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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 506106 © GINERAL 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 Holders Name: City Village X Township Parcel Tax No: Sunset Ridge LLC I Richmond, Town of 026- 1286 -19 -000 CST BM Elev: Insp. BM Elev. BM Description: Section /Town /Range /Map No 34.30.18.1441 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ' � <j CAPACITY STATION BS HI FS ELEV. s , Septic 5,,. Benchmark 77 /1000 let Dosing Cameo �� 7 � (�Od Alt. /• a /by . 7 A"atw n } ` ! Bldg. Sewer , Z$ 01 " 1 � L Holding St/Ht Inlet TANK SETBACK INFORMATION SUHt Outlet TANK TO PjL WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ Septic /' 71st /QO E Dt Bottom f . 1 •\ 2 . �.j Dosing - 7 3 /3Z ,i > !� ` Header /Man. z • , 75 Aeration Dist. Pipe Z 77 5 ! ej Z • TS Holding Bot. System ? Av L Final Grade J PUMP /SIPHON INFORMATION �V.— !a '/' 3 Manufacturer ��. Demand St Cover(" O A0 7 a t^ `�. Model Number TDH y -23 Friction ;gi System Head TD` Forcemain Length Dia. Z to Dist. to ( Well SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length / No. Of rench s PIT DIMENSIONS No. Of Pits Inside Di�_ Liquid Depth DIMENSIONS /U ! ---- SETBACK SYSTEM TO P /Lj� BLDG WELL LAKE /STREAM CHAMBER OR LEACHING Manufacturer: INFORMATION y� �t UNIT Model Number. ' Type stem 3 � / �(J ` Iu 5 ' I a�. DISTRIBUTION SYSTEM (4L— Header /Manifold Distribution / �/ I x Hole Size x Hole Spacing V�qt to Air Intake Pipe(s) // / .! Length Dia \ Length $ Dia Z Spacing 3 L z ..... 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 9D Bed /Trench Edges Topsoil es No Yes '�sA No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 5 / / 07 inspection #2: / se Rid e Lot 19 Location: 1235 121st Street New Rich WI 54017 (NW 114 S �(4 �4 R18Vt() �s u Par el No: 14 G rIse g ev t,� ' 1.) Alt BM Description = � Qom-• oJ-a P 2.) Bldg sewer length — q'� � C lC4.n. 0.)i- � V � d' �O " Jv— c�'5�' f��'. e,••� -.AA - amount of cover = / J ; 4b POLfc. rce rsle-- , L•^"� i�a� �� '' °equired? Yes )�No or additional Information. U V Date Insepcto Signatur Cert. No. ,197) s commerce.wi.gov Safety and Buildings Division County / J1 L� 201 W. Washington Ave., P.O. Box 7162 �T • C / - o t 4epartment s CQ n s n Madison, W1 53707-7162 nary Permit Number (to be filled in by Co.) of commeroe 5 6(,/6 (, Sanitary Permit Application StateTransacti / on Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appr vemmmll / a S unit is required prior to obtaining a sanitary permit. Note; Application fomts for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide a for secondary ' z ;5+. p urposes in accordance with the Privacy Law, s. 15.04(1) m , Stats. /Z,3 15 1. A pplication Information - Pleas Print All Information Property Owner's Name Parc # 51"', ) �- - �. JUN 1 3 G Ziff - /Z$"Co -- 19 ao Property Owner's Mailing Address n 3 Pro erty Location 7 3 5 f i 7' CROIX CO, U Go . Lot C City, State Zip ode Phone u /GJ Section / r B( (circle - t `� T N; E r W 11. Type of Building (check all that apply) Lot r 2 Family Dwelling - Number of Bedrooms _ a 7 Subdivision Name r OC <Suns �' t:W �jt lock ❑ Public /Commercial - Describe Use J ❑ City of ❑ ❑State Owned - Describe Use CSM Number Village of own of io k 4o 44- r.-Co lA. Type_9f Permit- (Check only one box on line A. Complete line B if applicable) ' w System ❑ Replacement System g p Y g Y (explain) ❑ Treatmenr/Holdin Tank Replacement Only Other Modification to Existing System B. ❑Permit Renewal it Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner J 141 41 IV. Type of POWTS S stem/Com onent/Device: Chec - all that appl ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground rade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/IYeatment Area Information: 13esi n Flow (gpd) / Design Soil Applicatigh Rate(gpdsf) Disp I Area Requir d (sf) Dis e/r�sallAArea Proposed (so System Elev tion I. Tank Info Capacity in Total # of Manufacturer _ Gallons Gallons Units o a U ti New Tanks Existing Tanks c R A rn rn Septic or Holding Tank Dosing Chamber x _ I + VII. Responsibility Statement 1, the undersigned, assume re sibility for installation of the POWTS shown on the attached plans. P1 be 's Name (Print) Plumber's Si a e MP /MPRS Number Business Phone Number Plumber's Address (Street, City, State, ff) Zip u / VIII. Coun /De artment Use Only Approved =*4� Permit Fee Date Is 67 ued Issuing Ag Signature 1 � oa f IX. Conditions of Approval/Reasons for Disapproval / {'DJ F-G SY$TEM OWNER: �> L o n 1 ITQ 1. Septic tank, effluent filter and dispersal cell must all be services / maintabW as per management plan provided by'plumber. /J n 2. AN setbac einer>ts tillwst be maU►�ined '7 d t 1 L.' &6 4 fold 7 AG1<J apptttaltitbroedsol�dltaln�6�rhe system and submit 4o the County only on piper not less than q 1 Y 11 inches in sizel 6C pd- 6398 (R. 01/07) Valid thru 01/09 II PROJECT Sunset Ridae LI_C PLOT PLAN ADDRESS 838 Summer Pines Circle Hudson Wi 54016 W -4/2 SW 1 /4S 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 101.4' BEDROOM 3 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK LIFT TANK SIZE MOUND SEPTIC TANK SIZE 1000 gallons E 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' Fiilter BEST GF10 -8 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 121st. St. 335' Property Line Scale = 1/4" = 10' 1.5 Acre Parcel 271 property line W� 'del I is to meet al I setbacks found in �omm. 83 Pro 3 Bedroom House area 15' beIow system is to remain undisturbed Tank is to be properly 101.5' bedded and provided B -2 101.4'100' with lockdown cowers with approved warning labels Jredi ng is to be done Cleanout B-3 to divert run -off Way from system 