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HomeMy WebLinkAbout026-1153-10-000 — Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division o f Sanitary Permit No: INSPECTION REPORT 488108 W.to 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: Hillvale Development LLP I Richmond, Town of 026- 1153 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: pt� f 19.30.18.1148 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic. Benchma a • 7 / Alt. BM e ;tk, G 3.9 ,eso. IV Aeration Bldg. Sewer H olding St /Ht Inlet q 7. 94•$ TANK SETBACK INFORMATION t t ut l et TANK TO P/L WELL BLDG. "VI V ent o it In t ake t I n l e t S eptic 3Y' /V rs Z_7' . 7 � � o om Z� osrng ea er an. $ • 9!0 era Ion is . Pipe i o mg Bo t. system Ina Grade PUMP /SIPHON INFORMATION - 5: . Z m anufacturer Demand St Cover GPM �'1 Coy_ 3. 1 �aa. o e er TI 9.5 95'.2. I ric Ion LOSS yS em ea — 9 -1 X5.3 or m e g I rr� F M510195 Nu. 01 PIM —d. or-L) -N%'rl VVIULII DIMENSIONS 3 �� •Z ` INFORMATION r LL CHAMBER OR UNIT � - rte 3(� w n Pipes) Length Dia � Length I Dia ` Spacing x Pressure Systems Only xx Mound Or At -Grade Systems Only Bed/Trench Center f t ".. d/Trench Edges Topsoil � es No es N]. COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1491 92nd Street New Richmond, WI 54017 (NE 1/4 NW 1/4 199 T30N R18W) Glen View Lot 10 Parcel No: 19.30.18.1148 1.) Alt BM Description 1 2.) Bldg sewer length = 7 - amount of cover Plan Q � - - - -- — — - Use other Z revis side for Req dditional Information. o at — - —J —� Da ted - SBD -6710 (R.3/97) I Safety and But mgs n ounty,C (� 201 W„ G�' • \ ib)� Viscons�n Ml itary Permit Number (to be filled in by Co.) Department of Commerce Sanitary Permit Applica io S to Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal info ation you provi e maybe used for secondary purposes Privacy Law, sl 04(1)(ShT. CR IX COON p ject Address (if different than mailing address) I. Application Information — Please Print All Infor ation / �f' 9 J 2 154-- Property Owner's Name /� Parcel # Lot Block # Property Owner's Mailing Address Property L / /l �� v. - J /i, Section City, St at Zip ode Phone Number 1 q )' circl one) / /1.($ J? Y ,.�5© l N; �/�( E r W C. 1 II. Type of Building (check all that apply) t4 45 Subdiv ion ame CSM Number or 2 Family Dwelling - Number of Bedrooms J p ,5 r _ C(•�� ) ❑ Public /Commercial - Describe Use � ❑ State Owned - Describe Use Z- �.1 i CG 4 � O G(-� ❑City_❑Villagc�wnship r of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 4 . 1 t� - • in oc) 4 ' w System El Replacement System El Treatment(Holding Tank Replacement Only ❑ Other Modification to Existin Syst r7� List r j iymber ate Is B. ❑Permit Renewal it Revision El Change of ❑Permit Transfer to New Ib Before Expiration r Plumber Owner IV. a of POWTS System Check all that a l ) Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil El At -Grade El Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In round El Holding Tank ❑ Peat Filter El Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑dd Recirculating Synthetic Media Filter aching Chamber 11 Drip Line ❑ Gravel -less Pipe El Other (explain) A4.j 5 r /irG 3 V. Dispersal/Treatment Area I formation: t Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Require (sf) Di ersal Area Pro osed (sf) System Elevati n VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units ' n aa T Concrete Constructed Glass J i New Existing 4/ /m or ii1 Tanks Tanks Septic or Holding Tank 2 s -�' Aerobic Treatment Unit L Dosing Chamber i VII. Responsibility Statement - 1, the undersign nine responsibility for installation of the POWTS shown on the attached planst Plumber's Name (Prink Plumber' ature MP/MPRS Number Business Phonber — Plumber's Address (Street, City, State, ' de) a? / L VIII. oun /De artment Use Onl Sanitary Permit Fee (includes