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HomeMy WebLinkAbout026-1129-04-000 /* ! W m%si l Oepanmeal of Corrlrneroe :tafety And gaVhgs Division PRIVATE SEWAGE SYSTEM C ounty: INSPECTION REPORT t. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary PermitNo.: Personal information you pr�ovice may be used for secondary pxposes (Privacy Law. s.15.04 (1x m)). 83984 Permit H er s Name: 0 city D vi 9 a ID Town : o State Plan Hiek, Richmond Township CST 8M Elev.; Insp. BM E ev.: BM Description: Parcel Tax No.: O s * 26- 1129 -04 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ` C ✓ (, a Benchmark P. �j d 0 _ y d Dosing A It BM - -- Bldg. Sewer a Q Holding 4t Ht Inlet TANK SETBACK INFORMATION 5 TANKTO P/L WELL BLpG_ ventto ROAD Air Intake Septic X50 NA Dt Bottom , Z Dosing Sp NA Header/Man. Dist. Pipe pn �, y 'r , 7 y ys Holding- Bot. System ibl c 8. y 9 ; " / ;.5_o PUMP/ SIPHON INFORMATION 7GPM I inal Grade Manufacturer De Model Number Z Qy f TD Lift�_S Friction 5 System X . TDH ' Ft Loss Lengtht3O Dia. Z « Dist-Towel) SOIL A ION SYSTEM BED / ENCH Wi Length No.Of Trenches PIT No. Of Pits Inside Oia. Liquid Deptl I E 1 3 DIME N I SYSTEM TO P/L BLDG WELL LAKE /STREAM LEA Man actu SETBACK Manuf acture INFORMATION Type AMBER mod r: System: } 5 2 S OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution <pe(s) x Hole Size r Spacing Vent To Air Intak Length #_ -' Oia. L ength & 02 Oia. y Spacing 3 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over I xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons presen jff4action #1: 9 / If /D/ Inspection #2: / Location: 1271 140th Street, New Richmond, WI 54017 (N 1/ NW 1/4 36 T30N R18W) - 363018857 Tory Pines -Lot 4 `�') ©b5e✓uadta. - P , p<< lA__W'tl1ed1 1.) Alt BM Description = 4w 10 410� 2.) Bldg sewer length =Z3; V �\ no �,cll '.41 \ - amount of cover ( y2 J tr Plan revision w regr r ❑Yes `�] No Use other side for additional inform lion. SBD-6710 (R.&97) Oate Ins s Signature cert N< -15y s cis A-s�'eal 4/ 4e/41) �'.) SyS�G►„� orY�.�'a�b� -- Gk.K^..q�C"J, J�eGQ.wS� `/'h�fC (it/�5 p„ , n o I w ti.Tat�w PWee �irp S�,s - area IAla -s Vti d , d4 c cr 5�i S ego �` S �s �✓ vef (oLc ew�' - __o n LIU IL- 7 b3 I 2 1 p A-v 27 3 6 Safety & Buildings Division W ashington A Sanitary Permit Application 201 W. PO Box 730 ve 2 In accord with Comm 93.2 1, Wis. Adm. Code Madison, W1 53707-7302 Departmiant of commerce Personal information you provide may be used for secondary purposes (Submit completed form to county if not I [Privacy Low, s. 15.04(lXm)) stag owned.) Attach glans to the Ma owv oWv) for the system. go4wer-mooLloss than S - x I I inches in size. County Stoic M. jVtraber a Check I=f Suft Plan I. D. Number L Ap tion Information - Plow Print #11 information Property ()WW Nam Nq" l'oestj N 114.2&3a f or Property Owner's Mailing Address Lot Number Block Number 4. 1. City. State zip Code Subdivision Name or CHM Number 12, �f) es7 5 dIP0.2- 0 a city Typ of BalWing: (ebeck one) 1.(4 -3-b p or 2 Fardily Dwelling - No. of Bedr ooms: 0V d1W • "A I Q Public/Commercial (describe use): J(T"41i of 0 State-owned M Type of Permit: (Check only one box on line k Check box on line B if applicable) Nearest Road 7'11 A) 1. )$New System 2 13 Replacement 3. ❑ Replacement of 4. 