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HomeMy WebLinkAbout026-1153-25-000 tv ✓iscon;'rn Department of Commerce Count • s�ety and Building Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT Sanitary Permit No: ' (ATTACH TO PERMIT) 514889 0 GENERAL INFORMATION 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: Starkey, Joseph I Richmond, Town of 026- 1153 -25 -000 CST BM Elev: Insp. BM Elev: BM Section/Town /Range /Map No: / O� C`j= 19.30.18.1163 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. , Septic � J � � � Benchmark Z_ !� U Alt. BM Z . 3 9$ - 7 ��- ��......_ F: iw-. Aeration Bldg. Sewer l qy, Z Holding St/Ht Inlet 7,q c3 3 • G TANK SETBACK INFORMATION St/Ht Outlet 7. $ 9 � • Z TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 1 Septic /5 7 Dt Bottom . Z Dosing Header /Man. '72 • -7 Aeration Dist. Pipe $• 9 Z. 7 Holding Bot. Syste o1' ° I. 3 51 Final Grade • q PUMP /SIPHON INFORMATION � � I Manufacturer Demand St Cove GPM �1 $- 7 Model Numb TDH Lift em Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tren / PIT DIMENSIONS No. Of P its Inside Dia. Liquid Depth DIMENSIONS -3 �,4 SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: l INFORMATION CHAMBER OR �• Type Of System: 3t AA— UNIT Model Nu r: ) DISTRIBUTION SYSTEM D� „� j U 4-1 to= 32— k Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air tak� Pipe(s) Lengt Dia Length Dia \ Spacing 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 ti Bed/Trench Edges \ Topsoil .� 1 Yes s:' No \ es No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1459 92nd Street New Richmond, WI 54017 (SW 1/4 NW 1/4 19 T30N R1 8W) Glen View Lpt 25 Parcel No: 19.30.18.1163 1.) Alt BM Description = Go`� �— G �a: n5 (Dcr�cS o ✓� 2.) Bldg sewer length = - amount of cover = 5 a Plan revision Required? Yes No y' S Use other side for additional information. Date E A = Insepetor"s ignature Cert. No. SBD -6710 (R.3/97) 04/22/08 TUB 09:30 FAX 715 386 4686 %001 �. Safety end But Diviaioe Coaesy 201 W. Wsiisom Avs., P.O. Boot 7162 ST C ,r Q too tes 'I 0aa,.,.M 6jq - 3 - K 2 ns %jefoos, W1 53M-7162 Sr3gry Nwmit Nsonbr (to be filled is by Co.) Sanitary Permit Applicatio St"e Nawilm In aeoraoroe wills s. Como 9321(2). VAa AdaL cods,, Mokwanion of *b fins reixiase unit is RgWM prior a obsift a ssaetesy pwk Now Applicedes faees era Ptegaet Addrma(if ddkmatt dwo mnl''°�afteol) a*w iued w dos DepwOna t of Couaste+r e. PIN III iefbteastiaa YOU is acca bate wkb the Privacy Law z. 15.04(tval sew L — Plaa IMat A• "TT f Propeagr owacei Neese parod! �3 e'e- 'S - � - #� 6 6Z,6 -1153 -Z5 -CCO Propan yi r �� 3 T • D \ ��� OUNTY Goer. r.oc ) city.staee Ztpcode FFIC IZ T ZU:-) V% section LO, T 3 D N: R � E w 'I`ype; of Bttiiis� (edaeeit aM tlnt apply) Qk 57 Subdivision Name FastilyDweUiae -Nuenberof8edreoms ?f , O PulticConv r ial - Dasctiba Use � h _ n I O City of - -- _ CSMNwober O Vi r wof Stan owned - Describe Um --•. own of )e- / `/ 11L y+pe of Poraait (Cbeck alb sat: bete es lists A. CotsplNe 1(ae S if s"t ) A New syatera O Rvb=,w* &,IIorn ❑ Tiewnwr M*Ideew Tvnk only ❑ OOW MMWkMboa a &*log SYN. (.Wk.) B. D Perarit Reerewsl Revision ❑ CMW of Pmnw O Permit TMw6r eo New Lien Pmvioas FOR* N umber tied Dee how Before Evinsion Owner 1V. TVBC stPOWIM fCbwk at stns «e-Ptoeawiaed M4v*aad O Prmtriwd btGeermd O Ar ANM O MwW j.24 in. ofsrembl eed 01foeard <24 in. ofnitabie soil D Holdmg Tank Q OewrD=paaal Campaee * (eapiaia) ❑ Pmaeabsess Device (wwjDjn) V. rateaattt Ana ltarttati.