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022-1015-95-300 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ermit Holder's Name City Village Township :HAD M QUANDT TOWN OF KINNICKINNIC ST BM Elev: Insp. BM Elev: BM Description: TANK INFOR TION TYPE U / M N A TURER (_ e �y CAPACITY Septic Dosing r �� Aera Holdin TARS SETBACK INFORMATION TANK TO P/L WELI• BLDG. Vent to Air Intake ROAD Septic , / / Dosing Q I V Aer Holding,_ PUMP/SIPHON INFORMATION Manufacturer Demand Li pary GPM Model Number .,tq-- QD 3 GPM Z(•�y TDH Lift Friction Loss System Hea5d, TDH Ft Forcemain Len th Dia. , Dist to Well G' SOIL ABSORPTION SYSTEM ELEVATION DATA County. St. Croix Sanitary Permit No 644709 State Plan ID No. PWTS-062201137-C Parcel Tax No: 022-1015-95-300 Section/Town/Range/Map No 06.28.18.93D STATION BS HI fl 35 FS ELEV. Benchmark Alt, BM Bldg. Sewer Q St/Ht Inlet L-a3 St/Ht Outlet U Dt Inlet 4 Dt Bottom � (`• y � �•,, / S Header/Man. Dist. Pipe /' / I Bot. System Final Grade St Cover •3S a.3s' 2.3s' oso' 02 o S P-n loZ I I�3 BED/TRENCH Width ` Of+rertrhea 14}�j,� is PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1(p j) 11enj O INo Z SETBACK SYSTEM TO /L BLDG WELL LAKE/STREAM LEACHING Manufacturer !— INFORMATION CHAMBER OR (M�l} UNIT Type Of System: f t ` / �(C /+ / Model Number: DISTRIBUTION SYSTEM Header/Manifold t•�l x Hole Size i r x Hole Spacing Vent to Air Intake LengthTZ' Dia IDistribution Pipes) I ] Length_ Dia'• 1 � Spacing 3 X Z (� 07 • 6 SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes �� No - Yes No COMMENTS: (Include code discrepencies, persons present. etc.) Location: 538 CTY RD SS 1.) Alt BM Description = 1 2.) Bldg sewer length = 3 _ amount of cover, 2,f =� Plan revision Required? U Yes )QNo Use other side for additional information. Date SBD-6710 (R.3/97) Inspection #1: I,0/-, �4 Inspection #2: IQ Insepctor's Signature Cert. No. I "" ` ; ^ Industry Services Division County ((v ®SP 4822 Madison Yards Way Madison, WI 53705 St Croix Sanitary Permit Number (to be filled in by Co.) S `t022 P.O. Box 7162 *� 10 ,u1v Madison, WI5 7-7 �� • �'� Q}jMr 1t A PYlicat1 Yjj.��ik�m. lto State TransactionNumLc, uQ(1 Code, submission of this form the riate governmental unit In accordance61olipla PWTS'062201 1 37-C is required prisanitary permit Note: Application forms for state-o tied POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary 538 CTY SS purposes in accordance with the Privacy Law, s. 15.04(I)(m), Slats. 1. Application Information -Please Print All Information Property Owner's Name Parcel # Chad Quandt 022-1015-95-300 Property Owner's Mailing Address Property Location 2305 Hallmark Ave N Govt. Lot City, State Zip Code Phone Number Oakdale, MN 5T 28 651-983-4503 NE ,, SE 1A, Section 6 T28 N R 18 For W II. Type of Building (check all that apply) Lot # ❑✓ 1 or 2 Family Dwelling - Numbero droonis 2 ___p__'��� ) 3 Subdivision Name em s/ Block # l..-'s t ❑Public/Commercial - Describe Use r - :]city of �-" ❑State Owned - Describe Use of CSM Number:]village NE'x 1139179 3C1-7023 ❑✓ Town of Kinnickinnic Ill. Type of POWTS Permit: (ClVeck either "New" or,"Replacement" and other applicable on fine A. Check one box online B. Complete line C if applicable.) A. ✓ ew System ❑Replacement System ❑Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) ❑Holding Tank ❑In -Ground Elm -Grade ✓Mound ther-Type Individual Site Design (explain) (conventional) C. ❑ Renewal Before ❑ Revision hange of Plumber ❑Transfer to New Owner List Previous Permit Number and Date Issued Expiration !/ # ` D IV. Dispersal/Treatment Area and Tank lnformation . /Pf Wd'aa/Autt" Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf1 Dispe • a) Area Proposed (sf) System E?levatio 450 0.6 750 �763.45 105.17 (. -bwr-j ie . Capacity in Total # of Man.ufaclurer Tank Information Gallons Gallons Units ° o �, New 'ranks Existing Tanks v c W u 0� 2 Septic qr Ilolding Tank 1000 1000 1 Wieser TTr= Dosing Chamber 750 1 750 1 1 Wieser ✓ ❑ 0 V. Responsibility. Statement- 1, the undersigned, assume responsibi ' y for inst tion of the PowTs shown on the attached plans. Plumber's Name (Print) PlumWrs 9 feature MP/MPRS Number Business Phone Number Michael Rodewald 1931384 715-425-6200 Plumber's Address (Street, City, State, Zip Code) 285 CTY RD SS River Falls WI 5 022 V1. County/Department Use Only Approved [O.DisapprkVedPermit Fee $ DateIssue �6 Issui g Agent Signature wncr a on for Denial lP ` �I Appro I/ f � f MkT- = STEMion Septle tank, effluent fllt@r and oe 6t' t� -- �.:K:�.