Groundwater Dat Iss ed Issuing ent Signature S s) Approved ❑ Surcharge Fee) or Denial 475. IX. Conditions of Approval/Reasons for Disapproval n SYSTEM OWHER: 3) D J,, l� 1. Septic tank, eMuent flRer and / I_ J_ o VXe— Lj dispersal cell must all be services / M­AhVA k9d - I p ku�jc]. el � as per management plan provided by plumb•' ` D 2. A ll as par aek m ust be s VBC&bble code / Wdirtancas� Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size 8 R. 01/03 SBD -639 ( ) � Test and System PLOT PLAN PROJECT I14 -N e+es ADDRESS 1390 Neal Ave N. Lake Elmo Mn 55042 1/4 NW 1 /4S 19 /T 30 / 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 _ 4/27/06 4 DATE BEDROOM CONVENTIONAL XXX IN- GROUND RESS RE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 900 # of chambers 36 BENCHMARK V.R.P. Top of Walkout Foundation ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Well is to meet all setbacks required by SYSTEM ELEVATION 95.6/95.7 3' below qrade WDNR Plans Designed Using Conventional Powts Manual Version 2.0 170' 498' Property Line B -3 45' A F 30' 7' Vents Pro 4 20' ST B -1 45 B -2 Bedroom House 2 -3' X 90' Cells with >3' Spacing 168' Prop e rty I Scale is 1" = 40' unless otherwise noted Vent F wn Road >6" arc 36 Biodiffuser of Cover Leaching Chamber with 25.0 ft2 of Area 5' Long 11" 35" Grade at System Elevation ��: Test and System PLOT PLAN PROJECT 89944& %s ADDRESS 1390 Neal Ave N. Lake Elmo Mn 55042 1/4 NW 1/4S 19 /T 30 / 18 W TOWN Richmond COUNTY ST. CROIX 7 MPRS Shaun Bird 226900 DATE 4/27/06 BEDROOM 4 �� CONVENTIONAL )00( IN-GROUND RESS RE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 900 # of chambers 36 BENCHMARK V.R.P. Top of Walkout Foundation ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Well is to meet all setbacks required by SYSTEM ELEVATION 95.6/95.7 3' below q rade WDNR Plans Designed Using Conventional Powts Manual Version 2.0 170' 498' Property Line B -3 45' B. M. * Vents 30' 7 ' 20 ' ST 45 B -2 Pro 4 B -1 Bedroom 2 -3' X 90' Cells with >3' Spacing 168' Property 1 Scale is 1" = 40' unless otherwise noted >6" Vent F( wn Road arc 36 Biodiffuser of Cover Leaching Chamber with 25.0 ft2 of Area 5' Long 11" 35" Grade at System Elevation Wisconsin Department of Commerce OIL RE ORT Page of Division of Safety and Buildings in accordance wit om"yVia Arl e t NTH+ .County � , C lo r Attach complete site plan on paper not less than 8 1/2 x 11 ches in size. Plan must include, but not limited to: vertical and horizontal reference int ( , L dip�i 00dINTY Parcel I.D. percent slope, scale or dimensions, north arrow, and tocatio and distance to nearest road. Please print all information. Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). //O Property Owner Property Location /,I H(JY1� Govt. Lot 1/4 /4 S� T 3 ON R SE (or W Property Owners Mailing Addrew Lot # 1 Block # I Subd. Name or CSM# 17 State Zip Code Phone Number ❑ City ❑ Village ;KTow Nearest Road New Construction Use: Residential I Number of bedrooms Code derived design flow rate 'e GPD ❑ Replacement ❑ Publi or commercial - Describe: Parent material O'Wu -/ ti Flood Plain elevation if applicable 4!/ b¢ ft. General and reco System Type e aAla System Elevation mss) F ng # C] Boring 9 9 Pit Ground surface elev. " ft. Depth to limiting facto 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 0 -/610 r t Ii ® Boring # Boring ✓ A Pit Ground surface elev. ft. Depth to limiting factor in. Soil Applica tion 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 0 14V v Effluent #1 = BOD > 30 220 mglL. and TSS >30 < 150 mglL ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Dat Evaluation X ted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 . 