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HomeMy WebLinkAbout022-1095-80-130 (3)sTc - l0{ AS BUILT SANTTARY 5Y6TEM REPONT OWNER ADDRESS fr ,,,).n F.ll s l,t,I SUBDTVISION / CSM'rprt q snerox-]g' t,![N-R/6 w, toynot lf tnntcktnntc sT. cRolx couNTY, wIscoNsIN PI,NI VIES SHOW EVERYTHING WITHIN IOO FEET OF SYSTEM ltt 17o:eu sc lb.rl uec kt0"*n.n' n 8r\ 4"flJ El.r ' loo' ln frce o' "l I.tl Drivenr" -Iot-l-{- -.8.3'1 t o.r.s o a Ddt 4 o toP' .r.!r Prof' Br Ho"s e S.ole I"GO' 3lo l)Norrl tyL t € BM:ALTERNATE EEPTIC TANK / PUMP CHA}I,BER ,/ UOLDING ' 'TANK INFORHATION Manufacturer:N..ks Liguid caPacitY: Setback from:I,leL I uouse 42t ot.her Punp: Manufacturer r.rodelil 5 u IV size 4/nlp Float seperation 8,Ez Gallons/cycle:f8. Alarm Location i6oIL ABSORPrION SYSTET{ width: '/Length 74 Nu-Eber of trenghes Distance & Direction to nearest prop. Iine: se tback fron: vett: )/0 Hciuse_Z'AL other E l. Pc inlet PC bottom Punp off stenHeader/Manifold_ Bottom of sY Existing crade- Einal grade- DATE OF INSTALI,ATION: ET.EEATIONS ST Inlet :ST outletBuilding Sewer INS PECIOR : 3 /91 : )r- PLUMBER ON JOB: LICENSE NUMBER: BENCH}(ARK: I roctoTrnffiarritNsrfiu,Irxrc. 3 3 . 2hfttAmBwxdbvsrem Labqr and Hut!an Relationr sarety and Bu,ldings Drvrtron INSPECTION REPORT V" ENERAT INFORMATION (ATTACH TO PERMIT) TANK INFORMATION TYPE MANUFACTURER CAPACIIY Septic N.l.s /,,L,1', Dosing [c, ".t t f,,(."' Aeration Holding TANK SETBACK INFORMATION PUMP / SIPHON INFORMATION SOILABSORPTION SYSTEM TEVATION DATA A9200139 llage F Town'"'Bl,] l -l n-'ermt ORoI '51"t a i"" 71L'-tr- '1,1n ' BM Desaflptio-n-CSTTM EIEV: - /no.n ln-p.8M Elev tao/ ounty Sanita Siate FEAd ddl' FaitEI tax No WELL BLDG Air lntate ROADTANK TO PIL NASeptic>/60 Y5.,'1s' >So /),.Sd NADosing>/ UD NAAeration Holding II IIII ELEVHIF5B55TATION /e,/t)7,eclBenchmark / bO'/d.?/ Bldg. sewer .1,q 5 t t)'/.33St/ Ht lnlet .2,1L r 64, SL5t/ Ht Outlet /d4,q sDt lnlet 1,4 t too ,6 7Dt Bottom Header / Man 41 (L5.rlt,Dist. Pipe Q,r,4,;6.0 )-8ot. System tinal Grade 70c,,)t.ls<1lL,t" t) n i at Lt:r-" IIIIIIIIIIManufacturerlhwr,"t Demand ?p cPMModel Number ,{nq,l I TDH t-ift 1ffl Friction Loss I 5 Ll Svstem ^ 4,l{ead d'ToH?, ?f Ft Forcemain Length 11D,Dia. 1u Dr!t. To Well >9 BED / TNENCH DIMENSIONS width 4 Lenglh q4 No. Ol Tren(hes PIT DIMENSIONS No. Ol Prts lnride Dia Liquid Depth SETBACK INFORMATIOI,t SYSTEM TO PIL BLDG WELL LAKE / STREAM LEACHING CHAMBER oR uIrllT Tanu-Gcturer f ype Ol/ta<nl System4TL*c / .)>/ oo >/ oo',Jl.To<GfNumber OISTRIBUTION SYSTEM Header / Manilold Length _ Dra Distribution Prpe(s) Lensth 1[ r HOle Srze o,u. I lbv spacrng - x Hole Spa(in9 u$ Vent To Arr lntake )5- solL covER x Prersure Systems Only xx Mound Or At'Grade Systems Only Depth Ovei Bed /Tren(h Centei \t Depth Over Bed/Tren(h Edges \7 xx Depthol , roprorl V'--r$xx Segded / s€dd€af {v., O No xx Mul(hed g/tes D No COMMENTS: (lnclude code discrepancies, persons present, etc.) Ircrrrloil: KIIilICI(INIIIC. 