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HomeMy WebLinkAbout022-1004-30-050Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM 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 Jason White TOWN OF KINNICKINNIC CST BM Elev: Insp. BM Elev: BM Description: is rQ.k cd S — ctcswratsr to6A TANK INFORMATION TYPE MANUFACTURER t `MQ CAPACITY Septic e80 Dosing aS 6 — on 4ftL wo N�&� a+ 4iwy Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosin Aeration Holdin PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model N ber TDH Lift riction Loss System Head TDH t F main Length Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 651222 State Plan ID No: Parcel Tax No: 022-1004-30-050 Section/Town/Range/Map No: 02.28.18.31 STATION BS HI FS ELEV. Benchmark 5"30 � 0©. 6 Alt. BM Bldg. Sewer I--7 6m&ev► vh. —� � lb awe Do - SAD St/Ht Inlet St/Ht Outlet 1 Dt Inlet Dt Bottom Header/Man. Dist. Pipe �— � t� ?-SID �,30 9g•oo Bot. System L N - $.sg T.3D t , 44.0D Final Grade St Cover THE C DIMEN IONS Width f Length No. Of �2) PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BL;IG WELL LAKE/STREAM LEACHING Manufacturer: I INFORMATION CHAMBER OR UNIT Type Of System: nn -- / 50 Model Number: ut DISTRIBUTION SYSTEM C sae, �1' [4cdre.- P/G..) Header/Manifold Distribution x Hol Size x Hole Spacing Vent t it Intake q r 11 Length ` Dia 11pe(s) I Length acing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 10/2`f 1Z0,23 Inspection #2: Location: TROUT BROOK DR U^ 1.) Alt BM Description" r 2.) Bldg sewer length = wed - amount of cover n Ke�0_ [0_,%4Z Wj . Aa& it aA��UZD_ ImbW/lixom 4anF'revision Requir ed? Ell' es No p r- Use other side for additional information. 1 2y z SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. Industry Services Division County �•! 4822 Madison Yards Way t s Q� Madison, W I 53705 Sanitary Permit Number (o be filled in by Co.) fr pS S. JUN 29 2023 P.O. BOX 7162 Madison, WI 53707-7162 w.4rr� ti- �)t roIX. UL y Comm nl?eeT it Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit 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 purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. I. Application Information --- Please Print All Information Property Owner's Name i r , � C, n W hlhc::� Property Owner's Mailing Add esA4. f '� /f City State Zip Code Phone Number �J—- ..I Type of E06ilding (Check all that apply) Lot # 1 or 2 Family Dwelling — Number of Bedrooms []Public/Commercial — Describe Use F—lState Owned — Describe Use Block # State Transaction Number Project Address (if different than mailing address) t , Parcel # 152-2,— ) Do q — 30 — o S� O Property Location Govt. Lot ,,5 L4) '/4, '/a, Section N R E o .Subdivision Nance Ocity of � 5 2 _� 1`6 I �Jillage of Town of "s P� —- Is,' ti n irki h- 9 I J<� �r . III. Type of POWTS Permit: (Check either"New" or "Replacement" and other tipplicable on line A. Check one box on line B. Complete line C if a 1`ca le. _ A' New System FRe lacement System they Modification to Existing System (explain) Pretreatment Unit (explain) Y p Y g Y C p ) �OAdditional C p ) G o B. OHolding Tank In -Ground (conventional) Ib C • Renewal Before Q Rev ision CSM Number EDAt-Grade 10Mound �Fllndividual Site Design []Other Type (explain) Expiration ' n Area an Tank Information: � IV. Drspe�rsallTreatme t d --D I Design Flow (gpd) Design Soil Application Ratc(gpd/sf) 4 1 q 5r- �610/ 05 Capacity in Tank Information Gallons New 'Tanks I Fxisting Tanks range of Plumber 1:11'ransfer to New Owner List Previous Permit Number and Date Issued 2 3 x �'y r�u TAO Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation qpD , y "Total # of Manufacturer , Gallons UnitsVAe- Septic or Holding Tank I HER, M Dosing Chamber V. Responsibility Statement— t, the undersigned, assum r nsibi `tv for installation of the POWTS shown on the attached plans. Plumber's Maine (PLint) Plumber' n MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) low- t! ` L - i_�j, 2fO:2 VI. County/Department Use Only Vb PyApproved ved Pennit Fee Date Issued Issuing Agent Signature ner soi enial Conditions of Approva "2ef1Y1s; for. Tlira►rtir a1 A Lwx,� SYSTEM OWNER: (D "'gr 1A 1. Septic tank, effluent filter and dispersal cell C. must be serviced / maintained as per management plan provided by plumber. . All setback requirements must be maintainedr � as per appflcble Code / ordinances, i A ch o omplete plans far the system and su m't to the County o ly on paper not I ss hap S l/ x 11 i hes in,size 1 h� i 1 PRn-f 19R (R 0101) �'� System PLOT PLAN PROJECT Jason White ADDRESS 3841 Aldrich Ave N. Minneapolis MN 55412 SW 1/ 4 SE 1 /4 S 2 /T 28 N/R 18 W TOWN Kinnickinnic COUNTY ST. CROIX SYSTEM ELEVATION 96.9796.7' 5' Below Grade DATE 6/28/23 BEDROOM 3 CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 hL BENCHMARK V.R.P. Top of Survey Iron at LOMA stake ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE(DWELL H . R . P . same as benchmark (COPY Scale = 1/4" = 10' .a u V 1 1 V JJ%,l Ly Ll I A., Vent > 6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 4' Lon g 12" 6.6ft^2/pair of end caps Grade at System Elevation '1 a " IN COPY Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 06/28/2023 Owner: Jason White Location SW1/4 SE1/4 S 2 T28 N,R 18W Trout Brook Drive, Kinnickinnic Used: In -ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintance fid Contigency Plan 7. Filter CroASkction Signature License riVnber #226900 System PLOT PLAN PROJECT Jason White ADDRESS 3841 Aldrich Ave N. Minneapolis MN 55412 SW 1/ 4 SE 1 /4 S 2 /T 28 N/R 18 W TOWN Kinnickinnic COUNTY ST. CROIX SYSTEM ELEVATION 96.9796.7' 5' Below Grade DATE 6/28/23 BEDROOM 3 CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 hL BENCHMARK V.R.P. Top of Survey Iron at LOMA stake ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE(DWELL H . R . P . same as benchmark Scale = 1/4" = 10' Vent >6» Quick4 Standard of Cover teaching Chamber with 20.0 ft2 of Area 6.6ft^2/pair of end caps 4' Long 12" Grade at System Elevation .a u V 1 1 V JJ%,l Ly Ll I A., Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 6.6ft^2 pair of end plates Typical Installation Vent Grade .Mr 1 4 )) AA �'30/34 Septic Tank ��30/3,1 5 C'L :on ar 5 3611 Grade at System Elevation Spacing System elevations: A 9 6.9' B96.71 1 5' LongT To be > 1 ' above grade Finish grade elevation 101.91 Vent Grade at System Elevation 2-3' X 94' Cells Same on other end Observation tube/Vent At -end of cell A 23 chambers per cell B 91111 FOWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION Owner Z Permit # J)ESIGN PARAMETERS Number of Bedrooms © NA Number of Public Facility Units 0 NA Estimated flow (average) / gal/day 11 Design flow (peak), (Estimated x 1.5) _T� L15 gal/day Soil Application Rate gal/daylftz I Standard Influent/Effluent Quality Monthly average* Fats,' Oil & Grease (FOG) s30 mg/L Biochemical Oxygen Demand (BOD5) �220 mg/L -1 NA Total Suspended Solids (TSS) 51 50 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD.5) S30 mg/L Total Suspended Solids (TSS) 1530 mg/L NA Fecal Coliform (geometric mean) 5104 CfU/I 00MI !Maximum Effluent Particle Size 3� in dia, El NA -10ther- 11 NA *Values typical for domestic wastewater and septic tank effluent. NIAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity gal 11 NA Septic Tank Manufacturer a El NA Effluent Filter Manufacturer EJ NA Effluent Filter Model 0 NA -Pump Tank Capacity gal )kNA Pump Tank Manufacturer INA Pump Manufacturer IN-3-NA Pump Model tg-NA Pretreatment Unit S�NA 11 Sand/Gravel Filter 0 Peat Filter 13 Mechanical Aeration 0 Wetland 0 Disinfection 0 Other: Dispersal Cell(s) 0 NA Xin-Ground (gravity) 0 In -Ground (pressurized) 0 At -Grade 0 Mound 0 Drip -Line 0 Other: Other. 