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Home My WebLink About026-1137-95-000 3 i = i; CD 3 A. CD ! ° • o M m 1 v, i 3 �'•' � (n ? .Z7 - j Z (n y .Z1 7 Z O N m O N '! • a N v o s- m N o p I o rn 3 0 3 N iD v F ? co CL p 0 Z v p 0 N p 0 = N p 0 N 0 = ! 7 co v - 0 0 O (O O (Q O O i Ay N N 3 ? O � 0 Si y m cn z (n z D - e D D �' m 5 D a D N a n C 9 W W c a a c a a O p O j 3 O O 3 O O' p 0 O O O O O O CO) O C !�I • A w < < 3 ? N i � T - 0 •O Z °,: Z Z CD w a a w a a vi vi ca 0 M o Cl) C/) � 0 =r y m y < m m m > j > > A c a f a a � N Z z of o a o o o ' N c C N fD Z m Z (D U) (o -1 cn N D c Z CD v nni a A z o o a. 0 (D m W 0 O of IZ- ° m 00 y Z w F I _ _ 'I ( n ° m m s D �° m m s D N O a fl 0 O 0 - CD C ! R - O -. (a (D o o a O r. CD o' m o rr CD o' CD 3 aD m a' 3 0. oo c t I N — t N N N N y OZ ` CD y y O C 3 N ( D fD Q (C F y n CD CD p (D N 3 3 N 3 3 3 N O 0 o O 3. 0 o (?mw mw I CC) a m Co �° a m Co a 3'a� ° p (0 p US a I ° A p y. 3 ° A p 5. Ve m a f 3. m a CD �. st CD CD N l CL R CD 2 ti O CD O O A O O (D (D DQ o O O O O ~ O O L O O L N � i 7 Wisconsin, Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 0 420735 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: New Horizon Homes Inc. I Richmond Township 026- 1137 -95 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: l op -- 1 p': 4 - IA 0 '_ 20.30.18.971 TANK INFORMATION _ ELEVATION DATA TYPE MANUFACTUR CAA STATION BS HI I FS ELEV. Septic Benchmark Dosing Alt. BM i 1 d1 2 „� s4 Z. 3 99. Aeration /? Bldg. Sewer I 7T Holding St/Ht Inlet ,5 / / • ,/ TANK SETBACK INFORMATION St/Ht Outlet 0 q TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 41? 1 / / s % Dt Bottom \ Dosing Header /Man. J g Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION 3,3 Manufacturer D emand St Cover GPM Z 2 J Model N ber TDH Lift Friction Loss stem Head T 11 _ 1 _� Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth Z DIMENSIONS `� �, \ � \ 1 �L'�t1�Sr1� SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufactur • J INFORMATION CHAMBER OR •a Typ Of { + a n4 2-44 -1 /�+ 1 Pit- } UNIT Model Number: DISTRIBUTION SYSTEM JV N Z ke, �a j p�, T)P'V'_C Header /Manifold j Distribution \ x Hole Siz 1 7P - 0 Spacing Vent it Intake Pipe(s) Length < q 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 3 \ Bed/Trench Center 75 Bed/Trench Edges Topsoil .l d Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: V 1 ra 1 A Inspection #2: / / Location: 1090 148th Ave New Richmond, WI 54017 (SE 1/4 NE 1/4 0 T30N R18W) Golf View Acres Lot 15 V Parcel No: 20.30.18.971 1.) Alt BM Description = S� Cw e,— G c, "^� 4 - j-.e�� , a v-, j 2.) Bldg sewer length= 15 4 ` ; n 5�'e I G(•� ��,'� -� - amount of cover Plan revision Required? Yes No Q (� se itiona mf atlon. U _ J `�' �� SBD -6710 (R.3/97) Date Insepct is Si tur Cert. No. i O , c Safety and Buildings Division Count' 201 W, Washington Ave., P.O. Box 7162 rD� �- - W Madison, W1 53707 - 7162 Sanitary Permit Number ( be filled in by Co.) 15cvnsin (608) 266 -3151 �s Department of Commerce grate p1anLD.Number Sanitary Permit Application In axord with Comm 83.21, Wis. Ad= Code, personal information you pnmvide Project Address ( different than mailing address) ) may be used for secondary purposes p Law, a, 5.14(lxm) / L ' /� L Application Information - Please Print All Information � . Parcel * Block g pence's