� Q swistiort, f' - Dash Pow (Ud) soil osgrsesd RegWmd (d) D*m at Area Propoaad Sytearr VLTMAlefs � in Gaa�r t a eaewTl.i�s �,eT•a� w �c � l � � � � � � SOP& at HOI*M Twk Cmda C7rambtt vn.g k L lie fir MNs�etlsa of lie POWs 8 tows M fbe amaeie! S Naata(Print) MP/ AM Number aasinw Pboere Neaaber t4af r2 i � Pkaaber'f (Steeet. C ity. Stare Zip code) . r VIfL only 6weWiDewaftweirt the Appeewad O Penal Fee Dab i Si o s 55. �/ // lam 1 n� I game! tX. Co.dilie�t f 1f �RPCSV(ilV 1p!eee: tor• Dispprsvttt 3) Wa / / `a. •.. �Lo C..o.m—e, 1. Septic tank, effluent filter and dispersal cell must all be ser ftW/ maintabn W as per management plan provided by plumber. A 2. All setback requirements must be mWained all POF Igaaaal aai arrina4 M trre (Sarep ealsl M paMr MI Iri Aafa i tli s q fatlrrf ire der SBD-6398 (R. 01107) Valid On 01109 Wisconsin 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 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. L� ~ S — ' 5 " G� Please print all information. Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner ], Property Location 3 2, a , l\ A 1/401/4 S T N R E (or) Property Owner's Mailing Address Block # Subd. Name or CSM# D ) 3 I P.>,t, -P_ . City State Zip Code Phon ❑ City ❑ Village wn Nearest Road ew Construction Use' esidential / Number of bedrooms C rived design flow rate �s ?.� GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Q Plain el vation if applicable General comments ru C� and recanendations: 2 Q �0�� J� System Type J v\v J � t11l / . C) F \CE F/ I Boring # ON Bori G �, pit Ground surface elev. ! 1' 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 -� 70 Z /r ®ng # ❑C,nng /� Ground surface elev. ( I 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 0 - 23 r • Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mgA_ ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address D to Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 '0 0 7 715 - 246 -4516 Property Owner _ Parcel ID # Page of ❑ Boring Boring 11 # - apit Ground surface elev. ft. Depth to limiting factor 2 1 — in. - go — flApplication 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 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 Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. 11 pit Soil Application Rate Horizon 7epth 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 < 220 mg/L and TSS >30 < 150 mg/_ ' Effluent #2 = BOD 130 mg/L and TSS < 30 mg1L 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 (RAM) Property Owner _ Parcel ID # Page of Boring # 11 Boring —f -- 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 j Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 A I . a 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 # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon 7epth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots GPD/lf 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& ' Effluent #2 = BOD < 30 mg1L 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 (RAM) Soil Test and System PLOT PLAN PROJECT Joe Starkev ADDRESS P.O.Box 333 Hudson Wi 54016 1/4 NW 1 /4S 19 /T 3 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/30/08 BEDROOM 3 CONVENTIONAL XXX IN -GROU