11 NA Other: 11 NA Other: F-1 NA Service Event Service Frequency linspect condition of tank(s) At least once every: rnonth(s) (Maximum 3 years) L) y4ear(s) 0 NA !Pump out contents of tank(s) i When combined sludge and scum equals one-third (X) of tank v6lurne 0 NA !Inspect dispersal cell(s) At least once every: 11 on1h(s) (Maximum 3 years) ear(s) 11 NA 1'.-,*Iean effluent filter At least once every: �nonth(s e a r (s) ) 0 NA Inspect pump, pump controls & alarm At least once every: 0 month(s)0 year(s) 0 NA 1::Iush laterals and pressure test At least once every. 0 month(s) 0 year(s) © NA ether: At least once every: 0 month(s) C1 Year(s) 0 NA -6ther: 1:1 N A MAINTENANCE INSTRUCTIONS lInspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master !Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator, Tank inspections must linclude a visual inspection of the tank(s) to identify any missing or broken 'hardware, identify any cracks or leaks, measure the volume of i.combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the efflUent levels in the observation pipes and to check for any ponding of effluent on the ground surface. 'The ponding of effluent on the ground surface may Indicate a failing condition and requires the immediate notification of the local I-egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (') or more of the tank volume, the entire contents of J-he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin 10AmInistrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, 11nd any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. !� service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of �' START UP AND OPERATION t tank(s) for the presence of painting products or other chemicals thclt For new construction, prior to use of the POWTS check treat men tions are detected have the contents of th�, may impede the treatment process and/or damage the dispersal cell(s). If high concentra tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluenit. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. r park over, or otherwise disturb or compact, the area within Do not drive or park vehicles over tanks and dispersal cells. Do not drive o 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWT.15: I cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation dralin antibiotics; baby w1pes; cigarette butts; condoms; co I (sump pump) water; fruit and vegetable peelings; gasoline-, grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT ervice the following steps shall be taken to insure that the system is propetly When the POWTS fails and/or Is permanently taken out of s and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. be excavated and removed or their covers removed and the void space filled with stIM, After pumping, all tanks and pits shall gravel or another inert solid material. CONTINGENCY PLAN 11(11 If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code comp , nt replacement system: n evaluated and may be utilized for the location of a replacement soil absorption systelm. A suitable replacement area has bee i The replacement area should be protected from disturbance and compaction and should not be infringed upon by requiijedreplacement area will result in the nEjed setbacks from existing and proposed structure, lot lines and wells. Failure to protect the for a new soil and site evaluation to establish a suitable replacement area, Replacement systems must comply with the rule'.Cl in effect at that time. vailable due to setback and/or soil limitations. Barring advances in POWTS technology a D A suitable replacement area is not a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaival�ion must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installedl as a last resort to replace the failed POWTS. be reconstructed in place following removal of the biornat at the infiltra-jive y 0 Mound and at -grade soil absorption systems ma