Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
032-2145-10-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 567299 GENERAL INFORMATION 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: Cievering Homes LLC, aka Cievering Pro ertie Somerset, Town of 032-2145-10-000 CST BM Elev: Insp.BM Elev: BM Description Section/Town/Range/Map No: — 1 LD�,,J ,t,` 13.30.19.1263 TANK INFORMATION ELEVATION D A TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic =n. Z Benchmark F•6�,,. /zS� 7.3 91.8 Dosing ' 7;. Alt. BM ` 2,$ A►acatier+- Bldg. Sewer Holding St/Ht Inlet L 77-1 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/� WELL BLDG. ent Air Intake ROAD Dt Inlet r Septic 5a► A)A- ' Dt Bottom 1 / .4 -73 Dosing d AM- /C / Header/Man. / • z 0�. Aeration �7 Dist. Pipe V��Z 491 Holding Bot. System �,3 '• �� PUMP/SIPHON INFORMATION Final Grade Manufacturer , De and St Cover L-3 GpM/Model Number � � 1 VO J' TDH Lift Friction Loss System V TDH �• t Forcemaiin Leng h I Dia. // Dist.to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS /t Z 4 SCI_ _,/� 13 SETBACK SYSTEM TO �J P/L BLDG WELL LAKE/STREAM LEACHING Ma ct�L:` ���� INFORMATION Type Of System: , / CHAMBER UN T OR Mo I Number: 614 1 DISTRIBUTION SYSTEM Z 7ik6a Header/Manifold /f Distribution x Hole Sze x Hole Spacing Pipes) �`Length Dia Length Dia �—Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over I Depth Over jxx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ti j Bed/Trench Edges \ Topsoil \ Yes iL J No �Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 853 156th Ave Ne Richmond,WI 017(W 1/2 PE 1/4 13 T30N R19W) Nathan Hills Lot 1 Parcel No: 13.30.19.1263 L �itJ/wQ�J �• 1 / L o 1.)Alt BM Description !dG.�s /� t� 2.)Bldg sewer length= -amount of cover 3 OA Cto`'C ----T---- G� J �P � � iPlan revision Required? [] Yes o Use other side for additional information. L.____ Date Inse toes Si ure Cert.No. SBD-6710(R.3/97) So' Test and System PLOT PLAN PROJECT Oeverino Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 W 1/-2 NE 1/4S 13 /T 30 /R 19 W TOWN Somerset COUNTY ST.CROIX MPRS Shaun Bird 226900 �� 5/12/13 DATE BEDROOM 4 CONVENTIONAL IN-G ND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 916 # of chambers 45 BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 90.5/89.0/87.5 4.' below qrade Pro Town Road Pro 4 Bedroom House Scale is 1" = 40' unless otherwise noted Huffcutt Combo Pro 4 Tank 25' Bedroom House All piping shall be SDR 30/34,within 10' 90' of tank,piping shall be Schedule 40. 1.� 3-3' X 62' Cells with>3' sacing 20% Slope B-1 B-2 87.5' 3 89.5' 91.5' Vents 93.5 B-3 40 �- � 30' 150' Vent B.M. >691 Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 100' � 5.6ft 2/ 4' Long 12" parr of end caps i Grade at System Elevation ation Property Line 3491 Y 9EH SERIES SUMP/EF'F'LUENT PUMP 11.65 8.95 O 0 Specifications NODES CAT. SOUDS SITE RUNNING PERFORNANCE(6PN NEAO N0. N0. US11N6 NP YOUY @a ) SHUTOFF PINK CRO. MUGNT DINENSIONS IDia.h4) ANPS/NATTS 5' 10' 15' 20' (FL) P.SJ. 9FH-CIM 509330 (FL) It INxL. lH/CSA 4/10 115 3/4 13.0 1000 70 64 55 41 32 13.8 20' 2 24 4 9.11 x 11.64 4 x 8.94 9EH-CIM 509340 U1/CSA 4110 230 3/4 6.5 1000 70 64 55 41 32 13.8 20' 24 9.11 x 11.64 x 8.94 9M-CIA-RFS 509350 UUCSA 4/10 115 3/4 13.0 1000 70 64 55 41 32 13.8 29 27 9.11 x 11.64 x 8.94 9EH-CIA-RFS 509360 IA/CSA 4/10 230 3/4 6.5 1000 70 64 55 41 Continuous Duty Rated—°Little Giant Wastewaterpumps are rated continuous duty as long as they are run within the published ratings lorthesepumps." 20 27 9.1t x11.64x8.94 FLOW- LITERS/HOUR Construction 0 1000 2000 3000 Motor Housing Epoxy Coated Cast Iron Impeller Material Poly Carbonate 30 10 Impeller Type Closed Vane Volute ABS W 7.5� Power Cord SJTW-A 1-20 Mechanical Shaft Seal Nitrile with carbon and 5 ceramic faces W Fasteners 10 Stainless Steel = w 2 s Shaft Stainless Steel Bearings Upper Sleeve and Lower 0 0 Ball Bearings 0 20 40 60 80 FLOW- GALLONS/MINUTE PUMP PERFORMANCE CURVE p j 115V 60HZ 3'°°�'R4" Little Giant Pump Co. ° PO Box 12010.Oklahoma City,OK 73157 s, g Phone:405.947.2511°Fax:405.228.1550 ww E-mail:customerservice @littlegiant.com w.LittleGiantPump.com K Form 995235—07/03 Comity es-I �- Safety and-Buildings-Division -^ l � ., - ���� 201 W.Washington Ave.,P.O.Box 7162�', 9t Sanitary Permit Number(to be filed in by Co.) Madison,Wl 53707-7162 S(7 211 eWl, State Transaction Number �.�. cR 5 snit Application Nl� In accordance with,3l ✓$3 -1(�~ rs.Adm.Code,submission of this form to the appropriate governmental unit is required pr"*6titamtrtg a sanitary permit Note:Application foams for state-owned POWYS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary v,63 purposes in accordance with the Law,s.15. 