HomeMy WebLinkAbout022-1088-70-100sar.ry and 6.mun u..w. .d PRIVATE SEWAGE SYSTEM Rn
428.18A74
Willi oro.nm..rmc<mm INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
nlpm.op Le, n 5d 011m)1 ID
Rollani Deborah Fuller wd i Ra' "i
fiMo. RM sx. „o,p„o, TOWN OF KINNICKINNIC
No
TAcST
TANK INFORMATION ELEVATION DATA
MPNVFACTVRER
CAGACITY
STATION
Ir
ELEV
5.nunmaMAAam
E
ffluo,Blaq
S. ,
sawlnkl
TANK SET MICN INFORMATION
TV Pm.l
TANK TG
T
WELL
BLDG
Wi0 Air Wes
ROAD
DI InIN
sAW[
gBWpn
Doe no
aMen
al
DIl�Plq
raa^J
BM By.Mn
PUMPISIPHON
INFORMATION
FI"IDnde
ManolAUl[.n Cemana
GPM
sl Cowr
Model rvurrcm
IDx Lln Podon Lma
Si Tell
ion
Fwumam LmpA
pA
mw.1
UNIT
COMMENTS Imnuae code aecrepennee pal pi ME) mepenlonel
Lour 101x 65
1)AIi SM Daoflood, -
2)Pro A engthw
mism RApmrea+
Use other 1or Ae
S6 710 rR111amonermmrm.rrnn I
No
0.1 - feel solos..
Inepeenon X3
S/lv-awe-'If /4
I rural
SeMty and auelnes meson
st cl
122020 201 W Waemraten Aden P o eaw]1W
a».,y x.P. rv".M, nopima in
MBE15cn VA 53]0]-7102
l
Sr ��"., vi jj
(o312S
- 11,11m, in.o�`
amlary Pemit Appliwtt
M
ctojiw,
wni
11 �(')e,. Ad. „„IN
lozaozazzC
uav re
-
Hwy 65
t.A .me m. ni..mtlnk inm.\e t.rPrmni:.
Rollan B Deborah Fuller
polar 022-Joss-MX
R.,i �, (•�F748)
Po eo.lm lw'\a a
SW a30
-Flow
NierberMW
River Falls. NA
/$:J ,8�23
20 1at°"Al
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D
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IN x
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n
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w
roe �n o..n...., Ra,limpal ... v,...n tin Md.».P.x,m a
450 SO�b 9 Ow 900 9l Oo
\I iW i uA,M.i
Peal 525 6 y
Tee �_.,e ,� c
J75v
"
1aDJ
1D]0
1
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Keith KnuMteOn
519A43 651470.1737
s17 1501b St RoSerle,NA W23
ore c
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2%9 ..
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SYSTEM OWNED
1 Sepeciene effluent filter and
mspe,sal real must be e4,,md I mem,eNap W
esper mantecme Plafl Provided by printer
S
; Pill ay
5yi41A+ a.ar`PaM'l ii all
P rims
Tc�GOPI Sanitary sitePlan
For Rollou Fuller
PmpmM Inl l arCSM
Partoftka NW1/1-SWIld
5mletuym S 30 T29N-RIBW
llofto� Town of Mnoi[kinni[-SLCmix County aa
•er m n�
&�Jipm
D
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n.preoA :mR eaa.m Ro.doMrlu.elp�� �k/ BI J I
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w
fiNIIi --fIJI
MA' MaNM vYW wY6v NMbps.4J JII.JI (I/D1
on
ER mllo y(agy( PnpmeA Sepoc funka on -99,JP *)BM_ NW w/nnk�auear DWI Fe¢ you,
If WV-9
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Rwber 13.2020
CONDITIONAL APPR Ar AI
PLAY APPROVAL EXPIRES 2022 1IFI t
Pill Revk.; PN'TSI@PoE<^-c
KILL I L STONER
2340 W ordcrtck Rd
Sim col einl
SRE. !wP
O l lwt 65 RSw Eulh N 1 510:
Town of KINNICKINNI(