surface, Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> A NKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT SEPTIC, PUMP AND OTHER TREATMENT TER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE 01= A ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name .j � � ,� Phone �/ �` ^-� Jf SEPTAGE SERVICING OPERATOR (PUMPER) F7Name 'A A Phone —71 —"�✓1 ' Sj d10EWWAWMN"0� POWTS MAINTAINER F Name e A_, Phone �'j � ^1 kA q5 10' LOCAL REGULATORY AUTHORITY Name e' I I . Phone %� 5' �Z� .._ �D L 0 3 %AIIL-,r•rimain Administrative Code. This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)( )&tT) and 383-54(1), () ( ), - - -------- . ... ... - ------- - o 4 04S200 .0 1 Gap between Case and Serpentine A SECTION A -A )00 9.f 1.1921 59 "��" ��� SANITARY SYSTEM F'ie#: ST. CRONTY,`l�� �,� Office Use Only 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 ProoeM Files Scanned weblink, OW,HER/ �UYER I N MO T N. Owner/Buyer Mailing AddrE City/State/Zip.tvtm 6 Phone Number (required), ,r k- [� Email Address (required) Parcel Identification Number (found on the property fax bill) �E1lI! :YS1EN'1: LECiL'DESC�R P7' QtN Property Location �/� , 1/4 , Sec. T '` N R IN Town of i p y , Subdivision Plat: �" , Lot # l Certified SurveyMa # 1 `�� C� V 2- # lg C � plume Page Warranty Deed # � � 5 %i'O � (before 2006Volume Page # } g . Number of bedrooms Spec house 13 yes no Lot lines identifiable 9yes ❑ no don New Property Address' r f�i23{Verification of new address required fro Community Development Department for new construction,} 6Z? (Staff Initials) (Date) This form must be submitted with a[[ 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 715-380-4680 St, Croix County Government Center 715-245-4250 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, wl 54016 warv►rv.sccwi, ov STATE BAR OF WISCONSIN FORM 2 - 2003 WARRANTY DEED Document Number This Deed, made between Richard V. Krumm and Anne S. Krumm, married to each other and Jason White, a single person (Grantor), (Grantee). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate together with the rents, profits, fixtures and other appurtenant interests in SAINT CROIX County, State of Wisconsin. SEE ATTACHED EXHIBIT A 1159686 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/ 07/ 2022 08:54 AM EXEMPT#: REC FEE 30.00 TRANS FEE 570.00 PAGES: 2 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Burnet Title 2134022-00859 Name & Return Address Burnet Title 2424 Monetary Blvd #216 Hudson, Wl 54016 Fart of 022-1004-30-100 Parcel Identification Number (PIN) This is not homestead property, Exceptions to warranties: 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 that violate the foregoing where such violations were disclosed by Grantor in its Real Estate Condition Report and in Grantee's purchase contract, and general tax s le ied in the year of closing and thereafter. Dated this day of1AW, . 2a SEAL) *BY: Richard V. Krumm (SEAL) *BY: Anne S. Krumm AUTHENTICATION Signature(s) Authenticated this day of , 0 a • H 0 •f+ i TITLE: MEMBER STATE BAR OWNS1 N •'�•., (If not, Ak Authorized by §706.06, Wi . Sta it a+ • Z r THIS INSTRUMENT WAS DRAF TE P 1,• Burnet Title -Andrea Noble 7550 Fra S3Q in 55435/2134022-00859 ''�•-�•-•�'' CJ ,' OF • ACKNOWLEDGEMENT State of Wisconsin } SS. County of JJ Pe sonally cpme bef a this day of 26 , the above named Richard V. Krulnm and Anne S. Krumm, married to each other to me known to be the person(s) who executed the foregoing instrumentI _^ and gcknoklq dged he SIM-E. Notary Public, State of Wisconsin My Commission (is permanent) (expires: /ZZI/ R)4 (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 0 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 *Type name below signatures. St. Croix County 1159686 Page 1 of 2 EXHIBIT "A" REVISED Legal Description File No. 2134022-00859 Lot 1 of Certified Survey Map recorded in Volume 32 of Certified