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HomeMy WebLinkAbout026-1294-11-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 572867 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Oevering Homes LLC, aka Oevering Propertie Richmond, Town of 026-1294-11-000 CST BM Elev: Insp.BM Elev: Description: 5 3 ^ �� / „ Section/Town/Range/Map No: qg ° JBM @ �'�-tl/ 28.30.18.1493 TANK INFORMATION g 9 ELEVATION DATA TYPE MANUFACTURER ',n,i3 CAPACITY STATION BS HI FS ELEV. Septic /.o Benchmark �. � A �o /DGDc, 102.:5 Alt. BM C , ,.f% '78 . 0 i ge,AAs g i Aeration Bldg.Sewer 3 ,Z q6 . Holding St/Ht Inlet 7/4.L 7 �5 St/Ht Outlet 1,/ cl7 G}7. Z TANK SETBACK INFORMATION / TANK TO P/L W LL BLDG. Vent to Air Intake ROAD I3t-I-Filet. ,4i1 3 i , /5 (:::::><::: Septic / 1 �� 211 25' /Do Bott 0{) Dt om 55t) ( a p� Dosing Header/Man. 7 / -/yi (P Dist. Pipe 7`� Z 91/ c0 8 Aeration /� Li Holding — Bot.System/c�/l C U Q Z 9 3• 3 Final Grade 2 .8 9�.-� _ PUMP/SIPHON INFORMATION J (� Manufacturer Demand St Cover /02-.) b S )D 1. Co GPM / Model Numb- 741W4111 - 11-or (over o .9 101, G) TDH 1Li Friction Loss ' Syste o - -• TDH Ft Forcemain Length Dia. Dist.to Well SOIL ABSORPTION SYSTEM DIMENSIONS Width 3) (Length f L / INo.Of Trench I PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth • (ay SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufact r I �y/ INFORMATION CHAMBER OR Tyr Of Syst m:u N D -yr, ` i-i' .. N/ n]/PC UNIT Model Nu lr/(/gs (- DISTRIBUTION SYSTEM Sb()TH Header/Manifor // Distribution x Hole Size x Hole Spacing Vent to(Air Intake Pipe(s) (a(l� •f ndS Length [0 Dia Length Dia Spacing a SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over I Depth Over a xx Depth of . xx Seeded/Sodded xx Mulched Bed/Trench Center id I l Bed/Trench Edges o o1l es No es No vl l l J /{ COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: Z—/ 1/ /4. Inspection#2: /` / ` ) Location: 1333 116th Street New Richmond,WI 54017(SW 1/4 SE 1/4 28 T3ON R18W) Richmond Acres Lot Parcel No: 28.30.18.1493 1.)Alt BM Description= t 1 ("/ " ' 1\)0 ow Ali' 10 2.)Bldg sewer length= ZS -amount of cover= 42,ii Plan revision Required? Yes No - 1230340 Use other side for additional information. Cert.No. Date sectors Signature SBD-6710(R.3197) PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 SE 1/4S 28 /T 30 N/R 18 W TOWN Richmond COUNTY ST.CROIX SYSTEM ELEVATION 95.0/94.5 5' below grade DATE 1/17/15 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 .7 ABSORPTION AREA 651 # of chambers 32 IL BENCHMARK V.R.P. Grade at 2"pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H,R.P. Same as Benchmark 100' 116th St. Scale = 1 /4" = 10 Scale is 1" = 40' 777- 50' unless otherwise B.M. * noted ► B-1 ■ ;:_ All piping shall be SDR 30/34, within 10' 5 of tank,piping shall be Schedule 4.0. I45, 2-3' X 66' Cells with>3' s.. ' g B-3 11 0 , Pro 3 Bedroom House 6% Slope 50' 0' ® Vents 45 II 10' 100' 99' 98' "Cc1COpy Town Road County IN 7 Safety and Buildings Division 201 W.Washington Ave.,P.O.Box 7162 Sanitary PermfiIled in by Co.)