33. 28. 18 (CoIINTY l{) j. \,i-- -,'i1 ,'.\.' ' \- 't o ...1' t ,.- 1 .,l], . rl '/)./ /Ji )..; L - J. * t-.'.u , .-\ 'r: t 'Ji r"' +d9' Plan revision required? tl Yes pt,No Use other side fff additional information. 5B0-67r0 (R 05D1) ,A?s!--lo*4 b 6 Date or'5Srgnature Cert No ADDITIONAL COUTMENTS AND SKETCH SANITARY PEBMIT NUMBER I 1- ) lA? r) rt. - ^t A'; 15 / r' ./ .l t Q ,-\ ,t,) i> ..{ .l 0 ) l,o I L_ l) I t trDII-HFI SANITARY PERMIT APPLICATION ln accord with ILHR 8a1.05, Wis. Adm. Cod€ -Altach complete plans (to the county copy only) ,or the system, on paper not less than 8% x 11 inches in size. --see reverse side lor insiruclions ror compl6ting this application. I. APPLrcATT IIIFOBITATIOI'I - PLEASE PRII{T ALL II{FORMATION. COUNTY ;t aloi x STATESANITARY PERMIT{ a.19#,18,",.,""*r,"".on STATE PI-AN I,O. NUMBER s93-40536 PROPERTYOWNER El-lsene Enerson/Brvan & Janis ornouist PROPERTY LOCATION sr l/r ur l/r, S 33 T28 ,N,R 18 ${sXW PROPERTY OWNER'S MAILING AOORESS 532 South Wasson Lane LOT#BLOCK # CITY. STATE River Falls, Wf ztPcooE 54022 PHONE NUMBER ( 715 42s- ION NAME OR CSM NUMBERL lr. TYPE OF BUlLDtllG: (Check ono) fl State O*neO EST BOAD E proti" E r or z fam. owetttng+ of bedrooms --3- lll. BUILDING USE: (lf building typ€ is public, check all that apply)022-',1 095-801 30 t E Aouconoo 2 ! Assemblv Hall s E Campgrouno 4 L--l Church/School s fl HoteuMotet 6 7 8 9 M€dical Facility/Nursing Hom6 Merchandise: Sales/Repairs Mobile Home Park 10 1t 12 13 ntr Outdoor Becrsational Facil ity RestauranUBar/Oinino Service Station/Car WashE Oricelractory E other: specity lV. TYPE OF PERMIT: (Check only one in line A. Ch6ck lin€ B il applicablo) A) 1.8 New Syslem Replacemont 3. System Reconnection ol ExistinO System 5 Rspair ol an Existing System B) E n Sanirary Permit was previously issued. Permit # Oate lssued V. TYPE OF SYSTE : (Check only one) Non-Pressurized Distribution Pressurized Distribution zt E Mouno 22 E ln-Ground Pressurs Experimental 3o E Specify Type Olher 41 E422€! 11 12 13 14 trtr Ssepage Bed S6epage Trench Seepage Pil System-ln-Fill Holding Tank Pil Privy Vault Privy VI. ABSORPTION SYSTEM INFORMATION: 2.ABSORP. AREA lS. lASOnp. lnEA I REOUTRED (8q. ft.) | enOeOSeO 1sq. n.1 |37s I :zs I 4. LOADING RATE (Gals/daylsq. ft.) .2 5. PERC. BATE (Min./inch) 6, SYSTEM ELEV 97.00 Feet 7. FINAL GRADE ELEVATION Feet VII. TANK It{FORMATION CAPACITY in qallons Total Gallons #ol Tanks Manufacturer's Name Prefab. Concrete Site Con- structed Steel Fibe.- glass Plastic Exper App.Nsw Tanks Existing Tanks Seolic Tank dOiBXl{ltX:ldX 1 't ,250 Weiser E Litt Pump Tan k/S9{r6XE!