HomeMy WebLinkAbout026-1294-16-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 552376 0
GENERAL INFORMATION 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:
Richmond Acres LLC, C/O Gerald J. Smith Richmond, Town of 026-1294-16-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
C :5-r 28.30.18.1498
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic j \ J T... t Benchmark Jos 3
5.3 /
,6,` Alt. B 1 1154K7.4 Az .
CLr 44- _e'
8e
Aeration Bldg. Sewer
Holding St/Ht Inlet 7• 2,5 IV-65
TANK SETBACK INFORMATION St/Ht Outlet -7, 55 75
I
TANK TO i 'P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic ~ w /mod J L, Dt Bottom
Ier 7`D ✓O
Dosing Header/Man.
l •1 R7• I/
Aeration Dist. Pipe 9f
$.1 L
Holding Bot. System , b (p . 3
9 • ~ 9l0.
Final Grade
PUMP/SIPHON INFORMATION
Manufacturer Demand St Cover
GPM fr; Id-7 , 9
Model ber
TDH 'ft Friction Loss S ad DH 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 3 Z ~ \
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: -r' n
INFORMATION CHAMBER OR /
Type Of System: n ~
Gonystem: 0n 71; /56 ' UNIT Model Number- A4 54 ,f
a ,~J
DISTRIBUTION SYSTEM gF = S to us
Header/Manifold Distribution 0 A)C I x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) a t1r.. /
Length Ir Dia Length Dia \ Spacing 7 1.50
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Over x Dept
f xx Seeded/Sodded xx Mulch d
Depth Over T FDetTrench
Bed/Trench Center
7 Edges Topsoil Yes No Yes 0 No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 1348 116th Str6.'14c- et New Richmond, WI 54017 (NW 1/4 SE 1/4 28 T30N R1 8W) Richmond Acres Lot 16 Parcel No: 28.30.18.1498
1.) Alt BM Description = L o Gk o-
2.) Bldg sewer length= - amount of cover =
> y o ~0
Plan revision Required? ❑ Yes No
Use other side for additional information. Z
SBD-6710 (R.3/97) Date Insepctor's gnatu Cert. No.
Safety and Buildings Division '
201 W. Washington Ave., P.O. Box 7162 County
Cpryt1Y1@rC@.WLgOV 'cons' Madison, W1 53707-7162 Sanitary Permit Number (to be filled in by Co.)
L__ Department of Com ' 3 :7.,62
State Transaction Number
Sa it Applicatio
In accordance with s. Comm. 83), s. Adm. Code, submission of this fo the app ovemmental Address if different than mailing address)
for state -o WTS are project
unit is required prior to obtaining a sanitary permit. Note: Application f s
of Commerce. Personal information you ov]de may be used~f ondary
S~
su rposes to the Department /
purposes (l / /G
in accordance with the Privacy Law, s. 15.04 1 (m ,Stets. J Q /
1. Application Information - Please Print All Information
-Parcel #
Property Owner's e G D
r/l
erty Location
Property Owner's Mailing Tess Propoa
J Govt. Lot 2 O
City, State Zip ode Phone Humber t A/ ~ -A Section
/ e ) , • cle o
/ C.c...J l~ W I T N; R E
if. Type of Building (check all that apply) Lot #
✓ Subdivision Name
or 2 Family Dwell' g - Number of Bedrooms 1 X ~ vytc Block #
Public/Commercial Desc,ri a ❑ City of
CSM Number ❑ illage of
❑ State Owned - Describe Use
wn of -
111. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. 54ew System ❑ Replacement System ❑ Treatmentiflolding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner
IV. Type of POWTS S stem/Componc._t/Device• (Check all that apply)
on-Pressurized In-Ground L1 Pressurized In-Ground 10 t-Grade ❑ u d > 24 in. of suitable soil El Mound < 24 in of s itable soil
c _ -f !
❑ Holding Tank ❑ Other Dispersal Component (explain _ d"`t' ffletreatment Device (explain)
vvt
V. Dispersal/Treatment Area Information:
Des] Flow (gpd) Design Soil Application Rate(gpdso Dispersal Area Required (sf) Dispersal Area Proposed (sf) S stem E ati t
0 41-1 0
//70--
V I. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units
New Tanks Existing Tanks U w C7 P. 1*0 a) Septic or Holding Tank)
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assu esponsibility €or installation of the POWTS shown on the attached plans. -mb Plu ',S Name (Print) Plumber'
store MPIMPRS Number Business Phone Number
/[l ° f. Z Om', I -ot O _ %V 9
Plumber's Address (Street, City, State, Zip Code)
VIII. oun IDepartment Use Only
Permit Fee Date Issued uing Agent ' atur 4
Approved ❑ Disapproved $ d-0 G2~
❑ Owner Given Reason for Denial 7 5-~Ia
IX. Co ddltions of Approval/Reas s f D' approval G (p f2 iQel 0--.211
~YSTEM OWNER:
~
GW[ '
1 Septic tank, effluent filter and 14
dispersal cell must all be serviced / maintai 'ned s GJ ~ 4WX_--)
as per management plan provided by plumber.
