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HomeMy WebLinkAbout022-1018-20-500 (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)]. Permit Holder's Name: City Village Township COLLICO FARMS LLC TOWN OF KINNICKINNIC CST BM Elev: Insp. BM Elev: BM Description: DO.Db IV4il M uS-w Of (VOU4 TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic I2bo Dosing SM ti n ri ScIS TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ti So Pry ; I� Dosing el r1-1 Aeration Holding PUMP/SIPHON INFORMATION yV1U,CkAA;Y44 A Manufacturer Demand GPM Model Numberso-'31� TDH Lif Friction Loss Syst He d TDHFt •,k Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 651264 State Plan ID No: Parcel Tax No: 022-1018-20-500 Section/Town/Range/Map No: 07.28.18.102E STATION BS 1.415 HI FS ELEV. 00 •a Benchmark � h5 lol (,s 100 Do A . BM J �•� !J Bldg. Sewer St/Ht Inlet QI. St/Ht Outlet Dt Inlet Dt Bottom g�.ss Header/Man.-� aG Dist. Pipe 't `V1 941b r Bot. System�� �� (�� •22 I JJ Final Grade �``mver CpJv( �.I 1 �• JJ S `0)l 95.1 b N),, 9(9.24 G, 0a4�� bS 5y5{ , BED/TRENCH DIMENSIONS Width ( Length "�5 No enc es �� IMeY0. PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO Type O System: P/L ��( BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer: Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution t Pipe(s) x Hole Size x Hole Spacing Vent to Air Intake ii } Length Dia Length�� Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over ,x Depth Over xx Depth of xx Seeded/Sodded Mulched Bed/Trench Center Bed/Trench Edges Topsoil I Yes No jxx I Yes , No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 491 90TH ST 1.) Alt BM Description .6 14-.eV COV`°>' 1do IO�I( Iloi '11s+allc<I bok locaf'�� w� skgKd oo} 2.) Bldg sewer length 1-$1 - amount of cover =y Ig Plan revision Required? Yes Nk No Use other side for additional informatioA. ate SBD-6710 (R.3/97) I e ors Signature Cerl. No, RECEIVED Industry Services Division County t SAN-2023-182 - 0 _ 08/22/2023 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P Paid via Ascent �• S P .O. Box 7162 = Madison, WI 53707-7162 /✓ #31237 (O I 10a Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit pK5 _p%23 61 M ^C. Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary 491 90'h Street purposes in accordance with the Privacy Law, s. 15. 1 m , Stats. I. Application Information - Please Print All Information Property Owner's Name Parcel # Collico Farms LLC 022-1018-20-500 Property Owner's Mailing Address Property Location PO Box 251550 Govt. Lot %a, ''/4, Section 7 ircle one) City, State Zip Code Phone Number St Paul, MN 22125 f� T28N R18Eo;'W 11. Type of Building (check all that apply) Lot # ® I or 2 Family Dwelling - Number of Bedrooms pn 5 Subdivision Name # ❑ Public/Commercial - Describe Use Block VID (VS; City of ❑ State Owned - Describe Use El Village of 32-�-193 CSMNumber �/ ® Town of Kinnickinnic zo A36 !� Doe- 0E;22 111. TxK of Permit: C eckonly one box online A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued B. Before Expiration Plumber Owner IV. Type of POWTS S stem/Corn nent/Device: Check all that a 1 ❑ Non -Pressurized In -Ground ®P zed round ❑ At -Grade ® nd Mou> 24 in. of suitable soil El Mound < 24 in. of suitable soil ❑ Holding Tank El Other Dispersal Compo ent (explain) ❑ Pretreatment Device (explain) I V. Dis ersaVrreatment Area Information: X Design Flow (gpd) Design Soil Application Dispersal Area Required (sf) Dispersal Area Proposed (sf) st Elevation - 150 Rate(gpdst) 250 390 9 0 0.6 VI. Tank Info Capacity in ?a` /_L ��(? o Gallons Total Gallons # of Units `W'vk Manufacturer '� U 5 °«3 2 U ; � 0 - � New Tanks Existing Tanks o n U c n y rn u. C7 G. Septic or Holding Tank 1200 1200 1 Wieser Concrete ® ❑ ❑ ❑ ❑ Dosing Chamber 800 800 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) MP/MPRS Number Business Phone Number John Schmitt zleseaturc 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 586 Valley View Trail, Somerset, WI 54025 VII1. County/ eartment Use Only (� Approved tsa Permit Fee Date Iss�'A�Siatu�, $ (� g 9- g12 ;;�� eason I IX. Conditions o Approva ?,� l��,,,,,� Q,, ,f1�Q �r4i� -{vim - 2 pu �A �eS ►ne SYSTEM OWNER:UAA— � , p _ /D_ 1. Septic tank, effluent filter and dispersal cell kt>�@L must be serviced I maintained lu per L.