µ► diap@t-eal tell mutt be betyleed I Maintained y�,�( Ce•�oQ`ct'Is+►SAS P@f MdhdgL'- L4Fit plan pmvided by plumber. Wuit `�^�S s,%-`C �1 All Wbdtli"t Ff�itlliiLFFt�Fit� Must be melliteined I a�(*F Applit6bit Wdt t inane s. 5) . Attach to complete plans for the system and submit to the County only on paper not less than A 1/2 x I I inches in size S13D-6398 (R. 03/21) tjALUAjNRK-&vS, Nj A .4,u D r Alely -,6Zr See- L194 7-ZSAI, i2l8cJ 7—o 74, A uo 40, SA -P,,V"c '. /0 of/-,/ June 7, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-6-7 Plan Review: PWTS-062201137-C Mary Huppert 25720 Firefly Lane Webster, WI SITE: Quandt 538 CTH SS St Croix County Town of Kinnickinnic NE % SE % S6 T28 R18W FOR: DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 54843-6462 Contact Through Relay http://dsps.wi,govlprogramalindustry-services www.wisconsin.gov Tony Evers • Governor Dawn Crim - Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES URI SEE CORRESPONDENCE Description: GeoMat Mound Component Manual — Edition 3 Bedroom GeoMat Mound —450 GPD — (May 2022) Replacement - 22" to limiting factor — Pressure Distribution Component Manual — Ver. Effluent Filter- Maintenance required 2.1 (May 2022-2027) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders If using the existing septic tank, it must be inspected for watertightness and structural soundness, size and baffles, and must be brought into conformance with the requirements of ch. SPS 383, Wis. Adm. Code. e The mound site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • 12" of sand shall be installed between the contour and the bottom of the GeoMat product. • Orifice Shields are required. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SIPS 383.54(1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, jMhu4a1/ZMVley Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715) 813-9111 0oshua.rowley@wisconsin.gov GeoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Applic; INDEX AND TITLE PAGE Owner Info Project Name Owner's Name: Owner's Address Property Info Property Address: Legal Description: Township Subdivision Name: Lot Number. Parcel I.D. Number: Plan Transaction No.: Index Pages CHAD M_ QUANDT (SAME) 2305 HALLMARK AVENUE N. OAKDALE, MN 55128 538 C.T.H. SS NE SE Kinnickinnic NA S 6 T 28 N R 18 W County: ST. CROIX 3 Block Number: NA CSM#: V31,P7022 022 -1015 - 95 - 3000 Page 1 Index and title Page 2 Data entry Page 3 GeoMat mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications MARYJO HUPPERT Date: S Page 9 yrzTank cross sections Page 10 Plot plan Page 11 Soil test Page 12 " Page 13 " Page 14 Aerial License Number. 1859-007 _ Phone Number: 715-426-1775 Deggner StAt* I `` " !i/ State of Wisconsin Approval Stamp: .''• �+r Ra ae,s :; IA APPROVED DEPT. OF SAFETY AND PROFESSIONAL '- - • SERVICES t DIVISION OF INDUSTRY SERVICES Of KUVI�J y. A _ Designed Pursuant to the SEE CORRESPONDENCE �fems L 1 C , CYeOMnt Mound Component Manual (Edition 1, 2017), (N. 4117), 8" kcation 9,.6 Design of Pressure Distribution Networks for ST-SAS (01181) and Pressuion Component Manual Ver. 2.0 9DD-10706-P (N. 01/01, R. 10112) Manuals have been updated GeoMat Mound Edition 1, 2017 Page 1 of 14 R Residential or Commercial Design ISD Required? 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) = Design Flow (gpd) 7.00 Site Slope (%) 105.00 Installation Contour Line Elevation (ft) 22.