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HomeMy WebLinkAbout018-2013-08-000 Wiscons',n'Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 514963 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: Fletch, William J. I Hammond, Town of 018 - 2013 -08 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /00•6 /6D. 512 a6%, c.- 08.29.17.1109 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ag Septic / B ®Zi r � �j .7 g9. g o Dosing 030 Alt. BM • v 9S 3 Aeration I r — B'd�g s�r et/D 1 9z 81 d Z g 5. S Holding R. St/Ht Inlet 7 TANK SETBACK INFORMATION st/Ht t TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet / Septic / 6 Bo om Dosing 3 S Head t9 I rte. Q Aeration Dist. Pi pe / 0 92 I Holding B tp S` t em a+ K Final Grade Y PUMP /SIPHON INFORMATION Manufacturer Demand St Cover �r �g GPM 0 Model Number I nt F1 {� �2 "►� 1—i �1 TDH Lift Friction Loss System TDH Ft 1 9 2 1A Z• onlL Z Forcemain Lin tl�„ Dia �� Dist. to Well POT r r SOIL ABSORPTION SYSTEM Z ceo �j BEDITRENCH Width Length No. Of Trees 11 7� IM I ONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 111 1 SETBACK SYSTEM TO P/L 5 BLDG WELL LAKE /STREAM EACHING Man / l L_ / INFORMATION T f S ystem: HAMBER OR � - T1�8(.IO�'� Y Y I � y I I 1 UNIT Model �er D ,R1&6kT ION SYSTEM *P Y/Y� l Bader /Manif Distribution I .� x Hole Size x Hole Spacing ent o Air Intake I y Pipes) ® 2 bG / L ---�� Length Dia Length I Dia Spacing {Q SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil [] Yes � No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:�/ V �/�Inspection #2: Location: 1021 167th Street Hammond, WI 54015 (SE 1/4 SE 1/4 8 T29N R17W) Corner Stone Ridge Lot 8 �Parcel No: 08.29.17.1109 1.) Alt BM Description = AA t7"GCx r 2.) Bldg sewer length - amount of cover /A I-te -lit Plan revision Required? [es E] No cif Use other side for additional information. L ( Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) ,BSltz�sa T ow" F AX is W" VED AUG 2.1 2008 CO MW OIX COUfJ I _ v�PA a �a ZON tiG 0� Wl 337prI ►7t �p J Ssu�titary Pere Ap�deti�on ItJA ' dii.na..,M..awl� � uedira�'1ssA �aeond� • a Comm n21f�.IM AdR CbiR Ow POOL *8 orp.A• Not of CNOW l OCIV 0 - a0000wvoe�yaya a[ t] se�o+�.a- DaOrs.v Mob"OeYasA. c..�liNei» s ,tar s ' 1lti.TYPO[r+teooit ©'I owwww +� ► D odsWW Is. O r.ok*+► A. 13 ampbow"Syo 0 his�it�wtri°" 0 LywdtlmUrt C Ztsaooiww > >tV y Q d >rroarrtm.dl o wA 0 Aar 0 w,wdt� is dsrir+booii >r�..r <�t w dwioate+� w,oa�o.q.ruat 6 L V. +�•+ .,� ' Z ate, . io G U" VLTaricid► �eaa p. ,u,,.� trw• � CSt �c'' � a{islroMVes/w�wraM.ew �Yaas�lr.ir VIL RM rr J OAK > oft >r�s 21 o� 1. Septic tank, effluent fifter and kO l maintabA dispersal cell must all be sen � as per management plan provided by WU�f bp�%✓� 2. AU setback re4ui wMft must ba d 1 ��tM �CMa4r X11 M M��YYs�f QCs U l�dis i� it WD-O" ( R CM VdW 06 OT PLAN ...�._.