9a'- 715 - 246 -4516 , Property Owner _ Parcel ID # Page of Boring Boring # ' i t Ground surface elev. A ft. Depth to limiting factor in. F*Eff#1 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 I io 6 OAS JP ,t F-1 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 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 Effluent #1 = BOD > 30:s 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. SOD -8330 (8000) Property Owner _ Parcel ID # Page of © Boring # ❑ Boring J&pit Ground surface elev. A 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 i °, rrfl jp b I s f m l nij,q- N1 ,I F-1 Boring # Boring ❑ ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application 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 F Boring # Boring O ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 'Eff#2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- ' 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. SBD4330 (RA=) Safety and B ings Division County t 20 f Wash in Ave 62 5k 1 C f o 1 Air AM Nn ? \m viscllmsi ad I 5378 "'e,V ( Permit Number (lo be filled in by CoJ 608 266 -31 I Department of Commerce . UU O U Sanitary Perimit li on 7 2006 S e Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, on info tion de may be used for secondary purposes Privac , sl (1 j( � `O1X COUNTY oJect Address (if different than mailing address) I. Application Information - Please Print A_ l Infor maYiee-- - ----- ,y Property Owner's Name / • ��( d,�r Pazce # Lot # Block # . -7 - - Property Owner atlrn �- ©� Property Location ' A 17 /��� �� yN , Zip Cod / Phone Number A ° F="' Section G � hh ire ) T V N; RE �W II. Type of Building (check all that pply) �-�- n �or 2 Family Dwelling - Number of Be ms 5 (AG Wt lTz- /' Subdivision Name 1 CSM Number ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use ❑City ❑Village )kownship of % III. Type of Permit: (Check only one box on a A. Complete line B if applicable) D 2- (p - 3 - Q 6'p 1 S stem y A. ❑Replacement System L1 Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑permit Renewal ❑permit Revision hange of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Pl er Owner IV Type of POVVTS System: (Check all that appl ) S on - 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- ound 11 Hol ding Tank Peat Filter El Aerobic Treatment Unit ❑ it Iating Sand Filter ❑ i Recirculating Synthetic Media Filter Ching Chamber El Drip Li ❑ Gravel -less Pipe ❑ Other (explain) hj V. Dispersal/Treatment Area Information: Design Tlow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area AVuired (sf) Dispersal Area Proposed (sf) NrSyste m Elevation VI. Tank Info Capacity in Total Number/ M facturer efab Site teel Fiber Plastic Gallons Gallons ofUni (rJ rz�A C Crete Constructed Glass New Existing f • y r Tanks Tanks r 1 � Septic or Holding Tank ' Z Y ] Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement - I, the undersig me responsibility for installation of ih*kPOWTS shown on the attached plans. Plumber's Name (Print) Plumber' ure MP/MPRS Numb e - Business Phone Number Plumber's Address (Street, City, State, Zip VIII. Coun /De artment Use Onl Approved ❑ Disa Sanitary Permit Fee (ides Groundwater Dat slued Issuin A Signature Stamps) Surcharge Fee) ❑ Reason r ial IX. Conditions o A F!ovowteassus 16 RisapproTA SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) LO AN PROJEC i TS ESS. 1/4 NW 1/4S 19 /T 30 W TOWN Richmond COUNTY ST. CROIX/ MPRS Shaun Bird 226900 DATE 3/23/06 BEDROOM 4 CONVENTIONAL \ ANK D SSURE CONVENTIONAL LIFT HOLDING TANK MOUND E 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 BENCHMARK vey iron ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE R.P. Same as Benchmark SYSTEM ELEVATION 92.7/92.7 6' be low q rade Alt. BM To C 9 3' 498' Pro ert Line 120' B M. Well is to meet all Plans Designed Usi Please note: systignN}nay be setbacks required by Conventional Powts installed shallower if soils WDNR Manual Version 2.0 permit, system will be kept