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HomeMy WebLinkAbout026-1153-16-000 Vb9scon5in Department of Commerce PRIVATE SEWAGE SYSTEM Zeunty St. Croix Safety and Building Div sicn INSPECTION REPORT sanitary Permit No (ATTACH TO PERMIT; 582096 GENERAL INFORMATION State Plan 'D No Personal in`crmaticn yeu provide may be used for secondary purposes (Pr vacy Law, s 15 04 i 11(m)]. Permit Holder's Name: c,~y Village Township Parcel Tax No: Oevering Homes. LLC TOWN OF RICHMOND 026-1153-16-000 CST BM Elev Insp. BM Elev: BM Description Section)lovr!Rargetmap Nc / DO jS rv~ Cf T 19.30.18.1154 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS III FS ELEV. Septic ~4- y , loDn Benchmark Aeration Bldg. Sewel `IZ Holding - SUHt Inlet 7 Z_ TANK SETBACK INFORMATION SUHt Outlet Z q 5 TANK TO P! 'J'ELL BLDG. vent Air Intake ROAD Ut Inlet ~C p 6 t~iwt z 501 r Dt Bottom Septic t0 ! A JA- 7 Dosing 1/bp Header;Man Aeration ' !1t'~ = Dist. Pipe 9. Holding - Rot System 9G. z PUMP/SIPHON INFORMATION Final Grade 13.2- 9 7,5 Manufacturer Demand St Cover / Model Number ' - TDH Lift Fricticn Loss System He Aa- i UH Ft Forcemain Length Dia. Dist, to ne SOIL ABSORPTION SYSTEM BEDlTRENCH b`ldtn / enpth No. Of Trerches PIT DIMENSIONS No Cf Pits Inside Dia. Liquid Depth DIMENSIONS "3 / ~ SETBACK SYSTEM TO P!L BLDG WFI I I AKFiSTRFAP,1 LEACHING Manufacturer: INFORMATION CHAMBER OR :it 1, Type Of Systerc _ , Iz µ UNIT Model Number: f • J I `I n!, _5 DISTRIBUTION SYSTEM HeaderiMa/ndc d I 1pistributior Ix Hoe Si e ix Hole Spacing bent t9 Air Intake I rnsth_ Cia Length Dia Spacing e SOIL COVER X Pressure Systems Only xx Mound Or At-Grade Systems Only Jeoth Jver Depth Cve xx Ueptr o" frdiScdded 1"" Mulched 9ed,Trench Certer 7 Bed;T-ench Fdges Topsoil 71 J Ves n No --~S No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1 Inspection #2: Location: 942 146TH AVE `7 I ~a J1~ / I It) C_ 1.j Alt BM Description = f ~cw l- 2.;1 Bldg sewer length = 2 4 - amount of cover = Plan revision Required? Yes XNo (n Use other side for additional information. 2~ _ CBD-ei 19 (Ft.319i; Cate Insepctor's ature Cert No. PLOT PLAN PROJECT Oeverino Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond W 54017 NE 1 4 NW 114S 19 'T 30 N" R ' 8 W TONN'N Richmond COUNTY ST. CROIX SYSTEM ELEVATION 93.5193.4 4'below grade 3/16;16 3 DATE REDROOM CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE hIOUND fiIa'TIC TANK S]'7,I: HOLDING 'TANK SIZE LOAD R4TE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of steel fence post ASSUNIL ELEVATION 100• Filter Lifetime Filter ❑ BOREHOLE O NVELL x H . R. P. same as benchmark hall be ASTM SDR 30,34, Within _ 1/4 ° - 10~ All piping, 10' of tank. piping shall be AS'1'N1 F891 Property Line Property Line Vent >G,. Quick4 Standard Leachin Chamber , of Cover with 20.0 ft-1 of Area Scale 1S 1 = 40' i.6ft^2?pair of end caps 12,. l o0° unless otherNvise 4' )_.On a Grade at System Elcvat~on noted 34' B-, 50' 00 d d X 66' cells tz ith >3' ~:pacino 07,c Slope ky B-1 35' g 1 o p 1 I B.2 3O' ~~1 15' V _ i -'0 ' Property c j CIC-Q Line Bedroo House 146th Avc ~ Cotmty~ L Safety and Buildings Division re 3q~ 201 W. Washington Ave.; P.O. Bo 162 S ' Permit Number (to be filled in by Co.) Madison, Wl 53707-7162 Bib Sane ermit Application T mansaaioa Nnm cr In accordance with SPS 38321(2), Wis. Adm , submission of this form to the appropriate govemmentai unit A/h is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if dfte&m than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the PnVacy Law, s. 15. 