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Home My WebLink About026-1304-02-000 in Department of Commerce : County wilding Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT Sanitary Permit No: �g GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, x.15.04 (1)(m)]. /)A- Pertnit_Holder's Name: D /� � Q City village X Towns ' Parcel Tax Na �Zy CST BM Elev: In p. BM Elev: BM Description: Section/Town /Range/Map No: r � TANK INFORMATION ELEVATION DATA tom. 1591 TYPE MANUFACTURER ,Iel CAPACITY STATION BS HI FS ELEV. Septic ^ Z Benchmar Dosing Alt. M Aeration Bldg. Sewer 7 0 7 Holding St/Ht Inlet 6 7 7f TANK SETBACK INFORMATION St/Ht Outlet g, y ' 3 TANK TO /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet d � Septic i Dt Bottom 13 2 le Dosing Header /Man. Aeration g� qy / Dist. Pipe g . L, ma y, 4•� q g Holding Bot. System 9. 7Z. 9 Z . ! / O• Final Grade lU PUMP /SIPHON INFORMATION 7 Manufacturer Demand St Cover Model GPM N TDH ift Friction Loss I System Head TDH t Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM 13EDITRENCH Width / Length No. Of Trenches IT DIMENSIONS No, Of Pits Inside Dia Liquid Depth DIMENSIONS 3 /� t! 1 jG INFORMATION SETBACK SYSTEM TO � / P/L JBLDG IWELL LAKE/STREAM LEACHING Manufacturer: Type Of System: CHAMBER OR A t n UNIT Model Number. DISTRIBUTION SYSTEM ," `� �f' o� � rHeader /Manifolds t Dis tribution x Hole Size x Hole Spacing Vent to Air tak Pipes) ` gth $ Dia 'q Length 1 Dia Spacing t 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 N 5� Z Bed/Trench Edges Topsoil ❑ Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / ! Inspection #2: / / Location: C �� S parcel No: a�— �,p``G, r;';-L 1.) Alt BM Description = a ,^ 2.) Bldg sewer length = /3 - amount of cover = 1 S Plan revision Required? ❑ Yes YNO 1 r !X Use other side for additional information. t u SBD -6710 (R.3/97) Date Insepctors ignatur Cert. No. PAID COmmetiCe.wl.gov Safety and Bw ings Division County / /� 201 W. Washington Ave., P.O. Box 7162 '5'7.0 A., +� sco n s i n Madison, WI 53707-7162 Sanitary Permit Number led in by Co.) t)epartmsrtt o1 coinnteroe Sanitary Permit Application State TransactionN mb r In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (it different than mailing address) submitted to the Department of Commerce. Personal information y pro 'de may be used for ndary � 54 — u oses in accordance with the Privacy Law, s. 15.0 1 m , Stats. Jam' I. Application Information - Please Print All Informati Property Owner's Name t6 Parcel # Property Owner's Mailing Address Q Property Location / J • / OC� Govt. Lot City, State Zip Code Phi �(�L %., �� %,, Section t 3 ircle o� II. ypefBuilding (check all that apply) of # T ` N R� E Z 11. or 2 Family Dwelling - Number of Bedroo Z Subdivi ion Name Block # - ❑ Public /Commercial -Describe Use 6 1 011 '� t c —"� ❑ - ❑ State Owned - Describe Use CSM Number ❑ Village of _ own of I (() T w1w 6-C, III. Type gf Permit: (Check only onk box on line A. Comp 111i line B if applicable) A ' New System ❑ Replacement System y p y ❑ Treatmeement Only ❑Other Modif ication to Existing System (explain) B. ❑ Permit Renewal rmit Revision ❑ Change t Transfer to New Before Expiration List Previous Permit Number and Date Issued (�Q �qfV� 3 v / D IV. T e of POWTS S stem /Corn onent/Device: Check all that a // OO VC�C/ on In - Ground ❑ Pressurized In Ground ❑ At - Grade Mound > 24 in. uitable soil El Mound < 24 in.. