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026-1075-10-300
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 552398 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: Todd Marek Construction, c/o Todd R. Marek Richmond, Town of 026-1075-10-300 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: co C57- 26.30.18.392A30 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER © CAPACITY STATION BS HI FS ELEV. Septic Benchmark I J I Dosing Alt. BM u~ g n O. i rv~ lOw ~d parafinR Bldg. Sewer y g Holding St/Ht Inlet ~ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. V nt to Air Intake ROAD Dt Inlet , Septic 2 Dt Bottom a/ - Header/Man. Dosing It 746 9 7. Aeration Dist. Pipe I.c~J 9 ms's 7- /6 Holding Bot. System -7-# 7• (o 9.5 Final Grade PUMP/SIPHON INFORMATION 'g~ ~fD d/ Manufacturer Demand St Cover 6. i.0 9 GP~II~ ¢ Model Number 13/j!53 TDH Lift Frictio Loss System Heead TFH ~Ft 7- t.5 , 1 IV ' So 7 . Forcemain Le .6 Dia. Dist. to weld SOC.) n -791 e SOIL ABSORPTION SYSTEM j 99*• BED/TRENCH Width Lengthf f~=~ 0 0. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liqui Depth DIMENSIONS i ~ z V SETBACK SYSTEM TO 1GV P/L BLDG WELL LAKE/STREAM LEACHING Manufactur INFORMATION CHAMBER OR4 Type Of System: IVUNIT Model Number I - 45 15A C/! A Yv~ DISTRIBUTION SYSTEM a~,~: !`I~~ = a, ~v Header/Manifold i/ Distribution x Hole Size x Hole Spacing Ve to Air Intake Pipe(s) LDia \ Length ` Dia ~ Spacing , d SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only G✓ Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center v Bed/Trench Edges Topsoil N.-.. Yes 0 No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1390 140th Street New Richmond, WI 54017 (NE 1/4 NE 1/4 26 T300N R18W) NA Lot 5 Parcel No: 26.30.18.392A30 1.) Alt BM Description= Lx_k!~o C., 2.) Bldg sewer length = Z`E - amount of cover Plan revision Required? Yes h o I6 Use other side for additional information, SBD-6710 (R.3/97) Date Insepct s Sign Cert. No. PLOT PLAN PROJECT Todd Marek ADDRESS P.O. Box 228 New Richmond Wi 54017 NE 1/4 NE 1/4S 26 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/21/12 BEDROOM 3 CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE LIFT TANK SIZE630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 45 BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 96.2/95.4/94.6 B.M.* ~ Property Line 0 To be >5' from p.l. 10 5`B-1 3-3' X 62' Cells Pole shed location 50' with >3' spacing B-3 Flood Plain as per csm 12% SLope o 75' 20' -2 03' 40' 0' 3 , s.s' Scale is 1" = 40'. Pro 3 unless otherwise Bedroom noted House Huffcu ombo Tank Well is to meet all Replace n ea: use 0.setbacks WDNR required by original so est done by Vent Michael ass ~N a >6» Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 10.2ft^2/pair of end caps Plans Designed Using 4' Long 12" Conventional Powts 34" Grade at System Elevation Manual Version 2.0 All piping shall be SDR 30/34, within 10' Property Line of tank, piping shall be Schedule 40. 140th ST. Jdkab commerce-W1.90V Safety and Buildings Division county - - I~O~~(►F`v 201 W. Washington Ave., P.O. Box 7162 Al I ~"r" Madison, WI 53 707-7 1 62 Sanitary Permit Number (to be tilled in by Co.) Department of Commerce - '11-562-San - Mit Application State Transaction umber 1n accordance with s. Comm. 83.21(T~14iKfstftFts661i s~ ssion of this form to the appropriate govenuiiental unit is required prior to obtaiAitiiry permit. Note: Application lomrs for state-owned POWTS are Project Address (if different than mailing address) submitted to the Department of Comm erc e. Personal information you provide may be used for secondary purposes in accordance with the - Please Law, i m ,Scats, L Application Information -Print All All Information (J T~• v1/ j' Property Owner's Name Parcel H - ©a 4::1 - ~b _ 3 Property Owner's Mailing Address eE~O y 2 Z E Property Location PcIZ A 3 v Govt. Lot city, state Zip Code Phone Number ~ Section J LL./ 1 ) Y le oy~j~ T N; RzlA~6 W/ U. Type of Building (check all that apply) ~ l~ 1or 2 Family Dwelling- Number of Bedroom Subdivision Name ❑ Public/Commercial - Describe Use ❑ City of - ❑ State Owned - Describe Use CSM Number ❑ Village of _ e I 2-7 'town of III. Type of Permit: (Check only o box online A. Complete line B if applicable) - A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S stem/Com onent/Device: Check all that apply) ` Non-Pressurized In-Ground ❑ Pressurized ln-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 it. of suitable soil I.J5 Holding Tank Otter Dispersal Component (explain) ❑ Pretreatment Device (explain) C -L V. Dispersal/Treatment Area Information• 5 Design Flow (gpd) Design Soil A plication ate(gpdsf) DispqIpall Area Required ( Dis ersal Area Proposed ( System Elev,'on / ' V"190. VI. Tank Info Capacity in Total u of anu acttirer Gallons Gallons Units o o New Tanks Existing Tanks r , e a u U iii + C42 iZ a E Septic or Holding Tank Dosing Chamber VIL Responsibility Statement- 1, the undersigned, ass responsibility for installation of the POWTS shown on the attached plans. Plumber's ame (Print) Plumb ignature MPIMPRS Number Business Phone Number Plumber's dress (Street, City, State, 7az-, /Tl z' A) I VIII. Coun epartment Use Only 27 17 proved Dg,'ff isapproved Permit Fee Date sued Tssuin ent Signet 75 00 7Z3//Z wner Given Reason for De Ix Condit' Reasons for Disapproval 0It WW' , 3)/J,6 c.. a C- ~dZ 1, $606 tank, effluent- filter and dispersal cell must all be servkes I maintained .~J C as per management plan provided by pkimbef. ~ ~`y° - ~ 2: Alt seifback Te t*erhente must. be ttaWntalned l . r + Attach to complete plans for the system and submit to the County only at paper not less than 8 In x 11 inches on size SBD-6398 (R. 02109) j 4^4 !cam.. °P ~o 'Ietr~r' Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 6/21/12 Owner: Todd Marek Location: NE1/4 NE1/4 S26 T30 N,R18W Lot 5 140th St. Richmond System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet 8. Dose Tank Cross Section 9. Pump Curve 10.-12. Soil Test Signature License number #226900 Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 10.1ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 102.0 Vent 01 Grade Vent 4' 4" 4' X30/34 Septic Tank " 4' Long 119 51 4' Long 191 34" Grade at System Elevation 34" Grade at System Elevation Spacing 5' 3-3' X 62' Cells Observation tubeNent Same on other end To be located on end of Cells %A B System elevations: C A__96.2 B95.4 15 chambers per cell CY_94.6 Powys O YYNSa'S MANUAL. & MANAGEMENT PLAN SYSTEM SpgapgCATiONB pLF NIFC PJAAr0_N eDNA TlifnkKA -55- 3 Q NA t~ilmtlsr of 0 ❑ Na Nuttitbar d Qornrt~r Ut>t Tank M*nu*CW r NA ~Gpt~ t~ ww nsModel APPS RAN ~3 Mouthy s" ~ tJnik . -13 NA FNer D Pont Fftw DWisdand IcttkterttJ2 lltua F~ & ©rs@m (FOG) .1930 rrVjL O IW@CtWdmd Ae rr Q ~r . BlodherribW T9W ~ ieOD so Q oisfifa~ eve M 8) HtadtemjcW CWVm t:letrrtnrtd C80QJ S30 MWL ~l j 0 IMoou (preawkeid) ( Told Susperded t OW* 'fnm .00 mg/L Q e t] Other_ Feat[ comorn+ rte S1w afu/1f]Omt 1Matdnturat ElfhJartt POWs K kehdlamerter 0 Vskctrsq►P>~et rsiar+wdat '°0 « ens Slim "PesufteftwOL Paul~ ws E ANTENANt BCHEAU gsrWem Frequency SO-40e Even# s) (Maidmum 3 yrs.) At least rsrtrx~ every D rrtarzfhs tnsped condidon of tank(s) of tank volume pump out contents of tank(s) tNhesrl cbmDined stodge and srttm dgetffs on (Ys) © m