Name Property � J 2- 0 — / / 3 7 -( --pUO l (- / `/ pcoPertY owner'$ Madmg dress GI 7 W Section l Cr. State Phone Number Tap ; r , J T N: E r W II, of Building (check ail that apply) `� i 7 , c 7 subdivision CSM Number —� e i amily Dwelling — Number of Ba coo �� - � — — / public — Describe Use Qh,_ village of State owned — Dcsaibe Use �, Type of emit: (Check only one box on line A. Complete line B if applicable) A-� S Replacement System Trpmmend/Hoiding Talc Replacement Only other Modification to Existing System vious fer and Date tsIssued B. permit Renewal ' Revision Change of permit Trans to New _ Before Expiration Plumber Owner �T Q YAM IV. a of POWTS S : (Check all that a 1 Sing Pass Sand Filter a zed in -Ground Mound 124 in. of suitable soil Mound < 24 in of suitable soil At Csrade n8 Constructed Wetland Pressurized La-Ground Holding Tank Peat Filter Aerobic Treatment Unit Recirculating Sand Filter Syathedc Media Filter Chamber Ihi Lire Gravel - less in) Other (ex la V. Di Area ormmHonz Pro sec (sf) Sysmm Elevation Flow �) .r Design Soil Application Raoe(gpdaf) Dispersal rea A Required (SID DisPu� Atca Manulachtter Site Steel Fiber Plastic VL Tame Info Capadty in Total Number Concrete Constructed Glass Gallons Gallons of Units NOW Edsdog T Tanks Sepriror Roidiog Tank / AembicTncUait Dosing t -0- VU. Res onstbili Sta L the ass•nne tndbi>i for tmstaitatfoa o f the FOVY15 shown on the Business Pbone Number Plu is Name Plu Signature MPWRS Nu 2 Plumber's Address (Street. City, State. Tip ) VIII. Coun !De t ste Oil issued . Sanitary Permit Eke (urclu�s Groundwater Appm approved Surcharge owner Given Reason for Denial us of App ors for Disapproval �z IX. Conditioroval/Reas . � /�� -� J / �, �(' �� " ��`-( - y✓� �/ S/ �-�yi -Z nA l Attach MB** plans (to the Courtly aaly) for the systear 00 paper not less than $In I It JfKW in stn I Test and System PLOT PLAN PROJECT New Horizon Homes ADDRESS 8506 Crescent Lane Yasilanti Mi 48197 SE 1/4 NE 1 /4S 20 /T e3N/R 8 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 8/9/03 BEDROOM 3 CONVENTIONAL XXX IN -G D 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 684 # of chamb s 22 BENCHMARK V.R.P. Top of Foundation ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE SWELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 94.2' 4' below qrade Plans Designed Using Conventional Powts Manual Version 2.0 Vent >6 „ Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6' Long 1119 B -3 34 91 Grade at System Elevation Property Line -2 35' 2 -3' X 69' Cells 1% Slope 70' with >3' Spacing 20' Vents -1 15' Pro 3 60' T Bedroom 60' 20' House 200' Property Line 148th Ave i Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7082 I visconsin Madison, WI 53707 - 7082 Sanitary Permit Num (to be filled in by Co.) Department of Commerce (608} 261 - 654b Al2-0+35- Sanitary Permit App lead n State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, person in �d�- may be used for secondary purposes Privacy w, s15. C I V C jest Address (ifdiffacut than mailing address) 1. Application Information - Please Print All Information /0 Y d � MAR 1 4 2003 Property Owner's Name Parcel # Lot Block # ST. Property C Owner's Mailin Address Property Location ` yy! ' Y4, Sectie City, tact Zip Code Phone Number � . �G IL Type of Building (check all that apply) 2 Family Dwelling - Number