2% Slope Huffcutt Combo Tank B -1 Property Line r 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 101.4' 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 r- BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL - H.R.P Same as Benchmark 121st. St. 335' Property Line Scale = 1/4" = 10' 1.5 Acre Parcel 271' property line Wel l is to meet al l setbacks found 1 n Vomm. 83 Pro 3 Bedroom No use 4rea 15' below system 1s to remain undisturbed Tank is to be properly 101.5 bedded and provided B-2 101.4' 100' %rith lockdown covers .with approved warning labels aradi ng is to be done Cleanout B-3 to divert run -off Way from system 2% Slope Huffcu #t Combo Tank B -1 Property Line Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code � • � l l Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 1 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. 6 2 (- - /Z g(P 9 - 6 00 Please print all i F 'vED Revi ed by Date Personal information you provide may be used for s ndary Privacy Law, s. 15.04 1) (m)). �O 1 '4/ ' 0 Property Owner rope Location JL� C $ 2 3 20 Go vt. L l� 14 "/4 � j/ T 3v N R j � E (o% fW Property Owner's Mailing Address l d T IX COU '� Block # Subd. Name or CSM# cA �� y �. y � Qti �) � 2 i City State Zip Code Ph City ❑Village own Ne est Road Jo gj_ New Construction Use esidential I Number of bedrooms Code derived design flow rate y -U GPD ❑ Replacement yQ/ Public or commercial - Describe: Parent material _ 'A44 � 4:/ Flood Plain elevation if applicable ft. General comments and recormrmendations: System Type System Elevation F/-1 Boring # [] Boring pit Ground surface elev 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 o /3 21 3rL ---- — 0&- d 44, S L' ins' -C llzf < JL # Boring F51 /K Pit Ground surface elev /C/ / ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 0-► , 3/ti l.'- ( O Cl 3 `l1 j 1z , rid Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Alarms (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 540 s / 715- 246 -4516 1 w Property Owner _ Parcel ID # Page of 31 Boring Boring # -LL�L Pit Ground surface elev. I 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 T F-1 Boring # E] Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. — §o — ilApplicabon 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 El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- ' 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 -5330 (8.6/00) I � t , t Property Owner _ ❑ Boring Parcel ID # Page of 31 Boring # pit Ground surface elev. ' ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 26 5 y� 7 ,S is` /,G -5 �� — rte— � I•� ❑ Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soi 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 pit Ground surface elev. ft. Depth to limiting factor in. F Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg& 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 (8.6/00) Soil Test Plot Pla Project Name Sunset Ridge LLC S Bird Address 838 Summer Pines Circle �f Hudson Wi 54016 TM #226900 Lot 19 Subdivision Sunset Ridge Date 5/10/07 W 1/2 S W 1/4S 34 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX of Iron BM or VRP Assume Elevation 100 ft. To p Surve Y System Elevation 101.4' *HRPSame as Benchmark 121 st. St. X35 Property Line Scale = 1/4" = 10' 271' property line 1.5 Acre Parcel Pro 3 Bed roo m House 101.5' B -2 100' B -3 2% Slope B -1 8.M.* Property Line j Safety and Buildings 4003 N KINNEY COULEE RD commerce LA CROSSE WI 54601 =1831 TDD #: (608) 264 -8777 scons n �,.c ommerce.wi.gov /sb/ www.wisconsin.gov t epartment of Commerce Jim Doyle, Governor Mary P. Burke, Secretary June 06, 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: 06/06/2009 Identification Numbers Transaction ED No. 1396522 SITE: Site ID No. 723268 Sunset Ridge LLC Please refer to both identification numbers, 120TH Street above, in all corres ondence with the agenc Town of Richmond St Croix County W1 /2, SWl /4, S34, T30N, R18W Lot: 19, Subdivision: Sunset Ridge FOR: Description: Three Bedroom At -grade System / New construction / Revision Object Type: POWTS Component Manual Regulated Object ID No.: 1122213 Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade System(s): At -grade Component Manual, SBD- 10570 -P (8.6/99), 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 previously approved on 3/16/07 under Transaction ID No. 1380101.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; D n W.T.S. construction and open to inspection b authorized representatives of the Department, which ma include The �,iOP1 U�`l�' inspectors. o na it A L P PR PARTMENT OF COMMER • E �.in null niN�$ SHAUN R BIRD Page 2 6/6/2007 r i 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 $ 75.00 Fee Received $ 75.00 Balance Due $ 0.00 da 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. 1 RECEIVED MAY 14 2001 SAFETY N BUILDINUS 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 19 Sunset Ridge 121st. St. System type: At -Grade (Revision to plan 1380101) 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 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 22000 A ff - F � Co Y 'r PY= a.r�s ....� M 'UtR14— Ups w A >5 JGB 1J6 B 1/2 B A _- Ft L - F CELL of &ee"Vab SwTHEUc. Fab Soil Distribution Lateral Soil Curer Wei i . >5 A �� >. 5 _ With pa Visas � dross S, of i7�.stonsiss 1Lt -SXeda 'iktzs sta ac, Slagle Xbsor'grian Arse ors a S�op��8 Site �� G£ � Sid. - .r.�..� -•--= J s��ua-ru rte Page Distrtbstion PiPe Det for Lateral lfetwOric 'flit .,. TuRM -TAP • _ . - PVC Force Win ' • ; – 'i Pif£ Distribution pipe . +� L&st Role Shwid Be text T risam- UP IV -10 5/321 Hole #�i�eter ...__..