Loading...
HomeMy WebLinkAbout026-1161-26-000 : RECEIVED Npisconal" SOIL EVALUATION REPORT Al Z 5 2009 P t of t Department of Commerce in accordance with Comm 85, Wis. Adm. Code aJ Division of Safety and Buildings p Northland Plumbing, Inc. Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must & ZDM*4 L%ix 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. 6- 1161 - 26-000 , / Z Please print all infonnation. R wed B Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z Property Owner n I / ' Property Location Steve Derrick ' 1� Govt. Lot NE1 /4, SE1 /4, S15, T30N, R18W Property Owner's Mailing Address U Lot # Block # Subd. Name or CSM# 1438 Cty.Rd G 26 Cherry Knolls 1 St Add 4Z City State Zip Code Phone Number City ❑ Village ® Town Nearest Roa New Richmond WI 1 54017 1 1 Richmond I 127Th Street ❑ New Construction Use: ® Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe Parent material Loess over outwash Flood plain elevation, if applicable ft. General comments This is an addendum to Tom Nelson's soil evaluation report. /�vn and mmendations: F4 I Boring # ® Boring ❑ Pit Ground surface elev. 92.93 ft. Depth to limiting factor >39 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. *Efts1 *EfX2 1 0 -5 10YR3 /2 sil 2sbk mvfr gs if .6 .8 2 5 -20 7.5YR4/4 sl 2sbk mvfr gs if .6 1.0 3 20 9 7.5YR4/4 Is Osg mvfr gs .7 1.6 a `l o' Boring # ® Boring ❑ Pit Ground surface elev. 91.91 ft. Depth to limiting factor >40 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fts in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Effftl *EfX2 1 0-7 10YR3 /2 sil 2sbk mvfr gs if .6 .8 2 7 -21 7.5YR4/4 sl 2sbk mvfr gs if .6 1.0 3 21f40 7.5YR4/4 Is OS9 mvfr gs .7 1.6 * Effluent #1 = BOD? 30 < 220 mg/L nd TSS >30 < 150 mg/L * Effluent #2 = BOO <_30 mg/L and TSS <_30 mg/L CST Name (Please Print) CST Number Sig tune: Michael J. Myers 267985 Address Northland Plumbing, Inc. Date Evaluation Conducted Telephone Number 2943130th Ave Glenwood City, W1 54013 6/5/09 715- 2654115 ssD -8330 (R.mroo) s Orwc k Cozlas r`! ��c krtc e�f D '�wS P C�� - may l�i,JaL�S NE'lq Sw ' t n , Li �0 -0 /ytA„/ VEtL 6AI fvrnp - / l t t� 0 b r'r CROIX le A A COUNTY ZONING PLANNING & r May 29, 2009 Mr. William Fletch 1731 96 Ave. Hammond, WI 54015 RE: Non - compliant POWTS - Lot 26 Cherry Knolls, Town of Richmond Parcel #026- 1161 -26 -000; Computer #15.30.18.1249 Code Administra 715 -386 -4680 Dear Mr. Fletch: Land lnformarion & , This is to provide notification that the Private On -site Wastewater Treatment System, Planning ( POWTS), installed on 4/26/2006 at the above location, has been in violation of State of WI, 715- 386 -4674 Comm 83.22(2)(a)3.f Plans and Specifications and is still in significant non - compliance with Real Prope state regulations regarding a contingency plan for future POWTS replacement. 715 -3 77 A letter was sent on April 28, 2006 to Steve Derrick, the owner of record when the sanitary Re cling permit was issued on November 18, 2005. The house had been constructed on the east - 386 -4675 half of the soil tested area, which eliminated the future replacement area. The original contingency plan proposed a replacement system within the soil tested area shown on a soil report by Tom Nelson on 04/01/2004. Mr. Derrick was advised in the letter that a licensed soil tester must provide an additional soil evaluation to designate a replacement area. This has never been completed and is an outstanding violation for this POWTS. Unfortunately, it has taken until now to determine that the property was sold to you and Jay Fletch in January of 2006 and that as the builder you should have been sent the Notice of Violation letter. The 2006 letter requested that the responsible party make arrangements to have a licensed soil tester submit an additional soil evaluation to the Planning and Zoning office by June 28, 2006. Subsequent NOV letters were sent to Steve Derrick, who today made us aware of the change in ownership of the property prior to POWTS installation. You will need to contact the current homeowner, Casey Eckardt, to make arrangements for the excavation of test pits on the lot and subsequent submittal of a Soil and Site Evaluation report to our office. Should either of you have any questions, please contact me at this office. 7amela uinn , PO S Inspector #665054 -Ea Enc. 4/28/06 and 5/5/09 letters to Steve Derrick Cc: Leroy Jansky, RWW Specialist, DCOMM Casey Eckardt, property owner !/O &Z file ST. CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARM/CHAEL ROAD, HUDSON, WI 54016 715 -386 -4686 FAX PZ@CO.SAINT-CRO1X. W1. US WWW.CO.SAINT- CROIX. WI.US 818162 KATHLEEN H. WALSH State Bar of Wisconsin Fonn 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD Document Number Document Name 02/08/2006 10:40AH WARRANTY DEED EX9F # THIS DEED, made between Steven J. Derrick and Margaret M. Derrick, husband and wife REC FEE: 11.00 TRANS FEE: 150.00 ( "Grantor," whether one or more), COPY FEE: and William Fletch and Jay Fletch, CC FEE: PAGES: 1 ( "Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Name and RetunSk BANK interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is 100 Mill St needed, please attach addendum): PO BOX 10 Lot 26, Cherry Knolls 1" Addition. St. Croix County, Wisconsin. Balsam Lake, Wl 54810 -0010 026- 1161- 26-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of re or , if an . Dated d (SEAL) EAL) * *Ste e . Derrick (SEAL) (SEAL} * *M ret M. Derrick, by Steven J. Derrick, her Attorney -in -fact AUTHENTICATION ACKNOWLEDGMENT Signature(s) Steven J. Derrick and Margaret M. Derrick husband and wife STATE OF ) authenticated ) ss. I L&�41 1 COUNTY ) *Kristina O land I Z Personally