up hill of B -3 and further testing Scale is 1" = 4.0' may be done to raise system unless otherwise vents 90' elevation noted B -1 0' B -3 11% 30' slope { 25'` x ` 20 '`• B -2 Pro 4 2 -3' X 88' Cells with . Spacing Bedro 168' Prope Hous rt3 Vent [' wn Road Please Note: Tested area > 6" Standard Biodiffuser may not be suitable for Please note: survey was not of Cover Leaching Chamber desired building area. completed at time of testing, with 31.1 ft2 of Area Check system location setbacks from lot lines may 6 Long 1119 before excavating. change. Installer must verify Grade at System Elevation all lot lines and setbacks 34" 0V*1 before installation. co LO AN ,dt�3a�U�� ° � - - � 1 PROJECT �Sj ESS 1 290 ✓I'�' j'V _ 1/4 NW 1/4S 19 /T 30 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 � DATE 3/23/06 BEDROOM 4 CONVENTIONAL XXX IN- GROUND P SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE, TANK SIZE HOLDING TANK SIZE LOAD RATE •7 ABSORPTION AREA 872 #:'of chambers 28 BENCHM V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE WELL * H. R. P Same as Benchmark <y SYSTEM ELEVATION 92.7/92.7 6' below qrade Alt. BM Top of Survey Iron @ 96.3' A 4M 498' Prop Li'ile 120' B M. °> Al Well is to meet all Plans Degiped Using Please note: syst�c nay be t. setbacks required by ConventiondlPowts installed shallower if soils WDNR Manual Version. 2.0 permit, system will be kept up hill of B -3 and further testing Scale is 1" = 4�'Q' sti 90' may be done to raise system Ven elevation unless otherwise noted = ` 1 40 B -3 11% gyp' slope w a f� \ 25" 20' .. B -2 Pro 2 -3' X 88' Cells *,, h >3' Spacing 168' Pro Be oom ;,� pe A3 Hse jd nt [' wn Ro Please Note: Tested area Standard Biodiffuser ma y not be suitable for Please note: survey was not Leaching Chamber desired building area. completed at time of testing, with 31.1 ft2 of Area Check system location setbacks from lot lines may before excavating. change. Installer must verify all lot lines and setbacks 3491 Grade at System Elevation before installation. Addonsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code � County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 45+ t' ,, I include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. MUD percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R 'ewed by D ate Personal information you provide may be use44m secondary Purposes (PriveerL -1s. 15.04 (1) (m)). WJ , 29 S Property Owner ,Property Location /. P� JGovt. Lot MR 0 A S T30 N R E (o ' W Property Owner's Mailjtlg Address iLot # Block # Subd. Name or M# A1 01301s- I --- e,✓ i ` �rit/ City late Zip Code i one Number ❑City ❑ Village XTo Nearest Road New Construction User Residential / Number of bedrooms Code derived design flow rate" GPD ❑ Replacement ❑ Public or commercial - Describe: _____ —_- __ -- - -- -- - - - - -- - — Parent material �l�Cs��! J raL �� �C/ // Flood Plain elevation if applicable �1/ /f� ' ft. General tmmrngnts "� ° �✓ / � lJ�f`!� ! �, D and recommendations: / l (7 �. e: s-. *k Boring # Q Boring y n �1 13 s I a pit Ground surface elev. / / ft. Depth to limiting factor Soil Application Ratei 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 3 -) s ,� c,4 a2-�D 32 0 ® Boring # Boring r pit Ground surface elev 2ft. 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 d Gr. Sz. Sh. - Eff#1 •Eff#2 r�� I r `� 3 s I 1 Z- Effluent #1 = BOD > 30 < 220 mg(L and TSS >30 < 1 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) a CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ���� �� 715- 246 -4516 Property Owner _ Parcel ID # Page of FT 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 GPDKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z ZJ- -3, Z Z- K0 2 � 1A4, 7/4 F—I Boring # C] 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 Boring # ❑ Boring 11 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Appl 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 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. SBD4330 (8.6(00) f r , Soil Test Plot Plan Project Name Lakes and Hill Development Shau Jffi/ -- A ddress P.O. Box 10598 White Bear Lake Mn 55110 CST #226900 Lot 1 0 Subdivision Glen View Date 7/18/03 1/4 N W 1/4S 19 T 30 N /R18 N/ Township Richmond Boring 0 Well PL Property Line County S T. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 92.7/92.0 *HRpSame as Benchmark Alt. BM Top of Survey Iron @ 96.3' , 498' Property Line 120' M. lA M. Scale is 1" = 40' 90' unless otherwise noted B-1 ' B -3 �- 11 slope 30' 96' 20' 97' B_2 9998' � 00 Please note: survey was not completed at time of testing, setbacks from lot lines may O change. Installer must verify Y all lot lines and setbacks o before installation. Please Note: Tested area o may not be suitable for desired building area. Check system location before excavating. o UNP_LATTED LAND } M� tao 04.45V r i M. g a 0 ' a - - - -- - - - - ------- - - - - -- -------------------------------------------------- S0000'1O"E 605.11' ----------- Tsaoi101et C-) t T 25116' o �.—�— S. 1 I 164.N' 226.51' 126.SY M.90• ® `- 9 A. co am 1 I hi I /-- - - - - -- i r'✓1 WS 0 Nf JI W� M �• • W t* 'Q ^; ` N t 0. W �C JI U ta <• • f •di a $ rf i ` ` •m CN 3E pry 1 .� m Ar �`. a „ sooroo•2s 25&2V � ��,, M• m �`�*z.� m !,¢� • p6, .t 216.36 .• m w M ` �' •. F 1 A I N o At I ,It,yp.6L[OS r 1 — _ I n a a to Z! 1 i 111• ®_ J = e! 1 I ' { J t 1 M ! f NIOOWE —OG- — — ♦ ps�'� — juTs'�v 1 C4 M �m o I , n i I o •;: 1 � io.m _ _3, m • ` / i m• • � t J m• N • M N 1 z �r M • I m lI� I �1 z r tt 1 i 1 R I i 1 noa' - 5,6.2a s1t1SS a ` • ! - 16207 16607 ♦ 166.01' '� ♦ 1 J' y�'• 1 ♦ 1 <3w `o n. m 0 KX� Me N & m �� •m .r " ,o S ,r ; d M fn 1 • m ♦ I - f�lYO� - - --� N • m i I ♦ \ 7 e. N co OD I I s = • /*< 1 3y 3V i I I ,..,,• = lsaoo' 161860' et.� -= 1 1 1 1 I � SEE SHEI Maintenance and Contingency Plan for a Septic \ S stem 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 ncy Plan Option # . If system fails, determine cause of failure, use alternate area and install new em in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, � p 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. 3. 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 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND /A--.,,= �WNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address 7 (Ve A cation required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number ( _ Dz6 1153- -- OVD .Il LEGAL DESCRIPTION Property Location '/a , 1 /4 , Sec , T N R W, Town of Subdivision ��� 1J i Gu-J , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # e5 -s , Volume °? 3,,�-' Y , Page It Spec house ye no Lot lines identifiable 0 no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Crow County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of ro ms SI TURE OF APPLICANTS) " [[ DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 7 3 8 6 3 5 i L U 2398P y58� STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX Co.. WI Document Number This Deed, made between Glenn Basel and Karen Basel, husband RECEIVED FOR RECORD and wife, 09/03/2003 11:00AN WARRANTY DEED EXEMPT # Grantor, and Hilivale Development Limited Liability Partnership, REC FEE: 11.00 TRANS FEE: 2478.00 COPY FEE: CC FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Recordinst Area Name and Return Address Part of the Northwest Quarter of the Northwest Quarter (NW 1/4 of NW 1/4); part of the Northeast Quarter of the Northwest Quarter (NE1 /4 of NW I/4); the Southwest Quarter of the Northwest Quarter (SW 1/4 of NW 1 /4); the Southeast Quarter of the Northwest Quarter (SE1 /4 of NW 1/4), in Section 19, Township 30 North, Range 18 West, Town of Richmond, more particularly described as 030 - 1055- 90 -000. 