1 m Stats. Q �O L Application Information-Please Print All Information Property Owner's Name parcel# (fie ;e sN% 637-- 2145 — /a- Property Owner's Mailing(Address 1 CC Property Location f,.,D J Govt Lot ` City,State Zip Code Phone Number C_J( �11E Y. Saxion 3 -� circle% IL Type of Building(check all that apply) Lot# T30 N; R E W for 2 Family Dwelling-Number of Bedrooms CID Subdiv 'on liame ' a k a�D d Ci Block# 04-14 6^ ❑Public/Commercial-Describe Use J Jar P ❑City of ❑State Owned-Describe use C e CSM Number ❑Village of�^ tb�"' �� �J ��e7 �� ownof_�?cy�v_P�`Q III.Type of Permit: (Check only one b1i on line A. Complete line B if applicable) A' ow System ❑Replacement System ❑Treat..t1Holdin Tank g Replacement Only ❑Other Modification to Existing System(explain) B. ❑Permit Rem Revision ❑Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV, of POWTS S evice: Check all that a 1 1 TTY— �JG+'7 Presseaized In-CNOund ❑Pressurized In-Ground ❑At-Grade ❑Mound>24 in.of suitable soil ❑Mound<24 in.of suitable ❑Holding Tank ❑ Dispersal Component(explain) Pretreatmetrt Device(expl ' V.DispersaIlTreatident Area Information: Des Flow(gpd) Design Soil Application Rate(gp Dispersal Area Required(s Dispersal Area Pro f) ystern El 'on VL Tank Info Capacity in Total #of Manufacnuer Gallons Gallons Units E Q C� � New Taoks Existing Tsaia 0. ii 0 Septic or Holding Tank C' Dosing Chamber VII.Responsibility Statement-1,the undersigned,ass ponsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber MP/MPRS Number Business Phone Number v�r✓ �' 2 Z va 7/�= 01-11V Phrmber's Address(Street,City,State,Zip Code) t 1413-2— Z-D 7� /Ues� cs VIII County/Department Use Only Approved Permit Fee Date sued Issuing Signature en Reason for Denial S V 5• oz � 2 /� VL CondiW ' ns for Disapproval 1 ,septic#tank,efHttent finer and 3� .� V f COtJ. n G� ,dispersal cell must all be services/maintained ` tits M managernent plan provided by plumber. h 0V'.-�-MU JA 2.tnc�-_ I(. e(nentsmust be.maintained I/trI^O as per tlpppli code 1 drdinances.' Attach to compkat pbw for tie system and submiitt,(te the County only ea paper,not was than a 1!2 x 11 i.&.is size SBD-6398(R.I1/11) , y Sj Test and System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 W 1/.2 NE 1/4S 13 /T 30 /R 19 W TOWN Somerset COUNTY ST.CROIX 5/12/13 MPRS Shaun Bird 226900 DATE BEDROOM 4 CONVENTIONAL IN-G ND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 916 # of chambers 45 IL BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 90.5/89.0/87.5 4.' below qrade Pro Town Road Pro 4 Bedroom House Scale is 1" = 40' unless otherwise noted Huffcutt Combo Pro 4 Tank 25' Bedroom House All piping shall be SDR 30/34,within 10' 90' of tank,piping shall be Schedule 40. 3-3' X 62' Cells with>3' sacing 20% Slope B-1 B-2 87.5' 3 89.5' 30' 91.5' Vents 40 93.5 B-3 40' 30' 150' nt B.M.* if Quick4 Standard Leaching Chamber 100' with 20.0 ft2 of Area 5.6ft^2/pair of end caps Pro e Line 34" Grade at System Elevation Property Owner_ Parcel ID# Page of Boring# ❑ Boring -/ ', pit Ground surface elev -� ft. Depth to limiting factor Soil Application Rate OF I 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 ' JF t/ E Boring# ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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 E Boring# Boring ❑ ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Effluent#1 =BOD,>30<220 mg/L and TSS>30<150 mgA- 'Effluent#2=BODS<30 mg/L and TSS 130 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. SOD-8330(R.W00) A 1 1) Wisconsin Department of Commerce 1�� �gr��j�4 SOIL EVALUATION REPORT Page of Division of Safety and Buildings M� �`tN GR vE� m 85,Wis. Adm. Code County Attach complete site plan on paper l s @in 8 1/2 x 11 inches in size.Plan must l fa I include,but not limited to:ver� horizontal reference point(BM),direction and Parcel I.D. percent slope,scale or dimerfsions,north arrow,and location and distance to nearest road. 032 .. Z#0745# 16— Co Please print all information. Revi by Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). / Property Owner Property Location e� (>> /n Govt.Lot (A,J 1 114 S T 3 N R 7 E(o ow Property Owner's Mailing Address Lot# [Block# Tu6d Na"'�or C1W > ` �Pf It Nc7�Jf���i.r✓ f-� / State Zip Code Phone Number ❑City ❑Village KTown Nearest Road /Uew Z' M ew Construction LlstE34tesidential/Number of bedrooms Code derived design flow rate GPD ❑Replacement ❑ Public or co mercial-Describe: Parent material- t2/1 Z.