13 Addition to Farad Tax Numb s I I system Tank Only System I j 'Z6 . 11 - t ]�1�3 A Sardtary Permit was Moval Permit Number We Issued issued . 30, 1 9'. '2 (_ 29- V. Type of PMT System: (Check all that apply} ""67 Tiot on-prcssari=d In-ground 0 Mound 0 sow Fill" E3 Constructed Waked E3 Pressurized W-ground . C3 Holding Tank 50 tc 3 0 Single Pas 0 Drip Line C3 At-grade 11 , 0 Aerobic Treatment Unit 0 Recirculating 0 Other V RhEmMeatntl Ara "ate 1, Desi#A Flm- (g O Z. Dispersal 4. Soil 5. Percolation Rate 6. System Wavation 7. Final Ckada P tieyui I Rate (Gab.tday/sq. A.) (MmA 991 I VG 4 nch) Euvation ILIZ VI Tank Capacity in Total # of Manufacturer Prefab Site Simi Fiber. Plastic la information Gallons Gallons Tanks con_ Con- at— ss 6 Now EXW% Crete 3U=tW Tanks Tasks leed 0 13 ❑ 0 Ar — 0. 13 ❑ 0 7 VU Responsibility Statement 1. the undersgpA assume r 'bilitj for installation of the POWTS she the attached Plumber's Now (prW) Plunibees'Si"ture (no stamps): P )MPRS No- Business I%we Number Id Plumber's Address (Sftvt. Cit Stow. Zip Codc) I,- VIII County/Department Use Only 0 Disapproved Sanitary Permit Fee (Includes Groundwater I D'talmued C g Agate %.P" (NO su"Tills) Approved 0 Owner Given Initial Adv arse Surchar F ) do T lzs — lmt�m 2 �9 Condition# of App royA Alteasons for Din p 9TMAA�_ - 4 e. le� jujalo� U C#"� .'t Ct ' 'L� S4�1 LLW%Aak I CAr- IALW V Lax- coso- 1 L.-. 0 - 1 W k 69- t� P.CJ�t 4WW04 - j J / I-S + is 1W A tj� W'_&Agm6DAA� rU,&�MeMA &pj S � CL tpf� A*i Nwviz 1�� - 5 7 r1k I_ A CAU_46Q_ S ­bCL I st ;;Je_� GX_ ',VIA � �e.. 44, pMAW� l e h i.b7" i i I � SO Gan�b 6 I o ooln f SOIL EVALUATION REPORT Page I of 3 vein DepatEnent of Commerce Division of Safety and Bufldings in accordance w ith Comm 85, Vlfis Adm. Code MPg S4 . Cr Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include. but not limited to: vertical and horizontal reference p oint MM, dhm:gon and I.D. p ercent slope, scale or dimensions, north arrow. and location and dance to nearest road. Date Please pdint a► • 2,M Personal kdorma*m You Provide may 18.04 (�) (m))- PropBrty t.00ation Property Owner ° {'° Govt Lot kw 1I4 NW 114 S 3G T 36 N R l 8� E (or)i� U-J eta r` Lot # Block # Sub Name or CSMfF Pr°pem' Ownel's Malting Address r ; 7 r? � � � � T) r � I PS l q 50 st ate z ou r,ry _ y ❑ �r ❑ �� ® Town Neares f � . state zlp f o [� New Construction lhe: Resident ialI . i�n�el' `/ Code denied design flow rate y-S 6 G GPD ❑ Replacement ❑ Public or corrone la ft. Parent material T") I Flood Plain elevation if applicable General comments S fe e I e 1 e V. +o P q c'> and recommendations: I C} L- f • e (e V • 4 P 9 3. L•u w ; r 1Z. `10 El Bonng # Pit Ground surface elev. 9 9 6 ft Depth lo 5 Soil Rate Sorkv Horizon Dominant Colo Redox Own Texture Stnxgure Consistence Boundary Roofs GPDR I Depth 'Effryl 'Eif#2 in. Murrsell Qu. Sz. Conk Color Gr. Sz. Sh. 2 _ L GS Ill 9 2 16 -'L l0 Imo! L 2 I� L' C5 -C .5 .9 3 ?.1 l l� r 3 L m 5 -C,- C s - 1 /. 2 4 i5 _ ( � FI1 -1. Ij ILI 5L � 5 9 .�fD s4 Boring # © Pit Ground surface elev. YL 00 ft. Depth W limiting facxor — 5 n. Soil Rats Horizon Depth Dominant Color Redox Description Ted Structure Consistence Boundary Roots GPDIfI: in. Munsell Qu. Sz. Conk Color Gr. Sz. Sh. '091 'Efi#2 b- 2 ID 1 — S'l I 2 � r c 5 !