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EL 3 n 3 m 7 Z D z y a ? ° N N 3 c n W a A z o m m G 0 ?' m w cn 0 n � A CD 0 z r: z � 0 w Z A C A 0 o f y o m �m D o o f y o w �0) �I D ��v a y��y(o;y<v� a X053 Q)Co <m o F>>3 CL o (n' a d m a3 m'_ tnv a d m a3 0 c z °3 m o a" z a CD w m E.o c c m m (n m S.o c c m D) a m O. < `G m (n d a a< m to N m m a y (�D m a c m 3 m a c m 3 'D a y 0 CD _ X CO z Cl m = m O C d < O O c 01 f r Kew d c �CD M m_ c Ul N N (mil C tG a N ai c f0 (p d Ib 3 -0 (D Fo <. _< 3 - u (D fo S. ! y Oo w 0 v po w v v_, a`S7R 0 a v o m 0 = a w C 0 to 0) x Er ' O X E p N R N 3 � o a, =, 3 � o ai c m mo ( o ` d (c�v, d o r_ c m cm a OL 3 CL 3 o o ?i b CD CD [ ts+ ts► O O 0 ° o ° o0. ti Wisconsin Department "of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Div;aion INSPECTION REPORT Sa ' ry Permit No- 453406 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Ta Derrick, Steve Richmond Townshi CST BM Elev: Insp. BM Elev: BM Description: Section own /Range/ 5.3 0.18. , *TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / �. Benchmark D"Ag Alt. BM _ 11.7i 17. Aeration Bldg. Sewer /0 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 12 .4 11. zS TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic l • / i Dt Bottom Dosing Header /Man. Aeration Dist. Pipe !/ Holding Bot. System PUMP /SIPHON INFORMATION Final Grade Manufacturer GPM nd St Cover b .7 G I -7 c,' Model mber TDH L Friction Loss Syste Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width i Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS q 7- t i�� \ SETBACK SYSTEM TO 1 P/L BLDG WEL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: t� t UNIT Model Number: u DISTRIBUTION SYSTEM Header /Manifold �� Distribution x Hole ize x Hole Spacing V / tto Air Intake Pipe(s) \ \ \ V 9 Length q___ _ Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges \ Topsoil N- 1 Yes R] No Yes N No / 1 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: pending # 153rd Avenue New Richmond, WI 54017 (SE 1/4 NW 1/4 15 T30N 18W) Cherry Knolls 1st Add L Parcel No: 15.30.18. S e , � C_ CC �' -ti_ 1 ^ r 1.) Alt BM Description= (CrGI • , 2.) Bldg sewer length = _3 'r7 - amount of cover =) -4 2 Plan revision Required? [E Yes r 1 t C l 7 ;_ No 1 i Use other side for additional information. Date Insepct s Signa Cart. No. SBD -6710 (R.3/97) Safety and Buildings Division County 1 *6 201 W. Washington Ave., P.O. Box 7162 St. Croix - � Or�� 1F Madison, W1 53707 - 7162 Sanitary Permit Number (to be filled in b .) (608) 266 -3151 Department of Commerce Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(l)(m) Project Address (if different than mailing address) 1. Application Information -Please Print All rm ° ^,\° tT pe ding bard Ave. Property Owner's Name g Lot # Block # Steve Derrick � la Pending Lot 18 na Property Owner's Mailing Address Prop-e-ff 1438 Co. Hwy. G' SE SE 15 h, /4, Section City, State Zip Code New Richmond, WI 54017 715 -246 -3120 T 30 N; R �a( circleone) 11. Type of Building (check all that apply) 4 -�Q �� �L , ���� Subdivision Name CSM Number 1 or 2 Family Dwelling - Number of Bedrooms lY L( Cherry Knolls 1st Addition ®Public/Commercial - DescribeUse 7 ❑ State Owned- Descri U QCity_Qv$lage BI•ownship of Richmond 111. Type of Permit: C on y one boa on line A omplete line B if applicable) A. © New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. 