r(s) (mwdmum 3 yrs_) At least once every r tnspetd dtape na d ow0(9) At least Once every ! o months r(s) Lean tetrluentt7her a} D NA n controls 8 attHrrtt At !seat once svery D m 13 meds Lyaa(S) 10 NA i y At least ti0e e y t ush d ale andpre ioure tet At hest once every D nx nth$ f1 year(s) NA „r At least Ono* ev^sry Cl mondw ❑ year(s) D NA MAW fENMCE tN8'flltStC TIONSr the ftWLVkV Aosnsesat or ln""Woo tit of btt~itrt anti dieperad aerrs sheet tw made by an irafiuW" 4*(TYIril,I , awiffadvona: WSW ptu nbar sAnt~ mu"ber R+edrttdl<Itd Soar, PoWns mspnotor. POW T8 MabOak . Sq)UW SwvbbV Operator. Tank kapstebas (nrot Ineftuds a vkRW tnspeOW of the tank(s) to WWn ty any rr*WV or broken rsarst OM kkmft any anndtat or i udw n»sum the volume of combined sludge and sm,rtrt and to dusk for any tbw* up -w pondbV Ctr grdm t an that groentd su dlice- The dispersal asks) shalt be v wsily kopeoNd tea dteok the ellltaertt WVS& s"n Ow observation plpss and to dta* f*r any pu D of affluent an the ground surer- Mw pandliV Of Ott on she 9= NW swum MW Inclicift a bow +orAWn and requires tits 'intmidlits nodfice eon of the !vest regubdwY euftft MW the 0ttrrltltrtsd aotarmukgw cr a and scum In any tank equals oeteaw (V or WAM of the tank Volumes, the entire oondnb elf 110 tank shed to MMOVW t7y a Se1118110 Serykcng Operator and disposed of fn s=mft m with c h NR 43, iNS001151h /Wrt16tb6silio a Code. M5; and fitly The satrvfdrtg of e!l~Iront ft n, mschsttk~l or p ut ec! f~W]''S cpmpanenttr. mantcornpotr8 eitswer of 12 months or leW mail! be ~ by a WSW POWTS M ,:.they mace ar retordtoring at ~ went A serirkp rspOA shall be pr. to Lila kx ail mgulakxy authotity► wffhrn 10 t Of pcMtptl3 tl Of ' MVIM "Aff UP AND OPERATION of prod other Or tear' now e~otowcllm odor ou use crew PpWIf71 do* M mode(s) for do P ft chemicals treat may 1 -91 fis VoWrield VW MS wWor dwm%e that dspacW o(s)• t€ high mwwftftw am ~48t%W hate ft CC Ilp ON ad" ms(s) r+ac WVW by 43 s Wngdng operator prirsr ID Lw& Page ~I` ;i-,,onditions are frozen at the infiltrative surface- Sysbe resort up shalt not cKXxtr other is estfed the e>mm tanks may ~ above normal htghwater ~eYets. When power r(s) and MW r~estrlt in the Dudr. as a power o ~ rttp die dw oersal cell(s) in one large dose, overload g the PAP tank rerrinveed by a wast«a+vatJer wry be dtschat9ed W t. To avoid this situation have the content of a Plum or PDY~1 IiAairitaener to bado,rp or surface d'9e of effi the effluent pump or contact Septra;fe Sen&fiv Operator ptforLo t 'Power dfe pump ,ppnt7pls to late normal tenets within the Pump tank• a (Si` in manually opemOng tom' Wb and tfSpwsW cells. Do not drive or park over, or o#xmise dsaub or compact, Do turd: drive or park VdWM motutd or "rade soft absorption area- the area wilt 15 feet down slope Of OW stru m may improve the pet fvtllrallee and ptvbng the fife Reds ctuxt or-efunirlation of the fvtioxring from . de ~nrt condoms; erndoms; dental &aP@: of thti: POW 5= arltibloO •baWwow.-cigaree buttts; cotton swabs: de47 herbicides; numt disWectants; fat foutidi&n dratlt (sufnP p,uM) water fruit and vegetable peefir~gss gasoline; gtea W' six,' e; medlcations; oil; painting pmducts, pesticides; sanitary napkins. Tampons; -acrd water softener brine. ABAN[W31(0MENT anently.taken out of service the fntiowrrtg steps shall he taken Insure that the When the PaW l fails and/or is p~ In COMprance with ch- Comm 83.33. Wisconsin Adminisftaft8 Code: systeno is properly anq safely abandoned • Alt piping to tanks and pits shall -be disconnected and the abandonep oopenings pse rviang Operator. The oontents of an tanks and pets shall be removed and properly disposed • After pumping, all tanks and pits shall be excavated and removed or their corers removed-and the void space fitted with soil, gravel or another inert solid material. CONTINGENCY PLAN the following measures have been, or must be taken, to provide a code If the f'431Ni"S tads and cannot be repaired compliant replacernent system: meet so ❑ A suitable replacement-area has been evaluated and may be utilized for the location of a reptaoe should not absorption system. The replacement area should be protected from disturbance and compadton and be infringed upon by requited setbacks from existing and proposed structure, lot lines and wails. Failure to that to establish a suitable the rules mthe need for a new ust comply with soil and i effect ation protect the replacement area vnll result in at time. lacement area- Replacement syste advances in POWTS" A suitable replacement area is not available' due to setback and/or soil limitations- Barring //7aC brogy a holding tank may be installed as a last resort to replace the failed POVVTS re of the POWTS a soil.and 0 The site has not been evaluated to identify a suitable replacement area, Upon failu is available a site evaluation must be performed to locate a' suitable replacement area. If no replacement area 'iol+cfing tank may be installed as a last resort to replace the failed POVYTS- removal of the biomat at ❑ 'Mound and at-grade soil absorption systems may be reconstructed in place following the infiltrative surfaoe. Reconstructions of such systems must comply with the rules in effect at that time. <<WARhV4G>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETKAI GASSES ANDIC)R INSUFFICIENT OXYGEN. DO NO•if ENTER A 8iB'Tic, 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. ~ADOM014AL COMNW.Nrs Iz~ ~ 2 Porch's INSTALLER POwTS MAINTAINER Name Name Phone L Phone J `7 J C SEPTAGE SERVICING OPERATOR PUMP LOCAL REGULATORY AElTI:IORffY C. Name 'Agency 1^19 Phone Phone r~s meb This don rmivit,.as dr~ by fie .p M of 00 G[aen Lake, ,Marquette aril Waushara County Zoning aced Sanitation agwldes- This dOCrrlrl we rn'r"= 11qurhe(pan25 of ch. Carus a3.2A2P)(1)(d)s(0 and 83.56(1), (2) & (3). Wisconsin AdmMistraffm. Ccdc. Use of 000 docuffont does not guarantee IN, performance of the poWrS. t;Mtnr Rol) sy4'~ SV. RLTERii. Installation ii STE"' Z dry fit the filter case onto the and of the nutlet pipe to ensure it is centered under the access opening. tank If not, then either insert more pipe into the pipethrough the outlet or solvent weld (glue) additional pipe onto the outlet . STEP 2 While the case is still dry fitted on the outlet pipe, measure the length of 914-inch pipe needed to brace the filter to the tank end wail if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. ` --F;' a For installations utilizing the optional supplemental side support- solvent weld the 1/4-inch pipe onto the filter case. If side support method is not :+y j4 utilized, proceed to step four. Solvent weld the filter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the filter locks into the bottom of T the rase. If a AS switch is utilized. insert into the filter and lock by turning clockwise 90", x;•'45° ris , .1,. c Maintenance 1. The effluent filter should be cleaned every time the septic tank is serviced, 2. Open the outlet access opening to inspect the tank and filter, 1 3, Pump the septic tank completely, making sure to remove the sludge layer on the bottom of the tank and not just the scum and effluent. 4. Once the effluent level has been lowered below the invert of the outlet pipe, firmly pull up on the filter handle to dislodge the cartridge from the case, 5. Slide the cartridge up and out of the case for cleaning. 