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HomeMy WebLinkAbout026-1294-08-000 is ~ I I ii i II III II I I II III Ir fl182948 TY:4151419 Document Number Document Title 98638 St. Croix County BETH PABST S& ` ar~ REGISTER OF DEEDS occupancy Affidavit 71> ST. CROIX CO., WI `r <9 RECEIVE OR RECORD 09/ 16/ :43 PM f ~a~L co~'yT EX~IPT Name - (Owner) Typed or printed r REC FEE: 30.00 being duly sworn , states, under oath, that: PAGES: I He/she is the owner/part owner of the following parcel of land loc t din St. Croix County, Wiscon in, re or ed in Volume Page Q Document Number St. Croix County Register of Deeds Office: Recording Area A parcel of land located in the-5 % of the .5E % of SectionZ 8, T ION Name and Return Address - R 19 W, Town of JF-i-(A St. Croix County, Wisconsin, being duly described as follows (include lot no. and su divison/CSM or detailed legal description): Z o $ 62' r tJpd &N 8 Parcel Identification Number (PIN) As owner of the above described property, I acknowledge that the private onsite wastewater treatment system (POWTS) serving this residence is sized fora .3. bedroom home or a design flow of 9~vgpd. The design flow is calculated by assuming /S-v gpd for -2 individuals per bedroom. There are currently _occupants living in this residence; a maximum of occupants are permitted based on the design wastewater flow. Therefore the POWTS serving this residence is code compliant at this time. However, I understand that if there are intentions to exceed the number of permitted occupants, the POWTS may be subject to premature failure and/or will need to be modified to accommodate the increased wastewater flows and/or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this fb- day of SEPLAW, Z C)1 * r C4.,r * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) )ss. St. Croix County. ) authenticated this day of Personally came before me this L Le day of j a-O l the above name to me known to be the person(s) who executed the foregoing TITLE: MEMBER STATE BAR OF WISCONSIN instrument and acknowledge the same. (If not, authorized by § 706.06, Wis. Stats.) THIS I RUMENT WAS DRAFTED BY: bl ra~~~ ~ w / V Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. If not, state expiration date Date: necessary.) "THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" This information must be completed by submitter: document title. name & return address and PIN (if required). Other information such as the granting clauses, legal description, etc. may be placed on this first page of the document or may be placed on additional pages of the document. Note: Use of this cover page adds one page to your document and 2 00 to the recording fee. TVisconsin Statutes, 59.43. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 561041 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. Richmond Acres LLC, C/o Gerald J. Smith Richmond, Town of 026-1294-08-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No. /too M ) c57- 28.30.18.1490 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic =,n O Benchmark /`6•~ / d e J ICY Z Alt. BM Z • ~ ~O3 Aeration Bldg. Sewer 3.7 ~OZ Holding St/Ht Inlet `7 TANK SETBACK INFORMATION St/Ht Outlet `7 / lad • (A TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet N r Septic 1 AA- 20 / _ Dt Bottom 36 1 Dosing Header/Man. pp 8 •~~10 . (p Aeration Dist. Pipe O 9 g Holding Bot. System 9. 8 g 7 • ~o PUMP/SIPHON INFORMATION Final Grade 3• Z A43, Manufacturer Demand St Cover GPM Fc 1J.