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HomeMy WebLinkAbout018-2013-15-000 (2) I - Safety and Buildings Division Cody corrwner+ca.wl. l 26}1^W Washington Ave., P.O. Box 7162 1-4-S -sue Madison, WI 53707 -7162 Sanitary Permit Number (to fled in by Co.) scCo 5/s/ State Transaction Number Sanitary Permit Application ) T d 3 i In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide for secondary as in accordance with tie Privacy Law s. 15-040 m /61 L A Ilcadon Information — Please Print All o Parcel # property Owner's Nat + / Property owner - a Meiling Address Property Location / t /// � IJQ � � ©`�l RQ1X CQUNN Go Lot C (� ly s City,, State Zi NNING & Y 'Vs, Section � � T G. fgit�cle ooh l _�N; R I E r\ 11 Type of Building (check all that apply) Lot # _ / J Subdivision Name r 2 Family Dwelling — Number of Bednoo r/ Ald� 11 O?►1( 1 n LL ti� _ Block # C L' � ❑ P — Describe Use /� ❑ City of cri !�U t� �' CSM Number ❑ Village of ❑ State Owned — Describe Use Town of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 7B.0 System ❑ Replacement System El Treaunent/Holding Tank Replacement Only Other Modification to Existing System (explain) Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued efore Expiration Owner IV. Type of POWTS S stem/Com onent/Deviee: Check all that a 1 ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) VPDis l/Treatment Area Wormation: Design Flow (gpd) Design Soil Appli sod (sf) El Rate(gpdsf) Dispersal Area uired (sf) Dispersal Area System ev VI. Tank Info f Capacity in Totay # of Manuf Gallons Gallons Units J �j ,/ New ranks Existing Tanks F7s , - V r / o /7/ T " j c7 fS. —_ _ Septic or Holding Tank Dosing Chamber Y VIL Responsibility Statement a undersigned, assume ibility for installation of the POWTS shown on the attached pin os r i s Name (Print ), ' Plumber's S' a MP/MPRS Number Business Phone Number V 1 Plumber's Address (Street, City, State, Zip e) - VIII. oun /De artment Use Oni Permit Fee Date Issued I mg Agent Si stu pproved ❑ Disapproved $ vD ❑ Owner Given Reason for Denial (( u IX. Conditions of ApprovoReasons for Dina Val 3 S A saoueulpao /epoo a de gad se SYSTEM OVl 0N R: paulelul nw sl alnbaa �oeglas fly 'Z () Septic tank, effluent filter and egwnid �iq paplA 6euew sad se dispersal cell must all be serviced / maintained auleluleW inuas aq Ile lsnw 11 sip as per management plan provided put: aalNl"tel#�'f!i� • syftem It '9@!b£tlIPiTLPAG9'It�4�l 11 9� �ibflilZI941Lsix :?J9NMO N31SAS as per applicable code /ordinances. SBD -6398 (R. 01/07) Valid thin 01/09 PLOT PLAN P) OJECT Bill Fletch ADDRESS 1025 170th Ave Hammond Wi 54015 S 112 SE 1 /4S 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 98.4 BEDROOM 3 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE 0 WELL * H. R. P. Same as Benchmark 93' Property Line Grading is to be done divert B - 3 98 ' run -off away 207' Property Line 144' Property Lin from system 97.4' 9 6' B. B-1 B -2 8% Slope Area 15' below system is to remain undisturbed Well is to meet all Huffcutt Combo Tank setbacks found in Comm. 83 AL 303' Property Line Pro 3 Bedroom 2 Acre Parcel House Scale = 1/4" = 10' 212' Property Line 100th Ave %NCO py Safety and Buildings commerce.wi. OV 10541 N RANCH ROAD + g HAYWARD WI 54643 Contact Through Relay isconsin www.wisconsin.go isco n sin.go Department of Commerce iscosin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary November 18, 2009 CUST ID No. 226900 ATTIC• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1008 192ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/18/2011 Identification Numbers Transaction ID No. 