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd/ft2) 100.00 Contour Length Available (ft) Cell Width (ft) 3.25, 6.5 or 9.75 Only 50.00 Designer Input Cell Length (ft) Dispersal Cell Design Loading Rate (gpd/ft2) 45.00 Dispersal Cell Length Required (ft) Influent Wastewater Quality (1 or 2) Center or End Manifold Number of Laterals Lateral Spacing (ft) Forcemain Drainback (gal) Forcemain Filter Loss (ft) Forcemain Diameter (in) Forcemain Length (ft) Inside Pump Tank Elevation (ft) Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) Total Dynamic Head (ft) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 x X 1.50 x 2.00 x 3.00 x Are the laterals the highest point in the distribution Y network? If N above, enter the elevation (ft) of the highest point. Does the forcemain drain back? Y 8.13 ftz/orifice Manifold Diameter Selection in. dia. options choice 1.25 x X 1.50 2.00 3.00 Treatment Tank Information Effluent Filter Information 1000.00 Septic Tank Capacit (al) Pol lok Inc./Zabel Filter Manufacturer [Wieser Concrete Products, Inc.. Manufacturer 3014-525-1/16-10,000 GPD IFilter Model Number Dose Tank Information Gallons/Inch Calculator (optional) 750.00 Dose Tank Capacity (gal) Total Tank Capacity (gal) 20.28 Dose Tank Volume (gal/in) Total Working Liquid Depth (in) Wieser Concrete Products, Inc. IManufacturer gal/in (enter result in cell DoseTankVolume) Project: CHAD M. QUANDT Page 2 of 14 Mound Plan View ................................................. 1/10 B :: Observation Pipe :. K I r.r. . :.r.r.:;r.r;••.r.r.r.r; r.r.r; r.J;.•.r.r.r; J. r•:.{r•r•r•J. �4•b1•".• 1.1. 4.4 • ,L•4.4•L•L•L•4•'•;1.4'4••. �L �4.4'1 ,4 :1.4.4.4.4.1••.• •.:••:•+;•":. . r•r•r•.••r•r•f.r•. r•J•r•r•r•r•: •. •: •: •: •.. r•J•. •. •. r•r•r•r•r•r .. •... •.. .•r•r,r,r,r•J;r„•,r•r 6 r,r,r,r•r,r;J,r,J,t,r,r,r,r•:;r.r.r.r.r;r•r;r.r s•r;t•.^.:, 4.4.4.1.1.4• ••4••• 1• 1.4•L•L•4.4• ••L.4••. 1.4.1 •'L•1• .•1.1.4.4• .•1• ,.4.4" • 4• . 4•'.••. i. B I. 1� Mound Component Dimensions A 6.50 ft E i1ft in B 50.00 ft F in D 2.00 in G 325.00 (ft2) Dispersal Cell Area 9.00 (gpd/ft) Linear Loading Rate Mound Cross Section View H 1.00 ft KEaft 1 8.77 ft Lft J 4.60 ft Wft 763.45 (ftz) Basal Area Available 5.00 (ft) 1/10 B Obs. Pipe Placement GeoMat Dispersal Area Observation Pipe ilk(� 12" ASTM C 33 sand as GeoMat () required for Geo Mat 'Distribution Cell component 6 GeoMat + 12" ASTM C-33 sand f�N vx 107.35 Finish Grade �ij . Cover Material 106.25 Lateral Invert Elevation ��' �'•'• %. 105.17 Dispersal Cell �: 4 \� Slope 7.0 Elevation Contour Elevation 105.00 Tilled Area �17' Forcemain In situ soil In situ soil Topsoil Cap 2 Subsoil Cap 3 � ASTM C 33 sand (F) 4 ASTM C 33 sand (D) 5 I` Tilled Layer 6 Geo Mat See details on page 4 for number, size, and spacing of laterals. Project: CHAD M. QUANDT Page 3 of 14 End Connection Lateral Layout Diagram urn -up w aTl valor—ve cleanout (plug 1st orifice located at Z Z i /All orifices point downBk— p Laterals & force main of PVC 5ch 40 per SPS Table 84.30-51 Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.60 ft Lateral Length (P) 49.70 ft Orifices per Lateral 20 Lateral End (Z) 0.30 ft Orifice Density 8.13 ftz/orifice Lateral Spacing (S) 3.25 ft Manifold Length 3.25 ft Lateral Flow Rate 10.77 gpm Manifold Diameter 1.25 in System Flow Rate 21.54 gpm Forcemain Velocity 2.20 ft/sec Dose Tank Information it�C'lean out Pipc Locking cover with %taming laW- . ► wking device and water tight seal F,Icctrical box as per NEC 300 and SPS 316z9 WAC c Wires From Electric source Sim / Tech Filter STF100 1/16 Boss stop and water tight gasket A" Vcnrad Cn%�r ___D3soonuect -- OPtional ball v to ."� ro control spv d or efiurnt M:ir� dosed �Oplia,at ttet Forcemain diameter 2 in. �cace fircem in ,aaa 1 W gr—UJ weep hok �wM Fwaeo siphon d.�kc I igh water aiamt gi Pump Ott Float Pump OR' Float Ptrmp Dimension Inches Gallons A 21.11 428.08 B 2.00 40.56 C 1.87 38.00 D 12.00 243.36 Total 36.98 750.00 �-- Pump off elevation (ft) 100.00 Wieser Concrete Products, Inc. Capacity 750.00 Volume 1 20.28 Filter Manufacturer Sim / Tech Filter Filter Model Number ISTF 100 1/16 Alarm Manufacturer JSJE Rhombus Alarm Model Number JAB Tank alert Pump Manufacturer ILibertyPumps Pump Model Number 280 SERIES Pump Must Deliver 21.54 gpm at 11.72 ft TDH Note: Switches containing mercury may not be used in this system. Dose tank elevation (ft) 99.00 gal/inch Project: CHAD M. QUANDT Page 4 of 14 &aefirmat owbutlon Ceti llltdia LAYout 6.50 Cell Width (ft) 1.63 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Component Legend 0 Distribution Pipe With Pressure Lateral L- J Orifice Shield • Turnup Enclosure — — — — — Pressure Lateral GeoMat is covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.50 Cell Width -A (ft) 50.00 Cell Length - B (ft) End Connection Lateral Layout Diagram Sand Fill Recommended Distribution Lateral 1 5 2 Orifice Shield Pipe Dia. Approved Infiltrative Fabric 3;11TAE71t33 GeoMat `— —' Component 'f ,{nom1ASIMC33Sai� i.