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HomeMy WebLinkAbout026-1133-01-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 556328 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: Riemenschneider, Lisa A. Richmond, Town of 026-1133-01-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 161,79 do_ 0✓#46' - Co_11-`_- 06.30.18.914 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic E>r~ ~i,~ rYt e, /a60 Benchmark 0. 9 -7 I62.7 Dosing Alt. BM Aeration Bldg. ewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO : P//L ~ WELL BLDG. Vent to Air Intake ROAD Dt Inlet K ` 5 Septic > 56' 95' 211 / 7 , Dt Bottom 0 O Dosing q Header/Man. q,5 r!3 g Aeration Dist. Pipe 1.57 y3 ,g Holding Bot. System /6-56 9z - z S q't Final Grade ~L VS PUMP/SIPHON INFORMATION (od • Manufacturer Demand St Cover b, 9.7 GPM D~ G ✓ ✓a/ 79 Mod umber ,B 1/al~e, g.7L 5~• 153 TOlk Lift Friction Loss m System Head DH Ft 01 Forcemain - - ist. to Well 01 9 0 I~a l d e. D~~ o (j g'. 7ZI SOIL ABSORPTION SYSTEM O D/TRENNS Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth 79 3 f SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufac rer: INFORMATION CHAMBER OR X"' P,-/ ~-I- I Type Of System: UNIT 7z' > A r Model Number: Aa -e 4 AV DISTRIBUTION SYSTEM /-/g 57 L'S Header/Margifold ~O Distribution x ole Size x Hole Spacing Vent to Air take x 2 Pipe(s) 0 ~ 5vJ !5 ~ Length 5 Dia_ Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over y Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ® No s No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: / ! Location: 940 172nd Ave New Richmon WI 54400117 (S 1/4 SW 1/4 6 T30 18W) Pine Valley Lot 1 / Parcel No: 06.30.18.914 1.) Alt BM Description ~J~`^0 2.) Bldg sewer length = ~~1 5 ~d-) G Ca 1 \.~JL~ amount of cover Plan revision Required? ❑ Yes Use other side for additional information. _ Date Insepcto Signatw e Cert. No. SBD-6710 (R.3/97) y~urrs~~ County Safety and Buildings Division St. Croix 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 A~ EP o 55 63zg V ermit A I1CatlOri State Transaction Number Pp In accordance with SPS 3$a-a'lo), Wis. Adm. Code, submission of this form to the appropn 'govental unit /UA is required prior to obtaining a sanitary permit. Note: Application forms for state-owned PO ai[e,sul3ttte Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used f6i-won' . It 0 purposes in accordance with the Privacy Law, s. 15.04 1)(m), Slats. ame ~i 7Z J 1. Application Information - Please Print All Information Property Owner's Name / Parcel # Lisa Riemenschneider 026-1133-01-000 Property Owner's Mailing Address Property Location 940 172nd Ave. Govt. Lot City, State Zip Code Phone Number SE Y<, SW Section 6 (circle one) New Richmond, WI 54017 (715) 246-9337 T 30 N; R 18 E or W II. Type of Building (check all that apply) Lot # ❑ 1 or 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name 1 Pine Valley Addition Block # ❑ Public/Commercial - Describe Use Na ❑ city of ❑ State Owned - Describe Use CSM Number ❑ village of Na own of Richmond 111. Type of Permit: (Check my one box on line A. Complete line B if applicable) A' ❑ New System L'i'replacement System ❑ Treatment/Holding Tank Replacement Only [I Other Modification to Existing System (explain Y ) List Previous Permit Number and Date I ued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner aD3 / $ ~j bZ IV. Type of POWTS S stem/Com onent/Device: Check all that a 1 on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Compone lain) ❑ Pretreatment Device (explain) V. Dispersal/Treat t Area Informati : 57 filtrator "Q4 Plus" standard ch bers & 6endca s Design Flow (gpd) Design Soil Application %aftkJpds Dispersal Area Required (sf) Dispersal Area Proposed (s System Elevation 450.00 Gpd 0 . 