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Home My WebLink About026-1296-18-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538758 0 (ATTACH TO PERMIT) GENERAL INFO_ MATION 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: Clevering Homes LLC, c/o Kenneth J. Oeverin Richmond, Town of 026- 1296 -18 -000 CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No b f cr 07.30.18.1549 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV r Septic � a=+�. / 10 Benchmark J G ZS Alt. B O - /d g s y� Aeration Bldg. Sewer Holding St /Ht Inlet Al. 6 SUHt Outlet 7 /D S TANK SETBACK INFORMATION S• O /��, TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � / � � / Dt Bottom Dosing Header /Man. Aeration Dist. Pipe $, t d 3. S Holding Bot. System 7. o PUMP /SIPHON INFORMATION Final Grade Lam 3. 7 /ers Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System TDH Ft Forcemain Lengt Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of Trenches -- ,, PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS W Z 2r. LC"o `—� —_ SETBACK SYSTEM TO P/L jBLbG IWELL LAKE /STREAM LEACHING Manufacturer /+ INFORMATION CHAMBER OR T.�. F,-( Type Of System: C r /[ 7� �/1 Model Number: [ L 5 /�'-' UNIT � , •T Q cJ � �. T S DISTRIBUTION SYSTEM E 23 4- Z W-5 f vl'bAJ�_ Header /Manifov // Distribution x Hole Size x Hole Spacing VentttoAir Int e Pipe(s) G K /YI 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 BedlTrench Center ? Bed/Trench Edges Topsoil - No `�Ke` No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2 Location: 1632 98th Stree_t Ney Richmond, WI 54017 (NE 1/4 SE 1/4 7 T30N R1 8W) Country View Ridge Lot 18 Parcel No: 07.30 18 1549 I 1.) Alt BM Description = i ( 2.) Bldg sewer length = Z7 Pi c r � S,j Lia � - amount of cover = Q Q �� v � �� n r/ v � i^I i d� Plan revision Required? r Yes o L — - � I �"�� Zb Use other side for additional information. J 1 / SBD -6710 (R.3/97) Date Insepctor's Sig ture Cert No Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538758 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Oevering Homes LLC, c/o Kenneth J. Oeverin Richmond, Town of 026- 1296 -18 -000 CST BM Elev: Insp. BM Elev: I BM Description: Section /Town /Range /Map No 07.30.18 1549 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) 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 BedlTrench Center Bed /Trench Edges Topsoil Yes 7 No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2' / Location: 1632 98th Street New Richmond, WI 54017 (NE 1/4 SE 1/4 7 T30N R1 8W) Country View Ridge Lot 18 Parcel No: 07.30.18 1549 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = —� - -- -- Plan revision Required? FE-11 Yes H No I Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No - -- comffmve,yyl,gov Safety a uildin a County l r l� Madison, WI 5 San Perm n r 201 W. Washington P.O. 162 - - 370 - itary it Number to be filled in by Co.) ll�. t� �"1 c3 `3 75 8 -- — - -- - -- — State Transacho Number Sanitary Fermat Applic on In a; ,ardence , vith s. Comm. 83.21(2), Wis. Adm. Code, submission of this rm to the vernmental unit rrt require I prior to obtaining a sanitary permit. Note; Applicatio forma for state S are Prod Address (if different than mailing address) submitted to tie Department of Commerce. Personal information yo provide�r�lay be used m u ies in act ordence with the Privacy Law, s. 15.04 I m , Slots. 