�J Infiltrative Surface/Plow Layer Lifet� F�dot Observation Pipes 1 Water Tight I Topsoil Cap Toilet Flange 4" Min 2 Subsoil Cap ebar 3 ASTM C 33 sand (F) lots 4 ASTM C 33 sand (D) 1"Min �� Install at $ Q Tilled Layer nd/Geo 1' Min 6 Geo Mat Dia .4 rnwniwodq See details on page 4 for number, size, and spacing of laterals. Project: CHAD M. QUANDT Page 5 of 14 Service Provider's Name I DARRELL'S SEPTIC Phone 715-425-1095 POWTS Regulator's Name St Croix County SPIA - Zoning Office Phone 1 (715) 386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 30 mg/L Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L Soil Absorption Component Size 325 ft2 Maximum FOG 10 mg/L Type of Wastewater Domestic Maximum Fecal Coliform 10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Inspect and clean as necessary at least once every 3 years Test once every 3 years Should test periodical) Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail �r6 8" Diameter tea ;f o`c a"c Threaded Cleanout , a000000aFinished u� n c� oa000c �oo"o ,(Lawn Sprinkler o �croa acGrade Plug or Ball Valve a� Box aoao °coo Lateral Ends at Last Orifice Where Distribution Lateral Lateral Cleanout 1.1 Feet Long Sweep 90 or Two ,1_�45 Degree Bends Same Diameter as Lateral Project: CHAD M. QUANDT Page 6 of 14 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [Synergy Systems L.L.C., Geomat Mound Component Manual version 1, 2017, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Pump Tank The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. **** *****No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: CHAD M. QUANDT Page 7 of 14 � 1 Pump Specifications 28") R010,17 =5 ut• M M NNu'M 0 50 100 ISO 200 250 N tXMriSN 2015 Liberty Vamps Inc, All riglus resened SpecifiwUals subject w change w dkxe make 12 10 a 4 8'-8" 4" CAST -A -SEAL N 1 1 I 71 FILTER OR �a\ BAFFLE in M 4" CAST- A -SEAL OUT..ET r .s„ 1 U rn PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP1000—MR TANK SPECIFICATIONS a DIMENSIONS: a w i v WALL: 2 1 /2" ti a BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER a HEIGHT: 53 1 /4" LENGTH: 8'-8" WIDTH: 7'-2" BELOW INLET: 42" LIQUID LEVEL: 36" b WEIGHT: 6,790 LEIS. g E INLET AND OUTLET: o 4" CAST -A -SEAL BOOT OR EQUAL GASKE- m o a w o ; INLET AND OUTLET BAFFLE AND FILTER: WISCONSlN, SEE DETAIL �10 U Q o o -- ,� (OTHER STATES SEE CHART) W � LIQUID CAPACITY: 27.83 GAL/IN W HOLDING TANK: OUTLET HOLE PLUGGED Ca Y (, Ln a ACTUAL CAPACITY: 1,085 GALLONS C � LOADING DESIGN: 8'-0" UNSATURATED SOIL L� a N TANK CAN BE USED AS: a SEPTIC / HOLDING / PUMP OR SIPHON o0 x COVER: MIX DESIGN #8 (NO FIBER) d0 W TANK: MIX DESIGN #10 (STRUCTURAL FIBER) e CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE J pZ a O � U REVIEWED BY REVIEW DATE F CL w In DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET NO APPROVAL DATE: j PRODUCTS NEEDED BY: / 4" CAST -A -SEAL WLP750—MR TANK SPECIFICATIONS o DIMENSIONS: WALL: 2 1/2" BOTTOM: 3" 4" CAST -A -SEAL COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 54" OUTSIDE DIAMETER: 7'-0" FILTER OR L7 OUTLET I � CL O M I 5 ¢ : PUMP PAD M TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 BELOW INLET: 42" LIQUID LEVEL: 37" WEIGHT: 6,150 LBS. o i INLET AND OUTLET: CL $ E 4" CAST -A -SEAL BOOT OR EQUAL GASKET o 0 INLET AND OUTLET BAFFLE AND FILTER: � m o n WISCONSIN, SEE DETAIL #10 < 3 (OTHER STATES SEE CHART) U < o o W $ LIQUID CAPACITY: 20.28 GAL/IN HOLDING TANK: C OUTLET HOLE PLUGGED ACTUAL CAPACITY: 790 GALLONS L'.7 Ln LOADING DESIGN: 8'-0" UNSATURATED SOIL O 00 ,. a I TANK CAN BE USED AS: N SEPTIC /HOLDING /PUMP OR SIPHON C 0 COVER: MIX DESIGN #8 (NO FIBER) y o CO TANK: MIX DESIGN #10 (STRUCTURAL FIBER) W CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE ; J O d Q c) REVIEWED BY REVIEW DATE w V) DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEE? NO. APPROVAL DATE: PRODUCTS NEEDED BY: / OF 1 GAn 7-1%5 HpLW,#RKlkv ,N, Ol`tcDAL, 55�z4 Ale 1 C 40 /0 r(ty Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT Page i of 4 in accordance with SPS 383, Wis Adm. Code County ST. CROIX 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 022 - 1015 - 95 - 010 percent slope, scale or dimensions, north arrow, and location and distanceto nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law. s 15 04 (1) (m)) Property Owner Property Location • 1OI IN D. & CANDACF. R. BETTENDORF Govt Lot ---- NE 114 SE 1/4 S 06 T 28 N R 18 E (or) W Property Owner's Mailing Address Lot # I Block # Subd;Name or CSW 270 COULEE TRAIL - -- (PENDING) City State Zip Code Phone Number ty �1lllageown Nearest Road ROBERTS, WI j 54023 1 ( 715 ) 425 - 6200 C.T.1-1. SS New Construction Used Residential I Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe Parent material loess over loamy till Flood Plain elevation d applicable rN,4 It General comments MOUND SYSTEM -- 1-17 FT. SAND FILL -- OAC LOADING RATE OR GEOMAT 0.6 and recommendations: ( Proposed Lot 3 ) 11 Boring F Boring # n a pit Ground surface elev I (15.41 ft Depth to limiting factor m Cne AnnLrnfinn R.fa Horizon Depth in Dominant Color Munsell Redox Description Qu Sz. Cont. Color Texture Structure Gr Sz. Sh Consistence Boundary Roots GPD/ff 'Eff#1 'Eff#2 1 0-II 7.5YR2.5r2 sicl 3f-ma&sbk mfr aS I%f-m 0.4 0.6 2 11-24 IOYR3%3 srl 2Isbk mfr ���, I vff 0.4 0.6 3 24_18 10YR33 -- scl Ifmsbk mfr Ivf-f 0.2 0.3 4 18-33 IOYR4/4 cId7.5YRd6 c Oin mti - 0.0 0.0 I lorizons 2& 3 hale some ercobs Boring # U Boring 101.11 Pit Ground surface elev ft. Depth to limiting factor In. Horizon Depth in Dominant Color Munsell Redox Description Qu Sz Cont Color Texture Structure Gr Sz. Sh Consistence Boundary Roots GPD/ff kftl •Eff#2 1 0-11 7.5YR2.51'2 sil 2fma-&sbk mfr cs IVF-m 0.6 0.8 1 11-22 10YR44 - cl '_fabk mfr I.f-f 0.4 0.6 3 22-28 10YR4/4 cId iYR-i0 Cl Om mfi 0.0 0.0 some gr/cobs - t miuent t;i = IiUU > w < Z211 mgrL and 1 SS >30 < 150 mglL ' Effluent #2 = SOD< < 30 mg/L and TSS < 30 mplL CST Name (Please Print) Sigfpat ev CST Number MARV 1n fIUPPERT(11o1Iister's Soil Testing& Design) - �—t C .. -4-- �r 214932 Address Date Evalua Conducted Telephone Number 2R497 King Arthur's Colin, Danhurv. WI i4830 05 - 12. 2021 715-426-1775 SNn-it11r) f R()1 11 t Property Owner BETTENDORF, John & Candace (Lci 3 ) Parcel ID # 022 - 1015 - 95 - 010 2 4 Page of Boring At D Boring 103.66 Depth to limiting factor 27 in Pit Ground surface elev. ft. P Soil Application Rate Dominant Cotor Munsell Redox Description Ou Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDlff Horizon Depth in. ff#1 'Eff#2 1 0-11 7.5YR2.5/2 -- sil 2f-mabk mfr as lvf-m.6 rO).4 0.8 2 12-27 7.5YR3/4 - SO 2fsbk mfr cw 1 of f 0.6 27- lsbr Horizon 2 has some gr. 1-1Boring # 11 Boring 1 I Pit Ground surface elev ft. Depth to limiting factor in Soil Apphcabon Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu Sz Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft 'Eft#1 'Eff#2 FBoring Boring # Ground surface elev. ft. Depth to limiting factor in Pit Snd Annlir-Minn Rate Horizon Depth in Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPD/ f 'Eff#1 'Eff#2 Effluent #1 = BOD. > 30 < 220 mq/L and TSS >30 < 150 mg/L Sr1D-RSW, ik';? iit ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L 0 0 00 N 9 Ln rn J OH N i!5 TT Eti �R: r_t T - N87'48'19"f 326.93' t� I I 1 I LOT 3 87804 SF 1 B-3 103.66 �4c, ` J r t B-2 B-1 101.11 i 105.41 BM—T�P NAIL IN GROUND = 94.96 587'48'19"W 326.93' NORTH SCALE: 1" = 50' m 0 0 1 1 I 1 1 1 t 1 1 a I% j( 1 1' 1 i t I �I .. i li r q+ 2 , 0 10C 200 , tr . t iti Y ' DISCLAIMER: This rnaD fe r*yyt+aratnteed, to lx eccunte, correct, corent• ot'o v,piate and s ai corr,Wsions drawn an the rewoonobay Df the tser. Y t 4001, f l ` t t 1 r, 1 t� ' t f �d S �rn A 4 A •. ti: ( 4 �y• e >ji k Ir it ST: Crzo uN-FY SANITARY SYSTEM File#: Office Use Only OWNERSHIP/ADDRESS FORM