*ElOlX 1 7qo 1 wei ser t{ Plumber'8 Nem6 (Prinl): Paul C.J. Steiner s Stamps)MP/MF tttf?'io 67a0 Busin6ss Phono Numb6rl ( 71 5 ) 42s-5544 Plumb€r's Addross (Slre6t, City, Stats, Zap Cod6r: N8230 Hiqh!,iav 65; River Fa1ls,I,rr 54022 tx.NTY/DEPARTUENT USE ONLY .ff*-'u Disapprov6d Orynor Giv6n lnitial AdYerso Dotermination ry Pe rm I F (G ssu Surc h a196 F€6) lssuing nalu ) SBD5398 (form6riy PIMT) (R. l1188) OISTBIBUTION: Originalto Count, One Copy To: Safety A Buildings Oivision, Own6r, Plumber 4 2.tr tr 4.8Replacemsnt ol Tank Only _l -Tl1 VIII. FESPONSIBILITY STATEIIEI{T l, the undarsignsd, assume rosponsibility for installation o, the onsite sewage syst€m shown on the attached plans. EE X. CONDITIONS OF APPBOVAL/REASONS FOB DISAPPROVAL: MOUND SYSTEM FOR Rry^n B TAni < r}rn?.i st 32 Lane ls 54022 INDEX s9340536 Pag e Page Page Page Pag c Page Page Page I of ?Index cross Seccion Plan V ieu z t)L 5 or 7 5of7 1.,,,. 'calculations 3 of 7 """Plob Plan 4 of 'l " " ' 'Lateral LaYouE 6 of '7 " " " PurnP chambe r 7 of 'l " " "PumP curve r_29_N, R 18 l.I, l.li.sconsin. Localed in rhe SE I of Ehe NE k, Sec. 33 , Town of Kinnickinnic,-!!j]Eg:-Co., Prepared by Paul C'J' Sceiner SLeiner Plumbing and Eleciric, Inc. N 8230 Highway 65 South River FalIs, Wisconsin 54022 Mf,ster Plumbcr: Oate' Q /sr lqt 116780 IIOUND SYSTEM FOR Ri EalIs I,,A 54022 INDEX s9340536 Page I Page 2 Paqe 3 Page 4 Pagc 5 Pagc 5 Page 6 Page 7 of of of of of of of of 1 7 Index Calcularions LocaLed in T 28 N, R tl i scons i. n. 7..,.. "PloE Plan '1 -., -. 'Laueral LaYouE '1 ...,, 'cross secEion 7...-. 'Plan vieu 1...,, "PulnP Chamber 7...., ' ' PumP Curve the SE k of the NE !6, Sec. 33 , 18 ll, Town of Kinnickinnic ,St. Goix Prepared bY Paul C.J. sEei'ner SEeiner Plumbing and EIec!ric, Inc' N 8230 Highway 65 South River Fa 11s , Wisconsin 14022 Hf,sLer Plumbcr: Date:o/s o-/qt 6780 Rrvan & Tan'i e r}imq'li s! 532 South Wasson Iane CALCULATIONS se340536 Absorption area: 150 gpd/bedroorn X -]--450 SPd. S'I'E P } Table 4: --l-!.- + 1.2 = Use -f t X -- ft bed 3 5 square f eet requi red. Use 1 trenchftE , -A- ft .uide X ---9'4- f L long 2 }aterals, e ach-46-f t long, loao<i<If*dv spacing be t l"een la!eraIs' STI]I' ?Table 5: rz --spacrn9 d i ame Eer Laterals, iL-" becueen holes. diameicr holes i1L STEP 3 Table 6: IaLeraI. 12 holes/laLeral,1q gpm dischrrqe rJ Le Pcr LoEal dischargc '_l5_gpm Y 2 = 30 9Pm STEP 4 Table 7 r fooc long -" d i aln . man i f old . mani fold, inleE dr-of NO MANIF'OI,D. Design dosc volulne per day, Ilin. dose pipe volulne. Table I0:-[-diarn. 1S 150 gaI,/dose at a lcasE rJEe of 3 rirlr'is i0 x distrlbur.iiJnvolume musL be aL pipe= -064 gaL/EL X lon = r.a x i0= 6a 'lj1' STEP 6: Table 8: Dosing raLe 30 gpn. Table 9 30 : Frict i.on Ioss gprn= _!,!!