Survey Maps, Page 7181, as Document No. 1159151, located in the Southwest Quarter of the Southeast Quarter of Section 2, Township 28 North, Range 18 West, Town of Kinnickinnic, St, Croix County, Wisconsin. St. Croix County 1159686 Page 2 of 2 NOTE, HIGH EFF. FURNACE REQ'D. WITH 5/12 ROOF OPTION 185010 56'-4' OPT. PATIO DOOR OPT PATIO DOOR No (U 0 MODEL 6028 3B 2BA CK UTL scmz 3/16'w1'-0' 1 DATC 10/13/17 1 DRAW Br. JMD TECHNICAL. DRAWING BY DRAWIW NMER IM.CST DEg sEM 185010 ELECTRICAL CONNECTION DRAIN CONNECTION WATER CONNECTION ei+ - v (U .:t N m (c 6-c wt ve— ri, s -e-- U c6, 4-1�)ri S DOOR TECHNICAL. DRAWING BY FRIENDSHIP HOMES INC. C114PUTER AIDED SYSTEM. GAS CONNECTION NOTICE IT IS THE RESPONSIBILITY OF THE DEALER TO OBTAIN LEGIBLE BLOCKING AND/OR FOUNDATION PRINTS FROM FRIENDSHIP HOMES. DIVISION OF FAIRMoNT HONES. INC. FRIENDSHIP HOMES. sDIVISION OF FAIRMONT HOMES INC, WILL NOT BE LIABLE FOR DAMAGES ARISING FRIIPI THE DEALER SUPPLYING THE CONTRACTOR WITH TELEFAXED BLOCKING AND/OR FOUNDATION PRINTS. i THE COMBUSTION AIR INLETS FOR FUEL BURNING APPLIANCES SUCH AS FIREPLACES, WATERHEATERS, ETC., MUST BE EXTENDED SO THAT THEIR INLETS ARE ON THE EXTERIOR SIDE OF THE FOUNDATION WALL AND ABOVE THE GROUND SNOW LEVEL. NOTEi IF EITHER THAN THE STANDARD GAS APPLIANCES ARE ORDERED, THE GAS INLET WILL CHANGE. I NOTE: WHEN WATER SOFTENER IS INSTALLED, WATER INLET WILL CHANGE. NOTEi THE HOME DESIGNED FOR THIS SUPPORT SYSTEM IS BUILT WITH 10' LONGITUDINAL ]-BEAMS 35'-Il' FRONT DOOR NOTICE MANUFACTURED HOME BLOCKING IT IS THE RESPONSIBILITY OF THE DEALER AND/OR IN- STALLER TO CERTIFY THAT ANY BLOCKING OR FOUNDA- TION PRINTS, OR ANY OTHER DIAGRAMS SUPPLIED TO A NOTE: C❑NTRACTOR FOR SITE WORK CORRELATE WITH THE UNIT 1. BLOCKING SPACING I5 NOT r0 EXCEED B'-0' T R V R t) ORDERED. THE MANUFACTURER WILL NOT BE LIABLE FOR ALL ALL PLUMBING CROSSOVERS CGAS, WA E SE E e C. ARE DEALER AND/OR INSTALLERS RESPONSIBILITY. DAMAGES ARISING FROM FAILURE OF THE DEALER AND/OR 3. ENOUGH CONCRETE BLOCKS AND HARDWOOD SHIMS TO MEET INSTALLER TO MAKE CERTAIN THAT THE CONTRACTOR MINIMUM BLOCKING SPECIFICATIONS MUST BE SUPPLIED. HAS THE CORRECT DIAGRAMS, REGARDLESS OF WHAT WAS THIS IS NOT THE MANUFACTURER'S RESPONSIBILITY. SUPPLIED BY THE MANUFACTURER. +l = PIER LOCATION MANUFACTURER ASSUMES NO RESPONSIBILITY FOR THE r•, DESIGN OF THE FOUNDATION EXCEPT FOR THE METHOD ,+ , : BLOCKING AT THE CENTERLINE UNDER MARRIAGE WALLS IS NOT TO EXCEED 8'-0' IN A 40# ROOF LOAD ZONE CENTERLINE COLUMN LOADS SUPPORT LOCATION DESIGN ROOF LOADINGS (SEE STRUCTURAL DESIGN BASIS CERTIFICATE IN THE HOME 20 PSF 30 PSF 0 PSF 60 PSF CA> 4000 5500 7 000 95000 No.INSTALLATION FOR FOOTING SIZES BASED MANUAL ON COLUMN LOAD OF SUPPORT AS SHOWN ON THIS DRAWING. SYSTEM AND GENERAL CONSTRUCTION SUBJECT TO FLOOR PLAN MODIFICATIONS AND PRODUCT SUBSTITUTES ISSUED SINCE DATE OF PRINTS SOME OPTIONAL ITEMS ARE SHOWN AND PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE. REV11M DATE REVISION DATE FRIENDSHIP HOMES INC, BUCKINGI I -_ I I I PLAN 815 BUDD ' ROAD MONTEME0, MN. DRAWN DRARW�g H'� i�A4/30/210 185010 ED RECE ID L C, U L 2.7 Za22 r '-E I-1O-- REF(�F�T of 'Msmwivr! L-)epaen of rrmC,�rnerz-* SOIL. AL U Al W 011 safeNfy anC-" Jildin�'-sst. Cro* x �ounty Community .kt,ac, c*mpiete site paper no, iess tt-ar, A L x inches in size. Pian, nus, reieren:,-e mint 'SVI. direction arc 1A In::;lude, bLtf no! firnifted tc, vet,,�a. and ncrtzonta; Raro6 I : Z � L.W. c7t rcesni staff, scale yr dir?•fersiont; nc� ,array anti tia, t distance tc newest road. oft nan 0Z Z boq — /0 Z) Flease print all informetior;. Wed mate infvpmatior' Vot: P-ov6e may be useCAm seoon3at? pjrpos*s'F-qY&�- Law: t. ca dr 4 Govt. Lc� t'o) I t F' PnX*fty Ow-ie- -s-Via-ifin; Add.-ess I Lot # Block# I SLbd. Narm or CSW State Lip, Code P'la-16 NLI-Mw �""s ,Vrifiaoe C'Wn Nearest Road 7 4e* 4- roo 6;9�Fesioenba� .