came before me on TITLE: MEMBER STATE BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Attorney Kristina Ozland Notary Public, State of Hudson, WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 Type name below signatures. INFO -PRO"" Legal Forms 800 - 655 -2021 www.infoproforms.com 818162 1 of 1 ST CROIX COUNTY -1 A PLANNING & ZONING May 22, 2009 Casey Eckardt 1544 127 Street New Richmond Code Administra 715 - 386 -4680 Land Information RE: Non - compliant POWTS - Lot 26 Cherry Knolls, Town of Richmond Planning 715- 386 -4674 Parcel #026- 1161 -26 -000; Computer #15.30.18.1249 Real Prop e Dear Mr. Eckardt: 715 -3 677 This is to provide notification that the Private On -site Wastewater Treatment Re cling System ( POWTS), installed on 04/26/2006 at the above location, has been in - 386 -4675 violation of State of WI, Comm 83.22(2)(3)(f) Plans and Specifications and still needs to be brought into compliance. A letter was sent on April 28, 2006 to notify Steve Derrick, owner - builder, that the county POWTS inspector determined the house was constructed on the east half of the soil tested area, which eliminated the area for future replacement. The original contingency plan proposed a replacement system within the soil tested area shown on a soil report by Tom Nelson on 04/01/2004. Mr. Derrick was advised in the letter that a licensed soil tester must provide an additional soil evaluation to designate a replacement area. This has never been completed and is an outstanding violation for this POWTS. On May 21, 2009 1 inspected a repair to the POWTS forecemain, replacement of the distribution box, and replacement of one of the effluent pipes that discharge into the system's leaching chambers. Mike Myers, Northland Plumbing, completed the septic system repairs and turned on the effluent pump to make sure wastewater was getting into the new distribution box and pipes. There were no leaks observed and the soil blockage in the pipes appears to have been corrected so that wastewater will be treated by soil in the dispersal cells. As stated in my Y Ma 5 letter to Mr. Derrick repair to blocked pipes on the POWTS and the ongoing violation were to be abated by May 1 8 th or code enforcement action will be initiated by our office. It is not your responsibility or 0 � ST. CROIX COUNTY GOVERNMENT CENTER 1 10 CARMICHAEL ROAD HUDSON, W1 54016 715366 -4686 FAX PZPCO.SAINT- CROIX.WI.US WWW.CO.SAINT- CROIX.WI.US Northland { Pi " "umbing "s�respo`ris Uirity t rb`ffi cost o `any soil testing wom °SfdW Derftf(w 11 ° ` need tonake arrangements for the excavation of test pits on Lot 26 and subsequent submittal of a Soil ad Site Evaluation report to our office. I will be sending a Notice of Violation and prepare a citation issued to Mr. Derrick. Should yo a questions regarding this violation and code enforcement action, please contact me at this Sincerel amela Quin a, POWTS Inspector #665054 Enc. WTS file information Leroy Jansky, RWW Specialist, DCOMM Steven J. Derrick Mike Myers, Northland Plumbing P &Z file A z' .' _ A M. _ _ v . .z. -x .e"sc ry .. _. ..... @R,.- ,.- �.'- "I.ID'" n'V, mtll'.M'aMYS ..✓ -... '.., i, a .o.... } ... _ . . -,.. _,v < , n., - A.. ....> ,i., < :Ai.datdv -d nAx's.. �;.a e .... ST. CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD HUDSON, W1 54016 715386 -4686 FAX PZ000. SAINTCROIX. W1. US W W W. C O. SAI NT -C R OIX. W I. U S Illlll Illll IIIII llfll 11111 IIIII 1111 111111 1111 IIII State Bar of Wisconsin Form 6 -2003 * 8 9 4 9 7 3 1 SPECIAL WARRANTY DEED 894973 BETH PABST Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Bank of America, N.A. 05/06/2009 04:OOPM SPECIAL WARRANTY DEED EXEMPT # ( "Grantor," whether one or more), and Casey J. Eckardt and Jill Eckardt, husband REC FEE: 11.00 and wife as survivorship marital property TRANS FEE: 684.00 PAGES: 1 ( "Grantee," whether one or more). Grantor for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Recording Area St. Croix County, State of Wisconsin ( "Property") (if more space is Name and Return Address needed, please attach addendum): Estreen & Ogland Lot 26, Cherry Knolls 1st Addition, St. Croix County, Wisconsin. 304 Locust St. Hudson, WI 54016 W I- 17883FA 026 - 1161 -26 -000 Parcel Identification Number (PIN) This 1S NOT homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances arising by, through, or under Grantor, except: Easements, restrictions and rights -of -way of record, if any. Dated �� ` %�� (SEAL) (SEAL) * * VALERIE UMBER (SEAL) December 19 (SEA L) * s ,•. r�agon :, H3prrA =CKNOWLEDGMENT Signature(s) STATE OF ) ;3 ) ss. authenticat,Mrry tNAtt" "Prior Ir COUNTY ) Personally came before me * the above -named Bank of America N.A. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to in o be a pers n(s) who executed the foregoing authorized by Wis. Stat. § 706.06) in um t an kno a he s e. THIS INSTRUMENT DRAFTED BY: Attorney David J. Estreen Notary Public, State of, 304 Locust St., Hudson, W154016 My commission (is permanent) (expires: (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. SPECIAL WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 6-2003 *Type name below signatures. INFO -PR Legal Forms • (600)655-2021 • infoproforms.com 1 of 1 ST CROIX COUNTY A A PL ANNING & ZONING May 5, 2009 FxG� Mike Myers Northland Plumbing 2943 130 Ave. Glenwood City, WI 54013 Code Administrat and 715- 386 -4680 Steven J. Derrick 1438 Cty. Rd. G Land Information Planning A New Richmond, WI 54017 715- 386 -4674 RE: Non - compliant POWTS -Lot 26 Cherry Knolls, Town of Richmond Real Prope �`� Parcel #026 - 1161 -26 -000; Computer #15.30.18.1249 715-3§; 677 Dear Steve and Mike: Re cling - 386 -4675 