St CnAx County
Toe! Amonl: S25000
Oamwnnr I50 LYO tl BNemrm�-Rmlurmvn
.Nalmenana Reyoimd
01i OF INW51 RvM VICFs
GREEN MAY Wl L]wst
Earned TmI1q, Rely
N01NePrw qw Pr wry Aloone,Bov
cashavai
APPROVED
APT Co hard. AND PROWESSION
MW1&KHN IF INDUSTRY SERVACIES
Pr...u¢ MwAsmon foment\fmual-\« 20
WRO. I U706.e IN 01 o 1 A 10 121
A' Onede Compilers Manual- \'er 20, SRIh 10854
IAIIIO].R 112)
The.ubmnal d'ClAwd al beer Lan mewW fil 111mmmme with appLable Nl¢ Admt
u rnWedve Crd
.P lxoneSmall"Sutr. The.ubM n nal has en [ONDITIOD. NALLI APPROVELED system is W be
uMoo,m] mL boot d In Accordant, n,m m; sit bead IpM1N1 pill, and with any w,mmnmt m... Wrsl
Libelled Whose no loner, a, defined m rnapten01011 101 In wonsm Sewtes is reWns;ble for compliance
'16 all ", mgmreme ,
No person may rnyaye m or work at dominant In We stage allies mcneri w do w M the Rpanment per a 145 061
Am
no following um mmu shall IN, ma during onnwmumen n mr,11m,m and ptvn tn,vupn y or we
• Preserve dispersal area prmr sod don.0.... trvmon le solid dinimina, criterion and as of As site
• WnE me,mended nor toani the elms In the dose i cold the It ear
pump p,, or rrmmwn.r. op..
Wwo nRn IAW frc rs losing rFeq,,p.. and tmd, endmr lell rare
N"uou had nit bemxhmgnanrto me dmin..e,hi to the Prly wodi treatment system
(POWTS) Waste generated shall be prepeapic
y,sed om ofene nr ca 11 s
AIDS, tell Reagan, and shrub, hit] beet AWnd toward Poo tabng me arnw Wfor Na n pmv nngmdet lesson
Anl;nnn . organ mnndelm ho r,mrvm,Airs POw fti Ouernnl
Area
• Orlarrivirfilmsets, loam all POI IS Area,
• Poor la mmembon of the Jhpi one, ekeek the memi mntmt of the Soil w a depth of B Inches
Sm eann8 dad compano8 of wet sad ,It mull in aduno0 the mfiltmnoo capacity of the soil Roper sail
TPRIUM Norman anhada,namcd by or asad mmmpl, baween the hands vo nllls Iatoa A- mchInc.
roes mprepare lnl emmblea ae ptepamoon can proceed if in, "cc is Inn con m prepare do not
pmc.W said n Jnu.
• All piping shall control In his Table 184 to and do, Table 18430s
• Imalet, hoJdli m... bi do Nor per run 182 o l II xrl
• sFNl SetpcYamneH du or nil Ann
• Task ImUll,ii to follrw ell manufacture s mnmmmJatuus
• \enry property n.or pnonoi mmllauun
Pump Plow, to Im It and eoribnl per v Vpn^ e d Il I I I c I I y I I IN.,u I I I y I , I l l In pomp mmHg to meet
TDH and GPM hpeeiMnons
• I IN s ilia l a m NILlod cal 1 1. n. _ .....ant of and
11 PrPu u. on, in I It, "Irtl
11 d 1111 c LOILI hill ILL I I"I"... I i I III I I .c J I I,ri.. un.cJ¢po,dc
seticmnt Intl tmn t e dace
(Te'ner Resp rnalbiliteea
• Thu and Ill ubwm, ncsh,allcopy mfthw AlWim nJngmlmm
I proper we and mamtenann oftM1e sy stemt othall reaLeacopy ofine appmpnateotperetia8
ccond
olnl un.I or Nor....Nor....manual fir thel[)V, IS dmm cnb,d Nn uppn'ual SPS 18J.5J(p.