- iti in -:a-d i aln. force rnaln' I00 f eet. nn lotrg; ELEVAT]ON D I FF ERENC E IRICTION LOS S IIEAD 5.0 1.54 ) 9.04 TDH p.rgo 2 or 7 1 I roY !'ro I lloq-i c 3 Bi, G? L, Co, " t' Plo+ .Pl o"' Scole l"'- t/o'Bryan Ornluist s9040586 5J.1 I r iv e,r.r., lot H{ 8.3'18 o.".5 OUETBY uB0n t O,r,,"ii tzra c L,rre6€E s(frt( 3lo 0TL ln !ol l''" I NorrI' N i V Bn L" €l. T,ce E1.,,. l0o.b 'i,t"iI ,r t5o 6AL .\-.r€ratr t ur{t bo o,roJ.CS so;s !e."€troqt PBIVATE SEWAGE 6flfA Conditionall! APP ROVED a !Jcll f,rr rErlotr os El. c OF sffEfl S o..r, n l IL t \\'.\ v Pa.Je 4 oE 7 \ p..ro...t..a .y'\ PVc pipn /se8405B6o tloles located on bottom, are equalIY spaced. VariabLe-Y Dlstance LasL Ilole Should be nertL to end caP. Dnd cap O il'r .s PVC Force From Pump \ lItrin 46' 1 T oi striluuion Plpe PFIV AlE ssflAGE 615ld Con dition ally x 4g'r v X'z{8" Hole Diameter * Inch Lateral " 1+ Inch ( es ) P APP Bov Force I'{ain "2 Inches LABON i^FErr NID t I.ATER AL LAYOUT Perforated Pipe Detai I lind V 1et na$slrr CROSS SECTION Slrow, Morsh Hoy, Or Synlhclic Coverinc) Mcdium Sond Topsoll PBIVATE S Qnnd itiofioilYstoe"acd Ot Lz'-?l DistriburionT$'+0639 G Page s 0f z Elev. 97.00 | Plowed Loyer AP PROVED Er. c ilsrsrnY.ltB0 [uu [Eum$8 urlutlL6E A0grogolc Forc e Moin From Pump oss Soclion Of A Mound Syslam Using ed For Ths Absorp I ion Are o D E F G H 1 A -*- o 1.0 l-5_PLAN V W w DENCE Force I'la i n A4 894 I 18 J7 K 13 I 120 H29 Ft. Ft. Ft. Ft. F} E+ Ft. Observotlon Pipel B K f- ) [,,,,,,,0,,,0n P ipe Bed Of l'-zri Aggregote 0bscrvo t ion Pipe 8E L Plon Vlew Of l,lound Uslng A Bed For The Absorptlon Arco ,)l rvF{E sE$rY :,ilnlct Pfi ,',flditloC F 1l s lrNuslt'l 'hn Iarl.1 \0n u ' .lu rnP Concrcce Block \0ff 0 t,uHI, C A|Ir t:R cno55 S ECTI Oll AI ) SPECIFI Cr\TI0nS Vcnc Cop Approv cd LocklnB Hrrnholc Covgr, Vcnr l'1pc I Hearhcr Proof Juoc !1on Ilox I2," Hln Plnal Crad c CondulC PROVTDE 3" OF APPRCR/ED BMDING MATRTAL sl)l:cIl'ICA1'IOrlS 4053'9 4" Il tn IB" HIN IB" Illn .\pprovcd lolnr v/ C.l. Plpc fxrcndlr)9, I | 0otro 9o 11d Cround ApprovrJ Jolnc:r H/ C.l, l'11,c fxccn,l t rrll f r 0nri, 5ot1d Cro 92..5' TAHX ll;rnuf f crurcr: - V,leiser ,'l'rnh }llEur!aI;- |tnnuficcurcr: llodcl llsrrlrgf; ,vlrch Typo : To c;t I Dyrtrlrtc l'!lrrP D!rClllrrl'. ToraI Da!]y E Hrrrnhcr of Dor n o, c Volurrc:' lc;rd: 9.04 1"1E3 3teFIoatTn nk 5t;c: 750 CaIIonr cAPAc lTl I:s r flr !ti i ct 2 Iflscn Ei 4 0 C;rI1-r l'gt !( Callotc9: 3 , 16 oll .L) T - 21 .3" or-----ii ^ -l,l- n'17 or'- 12 " or c !o I 1'onk apoc 1ty ltcqulrcd ALAIIH I50. r I Cnllonc CaI Iong Callgnj Cnltonc CaI lons 34 04 c !snP curYs i or on^I Psrf orrrnnc c rtr10n. rrp AnJ slArl[ a f.': !o !c l,i.J on ucPof ar': ctrcsll ILllf( 16.1, H^c. llnnrlfAc!urcr: llo,lcI llurr,!s r: lll l t ch TyPs:. : I€veI D Float llorcli I. Sc ad d t r 1 lnforrn2, t'u . '1no rdl a! lrs f paqe___ I _of7 .I,U|l], I 750 _O4 B$$ouEI & ME Series 1/3 through 1-112 Hp Eftluent Pumps Performance Curue