3 I. ) 1,1 tp 1catit in Information - Please Print All I atlon S _ Prop :rty Owner's Name N / C Z � C � O,, P D � Prol € rty �Wner' O,c Govt. Prope Location � 5� / city. State Zip Code Phone Numb- A) y , Section T N; R II 'IPYpe of B nllding (check all that apply) [ of # Subdivision Name It 2 FamiI y Dwelling -- Number of Bedrooms dk � er �� Blo �ol� ✓I � �J - ❑ I + nercial - Describe Use - ___ ❑ City of CSM Number ❑ illagc of _ -- ❑ Santo Ownel I - Describe Use _-- - —• 1* wn of 1a1 � �-23 — -- IIL, 1['ype f 1 termlt: (Check o nly a box online A. Complete line B if applieable) A. ' System ` ❑ Replacement System ❑ TreatmenttHolding Tank Replacement Only ❑ Other Modification to Existing System•(explain) -- -- List Previous Permit Number and Date Issued B. ❑ Pern lit Renewal ❑ Permit Revision ❑Cha nge of Plumber ❑ Perm it Transfer to New Before E xpiration Owner / P� IV `I' TS S of I IOW stem /Co Check all that a 1 un Pressu ized In Ground ❑ I masurized in- Ground ❑ At -Grade ❑ Mound> 24 in. of suitable soil ❑ Mound < 24 in. of suitable soitG Q ❑ 1 Vulding Tauk Other Dispersal Component (explain)_____. -__ —_ ❑ Pretreatment Device (explain)_ V. D ispersah Trea&vfe Area Information: __ _ Dc :q g;n Flow Q pd) Design Soit Application R (gpdsf) Dispersal Area Required (s Dispersal Area Proposed ( System Elevation 1 --� 5 /v 3 � 1��• (7 Vll. Tank In D — - Capacity in Total # of Manufacturer Gallo Callon Units o 9 n New Tanks Pxisting Tanks Q :: o 'a � m 1 i is w c7 w Seer r. or tloldint 'rank DnsiI Chamber - V1 L. Respont Willy Statement- 1, the undersigned, assume r Witty for installation of the POWrS shown on the attached plans. P i er's Name Print) Plumber's re MP/MPRS Number Business Phone Number PI umber's Address (Street, City, State, Code) V1111, pnunt3 Me ar� Use Qnl� - - - -_- _ - - - - - -- t - -- —_ —_ - - - -- Permit Fee Date $11 ature approved isapprov S L� Ownc ven Reason mint � { ii'aons for Disapproval J, P t A _ filler and ) ✓. dispersal cell must a ll be services / maiMalrtad as per management plan provided by p1 w.4'i�r. 2: Aq tied ck _#ernents rtrust be.rrihintaiFtOd � /Ytt�b - i -� . _ _ - tnitAfa —* uuup Atloeh to complete W rbr file syntam rna aOb1n t e cna ty. my o proper not IesN than a I!z x In /�� Q 5131;) -6398 (R. 01/07) Valid thm 01/09 i ay., 6 r aA_� l Cover Page Shaun Bird Bird Plumbing Inc. , 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 4/26/11 Owner: Ken Oevering Location:NE1 /4 SE1 /4 S7 T30 N,R18W Lot 18 Country View Ridge Richmond System type: In- ground absorbtion system(conventional) Manuals Used: In- ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4 -5. Maintanance and Contingency Plan 6. Filter Specifications Sheet 7. Addition Soil Boring Pr fil Signature License number 2 900 PLOT PLAN PROJECT Ken Oeverina ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NE 1/4 SE 1 /4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/26/11 BEDROOM 3 CONVENTIONAL )00( IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallo�ls LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE :5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100° Filter BEST Filter ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark �.YSTEM ELEVATION 103.0/102.0 4' below qrade •r w Well is to meet all Plans Designed Using setbacks required by Conventional Powts Scale is I" = 40' WDNR Manual Version 2.0 unless otherwise noted 98th St. Pro 3 bedroom 70' roperty Line Ouse ;fA d k4 dard -W 20' i Chamber .0 ft2 of Area 2 /pair of end caps ST e at System Elevation 25' B -2 30' 107' Vents 105' 2 -3' X 94' cells with >3' spacing 100' 40' 10' B 3 103' 120 B- S pe Caution! D raina &e 140 e asement i to be staked prior to installation and ve led by county at 287' Property tim of inspection �ru 9 B.M. PLOT PLAN PROJECT Ken Oeverina ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NE 1/4 SE 1 /4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/26/11 BEDROOM 3 CONVENTIONAL )00( IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gall0PS LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE :5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of survey iron a ASSUME ELEVATION 100° Filter BEST Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark �YSTEM ELEVATION 103.0/102.0 