40 Gpd/Sq. Ft. 1,125.00 sq. ft. 1,170.60 Sq. Ft. 92.50' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units c U New Tanks Existing Tanks Y j? r11/L i^. ! P. U Cn H rn V. 0 a, Septic or Holding Tank 1,000 1,000 1 M (d-Western Precast X Dosing Chamber VII. Responsibility Statement- I, the and 90signed, as ume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe s Signature MP/MPRS Number Business Phone Number James K. Thompson MPRS 30021 (715) 248-7767 Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, Osceola, WI 54020 VIII. oun /De artment Use Only Permit Fee Date sue Issuin nt Sign Approved prove $ &//Z- r Given Reason for Denial IX. CondiReasons for Disapproval 3 , (.e 1. 'Septic tank, effluent filter and f Ve aCd- O y3 tk :dispersal cell must all be services I maintained as per management plan provided by plumber. 2. AN setback requirements must. be maintained ss per appficeible code / ordinances. Attach to complete plans for the system and submit to the County only on paper not less than 812 a 11 inches in size SBD-6398 (K 11/11) Conventional POWTS Index & Tilte Sheet Project Name: Riemenschneider 3 bedroom Replacement Conventional POWTS Owners Name: Lisa Riemenschneider Owner's adress: 940 172nd Ave., New Richmond, WI 54017 Site address: Same Project Location: Subdivision: Lot 1, Pine Valley Addition Legal Description: SEl/4 SW1/4, Sec. 6, T.30N., R. 18W., Town of Richmond, St. Croix Co., WI. Parcel ID 026-1133-01-000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calcualtions Page 4 System Cross Section Page 5 System Management Plan Page 6 Certification for Utilization of existing septic tank Page 7 Septic Tank Maintenance Agreement Page 8 Parcel map Page 9 Deed Attachments: Soil Evaluaiton Report Mater Plum r Restricte Service: James K. Thompson, Dept. of Comm. Credential #30021 Signature: S Date: Page 1 of 9 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) • Soi%e✓a/ua~rbn~i f by ai//L ID/.zS/oZ, ~X~J~~ el2da.~i`crn ca/e: / = rld ~ 2296 -P~ Li"sa .eealena~heid•er ward e d O 9110 Ile,,) 11:c,~ mond, w< SYoiG I "qke -y~5wlseC.G,T3o.f d 4-WV UY d s 3 acs ~w--- ~ p-F L-jrn c4 ow Ca S 7119- C70, v~ . / JU. I E,Yi 5'tt'su,' Aft. T(jo{s.T. - 9y eff on `7- a- Prgpe ~d~,'~clsoni/aJot 3 `1 A~pr~x./Bca~i'o~of'~v's~' ,~J' •d c d 5e e- Ce-r?~y i S/oc SaICG/ 6 1 ~ l ins t~•~-ro» r-t~df•~ Jam" i a 51; t ProP sud &ipuisa dcIlatz•s'x7 N :5yS,Ee n c/u'- Z~o tae = g2.Sn' wc~ded s ~ . \ ~ d az ~ , ~ ~,wd~d Sy s Ecm /trta~1 t/ 1 'J O ~t O . ll 40 O CuLAe(~dis~A/t/e s~o tAL. 2 oro cl DISPERSAL CELL SIZING CALCULATIONS 1. (3 bedrooms)(100 gallons estimated flow)(1.5 design factor) = 450.00 Gpd design flow 2. Infiltrative capacity of native soil = 0.4 gpd/sq. ft. 3. Absorption area required: 1,125.00 N. ft. 4. Absorption area as proposed: 1,170.60 sq. ft. (57 chambers total) Infiltrator "Quick 4" = 20.00 sq.ft. EISA per chamber, Infiltrator "Quick 4" end cap = 5.10 sq.ft, EISA 1,125.00 sq. ft. - (6endcaps)(5.10) = 1,094.40 sq. ft. 1,094.40 sq. ft./20.00 = 54.72 