Loading...
HomeMy WebLinkAbout026-1131-05-000 g0 m510 J � \ k f A % / { \ f § \ $ e m m * ® # - ƒ k IN �k\§ cr \ \ §\ \ @ \ / § / to CD ° 2 @ 2 k \ v > E 5 ,® A 2 \ \ @ 2 j ° ® (D § 0 f ° \ Z § E c ic i ■ CL X / CD 0 0 0 :r 2 g § § § a � 0 (a (a CD CO) PL � J E a * ƒ § § C o £ # -4 2 > \ 0 ='a � \ °K (A / } ( § o § I � -4 (4 g ; - a , ■ / �¢o� [ z g CD go ƒ Eo n 0 � 2 § ca g f f z < 7 2 A #� �k � �_a g;= § g2 E =EG c /3\ a 7 ©$ J co + 8 y > = r � / ;, q 5§ / 0 \ n� » �Q) \ � � k \ƒ �j k Parcel #: 026- 1131 -05 -000 02/02/2005 10:59 AM PAGE 1 OF 1 Alt. Parcel #: 17.30.18.907 026 - TOWN OF RICHMOND Current ,XI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * BENSON, SCOTT E & TERRI JO SCOTT E & TERRI JO BENSON 1008 159TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1008 159TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.870 Plat: 0066 -B & R'S ROLLING ACRES 026/01 SEC 17 T30N R18W PT NW NW B & R'S Block/Condo Bldg: LOT 05 ROLLING ACRES LOT 5 1.870AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 17- 30N -18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 07/21/2003 731278 2324/091 WD 04/04/2001 642122 8/42 PLAT 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 20790 234,100 Valuations: Last Changed: 06/30/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.870 30,100 182,300 212,400 NO Totals for 2004: General Property 1.870 30,100 182,300 212,400 Woodland 0.000 0 0 Totals for 2003: General Property 1.870 27,700 0 27,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 146 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: . 429914 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 Tax No: Stock, William I Richmond Township 026- 1131 -05 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: 10-7 IF h c A %kl3iiiiFA I Is K- T. 17.30.18 -4M TANK INFORMATION ELENATIOWDATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 1 Z _ Benchmark 10.5D q Dosing Alt. '13M Aeration Bldg. Sewer ' p • 3 • n 1 Holding St/Ht Inlet D !! S, ZZ� TANK SETBACK INFORMATION St/Ht outlet 10 AS 9 � • �, TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ' Sb ( Dt Bottom Dosing r Header /Man. Aeration 'tom Dist. Pipe Holdin B t. System t V Final Grade PUMP /SIPHON INFORMATION 10•Sfl S , 0' Manu acturer Demand St Cover GPM . Z Model Numb TDH Lift Fric Loss System Head TDH jFt� ` Forcemain Length Dia. Dist. to well 6 . Z SOIL ABSORPTION SYSTEM g BEDITRENCH Width f Length ` No. Of Trenches IT DIME DIMENSIONS 3 �y-t e.S • SETBACK SYSTEM TO P/L BL G WELL LAKE /STREAM LEACHING Manufa GJ� INFORMATION Type Of System: V,,`t CHAMBER OR Beal +/ 3 ( C - , UNIT Model tuber: _ i/ �o DISTRIBUTION SYSTEM L+� OF Header /Manifold Distribution � ol ize x Hole S acing Vent to Air Intake .,r .� u Pipe(s) Length Dia Length Dia 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 ❑ Yes U No Yes [] No W ""C ino�Tta�.S ncl�udg code d}sc`ypencie�, perso�s,�resent, etc.) inspection #1 / �� ys / J Location: 1008 159th Avenue New Richmond, WI WI 5 (NW 1/4 NW 1/417 T30 R18W) B & R's piling Ac e9 Lot arc"el : 17.30.18.48G 1.) Alt BM Description = v s y"T - vv�a.. ' T M —_'73 2 �' t oL sr. 9ti�8� ,1 Z lZ • 1 2.) Bldg sewer length = Z- amount of cover = a b I I . I L A z • �S ' ° }3.0 &Z_ Plan revision Required? Yes �J No Dig-, I 0 3' Use other side for addition rmation. �_ SBD -6710 (R.3/97) A _ L _ (L Da Insepctor's Signatur Cert. No. l /iS�.veW17� rl "'" 4,e ce� ((w.