� . Madison,WI 53707-7162 StatcTransa .t • Termit Application I In accordance with SPS 383.21(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 submitted to Project Address(if different Zan mailing address) the Depar went of Safety and Professional Servies. Personal information you provide may be used for secondary /��3 purposes in accordance with the Privacy Law,S.15.04(1 m),Stats. L Application Information-Please Pri ]Information Parcel# Property Owner's Name o 16--/02 ©�J�r t i� Property location / 03 Property Owner's M g Address j� 6 Jy3 3 u ac v j`� Govt.Lot �` City State ) Zip Cade Phone Number �(-�� 'i. '/., Section 01 � �O N; lE o W H.Type of Building(check all that apply t Subdivision N L2 Family Dwelling-Number of Bedroo ' 01 61::: cb p�.. o�svpt floe ❑Public/Commercial-Describe Use 1- ! ❑City of CSM Number ❑ illage of ❑State Owned-Describe Use own of 1L0 III.Type f Permit: (Check only one box on line A. Complete line B if applicable) A' System ❑Replacement System ❑Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System(explain) ❑ ❑ ermit Transfer to New List Previous Permit Number and Date Issued B. Permit Renewal ❑Permit Revision El Change of Plumber P Before Expiration Owner '.T ofPOWTS S stem/Com onent/Device: Check all that apply) n J� Non-Pressurized In-Ground ❑Pressurized In-Ground ❑At-Grade ❑Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(expl ) ❑ etreatment Device(explain) e-r5 l Bt G/ V.Dis rsaUTrest-pmt Area Information: Elev Design Flow(gpd) Design Soil Applicatiom Rate dsf) Dispersal Area Required(sf) Dispersal a Proposed y f/L Ll�,3 6J / J� VL Tank Info Capacity in Total #of Manufacturer w Gallons Units " ° Gallons U � v .N Existing Tanks a m m New Tanks /� y U y A 'w C, Scpric or Ftolding Tank Dosing Chamber VII.Responsibility Statement-L the undersigned,assn ponsibility for installation of the PORTS shown on the attached plans. Plumber's Name(Print) Pltmib azeme MP/MPRS Number Business Phone Number VA Plumber's Address(Street,City,State,Zip o f, J VIII. untv/De artment Use Only Permit Fee Date Issued Issuing t Signaztire Pproved Drsa $ q 75 e� / even Reason for J J IX.Conditi&V&1fl198t WMftsons for Disapproval t. Septic tank,effluent filter and dispersal cell must all be services/ma'pt ait as per management plan provided by plumpgr. 2. ;A�q sMe�,lOk,f� lefllptit�myst be alt Attach to complete plans for the system and submit to the County only oa paper not teas than 8 trz x 11 inches in size SBD-6398(R. 11/11) 0 PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 SE 1/4S 28 /T 30 N/R 18 W TOWN Richmond COUNTY ST.CROIX SYSTEM ELEVATION 95.0/94.5 5' below grade DATE 1/17/15 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 .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Grade at 2"pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 100' 116th St. Scale = 1 /4'1 = 1 O'Scale is 1" = 40' 50' unless otherwise B.M. * noted B-1 All piping shall be SDR 30/34, within 10' 5 of tank,piping shall be Schedule 40. 45' 2-3' X 66' Cells with>3' spacing B-3 0' Pro 3 Bedroom House 6% Slope 50' jo, ST Vents 45' 10' 100' 99' 98' 'f-1Copy Town Road Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 1/17/15 Owner: Oevering Homes Location: SW 1/4 SE 1/4 S28 T30N,R18 Lot 11 Richmond Acres Richmond 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 Signature License number#22 0 I PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 SE 1/4S 28 /T 30 N/R 18 W TOWN Richmond COUNTY ST.CROIX SYSTEM ELEVATION 95.0/94.5 5' below qrade DATE 1/17/15 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 .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Grade at 2"pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 100' 116th St. Scale = 1 /4" = 1 O'Scale is 1" = 40' 50' unless otherwise B.M. * noted B-1 All piping shall be SDR 30/34,within 10' 51 of tank,piping shall be Schedule 40. 