~,~ Go 2 •8 ~d Model Number TDH Lift Friction Loss System Head H Ft Forcemain Lengt ist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width / length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS :3 SETBACK SYSTEM TO (O P/L BLDG WELL LAKE/STREAM LEACHING Manufactur INFORMATION CHAMBER OR Type Of System: UNIT Model Number O /LI/1i(JLL i v ZT ~Ft-- d r VAT DISTRIBUTION SYSTEM f, dS Header/Maniy Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) aEaa Length Dia Length DO Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over / Depth Over xx Depth of 1XX Seeded/Sodded xx Mulched Bed/Trench Center w / 25 Bed/Trench Edges Topsoils Yes No es No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1323 116th Street New Richmond, WI 54017 (SW 1/4 SE 1/4 28 T30N R18W) Richmond Acres Lot 8 Parcel No: 28.30.18.1490 1.) Alt BM Description 4.A- 2.) Bldg sewer length = 6L%, S Q - amount of cover = 2$ (rtl/40- A&,P ' i~.~ a.~' C 5P Plan revision Required? 7 Yes No , ~pg'3 4175 Use other side for additional information. Date Inse rs Sign re Cert. No SBD-6710 (R.3/97) PLOT PLAN PROJECT Gerald Smith ADDRESS 11160 190th Ave Elk River Mn 55330 SW 1/4 SE i/as 28 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX 4/2/13 3 BEDROOM MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of 1/4" steel pipe ASSUME ELEVATION loo' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.4/95.2 5.7' below qrade Well is to meet all 116th St. setbacks required by WDNR Pro 3 5 J Bedroom House 10' ~ s ST 2N 358' Property Line 2-3' X e is All piping shall be SDR 30/34, within 10' p' with > ' p c Is of tank, piping shall be Schedule 40. 1 1/17 Vent B-1 >6„ Quick4 Standard ~5, Leaching Chamber of Cover with 20.0 ft2 of Area 5.6ft^2/pair of end caps 105' 4' Long 12 Grade at System Elevation 2% SloPe 3 4" B-3 Scale is 1" = 40' unless otherwise Please note: a additional boring 405 noted will be done to lower system to a proper elevation -2 7B.M 15' 184' Property Line d comrrtetrcer.wCgrxtr V~3--- 5afeiy anti 13ui1 o County SIR Q3 201 W. Washington 1 ► 71 ~s~cons~~ ~N~ - - Madison, Wl 537071-7162 Sara ilzarY .Furor/i/r N//u~~naib-u~/r (t~ l an au n I iaa by ^ Sanitary C e- wit Application State 7Yansuctxon Ntunber In aacos'dalloe wilb s. Comm. 83.21(2). Wes Adm. Code, submission of* this fixm to rile uppropriute govemmental A unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned NOW"f S are project Address if different than mailing address) submitted to the Deparitneni of Commerce. Personal information you provit ^ nay d for secondary purposes in accordance with the Privacy Ltu•r, s. 15.04(! (m), Stats. -#/323 1. Application Information - Please Print All Information } ! l~ Parcel # Property Owner's no OOV _ e r f-- 1 Property Owner's Mailing Address _ Property l.twatitm Govt. L.ut ber - w y~ h; ''/a, Section - City,^ state Gip Code Phor►eNuns 3 oirc:le t>< c7 N; It 11. Type of Budding (check all that apply Lot 11 Subdivisiorr Name _ or 2 Family Dwelling- Number of Bedrooa ab Block. ti ~L' - - %1__-,_ - Ij public/Commercial - Describe Use C~ {/L ❑ City (W. CMNuinber U Villageof E.) State Owned Describe Use .i In. Type of Permit: (Check my one box on line A Complete, line B if applicabfe) - - A. , g stem U Roplactunwit System L1 Triestmeut)llolding 'tank Replacement Only Ll Other Modification to Existing System (explain) list Yreviuuti Permit Ntm,ber and Date Issuerl R. ❑ Permit Renewal U Permit RM-ision ❑ Change of Plumber 1-1 Permit 1'rausler to New Before Expiration Owner IV. a of PO'WTS SvstegdCompwatut/Device: (Glteek all drat apalY)_______- . n-Pressurized ln-Ground ❑ Pressut ized in-Ground ❑ Ai-Garde LI Mound 24 in. of suitable soil ❑ Mound ti 'Lr1 iu. [I Pretreartrnenl Dt vrt a (explain 171 loldiSig "tank U Other Dispersal Component (explain) V. Dis ersaUTreat cut Area Infortntttoo". - Desigrr Flow (gpd) Design Soll Appiicat.ion te(gpdsi) Dispersal Area Regwred V