�iC Flood Plain elevation if applicable�J .ry 1 General comments and recommendations: i System Type _ System Elevation to ?/QQ' , , M El Boring Boring# -4 Pit Ground surface elev. 27.• ft. Depth to limiting factor ! v in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2 Boring# ❑ Boring �' -�� 9 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 I •Eff#2 ol Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD <30 mg/L and TSS<30 mg/L CST flame(Please Print) Sig r CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conduc d Telephone Number 1008 192nd Ave, New Richmond, WI 54017 --� �_�C 715-246-4516 Property Owner_ Parcel ID# Page of Boring# Boring , El C/ &pit Ground surface elev. ft. Depth to limiting factor On. 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 V a Boring# ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil—Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 •Eff#2 Boring Boring# Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 -Eff#2 I Effluent#1=BODS>30<220 mg/L and TSS>30:5 150 mgA- '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. SBn-9330 n;.6(00> •Tank Cross Section And Pump Performance Specifications pump Manufacturer � Q 11�!!--------- Tank M�turer r ---- pump Model Number ---- I ank Model rCuxnber Alarm Manufacturer E C s( Total T fCank ipacity j 7 6 Alarm Model Number Max. Bury Depth Switch Type /nt C/, 'L 6TotaI ----l Dynamic Head(TDH)_Feet_—_ Filter Manufacturer A �— k__ ead ure ss--------'. erformance Required Loss Mimmi.un Pump 6 Ft TDH -- -_ GPM @ I 1 — Manhole Min-4".Above Grade outlet Manhole lvlin. 4"Above Grade With With Locking Device Locking Deice. Inlet Manhole securely Mounted < 6" Below Grade Sealed Watertight Weather-proof l ----► Junction Box '+ T wow -- Finished Grade .1. ---•► Vent Min. 12" Disconnect Above Grade Means With Vent Cap Qutlet Filter ----.._y ------ _ Inlet - inlet Baffle •>;:; .�E-----`" ' A 1��» ''witch Settings and Reserve Capacity X Weep MTank Volume= 7 GPI B Hole Gal Dimension Inches Vol e . (reserve)A; ' Off Elevation C :. ` alarm _ ; Ft Bottom (dose) C 3�' D Elevatiion - (dead) /s-3 D {Z Ft ' ; Total ........a Irlf.•'`' 1St t �"�'--'�_._ TTTi—i— 1'131 t 1 a.l i,1 .i 1•<1 a..S1f fa)•1•i S•S S S•>SS•S•r•S• 1. a t a/1 a s<t a/•1 1.131 1St:1 1 1 1 1 1 ISa. .<a .':. l�i—)�'i FY's'T7—)-�'TT'T'j'_�a a t 1 a. t a:.a a a a.a:i:••t1.<.1�,r...,� .1 r,,,/t t h :i a31 .•..11,; Ir'•:<•f•,•T�•ti S�/,,,1�i�:tS:afa >S r .i::a.• :1 a 1•t• :1 a • a TIUN: The septic/dose tank is bedded and back filled. in accordance ufacturer may not GENFAAL 1NSTAZLA manufacturer's product approval specifications,comvarsuexpo exposed to grade have an 00 effective tlock device (padlock) be exceeded without prior approval. Manhole installed. Piping at the inlet and outlet is of approved material, conneeected with 4" Sch. 40 PVCrto bridge'the tank laid on stable soil to prevent settling or sagging. The force main is excavation and the sleeve is sealed watertight. Electrical service complies with NEC 304 and Comm 16.211. Page of 02105 LI f W �t NO SEN-40 Series 4/10 hp Submersible Effluent Pump, 3/4" Solids Construction Flow-Uters/Minute el 0 so 100 150 200 250 300 Cover EpoxY-0a�Cast iron 35 11 �' 10 30 9 Impeiler Material Thermoplastic Elastomer, 25 8 lir l t 20 6 m Volute EpdXy-CrJt$t t.G lroR N i'tiIt 15 5 0 = 4 = Mechanical Shaft NfWte�NittrCarbon altd 10 3 2 Seal 5 1 0 0 Amobigim 0 20 40 60 80 Flow-Gallons/Minute PIO' —4.17�1 I } Atl' A80' 9.tS } Aao' t 83' 9.80' SEN-40-AF SEN40 Speclflcation5 PERFORMANCE(GPM)• • • • SHUT-OFF li '54i92i1; 4/10 '-f 1$ t-1M"FCJW7' 9/620 80 ' '70 60 t4 201 . 1750 EPI»40-AF. 3`.° 4Y10 '115 "#»7/2"FNF+! 9/92Q $0 70 60 45 25 32 14 20 Franklin Electric 400 East Spring Street,Bluffton,IN 46714 Tel:260.824.2900•Fax:260.824.2909 Form:996199 7-11 www.franklin-electric.com PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 W 1/2 NE 1/4S 13 /T 30 N/R 19 W TOWN Somerset COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE 12/15/13 BEDROOM 4 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 44 ,/ BENCHMARK V.R.P. Top of nail in tree ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Alt. BM Top of Nail in Oak Tree CC 101.8' SYSTEM ELEVATION 98.0/96.5' 4.5' below grade Pro Town Road Pro 4 Bedroom House e is 1" = 40' nless otherwise 15' noted -3 S 150' Vents 10' All piping shall be SDR 30/34,within 10' 103' of tank,piping shall be Schedule 40. IF 45' B-1 4 102' 101' , - 100' 5 B.M. �� 99, 19% 98, Slope 2-3' X 90' Cells with>3' spacing pt rty Line Vent >6» Quick4 Standard of Cover Leaching Chamber oc� with 20.0 ft2 of Area 5.6ft^2/pair of end caps 12" 49 34 Grade at System