D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTI C TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 IL BENCHMARK V.R. Top of Power Box ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 92.8/92.7 5' below qrade setbacks required by WDNR Scale is 1" = 40' Vent unless otherwise >6" Quick4 Standard -W noted of Cover Leaching Chamber with 20.0 ft2 of Area Plans Designed Using 5.8ft ^2 /pair of end caps Conventional Powts 12" Manual Version 2.0 4 Long Grade at System Elevation 34" Property Line 3% Slope 2 -3' X 66' Cells with >3' Spacin Vents B -1 Pro 3 Bedroom House k. 20' B -3 5' 10' 25' B.M.* ST 20' 20' B -2 5' S' 100' 92nd st. 04/22/06 TUB 05:30 FAX 715 386 4686 @001 w�.pav Sa ty sad i$ Divf" 201 W. Wa C0 "r dinStot Aver, P. O. 7 2 ) ftl sZc;;7 7 1''! Mediso.. WI 53707 -71 �ry f l N (w be fiYid is by Co.) Sanitary Permit Application P in acw&ff oat wilb s. Cwom. 9321(2), Ws. Aden. Calk srdtan aim of" fi m 10 tht apprOpriato rlw! unit is rer( i I prior 0 ebiainws s nmittty Psi NOW APPS forma for BW"wted POWTS arc Pt%;w Adtheas (if ar"Ont dttn tmiliue address) suberued m the Dapterunmt of Catmtrne pons" left nation in accordmce wah the hkwy L w a. 15.04(lbal Soe1 REGEIVED J L b - PlM Frit AN Nkawftc Propery Owteda Name htrod s J � 5" �a r Qz6 -- /) 53 -- Z5 - o00 Prop ww Oww rs Addros > y l'o�en 0 'wi'� � 3 ST CROIX COUNTY �. City. Sate 27pcode MK OFFICE :5rc 'Sc tJ Y., xfv K RW IL efRoW"(ebwk*NtlatWOO Lai or 2 FaotdyD%vUm- NaebarOtBedteorm X t� 6 0 PuNir/Cotrune t l - Daaibe Uro CSMNumbw U vaeaoaof ❑ state Owted - Dowilm Use l' own of 1t NJ 6 .,,.fir 119. Type a IPearit: (Qadt ..e hex 1n1t A. co.plae IKee B t ) A Symm 0 ReplaoaowM 0 TrnortettdEloift T Only 0 Otlt ma&ritatioa >D 6auio9 Synm (e c*m) I6 0 Perndt Renewal 0 Permit d 0 Pit Tranrfer to New List Previous Pam fit �Numbw acid Date hsuod Raforc Expiation Ow-er '.r1 A 7 (d 1V r dMW'rr3 - to M A I 4:2 4 «t- Pteatei>tod haCitettd C hemwmd hr- cmartd 0 0 Moand >24 ie af=MdAesoil ❑ McQrd <24 in. ota.itabie soB ❑ t TsNc ❑ Mww Dispersal Coeponw+t (aaphirr) ❑ Ptarnuew patios (wrpltin) V. Dbw rtai/I rettawert Ann Inforumtiew DwV Flow (Mpd) Design Solt ADP �( ? Area Apposed '� U Y VL Task left cwm*ry in T Units Of M MOt'aontar CAM v Htavi'taac FxiNiylT �/ ��/ S�erT� oe:«sctee.► VII. Seu W"t L dwapdaftw4 waswe M1111 ter hofts"iaw doe POWIS Wmm a the tended Plumber's (print) • phowmes MPnNPRS Book— Phone Nrrnbar (Strom City. 9tru0.2+pCade) - T Q VI1 err tilers 016 17 Ap hxnkt Fee E)ttein9 Sigentxe 0==R f, baild I !X, br DbWreval 1. Septic tank, effluent tiller and dispersal cell must all be servtces• /maintained as per management plan provided by plumber. 2. All seffiack requirements must be maintaihed red arbedt M dw Craft a* so PMW Mr Ira 8r i Vr 111 iw&" is $er SBD -6398 (R. 01!07) Valid thm 01!09 i F t ,1 9 a l T PLAN PROJECT Joe Starkev g l DDRESS P.O.Box 333 Hudson Wi 54016 1/4 NW 1/4S 19 j30 1 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/30/08 BEDROOM 3 CONVENTIONAL XXX IN -GRO N PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 IL BENCHMARK V.R.P. Top of Steel fence post ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 89.0/88.5' 4.5' below qrade setbacks required by WDNR Scale is 1" = 40' Vent unless otherwise >6" Quick4 Standard -W of Cover Leaching Chamber noted ith 20.0 ft2 of Area Alt. BM Top of Survey Iron @ 96.4' 