� oS'� 2a�3J 4 Safety and Buildings Division County�� t 201 W. Washington Ave., P.O. Box 7162 /9 /k_ '$COns,� Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Departmen# of Commerce (608) 266 - 3151 cf2<7 Sanitary Permit Application State Plan I p Number m In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(lxm) Project A (if different than T I. Application Information - Please Print AU Information �>5GG3 00 Property Na me Parcel # J;N - f Property Owner's M ailing Address P roperty /1 �(, !A & City, States ) Zip Coddee� Phone Number / O T3 II Type of Building (check all that apply) l � S vis or 2 Family Dwelling - Number of Bedrooms on Name CSM Number ❑ Public /Commercial - Describe Use � ❑ State Owned - Describe Use 2 3 X 9 3 - City_ ❑Vi wnship of M. Type of Permit: (Check only one box on line A. Complete line B if applicable) 0 2(0 ^ �� 3� — oS ovo . D } A' ew System ❑ Replacement System ❑ Treatmem/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 1V. Type of POWTS K -stem: (Check all that apply) - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In-G ound ❑ Holding Tank (I Peat Filter ❑ Aerobic Treatment Unit 11 Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ' Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe Other (explain .S ' V. Dispersal/Treatment Area Inf 'on: euJ ) Design Soil Application Rate(gpdsf) Dis � J ed Dispersal Area Proposed (sf) System Elev ' n 777 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Septic or Hokling Tank LA Aerobic Treatment Unit 1 Dosing Chamber G l- VII. "Responsibility Statement- I, the underslgyted esponsibility for installation of the POWTS shown on the attached plans. P is Na me (Print) Plumber' tore MP/MPRS Number Business Phone Number cl� & I Plumber's Addre ss (Street, City, State, ) VIII Count /De artment Use Onl 1 9 Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Agent Si (No Stamps) Surcharge Fee) , ❑ Owner Given Reason for Denial IX. Conditions of A for Dpapproval lM lwux S� u AW& &mplete plans (to the Co ®ty only) for the system on paper not less then 81/2 x 11 inches in size SBD -6398 (R. 01/03) PLOT PLAN PROJECT Bill Stock ADDRESS 1474 112th st NewRichmond Wi, 54017 NW 1/4 NW 1 /4S 17 /T 30 / � N/R/ 1 7 8 W TOWN Richmond COUNTY ST. CROIX 6 -03 -03 4 BEDROOM MPRS Byron Bird Jr. 2205 DATE CONVENTIONAL XXXX . t rade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gal LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 11 LOAD RATE .7 ABSORPTION AREA 657 # of chambers 28 ik BENCHMARK V.R.P. ASSUME ELEVATION 100' ❑ BOREHOLE (D WELL sH.R.P. Vent SYSTEM ELEVATION >12" Standardf Leaching Of Chamber with 17.2 Cov ft A2 per chamber 6" /A C , 9 Grade at.SX.,gLem Long 34" Elevation S �aLA& 0 20' 62' access Rd to 100th st 5 ' to P 48 Drive y 10' st 1 PL Garage NI 4 bed house PL PLA PROJECT Bill Stock DRES 1478 112th ST. New Richmond Wi 54017 NW 1/4 NW 1/4S 17 /T 30 / 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE4 /17/03 BEDROOM 4 CONVENTIONAL XX)C IN- GROUND P CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 870 # of chambers 28 ,BENCHMARK V.R.P. Top of PL wood stake ASSUME ELEVATIO 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P Same as Benchmark SYSTEM ELEVATION 92.7/92. 