This is to provide notification that the Private On -site Wastewater Treatment System, ( POWTS), installed on 04/26/2006 at the above location, has been in violation of State of WI, Comm 83.22(2)(3)(f) Plans and Specifications and is currently in need of repair due to non - compliance with standards contained in component manual SBD- 10705- P(N.01 /01). A letter was sent on April 28, 2006 to notify then - owner, Steve Derrick, that at the time of POWTS installation, the house had been constructed on the east half of the soil tested area and eliminated the future replacement area. The original contingency plan proposed a replacement system within the soil tested area shown on a soil report by Tom Nelson on 04/01/2004. Mr. Derrick was advised in the letter that a licensed soil tester must provide an additional soil evaluation to designate a replacement area. This has never been completed and is an outstanding violation for this POWTS. , „y. On May 1, 2009 1 received a telephone request for a county on -site to document the nee for repair malfunction n this same POWTS. I observed and documented � d o epa of a functio 0 damage to effluent pipes that had become entirely blocked by soil. This system has a dose chamber with a 2 -inch forcemain that discharges wastewater into a distribution box, with three 4 -inch D3034 pipes extending out into the top ports on leaching chambers. Each pipe had a 90- degree elbow that dropped down approximately 10 inches or more into the chamber and did not leave the minimum 4 inches above the bottom of the cell (per page 18 of the component manual). It appears that upon backfilling each pipe was forced deeper into the chamber, which may have contributed to the blockage by soil. Observation pipes and vent pipes are required to have repair couplings attached to prevent the pipes from extending ,,.,,,beyond the:4 -inch minimuim.clearance, which, -:were not:o don these pipe_ The.. ,.:.; ST. CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD HUDSON, W1 54016 715386 -4686 F PZ @CO. SAINT-CROIX. W1. U W W W . C O . SAI NT-C R OIX. W I. U.. observa ' r pipes own e system nee o e ctiec ed / to verify they 6" re "in d`dmpir Ism clearan requirement. This prd, rty has been in foreclosure since November 2008 and the house unoccupied until recently. It is unkn " whether the POWTS was malfunctioning during the previous two years. The 2006, ' requested that Steve Derrick make arrangements to have a licensed soil tester submit the additi `" 'oil evaluation to the Planning and Zoning office by June 28, 2006. The repair to blocked pi 'on the POWTS and the ongoing violation must be abated by May 18 or code enforceme ction will be initiated by our office. It is not Northland Plumbing's responsibility to absorb the t of any soil testing work, however, the repair to pipes on the POWTS are a result of non- compliainstallation and you are responsible to correct any deficiencies. Steve Derrick will need to contat the new homeowners to make arrangements for the excavation of test pits on the lot and subse q ,vignt submittal of a Soil and Site Evaluation report to our office. Should either of you have any queSns, please contact me at this office. Sir `i amela Quinn, POWTS Inspector #665054 Enc. 8/06 letter to Steve Derrick Cc: oy Jansky, RWW Specialist, DCOMM f ,. sey Eckardt, property owner Z file - >12V Oct 7;L� AR y C " lit ST. CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON, W1 540 16 715 -386 -4686 FAl RZ@ /NT- CRO /X. W1. US W W W . CO. SAI NT -C R OIX. W I. U Y A1„ P l a� Distribution box with 2" forcemain & 3 4 -inch pipes Uncovering 4" pipe from D -box with PVC elbow ex osed 1 -inch foam insulation, pipes from d -box shown SDR 135/3034 pipe with elbow and 10 -12" extension Lower part of inlet pipe into chamber, filled with soil Pipe from d -box & elbow down into top of chamber Photos from County staff on -site 5/1/09 after call that lot 26 POWTS was not working properly. Observation pipes do not meet component manual instructions for min. 4 inch clearance to bottom of chambers and the pipes extending from a distribution box are completely blocked by soil. The SDR 35/3034 pipe on all three connections to chamber top inlet ports were approx. 10- 12 inches long after 90 degree elbow and backfill appears to have forced the pipe onto floor of distribution cell, preventing proper flow of wastewater into treatment chambers. System also requires additional soil boring to provide replacement area — see 2006 letter to owner. Allow "dead" space below the pump intake to permit settling of solids in the dose chamber. can be accomplished by placing the pump on concrete blocks or other material that can forr pedestal. The pump manufacturer's requirements shall be followed. This may include the "pump off' switch being located high enough to allow for complete immersion of the pump in the dose chamber. ? L ea chin �hamhPr r�„ are at or below the original grade Leaching chambers are placed di on the bottom of the distribution ce ll. The locations of leaching chambers are in accordance Table - 3 of this manual. IJL9 S77/ ) No C co VW Observation pi pis are instWkd in the distribution cells'`and are provided with a means of anchoring to prevent them from being lifted up:i Observation pipes extend from the infiltrati surface for stone aggregate systems or from the inside of leaching chambers to a point at or finish grade. The portion of the observation pipe below the distribution pipe for stone aggro systems is slotted while the portion above the distribution pipe is solid wall. Observation pil leaching chamber systems are attached to the chambers in accordance with the chamber