� 5 8 Z tZ_ q 14 S� l 2rn� -L C 5 - 5 SL 2 ,-r,5 rr) Ls S 9 LI o r Cn FtF 5 r`)! 5l. s .2 .2 ' Effluent #1 = BOD > 30 < 220 mall- and TSS > 150 M& ' Effluent #2 = BOD < 30 mg& and TSS < 30 nV& CST Nam (Please Print) gnature Number Date Evaluation Conducted Telephone Ntxnber Address 203 90 a. 3q6 parse) lD � Page Z � 3 properly Owner N b Boring a Boring ®Pi Groundstnfaae�ev.� � � t Rate M P Textur 8trucuxe Cor�tence Boundary Rooft GPOW Horizon Depth D . Sz Sh. *EtM1 *EW2 in. MunseU Co lor Gr v�= . 5 2r e- 3 32 - s 10 ` 6 1 F-I p Borin ❑ Ground elev. ft Depth b WIN in. Sol Appka Rate Horizon Depth pomp Redcoc Desa"w Texture Sbuchge ary Roots GPDW in. Murrell Qu. SL Cont Color Gr. Sz Sh * * ❑ Boring # ° Boring Ground surface elev. ft. Depth to Izo"9 factor in- ❑ Pit Soil Rate Horizon Depth Dm*mdColor Redox Desaiption Texdxe SWcttxe Cons;stence Boundary Roots GPOW in. Munsell Qu. Sz Cont Color Gr. Sz Sh. *Etf#'i *EfW2 • Effluent #1= 8t7D > W ZW "V& and TSS >30 < 150 nVIL ' Er&m t g = WD <_ 30 nV& end TW < 30 ffV& The Depart neat of Commerce is an equal oppoltunitY service pfavider and employer. if you need assistance to access services or need material in an alternate format, please contact the depaMrent at 608 - 266.3151 or TTY 608 -264- 8777. 8Bo-ss3o (R07M) r � PAGE_OF NAME 'S LOT# _ LEGAL DESCRIPTION A/uP/ y Ya S 3roT 3Q N R f rE (or) SCALE: I "= y6 BM I ELEVATION /m . O BM I DESCRIPTION yio , t o �" 1r•' C) 2{ r e e K fi BM 2 ELEVATION 160 • 6 1 sec. 3 (o BM 2 DESCRIPTION N a n if " doo b (.e P. IL SYSTEMELEVATION !aP 9y0 Gower• 93 Gd 4e r ALTERNATE ELEVATION Q 3. 9Z• y0 CONTOUR ELEVATION 93 a o, ?q oo ; 9S oa IlJ 6dCA.f� ►4 /�q I 14-r e� q°fr �rcq 3 x( • QS av a ^Z B - p :evkcA Q-1 9 .aa I q Lf. 93.ao SIGNATURE DATE Vvisconsin Department of Commerce - SOIL EVALUATION REPORT Page I of Diviban of Safety and Buildings in accordance with Comm 85, We Adm. Code count �. �• Attach complete sibs plan on paper not less than 8112 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. Pleal;8 print BY Info i -r Reviewed by Date Personal information You provide m" be usad for pprjioses (Frivac)/ Lsw, 8 15.04 (1) (m)). Property Owner h Pjerty Location • � vC f �i�J i- Cho A'tot C,&L) 114 AJ(Aj 114 S T N R E (or)g Property Owner's Mafdng Address Lqn # _ ; Block # Subd Name or City Stals Zip Code t Numisr _ C R c* ❑ village ® Town Nearest Road i top a. C1 s7r%o �fL } I�� �� � � • New ConstructiOn Use: [ji Residential / Numbisi 4 e Code derived design flow rate �� Zl Q 4 GPD ❑ Replacement ❑ Public or commercial- ommercial - Parent material �-f I Flood Plain elevation if amble ti 14 ft General comments S y S +•Cvn CI c V. ?'Y- and recommendations: fit} L f , C (e v • q S, O c Boring # a ❑ Boring 5L Pit Ground surface elev. 7. $�t� ft Depth to limiting factor -q 4 _ in. Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPQ1fF in. Munsell Q u. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Etfi#2 -16 1 O 2 L C. v� • S 2 L c •7 3 c.S F - z l # R1 Pit Ground surface elev. 0 ft. Depth to Nrniting facto in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munseil Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 6 -1 — 3 2 $L k L.S 2 g- $ /p LS s — /. Z 3 5 L c �{ mS D �. * Effluent #1= BM > 30 < 220 mglL and TSS >30 150 mg& * Effluent #2 = BOD < 30 nV& and TSS < 30 mg1L CST Name (Please Print) _ ignature CST Number c} cc e — S O Address Date Evaluation Conducted Telephone Number d (,a Property Owner fA Parcel ID # f Pa of a Boring # ❑ Boring 91 EA Pit Ground surface elev. ?& ft. Depth to limiting faiAor i n Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'EfW "E ' — Z .� 2 . 4 2 AN -- . 9 CW i - F1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDHt? in. Munseil Qu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 'Eff#2 Boring ° F-1 # Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil pate Horizon Depth Dominant Cob Redox Description Texture Structure Co mistence Boundary Roots t;PD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#t "Eff#2 ' Effluent #1 BOD > 30 1 220 mg1L and TSS >30 <_ 150 mg1L ' Effluent #2 = BOD 130 mg/L and TSS < 30 mg& 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. SS"30 OL07J00) PAGE :; �_OF NAME .M., ., S LOT# 1 LEGAL DESCRIPTION $4) - /,AW` /4,53(,T3o ,N,R l A E (or) SCALE: F'= [� BM 1 ELEVATION �� O t BM 1 DESCRIPTION nu;[ , n (o P: ne_ (.� /I'14 � 1- BM 2 ELEVATION ()0 U BM 2 DESCRIPTION n , n (9 ,�; rt-e ,j� 1 fad SYSTEM ELEVATION Iq• 0 ALTERNATE ELEVATION s yU CONTOUR ELEVATION _ 3 SU 3 G�. So D 3 ' v •� s y 42 / / 3310 /j �f�rn2 �y SIGNATURE i��'` DATE I Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Des i n Specifications Sanitary Permit Number Number of Bedrooms 3 Design Flow - Peak (gpd) S� Estimated Flow - Average (pd) Septic Tank Capacity (gal) I tStrO � 1 r Soil Absorption Component Size (ft') It z Type of Wastewater _ AE Do stic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Abso" 2 tion Component Design Flow - Peak d) U 3 a `" - Maximum Influent Particle Size (in) 1/8 Maximum BOD (m /L) 220 Maximum TSS (m /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every-3 years Soil Absorption Component Inspect once every 3 years Segtic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet flits shalt be cleaned as necessary to ensure proper opera nn . The filter cartridge sh be remove un ess provisions are ma a to retain solids oo ds in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. if the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the Interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep - rooted trees and shrubs directly over of within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan In the event of system failure, a new system could be installed in an alternate area. With the installation of a diverter valve, the existing system could also be reused after a period of three to four years. It is the property owners responsibility to maintain the alternate area free from any planting of trees, shrubs, etc. In case of failure of the original system, the alternate area will be needed. if any trees, shrubs, etc, have been planted on the alternate area, they will have to be removed at property owners expense. If alternate area is destroyed, there are other altemative systems that can be used, in which, could result in added expense to the property owner. Any tank abandonment