Loading...
HomeMy WebLinkAbout026-1153-05-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453246 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: R.F.K Construction Inc. I Richmond Township 026- 1153 -05 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: A1�— �VV\ C ST 19.30.18.1143 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � / � � Benchmark � ` 1 /07 � �O Dosing 7 � � Alt. BM Aeration Bldg. Sewer � q. 3 iota, 4S Holding Sum Inlet � 5.<d 16 41.95 TANK SETBACK INFORMATION St/Ht Outlet P L �5 /M ,7e, Z TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet �- Septic 1 A I/) _ Dt Bottom t't� Dosing Header /Man. /6 • � /G� L�' Aeration Dist. Pipe / T Holding Bot. System PUMP /SIPHON INFORMATION Final Grade 7, � 3 Manufacturer emand St Cover GPM � P: ,,ice_ , �' s 16 7 Model Nu er TDH Li Friction Loss System H TDH Ft Forcemain Len( Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No. Of Trenches PIT DIMENSIONS No. f Pits Inside Dia. Liquid th DIMENSIONS SETBACK SYSTEM TO JPIL JBLDG WELL LAKE /STREAM LEACHING Manufacturer: n INFORMATION CHAMBER OR J .J S Type Of System: / t.^ Je,�y " Z5 I LG UNIT Model Number: DISTRIBUTION SYSTEM g' iodF, Header /Manifol1 . Distribution x Hole Size x Hole acing Vent to Air Intake Pipe(s) ` \ Length Dia U Length \ Dia ` Spacing ` A+ 5 ✓� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Qf xx Seeded/ odded xx Mulched Bed/Trench Center / BedlTrench Edges \ Topsoil \ - - - � \ Ye L s No Yes [ ; No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: K / / b Inspection #2: ! / Location: 1488 94th Street New Rich ond, WI 54017 (NE 1/4 NW 1/4 19 T30N R18W) Glen View Lot 5 '— (� Parcel No: 19.30.18.1143 1.) Alt BM Description = �P of 4 - o 1.s n ✓` 2.) Bldg sewer length = 3' - amount of cover = 7 Plan revision Required? Yes Lv] No IZ Use other side for additional information. � SBD -6710 (R.3/97) Date I epctor' nature Cart. No. Safety and Buildings Division County v P.O. Box 7082 �r 201 W. Washington A e•, 2 Saai Permit Number (to be filled in by Ca.) Madison, ) 2 53 07 - S � s �O�s ( 608) 26i - 6546 State Plan LD. Number pepartment of Commerce liCatl�n P App 3.:_ Sanitary P .- Project Address (if different )bestir mailing address) L accord with Comm 83.21, Vrs. Adm• Cos" pesaogaban � foanatr� may be used far seco pumoses Privacy Aw, OF .� I — Apputatfoa Iaformatioa Please Print All Informatiols parcel # Lot . Block N ejagi p roper t y O`vna *sName u �; 'IT l Ju b /� S¢ , P� Location ailin Address I (/ ��, �h, Section Property dw°a's M 8 JQi� � / Zip Code Phone Number ( Ovz TF� N; i�� City, State \ �S `GSM Numbet Oy Nn Sutadi 'rtes tne �, _ ,c/J jj, ype Of Bu1ldLLag (� all that apply) ��� Number of Hodrootas (' 1 or 2 Family DwelliaS — �Yilla wnship Of / Z t � City ..: ❑ hblic1Commerciat - Describe Us 2 S ❑State Owned - Describe Use livable) Cheek only one b x oa llne A. Complete line B if app IIL Type of Permit: ( Tank g cement only other Mndifiea ❑toa to Enistins System A e ❑ Repla"wear System ❑ Trcatsnent/Holdiag w System List previous Peamit Nwnbar sad Date Issued ❑ P Chaz< 8 e of ermit Transfcr to Na- wsl I] PermitAcvision Owner g, ❑ Permit Reese plumb Before Upiration I ❑ Si IV, a Of P a;le Pass Sand Filter Q�� S stem: Check all that a Mound soil ❑ rio g Sand Fitter ❑ > 24 in. of suitable soil C] d c 24 in. a Aerobic Traatrnent Uait Reeireula Non pteaauttzad .Ground ❑Mound_ HoldinS peat Filter ❑ Pressurisod m uad ❑ Tank ❑other (ex lain Constructed Wetland ❑ Drip Line [3 Gravel-lets Pip