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HomeMy WebLinkAbout026-1158-00-063 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 574318 0 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: Haffner Construction LLC, Robin Haffner I Richmond, Town of 026-1158-00-063 CST BM Elev: Insp.BM El ex: BM Description: Section/Town/Range/Map No: vb M 05-r 25.30.18.1198 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic P 140rfl /� Benchmark 1 --7 101.7 'v e G✓�_ Ali'; --7 Aeration Bldg.Sewer 340 9$ L Holding St/Ht Inlet 5. St/Ht Outlet TANK SETBACK INFORMATION 5, °J(, , 3 TANK TO P/L WELL BLDG. Vent Air Intake ROAD Dt Inlet 13,ftrK Septic / A* / $ /�5 _ Dt Bottom _r Dosing Header/Man. 7. 1 Cv Aeration Dist. Pipe -,p( .(p 14- Holding Bot.System r( 73 . V Final Grade PUMP/SIPHON INFORMATION 3, 57 �8 Z Manufacturer Demand St Cover GPM 1 ,-7 Model Nu TDH Lift Friction Loss System Head TDH Ft Forcemai ength Dist.to Well SOIL ABS ORPT YSTEM BED/TRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside ia. Liquid Depth DIMENSIONS ''{ h �e�-��s�4 SETBACK SYSTEM TO r P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer.— /� INFORMATION CHAMBER OR J•d I l „ Type Of System: Q� ` UNIT L' GDd1 a/G ,B✓� ' �+ 1a✓ �� Mo el IN � !k IJ� DISTRIBUTION SYSTEM pM,• Nod'Zr, Z3 f-73 s 4 Co 4-a+.,.Q_ Header/Manifold // Distribution I Hole Size x Hole Spacing V Intake Pipe(s) ` r Length Dia _ Length — Dia Spacing 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 ti /1 ' BedlTrench Edges Topsoil _i,` No Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 1446 136th Ave New Richmond,WI 54017(SE 1/4 NW 1/4 25 T310N R1 8W) Red Pine Corner 2ng Add Lot 63 Parcel No: 25.30.18.1198 1.)Alt BM Description= LA'k'�' G�a:.n• �" (it��1'%z�/ /�ovq,:,... 2.)Bldg sewer length= 33 -amount of cover Plan revision Required? Yes No Use other side for additional information. Xignature SBD-6710(R.3/97) Date Insepct Cert.No. PLOT PLAN PROJECT Haffner Construction ADDRESS 404 S. Green Ave New Richmond Wi 54017 SE 1/4 NW 1/4S 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST.CROIX ' MPRS Shaun Bird 226900 DATE 7/15/14 BEDROOM 3 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK 1000 gallons K SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE 9 LIFT TAN HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark All piping shall be SDR 30/34, within 10' SYSTEM ELEVATION 93.8/93.6 4' below qrade of tank,piping shall be Schedule 40. New � Property Line Vents Scale is 1�� = 40� ls' B.M.* unless otherwise 40' 30' B-2 noted 30' T Pro 3 bedroom 3% Slope v ay house 90' B-3 2-3' X 94' Cells with 3' Z D Spacing W B-1 98, Drainage area 97' 144th St. Vent )6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 12" Grade at System Elevation 34" 136th Ave County /I Safety and BLaIdings Division 1. AD ` a = 201 W.WasWngton Ave.,P.O.Box 7162 sanitary Permit Number(to be nod in by Co.) • O1 Madison,WI 53707 7162 2 PAID 5+7 ,q,3/ 5 Permit Application StameTraaaedionNumber in pipl a�I621(2).Vs.Adm.C ode,submission of this form to the appropriate govermttenW unit y AM Po ate sobmitltd to act ,f di�aeat than address is roqugcd�r'to obtaining a sanitary permit Now Apphca m forms for saw-owmd WTS Pro) C g the Depertmsrt of Safety and Professional Service. Persood k&rmatiw YOU provide may be secondary 7�;�/_ Mroosm in woordsoc a with the I.aw s.15. 