2 6. If a VPS switch connected to an alarm is present, the switch should be removed by turning counterclockwise 90° and leaned with water only. w 7. While holding the cartridge on Its side (large fiat surface facing" i.. n.. down) over the access opening, rinse off the cartridge with water only, making sure all septage material Is rinsed back into the tank. J a. If VRS switch is utilized, replace by inserting into filter and , r turning clockwise 900. 4. Insert the filter cartridge back into the case, pressing down until the filter locks into the bottom of the case. 10. Replace and secure the access opening on the tank, W' www.beamnMte.com 877-MLFILTERS (653-4583) 12 -~Z- i Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer as Tank Model Number Ot725 la Z) Pam Model Number S 3 Total Tank Capacity 0 Alarm Manufacturer 12-1 Max. Bury Depth Alarm Model Number j Switch Type fI'►~ r` L Filter Manufacturer Total Dynamic Head (MH) - Feet Filter Model Number Elevation Head Distal Pressure Network Loss Minimum Pump 'erformance Required Force Main Loss ` GrPM. C7,:2 Ft TDH Total d Outlet Manhole 4" Above Grade With Manhole Min. 4" Above Grade Locking Device. Inlet Manhole With Locking Device < 6" Below Chide Sealed Watertight Securely Mounted Weather-proof 1 Junction Box - - r. Finished Grade r. t Vent Min. 12" Disconnect Above Grade Means With Vent Cap r:r<r<r Or•r ' s r . !arartri Bali Irarta<ri ala~arartrt~ ~aiyai;a ararart . ;<~< i ia! r lasarar ralar ~i a~ 4! s ram s. Outlet Filter Inlet Wet Baffle ~ : - - - - - ' A. Switch S and Reserve r;,apacity Weep B GPI Tank Volume = j Hole ' Dimension : Inches Volume Gal. (reserve) < .7 (alarm) B 2 10 Off Elevation C .871 Ft- _4 Bottom (dose) C D Elevation (dead) D > a:l. r Ft 10W r`i rar;r<i i .alasai sari ~iarai i iai i i !as riiai i vasalararaltrai a, ar :ai lei ral~ la!<r'a'~ Y !•r'i i raralai !alar~lalai Jai i !a- - -aver i i lal~ra! r la < a e a a s i< a< a a t i t t a a i a V a t t t I t a a l a a a t t< <•< t I t 1< a e•a s I t t < a.<< a< a<<< a< l a 4< t a i t t a a a a a< t t a{ a t~ 1•l~a• GENERAL INSTALLATION1 The septic/those teak, is bedded and back filled in accordance with the manufacturer's product,approval specifications. Maximum depth of bury as, specified by the ttmnufacturer may not be exceeded without Oor 6pproval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, conneetod to the tank with watertight fittings, and . laid on stable soil to went settling or sagging. The force Inami is sleeved with C Such. 40 PVC to bridge the tank excavation and the.slemve is sealed watertight. Electrical service complies with NEC 300 and Comm 16,2:1. page of 02/05 GJ w HEAD CAPACITY CURVE 101AL DYNAMIC fi AD/CA'ACiII MODELS 53/55/57/59 PER (MINUTE 25 EFFLUENI ACID DEWAi FRiNG ' Model 53/55/57/59 - 6 20 Ft. Meters Gal. i trs. 5 1.5 43 63 v 15 z 4 4\ 0 3.1 Jn-1 29 C) 15 4.6 19 o Shut-off Head '19.25 ft. (5.9rr) 3 5/16 6 5/32-+ II 4 5/8 I`- 0__ '/2 -1 1 NFIT U.S. GALLCNS II 10 2 30 40 50 LITERS 80 61 0 ~r~ 3 15j 16 0 FLOW PER MINUTE 009897 4 '/1 6 L A. Ir 1 Variable level float switches available. i Variable level long cycle systems available. Available with special cord lengths of 15', 25', 35' and 50'. Ire Alarm systems available. Duplex systems available. ° / 6 I I j----5 3/32 T _ Single Seal Control selection Listings S 4-6!D Model Volts Phase Mode Amps Simplex Duplex CSA UL 1. Integral float operated mechanical switch, no external control n;quired, M53155 & M57/59 115 1 Auto 9.7 1 Y v 2. Single piggyback,variable level float switch or double piggyback variable level NW55 & N57f59 115 I 1 Non 9.7 2 3 or 4 & 5 _Y _Y_ float switch. Refer to FMO477. BN53 115 I 1 Auto 9.7 Y Y BN57 115 1 Auto 9.7_ N Y 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075. BE53157 230 ' 1 Auto 4.8 • y y 4. See FM0712 for correct model of Electrical Alternator. D53/55 & D57159 230 1 Auto 4.8 1 Y y 5. Variable level control switch 10-0225 used as a control activator, with Electrical E53155 & E57159 230 1 Nonce 4.8 2 3 or 4 & 5 Y Y~ j Alternator (3) or (4) float system. ` Single piggyback switch included. O CAUTION For information on additional Zoeller products refer to catalog on Piggyback Variable Level Float Switches,FM0477, s; Electrical Alternator, FMO486; Mechanical Alternator, FMQ495; Sump/Sewage Basins, FMO487; and Single Phase Simplex Pump Control/Alarm Systems, FM0732. E S-1-1 E R-1 V "CE P, x For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL To. P.O. BOX Louisville, KY 40250-;5,. ~O SHIP TO., 3649 Cane Run Road Manufacturers of. Louisville, VIP. (5021776-PK 402 1 11-1961926-PUMP rMlrYPaMPefAICF IA7179 http.lAvww.zooller.com PUMP FAX (502) 774-3624 0 Copyright 2002 Zoeller Co. All rights reserved. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND .----OWNERSHIP CERTIFI ATION FORM Owner/Buyer b ~P~C 1M Mailing Address O ►2j 22-Property Address l 3~f Q. (Verification required from Planning & Zoning Department for new construction.) City/State ~Uj"&K,&J Parcel Identification Number 5 LEGAL DESCRIPTION Property Location 1/4 %4 , Sec. 2 !o T z__ION R__MW, Town of Subdivision Lot # Certified Survey Map # l 7 C , Volume - , Page # 3 S Warranty Deed # I , Volume , Page S Spec hous ye no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number zaICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 8 0 5 7 6 3 3 Tx:4042794 State Bar of Wisconsin Form 7-2003 TRUSTEE'S DEED 956841 BETH PABST . Documon(Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI 05/22/2012 11:30 AM EXEMPT#: NA THIS DEED, made between Timothy M. Holland and Eileen M. Holl nd REC FEE: 30.00 as the Trustees of Timofhv M. HolIaiid iad EiloRn M. Holliiiid Lifiim Trust dated TRANS FEE: 30.00 Deeember 11.2009 C'Grantor," whether one or more), PAGES: 1 and Todd Marek Construction. Inc. ("Grantee," whether one or more). Grantor conveys to Grantee, without warranty, the following described real estate, Recording Aica together with the rents, profits, fixtures and other appurtenant interests, in SL Croix County, State of Wisconsin ("Property') (if more space is needed, please attach tie and Ri(W5 AddiEff addendum): Kristian Ogtand Fsareen & Ogland 394 Locust Street That part of the NEl/4 NEI/4 of Sec. 26.T30N-R18W described as Hudson, W1 5016 follows: Lot 5 of Certified Survey Map recorded in Vol. 22 of Certified Survey Maps, Page 5351 as Doe. No. 843728, St. Croix County, Wisconsin. 026-107F-10-300 Parcal Identification Number (PIN) Dated , S d 0 I ~ xa . 14 (SEAL) (SEAL) 'Timothy M. Rolland, Trustee s (SEAL) (SEAL) "Eileen iVL Holland, Trustee AUTHENTICATION ACKNOWLEDGMENT Signature(s) AA, 14Ituci authenticated on nmz~ !~s . j:0 [ STATE OF ) J its 1 N_ ) ss. F s ST . c.: a;7c COUNTY ) TITLE: MEMBER STATE BAIL OF WISCONSIN Personally carne before me on (If not, the above-named Timothy M. Holland nd E' een.M. Holland authorized by Wis. Stat. § 706.06) to me known to be the person(s) who execiitect'& foregoing ins 7:7 cknowledged the same. THIS INSTRUMENT DRATTED BY: Krtslina Ogtand. Estreen & OHlaud x V1 Kin q I~A. 1: 304 Locust Street, Hudson. WI 54016 Notary Public, State of Wj LOIN-5 A- My Commission (is permanent) (expires: I i I' a U I (Signuturea may be autlitatieared or acknowledged. Both arc not necessary.) NOTE. THIS IS A STANDARD FORM. ANY ASODIFICATIOM TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. TRUSTEE'S DEED ® 2003 STATE LIAR OF WISCONSIN FMM NO. 7-200 'Type name below signatures. INFO-PRO"' Legal Forms 800.955-2021 www.Inlopmlo ms=n% 1 of 1 PFNNYM. HAGS1 Notary Public alalls~~s.