4' below qrade i Well is to meet all Plans Designed Using setbacks required by Conventional Powts Scale is 1 „ = 40 , WDNR Manual Version 2.0 unless otherwise noted 98th St. Pro 3 170' roperty Line AL bedroom Vent ouse >6 „ Quick4 andard -W 20' of Cover Leachi Chamber with 2 .0 ft2 of Area ST 4' Long 1219 5.8ft 2 /pair of end caps 34” rade at System Elevation B -1 80, B -2 30' 25' 107' 105' Vents 2-3'X 94' cells with >3' spacing 100' 40' 10' 103' 12 o B -3 B- S p C aution! D rainage 140 easement is to be staked prior to installation and ver ied by county at tim of inspection 287' Property Line B.M. Cross Section of Quick 4 Standard -W Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard -W Leaching Chamber with 20.0 ft2 of Area per Chamber 5.8ft ^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 107.5 Grade �► Vent 4" 4' X30/34 Septic Tank , Ivent 5' 4' Long 1 Grade at System Elevation 3 4" Grade at System Elevation 3 4" Spacing 5' 2 - 3' X 96 Cells Observation tubeNent Same on other end Located at ends of Cell A B 23 chambers per cell System elevations: A_103.0 B 102.0 ST. CROIX COUNTY SEM TANK MAIlV'lL'ENANCE AGREEMENT AND OWNELtSER CERTIMATION FORM owncrAftycr _LIM mom lie Uaw `�/ 7 condrao� pmel IdeutficW°U Numbea City /Stake 30 N RJL T OM of _ g . Property Lo on r Saul page # Volume !_ ---- Cerdf led survey MW # Volumc —' pass # Decd # _-- ---- -- nA Warrants Loth Spw wxwe na N ooh is its P=@M0 pum�et- wad y Pal 12 of tfjMe Yaw oac sooner, �• p maw b v" aad &c t tents evmy *x" a g y tam ft By � of ib Md m c i2 - St C� c°A° AY sma0exs► by lba a §c°'n°®°' p� Zonis$ D 10 yx Idtft owM 09tow bo subs w a°� P�p°t a r a liceasred (if saxy). the y ' � pU bse,�r andlar (2) a1w owl his iapie ° 8y �wills the aqxwel low � a f u of Shop- o tic m�ofN� ' Plav 8 & �p we sha ita above lgpd t o De' In ft SL wa = set $north.°3a°. as set by yes beEa ��smtan� Abe comet and te1�d �.fs,�ation stator$ tip 3 0 d o fi tlm� S °n d aft. � &0 awa'w(s) of am a� 3ays �� edge. I/a'a the best Of Zo�S V , m car gly tbidA SkIless c d jaRg&w ofDolds 09b;& y desk sbom by virm 'Of & wm=V � irinmbe of b DAT— SIGN Op AppT,,ICCANT(S) may took i n � nr"W by ft pvmdsn8 & � D � .* MOSCOW .. *Aa mto &a semaY P�� Ofd and s caP3' offt c Mvey zmP if �' s deed frasnthe RaB� of I}eed$ Ia,clude � this � . is M& m wa ramly deed. refamwe owv. o&" Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Eff luent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 ncy Plan Option # . If system fails, determine cause of failure, use alternate area and install new sys em in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option #3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 z to o �U- PI I CE V U- t D � o a o ��+. Z U 0 C7 0 - -- -- cn u-� g� w N P 129 J V _ d L U . o LL a EL co N N x O ai Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / Of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code , Cr Attach complete site plan on paper not less than 8 1/2 x 11 inches i Count 5� 01X include. but not limited to: vertical and horizontal referem ��.. Parcel LD. percent slope, scale or dimensions, north arrow, and loca n an Vo nearest road. �`' / t% "' / ��✓ Please print all informati Reviewed by Date i Personal information you provide may be used for secondary P. es (Priv�w, 15.04 (1) (m)). QS Property Owner /� , 8 ��ation/4 � 1 S FT �u N R/d E (o W Property es Mailing Add of # Block # Subd. Name o CSM# a s x / N 8 -- 6L � -11 s� 2, City State Zip Code Phone ber ❑ C' ❑ illage To eare t oad o z°c Jx —'C- 7 LrJ y 17 ( ) , New Construction Use: esidential /Number of bedrooms -> Code derived design flow rate J27 GPD ❑ Replacement ❑ Public or mmercial - D scribe Parent material .� � 11 Flood Plain elevation if applicable ft. General comments and recommendations: l�tr S 4��1�- C�tGZ -� Se. c,.