ffiffigers C, CAPACITY LITERS PER MINUTE r50 200 250 300 350 sq340539 o 50 too 400 450 too 2A BO 21 7A o(I uJF uJ z o LU :c) FoF F uJ Ir'lIL =o LTJI J FoF 0 60 50 6 .t o JO u 4 o o40 50 60 "o ao 90 too tto 120 r30 CAPACITY GALLONS PER MINUTE ro Og nO \ F.E. Mye.s, A Pentair Company.llOi Myers parkwsy, Ashland, Ohio 44805-1923 419/289-1144 FAX 4'19/289-6658 Tetex 98-7443 page__7 of 7 K3327 7/91 Printed in U.S.A 90 o ro ?o \A ^dttu^*ai{&, +ih(c,d e b aho d,,te5 E csT UATI a4tA lm€nl o Labo, and HLrman Rolalrons o,visjon clSal6ry & Buitdings ot A 0 L E BT Page _ r.rr in accord with ILHR 83.05, Wis. Adm. Code PBOPERTY 0WNER':S ltlAtt-ttlO IOOReSS 67 Ererson VaIl Drive LOT ,8LoCK r CIry, STATE River Fal1s zlP cooEvJr 54022 PHONE NUMBEE 1719 425-5546 tggqretEffitpGlr owN Kinni-ckinni-c PROPERIY LOCATION GOW. LOT gB 1/4 I\IE 1/4,S 33 T c0u St froix PAflCEL I,0,, REVIEWEO BY OA]E 28 ,N,R18 @t'/ NEAREST BOAO SUBO. NAME OR CSM, kl New Consruclon [ ] Replacemenr tJse []C Residenlial/ Number o, bedrmms I I Public or mmmercia] dessibe 3 [ ] Aoditjon to existng builoing --_code derived daity flow 450 gpd Recommended design toaling ,aE . 2 bed, ggdi ft2_J_lrench, gpdn2 Recommended Addrtionaldesig Parentmateriai requirerl 375 bed, tt2 -- l,ench, n2 Mamum design hading raE , 2 bed, gfllft2_1uencfr, gpon2 inlilt'ation su ace elevalon(s)-tt (as relered to site plar bendmark) n / site coNiderauons Flood plain elevation, il applicable I SOIL DESCRIPTION REPORT Boring # 1 4 5 5 5 4'.5 4.5 Ground elev. 93-10tr. Remarks: S = Sultable lor syslern U = Unsurlable loi sysrcm CONVENTIONAI E] S E]U M0uN0 EtrS DU IN.GSOUND PRESSUBEDS EU AT.GRADEf]S EU SYSTT]i,I IN FILLtrS EIU l,lorolNc T,i .rttrs Eu Horizon Depth Dominant Color M u nsell Modes Ou. Sz. Cont Cotor Texture Structure Gr. Sz, Sh.Cons6tencg Bq/Et/y I Gru,12 l-tr;d i,, , ", Roots 1 0-6 1oYR 3/1 None sl-Ifsbk mfr as f 2 6-41 10YR 5/4 None ls 0 mfr 1vf l 41 -41 10YR 415 0 mfi 4 43-59 None 0 as 5 59-61 1oYR 4/6 sl 0 mfl Uoring f, Ground L'I8v. 91 .9Qr. Oeplh ro Inlilrng Iactor 1 0-6 1 Jona si-l 2 6-1 mfr AS 1vf 3 16-28 10YR s/6 None si1 mfr AS lvf 4 28-49 l OYR 4 2 f 1f L 5 5 5 .6 6 6 T Na,,ne:-Pleaso Prnt 't1Pmno IOSS River Falls Sgnaturc Y8230 Hi h 65 South C 03tB l{r 54022 Remarks Attach complsto sit€ plan on paper not ress than 8,r/2 x 11 inches in size. pran must include, but not limited to vonical and horizontal r€lersnc€ point (BM), dirsction and % ol slopo, scal. ordimensioned, nonh arrow, and location and dislancg to near€st road, APPLICANT INFORMATION-PLEASE PRINT ALL INFORUATION PHOPERTY OWNEF: Elnerson ) ccpth to lrnrljng lactor 4 10YR 7/4 1s mfr None 2mqhk 1oYR 4/1 IVone ci I l-m shk 2msbk f}P J]{ a Y NP N € PBOPEHTY OWNER Ergene ErErson PARCET I.D.I Boring # SOIL DESCRIPTION REPOBT Paoe 1., Groud elev. 98.32tr oepth h limiting lactor