chambers required Number of trenches: 3@ 19 chambers per trench Trench width: 2.50' Trench length: 78.0' Trench spacing: 6.0' on center Total system area w/ 5' trench spacing: 15.0'x 78.0' Pg. 3 of 9 Soil Absorption System Cross Section yG 6V .9,9, X ft 4" Schedule 40 Final Grade PVC Vent Pipe With Vent Cap 6-0 ft Leaching Chamber ~1-- ft System Elevation 2 , Soft .c0 ft Soil Absorption System Plan View ft .2. SO ft Idu ft Leaching Trench 1 Chambers 4" Dia. I Trench 2 Header Vent Or Observation Pipe r Trench 3 Leaching Chamber Specifications - Manufacturer And Model Alus I EISA Rating 10.6 sq ft per chamber Soil Application Rate 0.$40 gpd/sq ft gpd Design Flow - 0.00 Soil Application Rate a©.y EISA = SG.Z; Chambers l_ 3 rows of chambers each. Page 7~ of Conventional Septic System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with SPS 382-384 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with SPS 383.54(l)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two-year schedule by use of diversion valve. Effluent to be diverted from new dispersal cell to old cell at 4 year anniversary of new system installation. Old cell to be utilized for a 1 year period. Afterwards, effluent dispersal to be alternated between cells to allow use of each cell for a two year period. Contin¢ency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St Croix County Zoning Department at (715) 386-4680. Pg. 5 of 9 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 9510 172 71d c-0j, located at: 36-_ 1/4, Sky) '/4, Section , Town 36 N. Range__ZB_W, Town of -,-c k M 0-rd , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service C&41. .2-7 oil Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: / GO Construction: Prefab Concret Steel Other Manufacturer (if known):Cu- Tank (if known): l0 y ecL,-s Permit umber (if known) 54io 3 / 8' icensed Plumber Signature) (Print Name) 1;,7.,,01c2 s. (Title) (License Number) *I MPRS (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/ Q Bn S G-6i c~~ Mailing Address nd Property Address (Verification required from Planning & Zoning Department for new construction.) City/ State Parcel Identification Number o2(o 1133 - o -~O LEGAL DESCRIPTION Property Location 56- '/4 , 5 a)'/4 , Sec. (o , T 36 N R-16-W, Town of ~ e~ m on d Subdivision Plat: r/ ne i4t//1s/ Aclulli-i cry , Lot # Certified Survey Map # 40 , Volume id 4- , Page # Ila- c Warranty Deed # (before 2007)Volume , Page # 1-1 Spec house ❑,.gea P<o__ Lot lines identifiable s ❑1w 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. Uwe, 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. I/we 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 wa anty deed recorded in Register of Deeds Office. Number of bedrooms I _L 4!~ SIGNATURE OF APPLICANT(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. 09/07) a 7olc? DEVELOPER/FUTURE OWNER: OWNER OF RECORD: HILLVALE DEVELOPMENT EARL & MARY ANDERSEN C.S.M. VOL 11 PAGE 3229 S CONTACT: RICHARD NELSON 347 W. RIVER DR. P.O. BOX 10622 NEW RICHMOND, WI 54017 WHITE BEAR LAKE. MN 55110 PHONE: (651) 748-0448 i FAX: (651) 748-044F_ 1 1 ow tY ASSUMED BEARINGS REFERENCED TO THE WEST LINE iO OF THE SW 1/4 OF SECTION 6, TOWNSHIP 30 N., pe RANGE 18 W., ASSUMED TO BEAR N00°25'01"E z I I NORTH I j I GRAPHIC SCALE 1314/001 a as oo zoo 0o I C. UNPLATTED LAND ' GvI 1 ( IN FEET) I I ~I I NORTH LINE OF THE S 1/2 OF THE SW 1/4 - 1 inch = 100 fL I Cn ~`\7 33 I '0'55"W 2596.63' 1 1 33 13-Z 620.00 190.00 13zoo 4 200.00 b ae. 200.00' 1 za+.,s 225.16 .