1737031 SITE• Site ID No. 753161 Bill Fletch Please refer to both identification numbers, 100TH Ave above, in all correspondence with the agen Town of Hammond St Croix County S1 /2, SE1 /4, S8, T29N, R17W Lot: 15, P • C FOR: cone Description: Mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1248533 PF Maintenance required; 450 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade; Syst m j Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Man ual - VergS 2.0, SBD- 10706 -P (N.01 /O1); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Co SEE C and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be cons cted and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Items) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The proposed pump is near its limit with the proposed total dynamic head. If upon installation, the total dynamic head increases, the proposed pump must be reevaluated and may be inadequate. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder SHAUN R BIRD Page 2 11/18/2009 • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 f„ Fee Received $ 250.00 NR� Balance Due $ 0.00 Patricia L orf t. POWTS Plan Reviewer, tegr d Services WiSMART code: 7633' (715) 634 -7810, Fax: (715 -5150, M -th 8:00 - 4:45 pat.shandorf @wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Monday, 7:00 A.M. To 3:30 P.M. Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a buildingproduct not on the building site. For further information, go to our website: www. commerce. wi. eov/ SB/ SB- BuildinjzContractorProgsam.htin Q Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 11 / 5/09 Owner: Bill Fletch Location:S 1 /2 SE1 /4 S 8 T29 N, R 1 7W Lot 15 Cornerstone Ridge Hammond System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) ion l l y Page# O� 1. Cover Page ! 2. Mound Plot Plan 3. Mound Cross Section AESPO NpEN 4. Pipe Cross Section /Pipe Layout O 3' 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contigency plan 9 -12. Soil test Shaun Bird Signature ( JA V License numb V 26900 PLOT PLAN PROACT Bill Fletch ADDRESS 1025 170th Ave Hammond Wi 54015 S 1/2 SE 1 /4S 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 98.4 3 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 none # of chambers IL BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark 93' Property Line Grading is to be done divert B - 3 98' run -off away 207' Property Line 144' Property Lin from system Fq 97.4' 96' B. M., B -1 IF B -2 8% Slope Area 15' below system is to remain undisturbed Well is to meet all Huffcutt Combo Tank setbacks found in Comm. 83 303' Property Line Pro 3 Bedroom 2 Acre Parcel House Scale = 1/4" = 10' 212' Property Line 100th Ave I "u rARl pl,,;k" c l � ! � i p1 � � i a A111111111111s A11111111111111111 _ _ . , . ���������i i�iiiiiiti�iitiii�i �i' :iiiiiiiiiC»�►.- , ..... _ �` � *� • 1 • Is •a a • •s� • a �+ •/ • + +_ - la• ua a •a �a • i •- - • •te •a •s s • • r r' • • • • s • a sa • ! • -• ui _ e �a • � ♦ •- •: u t r / =!• a _1/ ► / lu'/ • 'a • • :• ♦ •: s• ► as • • +a ! • !! :sa . s: •1 •• 1 1 t !! r Is - • �.a a •' a • �a i _ •• • • • e !- 1l f• 1� • - a : ! a ss : " a .t • • !! • - ! - l - !J ♦ ! 1! - • • J t a • . 