Created212027 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. OWNER/BUYER INFORMATION Owner/Buyer Chad Quandt Mailing Address 2305 Hallmark Ave N City/State/Zip Oakdale, MN 55128 Phone Number (required)651-983-4503 Email Address (required)Val@ kandsdevelopers.com Parcel Identification Number 022-1015-95-300 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NE 1/4 SE 1/a , Sec. 6 , T 28 N R19 W, Town of Kinnickinnic Subdivision Plat: Certified Survey Map # 1139179 Warranty Deed # 1149989 Number of bedrooms 3 , Lot # 3 Volume3l Page #7023 (before 2006)Volume , Page # Spec house ❑ yes ® no Lot lines identifiable ❑ yes O no OFFICE USE ONLY New Property Address 5-3 O C:rY 9D SS � m (Verification of new address required from Community evelc ( taff Initials) (Date) Y CAS ent Department for new construction.) This form must be submitted with ail Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form 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. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.gov loi=11=a= 30 0ESIGN LLC I'll 1-1-1 S."I"s (715)248-3010 NOTICE' ELEVATIONS 971 S0. FT, 1600 SG. FT. I Al GARAGE MAIN LEVEL 30 OESIGN LLC A �c �'i ieciui ei Sar sic es (715)248-3010 NOTICE' I FOUNDATION I A2 N ,LC • I � yj i 30 DESIGN LLC •�+I , 1 (715)248-3010 I.»s ^ r V i e7 • O ---------------- I ® �.. I�Fj 0 ® - - 3 --------- - ----- ---- -i-- —— ---- c NOTIC -- — E' Eilm �.a. iI I I I I I _ Chad QUBndI i BRACED WALL LINE' Sin 1. S1. PANEL DETAILS j I •+•,« MAIN LEVEL lsoo sQ. F. A3 MAIN LEVErL — 1. NOTICE' I SECTIONS I A4 Wisconsin Departmentol Saie� and Professional Services C-�^ Division of In l ��`Pos' : SOIL EE A R nRT Page I of 4 ec or nce with SPS 383, Wis. Adm. Code x p�` Attach complex site plap�OK{Sg than 8 1/2 x 11 inches in size. Plan must County ST. CROIX include, but not 'mited d horizontal reference point (BM), direction and Parcel I.D. 1015 - 95 - 010 percent slope, s le nsions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by ( Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location UL U JOHN D. & CANDACE R. BETTENDORF Govt. Lot ---- NE 1/4 SE 1/4 S 06 T 28 N R 18 E (or)❑W Property Owner's Mailing Address Lot # Block # I Sulxi. Name or CSM# 270 COULEE TRAIL __ rn>~wrnnlrn L_Flty uVillage UTown Nearest Road ROBERTS, ( WI 1 54023 H 715) 425 - 6200�L�I��TNTC C T H SS RNew Construction Useo Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement nPublic or commercial - Describe: Parent material loess over loamy till Flood Plain elevation if applicable NA ft. General comments and recommendations: MOUND SYSTEM -- 1.17 FT. SAND FILL -- 0.4C LOADING RATE OR GEOMAT 0.6 ":5a /Rt k e�( �crres / (Proposed Lot 3) —, n ., U Boring # u ---j Pit Ground surface elev. 105.41 ft. Depth to limiting factor 28 in. r-- Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Ju„ n rate GPD/ff *Eff#1 *Eff#2 1 0-11 7.5YR2.5/2 -- sicl 3f-ma&sbk mfr as lvf--m 0.4 0.6 2 11-24 10YR3/3 - SO 2fsbk mr cw Ivf--f 0.4 0.6 3 24-28 10YR3/3 -- scl If--msbk mfr aw 1 of-f 0.2 0.3 4 28-33 10YR4/4 c I d 7.5YR4/6 c Om mfi -- -- 0.0 0.0 Horizons 2& 3 have some gr/cobs r-i 2 1 Borin # " Boring 9 101.11 22 El Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots gun mppiicauon rate GPD/ff *Eff#1 *Eff#2 1 0-11 7.5YR2.5/2 -- sil 2f-ma-&sbk mfr cs lvf--m 0.6 0.8 2 11-22 10YR4/4 - cl 2fabk mfr cw Ivf-f 0.4 0.6 3 22-28 10YR4/4 c I d 7.5YR4/6 cl Om mfi -- __ 0.0 0.0 some gr/cobs - w— - Z 11191t- till 100 �av � IOU mgiu - EMuenl #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si t CST Number MARY JO HUPPERT Hollister's Soil Testing & Desi j 224832 Address Date Evaluati nducted Telephone Number 28497 King Arthur's Court, Danbury, WI 54830 05 - 12, 2021 715-426-1775 SRD-8330 (R07/13) Property Owner BETTENDORF, John & Candace (LoT 3 Parcel ID # Boring Boring # 0 Pit Ground surface elev. 103.66 ft 022- 1015-95-010 Depth to limiting factor 27 in Page 2 of 4 Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots soil AApplication Rate GPD/fg *Eff#1 *Eff#2 1 0-11 7.5YR2.5/2 -- sil 2f-mabk mfr as lvf--m 0.6 0.8 2 12-27 7.5YR3/4 -- SO 2fsbk mfr cw 1 of--f 0.4 0.6 27- lsbr cod Li Horizon 2 has some gr. H Boring # I Boring n Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots soil Application Rate GPD/fF *Eff#1 *Eff#2 H Boring # Id Boring Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots soil Application Rate GPD/fP *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L SBD-8330 (R07/13) J oiiw �`-TTVti�FR 0 N 0 0 00 Ln 3 i� i NE/Y dr Ttkr-- 4 . 