- Numb.o 6, -ns Code den -f design ficcm' rate M Repiaoernent L', Flubfi- or �mrne-,cial - Descsibe- Pareret r u V era; 12 fck-10- glee Fioot Plaineievabon if aopficabie Genwa� ovivrents 73 - and reco"wronsdatia-m: roe TyD =vsterr Elevation Boring ono Pit oepth to fimffing'sfactor Ground surface elev. Soil kxoficafiorl Rate r- T Hortzw. t Q:�071� Cent Dominan [)e'SCnpbM i MunseF Qu. Sz. Cont C-Na I exu�-e I Structure k Gr. Sz. Sh. Consistence Boundary 1 Roots d%PDM Eff, *Eff#2 -7, -Z" 0 2Z ,4 T BMng # C Boring 5�pit Ground surface eiev/�Ulft- Depth to limiting factor,/// 2, in. i P Rcil Annif:-�finn Rate Horizon Depth in. Dorni-a-it, C,-Acr V, unse ELI Redox Description Texture Structure Qu. sz. cont. color Sz. S h k Consistence Boundary Roots GPD/ff —7 *EMI Eff,#2 AZ7 '37� Vol r L/ A f Efflueqfl. #1 BOC6-1. �r 30 < 220 tmafL and 771SSS >30 4�"-'L Effluen", #2 = BOO. < 30 mgL and TSS < 30 mg1L CST Name (Please Print) Signature CST Number Bird Plumbing, Inc. Shaun Bird L---40 226900 Address Date Evaivation Conducted Telephone Number 1432 120th St, New mW1 Richond, 5401 715-246-4516 :7 E 0 Property Owner Parcel ID # Boring # Boring 0 in &Pit Ground surface elev. cft. Depth to limiting factor Z'Z P in. I Page of Rnil Annfirnfinn Pntn I Horizon Depth in. Dominant Coior Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Eff#1 *Eff#2 2�z # 40po. Z-/ 67' I V r-001 Boring # Boring EJ pit Ground surface elev. ft. Depth to limiting factor in. I Soil Annlfr-nfinn PqtP 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 # 0 Boring 0 pit Ground surface elev. ft. Depth to limiting factor in. Soil ADolication Rate Horizon ')epth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- * Effluent #2 = BOD5 < 30 mg/L and TSS < 3.0 mg1L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-9330 (R.6/W) • r i 3on i est riot ria Project Name Dick Krumm Shayind Address 518 Trout Brook Drive Roberts Wi 54023 Lot 1 Subdivision -------- S W 1/4 SE 1/4S 2 T 28 N/R18 W Boring OWell PL Property Line IL BM or VRP Assume Elevation 100 ft. �16-7/2 TM #226900 Da 6/22 Township Nnnicbnic County ST. CROIX Top of survey iron at LOMA stake System Elevation TB D *H R ptiarne as t3encnmark Scale = 1/4" = 10' NORTH 114 CORNER SECTION 2 ALUMINUM CAPPED MONUMENT CURVE ?ffA TABLE ` i �� '' RADIUS CENTRAL CHOkb---- CHORD 71 ARC/i/ TANGENT TANGENT NUMBER LENGTH ANGLE 6BEARINIGe �ENGTH LEP IN OJJT- ci 216.92' 66017'25" S33005'36.5"W 237.21'_�g 11 &6-14'19"W SO-0310611E C2 +-249'-92�-[52"34'40" N26'014'14"E 2 n .3 N0003106f'W N52*31 34111E � / � f/ /// " �t y`\ T ��• � 'Jjlnl},- Cl 15� � L� � �\ J J .I � �� ..,,.,-.. / N89 '50'00 P"E-,- 1026.23 W� c- 17. 8" 691�,��, Ordinary High Water— j 961. 58'- �4 o Elevation 952.0-± q, r7 V'r I Q) 6-1 00�1 954 64 rol- 33 j 10 33 T 2 1 U-) TOTAL AREA L O T (0 317,392 SQ. FT. TOTAL AREA to 4 7.286 ACRES 238,,879 SQ. FT. Lij 5.484 ACRES -Ln L. B. 0. - 959. 0 too I a a" I LO < 3a' (Z L.B.O.-959.0 C.B.A.= AREA EXCLUDING j AREA EXCLUDING 0.51 ACRES cc t1ri N RIGHT OF WAY c) Lr) RIGHT OF WAY c) �j C) (3 z- 2251185 SQ. FT. > Z 309f896 SQ. FT. -damck—, I I L�y (Z) 7.114 ACRES 5.170 ACRES, 0.04 []SHED 953.4 9�)4, Or J1 9 '50'06 "w � Q � � C I ,� , AREA I 0_5� RIGHT C�D C) c) kp, E PNG XIS. Df?l& C. B.A. R' C) Q) 3z 00 C:) C4 1. 09 A 94 Q) T 47 SEP C 0Z� � % V) c kz �K t0, C) FLOOD LIMITS �� I ,� ri , ,._ ,P-- ! PER LOMA Nc) 22-05-2283A J 01) ELEVATION �p C�, 959.0 (958.0) 104.24' �, �� �� 522.27 7 37.74 - 8 7 1' T i ��[� 1pD L A 7 � � 1IS88 0'21 W,-'9 0 4.8� Ld �- � � QC 'f�.� A N ©� iI-. U 7 L'*\ T' (19 c. Q Q�C� o o 1­1� �17 SOUTH 114 CORN�R St<TION 2 33 a. Y3 �s 4\� W 0 L. Tc F 0. 1 Cc q STEEL SURVEY)MAR(NAIL C. B.A. CONTOURS, SLOPES, CBA & SOIL BORINGS THIS INSTRUMENT WAS DRAFTED BY.• JLV JOB NO. 8135-001 DATE: JUL Y 25, 2022 Loltil A CRnna( SGfirt9. �? S1 of 2 ( IVdcC, uune cr, zu« Lase NO.: I_L-uD-4ca, A I LUIVIA AR .