� /�J II 6�e`^ � ^ - management plan provided by plumber. L may` 1�B1S Vtn, b;�K 1'tla ��Ilp—�K LMK-U1r/v1p_ 2. All setback requirements must be maintained t as per applicable code / ordinances. Attaetl to complete [bans Tor me system anu suumn u, me � ouury ou , e Payc. ..o..�e� .. ..-......,... SBD-6398 (R03/14) Kevin Grabau From: john@schmittandsonsexcavating.com Sent: Wednesday, August 23, 2023 7:39 PM To: Kevin Grabau Subject: Re: Collico Farms Follow Up Flag: Follow up Flag Status: Flagged Hi Kevin I talked to Josh Collins and he said the do not intend to it living quarters in the shed. They just want a bathroom to use when they are out there. Thanks John Sent from my iPhone On Aug 23, 2023, at 4:55 PM, Kevin Grabau <Kevin.Grabau@sccwi.gov> wrote: Hello John, Do you have a floor layout for the living area portion of the shed? I see the overall shed and a bathroom, but we are supposed to verify that the living area meets the zoning requirement of at least 720 square feet dedicated to the residential portion of the structure. Thanks. Kevin Grabau I Community Development - Land Use Planner 1101 Carmichael Rd Hudson WI 54016 T: 715-381-4382 Kevin.Grabau@sccwi.gov <SignatureI mage_da8f45c0-d23e-4b29-9e96-25765700c62a.jpg> Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 August 22, 2023 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2025-8-22 Plan Review: PWTS-082301772-C John Schmitt 586 Valley View Tral Somerset, WI SITE: Collins 491 901" Street St Croix County Town of Kinnickinnic NW % SE % S7 T28N R18W FOR: Phone: 608-266-2112 Web: httn:Hdsns.wi.Rov Email: dsnsnwisconsin.eov Tony Evers, Governor Dan Hereth, Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Description: 1 Bedroom-150 GPD 30" to limiting factor- Effluent Filter - Mound Component Manual — Ver. 2.1, SBD- Maintenance required. 10691-P (5/22-5/27) Pressure Distribution Component Manual — Ver. 2.1 (May 2022-2027) Verify proper dose is achieved and system is not being over dosed. 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 The 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. • Components and soil removed from an existing drain field shall be properly disposed of so that there is no risk to public or environmental health. • 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, Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715) 634-5124 Joshua.rowley@wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Owners Name Owner's Address Legal Description: Township County: Subdivision Name: Lot Number: Parcel I.D. Number Plan Transaction No. Conditionally Collins 1 Bedroom Mound APPROVED DEP 1. F SAFETY AND PROFESSIONAL SERVICES Collico Farms LLC DIVISION OF INDUSTRY SERVICES P.O. Box 251550 St. Paul MN, 55125 SEE CORRESPONDENCE PT N 1/2 NW1/4, SE1/4, S7, T28N, R18W Kinnickinnic St. Croix 022-1018-20-500 Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Attachment Block Number Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications Management and contingency plan Septic and Dose tank specifications Effluent filter information Pump specifications and curve Plot plan Sanitatary System Ownership/Address Form Warranty deed CSM Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 7/31/2023 Phone Number: 715-760-0486 Signature'. 