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) _ ❑ Pre ent Device (explain) 3 t V. Dispersal/Treatilient Area Information: Design Flow (gpd) Desi 15 ,.S oil Application (gpdsf) Di Area Required Dispersal roposed System Elevatio �� ' VI. Tank In f Capacity in Total # of Manufacturer Gallons Gallons Units oo U New Tanks Existing Tanks gc d by y v� 4 o / /&01 r 1, cG U rn w, rn iw 0 w Septic or Holding Tank Dosing Chamber VII. Responsibility Statement 1 , j tbeirpriersigued, assu sibility for installation of the POWTS shown on the attached plans. Plumb ' (Print) - Plumbue ' S' re MP /MPRS Number Business Phone Numbe 1Z ZV 4 1 7 11 Plumber's Address (S I. City, State, Zip C VIII. Cou /De art Onl _ Approved DisaQproved Permit Fee Date Iss Tlz� Issuing A t Signature $ ?> / caner tven Reason for Denial IX. Contliti�niAplarntyallReasons for Disapproval 3, so, 1. ` S *ic tank, efnoent filter and -J D dispersal ce0 must all b L Mana gement pl ( t../ I •� � 2 AN setback t an proyldtad by�pl� aFllenta MWt.be tnai /�1 �r.�. c e e system and submit to the County only an paper not less than 8112 x It inches in Btu SBD -6398 (R. 01/07) Valid thru 01/09 ID Wisconsin Department of Commerce SOIL EVALUATION REPOR --- -"'"""p of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County `- 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. O Z4 . / d T" 6 z • ond Please print all information. Review by Date — t) Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). /10 0 f d Property Property location I 0 Govt. Lot W 1/4 114 S T fO N R E (o W Props 4 — wner's Mailing Address of # Block # Subd. Name or CSM# 'r - L2,j. A"-f City State Zip Code Phone City Village QJSJown Ne rest R d New Construction Llse / u a - pYid Code derived design flow rate .� GPD ❑ Replacement ❑ Public or m Describe: Parent material /,U Z.0 / Flood Plain elevation if applicable 4 Z1 Aem ft. General comrnents and recommendations: System Typ System Elevation t / Ong # E] Boring Pit Ground surface elev.. l , ft. Depth to limiting factor T � 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 2 1 .r-3 0 1 �cJ r D ® Boring # 0 Boring [9 Pit Ground surface elev. i ft. Depth to limiting factor ()l- y 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 C f it l, • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg& CST Name (Please Print) - - - CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 540 ��' 7--1 d 715 - 246 -4516 1 Property Owner _ R Parcel ID # Page of I:$ Boring # ❑ Boring Pit Ground surface elev. V\ ft. Depth to limiting factor 1 in. Soil Application Rate ® - �-- -- Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/if in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ( -1 C r Z o 2 v .r- o - l� a Soling # ❑ 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 I 'Eff#2 F] ❑ ❑ Boling Boling # Ground surface elev. ft. Depth to limiting factor in. Pit Soil Application Rate Horizon 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS 130 mg/L. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.6/00) Property Owner _ Parcel ID # Page of Boring # ❑ Boring pit Ground surface elev. Depth to limiting factor 0 in. Soil Application Rate S1 1 . t r -r 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 Z o - 20 r- ,� o -1 v ---- S ( I W4 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 # ❑ Boring C1 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ' lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 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 and System PLOT PLAN PlkOJECT Dave Kieckhoefer ADDRESS 943 170th Ave New Richmond Wi 54017 SW 1/4 SW 1/4s 7 /T 30 8 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 1 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. Top