1 m Stats. L L d-, NA licstion Information - Please Print All Information ` Property Owner's Name parcel # /_/t~ 0% © 2 /5-3' - Property Owner's Mailing Address Property location 1~ Cl, l4~ e 1 i 5X vt Govt .Lot ~~~yyy city, state Zip Code Phone Number AJ Ozs Section e.,•~ T~ N; R ~tE of W ) II. Type of Building (check all that apply) Lot #~p„ Subdlylmop Name 1 or 2 Famr7y Dwciling -Number of Bedrooms Block # J tt" biM1 *CA Or- ❑ PubIidCommercial -Describe h ❑ City of ❑ State Owned -Describe liseV! tS bA~ CSM Number village of &0 W1 _I 10 + of 12 A III. erwit ( onlq one box on line.:Complete line B if applicable) P4 ystem Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modifi cation to S Existing ystem (explain) B. List Previous Permit Number and Date Issued ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expkatton Owner ' 9- lr)~I-lra-ml' ~P_ of PO S st om onent/Device: Check all that apply) -ssisized In-mround Pressmiud In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 is o e soil Koldt k Ot her Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsalfrreatmeut Area Information: Design Flow ( Design Soil Applmrw~dsf) Dispersal Ar eq Dispersal Area Pro d (sf) ystem mevatio /Z6 ✓ V L Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units a I, New Tanks Existm Tanks W ° U o v U cn " ~ . C7 Sep- or Holding Tank I Dosing Chamber 7< I~z VII. Responsibility Statement- I, the undersigned, responsibility for installation of the POWTS shown on the attached plans. PI "'s Name (Print} PI s pature MPII PM Number Business Phone N bee P ' ess (Strcet, City ; S a"C, ~ C1L VIII. Conn a eat Use On pro 11 ed Permit Fee Date Issued Issuing 4g $ignattae ❑ for Denial $ y 85.E DL CSi afu*,ppmal/Reasons or Isapproval 1. Septic tank, effluent filter and ~I.BIZ Y4-b ck-S dispersal cell must be ser_iced_I maintained 1„ O OH aS per management plan provided by plumber. ~Q II ~Y i (UN 2. All setback requirements must bes. aintained V~ ✓ 1~ as Pei: applacab!e 1.1 AiA Attach to complete plans for the system and submit to ry os paps not than ma x ]I inches in size SBD-6398(8 11/11) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 3/16/16 Owner:Oevering Homes Location: NE 1/4 NW 1/4 S19 T30 N,R18W 942 146th Ave 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 Co in ency Plan 7.Filter Cross Section Signature License number 6900 r PLOT PLAN PROJECT O,everina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NE 1/4 NW 1/4S 19 /T 30 N/R 18 W TOWN Richmond COUNTY ST.CROIX 93.5/93.4 4'below grade 3/16/16 BEDROOM 3 SYSTEM ELEVATION DATE CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark All piping shall be ASTM SDR 30/34, within Scale - 1/4" _ 10' 10' of tank, piping shall be ASTM F891 Property Line B. Property Line Vent >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area Scale is 1" = 40' 5.6ft^2/pair of end caps 100' unless otherwise 4' Long 12 Grade at System Eleyat4on noted 34" 50' 2-3' X 66' cells with >3' spacing 0% Slope -1 70' 35' B-215, 30' ' ^l V_ S 20' Property Line Pro 3 Bedroom House 146th Ave 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.UA2 pair of end plates Finish grade elevation .5' Typical Installation 97 ~ Vent Vent / Grade 3' 411 3' ,A/30/34 Septic Tank 5' Long 119 5' 5' Long 115 Grade at System Elevation 3691 Grade at System Elevation Spacing 5' 2-3' X 66' Cells Same on other end Observation tubeNent At end of cell A B 16 chambers per cell System elevations: A-93.5' B-93.4' ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEI,,MNT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer oe v1etr Mailing Address n 1) Property Address (Verification required from Pb g & Zoning ePaztrnent for new construction.