Dispersal Area propose (st) System Eloval' In Ca Total . # of Manufacturer S Tank 11ifa ,~acity in Vk (lallons Gallons Units, New Tsulks Existing Tanks Sep_ti~c..ur~Ho_ldiut; Tank ~ - - - Dosi[tg CitauttNft - V 11. Responsibility Statement- 1, the undersigned, a e responsibility for installation of the POW'' P MFRS Ntumbter `hed Business Phone Number PUamber's Name (Print) Plur s Signature ~ :!Z~ teLi C) - (Street, City, Sea , p Plumber's Address ode VIII. Court Me artment use onl - - - - Permit Fee Ddte 'sued Issuin ent Signatu Approved sapprov S i l 75 , GO L f 3 ❑ O Iven Reason enial IX. Cood' ' lReasons eor'Disapproval 'J^J. n s t*0✓1` rd.tw ~"~~r 3 ho •~Or~A ` belje I ~ 1;. $eptio tank, effluent filter and dispersal cell must all be servk;es L -maintained as.per management plan provided by plumber. 2> do safW' k requirements must be maintained °am pet appfiiCablecode if adirtatices. _el3-- _ . stem and mbw,t to tl1C CUnnty only on tfYllUr not less tools 112 Y I t illCtt in size l~ttYCll to Gif ordi pi o for the sy SIID-6398 (R. 02109) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 4/2/13 Owner:Gerald Smith Location: SW1/4 SE1/4 S28 T30 N,R18W Lot 8 Richmond Acres Richmond System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specification et Signature License nu b #226900 PLOT PLAN ADDRESS 11160 190th Ave Elk River Mn 55330 PROJECT Gerald Smith Richmond COUNTY ST. CROIX Sw 1/4 SE 1/4S 28 /T 30 N/R 18 W TOWN 4/2/13 3 - BEDROOM MPRS Shaun Bird 226900 DATE HOLDING TANK CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT - DOSE TANK SIZE 1000 gallons LIFT TANK SIZE MOUND SEPTIC TANK SIZE 7 ABSORPTION AREA 651 # of chambers 32 LOAD RATE HOLDING TANK SIZE BENCHMARK V.R.P. Top of " steel pipe ASSUME ELEVATION loo' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.4/95.2 5.7' below qrade Well is to meet all 116th St. setbacks required by WDNR Pro 3 Bedroom House 7 2:: 10' ST 358' Property Line 2-3' X 66' cells All piping shall be SDR 30/34, within 10' 0' with >3' spacing of tank, piping shall be Schedule 40. B-1 Vent >6" Quick4 Standard ~5, Leaching Chamber of Cover with 20.0 ft2 of Area 5.6ft^2/pair of end caps 105' 4' Long 12„ Grade at System Elevation 2% Slope 34" B-3 Scale is V = 40' unless otherwise Please note: a additional boring 40, noted will be done to lower system to a proper elevation -2 70' B.M.* 15' 184' Property Line Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >1' above grade 5.6ft^2 pair of end plates Finish grade elevation 100.0' Typical Installation Vent Grade rade Vent 3' 4" 3' x/30/34 Septic Tank 5' Long 1 5 15' 9 Grade at System Elevation 3671 Grade at System Elevation Spacing 5' 2-3' X 66' Cells Same on other end Observation tubeNent At end of cell A B 16 chambers per cell System elevations: A-95.4' B_95.2' c;, tZc :i "5 38c dc'86 V2 Q-20 1C ,.;a 24 Ph' St. Cr.,:x Ccu- ty J , - ST. CROIX COUNTY SEPTIC' TANK MAINTENANCE AGREEMENT AND ` OWNERSHIP CERTIFICATION FORM Owner/Buyer _L~PruJ~~C_ ~i Mailing Addres4 X30 -2 VIP Property Address (Ver fication required from Planning zoning Daparument for new construction.) City/State _ Parcel identification Number IIY' 6m LEGAL DESCRTPTION , T N R~W, Town of l i t P Sec. . Lot # c' Subdivision Plat; Certified Survey Map Volume page # # - (before 2007)Volume , Page Warranty Deed # Spec hou yes Lot lines identifiable yes no SYSTiiVi MAINTENANCE AND OWNER QRTIFICATION Improper use and maintenance of your ss?tio system could result in its premature failure to handle wastes, Proper maintenance consists of ptunping out the septic tank every three yeara or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of this septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Conini. $3.52(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 it master plumber, Journeyman plumber. restricted plumber or a licensed pumper verifying that (t) the on-site wastewater disposal system is in proper operniing condition andlor (2) utRcr inspection and pumping orneeessary), the septic tank 1, loss than 113 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 ofthe three year expiration :late. Uwe certify that all statements on thi form are true to the best of my/our knowledge. l/we anUare the owner(s) of the property described above, by virtue of a wa my deed mmtded in Register of Deeds Office. Number of bedrooms SiG T R 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. 08105) J POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SNECIFiCATIUNS 67 Owner a " sn~. Septlc Tank Capacity ❑ NA Permit # Septic Tank Manufactui el, ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model NA Number of Public Facility Units )"A Pump Tank Capacity gal NA Estimated flow (average) c7t;, gal/day Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer NA Soil Application Rate al/day-/ft 2 Pump Model _ NA Standard Infuent/Effluent Quality Monthly average" Pretreatment Unit - NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) s220 mg/L D NA © Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection © Other: Pretreated Effluent Quality Monthly average Dispersal Gell(a) ❑ NA Biochemical Oxygen Demand (BODs) mg/L Ground (gravity) 0 In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L 414 ❑ At-Grade ❑ Mound - Fecal Coliform (geometric mean) s104 cfu/100MI ❑ Drip-Line_ _ 17 Other: Maximum Effluent Particle Size in dia. p NA Other; ❑ NA Other: y /"RYA Other: - ❑ NA *Values typical for domestic wastewater and septlo tank effluent. Other: _ T ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: monthf s) (Maximum 3 years) ❑ NA _ ~jcear(s Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: monhs) ~ (Maximum 3 years) 0 NA Clean effluent filter At least once every: / D month( s) ❑ NA year(s;.._ Inspect pump, pump controls & alarm At least once every: 11 monthls) 11 NA ❑ year(s)- Flush laterals and pressure test At least once every: ❑ month(s) NA ❑ year(s) _ Other: At least once every' ❑ month(s) ❑ year(s) 13 NA Outer: NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispetwi cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servii.;ing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cricks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground wirface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a falling condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of S12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of _ START UP AND OPERATION For new construction, prior to use of the POWTS' check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels- When power Is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent, power to the To avoid the pump controls to erestore normal levels nta t a PlumbertorrPOWTS Ma n alner to assist lin by a manually operat Servicing effluent pump a p or situation within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or, at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the Rfe of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; undation(sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps<; medications; oil; pa g products-, pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS faits and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83,33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septagrl Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: / suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the foplacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. d A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. • The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area, If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. must comply with the rules In effect at that time,moval of the biomat at the infiltrative [3 M rfa and at-grade. soil Reconstructions ofsuch asorption systems ay be reconstructed ,c<WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOF) INSUFFICIENT OXYGEN. DO O A TANK MAY BE DIFFICULT INOR IMPOSSIBLE. DEATH MAY RESULT. RESCUE OF A ENTER FROM THE OTHER TREATMENT PERSON ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER I _j Name 5,1 ° f [:90:f s - Phone L~ -7 AUTHORITY SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY=Na Name E j Phone f J' this document was drafted In compliance with chapter SPS 383.22(2)(b)(i)(d)&(f) and 383.54(1), (2) & (3), Wiscoi isin Administrative Code. ~Y• , tl ILTER t "RIDGE INSTRUCTIONS ~~~IIeM't S:'r AV x try pt Clrr: MW' corm auft the mid (d° the nutlet ),it,, to nrrsure it k cvhtared corder tine u c*- upmning, it Platy thee" Either insert blare sake limo thm twit" thruuyh titer usrtlot sw evibelrt weld (006) ati tlnhat pip, Im110A the atitibt pipe. iyzp a While the ca" is atib dry fted rare tbu outiat tripe, measure the ierrgth ut aw hrdt plan nemdedl try bwrozw the ilitvt'ty tow b ink and wap if utilikltig the 1100000t1 ritpaplr m'"itel srlria sul"Oertt:. If sidm aamtipaart Iflotilud W nut uti ind, pruttrad to t,iCgp W. ,,rvFr a Fut. instesations utiMovig the uptlunal rsupoluiviontel side supi,urt: seiuetot weld tine %-inch pilau prii:o the fllttr MO. If side 5tiboa t tnothdd tai hot U011204, graftilA'tusteep fishes solvent weld the MW come ofdo the uutlut oilm thsort tole titter ^~a cattridge into the coos, pratial ; d9wh until the filthy iaat s bsto the bmttuar of tiro clasu- if a VAS sWitrh is 4114aud_ itraert trstu the After kshd lu* by teirriing .t riockwise 9110', ~1 k w~at~nrt~irratwt~el 1. 'rhri offluent filter should be almatred mvery time flit obi PtIc tank Is ~mrsoicuJ. 2. 00811 that ou"al: recess upvoillu to Iropect the tonic Jild ititef. ° 9. pt" tfow saptke tonic cr+/riptuslesiy, tnmirinu ijuru to rtintwo the sludge itsyer im the buttom of the Wrik mfld 110t Judt the sptirri wind etflutlilt, !a 4. Ota:e tic, etuwaht ksvat has f woo lurrered hvWW this invart of the + *Intel pipe, firmly pus cap an the litter 1#1 1611110 to dislodge the cumidye froth the m6m- 5. Slide the w-iridgd ups and 01W of the come ftir t4401lig, ~ I► G. it a nits swritth curthemtad to art mlarli► Is Jrteiiatit, the sw1fi It sieuuld bu retmovod by turatwrp & untertlr dMIsw 9(P Mid deantrd ~ r with water urriy. 7, while hulditsg t'im cortridise raer Gts tsldw (large flat surface lucinu down) over the bbw-riss upardi19, 01166 uh, the caltriti le Will wife t only, making aura air a""jjae sisritarlml Is rltlaull badt httm the tarok. ` m. if vkss switch Is uM#.V nl, Mpldirxe lay Hf591`0149 into Mier a hd turnbrg eiackwiser NOW- 4i, i h 9. lltrsert the ftitgr crirtrtrlgd bitil; k tftta the tallrraa oretulisl dnwri' mrrtlf Lisa filter Iarckw iAtu tiso batrun; Of the aeae. io,Ruplat:6 mild m6gure the atvinta urrrMttu on the [Anh.. r::r• :w:. - ••li^yr: ~ qrk"9tvi1{rg 1, q,:. "el:..: frVt'Lt7 SV:r3etlld.v" wtbearonaj lf,.imut 87 -Y- ,"fir" "MS (653-4583) 1 ~r..