~.. _ STATE nc IAnf%o%4...--- _ /3 3 8 4 3 7 2 8 VOL 22 PAGE 5351 KAT9UM H. ALSH REGISTER OF DEEDS ST. CROIX CO., MI CERTIFIED SURVEY MAP RECEIVED FOR RECORD 02/01/2007 02:15PM Located in part of the Northeast Quarter of the Northeast Quarter of Section CERTIFIED SURVEY MAP 26, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, REC FEE: 13.00 Wisconsin; including Lot 1 of Certified Survey Mop Number 588845 recorded in COPY FEE: 3.00 Volume 16 Page 4361 in the St Croix County Register of Deeds Office. PAGES: 2 BEARINGS ARE REFERENCED TO THE EAST LINE OF THE NE 1/4 OF SECTION 26, TOWNSHIP 30 N., RANGE 18 150 0 150' W. RECORDED BEARING S0019'18"W. GRAPHIC SCALE SCALE IN FEET: 1 inch 150 feet NORTHEAST CORNER NORTH QUARTER CORNER N. LINE OF THE NE-f/4 SEG 26, rJOM R16W SEC. 26, r3DV. R18W (FNO ALUM/NUM MON.) (FND RAILROAD SPIKE) UNPLATTED-LANDS rib( A UNPLATTED LANDS --------------4S,89'43*23"E S89'43'23"E 2621.00' T^ 655.25' 140th AVENUE h ?-3225' 416.01 1 ~yJO.B3' 239.24 \ / 416.01' 271.69" 1965.75' - -589"55'7 f E 627.70'- I I I I ` L 1 LOT 4 w , L07`3 229,069 sq. ft. 3 ti 105, 535 sq. ft. 8 i N O TH 0 2.42 acres 5.26 acres C~l I + - W/o f10W a W/O )90W o tD o, 215, 950 sq. ft. r°o 86,759 sq. ft. co I oo rn 1.99 acres tD LOT 24 w N 4.95 acres I 3 3 u10 1 N W ~ da d' a) • N O) N 1 ~ 1 0 -239.21 $ 0 2 i Z 208.00' 210.83' ZI 418.83' 26JB'~~/ N89'43'20'W 447.24'- r ~1, O 3 LOTS I° a z v~ 0 97 946 sq. ft. o g I ai o' o°, 2.25 acres o; V p/~ of H N W/O R0W w N I 2LJ: I 91,673 sq. ft. _ _ 2. 10 acres -447.24- _ 207.99' 418.37' 28.87' < I N89'43'20"W 655.23' LOT 25 LOT _2 ( I CSM x133 J3 ~ DOC _ NO. 688845 a 1 VOLUME 16 PAGE 4361 I 1 EAST QUARTER CORNER egiftf SEC. 25. TJQN, R18W / ^ ~a 1 (,'NO ALUM/NUM MON.) ♦ / `~~~~~a«je•• 4 CLAR'P,t_ . LEGEND: 2113" Prepared for and at the request of:} Section Corner Monument tltl~~N,+;yE Eileen Holland Y of Record 227 Meridian Drive Ste #1 • Set 1" O.D. x 18" Iron Pipe weighing Q Cr New Richmond, WI 54017 1.13 pounds per linear foot SUFN O Found 1" Iron Pipe Wiwi A10" .01 1 Drafted by. Nicole Gulick JOB # W1057SU236 • • . • .Building Setback Line (100' from Right of Way) i Prepared by. Co,rc„1ri,Oroup, Inc NOTE: The parcels shown on this map are subject to State, County and Phone No. (715) 246-4319 Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to x No. (715) 246-3830 parcel, etc.). Before purchosing or developing any parcel, contact the t. Croix Fox Box 715 County Zoning Office and the appropriate Town Board for advice. P ' 0. 325 New Richmond, N 54017 Sheet 2 of 2 Vol.22 Page 5351 ri i O WAIL I 0. =x oll I ~el Zx L1 n L a I I - II- l , m W - s ° 0~ 0 O_ - X All Q X X ~ m Ld 1 L R , IBM l x y m 777-7 fn C: CC } d r X.: t.' fi. O O R7 0 711 in d (CS M! 4 F; in fn m m +10-+ Q i0 E ~A O Emu }Y~,tr ' r Property Owner _ Parcel ID # _ Page of 1-1-31 Ong # E] Boring Pit Ground surface elev. Oa • 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 r>7 - -3 11L ue i F-1 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 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ' )epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BODS < 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-8330 (8.6/00) L Property Owner Parcel ID # Page of F-31 Boring # ❑ Boring 40 pit Ground surface elev. Dd . ft. Depth to limiting factor p Z in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/if in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i o- q U -31L . S .m Z-) . 0 7 Z = 5' 3-r~z v os- rv Ue 71 Boring # ❑ Boring F-1 ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil -Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Sal Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cord. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 1150 mglL ' Effluent #2 = BOD, < 30 mglL and TSS 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD•8330 (8.6(00) ' Soil Test Plot Plan// Project Name Todd Marek Sha ' Bird Address P.O. Box 228 New Richmond Wi 54017 M #226900 Lot 5 Subdivision Date 6/15/12 NE 1/4 NE 1/4S 26 T 30 N/R18 W Township Richmond Boring G Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1" pipe < !,C, L2~,-mil - ►~uca~ I°e ~~'6 Z, System Elevation 96.2/95.4/94.6 *HRPSame as Benchmark Property Line B•M•* 70' Scale is 1" = 40' 40B-1 f unless otherwise noted 50' Flood Plain as per csm B-3 12% SLope 75' 20' B-2 103' 100' Replacement area: use 98.8' original soil test done by Michael Hassett - 51,711 I F7( o 4 l li.►ti F cc~ 4.1 Property Line 140th ST. ruLn UU. LANU HUH VL Y1NG COMPAN_Yl. 1 2046 U.S HWY. NO. 8, ST. CROIX FALLS, VWS 54024 715.483; 9 ~4 SEC. 26-30-18. SCALE: 1 = 100: ; DATE': July 20, 2011• CLIENT Tim and Eileen Holland a' 50' 104' 200• 3j •1~ r t~/ ~ ~ ~ 7b$ "tf 055 -1 i ! 11 C/Lf 00 _ l • IX 1 q c w=~ 0~' h1 l' ( l e`` i ,AJ l I I hl 33' I 33' q G• N89.43'20"W= 447.24 { o LOT 5 is 973.5 9 Ad I { 9 a 7 .o X 37 • .i m 9 1 , m . e / S ' r•. H q 983. :i o s 4 o a a > N SPIV ry~o`• a?a 9%7.8 X 976.8 X 83.4 978.8 GND STP I v' m, 98D D 9. 979. W' ! Y t _ SPK M " t HOU ao .c • .V X 80.2 997 7 :4 0' X 97&.2 z Hatched area 'X :d! GND t t be rem ii 6 1 0 oved t f8 x 981.6 `9. i .a _ i 200 GND ~7.24 o on or 45.06298 N 2 X 589'43 24"E 447.24 : T I ' 4&06277N I f ' i f 92.51796'W WOX46.83378"N 92'31`45.72426"W:~j~: :s ~ ~ . X 984. GND f t± LBUAL; 0 SCEU ION OF ARM TO BE RE MOVE D I ~ Ail.tltut pail of Lots, of Catified Savoy tedaded in Volume 22, Page 5351, bang located in the NoithpstQ+mrtaofthaNoAiieaStQuarter ofSoctioa26,Tow+ship30'North,Range 18 Wcst,To>,atot• = t i f Riclunaid, St. Croix Canty described as follows I 05ffi 7ran-g- iit itio Naffia4stCoior said Sedlion 26; ituaed $dR 19 18'W., along the east line of said Section 26, 441.15:fdot to the Northeast Cotner ofsaid Lot 5; thotde M89"43'24"W 44724 feet to 1 the.Northxest Comerefsaid Lot S•'.then= S.00°1 925"W., aloft the vest fine of said Lat 5, 70.00 feet t. `I t , the point of bcgiamag thence S.00°t975"W.,149 00 feet the Southwest Coma of said Lots; donne 543'ZO°E, aloagihe loath ire of said L "S, 200.00 foot; N636 i1F.,1 0 fat to te thrncot35°a4'0W , 9683 ft4 tece M point of begiardng Containing 18,620 Sq. Ft € ( , ' n iRll SURVEYOR'S CERTIFICATE: 1, ;Wayne Swenson, Registered- Land Surveyor; hereby certify that this mop is a true I" I 1 representation of the lands surveyed and is correct to the best of my knowledge and belief. k Wayne Swenson, `KS NO. 1496 February 20,'. 2012 S I T.E SURVEY OF LOT 5, C. S. M. NO.