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HomeMy WebLinkAbout026-1153-13-000 P c. Co GCova Buifders, l>c. Coffova Bul.fders PO Box 489 Somerset, WI 54025 715- 247 -2742 Fax715- 247 -2747 June 30, 2005 RE: Se t U is S ystems at Glenview Lot 13 - 1475 92 Str., New Richmond Lot 14 — 936 146 Ave., New Richmond Lot 15 — 938 146 Ave., New Richmond Lot 16 — 942 146 Ave., New Richmond Shawn Bird went to Lot #13 around 12:00 PM today to do the septic system Dug holes where indicated on original soil evaluation form and found bad material. Appears the soil had been disturbed. There were inconsistencies from what the original soil evaluation test showed Did a re -perc on Lot #13 and was able to find a new spot. Installed the septic system in the new location. Called Richard Nelson about this matter. He was in the area and he stopped by and viewed the soil. Discussed with him what the situation was and that we would have to do re -peres on the remaining 3 lots (#14, 15 &16). Discussed about getting reimbursed for the costs to have all 4 lots re- perced. Called Glenn Basil and left a message. Phil left the excavation office phone number as well as his cell number. As of 4:30 PM today he had not returned Phil's call. Pam at St Croix Zoning came out for an inspection of the septic system around 2:30 PM today. Discussed re- percing as material had been removed. Asked her to sign this letter indicating her agreement with the assessment. ao A j g hilli Collova P.C. Collova Builders, Inc. Shawn Bird it lumbing, xe� J Pamela Quinn St Croix Zoning > ai4Q� p� •C oT /3. ��d7! Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Syfety and Building Division ' INSPECTION REPORT sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID N 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: Marek, Darin I Richmond Township 0;_(R-f153 CST BM Elev: Insp. BM Elev: BM Descriptio : Section)Town /Ran a ap No: TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ' / Benc rk ctt - tf - U o az 2 3 0 2 ov . o Dosing � � /�✓ Alt. BM Aeration Bldg Sew er _ / . 3 3 2d .Z S, I � y Holding SUHt Inlet ? t[ r St/Ht Outlet TANK SETBACK INFORMATION ---- g.7 TANK TO — PP WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > Dt B ottom Dosing Header /Man. Aeration _ Dist. Pipe Holding Bot. System �(J Fin Grade PUMP /SIPHON INFORMATION CS 3. Manufacturer Demand St Cove GPM ' / �i L 2.3 f -C� Model Number yt'sP yl TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length N PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / SETBACK SYSTEM TO 1P/L BLDG IWELL LAKE /STREAM EACHING Manufa r: INFORMATION CHAMBER I o / USA Ty p Of System: f1 \�� �� / / Model Number. IBUTION SYSTEM / I Header/ nifold Distributi n x le Size x Hole Spacing Vent to Air Intake h Pi e s r // � Lengt Dia L ngth Dia Spacing ! L I SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of ] x7xSeeded /Sodded xx Pulched Bed/Trench Center J, Bed/Trench Edges Topsoil Yes [ No Yes [ ] No COMMENTS: (Inclu ode discrepencies, persons present, etc.) Inspection #1:� / / b-� Inspection #2: ! / Location: ,q t. New Richmond, WI 54017 (NE 1/4 NW 1/4 19 T30N R18W) Glen Vi Lot 3,� ��,31 Parcel No: 19.30.18.1141 1.) Alt BM Description1 �l�'1Q/y1 [�►0 �-Q Z L/� 1�1 �l7,n ✓l t 2.) Bldg sewer length =a'j► Y� `' G UUU G� ""- -amount of cover Plan revision Required? VY es L No Use other side for additional information. F-7 Date, Insepctor's Signature /� Cert. No. SBD -6710 (R.3/97) � , � !`) s /��� ► V V } .