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HomeMy WebLinkAbout026-1149-00-001 apartment of commerce PRIVATE SEWAGE SYSTEM County: St. Croix Building Division • INSPECTION REPORT Sanitary Permit No: 430020 0 _NERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: ersonal 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: Mau han, Rex Richmond Township 026- 1149 -00 -001 CST BM Elev: Insp. BM Elev: BM Descri ion: Section/Town /Range/Map No: 0 _0 4T'l 104 Gem. vti 15.30.18. I TANK INFORMATION ELEVATION DATA 1 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benc ark a� 0 P. Ill i�o. r� Dosing J Alt. BM eh S cave /09• Aeration Bldg. Sewer - .503cf Holding SUHt Inlet 2- St/Ht Outlet TANK SETBACK INFORMATION b • V 7 /D TANK TO P/ W� BV ito Air Intake ROAD Dt I Septic Dt B t o r Dosing Y e-T rs Hader /Man. Aeration / Dist. Pipe �� b 5� Holding Bot. System k I - • 1 /� Final Grade PUMP /SIPHON INFORMATION ��' / b / • �j Manufacturer mand St Cover 2 GP Model Number TDH Lift Friction System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM 0 / — i BED /TRENCH Width / Length No. Of Trenches r T DIMENSI�2NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I SETBACK SYSTEM TO I P/L BLDG E I LAKE /STREA LEACHING Ma a urer: INFORMATION TA Of System: vex OR W J� n v V� UNIT Model Number: DISTRIBUTIO SYS EM Header /Manifold I &R, i u x Hole Size x Hole Spacing Vent to Air In ke / Pipe(s) �/ QD Length Dia M Length Dia �� Spacing ' } ' SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over 0 Iq Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil a Yes No �] Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: - 7 / 6 / Inspection #2: Location: 1510 127th S New Richmond, WI 54017 (SW 1/ SE 1/4 15 T30N R18W) Cherry Knolls Lot 1? Parcel No: 15.30.18. 1.) Alt BM Description = �T•CaY�'De C4Art 4 2.) Bldg sewer length = - amount of cover Plan revision Required? Yes / - - - -- -- - - - - ` - - —_ Use other other side for additional information._ SBD -6710 (R.3/97) Date Insepctor's i ature Cart. No. Safety and Buildings Division Cowry 1 \ , s� 201 W. Washington Ave., P.O. Box 7162 St. Croix �O��,� Madison, WI 53707 - 7162 Site Address Cherry Kno Department of Commerce lfis �5 /d � a� S , Sanitary Permit Application Sanitary Permit N ber In accord-with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision may be used for secondary purposes Privacy Law, s 1 5.0 1 m L Application Information - Please Print All Information State Plan I.D. Number _ 0 Property Owner's Name , Parcel Number Rex Maughan / 01? & _ 11 Property Owner's Mailing Address Property Location . / /dlo N11743 130 St. sr. CROIX COUrjj Y SW' /4; SE' /4; S15; T30N, R1 8W City, State Zip ode Z0 N I N f"OXumber Lot Number Block Number Downing, WI 54734 7/5 p 4 1 �— q,? l / Subdivision Name CSM Number � Cherry Knolls II. Type of Building (check all that apply) n�.��2�� 11 Crty_ X 1 or 2 Family Dwelling — Number of Bedrooms 4 Y ❑ Village ❑ Public/Commercial —Describe Use ', - / , - / X Town Richmond ❑ State Owned O� t',�/J l l� C %�L(!/Ht�+� v� - 'Qa -C/�s_ Nearest Road / 11 Ave / la Type of Permit: (Check only one box on line A (numbering scheme for internal use)_ Complete line B if applicable) A. 1 X New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use System I I Tank Only Existing System B• ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 X Non - Pressurized In- Ground 21 ❑ Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatmgit Unit 49 ❑ "1 culating 30 V. Dispersal/Treatment Area Information. "14;u ' Design Flow (gpd) Dispersal Area Dispersal Area I. Soil