45' 2-3' X 66' Cells with>3' spacing B-3 0, Pro 3 Bedroom House 6% Slope 50' 0' ST Vents 45' 10' 100' 99' 98' Town Road Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >1' above grade 5 eft^2 pair of end plates g Finish grade elevation Typical Installation 100' t Grade Vent 4" T3� A�30/34 Septic Tank ,jV,en 5' S' Long 3 6 Grade at System Elevation Grade at System Elevation Spacing 5' 2-3' X66 ' Cells Same on other end Observation tubeNent At end of cell A B 16 chambers per cell System elevations: A-95.0' B 94.5' J ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Bayer a--/- Mailing Address_'d32 Property Address 3,33 (Verification require On4_lanj�_nj&Zonmg Depai��WC'�_or'­new� ijc from City/State Parcel Identification Number�©2 Property Location-Su.,) 4 , Sec. T 0 N R_ LO—W, Town 01' Subdivision ------- Lot# Certified Survey Map Volume Page# Warranty Deed# Volume Spec house Ito I-A)t lines identifiable no SYSTEM 2F,AND OWNER CERTIFICATION Improper use and maintenance of yourqeptic maintenance consists of pumping out the septic tank ev'cYr'ytte'hnreceoyu'adar'sesolu.'stLi)(n)nitasrpremajure failure to handle wastes. proper the system cau affect the function of the stage if needed,by a licensed pumper. what Septic tank as a treatment s ge in the waste di YOU put into are specified in§Comm. 83.52(l)and in Chapter.12-St.Croix County System. owner maintenance The property owner agrees to submit to St Crolx tY Sanitary Ordinance. plumber, County Planning&zoning Department a certification form,signed by the owner and by a master plumber,journeyman P1 r,restricted plumber or a lic wastewater disposal system is in Proper operating condition and/or(2) ensed pumper verifying that(1)the on-site less than 18 full of sludge. after inspection and pumping(if necessary),the septic tank is I/we,the undersigned have read the above requirements and agree to maintain the private standards set forth,herein,as set by the Department Of Commerce and the Department of N rivate,sewage disposal system with the atural 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 form are true to the best Of MY/Our knowledge. I/wc arWare die owue ) f Property described above,by virtue of a warranty deed recorded in Register of Deeds Office, r(S 0 the Number Of bedrooms---3 �FAP�P �IGNEATT� L1CAKNf(_S)__ DA�_, '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/oS) pOWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Qf�� Tank Manufacturer: ❑ NA Permit# eptic ❑ Dose ❑Holding VOlumejV� (984 Tank Manufacturer: DESIGN PARAMETERS respea umber of Bedrooms: ❑ NA ❑ Septic ❑ Dose ❑ Holding Volume: (gal) Public Facility Units: A Vertical Distance Tank Bottom(s)to Service Pad: (n) (gal/day) Horizontal Distance Tank(s)to Service Pad: (n) ated(average)Flow: (9a Y) Specific servicing mechanics must be provided rf vertical is>15 feet or w=(estimated x 1.5): �� (gal/day) If horizontal is>150 feet. Specific instructions to be provided on back. Soil Application Rate: (gaUdaye) Effluent Filter Manuf acturer: / 2- ❑ NA c)Influent/Effluent Monthly average Effluent Filter Model: s,Oil&Grease (FOG) s30 mg1L Pump Manufacturer: NA Biochemical Oxygen Demand (BODs) sZ20 mg/L ❑ NA Pump Model: 7otai Suspended Solids(TSS) 5150 m L High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 m91L Manufacturer. /NA (BODE) >220 mglL X-NA ❑Mechanical Aeration ❑Peat Filter SS) >150 m VL ❑Disinfection ❑Wetland Pretreated Effluent Monthly average ❑Sand/Gravel Finer ❑Other (BODs) 530 mg1L ,,/ Soil Absorption System (TSS) . s30 mg/L �Ct NA In-Ground(gravity) ❑In-Ground(Pressure) ❑ NA Fecal Col form(geometric mean) 510` / ❑A- rade ❑Mound Maximum Effluent Particle Size in dia. ❑ NA ❑Drip Une ❑other: Other: NA Other. ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency hen combined sludge and scum equals one third(Y3)of tank volume Pump out contents of tank(s) ❑When the high water alarm is activated month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: 3 years) month(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 3 ear(s) month(s) ❑ NA Clean effluent fitter At least once every: s) ❑month(s) ❑ NA Inspect pump,pump controls&alarm At least once every: ❑--1.% El❑month(s) NA Flush laterals and pressure test At least once every:. [❑years) [I month(s) NA Other: At least once every: ❑years) Other: NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carrying 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 scum 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. or more of the tank volume,the entire When the combined ank accumulation removed sludge and scum Septage Servicing ngrOperatotrt(pumper)land disposed i )of in accordance with chapter NR 113, contents of the to Wisconsin Administrative Coder 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 5512 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(02105) Page of START UP AND OPERATION roducts, solvents or other For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting p chemicals or sediment that may impede the treatment 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 fill 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 Septage Servicing Operator(pumper)prior to restoring power to-the 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 shall not occur when sal conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or compact, the are@ 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 treatment tanks and soil absorption system: acids, antibiotics, baby wipes,-cigarette'butts, condoms, Cott 9 swabs, degreasers, decd floss, diapers, disinfectants, fats, foundation drain (sump pump)discharge, fruit and vegetable peelings, gasoline, greases, scraps,medications,oils,painting products,pesticides,sani�I'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 s. Comm 83.33,Wisconsin Administrative Code`. • All piping to tanks,pits and other soil absorption systems 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(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 falls and cannot be repaired the following measures have been, or muse taken, to provide a code coax iant t b replacement system: - _A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption sys,em / The replacement area should be protected from disturbance and compaction and should not be infringed upon by req x ed setbacks from existing and proposed structure,lot lines and wells. Failure to protect the replacement area will result the a need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply effect at the time of their permit issuance. ❑ A suitable replacement area 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 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 TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK 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 POWTS MAINTAINER. Name nl— j! , Name Phone '?