of foundation f ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 94.4/94.3 5' below grade 92nd St AL i c Quick4 Standard -W Leaching Chamber with 20.0 ft2 of Area 100 5.8ft ^2 /pair of end caps 3 4 Grade at System Elevation Plans Designed Using Pro 3 Conventional Powts Bedroom Manual Version 2.0 40' House 40' B. M. 35' 10' 0' Well is to meet all 30 7% Slope ST 3 setbacks required by 10' 5' WDNR B -1 B -2 0' Vents 35' B -3 2 -3' X 66' cells with >3' spacing Property Line IL Comn rve.Wl. afe d Buildings Division County f 9ov .[,( J/t� r 201 ashington Ave., P.O. Box 7162 ( ! • l v ) 6 seen s i n Madison, WI 53707--71 G Sanitary Permit Number (to be filled in by Co.) lispartntsrtt of Commerce Sanitary Permit Applic4 State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this to the appropr t�� Vital unit is required prior to obtaining a sanitary permit. Note: Application £or �t o P WTS are oject Address (if different than mailing address) submitted to the Department of Commerce. Personal information , )K u ma used f�r�pi - u oses in accordance with the Privacy Law, s. 15.04(l) m de , Slats. Kpl p I. Applica Information - Please Print All Information O & Property Owner's Name Parcel # Property Owner's ailing Address Property Location Govt. Lot —, —) City, State Zip Code Phone Number . St� �, �LLJ /,, ion (� )+ Cl 1 v I T_N; R _E rW Type of Building (check all that apply) 0 fie I Lot #/ r 2 Family Dwelling - Number of Bedroo Subdiv' 'on Name Block # 1 ❑ Public /Commercial - Describe Use ❑ Ci of ❑ State Owned - Describe Use CSM Number ❑ Village of , Z N >54 , l.✓ � own of--- ---- � - - -- III. Type of Permit: (Check only one hbx online A. Complete li B if applicable) A. System ❑ Replacement System ❑ Treatment/Holdip' ank Replacement Only ❑ Other Modification to Existing System (explain) B. El Permit Renewal ❑Permit Revision ❑ Change of umber ❑ it Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S stem/Com onent/Device: Check that apply) on Pressurized In Ground [I Pressurized In Ground ❑ Grade ❑ Mound > 24 in. of suitab ❑ Mound < 24 in. of s soil ❑ Holding Tank ❑ Other Dispersal Component (explain) _ ❑ Pretreatment Dev a (explain) V. DisperstallTreatipent Area Information: Design Flow (gpd) Design W'IA licat ion Rate(gpdsf) ispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevati VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ` - o Cj New Tanks Existing Tanks 1 p H W C�7 a. --- Septic or Holding Tank — Dosing Chamber VII. Responsibility Statement I , the undersigned, a responsibility for installation of the POWTS shown on the attached plans. Plu is Name (Print) A Plu Signature MP/ IPRS Number Business Phone Number Plumber's Aadress (Street, City, State Zip Co /� VIII. Court /De artment Use Onl pproved isapMvn Permit Fee D Iss d Issuing A Signature ason for Denial $ ! 7 5' IX. Conditi T�f Uentfi for Disapproval 1 S 3) 0A /► / &e /o P at) . , � Aa � dispersal e io tank, a mus a ll and be rJ ldk.�. ! [ � r � call call must a ll be services / maintainlM as per management plan provided by plumber, Z AN sgback-k i ttr rtilater a mWt,be maintained sa / Attach to complete plans for the system and submit to the County only on paper not less than 8 V2 x It [ncbes in stu SBD -6398 (R. 01/07) Valid thru 0 1/09 I I Cover Page g Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 9/27/10 Owner: Dave Kieckhoefer Location:SW1 /4 SW1 /4 S7 T30 N,R18W Lot 2 Hayden's Rolling Acres Richmond System type: In- ground absorbtion system (conventional) Manuals Used: In- ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4 -5. Maintanance and Contingency Plan 6. Filter Specifications Shee Signature License nu er 26900 PLOT PLAN PROJECT Dave Kieckhoefer ADDRESS 943 170th Ave New Richmond Wi 54017 SW 114 SW 1/4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 /28/1 O 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 BENCHMARK V.R.P. To of 2 pipe Top pp ASSUME ELEVATION 100 Filter BEST Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 92.0/91.6 3' below qrade Well is to meet all setbacks required by WDNR Vent >6 ), Quick4 Standard -W of Cover Leaching Chamber Plans Designed Using with 20.0 ft2 of Area Conventional Powts 5.$i ^2 /pair of end caps Manual Version 2.0 4' Long 12" y f Grade at System Elevation 34" Pro 3 Property Line Bedroom House 92nd St 30' ST 30' B -2 7% Slope 2 -3' X 94' cells with >3' spacing 87' B -3 1 ' B -1 Vents 179' Property Line B. M. 14' Alt. B. . ? 3 5 35' PLOT PLAN PROJECT Dave Kieckhoefer ADDRESS 943 170th Ave New Richmond Wi 54017 'SW 1/4 SW 1 /4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/28/10 BEDROOM 3 CONVENTIONAL )00( 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 2" pipe ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL H. R. P. Same as Benchmark SYSTEM ELEVATION 92.0/91.6 T below qrade Well is to meet all setbacks required by WDNR Vent >6 „ Quick4 Standard -W of Cover Leaching Chamber Plans Designed Using with 20.0 ft2 of Area Conventional Powts 5.8ft ^2 /pair of end caps Manual Version 2.0 4' Long 12" Grade at System Elevation 3 Pro 3 Property Line Bedroom House 92nd St 30' ST 30' B -2 7% Slope 2 -3' X 94' cells with >3' spacing 87' -3 1 ' B -1 Vents 179' Property Line B.M.* 14 ' Alt. B. ? 35' 35' Cross Section of Quick 4 Standard -W Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard -W Leaching Chamber with 20.0 ft2 of Area per Chamber 5.8ft ^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 101.0 t � Grade �► Vent 4 , Septic Tank " 1 , Iven, 5' 4' Long �� Grade at System Elevation 34" Grade at System Elevation 34 Spacing 5' 2 - 3' X 94' Cells Same on other end Observation tubeNent 'To be located on ends of cells A 23 chambers per cell B System elevations: A__93.0 B 92.6 Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system, 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Co Plan Option #1. If ystem fails, determine cause of failure, use alternate area and install new sted replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715- 386 -4680 Pumper Tom Mondor 71 5- 246 -5148 Shaun Bird #226900 Z O_ LLI ~ Lu N ~ W 3. 1 1. w LL Q O U "LL U } Qoo�m p w o 0 0 M H w p o Z a q LL o Q d m 10 md2o U- 0 0 L rl- �i 0 0 N z 0 F- J a� o Lu LL � � O m tL m rn tV W O O N Q� w K 0 a w U � U J Q N S Q � O �D Q f- O w � d ��W O �a ° � O 1358 � SOIL EVALUAT ORT Wisconsin Department of Comma c J' i _ Page 1 of 3 Division of Safety and Buildings in acconc!4 a vrith Chd Tom Schmitt Attach complete site plan on paper not less than 8% x 11 ' County has in size. Plan must St. Croix include, but not limited to: vertical and horizontal refere point (B irect d 6 percent slope, scale or dimemsions, north arrow, and I n and tfis`tahCa f6 ne t�ro�ad. Parcel I.D. C j / C � v C J Please print all informatign. Srt. 1RO1X CORN', ' / r Reviewed By Date Personal information you provide maybe used for secondary pu uses (Prii�54 Z Property Owner Property Location Grand Properties, LP Govt. Lot SW 1/4 SW 194 V 7 T 30 NR 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 2 1 Hayden's Rolling Acres City State Zip Code Phone Number _j City _j Village 16 Town Nearest Road Somerset I WI 54025 1 715 - 247 - 5900 Richmond I 160Th Ave. ig New Construction lase: ie Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a c onventional system with a 0.4 gp d/sq ft rating. Possible system elevation for Area 1 is high trench 93.5', low trench 92.5'. Slope is 7 %. Boring # Lj Boring !m Pit Ground Surface elev. 96.0 ft- Depth to limiting factor 100+ M. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' *Eff#1 *Eff#2 1 0 -8 1Oyr3/3 none sl 2fsbk mvfr as 2vf .6 1.0 2 8 -16 7.5yr4/4 none grsl 2msbk mfr gw 1vf .6 1.0 3 16 -30 1Oyr4/6 none s Osg ml gw — .7 1.6 4 30-52 1 Oyr5/6 none tfs 1 csbk mvfr a .5 1.0 5 52 -77 1 Oyr4 /4 none Ivfs 1 msbk mvfr cW .4 .6 6 77 -100 1Oyr5/4 none Icos Osg ml — — .7 1.6 �r Boring # Boring 1d Pit Groun Surface elev. 96.0 ft. Depth to limiting factor 101+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' 'Eff#1 *Eff#2 1 0 -9 1Oyr3/2 none sil 2fsbk mfr as 2vf .6 .8 2 9-18 7.5yr4/4 none sicl 3msbk mfr gw 1vf .4 .6 3 1840 1Oyr5/6 none s Osg ml cs — .7 1.6 4 40-44 1 Oyr4 /4 none Ifs 1 msbk mvfr a — .5 1.0 5 44 -101 1Oyr5/6 none s Osg ml — .7 1.6 9 /! 40" - 44" could be called a 4" band * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt �� 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 6/22/05 715- 247 -2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 a Boring # J Boring Pit Ground Surface elev. 92.65 ft. Depth to limiting factor 100+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -10 1Oyr3/3 none sl 2fsbk mvfr as 2vf .6 1.0 2 10 -20 1Oyr4/4 none is 1csbk mvfr gw 1vf .7 1.6 3 20 -44 1Oyr6/4 none fs Osg ml gw — .5 1.0 4 44-64 1 Oyr5/6 none Ifs 1 csbk mvfr cw — .5 1.0 5 64 -78 1Oyr5/4 none grcos Osg ml cs --- .7 1.6 6 78 -105 1Oyr5/6 none cos Osg ml — — .7 1.6 F—I 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 *Eff#1 *Eff#2 Boring # Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 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. Page-? of 3 • Conducted by: Conducted For: Ref. No. /-Z8 Schmitt Soil Testing Inc. Name: Grand Properties, LP. Thomas J. Schmitt, CST 227429 Address: 712 Rivard St. Suite 100 1595 72nd St. City, State, Zip: Somerset, WI. 54025 New Richmond, WI. 54017 Phone: 715-247-2,941 Subd.Name: Hayden's Rolling Acres Lot No.: -? Legal Description: 5 1/4 AAA S7 T30N R18W ® Backhoe Pit Township of Richmond, St. Croix County A Bench Mark El. 100.00' Top of 0 Alternate Bench Mark El. Top of " �� 1116 Slope= Contour Line El. PW - Contour Line Length 1�W Scale V = 40' Of 1 s 50-1A 11.0- IIW This soil report was done to fulfill a zoning requirement. The road and permanent lot markers were not in at the time the test was conducted. The area in which the test was done may or may not be suitable for your use. I i - a " HA YEN' S ROLLING ACRES (A COUNTY PLAT) L -oared d7 part of the Southwest 114 of the Southwest 714, and part of the Southeast 114 of the Sourhwest 114 of Section 7, Township 30 North, R-9, 18 West, 76- of Rr'cnmond, St Croix County, cousin. -We.91 114 corner 1 60, 7 -3O -18 \ (Found 1 ' iron Pip,) \ \ 80' 7E'WORARr CUT -OE -SAC EASEMENT (70 BE REMOICD 1 �' UNPLATTED LANDS C,U ROAD) North Line of Me SW /SW UPON EXIENSIOW CE 7W 87.5 9476 932. _ nab 1 1 n, O° °r _ _ N 88'43'22 E. - .1676.28:.. _ ' - ' ' - 2M.97- e,01 3ee.es 9ee.e9 t 1 roman .Ta:E.�9 J.5 acres m 26 acres m C B 9 nrw� / `C_' B.O. 7.5 acres 65 303 sq ft = 950.0 s Iµ.e6r� ,. . 1 - CC / y14,258 sq. ft. .O o , .9 ogres L.8.0- 9J0.0 6 \I ti R / I r, 6559! s ai >-p tter q. !t a 65, 456 sq. (t. - 5 Y to a r ver �r/ 974.6 r'q NeeOYSe'E anal ' s, �O 1 BO' 7EMPORARr CUL -OE -SACS [BO=4t30.1f 0 R 6 N Neesl'Se'f- 515.SY �FASFMENT (]b NE REMOVED 65, 576 sq. I}, UPLiN EX7ENSiON [Y' RYE ROAD Ill ._ 757.43_ J6x „$ J 9500 I J�z�. 