Chamber} Area proposod (sf) n It etc ldedia. Filter Dispa Sy�tecn eciratlado S �J Y. Dis Wrreatment Area 1 ormation: Pam Area Required (sf)' ) v Desip Flow (SPd) Design Soil Application Rate(gpdsf) F �,_ 9 6 r Site tae) Fiber Plastic 2 Number too n \ concrete I Constructed oleo � 4- t� J Capacity in Total VL Tank Info Cmllow (3allans of Units - !e� (t7o 1 Ne Existing i Tanks Tank � 7 Septic or Holdias Tank V Aerobit Trastment Usk neiagCtnmhe t for installation of the powls s 10, o a the susinass fa attached D s. as sume nspansibflity I E•usiaeec Phone Number VU. RsaponsibiUty Statement-1, the ttnderstg MP/MPRS Number Plumber's Name (Print) Flutn Z, Z_6 f �► _ ,3J n Zd � � (71 7 dress (Street, City. State, zip C e Plumber's Ad o Stamps) ` do � — Date Issued r. tot Si V1II. Court /D artment Use Onl gaalury permit Foe (includes Groundwater Ar, 241 ZOO ,pprovrd ❑ Disapproved Surcharge Fa) 2 �� { ` Q van Reason for Denial v I r ' }. 1 A IX. Conditions Appro� �� ` �►v. h4 j SYSTEM OWNER: — I filter and Septic tank, effluent � 1 dispersal cell must all be serviced /m plu mber. as per management plan provided t p 2. All setback code ust b m aintained aintained as per app l i cable rem ea papsr sot less than ills s 31 lathes in sirs Attacb'eomll�ts playa (tie tYe County only) for t►e sys clon_Als (R. 0$102) PLOT PLAN ROJECT R.F.K. Construction A RESS 1390 Neal Ave N. Lake Elmo Mn 55042 1/4 MN 1 /4S 19 /T 30 N/ W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/13/04 BEDROOM 4 CONVENTIONAL XXX IN- GROUND SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Sameasl3enchmark Alt. BM Top of Survey Iron @ 96 .4' SYS ELEVATION 96.4/95.4 6' below qrade 394' Property Line Plans Designed Using Conventional Powts Well is to meet all Manual Version 2.0 setbacks required by WDNR Pro 4 Bedroom 233' Prope rty �- House \ `OD 25' -3 T 30' -1 2 -3' X 88' cells 90' Vent with >3' spacing 3 >6 „ Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 10% 6 11" ' Lon •ope y Line Slope g 3 4 Grade at System Elevatio ri 70' Vent -2 5 194' 447' Property Lin * 45' 175' � , OPI �J C��j PLO LAN / Z � rCY."'� PROJECT R.F.K. Construction RESS 1390 Neal Ave N. Lake Elmo Mn 55042 1/4 NW 1 /4S 19 /T 30 Nf' 8 W TOWN Richmond COUNTY ST. CROIX I MPRS Shaun Bird 226900 DATE 5/13/04 BEDROOM 4 CONVENTIONAL XXX IN- GROUND j rSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑BOREHOLE O WELL *H. R. P. Same as Benchmark Alt. BM Top of Survey Iron @ 96 .4' SYS ELEVATION 96.4/95.8/ 95.4 6' below qrade 394' Property Line Plans Designed Using Conventional Powts Well is to meet all Manual Version 2.0 setbacks required by WDNR Pro 4 233' Prop y L 25' Bedroom T House 120' B -3 60' 3' 90' -1 Vent 2 -3' X 57' cells and 1 3' X 63' 20 >6 „ Standard Biodiffuser Cell with >3' of Cover Leaching Chamber with 3 1. 1 ft2 of Area spacing 10% Sloe � I 1 " •ope y Line p 6 Long 3 4" Grade at System Elevati 70' B -2 5 Vent 194' 447' Property Line * 45' 175' .... ... _..� B.M. ' (�� /�� n PLOT PLAN ACT R.F.K. Construction A RESS 1390 Neal Ave N. Lake Elmo Mn 55042 1 /4 NW 1 /4S 19 /T 30 N/ W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/13/04 BEDROOM 4 CONVENTIONAL XXX IN- GROUND SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 i BENCHMARK V.R.P. To p of Steel Fence Post ASSUME ELEVATION 100 1 Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Alt. BM Top of Survey Iron @ 96.4' SYS ELEVATION 96.4/95.4 6' below qrade I 394' Property Line Plans Designed Using Conventional Powts Well is to meet all Manual Version 2.0 setbacks required by WDNR Pro 4 Bedroom 233' Property House AL 25' B -3 T 15' 30' 2 -3' X 88' cells 90' 1 Vent with >3' spacing 3 >6 » Standard Biodiffuser Leaching Chamber of Cover with 3 1. 