- 22: 5351 LOCATED IN 'NORTHEAST QUARTER OF THE NORTHEAST QUARTER Ct'f'% 0r_ -77n1%1 04 MAI , j OwpA/~'~~rl, A Federal Emergency Management Agency of-00 E Washington, D.C. 20472 Mp,R 6 2012 ~lAND 5'~~~ , O~X`' OFp~ R G March 08, 2012 pNING &ZO MR. WAYNE SWENSON CASE NO.: 12-05-2706A POLK COUNTY LAND SURVEYING COMMUNITY: ST. CROIX COUNTY, WISCONSIN COMPANY (UNINCORPORATED AREAS) 2046 U.S. HIGHWAY 8 COMMUNITY NO.: 555578 ST. CROIX FALLS, WI 54024 DEAR MR. SWENSON: This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine if the property described in the enclosed document is located within an identified Special Flood Hazard Area, the area that would be inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood), on the effective National Flood Insurance Program (NFIP) map. Using the information submitted and the effective NFIP map, our determination is shown on the attached Letter of Map Amendment (LOMA) Determination Document. This determination document provides additional information regarding the effective NFIP map, the legal description of the property and our determination. Additional documents are enclosed which provide information regarding the subject property and LOMAs. Please see the List of Enclosures below to determine which documents are enclosed. Other attachments specific to this request may be included as referenced in the Determination/Comment document. If you have any questions about this letter or any of the enclosures, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 7390 Coca Cola Drive, Ste 204, Hanover, MD 21076. Sincerely, r 7-11 Luis Rodriguez, P.E., Chief Engineering Management Branch Federal Insurance and Mitigation Administration LIST OF ENCLOSURES: LOMA DETERMINATION DOCUMENT (REMOVAL) cc: State/Commonwealth NFIP Coordinator Community Map Repository Region Page 1 of 2 Date: March 08, 2012 Case No.: 12-05-2706A LOMA I ~ a~'Ppi R1£.~ Federal Emergency Management Agency Washington, D.C. 20472 ND SEG LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT REMOVAL COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION ST. CROIX COUNTY, WISCONSIN Lot 5, as shown on Certified Survey Map No. 843728, recorded in (Unincorporated Areas) Volume 22, Page 5351, in the Office of the Register of Deeds, St. Croix County, Wisconsin COMMUNITY The portion of property is more particularly described by the following metes and bounds: COMMUNITY NO.: 555578 AFFECTED NUMBER:55109CO210E MAP PANEL DATE: 3/16/2009 FLOODING SOURCE: UNNAMED STREAM APPROXIMATE LATITUDE & LONGITUDE OF PROPERTY: 43.063, -92.518 SOURCE OF LAT & LONG: ARCGIS 9.3 DATUM: NAD 83 DETERMINATION OUTCOME 1%ANNUAL LOWEST LOWEST BLOCK/ WHAT IS CHANCE ADJACENT LOT LOT SUBDIVISION STREET REMOVED FROM FLOOD FLOOD GRADE ELEVATION SECTION THE SFHA ZONE ELEVATION ELEVATION (NAVD 88) NAVD 88 NAVD 88 5 - - 1390 140th Street Portion of X - - 982.0 feet Property (unshaded) Special Flood Hazard Area (SFHA) - The SFHA is an area that would be inundated by the flood having a 1-percent chance of being equaled or exceeded in any qiven year (base flood). ADDITIONAL CONSIDERATIONS (Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.) LEGAL PROPERTY DESCRIPTION STATE LOCAL CONSIDERATIONS PORTIONS REMAIN IN THE SFHA ZONE A This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Amendment for the property described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have determined that the described portion(s) of the property(ies) is/are not located in the SFHA, an area inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood). This document amends the effective NFIP map to remove the subject property from the SFHA located on the effective NFIP map; therefore, the Federal mandatory flood insurance requirement does not apply. However, the lender has the option to continue the flood insurance requirement to protect its financial risk on the loan. A Preferred Risk Policy (PRP) is available for buildings located outside the SFHA. Information about the PRP and how one can apply is enclosed. This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this determination. If you have any questions about this document, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse,. 7390 Coca Cola Drive, Ste 204, Hanover, MD 21076. Luis Rodriguez, P.E., Chief Engineering Management Branch Federal Insurance and Mitigation Administration J OweA~ .s1 Federal Emergency Management Agency RaG vED Washington, D.C. 20472 g 2012 IAND S~~ MpR SZ CR~N1h1G~FFw. March 08, 2012 NrZQ & N~ P~ MR. WAYNE SWENSON CASE NO.: 12-05-2706A POLK COUNTY LAND SURVEYING COMMUNITY: ST. CROIX COUNTY, WISCONSIN COMPANY (UNINCORPORATED AREAS) 2046 U.S. HIGHWAY 8 COMMUNITY NO.: 555578 ST. CROIX FALLS, WI 54024 DEAR MR. SWENSON: This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine if the property described in the enclosed document is located within an identified Special Flood Hazard Area, the area that would be inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood), on the effective National Flood Insurance Program (NFIP) map. Using the information submitted and the effective NFIP map, our determination is shown on the attached Letter of Map Amendment (LOMA) Determination Document. This determination document provides additional information regarding the effective NFIP map, the legal description of the property and our determination. Additional documents are enclosed which provide information regarding the subject property and LOMAs. Please see the List of Enclosures below to determine which documents are enclosed. Other attachments specific to this request may be included as referenced in the Determination/Comment document. If you have any questions about this letter or any of the enclosures, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 7390 Coca Cola Drive, Ste 204, Hanover, MD 21076. Sincerely, Luis Rodriguez, P.E., Chief Engineering Management Branch Federal Insurance and Mitigation Administration LIST OF ENCLOSURES: LOMA DETERMINATION DOCUMENT (REMOVAL) cc: State/Commonwealth NFIP Coordinator Community Map Repository Region I Page 1 of 2 Date: March 08, 2012 Case No.: 12-05-2706A LOMA OEPr~E~, Federal Emergency Management Agency 0~< yo-` Washington, D.C. 20472 ND SEA' LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT REMOVAL COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION ST. CROIX COUNTY, WISCONSIN Lot 5, as shown on Certified Survey Map No. 843728, recorded in (Unincorporated Areas) Volume 22, Page 5351, in the Office of the Register of Deeds, St. Croix County, Wisconsin COMMUNITY The portion of property is more particularly described by the following metes and bounds: COMMUNITY NO.: 555578 AFFECTED NUMBER:55109CO210E MAP PANEL DATE: 3/16/2009 FLOODING SOURCE: UNNAMED STREAM APPROXIMATE LATITUDE & LONGITUDE OF PROPERTY: 43.063, -92.518 SOURCE OF LAT & LONG: ARCGIS 9.3 DATUM: NAD 83 DETERMINATION OUTCOME 1 % ANNUAL LOWEST LOWEST WHAT IS CHANCE ADJACENT LOT LOT BLOCK/ SUBDIVISION STREET REMOVED FROM FLOOD FLOOD GRADE ELEVATION SECTION THE SFHA ZONE ELEVATION ELEVATION (NAVD 88) NAVD 88 NAVD 88 5 - - 1390 140th Street Portion of X - - 982.0 feet Property (unshaded) Special Flood Hazard Area (SFHA) - The SFHA is an area that would be inundated by the flood having a 1-percent chance of being equaled or exceeded in anv given Year (base flood). ADDITIONAL CONSIDERATIONS (Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.) LEGAL PROPERTY DESCRIPTION STATE LOCAL CONSIDERATIONS PORTIONS REMAIN IN THE SFHA ZONE A This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Amendment for the property described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have determined that the described portion(s) of the property(ies) is/are not located in the SFHA, an area inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood). This document amends the effective NFIP map to remove the subject property from the SFHA located on the effective NFIP map; therefore, the Federal mandatory flood insurance requirement does not