030-1055-95-OW; follows: Beginning at the Northwest comer of said Section 19; thence along the 030 -1056- 20400; 030 - 1056 -30 -000 north line of said NW/NW, North 88 degrees 49'54" East 694.91 feet to the parcel Identification Number (PIN) Northeast corner of a parcel described in Volume 1091, Page 284 and the point This is not homestead property. of beginning of this description; thence continuing North 88 degrees 49'54" (is) (is not) East 1591.33 feet along the said North line to the Northwest corner of Lot 1, Certified Survey Map #2783, Volume 10, Page 2783; thence along the West line of said C.S.M. , South 00 degrees 00'26" East 256.20 feet; thence along the South line thereof, North 88 degrees 49'36" East 473.65 feet to the East line of said NE/NW; thence along said East line, South 00 degrees 00' 10" East 605.11 feet to the center line of Rolling Hill Road which is . on a 667.00 foot radius curve concave to the Northwest; thence 215.43 feet along the arc of said curve, the chord of which bears South 09 degrees 15'00" West 214.49 feet; thence South 18 degrees 30'10" West 721.82 feet to the Northeast corner of Lot 1, Certified Survey Map #4539, Volume 17, Page 4539; thence North 71 degrees 29'54" West 395.08 feet along the North line of said Lot 1, C.S.M. #4539; thence South 21 degrees 40'39" West, 883.89 feet; thence North 83 degrees 22'53" West, 539.57 feet; thence South 32 degrees 18'33" West 86.76 feet; thence North 57 degrees 41'26" West 414.00 feet; thence North 32 degrees 18'34" East 255.00 feet; thence North 57 degrees 41'26" West 234.83 feet; thence North 32 degrees 18'34" East 66.00 feet; thence North 21 degrees 40'39" East 468.12 feet; thence North 68 degrees 19'21" West 857.88 feet; thence North 89 degrees 54'11" West 211.30 feet to the West line of said NW/NW; thence North 00 degrees 05'49" East 784.40 feet along said West line to the Southwest comer of Lot 1, Certified Survey Map #4541, Volume 17, Page 4541; thence along the South line of C.S.M. #4541, North 88 degrees 49'54" East 701.53 feet to the Southeast corner of said parcel described in Vol. 1091, Page 284; thence North O1 degrees 10 West 300.00 feet to the point of beginning. Exceptions to warranties: municipal and zoning ordinances, easements and restrictions of record. Dated this j &' M1 day of , 2003 . GLENN BASEL KAkk BASEL AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature ss. s) ST. CROIX County. ) ersonally came before me this o7 8VA day of authenticated this day of , 2003 the above named Glenn Basel and Karen Basel, husband and wife, TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledge the same. authorized by § 706.06, Wis. Stats.) �A" -0 Q J /1 THIS INSTRUMENT WAS DRAFTED BY t.[ Judith A. Remington, Remi Law 0111ces, ' STE7PlLfiA�iL A - �ES /N�• P.O. Box 177, New Richmond, WI 54017 Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My mmission is permanent. not, s expiration e: necessary.) jo oyg6 ) 'Names of persons signing in any capacity should be typed or printed below their signatures STATE WARRANTY DEED STATE BAR OF WISCONSIN ,�,���r�;I pCr,�H1,IA��W�y�1PZ A. OWN0 FORM Na 2 - 1998 N R FOMATION PR�� OD/t FO DU L C, WI 800 - 653 -2021 J 1 F; :r W {' � im $ 1� co c�j �' 4 J ^ Q N i Z {. O r' O O, i � �SO4 i 33' w �--- p O W 3z NWN ) sF M z n) O Og�� z c 1G II �� 1 j� O J .q CAi 4 Cj Q II N N n w a w z m � I ` o J I a w m I z W �\ N00'48'43 W 6 8,9.6 9 o w . E I ao 55 31 a; \ .o 346. ^I S10 r 86.37' 81.65' N \� m 87. 7' ! 9 I 85.23' r m 168.01' \ 168.01' 178.19 158.55 \\ y \ J 3 LL \ oN \ W Vie g 1. O w N ; )�' ��•56 °. \iA $Iry Zw \� I- afn II / ! \m zl iD do W J y� \ p O �das \ \ 'y 2 2 054 m\ ,/►" ll, � �"� �• 41 g19'1� 00 E c� � ' l PGE 0) O tlD1 r A _ O �� c1 . r-. 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