1 ft2 of Area 10% 1119 6' Lon •ope y Line Slope g 3419 Grade at System Elevation 70' Vent B -2 5' 194' 447' Property Line *B 45' 175' B.M. L May 13 04 01:53p test 651 - 436 -1247 p.2 224.11 87,453 S.F. \\ 1 1 �n2 lo z (2 .01±ACRES) O 88. co '9 �6� uB- 33• t i t ti6 . td 17.54' N82 "E loc0o 291.64' JOINT M"EWAY O \ ` EASEMENT $ ,�, 11 v'1 8 I t, (/ / t T 00 �i>Y.' t 6 79.207 S.F. W (1.82tACRES) N / Ile Oft. „14 737.49' F �. � �' � r (•. Z/ iiif = 0 e � 9 9 2 RZ N -pvsv � 9 j �yg� 88.29' �3�- - -��,� °��`, _ .. o -I `G aid s' m ''�. N 91,764 S.F. A M4 r M (2.11tACRES) 5 A' i.v `'• 96.668 S.F. N 470.83 , 160.76 EASEMENT (2'221ACRES) r L - r N89"5 �` ���` • \ �t DRAINAGE cr � a 71.82' t o EASEMENT , m Ln � 1\ � a 83 193 N a / g _ 44 ?' s � \ \ `t S72 03 26W � / S n^i \ 16 f�.13 1 y 71.461 S.F. � J (1.64±ACRES) 17 75 s� * • tiRa z 81.015 S.F. 1 ; 1 l �Aaa 3 ( '/ nm t 4p 74.037 S.F. co 13 g 14 y � , IN 105,605 S.F. 74,551 S.F. � (2.42±ACRES) ( J r gut , '� _�� 4.cs�� / •�� I MM 1 8 2004 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in ac=4 with oq� qRdm. C e County / f �/ Attach complete site plan on paper not less than 8 1/2 x 11 Inches In size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to arest r d. Please print all information. P AID Date Personal information you provide may be used for secondary purposes (Privacy Law, s. A4 (1) ( M �� Property Owner Property Location G j r ry ` J Govt. Lot 1 /4 /4 T 3(, N E (or) Property Owners Mailing Address Lot # Block # Subd. game or CSM# ;& -J 7c'—/4 e— Elpy t I .5o I V21 e �-/) ' 5 1 3 eL� 0 1 State Zip Code Phone Number ❑ City ❑ Village own Nearest Road New Construction Use: esidential / Number of bedrooms Code derived design flow rate a GPD ❑ Replacement ❑ Public mercial - Describe: __ ,,//►r _— ______.__ ___ Parent material -./ Flood Plaiin eleva on if applicable General an recommendations: S4 s �e A'— e- l f � ✓ C%(. '�'V'"� / 'O / �-S' / F/— I Boring # E] Boring it Ground surface elev. , D L ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 a t ,. 7 4 . Boring # C] Boring Z A pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ---'.5 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L °. ;r': 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �._� c 715 - 246 -4516 Property Owner _ Parcel ID # Page of 1 Boring # ❑Boring � /.', { - '� � Pit Ground surface elev. V l/I ft. Depth to limiting factor -� — in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o 7 /a" Z_ 22 s 'z S s /'7 t? i� z 1 /,/ - ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 •Eff#2 F-1 Boring # El Boring 1:1 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R000) Soil Test Plot Plan Project Name R.F.K. Construction Shaun Address 1390 Neal Ave N. Lake Elmo Mn 55042 CSNY #226900 Lot 5 Subdivision Glen View Date 5/13/04 1/4 N W 1/4S 1 9 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post 96.4/95.4 System Elevation HRP Same as Benchmark Alt. BM Top of Survey Iron @ 96.4' Scale is 1" = 40' unless otherwise noted 394' Property Line Pro 4 233' operty Line Bedroom H se 102' 100' 60' 90, 20' cJ� 10% � \" ape y Line Slope L f low - 07 " B 194' 5 ' 447' Property Line 45 ' B 175' t. .M. " Soil Test Plot Plan project Name R.F.K. Construction Shaun it Address 1390 Neal Ave N. , g Lake Elmo Mn 55042 C #226900 Lot 5 Subdivision Glen View Date 5/13/04 1/4 N W 1/4S 1 9 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 96.4/95.4 *HRpSame as Benchmark Alt. BM Top of Survey Iron CC 96.4' Scale is 1" = 40' unless otherwise noted 394' Property Line Pro 4 233' roperty Lin Bedroom House 102' 100' 45' 15 -3 -1 90 35' 10% Slope ope y Line 70' B- 5' 194' 447' Property Line *B t. 175' B.M. PLOT PLAN PROJECT 'R. F. K. 