Application Peptolation Syste le io4 final Grade !L Required Proposed Rate(Gals./Days/Sq.Ft.) Rate Elevation D 600 857.1 ft2 -807. ft2'' .7 l ( jy N /A -r - - -_ '95. ' 8 101.3 VL Tank Info Capacity in Total Number Manufacturer Preflil, Steel astic Gallons Gallons of Tanks /C� 1 1Q Concrete Constructed Glass New Existing J ►' Tanks Tanks Septic 1250 1 1250 1 Skaw Precast X VIL Responsibility Statement- I , the undersigned, assume responsiht7ity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu ignature MP/MPRS Number Business Phone Number Thomas D. Gustum 227618 (715) 658 -1344 Plumber's Address (Street, City, State, Zip Code) N13450 937 St New Auburn, WI 54757 VW Coun /De artment Use Onl V App El Sanitary Permit Fee (includes Groundwater fDaIss od Iss t Si ure nips) Surcttar Fee) roval / D� �� ? 4 ❑Owner Given Initial Adverse Determination v IX. Conditions of Approval/Reasons for Disapproval (3 t'lc�t� � � / -co -Q`� �c vvt' D • 7 p d ���- So-c �s. `GIs! F,-� U c compete pans (to he ounty only) for the sys m on paper not Iess than &Vfx 11 inches in size {�CY,t17S/�l r D I C t 0 0 1 1 t , I 1 N 1 , � o , 6 o I CY) CD t 1 I i I •, 1 1 , 1 I I �� •� f1 1 I I 1 X- ; C Slope 3 %I $7j� _0 S 1 I { 1 1 ° �► �- I Ln 0 0 CD Z CD �v , .p �. -o ` � t N 1 R 2. 6 m CD � W o o i ' 1 N �• i I v _ I S c 0 l 1 M i - E _ � z; — rn - ------------------------------- 41 m ' n _ ----- ---- -- -- -- -- --- --- - - --- 3 P N 1 5 x D W n 0 I I Chambers Page 1 of 4 Cover Page Project Name: Rex Maughan Owner's Name Rex Maughan Owners Address N11743 130th Street Downing Wi 54734 Legal Description Sw I � I SE Y. Sec r 15 T F N, R 18 w Township Richmond County Saint Croix Subdivision Cherry Knolls Lot# 1 Parcel ID# Table of Contents P9- 1 Cover page 2 Calculations and Drawings 3 Management and Contingency Plan 4 Plot Map total # of pages: 4 Designer Name: Thomas Gustum License #: 227618 Date: 5/15/2003 Ph. #: 715- 658 -1344 Signature: Design Methods Used "IN- GROUND SOIL ABSORPTION COMPONENT MANUAL FOR PRIVATE ONSITE WASTEWATER TREATMENT SYSTEMS" (Version 1.0) SBD- 10705-P (R.6l99) i Chambers Page 2 of 4 Calculations and Drawings Site Conditions Infiltration Elevations- Site Type: Private • Trench #1 french #2 nch #3 %Slope 3% Qontour Elev: 101.30 0.00 0.00 Ft # of Bedrooms 4 O Infiltration Elev: 95.80 0.00 0.001 Ft Depth to limiting factor 110 in Limiting Factor Elev: 2.13 N/A N/A Soil Application Rate: 0.7 gal /ft ^2 /day Treatment and Dispersal Zone: 3.67 N/A N/A Effluent Quality Eff #t Cover Material Required: 0 N/A N/A In Design Flow: 600 gal /day Finished Grade Over Cell: 101.30 N/A N/A Max BOD 220 mg /I Max TSS 150 mg /I Distribution Cell Septic Tank Choose chamber type: Septic Tank Manufacturer: Skaw Precast InflltratorStandard Septic Volume Chosen: 1250 Laying Length: 6.22 Ft Effluent Filter Selected: Simtech 110 EISA Determined Area: 31.1 Ft2 ✓ Note: Access opening of sufficient size to be provided to allow removal of filter. Open Bottom Area: 15.50 Ft2 Opening to terminate at or above grade. Chamber Height: 12 Inches Required Infiltrative Area: 857.1 Ft2 Total # of Chambers: 28 Total Cell Length: 174.2 Ft Cross Section of Septic Tank Cross Section of Cell 12° Min Grade Cover Material Observation Pipe 18" Min (if required)--,, _ _ - - Final Grade Alljoints to Ground Contour be water tight D3034 or Effluent Sch40 Leaching System Filter Pipe Chamber Elevation 3" Bedding Under Tank Plan View of Typical Cell Ifenq♦� t 6— Lr'v O O A5TM 305-1 Observation Ob�erva♦aon Widlh or 56 40 4 " Pfpe F ire PVC p ipe Page 3 of 4 In- Ground System Management Plan pursuant to Comm 93.54 W.A. C. Owner's Responsibility: 13 . 