Elevation " Property Line County l �A i ` Industry Services Division �'O) 0 � 1400 E Washington Ave Sanitary Permit Number(to be filled in by Co.) P.O. Box 716 J Madison,WI 5370 62 5(a 7 / State Transaction Number a ermit Application ' A ,nn-- In accordance with SPS 2), Adm.Code,submission of this form to the appropriate�goa7re I unit /v is required prior to obtal s ry permit. Not Application forms for state-own8d PQWTS are to Project Address than address) t. tvv e . the Department of Safety and Professional Servies. Personal information you provide may`Y�,ysed for secondary ��� / u ses in accordance with the Privacy Law,s. 15.04 1 (m),Stats. �` 1. Application-information-Please Print All Inform ion /C Nt W. Property Owner's Name Parcel# e t d — ,/ Property Owner's Mailing Address U Property Location 3 Govt.Lot (/e l Z r City,State ll Zip Code Phone Number y., Section N', C' ) 0) - R c 'rcle one II.Type of Building(check all that apply) Lot# R " 4fior2 Family Dwelling-Number of Bedrooms Subdivision Name Q� Block# VVillage Public/Commercial-Describe Use � f State Owned-Describe Use CSM Number of p 1 of -6�- Z,2,A-2,_L ,,,,L Ik III.Typ of Permit: (Check only bne box online A. Complete line B if ap ble) JX A' New stem Replacement System ❑Treatment/Holding Tank e I ment y El Other Modification to Existing System(explain) B. ❑ Permit Renewal El Permit Revision ❑Change of Plumber 11 Pe it sfer to New List Previous Permit Number and Date Issued Before Expiration Owne dc,-` IV.Type of POWTS S stem/Com onent/Device: Check all that a I S Non-Pressurized In-Ground 11 Pressurized In-Ground ❑ At-Grade 11 Mound>24 in.of suitable soil El Mound<24 in.of suitable soil P1J,S f ❑ Hol ing Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain) G�g 17 V.Dispersal/TreatnIent Area Information: r Design Flow(gpd) Design Soil Appli cation Rate pdsf) Dispersal Area Required(s Disp rsal Area Pro d(sf) System Elevati n 0-0 /5196 199 VT Tank Info Capacity in Total #of Manufaclaree Gallons Gallons Units New Tanks Existing Tanks / o �' 2 L01/ i r a U in H VJ Septic or Holding Tank Dosing Chamber T� VII.Responsibility Statement-I,the undersigned,a e ponsibility for installation of the POWTS shown on the attached plans. Plumb 's Name(Print) Plum gnature MP/MPRS Number Business Phone Number Plumber's Address(Street,Cily,State,Zip Code IZ71 3 ,/ 5Y01 12 V111-County/De artment Use Only Approved ❑ Disapprov Permit Fee Date 1 sued Issuing nt Signature ❑ wner Given Reason for Denial $ Z �L b 3 IX.Conditi asons for Disapproval n 11 , mepti tank,effluent lifter and 3 u, dispersal cefl must all be services!maintained as per management plan provided by plumber. 2�.A#54ack requirements Must be maintained D \ as per applicable code/ordinances: Al I arm tD�_ jt,14e � 60— t � Attach to complete plans for the system and submit to the County only on paper not lessLhanB la x 11 inches in ize ' SBD-6398(R0313) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 12/15/13 Owner: Oevering Homes Location: W1/2 NE1/4 S13 T30 N,R19W Lot 1 Nathan Hills Somerset 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 Specifications Sheet 8-10. Soil Test Signature License number 26900 PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 W 1/2 NE 1/4S 13 /T 30 N/R 19 W TOWN Somerset COUNTY ST.CROIX 12/15/13 BEDROOM 4 MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 44 BENCHMARK V.R.P. Top of nail in tree ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Alt. BM Top of Nail in Oak Tree @ 101.8' SYSTEM ELEVATION 98.0/96.5' 4.5' below grade Pro Town Road • • Pro 4 Bedroom House Scale is 1" = 40' unless otherwise 15' noted s -3 ST 150' Vents • 10' All piping shall be SDR 30/34,within 10' 103' of tank,piping shall be Schedule 40. 45' B-1 4 102' :- 10101' 5 ' , Alt. M. a 99' 19% 98' Slope 2-3' X 90' Cells with>3' spacing ,pe rty Line Vent >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 34,, Grade at System Elevation Property Line Po- 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 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 102' :Vent Grade Vent 3' 4„ 3, II • X30/34 Septic Tank 5' Long 5' 5' Long Allikk 3 6" Grade at System Elevation Grade at System Elevation Spacing 5' 2-3' X 90' Cells Same on other end Observation tubeNent At end of cell A 22 chambers per cell System elevations: A 98.0' B 96.5' g o -t 11' 14';,'r*V`1 FILTER CARTRIDGE INSTRUCTIONS K Z,2008 TM Installation STEP 1 Dry fit the filter case onto the end of the outlet pipe to ensure it is y. centered under the access opening. If not then either insert more pipe into the ; } ; } tank through