of Bedrooms Subdi on Name CSM Number ❑ Public/Commercial - Describe Use T ❑ State Owned - Describe Use 2 Z✓ 73 .S 3n S ity ❑Viliage owmship of M. Type of Permit: (Check only one box on line Complete line B if applicable) e L(o - ( 13 - co P I D. A. System ❑ Replacement System N lest-entlH.1dirig Tank Replacement Only ❑ Other M 'Station to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ of ❑Permit Transfer ew Liar t Nurylber and Date ed §eic� - I Before Expiration Plum Owner IV. , Type of POWTS S ystem: Check all that a - ( on - Pressurized In -Ground ❑ Mound 2 in. of suitable soil \Likne nd < 24 ijf itable soil ❑ At�Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland 13 Pressurized In- Ground 11 Holding Tank t Filter bic Treatment Unit ❑ Recirculating Sand Filter 11 Recirculating Synthetic Media lifter ❑ Leaching Chamber ❑Dri13 Grav ss Pipe ❑ Other (explain) V. Vispersalffreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Disp�e Area u' (SO Dispersal Area Proposed (110 ynem Elevation l6 %. 0 J 7 33 ti . 9 1 " Ge ( c Tank Info Capacity in Total I Number / iurer Prefib Site Steel Fiber PI tic Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment unit o� D Dosing Charobtr VII. Responsibility Statement - L, the andersiga assume resg for installation of the WTS shown on the attached plans. Plumber' Name (Print) Plumber's re MP/MPRS Number Business Phone N umber Plumber's Address (Street, City, State, Zip VIII. County rtttxnt se Onl Approved ❑ Disapproved :Vn itary Permit Fee (includes Groundwater Date rcl Issued Issuing t Signature (No Stamps) unge Fee) ❑ Owner Given Reason for Denial s ` J M Conditions of Approvali%eas nn for Disap roval -Y N � u �[�'^^ o � Attach eowipkte (to the County only) for the syste® 411 paper ant has than 8112 111 reeler to size SBD -6398 (R. 08/02) (� r OT PL PROJECT New Hori Homes/ChrisTurgrADDRYSS 8506 Crescent Lane Yasilanti Mi 48197 SE 1/4 NE 1/4s 20 /T 30 R W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 3/13/03 BEDROOM 4 CONVENTIONAL XXX IN -GRO 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 933 # of chambers 30 BENCHMARK V.R.P. Top of 1.5" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 97.8' 4' below grade Plans Designed Using Conventional Powts Manual Version 2.0 Vent >6 „ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 11 34" Grade at System Elevation Property Line .#2 Pro 4 25' Bedroom .M. #1 House 30 5 T 20, B -1 Vents 30' 30' 40' 3% 200' Property Line Slope 30' B -3 B -2 2 -3' X 94' Cells with >3' Spacing Vents 80' 148th Ave I r- OT PL PROJECT New Horizon Homes /Chris Tur �n rADDR S 8506 Crescent Lane Yasilanti Mi 48197 SE 1/4 NE 1/4S 20 /T 30 R W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 3/13/03 BEDROOM 4 CONVENTIONAL XXX IN -GRO E15 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 933 # of chambers 30 BENCHMARK V.R.P. Top of 1.5" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 97.8' 4 below qrade Plans Designed Using Conventional Powts Manual Version 2.0 Vent >6 „ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 11 " 34" Grade at System Elevation Property Line �. ' �02 Pro 4 Bedroom .M. #1 House 30 � 5 ' 1 110 T 20' B -1 Vents 30' 30' 40' 3% 200' Property Line Slope 30' B -3 J B -2 2 -3' X 94' Cells with >3' Spacing Vents 80' 148th Ave i ` - SOIL EVALUATION REPORT Pam of `,94iscoran