} - City/State T" Parcel Identification Number LEGAL DESCRIp'I'ION-~ Property Location "-r -ALA l~, , '/a , Sec. , T ON R I&W, Town of Subdivision / l w Certii zed Survey Map # ~ Volume -Lot # 'Warranty Deed # ` c;~ e # Volume , Page # _ Spec house yes no - l.ot lines ideatifabl Dye no SYSTEM MAINTENANCE AND OWNER CER~'LF'ICATION Improper use and maintenance of your septic system could result in its premature failure to handle maintenance consists of pumping out the the system can affect the function of the septic tank every three Years or sooner, if needed, by a licensed wastes. Proper responsibilities are specified t Co ep~ tank as a treatment stage in the waste dis Pumper' rWhitt You an a put into § nmi. 83.52(1) and in Chapter 12 - St. C}oix Coup sal system, Owner rr~aC The property owner agrees to submit #o St. Croix CouptY p ~ Sanitary Ordinance. owner and by a master plumber, journe laming & Zoning Department a certification form wastewater disposal system is in an Plmnber, restricted plumber or a licensed , signed by the less than l /3 full of sludge. Proper operating condition and/or (2) after i verifying that ar the on-site nepection arid pumping (if necessary), the septic tank is I/we, the undersigned have read the above requirements and agree to main standards set forth, herein, as set by the tDepartment he above of Co tam the private sewage disposal system ng that your tics tent Commerce and the Department of Natural Resources, State of Wisconsin. with the Zoning D da Ys has been maintained must be completed and returned to the St. Croix Coon Certification g ePari stating within 30 days of the three expiration d date, tY Planning & Uwe certify that all statements this fog are property described above, by virtue a warranty true to the hest of my/our knowledge. Uwe am/are the owner(s) of the deed recorded in Register of Deeds Office. Number of bedrooms IGNAT OF APPLICANT(S) .3 ~ld DATE Any information that is misrepresented may result in the sanitary permit being revoked by the planning & Zoning DeP men** rnclude with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified s if reference is made in the warranty deed, ~'eY map if (REV. 08/05) - POWTS OWNER'S MANUAL & (MANAGEMENT PLAN Page of ILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity al ❑ NA Permit # Septic Tank Manufacturer ❑ NA IESIGN PARAMETERS Effluent Fitter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model r~ ❑ NA Number of Public Facility Units -7&NA 'Pump Tank Capacity a! NA' Estimated flow (average) 30V alfda Pump Tank Manufacturer NA 1 Design flow (peak), (Estimated x 1.5) L/J-~ gal/day Pump Manufacturer NA i Soil Application Rate ` al/da /ftz Pump Model NA i Standard Influent/Effiuent Quality Monthly average` Pretreatment Unit NA Fats; Oil S Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter OrA Biochemical Oxygen Demand (BODs) 5220 mg/L ORA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L 13 Disinfection ❑ Other. Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODs) 530 mgA. n-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L X-NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other. [!Other Maximum Effluent Particle Size l6 in dia. p NA other. Other: NA A '`Values typical for domestic wastewater and septic tank effluent. Other. NA AINTENANCE SCHEDULE Service Event Service Frequency linspect condition of tank(s) At least once every: month s) (Maximum 3 years) O NA (Pump out contents of tank(s) When combined sludge and scum equals one-thins (y) of tank volume ❑ NA ilnspect dispersal cell(s) At least once every: -:3 month s(s) (Maximum 3 years) 13 NA (Mean effluent filter At least once every: month(s) ❑ NA l 1year(s) nspect pump, pump controls & alarm At least once every: ❑13 ~ s(s) NA Mush laterals and pressure test At least once every: ❑ month(s) NA ❑ ear(s) At least once every; E3 month(s) ❑ NA ea s) tither NA MAINTENANCE INSTRUCTIONS Ilnspections of tanks and dispersal cells shall be madeby 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 linciude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of ioombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) 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. lWhen the combined accumulation of sludge and scum in any tank equals one-third (Y) 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. INN other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, 13nd 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 completion of any service event. Pie of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank{s} for the pnce of painting products or other chemicals that may impede the treatment process and/or damage the .dispersal c dl(s). If high concentrations are detected have the "Wry of tho tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are from at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is tutored the excess wastewater will bile discharged to the dispersal cel(s) in one large dose, overloading the cell(s) and may result in the backup or surface effluedr to th t- the avoid this situation have the contents of the pump tank removed by a S~ Servicing Operate t effluent pump or cxrntact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park Vehkles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area withln 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elmination of the following from the wastewater stream may improve the performance and prolong the fife of the POWT$- antiolotics; baby wipes; cite butts, -condoms; cotton swabs; degreasers; dental floes; diapers; disinfectants; fat; foundation drain (sump pump) water fruit and vegetable peelings; gasoline; grime; herbicides; meat scraps; medksitioris; oil; painting produ(As; 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 propetiy 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 property 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 filed 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: Y 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 requitled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the neled for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules( in effect at that time. Q A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologW a holding tank may be irmtelled 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 sal and site evaluation must be perfomed 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 foilowing removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <NVARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name ,w 7 Phone ? - ,S Phone __4J5 12 SEPTAGE SERVICING OPERATOR UMP R LOCAL REGULATORY AUTHORITY Namei Name 4-7 Phone _2 Phone This document was drafted in compliance with chapter SPS 383.22(2xb)(1)(d)&(f) and 383..54(1), (2) & (3), Wisconsin Administrative Code. r i u + : I i" I fV ~ r~ t a •t'' a 1 t-r 1- I{I1j S~l: l tt ? a ; ¢WC 1..: ! I d o I a -Q r ao -i a I LU 00 v I to ; \ L { z 3 LLJ C/l i I N, - IN r_ I 'll~ I ~ it I i 7 y 7 I II i11'® l~ , _ ~ , rh I ~l I I ll I I I m I~ z m ILT K jl I } m I~ ~ l i I W~ - ~ to I ~ I l ; . IN i I r I~ I 1 ti l s II' t II F I.' i ~ ii ~ I I I i r Z ° m w I <n cn ~D Ap I 2A r. 01 m~ < m _ Irf ~ m 4n i ~ 6 dill ~i s n gag a ~sas I ad Y 3 ffl ~I t S 6 ;xxz se , xa ? s V o mv < a N ~o~ Z N ' 1, Dl m r o ~o ~ ii v I I ~ l ~ i l p o ~ m W ` G 0 0 13j: ' ~o Z lio I ~ I ooa a 0 3 L' n I m, ' j i I ' II ! I jm ~ «a Ip I I s,.o~ ,e s I I I I, II I I ! 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N ~ I III 'I o g I i II ~ ~ o y p O I a IC-T, Z o O m - - P^ g! - CD ~z _ I I £ m 3 O I- I~ 31, In m ~T 1111 II ~I I I llt I gl ' oo I I O x~~'-. 