- �� Lateral Diameter 21 lach(es} 0 Force Hairy € iameter � nch Inches Inches of Holes /piPe S— i nvert Ei ev �tfOA tt,'Ta1 s Sim: License 3e!': Date= I ` Sp£Cj ICXTl0"S I si c Pty CH IA ass s £CT�4:� ANFj GRADS k� A pp R OVED C v PIPE �g � V! PAD�K • OK DOOR �j I LSE E GAS • YNL TI6 5 T:E GNTO i - Mims �F#!� WATER � � s f .I ...:. �F3�T�.R • ""'' � ' s is ��� +�tIL SOIL � ptpF. fFT- 34p Orr _ sPS£IT'3CAT�02'�s f.:. c 'gam DAY: . SEP' C 115E t,t�'r` tom" £ v�3 E INC �: r- GA L. 1. /A � � Jy .- r. / . f .""" TAN1 f° ice• '.' '. r :ET13E:S= ^..�- � _ :14CUES CAL Ell 0; g tilJtr3 as GE ' - _ - - f E£T OFF £ A sTSZ - - � FACTORF susOfpUliF = LlQ ijID �.Cs� - 1 Ifss Sent BY: HP LsserJet 3100; 1 715 WL Me ; mlry-o -vv c.ver+ns , may•• "•• 9 EH SERIES SUMP/ EFFLUENT PUMP 11.65 8.95 fl s O 7m lRri Nam m 1 U ' to GIs{ *stilt 4L tbf8i !► 7a 9M.fr8 a101l p ft �' t 1R S 41 32 7SB 2Q 1!e 311 sft84x39e mm vim pS8 115 3% %0 low � � � � ge 31f 211s4x3A4 MW M4M 4 280 32 85 i00D 78 W S ss 41 12 its 27 8f1 xftbex9!De am mm 4NQ. 115 are ?SA ?OOQ 74 8e 41 Ila n x x AM m 70 taausousOrb� —'� m�'�m°i`seranv�ia4ra�d�' . /�►..� den c 9 L--- FLrh�- ir1'EirS/FR'lt6t mow HO Dory Coarod G Um eDDQ JLf M8LCIiII� � volute - •- N Power Curd SJT W A . . 7M5 Mecha� dcal Shaft Scat Nitrite: with carbon a= ze W cie faces ' s o Shaft � _�. ~ Stairdeas Steer, t 3 e.5 seari=tgb _ -- upper gieave owned t.aarer Ball s eariap Q FLQV- GALLM*/Kr(WEE CUR VE L aunt � C PUMP PERFOR01QisCE CUR 6 , �WC?31P lfSV SQFiZ >� aeq� Y,tYi Pfiamc �.l4?.232T:.y�; � 3bm� 1YElgtiiAtt1C 4=tftm -COM 83 fare 996�3S —fflAg PLAN se T D NA. E3 MA of Pump. z 13 M unb PUMP 6; MA t� a ilia � . x - 1-6) p Modiog Sao Iwo &wrAW OfflitmO El ogler. Too II gtoc ers DIS i t Esl II U19MICIRd (Pmwm sd3 II Iti� � f3 Mowd Q S30 mom- -� 4 tither Feeat COO—% rn 9ndsdiacrse s mx&mtm E fftwd POWs size . CE sem ce � y sar{s) £� sr` s yra ) i�GAJIKt q# feast once evil ,� Cl rno ( vow $ and scssm +®4 w 3 yYS-3 of �lcCs) V%l c omba�d siu 3 i•3 yearEs) O d confer Of tanKS) At Wast or=e every s} mss) Once eveiY At ' L rs s} 13 NA irsspect ' tfitfet At 30+l Once eves!( Lj Mill s} Q MA. At Least orsce O%WY £3 y es} B r4A W and va 00006 fad Rt 3east anoe ave=Y � LIB 13 NA At ie9at Oncs *VW an ;ad'e�idual r� ,. of des or MANMRISMCTIONS 'b'a � fir, f OVVM ) jo i t any r: � � � °rte Piiaramr. P� a vista irk °f t#ss a scam t3so Preis caftalms Maw to eta the Tw& 6 °� c vciurne of 0=. bsa tee am me'dbipilm cilia n pMdM to n r� t tram n° ' o ire tip �' dL rimm m Y , *06068 d s� In �g SqLws o+tba a� vWW titer w tip be t� We S � its PC3'St+t'�'S �• 11 V bya� The SWAft of offimt ,� ar m �a aufa�Y'm 4t! A� p�a�� p� orow START LW AIM OPERATIO For sir p to L ee t �n Jor da 9 op t S -" d drat nW � the � j by a Se�9$ 5ervicz�c3 d the c of the e ss:t�- sos{ °� are *off at the fs js tes flee e n S not a : to ce�(s3 acrd mil" rest in t[ie DDS t y t alks to � e c a �Sa arm -power to va emuctit o pera" do paw or odurift a a t W.0t &-bq0rPa&VI 4 a mym �a esMate - �: ��e . s m W tW is 6"A � sca nW Imp the W denw ftnar ar-e� �� t ,condorn� •fin svra s: deg % the f� ASAW* sly s� � taioe� � focus tisat II�e out service Code: ylRfo�► ttie PAS fart a ndbr is p � Pt M ar t ch. {;orz:rr� 83 3. V'� � is prop c and the abo doped PIPe of b a o Doc AS Aft tO UnkS a W f� sF'sa€f be Mmovec# P� of cov =w sd� $TB w Spam w�3t sod COMTM a code if the p0V cc�t be r eassurs grave• °f �rL �e PC bee Q A � ar s hould be PW errs d vcbat ame and wags- Folsoe � smlWe be upon by � i the need for a new d � a ,Kisfi the rules pweed The � t system Bust carnPqY 3n PC CS' rep�acxmeczt afea .tom or sod �srts 9 8 Is riot aya bje• due to setba artdl POD D � t � as a last resort to rePtace of the PcWM a sog.as7d a sfirtabie auras a+ a -se stCe tsar r� e+raI �tKS bcatle �p�ernecrt area' if no s� y resoFt is reel �e f fis bearssst of and t-grade salt � M' be m cossin in eg M • We" m noes � sue, g swoons of such s�erns must comply • U < A SES /tNt3�ft f�FFft�tTOXYfEt�. ;tNINt� A i�Q OTHER TEA TANKS AFEAY CC}NTAitH I.ETi�A£ DEATH MAY PEMW A ' on MU M TR EATMENT TANK UND - ANY �� RESEIL.T.. �Ed3F A ?ESN f� THE 1NTFRfOtt OF A TANK MAYBE I3�-T C34R ' ADDMONAL COligftl Poy" i�lA1NTAEMER P©VWWTS fNSTAtiER Nam Name w„✓' ;one LOCAL REWLATCIVR AMORny SEPTAGE SUCAMG QPEMTM ' CY j Cdjt r� Narne .4 Phone Pie rnft *Wd; &d bXe. � of b. s� W0. s�ra� and lyas� � - � We of rNs � s°c ,rest Carla, Ht7C� - �,�o�r�POwcs W Departrnartof SOIL EVALUATION REPORT Page of Dim= of Safety and BrAcWVs in accordance with Comm 85, 4Vis, Adm. Code Coursty Attach complete site plan an paper not less than 8112 x 11 inches In size. Plan must include, but not limited tor. vw bcai and horizontal reference point (SM). direction and Parcel I.D. petoent.slope. scale or dirnenslons. north arrow, and location and distance to nearest road. Please print am Infomtatlan. Reviewed by Date Pave" ifrom Wn ym prwkia may be used for aeoondary P r IP&- - Y Law, s. 15.04 (1) (m)). PropertyOMt>ar �. 1. Govt. Lot rte X' S� j T . %0 N R bE Propettv Owne's Mailing Lot# Block # Surd Name or CSM# P)t W j� — State Code ! 0 City ❑ village 'Neaffist Road New C,orestructiott : t)s8j2jestdetstia! 1 Nesnber of bedrooms Code derived design flow rate 4 4 22 2 GPD 0 Replacerment Public or oornrwdal - Describe: Parent material Flood Plain elevation if applicable - 7o? it General cormients atx! r�ecarntttetdatiocts: Systen'►'iype - W-e:z o system Elevati It Ground ssaiace elev - ft Depth to > i In. Sol Appkatkn Rate Hodmn Depth Dorrkw t C4W R,edox Desaipl4on Texmae Stucoue Coralstence Bounde►y Roots GPDJIF IM 1Aunself tau. Sz. Cont. color Gr. Sz. Sh. "Eif#1 *EN#2 013 Z 31z r off �v Ve Pit ovrtd strface elev! of ' ft. Depth to being factor ` " in. Soli ApplIkatlon Rate Horbw Depth Dominant Redox Description Texture Structure Consistom Boundary Roots GPDVfP in. Munsell ChL Sz coat. color Gr. Sz Sh. 