'Construction ADDRESS 1390 Neal Ave N. Lake Elmo Mn 55042 1/4 NW 1 /4S 19 /T N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/13/04 BEDROOM 4 CONVENTIONAL XXX IN -GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 hL BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Alt. BM Top of Survey Iron @ 96.4 SYS ELEVATION 96.4/95.4 6' below qrade 394' Property Line ZP1ansD ed Using P owts Well is to meet all on 2.0 setbacks required by WDNR Pro 4 233' Property Bedroom House 25' � ? B -3 60' � T 30 90' B Vent 2 -3' X 88' cells 0' 99 Biodiffuser with >3' spacing >6 �� Leaching Chamber of Cover with 31.1 ft2 of Area 10% Slope 'Lon 1 1 " ope y Line g 3 4 „ Gr ev 70' I B -2 Ve S 5 , 1 4 447' Property Lin B 45 . - 175' B. Maintenance and Contingency Plan for a Septic System Maintenance Plan pumped once every 3 years. 1. Septic Tank is to be pump 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 ev�:r ed via the inspections pipes at the ends of y 3 years, cells are to be inspect 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. Watershod is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan opt ion #1. if system fails, determine cause of failure, use altemate area and install new syste tested replacement area. ion stall sys tem at a lower elevation by removing chambers, removing biomat, #2v- _ and install new system. Option #3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. .3n other fail 3. Replace y g component s as needed. Plumber: f5haun Bird 715 -246 -4516 St. Croix County Zoning 715- 386. -4680 1 - 246 -5148 � Mondor 715-246-5148 Pumper Tim Shaun Bird #226900 ST CROIX COUNTY • SEPTIC •T N ��EN�,NCE AGREEMENT AND O HIP CERTIFICATION FORM l.�r 4, owner/Buyer ' f Mailing Address J F 14 f0i Property Address (Verification required from Planning Department for new construction) Parcel Identification Number 9z6 W �� City /State LEGAL DESCRIPTION , /; , . N_R —-- w, Town of ' e Location 1 /.,J - V., Sec. Prop rty Lot Subdivision '°� � _ Volume , Page # � Certified SUrVeY Map # S3 Volume 2 Page # `� 3 Warranty Deed # � � i es O no Spec house yes O no Lot lines identifiabiX Y YSTEM NANCE could result in its premature failure to handle wastes. Proper maintenance S E of our septic system pumper. what you put into the system ten Y 'ceased main a h P Improper use and needed b e se p tic tank every three years or sooner, if ne Y s consists of pumping out th ep stage in the waste disposal y the septic tank as a stem. g can affect the function of P ed by the owner and by a owner agrees to submit to St. Croix Zoning D a certification form, sign The property pumper verifying that (1) the on -site wastewaterdisposal system masterplumber, journeymanplumber, restrictedplumber or a licensed pump the septic tank less er l/3 is in proper operating W of sludge. after inspection and um pumping (if necessary), C-0 and/or (2) sal system with the standards ed have read the above requirements and agree to maintain the Private sewage , di I/we, the undersign b artment of Natural Resources, State of Wisconsin Ofi•c�e � r� 30 set forth, herein, as