13 m z 1009197 BETH PABST REGISTER OF DEEDS DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-2003 ST. CROIX CO., WI WARRANTY DEED RECEIVED FOR RECORD 03/18/2015 8:02 AM THIS DEED, made between One Corporation, a Wisconsin corporatio EXEMPT 0 NA ("Grantor" whether one or more) conveys and warrants to Oevering es LLC, REC FEE: 30.00 a Wisconsin limited liability company ("Grantee", whether one more), the TRANS FEE: 360.00 following described real estate in ST CROIX County, State of Wisconsin: PAGES: 2 SEE ATTACHED EXHIBIT "A" **-rhe above recording information verifies that this document has been electronically recorded & returned to the submitter RETURN TO St. Croix County Abstract & Title Co. Inc. 219 S. Knowles Avenue New Richmond, Wl 54017 026-1302-04-000 026-1302-07-000 026-1302-12-000 Tax Parcel No: 026-1153-14-000 026-1153-15-000 026-1153-I6-000 026-1025-40-070 026-1025-40-080 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 farther except 2015 real estate taxes. Dated this t-7 day of March, 2015. One Corporation, a Wisconsin corporation y: Thomas D. Mews, reasurer AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this day of STATE OF WISCONSIN 20 COUNTY OF ST. CROIX )i ss' m TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me this day of March, 2015, the above (If not, named One Corporation, a Wisconsin corporation by Thomas authorized by 4 706.46, Wis. Stats.) D. Mews, Treasurer to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY tC(`' Robert L. Loberg / Loberg Law Office `l -J C`d ' r Notary Public ty, Wis. 1522528 / asc t~ S C>~iX bVi ~r U My Commission is permanent. (Signatures may be authenticated or acknowledged. Both are Ifnot, state expiration date:r, L2-r22t not necessary.) .k f *Nat- of per-n- signing in any capacity should be typed or printed below their signature S. - 1 s WARRANTY DEED Form No. 1-2004 St. Croix County 1009197 Page 1 of 2 EXHIBIT "A" Parcel 1: Lots 4, 7 and 12, County Plat of Ninety Fifth Street Site in the Town of Richmond, St. Croix County, Wisconsin. Parcel 2: Lots 14,15 and 1Y14at of GlenView in the Town of Richmond, St. Croix County, Wisconsin. Parcel 3: Lot 2 of Certified Survey Map filed June 6, 2005, in Vol. 19 of C.S.M., pg. 4992, as Doc. No. 796820 located in part of the NW'/, of the SE'/a of Section 7, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. TOGETHER WITH AND SUBJECT TO a 66 foot joint driveway easement as shown on said C.S.M. Parcel 4: Lot 3 of Certified Survey Map filed June 6, 2005, in Vol. 19 of C.S.M., pg. 4992, as Doc. No. 796820 located in part of the NW'/ of the SE'/ of Section 7, 'T'ownship 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. TOGETHER WITH an easement benefitting said Lot 3 and further described in Easement Deed dated May 25, 2005, recorded June 6, 2005, in Vol. 2816 of Rec., pg. 111, as Doc. No. 796819. St. Croix County 1009197 Page 2 of 2 LB.O. EL +827,00 t 5 4 DRAINAM-/ s4.+~4e &F. .i EASEMENT ~ (2.22 ACRES H.w.L 424.80 t DRARIAOE t LB.o. EL v23 00 EASEMENT / 51•E Si3. i j AoE ~ ~ 71.82' t +aox 80.79 ►~35~ iii ~r S"1I6.~ ~a~~ ~ A4l l •f.`` j~ f~ 16 (1.U ACRES) 17 i ` j L&M EL 5x7.40 ~ J M.015 S.F. 1.86 ACRES q f i ! 5 LB.O. EL ~ OV 00 ~ ~ 74,,OM tF. -04 A S.F. ) j r (1.70 ACRES) / f CRE LB.Q EL 42100 LQ OM EA EL 927.00 / t 14 ~ X. 74,351 &F. ' • LIM EL • $ =DO 19 86,087 S.F. I lr (1.48 ACRES) f rl f i 21 K 22 57.785 S.F. 20 WAGE 88„516 S.F. $ (1.54 ACRES) 87,547 S .F. / 0 rr _I ~ (2.01 ACRES) r 36 934.10 .4 (2.04 ACRES) 47 I Ar LB.O. EL - 834.10 J i iQ JJ ~I 'RECTIVEP , ~ Wisconsin Department of merce - ILuELLAmrl- VALUATION REPORT Page of Division of Safety and Buildi S is AU (yin fcc - a I ~ ~ 01 Code County Attach complete site plan pa 11 in hes in sizeust include, but not limited to: rticat ° (1~ V, Ant (BM), direction and Parcel I.D. percent slope, scale or di land distance to nearest road. Revi Dat ed Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m))• Property Owner Property Location L) / 0 Govt. L 1/4 A/(,)14 S/ T30 N R~ E (o W Property is Mailing Addreess(• Lot Block # Suu d./Name or CSM# t 0 ~E') (ale ~IJV / I x})4- / state Zip Code Phone Number ❑ City ❑ Vi111agge Town Nearest Road Code derived design flow rate J~ GPD ew Construction Use. 