'Eff#1 - 0 z- - '--�-- C� K Es�uent #1= soD > 3o t 220 mgfL and TS5 >30 < 150 - Ffent #2 = SW ,: S 30 mglL acid TSS < 30 mglL Bird Plumbing, Inc. Shaun Bird 2690 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54 j' f 715- 246 -4516 r F 3 7 1 Prop�tamer Parpe! ID # pap of ❑ Pit Ground su'ftce Slay. R a 9 to xi kI Sol Rate flotiarn Depth Redou Domiption Text" Structure Ccrasistenoe Bour+dWY Roots GPOR DQMkWft in. Munsua� Qu. Sz cont Cofer Gr. Sz. Sh. f#2 3r� 1-1 �--� E c2 E # ❑ s� ❑ Pit Groundsurface R Depth to kutrQ factor M Sol Rate }Iprtwo Depth pent Color Redox Desaiptiora TSxua Structure Cotasistence Botu►dary Rotes GPM In. Wind CkL Sz. Cont. Color Gr. Sz Sh. 'E4f#1 'Eff#a 9 # Q Mt Ground suatm elev. n Depth to t&raa" factor h Sol Apoication Rate GPOff i`lortaon ')eprAh Dorrdraant S'tr Redox Desa ptkm- Texture venue Corawence Boundary Fleets im Munse@ Qu. 1 147. Coral. COW Gr. Sz ML 1 • E!lkrerat #1= BC06 > 301220 mgll. and TSS >30 1 150 ffVIL Eftant # _ mss- 30 nag& and TSS I 3 m The Department of Commerce is an egaal opportunity service provider and employer. If you treed assistance to $cues services or . need material in an alt=ate format, please contact the depattmmt at 408- 26&3I5I or TTY 608- 264 -8777. sanssiopacao? } Soil Test Plot Pl Project Name Sunset Ridge LLC S Bird Address 838 Summer Pines Circle _ Hudson Wi 54016 TM #226900 Lot 19 Subdivision Sunset Ridge Date 5/10107 W 1/2 S W 1/4S 34 T 30 N /R W Township Richmond [� Boring 0 Well . PL Property Line County ST. C ROIX BM or'VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 101.4' ' *HRPSams as Benchmark 121 st. St. .335' Property Line Scale 1/4" = 10 1.5 Acre Parcel 271' property fine Pro 3 bedroom House 101.5' B -2 100' B -3 2% Slope B -1 Property Line i cof11merce.1Nt,gov Safety and Buildings Division County ( M 201 W. Washington Ave., P.O. Box 62 1 sco ! y � Madison, W1 7 - 2 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 5 0 t. I C) �_o Sanitary Permit Applieatio State Transaction Number / In accordance with s. Comm. 83.21 (2), Wis. Adm. Code, submission of this form to the appropriate governmental 3 8 V ` � / unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you pr vide may be used for secondary p urposes in accordance with the Privacy Law, s. 15.04 I m , Stats. 1. Application Information - Pleas All 1 r tion / Property Owner's Name Parcel # X61 s L MAR 2 1 OZ� - .� = �� Property wner's Mailing Address Pr rty Location \ - jam In 1 ,S . CROIX COUNTY Govt. Lot JJ City, fate Zi Code w / - /,,,Section N; R or W 11. ype of Building (check all that apply) p jG Lot # 2Family Dwelling- NumberofBedrooms Subdivision Name e B GG rL f ❑ Public /Commercial -Describe Use iTa tN7tf_. .v-- ❑ City of El State Owned - Describe Use CSM N r ❑ Village of /O ly 9 r. 0, wnof III. Type f Permit: (Check only one box online A. Complete li applicable) A. w System ❑ Replacement System ❑ Treatment/Ho n \a.k R eplacement Only ❑ Other Modification to Existing System (explain) �r B. El Permit Renewal ❑Permit Revision ❑Change lumber El snit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owne / IV. Type of POWTS System/Component/Device: Chec 1 that apply) ' ❑ Non - Pressurized In- Ground ❑ Pressurized In -Groun t -Grade 101 Mound > 24 i\Peatment ble soil El Mound < 24 in. of suitable soil ❑ Holding Tank ❑Other Dispersal Component (explain) Device (explain) V. Dispersal/Treatment Area Information: Design Fl Design Soil Application Rate(gpdst Dispersal lA Area Requiyed (st) Dispe I Area Proposed (st) System Elevation / VI. Tank Info Capacity in Total # of Manufact r Gallons Gallons Units J °_ New Tanks Existi Tanks c Y Y a R Septic or Holding Tank Dosing Chamber I>/ VII. Responsibility Statement 1, the undersigned, assume res sibility for installati4the "sshownon d plans. Plumber's Name (Print) Plumber's Si re Business Phone Number Plumber's Address (Street, Ctty, State, Zip C e) /an0 Vill. County/Department Use Onl Approved Disapprove Perm//it //Feeee� Date Issued Issuing A Signature ❑ t ven Reason � nial $ tOt CJ• L� o? IX. Condi ' � easons for Disap SY S f �N1 R: pp 3) o_ L eA.-k. 1. $*PINC tW*, effkMtt filter and dispersal can must all be soft" / maintained f as per management plan provided by plumber. , ! 8 J t t ►J 20 (o J 2. AN setback ira requnertts must be mair�ainW "y ° '� At vJ Atta : fo complete p an WrIbe system and submit to the County only on paper not less than 8 t12 x 1 I inches in lize SBD -6398 (R. 01/07) Valid thru 01/09 ieq ei; 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 99.8' 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 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL '- H. R. P. Same as Benchmark RECEIVED MAH 2007 121 St. SAFETY bUILOINGS 335' Property Line 0 9 - 'q 5 Well is to meet all 271' property line setbacks found in Comm. 83 Pro 3 Bedroo House Huff tt Combo Tank Tank is to be properly B-2 bedded and provided with lockdown covers with approved warning labels Area 15' below system is to B-3 remain undisturbed Grading is to be done to divert run -off 4% Slope away from system B-1 100, 9 9.8' 99' B.M.* Property Line PLOT PLAN PROJECT Sunset Ridae LLC ADDRESS 838 Summer Pines Circle Hudson Wi 54016 W 1/2 SW , 1/45 34 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 99.8' BEDROOM 3 CONVENTIONAL AT -GRADE XXXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZ 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of cham none IL BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100° ilter BEST GF10 -8 ❑ BOREHOLE O WELL •H.R.P. Same as Benchmark RECEIVED MAN 5 2007 .sea. 1 SAFETY & bUliu1NGS 121 st. 335' Property Line 271' property line Well is to meet all setbacks found in Comm. 83 Pro 3 Bedroom House Huff tt Combo Tank Tank is to be properly B-2 bedded and provided with lockdown covers with approved warning labels Area 15' below system is to B-3 remain undisturbed Grading is to be done to divert run -off 4% Slope away from system B- 1 100' 99 . 