to the a l this nhsmpon my ompnneat parts mail ,health
haunt the pmpequ nor mull fallow the wmmgmry planet Jencri In me Approved plane
A cop) of LLx` VMIVCJ plan. IffImIll and Ills, letter dell he Ill don and npenm
inpecnon to auNmeeJ mmmmerhan, as of the Apermm. bach me, ini IoNd... Intl Anpnma5
required by me smile or heal recommender; shall on blamed sonar m aommomlin rf
nmtmmlmmmtal ....lo wmn
In granting role appmenl the Dwor of lndmlry fora lem reserves the right m rcgmre change, or Wdiuons should
Ll. ranking di ...m, Pote.do complu e. Ae sou one 5101 I EID. nothing an this
this
shall orNe designer of the responsibility for dimmi 0 a safe binding51stmaure. or mmar, onmt
d Inquin ang Wu ... rom mi mmay be an", IN, ma I the m"I'll nber had hthe ell or at a i
on In, al
The ANN tell addmosee shall per, Me a copy ofdrs Inner"de lint management plan to the o,ems and any
ethers who are reasonable or the n thatlon nperaunn.a Nomal of the print It
finds
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P YWTS Plnn Rartwer— W morw ter5mclalm
IbpPmmalfSnfety AIhbk,vonA Sm'Im Ur,.snn of InJusm 5wlm,
111116o&&516811J
RESIDENTIAL AT -GRADE DESIGN
Pm Un2ee_ slownar sea
INDEX AND TITLE SHEET
Projw Nolan B C bmM FUIMr N- GrMe Mound Srabm
Owrwr "an a Deepran Fuam APPROVED
P rmm P O Dot 184 River Falls Wl 54022 uemmrmv�
PmMmr Mamas 142 H"D5
Legal CempMsi Peretl mMe NwlM atle swv45ec.3p rzN1ft18W
Townsnlp prmcMnMc C Uu sl Crow
SUWrvlsnn Name CSM Pendmg LNfk 1
Panel lD Number Pad a 022-1o9 7]
Plan Tmeeshn NumMr
Indeed
Paget
CalculaWns
Paget
Atlmde dmwmgs
Page
Laterals and Eau We
Page
SetticaEcns
Pages
Management A m mgaaq pan
Page
Pume curve &semficalma
Page]
,mernate Pvmo F1p915BtlIq
Page 8
seT_ilary SAe Plan
Page
DeDgw Oam E sb Lvmse Hamper Des 151S 7
Sgwtum Pl NunWer 715fi 2M4
Dar* O IM0 `= r
ama.Manua WSSBDrM4-0(Nand
'W96UOWr SLAMIMI)
RwWLanylMWN Vw 300.10W(N 01g)(A
le
/Z)
Vw 70lov12l Peas M 9
PRESSURIZED AT -GRADE DESIGN
Atgrade Cosign WaMeeat -sloping sib
Fbvs and 91Y Cato Entry
tried
RbNennal or wnrmerWln
Estmated xestevakrR inpd)
Ceagnwastmader MvlgFdt
4O.W
es Site slope
Contour elev Cclox Me211R)
Oepkh to tell factor put
In -situ son applral rate (gappi
Distribution Cell Information
11 or 2)A90
Lnmr ka]mg rob word
ERptive SMprpMs xtlN dt)
Max effectd arm pmnut (Rt
Angeleno lengb(n)
A®ub I3WMu1M ovb Emery
(core)
Ntl
Center or end said we tied
1
Number of sbrak
019
Or remember (in) e g 025
tW
Essential ponce swing (it)
3.011
Farwell diameter (in)
32
Forstmann lM veboly(Rlsec)
30.00
Fopmain knelt lR) yorn
Wed brcemain dram tarhi
Ngo
Pump tank ekvatpn(flt yorn
Pfe Merals at bgnest Went?