1 m / L Laferm don—Please Print Ail Inforaastios Propaiy Owner's N Parcct J L Property Owner's Mailing Address Property Location Cis,;shft Zip Code Phone Numbs t/, �'/., //�'Y.. Seaton Z y T-5 Q N; R-L-0-B dW ) IL Type of Baildfag(cheek all tlstr app _ # a 2 Family DwcLling-Number of 1dn Subdivision Name � l 6k � L��vz Bl '� ❑Pub}ic/Commercisl—Describe Use ❑�of ❑State Owned—Describe:Use CSM N�_ ❑ ;err �l )L23-r,73 d�t,b f6 UL Type of Permit» (Check only os box on line A. Complec lire B if applicable) A. New System ❑Replacement System ❑Trostment/HoMmg Tank Replacement Only ❑Odw Modification to MMFtMg System(exptain) B. ❑Permit Renewal ❑Permit Revision ❑Mange of Plumber ❑Permit Transfer to New List Previora Pesmit 14 m arnd�Date Issued Bedort F.xpbation Owner :; I bCeL�'dt-- IV. of PoWTS S om saot/Device: Check sit t hst J i G Nair-Prmaaiaed 3a-Q=d ❑Pressurized k-Cxand ❑A14irade ❑Mamd>24 is of wimble soil ❑Moond<24 is of suitable soil 19) ❑Holding Tsok ❑ Dispersal Campmmt(explore) ❑ Device(esplau►) G V.Diogff"greatmol Area Iaformation•' Design Flow(Vd) Dedp Soil Anh'�n DiV.W A.Required(st) Digmrsal.Amer P- ( w 0 S L q� 15;�-? VL Tank Info Capacity aDomsID Galles LfinOf Manufum I*W T102M V-T;gfm Taola l e a,. fr Septic or Holft Tank Dig(unbar VII.ReSpondbiliq Statement- the aaderaigsed, for installation of the rows sbown as the attached piaar. PMnber' Name(Print) Plumber's MP/MPRS Number Business Phone Plumber's Address(Strut C/Zip /t/ /`/( 5 C✓ ` vla&*Ient use r/ XApproved Permit Fee Date Lvsuft rgnstme ❑owner ivtn Berson for DL Coad for Disapproval 3 rQ B 1. 'Septic tank,effiuOnt filter and dispersal cell must all be services/Mal'nta6r 4 J) t t as per management plan provided by:p 2. •mss mt .: � /�D Pa�a aF s 6 ...._ �A— ayataa aced abuts"the Cow1y wry w paper at las W z 11 facia is case I j(at% eM=3M — t SBD-6398(R.11/11} 5 Ir~ce, a Irtto-- t I Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 7/16/14 Owner:Haff ner Construction Location: SE 1/4 NW 1/4 S25 T30 N,R18W 1376 144th St. Richmond 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#2;Z//900 PLOT PLAN PROJECT Haffner Construction ADDRESS 404 S. Green Ave New Richmond Wi 54017 SE 1/4 NW 1/4S 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE 7/15/14 BEDROOM 3 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 IL BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark All piping shall be SDR 30/34,within 10' SYSTEM ELEVATION 93.8/93.6 4' below grade of tank,piping shall be Schedule 40. Property Line Vents Scale is 1" = 40 15' B.M.* unless otherwise 40' 30' B-2 noted 30' T Pro 3 bedroom 3% Slope d v ay house 90' B-3 2-3' X 94' Cells with 3' D Spacing , B-1 98' 97 Drainage area 144th St. Vent �6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 12" 34" Grade at System Elevation 136th Ave Cross Section of Infiltrator a or 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 97.8' Vent Grade Vent 3' 4„ 3' f�30/34 Septic Tank f 1" 5' Long 5' S' Long 1 36" Grade at System Elevation Grade at System Elevation Spacing 5' 2-3' X 94 ' Cells Same on other end Observation tubeNent At end of cell A 23 chambers per cell B System elevations: A 93.8' B 93.6' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pace of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Tank Manufacturer. l 0 NA Permit# 3 �Septic O Dose 0 Holding Volume: (981) DESIGN PARAMETERS Tank Manufacturer: A Number of Bedrooms: 0 NA 0 Septic 0 Dose 0 Holding Volume: (981) Number of Public Facility Units: •)ZLNA Vertical Distance Tank Bottom(s)to Service Pa (ft) Estimated(average)Flow: may) Horizontal Distance Tank(s)to Service Pad: 711, (ft) Design k Flow= estimated x 1.5: aUday) Specfc servicing mechanics must be provided if vertical is>15 feet or 9 (peak) ( ) Jl� (9 If horizontal is>150 feet Spsdflc inalructlons to be provided on back. In Situ Soil Application Rate: j (gaUdayR) Effluent Filter Manufacturer:A� 12— p NA