apply. However, the lender has the option to continue the flood insurance requirement to protect its financial risk on the loan. A Preferred Risk Policy (PRP) is available for buildings located outside the SFHA. Information about the PRP and how one can apply is enclosed. This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this determination. If you have any questions about this document, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 7390 Coca Cola Drive, Ste 204, Hanover, MD 21076. P Luis Rodriguez, P.E., Chief Engineering Management Branch Federal Insurance and Mitigation Administration Page 2 of 2 Date: March 08, 2012 Case No.: 12-05-2706A LOMA VhR L ~0 Federal Emergency Management Agency Washington, D.C. 20472 'AND SEG LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT (REMOVAL) ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS) LEGAL PROPERTY DESCRIPTION (CONTINUED) COMMENCING at the Northeast corner of Section 26; thence S0001 9'18"W, a distance of 441.15 feet; thence N89°43'20"W, a distance of 447.24 feet; thence S00°19'25"W, a distance of 70.00 feet to the POINT OF BEGINNING; thence S00°19'25"W, a distance of 149.00 feet; thence S89°43'20"E, a distance of 200.00 feet; thence N35°04'04"W, a distance of 96.83 feet; thence N63°46'12"W, a distance of 160.00 feet to the POINT OF BEGINNING. PORTIONS OF THE PROPERTY REMAIN IN THE SFHA (This Additional Consideration applies to the preceding 1 Property.) Portions of this property, but not the subject of the Determination/Comment document, may remain in the Special Flood Hazard Area. Therefore, any future construction or substantial improvement on the property remains subject to Federal, State/Commonwealth, and local regulations for floodplain management. ZONE A (This Additional Consideration applies to the preceding 1 Property.) The National Flood Insurance Program map affecting this property depicts a Special Flood Hazard Area that was determined using the best flood hazard data available to FEMA, but without performing a detailed engineering analysis. The flood elevation used to make this determination is based on approximate methods and has not been formalized through the standard process for establishing base flood elevations published in the Flood Insurance Study. This flood elevation is subject to change. STATE AND LOCAL CONSIDERATIONS (This Additional Consideration applies to all properties in the LOMA DETERMINATION DOCUMENT (REMOVAL)) Please note that this document does not override or supersede any State or local procedural or substantive provisions which may apply to floodplain management requirements associated with amendments to State or local floodplain zoning ordinances, maps, or State or local procedures adopted under the National Flood Insurance Program. This attachment provides additional information regarding this request. If you have any questions about this attachment, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 7390 Coca Cola Drive, Ste 204, Hanover, MD 21076. Luis Rodriguez, P.E., Chief Engineering Management Branch Federal Insurance and Mitigation Administration o~4Ar~1Fa M Federal Emergency Management Agency Washington, D.C. 20472 ~~~~AND SEGJQ- ADDITIONAL INFORMATION REGARDING LETTERS OF MAP AMENDMENT i When making determinations on requests for Letters of Map Amendment (LOMAs), the Department of Homeland Security's Federal Emergency Management Agency (FEMA) bases its determination on the flood hazard information available at the time of the determination. Requesters should be aware that flood conditions may change or new information may be generated that would supersede FEMA's determination. In such cases, the community will be informed by letter. Requesters also should be aware that removal of a property (parcel of land or structure) from the Special Flood Hazard Area (SFHA) means FEMA has determined the property is not subject to inundation by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood). This does not mean the property is not subject to other flood hazards. The property could be inundated by a flood with a magnitude greater than the base flood or by localized flooding not shown on the effective National Flood Insurance Program (NFIP) map. The effect of a LOMA is it removes the Federal requirement for the lender to require flood insurance coverage for the property described. The LOMA is not a waiver of the condition that the property owner maintain flood insurance coverage for the property. Only the lender can waive the flood insurance purchase requirement because the lender imposed the requirement. The property owner must request and receive a written waiver from the lender before canceling the policy. The lender may determine, on its own as a business decision, that it wishes to continue the flood insurance requirement to protect its financial risk on the loan. The LOMA provides FEMA's comment on the mandatory flood insurance requirements of the NFIP as they apply to a particular property. A LOMA is not a building permit, nor should it be construed as such. Any development, new construction, or substantial improvement of a property impacted by a LOMA must comply with all applicable State and local criteria and other Federal criteria. If a lender releases a property owner from the flood insurance requirement, and the property owner decides to cancel the policy and seek a refund, the NFIP will refund the premium paid for the current policy year, provided that no claim is pending or has been paid on the policy during the current policy year. The property owner must provide a written waiver of the insurance requirement from the lender to the property insurance agent or company servicing his or her policy. The agent or company will then process the refund request. Even though structures are not located in an SFHA, as mentioned above, they could be flooded by a flooding event with a greater magnitude than the base flood. In fact, more than 25 percent of all claims paid by the NFIP are for policies for structures located outside the SFHA in Zones B, C, X (shaded), or X (unshaded). More than one-fourth of all policies purchased under the NFIP protect structures located in these zones. The risk to structures located outside SFHAs is just not as great as the risk to structures located in SFHAs. Finally, approximately 90 percent of all federally declared disasters are caused by flooding, and homeowners insurance does not provide financial protection from this flooding. Therefore, FEMA encourages the widest possible coverage under the NFIP. LOMAENC-1 Page 2 of 2 Date: March 08, 2012 Case No.: 12-05-2706A LOMA o~4PAT Federal Emergency Management Agency Washington, D.C. 20472 ~~`C<gND S LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT (REMOVAL) ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS) LEGAL PROPERTY DESCRIPTION (CONTINUED) COMMENCING at the Northeast corner of section 26; thence S00'1 9'18"W, a distance of 441.15 feet; thence N89°43'20"W, a distance of 447.24 feet; thence S00°19'25"W, a distance of 70.00 feet to the POINT OF BEGINNING; thence SO0°19'25"W, a distance of 149.00 feet; thence S89°43'20"E, a distance of 200.00 feet; thence N35°04'04"W, a distance of 96.83 feet; thence N63°46'12"W, a distance of 160.00 feet to the POINT OF BEGINNING. PORTIONS OF THE PROPERTY REMAIN