- -._. -- PROJECT Fletch Investments LLC ADDR SS 1729 109th Ave Hammond Wi 5 015 RECTIVED SE 1/4 SE 1 /4S 8 /T 29 N/R 1 W TOWN Hammond CO LING ST. CROIX MPRS Shaun Bird 226900 DATE9 /16/08 OOM 3 ROIX CCY CONVENTIONAL IN -GROU PRESSURE CONVENTIONAL LIFT )00( HOL G OFFICE MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZI HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 157 # f chambers 57 ,BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION, 100' Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P Same as Benchmark Well is to meet all SYSTEM ELEVATION 92.4/91.9/91.4 4' below qrade setbacks required by Vent WDNR >6 » Quick4 Standard -W of Cover Leaching Chamber with 20.0 ft2 of Area 4' L 12" 5.8f A2 /pair of end caps ong Grade at System Elevation Property Line 34 " Plans Designed Using Conventional Powts SCa is 1' = 40' Manual Versio U nles otherwise n n� Pro 3 Bedr m House Vents k• 1 � S, n,& W ' 5' B -1 5% Slope Huffcutt Combo Tank 1 � r �1 �p0 B �; - 150' , 0' 40' 3 -3' X 78' cells with >3' spacing B -3 B. M.` Property Line RrnC SEp "i e L u , _ SfoEC X j CATl 0S ST. CROix GOUNTY r L i Gs SECTI � &IG OFFICE APPROVED J UWTT014 BOX luvom OWE INLET - GEE $ �� SDit F � C - FF pmw �g L£ -. 8} ! lrT�Ti6 unpim TA" .r! �p LITE PAD 'Bps£ �R DAY: - D()SF Z .0 ✓. CAL - TM K Zpi)FA�C �3t3F+E StO ' ✓O gm TItNiG 5Z2FS = . G AL. 8 = -- • 2 s (p�.GA1 I _ BS £ mmr I� �? Wt '�' f £ AE A iii Z'� A. ZL� gEET 5 sic 1 ; - -- --^"'y rra "oplam D3CS F BZS� - • _..l isf'�" F� sow �� - - - • �£ �i£ � / . v ��cA�. Di s��� sad ��- Q.s.�. --= MIN] IE�� £,gpr1'S t ip TAN - L 'lB MW''".- -,--- M UM = gee V) TOTAL DYNAMIC HEAD /CA ACITYREICEIVED w w HEAD CAPACITY CURVE PER MINUTE MODELS 53/55/57/59 EFFLUENT AND DEWATE ING 1 b ['liUd 25 Model 53/55 57/59 CROIx COUNTY ZONING OFFICE--` 6 20 Ft. Meters Gal. Ltrs. 5 1.5 43 163 U 15 10 3.1 34 129 � f2. Z 4 15 4.6 19 72 c a 10� Shut -off Head 19.25 ft. (5.9rr1) 0 0 5 � 3 15/ 16•- 6 5/32 4 5/6 /2 NFT 0 U.S. GALLCNS 10 2 30 40 50 3 15/16' LITERS 80 160 i 0 FLOW PER MINUTE 009897 ^ i 4 1/16 A y��� fry` L y f7 5 :tom -� Variable level float switches available. Variable level long cycle systems available. �- Available with special cord lengths of 15', 25', 35' and 50'. Alarm systems available. 10 1/16 Duplex systems available. I 3 3/32 r sxaea Single Sal Control Selection Listin s SEL GUi!)E Model Volts Phase Made Amps Simplex Duplex CSR UL 1. Integral float operated mechanical switch, no external control required. M53155 & M57159 115 1 Auto 9.7 1 - Y Y 2. Single piggyback•vadable level float switch or double piggyback variable level N53155 & N57159 115 1 Non 9.7 2 3 or 4 _ &5 Y float switch. Refer to FM0477. • SN53 115 1 Auto 9.7 - N Y 3. Mechanical alternator "M - Pak" 10 - 0072 or 10 - 0075. BN57 115 1 Auto 9.7 Y Y 4. See FMO712 for correct model of Electrical Alternator. BE53157 230 1 1 Aulo D53d55 & D57159 230 i 1 Auto 4.6 1 Y Y 5. Variable level control switch 10.0225 used as a control activator, with Electrical E53l55 & E57159 230 1 Non 4.8 1 2 =460 Y Y 1 Alternator (3) or (4) float system. Single piggyback switch included. :op s cnurrow For information on additional Zoeller products referto catalog on Piggyback Variable Level Float Switches, FMO477; r au su` ^� cls rUte ° dev'casandwtr3srsn0u. be- �y Electrical Alternator, FM0486; Mechanical Atemator, FM0495; Sump/Sewage Basins, FM0487; and Single Phase censad > ° A iec r ' cs an safety ccdas sh.