Standard(Domestic)Influent/Effluent Monthly average.. Effluent Filter Model: Fats,ON&Grease (FOG) 530•mgR Pump Manufacturer: Biochemical Oxygen Demand (BOD9) s220 m ❑ NA • ;16,NA T"Susimmled Soft SS •5150 mgfL Pump Model: High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 M91L . Manufacturer. L (BODs) >220 mgA. NA 0 Mechanical Aeration 0 Peat Filter 7" SS >150 m Pretreated Effluent Month averse 0 Disinfection 0 Wetland Monthly 9 ❑SandfGrevel Filter ❑Other. (BODs) s30 mglL Soil Absorption System (TSS) s30�mgA_ 0 NA - �(� ,) 0 In-Ground(pressure) Fecal Coliform(geometric mean) 51( TM 0 NA Maximum Effluent Partite Sine K in dia.. 0 NA 0 At-Grade 0 Mound 0 Drip-Line 0 Other. Other: NA Other. 0 NA MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) E�When combined sludge and scum equals one-third(%)of tank volume 0 When the high water alarm is activated Inspect condition of tank(s) -At least once every: 0 mordh(3) (Maximum 3 years) 0 NA Inspect dispersal ceN(s) At least once every: or h(s) (Maximum 3 yeas) 0 NA Clean effluent filter At least once every: s's) NA 1p Inspect pump,pump controls&alarm At least once every: month(s) NA 0 year(s) Flush laterals and pressure test 'At least once every:. month(s) 0 NA ❑ s) Ot1ef: At least once every: 0 y s)s) 0 NA Other: 0 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and 300 absorption systems shall be made by an individual carving one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). 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 icum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on•the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third(%)or more of the tank volume,the entire contents of the tank shag be removed by a Septage Servicing Operator(pumper)and disposed of in accordance with chapter NR 113. Wisconsin Administrative Code. All other services,including but not limited to the servicing of effluent filters,mechanical or pressurized components,pretreatment units. and any servicing at intervals of 512 months,shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. GMW-005(02/05) 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, solvents or other chemicals or sediment that may impede the bwtment process and/or damage the soil absorption.system. If high concentrations are detected have the contents of the tank(s)removed by a Septage Servicing Operator(pumper)prior to use. Pump tanks may till above normal highwater levels prior to startup or due to.pump failures. Start up or restoration of power under these conditions is not recommended,as the excess wastewater will be-,discharged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent•and damage'to the system. To avoid this situation have the contents of the pump tank removed by a SepbW Servicing Operator(pumper)prior to restoring power to She pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shag not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the sal'absorption system. Do not drive or park over, or use disturb or compact,the are$within 1S 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 1116 of the bwhsnt tanks and soil absorption system: acids, antibiotics, baby wipes, cigarette"butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain(sump pump)discharge,fruit awd vegetable peelings, gasoline, greases. herbicides,meat scraps,medications,oils,painting products,pesticides,sanii�y napkins,solvents,tampons,*and water softener brine discharge. 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 a.Comm 83.33,Wisconsin Admirdst alive Code!:: • All piping to tanks,pits and other soil absorption systems shall be disconnected and the abandoned pipe openings seated. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator(pumper). • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: 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 arse will result In the need for a new soil and site evaluation to establish a suitable replacement area. 'Replacement systems must comply with the rules in effect at the time of their permit issuance. . • . ar ❑ A suitable replacement ea is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology,a holding tank may be installed as a last resort ❑ 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 maybe 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 TREATMENT TANKS, .PUMP TANKS, AND BOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LAZK SUFFICIENT OXYGEN TO SUSTAIN LIFE NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE ADDITIONAL INSTRUCTIONS: POWTS INSTALLER PO me 7777 NER Name Name u Y,� Phone J J �,� Phone SEPTAGE SERVICING OPERAT PUMPER LOCAL REGULATORY AUTHORITY Name l ,,,� D� Name Phone 1 Phone This document was drafted by the staffs of the Green Lake, Marquette and Woushara County POWTS regulatory agencies in c=Pliance with sections Comm 83.22(2)(b)(1)(d)&(f)and 83.54(1),(2)&(3),Wisc omin Administrative Code. •-, •} _' 4, �i.� FILTER CARTRIDGE INSTRUCTIONS STEP I Dry It Ow ftibr•tape sate the and of the outlet pipe to ahsnwe it is centered under the a AMN openig. V not,then after Insart hrwe pipe into the tank through the outlet or solvent add(gkw)addibmal pipe ants the outlet Dial. STEP 2 WNle tiu Cans is 30 dry lithed an the outlet pips,"Manure the length of iii-inch pipe needed to bats lane f er to the tank end well if utOring the o+PPMhwdd side UMPot.If side support matjhett.is not ut9kxad, proeand to step four: }TEP I For Iptlatbdlora utflint the optional suppieftwotal$We support: solvent weld the%-Inch pipe seta the ffVer test. N side support"*&,ad is not utilised,proceed to step four. Sotvent veld the filter csse onto the outlet e into the ass, Pros. Insert tabs liken �dg pressing down until the ftor loc"Into the bottom of the case. 'cam If a VRS switch le utakand:(newt into the liker and lock by tuning •; 'k clsdnMice 9m. MaWmance !. The effluent Ow should be donned every time the septic tank is sarvioad. 2. Open the outlet access opening to inspect the tank and fgtoK a s• PunhP the septic tank aompkateiw,MIACho sure to remove the sludge layer on to batlnm of the tank and not just the sum and*MuenG 4. Ong the*Mum*level has ban lowered below the invert of the ` � Piped pup on the MAK hasfie to dislodge the S. Slide the cartridge up and out of the one for loaning. 6. V a WtS Sruftclh connected to an alarm is present,the switch should be removed by teaming cowtterdodmism 90'and cleaned with water Orly. 7. White holding the cartridge at ks side(large flat surface facMg down)over the sun access opening,rbhw ofi'the cartridge with"star ' s■ t"o rrha m is rinsed bade into the tank. L If VRS switch is utilised,repilm by inset ft into Stier and turning dodavhm W. 9. Insert the lilhr rarbidge bade Edo the ease,pressing down until the filter locks into to bolt m of the cue. ^� IM Repleee and Stearns tM aacass opening on the tank. . !:7 it a:kAt':"'+7C"`.S:♦A'R:rf(ed rlv£-•'7 t:.:i rAt'(.L`:Y:.RMA!t`•. . -4• Y• 1. .. .TYf•.•4' it• • , R2. 877-MLR=ItS(6S34583) ST. CROIX COUNYY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer q�4r Q,1 1�,([ S 4Y,t,4 5k/17-IU Mailing Address 0 Property Address I _ Ocrifica-tion required from Planiu g&Zoning Departs for new construction.) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location j/4 , /4 , Sec. T 30 N RJ_ W,Town of Subdivision � _ ,tJ�- , Lot#Certified Survey Map# �— ,Volume ,Page# Warranty Deed# , Volume Page# Spec hou s( .yes no Lot liner identifiabl yes 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,b needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in§Comm 83.52(1)and in Chapter 12-St. Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zon:ing Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. Vwe,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. Uwe certify that all statements on ' form are true to the best of my/our knowledge. Uwe am/are the owner(s)of the property described above,by virtue of a deed recorded in Register of Deeds Office. Number of edrooms SIGN F APPLICANT(S) DATE ***Any information t 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 Uffice and a copy of the certified survey map if reference is made in the warranty deed. (REV.08105 DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-2003 WARRANTY DEED 8 2 4 2 3 2 4 Tx:4198316 TIUS DEED,made between Richmar Investment Properties,LLC,a 998369 Wisconsin limited liability company("Grantor"whether one or more)convey/ BETH PABST and warrants to Haffner Construction,LLC,a Wisconsin limited liability REGISTER OF DEEDS company("Grantee",whether one or more),the following described real estate in ST,C,ROlX County,State of Wisconsin: ST. CROIX CO., WI Lo O Plat of Red Pine Corner Second Addition in the Town of Richmond, 07/09/2014 12:18 PM St. ix County,Wisconsin. EXEMPT#• N/A REC FEE: 30.00 TRANS FEE: 63.00 RETURN TO PAGES: 1. St.Croix County Abstract&Title Co.Inc. 219 S.Knowles Avenue New Richmond,WI $4017 Tax Panel No: 026-1158-00-063 This is not homestead property Exception to warranties: Municipal and zoning ordinances and agreements entered under them,recorded casements for the distribution of utility and municipal services,recorded building and use restrictions and covenants,and further except 2014 real estate taxes. Dated this q day of July,2014. Richmar Investment Properties,LLC,a Wisconsin limited liability company X72✓�•.✓//� °By:Richard G.Sterbenz,President/Owner AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this day of STATE OF 1d COUNTY OF vl cs. TITLE:MEMBER STATE BAR OF WISCONSIN (If not, Personally came before me this day of July,2014,the above named Richmar Investment Properties,LLC,a Wisconsin authorized by§706.06,Wis.Stats.) limned liability mpany by Richard G.Sterbenz,its President/Ow er to me lrn to the pers s)who executed THIS INSTRUMENT WAS DRAFTED BY the St nt wedge the sa e. ````� pHNSON���///� i Robert L.Loberg/Loberg Law Office Notary Public TC� j)C. County,]a. _ 74 L 1418619/asc = T My Corrunission is permanent. �G - ? (Signatures may be authenticated or acknowledged• Both are If not,state expiration date: Au j3 ,-�Po not accessary.) 0 � i F FWSG` ` 'Name nl pen,ms signing in any capxiry 0--w be iy,kJ or pri,xed Arlmr arir sila�imrcc. ��(I O t 1 t 1111`" WARRANTY DEED Form Vu.1-2003 St.Croix County 998369 Page 1 of 1 62 1 ft rm SO F'r. 104 AOWY eENcHMAM f �'�....-. Aft F.F.E. Wd 5 � TW OF OK FW =W.�! sea E to �'is� i Ca 1 , R 1 , • 89,09T W FTf li ... + t3 _,. 32.36 . r . . : `� �, r.,,, rn cl �l on 0 1.54 be to Aft FFE. 1coa3 ' ' • � . . _ BEtrCH11ARK: exf�►r�t�oh� Property Owner_ Parcel ID# Page of © Boring# [] Boring q 7, /I Pit Ground surface elev. ft. Depth to limiting factor-�/3 .. in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPEN in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 I •Eff#2 1 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 GPDM 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 GPDM in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 Effluent#1 =BOD,>30<220 mglL and TSS>30<150 mglL •Effluent#2=BODS<30 mg/L 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. SOD-8330(8.6/00) JUL 1 2014 PA I D .OM T ORO)y r0 Wisconsin Department of Commerce l�� i)Ev Lpp�OIL EVALUATI T Page of Division of Safety and Buildings MENr7- in accordance with Corhm 85,Wis. Adm. Code County �•C�.