11 Permit Renewal 0 Permit Revision ❑ Change of 0 Permit Transfer to New list Previous Permit Number and Date Issued Before Expiration Plumber Owner �53 �v In -7 a, 3/0 r 1V. T of POWTS System: Check all that apply) < r 0 Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil 0 Mound < 24 in. of suitable soil [I At -Grade ❑ Single Pass Sand Filter Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank C] Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter VLeaching Chamber 0 Drip Line 0 Gravel -less Pipe ❑ Other (explain) 7" ` V. Dispersal/Treatment Area In rmstion: - 1 - & ter " q ` ck 6tiS o 19 . / Sp. Gt SA. 44 /0nc(de a S 6 •5Z 1.4. Design Flow (gpd) Design Soil Application f) Dispersal Area Required (sf) Dispersal Ar posed (sf) System Elevation 600 gpd 0.7 gpd /sf 857.15 sf / 91.25' VI. Tank Info Capacity in Total Number Manufacturer PrefaS Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1,250 na 1,250 1 Wieser Concrete X Acrobic Treatment Unit WLP 1,250MR WJJ Dosing Chamber VII. Responsibility Statement - 1, the undersigned, ass nslbikv for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl s Signature MP/MPRS Number Business Phone Number Joe Stang MP 223475 715 - 684 -5166 Plumber's Address (Street, City, State, Zip ) P.O. Box 263, Woodville, WI MO28 VIII oon /De artment Use Onl Approved 11 Disapproved �� Permit Fee (includes Groundwater Date Issued suing Ag Signature s) Surcharge Fee) • -0 9/ 9/0 11 Owner Given Reason for Denial `77 IX. Conditions of Approval/Reasons for Disapproval Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) .Scv/ e AI A ,Co td Soi/C�vfL��0; ��� �o= aL4'd�or'os. �tart'e ��OQ J�/'CVnQ /l 2Q,Sen4`rJ� P�oposcd � 6.e.drQOr+ -� ' y7,0' Kc 7e ed will g l t i /o�s�V'�i,y • zso 9 c, at bu :�t+l•'ng3,t� w/ bc/ 4 �" �le u.t owt sscd Q law = /� a�' 8L Proposed �i3pc�sa/�e / / -Tiuo .-- 3'J651ope - Ehroc�yti ,� i 1 i i i 303.38' • �c�y e /a /c, c_f,'o,- , "� % 6S vj �t9 p aL`ea�� ^oc. �fZ \�Op �'rCv'nQJre �Qj2irterl�/ Proposed � 6.c.droom � y7.� , r�c5•d¢ncG �� r � � / 9L.G proposed well ioisst if y gr4de r osed �o( P a° /,zso Kl ✓a / e a ,4 ssumcd a /l = t� rA $3 90 .- 98 s9 ' ,63' S Proposed •Di3psrS�C� / / -T a.5 T 4 * 16- ,t+16 i "CDt,e "/e cl,rnq l .Z - 3 J6 Slope P ¢A � r P ;vef 9d s�✓ so 1 - i i r r � SsG' 1827 ✓ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. endin P 9 Please print all information. Revieti B Dat Personal information you provide may be used .(Ehuopy, I,aw s 15.04 (1 } (m)). Property Owner 17 1 V Property Location Steve Derrick Govj. Lot SE 19 SE 19 S 15 T 30 N R 18 W Property Owner's Mailing Add re Y:k ; i;3 ? �j Loth Block # Subd. Name or CSM# 1438 Co. Hwy. G i18 Plat Of Cherry Knolls 1 St Addition City State Zip pode"Pholne"NWw"j City J Village iel Town Nearest Road New Richmond WI 5 L j ' -320 Richmond 153 Rd Ave. 1/ New Construction Use: Jy Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement J Public or commercial - Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Install two trenches at 91.25', using "Quick 4" infiltrator leaching chambers. ❑ 1 Boring # I Boring ✓0 Pit Ground Surface elev. 97.99 ft. Depth to limiting factor >140" 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 1 0 -8 10yr3/2 none gr sl 2fgr ds as 2f 0.6 1.0 2 8 -13 10yr4/4 none gr Is 0 sg dl cw if 0.7 1.6 3 1345 10yr5/6 none s & gr 0 sg dl gs - 0.7 1.6 4 45 -140 10yr6/4 none s & gr 0 sg dl - - 0.7 1.6 All horizons contain approx. 10% - 35% gravel. Boring # Boring i� Pit Ground Surface elev. 96.39 ft. Depth to limiting factor > 133" 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 1 0 -11 10yr32 none sl 2fgr ds as 2f 0.6 1.0 2 11 -30 10yr4/6 none gr sl 0 sg dl cw if 0.6 1.0 3 30 -59 10yr5/6 none gr Is 0 sg dl gs - 0.7 1.6 4 59 -133 10yr6/4 none s & gr 0 sg dl - - 0.7 1.6 Hor ns 2, 3 & 4 contain approx. 