� �3�'� o � L i ' �1V � U ���7 �°� � �� 1 �� T, / 2 y Safety an d Buildings Division County T C ✓� 201 W. Washington Ave., P.O. Box 7162 Madison, W1 53707 -7162 Sant Permit Number (to be filled in by Co.) C� 60 -3151 qj Q Department of Commerce State Plan 1.D.Number Pe Sanitary Plica o n Pe nal inf ation you provide gject Address ( different may be used for secondary PUT than mailing address) In accord with Comm 83.21, Wis. Ad m. C ° 1 t , {{ �� `-'J I, Application Information— please Print All Infor Si/ � 1 Parcel # Lot # Block # Property Owner's - Name / /� (. P (� G�� Property Location Property o Mailing Address � �' /, Section /,, � l / f D Zip Code Phone Number l one)) , trc S� Nam �SM Number Subdivisio e II. Type of Building (check all that apply) ` r}� Dwelling- Number of B ? Family edrooms !/ �(/ � []City_CViilageJCf 1�++gship of ❑ PublWCommercial - Describe Use �� 0 state owned — Describe Use III. Type of permit: (Check only one box on line A. Complete line B if applicable) ❑ m� M to Existing System A. System ❑ Replacem m � Treatrnent/I Tank Replacement Only List Previous Permit Number and Dare lssued Change of 0 Permit Transfer to New B. ❑ Permit Renewal it Revision ange Plumber Owner Before Expiration IV. of POWTS S stem: (Check all that a 1) El > �4 in. of suitable soil ❑Mound < 24 in. of suitable soil ❑ At Crrade � Single Pass Sand Filter Presstuized In- Ground 0 Mound - Sand Filter Constructed Wetland 0 Pressurized In- Ground 0 Holding Tank 0 Peat Filter Aerobic Treatment Unit ❑Recirculating Pipe Drip Line [I Gravel-less El other (explain) thing Chamber P f Recirculating Synthetic Media Filter fo lion l Area O Elevation V. Dis ersaVT i ment Ar Dis ersa°P°S� ( reatDispersal zt 0 Design Soil Application Rate(gpdst) // Ar ea Required (sfJ lLL Dest Flow (god) _? 6Y Prefab Site : J7 - Total Number Manufacturer Glass Plastic VI. Tank Info Capacity in Concrete Constructed Gallons Gallons of Units New F___S Tanks Tanks - Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber onsibiGty for installation of the POWT5 shown on the a ri pie Number VII. Responsibility Statement 1, the undersign time res P Mp1WRS Number _ Plumber's Name (Print) Plumber's ' ature 71 Plumber's Address (Street City, State, Zi e) e o s) VIII. C un /De artmeut Use On Sanitary Permit Fee (includes Groundwater Date Issued Issuing Ag Signatur (N P ` PProved ❑ Disapproved Surcharge Fee) /D d ❑ Owner Given Reason for Denial A. Conditions of ApprovaUReasons for Disapproval af Pdt.c / (� �l for $I/2 z lr inches iasirt � I / Attach tom plans (to the County only) r the system on Paper not 2, � � �� f� 2 � _ GGCCi�✓✓ Lom,CA l P Q , SBD -6398 (R. 01 /03) 5 , /fyvli Soil Test and System PLOT PLAN PROJECT P.C. Collova Bldrs. Inc. P30N/ DDRESS P.O. Box 489 Somerset Wi 54025 SE 1/4 NW 1 /4S 19 /T 1 8 W TOWN Richmond COUNTY POLK MPRS Shaun Bird 226900 DATE 7/1/05 BEDROOM 3 CONVENTIONAL XXX IN -GROUN PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA 684 # of chambers 22 IL BENCHMARK V.R.P. Top of ST Manhole ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same enchmark SYSTEM ELEVATION 93.0/92.8 7' below qrade 289' Property Line Well is to meet all Plans Designed Using setbacks required by Conventional Powts WDNR Manual Version 2.0 Vent >6 „ Standard Biodiffuser of Cover Leaching Chamber Scale is 1" = 40' with 3 1. 1 ft2 of Area unless otherwise 6' Lon 11" g 34" Grade at System Elevation noted ' Pro 3 Bedroom House Area of >5' of fill! B3 15' J �aY`C M. ST % Slope , 10' 09 , 10 P4 10' B -1 ,/ Vents B -2 2-3' X 69' Cells with >3' Spacing Pro Town Road 50' ~d Wisconsin Department of Commerce SOIL EVALUATION R ORT Page � of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County 1 /� ✓' � ! Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 1 1 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Z S Please print all information. Re wed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). P r Property Location ��. Jcti.A , Govt. Lot 4 S T 3 O N R E (o W Property Owner's Mailing Addre Lott # Block # Subd. Name or CSM# 0 City State Zip C6de Phone Number ❑ City ❑ Village o Nearest Road ew Construction U sidential / Number of bedrooms Code derived design flow rate GPD rO Replacement ❑ Public oyt° mmercial - Describe: Parent material &A-Al Flood Plain elevation if applicable General com and recommendations: /�� // off• �i�izGVy F Tl Boring # E] Boring 0 Pit Ground surface elev. _O ft. Depth to limiting factor in. 0 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 1 0--/D , 3 � - [�:�Bodng ❑ Boring /,�s it Ground surface elev. yU , . 6 9 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 •Effluent #1 = B00 > 30 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 6 ,�7--ZZ� 715- 246 -4516 Page Property Owner _ Parcel ID # P ag of #oring 2 // Boring i Ground surface elev. — ft. Depth to limiting factor. T y in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft° in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i e t{ -2 -q / 31 l C — -- e— ...— n Z- I '- 3 / / --' J _ �- l� 3 �y VVI F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 F] Boring # ❑ Boring El 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 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mgA_ 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. SOD -8330 (8.6100) g 0 / $ % . T ® 2 E /■ s z \# m o K R § ® ° [c} o§ ]0 §R / k § \ [ ( � § ) 8 2 G § ` ■ o F ° / E © 2 @ E 9 : V. { \ � @I § �� o ca / L" / CL k ` CL CD M \ 0 0 0 . _ 2 g § § § @ Q / R - ■ ■ ■ 0 LO ( D / / 0 � . � � ■ � 2 \ ` £ � Z W z -4 ' a o % y { % & Er, J �- �§} �= i a 2 m 0 3 3 } ; / k (6 / L k z \ 0 ( / § \ f / q / CO 0 Z 3 OW k q 0 Z ' © z & \ (D Ei ;2§(9y §7`� iS �Ro -m o . -M, C& ¥� »& \77 \§ §[fEL 2fg0K CP CL %�' k_ 0 ='o.0 % \kego \ 0 g ) � �cr \ § \EI k = `moo §] \ \ o Q. £E CL CD o \ E \ o ! 5 + 4 . D k� �7 � � r Safety and Buildings Division county ! —f 201 W. Washington Ave., P.O- Box 7162 r " Madison, W1 53707 - 7162 Sanitary Permit berrtto be filled in isconsin (608) 266 -3151 Department of Commerce PI .D. Number Sanitary Peru it A� ���� tJ o u provide a t than ad mailin dress) In accord with Comm 83.21, Wis. Adm. Code, per s15 rl Pro Address (if di g may be used for secondary Purposes Privacy i, Application Information — Please Print All information Block 4 ] Parcel #1 t Property O N e l T , � b VG / Cam' s p rsty Locati Property Owner's Mailing Address y ., Section 1 Phone Number Zip ode � ircl one) City, ` State � � C � R ,,.J �' CSMN ber TT ype of Building (ch T eck atl that apply) Subdivls Name or amily Dwelling -Number ofBedrooms ❑ public/Commercial — Describe Use [ICity_0Village "sh ° a E] State owned — Describe Use lIi Permit: (Check only one box on line A. mplete line B if appt able) Type Per A. g ❑ Replacement System ❑ Tr ent/1lolding Tank eplacement Only other Modification to Existing System ❑ Permit Revision ❑ Change o 11 P rmit Transfcr to New List Previous Permit Number and Date lss B. E] permit Renewal Plumber O er Before Expiration i : T e of POWTS S stem: (Check all that a 1) ❑ Sin a Pass Sand Filter > �4 in. of suitable soil ❑ Mo 24 in, of suitable soil ❑ At -Grade Sing on— essurized ln- Ground ❑ Mound — ❑ Aerobic Treatment Unit ❑ Reelre Ir El peat Constructed Wetland [I pressurized -Ground El Holding Tank E] er xplain) (7 Synthetic Media Filter ' g Chamber El Drip Line Gr el -less Pipe / Recirculating Syn s System Elevati V. Dis ersaVl'reatment Ar uformatiao, Dispersal Are uired Disper ea Propo ( fl d Design Soil Application Rate( t L / �I , Design Flow (gp) r i 1 �i J U ' ( `( prefab Site S 1 Glass s Plas Total Number Manufacturer Ga Vi. Tank Info Capacity in Concrete Constructed Gallons Gallons of Units New E3dsting Tanks Tanks septic or Holding Tank / pgrobic Treatment Unit Dosing Chamber VII. Responsibility Statement 1, the undersi d, assume respo ibiGty for installation of the POWTS s G n an the attached Ph ne Number �2 - ,, l pLlrn 's Name(Pri Plum Signature /� ,/ C V / �✓ v7 Plumber's Address (Street, City, State, Zi /De artment Use Onl / ` a Vim` i cl Groundwater Date lss ng A Si a Ps) Gun Sanitary it Fee (includes Approved ❑ Disapproved Surchar Fee) 2 a D ❑ Owner Given Reason for Denial J Q 'Conditions of Approval/lteasons for 'approval YSTEM OWNER Septic tank, effluent filter and dispersal cell must all be service / maintain as er mana ement plan provided by plum 2. All setback requlremen s u e maintained as per applicable code /ordinances a er not than sin 11 inches in size a4 to the couiaty only) for a system on p r Attach complete pia ( ` /� SBD -6398 (R. 01/03) OT PLAN PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 SE 1/4 NW 1 /4S 19 /T 30 /R 18 W TOWN Richmond COUNTY POLK MPRS Shaun Bird 226900 DATE 6/24/05 BEDROOM 3 CONVENTIONAL )00( IN- GROUND ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZ 000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 ✓ hk BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A- 00 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Alt. BM Top of Survey Iron C 96.4 SYSTEM ELEVATION 102.2/101.0 6' below qrade 289' Property Line 180' B.M. We is to m t all /S ig B.M. It Mquil _ onen s WDNR 12% anual Version 2.0 B -2 90' Slope B -1 30' Scale is 1" = 40' Vents unless otherwise B -3 45' noted 2 -3' X 69' Cells with >3' Spacing 30' S 30' Town Road Pro 3 Bedroom House Vent 425' rope y 1 >6 » Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6' Long 1155 34" Grade at System Elevation OT PLAN PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 SE 1/4 NW 1 /4S 19 /T 30 /R 18 W TOWN Richmond COUNTY POLK MPRS Shaun Bird 226900 DATE 6/24/05 BEDROOM 3 CONVENTIONAL )= IN- GROUND MOUND SEPTIC TANK ESSURE CONVENTIONAL LIFT HOLDING TANK SIZ 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter ZabelA -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 102.2/101.0 6' below qrade Alt. BM Top of Survey Iron @ 96.4' 289' Property Line 180 B.M. We is to ma6 all /s ig B.M. It requir on ntion s WDNR anual Version 2.0 12% B -2 90 Slope B- AL 30' Scale is 1" = 40' Vents unless otherwise noted B -3 45' 2 -3' X 69' Cells with >3' Spacing 30' S 30' Town Road AL Pro 3 Bedroom House Vent 425' Property 1 >6 „ Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6' Long 11 " 3 4" Grade at System Elevation ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIPCERTIFICATION FORM Owner/Buyer Q 6 UIME�C3 , ' To C Mailing Address P0 6o4 I f 0 o e-A u k 5Yca Property Address 7 n d 84Y (Verification required from Planning Department for new construction.) City /State k)pA, � (JiYndg � (J I Parcel Identification Number C60 ✓ LEGAL DESCRIPTION //S-/) Property Location SC '/4 , NW '/4 , Sec. 1 , T 36 NR W, Town of P l Subdivision n— leaVieW Lot # 1 ✓ Certified Survey Map # , Volume , Page # � Warran Deed # �7 l p CO 1 l 7 I Volume , P 3 , Page # S �o , Spec house)( yes U no Lot lines identifiable )( yes U no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner nd 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, 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 Zonin D artment within 30 days of the three year expiration dat�. C. COLLO" BUILDERS INC. (715) 247 -2742 P.O. Box 489 S SIGNATURE OF APPLICANT SOMERSET WISCONSIN 54025 DAT OWNER CERTIFICATION