4' Long 12" 5.8ft ^2 /pair of end caps Grade at System Elevation Plans Designed Usin Pro 3 Conventional Powts Manual Version 2.0 Bedroo Housg 10' ST B_ 10' 2 -3' X 66' Cells with >3' spacing 90' B -3 5% .. Slope 5 ' Vents B -1 40 155' operty line 20' 461' Property Line 220' PC copy T PLAN PROJECT Joe Starkev g DDRESS P.O.Box 333 Hudson Wi 54016 1/4 NW 1 /4S 19 / j30 1 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/30/08 BEDROOM 3 CONVENTIONAL XXX IN-GROJ NY PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of Steel fence post ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 89.0/88.5' 4.5 below grade setbacks required by WDNR Scale is 1" = 40' Vent unless otherwise >6" Quick4 Standard -W of Cover Leaching Chamber noted with 20.0 ft2 of Area Alt. BM Top of Survey Iron @ 96.4' 4' Long 12" 5.8ft ^2 /pair of end caps 34" Grade at System Elevation 14— P ak", Plans Designed Using Pro 3 tC ,Qp�'' F► Conventional Powts Bedroom 4 � j l�' �iN' Manual Version 2.0 /j � House Ir � `j� 10' ST B -2 10' 2 -3' X 66' Cells with >3' spacing 90' B -3 5% .d Slope 5 ' Vents B -1 40 155' operty line 20' 461' Property Line 220' i Wisc Department ofCommerce SOIL EVALUATION REPORT Page ( of 3 Diviswn of Safety and Buildings < in accordance with Comm 85, Wis. Adm. Code A County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must f r include• but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. / D percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 0 & 1` Please print all information. Re ' wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). . Zb s Property Owner Property Location / Govt. Lot AW LAA S /� T 30 N R E (o W Prope Owner's Mailing Address Lot # Block # Subd. Name or CSM# City late Zip Code P one Number p City ❑village T `- Nearest Road New Construction User � Residential / Number of bedrooms Code derived design flow rate' GPD ❑ Replacement ❑ Public or commercial - Describe: - - -- Parent material xC Flood Plain elevation if applicable // ft. an General comments recommendations: % ��'�` �✓ '� /,a —t/�� d ? O l g g I � t Boring Co Asl Jt © B0 # an Pit Ground surface elev. 2 t ft. Depth to limiting factor Z 0 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 C? r r S /YI —Z S o M N �- 866 ti s`f Q # Q Boring J pit Ground surface elev. 1, ft. Depth to limiting factor I � � 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 c `�Eff#2 ( _ r u7 2 j r' j Z r I r1 J n6� t) - 7 � Z .3 cV( Effluent #1 = BOD > 30 < 220 mglL and TSS >30 _ ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Bird Plumbing, Plumbin , Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI Z4017 � /- e , _I 715 - 246 -4516 Property Owner _ Parcel ID # Page of F31 Boring # ❑Boring Pit Ground surface elev. ft. Depth to limiting factor in. j 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 ; -y 1 r--i C s dal .S Z — 6 s C L_ r ', s .2- 3 _ r 2 � S 90 F-1 Boring # ❑Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor i"• Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/if in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 F-1 Boring # E] Boring Pit Boring 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 'Eff42 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. sao-6330 (RAM) Soil Test Plot Plan Project Name Lakes and Hill Development Shaun d Address P.O. Box 10598 White Bear