------ - - - - -- . —.r -- FROM :OEVERING HAS LLC FAX N0. :7155311282 Dec. 14 2004 10:14PM P12 aw -- -------------------- r y r a f r � N A a • —� I 0 2660? 306 -7749410 STATE BAR OF WISCONSIN FORM 1 - 1999 Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., I(I This Deed, made between Herman W. Keller, Sr., Herman W. RECEIVED FOR RECORD Keller, Jr. and Karen M. Keller, husband and wife 09/21/2004 10:25AK Grantor, and Sunset Ridge, LLC Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee EXEIPT # the following described real estate in St. Croix County, State of Wisconsin REC FEE: 13.00 (the "Property ") (if more space is needed, please attach addendum): TRANS FEE: 1440.00 See attached Exhibit A COPY FEE; CC FEE: PAGES. 2 Recording Area Estreen & Ogland' 304 locust Street Hudson W1 5401 6 Together with all appurtenant rights, title and interests. 026 - 1098 -20 -000: 026- 1098- 30-000 Parcel Identification Number (PIN) This is homestead property (is) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any,, of r ecord. Dated this day of V 7' 2004 * Herman W. Keller, Sr. * Herman W. Keller, Jr. * *,,nM. el ler AUTHENTICATION ACKNOWLEDGMENT Signature(s) Herman W. Keller, Sr., Herman W. Keller, Jr. STATE OF WISCONSIN ) and Karen M. Keller, husband and wife ) ss. ST. CROIX County ) authenticated this , 7 da of 2004 Personally came before me this day of 2004 the above named Herman W. Keller, Sr., Herman W. Keller, Jr. and Karen * Kristina Ogland M. Keller, husband and wife TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland, Estreen & Ogland 304 Locust Street, Hudson, WI 54016 Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature, Information Professionals Co., Fond du Lac, WI STATE BAR OF WISCONSIN 800 -655 -2021 WARRANTY DEED FORM No. 1 -1999 U 2660P 307- EXHIBIT A Located in part of the northwest quarter of the southwest quarter, and the southwest quarter of the southwest quarter of Section 34, Township 30 North, Range 18 West, Town of Richmbnd, County St. Croix, State of Wisconsin described as follows: Commencing at the southwest comer of said Section 34; Thence North 00 degrees 08 minutes 04 second East along the West line of the southwest quarter of said Section 34 a distance of 484.68 feet to the POINT OF BEGINNING; Thence contiue North 00 degrees 08 minutes 04 seconds East along said West line of the southwest quarter 2157.27 feet to the West quarter comer of said Section 34; Thence North 89 degrees 50 minutes 54 seconds East along the North line of the southwest quarter of said Section 34 a distance of 1018.75 feet; Thence South 00 degrees 08 minutes 04 seconds West on a line parallel with the West line of the southwest quarter of said Section 34 a distance of 2007.79 feet; Thence North 89 degrees 59 minutes 59 seconds West 694.55 feet; Thence South 00 degrees 08 minutes 04 seconds West along a line parallel with said West line of the southwest quarter 164.50 feet to the northeasterly corner of a Certified Survey Map recorded in Volume 5, Page 1400; Thence North 87 degrees 49 minutes 24 secons West along the northerly line of said Certified Survey Map 324.40 feet to the POINT OF BEGINNING and there terminating. St. Croix County, Wisconsin. Parcel #: 026- 1286 -12 -000 03/21/2007 02:12 PM ,� ,: IL PAGE 1 OF 1 Alt. Parcel #: 34.30.18.1434 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 08/26/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner % OEVERING HOMES O - SUNSET RIDGE LLC SUNSET RIDGE LLC PO BOX 179 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Prope Addres ' = p P ope y Prima Type Dist # Description ' 1220 121 ST ST SC 3962 NEW RICHMOND 1221 120TH ST SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.141 Plat: 10/073- SUNSET RIDGE LOTS 1 -21 026/05 SEC 34 T30N R18W PT SW SW SUNSET RIDGE Block/Condo Bldg: LOT 012 LOT 12 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 34- 30N -18W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 08/26/2005 804638 10/073 PLAT U 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 06/22/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.141 29,400 0 29,400 NO Totals for 2007: General Property 2.141 29,400 0 29,400 Woodland 0.000 0 0 Totals for 2006: General Property 2.141 29,400 0 29,400 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 I