° fo is ae c d n� the rest Simplex Pump Control/Alarm Systems, FM0732. , ` :, na, E"actu.c " de r,cCj 3.*.d :t.6 0 C " ii p ati on ai Sat ety _ltd , :a, n P-M (3Si•16 j. R ESEPV E POWERED D SR�_"I For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -- MAIL TO: P.O. BOX fq" Louisville, KY 40251 - sr '- 14 " Manufacturers of . . SHIP To: 3649 Cane Run Road O ® Q Louisville, KY 40211 -1961 TYAIAIIAF flhl f / 7F (502) 778.2731.1(800) 928 -PUMP http✓/wwwzoell ®r -.- P FAX (502) 774 -3624 -.. _ ®.Copyright 2002 Zoeller Co. All rights reserved. PLOT LAN PROJECT Fletch Investments LLC A RES 729 109th Ave Hammond Wi 54015 SE 1/4 SE 1/4s 8 /T 29 / 1 W TOWN Hammond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 8/20/08 BEDROOM 3 CONVENTIONAL XXX IN -GROUN ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 148 # of chambers 56 IL BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL H. R. P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 92.4/91.9/91.4/91.0 4' be l o w setbacks required by Vent WDNR >6 „ Quick4 Standard -W of Cover Leaching Chamber with 20.0 ft2 of Area " 5.8ft ^2 /pair of end caps 4' Long 12 Grade at System Elevation Property Line 34" Plans Designed Using Conventional Powts Scale is 1" = 40' Manual Version 2.0 unless otherwise noted 5' B -1 5% Sl/4-39 AL X 58' cells with >3' spacing Vents -2 60' Pro 3 Bedroom House 35' 1 30' D � B -3 �' 20' ST B.M. Property Line RECEIVED Wi onsin Department of Cc Ti mercAUG 2 1 2008 SOIL EVA TION REPORT Page of Diftion of Safety and Buildi s ` ST. CR�17��E�In� with omm 85, is. Code County Attach complete site plan . ches in siz Plan ust include, but not limited to: vertical and horizontal reference point (BM), dire ion Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance t near t ro d. 1 — 02 13 - (� � Oro Please print all information. Revi ed by r � D ry ate Personal information you provide may be used for secondary purposes (Privacy Law, s. 15. (1) (m)) q . 17-116 Property Owner Property Location G Govt. Lot 1 /4 S 1 /4 T a. N R E r) W Property Owner's Mailing Address Lot Block # Subd. Name or CS I# I D D , "'g City State Zip Code Phone Number ❑ City C3 Village To Nearest Roa tl ( ) New Construction Us�PMsidential / Number of bedrooms Code derived design now rate y. 1?� GPD ❑ Replacement ❑ Public r Comm rcial - Describe: Parent material o ,4 Pn =alit- Flood Plain elevation if applicable General comments and recommendations: System Type ,' System Elevation ! �r• / a Boring # Boring pit Ground surface elev. �ij� ft. Depth to limiting facto -� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # C] Boring pit Ground surface elev. r 0 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 J / Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST flame (Please Print) - - CST Number 2r� Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 -^ ozo — a 3 715 - 246 -4516 y Property Owner _ arcel ID # ' Page of J r� Ong # ❑ Boring IVI �f. ('it Ground surface elev. 1 ft. Depth to limiting factor �� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM n�t in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 041 All l 1 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 'E8#2 F Boring Boring # Ground