8 ' Property Line COUNT%( PLAT 00:' SUNSET RIDGE Located in part of the Northwest Quarter of the Southwest Quarter and part of the Southwest Quarter of the Southwest Quarter of Section 34, Township 30 North, Range 18 West, Town of Richmond, County of St. Croix, State of Wisconsin l)NP LATTER LANDS _ ... _.._ _. _ - rBw N . . -_.. le•BI -. -.. Ne950'siE 5276.53 - EI•wfM tarrBYx WB - S S f ]I i Eo,r - Nt,[ W.rrr LM• w•,1 r xw rmoJe' x 701 8.75' - 5e c- N 895054" E —n • m.]} ', rY I ._ i_ I ___ 985.)6'.__ ___.. -. or 5•sNm N V I C I N I T Y M A P T_ I 87 —e9.R. v me e. j I r•a x061] . Y 8 98 q 0 6} a IJDTH AVE_ , I ,. <r•, 5 4 n•• _- � -� I I a r1• 92.s69• I I }�oo ..... a] }J o 1 1 Ie i]i L _ _ \ u- �I I ly - 1 165 1 1 w.f ,o sow N 8 ], r tilt I r Sectio 34, 30N n T , R1 8W ex9aoee «« 8. ty LEGEND \g 'B, i f Ir __rsoosJ i , f • ond 3 9' a.0on JQ l k. Nal. I J.651bs. M. 11. 1 „ 50539Y5'r ` pse'x 9'4J'w� St. Cro 1 x e I \,' a ]J' I $ rOe.lN' ... _ \ i ben ero o / ( ) v ( � ) � ; see 2 ..°:: s.t.11 j I A (N 89' JJ'90' W 1J06.09) Recortl DolO p d j q` u k; _ _ -- -- - 12' utility Easement w 2Q�' r�65Y ulo. r\ ate, i m BBJ:r o Buffdfng Setback Line _ Co,em�,n'r FI•i r60 B9ar n !! I I , ,.]so acr•• r, B. a. -)Po]r n. m ,. e.0. Lowest BuilEing OPening e IZ to - J�i.y `\i _ 1 21 Law.sl P,, l.d Door or Window Et—ti n ',� 'I nfM1er I., c Me n fnis Plaf, will b ce I,. a d by a 1.05 inch (O f))1B Mch ,roil pipe (].tJ xbs /1 n. IfJ, snf I m0 '" I � 9x9 F _ / - B 19 aye .; ° Lsao ro,•m.m f° Ll9o..99e] n. � ]} r ra: r .,es °' 'z • Ie N I o I B I ea• r I °x I m I owner.. I iunsef Ridge, LLC 363 Svmmer Pines Circle "N m N n •a5' Hudson, w9 54016 N m ,ao' i 10 I I 17 9 r e. noom o. r I A a,os' � 1 J loo I loo 200 U I� I I1 � tii v SCALE IN IEET I =100' I e>?90 }]o<re, 16 8090 9e .• S .u' —' 12 I I I x.14 .n.• _ - n I 1 i 15 14 11 .a n I I „]y.�za c � ,zo.9e] LOT 16 e LOT 17 I 8 I ' 13 DUCK P0 E5C A PE =r• NB9'59'59 'W 694.55' I � I � A O EI•N,lun ren.]!' xaro tb I a m !n 2 O_ p 107 _ i LOT 2 1 . N87'49'2 < "W 324.40 Volume 19 P- 121ST AVE (S 8151'56' E J24.39) I Voluma_ T— — — — - + Pv9e 4852 I Page 4852 LOT 1 I I $ LOT 15 LOT_ 16_ I Volume 5 - ! I I _ MELCHERT WALKKY Poge 1400 749 Nlen)r• 1z landacepa architectura v civil a ineerl .on. wI Gao � ng ng Ph. P6on• ( v }e �ee - - See v93e -'Qe r s•„In..,fc oQ Sheet 2 Of 2 Sheets lend surveying e.x (v}p) �eea Oin4 I -d LLCLCHT.RS RALKKY wiisccnsin Department ofCommerce OIL EVALUATION REPORT Page of Division of Safety and Buildings q � in accordance with r t H`"� my Attach complete site plan on paper not less than 8 1/2 x 11 in i size. Plan must include, but not limited to: vertical and horizontal reference po ; direction and arc-4 I.D. percent slope, scale or dimensions, north arrow, and location nd Ji Aj Rto�ie®reS evie by Date Please print all information ST. CROIX� li y Personal information you provide may be used for secondary purpos s (f r vz :ZbK Property Owner �, r 1 Govt. Lot T N R �J E (o W Property Owner's Mailing Address Lot Block # Name or CSM# ,l Number Village own + N est Road ICA State Zip Code Phone u City � of bedrooms Code derived design flow rate GPD New Construction Use: esidential / Number _ _�__ ❑ Replacement Public or commercial -Describe: _ — -- - - -- - -- - - - --- - -- — Parent material __ _ -_— Flood Plain elevation if applicable _.� ft. General comments and recommendations: c Boring Bor ing #— F_/1 it Ground surface elev. 1 f . Depth to limiting factor —j - - in . Soil ication Rate Depth Dominant Color Redox Description �Tcxture Structure Consistence Boundary Roots GPD/fF Horizon p Eff#1 •Eff#2 in. Munsell Qu. Sz. Cont. Color — v Gr. Sz. Sh. 2- j 5 L / I Boring # ❑ Boring a pit Ground surface elev. i - t. Depth to limiting factor �• Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell au. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff$Q p r �� 3 � ,psi — _ � c• k w '� Li • Effluent #1 = BOD > 30 < 220 mgrL and TSS >30 < - 5 . 'Effluent #2 = BOD 30 mg/L and TSS < 30 mgll CST Name (Please Print) tur CST Number Plumbing, Inc. Shaun Bird r c 226900 Bird 9 ' Date Evaluation Conducted Telephone Number Address e 1008 192nd Ave, New Richmond, WI 54017 ��-- L 715- 246 -4516 i Property Owner Parcel ID # Page — Of 5J Boring # F1 Boring V-P"t Ground surface elev. ft. Depth 1( iii.siting factor in. Soil±pVication Rate Horizon Depth Dominant Color Redox Description Texture n ictur"a Consistence GPDO Roots in. Munsell Qu. Sz. Cont. Color 5h. Eff#1 *Efl#2 0 , 1 r , 3/- , /,, /-5 e an_ F-I Boring # ❑ Boring C1 Pit Ground surface elev. ft. Dept - i o limiting f in- Soil Mfication Rate GPD/ff !:,tr 11- Consistence Boundary Roots Horizon Depth Dominant Color Redox Description Texture Eff#1 *Eff#2 in. Munsell Qu, Sz. Cont. Color C-t -. 3z. Sh. Boring # Boring Dept i �o li sting factor in. ❑ Pit Ground surface elev. ft. Soil AWication Rate Horizon Depth Dominant Color Redox Description Texture -t uctire Consistence Boundary Roots GPDff *Eff#1 'Eff#2 in. Munsell Qu. Sz. Cont. Color :.r Sz. Sh. Effluent #1 = BOD, > 30 1 220 n and TSS >30 < 150 mg& Effluent #2 = BOD,:<_ 30 wKA 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 deparment at 608-266-3151 or TTY 608-264-8777. SSD-8330 (R.6=) Soil Test Plot Plan Project Name Sunset Ridge LLC Shaun B' f Address 838 Summer Pines Circle / Hudson Wi 54016 CS #226900 Lot 19 Subdivision Sunset Ridge Date 4/ 5/05 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 99.8' *HRpSameasBenchmark Scale is 1" = 40' unless otherwise noted 271' Property Line 335' Property Line 10' 30' 4% Slope B -2 90' B -3 i 0' 1 99' 30' B- B.M. 162' Property Line Safety and Buildings commerc e.wi. OV 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i s c o n s i n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.