the outlet or solvent weld (glue) additional pipe onto the outlet " r pipe. STEP 2 While the case is still dry fitted on the outlet pipe, measure the length of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the '*= optional supplemental side support. If side support method is not utilized, proceed to step four. STEP 3 For installations utilizing the optional supplemental side support: s" solvent weld the 3/4-inch pipe onto the filter case. If side support method is not • utilized, proceed to step four. ('T STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the filter locks into the bottom of the case. 46 41t►. } STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning clockwise 90°. Maintenance 1. The effluent filter should be cleaned every time the septic tank is s 2. Open the outlet access opening to inspect the tank and filter. .: • t # 3. Pump the septic tank completely, making sure to remove the sludge 2..4k4r t. • {• ► layer on the bottom of the tank and not just the scum and effluent. 4. Once the effluent level has been lowered below the invert of the outlet pipe, firmly pull up on the filter handle to dislodge the , cartridge from the case. 5. Slide the cartridge up and out of the case for cleaning. 6. If a VRS switch connected to an alarm is present,the switch C« t„ should be removed by turning counterclockwise 90° and cleaned d +. t with water only. * ^ t x a 7. While holding the cartridge on its side (large flat surface facing ; a*- down) over the access opening, rinse off the cartridge with water only, making sure all septage material is rinsed back into the tank. e 4 ash• Ic; 8. If VRS switch is utilized, replace by inserting into filter and turning clockwise 90°. 9. Insert the filter cartridge back into the case pressing down until g� the filter locks into the bottom of the case. 10.Replace and secure the access opening on the tank. BEAR ONSITET"FILTER CARTRIDGE-FIVE-YEAR LIMITED WARRANTY Bear Onsite filter cartridges are warranted to be free of defects in material and workmanship for five(5)years from the date of consumer purchase. BEAR ONSITETM Filter Case-Lifetime Limited Warranty Bear Onsite warrants the filter case will be free of defects in material and workmanship during normal use for the period of time the original purchaser owns the product. If a defect is found in normal use,Bear Onsite will,at its election,repair,provide a replacement part or product,or make appropriate adjustment.Damage to a product caused by accident,misuse,or abuse is not covered by this warranty.Improper care or malfunctions resulting from units not installed,operated,or maintained in accordance with instructions provided will void the warranty.Proof of purchase(original sales receipt)must be provided to Bear Onsite with all warranty claims.Bear Onsite is not responsible for labor charges,removal charges,installation,or other incidental or consequential costs. In no event shall the liability of Bear Onsite exceed the purchase price of the product. T a • • tk6 .1C 7 P k 4911, 4 e POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of___ FILE INFORMATION SYSTEM SPECIFICATIONS Owner ©L° D(f;n c 4 Septic Tank Capacity /02.5 J .al ❑ NA Permit# _ Septic Tank Manufactui er -- ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer f'-/i� ❑ NA Number of Bedrooms - - ❑ NA Effluent Filter Model _ -�� — i NA Number of Public Facility Units ! RNA Pump Tank Capacity _— �— gal a NA Estimated flow(average) 4/b-c" gal/day Pump Tank Manufacturer 11 NA Design flow(peak),(Estimated x 1.5) Pump Manufacturer ■ NA '� Pump gal/day Soil Application Rare - - -- / 9al/day/ftz P Model - NA Standard Influent/Effluent Quality Monthly average"' Pretreatment Unit al NA Fats,Oil&Grease (FOG) __530 mg/L ❑Sand/G-avel Filter ❑Peat Filter Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑NA ❑ Mecharical Aeration 0 Wetland Total Suspended Solids (TSS) 1 5150 mg/L ❑Disinfection ❑Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) - - ❑ NA Biochemical Oxygen Demand (BODs) 5.30mg/L a In-Ground(gravity) ❑In-Ground(pressurized) Total Suspended Solids (TSS) 5530 mg/L " NA Cl At-Grace Cl Mound ---- Fecal Coliform(geometric mean) 5104 cfu/100m1 ❑Drip-Line ❑Other: Maximum Effluent Particle Size X in dia. ❑Nq Other: - —- -- -o NA Other: _ —__ - A Other. El NA *Values typical for domestic wastewater and septic tank effluent. Other: - — �❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once eve ❑month'*) -- - ry' ear si (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third() )of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑month,s) rY (Maximum 3 years) ❑ NA Clean effluent filter- At least once every: / / ❑month s) — i1 NA l year s Inspect pump, pump controls&alarm At least once every: ❑month's} — -n NA . ❑year(C Flush laterals and aressure test [J month's NA f At least once every: } ,_—_— ry' O year(s) • Other: - ❑months s) — __ 5- --—_-- At least once every: ❑year(s) ❑ A Other: — --- — - —_ • MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal 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 Servicing Operator. Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware, identify any cracks or leaks,measure the volume of combined sludge and scum and to check for any back up or ponding of effluent or the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to checi:for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing 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 (6)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, mechar ical or pressurized components, pretreatment units, and any servicing at intervals of 512 months,shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of cc mpletion of am 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 darrage 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 abave normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cells)in one large dose, overloading the cell(s)and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the rump controls to restore normal levels 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 life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins;tampons;and water softener brine. ABANDONMENT When the POWTS fails 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 Septage 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 replac r ent system: A 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 replacement 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 ffect at that time. / `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. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC,PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL_COMMENTS • POWTS INSTALLER zi___ POWTS MAINTAINNER Name � , / Name �/f lac.�/ Phone 7/j.---__c7, —' 9j/ �� _ Phone 7/ � �� ,?/Z J SEPTAGE SERVICING OPERATO (PUMPER) LOCAL REGULATORY AUTHO-ITY -Name /D�- Lu-�,� Name ( ' Phone ?�J��r h '�5�7 Phone �/�—, 7• of This document was drafted in compliance with chapter BPS 383.22(2)(b)(1)(d)&(f)and 383.54(1),(2)&(3),Wisconsin Administrative Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM iXi. `R. Owner/Buyer 0e,,Qri.17 Mailing Address /`f 33 (!e r n b 40 E.t.a Av-e, .50 _ Ar A J T? C n�� S 1 a Property Address D 5-3 I S (OI r 5 /4 V' , (Verification required from Planning&Zoning Department for new construction. City/State I66(/i lei(.t t/)d V1 Parcel identification Number 01— 03 a 1 y s— /0 —zrer-v LEGAL DESCRIPTION Property Location L) 1/i, NE A, Sec. (3 , T 3o N RI W,Town of S v i e rS . Subdivision 1^-1 e i ZC..- -- -, ii i �-- ---- _. , Lot# Certified Survey Map# . Volume `---- - , Page#__ —'Warranty Deed# gel 0 3 J --- Volume ,Page# Spec house( no Lot lines identiftab • no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed the system can affect the function of the septic tank as a treatment stage in the waste disposal pumper.i ten at you put into responsibilities are specified in§Cornet,83.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. Owner maintenance ty tart'Ordinance. The property owner agrees to submit to St Croix County Planning&Zo owner and by a master plumber,journeyman �Department a certification form,signed by the P ,3 urneyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. I/we,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Commerce and the Department of Natural Resources,State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning& Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this fo are true to the best of my/our knowledge. Uwe am/are the owner(s)of the property described above,by virtue of a warranty recorded in Register of Deeds Office. Number of bedrooms� 3 q IGNAT r`'IF 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.08/05) t . 5,5/30/0 I , 67� '+ W sconsin Department of Commerce SOIL EVALUATION REPORT Page / of 7 Ditislon of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code County — /! Attach complete site plan on paper not less than 81/2 x 11 Inches in size.Plan must • (I.