surface elev. ft. Depth to limiting factor in. El pit Soil Application Rate Horizon - )epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/_ ' Effluent #2 = BOD < 30 mg& 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. sso-aaw (R.6M) Property Owner _ arcel ID # Page of a r ' Boring # ❑ Boring it 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 0 -, �a U - ---- --- - ,, f� P a Boring # E] 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 ❑ 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 I •Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD 130 mg& 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.6(00) Soil Test Plot Plan Project Name Retch Investments LLC Shau i *Address 1729 109th Ave Hammond Wi 54015 C .. 226900 Lot 8 Subdivision Corner Stone Ridge Date 8/ 0/08 SE 1/4 SE 1/4S 8 T 29 N /R W Township Hammond ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of survey iron System Elevation 92.4/91.9/91.4/91.0 *HRpSame as Benchmark Property Line Scale is 1" = 40' unless otherwise noted 5' B-1 - 5% Slope 94' 35' 150' 0 B -3 40 96 B.M. Property Line sac Iwnvn unc (r UUNU AS NO 1ED) SET 1 1/4 BY 18" IRON PIN WT. 4.172 LBS./FT. -�-- SET 3/4" BY 18" IRON PIN WEIGHING 1.50 POUNDS PER LINEAR FOOT AT ALL OTHER LOT CORNERS BM TOP OF 465.51' 1 1/4' IRON PIN N 84'31' E ELEV =1029.14' pRAN1AGE EAS o? LOT 7 87590 S.F. 2.01 Ac. h gIk• L4 LOT 6 ``' HWE= 1030.60 78285 S.F. 1 1-130= 1032.60 _ j 1.80 Ac. ° o;�� N P L130=1031.1 WE= 1029.1 O z LOT 8 102663 S.F. o 2.36 Ac. w 9° 84 0- - (D rri C4 0) / 00 0 I I — 82 - 2e 56 " O N E 440 LOT 9 2' 75629 S.F. / 1.74 Ac. OD I QM ; 1 W N 81'47-39- 1 W 483.74 / �► / / �I LOT 10 � OD 86121 S.F. 1.98 Ac. W s N I � 7 8 43 49„ W 513. 1, 60' °k' so. LOT 11 80567 S.F. 1� a At A 1.85 Ac. `` LEG COUNTY PLAT OF: ® PROPOSED DRWEWAY O S. DRAINAGE EASEMENT CORNERSTONE RIDGE - - -- ---- ,1'DNTYEA3IIENT ® PRDPDSEDJCNTDPoVIWAY ALL UM 10 E MRSTM N EEma I Na 010 0Ari r x NRt wl wwE DRAINAGE EASEMENT LIKE Hwfc HIGH WATER MARCH ztxos samIKII wi CF It MNNNw onwA a NO M LOCATED IN PART OF THE SOUTHWEST 1/4 OF THE SOUTHEAST 1/4 LBO LOWEST RUNG OPENING nAm w - a Oars ffsK No +m m t � w w 10% • AND IN PART of THE SOUTHEAST 1/4 ME SOUTHEAST I/4 OF 66' JOINT DRIVEWAY EASEMENT Y[ alA 25 ORXaG am t FILK IMAM a , a (MMO( NNNw N NN wE ELWM ala SECTION 8, TOWNSHIP 29 NORTH, RANGE 17 WEST, TOWN OF A COUNTY SECTION MXNENT "AM HAMMOND, ST. CRCTN COUNTY, WISCONSIN. SETBACK UNE Y (FOUND AS NOTED) aX"MM VA a N w SET 1 I/4' BY II IRON GENERAL NOTICE PIN WT. 4.172 UM/FT. STATEMENT, IRON P BY f FAa Im m T SET J /4 0 PH Meta Ya saw, tank xw mwor w LAq WEIGHING 1.50 PUBS wz Nw oum u wm mw PER IINEAR FOOT AT ALL Am EL A to sate, oU W RS RwNwga OTHER LOT (ARNF EW WLS=EETzm fm o IE $ NPplIw WNI IflYw M Ia,E. h s UTILITY EASEMENTS. 7Z w1PItlILY 9N / N84310eE16551 - - - - - -- EPNFaEtwM6NtaP6PaE LL7� E - I uwmi( ..1-- �S EN MAY B EaIAa EE EM AN 91Wfl' SLYt. a 66SryIEE ABa w8N9 wa xu �.,.