* fe e." er�.Vac Boring # Q Boring 1� �J ' ✓_ pit Ground surface elev. I/ / Depth to limiting factor �/ D in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Colo Gr. Sz. Sh. *Eff#1 I *Eft#2 0 — " L- e3 /-D 3' O S, Boring # Boring n Pit Ground surface elev. ft. Depth to limiting factor_ in. Soil Application Rate Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont_ Color Gr. Sz. Sh. *Eff#1 *Eff #2 3 12- --- 2 r7, 0 e S Zr", �. o Z- A- � i s� c i 2rhs� w � y' � fl cr Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 16rKA * Effluent #2 = BOD 130 mg/L and TSS < 30 mg/L CST Name (Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 540 7 — C;o 0 X—'' 715- 246 -4516 Property Owner _ Parcel ID # Page of Boring # Boring f� t( /� I--- pit Ground surface elev. D37 tt. Depth 40 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. 'Ef 'Eff#2 CA I // kf F 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 GPD/ff in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑ Pit Boring . ft ❑ Ground surface elev. Depth to limiting factor in. Soil ication 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 Effluent #1 = BOD > 30:s 220 nVL and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mglL and TSS < 30 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 -264 -8777. SOMS330 (8.6100) • Soil Test Plot Plan Project Name Country View Ridge LLC Shaun Address P.O. Box 176 / New Richmond Wi 54017 CS #226900 Lot 1 6 Subdivision Country View Ridge Date 5/20 5 NE 1/4 SE 1/4S 7 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 /Nail System Elevation 104.3/103.3 *HRpSame as Benchmark Scale is 1" = 40' u ; 98tH St. unless otherwise noted 17�' Property Li e r: I ? B -2 B-1 80' 30' 107' 7 105' 40' 103' B -3 slope II / 1 140 i a 287' Property Line B.M. 7 9 a c e � � ,, i ;�� 11 ��'� l � l �i r � �— -- � � — _ \ • 1 � 871 fT / / ,V , i / %il // h � l` \ �11 / + r` 1 - \•� /q s ' rly� 98 5 � i / S',, 29. �Cr!es ' / ' I o v ri / — / _ 20 366,83' o I� / - ; ,$82. sg•ft.- % � ' "�� - �' /�� %'� � // 237• „�� \� \\ � � ;1'�� \ � � , / Pip ° F` 45.75, / / / % / % - \ \ ' ^ ' \.\ I JoP °, �S8 'i8'46 E % / / !� / Elevation 4.6 It 247.00' - 87,1 acres Shed 'All C5 ALO i \ e acrs 3 e o \ 1 \ \ e d / � \ r 17 �ft) ) ) I \ \1 �xlstlnq �- 0. I I �g60 �- \, -� 7 1 s I 1 8 2.0 r$s I I Ito I ,r )�1ro o 96 \ \ `� J 1 000, Me 2 7.01 / � - 0 1 \ \ \ \1111 - S�9• 63 »E f s /J�t�P Orb �a' MWATV /- 1 �3'�0 acres /��PG k \ \ \ \ \ \ \ �) N r � � 96- / /57 -4 o� �� _ - 21 \ r) loll o N i p , - 1 ) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ` Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County U0 J; include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. J 7 1 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 0 ZAP r / v Please print all information. Revi wed by Dat ) Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner ( Property Location k/ l l Qi O P'o e f I Govt. Lot / 114:�7114 T30 N R g E (or nW Property Owner's Mailing Add re Lot # Block # Subd. Name or CSM# An k og, Ag,Qj a t ell rt A City tate Zip Code Phone Number ❑ City ❑Village Nearest oad K. w1 5�� ( ) t , GI/ New Construction Use.iRkResidential / Number of bedrooms Code derived design flow rate yJy GPD ❑ Replacement ❑ P blic or commercial - Describe: Parent material 0 FI_Qod Plain elevation if applicable AL ft, General comments and recommendations: System Type System Elevation d / Qr; ® Boring #/ Wi ring ❑ 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. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 F-1 Boring # ° Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Sal 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 •Effluent #1 =BOO > 30 < 220 mg/L and TSS >30 < 150 mg • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Narry (Please Print) Si re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 715- 246 -4516 22.9 - i� �V`�i ��Z� Sep°% 112.44' � / — 220.00 — 26'12'26"W _ — — — 2 2 16 5TH ® 14 3� \ 55.87' 799.12' CO �3 �( 87,548 sq.ft. 6 \ 2.010 acres N88. 