1 • s1 ► A 1 ! r— Threaded i Cleanout Lateral Turn-up — 0 Plug Manifold I � M i I X L T Long Force Main Sweep 90 Bend Distribution Network S ifieations Pressure System Construction Lateral Diameter in. Manifold Diameter In. Laterals are constructed of Schedule 40 PVC Orifice Diameter In. pipe. Orifices are drilled perpendicular to X Orifice S . pipe In, the i with a sharp drill bit and face down. L (Lateral Le Ft. Lateral turn -ups terminate with a threaded M ' old Ft cleanout plug and are enclosed in a 6 -8 inch Force Main Diameter 2 In. diameter lawn sprinkler valve box accessible Force Main Length C= Ft. from finished grade. •••� • •�••••• • • • • • Grade • 6-8 Inch Lawn Sprinkler Valve Box Pag .. of 03 /05l j I Septic -Dose Tank Cross Section And Pump Performance Specifications Tank Manus PUMP Manus Pump u�abe� Model N .. E Tank Model Nut�abe�' ' . - Total Tank Capacity j Alarm Manufar Max B ury Depth Alarm Model Number Switch Type AV Filter Maaufsct _ Total Dynamic E� (TDH) - Feet 5: Filter Model Number ; G Elevation Head i Di stal Pressure O Network Loss Minimum Pump erF+o R Force Main Loss �/ GP Ft TDH Total Outlet Manhole htm 4" Above Grade With Manhole Min. 4" Above Grade Locking Dectice. Wet Manhole Securely Mowed With Locking Device < 6" Below TWe Sealed Watertistht Weather-proof l Junction Box • aim . 000 FWshed Grado Vent Nfin. 12" Disconnect Above Grade Means With Vent Cap Outlet Filter- -- ,;: s— Inlet Baffle - - -- - .. A 1 / 4 „ Switch S and Reserve Capaccity weep Tank Volume / -S GPI r Hole Dimension; Inches Volume Gal. B (reserve) A 3 alarm) B : 2 p Off Elevation C Ft •: < dose) C '7 S <.:; - ---- -► Bottom (dead) D 9 D Elevaton Total � >;. . Ft GENERAL INSTALLATION: The Sept ddose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth o f bury as spwifed by the manufacturer may not be exceeded without prior approval. Manhole covers. exposed to. zmde have an effectiv8 locking device (padlock) at the inlet and outlet is of approv material, .connected to the tah uista Piping v k with watertight fittings, and had on stable soil to prevent settling or sagging. . The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleave is sealed. watertight. Electrical service complies with NEC .30.0 and Comm 16.23. Page o 02/05 L3 fay...,... Seat By:; I V ENT PUMP 5 �R� g � 1-i �S u p. F - o tyre e+c � . � . � s� r� as a tae sow ae 4t 2tOko loans na ,ms semr- Lt+�s�o�se Manx a moo a000 aaoo »astibonsmd so cz '9�tEHm�dR$�, a Ftlly, QALih p11rp t+E3i��1fAl1E� !!ales �•C�i1��wiif tNS �eaecNril�17�•�'�' inie PLAN pap ?� S, MMUAL St MANAO 0 w► 5 S TqkOk �. r ON A Pik d L > g d tt Na o Nu oft 3 4� Pam aas �r � a c 9= II tom: p,wMd emm S 13 ROM T Sfr3'` II � � P « rtskt�s fi� csf d Jet asca s�e'�! ( atl� v Cham L act vvw � D IM Y�-1 . P ad canumb crtata3 Axe CnM eY II € tea} Ott or4a awWY ' j Q NA a< a*= �� Of=* � . Q sew PU l4t sea�tcrtcs'�s�Y `� �� Q NA and seat oi+� e Y 13 � t3 YSNKs9 g triA °°'�` AL ieaast orsoe evw3► � �e odlt~o or Pt3PNt�'g oc Ira" Mow PlQeetl�eR S � � my and � � - gn=d ,g Opulow ' ftss v°'Weae �rp+�d !o did cn as criwam OTY011 by, ate. at tocef ' i4p p and � mew a . ofl�ee t:�c Owwagum y.g dices l . € i dL tt �.� wft " did be a nd gm o axe . as . or .pplAfMCOM & a- FOWM� W it�oc s or b be ere • *a be t�i0d �D ioc au to* 10 dap .k repo 3 t liAT .mss) fartt Pm q s �a 4gfew pow to um FarMWOO"OhMM do &SMt C omo pftrffi Soft {s} `bys SOPURB arser+o at the ink SW oP stiff not ca=w wtied s ttseti is teskxed the a Systw MW IN dmm atom t c mKs) acid �► rmsat?m the D POMW O t aettts3 in airs bqp dose, ovaeo dbv us bs the a � ha u comae ta of'� p ianic V r S Aff !