�t � SatryMa=46AE MmNQaaA �T acaa san twawN uAUts twm 10 AB ( p 4 "'/ iaimsAm wtrawt m�< I �;`%' / aAnBSMN ° .z OYLP. 05 E i LOT 7 z �° 87590 S.F. w / I \ % f n 2.01 Ac. mho LOT 6 m NZ 6 o scue r.,a' �/ I to •�• 78285 S.F. �eaUE I u a o so is mo I / IC,I� Aa Jv 1.80 Ac. ° A 0 A + N 4 =ion.i o 0 102663 ao =imia Z LOT S .F. E 1/4 CDR SEC S .F. S 0 8 T29N R17W Qy h A)4 19y3,4, 39 2.36 Ac. w FOUND P.N. NAB. / a LOT 5 °e +' -. A, .G� 73793 S.F ' �C4 -� LOCATION MAP N (NOT TO SCALE) %�C N erimoa ® ®1 N BT206' E 44005 I ° SECTKN d TM, R17W, IV +' o mNflNa � b; LOT 9 I I ° N 75629 S.F. . ° LOT 4 1 ° o 134 Ac. M UNPLATTED LANDS w N / ? 112545 S.F. su ,a OF 3 2.58 Ac, 1/v Na ar ax 9 \ NINE -ia s.w I W N 81'17'39• W 183.7q � uw,a N 8970'10' E 61Q00' Oh/ 1 BkIMflA 577.DD I W �I LOT 10 p imxaNfl yyi 8�A 6 6 �� 861 21 S.F, ro ° 4 a B W a o 1.98 Ac. m LOT 16 0 0 PUT LOCATION LOT 3 19oa �' / om m 116164 S.F. 1 By mPa/ 2.61 Aa — 84368 S.F. To n I H 3 33' m m w 1.94 Ac. 6 ,� / N 0 a O 513.6' o I lm e ao ion.ro J J , e• ; i LOT 11 0 z N 89'34'21 E 585.59' 1 i 80567 S.F. 93.46' y 492AS NN m p LC 1.85 Ac. y, A I ssw o u l 9 i 0 ry5 0 o p U)1 1 LOT 2 A 'j 0 8739 . F� 6 LOT 17 , � r E Y m D p 8021) S.F. 5 d 4 I �DCg�6�a ZI W� y9 934465.F. /'Y /OIw all al $ 1.84 Ac. 5 IwJ. P £ 2.14 Ac. fT ' m to SOEPIDB NsE•iclN.w j i 1 Lea. =iai.fl / 'ml N nla REGISTER' o L N 89'JS'N' E 230.17 ST.CMDECO.WBL WI h la w 70672 S.F. 68639 S.F. ro , iozs.w ® / LT 12 _ LOT 15 � o y m la S�aao uNA� Y� �) I , a .F. m � ' ` m +I� o _2J a - mo6 JI , I '' ^ ' �� % Ac o z LOT 14 U o o 203 Ac. N 4 Nw /�" / I "'• V o M il ' i` p N 21 :t ,, N 87'06'45' W 348.52' ' G / / 0 70135 S.F. 00 NwaauD p +++ /,� ,% N 89'41'34 E 439.12' CI o J! Y $, LB.O. =1671.17 / .4 N 1A LOT 1 �' /I N 89 E 411.17 m Lfil Ac. ua + / I Im 0 i' LOT 16 p wim* Z \a 1.8 k � �O' �( I LOT 13 ' / 9 2.09 AcF. I Flo F +max, ij am +� y Lfla =maa N n 4 0 w• --- -- -- -- / / NZ . ._2.09 Ac. _. -' of �Iz m 0, F '' I Im ha 96 S.F. �}yuXW�_ �ry m ^ Nw m_ umnt m \ �, poi Im. E '�\ oL 0 = mm61 axvaumm m o m . z S 1/4 COR, SEC B. wuNOVm -� J3'I3J' ♦°"• §•� -_ -"— T29N, R17W (FOUND 2 " I ° 4• _ -.. -.. emu, y 24582' F 429,ef J 33 JJ'L - - - - ' `- -- ..__._..__- IRON PIPE) 34161' W I s 89nen' w 1796 ,45` - -- -•— N 8914'17' E not 37.04' u N 1 AVENUE W 8904'11' W 183054' _ _ T _ -r - - S SE CDR, SEC 8, ___ __ S LOT 1 LOT 2 —_ —_ -- — - - - - - �I li 75OU1H UNE OF THE E 1KOF SECT ON 8 TT2911, R17W - - -- y - - � _ �� - LOT JO I LOT 29 I - i -- I I (SET PK FROM _LOT 8_ I - LOT 9 - II"�I LOT 31 I _ - I I I I COUNTY TIES) CERTI -- SURVEY NAP LOT 43 PUT OF Ih�I PRAIRIE RUN I I -- -- I --- -- �( *� I - -- -- Ill - -- I --- I I E 1 15 PAGE 1097. I I I PHEASANT HILLS I 1 66 I I , i own w6 a au S t,OF2 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OV;NERSjj CERTIFICATION FORM �L owner/Buyer v _ Mailing Address Property Address ( o Department for new construction-) ) 'i7�rification from Planning & Zoning a Dep Parcel Identification Number d 1-3` O� G City /State LEGAL DESCRWnON Property Location 1 /4 , V , Sec. ___, T _L_ � Town of Lot # Subdivision o e:: _ Certified Survey Map # Volume —, Page:# Volume Page # Warranty Deed # � Lot lines identifiableC ?m Spec house no (_/ SYSTEM MAINTENANCE ANDOWNER CERTMCATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Pro Per into ,maintenance consists of pumping out the septic tank every three