manufacturers printed instructions, ektend from a distance > 4inches above the infiltrative s through the top of the .leaching dmunber tip to or above fuiish,gmde and terminate with a k removable watertight cap. All observation piping has a. nominal pipe size of 4 inches: See F 5 . S I � Water tight cap `D e� 4" min. dia. Top. -of IeaChin g Repair couplings chamber slot 6" min. 6` min. Infiltrative surface Water Closet Collar Bar(318" min. dia.) Figure 5 - Observation pipes I CVJ � Ven' s, if installed, connect to the upper half of the gravity flow distribution Werals�and extend up to at least 12 inches above finish grade. Vent pipes terminate with the vent openin facing downward by the means of a vent cap or fittings. Vent caps must allow a free flow of between the distribution lateral and the atmosphere. All vent pipes has a nominal pipe size of inches. When a vent pipe is connected to an observation pipe, the point of connection shall be made point above the stone aggregate for stone aggregate systems and terminate as required for ve: pipes. 18 of 33 us An observation pipe may serve as a combination observation/vent pipe providing it terminates in the sates Wanner as required for f pipes. See Figure 6. Vent cap Return bend Cap 12 " min. .,' 12" min. Final grade Aggregate Distribution lateral typ• Y3 x typ• h system elevation Figure 6— Vent and combination observation/vent pipes VII. SITE PREPARATION AND CONSTRUCTION ve Procedures used in the construction of an in- ground soil absorption component are just as critical as the design of the component. A good design with poor construction, results in component ;or failure. It is emphasized that the soil only be worked when the moisture content is low to avoid compaction and smearing. Consequently, installations are to be made only when the soil is dry ce enough to prevent compaction and smearing of the infiltrative surface. The construction plan to 1 be followed includes: e E A. Equipment - Proper equipment includes tractors or other equipment that will not compact the infiltrative surface. Minimize foot traffic on infiltrative surface and avoid equipment traffic on or over infiltrative surface. B. Sanitary Permit -Prior to the construction of the component, a sanitary permit, obtained for =f the installation must be posted in a clearly visible location on the site. Arrangements for inspection(s) must also be made with the department or governmental unit issuing the sanitary permit. C. Construction Procedures 1. Check the moisture content and condition of the soil. If the soil at the infiltrative surface can be rolled into a 1/4 -inch wire, the site is too wet, smearing and compaction will result, thus until ou . the stoil at or cbelow the soil. t�rati surface is fro enact® nc t: ice reducing capacity P e 2. Set up a construction level or similar device and determine all relative elevations in relationship to the bench mark. It is necessary to determine the bottom elevation of the distribution cell, land surface contour lines, and approximate component elevations critical to the installation. 3. Lay out the absorption area within the tested designated area. Where possible lay out the absorption areas(s) on the site so that the distribution cell runs parallel with the land surface contours. Reference stakes offset from the corner stakes are recommended in case corner stakes are disturbed during construction. 19 of 33 n 61 Q � g '0 0 d 0 sr 5 C V C W N r n 3 (n .Z1 D N Z o 000 .Z7 Cn N • A CD 5 = = O N �O C'I � 3 d -5 O ",S n 3 N N 7 W 7 CO 0 0 y Q CD CD _ 3 _ f o 7 NI L = O 0 6 F M ° C w cn v D 6 °•• A � fD (Q At y G = W c Q p c p v 3 O i OZ !i N N fD ii, ° CD p° Z j N K Q °' o, 3 c F CD CL cn N(n o 0) =r _ CD O_ t a z a N O - �' — . 0 Z �v m o m � m 5�: 0 0 y f �m N 3 o � y o o m c m p N' C, 3ma ^m E 0 m A a ID ID cn CD Et 9 CL // fD 0 c) fD y y c Z 0 y C_ O C La / O_ l< -A fD f < p 0 0 N c C. z J - :_ a ° w C/) U) z D , �< y O Q C n CD 'O_ O N 3 O p O p N C v w g ro o n o 5 w CD 0 y. N N CD a CL m y o m N o _ N N N �° m Q(D _ a CD O 0 A = c d o �l UL) ? l 1 - �y o 0 o y. co A ttiJ" S y! O O CD _ v1 O N ° a o m CD ST CROIX CO &A IL UNTY PLANNING & ZONING ::., •v" .. 4.: NARk�W�'i�`.Y: if�.i.`�C:.?1♦' + \\ '. ` »oxawxyRYfifib;:TN:kU:MRS:v.R: ..... .. n ^"Y' »'.t...TKi,RSv . -. -- ..:<.::: :.'.•.> Y': '..:f..(P'::.:DHd::o'p` :':: yN •W „ :.av:.. . h..._.. ,yd. .v ....,. . .v ,v,.f.v :. .vv.. April 28, 2006 . y Steve Derrick 't 1438 County Road G New Richmond, WI 54017 RE: Non - compliant POWTS - Town of Richmond Parcel #026- 1161 -26 -000; Computer #15.30.18.1249 Code Administrati'.V Dear Mr. Derrick: 715 -386 -4680. Land Information �F This is to notify you that the Private On -site Wastewater Treatment System, ( POWTS), Planning r .fm installed on 04/26/2006 is in violation of State of WI, Comm 83.22(2)(3)(f) Plans and 715 - 386- 4674_: Specifications. u t ications. Comm 83 req uires a description of a contingency p q� p� lan in the event the P proposed POWTS fails and cannot be repaired. The original contingency plan proposed a Real P � y replacement system area within the original soil tested area completed by Tom Nelson on 715 -4677 04/01/2004. The house was constructed on the east half of the soil tested area eliminating' R cling any replacement area. 5 -386 -4675 To remedy this violation, a licensed soil tester must test a new replacement area. One possible location could be behind the house to the west. may;. <' It is important to correct this situation as soon as possible. Please have the licensed soil tester submit the new soil tested area to the Planning and Zoning office within 111 2 - months of a> this letter. Should you have any questions, please contact me at this office. ' mss Sincerely, Y. Ryan Y ngton 4 Zoning Technician /ml Ki cc: Jennifer Emmerich, Code Enforcement Permit file ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W/ 54016 715386 -4686 FAX P?C- CC. SAINT- CROIX.WI.US WAIM C0. SAINT- R^IX.V %(UjS 0 1 � / ■ / � _ � 7 2 ( $ 8 - # \ \ ] ] C CD E § ƒ 3 / § c 2 = w 3 = 00 ¥ 2 § ; & I G ® @ § 2 G f$ f CD o {\ a k ƒ E � F§ �: ■ � . 