2. All setback re -
as per applical?t69~'~rices r d auhmit to the County duly on paper not less than 81n x 1.t inches in size
Imp
SBD-6398 (R. 02/09)
Cover Page
Shaun Bird
Bird Plumbing Inc.
1008 192nd Ave
New Richmond Wi 54017
715-246-4516
Date: 6/4/12
Owner: Oevering Homes
Location: NW1 /4 SE1 /4 S28 T30 N,R18W Lot 16 Richmond Acres 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
4-6. Maintanance and Continge cy Plan
7. Filter Specifications Shee
Signature
License number # 6 0
PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 SE 1/45 28 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 6/6/12 BEDROOM 3
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
1000 gallons LIFT TANK SIZE DOSE TANK SIZE
MOUND SEPTIC TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 141 # of chambers 56
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100° Filter BEST Filter
H.R.P. Same as Benchmark ~ySfP.ti- t l?✓ v,.~ z Y
❑ BOREHOLE O WELL
~ /
SW B M.* Property Line j
CO (4 Well is to meet all Vent
setbacks required by >6„ Quick4 Standard
WDNR Leaching Chamber
of Cover with 20.0 ft2 of Area
g 10.2ft^2/pair of end caps
4' Long 12"
Grade at System Elevation
7% Slope 34"
15'B-1 40' 70' '
All pi in shall be SDR 30/ J-1, W . thin
Vents 10'B-2 o an , piping shall be Schedule 400 AS M
100.5'
20' 100' B-3
S 101.5'
2-3' X 114' Cells with >3' Spacing
80'
Pro 3 Bedroom House
Property Line
116th St.
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard Leaching Chamber
with 20.0 ft2 of Area per Chamber To be >1' above grade
10.2ft^2 pair of end plates
Finish grade elevation
Typical Installation 101.0'
Vent X/ Grade Vent
3' 4„ 3'
x/30/34 Septic Tank
5'
5 Long 5 Long Grade at System Elevation
3697 Grade at System Elevation
-9G s'
Spacing 5'
2-3' X 114' Cells
Same on other end Observation tubeNent
At end of cell
A
B
28 chambers per cell _
System elevations:
A__96.5
B__96.9
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page l of
FILE INFORMATION (L 6dLnr 6 r r SYSTEM SPECIFICATIONS
Owner LL~ Septic Tank Capacity gal ❑ NA
Permit # awl _4=2 Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units NA Pump Tank Capacity gal NA
Estimated flow (average) gal/day Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5) J gal/day Pump Manufacturer NA
Soil Application Rate i gal/day/ft2 Pump Model NA
Standard Influent/Effluent Quality Monthly average*! Pretreatment Unit NA
Fats, Oil & Grease (FOG) <_30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD5) :5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) :_150 mg/L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BODS) <30 mg/L In-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) <30 mg/L NNA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) :_104 fu/100ml ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size Y. in dia. ❑ ~lA Other: ❑ NA
Other: ❑ NA Other: ❑ NA
*Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: J ❑ month(s) (Maximum 3 years) ❑ NA
year(s)
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA
Inspect dispersal cell(s) At least once ever ❑ month(s) (Maximum 3 ears) ❑ NA
y' 3 year(s) y
Clean effluent filter At least once every: yonth(s) ❑ NA
ear(s)
Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA
❑ year(s),
Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA
❑ year(s)
Other: ❑ month(s)
At least once every: ❑ NA
❑ year(s)
Other:
❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (%3) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of :512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
GMW (4/01)
I
Page Zof
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
e All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be, removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
reKenstem. t system:
suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
The e replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site
evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank
may be installed as a last resort to replace the failed POWTS.
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name Name ~C
Phone 7"--60,T J~ Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name ` Name rte, u,,
a?
" a 6-S y~ Phone 1-7j
Phone 71,j
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
ST. CROIX COUNTY
SEPTIC TANK. MA'NTTNANCE AGREEMENT
OWNERSHIP LCERT
A
DZCATIONFORM
Owner/Buyer `
Mailing Address _Z'7
35-
Property Address ?j /l aI ~ AZT -
~ /~lro ~ sT
(Vecation required from P1
arming & Zoning Department for new construction.)