1 Designed Pursuant to the Mound Component Manual for POWTS Version 2.1 May 2022 SBD-10691 and Pressure Distribution Component Manual Ver. 2.1 May 2022 SBD- 10706 Version 2.1 May 2022 Page 1 Mound and Pressure Distribution Component Design Design Worksheet (R or C) Site Information R Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpd/ftz) 100.00 1.50 150.00 9.00 96.00 30.00 0.60 Distribution Cell Information 25.001 Dispersal Cell Length Along Contour (ft) _ 1.001 Dispersal Cell Design Loading Rate (gpd/ftz) 1 I Influent Wastewater Quality (1 or 2) Pressure Disribution Information (C or E) E Center or End Manifold 3.00 Lateral Spacing (ft) 2 Number of Laterals 0.250 Orifice Diameter (in) 2.60 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 75.00 Forcemain Length (ft 115.00 ump ank Elevation (ft) 3.25 System Head (ft) x 1.3 11.25 Vertical Lift (ft) 0.91 Friction Loss (ft) 0.00! In -line Filter Loss (ft) o� j 15.41 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1200.001 Septic Tank Capacity (gal) Wieser Concrete IManufacturer Note: Sand fill (D) calculations assume a Table 383-44-3 in -situ soil treatment for fecal coliform of - 36 inches. 6.00 Cell Width (ft) Are the laterals the highest oint in the distribution network? Enter Y or N If N above, enter the elevation ft of the highest point. 7.50 ftz/orifice Does the forcemain drain back? l�Y-� Enter Y or N 12.23 Forcemain Drainback (gal) 21.55 5x Void Volume (gal) 33.79 Minimum Dose Volume (gal) 23.30 System Demand (gpm) Manifold Diameter Selection in. dia. options I choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.06 Dose Tank Capacity (gal) JPOLYLOK Filter Manufacturer 22.241 Dose Tank Volume (gal/in) 525 Filter Model Number Wieser Concrete Manufacturer Project: Collins 1 Bedroom Mound Page' Mound Plan and Cross Section Views Mound Component Dimensions A 6.00 ft E 10.50 in H 1.00 ft K 7.69 ft 25.00 ft F in z 9.58 ft L 40.37 ft 6.00 in G ft J 4.23 ft W 19.81 ft 150.00 (ft2) Dispersal Cell Area 1 389.55 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 2.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 98.29 (ft) I H G ...................... 97 00 (ft) Lateral F Dispersal Cell 96.50— Invert Dispersal Cell Elevation _ 96.00 (ft) Contour Elevation 9.0 % Site Slope — — Geotextile Fabric Cover Shading Key c I Dispersal Cell See lateral details on ❑1 Topsoil Ca °' 1.5 ft Page 4 for number, size, � R P p c c and spacing of laterals. ❑2 ❑Subsoil Cap �' ° 1� © O ° T Laterals are equally © ASTM C33 Sand z F spaced from the ®[ Tilled Layer ci y 0.5 ft Typical Lateral distribution cell's ©[ Aggregate o � centerline in the _ A _� distribution cell (AxB). Project: Collins 1 Bedroom Mound Page 3 End Connection Lateral Layout Diagram yt:.rals centered c . er th- A P — 0 = Turn -up vWball valve or eleanoutplug All laterals are identical IF X -> I Hole = drilled on the bottom of the lateral equally spaced Force main connection Ala tee or cross to manifold at ana Doint. Laterals Morcemain Sch 40 PVC. per SPS Table 384,30-6 Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 2 1.50 in 23.49 ft 3.00 ft 11.65 gpm 23.30 gpm 15.41 ft Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and —� SPS 316.300 WAC Disconnect Tank component is properly vented Wieser Concrete Manufacturer Capacit 800.00 Gallons Volume 22.24 gal/inch DimensionWInchesllons A521.57 B44.48 C33.79 D200.16 Total 35.97 800.00 T A B C —t 3" Beddinq under tank. Alarm Manuafacturer ISJE Rhombus — Alarm Model Number 1036378 Pump Manufacturer JGould Pump Model Number IPE 31 Pump Must Deliver 23.30 gpm at 15.41 ft TDH 0.25 in 2.61 ft 10 7.50 ft2/orifice 3.00 ft 1.50 in 2.38 ft/sec Locking cover with warning label and locking device and sealed watertight 4 in. min. 1— Alternate outlet location Forcemain diameter --1 2 in. Weep hole or anti - siphon device Pump off elevation (ft) 85.75 Dose tank elevation (ft) 85.00 Note: Switches containing mercury may not be used in this system. Project: Collins 1 Bedroom Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt —� Phone 715-760-0486 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 150 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 100 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 150 ft2 Maximum FOG 30 mg/L Type of Wastewaterl Domestic I 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 Should inspect and clean at least once every 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 3 years Ins ect 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 mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 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 Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Collins 1 Bedroom Mound Page 5 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 [SBD-10691-P (N.01/01, R. 10/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. 