� 1 � Attach complete site plan on paper not less than 8 112 x 11 inches in size.Plan must include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I. percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 6 Please print all information. Zd by Date Q Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 7//v Property Owner Property Location Govt.Lo 1/ 1/4 T O N R/ E(o Cw Property Owner's Mailing Address Lot# 1 Block# Subd. Name&CSM# City State Zip Code Phone Number ❑City ❑village X1 Town Nearest Road New Construction Use: Residential/Number of bedrooms -,Z Code derived design flow rate GPD ❑Replacement J ❑ Public or commercial-Describe: vL--- -- ---- Parent material �7 - I - e ✓ /t°//a-C�, Flood Plain elevation if applicable J �J ft• General comments 7�� and recommendations: J ' -V System Type (70 I1/V System Elevation t F-11 Boring# ❑ Boring 4'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 r---r• j i �, �___ ,►,. 6� O 36- o s' ---- as ter' Co all Boring Boring # El&Pit Ground surface elev. �/ R. 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 'E/ff##2 I . (e' it Z 'Effluent#1 =BOD >30:<220 mg/L and TSS>36:5 150 mg/L 'Effluent#2=BOD <30 mg/L and TSS<30 mg/L CST Marne(Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Condu ed Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715-246-4516 Property Owner Page of g Parcel ID# F31 Boring# y❑ Boring q 7, 1GX Pit Ground surface elev. ft. Depth to limiting 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. 'Eff#1 'Eff#2 V, 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 GPDM in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Boring El 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 GPDtlf in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD5 130 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777. seD-saw(e.W00) Soil Test Plot Plan Project Name Haffner Construction Shaun B' Address 404 S. Green Ave New Richmond Wi 54017 CST #226900 Lot 63 Subdivision Red Pine Corner 2nd Date 7/if, 4 SE 1/4 N W 1/4S 25 T 30 N/R18 W Township Richmond ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 3/4" pipe System Elevation 93.8/93.6 *HRpSameasBenchmark Scale is 1" = 40' Property Line 15' B.M.* unless otherwise 30' B-2 noted s' 3% Slope B-3 i B-1 98' 97 Drainage area 144th St. 136th Ave (715)248^3010 T. p II [gf YY II 4 NOTICEI f, �f �I , I Haffner Construction At ������ ELEVATIONS 1252 SO.FF. 569 SO.FT. 1252 SO.Fr. LOWERLEVEL GARAGE FINISHED Al (715)248-3010 I I. ��c� I ------------- -- ----- ----- -- ------------ :F 4.1 NOnCEI ---------------- ---------- --------- ------- _j ----------- - -------------- II ----------- -)----------- --------------------- Haffner Construction BRACED WALL LINE PANEL DETAILS SIMI,SWry FOUNDATION F,I (715)248-3010 --------------- --------------- --------------- NOTICEI F1 00 -0: ----------�= BRACED WALL LINE -Haffner-Construction PANEL DETAILS Sigi.SIM MAIN LEVEL 1252 SO.Fr. MAIN LEVEL `77;'5`);248-30 10 7 NOTICEI.. Haffner Construction Single ftry SECTIONS 1A 11-11 11-1 11'1 lo—m 11m, L A4 1025 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85,Wis.Adm.Code Steel Soil Service Attach complete site plan on paper not less than 8'%x 11 inches in size. Plan must County St.Croix include,but not limited to:vertical and horizontal reference