��.d1 Lj�� Phone to SEPTAGE SERVICING OPERATOR P MPER LOCAL REGULATORY AUTHORITY Name Name Phone Jr— — 5- q Phone This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(b)(1)(d)&(f)and 83.54(1),(2)&(3),Wisconsin Administrative Code. FILTER CARTRIDGE INSTRUCTIONS Installation STEP 1 Dry fit the filter case onto the end of the outlet pipe to ensure it is centered under the access opening. If not, then either insert more tpi outlet the tank through the outlet or solvent weld (glue) 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: solvent weld the 3/4-inch pipe onto the filter case. If side support method is not utilized, proceed to step four. 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. STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning clockwise 90°: Maintenance ate+ , 1• � , '�+�"�,�[l�,�. ., y�! � 1. The effluent filter should be cleaned every time the septic tank is serviced. 2. Open the outlet access opening to inspect the tank and filter. 3. pump the septic tank completely, making sure to remove the sludge layer on the bottom of the tank and not just the scum and effluent.effluent 4 outlet the Pipe level has b pull p on the filter handle the ha dle t dislodge the rmly cartridge from the case. 5. Slide the cartridge up and out of the case for cleaning. f 6. If a VRS switch connected to an alarm is present, the switch s should be removed by turning counterclockwise 901 and cleaned with water only. 7. While holding the cartridge on its side (large flat surface facing down) over the access opening, rinse off the cartridge with water only, making sure all septage material is rinsed back into the tank. ; 8. If VRS switch is utilized, replace by inserting into filter and !k turning clockwise 90'. 9. Insert the filter cartridge back into the case, pressing down until the filter locks into the bottom of the case. 10.Replace and secure the access opening on the tank. SEAR ONSITET"FILTER CARTRIDGE-FIVE-YEAR LIMITED WARRANTY 9_8'0!�Slte Flre,-arrloge<_are sa. wl'.>�L^,np _e �_reurr,>_r nurr_i;ase, BEAR ONSITE'"Filter Gale-lifetime Limited warranty a e a;e r.r,p.,t r,0 c• .w ,ans;7 Lirg r.e'ma... Elea' '.ingge v.a:;dnt<the fiI[e'ARSE .:. Dwns the a J'a _ t ;.� d ^vU aE de e,.tam J �J a T o{+e- i tJJ'a f, normal llS Peas Jr S! tl. Fa I In J _ d[if UJJ r' n ]Y t r 5 ,C .7 d rS e. J J'erP S ri,l r d n, rate a mda 3r. o'h a.e pr n diiLttcn!. es,ll I g!run unRS I d1I_ e e� rdnt.rI e r P; „ur un ,ng ra s31es' em . u ne p a✓o c to + a" on site,m, a!!1 .� m,. r F the '}r -y' � ,�91,4?.v+,.l e i claer�.al 0.t:(..s rwcrt.a� ,5 r,.5yar„1'.Sll tai '] ... .,c ✓,n shall the 1ra6,Ltti 6.bed! on ' eed the pJi'.l:aSF.V`1:E Of+.:e pr GOJI k .........-Q- r"`j l 2.20 acres Q i • _ _ 7 9s.a ' • r 95,760 sq. ft.o 104, Cli S86.40'24W 300.53' O I N89'56'03"E 545.92' = (n C76 N86'40'24"E 300.53' . N n o Co • -- ,a T,3-6 -- - 12 - „ \ 2.92 acres o z 92,514 sq. ft. as ° tea' N89'56'03"E 477.99' %;F Nm\ ` 320.40' 157.59' tn a 9.68 acres N 9.73 acres O N 75,442 sq. ft. w a ° 2,979 sq. ft. o s� �a C3 \�1 - c] W \ o W rn /. v1 m CO 292.15 219.24 511.39' r \ 58422'09"W I sy • J �. \ 1 \ , \ 2.05 acres Co \ ; ; 89,268 7 O sq. ft. °' \ 2.92 acres ,, ` 9.75 acres \` 92,159 sq. ft. y 0 76,369 sq. ft. i I 80'RADIUS ; o ( S89'53'36"W 519.87' i U i MBE SAC a2 4 EXTENS/C!N C 5- 58'W 210.72' • 027 • 2.18 acres �' ( s ,Q 138.20' ` 95 137 s . ft. r et 22'58" E 