'dential ! Number of bedrooms ❑ Replacement I ❑ Public r commercial - Describe: _ ft. Parent material G W`« Flood Plain elevation if applicable General comments aj t , and recommendations: lI # Boring n soil lication Rate Pit Ground surface elev.- ft. Depth to limiting factor Zi~12, in. Horizon Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff Depth 'Etf#1 'EM in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Z , 1 z_ - r D /D D L Z Boring # Boring ❑ ft. Pit Ground surface elev. Depth to limiting factor /Z"~in• Soil ADDlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff Gr. Sz. Sh. `Eff#1 'Eff#2 in. Munsell Qu. Sz. Cont. Color • Effluent #1 = BOD > 30 < 220 mgll. and TSS >30 < 150 rr7gA- ` Effluent #2 = BOD 30 mg/L. and TSS < 30 mg/L Sig CST Number CST Name (Please Print) 2T Numb Bird Plumbing, Inc. Shaun Bird Address Telephone Number Date Evaluation Conducted 715-246-4516 1008 192nd Ave, New Richmond, WI 5401 5 Parcel ID # Page of Property Owner _ Boring ❑ Boring I k"O # Pit Ground surface elev. ft- Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots .E GPD9f in. Munsell Qu. Sz. Cont. Colo Gr. Sz. Sh. 110Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate ❑ Pit Roots GPDM Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary 'Ef1#1 'Elf#2 in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. ❑ Boring a Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence . Boundary Roots GPDM `Eff#1 'Eff#2 in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. ' Effluent #1 = BODE > 30 < 220 mg/- and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mgA. 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. SBD-8330 (8.6100) - Soil Test Plot Plan Projedt Name P.C. Collova Blyds. Inc. Shau/B' Address P.O. Box 489 Somerset Wi 54025 CSTM 226900 Lot 16 Subdivision Glenview Date 8/2/05 SE 1/4 N W 1/4S 19 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 Steel Fence Post System Elevation 93.6/93.5 *HRpSameasBenchmark 1t.B.MTop of Survey Property Line iron C96.5 B Property Line Scale is 1" = 40' unless otherwise noted 100' B-3 50' 0% Slope -1 70 35' 30' B-2 Property Line 146th Ave Pc. CofCova Buikfers, inc. Co[fova Builders PO Box 489 Somerset, WI 54025 715-247-2742 Fax715-247-2747 June 30, 2005 RE: Se tic U stems at Glenview Lot 13 - 1475 92nd Str., New Richmond Lot 14 - 936 1460' Ave., New Richmond Lot 15 - 938 146th Ave., New Richmond Lot 16 - 942 146th Ave., New Richmond Shawn Bird went to Lot #13 around 12:00 PM today to do the septic system Dug holes where indicated on original soil evaluation form and found bad material. Appears the soil had been disturbed. There were inconsistencies from what the original soil evaluation test showed Did a re-perc on Lot # 13 and was able to find a new spot. Installed the septic system in the new location. Called Richard Nelson about this matter. He was in the area and he stopped by and viewed the soil. Discussed with him what the situation was and that we would have to do re-peres on the remaining 3 lots (#14, 15 &16). Discussed about getting reimbursed for the costs to have all 4 lots re-perced. Called Glenn Basil and left a message. Phil left the excavation office phone number as well as his cell number. As of 4:30 PM today he had not returned Phil's call. Pam at St Croix Zoning came out for an inspection of the septic system around 2:30 PM today. Discussed re-percing as material had been removed. Asked her to sign this letter indicating her agreement with the assessment. hilli Collova P.C. Collova Builders, Inc. Shawn Bird lumbing, (7 ~ Pamela Quinn St Croix