IN THE SFHA (This Additional Consideration applies to the preceding 1 Property.) Portions of this property, but not the subject of the Determination/Comment document, may remain in the Special Flood Hazard Area. Therefore, any future construction or substantial improvement on the property remains subject to Federal, State/Commonwealth, and local regulations for floodplain management. ZONE A (This Additional Consideration applies to the preceding 1 Property.) The National Flood Insurance Program map affecting this property depicts a Special Flood Hazard Area that was determined using the best flood hazard data available to FEMA, but without performing a detailed engineering analysis. The flood elevation used to make this determination is based on approximate methods and has not been formalized through the standard process for establishing base flood elevations published in the Flood Insurance Study. This flood elevation is subject to change. STATE AND LOCAL CONSIDERATIONS (This Additional Consideration applies to all properties in the LOMA DETERMINATION DOCUMENT (REMOVAL)) Please note that this document does not override or supersede any State or local procedural or substantive provisions which may apply to floodplain management requirements associated with amendments to State or local floodplain zoning ordinances, maps, or State or local procedures adopted under the National Flood Insurance Program. This attachment provides additional information regarding this request. If you have any questions about this attachment, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 7390 Coca Cola Drive, Ste 204, Hanover, MD 21076. Luis Rodriguez, P.E., Chief Engineering Management Branch Federal Insurance and Mitigation Administration Federal Emergency Management Agency Washington, D.C. 20472 ND SE~4 ADDITIONAL INFORMATION REGARDING LETTERS OF MAP AMENDMENT When making determinations on requests for Letters of Map Amendment (LOMAs), the Department of Homeland Security's Federal Emergency Management Agency (FEMA) bases its determination on the flood hazard information available at the time of the determination. Requesters should be aware that flood conditions may change or new information may be generated that would supersede FEMA's determination. In such cases, the community will be informed by letter. Requesters also should be aware that removal of a property (parcel of land or structure) from the Special Flood Hazard Area (SFHA) means FEMA has determined the property is not subject to inundation by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood). This does not mean the property is not subject to other flood hazards. The property could be inundated by a flood with a magnitude greater than the base flood or by localized flooding not shown on the effective National Flood Insurance Program (NFIP) map. The effect of a LOMA is it removes the Federal requirement for the lender to require flood insurance coverage for the property described. The LOMA is not a waiver of the condition that the property owner maintain flood insurance coverage for the property. Only the lender can waive the flood insurance purchase requirement because the lender imposed the requirement. The property owner must request and receive a written waiver from the lender before canceling the policy. The lender may determine, on its own as a business decision, that it wishes to continue the flood insurance requirement to protect its financial risk on the loan. The LOMA provides FEMA's comment on the mandatory flood insurance requirements of the NFIP as they apply to a particular property. A LOMA is not a building permit, nor should it be construed as such. Any development, new construction, or substantial improvement of a property impacted by a LOMA must comply with all applicable State and local criteria and other Federal criteria. If a lender releases a property owner from the flood insurance requirement, and the property owner decides to cancel the policy and seek a refund, the NFIP will refund the premium paid for the current policy year, provided that no claim is pending or has been paid on the policy during the current policy year. The property owner must provide a written waiver of the insurance requirement from the lender to the property insurance agent or company servicing his or her policy. The agent or company will then process the refund request. Even though structures are not located in an SFHA, as mentioned above, they could be flooded by a flooding event with a greater magnitude than the base flood. In fact, more than 25 percent of all claims paid by the NFIP are for policies for structures located outside the SFHA in Zones B, C, X (shaded), or X (unshaded). More than one-fourth of all policies purchased under the NFIP protect structures located in these zones. The risk to structures located outside SFHAs is just not as great as the risk to structures located in SFHAs. Finally, approximately 90 percent of all federally declared disasters are caused by flooding, and homeowners insurance does not provide financial protection from this flooding. Therefore, FEMA encourages the widest possible coverage under the NFIP. LOMAENC-1 The NFIP offers two types of flood insurance policies to property owners: the low-cost Preferred Risk Policy (PRP) and the Standard Flood Insurance Policy (SFIP). The PRP is available for 1- to 4-family residential structures located outside the SFHA with little or no loss history. The PRP is available for townhouse/rowhouse-type structures, but is not available for other types of condominium units. The SFIP is available for all other structures. Additional information on the PRP and how a property owner can quality for this type of policy may be obtained by calling the Flood Insurance Information Hotline, toll free, at 1-800427-4661. Before making a final decision about flood insurance coverage, FEMA strongly encourages property owners to discuss their individual flood risk situations and insurance needs with an insurance agent or company. FEMA has established "Grandfather" rules to benefit flood insurance policyholders. who have maintained continuous coverage. Property owners may wish to note also that, if they live outside but on the fringe of the SFHA shown on an effective NFIP map and the map is revised to expand the SFHA to include their structure(s), their flood insurance policy rates will not increase as long as the coverage for the affected structure(s) has been continuous. Property owners would continue to receive the lower insurance policy rates. LOMAs are based on minimum criteria established by the NFIP. State, county, and community officials, based on knowledge of local conditions and in the interest of safety, may set higher standards for construction in the SFHA. If a State, county, or community has adopted more restrictive and comprehensive floodplain management criteria, these criteria take precedence over the minimum Federal criteria. In accordance with regulations adopted by the community when it made application to join the NFIP, letters issued to amend an NFIP map must be attached to the community's official record copy of the map. That map is available for public inspection at the community's official map repository. Therefore, FEMA sends copies of all such letters to the affected