Lake Mn 55110 CST #226900 Lot 25 Subdivision Glen View Date 7/18/03 1/4 N W 1/4S 1 9 T 30 N /R W Township Richmond ❑ Boring 0 Well PL Property Line County ST. CROIX BM VRP Assume Elevation 100 f t. Top of Steel Fence Post s em Elevation 89.0/88.5 *HRpSame as Benchmark �.B 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 Please Note: Tested area change. Installer must verify may not be suitable for desired building area. all lot lines and setbacks before installation. Check system location before excavating. 92' 93' 94' B -2 90' B -3 5% 5' B -1 0 ' 0 20' 461' Property Line 2209 B.M. Alt. .M. i' ILJo I: W LL N tJ I m O L ,op ��c • sg X W SJ LL in M vi u i LLI 0) to .69 N J O W ' N O N W m U 3 � to .r J o N 0600 NI o e <<<��� P ^ :• LO ao Q cn rn rn LO log Z M �`0 N N W Z N N �w N 00 iO • 00 r' li (n I a N u j W I OD IN N �a a0 N M 2 � 0 C4 Z-, 0 / a M D _ - - - - -- -- M� \ Qmw V / \ r D ®\ .0, / F8 \ P IT '££ 9 = 00_08 _ J � , /-Pp &�9S.LON , �� // 00 U2NLATTED LANDS ------------------ -------------- 9 ------------ frwqljrt ------ --------- --------- I W. ---------------- - --------- ------------- r 150iti 4 --- ------------------- 7 ---------- ---- ----------- LOT I 8 MA B%ftIl &1 43 t ! p PAGE 2783 ias are cn . 7 A l AIW�WWE 473.6v 42 2 V, 10 41 :�— I, = .1. j 6 rY1 k ",—, .1 1 , 7 101.— � I " 1 1 11 1 z M C'.. 4 40 5 f4 'w AA— r= t— Am 12_ 4 16 - AOBOD 17 0 I �IX m - m.. ... - i : T 34 1 .0 18 5 A-- ( A 13 14 I= 7� A� 33 (A C IV WBAY lUl'. 31 ; 1 au � � — ST. Cam 21 0- A.1.0 Ell- A..M (.. A—) 3/• 23 o �Ww Gxmm 0". 30 yy It 5 24 A. —T 29 25 0 BEARINGS BASED ON THE NORTH LINE OF THE low (I.. A..Q (ST AS ER04M C IN SLIMED 0 BIG No COUNTY COORDINATE SYSTEM) /j/ SCALE: I" . 100' -- ------- 28 A 27 ClenView PART OF THE NW Y4 OF THE NW Y4, PART OF THE NE Y q OF THE NW A PART OF THE SW X OF THE NW X AND UNPLATTED LANDS PART OF THE SE Y4 OF THE NW Y4, ALL LOCATED IN SURVEYOR. RONALD A JASPERSON SECTION 19, T30N, R18W, TOWN OF RICHMOND, DRAFTED BY RONALD 0. JASPERSON ST. CROIX COUNTY, WISCONSIN SHEET 1 OF 3 M w � f iT1 o W O �S z 8? 6 0 S rcz a A < E- Or � W R _ STREET W x O tf u IYI 6 Hj� --- - - - - -- vl l 1 SO o ' I = r- - Z Z Nbj w LLJ - LL. Z 1 m• S _ E Q a CN a A 26 < N M _w'� ze= 3 NZH M W O \ i• °o Z W W 3 Z M •_•\• SW5SVE 42a.}4' ChZ� �' ^ = _ I 00 n LL. r I N 0— m ,�? v =W o v LL O p Z x LA 0 mo <! Q LLI U 3,2. 3 a N \ •^ yrar bd Lal 2 ' F— Z m try 2 \ • o I• 1� O W� W \\ 4� N m �� Q N • m Q LL d \ \ rr) m w 1 1 N fi 1 �ao' I d rar ® 1 •a%o• e N I N C co 1 1 Ira R m � 1 1 ! 1 �� J �� ti • m N m I 1 1 �- i b, I a i 1 n 1 z 1 L— - - 1- - - - 1 - - _ n C4 n ui CN Y � \ y Y T N M _`,• Q 11 r \ Z! o CL co � • `w p J M Q Z ii co C I N ti a> m cc h O W I c K i 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 cleanednce 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. S. 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 Con ency Plan Option . If system fails, determine cause of failure, use alternate area and install new system in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#& 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 OWNERSHIP CERTIFICATION FORM owner/Buyer Mailing Address / Property Address o new cons truction ) (Verification required from Planning & Zonmg Dep artment for City /State Parcel Identification Number LEGAL DESCRIp1'ION Sec. T R, .. W, Town of