'S; - The com nsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make per is Inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical /biological "treatments" is not required or recommended. if such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent fitters are to be removed & cleaned as necessary, with provisions to keep solids from passin the se tic ri, tring r FFF&W . o more than 113 of the usable tank volume may be occupied by studge cum. 3 year inspection. V tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Absorbtion Cell The absorbtion component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible probiemsifaiiuie. T��e designed daily flaw rAnabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or aliawed to he cC)iilNune�u grow anywhere on t Activities OTHFR than mowing /maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion ... fnozo in winter conditions. capabilities andior possibly cause I< <v Performance Monitoring: pedarmance monitoring mast be done at teast once every three years fotto+aing the instattaKion os at the time of a problem; complaint, or failure. Contingency Plan: __ _....►.e.oi., rinctiidina floats, alarms, etc) become defective, If the septic tank or other cui�iporG��.� the defective tank or component must bMmn i mmediately nsnnot accept wastewater or ponds syste can l ._ .. operate as designed. Ir me GUbV �� r- wastewater to the surface, the component must be repaired or replaced in it's current location by { ..,. „� +orloachincr chamber cell, and distribution piping t removing the clogged bacterial � na., Qyy within the cell and replacing failing components in order to return system to proper working order „ s t ruc ted in a designated as required. If repair is not ieasiulc, '- reolacement area W r v 0 o W rt � 0 CD N I 0 � j o N W o 0 o I l g m I C I m cn Siope 3% r m O r— II W I III. 0 o O O O TJ Co O �o A O Z o Cn n g C CID S I N O C7 ■ o O O N F7 _ � I W o � � N o p I = I I I r n O � C s ' O p O � � C 1 O O O C V/ C ry JJ � �o m Z -ate a RA� w� 9 m� w in O a o ? Y m a p a N � of 3 _z - QD G � W C7 Wisconsin Department ofC.ommeice SOIL EVALUATION REPORT p age 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 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. 04— 11 T l` q — D 0 - 05 I Please print all information. eview by Date z Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). /f/Li Sac) GJ Property Owner Property Locatio Steve Derrick Govt. Lot SW 1/4 SE 1/4 S 15 T 30 N R 18 E E( (or))W Proper Owners Malting Address Lot # Block # Subd Name or CSIM 1438 County Road G 1 - Cherry Knolls City State Zip Code Phone Number 11W �t/ttiage • Town Newest Road New Richmond I WI 1 54017 ( 7} 5 - 246 - 3120 County Road G Q New Construction UseE] Residential/ Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD 0 Replacement Q Public or commercial • Describe: Parent material i oeS$ nyer till Flood Plain elevation if applicable _ XT - A - ft. Cer erat C recommendations: r � old �g Site suit le for a conventional below grad ystenR E C � I D and .Z _ - / few small pockets ¢f scl 7.5yr4/ �o nlm( t- el lelval4u -, -s ac� ,? .? 7 .w_" ..i 2 8 2002 © Boring F] 1 � Boring # 0 Ptt Ground surface eleev. 