s et by the D epartment of Commerce and the Dep stating that your septic system has been maintained must be completed and returned to the St. Croix County da s of the three year expiration date. DATE IGNA I OF APPLICANT OWNER CERTIFICATION our` knowledge. I (we) am (are) the owner(s) of Ire I (we) c ertify that all statements on this form deedrecorded in of Deeds Office. t h e p described above, by virtue of a warranty DATE SIGNA OF APPLICANT * * * * «« An information that is mis- represented may r esult is the sanitary permit being revoked by the Zoning Department. * * **** y d warranty deed from the Register of Deeds office a copy o f the certified ** Include with this application: a survey map if reference is made in the warranty deed opy / 1 . �• � �� - �-�-- \. -_ .rte 1� � /�� r. i � v J . . rely, I o e T�• U 2 9 5 1 P 19 3 74tEj � qsZ3 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO.. WI RECEIVED FOR RECORD This Deed, made between Hillvale Development Limited Liability 11/06/2003 11.30AM Partom9ft Grantor, an C nstruction Inc. WARRANTY DEED Grantee. cXc14E'T # Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: 11.00 the following described real estate in St. Croix County, State of Wisconsin TRANS FEE: 951.00 COPY FEE: (if more space is needed, please attach addendum): CC FEE i Lots 09, 17 29, 30, 31 and 41, Plat of Glenview in the Town of PAGES: 1 Richmond, St. Croix, Wisconsin. Recording Area Name and Return Address A 03 -1 WS 030- 1056 -30 -000 030- 1055 -90- 000.030- 1055 -95 -000: 030 - 1056 -20 -000; Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of November , 2003 r * Hillvale Development Limited Liability Partnership AUTHENTICATION / (ACKNOWLEDGMENT Signature(s) STATE OF LA.ZS -- ) racy Tt tme, ) SS. County ) authenticated this c }� NOt€ ry Public vtCtte Q re Personally came before me this day of November 2003 the above roamed Hillvale Development Limited Liability Partnership * by Richard Nelson TITLE: MEMBER STATE BAR OF WISCONSIN t me known to be the person (s) (If not, o Pe ( ) who executed the authorized by § 706.06, Wis. Slats.) instrMW 4nd ackn wle a same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, WI 54016 Notary Public, State of___ _ My Commission is permanent. (If not, 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. Information Professionals Co., Fond du Lac, WI STATE BAR OF WISCONSIN 800 -655 -2021 WARRANTY DEED FORM No. 2 -1999 GHJLIw L�r�l �, ( -A- N � 0 OD N88'22'59 "E 0A 0 '. \\� k ti ;AINAGE + ate\ \v ` N EASEMENT w —] A . olao �� � � � 84,589 S.F. O 932.00 / \� \ A < \ 1 (1.94 ACRES) 224.11' 85,897 S.F. 'i\ \ \� j I � I � L.B.O. EL. = 930.00 Z (1.97 ACR 934.00 \\ 1 - ` —, 1 � 1� [946.79 -1 88.83 a , $ L.B.O. EL. \ N I c N ) H ��(V.L. 1 \ 92.80 av i r.� col - �-s 1 \ 3 L , ro `-' N824 33 \`33 \� 6 \ N � �� \ O �ti 88,0 V482 100.00 \ \ �p0 (2.02 291.6 _ 9 \\ / n� JOIT ' \ DRIVEWAY EASEMENT ® \•� I J I ° +p 6 \� ` �� 91,513 c to 79,056 S.F. / (2.10 ACF ON (1.82 ACRES) \ �� / SSB L.B.O. EL. _ L.B.O. EL. = 923.00 a 91,764 S.F. LA L A (2.11 ACRES) r N9000_00 L.B.O. EL. = 927.00 l u N 1 to t � • \ \\ � 66 F. \ (2.22 ACRES) 470 83 AGE L.B.O. EL. = 923.00 °" // N89'S9' 16o.76' EASEMENT % y 71.82' DRAINAGE cn. •°jN/ , 51' s s� EASEMENT / qA 19 \\ H.W.L. = 920.35 3 e ' 4 41,21 F \ m 1 / co \ \\ 812 03'26~ ,��' /�.�• Z 71,264 S.F. \ X 12• r / o (1.64 ACRES) 1 L.B.O. EL. = 927.00 Z53An / g 81,015 S.F. ,g3 7 o 3 (1.86 ACRES) i<'�iSi� �e• `'N ���� 2 1 to L.B.O. EL. = 927 ' ` ~g � (1.70 ACRES) $ Z. L.B.O. EL. = 923.00 / 7 14 13 74,551 S.F. / 105,605 S.F. (1.71 ACRES) (2.42 ACRES) L.B.O. EL. - 923.00 / .0. EL. = 923.00 �. 