3.M. Vent 407' Property Line Alt. B. M. 30' >6" Standard Biodiffuser Cover L of Leaching Chamber 2 -3' X 94' Cells with Vents 15 with 31.1 ft2 of Area >3' Spacing B -2 Long 34 Grade at System Elevation B- 5 ' Plans Designed Using 36' 36' Conventional Powts Manual Version 2.0 36 30' s ALT _ B -3 B -4 ° a� 25' o o ° ST 15 Pro 4 Bedro Hous r a r v j , i'A ,i 1� y, r� f Wilconsifi Department of Commerce SOIL EVALUATION REPORT Page of Division► of Safety and Buildings In accordance with Comm 85. Wis. Adm. Cods Attach complete site plan on paper not less than 8 M x 11 Inches In size. Plan must County Include. but not limited to: vertical and horizontal reference point (BMA direction and Parcel I.D. percent slope, scale or dimensions, north arrow. and location and distance to nea road. rest 0_ Please print all information. Date Personal information you provide may be used for seoordary vwpa•a tom► taw. s. M04 (t) #n)1 5 ZZ- Property Owner Prop" Locatlon Govt. Lot �W II A, S/ Tao N R E( W Property Owner's MaWq Address Lot 0 Block 0 Subd. Name or CSM# % 1A //-) 5 /-- I \-#-- . — 'l o /1 i-r 4 GZ �r�s 7 4))c / ts p hone ❑ CIQ► ❑ village own Neereat Road fZ New Construction U30;ff, Residential / Number of bedroofrs Code derived design tow rate O c:� GPD ❑ Replacement Q Public or cornmerclal - Describe* Parent material l /�. c �G�c f�fl Flood Ptah elevation If apOkable General comments and recommendations: o �'�� Boling # aPit Ground surface elev. - r ft. Depth to llml �p facto�> in. SoN Application Rate Horizon Depth Dominant Color Red= Duedp*m Texture Sbtldure Consistence Boundary Roofs GPDW In. Munsell Ou. Sz. ConL Color Gr. SL Sh. •Eff #1 I •Efl#2 o yl ry-,,c zv 42- Boring #0 y Pit Ground surface etev. y6 / R. Depth to Mr ft fa� /��- in. Solt Application Rate Horizon Depth Dominant Color Redox Description Texpas Str Consistence Boundary Roots GPDW In. Munsefl Qu. Sz Cont Color Gr. 8z Sh. •Eff#1 •Eff#2 7Tr 1 0 7 21 - S CROIX ` NTY ZON G OFFI • Effluent 01= BOD > 30 < 220 mglL and TSS >3O _< 150 moll. • Effluent 02 ■ SOD, CST Name (P ase Print) F Signattxe umber Address ,� is Evaluation Conducted Teleptwne Number r j. Property Owner. , 1 Parcel ID # Page of 97 Boring # ❑ Boring QPit Ground surface elev. ft . Depth to limiting fa 1 . f _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description r Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont Coles ";.. Z Gr. Sz: Sh. •Eff#1 •Eff#2 OVA J 4:z /yam n2 - JF Boring # ❑ Boring Pr Pit Ground surface eiev. y� '0 % Depth to limiting factor �� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/11 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1W X4 a Boring # ❑ Boring ❑ Pit Ground surface elev. 1L 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 = SOD, > 30 < 220 mg/L and TSS >301..150 mg/L • Effluent #2.= SOD, : 5 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. SBD4330 (&6100) • Soil Test Plot Plan Project Name Bill Stock j Byron B' - d Jr. Address 1478 112th St. New Richmond Wi. 5 CSTM #220527 Lot 5 Subdivision Rolling Acres Date 11/4 d NW 1/4 NW 1/4 S 17 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX T ,BM or VRP Assume Elevation 100 ft top of PL wood stake'„� g System Elevation 92.9 H.R.P. same as BM 407' PL NB.M. 30' # alt. Bm ass. elv 101.6' top of white stake 15' B2 25' 36' A- ' - ,00 � 2 ' PL V6' 3 9 . B4 96' 95' Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900 o SHMC TANK MAMEMAN M NT AND OVNMtSHIP CEWAMCOWN FORM o BMW // _15;� MM Ad&vn .,� 1 ,z/.