years stag sooner, if need b y a licensed pier. �w�c the system can affect the function of the septic tank as a trea n I2 St Croix County Sanitary Ordinance- responsibilities are specified in $Conan- 8352(1) and in Chapter to submit to St Croix County Planning & Zoning Department a mtific'Aon form, signed by the The property owner lumber, restricted plumber or a licensed pumper verifying that (1) the on -site owner and by a master plumber, journeyman p tun and pumping (if necessary the septic tank is wastewater disposal system is in proper operating condition and/or (2) after inspec less than 1/3 full of sludge. to maintain the private sewage disposal system with the I/we> the undersigned have read the above requiroments and agree t of Natural Resotiu+cea. State of Wisconsin. standards set forth, herein, as set by the Department of Commerce and the Departmen 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. Itwe certify that Statements on this form are true to the best of my /out knowledge. Uwe am/am the owner(&) of the des( abed o warranty deed recorded in Register, of Deeds Office...... J prop - y L/ �A' � D OF APPLICANT(S) DATE ** *Any ormation that is misrepresented may result in the sanitary permit being revolted by the Planning 8t Zoning Department. * * h clude 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 dee L (REV. 08405) Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Copowericy flan r C option #1 if system fails, determine cause of failure, use a(temate area and Install new y s In tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715- 386 -4680 Pumper Tom Mondor 71 5- 246 -5148 Shaun Bird #226900 (11111 HIII 1111111111111{1 Illll lli(I!1lII IlIIIIII State Bar of Wisconsin Form 1 -2003 * 8 7 1 8 3 1 WARRANTY DEED 8 7 1863 KATHLEEN H. WALSH Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 04/01/2006 01:45PM THIS DEED, made between Fletch Investments, LLC, a Wisconsin limited liability WARRANTY DEED company 66.69% interest and Craig Shermoen, 33.31% interest EXENPT t ( "Grantor," whether one or more), REC FEE: 11.00 and William J Fletch a married person TRANS FEE: 590.10 ( "Grantee," whether one or more). PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real Recording Area estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property ") (if more space is needed, please attach Name anrj fAffr.'Estreen addendum): 3� �QCUSt Street Lots 1, 8, 11, 12 and 15, Cornerstone Ridge, St. Croix County, Wisconsin Hudson, WI 54016 LkN - 17 1502-9— 018- 2013 -01- 000;018- 2013 -08- 000:018- 2013 -11- 000:018- 2013 -12- 000:018- 2013 -15-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: easements, restrictions and reservations, if any, of record Dated � Fletch Investments, LLC Fletch Inv st ents, B , t Gl #4�. !10I I c (SEA} )By: 01 - "'t ' C L AL) *Jay FlAch, member *William Fletch, member (SEAS.) (SEAL) g ermoen ' AUTHENTICATION ACKNOWLEDGMENT Signature(s) Fletch Investments, LLC. a Wisconsin limited liability compa by Jay Fletch, member and STATE OF ) William Fletch member ) ss. authenticated on O COUNTY ) Personally came before me on *Kristine land the above -named Craig Shermoen TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, in rume d- ackrinwiedged the same. authorized by Wis. Stat. § 706.06) G�iK. THIS INSTRUMENT DRAFTED BY: Notary Public, State of Kristina Ogland, Estreen & Ogland My Commission (is permanent ( pires. 