Bemarl.s: Dominant Color Munsoll Moules Ou, Sz. ConL Color TexturB Suucture Gr. Sz. Sh.ConsistBnce Bqrday Beo l,u i Gl:Ll,ll 1 0-5 ,l 2 1 None lmsbk mf 2 5-17 l OYR 3 3 None siI 2msbk mfr ca,2f 3 17-28 1oYR 4/4 None CI 3msbk nrfl c'vJ 1vf 4 28-40 10YR 6/4 f 1f cI 3msbk ru\rfi 32 4 NP M I @m II @ Boring # r;'*"";tii :1 ::: Gound elev. It. oeph h rimitng lalo. Bemarks: II Boflng # Ground elev. It Depft b Imiting l4,l0, Remarks: Boring f Ground lt. 0ep0t h limi0ng lacto{ dsv. II rI I .4 Plot Plqn Scale ln, %' ,lef Sotl Flcv /oo.0' at Nail i^ Tre< /V E (Jk \ a \ U 3 L $3 Is Ao to txI.\ (* \rtIBa U a,/ 01 cl b ,,''\!::. \' I 43S?.14 EFITIFIED StfNEY llAP ELreE}€ AI{} MAFIIELL E},EFEO{ e l.M 1/4 oF the NW I/4 and th'e s,tl l/4 oF the Nl^l L/4 of Section 34 and the the NE 1/4 and the 5E l/4 oF the tE I,/4 oF Section 33, T ?S N, Ft 13 W, Town trant oF th NE I/4 oF oF Ki nn ick survey map Maps . innic, pt. recordEd Ct-oix Eounty, Wisconsin, being part of Lot 2 oF that certiFied in Vol. 9, Page Croix County Certified Sunvey a Indicates 1" iron pipe Found .6 O Indicates 1rr x ,4" iron pipe weighing I.I3 1bs./lin. Ft. set . i r-f Indicates Fence. tl89' l6'51 "E ?21.12' 6', b\ii I I t{\q t ; o ; "' ; ?tl ,e rQ \ N L|NE SW// N t'f //4 5EC.J4 0 t !9r 2, e-.t=-& voLs. PA 63_246 rq \\ .l 1,.] ,\Jl l-Jll{' $\ q tJ L \\ Is ?tt EI\ll!i / i urence W. Munphy JOO I ,tL !{(t\ ,+ f"f+d $* 5 ea. o6'J / "l/ 5 sa9.58'.5A"U 52 AA. A6 ' f o * + \ oI : i otl: :o i: J/4.49', ,an rrr r,n, ) Fegistered Land Surveyor' Oated: ?-15- 1993 Fevised:4-29-I993 This instrument dnafted by Laurence W. Murphy Ownerrs Addness; 57 Emerson Va11ey Drive Fliver FaI Is, WI 54O"-? A LL gEA RINGS P€F. rO r4E €/tf t,/4 LlN€ OF SEC.JJ, r2A ,4lCt4l AstottED s a9.58'ra "w ScAL€ t ": ZOO'o 5o'too' 2oo' (;90t1t. &iE#,.",,?iig s i{ ,.< s-EEr VoI. I Page_2!!Q_ Ce-tiFied Survey l'4aps St. Cnoix County, Wiscon= i - s4Io At to6 6 !1'7o rt € !tr6 gt 7oI ? APR 3 01993> JAMES O'CONNELL Rsglgel ol De€ds i OV€LL/N6 /- a LO r 3 u ar"a, j/4.5IfELL s 75 .21' 36 a5. op. /o -r/3 5 E O F t tl F trAl 5.55' acR€s ?4t, a96 5a. Fr I I ( I .1 t, I I-ft ,i, l\/ a-. 3' (, \" a_J4A 4cPf s 36J,652 SQ_Fr I I fr ' 4 49.5 4',5A "€ 424.50. t t, \ o a \ot e o i c o o f o "\I to OUTLOT I o t i o t o o t i \n" lo \I q L / NE 7.94? acRES J45,960 SA. Ff. 7, t85 ACRES 3t2,9At 50. rr sEra4 c UTYPLA rrEO LANDS $ rl (il o,i sr ,.1 1l -t 1lL -ltor sl -Jl \l FILED 1713 tANS E fo i I I Lo r 4 ; 5 ,} Owner of Location Townsh i p Ma i 11ng property _(u ew Ern DO of property--l!_t/a l..,E 17a, Sectlon _ll_,r-:18 N-n--.18'-w Kinni& inni (, address A L( Address of site Subdivision name ( c ai- rrV Dr n fi. L.ix .b e VL t no. Total size of parcel 8,2 Ac(e 5 Dafe parc61 .!168 created a irre ai1 corners and lot 1lnes ldentlflable?X Yes __No Is thls property pelng developed f or ( spec house ) ?