point(BM),direction and (� percent slope,scale or dimensions,north arrow,and location and distance to nearest mad. Parcel 1.D. Please print all information. By Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). LD (_ Property Owner Property Location V7 vi Oakwood Land Development 17''// Govt.Lot SE 1/4 NW 1/4 S 25 T 30 N R 18 W Property Owners Mailing Address //(./ wy (/,', Lot# Block# Subd.Name or CSM# Spring Lake Park 63 na Red Pine Comer Second Addition City State Zip Code Phone Number J City = Village N" Town Nearest Road MN 55432 780-4996 Richmond 136Th Ave �#New Construction Use: Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial-Describe: Parent material Pitted Glacial Drift Flood plain elevati n,if apeliset)IsEIVED General comments 1\C lr and recommendations: ound design,system elevation99.50ft based on contour line 98.50ft e �, �, JUN 1 1 200 Boring# Boring ST.CROIX C JNTY Pit Ground Surface elev. 98.30 ft. Depth to limiting factor 2 afi)NING FIST Lkpplicatio Ra e Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNtz 4 *Eff#1 I "Eff#2 1 0-18 10yr3/3 none sil 2msbk mfr gw 1 f .5 .8 '(00 2 18-31 7.5yr4/6 none sicl 2msbk mfr gw 1 of .4 .6 ' 3 31-44 7.5yr4/6 none Is osg mvfr gw na .7 1.2 - 7 4 44-72 7.5yr5/8 none ms osg ml gw na .7 1.2 5 72-96 10yr7/4 fractured limestone na na na na na np np Boring# t Boring tj Pit Ground Surface elev. 98.50 ft. Depth to limiting factor 88 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 I °Eff#2 1 0-15 10yr3/3 none sil 2msbk mfr gw 1 f .5 .8 2 15-29 7.5yr4/6 none sicl 2msbk mfr gw 1vf .4 .6 Y 3 29-46 7.5yr4/6 none Is osg mvfr gw na .7 1.2 •7- 4 46-84 7.5yr5/8 none ms osg ml gw Ina .7 1.2 •7- 5 8496 10yr7/4 fracturedlimestone na na na na na np np *Effluent#1 =BOD 30<220 mg/L and TSS>30<150 mg/L "Effluent#2=BOD5 a 30 mg/L and TSS<30 mg/L CST Name(Please Print) Signature: CST Plumber David J.Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG,New Richmond,WI 54017 6/7/2002 175-246-5085 Property Owner Oakwood Land Development Parcel ID# pending Page 2 of 3 F3] Boring# Boring Pit Ground Surface elev. 99.1 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-6 10yr3/3 none sil 2msbk mfr gw 1f .5 .8 (t, 2 6-18 7.5yr4/6 none sicl 2msbk mfr gw 1vf .4 .6 3 18-32 7.5yr4/6 none Is osg mvfr gw na .7 1.2 4 32-51 7.5yr5/8 none ms osg ml gw na .7 1.2 } 5 51-60 7.5yr4/6 none sci om mfr gw na .0 .0 _ 6 60-96 7.5yr5/8 fractured limestone na na na na na np np — l 4 { Boring# j Boring I 1 le Pit Ground Surface elev. 98.50 ft. Depth to limiting factor 65 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-14 10yr3/3 none sil 2msbk mfr gw 1f .5 .8 •S° 2 14-32 7.5yr4/6 none sicl 2msbk mfr gw 1vf .4 .6 LI 3 32-48 7.5yr4/6 none Is osg mvfr gw na .7 1.2 4 48-65 7.5yr5/8 none ms osg ml gw na .7 1.2 5 65-96 10yr7/4 fracturedlimestone na na na na na np np i l Boring# i1 Boring u Pit Ground Surface elev. ft. Depth to limiting factor in. 1 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' *Eff#1 *Eff#2 *Effluent#1 =BOD 5>30 a 220 mg/L and TSS>30<150 mg/L *Effluent#2 a BOD5_30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM New Richmond, Wl 54017 Lic. #248956 <wo6j /4,061 OeU4/ h �q, /t/W# Z (715) 246-6200 -5%3AU (715) 246-5085 (fXO#'k-60. nl A-�4- &3 4 "'�v��iP N c :33' �3 331 q�so k"l.e^j c F leva ` � .r P a�- 4 , p' 3a 6r n Foe✓a, b n�V' b' p = 30 c'.A yS X33%.5V' -� 31.92' M 589`52'52"E 621.84• 1 ......_... ...,.,...... . ..,� AM Q1. Otis r. 1.0 t iii rr.MIS ' • TOP OF S • N M13' w 1171 OM sot r. •• •`• V OF i • ,r+•r . 043" W 82 �e 204 AO WS f TOP CF JV ►e"sDti i 63 � C� WWII f � GJ jeI 32.30 W goose. a • -•, s 1"ri h 111 t7 ` " •a, C , V p /! 7