ass
System reatl(R) x 13
Nq
669
VenbllA(R)
=mam tourist(01)
066
FraMn wpit
M322
5x teRal met mound Cial)
IN
IMine Filter Loss(R)
Minimum dose volume dial)
1129
Trial dynamic hand
Sys@mdemand(gpm)
Ybnl
lNurylw SNwlbn
GylpWncR Calculator l0p11l
MovieTotal
m
Tank Capacity (call
Designer
r�
Total aftwig Lquo [Non(in)
must select
im,
GeNn(enter result in call Coo)
e Meal
15M
demader
atn
1 a
I X
Transient Tank lnbmxtlan
>n
1
1000 pnk a_Manuftmse
WWwCmcreN
Menulacertar
Mused FlRer lnbmbllon
Cone Tank lnlwnutlon
Lok luA manufacturer
750AVase tank catarity di I)
lY.d30 Ftlb march number
b]OmeOnkvWme (gaYn)
W DwaralB Manufacturer
Radial Rates B DeMan NOW At- Guide Mound System
Transaction Number page 2 0 9
ATGRADE PLAN VIEW
�oy
T �A low n
B 110001t
+ne +s 0on
C 12 00 It
W �C D 500M1
E 300M1
III+ C L 10000.fl
W mooft
Ax9 BW M CO M3
�L
�. ro
=Toblerydre98b ceN RrB catm imam yd
O-PhaN area LrW a omf maery�
T�
AT1.RADE CROSS SECTION
P2 ROW L ONxan Fuller A4 cra WuM 9ynern
TraRiC4cn NumLCr Page 3 0 9
PRESSURE DISTRIBUTION AND DOSE TANK
Upend Dlegmm-comer Conmctlon
P
relksua`ao
�we."°e�ae�14mu"°.mmmuwlw.—rl wr..nd eau
�e+4Fwa • .iu .aYavvMaeYarsaaMaa
Labnl&pecT Uons
0156
onfim ammerel (in)
Center
Laa al cone dm point
z
149
Onfice agamng Id
1
Numlder detente
60
onfices+latenl
P
8886
Lmenllength (R)
322
Lal tludlslgeale(gpm)
200
Label dommar (in)
200
Folcermin dlamebr (in)
322
Sys. JPMaye mm(gl3m)
3000
Fomemeln Length(ft)
1128
TEHdu
Typical Pump Chamber Layout
rorwmennosmvxmm
We�
✓91eLW eMlwkugmri®
ju�
cmvlpMs
AYmeP
�bMaeMre
�\
o �n
ENLSP5316N0We 3 eM
WA00
ivMM� �
A
B
E C
D
YOU
Inch"
Gallons
212
4294
20
406
38
774
10A
2030
370
]`A4
rlarnetla'
AWmm
x nnlwna
B
npan
w91 a1 ft
C
di
vunpM
7
me u^Pump
W % fd
manufasdurer
Nam manufacturer
Goube
SJE Fbombm
EP01
Pump muel number
Tank Aunt f
Alarm model number
Protect polar &Deppafi Fuller N- Glade Mound System
Transaction NumberPage 4 of 9
Ataraaa Shaterns Wintaalanea ark Oparatlpn Speadolistionfidusto
Ser YPmmsela Name Pwrere Senfl on Phone 71&24657M
POWTS Real Name SL Crmx Coun LenE 3ervwxs Phone ]i S3M46W
Deal Flow - Peak 450 gap Mayimum Influent Partr}a Size 1/B F
ElbraRE Fbx-Augra3e 3W gp! Maximp= OS l30 tpl
Better Tank Cepstiy im pet Maximum TSS 150 nyl.
Sod AMwption Componst S¢e 9300 X' Maximum FOG W
Typeol Wastevaler GMWC Matlmum Feral Grolier 110E0 Ifouriftonnif.
Sap4 and Pump Tank
Effluent rioter
Pump and Ccneds
Aerm
Pleswre Snhm
all
Omer
1WarMlw servce cry enarry
3 wors
ant cell as oni
3
Teat m-y prearry 3 kill
o"t mM mmm
taaround oud Ee flushed also
pnpdlha d evert 15 wave
instatert cm sOmland see
3
MV Mnnow ConaWigon and MMrhh Standard
1 Obervallm adds are sa11M and response mntpm to Trade SIPS ]Bf.]0.1, Nx a xalptlpy qp,
and are secured in as s'wxn in ant at9rade mmparxM man sto
2 Disµrsal cell aggregate cmbrms M SPS 304 30 (6)(1), Wm Adm Once
3 All gral and pressure al malmns common to fine regmmmenls in SPS W, We Man Cow
< Toal of the Basal area is arramµrshM vel a mold heard or chisel qew
5 The at -grade structure and glow dushreed amee nail ee aeeWd and seemed to Present SW west
and help reduce frost penetration
6 Area small 15 feet of me (towards M Wit be prMMM "in compaction
] At Other construction details are a5 ptt me afgrzde wmdment manual SBO-IDBYP(N Oal
Frost .............. ...............