48 ,60 ft. Depth to limiting factor > 1 0 � 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 1 0 -9 10yr3 /1 sil 2msbk mfr cs 2f .5 .8 2 9 -14 7.5 4/4 scl lmsbk mfi cs if ,2 .3 3 t34-51 7.5yr4/6 *Is Om cs - .5 .7 4 7.5yr6/6 s Os ml cs - .7 1.2 5 7.5yr6/8 is 2msbk mvfr cs - .7 1.2 6 56 -100 7.5yr6/6 s Osg ml - - .7 1.2 2 Bori # Q Boring y1 Simony 5rad El Pit Ground surface elev. _ 98.E -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. *01#1 *Eff#2 1 0-32 10yr3/2 sil 2msbk mfr cs 2f .5 .8 2 32-44 1 4/4 sil 2msbk mfr cs If .5 .8 3 44 -50 7,5 / scl lmsbk mfi cs - .2 .3 4 50 -105 7.5yr5/8 s Osg ml - - .7 1.2 * Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 9 -25 -02 715 -246 -2454 Property Owner Steve Derrick P Page 2 of 3 Boring — — 3 Boring # Pit Ground surface elev. -- 9 ' 2 th to limiting factor >110 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0 -7 10yr3 /2 - sil 2msbk mfr cs 2f .5 .8 2 7 -25 7.5 4/6 - scl lmsbk mfi cs if .2 .3 3 2 5-36 7.5yr4/6 - sicl lmsbk mfi cs - • .3 4 36 -68 7.5yr4/6 h it k- sl Om mfi cs - .3 .5 5 68 -110 .5yr5/8 - s Osg ml - - 7 1.2 611' ❑ Boring # Boring Pit Ground surface elev. ft Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Ef1#1 'Eff#2 El Bo BOrtrtBoring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIFf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 'Eff#2 ' Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mgJL *Effluent #2 = BOD < 30 mglL and TSS < 30 mgA. 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. M- 8330Test (R09 /00) L h �l lohNreh �A� De S h y s www.eti :oti�c f,� vote 71S 246 -2454 CHERRY IZNOLLS 0 , l LOT I a� 1 10 01 0 t t t� i ro n P wP P P :5 eQ�,u a�zdvy to 100 2- tok 3 Thomas Nelson Scale 1" = 227387 I ST CROIX COUNTY ' SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Properly Address (Verification required from Planning Department for new construction) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location S �' ' /., SC ' /., Sec. �. T ' N -R %f W, Town of ��.� ele Subdivision 017 7 (E L LW }'I C l S . Lot # Certified Survey Map # , , Volume . .Page # Warranty Deed # —7 a a 6 . Volume ZZ Page # Spec house P yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance cons of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da*r* the three year eiration te. �1 -wl0 NA OF APPLIC DATE G OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. ONXItM OF APPLICAW DATE « «* «* * Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Wisconsin Department of Comrrrerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code minty St. Croix Attach complete site plan on paper rat less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Panoal I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information Reviewed by Date Personal informadon you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). Property owner Property location Steve Derrick Govt Lot SW 1/4 SE 114 S 15 T 30 N R 18 Property Owners Mailing Address Lot # Block # Subd: Name or CSW 1438 County Road G 1 - Cherry Knolls C State ZIP Code Phone Number nvitiager • own Nearest Road New Richmond I Wl 1 54017 ( 7j 5 -246 -3120 County Road G a New Construction Use(D Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement Public or commercial - Dewnbt: Parent material t joss over tilt Flood Plain elevation if applicable by A R Carlaral comments e; V and recommendations: Site suitable for a conventional be ystemR E C � 1 E- D * w/ few small pockets sc17.5yr4/ 2002 ' l 1 Boring# 11 Boring � « J Ur FIGS E) PH Ground surface eiev. 98.60 It. Depth to limiting W'40r �l Sal A pplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 I - Eff#2 1 0-9 10yr3 /1 sil 2msbk mfr cs 2f .5 .8 2 9 -14 7.5w4/4 scl lmsbk mfi cs if .2 .3 3 14 -34 7.5yr4/6 *Is Om mfi cs - .5 .7 4 34 -51 7.5yr6/6 s Osg ml cs - .7 1.2 5 51 -56 7.5yr6/8 - is 2msbk mvfr cs - .7 1.2 6 56 -100 7.5yr6/6 s Osg ml - - .7 1.2 Q 21 Soling # Boring x$.90 >IOS 0 Pit Ground surface elev. ft. Depth to