0v TZ rJ, g'^� --)W_w or— Kt�1r,}�c En1tJ C. N87'48'19"E 326.93' LOT3 87804 SF B-3 103.66 >� B-2 B-1 101.11 105.41 . . BM-T P NAIL IN G RO ND = 94.96 S87'48'19"W 326.93' / Tq NORTH SCALE: 1" = 50' CERTIFIED SURVEY MAP LOCATED IN PART OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 6, TOWNSHIP 28 NORTH, RANGE 18 WEST, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. STA OWNER PLUMBE TOWN OF MI SEC �_,T N, �AN /OR LOT_ 31-a+23��e IRES POS SAND No 63V cry'. 17 vp, 644709 ARY PERMIT Re. _SS PREVIO .L'S NO. �% LIC.# g3138y l*4 SUBDIVISION CHAPTER 145.133(2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. ISSUING OFFICER - DATE SS RENEWED BEFO IN VIEW 42L THAT DATE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20) State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Number I Document Name THIS DEED, made between John D. Bettendorf and Candace R. Bettendorf, husband and wife as survivorship marital property ("Grantor," whether one or more), and Chad M. Quall a single person ("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 Saint Croix County, State of Wisconsin ("Property") (If more space is needed, please attach addendum): LOT THREE (3) OF CERTIFIED SURVEY MAP IN VOLUME THIRTY ONE 31 OF CERTIFIED SURVEY MAPS, PAGE 7 U AS DOCUMENT NUMBER 1139179, FILED IN ST. CROIX COUNTY REGISTER OF DEEDS OFFICE ON SEPTEMBER 15, 2021, BEING LOCATED IN THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER (NE'/, OF SE'/,) OF SECTION SIX (6), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. BETTENDORF TRANSFER & EXCAVATING INC. shall have exclusive rights to all of the following when the Grantee, their heirs, successors and assigns improve said property: initial excavating, digging, backfilling, final grading, install driveway, Class 5 base and install of sewer system 1149989 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 03/15/2022 08:37 AM EXEMPT#: REC FEE 30.00 TRANS FEE 243.00 PAGES: 1 "The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Name and Return Address: File # 2126016 Chad M. Quandt 022-1015-95-300 Parcel Identification Number (PIN) This is not homestead property. ,s Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants, present uses of the Property in violation of the foregoing disclosed in the Grantor's (Seller's) Real Estate Condition Report, if any, and in the Offer to Purchase for the Property between the,,Grantor and Grantee, if any, and general taxes levied in the year of closing and will warrant and defend the same. Daled: ?, �=� L4 , LL L hn D. Bettendorf Candace R. Bettendorf AUTHENTICATION ACKNOWLEDGMENT Signature(s): John D. Bettendorfand Candace K. Bettendorf, STATE OF WISCONSIN husband and wife as survivorship marital property authenticated on COUNTY OF PIERCE TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Karen Sharon, Scrivener / 2126016 Knight Barry Title United LLC 116 E. Elm Street River Falls, WI 54022 ELIZABETH JOHNSON Notary Public State of Wisconsin The instrument was acknowledged before me on this � L4 �12fay of i;-e V 2022, by John D. Bettendorf and Candace R. Bettendorf (the signer). The signer was. - physically in my presence OR in my presence involving the use of communication technology Notary Public: ( �t✓� �� Notary Public Panted ame:> Notary Public, State 4 Wisconsin My commission (is perm anent)(expires: (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. 