10% - 35% gravel. * Effluent #1 = BOD ? 30 < 220 m L and TSS >30 150 Effluent #2 = BOD < 30 mg/L and TSS < mg/L CST Name (Please Print) Si ture: CST Number James K. Thompson s 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, 0 la, WI 54020 7282004 715 - 248 -7767 Property Owner Steve Derrick Parcel ID # pending Page 2 of 3 3] Boring # Boring 61 Pit Ground Surface elev. 97.90 ft. Depth to limiting factor > 137" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr32 none gr sl 2fgr ds as 2f 0.6 1.0 2 10 -21 10yr4/4 none gr Is 0 sg dl cw if 0.7 1.6 3 21 -49 10yr5/6 none s & gr 0 sg dl gs - 0.7 1.6 4 49 -137 10yr6/4 none s & gr 0 sg dl - - 0.7 1.6 All horizons contain approx. 10% - 35% gravel. F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. FSoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # _j 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 P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ` Effluent #1 = BOD 5 > 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. I 303.38' _ 5a �4 �cClt -�lo S��/ C�vtit/ l oi � de � Q. 1)0` 1 c /cam S^' — �uno�i f 30 Q� °P � o drG,'�a� yeQSe�rren E �+J Ci" "�7T77f Proposed 46cdrGe�r►� i' a70' l �cs�-dehcL ! i 9G.o' proposed wclf , � r / / r / � sepf .4- op ,A5s&,Ma a /,ig' = l� rA' Bz • 1o° ' r' / ��� • , ° w 63 63 a �roposcd .Di3pvSa./C�l / -Tcvo lB• •' t/cncJ�csa�3'XdB'us; -, �/`/ l ,Z-39,SJape - E�►ro�yti f eA %� i i i i r J Safety and Buildings Division County 1 2 01 W. Washington Ave., P.O. St. Croix eonsin Madison, Wl 53707 — 7�D Sanitary permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 P 3 Sanitary Permit Application S tate PlanLD.Num In accord with Comm 83.21, Wis. Adm. Code, personal_ information ,you - nw de,,.,�„„,,,_.,, r A may be used for secondary purposes Privacy Lw, s 15 ' Project Addres if different than mailing address) q FIVE , 1. Application Information — Please Print All Information V 11 k ^ 153rd venue n ii Property Owner's Name - Parcel # Lot # Block Steve Derrick cl.# Lot 18 Property Owner's Mailing Address Prope4 Location 1438 Co. Hwy. G � - SE S E City, State Zip Code Phone Number ' /. /., Section 15 New Richmond, WI 54017 (715) 246 -3120 30 18 (circleone) 11. Type of Building (check all that apply) T N; R v r ✓ 1 or 2 Family Dwelling — Number of roomq 4 � Subdivision Name CSM Number ❑ Public/Commercial — Describe Use S ` Cherry Knolls ❑ State Owned— Describe Use 3 ?/ ❑City []Village Brownship of Richmond 111. Type of Permit: (Check only one boa line A. Complete line B if applica ) A, 0 New System ❑ Replacement Syst ❑ Treatment/Holding Tank R Only ❑ Other/ to Existing System B. 11 Permit Renewal 13 Permit Revision C of 0 P 't Transfer to New list ermit Number PdV Before Expiration , IV. T : Check all that of PO System: appl 0 N — Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ M < 24 in. of suitable soil ❑ At -Grade 13 Single Pass Sand Filter 0 Constructed Wetland ❑Pressurized In Ground [3 Holding Tank P Filter ❑Aerobic Treatment Unit 11 Recirculating Sand Filter 13 Recirculating Synthetic Media Filter Chamber 0 Drip 0 Gravel -less Pipe ❑ Other( lain) V. Dispersal/Treatment Area Inf rmation: y Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispers uired (sf) Dispersal Area Papos ed s S ys evasion 600 GPD 0.7 GPD /SF 857.)5 SF 890.20 SF 94.10 VI. Tank Info Capacity in Total Number Aaufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass Existing Tan i i (/`� / Tanks Tanks Septic or Holding Tank 1250 na 1250 1 ieser WLP12 -MR x Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement - 1, the undersigned, nose responsibility for installation of th WTS shown on the attached plans. Plumber's Name (Print) Pl 's Si MP/MPRS Number Business Phone Number Joe Stang MP223475 et, (715) 684 -5166 Plumber's Address (Stre City, State, Zip ode) P.O. Box 263, Woodville, WI 54028 VIIL on /De artment Use Onl V � Sanitary Permit Fee includes Grou74dwater Date su uing Agent ignat (No s) Approved 11 Disapproved Surcharge Fee) � /O ` v� �� 6 ❑Owner Given Reason for Denial �J IX. Conditio of Approval/Reasons for Disapproval n!liti� i��LCJT� STEM 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained ss per management plan provided by plumber. 2. All setback requirements must be maintained 08 per applicable go tsar comp p aos (to the Co" only) for the system on paper not less than 81/2111 inches 1 SBD -6398 (R. 01/03) a3 ,� I 3o3.3B' ■ !-o td Soi/ era/. / ,Ii � a� tcoe Pro post d � b.cd �on»� Q�srd c�cc proposed uxJr , ? ore A t Jv h 8'" Prgoosed / zs0. S yo�ic�� , - Ass�ncd a ltv.` � <� �' $L ■ .' � , � �q o' -- - -- — - - �• - �' � f�roposcd �i3pv'Ss,l" '�I / -Ti�w A4 : rp,f ;i� /oan�d i —4-4-- -4 T A M54 7,rodt a /OP. p� 8oano(r- oE'3o' Qcoe P � b.cd�ver•�+ k-eSid er7cG �-- proposed uxjr is /sV'� graofe P� / zso 9a� Syofic{�..�t' I of btti� S, tx lxt owf «• / conch CA q" r..�p,,ac Corr&"'- _ - - -- - -- - 98 4 , - lr _ - Proposed �, 98 it of 3'x92 IA '' --- - - - - -- - -- 23 r ! � ppcf9,�• � 3Q I t r 4 - " T s E / SsG' RECEIVED Wisconsin Department of Commerce Q P R 8011. E LUATION REPORT Page 1 of 3 Division of &may and Buildings in ,yp R"m 85, We. Adm. Code � county St. Croix Attach complete site plan on paper LW Egj�e Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Pending percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. D Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). a / 6 Property Owner Property Location Steve Derrick Gov, L 1/4 SE 1/4 S 15 T 30 N R 18 E (o) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1438 County Rd G 18 - Cherry Knolls 1st Addition City State Tip Code Phone Number OCity Village own Nearest Road New Richmond I WI 1 54017 1 ( ) County Rd G Q New Construction UseE] Residential / Number of bedrooms 3 to 4 Code moved design flow rate 450 to 600 GPD Replacement 0 Public or commercial - Describe: Parent material loess over glacial outwash Flood Plain elevation if applicable NA ft. General comments This site is suitable for a conventional below grade system and recommendations: * with 1" continuous bands of Is, Osg, 7.5yr4/6 1 1 Boring # 0 Ong n Pit Ground surface elev. 97.69 ft. Depth to limiting factor � >90 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPQhY in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -9 10yr3/2 - sil 2msbk mfr as 2f .6 .8 14,/3 -12 4/4 - lcos O ml cw if .7 1.6 12 -30 7.5yr4/6 is Osg ml cw - .7 1.6 O_ 7.5yr6/6 s Osg ml - - 7 1.6 4 2 Boring # 0 Borin 100.55 X90 ED Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Ef#t2 1 0 -8 10yr3 /2 - sil 2msbk mfr as 2f .6 .8 2 8 -15 1 4/6 siI 2msbk mfr I cw if .6 .8 3 15 -35 7.5yr5/6 - s Osg ml cw _ .7 1.6 4 35 -90 7.5yr6/6 s* Osg ml - - .7 1.6 ' Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 � and TSS < 30 mgit- CST Name (Please Print) — — Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 4/1/04 715 -246 -2454 Property Owner Derrick Parcel ID # Pending Page 2 of 3 Boring Boring Boring # E] Pit Ground surface elev. 97.90 ft. Depth to limiting factor >90 in. Soil ERate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots jGpD/(e in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 0 -10 10yr3 /2 - sil 2msbk raft as 2f .6 .8 2 10 -14 7 5 4/4 - sil Osg ml cw if .7 1.6 3 14 -39 7.5yr4/4 - s Osg ml - _ .7 1.6 4 39 -90 7.5yr4/4 - cos Osg ml - - 7 1.6 >3 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 GPDAF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eft#2 Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil 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 " Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:5 150 mg/L " Effluent #2 = B00 30 mg& 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. S1313- 8330Ted (8.07/00) t i Cherry Knolls 1st Addition Lot 18 J r N 95' B2 Do M 1 3 100' 171' M2 4% 98' slope B1 32' i- 229' 212' 200' 96 188' 144' BM1 Top of conduit pipe 100.00' BM2 Top of conduit pipe 98.44' B197.69' B2 100.55' B3 97.90' SW lot corner Scale 1" = 40' Thomas Nelson 227387 A m n CD o n C � n C T� O . Z f1 mCD N W m i n � < <�N n tr' Z a�ffimp� �- N VI I rl Q,b < __� o. .5 a 11 s o C9 V 1a A C/) n < D < ^❑ a _ ' z �= D r v i� X Z t7 i n D T. O D - � n O � .T1 A D Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10567 -P (R.6/99). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective. or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the system and will promote frost penetration during cold weather months. Cold weather installations (October - February) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary or by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to installing plumber, Joe Stang at (715) 684 -5166, or the St. Croix County Zoning Department. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FOR M Owner /Buyer ae tie- i / � k ''� #"cgs Mailing Address A,3JV 6• / �mti'►o( ��• Property Address S3 R- ` /`"r ✓e- (Verification required from Planning Department for new construction.) City /State Parcel Identification Number LEGAL DESCRIPTION / Property Location SC '/ 4 , 56 '/4 , Sec. l S , T 3y N R 4 W, Town of C man o� i/ Subdivision r n a S ����i���� Lot # Certified Survey Map # N Q , Volume YLIC, , Page # PtQ Warranty Deed # 9S /�y , Volume 1393 , Page # 195 Spec house yes ❑ no Lot lines identifiable yes 0 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, 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 County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, ein, as set by the D Zen of Commerce and the Department of Natural Resources, State of Wisconsin. Certific 'on sta Ki g that your septic to as been maintained must be completed and returned to the St. Croix County Zoning D w' 30 ys of the three y expiration date. 't UA I T T ITOF APPLICANT DATE OW NER CERM CATION I/ e ce7abo'e, that all statements is form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the prope scri by virtue , o a ty deed recorded in Register of Deeds Office. SIGNATURE Or APPLICANT DATE * * * * ** Any information that is misrepresented may result in the sanitary pen being revoked by the Zoning Department. * * * * ** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. DOCUMENT NO: SQL 1 PACE1 95 595144 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD BANK OF NEW RICHMOND 01 -06 -1999 9:30 AM WARRANTY DEED EXEMPT N 10 conveys and warrants to STEVEN J. DERRICK CERT COPY FEE CORY FEE: TRANSFER FEE: REECORDING FEE: 22.00 I '11TYf1N TO �J'�Vl11 "(C�l� 1li the following described real estate in— ST • CROIX County, IG� ` C- N to � 'I State of Wisconsin: w Z rrwrvA,tiWt %� C�I� �I THE PURPOSE OF THIS DEED IS TO RELEASE ALL INTEREST Tax Key No. 1Q'L4 U 50 an HELD BY THE BANK OF NEW RICHMOND IN THE DESCRIBED PARCEL UNDER THE ASSIGNMENT OF LAND CONTRACT DATED NOVEMBER 1, 