-4 oo .So ORA1NAl EASEMENT E .1 - -__T__-__-__- 33 33 • {8 ~ A~• 5 \ Jl 211.)5, ~K -J `'~'i° 3rn I I Z S \ 96,648 5 Ft3 \ °W seaZOssw 267.12' of 9 BUILDING SETBACK UNE/ Q 2.22 Acres3 .t E J S7Z77 \ISa'ao~' \ m r2 88.184 S9Ft3~' Ir O ?o f I6 \ _ 2.02 Aarsa3 $ I I r I 5'~' 3 3 3 fop I o, rp I r l SJ II 8 Q I \~~D'F Nm 3 Niq 1,b 1 p% I a J `85, p0 \ \ eL7 \ 87,857 SgFtt n n 2 n d a'~'1~1 "1 h Z ~O (O74 \ $ a 2.02 Acreat 0 Y 87,920 SgFt3 $ ° 1 O 1 \ 020 0SF z z 2.02 Acres3 z 99, gfti 4• I h \ ~q 2.28 3 1 t• g 7 4sb \ 4,y ~ 5 a \ 3 I I 3 ~v'\-_ e~ \ Js J. ~ ass -J t ry~ 3- ~ \ ?J 17 Ay \ \ 500• y g ' I 33 33 I I la Z \ (7 \ tir x•12' UnUTY EASEMENT i 117,431 SgFtf C23~ i 154.86' 200.00' I - - - - 227_00- - - [r o 0 2.70 Aaree3 \ 1 ~r c21 - y` r[1 O~ 581.86' \ 4 785.22' \ 1/Ll\L A~lrl`I IJP. 615.14' M1 ° y 0 N89.2 1'40"E 1693.12' .'1 w I I o I I I 3.3 33 3 I In LAND x h LOT 1 WI $ ~I I III w CURVE TABLE i z C.S.M. VOL 11 PAGE 3031 I I Arc Delta Tangent Out Curve Lot Radius Ta^9ent In Chord Chord Arc Delta Tangent Out Im N Length Bearing Number Number Bearing Bear'ng L th L ngth B a 361.06' 31 °00'55" N5924'O6'E 18 16 457.00 1,6478 40 E NAMIS 0'E }}4.98' }42.97' 43'00572°21'20"E LEGEND: I ^o t+al 193.44' 167700' N73°48'01"E 19 5 428.00' S72'21'20'E S63°43'20"E 128.49' 128.98' 17'16'00' S55b5'20"E a0 I I it 167.62' 1423'55" N5924'O6"E 20 17 362.00' S7221'20"E S63°43'20"E 108.68' 109.09' 17°16'00' S55°05'20"E ft< Denotes County Surveyor'. 396.79' 31 '0055' N5924'06"E 21 3-4 279.00' S55°05'20"E S72°51'50"E 170.35' 173.11' 3573'00" N8921'40'E ~I Monument (unless noted) I I / 262.25' 202957' N69°55'04"E 22 4 279.00' S55'05'20"E S68%2'31"E 126.66' 127.77' 26°,4'22" 581°19'42"E Denotes 1' Iron Pipe Found I 7'-- 68.02' 5'09'38" N64'45'26'E 23 3 279.00' S81 *1 9'42"E S85°59'O1"E 45.29' 45.34' 998'38" N8921'40"E (unless noted) r' 68.52' 521'20" N59'24'06'E 24 17 345.00' S55'05'20"E S72°51'50"E 210.64' 214.06' 3573'00" N8921'40"E 122.57' 1390'32" N72.34'38'E 25 14 283.00' S22°39'45"E S1322'17'E 91.38' 91.78' 18°34'56' S04'04'49"E 0 Denotes 2" Iron Pipe Set 107.39' 1390'32' N72°34'38"E 26 16 217.00' 52279'45"E S1322'17"E 70.07' 70.38' 18°34'56" S04'04'49"E Weighing 3.65 lb./ft. V 1 64.66' 755'58" N64°38'40 "E 27 14 80.00' S04'04'49"E S26°36'54"E 61.32' 62.93' 45'04'10' S49°08'59'E j I r7I C22 Denotes Curve Number 73.80' 7°55'58" 1,64°38'40"E 28 10 80.00' 504°04'49"E 57827'16"W 61.32' 62.93' 45'04'10' S4059'21"W (see curve table) Li I 392.51' 43°00'00" S7221'20"E 29 10-14 80.00' S49°08'59'E S85°55'11"W 113.00' 377.18' 270°08'20' N40059'21'E I ( U I 183.80' 20'0809" N84°46'49"E 30 14 80.00' S49'08'59"E S33'05'48.5"E 44.24' 44.83' 32'06'21" S1 7'02'38"E Denotes Utility Easement I Q! 208.71' 2251'5,' S7221'20'E 31 13 80.00' SI7°02'38"E S099 6'55"W 70.96' 73.51' 52°39'06' S3576'28"W (12 feet in width unless noted) I I O_ 1 32 12 80.00' S35°36'28"W S79'38'38.5"W 111.22' 122.97' 88°04'21" N56°19'11"W Denotes Building Setback Lme .m N 33 11 80.00' 1,5699'11"W 1,3091'52"W 70.45' 72.95' 52°14'38" 1,04'04'33"W I 34 ,0 80.00' N04'04'33'W N1827'24"E 61.31' 62.92' 45°03'54" N4059.21"E 87,857 SgFtt I a 2.02 Acres3 Denotes Total Lot Area J to I OI Iz I >1 Vertical Datum is U.S.G.S. 1929 Adjustment I ~1 All Other Lot Comers Are Monumented With I I Uj 