Gant j
88' grant Lawn _y Threaded Ceatwut
SpnnWr VBM Box Plug or BNI at
DamNBpn
9]50X---e• 45 Deggere gOSrSome
Txo
DemMrns tateml
Plant Ralom&DeMah Fulw Al -Onside Muund System
T2nsacnat Nwntar Page 5 M 9
At -grade System Management Plan
Pursuant W aPe 383,14, WIN AEm Ccde
sap NglWgamem m vmmlam, 9P5 Y1JM veeswnmm com, am NeY M,nw pIn xmeade Wrr, N' mrprem
drentram I6wTlmolA tB Col espw Pon 9.6 (011e1) am Pressure Dammed Cmwmn Madmalw 20SBO1mam 01mpt
a W ewhg mimwour m
Mom OWN xwW Ix m pmmbMenmNrgemreiareeass, res lvrr-rm mm arm rnvaeayfr
Ypm am PI arm m'db N aNl W F aumNmz wen 3P338333, Wla Mm CMe Of my tar are r longer uMn
amrF maplrpB rmeraer nWaraaneawers anpummitrona mrwnd amain np.pnps
uNJ brfarireemmeunreNNellNsxW awWipM umntne mnyaepndrMo Mycgnlq@emN unro�um, tlalWlw, or
vip]bluluramrytpe le[lap] Emaaaeaaes¢ppenigsgrealeriM1an&iNMantiaMeanaYMeavMEyeneXZNiw Mrrp
eew2 m pmnm wabndl w urea WpM eery min a len F pre inn mnenl.
fell T_
nar �t talk I'm
o ornmenthe 0 No mad
tank Nap N eupmea Mann gnm wtlr NR 113 WO Mm Card, Mymlcwna coneera NO too Susan, talknam ahead mar ShOWN
wry9mn, eT magtlmn T ppenlrymmlmn N
Fv¢MIIWtlaaMvavueurymreun prµergenllpn T ®nrxW alvY]ndna ramvrunhv prtruva
en mabbreWnfdxlentlre YNgMmryalman NtlefilYrMxr rempree M1wnNwNowte X puyaE Wln en alarm, Ne
harvM 4xma]e1MeYrmamrvwmNnwueY nmmehmMeraNmemaYammsvauglM wn mpaxry mMinwu
TN xmm mnY NNI Nx N mmmre mmpxe wnx ma admen a opeg. am xma m u. renF a.wma 1 d m. mm.plpma m me
tpN. Xm. mdmremiNureammt nmprea pINeW N. eWnhl.mm¢rmm, malm.ran Porspprl aNl aalrma am,pra
W rwbNpmpmW mF hNmeprxNmamammxe amw�r
aiNem'ap�aeapgwwNamrwlaumu,:maa�wwn.rrm amml.N penpmr.rvdy.rreaN�m�lyeep� «mp..,«. n¢em pmeam
ee peen uy N.r ea.ppmam m. rmp mw mr m 1re v.gmmnl m wmnxq
redeem,
iMpumplpmry)Iank NallNFwcW g4aLmwewry]yars P mprarpaMlee reumlpwmy pmpr
remaold r nenemxmXMarmlaMwlmrn mamm XanellN rnapeueeane yrvrpW rnmwy
NUMnMupW pYnke pmbalaW ment on 3aWm
9npe Punn Ma un im Nq�IPo �r am�Na1�9KK No
W �mulOrmaa rvwarymprewnlermm amipwprtle sun inn Fom lint
wJeblW marnMnenm)mmemgwN IS net unresod comfort mrynrmo-xManpime InfiNalmauRa einlnme
'MAaWnF pe Miner WlpmmauM1a¢igneaanpn CppragleanaWlaewtP-sslerFebruery)ekp1e 0e1tlre tA-
uzneempmuelenM1wnmmlq
n
gI Na IN soreµ sYdnn may ndermN VOrgl on wrrgtiiss.am3ompnor Fmiw rpxpnxelnwmw
mAyM1 B9Mthem d.emyLFOG,aM 11YNYImmLme nrenlveeaM eXlmm. rMuemnoamtyndandN nmmum JupnSw
xaFoe m iM gnnn 4folIprmg6'mgYmn
xYba�hadrs noperny�ie mpmN W malme emm�xmlaYvl, arse nn ramnnvneaerMluN hmmlN
Min W[� p •q'ra'^W eamWeWmmpaMlatlnlNalo-s
vNrintM Wmnryxa�inNlWlo Mttmmrre IonNepg9me nnomurralane Foola4eanF9urpumebmartlunryuelnoelpWm
M Naon pp¢ Wool, Am a ll¢al Wll Min far
mmnt ow,m poseem ma M nWMl Na1to the am am
b
rips �w ea an Im Ming Mewufc NOUN trump mdtloM. more M1egam nnMonry
Co�
Man
o If W xqp then wry mN¢mwmema Sanford eNeae, Note orr mearche er be rvpalreo w added m yap IN
a mpraprg IN w,
nrmpweaNuMp PLnmpommMelmma mein pWl wnmaIxvma M w the Eek@re mmponnga) NNl lreimmee®dry
HInWa NgnMmmgrerYkl6m a¢rylwNrexW oreeprvmehWrwmNbxpab MpoumauM® nmll MrepalMar
e l mm' r� N my DIrm Nord ewlarean iw Wed SOmerq nmatirs SbwbaulNobp9ef m.sorpon vne
Item minp wemng mMmo rrowenpauro-mnwnerNoemr.epawwrvm pm9
Sam Paae 5 p Ma plan M t)enawe embWmm maker Of Ymr torm Fel rgWaer amaeMw proven,
PMJM RdI3n 8 OeE0rBar Fuller At G2U4Bnracllm Numtrer Page6M 9
Goulds vvaler lechnology
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230
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KEITH E STONER LAND USE CONSULTANT, CERTIFIED
SOIL TESTER AND DESIGNER OF SANITARY SYSTEMS
'nro wnm Cs ad.