3 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code n Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. / percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R ew X Personal information you provide may be used for secondaryourposes (Rfivaaey Law, a-15. I 34 Property Owner Pcopptty Lo r lion r2�e� 7 11r �^� ,, Govt. Lot !R VJ' /4 S � T� N R E (o W Pro ps Owner's Mailing Address Block # Su Name or M# a ,� � S � ?°--- � C'.✓ !/ i his/ City tale Zip Code P on Nu r ❑village To Nearest Road r New Construction Use:X Residential / Number of bedrooms � Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material aL ; tcc" -x ) k� Flood Plain elevation if applicable ft. General corrvrlertts j �✓ '� ��� 1J !/ (� f and recommendations: t ❑ Borin it 41 T1 5� . a goring # pit r in A .,� Ground surface elev ft. Depth t0 limiting facto. - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 `Eff#2 i > Boting # Q Boring /)h J pit Ground surface el i v ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff #1 •Eff #2 .3 � S Effluent #1 = BOD > 30 220 mg& and TSS >30 < 150 Effluent #2 = BOD :5 30 mg/L and TSS < 30 mglL CST Name (Pl1eaw Print) lure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54 17 "?_//— �) 715- 246 -4516 Property Owner _ Parcel ID # Page of [ 7 — ] Boring # ❑ Boring Pit Ground surface ele . � ft. Depth to limiting fade in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. .� 'Eff#1 'Eff#2 ©^ / c am- - --1 ✓ M/ S ❑ Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg/L and TSS 130 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD•9330 (R000) Soil Test Plot Plan Project Name Lakes and Hill Development Shaun Bird Address P.O. Box 10598 White Bear Lake Mn 55110 CSTM # Lot 5 Subdivision Glen View Date 7/18/03 1/4 N W 1/4S 1 9 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 91.0/90.0 *HRpSame as Benchmark Alt. BM Top of Survey Iron @ 96.4 Scale is 1" = 40' unless otherwise noted Please note: survey was not completed at time of testing, setbacks from lot lines may change. Installer must verify Please Note: Tested area all lot lines and setbacks may not be suitable for before installation. desired buildin ec system location ', before excavating. a 0 cn M N 93' 10% B -2 0 Slope 94' >, 95' a. 0, 96' $0' B -1 ' 45' 40' B -3 194' ' Property Line t 175' ' �' M. L-) Lot &'� 0 V— - - m � � 9 �g�•i 6•E / °.o � � - ---' " N "E 1 \\ r 0� O \ \ O N82'47'33 "E � w 100.00 \\ .\ � ��$ (2.0 17.54' r 5�A4i 7 JOINT Y/% lO �,\ �01 DRIVEWAY 3 1 EASEMENT $) rn 00 to rl 0) A °'' // 6 r.; 91 A. 79.207 S.F. r , —,� ♦ L4 (1.82±ACRES) �Ioi / / /, / , � U ♦ / S S82 / 91 3 i /�� /� 5.18' ►a 0' /,' i; N `� 9 9 • F 137.49 6 , °z /AWa ° / /// n,ni / AON —� J Vl ro Le 41 �� � — esi -1a 9��'---- °��� Sssss F N 91764 S.F. % k� tip' 1J U: (2.11 ACRES) .� .Ike �v lbd a 0 �s. ' o s �� o� �� A ? . 96,668 S.F. \ � (2.22±ACRES) \ i 0 N 470.83 DRAINAGE ) // N89•! \ 160.76 EASEMENT 7182' g'\ DRAINAGE % / g 30•� 0 7 , 193 57 s sib ?'o9: \t EASEMENT / qh w NN \ Tn „ 16 03 , g W 71,461 S.F. 1 7 (1.64±ACRES) �� ° ° j try v` 81,015 E (1.86±ACF i d? J �• 0i g � c� 3 1 r88 105 9 ,47 f i�b56 "6 %� ' /� /i 00 �byhb� a, 74,037 S.F. oy o' �� > >^ M �s ?' (1.70fACRES) ` 'ii / / /i %k •k °� N � 1 � w � I / N 105,605 S.F. 74,551 S.F. 'o- / ��• (2.42±ACRES) (1.71±ACRES) / N ti rF, ./ / 14 c � 9 ; L �16 N — \�� i 256. 13., /; i 9 `n < " G ° 41 Ln