limiting factor in. Soi Application Rate Horizon Depth Dominant Color Redox Description Texture Structure lConsistence Bou ndary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 -Eff#2 1 0 10yr3/2 sil 2msbk cs 2f .5 .8 2 32-44 1 4/4 cs if .5 3 44-50 7.5yr5/6 scl lmsbk mfi cs - .2 .3 4 5 - 05 7.5yr5/8 s Osg m 1.2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L - Effluent #2 = BOD < 30 mg1L and TSS < 30 mgA. CST Name (Please Print) - - Signature CST Number Thomas C Nelson — 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, Wl 9 -25 -02 715 -246 -2454 n„n A1�n TMMI\\ Property Owner ■ Steve D errick Parcel ID # Page 2 of 3 Borin ❑� # Q Pit Ground surface elev. 99'20 ft Depth to limiting factor >110 in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-7 10yr3 /2 - sil 2msbk mfr cs 2f .5 .8 2 7'25 7.5w4/6 - scl lmsbk mfi cs if 2 3 3 25-36 7.5yr4/6 - ms s - .3 4 36 -68 7.5yr4/6 - sl Om mfi cs - .3 .5 5 68 -110 7.5yr5/8 - s Osg ml - .2 F Boring # Boring Pit Ground surface elev. it Depth to limiting factor in. Soil ication 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 ❑ Bori # Bores Ground surface elev. % Depth to limiting factor in. ❑ Pit 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. 'Efr#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& 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- 8330Tea (807/00) Y y s WWW.thllilOhNrt h �Il��la�t fi�h.COM X15 -2�6 -2454 CHERRY IZNO LLS ?� LOT I IL a� � tY1 t T o PC 1 rQ n P P �e 2, 9 5 Q.b � I tc) a2 40.90 3 Oj i q.40 o"= Thomas Nelson Scale 1" = 30 227387 Wisconsin Department of Commerce SOIL EVALUATION REPORT p age 1 o f 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 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. eviewed z7 ald --) Personal information you provide may be used for secondary purposes (Privacy tow, s. 15.04 (1) (m))• Property Owner Property Locatio � 0 Steve Derrick Govt. Lot SE 1/4 SE 1/4 S 15 T 30 N R 18 E (or) W Property Owner's Mailing Address tot # Block # Subd. Name or CSM# 1438 County Road G 1 - Dwri*CSM City State Zip Code Phone Number ity []Village ■ own Nearest Road New Richmond W1 54017 ( 715 - 246 - 3120 State Highway 12 0 New Construction UseE] Residential/ Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD 0 Replacement ❑ Public or commercial - Describe: Parent material Rg oyez till Flood Plain elevation if applicable ft. General comments Site suitable for a conventional below grade s stem and recommendations: r, .2002 F Boring # © Borng a Pit Ground surface elev. 99.15 ft. Depth to limiting factor >125 in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efr#1 'Efr#2 1 0 -27 10yr3 /3 - sil 2msbk mfr cs 2f .5 .8 2 27 -50 1 3/4 _-6ieF— -- tmsbk---- --imp cs if .2 .3 3 50 -125 7.5yr4/4 A Om mfi - - .3 .5 a 2 Boring # Boring 95.53 >120 El 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/lF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eft#2 1 0 -18 10yr3 /3 sil 2msbk mfr cs 2f .5 .8 2 18 -38 1 4/4 sil 2msbk mfr cs if 5 8 3 38-53 7.5yr4/4 - set lmsbk mfi cs - .2 .3 4 53 -67 7.5yr4/4 l ..— lmsbk - cs - .7 1.2 5 67 -120 7.5yr4/4 - sl Om mfi _ _ .3 1 .5 F-1 L . Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg& ' Effluent #2 = BOD < 30 mg(L and TSS < 30 mg& CST Name (Please Print) Signature - ° - CST Number _ Thomas C Nelson `1 _-- _-- _ ? --�- -° 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, Wl 9 -25 -02 715- 246 -2454 a a Pro Owner S teve D Parcel ID # Page 2 3 of Boring Boring g Pit Ground surface elev. 9533 ft. Depth to limiting factor >124 . in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure 7Consistancee Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 'Etf#2 1 0 -9 10yr3/4 - sil 2msbk fr cs 2f .5 .8 2 9-22 1 3/4 - scl lmsbk fi cs if ,2 13 3 22 -34 7.5yr4/4 - sl 2msbk mfr cs - •5 .9 4 34 -124 7.5yr4/4 - sl Om mfi - - .3 .5 Boring # Boring Hpil Ground surface elev. ft. Depth to limiting factor in. Sal lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I "Eff#2 ❑ Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I "Eff#2 " Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < ISO 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- 833ffmt (R.07 /00) PW ;r; www.etivi :otiMreti t�t`y�es +gti.eoNr 2IS'- 246 -2454 OVEVE DEBBICK CBM ]LOW I x''1 la ro r) P � c Q � 95.15 � X5.53 03 Q3 q . 33 a 9B Z. I 4 G r-e s� hog yS e�Sa -� nY � 0 , 22-7387 I Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 DNision of Safety and Buildings in accordance with Comm 85, We. Adm. Code minty St. Croix Attach complete site plan on paper not less than 81/2 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. P lasso print all lnfonnat/on. I Reviewed by Date Personal information you provide may be used for eeaordary purposes (Privacy Law. e. 15.04 (1) (m)). Property Owner Property Location Steve Derrick Govt, Lot SE 1/4 SE 114 S 15 T 30 N R 18 E( Property Owner's Mailin ' Address Lot # Block # Subd. Name or CSM# 1438 County Road G 1 - Demck CSM City State Zip Code Phone Number aity m Village own Nearest Road New Richmond I WI 1 54017 1 ( 7 15- 246 -3120 1 State Highway 12 Q New Construction Usejq Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD ® Replacement Q Public or commercial - Describe: F Parent material T .oegq Dyer till f=lood Plain elevation If applicable General comments and recommendations: Site suitable for a conventional below grade stem Boring # ❑ Bones In Pit Ground surface elev. 99.15 ft Depth to limiting factor >125 in. Soil Application Rete Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Etf#2 1 0-27 10yr3/3 - sil 2msbk mfr cs 2f .5 .8 2 27 -50 1 I 3/4 s' - lmsbk cs if .3 3 50 -125 7.5yr4/4 sl 0m mfi - 3 .5 F 2 Boring # Boring 95.53 >120 Pit Ground surface elev. fL Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'Eff#2 1 0-18 10yr3/3 sil 2msbk mfr cs 2f .5 .8 2 18 -38 1 4/4 sil 2msbk mfr cs If .5 .8 3 38 -53 7.5yr4/4 scl lmsbk mfi cs - .2 .3 4 53 -67 7.5yr4/4 is lmsb mvfr cs - .7 1.2 5 67 -120 7.5yr4/4 sl Om mfi - - 3 5 Effluent #1 = BOD > 30 220 mg1L and TSS >30 150 mg/L ` Effluent #2 = BOD _< 30 mglL and TSS < 30 mglL CST Name (please Print) — — Signature �_ CST Number Thomas C Nelson �--"� 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 9 -25 -02 715- 246 -2454 Property Owner Steve Derrick Parcel ID # Page 2 of 3 Boring fL 1- 71 Boring # E) Pit Ground surface elev. 95.33 Depth to limiting factor >124 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDR in. Murrell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10yr3/4 - sil 2msbk mfr cs 2f .5 .8 2 9 -22 1 3/4 - scl Imsbk I mfi cs If .2 .3 3 22-34 7.5yr414 - sl ms mfr cs - 5 9 4 34 -124 7.5yr4/4 - A Om " mfi - - 3 .5 F Boring # Boring Pit Ground surface elev. ft. Depth to liming factor in. Soil icatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munseil Qu. Sz. Cont. Color Gr. Sz Sh. 'Eff#1 'Efl#2 F Boring # [:] Boring ❑ Pith surface elev. ft Depth to liming factor in. Soil A ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G !IP in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. 