�y m a r�c�mos � ��� tp ttia elticseert � a s Pas' FO�fAIt� into € fie reswe normw bvaa vow the pww ta* as h ` f - Do not dit�re tat �c O_ aL or W sfOt drhm Or V c W � to � - " " SWU M 15 dmn sW ffitd p[oioi�g lfis crr� of the � � the y aber sbeain ma impo the of fit? -, � #'tit aid 's' MOM= bunporm ARANDOMIKEDrr Mm The POWrS ! out of the ts7>�o�arTr std std 0°r! the fie raft a%9brfs twel wide rh cow 83.33. � �� systeas is ptopeaty mid Y and the abox sed p� opt sedid- • AN Plp M fo tanfvs and PO AW and of bYs � .. Tr+a coed of a8 � and pgs �sd ahe void space aII t� aad pits sW be 9nd nunoved or rmnsowa ts�edw%� a� �• � COU i'06gNCY PJ • fire s mesas have teen. car be ia}m to p vvUo a coat rapabod If the PtZwrs tafs and c,ond be t�ptaceiiisrrt � h beers evats=ed and nw be uoftod ror t}ire �a� ' mot 0 A V -08bib hacdd from dbhvbmm and ase:a s P absorp&C � by aria .Bc�s . said tom. Fame be �osact the �area� AMA in the need for a new wU and si93� lb OsUbfth a wAmbte txusst acrnpty with the rwas in 8ffaa r+apiar st at�aa. H!®F a �rasiees to POWTS D A srs�bte h� is riot av�r8`ai>'Que as saw and/or soil , technology a WSW tauickaW be wed : go a bmt:+ mod to r+epL the faftd of gm POVSR'S a sod =id dCe teas riot beers to ms's srs}labie r�ep� [f m reps assn is ava s evskadion t m ioca�fa a s<sOabie repiserst the ta0ed POD- umk nmy be b�sd as a test jOsOft to replace sa oral of itea btatslat at and *0 'u' be moomswjcWd In plaos fidio� the me must S %vRh the miles fn 89wAat.2w&* a <<WARNRJ G>> T14l1tEC$ KAY CONi'ARrF L EfKAf- QR9SE5 tC T OXY�. SEir? PLJ18P Aim OTHHt TREATS Al . DEATH AW Co M" F3�T; to SI�TtC *a � TRF^T&tENT' TAmic UNDWt /l�tY T p,eS T • RESCM40F A Pal ! THE !tom oF ATANK mAY SE DffvgcuLT ORRFPO E• AWMDNM- POWf BAi -L.Ett PO�fitTSII' . Afa<t7� � Q Iv � ✓ /i I . P Phone .� S S&TACsE famcm opau T�is4oea�+rxxaresahaedbtCB+i tiffstw eeLA'M and s.Corby' Md d�eels %fto seems m**Nawm arses. Cogan }CaJ Stts3. Gt3 a !3k iN�st�oer is 1p Lyde. tkisofala s daaxasatslOes gtwsatlet Oat � ofOse POUfti`S:. :... �'� } . i ST. CROIX COUNTY SEPTIC TANK MAMENANCE A AND OWNERSHIP CERTIFICATION FORM 0wnerBuy, �' / 2 �iUQr►� Mailing Address Property Address (Verificatioon required from Planning & Zoning DepartmeWfOrlOw won-) City /Stato kl'T Parcel identification Numb r 1� L>FEPAL DESC -PJr ON Property Location Sec. T �N R W, Town of Atnvwc� . Lot# Subdivision a Certified Survey Map # Volume Page # Warranty Deed # � t7 Volume . � , Page # � ' Spw no i�4�ble mo SYSTE manamAwmAND OWN CAR TIF jmProper use and ice o your septic system could result in i ts pro �Oatuae £inure to and p wastes- Proper task every three years or sooner, if by a lioeesed pumpea• oVbat 7' m 0 of out tank as a treatment stage in the � � the system can affect the fimaroa of the septi ,rosponsz'bft — es are specified in §Comm 83.52(1) and in Cb 12 - St Croix ' °' a certification form, signed by the The properly owner agrees to 31*0 t to St Croix County Plaw 1mg dt D that (1) the on site owner and by a waster pbnmbm jon:neyman plumber, restricted plumber or a lit p umping ) the septic yak is and wastewater dspossl system is in pampa Operating condition and/or (2) alter less than 1/3 M of sludge: to the p&uw sewage disposal system with the Uwe, the und�arsig b et b y read the Dep the above r C O nna and agteoD� of Natmal Reson cM State of Wisconsin. ataadards �t forth, , as sy aJrm�ent of Coerce and the 1,� & Certification stating that your septic system has been maw most be compl and returned to SL Croix ComrtY Zoning Department witWn. 