Department of Commerce Division of Safety and Buildings in accordance with Comm 85, VA& "n. Code • count Attach complete site plan on paper not Was than 812 x 11 inches in size. Plan must inducts, but not Ir7lfted to: vetfucai and horb=W reference point MR, direction and pair LD. percent slope, scale or dimensions, north arrow, and location and distance to neatest road. by Date Please Print all hrf+ muwon. Reviewed I 3 Pownet ildonngtlon ym provide nY be Used W Set70 WWY P OMVSM Law, s. 1b.04 (1) (m)). WON PropertyOwner prop" Location cl N1? � Govt Lot � E 114 f E 114 S � T ,3 O N R I E(or)0j) p Owners Mailing Lot # Block # Sctud Name or CSM# t S A. b•+� Co Z State Code Ptrane Number 0 City ❑ Village CpTown `g. `• l Nearest Road b ear - t ( � [� New Construction Use ® Residential / Number of bedrooms —A y Code derived design flaw rate S't� 4 O GPD ❑ Rat ❑ Pubes or comet ds3 l - Describe: ft. parent material U a 1, Flood Plain elevation if apple .( p q 4 w .5 - 0 L a + — 9 I 0 O f �; General comments Sit S f^e vv� c l e V P 4 . Sv R rErIu[D r, and recommendations: 4 L-4 - L Q MAY 1 4 pool W C"TY J � Boring # ® pit Ground surface elev. o� $C� & Depth to limiting fear MIt3 (3FFICE Rate ture Consistence GPD/lF Texture Stru Horizon Depth Dominant Colo Redox Din `EM1 'Eff#2 in. Muhsell Qu. Sz. Cont Color Gr. SzS 5 I 2 ft-o �� II,, h. S l V 5 6 2 Z 3a `t `� . 5d 2 k C 5 8 - 1 1.2 nn Efl q� •80� ® Pit Ground surface elev. I O • Y6 -- ft- Depth to limiting factor in. Solt Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW i+. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 50 2 m CS J 5 • 2 4 I` JJq Sit 2 ob c - $ m5 C> m l J 12 ' EtAuent #1 = BM > 30 220 mg& and TSS >30:5 150 mglL ' Efikrent 02 = BOD < 30 mglL and TSS _< 30 mg1L CST CST Name (Please Print) tgna>ure �� Z Number Cf Address Date Evaluation Conducted Telephone Number 211 Tb n+ property Owner N e I C a n Parcel ID # ❑ Bornng I in. a # ® Pit Ground sudisce elm►. - - ft 1 � Sod Rate Redact Texture Struck" Consistence Boundary Roots GPOW Dominant `E$#2 �° . z Sh. S I *E�1 in. Musell Qu. Sz Cont Color Gr S I o —IZ I S.1 2 e,b v� S �' Z 12--1 r�l 5- I Y' 5 g 3 16 -1/0 tb ryllo m5 O 1 c�z • � °fir. Borft# D Bins ❑ Pit Ground surface elev. l >o f or Sal Application Rate Horizon Depth Domiriart Color Redox pin Texture Structure Consiskmoe Boundary Roots GPDW in. Mansell Qu. SL Cont Color Gr. Sz Sh. *Efr#1 *E##2 D Boring # a Ground surface elev. R Depth to limiting factor in. ❑ Pit Soil AAAcation Rate Horizon Depth Domkonto0ior Redoar Descdpd + Texture Structwe Consistence Boundary Roots GPOW in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. *EMWI *Eff#2 I * Effluent #1 = BOD > 30 5 220 mWL and TSS >30 1150 rrlglL * Ef m t # — soD :S 30 mgL and TSS `— 30 rng/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 WWnate format; Please contact the delmtnent at 608"266"3151 or TTY 608- 264 -8777. . rte' PAGE OF NAME LOT# /S LEGAL DESCRIPTION SC- '/wVE'�4 SZD T3a N,RI g E (or) SCALE: 1 "= y� BM I ELEVATION /00 • d BM I DESCRIPTION -lx5 P a-( BM 2 ELEVATION q $ $- se . 2d BM 2 DESCRIPTION d " pyc_.. P. P R SYSTEMELEVATION 401P 91.50 OWe 9 Y Od ALTERNATE ELEVATION , , •SO CONTOUR ELEVATION /01 3 l (3 3, oc) O il r a,n2 p-1 �6 s tt � SIGNATURE��%�� __ DATE r Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900 ... ............................... .......................... - - - -- ..._........... ............