~ 824E696 . State Bar of Wisconsin Form 3-2003 KATHLEEN H. D REGISTER OF DEEDS EEDS QUIT CLAIM DEED ST. CROIX CO., WI RECEIVED FOR RECORD Document Number Document Name 05/08/2006 10:46Al1 QUIT CLAIM DEED THIS DEED, made between Dennis F. Ball and Nancy A. Ball, husband and wife Excwf # 13 and David A Ball and Kimberly A. Ball husband and wife REC FEE: 13.00 TRANS FEE: ("Grantor," whether one or more), COPY FEE : and Richmond Acres LLC CC FEE : PAGES: 2 ("Grantee," whether one or more). Recording Area Grantor quit claims to Grantee the followingdescribed real estate, together withthe rents, Name and Return Address profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): See Attached Exhibit "A", - r r?• ' . This deed is being given by and between all parties relinquishing all right, title and interest they have in that certain Agreement dated May 16, 2005, recorded June 3, 2005 as Document Number 796642. 026-1082-40-000.026-1082-70-000: 026-1082-95-000:026-1083-10-000 Parcel Identification Number (PIN) This is not homestead property. Dated (SEAL) *Dennis F. Ball *Dh 9. Batt (SEAL) L t (SEAL) * ancy A. 1 *Kimberly AUTHENTICATION ACKNOWLEDGMENT Signature(s) Dennis F. Ball and Nancy A. Ball, husband and wife STATE OF 1,1;1 SCC-fISO ) authenticated OIL, n► $ C rpt)( COUNTY ss. * DDS<c.e-- Personally came before me on TITLE: MEMBER STATE BAR OF WISCONSIN the above-named David A. Ball and KimberlvA. Ball. husband (If not, and wife authorized by Wis. Stat. § 706.06er pU8(/6 to me known to be the person(s) who executed the foregoing ~Q' strument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: O; t 'A i P Ids Attorney ristina O gland ` tary Public, State of Hudson WI 54016 % sr-►,~~,- JA ASQ&~~ Commission is permanent) (expires: 25 - (Signatures may ed or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. AN ODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED m 2003 STATE BAR OF WISCONSIN FORM NO. 3-2003 * Type name below signatures. INFO-PRO"" Legal Fortes 800-655-2021 www.infopmforms.com 1 of 2 EXHIBIT "A" Parcel 1: The East Hatt of the East Half of the Southwest Quarter (EWEWSWY,) of Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West, Town of Richmond, St. Croix County, Wisconsin, EXCEPT Lot One (1) of Certified Survey Map Mod April 24,1990, in Vol. 8 of C.S.M., pg. 2199, as Doc. No. 457843, being part of the Southwest Quarter of the Southeast Quarter (SWY./SE'/.) and past of the Southeast Quarter of the Southwest Quarter (SEYJSWY,), both in Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West. Parcel 2: - The West Half of the Southeast Quarter (W'//SE'/.) of Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West, Town of Richmond, St.-Croix County, Wisconsin, EXCEPT the following described parcels: 1. Lot One (1) of Certified Survey Map filed April 24,1990, in Vol. 8 of C.S.M., pg. 2199, as Doc. No. 457843, being part of the Southwest Quarter of the Southeast Quarter (SW'/4SE'/,) and pad of the Southeast Quarter of the Southwest Quarter (SEY4SW1%), both in Seaton Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West; 2. Lot One (1) of Certified Survey Map flied August 13,1981, In Vol. 4 of C.S.M., pg. 1093, as Doc. No. 372738, being part of the Southwest Quarter of the Southeast Quarter (SWMEY,) of Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West; 3. Commencing at the Southwest comer of Lot One (1) of Certified Survey Map filed August 13, 1981, In Vol..4 of C.S.M., pg. 1093, as Doc.. No. 372738, for the point of beginning; thence N89'69'15" West 20.00 feed thence NO'01'41" East 282.00 feet; thence S89*5W15" East 224.00 feet; thence SO'01'41" West 15.00 feet; thence N89'59'15" West 209.00 feet; thence S OV41" West 242.00 feet to the point of beginning; 4. Commencing at the Northeast comer of the Northwest Quarter of the Southeast Quarter (NW'/dSEY.) of said Section 28; thence South 16 feet; thence Northwesterly to a point 10 Feet West of the point of beginning, thence East to the point of beginning. 