community's official map repository. When a restudy is undertaken, or when a sufficient number of revisions or amendments occur on particular map panels, FEMA initiates the printing and distribution process for the affected panels. FEMA notifies community officials in writing when affected map panels are being physically revised and distributed. In such cases, FEMA attempts to reflect the results of the LOMA on the new map panel. If the results of particular LOMAs cannot be reflected on the new map panel because of scale limitations, FEMA notifies the community in writing and revalidates the LOMAs in that letter. LOMAs revalidated in this way usually will become effective 1 day after the effective date of the revised map. LOMAENC-1 t--ULK t..:U. LANU ~5UK VL YNU COMPAN:Y•.i_ -=2046 U.S HWY. NO. 8, ST. CROIX FALLS, MS 54024 715.483..9A'84 z AG`~ NE CORM SEC. t k DATE July 20, 2011' SCALE: i 100: CU&T Turf and EfYeen Holland w 5w, 100' 206' 0 4f A-P I i 33' 7q ~E i N89'43'21rW 447.24 o LOT '5 f gs 973.5 Xa~ q \s~ i i TPGPS o,~ ass I $ p i. Ng3 o$ to °~rg>> ca 983 q. CA O 577.8 x 976.8 41 98&4 978.8 17 GND ( $7P ( I 98 r Co' - 979. I li Ht7U SPK M I w. Co. Hatched area ,Dd, X 978 2 Z , to be removed X 981.6 ii 20QD w 00 botm 247.24 ; 45.0629 92578181Y 7 20'E 4&06277'N 92.51796hN 457D3'46.83318"N , c r i 92'31`05.1242rW A' I 1 J x 96J~ ( , . GMD f LBiA~L-=r3L UFMNOFARE,kTOBEREWVED f All.tLit efLot3-afCccdfiedSwvcymcotdodtnVok=22,PW5351,bdagbcatedinthe Northeast Qimtter of the Northeast t~,mttse of Secd=%. Townw,ip 30 North, Range 18 West, Tovw of • Rich road, SL Cswx Couoty da~Aedes follow CSmoido g it the Niiittieaslt;ciiia of said Sepias 2b; lltem e 5 W°IJ' f8'W., WMM the east Gne of f said Section 26.44L151ta to She Notheast Comer of=id Lot S. dtatae N.M3'20"W 447.24 feet 1o the.Noithwest Comerofsaid Lot$'.*==S.000MS"W , . the point of along 8~e wen Inc of said sot 5, 70.00 feet t.. begimriag tlaa,ce s: 00°19'zrv, 749.00 feet the Soudhwest Caner orseid Lot5- tben,x i ` S.3x43'2D"E,a1oogthcsouthEmbfsaidLot5,200.00fa^t;th==W35°04VM, 96.33fbot;thcace f t N.63a~ vtrw., 160.80 fact to dc i point ofbegiaaing t.ontaioiog 18 620 Sq. Pt. ~ • ( ( . A SURVEYOR'S CERMCATE: 1, :Wayne Swenson, Registered- Land Surveyor; :hereby- certify that! this map -is a true representation of the lands surveyed and is correct to the best of my knowledge and belief. Wayne Swenson, RLS NO. 1496 t February 20, 2012 S1 TE: SURVEY OF LOT 5, C. S. I . NO.- 22 5351 { LIN NORTHEAST QUARTER OF THE NORTHEAST QU*AR~ER, l CCr` T'Zf17.! o~ oral The NFIP offers two types of flood insurance policies to property owners: the low-cost Preferred Risk Policy (PRP) and the Standard Flood Insurance Policy (SFIP). The PRP is available for 1- to 4-family residential structures located outside the SFHA with little or no loss history. The PRP is available for townhouse/rowhouse-type structures, but is not available for other types of condominium units. The SFIP is available for all other structures. Additional information on the PRP and how a property owner can quality for this type of policy may be obtained by calling the Flood Insurance Information Hotline, toll free, at 1-800427-4661. Before making a final decision about flood insurance coverage, FEMA strongly encourages property owners to discuss their individual flood risk situations and insurance needs with an insurance agent or company. FEMA has established Grandfather rules to benefit flood insurance policyholders, who have maintained continuous coverage. Property owners may wish to note also that, if they live outside but on the fringe of the SFHA shown on an effective NFIP map and the map is revised to expand the SFHA to include their structure(s), their flood insurance policy rates will not increase as long as the coverage for the affected structure(s) has been continuous. Property owners would continue to receive the lower insurance policy rates. LOMAs are based on minimum criteria established by the NFIP. State, county, and community officials, based on knowledge of local conditions and in the interest of safety, may set higher standards for construction in the SFHA. If a State, county, or community has adopted more restrictive and comprehensive floodplain management criteria, these criteria take precedence over the minimum Federal criteria. In accordance with regulations adopted by the community when it made application to join the NFIP, letters issued to amend an NFIP map must be attached to the community's official record copy of the map. That map is available for public inspection at the community's official map repository. Therefore, FEMA sends copies of all such letters to the affected community's official map repository. When a restudy is undertaken, or when a sufficient number of revisions or amendments occur on particular map panels, FEMA initiates the printing and distribution process for the affected panels. FEMA notifies community officials in writing when affected map panels are being physically revised and distributed. In such cases, FEMA attempts to reflect the results of the LOMA on the new map panel. If the results of particular LOMAs cannot be reflected on the new map panel because of scale limitations, FEMA notifies the community in writing and revalidates the LOMAs in that letter. LOMAs revalidated in this way usually will become effective 1 day after the effective date of the revised map. LOMAENC-1 rUL.n UU. LANU ~5UKVLYI G' C OMPANY'►,. 'Of 2046 U.S HWY. NO. 8, ST. CROIX FALLS, WAS 4024 71-5.483'. 9 84 • I! NE CtRWII 1 SEC. 26-30-18 ; DA r>~• July 20, 2011 ' SCALE: 1 A = 100' 6 CLIENT Tire and Eileen Holland Cr S0' 100' 200• I &B_q 05 t `oo of I 'Ass R PM8W43'20"W f 447.24 ( M T 5 L-0 { 6 W: ~c 973.5 Q ~9 4 TPGPS i X 978 6 ' ads c . a. ~sT46, Ar~ta~1 N 983 s a Ch ro t 977.8 x 676.8 X -83.4 • Qe 9 978.8 GN0 I $7P I L03 N 979. SW M I m I iI f H0U ao 2 i i D I 9 1 o a+ X 978:2 _ I I f H otcha d area b' t to be removed •;9$6 ` X 981.6 200.0 GNP botm 247.24 k i 45.0629871 589'43 20`E 1 92518i8W 447.24 45.06277'N l t 45'03'46 833I8"PI ` 92.51796,W 9231'05.12426`W 1 t X 984 :C' I cNo -AN I.siiAl:LlscRIPrlaxo>: a1uEKTOSEREMOVED n1t f :mac Omit ofLotS~ofCixisf' t~S~Y ~ 1 tetetdad invohtme 22,P 535>,~nB locoted in ' the I t I ~ NoitheastQ+mstaoflheNoBheutQuttaofSoetroa36,To+viship30North,Ran8e189vat.Townof• t 4 - i chatad, SL CauxCounty dccsSdas foIIos R ' I I t Coi`i"dij it the Noiftid+C&i6f of said Sodon 26- iimm S.iiVISP I8'W., aim% the Can a= of I I i said Soctioa 26, 441.151cat to she N9nbcaa Comer9fsaid Lnt $ dtatee bLW*43'20`W 447 24 feet to theNmtbmd Comerof ud Lot 5.6mce S.00°I9'25`W., along the vest fine of mid Lot 5, 70.00 feet 4 fti3oiatofbegindz=ti=eS:00°i9'25"W.,149.00met the Southw=tComcrofsaidLot5•thewe % 5.89°43 E,abagthcso~h iioofsaidLot5,200.00fatdtasxN.35°04WV 96, 31ba4thcace 1Zb3° S 12"lfii Ib0 00 foci za the pouu ofles1aniq~ Co mining 18 620 S% FL i I I I . 983.1 t h SURVEYOR'S CERTIFICATE: I, :Wayne Swenson, Registered Ladd Surveyor; { i he`reby~- certify that ~ this map • is a true representation of the lands surveyed and is 1 correct to the best of my knowledge and belief. t Wayne Swenson, -•RLS NO. 1496 f ' February 20,'.2012 SITE: SURVEY I - OF LOT 5, C. S. IUD. NO.- 22=~53-51 LOCATED IN NORTHEAST QUARTER OF THE NORTHEAST QU'ARTER,l Cf=r` 0 r_ -Tznt,l 01 otal ,