__yes X No :;rtsI:Cland paso Nunber )411 as recorded wlrh the Resisrer INCLUDE WITII THIS APPLICATION THE FOLLOWING:A I.IAIIITANTY DEED WhICh iNCIUdCS A DOCI'UENT NTIMDER, VOLUHE A.I{ D PAGEHUHBER & T E SEAL oF THE REGISTER oF DEEDS.'.In oaai[it", acertified-survey. lf availabln, ,orria l" rr.tpr"r 1" ll-i"J'.rotodelays of the revie.wl-ng process. If th; aeea aescriptionreferences to a Certlfled Survey llap, the certi ij "a- !"iriy uupshalL also be required PROPERTY OW}IER CERTITIICATION I (we best th6 warr Deed own obtd the reco No. ) certify that, allr)f ny ( our ) knowlpropercy dbscrlbedanty deed recordeds as Document No.the proposed siteined con s an easement, r statements on thls formedge that I ( rre ) am ( are )1n thle .lnformatlon formIn the office of the Co are true to thethe owner (-a) of, by vlrtue of aunty Register of, and that I (we ) presentlyfor tto ru he sewage dlsposal system or I (we)n the abo ve descrlbed pro perty, for ed truction of saldln the offlce ot Counly Reglster of d6ed6 a systern, an d the Bane has s Docutnen tI:een duly signature of appllcant an M,_,/z aDate of Slgnatur o 1 Date of Signature sTC-100 'rhis application f:ri_i:_.!: be ,completect in fulI and siqned byIthe owner ( s ) of rtre property . being'our-"rop.o.";y''i;;irquu"i.,!,ltI only result In itetays i,r u.,n'pn.^it-i;;;.r;;'.,,'r,iJ,irtu rni.development be iirtended' f or .;;;f" -;y owner,/cohtractor, (specIrouse), then, a second, forn should rru iJtuin.a-;;J";;;p1.ed whenthe property' is sold .and .un^iti.a- to this office !.rith the::r:!:l:::_deed_recordl ns' other homes on property? _y"= X No Previous own€r of prop€rty - 00cur€trT No fiATE AAR OF TI v0L 530 mu200 iAANATWY DTEO :HrS sr^ct atstnvto roi iEcorotNc o^r^329969 TlgS DEED, h.d. b.rrcEmerson 'lrH 1 Emerson and Johanna REGISTERS OFFICE gY. cRotx co.. wl3. Rcc'd ld Rec(yd thts_- ?7.'Jl day ol --Qc l-o_her_-- r. O. tg-15 WI e ""a Eusene C.l'!gf sorlhusla _nile-e r_8d0_rt G Itith....lh, Th.t th. !.td Cr.otor for. v.tu.bl. coa.idc..rion R.g lrt,Ld. rl/ffi;.,,-sl.@--*..., r;;i; B"yua; rr," t roar st.t. ot girconrln: I Altomeyt al [ar t't3 t:: I EI Nm.all of ot NEt and NEL of SEl , Section 551f SW!. and SWr{ of NW!6, Section 34,n Township 28, Range 18. .Brycrlrft_ r.-r_- .. , 'lL-__. r.r rcy r--10 -Tl!rr it - hmc.r..d For..tr. Subject to easenents of record. (This deed iparties date pa8e 16, Doc sgdJ.N iven in fulfillnent of a Land Contract betueen thean. 24, 1963, recorded Mar. 21, 1963 in Vol. 395,o. 271864. ) E5Ei# To3crh.r rirh.U .nd!ingute" tfiG he?edit.m.nls and epputcn.nc.s th.rGunreoa_ Paul Enerson and Johanni- Enerson o b.lonai.g c. tn .nr ri.. .ppcrt.uinE tm.nt. lh.t tlE lill. i. good, ind.r!.!ibl. in fec aihpl. .nd t.. .nd ct..r o( .kumb..nc.. .rccpt ___ .nd rill '.'r.nt .nd d.r.nd th. ..a.. Er.cut.d .t River Falls Wi sc ons in tfi it 23rd Oct obe r .E--L5. sIGl{ED AllD SEALED tN PRESENCE OF 7=q (SEAL} -PauI--Ene (SEAL) -,- Johanna - Ener.soD-- (SEAL) (SEAL) Paul Emerson and Johanna Enerson auth.nric.r.d thr! -. -2-3-L4--. 