97,9'3a "E - _ _5 a a 6',020(sq: ft. �" sal alaz11 62NDAVEME ra• fEw. 29 A cres 613. v J U Q'. 126,599 sq. /A .� -- °,1 \ �/ I Z i 294.38'.� 150.85' ' G. No ? ,? -- -._. M6y51T4'.w • \. 967,4 In 3 - O H I s n u� � --YT__- � '>, � N8851'Re 543.9 >' I _. 1.5 acres s 7.5 acres S / "� 15' 66;569 s q, ft . N 65,723 s !(. 7.7 acres a �� - �} g J `. � 2.3 acres 9 2 Y iO v' 4 945.5 s„ ...... 2:2 acres $ tOf,539 sq. ft. oI 72920 f g" , sq, t. LBO.= 9455 `L! 3+ j \ F . w Cl �I a ac ¢ F P al 9 96, 4JJ sq._H. n 64.5 9 0956 9 95T T 57 0 9531 4 a '1 y ~ 21 p.0a 31 .a� i10.pa' 81,6 2' - .Ne6•Sb'16'E 1 \ i.w 589'05'52 "W 630.12' sesel' - 4rww P sn:rowr./ Sz s• os,aa• LOT 2 I LOT .3 I LOT 4 CERTIFIED St/R BEY MAP 1 2,3re5 >7 7 - 3 6 - 101, 124 sq fr. q UOL tv PG 4145 4 . & L.B. -cres O. o f 99,362 sq /t. e` 1.Sa• 968.2 se '11'11•[ 961.8 See ' ' .. 75 E y' .9R I z _ n € I oar 2 .1 �s5514selrt. 2.1 acres q. w a 89,404 sq. R. m r7 979.5 s 1w r sae26'ZS'E A �Zb"o'[ 64. I Q I O +alq' � � sa94r 1 21 1-1 �� 2.7 1 I N N I JB 996 s I � 92950 s4 ft �• ..._........ - A ro2633' �� ._- _ - `_ _ I _ T /1� - • b b _ _ _ _ - 4 LN89'OS'S2 "E_ _ _ a, 042.44' V � - -160TH AVENUE- - - = - - ' -- ---- - - -- -- R S89'0552 7027.21' _ Satm �_ - -- 1 4 corn er section 7 -30 -1B South Line of the Sw/BW 5 9'05'52 "W 2699.77' NORTHERL y LTMt76 OE BD' INDE (F nd Ai 1- ibulhwest Corner EASEMENT 70 DAIRYZAND POKER �- County MortTrmenfJ .Sac 7 -30 -IE COOPERATIVE IN DOC1597994 (rund ntum1 um 17NPLA TTED LANDS VOt 11104 PG287 o - ---- --- --- fl County Monument) 1' e UNPLATTED LANDS CURVE TABLE VICINITY MAP LEGEND CURVE RADIUS DELTA ARC I CHORD CHORD BEARING TANGENT BEARINGS Cl 233.00 17'16'48' 70.27' 70.OD' SOB'49'17'W NDO'10'53'E Nt7'27'41'E SFf,. 7, T. 30 N., R,18 W. C2 16700 36'36'36' 10631' 1 104.90' NOO N17.27'41'E N19 TOWN OF RICHMOND, ST, CROIX COUNTY, Wl S-u- Corner Monument or Record C3 23300 37'28'47' 152.42' 149.71' S85 576'03'57 - W N66'27'16'W NOT TO SCALE o Found I Iran Pipe C4 . 167.00 20'48'19' 60.64' 60431' N76'51 N66 N87'I3'35'W Set 1 -1/4 x 18" Iron Reba, CS 233.00 20'48'19' 84AV 04.14' N76 S87 S66'27'16'E LOT 10 233,00 20'06'2t' 61.76' 0L34' N77 12'24,5•V S87'15'33'E S67 I� (weighing 4.703 IDs. per linear toot) LOT 11 233.00 0'41'58' 2.94' 2,84' N66'40'15'W S67 S66'27'16'E BNllding Setback Line C6 167.00 37 109.24' 107.30' SBS'lV39.5'E S66 N76'03'57'E (100' from Righl 01 way or ae rated) C7 233.00 15'11'24' 61.77' 61.59' SOI'49'11'W W5.47 '31'W N09 I Apprmimale Orivew°y Locotlon C8 167,OD 7 22.08' 22,07' NOS'36'35.5'E N09'23'S3'E N01'49'1B'E 1I N L9 233.00 8'27'17' 34.38' 34,35' NOS NOD'S6'36'E S09'23'53'V ' Ip(I - - -- Denotea Drainage Easement Llna CIO 167.00 28'32'48' 83.27' 82.35' 504 S09'23'S3'W SI9'OB'S5'E N w N E _ x Denotes Existing FanccOne Cll 233A0 36 148.08' tAb.3b' N00'S0'37'W S19'OB'S5'E S1T'27 y -1 L.O. Minimum Elevation of L. 80d).9 Opening C12 B. 167.00 17 50.37' SO.iB' SOB'49'll'V Sl7 S00'30'S3'W -" - 'I - - M.W.E. 100 -Year High Water Elevation Denotea Drainage Easements SE 6542 Benchmark -Top of iron Reber pr Pipe NOTES 12' Utility Eo9emant -lonq -dl- ELEVATIONS ARE USGS NAVO 1988 BASSO ON GPS 085ERVA11pNS. 160TH AVENUE I I BEARINGS ARE REFERENCED TO THE NORTH /SOUTH 1/4 UNE ` ALL OTHER LOT CORNERS MARKED WITH A I" OF SCVBDN 34, WHICH IS ASSUMED TO BEAR S89'37'14 + 1B" IRON PIPE (WEIGHING 1.13 LBS. PER BEARINGS ARE REFERENCED TO THE WEST UNC OF LINEAR FOOT) UNLESS OTHERWISE