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 of 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 Department of Commerce. Pump Tank The pump (dosing) 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. 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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 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 18 months. 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 6 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 uny Qcy nf WLP1200/800—MR 13'-8" TANK SPECIFICATIONS 0 D o o a a I DIMENSIONS: I cr ~- o WALL: 3" a BOTTOM: 3" COVER: 6" �5--- _---- I _---- ---------�\� LI I II I � I' MANHOLE: 24" LD. PRECAST CONCRETE RISER Q o > I� HEIGHT: 53" I I I II 4" CAST -A-SEAL CAST -A -SEAL U LENGTH: 13'-8"Ld I [4" WIDTH: 8'-0" BELOW INLET: 41" LEVEL: 36" 0 WEIGHT: BOTTOM 14,800 LBS. - oo m COVER 8,170 LBS. 3 o0f OR INLET AND OUTLET: �oLIQUID oFILTER am l i BAFFLE ii l i t 4" CAST -A -SEAL BOOT OR EQUAL GASKET w z o Q 3 r ---------------= 1=------ _-� INLET AND OUTLET BAFFLE AND FILTER: Q � w WISCONSIN, SEE DETAIL #10 �� o (OTHER STATES SEE CHART) Ln TOP VIEW LIQUID CAPACITY: 33.46 GAL/IN (SEPTIC) 3 22.24 GAL/IN (PUMP) v � CD C O LOADING DESIGN: 8'-0" UNSATURATED SOIL O Z 00 vw 0 TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON N o I 4" VENT COVER: MIX DESIGN #8 (NO FIBER) _ CD TANK: MIX DESIGN #9 (SMALL FIBER) W QD CUSTOMIZED TANKS: --- FOR CUSTOM TANKS CONTACT WIESER CONCRETE 3 OUTLET -1---------J L----s '') \-PUMP PAD TAWS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS REVIEWED BY REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: Q' I Q O :D O Z 00 Q I � O U O H cl- w SHEET NO. 1 Z OF zz 1 P4,13EyAkox "Ina Innovations in Precast, Drainage ' Zabel' & Wastewater Products 0 A Division of Polylok Inc. PL-525 Effluent Filter PL-525 Filter The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: • Rated for 10,000 GPD (gallons per day). • 525 linear feet of 1/16" filtration. • Accepts 4" and 6" SCHD 40 pipe. • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. • Accepts PVC extension handle. PL-525 Installation: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housing to the 4" or 6" outlet pipe. If the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. PL-525 Maintenance: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7. Replace and secure septic tank cover. 1/16" Filtration Slots Alarm Switch � (Optional) 10,000 GPD -- � Accepts 1" PVC f 1 Extension Handle Accepts 4" & 6" SCHD 40 pipe Outdoor SmartFilterS Alarm Polvlok, Zabel & Best filters accept the SmartFilter® switch and alarm. Rated for 10,000 GPD 525 Linear Ft. of 1/16" Filtration Slots Certified to NSF/ANSI Standard 46 Gas Deflector Automatic Shut -Off Ball Extend & Lokrni Easily installs into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com Page 8 Wastewater METERS FEET 40 PE51 35 10 30 PE41 1 10 1 5 J MODELS: PE31, PE41, PE51 HP:.33, .40, .50 0 0 10 20 1 30 40 50 60 70 GPM 80 0 5 11 0 5 10 15 m3/h CAPACITY PERFORMANCE RATINGS PE31 Total Head (feet of water) GPM 5 52 10 42 15 29 20 16 25 0 PE41 Total Head (feet of water) GPM 8 61 10 57 15 46 20 33 25 16 PE51 Total Head (feet of water) GPM 10 67 15 59 20 50 25 39 30 26 35 8 Page 9 PAGE 3 SANITARY SYSTEM File #: ST. C R 0.1- UNITY Office Use Only -''01 ,--=1+ OWNERSHIP/ADDRESS FORM created2/2021 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 C011ico Farms LLC Mailing Address P.O City/State/zip St. Paul, MN 55125 Phone Number (requ Box 251550 612-849-1549 Email Address (required)joshric_6@yahoO.com Parcel Identification Number 022-1018-20-500 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NW '/a SE 14, Sec. 7 T 28 N R18 W, Town of Kinnickinnic Subdivision Plat: , Lot # 5 Certified Survey Map #1160522 Volume 32 Page #7193 Warranty Deed # 1167033 (before 2006)Volume . Page # Number of bedrooms New Property Address �Y_ - (Staff Initials) 1 Spec house ❑ yes O no OFFICE USE ONLY l 7D 6- (Verification of new address required from Community ` 1?