City/State ll~Q{,cJ
Parcel Identification Number
.LEGAL DESCRIPTION
y1p
Property Location 1/a%, , Sec. 2
30 R/~ -W, Town of _
Subdivision , 7`
~
Certified Survey Map Lot
Volume Page #
Warranty Deed #
Volume Page #
Spec house ye no
Lot lines identifiabl yeS o
SYSTEM MAINTENANCE AND OWNER CERTII''ICATION
Improper use and maintenance of your s rs o
maintenance consists ofpu aping out the oseptic tank every three years ooner~
the system can a fneed d, by a lice idle wastes. Proper
ffect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §Cornm. 83,52(1) and in chapter 12 - St. Croix County Sanitary Ordinan ewer what you put into
The property owner agrees to submit to St. Croix County and by a master plumber, journeyman h' planning & Zoning Department a certification fo
wastewater disposal system is in Plumber, restricted plumber or a licensed signed by the
less than 1/3 full of sludge. Proper operating condition and/or (2) after inspection Pumper verifying that (1) tile on-site
Pimping (if necessary), the septic tank is
V*uve, the undersigned have read the
he herein, as set by the De
standards set forth, above requirements and agree maintain the private sewage disposal system with the
Certification statin p y P~nent of Commerce and the Da e
g that Your se tics stem has been maintained must be co pent of Natural Resources, State of Wisconsin,
Zoning Department within 30 days Of the three year expiration date. completed and returned to the St. Croix County Planning &
Uwe certify that all statements on this form are true to the best of my/our knowledge. 1/we am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number o rooms 3 7
SIGNATURE OF AP LICANT(S) `6-/ 1,~// Z
DATE
Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & zoning ,x*
Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified
reference is made in the warranty deed.
ed s
urvey map if
(REV. 08105)
Air.
Wisconsin Department of Commerce L LU TION R~ Page / of
Division of Safety and Buildings
accorda WiA(, mjj(m~~85, Wis. m. Code
;ffes~'i~' County
Attach complete site plan on paper not ss thark, x 11 inc i ize. PI must
include, but not limited to: vertical and ntakY~f AF direai n and Parcel I.D. / percent slope, scale or dimensions, o rice t nearest road. (ai'
t7 Y ICE
Please print all information. Reviewed Date
Personal iM a n you y be use fo econ a purposes (Privacy Law, s. 15.04 (1) (m)). (Q / 3
Property Own U10- Property Location
B~A Govt. Lot ! 1 /4 r 1 /4 S Z T O N R E (o W
Property Owne s Maili Addre Lot # Block # Subd. Name or CSM#
City State Zip Code Phone Number ❑ City ❑ Village o Nearest Road
New Construction UsOI<Besidential / Number of bedrooms Code derived design flow rate yy't GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Flood //Plla__i~cn- elevation if applicable ~ Q ft.
General comments Rj-
and recommendations:
G~ uC
System Type System Elevation J
❑ Boring t-- d0'/~vn~CG!/
0 Boring # ® pit Ground surface elev. /Ul1 . sft, Depth to limiting factor ! in.
Soil Appli 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
2-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
s
S s
/al
3-17
Effluent #1 = BOO > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sig CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 6' ~L z Z- 715-246-4516
Property Owner _ P cel ID # Page of
Boring # ❑ Boring E t~
I pit Ground surface elev._-;,ft. Depth to limiting factor -'7"`- - in. Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. n 'Eff#1 'Eff#2
2 10-36 11f, -51Y Gv
a
a Boring # ❑ Boring
❑ pit Ground surface elev. ff. Depth to limiting factor in. Soil lication 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
F-1 ❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil ication Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDIff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODS > 30 < 220 mg1L and TSS >30:S 150 mgll- ' Effluent #2 = BODS < 30 mg/- and TSS < 30 mg1L
I
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SOD-8330 (R.N00)
5-i d~A_ 3 P 3
U.Soil Test Plot Plan
Project Name Oevering Homes Sha Bird
Address 1433 Cernohous Ave
New Richmond Wi 54017 /STM #226900
Lot 16 Subdivision Richmond Acres Date 6/7/12
NW 1/4 SE 1/4S 28 T 30 N/R18 W Township Richmond
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 96.5/96.9 *HRpSameasBenchmark
B M. * Property Line
f7sojeornw Scale is 1" = 40'
unless otherwise
noted
80'
7% Slope
15' B-1 40' 70'
10' B-2
30' 100.5'
B-3
101.5'
100'
Pro 3 Bedroom House
Property Line
116th St.
8O' RADlU.'
'89'56'03"E 5225.30'- - DRAINAGE Spp~y'y3 rlr EASEMENT
Ea S 7.18 , UPON m
1949.68'
177.00' 527.08'
,1 `N Q+ z
0. o~w yo 974.
ey 1 ~Col
L4~tow
2.12 acres - , wQ Con L4
92,174 sq. ft.
z L. B. 0. 975. 0 H. WE. =97J a
•
g goo'
$ 589'56'27"W 521.07' V V r
220.00' 301.07' j • r
1.94 acres 1V o 17 CO
4 AG1 tl Cn
1r, /o01.