I /we certif at all statements on this form are true to the best of m /our knowledge. Uwe am /are the owner(s) of the fy my /our erty described above, by virtue of a warranty deed record ine 9 Ib9A0V* WL.DERS, INC, (715) 247 -2742 P.O. Box 489 ( a / 105 SIGNATURE OF APPLICANT SOMERSET, WISCONSIN 84025 DAT * * * * ** Any information that is misrepresented 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 and a copy of the certified survey map if reference is made in the warranty deed. Maintenance and Contingency Plan for a Septic System Maintenance Plan ed once every 3 years. 1. Septic Tank is to be pump 2. Eff luent 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. i n sp ections pipes at the ends of 3. Once every 3 Years, cells are to be inspected via the the cells. limit reases, garbage, and water conditioner discharge into the system. 4.Owner agrees to 9 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. Dis ch r e into system is not exceed those required as per Comm. 83 Continget�cy Plan I determine cause of failure, use E Smate erect and install new Option system falls, 'm in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. a d e q uate area is suitable for replacement area, and system elevation Option#3. No eq cannont be lowered. install holding tank as last resod. 3. Replace any other failing components as need plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715 386 - 4680 pumper Tom Mondor 71 5- 246-5 Shaun Bird #226900 3 r W_ CD //• "V m m ? pi 00 �►'r oN OZA rq L4 w Z Q rn ` P 1 L ii Zi� rn m\ 3.V£ 5 83• 1 1 b3 c ^ \ �1' 1 1O mv� 904 g' 1 2 ,9Q84 � — -08� \ 1 c \\ 1 \ 1 O m J \ NN 95• M \\ r o, «\ o CP OD Loll rn 0 cn r �N \ \ m�4� °- rn D oo ° o -� \\ O v \ \\ \ C W v ?1 Wisconsin Department of commerce SOIL EVALUATION REPORT Page � of 3— Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code n County 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. I 1l/ 7 uv Please print all information. R by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner j Pflq)erty Location t2 �T eJ� 7 -j-- / Z 1 / / 11r �I d7r' '1� Govt. Lot an 0A S T30 N R E (o W Pro Owners Mailing Address Lout Block # Sutxt. Name or M# Pe [/�� City ftate Zip Code P one Number ❑';City ❑ Village ToWn Nearest Road New Construction User Residential / Number of bedrooms Code derived design flow rate" GPD ❑ Replacement ❑ Public or commercial - Describe: -- .-- __.-- __--------- - - - - -- - -- Parent material /✓ Flood Plain elevation if applicable /V115 ft. General comm and recommendations: ndations: iz e% M Bori Pit Ground surface elev. O 1� ft. Depth to limiting factor y in. �. Soil Application Rate 1 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 a /t , .tv 3 ,�o DS ! N 9 t o y' Boring # 9 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 •E 2 f , 311- �, C_,S' n � S •- s -- -- s 6 � f � p Z , 2 7 (� //Q)/f) )� , t 1 ( r e, Effluent #1 = BOD > 30 < 220 and TSS 1 < 150 mglL : ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg1L CST Name (Please Print) CST Number Bird Plumbing, Inc. Sh Bird a 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �, �'_-, 715 - 246 -4516 Property Owner _ Parcel ID # Page of I Boring # [] Boring Pit Ground surface elev. 1 Depth to limiting factor / in Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDJ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 / 'Eff#2 6 7- 20 J? El 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/fl= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 a Boring Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil A40ication 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 1220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/1- 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 -8330 (R.6100) Soil Test Plot Plan Project Name Lakes and Hill Development Sha i Address P.O. Box 10598 White Bear Lake Mn 55110 M #226900 Lot 1 3 Subdivision Glen View Date 7/18/03 1/4 N W 1/4S 19 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 102.2/101.0 *HRpSame as Benchmark Alt. BM Top of Survey Iron @ 96 .4' k . 