�z3 (Date) Lot lines identifiable O yes ❑ no 66S lopment Department for new construction.) This form must be submitted with all 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 cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 715-245-4250 Fax www. sccwi:go v Page 11 Document Number State Bar of Wisconsin Form 11-2003 LAND CONTRACT ('ro BE USED FOR NON -CONSUMER ACT TRANSACTIONS) Document Name CONTRACT, by and between James A. Ray, Jr. and Elaine A. Ray, husband and wife ("Vendor," whether one or more), and Collico Farms LLC ("Purchaser," whether one or more Vendor sells an agrees to convey to Purchaser, upon the prompt and full performance of this Contract by Purchaser, the following real estate, together with the rents, profits, fixtures and other appurtenant interests ("Property"), ST. CROIX County, State of Wisconsin: Lot Five (5) of Certified Survey Map, as recorded in Volume 32 Certified Survey Maps, Page 7193, as Document No. 1160522; Part of Lot Three (3) of Certified Survey Map, as recorded in Volume 32 Certified Survey Maps, Page 7171, as Document No. l 158156; Located in part of the Northwest Quarter (NW '/4) of the Northwest Quarter and part of the Northeast Quarter (NE '/4) of the Northwest Quarter (NW ''/4) of Section Seven (7), Township Twenty- eight (28) North, Range Eighteen (18) West, Town of Kinnickinnic, St. Croix County, Wisconsin. Purchaser agrees to purchase the Property and to pay to Vendor at the _ address designated by Vendor the sum of $ 400,000.00 in the following manner: (a) $ 200,000.00 at the execution of this Contract; and 1167033 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 05/23/2023 10:11 AM EXEMPT#: REC FEE 30.00 TRANS FEE 1,200.00 PAGES: 4 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Name and Return Address James A. Ray, Jr. and Elaine A. Ray 948 Coulee Trail Hudson, WI 54016 022-1018-20-500 Parcel Identification Number (PIN) This 1S NOT homestead property. (is) (is not) This IS a purchase money mortgage. (is) (is not) (b) the balance of $ 200,000.00 together with interest from the date hereof on the balance outstanding from time to time at the rate of 5.0 % per annum until paid in full as follows: Monthly payments of principal and interest in the amount of $1,319.91 beginning on July 1, 2023 and being due on the first clay every month until paid in full; vided the entire outstanding balance shall be paid in full on or before June 1, 2028 ("Maturity pro Date"). Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. CHOOSE ONE OF THE FOLLOWING OPTIONS; IF NO OPTION IS CHOSEN OPTION A SHALL APPLY: ® A. Any amount may be prepaid without premium or fee upon principal at any time. ❑ B. Any amount may be prepaid without premium or fee upon principal at any time after ❑ C. There may be no prepayment of principal without written permission of Vendor. State Bar Form I I -Page 1 0 2003 STATE: BAR OF w'ISCONSIN Page 12 St, Croix Countv 1167033 Pace 1 of 4 New Construction COLLINS=SHED PRONT ELEVATION RIGHT SIDE ELEVATION REAR ELEVATION LEFT SIDE ELEVATION ror �oA�run rrtiue rr :AAA.—.r PROJECT DATA PROJECT LOCATION AMRARR ror mNnnellalxre a� Eea xrw�rw 6aeBRGnaN R miW RViOMONIP/. Yb�R GENERAL NOTES m b �mw. �.vrm vmtra. unn�wponW W n �pm� w pWrN*cmw .me.�a a ww � wnavi w dm m� rokw Po. wm �uv W +nM.�ap peixinvnamx.iormroe r�wxi,nev.u�ae�. NY .V bucWNmv. a.m.�r.esan. mm.elnly ewM M N a.IIK emegm� v v b a.NP wuln Iw WOvn> Gw wneabi PnwmNr�W a wrw wl Cuwr�'+r a f uNMup M'iNGJm w Mmv+�p.r dYnw4m REFERENCE SAFETY DEVICES ABBREVIATIONS ELEVATION MARKERS REVISIONS:`, PLAN INDEX ROOM cEswunaN r s4En xuaRER MEET ON WHICH SECnoN Is DRAWN �DETNL NUI�R _ IuuwN+rEn Ewn elcN f� i EL.ERc�Eucv ucnr .VJ--4✓, � F�HE Ea'tw0ul&RR + °�°r ma "`p01f. aw a>weNse irwP e�c�-Ppe�mew,,,,�N. u,lran. L� ELEVATwN ROOF SLOPE RATIO �:/ EET ON WInCN ETNLI6 OIUWN DOOR A WINDOW MARKS INTE 8.0 DETECNR u RISE OR RISE RUN REWSION NUNBER FIM ALONNEGIEDTO (IRE AL4RNSYSTEN PPRay� aPNuem A'. —�• WATER HOSE wB NR fANRRE65OR OUTLET --. —. �— kdeftatural Desip LLC eewv_ COLLINS-SHED DATE 712=m BCALE Y1 .