30 days of the three year expiration date. 1/we certify *M a n salt m u on this form are true to the beat of my /our I nowledge. Uwe am/are the o wner(s) of the Re pesly described above, by virtue of a waaanty decd recorded in S of 00j� Office. Number of looms DATE SIGMA OF A"UCANT(S) ** "An information that is mis�WOd my result in the sanitary permit being revoked by the Pbsnming & Zoning l)epa=tMCmf- * *'" Include with this application a recorded warranty deed from the Register of Deeds office and a copy of tbo certified survey map if reference is made in the wa nwaty deed. I << a EVALUATION REPORT Page_f Wisconi in Department of Commerc, Division of Safety and Buildings in accordan & omm 85. Wis. Adm. Code County c Attach complete site plan on paper not less than must include, but not limited to: vertical and horizontal r eren n and Parcel LD. n/� �/ / percent slope, scale or dimensions, north arrow, a location and distance to nearest oad. (� m 1 6 2��� Revie by Date Please print all inforaticnj � n u es Priva Law, s. 15.04 (1) ))- Personal information you provide may be used for secon p rpos l cY Property Owner ST. CKOIX tCE erty L tio T n of � 1/ � _1 /4 N R E ( r) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 70 44 A — / S C c CAy / State zip Code P e Number ❑ C' ❑Village own Neares �? - (7 0 l Gi fN rt : �J fGl. New Construction Use Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement Pub s^ ❑ Public or cammerct I mo - De - - - - - -- - - ,s � Parent nlateriak f fC� c� �a e r ✓'Q � —i�1 —S " Flood Plain elevation if applicable General comments -) A.0 T / and tS rtati mains # F1 Boring ✓ Pit Ground surface elev. �� ft. Depth to limiting facto in• Sal Application Rate Horizon Depth Dominant Color Redox Description Texture GPD/fF Structure Consistence Boundary Roots in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 Eif#2 ` 0 7 - Z. a r J Boring #_ ring Pit Ground surface elev. -5 3 ft. Depth to limiting factor in. Soil A ticati Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfP in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 r 31- 3 r —7 1 y /( V c., I Effluent #1 = SOD > 30 < 220 mglL and TSS >30 < ' Effluent #2 = BOD < 30 mg/- and TSS < 30 mg& GS? Name (per P" ignature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ���- O-- 715- 246 -4516 I Property Owner _ Parcel ID # Page of Boring # ❑ Boring o J Rit Ground surface elev. % ) O ft. Depth to limiting factor I in. Soil Application Rate horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 Y IZj ::V= ,r-- L) b Boring i # ❑ng ❑ pit Ground surface elev. ft. Depth to limiting factor in Soil — Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring E Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Sal ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efl#1 'Eff#2 I I ' Effluent #1 = BOD, > 30 < 220 mglL and TSS >30 < 150 mg& ' Effluent #2 = BOD < 30 mglL and TSS 130 mgIL I The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 2648777. SB"30 (x.e100) Soil Test Plot Plan Project Name Cornerstone Properties LLC Shau d Address 1025 170th Ave Hammond Wi 54015 C *226900 Lot 1 5 Subdivision Corner Stone Ridge Date 111105 S 1/2 SE 1/4S 8 T 2 9 N /R 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 98.4 *HRPSame as Benchmark Alternate Benchmark is Top of Survey Iron CC 95.7' " 93' Property Line Scale is 1 = 40 unless otherwise 144' Property Line noted B -3 50' 98' zz :]30 207' Property Line 96' IR 30' 100' B -2 B -1 8% Slope 303' Property Line 212' Property Line 100th Ave ® PROPOSED DRIVEWAY NO DRAINAGE EASEMENT ® PROPOSED JOINT DRIVEWAY N PRODMITY OF NOTE: FII011 WA10 EIEVATION OWL RAN: A LDMEST RIO omm OR RE90ORT SHALL 00 my*" *mm BULDNO CPO" NOT LESS THAN 1M0 FEET MORRD INTERFERE ISM OR CHANGE 11E OPDtA110N NWE HIGH WATER ELEVATION ABOVE IM NIGH WATER TLEVA110N SIKIwIL OF THE APP ROYED CM MIDtm WATER omimm LBO LOWEST BURRING OPENING SETBACKS: FRONT . So' AND SOL EROSW PLAN FOR DO MT. M WENT REAR _ QA&ESS OIINRaw IKM) SKLWE.R BUT 0 NOT W TED 10 Ka UM 1 GSF]OEIS� WATER P COUNTY SECTION MONUMENT