289' Property Line 180' M. Ldd 35 Scale is 1" = 40' M. 12% unless otherwise B- 90' slope noted 105' B -1 107' 0' B -3 109' 45' Please Note: Tested area may not be suitable for desired building area. o Check system location rx Please note: survey was not before excavating. 3 completed at time of testing, setbacks from lot lines may change. Installer must verify all lot lines and setbacks before installation. t~ a� a 0 N ° ED LANDS tao -w o a { OIUC9 a >o0ro0 608.11' ;&p 1CM 601.11 n/t r A. I --- .31� k2l M asra•Irt: 'a"' o `� %�P.g� `- 1 oast /N f , w ' N O .m .3,h o ,,mm ` gam. �• �. C14 1 e h M m�� m m � `f \ • m cp m • M '� / \ m rE wo W4 _ At I M a .- t I • ° I M I 1 1.90,t15(0g `\ • I 1 `T ry \; N In 6V— 1 s lesss! 'E co / \ ` � ` \ •+' et fi b`' m y(� 1 �\ \ m VI • 0 ml CN Ito C4 N o r S 1 M m s r► �` N s} 1\ 1 ppDD.a�C � N M S co m • MtI N 1 z� ` w. M • 1 'ba �. • N 1 8 N m i yKZO sos'' a % Al l • �+ 1 1 1, 1 0 <,,.,��, gaol' 1 ' �. w 1 1 8 1 M��+a 1 i m -• fig N M) m t r n i 1 } 1 SWS a I' ${ e w 'm M m N / 1 i 1 i O 1 � � � 1 SEE SHEET 2 E REEGISTGISTER R OF DEEDS State Bar of Wisconsin Form 2 -2003 R H. EEDS WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD Document Number Document Name 06/16/2005 09:30AN WARRANTY DEED THIS DEED, made between Hillvale Development Limited Liability Partners EXERT t REC FEE: 11.00 ("Grantor," whether one or more), TRANS FEE: 406.50 COPY FEE: and P.C. Collova Builders. Inc.. a Minnesota Corporation 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 Return Address interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Lot 13, Plat of GlenView in the Town of Richmond, St. Croix County, Wisconsin. 026 - 1153 - 13-000 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 Jae ' dog s (SEAL) (SEAL) * *Hillvale Development Li ited / Liability Partnership (SEAL) /� -�- �� �-► l2 (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) "7� ) authenticated on STATE OF 4 ss. I COUNTY ) * TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on (If not, the above -named H' (vale Development Limited Liabili authorized by Wis. Stat. § 706.06) Partnership f(6 AO to me known to be the person(s) who executed the foregoing THIS INSTRUMENT DRAFTED BY: instrum t a owledged the same. Attorney Kristina Oeland Hudson, WI 54016 Notary Public, State of My Commission (is permanent) (expires! 7 (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 ® 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. Roger D. Bevers INFO -PROTM Legal Forms 800 - 655 -2021 www.infoprofomis.com Notary Public State of Wisconsin ,�,►I � � 11 ,,- 9i�i� /i % /iiii // i� �� /i � � �D$ tib r V �\ 93,934 S.F. 88.25' �\ (2.16 ±ACRES) Oq *•ll /, /, / 60'/� 1 ` �i�� 3 1 r stl;l 4 eE 00 w 9E \ \ ° 470.83 (2. � \ ' DRAINAGE ) ®\ \\ N85'04'27 "E a� 160.76 EASEMENT / 310.0 DRAINAGE Ln o / EASEMENT n W v it / 2 0. \ \\ \ 12 o \\ 9 88,777 S.F. >\ \ \10 \ (2.04±ACRES) 2 53.65 M � � i 1 0 Sizb 26 w �0 62 , N 65, rn 74, 037 \ (1.70 ±A • 13 � 14 \ \ 105,605 S.F. 74,551 S.F. 33 (2.42 ±ACRES) (1.71 ACRES) N \ \ N 256 ---------------- - - -t-- '1 --" „ 256.8 W �— — - - - - - -- C 44'1 0 _ 10 i 1 I � I — 'g 31 �� 22 DRAINAGE 89,518 S.F EASEMENT �%c (2.06 ±ACRE I I 225 .35' / N7709147b / I 1 7 , / ^� 569 23 I i I S89'19'36 "E 170.29' 105,364 S.F. 30 (2.42±ACRES)