SHOWN. THE PARCELS SHOWN ON THIS MAP ARE SUBJECT TO STATE, COUNTY AND JOB k IM057SD44A THE SW I14 OF SECTION 7, T30N, RIBW, WHICH IS TOWNSHIP LAWS, RULES WO REGULATIONS ILE. WETLANDS, MINIMUM LOT SIZE, P7SPOIed by TO PARCEL, ETC.), BEFORE PURCHASING OR DEVELOPING ANY PARCEL. ASSUMED TO BEAR NUO'10'S3 "C. CONTACT THE ST. CROIX COUNTY ZONING OFFICE AND THE APPROPRIATE TOM X BOARD FOR AD CE. Cmufd'ng -p, Inc. NO OWNER OR RESIDENT SHALL OC ANYTHING WHI[H OR ;:HANG! THE OPERAiiON OF THE MPROVED COMPRE N51YE WATER ORAINAGE Phone No. (715) 246-4319 - AND SOIL EROSION PLAN FOR THIS PLAT. THIS INGWOE BUT IS NOT URN' p TO Fax No. 715 246 -3830 SUIUNNG UPON, OBSTRUCTING, ALTERING, FILLING, FICA RN R PLANIINC IN ( ) ANY DRAM ACE EASEMENTS, WATER DR DITCHES, ATE UNWAyS, WATER P.O. Box 325 CULYERTS. BERMS OR GRASS SEEDINGS. NSW Rkh-d, W 54017 -; SHEET 1 OF 2 SHEETS 0 ri ST. CROIX COUNTY SEPTIC TANK MANTMANCE AGREMM AND OWNER SFnp CERTIRCATION FORM owneriBuyer Mdft Addrm 74J O p from Pbn=g & Zoaang DaQ new ate) �vesific�tiom r equired City /State Parcel Ma ficatt -7 on Number �a 6 t�AL DESCRIEPTNJN Src� �/ '8 114 Sec. TaN R. Town of Property Location /4 a = Svbdivisim CertWed Survey M.aP # t ____�� Volume _ , P$ge # "� , Volume � � Page # r.-- 9/�1� warrani3► Deed # Lot �; bu � no Spec bouse; (9 no SYSTE m ,�•�"" • � AND nwNTtt [ 'tt'_i'IFICAT to 11� d• b> wa p3+oper use and of y�� s by a ResodFes - �t y" bAD oomsa� of pampin$ out &e, septic m the waste ' Owteti the system oan affedit of the tank as a �ma t StW at .ed in §Coamm. 83.52(2) an d is Cbxpw 12 - St. Croix Coin' Shy Os+ - responsiAlities ju prwperty owner agrees to submit to S`t. Croix County Plate & Zoairg Depatta t a by ft owner and by a mwow pjnng3m ] Plm°ber, rest toted Ply or 2 licensed (if X5 o Oft � is wastewater disposal owner is is proper opat8 condit and/or (2) aibar inspection, ad Pumping , less than IA W of slu48e- with the Uwe, the ,m,�ed bav a read the above requimemaats and agree to ma'atava` R � . o �raaconsin. sp�ards $et foarft baretn, as set by the x Eh*dm Wt of C.o and the Department J $u St. Cro%a� County PCB Cab cat m stating tba+t your septic syo n bas been =,W be coped ad zeoaned to Zoning DeperMent wtt11ia 30 clays of the *M year expiration date. Uwe catify that all stotamen" on this foams are true to tho best of may/ our knoR'ledga Vws &wfm* *e owner(s) of ft p dsamlbed above, by virtue of a v=anty deed recorded in RagisM of Deeds Offtm - Numb er of bedrooms DATE SIGMA OF AP'PUCANT(S) .se Aay info 11121b 1 "On ed may result in ft sanitary pe rwit being revoked by ft planing & z*jfmS Dq=tMtM # *� h with this apphcst m a recorded. wSMW1Y &ed liom• the RoVSW of Deeds OE= acrd a copy of dte cestfiod survey nap if refftence is maube it: ti:e warr�y deed. MW. 0&" - . - I Illlf! Iifll 11!11 IIIlI IIII! IIIlI IIII !11111 IIII I!!I * 9 1 6 125 1 State Bar of Wisconsin Form 6 -2003 916 125 SPECIAL WARRANTY DEED BETH PABST REGISTER OF DEEDS DoasaauNar" DONWN Name ST. CROIX CO., WI RECEIVED FOR RECORD 05/17/2010 11:50AM SPECIAL WARRANTY DEED 'PHIS DEED, made between Anch" 11L FSB EXEMPT i ("O"°ltor'„ whether one or loon), and REC FEE: 11.00 David Kisctrhaek sad Pam Kieckhoefer. busbandmW wife (��„ n or ) TRANS FEE: 375.00 Grave for a vabtable consideration, conveys to Gnmtee the following described real PAGES: 1 estate, togedier with the rams, profits, fixtures and other appurtenant interests, in QMk County, State of Wisconsin ("Property") (if Mora space is needed, please attach Rccaadiaa Am 3,4,5,6, k9,10.11,12,13, 14,15,16,17 and 18, "den's Roiling Acres, Name end Raw° Add= OGLAND 1 St. Croix County, Wisconsin KRIS ESTREEN & OGLAND PIN: 026.1304-01- 000; 026.1304 -02-000; 026- 1304.03- 000; 026- 1301.04. 