270.72' `"i' o 869.6 q \ �' --- • CB N189'250'27" E 43'W h/ � 200.20' 514.68' ^ �4 �� 314.48 y / '9 Property Owner_ Parcel ID# Page of Ong# ❑ Boring –pit Ground surface elev. �' ft. Depth to limiting factor�0 in. Soil 820sation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'- in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 2-3o y� s t 32-�7 7 -� 0� A- - V • d F—I Boring# E] Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 ❑ Boring# Boring Pit Ground surface elev. ft. Depth to limiting factor C1 in. Soil Application Rate Horizon Iepth 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 =BODS>30<220 mg/L and TSS>30<150 mgA- •Effluent#2=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 need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(8.6/00) T, Wisconsin Department of Commerce SO I L EVALUATION REPORT, Page of Division of Safety and Buildings �--jn pop porhm 85,Wis. Adm. Code County z5 I-V 41Us6 ,ari"f2.x z54 /1 Attach complete site plan on pap" —111+ -1* s-i'tize.Plan must include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 0 02 M-rD . Please print all information. Rrby Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Prop"Omer Property Location Govt.Lot j!;,0 1/4 1/4/Z T 30 N R 16E © e,>e r I VV/1- nj-�o !CW Property Owner's MailinVddress Lot# Block# Subd. Name or CSKW Cef (-,Oko".6 I , r — -12:1 x�� A Q, 1 4 State Zip Code Phone Number ❑city 0 Villame own ftar t R d 112� okewConstruction Use-§XQ_esidential/Number of bedrooms ­3 Code derived design flow rate GPD ❑Replacement JZ P bli r commercial-Describe: Parent material Flood Plain elevation if applicable A/ General comments and recommendations: System Type_CID raj•V System Elevation _ Boring# C] Boring Pit Ground surface elev. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Clu.Sz. Cont.Color Gr.Sz.Sh. *Efl#1 •Eff#2 Eff#1 0-)6 /0"3/, /, 0 'Z- RL2 F�- OS-% 36-qj 7 I-ph" Boring# ❑ Boring &pit Ground surface elev. 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 / 0 177 kj)P+ 9/71 7 —7 9, 7— Effluent#1 =BOD.>30<220 mg1L and TSS> 5 150 Effluent#2=BOD.�5 30 mg/-and TSS;<30 mg/L CST Name(Please Print) ynature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 54017 715-246-4516 Property Owner_ Parcel ID# Page of NBoring# ❑ Boring , pit Ground surface elev. ft. Depth to limiting factor in. SolI 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 I `Eff#2 Z Z- u S" -f7 7 O s �- -� L2 y,P F-1 Boring# ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 ❑ Boring Bonng# Ground surface elev. ft. Depth to limiting factor in. El pit Soil Application Rate. Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/rf in. Munsell Qu.Sz. ConL Color Gr.Sz.Sh. *Eff#1 `Eff#2 it II Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mgA- 'Effluent#2=BODS<30 mg&and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777. 913"370(RAW) Soil Test Plot Plan Project Name Oevering Homes Shau ird Address 1433 Cernohous Ave Suite A New Richmond Wi 54017 dg'rM #226900 Lot 11 Subdivision ichmond sion Acres Date 1/17/15 S W 1/4 SE 1/4S 28 T 30 N/R18 W Township Richmond Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Grade at 2" pipe System Elevation 95.0/94.5 *HRPSame as Benchmark 100' 116th St. Scale is 1" = 40' 50' unless otherwise B- B.M. * noted 1 5' 45' B-3 0' 6% Slope 59 10' 100' 99' 98' Town Road � '.uwunmu�� ���� a1 �k ■�■ .111811 '' � �� ■�■ ON � IIIIIIIII' ,°'4 i I f N _ Illllllll��rfl�ul IINIII ���IIIIIII ,,,,,1®111®11 _ IIIIIIIIII t 1t �� E ISS34ftIE1 �� �IIIIIIIIIII '� �o till a ���IIIIIIIIIII� 1�IIIIIIIIIIIIIIIIII i�,°""' t, Ilt,ttlt�ttttt,tl,�1�����i ��y �'e � iiiiiiiiii�i ►ll�llli111� � 0 E 0 N N 0 iG a� Mpg N LL y x wz 3i 6 W � a J J a�x i� .I�.ez zii z� a ox O W X�3311�yy ; p m 1 i ------------ ----------- r--------------------'; 11 II 1 ------ ------ e I — ------ I I _ f------------ Fi3 I I 1 oze�.eesnwuooaa� 1 ; $ t I 0 I r •�I'I-- --------- I I , 1 l e I I I 1 1 1 ze�eawnuxuome<� I; ----- ----------_ ------ Y q I I pj II <_- I I I I I 1 I II I 1 I I I 1 I 1 I I 1 L—___—______________________J 1 jig 86 � • |:■! � < � . � \( | ( § i ) ) z , § \\> �� � -\---- : ■ � ---- | -------- ----- ° � -- - /| / ----- |! ! --- | . |> II Illllilllfllllllillllll I!I III DOCUMENT No. STATE BAR OF WISCONSIN FORM 1-2003 8 2 4 0 9 9 0 WARRANTY DEED Tx:4197210 i 998137 THIS DEED,made between Richmond Acres,LLC,a Wisconsin limited BETH PABST liability company("Grantor"whether one or more)conveys and warrants to REGISTER OF DEEDS Oeverin Homes LLC,a Wisconsin limited liability company ("Grantee", ST. CROIX CO., WI whether one or more , e following described real estate in ST CROIX County, 07/03/2014 09.57 AM State of Wisconsin: EXEMPT#• NA Parcel 1: REC FEE: 30.00 TRANS FEE: 825.00 Lots 7,b 17,18,25,26,27,31,34,37,40,41,44,45 and 49,Plat of PAGES: 2 Richmond Acres in the Town of Richmond,St.Croix County,Wisconsin. RETURN TO St.Croix County Abstract&Title Co.Inc. 219 S.Knowles Avenue New Richmond,WI 54017 Tax Parcel No: see attached This is not homestead property Exception to warranties: Municipal and zoning ordinances and agreements entered under them,recorded easements for the distribution of utility and municipal services,recorded building and use restrictions and covenants,and further except 2014 real estate taxes. Dated this 27th day of June,2014. Richmond Acres,VC,a Wisconsin limited liability company By:Je a illiams,managing member AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this day of STATE OF WISCONSIN 20_ COUNTY OF ST CROIX ss. * TITLE:MEMBER STATE BAR OF WISCONSIN Personally came before me this 27th day of June,2014,the above (If not, named Richmond Acres,LLC,a Wisconsin limited liability authorized by§706.06,Wis.Stats.) company,by Jeffrey S.Williams,managing member to me known to be the person(s)who executed the foregoing instrument and acknowledge/the.same. /,/ (��J� THIS INSTRUMENT WAS DRAFTED BY �/-,"c"rw✓�`� V `�� Robert L.Loberg/Loberg Law Office * T Notary Public St.Croix County,Wis. �.ys 1417332/alm j� ;���,<•' O� My Commission is permanent. (If not:'s toe•pir4bbn?dairr (Signatures may be authenticated or acknowledged. Both are ) +' �'v not necessary.) ' un �U p 1 1� *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED Form No.1-2003 St. Croix County 998137 Page 1 of 2 i Legal Description: Lots TS, 17, 18, 25, 26, 27, 31, 34, 37, 40, 41, 44, 45 and 49, Plat of Richmond Acres in the Town of-Richmond, St. Croix County,Wisconsin. Tax Id Numbers: 026-1294-07-000 026-1294-11-00p 026-1294-17-000 026-1294-18-000 026-1294-25-000 026-1294-26-000 026-1294-27-000 026-1294-31-000 026-1294-34-000 026-1294-37-000 026-1294-40-000 026-1294-41-000 026-1294-44-000 026-1294-45-000 026-1294-49-000 St. Croix County 998137 Page 2 of 2 i low Property Owner GCr y d& V. 5M 3Ak Parcel ID# Page -�;R_of Boring# ❑ Boring l Pit Ground surface elev.d g ft. Depth to limiting factor /00 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 I 'Eff#2 L lFs6k nm r = , 4/ F' I c.to I - , q/10 IVE -1 o S I Fs 6 M Fr 7• S YA 4/Le 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 Ou.