�1•-0' PAGE G t _. , ww15PyNI�Nmtlxsam 7154W3721 kRBan I PRUJECTY 10 .Uus DMWN Rr J® A B ev5 vn a9 f.e.p..os em e.6vq.n.p..m. ywr�� a•rn :� �.n.ne...a en;r WINDOW SIZING a.uwa...wTw..w� oaer..n�w DOOR SIZING �„�•� bbb -xaan a..-u;u x.,noo.,mYww DIMENSION DETAIL ----------------� I MECH .�». \ } BATH 1Wx1W OND f T io I HYeh, 12j* LVL 30. S" H COVERED PORCH I I as SHOP ee ----------------------------------------------- m ; I ,rA. 1". D i t2Ax 1l00HD , HeeEa (2)ply lVL H.r Mo,LVL i � I � I I V I.D' 6'A' ay 12A" FLOOR wd.;;...e wmm ww, auu. erv,x w a.r w.. new, �xp.; m eo;wn aa., e>ve.sv.,:,w d.w m.e oin Arch l Design LLC —Rd. 7154e9-37:1 ,.neon fw. DATE NFU: PAGE is COLLINS-SHED W.W,3ac A B !B Wisconsin r nal Services Ill LST Z�22- Division of SOIL EVALUATION REPORT Page I of 4 J U N 3 0 202? in a rdance with SPS 383, Wis. Adm. Code County ST. CROIX Attach co plete site plan on paper not less t ian 8 1/2 x 11 inches in size. Plan must include, b t not lirrolredibr?utetWallbirl'd horizo ital reference point (BM), direction and Parcel I.D. } 022 - 1018 - 20 - 200 percent slbpe�eaate ondi#1�f w, and location and distance to nearest road. Please print all information. Rev' ed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.64 (1) (m)). f 8 �5 Property Owner Property Location ❑ JAMES A. JR & ELAINE A. RAY Govt. Lot ----- NW 1/4 NW 1/4 S 07 T 28 N R 18 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# nCJ 948 COULEE TRAIL 1 -- 4iMS City State Zip Code Phone Number[]City Village ■ Town Nearest Road HUDSON, WI 1 54016 ( 715 ) 425 - 6442 90TH STREET ElNew Construction Use[D Residential / Number of bedrooms NK Code derived design flow rate NK GPD 11 Replacement P blic Jcr /m rcial s.crjbe: Parent material n �602,; Flood Plain elevation if applicable 0 ft. General comments RRr MOUND SYSTEM -- 0.50 FT. SAND FILL -- 0.6 LOADING RATE and recommendations: iiLw9[ 4" PROPERTY ADDRESS: 469 90TH STREET FTI Boring # u Boring a Pit Ground surface elev. 93.73 ft. Depth to limiting factor 42 in. Snil Annliratinn Rate 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 0-13 7.5YR2.5/3 sil 2f-msbk mvfr cs 2vf-m 0.6 0.8 2 13-32 7.5YR3/4 sil 2fsbk mfr cs lvf-f 0.6 0.8 3 32-42 7.5YR3/4 el 1 fsbk mfi CW I vf-f 0.2 0.3 42-till 2 Boring # u Boring F9 92.73 39 ' Pit Ground surface elev. ft. Depth to limiting factor in. Soil Aoolication Rate 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 0-12 T5YR2.5/3 sil 3fsbk mvfr CW 2vf-co 0.6 0.8 2 12-39 7.5YR3/4 sil 2fabk mfr CW 1 of--m 0.6 0.8 39-Isbr ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number MARY JO HUPPERT Hollister's Soil Testing & Design) 224832 Address Date FvaTu#oA Conducted Telephone Number 25720 FIREFLY LANE, WEBSTER, WI 54830 06 - 09, 2022 715 - 426 - 1775 SBD-8330 (R07/ 13 ) RAY, James & Elaine Property Owner _ Parcel ID # E Boring # Ij Boring 95.98 F1Pit Ground surface elev. ft 022 - 1018 - 20 - 200 Depth to limiting factor 30 in. 2 4 Page of _ Cnil A—Ii— i— P�to 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 0-13 7.5YR2.5/3 -- sil 2f-msbk mvfr Cs 2vf-co 0.6 0.8 2 13-30 7.5Y 3/4 -- sil 2fabk mfr Cw I of-m 0.6 0.8 30-Isbr / �. F—I Boring # ❑ 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 GPD/ff *Eff#1 *Eff#2 ❑ Boring # BoringGroundsurface elev. ft. Depth to limiting factor in Pit Soil Ar mlication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF *Eff#1 I *Eff#2 * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L SBD-8330 (R07/13 ) * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L Plot Plan Page 3 of 41 PROPERTY OWNER: --"Gs -A.2g, ' E Aji\Ve A. Pi}y Legal Description: LDT 1. CSM q Z(-tk% � �JW'Aj OF -T02 /\)W & SFt• 07, Tzgh� , R_ l� �7 , TWA of KINM CKJ r-�rJt C., sr CFC)% zt}- zoo 440 aC+"'- ST. 1" = 40 FT. (except where noted) = hackhoe pit Z3.600 AC L5 North i pl L ke,r:.4 g2Q Cv Site locatlo SEC• i -FE�1Crc P�6r _' r� r Vb r. I From: Kelly Becker Sent: Wednesday, August 17, 2022 4:54 PM To: hollisterdesign Subject: James Ray Soil Test Hi Mary Jo, I'm looking at a soil test you did for James Ray in the Town of Kinnickinnic which is in conjunction with a new CSM_ The soil boring location map the surveyors are required to submit with the CSM application appears to the show the borings in a different location than you have show with the site plan on your soil test report. Can you confirm the location of the approximate soil tested area and intended building location on the map clip below? Thank you. /�10 dd 5r- Kelly Backer I Community Development - Land Use Planner 1101 Carmichael Rd Hudson WI 54016 T: 7157386-4676 1 C: 7 15-821-R722 �Ce I Iy. Bec ke r_@ sc cwi,goy Thank you! Kelly Becker I Community Development - Land Use Planner 1101 Carmichael Rd Hudson WI 54016 T: 715-386-4676 1 C: 715-821-8722 Kel Iy.Becker@sccwi.aov ST. C R °'g NTY -mad./ ta' 'erra'rr 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 - 1018 - 20 - 200 percent slope, scale or dimensions, 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 i 1) (mr) Property Owner Property Location JAMES A. JR & ELAINE A. RAY Govt. Lot ---- N W 114 NW 114 S 07 T 28 N R 18 E❑(or� Property Owners Mailing Address Lot # Block # Subd Name or CSM# 948 COIJLEF TRAIL 1 -- 92648 City State Zip Code Phone Number[]City nYllage Town Nearest Road F(UDSON, W ( 54016 ( 715 ) 425 - 6442 KINNICKINNIC I 90TH STREET New Construction Use Residential / Number of bedrooms NK Code derived design flow rate NK GPD Replacement ElPublic or commercial - Describe' Parent material Flood Plain elevation if applicable N.A. ft General comments MOUND SYSTEM -- 0.50 FT. SAND FILL -- 0.6 LOADING RATE and recommendations. PROPERTY ADDRESS 469 90TH STREET n9 11 Boring I Bon # n pit Ground surface elev 93.7 3 ft Depth to limiting factor 42 in. 1 •' Snit Annliration Rate Horizon Depth in Dominant Color Munsell Redox Description Qu. Sz Cont Color Texture Structure Gr. Sz. Sh Consistence Boundary Roots GPD/fY 'Eff#1 'Eff#2 1 0-13 TSYR2.5'3 - •11 2f-msbk mvfr Cs hf-m 0.6 0.8 13-32 7.SYR3 4 sil 21fsbk mfr �� I vt-f 0.6 0.8 3 2-42 7.5YR3,4 - Cl I fsbk mfi Cw l of-f 0.2 0.3 42-till Boring # 11 Boring 92 7'1 34 • Pit Ground surface elev ft. Depth to limiting factor in Snit Annlim ian Rate Horizon Depth in Dominant Color Munsell Redox Description Qu 3z Cont Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPDlfF -Eff#1 -Eff#2 1 0-12 7.5YR2.5 3 s(I 3fsbk mvti Cw 2,6Gco 0.6 0.8 12-39 ',._5�'R3 4 sil 2Cabk mfr cw Ivf-m 0.6 0.8 39-lsbr ' Effluent #1 = BUD > 30 < 220 mg/L and TSS >30 < 150 mg/L tmuent we = rsvu, < au mgrL ana r ,->O � ou myrL CST Name (Please Print) Si CST Number MARY JO I IUPPERT H011iSICi S Soil Tcstin & Design) AddressDa�Eva Conducted Telephone Number 25720 FIKLFLY LANE, WEBS I LK, W1 54830 06.09, 21022 715 - 426 - 1775 SBU-8330 (It07. 01 Property Owner RAY, James & Elaine Parcel ID # I I Bonn nes # Bo 95.98 n oi, Ground surface elev. ft. 022- 1018-20-200 Depth to limiting factor 30 in. 2 4 Page of — Rnd Annliratinn Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz Cont. Color Texture Structure Gr Sz. Sh Consistence Boundary Roots GPDMf •Eff#1 'Eff#2 1 0-13 7.5N'R2.5,3 - Sil _'t=msbk mvfr CS 2vf-co 0.6 0.8 2 13-30 7.5YR34 - A 2fabk mfr cw lvf-m 0.6 0.8 30-lsbr BoringP Boring o;. Ground surface elev ft. Depth to limiting factor in Rnd AnnlirAtron Rate Horizon Depth in u Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPD/fF •Eti#1 'Eff#2 Boring n Boring # Ground surface elev ft Depth to limiting factor In. Cnil Annliratinn Rate Horizon Depth in Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh Consistence Boundary Roots GPOM 'Eff#1 •Eff#2 ' Effluent #1 = BOD,, > 30 < 220 mg/L and TSS >30 < 150 mg/L ,r)r1. I'c."R ;:, ' Effluent #2 = BOD. < 30 mg(L and TSS < 30 mg/L Plot Plan * A. 9A PROPERTY OWNER: �Imss A,2g, ELAI ME Legal Description: L.D*T t., C-SM !LZwAt I tjw�& OF 7r1c- t'jW& 07. I-z%q -'K 11% W. -Ti WA OF KIM I CK � NrJk C-, 'Sr. C-90% eDwsry wk-SCOMSIM. ozz- IDIT- 717- 2-00 / 440 RUtk ST. Site location: Page 3 of 41 1 40 FT. (except where noted) baddioe pit Z3.600 A9,F-5 North 11 a 0-0 a i W 3 U n Y O N C O w M W M f•1 rT a fV tnQU.UKO? i.. nm Ui C 0, O x aa.. cl of y W.