57'22 "E 306.98 \ 15 �; \ — — - 259.18 - — 47.80 - -- 33' N26'1 2 '26 " W` , I M b i 56.01 \' I I Building Setback N87-01 "E Ld O�: I LO 16 17 I I ► 100 I 21 ' I 87,121 sq.ft. � 75,935 sq.ft. I b 2.000 acres 87,130 sq.ft. I I ' 1.743 acres I Z M LO 2.000 acres 1 I r m I / a �0p' N R 1 I / d - �4► S87'24'23 "E 39 / m ° / o 100 n ^ N / " 23 � "* / 20 / S86'1 8'46 "E 245.75' {•182 23 E ' v 83,879 sq.ft. 30.80' -� == r 17 / / 1.926 acres 1 D1 :s- N32'30'57 "E 49.56' N s�k\ qo ; \ - -- 414. z + i 19 276.24 � 137.81' �s I 1 5 \ � 87,111 sq.ft. \ / Bencl 14�1 2.000 acres \ / Top of 1" 0 Elevation 974.6 �F\ � S570422 "E 1 \ i' ,� �� / 04 82.01' 80,874 sq.ft. di d- \�O� 1.857 acres 6 k LBO = 959.00 O I � O CIA I 29 7.86 # - -- 2 , u7 87.01 - M 1 557'04'22 "E 97.63' _ N� 85,690 sq.ft. W 75.65' 579 36 ' 3 0 "E o �\ ��- 967 acres 1. O <t —to 14 0 (.A%:! 584 .87/' / . 9 �y' \�: LBO = 959.00 130,693 sq.ft. �Ero ina ge 1 - 3.000 acres �� '''3pg� emen I u�l LBO = 959.00 Ri 6 /�_D. o` o 00 rn� . 4 DO �� c3 � O .0 c 1 ,,� � ' � � O �--� ,��'0�5�p \ S6B0 N Z 5 ,25'E � ' 2� 64 2� X29 SO N66 113 20 ;'52 "E N28 — '39 52 "E � - ' 217.99' 66.00' 130.00' - - ` -- ' 1 and 3/8" Iron 533.52' South Line of the North Half _s aae c.,,,+hoemt Duarter 111111 VIII VIII VIII VIII VIII IIII Nllll 1111 fill 9 0 0 5 7 1 2 900571 STATE BAR OF WISCONSIN FORM 2- 2000 BETH PABST WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Country View Ridge, LLC, a 07/22/2009 08:OOAM Wisconsin limited liability company, Grantor, and Kenneth Oevering WARRANTY DEED and Amparo K. Oevering, husband and wife, Grantee. EXENPi I Grantor, for a valuable consideration, conveys to Grantee the following REC FEE: 13.00 described real estate in St. Croix County, State of Wisconsin: TRANS FEE: 541.80 PAGES: 2 Lots 3, 4, 11, 15, 17,0 22, 25, and 26, C ountry View Ri dge in the Town of Richmond, St. Croix County, Wisco stn. Recording Area Name and R m Address: Oranzo O ering PO Bo 79 New ichmond, WI 54016 See attached addendum Parcel Identification Number (PIN) This jLu homestead property. Dated this ('r day of I�Cb , 2009. Country View Ridge, LLC, a Wisconsin limited liability company * * By: AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) COUNTY OF ST. CROIX ) ss. authenticated this Personally came before me this N day of ._ the above named Country * View Ridge, LLC, a Wisconsin limited liability company to me known to be the person(s) who executed the foregoing TITLE: MEMBER STATE BAR OF WISCONSIN in nt acknowledged the same. (if not, authorized by § 706.06, Wis. Stats.) �:�''•� THIS INSTRUMENT WAS DRAFTED BY Notary Public, S e of Wisconsin � ,, Robert L. Loberg My commission is permanent, (If not, stat r?'�`°`ion_c r Loberg Law Office sw/ SFA7235 . ��,,- ��—y ,• Q��JJ . (Signatures may be authenticated or acknowledged. Both are not necessary.) '••....••• O tt *Names of persons signing in any capacity must be typed or printed below their signature ST�•}•E WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2 -2000 1 of 2 i Tax No. 026 - 1296 -03 -000 (Lot 3 Country View Ridge) Tax No. 026- 1296 -04 -000 (Lot 4 Country View Ridge) Tax No. 026 - 1296 -11 -000 (Lot 11 Country View Ridge) Tax No. 026- 1296 -15 -000 (Lot 15 Country View Ridge) Tax No. 026- 1296 -17 -000 (Lot 17 Country View Ridge) Tax No. 026- 1296 -18 -000 (Lot 18 Country View Ridge) Tax No. 026. 1296 -22 -000 (Lot 22 Country View Ridge) Tax No. 026 - 1296 -25 -000 (Lot 25 Country View Ridge) Tax No. 026- 1296 -26 -000 (Lot 26 Country View Ridge) 2 of 2 r it r �s sus Ass � w a.oN, W r ' E• -• -- -• -- - . p - PW E% -- ! t ` w • ' _ E __ ------------- - - - - -- - - - -- 7 .raw- 7 f � _