_ .................... ........ ... .......... .......... ..............._._.----- ....... ST C;I?,t I' :t ".)1 fC�'.,I. "►` SEPTIC TANK i+rI.AIItirl 13'1�i,A;[\iCiE AG1�1;L "',Mf"'IJT A ND C.)WT;1::I;;.SHIP CER TI,tAIC:'.,ATIOol FORM 1:3 ra'J d 1Y� ..;, r T err►' -�2 7 ? /.rte._. iti, 1 Ad JLi L v r l _ v�.l<< �/.. I.c. n .a» .:L. _� _.F . ✓; z a.rlr t . (Verifica :ton required trom Planning Department for new cur ._...... »,....:...,..,.... o._—, .PaLrcel 1deraffication Nwrbcr Prolp�.;ty'L.c,;n S�'.._.. +, � ...% Sec, p2..o- -.. T. R. /,�._.` , 'Town of.��.,G,l..t_r�sr�'� ............. Corr i. 'iecl iyt r,+ S% Map ;� ...._.__ _._ ._� �-`� �., Volurit,z � __.._..... Page .4 3 3 � 43 , I ........... _..._.. r Spa" louse _ � 'r�s K no Lc�t liars idcntitiaiale ties U na ;ti's.,_,, i . E..M: :i1 .f c_C , Impro Der i ne and main ten,anceof your septic system could result in its premature •;failure to handle wastes. ProM. maWle aace consis? ; of purag ix ; out the Septic tank. every ttuee ye.= or soonor, if nee, dr »d by a iicensed ournper. What you pu,; into the" system can. a! :,ct the Tw i, r►o of the septic tank as a treatment stage in the, waste disposal systemm The p,ro;,:; ^:y owner agrees to sabruit to St. Croix Zoning Depattment a certification form., signed by the.o'%%Cr.aa:rid by a tnastr.: olumbc., j ri:: tneyuaanpltambor, rCSttiiCtadplutuber or a liccnscd,ptuuper vtxityingthat (l') the vu -site• �vaste:wate:cdi�pd 4i system is in w :)per op ;r;c : ig condition and /or (2) after inspection and pumping (if necessary)., the septic tank is less than 113 full of x I /we, ,c uudersi vo; d have rear; the above requirements and agree to maintain the private sewage disposal system writh.thr ;tsndaxcis set fou a, hezei+i < +::...et by the Department of Couunerce end the Uepartruent of Natmal Res ommes; State of 'Wisconsin. Cer..i liratiou statintr�hat yot,r ;a ; .de system I - as been maWtained.must be completed and retazctaod to the St, Croix . County Zoning, Office - OVIi:hin 30 days tr hc, ter. -c .+, rr empi.ratio :lane.. I GD,'! ;7 - 1.i CAN": D A'11- � a 10m):co:•rrify that all statements on this form art true to the best of my (our) knowledge. 1 (we) aan (are) the ownrrfs) of the p:r:'.5erty dt::;c i6i i:ad above, 6 y virtu: o a warranty deed recorded in Register of Deeds Office 1 DATE is A.ny ,, i:)ation that is nvs- represented may result in the sanitary petznit being revoked Whe Zoning Dap:;►rtxneu`. "' *` "` lth+s:.ude with „h Is appllcatf - im: a stamped warranty deed from the Register of Deeds office A copy of the certified s�uvey neap if refbrence is made is► the we :rtanry decd. J 2139P 2 - 7 �9 aa� KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 1999 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX Co., NI RECEIVED FOR RECORD This Deed, made between Hilivale Development Limited, a _ 02/12/2003 0909AN Minnesota Limited Liability Partnership, EXENPT # 17 REC FEE: 11.00 Grantor, and New Horizon Homes Inc. TRANSFEEEi CERT COPY FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lots 12 an 15, olfview Acres, Town of Richmond, St. Croix County, Name and Return Address Wisconsin. ; Estreen & Qgland This deed is given in partial fulfillment of that certain Land Contract 30A L� Street between the parties