1984 AND RECORDED NOVERBER 1, 1984 IN VOLUME 699, PAGE 299, OFFICE OF THE REGISTER OF DEEDS, ST. CROIX COUNTY, WISCONSIN. r i II� Il 1..M t3!:I_ TITLE r This is not homestead property. IvETRO PRODUCTION g (is) (is not) 7777 WASHINGTON AVE. q Exception to warranties: EDINA, MN 5 I �I Dated this '41713th day of f)f Tf1RFR tg QA , � I r' II f (SEAL) (SEAL) I' - ROBERT E LEE, LOAN OFFICER j (SEAL) (SEAL) P I� AUTHENTICATION ACKNOWLEDGEMENT Signatures authenticated this day of STATE OF WISCONSIN 1 N t9 ST. CROIX county. as. t. Personally came before me, this 30th day of OCTOBER 19 -0_ 1 TITLE: MEMBER STATE BAR OF WISCONSIN the above named (If not, authorized by § 706.08, Wis. Stats.) ROBERT E LEE. LOAN OFFICER i This Instrument was drafted by TFRFSE SCHACHTNFR Cy �- to me known to be the person _ f regoing In- strument and ac he r. ` -_ (Signatures may be authenticated or acknowledged. Both are not T.M. SChdChtner necessary.) i Notary Public Yc . C r o ix 'Names of parsons signing In any capacity must be typed or printed below their signatures. •- •••'��••- �. My Commission Is permanent. (if not, state ;k December 31- ,,,•� � Wx'i1N�NTY DEED= STxTET i11A�F �RIBCOR�r FrFRWfIli63 -- TWT - -- --- --- - �'�' - ---- - - -- °. —. .1� RE: Steven J. Derrick 1. The South Half (S 1/2) of Section Thirteen (13), Township Thirty (30) North, Range Eighteen (18) West, Town of Richmond, excepting therefrom that part of the Northwest Quarter (NW 1/4) of the Southwest Quarter (SW 1/4) of Section Thirteen (13), Township Thirty (30), Range Eighteen (18), described as follows= Commencing at the West quarter corner of Section Thirteen (13), Township Thirty (30), Range Eighteen (18) for the point of beginning of the pa herein described] thence on an assumed bearing of South 89 47' East, along the North line of the Southwest Quarter (SW 1/4) of said Section Thirteen (13), 467.00 feet to a one -inch iron pipe; thence South, parallel with the West line of said Southwest Quarter SSW 1/4), 467.00 feet to a one -inch iron pipe; thence North 89 47 West, parallel with the North line of said Southwest Quarter (SW 1/4), 467.00 feet to the West line of said Southwest Quarter (SW 1 /4); thence North, along said West line, 467.00 feet to the point of beginning, containing 5.0 acres. 31(. Ac ? 2. Part of the South Half (S 1/2) of the Southwest Quarter (SW 1/- -4 -)_ of Section Fourteen (14), Township Thirty (30) North, Range Eighteen (18) West, Town of Richmond, described as follows: Commencing at the South Quarter corner of Section Fourteen7(14), Township Thirty (30) North, Range Eighteen (18) West; thence on a true bearing of North 00 West, a distance of 65.00 feet to an iron pipe on the Northe right - of - way line of County Trunk Highway 9 'G "; thence South 89 43 West along said Northerly right -of -way line 238.06 feet; thence South 00 East, 10.00 feet to an iron pipet thence South 89 West along said Northerly right -of -way line 1805.84 feet to an iron pipe; thence North 00 West, 520.51 feet to an iron pipe= thence South 89 West, 479.06 feet to an iron pipe; thence along the arc of a curve concave to the Southwest for an arc distance of 141.09 fee, said curve having a radius of 70.00 Eegt,- a- delta- angle- of 125- 2- 8- 6 52- 0 , a char be of North 32 53 West and a chord distance of 118.39 feet; thence South 89 West, 12.02 feet to an iron pipe on the Easterly right -of -way line of State Trunk Highway #65; thence North 00 37.40" West, along said Easterly right -of -way line 630.73 feet to an iron pipe on the North line of the South Half of the Southwest Quarter (S 1/2 of SE 1/4) of said Section Fourteen (14); thence North 89 36 East, 2604.35 feet to an iron pipe on the Northeast corner of the South Half of the Southwest Quarter (S 1/2 of SW 1/4) of said Section Fourteen (14); thence South 00 East along the North -South Quarter line of said Section Fourteen (14) 1245.57 feet to the point of beginning, containing 68.01 acres. 