1 1' X 24" Iron Pipe Weighing 1.13 Ibs/ft I U Ofstanees are computed to the nearest I N 0.001' and measured to the nearest o.of' I I 01 LOT 3 Angles are computed to the nearest 11090'00.5" I Todd M. Hendershott, RLS 2362 and measured to the nearest OOeOO'O5' Registered Wisconsin Land Surveyor 331 33 597 Doted this _ day of 20 - ~ I -SOUTH LINE OF THE SW 1/4 _ 1,8921'40"E L1957.90 X13 ----AVENUE - M - s,-/4 cola Secs RR SPIKE - - - - - - - - - - - - PREPARED BY. The following note is to be placed on deeds for future tot buyers: Sub pct to notes, restictions and any easements, covenants and right-of-ways of record including but not limited to those for drainage, MERO water r retention, ponding, and or utilities as shown on the plat of PINE SURVEYOR: th or VALLEY ADDITION recorded in Volume _ Page _ SLCroix County, nage and Wisconsin, Todd M. Hendershott to building Metro Land Surveying & Engineering pond 412 County Road I AND SURVE"MV s, berms or Lot owners should h advised that there are Farms in the surrounding area Little Canada, MN 55 5117 it11`I1J UA♦r.+ il and that this subdivision may be subject to possible Farm Animal sounds . and smalls. & ENGINEER NG dd M. Hendershott Sheet 1 of 2 ~(9" fII``44 44 !!44!!++ II , I IIIIII I~I~I ~~I~) ~I~I~ I~~1~ I~III ~~I) I~III~ II~~ ~I~I * 8 8 9 5 3 4 1 State Bar of Wisconsin Form 3-2003 $$9534 QUIT CLAIM DEED BETH PABST REGISTER OF DEEDS Document Number Document Name ST. CROIX CO., WI RECEIVED FOR RECORD 02/25/2009 10:20AM THIS DEED, made between TIMOTHY A. RIEMENSCHNEIDER QUIT CLAIM DEED EXEMPT I 8N ("Grantor," whether one or more), REC FEE: 11.00 and LISA A. RIEMENSCHNEIDER PAGES : 1 ("Grantee," whether one or more). Grantor quit claims to Grantee the following described real estate, together with the Recording Area rents, profits, fixtures and other appurtenant interests, in St. Croix } 1~ County, State of Wisconsin ("Property") (if more space is needed, please attach Name and Return Address addendum): Attorney Barry C. Lundeen Second Street Lot 1, Pine Valle Addition in the Town of Richmond, St. Croix Coun Wisconsin. 110 Hudson WI 54016 y ty~ / P.O. Box 469 THIS DEED GIVEN PURSUANT TO THE TERMS OF A JUDGMENT OF DIVORCE GRANTED TO THE ABOVE PARTIES IN THE CIRCUIT COURT FOR ST. CROIX COUNTY. 026-1133-01-000 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Dated February 2009 (SEAL) (SEAL) * " Timothy A. Riemenschneider (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature} P1 `f"i in OL h.; tt . ~iPMOr►:tlnnr j ~Pr' STATE OF WISCONSIN ) authen 7~i ) ss. C St. Croix COUNTY ) . * Flr? tp uN ~ tj Personally came before me on February 2009 > TITLE: MEMBER STATE BAR OF WISCONSIN the above-named Timothy A. Riemenschneider (If not, authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Attorney Barry C. Lundeen Hudson WI 54016 Notary Public, State of Wisconsin My Commission (is permanent) (expires: } (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. 3-2003 • Type name below signatures. 