0., or Oc tob er 75 _ - c._L.Gay lord Iirl.: Y.hb.. Sr.t. B.r trrc6.in 6 OlDd P.n- Aulhorrr.d ud.r Scc. 706.05 v'r. - - STATE OF 'ISCONSIII t I P.6o..ll, c.hc b.(orc h., lhr. - - - I th€ 6bov. n.n.d lo ri. knovr to b. thc pcr3on- who ereculed the for.taoina rnstrum.nl a.d ackno*ledS.d th. ..h. Thi. inllrun.nt w.3 d..tlcd by C. L. Gaylord, At torneyRiv6r FafIs, Wi scons in. Thc u!. o( rirn.!!e! i. ,ption.l. Not.ry Public -- Courrr, tir. Uy Comnrssion (Elgir.s) (13) .c--c*,El li il 1 N.m.i o, p.r.on. !igri6g in.ny c.p6crly thould be typed o. i,.ril.d b.low thcu !iEn.tuE.. tatllal{rY ollD-llafE BAR or rtsco:rsFr, toRta No I - r9rr SEPTIC TANK MAINTENANCE AGREEITENT sE. crolx countY -OWMR/BUYER n {rn ,rn hl5 ROUTE/BOX NIJUBER e 0n, Fire lfi.mber b3 CITY/STATE r{2-r.tlr ztP pROpERTy LocATroN: sE t,-N€-t, sectlon 33 , T-&N' RlLw' R h d DPFFrtFoI tFcto St. Crolx CormtY' Lot nr.mber;{-. d.z-your s ePt t c sys ten could reeult Ln P tLc tank ever Proyt er.you Put lntot.lc tenk um llhat tonotegeptLc tank aE a trea Town of Subdlvlslon malntenance out the 8e lLceng€d a€ n o fImproper use atd 1t6 Dremature ta eieti of pumPlng lf needed, bY a the syatem can e ment stage in th Llure to handle \ras Ees .D h et malntenance con- ree y eerg or aooner, ec e unc e naste dlsPosal systeE. St. Croix CounEy resLdents may -bea maximum of 607. of the cosE of, r whfa.h-E in operatlon.Prlor to J accepted thls Program ln Augue t o ormeis of all new- eys tems sgree t maintained. asr the 8ys eltgtble eplacemenuly 1, 19f 1980, w o keep th falIlng aystem,. CroLx County requLreuent that tetn ProPerly to recieve a grant fortof 78.lrh eLr Tte properEy ovner agrees .to Eubmlt Eo St' CroLx CounEy Zonlng a certiflcation form, 3ii""a-ty-Eh" o*t'er and by s Eater plr'rnter' i?l#fr:r'iifii: : "i:iitlT:9.:*HBi'uiI,3"lt";l:E3,0fl"'ii.;i!i;'iiiH.iiil'"JiiriiJ"-i"i-izl'aiiei inspection- pd -nugrnlns (1r nec- ISIiiii,-.r'I";;;i; ;;;k't; i;a; than'1/3 ru1l or- sludge and gcro' c.iEi'fiirrfon fbrm *ffi-t"-"e"E approxlmetely 30 days prlor to three yearexPlratlon. sLsned have read the above requlrements and agree--iiiiitii-i"*.e"-ai"po".1 systdrn in accordance wlth .'t-i;;ah. treiEtn, ai set ty ttre wleconsLn Depart-=i.;;il;:". --c"tirii."ilon' form uusE be- conpleted-C[;-il:-aiolx county Zonlng offlce wlthln 30 daya I/wE, the under to mainEain the the scandards s ment of Natural and returned toof the three Ye }{o g o! 1..! ar expLratLon. date . SIGNE DATE SE. Crolx County Zoning Offlce 911 4th st. Hudaon, $rI 54015 386-4680 SLgn, date and retsurn to the above addreas' ,'I'*,rFrg-L'l{,.Fl+