000; 026- 304 Locust 130404400; 926a304.06. 000, 026. 1304 - 08-00; 026 - 130449 -oat; 026- 1304 -10- Hudson, W154016 000; 026- 130411- 000; 026. 1304 - 12-0; 026- 1304 -13 -000; 026.1304- 144000; 026 - 1304- 15000; 036- 130416400; 026. 130417-009; 026x1304- 184W pwod tdeM rka im NW*w 0" This Is no hommind pepmty. Grantor warmts that the tide to the property is good, indefeasible, in fee simple and free and clear of owumbranees arising by, through, or under Grantor, except: easements, restrictions and reservatdons, If any, of record. Dated (:t 1 U AnehorBsnk, FSB (SEAL) _ (SEAL) s o �gtw,GGjr:!Lj(•r•+ its lP - -- { SEAL) (SEAL) • s AUTHENTICATION ACKNOWLEDGMENT 5ignetrua(s) authenticated on STATE OF WISCONSIN ) ) SL COUNTY ) �rrininin TITLE: MEMBER STATE BAR OF WISCONSIN Personally coma befon me an f Zn i ° .�`�`�� ., V ;4N tii, (If the above - 0 authorized by WIL Sta not, r. ¢ 706.06) cw� ft z;1 . ,, a '��' known to be 06 s) who executed Q THIS INSTRUMENT DRAFTED BY: t a:inr t e seine. �'• r X04 Locust Stnw L HndM WI 34016 r�SC4?��``� Notary Public, State of ` �1( My Commission (is permanent) (expires: C ftatum NOTE: TUN IS A STANDARD FORM. ANY TO THIS FORM SHOULD IM CLEARLY wVfl pZL 3PSCIAL WARRANTY DEED 02903 STATE BAR OF WISCONSIN FORM N0. 6.3003 • Type nemo kw sigoesexee. NF044 0'" Leper Fame =465 -M www hftp vb mew 1 of 1 a , � 4 1 wl :�s sus A Y AM Rai «1 ti a _ -- ---- --- - -- - w Aid I LI ®Sol M .r 1.� f ►`1 i °� Received for Re of Aebru Q PLAT) V lurne k (A COUNTY v�� me o ' st 1 4, and part of the Southeast 114 of the Southwest P the Southwest 114 of the Sou th w e 30 North, Range 18 West, Town o f Richm on d, St. Croix County, Wisconsin. ei n 7, Township UNPL A T TED LANDS 80' RADIUS IEMPMARY = - DE-SAC EASEMENT (_TO BE REMOVED 931.7 U P AN rX � EN gaV . 0F NE ROAD '23'E '43'22" E 1676.78' - 52x.65' 1 11 N 88 ' V66 0 • 388.84 �32�`�► 1084. 7 •5 1 .ESN 6 �, SA 12 2.62 acres 1 D RAINAG E ..� � 3 DR EASEMENT w J 1.50 acres 1 ^ I N (0 114, 238 sq. ft. CY H. W.E. =928.0 �� 65, 303 sq. ft. L. B. O. = 930.0 N N / 15'x' 0 w \ �- 22.87' S31V8'55"£ 05 E .��, 46.38' I ; 28.83 N0070'53 E ; L ' 3 I 362.07' 10 I K) ° N88'37'58 % "E 555.33' �n M I 1. J` .1. ages w zt 8 12. �, ;v N88* 1'28"E rn N 65, 576 .5 ft: ,�. 0 11 z L.B. 0. = 9 0.0 w I I � 1.54 acres 7 o 67,020 sq I . fit• 14 138 .76' ` `O L B. 0 = 930.0 ^ ' 2.91 acres A 03 _ io22'7'18" E ' v I 126,599 sq. ft. 0 _ N = • N6 118 9 �Nj 08 158.95 62j1 / 12516 » � J • \ '3= 543.97 N88 51 28 » E -+ N 5 \m 0 DRAINAGE ` - -- \ • \ ��. 43.5 9 0 2.33 acres 5 S .. 4 0l^ 4 N� LP to 101, 539 sq. ft. 1.67 acres X22» £ a 2: 2�' ' \ \ 39.65 acres w 72,920 sq, ft. 96,41J sq.'•, ft. �� o 0 3.0: = 945.5 rn � � •.N88' 5 28 " L.B.O. = 945.5'. cv r RC& \ �a = E 471.42' 952.9 949.0 ' ' 94.62 425.82 X10,04 29525' • \ S85 "E � 520.44' N . i - ': 318.82' - 31.98' 4. 1 i 2.32 acres I 101,124 sq. ft. to 3 I� v 2.28 acres 99, 362 sq- ft. I • ; I 1.54' 0 L. B. 0. = 945 .5 : / / S83'41'11 "E 451.15' 964.1 S86.26'25 "E 499.67' Z -= N n p °o ° , 2.19 acres o _" _ 0 2 95, 514 sq. ft. CO O o o cn w 2.05 acres LOT 4 1, t 89,404 sq. ft. a3- 975.2 v � " 0 S E o N '� / 5 08.41' S86'26'25 "E 441.43' z M � OW _ 2.73 acres 2.13 acres 118,996 sq. ..ft ...................... . N .. 92, 950 sq. ft. . N I • LA i N ' - S00 "W N00'10 "E I i V V / --- (A 44.03 560.73' `'' • S 89 07'08" �' 401.59 �) ` 9 07'OS�W �o - 560.13 a / / • . �^ N89'09 15 E 401.68 - N88 *E