Parcel 026-1294-16-000 06/13/2012 02:45 PM
PAGE 1 OF 1
Alt. Parcel M 28.30.18.1498 026 - TOWN OF RICHMOND
Current ❑ ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
11/10/2005 00 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner
0 - RICHMOND ACRES LLC
RICHMOND ACRES LLC
7935 STONE CREEK DR STE 10
CHANHASSEN MN 55317
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1348 116TH ST
SC 3962 SCH DIST NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 2.120 Plat: 10-086-RICHMOND ACRES LOTS 3/49 026-05
SEC 28 T30N R18W PT NW SE RICHMOND ACRES Block/Condo Bldg: LOT 016
LOT 16
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
28-30N-18W NW SE
Notes: Parcel History:
Date Vol/Page Type
11/10/2005 81173 10/086 PLAT
LL c-
2012 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 04/30/2012
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 2.120 400 0 400 NO 10
Totals for 2012:
General Property 2.120 400 0 400
Woodland 0.000 0 0
Totals for 2011:
General Property 2.120 22,700 0 22,700
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
r
'3E+641
U 2814P 5 MAT
REGISTER OF DEEDS
ST. CROIX CO., WI
DOCUMENT NO. WARRANTY DEED RECEIVED FOR RECORD
06/03/:2005 12:00PH
WARRANTY DEED
EXEWT #
This Deed, made between David A. Ball and Kimberly A. Ball, husband REC FEE: 13.00
and wife and Dennis F. Ball and Nancy A. Ball, husband and wife, TRANS FEE: 3185.40
Grantors, and Gerald J. Smith, a married person, Grantee, COPY FEE:
CC FEE.
WITNESSETH, T a a e consideration PAGES: 2
convey to Grantee the following described real estate in St. Croix
County, State of Wisconsin::
RETURN TO:
Parcel 1: The East Half of the East Half of the Southwest Quarter Loberg Law Office
(E'/. 359 West Main Street
/E'/2 Ellsworth, WI 54011
/SW%) of Section Twenty Eight (28), Township Thirty (30) North, PID #026-1082-40-000
Range Eighteen (18) West, Town of Richmond, St. Croix County, 026-1082-70-100
Wisconsin, EXCEPT Lot One (1) of Certified Survey Map filed April 026-1082-95-000
24, 1990, in Vol. 8 of C.S.M., pg. 2199, as Doc. No. 457843, being 026-1083-10-000
part of the Southwest Quarter of the Southeast Quarter (SW'/,/SE'/.)
and part of the Southeast Quarter of the Southwest Quarter
(SE'/,/SW'/+), both in Section Twenty Eight (28), Township Thirty (30)
North, Range Eighteen (18) West.
Parcel 2: The West Half of the Southeast Quarter (W'/2
/SE'/,) of Section Twenty Eight (28), Township Thirty (30) North,
Range Eighteen (18) West, Town of Richmond, St. Croix County,
Wisconsin, EXCEPT the following described parcels:
1. Lot One (1) of Certified Survey Map filed April 24, 1990, in Vol. 8
of C.S.M., pg. 2199, as Doc. No. 457843, being part of the Southwest
Quarter of the Southeast Quarter (SW'/,/SE'/.) and part of the
Southeast Quarter of the Southwest Quarter (SE'/./SW both in
Section Twenty Eight (28), Township Thirty (30) North, Range
Eighteen (18) West;
2. Lot One (1) of Certified Survey Map filed August 13, 1981, in Vol. 4
of C.S.M., pg. 1093, as Doc. No. 372738, being part of the Southwest
Quarter of the Southeast Quarter (SW'/,/SE'/.) of Section Twenty
Eight (28), Township Thirty (30) North, Range Eighteen (18) West;
3. Commencing at the Southwest corner of Lot One (1) of Certified
Survey Map filed August 13, 1981, in Vol. 4 of C.S.M., pg. 1093, as
Doc. No. 372738, for the point of beginning; thence N89'59'15" West
20.00 feet; thence NO'01'41" East 262.00 feet; thence S89'59'15"
East 224.00 feet; thence SO'01'41" West 15.00 feet; thence
N89'59'15" West 209.00 feet; thence SO'01'41" West 242.00 feet to
the point of beginning;
4. Commencing at the Northeast comer of the Northwest Quarter of
the Southeast Quarter (NW'/./SE'/.) of said Section 28; thence South
16 feet; thence Northwesterly to a point 10 feet West of the point of
beginning, thence East to the point of beginning.
This is not homestead property.
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And grantors warrants that the title is good, indefeasible in fee simple and free and clear of
encumbrances except easements, restrictions, covenants and conditions and will warrant and defend
the same.