1 of 1 V E V 2296 Wisconsin Department ofComge 05 20V SOIL EVALUATION REPORT Page 1 of 3 Division of Safe and Buildings,, Safety A.C.E. Soil & Site Evaluations 4r,agr~ance with Comm 85, Wis. Adm. Co ~e NNING t= 7 Ni Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must u St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Rarcef /T. 02 1133- 1-000 Please print all information. Revi ed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Lisa Riemenschneider Govt. Lot SE 19 S 9S 6 T 30 N R 48 W Property Owner's Mailing Address Lot # Block # Subd. N e or CSM# 940 172nd Ave. 1 na Pine Valley Addition City State Zip Code Phone Number J City _I Village Town Nearest Road New Richmond WI 54017 (715) 246-9337 Richmond 72Nd Ave. New Construction Use: W1 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ✓J Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Site suitable for conventional POWTS dispersal cell with 0.4 gpd/sq.ft./day loading rate. Recommended trench elevations to be 92.50'. Boring # I Boring e Pit Ground Surface elev. 96.23 ft. Depth to limiting factor >92" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 "Eff#2 1 0-13 1Oyr3/3 none sit 2fgr dsh cw 2fmc 0.6 0.8 2 13-25 1Oyr4/3 none sit 1msbk dsh cs 2fm,1c 0.4 0.6 3 25-32 1Oyr4/4 none sl 2fsbk dh cw 1vf,fm 0.6 1.0 4 32-60 7.5yr4/6 none gr Is/sl Osg/1csbk dl/dh aw 1vf,fm 0.4 0.7 5 60-92 7.5yr4/6 none 1 gr sl/Is/s 1csbk/Osg dsh/dl - - 0.4 0.7 or $ I Horizon #4 consists of an unsorted mixture of Is & sl. Lo y and has a high clay content. Horizon #5 consists of an unsorted mixture of s, Is & si. Loamy sand has a high clay content. Both horizons contain approx. 30% gravel & cobbles. Boring # Boring Pit Ground Surface elev. 98.75 ft. Depth to limiting factor >116" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0-5 1Oyr3/3 none sit 2fgr dsh cw 2fmc 0.6 0.8 2 5-20 1Oyr4/3 none grsl 1msbk dsh cs 2fm,lc 0.4 0.7 3 20-62 7.5yr4/4 none gr sl 2fsbk dh cw 1vf,fm 0.6 1.0 4 62-116 7.5yr4/6 none f gr Is/sl Osg/1csbk dl/dh - lvf,fm 0.4 0.7 n L• 1y Horizon #4 consists of an unsorted mixture of Is & sl. Loa y sand has a high clay content. Horizons #2, 3 & 4 contain approx. 40% gravel & cobbles. " Effluent #1 = BOD? 30 < 220 4/1- and TSS 30 < 150 mg/L Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) S' nature: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluati Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 8/27/2012 715-248-7767 Property Owner Lisa Riemenscheider Parcel ID # 026-1133-01-000 Page 2 of 3 ]Boring # Boring W1 Pit Ground Surface elev. 97.20 ft. Depth to limiting factor >99" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/3 none sil 2fgr dsh Cw 2fmc 0.6 0.8 2 8-33 10yr4/3 none sil 1 msbk dsh CS 2fm,1 c 0.4 0.6 3 33-46 10yr4/4 none sil 1msbk ds Cw 1vf,fm 0.4 0.6 4 46-57 7.5yr4/6 none sil 2msbk dsh aw 1vf,fm 0.6 0.8 5 57-99 7.5yr4/6 none gr s1/Is 1 csbk/0sg dsh/dl - - 0.4 0.7 C,Z' „ Z ,1 Horizon #5 consists of an unsorted mixture of Is & o y sand has a high clay content. Horizons #5 contains approx. 25% gravel & cobbles. ❑ Boring # Boring ~f Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * 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 (R.07/00) A.C.E. Soil & Site Evaluations 6y-momP5,)q a/z7//z by ai//t /D/zS/GZ ~ EX•~E%~ a le dct-~i tm cafe: / 4 dd ,Q~'''`2296 Lisa .eeirlenS~~eid~r Wwdec~ 9VO /72- =d,Qd.. 5c ys~ 5wf* 5e c. 6,T. 30 ~f, .E'/~ t T.o~'P'c~muadS~.Gd;X 4' uy: d 3 ar.~s ~ O-E u7in~ot.o Ccc Srn J, ~ v1 r ` .~.J 4~ ~ 3 be Jr too/m wcade d ~ ~r r ^ ~e5r od en GL t ,3. : 7'0(~ o.f' S,T.' i t rr,VA-4- e ~etf o,' S. T. o e,4-- r -cam = 9 y oe ~r u~ e/A-ieo ei~l, Zen \ 6 1 t ` I i~f'/tizzf'vF ~~r4+ce e%&+ . ~ Z wc~ded s ~ ~ ~ \ \ Cl thr0ur7"~ ` ~a i \ ~ 6ysfe.►o~'~4\t t 1 t y ~ t p O Op t~ 4', CIAI.U~!'tira~iS~tPyf/e. yo ~ ndA Ole