7 / > £ ¢ \ 3 i / / � \ \/m Q 2 ' \ in 2 7 \ 7 C, ƒ 0 0 0 3 �- / D § § § PL N) m 9 _ / 7 \ 9 $ CD � e [ & 7 z k z E 2 = Q / } / \ �. 7 §'A CD , \ k\CDI �k t/ E E % w 00 �� f� : \22 f � # ( \ E $ A & 7 ( D / o 2 R ƒ U$ \ § E - \ \ U) A m 0$ § :$\ z W % cpcn z > °CL EEECD § ag��$\ /kk�E Q /K(\ ƒ MCDCD k E�Rm 1 2 §ieaE 1 2 - g � —� °° A @3% k [�\\( k aBCD \ � §� §i/ ® C9. • %ms � 0 0 2 / 2 \ 2 \ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488003 0 GENERAL INFOR"TION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Derrick, Steve I Richmond, Town of 026- 1161 -26 -000 CST BM Elev: Insp. BM Elev: BM Description: Sectionlfown/RangelMap No: �� ►N� -[' 15.30.18.1249 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER '-L CAPACITY STATION BS HI FS ELEV. �tA' Septic Benchmark /& 3.7 /a3•7 yo b Dosing Alt. BM 5 C4- �.� (x'56 F. ti Coot& 5 °!g • S Aeration Bldg. Sewer //.37 92.37 Holding St/Ht Inlet W73 9 z • t� I TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic - 7 ZS /V , I - ZQ / LQ � Dt Bottom 15.4b W 29� Dosing i Header /Man. ti4 art s 7 Z5 NrO zo zv — -- 4,,5 Aeration '77 • Zy Dit,,Pipe ' _ �. - ��' 7 -19 15. Holding Bot. System 1' I'lt%" �r �,•� n ot-e Final Grade. PUMP /SIPHON INFORMATION Manufacturer t Demand St Cover I 5 ht I �"" GPM �� ��.�,�, Model Number I G H— (P TDH Lift Friction Loss L. System H d TDH Ob Ft U Forcemain Length Dia. r/ Dist to Well 4 , t t ,. `" �r� k" SOIL ABSORPTION SYSTEM BED /TRENCH Width r Length I jNo. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS l s CMG N -1 *1_ % _1 SETBACK SYSTEM TO 1 P/L BLDG WELL LAKE /STREAM EACHING Manufacturer. INFORMATION Type / Of System: � r 5 i 2- I rk /� Q J ` UNIT Model Number: (-� eri J � a� /�/ % DISTRIBUTION SYSTEM L)Pa, Z +- -Z y- 1 7Q-*_ � Header/Manifold �� Distribution \ x Hole Size x Hole Spacing Veit to I take I 2 / Pipe(s) \ \ Y (,�, Length / Dia T Length_ Dia \ \\ Spacing_ SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only A ft + Depth Over Depth Over xx Depth of xx Seeded /Sodded xx u ed Bed /Trench Center 3. 4 Bed/Trench Edges \ Topsoil Yes f No °j Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / z(o / (,:�, Inspection #2: Location: 1544 127th Street New Richmond, 1 54017 (NW 1/4 SE 1/4 1 T30N R18W) Cherry Knolls 1st Add Lot 26 Parcel No: 15.30.18.1249 . r �tr G.11ea �� �- j,.6 ssZ 1.) Alt BM Description = / �j a = 1`7 f�! ci �'�. ' `� � 2.) Bldg sewer length ,) t ... G0.. - amount of cover = Z / 6 "Cll q po '` G ?'( SL/ I J J 71ee -- -- -.� - S Plan revision Required? Yes 1 No `���� Use other side for additional information. ' SBD -6710 (R.3/97) �j s�� ` h l�� Date 1 tns Siignat e ` A Cert. No. t, e,)rx -� d✓� dL.�� .�. dL �eJ� IOwCe�i� z. •t w �' e af- C i 7 J 04x'11105 MON 14:40 FAQ 715 273 8884,. _...f'.C. L AND M GMT. la 001 _ -- Safety andBuDdings Division County CR.exrx 21]1 w. washitll toe Ave., P.O, Box 7162 s7• � oa, peroilt Humber (lobe {illed in by Co.) con sin l 266- sMECEIVE 4 S00 Do ertment bf Commerce &t (an I.D. i`tttmber Sanitary Pe i t n I .- 2oo . r i you e �, accrird ►t, Can= 113 .x1, Wts- � - vss sl 1)(M) t+rti Address (if differc�thm mailing sd<lrt:ss) may be used for wDndarY purpo I. A kgl Infor nation _ Iilwasc'Mul All Inforinatio ZONING OFFICE ���s� ply — Prue! !1 Lot Block y ?ruixrty Owttcr'x Name � 3 ,S - re4 e-. top" Loeadon Property Owner's Ma ding Addrt%$ ! �'4' 3 �S? p `( A/ � 'A, SE_ 1.�.Section _ Code Phone Number /249 City. State C�rnie C W,go✓ R tclErrcoAl� W/ T II. Type of Buildilig (check all thAt apply) t f StlW ision Name ('S Numlxr I 1-er 2 Partlily rJ w ellhlg - 3 k r,a �'�� � e ff I�Jt l��l K11/oLl.s /� �/fTO�! Num ber of BCdriwn>s �.. (,.l P u bl iCJ C4mmetcial - Dew Use !� - ,�2 �G L]City_1DVUl`V'tutnwr&WP uf• ">fZ tcl�mtow f L Sta tc Owttcd - Dew ribe Uses �. r/9 f_.. �a �•+ 5 -- icablo - - -- 11L Type of Pe rmit: tGllet k tmly o n b+sx oa lint A. Cmupl 11ne Lxistinu 5yatem S if n A' ICw S stem I l Rtphicrniant Syxtan ❑ Treauncrtt:Holdiuil Ts1lk RvPbecment 0niy O ModwrAtion to r'] Permit Transf to New List PM-AM Pcrmit�NUMb" 10 Date lssuttd B, Ll Pennn xalewal i ❑ 1'rrntit Revision C hange of Owner Bci'ore Expinedon I Plumber S mbia Trewnwilt Unit U R Iv. � of POWtx 'T kstemi it (Qlw�c all that a Il ) > �q irl, o Fwitabtc soil � Mnund < 24 in. of tluablc soil ❑ At-t3radc C: Singh Ptux and Miter K Non -Pre Wrized in- Urtuml u Mewtxl _ - ccfreuiatityt 9dtld Filter t L] ,cwtrusted Wetland n Preisurizoo in-Oruv.nd L1 li oWilug Tacit f l Peat t=Iltei Ac t O ❑ D RCCi rculadng SyruFrotk Media F ilter Chln Chamber Drir Lists ❑ Gra veldess Yi rhrr (e ainj i . Y. D( 1/Trentment Area Information: - .. S stem Flevatlon tl So11 A llc n R,jtc(L.pdst) Diepertuti Ares Rrxluir (xt) QhtpetSal Area Pro y � I?esigrt Finw (90) A+g ,L PP 5 -IL5t7 Lr Maaulitctt+ter �l'retab 'ite Srect Pf . Piasric V1. Tank Info Capacity hilt TnrAI Nutnbcr C Constructed Glass Gallcuu Callon► "I Units ►/)l NCW t ?xisut>E G✓ / �� r" I Tai Sept r:+x Hold r / S2) Aerobic 1'rea9lnt•I1 1Atit Darietg C•tietrd�e� •� —}- t oa tht stttacLBd V1I. Rea ff aoitit statem 'a turf eat- 1, the uadoral act Am, rac, ponalhuit for RS Number s� Mlt Bnsincas r� Ptumher''s Neme (P;l t1 Plum S' a L d piumber'a Adds~ (Strcct , City, Sutre, .p Cad) E 155 G tS