hereto dated June 4, 2002, recorded June 5, 2002, in Vol. H udson, W1 5401(1 1905, Page 410, Doc. No. 681013. Pt 026 - 1060 -80, 026 - 1063 -95, 026- 1064 -10 & 026 - 1060 -10 Parcel Identification Number (PIN) This is not homestead property. CK) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this /y r day of ✓ ✓a "`� DU/ Hillvale Development Limited * * By: and S. Nelson AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISt'(W N 1 0 ` ) ss. _ -_ County ) authenticated this day of �7 Personally came before me this !y day of ao� the above named Hillvale Development Limited, a Minnesota Limited Liability * Partner by Richard S. Nelson TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, to me known to be the person(s) who executed the foregoing _ instrument and acknowledged the same. authorized by § 706.06, W is. Stats.) THIS INSTRUMENT WAS DRAFTED BY Att orney Kristina O gland Notary Public, St of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) • A ) * Names of persons signing in any capacity must be typed or printed below their signature. Not PO>liii'L ffs mpany, Fond du tac, wi WARRANTY DEED STATE BAR OF WISCONSIN MY COMMI$SION EXPIRES 1.31.2005 000 -655 -2021 FORM No. 2 - 1999 �O LLJ LO 76 4j O �° / / / /JK " �( r, O / / / r0' + r� CV 00 C / a All « fn ° o !g to O •0 / � W � � / / � N O O 0�0 N 00 4�� SSA �,SV 4.; / /p0 to 0 / 04 o o / .00.961 3..SF /6 N ; 0 Q 0 } a N O 4) 4J / •- �� / 3 0) a a� / _ �• c ( to 0 c all c t1 CD Y / /" v Q c . / �0\ O� N 01 ` 0 —` \ a to o iy a a 0- 3 C J to _ n x t0 O > C •� t 0 c '3 .v m i L Cj a w 'D £ t :r :r c 0 C o °j / dj �� Ab o0• N ° a o 3 Q o o N v N O o "�� cF� a�0 . y @) o • � I � � u Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County i-, 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. Reviews D / Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). C ` Property Owner Property Location �� ✓ / G ' t�C J) Govt. Lot .S)E 1/4 A f /4 S 20T I R E (or W Props Owner's Mailing Addre Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number ❑ City C3 Village wn Nearest Road Construction Use: idential ! Number of bedrooms Code derived design flow rate J GPD ❑ Replacement Public or co mercial - Describe: —____ Parent material d Flood P�levation if "applicab / " f /T - - - - -- - -- ft. General comirnents and recommendations: l E'/ ✓Cif / ndations: 1 j Boring # ❑ ring " pit Ground surface elev. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots r GPDfff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 S ..j r2A 0 13 k aZl Q ,t1' �✓ /� ng # Boring it Ground surface elev. ? 7 ft. Depth to limiting factor f-r -- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r 3/z- 3 0- �- '� ry • 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) CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 'r �'1, V 715 - 246 -4516 Property Owner _ Parcel ID # Page of FTT Boring # ❑ nng t 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. Co Color Gr. Sz. Sh. •Eff#1 'Eff#2 O / , ❑ Boring # [] Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil App 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 I 'Eff#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. i 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 < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. 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