Zoning a k l V lUhs~~~ A~ ~ vris~~ MA: Q, /~G~GGU!'t~ / ~-v~ 9r S~S~Yn G[~4.e~,T y~ ~jdcp A~ Gc/ m3 UNPLATTED LANDS • N00.00'10'W i 1 •P• Oi . ~n#~ 5704.65' Fi of a ff " _ sa25&IW - 50000'10'E 605.11' So0VD1Ot 444776 CJ i 23513' o r---------------_ NOOVO'10'W 604.45 Q 226.51' 3 1 12555 54.90' 1 1 R• 1 I 1 O 1 ~ 1 I N S r M •Y, 46M 1.... I W. ,'N •O 0, C4 aM 1 a' m fi r' .rq♦ ♦ • m Tdq I d 1 I i I ~J k 1 Q] ♦S\ n Iv m• ♦ Y 1,♦ l a S •'00.26'E 256.20 M, m x a m 4~♦ • ♦ }r - m . m .Q6• 1~ 219.56 A Jt h M ♦ ' i y,/ ~ ~ I x•L ~SbS~t~ R ~ ~9•y q~•~d' ~f' m• At 0 soowoww oI I i ffi ® 1-~-- i 1 11135' 00 03 3s l~. m M s, I• • 4\ H:i _i ^ I I~ Y • m m 4¢ n~ .I li~yf `e$. ss'T+t~d1.~ m t(yby'N o r 1 i j siZ~ ml I s m co ~i `a'te ` 1 r C4 ON) C-4 j 'a ( 1 • .4643. 69624 ~m •m .dl W St'E a; mM~• m t i _ I 1 35ad ..sr a.ss 74620 .•r stoSb N 1>!~ • 4 i 1 162.07 16502' 16501• t5 `t 3 lag I 8 tuC N in Zd ■ zn 1 I <s 2 t m m R r i 1 I ; ~ I'X N ~a'` m' • 1 ..d ~ ~ off'` +tr'!O i:, i^ t' m i s • a m b '(AYEAL_^ SKtt It I'n a • v t " • /1 m 03 j IM in • / m tI t`% W 1~ j nI I t Y a^ N \ %i~ 00 • o 4 A I = I I n Am M 1 I • JY 11' i ~ j , 1 i i 16aoc +64"00' 379.7 61.75 I sm'JY01'E ~ O III,.+•// 1 I e M 1 1 i 1 1 O i 1 SEE SHEI Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County ~ A ~ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. 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. Please print all information. Re ' wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). IL Property Owner roperty Location / ovt. Lot MLA A S T 3 N R E (o W Prope Owner's Mailing Address i Y 1 of Block # Subd. Name or M # W City tate Zip Code ( Pe Number 1 ❑ City :3 Village X TO Nearest Road Z New Construction User Residential / Number of bedrooms 314-PI- Code derived design flow rateGPD ❑ Replacement ❑ Public or commercial - Describe: Parent material _L~✓L C ~`~G/ ~j Flood Plain elevation if applicable - - _ 'dzZX` ft. General continents ~v - 0/9 and recommendations: C- 9, 7 J "rq w` r 4 ~ 5 ~~e ' ~ vv-auL. fit' TCc ~f e, 1&t, i G t/' Vn~,y ID2 n~L>, S n Boring d22 S • 260 M Boring # pit Ground surface elev. ~ ft. Depth to limiting factor --F-~ in. Soil lication qRate 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( J t^ , J -7 111-48 1 A V- .51 11,h J-Al< 1~ 13 Aa- Al) Z- X3.10 ® Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor LLI-17) in. -9 Soil lication 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 2pn 8'1/ c~ S - w 1':~' i SSG n .c Y)' .t, 7 j. L cd- 13•(0 Coo/ ~ Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, Wt 54017 1_1~_,.. Cam 715-246-4516 Property Owner_ Parcel ID # Page of FT Boring # ❑ Boring L Pit Ground surface elev. ft. Depth to limiting factor / D in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 2 2 s .0 /6- -7 Z } 7F ❑ 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 D 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 Effluent #1 = BOD5 > 30 1220 nVL and TSS >30 < 150 mg/L • 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) Soil Test Plot Plan f Project Name Lakes and Hill Development Shaun l f Address P.O. Box 10598 White Bear Lake Mn 55110 Lot 16 CS #226900 Subdivision Glen View Date 7/18/03 1 /4 N W 1 /4S 19 T 30 N/R18 W Township Richmond Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 99.0/97.5 *HRpSame as Benchmark Alt. BM Top of Survey Iron @ 96.4' B.M. 194' Property Line .M. 72' Property Line Please note: survey was not completed at time of testing, setbacks from lot lines may 55' change. Installer must verify all lot lines and setbacks before installation. 103' 101' 99' Scale is V = 40' B 1 20% Slope unless otherwise noted ' 5' Please Note: Tested area 0 B-3 5 B-2 may not be suitable for desired building area. Check system location before excavating. i` M M Pro Town Road