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. 1380101 SITE: Site ID No. 723268 Please refer to both identification numbers Sunset Ridge LLC ' 120TH Street above, in all correspondence with the agenc Town of Richmond St Croix County WI/2, SW1 /4, S34, T30N, R18W Lot: 19, Subdivision: Sunset Ridge FOR: Description: Three Bedroom At -grade System / New construction Object Type: POWTS Component Manual Regulated Object ID No.: 1122213 Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System(s): At -grade Component Manual, SBD- 10570 -P (R.6/99), 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 p ermit must be obtained from the county 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 See. 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.Q.V,1.T.S. Conditio PV>m n i 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 Fee Received $ 175.00 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. RECEIVED MAR 15 2007 Cover Page SAFELY & BUILOINGS 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 S 34 T3O N,R18W Richmond Township Lot 19 Sunset Ridge System type: At -Grade 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 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 ` p'� i'kRTN1ENf Of COPJ.MERCE Shaun Bird DIViSjQN OF SAFETY AND BUILDINGS Signature SEE GOfi , �PO License number 2 900 1 + RECEIVFn MAR 15 2007 SAFETY& BVI - iti uc L �� B ?: Z 5 L 'i-- asrRssT:ess t. •c ss.a�ws �$ 0a "K rtdELt > 5t �!� $ i.l68 I J2B� /D GELS. of Fabr, Distribution. Lateral Soil Cover V-ei # �M _5 Pig V�'i.c�r asad Cross Section, of i7isci„nsizic ttt- gratda II�tic With a A rea On a Sloping Site 5�:q$le Absorption r KL , Page t #f VAX- SAFE (#istribution Pi pe oetlii For Lateral $etwork Oc,e sr Tu((M CIE-WOUT) P vc Force Pain - - pVC gi�stribu�tion Pipe :.� -- P Last - Role simld Be Next To Tu "- up Hol a Diamete � �. Inch P. a X Inches Lateral Diameter Inch y c� inches Force Main Diameter _ Imes �~ # of Holes /PlPe Invert Cievation Of Laterals . 3 Ft. Si License flue ber: Bate: R' AGS �R 8 l & SPECIFIC ��ar�s Sp�F r ccss S cT1o:4 Ain COV sErT c TANK j - • g GRADE IU NCTIO14 BOX Ap AB F��` ED O i HOLE COYER v£ p�PE }2 C€3�IT l FADLOCY S. :; GRADE 1 ib .. � is GAS ` v Efl. T.NLEtr - .. • 5�� . � �I ,�,£ 1wiA'!' 'R 'FI6 A sEEi � � P . _ IL 3' om SoLlo SOIL C. I Iti owto ELF -70 3 �� o pump -. £ PAD �C CO A pPgov ED �� o °scs PER DAY: �...._ SS M C Dos£ T Z , �' c►t.- f�1+iK �g�,� R "�-' � £ st {3LUriE y g�EK: 1 —� �GxL- GAL_ � SEPTIC; -� GAL. Jr. �r' �. a GAL- TAr. SIZES? DOSE � MCITIES= o _ km 5 Au Luc* MODEL C � GAL- SWITCH F /> . ✓ LUC 16,2 VAC ILL �� A ix wilt aG As .� p FEET 3 O_ H FEET �� FzpE - � DISCm`+RGE IlTI - r FEET . g ;REn FACE rump OF 7r ANB - �i7ISTR ^ - _ - . YE TICAL DIE � 3 ?PLY Pit SURD 1Z0 F FRIpYI� C H EAD /= FEET MINTWJK Fop �, 3 � �� .�-- -- + Fir£ 16T-6—"'' �, DLI E3�SIfli 01, T LT 01D LICE: = - SIGNED= - Sent, By: HP LaserJet 3100; 1 715 =ie OUL-1 LP 9EH SERIES S UMP / EFFLUENT PUMP. RECFIVED M AN 15 2007 SA F ETY & BUiLUINGS. aes Q o OCifi a w..� mff � eEMemo ssne su Mum eta RL v 3�I ee ws ioa � ts¢ WW mnmm u w W w ru N.J 31s1r�{ Sol-= 9oa3a0 Nm V's 115 3% 1 3A 10M 70 V 55 0 32 13.e W 24 ali :1LbIxa41. X11 C9A 50934D WaL 4 230 &A S.5 1000 70 54 55 41 32 its 20' 24 all $11M AN 180 8Dt #Ad 50m mm 4 115 3% im 1000 70 64 Sri xt 32 13.e W 27 all :110ZRX go 4 op 2W sa SE 1000 70 fit S A 32 13.s 20` 27 an sltblx Calnai DairR W 1 —'fit 6hKMhgrpra sa t>a0 ew�iwws E�Yas bapasAeyas ron wiftln O�eMA�d tea• FLOW- LITERS /HOUR ruct1OA Motor Housing 0 1000 2000 3004 Epoxy Coated Cast Iron s I>n eltec Matetial Poly Carbonate 10 _ller a ClosedVaae volute ABS -- — - y Power Cord SJTW A 7-5 W lvfechaaic w Shaft Seat Nitrile with carbon and ceramic (sees a s 4 Fasicaels -- Stainless Sneel = 1a Sbadt F $taiOm Steet z s Hearings - _- - -- -- Upper Sleeve and Lower W1 Bearings 0 20 40 so so FLOW- WALLOHS^PVJTE PUMP PERFORMANCE CARVE Lie Want ftmP C 115V bow PO emt 12x10. F1 - 4 uRp' OTC 73137 ft=,.405l47.25U •Fw 435.2231.1560 &sue WWW.i.it#tCG ttatPt1np.CA= Fam 99SM -07Aa PLAN Pa ge of, _ t E , S MANUAL M A Spa CA oxa f OWTS t } D NA �Q' sez - ran k k � F OR1 H �pt#cTsc�ic C2 NA ri Efftuerrt Fltt� trdan IC33 NA 0 NA a p 6�0 �� Pump -Tank � 0 ru a(Ur: PUMP MaacYi� Q � X�K fie} � v � '� . Pi.emF! Pump i�liodel C3 Pont FAW u g I1Fp�°r' R NtonthlY average' p SaWwravel FR D Wedand ti - 430 mgt D ijl cz ° C3 0"r. O , s F on 8, Greg" (F OG) 1 020 mgA C3 ObWbadc' QNA Mcn�tC�tY age fl in a 4 mgn- -gr emowdoudw ade Other: Siodaem � $*Uds CrSS) f00MI � a for t�waa sea Tots! - mean) v Fecaet Cow % inc hdiameter ica - waste Eohnod pu lde SIM %/sk ws typkw Ax WWeawd Service Fre4eencY s) (lYfa�dsnurse 3 yrs -) 6IfNl'�i� S� u� nsontfis g ee Event At feast Once every Q ty} of tank v olu me rnsi n of t a%Ks) � c orrtbined sludge and sc� S s? ( dmum 3 yrs-) ottank{s) [3'mon� Pu=p Out oonW is At Est once every D Monte s) inspe� �perasl ceit(s) At Est Once every 8 D NA ri'tOr�� cl ism fitter At mast Once every � � s� D NA pump. contro � alarm At te�ast ante every O monies D yesrIs) D NA y�is and Lest At least once even/ C3 nwnftW II its) p NA pprc kt least once every atcse o f dw � B O CTi0IQ5 made by an ;ndivldual cwTY 9 r. PCANTS �mbw. broken �pee6ocs+s of"Ols and Plumber � sir P0 �?aniQs) to ids a* forte bad' UP Piuraber. Isvels 0sjw=00M. WOW Tank Wwp�m m u the valu sm of 60mbined e � � is dteek tie S WASBY trar+Sr V tden s d a MOO - '� dispel 0611(g) stall be v the porx on pp g of 9 for any Ponce of eifluen 'irrsmedte�s riO n of the IoCJI o p* obi P� and to tin and requires the D[ mope of 1lte Il k fume, NR � ink 8 tar�rtg midge and worn in any tank e4 r a � �powd of in aeon d � . of � Whoa go ppmbit� aca�� � t �` s Se�9� `'e[vidrx3 . BnfAS of the W* sta8� - ; ��; W MY 113. V� 'i'sox`b`f °Cade t VWSuri�d P`OWTS ComPon a P OWM �laic> of e�rs+�t • m a stlall be P�tmed • went Tile sew$ • a at'int�r+r� of . 