3. A parcel of land located in the NW 1 /4 -SE 1/4, NE 1 /4 -SE 1/4, S�4 -SE 1/4, and the SW 1 /4 -SE 1/4 of Section 15 T30N, R18W, Town of�f€i - -c :' morTlc , St. Croix- County, Wf irt, escr e f on thence N0 "W (assumed bearings referenced to the monumented East line of said SE 1/4 of Section 15, bearing NO 37 8 40 "W) 707.67 along She monumented N -S 1/4 Section line (previously recorded as Ng 14.30 "W) to the point of beginning; thence continuing NO 14.36 "W along said line 1922.33 to the monumented center of said Section 15; thence N89 20 "E'1872.44 along the monumented E -W 1/4 Section line to the West line of that CeEtified Survey Map recorded in Volume 4, page 927; hence SO 37 430.00 thence H89 56.20 "E 60.00 hence SO 37 1378.45 thence 589 -W 372.25 thence SO 37.40 0 E 175.00'; thence N85 59 9 40 "W 900 .9'; thence S89 -06 "W 675.57 (pre- viously recorded as S89 47 675.71 to the point of beginning, subject to all easements and restrictions of record, and con- taining 84.608 acres (3685539 sq. ft.). Page 1 of 1. I ' (A COUNTY PLAT) ' of Located of Sect/ h 15, Township t 30 North, Range Southeast 1B West, 4 Town of Richmond, N St t Cro/x County, 'Wisconsin- North 114 Comer �. _ — (loSection 15 -JO-18 und c/um/nwn ,e ,County vohumontJ y n SEf �r/ Rl£1t7R'$ ' I•• N * . Cost 114 Comer h) REPORT ON TNiq AREA N ; r Secti 1 -J ncll) '- -$89 44'10 ' M01.80'- `1 Cost -Wirt 114 L/ne \ I � B�J ( f. 170x3?' � S89'49'40 "E 939.05' � \ ^�'"• . - ,-- 43214' sau 191.58' / 2flS.33' 1 ' i . 1 North MVP of Lo:id Controet I �h^� W 1 Volume 699, Page 295 I I • I , I � N • � ,� CURVE RADIUS 4: LOT?2. ' 01 Lors1 7b9JO:4q.Yr; I C2 g' 86,309'sq.ft . U �•81 oer b Oh I LOT29 99 we* 1 Vl C3 1. o. : • y I:. 9 896 sq. /t. C4 LO 20 ?.20 acres LGT 21 LCT 22 f35� •, / X31 LCT 23 S 4 0p ej 5 .F r ^ �•JO'0rchode NOa� pL LCT 24 / • jj� / ,b/ '''iii£o..r�,A,t' , � �• cs ro�'N7q`5b'47 ".E �Oe3 ;\ \K 06 LGT 25 c $ a LOT 20 eo_ a • �'�. + \ \< LOT 26 v'o 878JO sq•(t. t^ j, E T n E 2.02 acres 1 I i Sao `� \ \ p C9 �& Ml' LOT. t •'°-� `�0. mo ': c1 o � \ 78,349 sq.ft. o'� LOT27 \ S LOT 14 I . ' ..J .Cn �([J Gy / •• ` 1.B() aCYfJ c` 7.L -8.X a cres' �V�. \� 012 \ . y , Ct2 . 331.63' LOT 16 4 � / ••Ct• �, ••' ��' \�� LOT 17 • 46 , v� : 27 2,39' A (FUTURE • a moo+ m - -- � LOT28 : •'m. ' :,, EXTEN :: _ ° LOT 79 i 1 L0r25 ` 7 79,957 sq. (r: S0 spa PAZ_ 82,265 si ff. ' / C`4 f' 81,148 eq.1p. 1.84 acres s 1,89 odes Droln to ry �0' Aimpwory J - '•'• �' h� t GL1- boa mtnt N48YE 255.1.1' 89''2 HW.t.�971.0' /�'V r y ry 6 to e. t upm�1��0 ` g_ _ _ _I ••'` '' \ Easemen f , m"'' cktn•r•+ .r te. Raod A, L07`15 �� S89548'27 'W 354.19' :o ti $ • 98,426 sq. ft. 303.38'- 50. T Cf? A VF wti / p f 1. ?6 acres x 0 . ...* J l —.. • w � l ; r' JO' Orolnoy.,� LOr18 •t" f 0. ro A F 9J,24J sq. (t. r / / LOT 77' ' r' 214 acres G / 0 co 214 OcYts = J 82,•198 sq.(t. 1y 18 ( u' : L.B.0.�975.0' , 00 Op. 9 p 66 l P LOT ° LB.0,�973.0 2 ~ f i 7 1 O HW. 971,15' I sp ie,Qs1 :qn. 0� y� w ' �Y%r' 1:81 ' aares N / JO'�Ormhop. �j / 379.99' 104,90' 9 974 l' [oarmMt L.B.0.-9750' I,1 .N84'47'1 7 "W 479,73' , v! LOT 9 C9rners (ell in lncter -.ro I 175.56'. 207. 1' i monuments set 1 256,sa 68 99' CHERRY N86'39'45 "W 708.77' 127TH MEET -, LOT 111 , I �