Ssrs W 6 sm 54812
nlpne(715) 653-1324
Ad. n,rrCcnu,.s
D�eonal Flom Satin
Dimemiog
lacb
Gauons
A
_
2050
41574
B
2.00
40.56
C
450
91.26
D
_
lom
_
202.80
Toml
37
75036
39 inch liquid hovel
20 29 gaWinch
Min.D = 72 25 gals
Max Rase- W w gals
41 26 apllons- 4 90 drain bath - 96 36 gallon
0=or Iw A+
Na
Note: Double Doal pump snitch mavbe mqui".
Page a or9
Pa5e9of9
Sanitary Site YIVR
Pnn Rollin Pollee
Proll "I I of C'SM
Pannflke NWI/1-SWIEI
9are9meiv Ncc> T29N-RISW
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Parcel N: 022-1086-70-100
WISOW 0635AM
PAGE OF
/Jt Parcel M. 30 28 18 474B
MC -TOWN OF KINNICKINNIC
Cummr A
ST CROIX BOUNI WISCONSIN
Creation Dab HNbNcal Dee Napa SSIm And
Applicatal Permtltl W Type sw BNb
091 O3 0
Tax Address
OwMrp) O=dmMQnv C=CumMCa Omar
ROLIAN F B DEBORAH J FULLER
O� FULLER R(XIAN F a DEBORAH3
PO BOX 1&
RIVER FALLS Sul W22
PropeM AMrefished "pwnay
149 HWY 65
Districts SC = School SP= Special
Type State Deacnptlon
SC 4603 SCH DIST RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
n_.__
Legal Description Some 2502
SEC 30 T28N R18W PT NW SW CSM 30-6061
LOT
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' Fact -CSM 3085S10I 3D28N-18W NW SW LOT Ct
2021 SUMMARY Bill# For Market value. Amami with
0
Valuations: East Changed 12/16CO2
Description Class Acne um Imprcp Tole state Reason
Toule for 2021
GI property aCW 0 0 0
woodland 0.OW 0 0
Lottery Credit: Claim count I Canlnaaaon Said Bahh# 519
Specials:
User Special Code Category Amount
Special Aanewmenb special Chuyea l Dmingui Chair
Total 0An OW OW
JINX
/ J {Q SURVEYOR
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' Disturbance of lo,odg W fit or greater between 12%and 19.9%requires a Land Use Permit
• Disturbance on anything greater than 20%slopes ragmres a Land Use Permit
Read and Driveway Disclosure
Q The Proposed CSM does not involve the construction of any roads
0 All driveways on the proposed CSM meet applicable separation distances
Water Resources Disclosure
Q The Property either does not contain wetlands or development will not encroach upon identified wetlands If wetlands are present on the Properryattach a map identifying their approximate
boundaries
QThe property does not contain flood hazard areas as identified by the Federal Emergency Management
Agency (FEMA)
I otter" "hot Me information contained in Mir application a true and mrrea to the best of any
knowledge.
Licensed Surveyon Douglas J. Zahler
(Name - please print)
Surveyor signature Y klc_0_ �Q �_ 8/3/2020 /
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