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 Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Effluent#1 =BOD6>30 5 220 mg/L and TSS>30:5 150 mg/L `Effluent#2=BOD6<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD•8330(R.6/00) Wisconsin Department of commerce C ;) EVALUATION REPORT Page of Division of Safety and Buildings lnraccordance with Comm 85,Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 1 ' ��' V I Include,but not limited to:vertical and horizontal reference point driG�i Parcel I.D. percent slope,scale or dimensions,north arrow,and local n an d n n a oad. Please print all informati n. eviewed Date :j 1 V Personal information you provide may be used for secondary pur ses(Pr Y5. yt$n.0ert��v'IQLO). G Property Owner L ST.CR PrROerlv.LOCatio Geral . 5M r�11 ZONIN Xl,U1U1t9VETY 1/451/4 S aq TJo N R E(or Property Owner's Mailing Addre Lot# I Block# Subd.Name or CSM# l 90 e• Ifs?W I of OF is m crc City State Zip Code Phone Number ❑City ❑Village ®Town Nearest Road �1K R� R r�N 30 ( - (Z►cti rn I I to I9 New Construction Use: Residential/Number of bedrooms_ Code derived design flow rate s _GPD ❑Replacement ❑ Public or commercial-Describe: ��q; --� — - L `-5I Parent material "f�..1 f�.s Y�r 'r I I M s _ Flood Plain elevation If applicable ! V ___ft General comments S S vs S e.s t 3—rt n.„r_k-.5 (.V Z row and recommendations: _r.l (9S,40 T y �9�.�.a�� r vIN{e.(itipW oo r -r-4 Cg8.4 5;��.a: T•5 ; Ft i S rates • T.3 (�S.oy'� 7.6 04.76 ) L ❑ Boring ��/yrrllL- A4_ 447- /0 Boring# Pit CC►►QQ Ground surface elev. n7 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. I 'Eff#1 I 'Eff#2 0-10 1 3/;L 1-_ aF k rvi Fil- 0".0 F F,ay. y • 7 'r L Yk y ❑ Boring R q GZj' �T�V Boring# l9.oZb / I�+ Pit Ground surface elev._ ft. Depth to limiting factor O U in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 i 0-10 3i.? _ L Qrs6k m r aW aF , cP _ s I F 4. Fi 4-W - • Ne«v VF� 5 i ua • 7.S YPq/ �It 0. � Effluent#1 =BOD >30:5 220 mg/L and TSS>30<150 mg/L 'Effluent#2 BOD <30 mg/L and TSS<30 mg/L T Name(Please P Signature CST Number t a.�f-X A� � O M S4' Date Evaluation Conducted Telephone Number �ie W -�- -aS -7 Is aya 35s8 ,g00 a�• I N t� '/� S E y S dG► 'B '- b N 1 u-') yo _ ► (00. 10-t 3 9 1 a,�S C,trc� a �$m ! -rap C'r /Y "std 1 s3 n K �m I_ hod►�oe:�- :+ tis� z �; 0)1 ► oQ 1 1 s ' 11:43 FROM:JEO CONSULT TFIG GROUP 715-246-3630 TO:2487939 P.001/1001 PRELIMINARY PLAT OF RICHMOND ACRES pe"5 C 4,6 (A c=uWN 111A70 pri Id p.SNMN•f IA ad fop$.mwa t,4 of mum ft rw4v —4,A 'I V- 'I'm 01 ft~4 0,Ab 00"C'A&W80 if Y4 6 ,IA N F 76, —rj.7 115./1 b Ole"67"•tip 52t' 5­# 4cr AA e ,4 M.7 jil A "T,A, 1w , v Oar IT. 7 100 # A# + 4,age I de if 3" -ft/ , NN Li2"m'-wee 4 if 4 r .Poo, Jr 1 tu'acres wits 7 ac - -�7' A NS , ! a roe ucr 3 01"•Pa. T.T! t 2,4 \7 ...... J ro 1A 7 I, el— A XAA, 46A' 46 It. 7 4'e�f;.r.•o'�p:4,� �N1 ARaaA Pc orr e s`i �45 0.0 +96 0�rdrlr*i NOW, I care., I 74",acrts IA24 V-- 1.94 irot Vr"ip 04 AP 0 w&I rrn low • 7.96 a 06L 20J' Goren K&A wu ,All ——l- / aum"I M—m 4 w .,w�-0. o Pin a A-MW� 6.0 :M,=.o Lod- 0!111,%­LWI f.W"PON.LM 4- F..—A., 1.1'd%"' . 0 PIP - T.,� , acres' 1 74, wt4 JIM Wool OWL I 11 _77- 6i s 4A W6' CPA41PAO BC41.10 '—do 1,N. Ir WY 1114-VIwanzw �� ID VmA _%AM