� Federal Emergency Management Agency 4 Washington, D.C. 20472 JVD StiC'J LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT (REMOVAL) COMMUNITY AND MAP PANEL INFORMATION I LEGAL PROPERTY DESCRIPTION ST. CROIX COUNTY, WISCONSIN (Unincorporated Areas) COMMUNITY COMMUNITY NO.: 555578 AFFECTED NUMBER:55109C0360E; MAP PANEL 55109CO367E DATE: 3/16/2009; 3/16/2009 A portion of Lot 4, as shown on the Certified Survey Map recorded as Document No. 842539, in Volume 22, Page 5344, in the Office of the Register of Deeds, St. Croix County, Wisconsin The portion of property is more particularly described by the following metes and bounds: =LOODING SOURCE: KINNICKINNIC RIVER APPROXIMATE LATITUDE & LONGITUDE OF PROPERTY:44.9375139-92.525032 SOURCE OF LAT & LONG: LOMA LOGIC DATUM: NAD 83 DETERMINATION OUTCOME 1 % ANNUAL LOWEST LOWEST HAT IS REMOVED CHANCE ADJACENT LOT LOT BLOCK/ SUBDIVISION STREET FROM THE SFHA FLOOD FLOOD GRADE ELEVATION SECTION ZONE ELEVATION ELEVATION (NAVD 88) (NAVD 88) (NAVD 88) 4 -- -- 518 Trout Brook Road Portion of Property X -- -- 959.0 feet (unshaded) Special Flood Hazard Area (SFHA) - The SFHA is an area that would be inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood). ADDITIONAL CONSIDERATIONS (Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.) LEGAL PROPERTY DESCRIPTION STATE LOCAL CONSIDERATIONS PORTIONS REMAIN IN THE SFHA ZONE A is document provides the Federal Lmergency Management Agency's determination regarding a request or a Letter ot Map Amendment for te property described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have determined that the described portion(s) of the property(ies) is/are not located in the SFHA, an area inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood). This document amends the effective NFIP map to remove the subject property from the SFHA located on the effective NFIP map; therefore, the Federal mandatory flood insurance requirement does not apply. However, the lender has the option to continue the flood insurance requirement to protect its financial risk on the loan. This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this determination. If you have any questions about this document, please contact the FEMA Mapping and Insurance eXchange toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 3601 Eisenhower Avenue, Suite 500, Alexandria, VA 22304-6426. of 4 Patrick "Rick" F. Sacbibit, P.E., Branch Chief Engineering Services Branch Federal Insurance and Mitigation Administration WismW Depat'nent of C41rimeMle- SOIL EVALUATION REPORT of Safety anc� Sufidirvoc W. S=rCUS-Ick V'Ah Coomm 865: Tilts Acirn. 0066 Cointy S:1. ktukoh oomplete site pier, on PaPet IV. iess than 6 1 i,, inches ir. size. Plan must I include, btX rW, Ji.mited tc, - \�e.tc:ai and hoftoqta! reference pojit (SW � direction and oew t siope, scale or dimensions, norr. arrow, &n,,:'1=tion ark dist'ance u., mares; road. Hesse print all Inf6rmevori. Reviewed by Data Parsons intormsticon yov ;r- ovide rrlv,,, be utoc, 1vs seconoary pxpo"f (Privacy Law, 1, 11%5,G4 k", (fro)) Prtv*--I� Properly Locabok- , 5 14 S Property Lot # BIOC4•,1 Subd- N&T* or CSW 4:0-0, / edEW—Mop I -- CAY sta% LP, Coos 13 City C3 w1age ZTown Nearest Road Wev\ sonstnu'-Abn U S "denft 1 Nurnt�r C-�"Ic- derived design 6,^Mf rate GPD PubliC or Desaibe,- Pa,rellt rnatena�l 9doe- PlaLne$evation if appk;aole 73 arx; System Type (0 �vsiern Elevation Ground surface elev, It cift Pit H'-Mon Depth Dominant 00110` Redo. Da3crioari Cont. c6c)( in. ki Unsel 0 -2 -2 t Ground surface alev.10 ClBann Bonng # Depth to lh*N fla C;tv in, Soil A Appli�,-abon Rate Texture Sructze Consistenx- E•ojnczyj Roots GPDMf Gr. Sz. Sh. 