'E1f#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mglL " Effluent #2 = BOD, < 30 mglL and TSS < 30 mg& 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- 8330Ten (8.07/00) A � www.ctivi�otiMcti f,���y�Icsish.eor� M-246-204 , STEVE DEBBICK CSM LOT I 4"12 Top 2,• ron 5elkc- 98. c Q � 95.15 az gs.ss Q3 Is Y8 2, 1 s� 30 217387 p4� 3 //3 Wisc;nsin Department of Commerce ' SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County i Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must Cr 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 sewed y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(l) (m)). L-36 Z &3 Property Owner Property Location s ieve- E' Govt. Lot 5 W 1/4 5C 1/4 S I S T N R ( E (or)q Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ly3$ !24N. L h ll5 City State Zip Code Phone Number ❑ City [, Village (Tow Nearest Road L� 4`461 11 CV) mo C G-7 9 -New Construction Use: [21. Residential / Number of bedrooms Code derived design flow rate yso GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material -{ 1 Flood Plain elevation if 7REUt ft. General comments 5 m �eV�'I1 �� _ 9$ S O and rec ommendations: y cc, niou� �� i - 9 SU 3 2002 TY 17 Boring # ❑ Boring ZONING OFFICE ® Pit Ground surface elev. ' �(Q •0O ft. Depth to limiting factor in. Soil Application 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 I p -12 10 312 Si/ 2msbk C- .5 .5 2 12 34 I I 3y S� cp 31�o FZF r F-1 Boring # ❑Boring ® Pit Ground surface elev. 93. OU ft. Depth to limiting factor Z�p in. Soil Application 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 6-/0 IU r31Z — 1 1 ZmS bk naPr c- 5 /v- • 5 8 Z 16-2(p 10 y l 5 L Z - 5 9 3 - Io r31 F2 P - 7 Tr r 3/c SL * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Plea Print) nature CST Number __ ZS3 3 09 Address Date Eva[ a ion Conducted Telephone Number 413 (7 SBD -8330 (R07 /00) f 1 Property Owner C)en" cL Parcel ID # Page Z- of M Boring # ❑ Boring p ' / ® Pit Ground surface elev. C h .5Q ft. Depth to limiting factor 2 in. Soil Application 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 a -1 Id r v-f .5 c 2 1 -Z Z.rnsb k oj �P r C5 �310 <3 rz- r - 7 .s -3 4c 3m5bk r y4P — — .3 .5 F-1 Boring # E] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon bepth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # ❑ El Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application 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 * 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 (R.07 /00) + v r r PAGE .3 OF TAM �P f r G LOT# LEGAL DESCRIPTION.SW e-SE Z ,S I5 T 30 ,N,R, IS E(Q, VV SCALE: 1 "= G16 _ BM I ELEVATION 16o • o BM 1 DESCRIPTION foe o k a�4 U c - BM 2 ELEVATION 79 (,r O BM 2 DESCRIPTION SYSTEM ELEVATION 9$. SD ALTERNATE ELEVATION u 14 CONTOUR ELEVATION 5 w� a- 3 0 'wz ems' g- z SIGNATURE ,�j �� // G� DATE / Z — 3 a - ° 2243 f' 04`f H . WALSH STATE BAR OF WISCONSIN FORM 1 —1998 REGISTE REGISTER R O F DEEDS OF WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD Document Number 05/20/2003 02:00PH This Deed, made between Steven J. Derrick, married Grantor, and Rex Maughan, married , Grantee. WARRANTY DEED Grantor, for a valuable consideration conveys to Grantee the following EXEMPT # described real estate in St. Croix County State of REC FEE: 11.00 Wisconsin (the "Property "): TRANS FEE: 140.70 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address�� RC o. Ne w-Ri molls �5Sb F Neehmortd'1141 54017 026 11 49 00 001 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Lot 1, Cherry Knolls, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. none Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 2 day of May, 2003 (SEAL) (SEAL) Steven J. Derrick H ERR );tarter of the Southeast Qu 3f1d port of the Northwest cousin. Y� A ST. -> _ I / N AC EDQ'. OF Wit TF7P MINIM I iho - �v.OtJs SQ _ `�{j a� � y� �` -� 1 W ALE IN F 1 AM - 101 lest a . `1. 