12 months or. fQ d� of r� °�� s n ar � 1 tO Sw �,latoly auttto Y - STMT UP AM OPBUTIOt4 tW FOB r _tr�� tank($) Or S P are For MW ems• p� w LM piss and/or dan1Age the d'cs¢ers� prior to rrl& h the O a serviang Pew RECEIVED d �e $>o�CCn of to ba{s) �rnred by a septa9 REC MAR 15 Z00? SAFETY & BUiLUINUS ppsxrrtiorrs are fso¢en at the in surfam art UP st+a mot sod ie�te4s- 1Adt�en pl restioce DUI* P ° � dWposaf c�Cs� °e' °ve'°etdu p Q by w To Wmw a& sans ion have the c0abu is a tip cradr�► d of the etiicrortt pump or a pkmtw m Sew PL Dt. D t 4 nor3trad fevrsls w�tn the pump tstm 7e ao � � &sue mss. £ not dcimrs otpaj Do not ddYe cr p� v t p mound or at-grade soft absargfforl Sma- Me a� t 45 Met down and prolog Vle Be . f ttte eater str8attt m25r imptova #€1e et�xrcg[�e Rein orleaTI Of to g baits Condoms, swabs; deb % dentd Sons; d Idw ofttlePO ��► water ' 2nd � pugs � . . • ��fioc� p � �, ms �npocr� •sad wax so�ene� . AHD taken out of sect** the fbflOwhns :maps s� to Wake�:1b � dw ttte When go PO TS fans aQUtlar is per° Qt ante wf�t ch. Comm s3.33, ww4onsia Add COI symm is propedywidsafetyabandoned in acted and the abandoned P� �� s0a"e L • All Piping tanks seed pits sib moved and properly domed of bir a Se~ SWI Operator. Ttm conbwAp of ga tanks mid l sh or thy �ne m removed and the geoid spade per. art t� Wo p lt ir ft shae a and removed �tnertsofra rnateria(. COk7'IIiFG�+[CY Pi�IN . the i`oRowt v measures have been. or +rust be taktM tb provide a code 1 f�POwrstaa� and ra�t b e • cornpuant mPlI emord systam be by evaluated and may t e u0b:ed for the n of a and ar as has been and cmpac� O �� nt area s hould be prat from clrstcrrt �r+e to The �cetba ern eng and pnoposed.stTU' 6oR Ene acid r be lniringed u by estebfssh a scalable See ms antis v� fie/ in itre need for a new soil and site °eval at f art time. 1�rtent Systems must com ply vsrith the rates in effect &i POWrS �Ptacetrtt�t area Es notavar�bie'due to setback and/or soli tun; aliorm Bar'*V adva 17 A suitable f+epta nt De wed as a last resort Lo replace the tailed Pn� b�notogy a hoksis{g tanK n�Y fagsxe of the POWTS a sbd.artd - .d The See has not be= evaisatted � iderrF€y a suitable replacement area Upon area is aWWO - Ate a to locaiie a' suitab replacement area - s if no r+cP T ite evaluation must Pte °°d the faWd PO�S- hotdrny lank MW be wed as a St assort t o replace � Of Me beo rAt at 3( &found mid at -grade =a a on s � be reconstructed rR at eme 5me wfth me mfima&e - p of suc t, sysuWns must comply << AR 1I10( G » TANKS EdAY CONtTfiJN LETHAL. GASSES AMOVOA 94SUFFIC T O CsE7rl. SEPTic, PUMP AHED OTHER I REATM - a T t�CUE3d sTAN�. DEATH DO !liar ENTERA SEPTIC, PUW OR OTHER TREATMEMT TANK U14DM ANY T OR &P.O BLE t;ESEILT. ,RESCUE •OF A PERSON FROM THE tNTEWOR OF A TANK WAY BE IDOTIC UL. ' ADDrti lON1AL CND POWT'S MAINTAi 4ER POWTS fNSTALLER ` Name j a d✓ 7 Naa)e phone --�. EPTaGE SERNCING OPEtiATt}R L4CAE. �tsUI.ATL3RY HOKEI'Y S --, agog' S , Haase ` Phone / Phone :rid Sam T* n rtes aoasnsat�as Qra�d by. aye a�taltic of � GX*m t-xdw. &t3Mu&tt�a acrd Warishwx Courrt5' Zartirrg Code- IJse of t doo r QOE6 Sys .ai. ms +aw*Na cm of ds. Caesrra Ki dWo and f 3. (2} & (3). WsoorWn Adi�rittstr� } 9DG perton:anoe of the POwrs. I u4/14/1611 w1w Uti:U4 3'A4 Y15 466 '4050 Id 004 REG 3EIM ' f' & � OIL EVALUATION REPORT Page of t�vwor�+at and8uihtir+as in accordance r 1 B��cL�i "'. no loss tHan 8112 z � 1 , size. flan must st SAF 4,ciuds, but net imded to: vertical and horizontal reference �) won and 1.0. percefrt siopc, scale or dimensions, north arrow, and location ? sAl by Data Please print am infomtsltio ST. CROi i~ P«+ rep. rrbemarionvwuvmAde maw bsw .arorseooAd.n c Pmpwh'r ! Govt Lot tA/ 7 k S T D N R ( � E W;FGM Owners MWffv8 Address Lot Block Name a CSMt« "_.. !t ,'Y► �� i Road State Code Phan Nunher city Vdlaae 1? t New consotxtion / NUrnbero{ bedrooms _. Cale derived dssign slow raft GPO O Raplacanient Pubic or comMertial - tuba:. —. Fl Paront (raw" (raw" _._ Flood Plain elevation it applicable ^, - ft GerwalCflnnnlerkb 1 1. 1 and nations: © >Y g Ground sulfate siev. _ t. Depth to knftv facer __q_x_ im Sal Appkaft Rate tiaPaon Dept Donfinot Radoac Descniptiort 7exb�ae Stnretue Crx>sisterco SotrrdaH Gods QPRff in. Munself CU SL Coat color _ — Or. Sz. Sh. 't k1 'Elftt2 ! 3t Y � Fill � Boring t3rour d surtace siev. t. Depth to �^g *Ow - lo ' Sol liostion Rate t �tortson Depth Dornh►ad Redox Description M Consistence Boundary Roots GPf]Jit in. MursaN Gu. SL Cont Color i 'EMI 'E1rJe2 CS w y w a- - • Elirta> tt a 80D > 30 s 220 malt. and T58 >30i 6: ' Eft sent ill = 80D 30 wok and TSS <_ 30 nng& t�ST t+ltstibsr CST name ram PMO 226300 Bird Plumbing, Inc. Shaun Bird Date Evaluation Conducted Telephone Number Address 715- 246-4516 1008 192nd Ave, New Richmond, Wi 54017 03/14/07 WED 08:05 FAX 715 386 4686 a uu0 FIE ~ Y MAR 15 2007 SAFETY & BUILDING6 Pape a PMPKY -- g pg P kit Ground surface elev. ft iffi i Sal Rata GPDOR Mcbm Depth D*Wnwit Color Rsdox Descdption Texuxe :: Con+ist nce Bou hoots 'E 1 - EW in. munsas ON. Sz. Cont. Color C' z. 3tL —vq— Yom r I I - ft" 0 Borir+p ft. DW. n *rXM � Sol licatia+ Rab Pit G round surfaces elver- Redox Desaip0on TO*" �trxxx Bo Y RoOb GPDiff tiorilon Depth Dominant 'EhIN 'E1IM2 in Afiuroail Qu, Sz Cant Color a swi eori� C) Ph Ground surface alev. R. oaPt, u irrg factor in Race Horiaon Oeptl+ Danrrwnt Radox Ossor"On. Terse : ucOtre Corud�ance Boundary ROORa to bumt Cu. Ss Can- Cow Gr. Sp- Sh. 