shall be done in accordance with Wisc. Code 83.33. Any questions regarding this code, please contact your local Zoning Office or contact the installing plumber. Rpr 24 01 02:44p Ronald Bonte 715- 756 -5240 p.3 sr cRoix cOUNTY SEPTIC TANK MAINTENANCE ACsREEMENT AND OWNERSHIP CERTIFICATION FORM Owner uyer MATrP E W bI 1 6 Mailing Address J 9 So 4 71 {�V'E N VJ 1 rJ W i- S't 00 �-- Prope Address (Verification required from Planning Department for new coeatc c ion) I City /State - 'r ibCI4 t rjD v.1= Parcel Identification Number 026 //o / -8a, o26 ilol - q0 i I� At D .. ESCRUMON ,, i 1 , I Property Location �t '/a Iy ` /., Sec. , T 30 N -R_6—W, Town of 1716,µar - >tJ Subdi +on 0 Lot #_. Certifiied Survey Map # Volume . Page # 0 W:arrajnty Deed # y 180 . Volume . Page # I I Spot t Use O y es K no Lot lines identifiable yes O no gU KATt+=ANCE j Improper use and maintemaaoe of your septic system could result in its rrettrantre failure to hattdk wastes. Proper maintenance cous bo l o f pumping out the septic tank every three years or sooner. if needed by a licensedpumper. What you put into the system can affip Ct the function of the septic tank as a treatment stage in the waste disposal systexn- 1 The property owner agrees to submit to St. Croix Zoning Department a certification facet signed by the owner and by a master plumber, journeyman phnmber, restdetedplumber or a licensedpumpe�r verifying that (1) the on - site wastewater is is io prgper operating condition and/or (2) after inspection and pumping (if '), the septic tank is less than 1/3 full of sludge. Iiwe. th- umdeisigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set f herein, as set by the Department of Commerce and the Department of Natural Resoutces, State of Wisconsin. Certification staling I bat your septic system has been maintained must be conVieted and rettumed to the St. Crm County Zoning Office within 30 days of the three year expiration 4te. Z2 SI OF APP ICANT DATE ON CA CERITn I (we) certify that a ll statements on this form we true to the best of my (our) knowledge. I (we) am (are) the owner($) of the pro xrty described above, of a warranty deed recorded in Register of Deeds Office. /,Z OF APF DATE •«•'• Any information that is mks - represented may result in the .sanitary permit being revolted by the Zoning Department. •• «• +• �• erde with this eppiteation: a stamped warranty deed from the Register of Deeds ofi'ice a copy of the certified survey trap if re uet" is made in the warranty deed 644750 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH WARRANTY DEED S T . CROI OF DEEDS Document Number ST. !; OIX CO. , WI RECEIVED FOR RECORD This Deed, made between Ames Investment Corporation, LLC 03 -19 -2001 1:00 PM WARRANTY DEED EXEMPT # Grantor, and Matthew H a person single CERT COPY FEE: g p COPY FEE: TRANSFER FEE: 86.70 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Name and Return Address Lot 4, Plat of ToreyPines, Town of Richmond, St. Croix County, Wisconsin. 'rtt AV6 G A L-0 W i '.1 ' 4 SY u Z 026 - 1101 - 80,026- 1101 -90 Parcel Identification Number (PIN) This is not homestead property. 