1EARMG9 ARE R EFE R EN C E D 15. T O TO IP SO ]0 N.. LINE Of T/IE / N 1/1 OF SEC MED T O B EAR S ., RANGE to w •- / � / f/ 1wCN 5 A55uR0 O ENT e93e'OS � Counly Section Caner Nawment Aw WAN R te. _ ��. of Record 1 I - - _ _ Set 1 -3/16' . 24' Solld Raand B. fr m a" MKS av relyrYq 1.77 Pamds per 14- foot, • Set 1' . te' Yon Pipe *,P � /^Y° o minimum of 1.11 ppnde Per ;Nucor loot Found 1• Yon Pipe LOT 7 F.F.E. Ni "- FiAM" Floor El -lion �� wAU1. I i \ CSM tGY_XK PACE XXXX IC91/ VQL_1., PACE' J30B _ - Proposed OrI__y (APPro.. Locolbn) tt1� ry TOP IRON PPE BV" setback (700' IV- Right -of -way) / - ELEVA710N = 969.38 NO Wota Lne / h easyl�,y r 'y I Rw Reeerded ft _ � f TtT qty qp - _ O" 1" dainoge Eoewnent (,: 1 ' /O '� \A9 CA NF'N7 40 12 U16hy Eosemeat (Typical) Is, 79Mr , A 6p. FT, Ghost Plotting V- WAR Ih s'S.0 LOTA�1v1 �' f "�� - a -- • 0-1. E.NYq i.nc«oa A 1Q7 50 . n. i f f / \ VOLUME 1535 The pkwl po 0-1. Yq Is- ..Wsss t po:Nble future W \ 4 ? a PAC£ N ver aa ?3 Ines the prepaty is ele.ed b the city of \ • • • • • r. . I Eg 9750 / LOT 13 _ - - New Richmond and larttw d .lded. LaM owws ae 3.26 AIRES en coal to Oaid Iheir homes on aw side a the 141974 fST. = I� ether Of the ghoel WN as repueeted by the City. MIN. FfE 975.0 e�J 7H \ l T LOT 14 t / v y 5 INSTRUMENT DRAFTED er. =' f r2,�67 ACRES ��/' KARL F. PLATINER f 11 Lg j� E y � .� ALL LINEAR MEASUREMENTS HAVE BEEN MADE TO THE 3(7.6f NEAREST ONE (1) HUNCREDTH OF A FOOT. ALL ANGULAR '� - --ygy . }•ly \ 1 • /' �� hl BEAsUREMENTS T[RE NAOE TO Tte wwsT FIVE (s) / MM175 N X15 sicoNOS AND COMPUTED To T VALUES STIOwN. N Earn paM dawn an Ihis map is sabjM to Sala C-t, o w T-mp k- riles and regaationa (Le. \ ? Y wetlanft minaam lot so.. eccea to Paal e10 Before Pw�Yq a &,WoPwq ony portal -0 St. C,6- \\ e * VOL. 1419, PAGE 44 O ney Zahin9 Otr- end tM oppragw°"e Toys Boas for ---- - - - - -- NONE: NO GYM ER IIEIDO(T 41AtL 00 ANVINNG t.J1 ACRES I \ IN6p( VXlp N1ERFISE IM OR CHANGE THE s69B' S0. F . •• C- ERA11C CF 11E APPI9 m COY PIaOYE WATER DRAINAGE NO SOL EROSION PLAN RN INIS PLAT. / e 33'33* N ANY a ; WA1FA�ORNNAGE VlAlm NUIIWRv% WA= mm FDWS OR !sntltssM, " "' 14 1EIDR6CL LK TABLE CURVE TABLE M 4 Adsl I cwt I 00M)l UNIDO RAWa Ll 101.94 50976'54'W C1 233.00 e0.67 1061 1 909 51'W L2 69.00 9007YO6'I C2 ;67.00 29.15 29.1 -r SOO2Y. 1I 4dL. 1, PAGE 93 a t3 101.94 S107S06 C3 167.00 29.1 I D7 - - - - 1 V I L4 156.42 SW7YOrE 04 233.00 40.671 40.6 - - - - -� L5 155.91 N1102TOVIN C5 167.00 29-151 29.1 'W LT� 1.6 101.91 t 06 233.00 40.671 106 L7 65.00 C7 23300 10.67 40.6111 NW31 w NOMSCE 4 � VYj j Ul 1 101994 NOOZY06 Co 167.00 29.151 29.1 N0176'S4 IOOD'00 N09'N'S/'E NOII'23wW cs 367.OD 1 4 . S031J t M01 SN s077YM V I CIO 367.00 SJ2.69 467.15 1 LOT 9 367M 17ZA 170. $O7Z3 Sulle'>SY I V I LOT 10 J6 . 360. 516. sul m N89Z6 C11 23300 366.72 330x0 NIB9Z61 S00R 061: LOT 11 233 00118&021178,4 45 7 s l'E PART OF LOT 12 233. 121. 11 5/:'33 5' _PARCEL 1C I LOT t3 233 62. 62 bl. ISZ1S1 S00•L3 C12 16700 262.84 236.SI 901 5 C13 43300 43&171417.091 SMZ61 NJ2ss4ri Lot 1 4331 S2 ST Nffm NAT 2 41). 241.1712311,061 118178'3SY N51'13Y9'M LOT 3 451 141. NI. 1 Y PARCEL 18 C-Sw _VOL .1 PAGE_93 C14 L OT / 1 y 377.1 1 LOT 4 1014 LOT s A T 79.6 OT 681 e .1 Or e Cis 437.001]9.75 1]9.15 r This pail Of County Rood C' to be dedicated to the public. y CNWIt" C.1.N._C � � 33' 3]' � - �e§= 05 -E'e20 &77 - - Sw7hCAST CmwR �- - -')� SEC7AEW 13 -36.7s COUNTY TRUNK HIGHWAY 'G' I aa� RAARONO srwcl - - - dart a wAT c.Tx - - -- _