2of2 F Wisiansin Department of Commerce J, Q EVALUATION REPORT Page of L Division of Safety and Buildings ~ fr rd i Comm 85, Wis. Adm. Code J County s d I~ Attach complete site plan on paper not less than 8 1/2 n must c ' include, but not limited to: vertical and horizontal refere Fce po Parcel I. D. percent slope, scale or dimensions, north arrow, and to n ~st roa a-2 -O 0~6z Please print all Inform n. g s n n e d Date Personal information you provide may be used for secondary sesg4ay &Ips. t9.U4 5) (m)) .y.4~ 1 ` '~j O Property Owner Property Loca on ST. CROIX UN Y' Garbd . SN1 --tk ZONING of 1/4SE1/4 Sp q T30 N R E(or Property Owner's Mailing Address o # Subd. Name or CSM# Mtoo 9o E• l W at o Ric6mawb_ c rc City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road LFjx R-~eR PI N 1 55.5 30 ( 7103) Illy/ - 998 K;c.V% Ma P4 A s-t. New Construction Use: [6 Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ~El Public or commercial - Describe: _ Parent material `~v l .a.. W G, S . I M i Flood Plain elevation if applicable ft. General comments :•5-iSSe- $4 ar.e-k`S (,N For f- a- e- h S;t and recommendations: 'r, t ( S.58') T.a c9s.~►'~ s a : ? l7q. (r t.1 7 IS Nt~~~-~- d'v z.3 C9s.at') T,7 09-97, Boring# E] Boring F7 1 54 pit Ground surface elev. 0 to ft. Depth to limiting factor 1 010 -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 - !/3/ L LY,,, p7y w C? F H Eaav 'I Ws k- mF; cu--) ' . I Es b k. 9. l J 5l~ ✓r1 Fr G t J 1 V E / b s .1 -S hr1 L r~ q/ ! 6k la 'Spya Al 5-al Boring # ❑ Boring ~ - b Y 3 it { ~T f~ 5 Pit Ground surface elev. Depth to limiting factor 1 O 5 in. Soil ~ipllcation 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 'Eft#2 -~S s LA.3 3 S y J H~~~ M k ni i e_w I v F -S y - mL rw •7 S S -~o (ol L nit L - - . 7 1, Medlin - buu, > Liu < Zzu m _ = D < 30 mgll~ and TSS <130 mg/L T Name (Plea P Signature CST Number o 5+ 'P cs.r-x1 `l A~rgss a 15-t ~ s_,~ Date Evaluation Conducted Telephone Number ~ , w:t 7 - a 3 -cis 715 a ya -33 9? t tr' Property Owner Gcra If~v1► 1 li Parcel ID # Page of Boring # ❑ Boring F,_31 P5 Pit Ground surface elev. ft. Depth to limiting factor + 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 r' D-I 3 L A M r Qua 61F to I -a 7. 4/ " L~ INI M e- w I - . y 3 a 9 5 SY 14 - %Frsl Ir►'I Fr Cw I v . 4 5 _1) -7, Sl - . '5 Y9, y/ ~-S - - , 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 F-1 Boring # Boring Ground surface elev. _ ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 F_ I- Effluent #1 = BODS > 30 1220 mg/L and TSS >30:5 150 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. M-9330 (ROOD) i ' ,n A•''Mn.. ~R V CD 1)1( %Icp m 10 0 00 i~ O T A a~ ~ -1 w d IND V z _ a -4 N 9y s 99`, r N A y o~ ` ~ i ~8yi r lea.s'~ DoT i; ht~ RICHMOND ACRES (A COUNTY PLAT) rter of the Southwest Qucrter port of the Northeast Quarter of the Southwest Quarter, part of the ?uarter and port of the Southwest Oucrter of the Southeast Quarter al/ in Section 26 Township 30 th, R,onge 18 West, Town of Richmond St Croix County, Wisconsin. .'E SHEET 1) 3> gyp i 80' RADIUS 7E WPORA1 S89'53'36"W 519.87' v , I CUL-DE-SAC EASER _165.c2: - r (10 Be REMOVW Uf EX7DV5%OW OF NE R4 - 45.700 NBt-22•58.W /--4- 210.72- se 9'S0 138.2 2 2. 18 acres l 96,9.6 95,137 sq. ft !210.72 •`138.20'` s° y • C5 N 89'50'27" E N84'26'43'W 200.20' 514.68' yn ' 314.48 2.10 acres ry h 91,514 sq. ft. o ry .hO 1.90 acres m l ll~ 1.62 acres 82,753 sg. ft. N89'50'27'E w 478.27' 70, 659 sq. ft. / / rry 8 G N • ti.. / 2.24 acres . 97, 480 sq. ft. o I . ~27.f2~ v 14$4 it N _ 242.48' W C?2 ' S82'42'38'N W 242. N89'50'27'E 524.70' 8"E ° C?B K82-4f3 i99 6~ 7 r1 1 w 17 acres Z ` o u 94,407 sq. ft. o . w y 46 ,w a N89 '50'27-E 468.85' 45 ~w 6 w 1.96 acres 1.74 ocres m