(''D/ include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. r- percent slope,scale or dimensions,north arrow,and location and distance to nearest road. D D_ o2((tJ ` 10_____wb Please print all information. Reviewe Date Personal Information you provide may be used for seco d p poses(Privacy Law,s.15.04(1)(m)). //a' %, I 31aV oci 1 Property Owner Property Location t C f OA/ r` 1.f. ma r--.) Govt.Lot V� 1 f 1t1,lif 61S"..;,.1/4 S f'� T 56 N R it/ E(or6 Property Ownerr's I : Address Lot# Block# ` Subd.Name or CSM# U. r . t Si • I W cot,*•'�,N 1-1-1, S° City tatq -ip Code Phone Number ❑City 0 Village 'Town Nearest Road L ..t I New Construction Use7kResidential/Number of bedrooms Code derived design ffo e y (� " GPO ❑ enlacement 11❑ Publi or commercial-Describe: •Z' RECEIVE Parent material 6,wT clJ,otti Flood Plain elevation if ap. Y•e N/,4 ft. General comments St MAY 7 q ?nfl1 and recommendations: y s-/en,,, a,- � 9 3 / ST CROIX /J COUNTY i Gp.tt)e,r a'V'.L-� ZONINGOFFICE I / Boring# ❑ Boring C� Q 3 c % • ; ,� g 0 Pit Ground surface elev. . " ' ft. Depth to limiting factor /d in. y Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 r - e / 'NA- L, • /.C. o? -C. .1/ C r ,Nw . / Z to-s /o ,s ® .�- J. As _,-)76/ ft I - 2 1, 3 as-fa /0r.- ,9 � ...., S ✓V AlB), /1/11f / /s z- Boring# ❑ Boring ff..3 Pit Ground surface elev. ,ft. Depth to limiting factor t in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ft2 in. Munsell _ Qu. Sz. Cont.Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 ©-I >/Dy/ 3/Z xb J. i e„,7, _ e,' r e r c,? , , p .. 9 30 /o . I sif e, -. . .3 3 .may' y,,�ld ....s- _ / ),� , -7 Z 1 149 5 ,� 'Effluent#1 =BO;>30<220 mg/L and TSS>30)/ L *Effluent#2=BO;<30 mg/L and TSS<30 mg/L CST Name(Please Print) fie T Numb if Ca:f2 I6°9 Co/ Address Date f' , `Date Evaluation Conducted Telephone Number /gad -/9a .c ' / / ! /%s`/ it, 5"�c.s-O/ 7,,r7.--21/F-7-17,4 SBD-8330(R07/00) Property Owner Parcel ID# PeBe of _.J n ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor_./. 3o tn, Soil Rate Depth Dominant Color Redox aasaipH Color Gr.Sz.Structure h. � Roots 'Eff#1'Eff#2 in. Munss� Du.Sz. Cont.Color,ImPlumm=1,02, anowiros \ ,t6 111111 x1f riBoring# ❑ awing ❑ Pit Ground surface elev. ft. Depth to limiting factor in. • Soil Application Rate Horizon Depth .Dominant Color ' Redox Description ! Texture Structure Consistence Boundary Roots GPpi(te in. Mtmeell Gu.Sz. Cont Color t Gr.Sz.Sit 't 1 •Eft#Z � l r � t Sodng if ❑ Balm ❑ Pit Ground surface elev. ft. Depth to knifing factor in. So Appi ce tion Rate Horizon Depth Dominant Color Rados Desatption Texture Structure Consistence Boundary, Roots OPD/fr In. Mansell Gu.Si Cant Color Gr.Sr Sit 'Ef#1 'Eff#2 •Mont Ui r BO;s 30S 220 mg&L and TSS>301 150 mg& 'Effluent#2=BOD,<30 rttgR end TSB r 30 mgil. The Department of Commerce is aft 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 608-266-31 S 1 or TTY 608-264-8777. • • Soil Test Plot Pj1A' Project Name Brian Boardman Address 824 East 11th St. New Richmond Wi 54017 S #226900 Lot 1 Subdivision Nathan Hills D:i a 5/13/01 W 1/2 NE 1/4S 13 T 30 N/R19 W Township Somerset ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Nail in Oak Tree System Elevation 95.3 *HRpSame as Benchmark Alt. BM Top of Nail in Oak Tree @ 101.8' Pro Town Road liAL A Soil Test was done to '300 4'1' fullfill zoning requirement,test may not be suitable for desired builind location '•-3 150' • ftlor 103' 45' B-1 102' p-LiragO__Ro ;_ 101' 5 , Alt. 100 41.1; 99 19% 98' Ptie/k4,61- Slope • r, C,6/1/Pl.Q)l/ Pro•-rt Line J HILLS ,� l dt I the Northeast Quarter and the Southwest Quarter Sy unship 30 North,Range 19 West, Town of Somerset. 1. „ II 'BOARDMAN ESTATES' LOT2 \ Ott. I PATES' \ p'b \ ---t.,ea4--- \90 \ 1 lel.Ttr S0004'14'W 2279.?,T . '7�.7p --'-- --. i 37U5 ' \ 765.76 • • f' EAST'UNE OF THE SW 1/4 OF 114E NE 1/4 SECTION 13� 1 I • WINOS NwL ter4roo't I • LOT 4! was : � 3J 2345.8.2 F7. • let-i y 107 S p — sar ACRES 67111•48•E Si • ,.A1r4• sa Fr. '1` • i 4 FF.E 947./ Z 6p5v V 31J ACRES "moron '' ,66•33•E F.F.E 9347 I I � .Dy• •8. . 14 E Q I nicer 1117 I- ' 19' . li a 1 : •.„„ii i L 0 sea Fr • . I e,4ejrw, tn LOTS W a 44, APE 9240 #:. / ?il>Za9 SG PE \.4 ''N\ j I — 471 ACRES c ! FF.E 947.1 N.w.t. ~\;I s1p• I 7 M ,� ��. __ it iz'ok, •'114.0.,. • / i 1 • "^* — : c, �y0� I w� ∎ • X4613 SG Fr :.., i r4 ® 7.13 ACRES F.F.E 9145 �OqG —'...--' ws,r MIL MS \\A., • •,I, H.W.L. .`•• Net • . NO0137331 g s 74o s• VT I ` e LOT t °yam 0 20E304 SG FE M V7 N\\•■ \ \ ,n oatOr°" Rap ACRES 1 : 1•ill "� ��` " ,'-' FFE 9147 , , 1 116 1I o d l • N.wL• , _.ce /AA • . 71•---- NORTH—SOUTH QUARTER UNE --,_.