04) (is not) Exceptions to warranties: Easemetns, restrictions and rights -of -way of record, if any. Dated this day of March , 2001 Atj n tment rp ation, L « AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. County ) authenticated this day of Personally came before me this ��h day of March , 2001 the above named Ames Investment Corporation, LLC by * it's TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY « Attorney Kristina Ogland No bli , of isconsin Hudson, WI 54016 My Commissio permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ° >` 9110 D 3 ) * Names of persons signing in any capacity must be typed or printed below their signature. information Professionals company, Fond du Lac, wi 800 -655 -2021 WARRANTY DEED FATE BAR OF WISCONSIN FORM No. 2 - 1999 i �; VICE PRESIDENT • i`� i1� I STATE OF WISCONSIN BENCH MARK COUNTY OF ST. CROI) N89 3 0.00' TOP OF 1' IRON PIPE ELEVATION = 1028.11 PERSONALLY CAME BE �t1 iD ow l . I 297 .W JERRY D. BOTHUN, VI THE ABOVE NAMED Cl EXECUTED THE FOREC PRESIDENTS OF SAID THE FORGOING INSTRI I CORPORATION, BY ITS NOTARY PUBLIC MY COMMISSION EXPIR 2.29 ACRES Z m ! 99660 SCE. CORPORATE OWNER'S O I i0 i AMES INVESTMENT LL R 0) �' EXISTING UNDER AND co D I p WISCONSIN, AS OWNEF No z I o CORPORATION CAUSED i SURVEYED, DIVIDED, W O • — • THIS PLAT. AMES IN V � PLAT IS REQUIRED B) NW4942 - E .00' 0 �� T FOLLOWING FOR W DEPARTMENT OF ADMIT m Ill C • — • � IN WITNESS WHEREOF C i I° E CAUSED THESE PRESE _ THIS ------ DAY OF 2.013 ACRES IN THE PRESENCE OFi 90730 SO. FT. AMES INVESTMENT Lb 6! / L.._.._.. -A STORM WATER RETENTION AREA \1 STATE OF ---------- H.W.L. = 1009.0 I COUNTY OF --------- L_.— . —. 227.Ot� ' — ' — ' — ' PERSONALLY CAME BEF S89°51 '46"W 330.00' 20___, JEFF SOWADA, THE ABOVE NAMED COI - PROPOSED TOWN ROAD WHO EXECUTED THE Fl SUCH MEMBER OF SAID HE EXECUTED THE FOF I THE DEED OF SAID CO NOTE NO OWNER OR RESIDENT SHALL DO ANYTHING WHICH ___________________ Z WOULD INTERFERE WITH OR CHANGE THE OPERATION NOTARY PUBLIC,______ g OF THE APPROVED COMPREHENSIVE WATER DRAINAGE N I AND SOIL EROSION PLAN FOR THIS PLAT. THIS MY COMMISSION EXPIRE A INCLUDES BUT IS NOT LIMITED TO BUILDING UPON, to N OBSTRUCTING, ALTERING, FILLING OR EXCAVATING, OR PLANTING IN ANY POND EASEMENTS, WATER COUNTY TREASURER'S I I DRAINAGE DITCHES, WATER RUNWAYS, WATER STATE OF WISCONSIN) CULVERTS, BERMS OR GRASS SEEDINGS. COUNTY OF ST CROIX) I, MARY JEAN LIVERMC I4189 0 51 ' 46 ° E'373.00' TREASURER OF ST, CR[ 33. 7470 MY OFFICE SHOW NO U H. SPECIAL ASSESSMENTS i INCLUDED IN THE PLA1 0 FROM Schumaker Plumbinq FAX NO. 7153863121 May. 09 2001 01:36PM P1 -0-0 - 00 LIT gs� Fax Cover Fags f II,LZJ M SCRUM " Date: ` Schumaker Plumbing 1070 Scott ad H udSon WT 54016 Fax and Phone Number (715)366 -312' f s To: Number of pege�c : Re: 2 FROM Schumaker Plumbinq FAX NO. : 7153863121 May. 09 2001 01:37PM P3 PL(MP CHAMBER CRO55 SECTION AND SPECIFICATIOMS � PAGE � OF b - •VE►►T CAP WCATNEK PKOOF uuuGTio�1 eOx 'i C.I. VCNT PIPE APPi[OvEO LOCKIAIG 1 10 1 Fit M DOOIC, MA>JHOLC COVER ".71V nmooW OR FKESN wARNIUG Lfa6i~L ^ tt WTAKE S aouOu lr • �__ � le•nlu. 0 16`KIN. � PROVIDE I — 11J LE T _ AIRTIGHT 5EAL. ( / i,PPR4VED J01LIT __ _ :. A — .. ... -._ APPROVED -.10) IT w /c.T. P►PEORt�ud Tank construction I� I W /C.