-W W W FO U -WW N,W„J 4U rl m W LU N F a ., � � W 0 1z �''U WrZWCA WOW F-000j LL W Z 0 O O U . - -> Q (yO�rQ . a��1,�U) 0�:OCW9wcci Z ZUQ>00 QWXaWW W �ToNCnm >�LLUWO2 ZO 2'WO W M 11 Z F- 0 W Z LL yZ >LU W O WZ a. U� HV3: LLU0 jZOZ F- 0 W WI-?>O H QLL=L3+.D LLapr"z LLI r• Op a< CCas L`�a a�~PLo W ?�sW� Z eo UUj r W=�Om V LL 00 o0�0z m� Ir W m J ~ z.¢W ULj�Z Zuj 0 U) W W Z I- o: Qz U mil' XI I I �I roI I � 1 0 O Sri N N 3 O 0 0 0 0 V) a' n. �z 3 wo� re z P & p N Z O m 9U o V 3U)t GENERAL NOTICE STATEMENT LOT 1 THE PARCEL SHOWN ON THIS MAP I S SUBJECT TO STATE, COUNTY AND T01MdSF1tP V-5M _VOL. 14, PG. 10 i _L_OT 2 LAWS, RULES AND REGULATIONS (,E., WETLANDS, MINIMUM LOT SIZE, ACCESS TO DOCUMENT # 627_ I _CSM VOL. 114 PO. 39110 PARCEL, ETC.) BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE -----�-� --� Y ----- 1 # 6� ST. CROIX COUNTY ZONING OFFICE AND THE TOWN OF KINNICKINNIC FOR ADVICE. -------- 2 I L UNPLATi ED LANDS N87'48'35"W 2698.92' I y y------------ N87'48'35"W 1586.21' N87'48'35' W 785.56' `a'.-26.21' ~-.__ 5,6`/ 559.42' r y 215.02' 1112.71'—_.�� }-- t N Ya CORNER � 1 FENCE �f � W SEC. 7, T28N, RIM z 3 LOT 5 .e a� / (FOUND ALUMINUM O Z 21.67 S< y t�ON?�aP y y yl' ^� ®/ MONUMENT) w 944,071 SQ. FT. / o�P'Ne h^ / QOQ H Z Z (INCLUDING RIGHT OF WAY) M 110 0 2122 ACRES t` w ? J 924,159 SQ-FT- EXCLUDING OPty �c0 NFIg�W i Vjh / 3<c LeP oP eE 5 13 LL z j RIGHT OF WAY)����.F y 0 z � Qjs� y J W y y � y cx y y ��% i 6FAN R om* 1 o LACAVOL. �, P �asow — NEW RICHMOND z w 0----------WIs : I 3 <�< FEN FE 83.' 580,, Iwza 5� 0 �.......• s y SUIR, h• ati iaA/ w Q ozZ G I IvsS2 h �// This Codified Survey Map is for the purposes of adjusting a lot line between Lot 3 of a Codified 1 y '50" M �n Z / 29 p2 ' NB5.27.16"E ,o ��y®/ Survey Map recorded in Volume 32 Page 7171, and Lot 2 of a Certified Survey Map recorded m BARGEE pEscRleEp ~ S SO4,90, 9B.12Co r / Volume 21, Page 5190, no additional lots are created by this instrument. All conditicrts, y IN # 1'SX'15 restrictions, notes, etc. listed on the previous ced)fied survey map(s) are applicable unless ,y9 Z �/ otherwise indicated, Those portions of land being added to said Lot 2 are described ar document y ' LOT 4 _ s� — — \ tiR �j j # 1160025, St. Croix County Register of Desds. This map also includes a minor adjustment to ?f.48 ACRES `yo 0�� \\ os / the lot line for said Lot 3 along the southeast side. The unplatted lands located southeast of Lots H 412,752 SQ. FT. rn os 3 are titled to the same owner so no transfer documents are required for said minor tO (INCLUDING RIGHT OF WAY) Q c PARCEL DESCRIBED LL ¢ K 9.02 ACRES SEPTIC \ `F,y IN DOG. # 1160025 O O ul 2 3 392,763 SQ.FT. TANK q o LEGEND , o (EXCLUDING RIGHT OF WAY) © \ S>,� FOUND COUNTY SECTION CORNER Z o U m MONUMENT (AS NOTED) W a N w L��, HOUSE r d'� c w z�� d�� �1 P_0-9 i jvvv� WELL \1 �` N� ® FOUND 1.3"OUTSIDE DIA. IRON PIPE LL N - Z N S�E,ENT WIC DRNEWAY 9� M FOUND 3/a" DIA IRON REBAR w 1Q' 13 0 N lu # gg5226) j 1 SHED 1 2 w �__�_ 6�1I,� _ SETY," X 18" IRON REBAR, WEIGHING m U v 2z, �y 65' SOUTH UNE OF — 1.50 LBS. PER LINEAR FOOT y 0 W F $$$$ N8513'57"EI 599. THE FRACTIONAL 28.30' ROAD RIGHT-OF-WAY F w Z N18'11'03"W NWY,OFTHENWY4 w U. 655 3A I (N2p 0711 E) NOTE: SECTION CORNERS SHOWN HEREON HAVE F or)W v �N63 58 ���p�LLU� BEEN FOUND AND VERIFIED WITH TIES OF RECORD SCALE IN LOT FEET _ _ _ AND PUBLISHED ST. CROIX COUNTY COORDINATES. dpL. � 4_, 00. I FIELDWORK COMPLETED ON 8124122. 0 120 240 Q U�A-- #M22.5 C a c 0 0 a C 5T, C96ly-COUNTY NO. 526 STATE SANITARY PERMIT OWNER CoL.t,« foMs L,L (- - PLUMBER TOWN OF 41 C9 C, P-1 L 1 N, R_j? AND/OR , BLOCK_ 223 -+60 ^9-193) Uze. 110.922 SUBDIVISION CHAPTER 145.135 (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. 1AUTHORIZED ISSUING OFFICER - DATE 72q THIS PERMIT EXPIRES_ .10 UNLESS RENEWED BEFORE THAT DATE SBD-06499 (R11/20)