��� A. /?/, �. � � ft AMUM © 0,9 (V crw cawiside I�roelldatfifica�on Nm�r o2� — I f 3 I — os - o�n � 90 �-� zXG t. zo oa _,z2vvL &2%, �. l_ i . T W, Town Suustivi* aa o / ' . Lat # t Surm MW # . vim . - Paso # Warranty Dent # v olmne . par # Spec boWW ❑ no tot Ihm mmmwP4� O �o te =p& cadd ift_ coupes �pa�g aattbo scpb�tuic�gimeayeao acsaoms; ifaoodedi�y aRcaredpu�pe� ��t� iva, firs s��ees cmao ggoSoefo - cifgWWpdetmkasatuomu=n segomthewawhOpoadsPUM TLe ps paW o -er ggnmtm sdbm* to St Cbok 7jpo igdDepdmmnRa cacti =Aims s%ped by do o�w and by a aua ci - a_ vomoal P eca�oemedp*aipac 14 bsommoom db mrAft - dwMqmd �� d�, �asop�ataotislantlr�Il3�ltafal�e. Y�td��deI��aaa�a�amgaasaama�raad�eatua�a� ae � ��� � +ocodyTmtOB� C S83KATiWB OF ApPXJrAW of OWIM 'of ft"gfew I { } r tldt aR seotemeats as g& jams Doed Oboe: I (M} s M tom} do own=(* by efa�y DAW �TAT[�B (Orr .mss« A� that � maY:+�t m tba P�� bobs saocioodb9 &o?ooiug DapatUDomL ss y WfW d& a st=gMd wan any dad fo m *D RcSbw of Dmb OEM a copy of do catiRed vArmy OW ff g*l , is an& i4 to wady decd Vol. 15WAAR sul'E BAR OF WISCONSIN FORM 2.1999 KATHLEEN H. WALSH Document Ntiniticr WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between John C. Van Dyk and Eileen K. RECEIVED FOR RECORD Van - Dyk, husband and wife, 08-31-2000 2:30 PH WRAMITY DEED Grantur, and William B. Stock and RoX antic Stock, husband and EXEMPT III Wire, CERT COPY FEE: COPT FEE: TRANSFER FEE: 186.00 RECORDING FEE: 10.00 PAGES.- I Grantee. Grantor, for a valuable consideration, conveys to Grantee (lie following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Arco Lot 2 and 3 of Certified Survey Map filed July 28. 2000, in Vol. 14, Page Namc and R i Add 3914, as Document No. 627230, located in part of NW 1/4 of N W 1/4 of EAL�m U&t_ ia-k" Section 17, - Township 30 North, Range 18 West, Town or Richmond, St. qws %&LkNI-6 Ir -- 1 - Croix County. Wisconsin. tA EjA• 5.,.M , W 1'. 415 Lo - 13 00 a 0 26-1049-70.100 Parcel identification Number (PIN) 'ibis is not homestead property. 04) (is 1101) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this day of .. _2000 J i A P Van Dyk Eileen K. Van /, Dy k AUTHENTICATION ACKNOWLEDGMENT Signaturc(s) STATE OF WISCONSIN ) ss. EEIEI�FY FTATgEU> Q t >> County authe tf nn,71ed IhTisd IT Personally came before me this day of • August 2000 the above named 411!a C. Van Dyk and Eileen K. Van D yk, liiusband and wife, TITLE: MEMBER STATE BAR OF WISCONSIN — (If not to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Slats.) instrument and acknowledged the same. THIS INSTRUMENT' WAS DRAFTED BY Attorney K!itina Ogland Notary Public, State of Wisj sin Hudson , W 5mr My Commission is permai . state expiration date: (Signatures may be utillicaticated or acknowledged. Both are not necessary.) .. — A 7 _123 • I Names utpersons signing in any capacity must he typed or pria(ed below their signature. lrdwm■ian Pro(•swnais company. Fond do Lac, W WARRANTY DEED STATIE RAR 01: WISCONSIN 800455-2021 FORM No. 2 - 1999 ,LO 3,.9ti'.ZS. 00*9 ._ ... _ I ,��•sz� � I � I - N ti I rK� i _� 2 I : N 2 I " 0 04 I z I Jt M "91,.Zg.00N I t � I � I N I- J; N ` o o W o I 0 0 N I ZI I O 41 Q C -4 C44 N oo I N (o I I M.,9b,ZS.0 I Lo N I r O o W I V) o I ' I � Os U o = • I I a i i I I I N LLJ Jt I I i M „9j + 0 w I w 3 � EL I �,•/ �i