1-2003 'Type name below signatures St. Croix County 1149989 Page 1 of 1 1139179 BETH PABST REGISTER OF DEEDS SURVEY MAP I CROCERTIFIED RECEIVED RECEIVED FOR RECORD IOR RECORD LOCATED IN PART OFTHE NORTHEAST QUARTER OF THE SOUTHEAST 09/15/2021 02:15 PM QUARTER OF SECTION 6, TOWNSHIP 28 NORTH, RANGE 18 WEST, CERTIFIED SURVEY MAP TOWN OF KINNICKINNIC, S'T. CROIX COUNTY, WISCONSIN. VOLUME: 31 PAGE:7023 LEGEND REC FEE: 30.00 FOUND PAGES: 2 COUNTY SECTION CORNER MONUMENT • FOUND 1 INCH OUTSIDE DIAMETER IRON PIPE PRE:PARM FOR: 0 SET 1 INCH OUTSIDE DIAMETER BY 18 INCH LONG JOHN & CANDACE BETTENDORF IRON PIPE, WEIGHING IA3 LB$, PER LINEAR FOOT 970 COULEE TRAIL ROBERTS, WI 54023 FIELD WORK COMPLETED: x o C, F SURVEYOR: w DOUGLAS J. 2AHLER N c In y AUTH CONSULTING & ASSOC. E 114 CORNER ^ 2920 ENLOE STREET SUITE 101 SECTION 6 SIb'L HUDSON, WI 54015 o q o 0 z00 i NORTH G H UNPLATTED LAND w 6, SCALE: 1 INCH = 100 FEET N87'48'19"E 326.93' iiiii 100 SD 0 100 300.62' 26.31' - 33' 33' Each Parcel shown on this map is subject to State, In County and Township laws, rules and regulations (Le., wetlands, minimum lot size, access to parcel, I� etc.) Before purchasing or developing any parcel I� contact the St. Croix County Community LOT ,3 I Development Department and the Town of ti ,u Kinnickinnicfor advice. b w 94,768 SQ. FT. (2.176 AC.1 TOTAL I 87,132 SQ. FT. [2.ODD AC.] EXCLUDING R/W I x Ic Iz $ g I� 0 v� 26,35' 300.58' I (� —I m m S87'48'19"W 326.93' N N C7 � SHARED DRIVEWAY EASEMENT-(/ SEE DETAIL ON SHEET 2 LOT 2 IT y N 94,768 SQ, FT. 12.176 AC, TOTAL] 87,121 SQ. FT. (2.000 AC.1 EXCLUDING R/W 26.39' 33, Q3' W, 0 ,LJ, 326.93' �t�2S87'48'19"W l�^LOT Q091 1, C.S.M. VOL. 26, PG. 5986 + ny0 09/01/ 21 SECORNER SECTION 6 THIS INSTRUMENT WAS DRAFTED 9VOJ2 JOB NO. 7135-003 DATE. 07120121, Revised9/07/21 SHEET 1 OF 2 ,1-- -7oa3 St, Croix County 1139179 Page 1 of 2 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 6, TOWNSHIP 28 NORTH, RANGE 18 WEST, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. SHARED DRIVEWAY DETAIL Nor To SCALE RIGHT OF WAY LOT 3 COMMON LOT LINE - 66'- i-; a (La 4J LOT .2 ( l SURVEYOR'S CERTIFICATE: PREPARED FOR: JOHN & CANDACE BETTENDORF 970 COULEE TRAIL ROBERTS, WI 54023 SURVEYOR: DOUGLAS J. 2AHLER AUTH CONSULTING & ASSOC. 2920 ENLOE STREET SUITE 101 HUDSON, WI 54016 1, Douglas J. Zahler, Professional Wisconsin Land Surveyor, hereby certify that by the direction of John and Candace Bettendorf, I have surveyed, divided and mapped part of the Northeast Quarter of the Southeast Quarter of Section 6, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin; described as follows: Commencing at the East Quarter corner of said Section 6; thence along the east line of the Southeast Quarter of said Section 6, S00°10'57"E a distance of 471.33 feet to the point of beginning; thence along said line, S00110'57"E a distance of 580.10 feet; thence along the northerly line of Lot 1, of that Certified Survey Map retarded in Volume 26 of said maps, on Page 5986, as Document No. 990040, in the office of the St. Croix County Register of Deeds, S87°48'19"W a distance of 326.93 feet; thence NOO'10'57"W a distance of 580.10 feet; thence N87°48'19"E a distance of 326.93 feet to the point of beginning. Containing 4.352 acres of land, more or less. Subject to rights -of -way for County Trunk Highway "SS" as shown, and subject to all other easements, restrictions and covenants of record. I also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin statutes and the land subdivision ordinance of St. Croix County and the Town of Kinnickinnic in surveying and mapping the same. J. sz�a Ju., U 14 1-11 Douglas J. Zahler PLS I#2145 Auth Consulting & Associates 2920 Enloe St. Hudson, WI 54016 (715) 386-2007 dzahler@authconsulting.com 09101121 Date Approved SEA' 15 2021 St, Croix County Community Development 163 ;' DOUGLAS J llt ZAHLER 8.2145 HUDSON, % WI Kevin Grabau Subject: PLOW--644709--Mike Rodewald--Quandt Location: Town of Kinnickinnic--"RED" Start: Fri 10/21/2022 8:30 AM End: Fri 10/21/2022 9:30 AM Recurrence: (none) Organizer: Kevin Grabau Categories: POWTS 538 Cty Rd SS 022-1015-95-300 06.28.18.93 D Scheduled on phone with Mike Rodewald 10-20-22—"RED" Kevin Grabau Subject: FINAL--644709--Mike Rodewald--Quandt Location: Town of Kinnickinnic--"RED" Start: Fri 10/21/2022 4:00 PM End: Fri 10/21/2022 5:00 PM Recurrence: (none) Organizer: Kevin Grabau Categories: POWTS 538 Cty Rd SS 022-1015-95-300 06.28.18.93D Scheduled on phone with Mike Rodewald 10-20-22—"RED"