WE � 1 ) DR N q• F RINw W WAFER OR (FOUND AS NOTED) CILVERTx 80" OR GRASS SET 1 1/ 4' BY IS- IRON GENERAL NOTICE PIN WT. 4.172 LBS./rT. STATEMENT: T SET 3/4' BY 18' IRON PIN EACH PA SIOYN oN TI • WEIGHING 1.50 POUNDS sue EDf m srAtE cAA S AND NAP = LAWS, MR AND ROMLAMIS" KTLAW% UM M PER LINEAR FOOT AT ALL WT S1E, ACCESS TEL PARCEL. ETC•) BEFORE OTHER LOT CORNERS KRCKASNQ OR WYBAPNG ANY PARCEL OF UJA AM THE APPROPRIATE TOM BOARD FOR AONCE UTILITY EASEMENTS: NO POLE OR ROM CMM ARE 10 of PLACED SUCH 1HAT 111E WTALLA710H w= NSIIRIB ANY SIIYEY STAID:, OR OBSIRUCT NOON ALONG ANY lDT INE OR STREET LIVE THE DIS7 WAMCE OF A N 84'31'05" E 465.5 — — — — — — - SRtKY STAKE BY ANYONE IS A NOLA710N OF SEC" 236.32 WISDONN - - - - 5-- AS IEPo SET YOM AN FW THE -�- E USE OF PUN10 BODES AND PRIVATE U3�1 IZ UIUlES tRAVND A IdfilT 10 RECEIVED SERVE TIE LOT 7 8 2.01 S.F. a AUG 2 3 2005 2.01 Ac. SA m NK- 1030.60 UM- 1032-60 ai1'�ry N (4 ST. CROIX COUNTY a" °o ZONING OFFICE LOT 8 1 102663 S.F. 2.36 Ac. L ®\ o 66' I 1 05' N 12 2 56 " 56' E LOT 9 E 1 T 2 NOR SEC 75629 S.F. FOUND P.K. I v 1.74 Ac. m UNPLATTED LANDS I $� N 8147'39' I c cl W 4 83.74• N 89'20'10" E 610.00' LOT 10 577.00' / 86121 S.F. co I 100' j u 1.98 ac. LOT 18 116164 S.F. b 2.67 Ac_ I 1 33 33' io Al >g 4 3'49. I I N V! f+l TAT 11 w 513 g 80567 S.F. N 89'34'21' E 585.59' - 1.84 Ac. 93.46' Z 492.13' y, W. 1 z LOT 17 s CE '?y 1 5 e • q 93446 S.F.` /01 a °D Im N 89'35'14' E 230.17 �• • L f 2.14 Ac. rn o I LOT 15 1D +1.o I � 1 00 I� 11 88639 S.F. m, �' I I .+I'T Iv ti o LOT 14 Z 2.03 ac. !� I I y z ITn 1 70135 S.F. w$ H7- 1035.27 I' + t6 N 89'41'34' E 439.12' C I A 0 1.61 Ac. L Le.o.- 1037.27 g / ° �j I 100' iAN LOT 16 g Le.o. =Ia1.o 90914 S.F. N I HI imp WOW Smam^ -- 1388.84' - -Pi P aj `ti 6 s O 010.10 I ®429. -- - - -- 232, - -i - 245.82 -- - 84'--- -- - --� 33 33'L --- - - - - -- �.g - - - - - -- S 89 W 1796.45' — S 8 9' 04' 17" W 1 _ 100TH AVENUE UNEOFSEC. L29N, R.17W — �T —_ __ - - -- --- - - - - -� �SE COR -- ') _LOT 29 I _LOT 1 ( LOT 2 I I I SEC FUN TGRICULTURE- RESIDENTIAL I CERTIFIED SURVEY MAP — I CERTIFIED SURVEY MAP — I I R17W SHEET 1 OF 2 �� j'jf . ( 1111111111111lIIIIIIIIIIIIIIIIIIIIIIflIllllllllll State Bar of Wisconsin Form 1 -2003 8 7 1 8 66 3 1 WARRANTY DEED 871 863 KATHLEEN H. WALSH Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 04/01/2008 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 EXERPT ("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 an t1aviddd�sst streen addendum): Street S Locust s Lots 1, 8,11,12 and 15, Cornerstone Ridge, St. Croix County, Wisconsin 304 4 Hudson, WI 54016 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 wan-ants 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 �' 1q8 F etch Inv stments, LLC ( Fletch Inv st ents, C ) : , r F *4L lwv Ice SEA )By: W1 i -cJd, AL *Jay Fl ch, member *William Flet h, member (SEA].) (SEAL) g ermoen AUTHENTICATION ACKNOWLEDGMENT Signature(s) Fletch Investments, LLC, a Wisconsin limited liability company, by Jay Fletch, member and STATE OF ) William Fletch member ) ss. authenticated on 0 o COUNTY ) Personally came before me on moo *Kristine land the above -named Craig Shermoen TITLE: MEMBERS ATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, in rume ed the same. authorized by Wis. Stat. § 706.06) , THIS INSTRUMENT DRAFTED BY: Notary Public, State of Kristine Ot?land, Estreen & Oeland My Commission (is permanent ( �Pires 304 Locust Street, Hudson, WI 54016 (Signatures may be authenticate,! or NOTE: THIS IS A STANDARD FORM. ANY MODIFICAT �t Y IDENTIFIED. 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