1�0/ 304 Locust Street, Hudson, WI 54016 (Signatures may be authenticated or 48 J 0 0 NOTE: THIS IS A STANDARD FORM. ANY MODIFICAT �t Y IDENTIFIED. WARRANTY DEED ® 2003 STATE B FORM NO. 1-2003 • Type name below signatures. IMFO•PROT" Legal Forms 800 - 655 -2021 www.infoprofbrms.com - 1 I 1 I= - —. -------------- - - - --- -- i ■ ow mum • i Ro Y I N n RCS IF�t ---- - - - - -- --- -- - - - - -- - -- t ,Y_ 1 4 to --P -- .. iwwwrrw � +• ' ,j CIl�l1'i son 3' 11 I' Wisconsin Department of Commerce / v IL EVALUATION REPORT Page [ of Division of Safety and Buildings U in accordan o 85, Wis. Adm. Code r R ev ied O r 4– Attach complete site plan on paper not less than 81/2 x 11 s jnchessiwar� include, but not limited to: vertical and horizontal reference point (BTJI`) a edion and" percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Date Please print all information. personal information you provide may be used for secondary purposes (Privacy taw, s. 15.04 (1) (m)). - Property Owner �PfRRqr1y lCbtion 7 �t . �- ) FJGE (� :J1^ - / J �o� �s t ,•l r I t1 /4 S T N R E( ) rn Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# y State Zip Code 4Pe umber ❑ C' El Village own Nearest Road LF, J1 New Construction Use Residential I Number of bedrooms Code derived design flow rate t GPD ❑ Replacement ❑ Public or commerce I - Describe: - - - - -- - -- - '– Parent materiak -y' 7l f` — � / Flood Plain elevation if applicable ft � u n�r..� �f� �� lr - � General comments . � `� , 0 �/ Y� GLar^'� - �If�/ z and recom� �� � Y tvtie'I- 1 e f! (9w ,- - - Bo — Boring 9/ s Boring # ft. Depth to limiting factor — in• t it Ground surface elev. � Soil Application Rate Horizon Depth Dominant Redox Description Texture Structure Consistence Boundary Roots .Eff#1 Etf42 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I L I Z Z t 2 -3 �' S sh /� / %t , — 6a ,4 , s , p rin i- /�'f Ei ® Boring Q #- /. , limiti factor / V rn- Pit Ground surface elev. / ft. Depth to 1 g Soi) Application Rafe 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- C - C sr, n-, / 5 li Effluent #1 = BOD > 30 < 720 mgll and >30 < 1;n,j/L ' Effluent #2 = BOD 130 mg/L and TSS < 30 mg/L CST Name (Recess Print) Si a CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 540 S ���- p-- 715- 246 -4516 Property Owner Parcel ID # Page of _ / S Boring # E] Boring pit Ground surface elev. ft. Depth to li sting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I 'Eff#1 'Eff#2 eg 2 10 o ►v5 / ol 3 b I I p r �/k S 6 - � — s F►- n 7 F—I 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 GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring F] Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Sort Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/lF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Etf#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1150 mg/L ' 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. seo-uw (RAW) f Soil Test Plot Pla Project Name Cornerstone Properties LLC Sh ird Address 1025 170th Ave Hammond Wi 54015 TM *226900 Lot 8 Subdivision Corner Stone Ridge pa 8/11 /05 S 1/2 SE 1/4S 8 T 29 N /11 W Township Hammond ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Fence Post System Elevation 97.5/97.0 *HRpSame as Benchmark Alternate Benchmark is Top of Survey Iron @ 95.4' M. 390' Property Line Scale is 1" = 40' unless otherwise noted 91.5' B -2 10' 45' B -1 20' 45' 89.5' 30' 7% Slope -3 440' Property Line r ® PROPOSED DRIVEWAY NOTES DRAINAGE EASEMENT ® PROPOSED JOINT DRIVEWAY A L L axONGS BE CONSIRUCM W PROXI rr OF NOTE: HIGH MAIER G"AIION SHALL NAM: A I.OIIEST NO OWQ OR PE WW WALL 00 MhNNW INCH WI•D6N' OPLNNO NDT 1E55 TIAN iM'0 t(z�1 fm WOULD WTU FETE WTH OR ONNIGE 1FE O W110N HWE NIGH WATER ELEVATION ,37101E TE H0H Yam ELEYA71. sllorYKC OF TE APPr4 O COMPREHERM WATER DRAK44E LBO LOWEST BUILDING OPENING StlBAC1a5: FROKIT - SO' (uaFSS Of1iFRWSE ND1FD) g M OSICH a NGT PLAN MR 70 91.0imo wa6 ]TENT NEAR _ 2W (OWBIN D) KAR N MY P E SE"M CAWO OR R 1�_ COUNTY SECTION MONUMENT MNK44E 01701M WAIM MMY.% WIER Y (FOUND AS NOTED) CtLVMM 9WA ON MM SEEDIM " SET 1 1/4' BY 18' IRON GENERAL NOTICE PIN WT. 4.172 LBS./TT. STATEMENT: - 1- SET 3/4' BY 18' IRON PIN EACH TO $T � � IS WEIGHING 1.50 POUNDS MR ES AND INIMAMB O.E. •flLW% WW= PER LINEAR FOOT AT ALL LOT SM ACCESS TO PARCEL. ETC.) DEFOK 07HER LOT CORNERS � R � AND TIE APPRMPoAIE MW DOM FOR ADMCE UTILITY EASEMENTS: NO POLE OR gMED CABLES ARE 10 DE PLACED S" TIAT IIIE WSTALLAIION WM MR= ANY "Wf STATE. OR OBSTRUCT MSS ALONG ANY LOT UNE OR STREET THE IW OWUMANCE OF A N 8431'05` E 465.5 — — — — — — - SURWY STAKE BY ANYM a A MOLA710N OF SFGIION 286,32 WSCONSDI STAIUIES. UMM EAM �- - - --'`- OF SP AS MOM B WT PFORM ARE MR TIE -- „ ,1tE111E5 NAW A ROff M SOM TE R ECEIVED D` TAT 7 87590 S.F. AUG 2 3 2005 2.01 Ac. yqk. $ HM -103M601 6 0 IBO- 103260 q�y�, N to ST. CROIX COUNTY k c ZONING OFFICE LOT 8 z 1 102663 S,f•, c 2.36 Ac. a „I 3 0o 66' I 05' N 8228' E 440. / LOT 9 E 1 T2 NOR SEC 75629 S.F. 8 T2 9N R1 NA � FOUND P.K. NAIL I t A 1.7 Ac. Ot UNPLAJ ED LAN DS N 87 47'39• I CE W 483. N 89'20'10' E 610.00' {' LOT 10 577.00' 86121 S.F. m I 100 I u 1.98 Ac. W' LOT 18 of 116164 S.F. I gl N 2.67 Ac. I i 33 33' s314g• I7' 513 60 . a I o I a LOT 11 z N 8934'27' E 585.59' t2w c T, 80567 S.F. 1.84 Ac. 93.46' Z 49213' auY 0y ryry o I aAr $ t i� 7. LOT 17 o ct ^ c hq q 93446 S.F. of w aL Im t I o o N 8935'74' E 23 a 0.77 LOT 15 �'D'Ao o v Ico f" 88639 S.F. lo, G% N i IN '� Z LOT 14 Z 2.03 Ac. + I .4 70135 S.F. $ O g w HME- 7035.27 A r .+aj // N 89'41'34' E 439.12' I 1.61 Ac. ! LB.a- tO37.27 $ / R•�P I too' I A CA LOT 16 I I =I f y Z Le.o. =IOSt.o 90914 S.F. N I H u a"i -- 2.09 Ac. �" m I 70I RM" WNW fO - a.w - 1388.84' -- yi R r Si ,oar S IG U � ct 230 2' Y i i 245.82' 429.84 --- - - 33 33'L --- -- =- -- S 89 04'17' W 7796.45' IA — — — — ------ S 89' W 1 _ - 100TH AVENUE LINE OF SE- - T.29N, R.17W �- — — — — — — — — SE COR — — 1 I _LOT 29 LOT 1 ( LOT 2 I I I 729N .UN AGRICULTURE - RESIDENTIAL I - CERTIFIED SURVEY MAP - I CERTIFIED SURVEY MAP - I I R17W - -- c I �- I I I SHEET 1 OF 2