rpt-re K b (�'¢ o �G�utt�c.c_ ,_-' ; V01. i /1)eT tnt . U6e On W16 5i t rc t 5tamf) 5tta1tary PcMat Fee includes rrnuadweter Daf is 1b65 Approved S1�xov Surebarge Pat) 300,62> !J tlr vivat lteasan fo 1 bcJ� 1 "'u` P IX. Contlitiaaai of Ap /Rtame ror Disapproval 3 a j, I MaSf 5 u�� SYSTEM V WNER: 4 J. Septic tank, effluent ffter and ��� eo �� dispersal cell must all tie services /maintained 4 Q 5 �p`� `'\'c( as per managernent plan provided by plumber- ) , Y i bP�ok1 5di� 2. All tttaEDack t t� m g /9 PIS Plck,n 51n as per appNo"bl' 4 3 ' r set kas that 1112. x 1► ledtea in Nut Attltcb tnrnplcte plena 110 tku — emty adyb IM aT n� 't� (MA. i ✓emu � (Z. 1 O� tre) J tom. SBD -6398 (R. 01/03) \J Y i' � � t w K Z 0� N nl, Q J 0 -t 0 a � Ob b i py Z � o IL c_ w a n4 po c o co 013 , w oC 2 a 4) • a _ N 1 ta a d ? Z � o o � IL w a � r a o a pU PO pa CD CD ' � J RECEI EC Wisconsin Department of SOIL EVALUATION REPORT Page 1 of 3 Division pf Safety and Build I aoGo�d r►Fe with �omm 85, W e. Adm. Code i ( .: 4 X T < <_ A , County St. Croix Attach complete site plan �n pape�j®RdleBi��62 x 11 fiches in size. Plan must include, but not limited to: berticaf MiC'1TWWnW reference point (BM), direction and P I P percent slope, scale or dimensions, north arrow, and location and distance to nearest road. z (V -11 - - cot) A Please print all information. Reviewed by Data Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). / l I vl' Property Owner Property Location 0 El Steve Derrick Govt Lot NE 1/4 SE 1/4 S 15 T 30 N R 18 Property Owner's Mailing Address Lot # I Block # Subd. Name or CSAW 1438 County Rd G 26 - Cherry Knolls 1st Addition City State Zip Code Phone Number 00ity ® Village ajTown Nearest Road New Richmond I WI 1 54017 ( ) County Rd G ■ New Construction UseE] Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement Public or oommercial - Describe: Parent material Loess over outwash Flood Plain elevation ff applicable NA R General tents This site is suitable for a conventional below grade system, recommending that a pressurized system with equal and recommendations: distribution be used so as to distribute the effluent over the entire available area due to the massive(Om) 61. This is not a code requirement, but rather a suggestion. L.J so" # � — In Pit Ground surface elev. 99.90 ft. Depth to limiting factor �� in. Sofl Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.. T001 7002 1 0 -9 10yr3 /3 sil 2msbk mfr as 2f .6 .8 2 9 -24 7.5w4/4 - is 0 mvfr cw if .7 1.6 3 24 7.5yr4/4 - sl 0m mfi cw - .2 4 59 -90 7.5yr4 /A is Osg mfi - - .7 1.6 F 2 Boring # Boring 93.40 >90 E] Pit Ground surface elev. ft. Depth to limiting factor in. Soil ieation -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 -10 10yf3/2 sil 2msbk mfr as 2f .6 .8 2 10 -29 1 1 4/6 91 lmsbk mfr cw if • 6 3 29 -37. - 10yr4 /6 - sie lmsbk mfr cw If 2 .3 4 37 -64. 10yr4 /6 it lmsbk m ft cw - 4 ..6 5 64 -90. 7.5yr4/4 fsl Out mfi - - 2 .5 ' Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = B2 30 mg/L and TSS < 30 mgA- CST.Name.(Please Print) - - Signature --- `1 � CST.Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, W1 A/1/04 715-24.6-2454 Property Owner Derrick Parcel ID# Oc.J,„4_ Page 2 of 3 ❑ 3 Boring # ' �' Boring 93.30 Q Pit Ground surface elev. ft. Depth to limiting factor O in. P.7 Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#2 1 0 -11 10yr3/2 - sil 2msbk mfr as 2f 8 2 11 -30 1 4/6 - Ifs Os mvfr cvr if 1.0 3 30 -37 10yr4 /6 - is ml cw _ 1.6 4 37-43 7.5yr4/4 - sl Om mfi cw - .6 5 43 -65 IOyr4 /6 - lfs On mvfr cw - 1.0 6 65 -88 7.5yr4/4 - fs1 Om mfi - .5 F-1 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 GPD/IF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Efr#1 -EtT112 F-1 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 1 - 002 " Effluent #1 = SOD, > 30 220 mgA- and TSS >30 150 mgA- " Effluent #2 = BOD, < 30 mglL and TSS <_ 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 2648777. saD.933arpc OL07M> . - Cherry Knolls 1st Addition :Lots 26 & 27 lot 27 lot24 BM1 BM1 Top of iron pipe 100' BI BM2 Top of iron pipe 93.40' B1 99.90' B2 93.40' B3 99.80' 89' 1 , _ B3 BM1 Top of iron pipe 100.00' BM2 Top of iron pipe 93;40' 100' B199.90' B2 93.40' 58, B3 93.30' B3 98' 5% slope lot 26 96' Scale 1" B2 94' S lot co r BM2 92' Thomas Nelson 227387 Nosh i F Page 1 of 4 SYSTEMS INC Enwimmenta! Onsim wastewater _%1vhons Leaching Chamber Design Spreadsheet Project Name: Derrick - Conventional Owner's Name Steve Derrick Owners Address 1438 County Rd G New Richmond, WI 54017 Legal Description NW7 %4, SE� %. Sec 15 T 30 N, R 18 [ Township Richmond County S Croix Subdivision Cherry Knolls 1 st Addition Lot# 26 Parcel ID# Table of Contents pg- 1 Cover page 2 Calculations and Drawings 3 Management and Contingency Plan 4 Plot Map 5" C I r'7 i total # of pages: 4 Designer Name: Lyle J. Myers License #: 224617 Date: 11/15/05 Ph. #: 715 - 643 -2520 Signature: 4�zvl'04 Design Methods Used "IN- GROUND SOIL ABSORPTION COMPONENT MANUAL FOR PRIVATE ONSITE WASTEWATER TREATMENT SYSTEMS" (Version 1.0) SBD- 10705 -P (R.6t99) SYSTE 9 IN Infiltrator and the Infiltrator logo are trademarks of Infiltrator Systems, Inc. Spreadsheet provided under license to Infiltator Systems, Inc by: 3bAdvisement N12486 220th St, Boyceville, WI 54725 _ SYSTEMS INC Calculations and Drawings Page 2 of 0 k::Wara'[vNx)UmW Iliv!b,w.b BniLYV'a° Site Conditions Infiltration Elevations Site Type: Private Trench #1 Trench #2 Trench #3 %Slope 5 % Contour Elev: 98.00 97.001 96.00 Ft # of Bedrooms 3 Infiltration Elev: 94.00 94.001 94.00 Ft Depth to limiting factor 88 inches Limiting Factor Elev: 90.67 89.67 88.67 Soil Application Rate: 0.4 gal /ft ^2 /day Treatment and Dispersal Zone: 3.33 4.33 5.33 Effluent Quality Eff #1 T--] Cover Material Required: 0 0 0 In Design Flow: 450 gal /day Finished Grade Over Cell: 98.00 97.00 96.00 Max BOD 220 mg /I Max TSS 150 mg /I Distribution Cell Choose chamber type: Septic Tank Infiltrator Quick 4 S Manufacturer: W /ESeo- # of trenches: 13 Volume Chosen: /000 Chamber Length: 4.00 Ft Effluent Filter Selected: Zabel A100 Chamber EISA: 19.1 Ft2 Note: Access opening of sufficient size to be provided to allow removal of filter. Endcap EISA: 5.8 Ft2 Opening to terminate at or above grade. Required Infiltrative Area: 1125.0 Ft2 Actual Infiltrative Area: 1125.2 Ft2 Total # of Chambers: 58 Cross Section of Septic Tank Total # of Endcaps: 6 Combined Length of Cells: 238.0 Ft 12" Min Grade Cross Section of Cell 18" Min Cover Material Observation Pipe (if required) - Final Grade All joints to `� be water tight D3034 or Ground Z Effluent Sch40 Contour Filter Pipe Leaching System Chamber Elevation 3" Bedding Under Tank I.englh L 6 Ir fi _ 4 O Alan X54 Observatim 06-- rwati'ott 1�V�dtl� " SA -io 4" P IP! PVe I'1/C f W Infiltrator and the Infiltrator logo are trademarks of Infiltrator Systems, Inc. Spreadsheet provided under license to Infiltator Systems, Inc by: 3bAdvisement N12486 220th St, Boyceville, WI 54725 Page 3 of 4 In- Ground System Management Plan pursuant to comm 83.54 W. A. C. Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic 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 filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge /scum. 3 year inspection: If 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 problems /failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing /maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and /or possibly cause it to freeze in winter conditions. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank or other components therein (including floats, alarms, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the absorbtion component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by removing the clogged bacterial mat, aggregate /leaching chamber cell, and distribution piping within the cell and replacing failing components in order to return system to proper working order as required. If repair is not feasible, a new system is to be constructed in a designated replacement area • r Lift Station Information & Calculations Total Dynamic Head Calcs. Discharge Rate: 6.18 gpm Forcemain Lengthl 40 ft Forcemain Diameter 2 in Friction Loss from Forcemain 0.042 Vertical Lift 10.00 ft q - b Total Dynamic Head (TDH) 10.04 ft II Dosage Volume Calcs. Does forcemain drain back to tank?0 Dose: 60 gal Forcemain Volume 9.60 gal Total Dosage: 69.60 gal Tank Information Tank Manufacturer Wieser Concrete Inches Gallons Tank Capacity 650 gal A= 21.3 339.9 Tank Gallons per Inch Water Level 26.98 gal /in B= 2.0 54.0 Bottom of Tank Elevation 88 i ft C= 5.5 86.9 Pump Manufacturer /Model Little Giant D= 12.0 323.8 9EH Total=l 40.81 804.5 Pump Curve Pump Tank Diagram FLOW— LITERS /HOUR 0 1000 2000 3000 Water tghtlrtcknq cover 4 Inch with warnnq label Mki"m phhhed 30 10 Grade w 7.5 W Alternate J 20 w Outlet, tocatw Nectrical per a 5 a Fcruman Comm 16.28 and Li - C NVC X00 req. = = 10 ` 2.5 weep Hda, A or AnV5phon l7ewce 0 0 JTrr 0 0 20 40 60 60 C Little Giant FLOW— GALLONS /MINUTE 9EH PUMP PERFORMANCE CURVE 115V 60HZ b Selected pump requires a minimum operating rating of: 10.04 feet of head pressure at 6.18 GPM Il ) 1 6'- 2 43.75 gyp- �Z-O 0 • .6 \ LOT 24 \O 78,549 sq. ft. ��., LOT 27 1.80 acres F 79,589 sq. ft. 0 l 1.83 acres -.X 7.14 ..• \�O S7,9-27 '4,3"E .272 212 .9 . • / t1� • • 9.82' f 15' LOT 25 15 LOT 2B 82,148 sq. ft. I ( 79, 957 sq. ft.' , G$ -- 89 acres I P,s 85. �4 1.84 aC / L. B. O. =975 0: N 4 2J L. B. 0. =975. 0' 39 "E • Otis N7 81.03' 22.84 �' R to N7854'o3 "E k 1 00 48.12' / n_ Drain age v' •a • 80' Temporary ` H.W.E. = 973.0' �tij• Temporary Easement �, to be Extinguished upon \ � ��'S' • \Extension of the Road 07 Eosemen t LOT 15 98,426 sq. ft. /O I� 2.26 acres •' : ' � / L.B.O. =975.0 • 6 6 SA9 0 s• � ', ``` �j, 8S ��, �� � 1h � 2 2839y 2 ... ti�9. \ gyp , ►•`� . • 6 g ?�, F .06 A2 • r . F 6 5'3t/ 0 � N . 5�9, , AO`/ '/ . • ' 30' Oroinoge A Easement S8 E p s LOT M ,h h stp. 93,166 sq. ft. '�� 72. 2.14 acres �g O / '� ; . • L.8.0.=975.0' h h 0� A 119 `* LOT 116 �oti�• .CO 78,851 sq. ft. O �� , <� N.W.E. =973.1 1.81 acres ► „ p Q L. B.0.= 975.0' < < 379.99' ! f0 N84'47'17 "yy 99.74' 479.73 : -- CHERRY , -KNO wk n 66.99' LOT 9 � / LOT 10 / ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Skevt Oerr icic Mailing Address 1 3 8 CT " G Property Address L &4- 26 4Lk_er Ic..*jl s Is y 4 17--7 1K S4 ,t (Verification required from Planning Department for new construction City /State N� R �^►�• Parcel Identification Number G L b — 11 to l 'Z — 00 0 LEGAL DESCRIPTION Property Location N L 1 /4, N \k "/4, Sec. I S - , TAN -R 18 W, Town of Subdivision el k-erry k w. tl S l °+ Zb , Lot # Z v Certified Survey Map # 1 t I c t 9 , Volume 1 . Page # 1 Warranty Deed # ��� �, 3 , Volume . Page # Spec house ❑ yes �K no Lot lines identifiable N yes ❑ 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 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, h as the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification statin t septi stem has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 e thre exp' Lion date. GNATURE O LICANT DATE OWNER CERTIFICATION I (we certify statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of j e pro d ed ab virtue of a warranty deed recorded in Register of Deeds Office. IGNA OF P 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 