'EtpF1 'Etfll2 W0 trgL and TSS 3 30 nOL • E4:fuarn iti = SOD, > 3D: X20 mpll and TSS >30:150 nQL s - 1 'U t of C.otomerca is an equal Opportunity service provide: 914 employer. If you aced asaiataaee to access service or need material in se sitanste format. please contact the dey:u t 2 6" or TTY 608-264-8777. sao•was.�► I 03/14/07 WED 08:05 FAX 715 386 4686 11006 Soil Test Plot Plan MAY ` Project Name Sunset Ridge Ll C Shaun B' 07 Address + 838 Summer Pines Circle & 8UjL0 ' Hudson w 54018 CS 26900 NOS Lot 19 Subdivision Sunset Ridge Date 4/1 K ,-O� F � W 1/2 S W 1/4S 34 T 3 0 N/R W Township Richmond Bortng Q Well PL Property Line County S T. CROIX BM or VRP Assume Elevation 100 #t. Top of Survey NaIVUOn System Elevation 99.8' *HRp as B Scale is 1" = 40' unless otherwise noted 271' Property Line r 335' Property "ne 10' 30' 4% Slope B- 90' B -3 W 10' 100' 99' 0' B -1 B.M. 1 ' rty line • ST. CROIX COUNTY SMIC TANK MAINTENANCE AGREEMENT AND OWNERSHT CERTIFICATION FORM owner/Buyer . Ma 4 Address prop Address 3 / (verification required from planning & Zoning- Department for new construction.) City /State parcel Identification Number LEGAL DESCAR ON V — L W, Town of - Property Locaadon ]Ya,Sec. N Lot #� Subdivision -� Volume _l Pie'# �- Certified Survey Map # 66l/ Page v oltun # v Warranty Deed # 7 � , . Spec hOUSG � IIO Lot lines identifiab y no SY TEM �TENANCE AND O'R'NERRT�'I CAT ION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three Years or sooner, if needed, by a licensed pumper c u put Wto can affect the function u the septic tank as a ueatmcnt stage in the waste disposal system Owner main the system ter 12 - St. Croix County Sanitary Ordivanc e- responsibilities are specified in §Comm. 8352(1) and in Chap & Zoning Department a certification :form, signed by the to submit to St:. Croix County pu� o a licensed pumper verifying that (1) the on site The pro perty owatrs lumber, restricted p )� the sep>xe tank is uwater disposal pl umb e r, proper operating condition and/or (2) after inspection and pumping (i'� less thaw 1/3 full of slud system with the and agre to maintain the pnvate sewage disposal I/we, the undersigned have read the above req uirements ' cut of Natural Resources, State and returned to the St Croix* County of Vruconsin standards set forth, herein„ as set by the Department of Commerce and the Degartm g Certification stating that your septic system has been maintained must be completed pmg Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge Uwe am/we' the Owner( Of the ^� :described above, by virtue of a warranty dad recorded in Register of Deeds Office. DATE 9 SICTNA APPLICANTS) * on that is misteprWmted may result in the sanitary Pe=t being revoked by the Planning & Zoning Dgw=mt- Any tnformati Office and a copy of the cued 'eY �P zf Include with this appitcation a recorded warranty deed from the Register of Deeds reference is made in the warranty deed (REV. 08/05) U 2660 P 306 �. 774940 STATE BAR OF WISCONSIN FORM 1 - 1999 " WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIK CO-, W1 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 0' 304 Locust Street a� Hudson, Wl 54016 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 record. Dated this 24 day of V 41' 2004 * Herman W. Keller, Sr. * Herman W. Keller, Jr. * K ren M. Keller 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 2 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, W154016 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, Wl STATE BAR OF WISCONSIN 800- 655 -2021 WARRANTY DEED FORM No. I -1999 i 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 Richmond, 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 seconds 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. FROM :6MRING H3*S LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P11 I . If 16 ILLU . +� ----------- ��- -- - 4 .i • s>� sir six O Y ® N ti of Qa N I r r ------------ - - - - -- N FROM :OEVERING HOMES LLC FAX NO. :7155311262 Dec. 14 2004 10:14PM P12 w • f r N r( • -I C r � 11 ./ Parcel #: 026- 1286 -19 -000 03/21/2007 02:12 PM PAGE 1 OF 1 A10?arcel M 34.30.18.1441 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 Property Address es ' = Primary P p �y : ( ) Type Dist # Description ` 1231 121ST ST SC 3962 NEW RICHMOND 1235 121ST ST SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.500 Plat: 10/073- SUNSET RIDGE LOTS 1 -21 026/05 SEC 34 T30N R18W PT NW SW SUNSET RIDGE Block/Condo Bldg: LOT 019 LOT 19 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 34- 30N -18W NW SW Notes: Parcel History: Date Doc # Vol /Page Type 08/26/2005 804638 10/073 PLAT 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 06/22/2006 Description Class Acres Land Improve Total State Reason RES{DENTIAL G1 1.500 24,100 0 24,100 NO Totals for 2007: General Property 1.500 24,100 0 24,100 Woodland 0.000 0 0 Totals for 2006: General Property 1.500 24,100 0 24,100 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 n N O C v n d C M a Co rr r• O OT N O O? A N `C • 'D ( 'O D S WO T 0. 3 N .q 0 3• O N O 6 w O a 0 o r :E o r :3 C m c. Z D CD a o 5 D cn a O a W CD ° CD V c0 4 CD CD N a n N N N N m I v q N m m v A m — y m Z CD m _ � N Z Z D 7 O D D Z o O v m c a N. C A ' N p A Z A A z o m CD O A CL 3 z y c ° z CD w F i a 4 c z C CD N S C I Q V A O . A A W CD m o p o o m °