=. ?IPEORPVc shall. comply With I ALARM ILF!' 83.15 and $3.20 rs j t oil C I I ISZ.1 S I ELLV. FT. PUMP OFF CDUCRETE CLOCK t' RISEit EXIT Pr- PLmiTfED CwLti IF TALIK MA14UFACTURCR HAS SUCH APPROVAL 3 "APPR-on of DO I av6 SEPTIC E JPEC.IFICATIOKIS DOSE ����� � c � jI,l brzR OF DOSES: 3 �ti� PE R DA.4 TAyK MALIUFAC'fURCR� "T' TANK SIZE: 6S0 GALLOWS DO5E VOLU ALARM hAUUFA[7'URCit: S . - S% - . n1W v{,�Ij IMCLWO1AIG EAC 1 3 GAL . - - - ^ODCL. _ CAPACITIE A- 3. -.. C.ALI.� LS �wcHES oR u SWITCH TSaC: 'r'r�ZCC�R� B= Z IIJCHES'OR 3 f GOLLOLIS PUMP AAWUFACTURI`R: SDUL.aS C+e OR 53 6ALLOLIS MODEL WUJIBER: 3 11 Ds 21 1 KIC HES oR 15 � GALLONS SWITCH 7y1'C: , 1JOTE: PUMP ARID ALARM ARf TO 6 MIMIMUM DISCHARGE RATE Z$,I,5 GPM INSTALLED OW SEPARATE cIRCUITS VERTICAL DIFFEREUCE DETWEELI PUMP Off AUO..DISTIt15UTIOM PIPE.. g.ZS FEET + M14IAUM AIETWORK SUPPI`.y PRESSURE . . . . . _ , . . . . 2 -5b Fr-CT + _ O FE OF FORCE MIM X �� b F 00 FLFKICTto1.I FALTOR.. 1 ' 13 FEET I TOTAL 05UAMIC HEAD = �Z'9�3 FEET Pump chamber DIAMETER ` ILITERAIAL. DIME1.ISIOWJ OF TALIK= I_Ek1CsTN_-: - ;LIQUID DEPTH BOTTOM AREA T - 231= GAL /INCH AS 'PER MANUFACTURER = k 0• GAL /INCH FROM .Schumaker P l umb i nq FAX o NO. 7153863121 May. 09 2001 01: 37PM P2 Goulds Submaysible Effluent Pump 38 71 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel_ grade turbine oil for for efficient heat transfer, following uses- • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. tic cover with integral handle Farms Motor. Available for automatic and manual operation. Automatic and float switch attachment • • Heavy duty sump • EPO4 Single phase: 0.4 HP, modals include Mechanical RP M, , built in n overload with point' • Water transfer 230 155 it h Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RP automatic reset preset at the factory. rated oil and water resistant ■Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: RP , FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, � Pump: EPO4 built in overload with ■ EPO4 Impeller. Thermo- construction. - Solids handling capability: automatic reset, plastic Semi -open design /: maximum. • Power card: 10 foot with pump out vanes for AGENCY LISTING j .-- - Capacities: up to 55 GPM, standard length, 16/3 SJTO mechanical seal protection. Canadian s tandards associauen ".utal heads: up to 24 feet. with three prong grounding EP05 Impeller: Thermo- " Discharge size: l' /2" NPT. plug. Optional 20 foot (CSA listed model numbers • Mechanical seal: carbon- length l6/3 SJTVN with plastic enclosed design for end in "F" or "AC ".) rotary/ceramic - stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104•F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent, corrosion resistance. • Fasteners: 300 series MT TMS FEET stainless steel. 10 Capable of running I i I I ;_.:•� : "r;`.• -; ! dry without damage to s 30 components. I I ; u x ,lsc,Pnn: Pump: EP05 2 r • Solids handling capability: o e 25 I I l pc I 1/" maximum. 7 I f w. I • Capacities: up to 60 GPM. s 20 • Total heads: up to 31 feet I i 1 i • Discharge size: iI& NPT. V& 1 • Mechanical seal: carbon- I I I rotary/ceramic stationary, j 15 ! BUNA -N elastomers_ • Temperature: s 10 _ 1040F (40 continuous 140 F.(60 C) intermittent. 2 1 5 I 0 00 10 20 30 40 so GPM ~. . 0 2 4 6 8 10 12 rn'Jh CAPACrrY