Property Locati �JV IJ Lot # � — Subdivision _ --'' Certified Survey Map # Volume 1 , Page# `GVarranty Deed # Volume _ _= page # Spec house ye no Lot lines identifab Y no - SYSTEM I�TENAx AND p'pVNER CERTIFICATION Improper use and maintenance of Your septic system could result in its premature failure to handle wastes- Pro er put into maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper: the system can affect the function of the septic tank as a treacmenc stage in the waste disposal system Owner maintenance responsibilities are specified in §Comm- 8352(1) and in Chapter 12 - St. Croix County Sanitary Ordinance- to submit to St. Croix County Planning & Zoning Department a certification :form, signed by the The property owner s restricted plumber or a licensed pumper verifying owner and by a master plumber, Journeyman p lumber, (2) after inspectio n and p ig (if necessary), the septic tank is wastewater disposal system is in proper operating condition and/or less than 113 M of sludge. to maintain the private sewage disposal system with the 1/we, the undersigned have read the above requirements and agree t of Natural Resources, State of Wisooasin. standards set forth, herein, as set by the Department of Commerce and the Department Certifieation 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. Uwe certify that all 4taternents on this form are true to the best of my /our knowledge. Itwe am/am the owner(s) of the p : erty described above, by virtue o a warranty deed recorded m Registry, of Deeds Office.. S G ATURE OF APPLICANT(S) DATE # ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning I)eparM=L * ** I 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. ones) ! IIIiI! lllli IIIII 11111 llllf fllfl 1111 Illlll llll NII * 8 7 6 1 6 1 1 State Bar of Wisconsin Form 1 -2003 87516 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number Document Name ST CROIX CO., WI RECEIVED FOR RECORD 06/05/2008 09:00AH THIS DEED, made between Hillvale Development Limited Liability Partnership, a WARRANTY DEED Minnesota Limited Liability Partnership EXEMPT I ( "Grantor," whether one or more), REC FEE: 11.00 and Joseph B Starkey, a single person TRANS FEE: 75.00 PAGES: 1 ( "Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is Name and Return Address needed, please attach addendum): Joseph B. Starkey 783 McCutcheon Rd Lot 25, Plat of Glen View in the Town of Richmond, St. Croix County, Wisconsin PO Box 333 Hudson, WI 54016 026 - 1153 -25 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Easements, restrictions and rights-of-way of record, if any. Dated May 29, 2008 Hillvale Development limited liability Partnership (SEAL) (SEAL) * * Rich rd S. Nelson, Partner (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. authenticated on BRIDGET K. DEL G . St. Croix COUNTY ) NOTARY PUBLIC OF wisc * Personally came before me on May 29, 2008 , TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Richard S. Nelson, Partner (If not, to me known be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument w-acknow edged the s f THIS INSTRUMENT DRAFTED BY: * Attorney Doug Berg Notary Pub1i , tate of Wisconsin 1200 Hosford Street, Suite 201 Hudson, WI 54016 My Commissr n (is permanent) (expires: a • �. 0 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 1 -2003 ' Type name below signatures. 1 of 1