763731 l 2 5 8 0 P 0 8 3 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 7 - 2000 REGISTER OF DEEDS TRUSTEE'S DEED ST. CROIX CO.. MI Document Number RECEIVED FOR RECORD WILLIAM H. DERRICK and MARY ANN DERRICK 85/25/2884 09:18AM TRUSTEES DEED as Trustee of WILLIAM H. AND MARY ANN DERRICK LIVING EXOPT i TRUST DATED JULY 10, 2002 REC FEE: 13.80 for a valuable consideration conveys, without warranty, to STEVEN J. TRANS FEE: 60.00 DERRICK a married person COPY FEE: CC FEE: PAGES: 2 Grantee, the following described real estate in ST. CROIX County, State of Wisconsin (if more space is needed, please attach addendum): SEE ATTACHED Recording Area Name and Return Address STUART J. KRUEGER RODLI, BESKAR, BOLES & KRUEGER, S.C. 219 NORTH MAIN STREET RIVER FALLS, W154022 26 -1045- 90-050 26 -1045- 80-080 26- 1045 - 90-050 26- 1045 - 95-000 Parcel Identification Number (PN This is nOt homestead property. NY$) (is not) Dated this i� day of MAY 2004 • MAY NN DERRICK * WILLIAM H. DERRIC Trus a Trustee AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. ST. CROIX County ) Personally came before me this (O day of authenticated this day of MAY , 2004 the above named { WILLIAM H. DERRICK and MARY ANN DERRICK i ti5f7^ TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, authorized by § 706.06, Wis. Slats.) instrument acknowl ged the same. HEIDI L. I= THIS INSTRUMENT WAS DRAFTED BY a P 6 ML STUART J. KRUEGER Notary Pit , ISCONSIN RODLI, BESKAR, BOLES & KRUEGER, S.C. My Commission is permanent. (If ot, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) • Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN TRUSTEE'S DEED FORM No. 7 - 2000 INFO -PRO ( 800 )855 -2021 www.infoproforms.com V 2580 P 084 PART OF THE NORTHWEST ARTER OF THE SOUTHEAST QUARTER AND PART OF THE NORTHEAST �I Q QUARTER OF THE SOUTHEAST QUARTER OF SECTION 15, TOWNSHIP 30 NORTH, RANGE 18 WEST, TOWN OF RICHMOND, ST. CROIX COUNTY, WISCONSIN AND DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTH UARTER CORNER OF SAID SECTION 15; THENCE, ALONG THE NORTH -SOUTH QUARTER LINE, SOUTH 00°12'54" EAST A DISTANCE OF 2654.31 FEET TO THE EAST -WEST QUARTER LINE; THENCE ALONG SAID EAST -WEST QUARTER LINE, SOUTH 89 °44'10" EAST A DISTANCE OF 10.31 FEET; THENCE SOUTH 00 wEST A DISTANCE OF 4.24 FEET TO AN IRON PIPE, BEING THE MONUMENTED CENTER OF SECTION 15 AND THE POINT OF BEGINNING OF THE PARCEL TO BE DESCRIBED; THENCE, ALONG THE NORTH LINE OF A LAND CONTRACT RECORDED IN VOLUME 699, PAGE 295 AT THE REGISTER OF DEEDS OFFICE OF ST. CROIX COUNTY, SOUTH 89 °49'40" EAST A DISTANCE OF 939.05 FEET; THENCE SOUTH 00 °00'23" EAST A DISTANCE OF 221.02 FEET; THENCE SOUTH 26 °20'21" EAST A DISTANCE OF 405.03 FEET; THENCE SOUTH 19'49'46" EAST A DISTANCE OF 66.31 FEET; THENCE SOUTH 27 EAST A DISTANCE OF 462.82 FEET TO THE NORTH LINE OF CHERRY KNOLLS; THENCE ALONG SAID NORTH LINE, SOUTH 56'15'44" EAST A DISTANCE OF 196.99 FEET; THENCE SOUTH 84'47'17" EAST A DISTANCE OF 479.73 FEET; THENCE, ALONG THE ARC OF A CURVE CONCAVE TO THE SOUTHEAST, A DISTANCE OF 142.43, SAID CURVING HAVING A RADIUS OF 367.00 FEET AND A CHORD THAT BEARS SOUTH 03 " WEST A DISTANCE OF 141.54 FEET; THENCE NORTH 86'3945" EAST A DISTANCE OF 796.72 FEET TO THE WEST LINE OF SAID LAND CONTRACT; THENCE, ALONG LAST SAID WEST LINE, NORTH 00'00'34" EAST A DISTANCE OF 1225.08 FEET TO THE POINT OF BEGINNING. I INFO -PRO ( 800)855 -2021 www.infoproforms.com l Parcel #: 026- 1161 -26 -000 11/18/2005 04:25 PM PAGE 1 OF 1 Alt. Parcel #. 45.30.18.1249 026 - TOWN OF RICHMOND Current XI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 07/07/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner STEVEN J DERRICK O - DERRICK, STEVEN J 1438 CTY RD G NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 1544 127TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.840 Plat: 10/14- CHERRY KNOLLS 1 ST 026/04 LOTS 14/27 SEC 15 T30N R1 8W PT NW SE BEING CHERRY Block/Condo Bldg: LOT 26 KNOLLS 1 ST ADDN ('04) LOT 26 (1.840AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) �'�- 15- 30N -18W NW SE LA I Notes: Parcel History: Date Doc # Vol /Page Type 07/07/2004 767997 10/14 PLAT 11 X 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations Last Changed: 06/20/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.840 29,800 0 29,800 NO Totals for 2005: General Property 1.840 29,800 0 29,800 Woodland 0.000 0 0 Lottery Credit Claim Count 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 026- 1161 -26 -000 05/01/2009 03:50 PM PAGE 1 OF 1 Alt. Parcel #: 15.30.18.1249 026 - TOWN OF RICHMOND Current OX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 07/07/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BANK OF AMERICA BANK OF AMERICA 475 CROSS POINT PKWY GETZVILLE NY 14068 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1544 127TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.840 Plat: 10- 014 - CHERRY KNOLLS 1 ST 026-04 LOTS 14/27 SEC 15 T30N R18W PT NW SE BEING CHERRY Block/Condo Bldg: LOT 26 KNOLLS 1 ST ADDN ('04) LOT 26 (1.840AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 15- 30N -18W NW SE Notes: Parcel History: Date Doc # Vol /Page Type 12/08/2008 885145 SD 07/T01 -B2927.Z__ WD 06 818162 WD 07/07/2004 767997 10/14 PLAT 2009 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/09/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.840 47,600 279,600 327,200 NO Totals for 2009: General Property 1.840 47,600 279,600 327,200 Woodland 0.000 0 0 Totals for 2008: General Property 1.840 47,600 279,600 327,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 06/01/2007 Batch M 07 -03 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00