- 632.7' ____ 'STONEWOOD' Ig 0 133 3.f LOT? El 'STONEWOOO' J 4• 1 < - --., 'g �i i ��, ,STS, LOT e I I LOT 4! LOT 6 kit / 1 " i 1 [ STATE BAR OF WISCONSIN FORM 1 —1998 liii I I1II WARRANTY DEED 8 2 0 1 9 8 1 Tx:4167395 Document Number 990555 This Deed, made between Daniel L. Boblit, a married Derson BETH PABST Grantor, and Oeverin4 Homes, LLC , Grantee. REGISTER OF DEEDS Grantor, for a valuable consideration conveys to Grantee the following ST. CROIX CO., WI described real estate in St. Croix County State of 12/19/2013 11:40 AM Wisconsin (the"Property"): EXEMPT#: N/A REC FEE: 30.00 TRANS FEE: 150.00 PAGES: 1 Recording Area Name and Return Address S`C.'4 p 032-2145-10-000 Parcel Identification Number(PIN) This is not homestead property. (is) (is not) - Lot 1, Plat of Nathan Hills in the Town of Somerset, St. Croix County,Wisconsin `/// Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except • Dated this day of December, 2013. (SEAL) (SEAL) _ �� � _ Daniel L. Boblit • (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT , Signature(s) State of trls►n ss. Wash4Rgton.County authenticated this day of Personally came before me this 13 day of December,2013 the above named Daniel L. Boblit.a married person to me known to be = the person who executed the foregoing instrument TITLE: MEMBER STATE BAR OF WISCONSIN and acknowledge the same. (If not, authorized by§706.06, Wis. Stats) i Ii THIS INSTRUMENT WAS DRAFTED BY Not-ry Public, State of Minnesota Burnet Title-Scott Tranby 5151 Edina Industrial Blvd, #500 My commission is permanent. (If not,state expiration date: Edina, MN 55439 1 13-20688 ! —I� 'c9-6/�— ) (Signatures may be authenticated or acknowledged. Both are not necessary.) ROBIN WOULFE • NOTARY PUBLIC Names of persons signing in any capacity must be typed or printed below their signatLerA rE OF WISCONSIN STATE BAR OF WISCONSIN Wisconsin Legal Blank Co,Inc. 1 WARRANTY DEED FORM No. 1 —1998 Milwaukee,Wis. 1 of 1 Parcel #: 032-2145-10-000 12/19/2013 09:02 AM PAGE 1 OF 1 Alt. Parcel#: 13.30.19.1263 032-TOWN OF SOMERSET Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner O-BOBLIT, DANIEL L DANIEL L BOBLIT 1796 82ND ST NEW RICHMOND WI 54017 Property Address(es): *= Primary *853 156TH AVE Districts: SC=School SP=Special Type Dist# Description SC 3962 SCH DIST NEW RICHMOND SP 1700 WITC Notes: Legal Description: Acres: 4.620 SEC 13 T3ON R19W W1/2W NE1/4 LOT 1 NATHAN HILLS Parcel History: Date Doc# Vol/Page Type 04/01/2005 791114 2775/533 WD 09/15/2004 774385 2656/392 QC 08/10/2001 653522 1697/389 QC 08/06/1998 584507 1346/198 QC more... Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *08-059-NATHAN HILLS 2001 13-30N-19W NE LOT 1 2013 SUMMARY Bill#: Fair Market Value: Assessed with: 233976 51,700 Valuations: Last Changed: 10/12/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.620 56,500 0 56,500 NO Totals for 2013: General Property 4.620 56,500 0 56,500 Woodland 0.000 0 0 Totals for 2012: General Property 4.620 56,500 0 56,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 m� b AiE. !rye { m o M I � it ili NWo ::::::: d� a O 274 40 0 y ` g a p N W ¢ = a M °.oz j • w JJ 1 =.. a1Lw I ! I 1 3▪0 1 a_. oz 5 @a I 1 1 I I 1 1 I • I 1 1 - I 1 1 I « ilt a€ 1 1 1 °. a Lil 10 0! I % ? i ce I , R �a --a �I i . 8� — A _ kZ) CI El I g a —p p w_--__-I i 3 uX a .e t r t _ F R1 gg I _` � % e m 0 N � ? 1 LI_ 1FIIL , II__ -- i to! 11 -° °---- '' -' ' Im.....ililiiiff' : 1E© 9� Vb x3x s>r, T - � Q 0 !dj 1 Nw $R sxrnanaaz,nrn axnian aainrn AIM 1B ill to of l; 03'g =m its °„ I I rQ j 1 §s ■ pmm E_ ¢w wo1'a AAA n a> Z .I g ° PJ 1J E O ,1 i' M W O G g Q--W3 N 511 iiilliii ILI E `-.' z W Q g it a I u hill! Ilia€ 111/.! Allis€ hE 8 ` °€ 2 " • BP lii! o oaE a gg A rig;- — — - se s 411) b E e113."mae3orna r ILt !!J--,- , JII II ., i 1 II = c_O ° M I mm n o I 111 . ,_ I I' I r",,,,,,, ci I m c ! _,..! K .--I'' ___ i_. 1 20 ® ® .--- --J hill r 1 I 0 ''I:h` L J are L •M. s III 1 1 1 1 1 1 <;:..■•••;d I I I .o .a u A n Q'RI mE 8 I' ° oox gc11„� g E Z F 07 g ui:40 i d;Q'„pk 0 F Q ) os s a;1 . . g ' ''''L Z>IF 9i$ ® iql N W 1 3IIi8 8IIIa1 !Mil 111!1€ 9 � � aff 'e3 a¢ Q W 2 a a <. 1111 J al LW Lw d (lbl�@Anln p.,',' r o< r,,, g 0 1111 i �; 1 I rf a11111111111111111 1111111 : i�i11!111111111 1.11 �F X31 01110il �d �1 111111iilll iil1l�llll��j111 I 1 11111'„� III ij111C 1.11,111111111111111111111:E,,,',1 44 ■1 Mal ■ IF i� �F� 4 / ..,■ 1 Milh ��yi 1��4fE j1r� im ununnmin®s o 11.1 0,1 s,..„„,( 3 1 g Asa ii 3„ i$ =1 � , ' � Ali 1111lIIII — �',,,� ��IIIIIIIIIIIIlII 11111111111111 o �� ,,���� IIIIIIIIMIIIII(1 1 1111 tht D110 H001 1 IIMMUS III II I 00111 IN 111111II III - ;® o III Al , a :� e1 .,,....,,... , . +1 411 ,, , Illllllllllllli� l :,,.a III I IIII 11111111 j�� Nf Ill 1 t lhrlr 11 !11 i _ >te ii �� !f {5f 1 Z 1111111111 III III �@ ',l ? F e Sb