'Eff#2 /-7 —7 lei I Depth to lirnffing factor . / 2 in. Structure Consistenc;e Boundary Roots Gr. Sz. Sh, A Horizon Depth Domir�ant C�or Redox Desctipbon Texture in. Munsell Qtj- Sz. Cont. Cdcx V" Y2, OIL. 4/4 "A0 " Effkmt #1 x SOD. > aQ -< Y.Z'J M;;rL WIn I JQ CST Name (Please Print) Bird Plumbing, Inc. Shaun Bird I Address 1432 120th St, New Richmond, VVI 54017 Signature MALWAO-W >oil Appiicabon Rate GPD.tff *Eff# 1 'Eff#2 7 �I�i7 �PAFM Effluent *2 = Boo. < 30 mgk and TSS < 30 ml CST Number 226900 Date Evaluation Conducted Telephone Number 715-246-4516 r`- Property Owner 0 so" 1:9 6,*V a MPH Parcel ID q Ciroind artsce elev. V tl Page� of 2 Depth to Wni*q 1 IMI gM Arw&mflm At �..1��oi�I���l�n_rimL'��1�/� rnr���r�?MIR ,��.�r�r,�n��s�ra:nMwqA�o # El &Wft ❑ pit Ground surface elev. fL Depth to firn&V factor in. I SM AnnInatinn Rate ale Mont #1 : BOD& � 301220 nV& and TSS �30 1150 mg& ' Eftwt #2 a BODII 130 niWL and TSS 130 mg& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-31 S 1 or TTY 608-264-8777. m-""(RAM) Project Name Dick Krumm Soil Shad Address 518 Trout Brook Drive Roberts Wi 54023 W Lot 1 Subdivision ----__-- Da SW 114 SE 1145 2 T 28 � 1$ ..� N1R ird ATM #226900 7/26/22 VY Township lqnnid4nlc [] Boring Well PL Property Line County ST. C RQ IX BM or VRp Assume Elevation 100 ft. Top of survey iron at LOMA stake System Elevation TBD *H RPSame as Benchmark Scale = 1/4 11 - 10' CERTIFIED SURVEY MAP LOCATED IN PART OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 2, TOWNSHIP 28 NORTH, RANGE 18 WEST, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN; BEING LOT 4 OF THE CERTIFIED SURVEY MAP RECORDED IN VOLUME 22, PAGE 5344, DOCUMENT NUMBER 842539. NORTH 114 CORNER SECTION 2 ALUMINUM CAPPED MONUMENT 7 4� F— CURVE DATA TABLE I NUMBERI RADIUS LENGTH CENTRAL ANGLE CHORD BEARING CHORD LENGTH ARC LENGTH TANGENT IN TANGENT OUT Cl 216.92' 249.92' 66017'2511 52034'40" S33&W36-511W 237.211 250.971 S6601411911W 5000310611E C2 N26"1-4'14"E 221.38' 229.34' N0003'06"W N52"31'34'tE SURVEYOR: WETLAND NOTE: TY R. DODGE APPROXIMATE WETLAND LOCATION AUTH CONSULTING & ASSOC. PER WISCONSIN 0NR SURFACE WATER 2920 ENLOE STREET SUITE 101 DATA VIEWER MAP. IF CONSTR(JCTING HUDSON, WI 54016 NEAR WETLANDS, A WETLAND PREPARED FOR: DELINEATION ,MAY BE REQUIRED. RICHARD KRUMM IX] '03 F, At 7 N �.VV7 518 TROUT BROOK DRIV�/ N\ p L z:V'u 7 E Dc A "N � DD S-) ROBERTS, WI 54023 /VLILL -L olv Ju Uu L I UZU.zi I r . 5) �7 6 4.6 143. 5 9' �:: -�) ld-1 fB17. ,6 GENERAL NOTICE STATEMENT. Z Lo Ordinary High Wa ter - C) \!�- 1 1.96 1.5B /? EACH PARCEL SHOWN ON THIS MAP IS N Elc va tion 952. 0.� LEGEND N SUBJECT TO STATE, COUNTYANO TOWNSHIP LAWS, RULES AND os F FOUND COUNTY SECTION CORNER, Q) A-L Au AS NOTED REGULATIONS (I.E., WETLANDS, ALL MINIMUM LOTSIZE, ACCESS TO PARCEL., 1L 66, • FOUND 1-1/4 INCH OUTSIDE ILL ETC.) BEFORE PURCHASING OR DIAMETER IRON PIPE 33 331 ■ FOUND 3/4 INCH DIAMETER IRON BAR DEVELOPING ANY PARCEL CONTACT THE ST. CROIX COUNTYZONING OFFICFAND L O'Tlm.' 0 SET 1 INCH OUTSIDE DIAMETER BY 18 c6 I'OL 0 T 2 ;-T6 THE TOWN OF KINNICKINNIC FOR TOTAL A INCH LONG IRON PIPE, WEIGHING ADVICE. TOTAL AREA \Y�- \0 0 38 879 S 317,392 SQ. FT. 0 1.13 LBS. PER LINEAR FOOT V .484 A CR 7.286 ACRES 7��' TOP OF IRON PIPE ELEVATION SHORELAND ZONING NOTE: Ln 0 z- L.B.U.- 959. 0 ;;P r) THE PROPERTY DEPICTED ON THIS PLAT (N AREA�CLUDING AREA EXCLUDING N N [A L0 SCALE: 1 INCH 150 FEET RIGHT1 WAY CONTAINS AREAS THA TARE SUBJECT TO Ln RIGHT OF WAY <1 THE SHORELAND OVERLAYZONING 22SI185 5%/,� 114- 1� 1 4�j 3091896 SQ. FT. /> 3.�4 /'�� 9 �41 on iso 75 0 iso DISTRICT; CONTACT THE ST. CROIX 5.170A 80.04, 961. < C) 7,114 ACRES COUNTY COMMUNITY OMMUNITY DEVELOPMENT 953. 413.04' OSHED ELEVATION DATUM 15 NAVD 1988. DEPARTMENTFOR FURTHER IL Z 589150'GG w (z c� r- (o 0 INFORMATION. A4 (A c) 5-< - cr c) r.0 t* LOWEST BUILDING OPENING (L.B.O.): *ouQ) LI C) lz� (�) Ty Ft 0 0 ALL FINISHED FLOOR ELEVATIONS, lz � LIMITS ro Lz" LOWER LEVEL WALK OUT ELEVATIONS FLOOD L c@ 1/—'� DODGE -g AND LOWEST BUILDING OPENINGS AL Ln ILL PER LOMA ��, j �� G'� 5.24 a N Ln (L.B.O.)SHALL BE LOCATED ABOVE THE 22-05-2283A Ln 1-10 , I \CLUR � 10 '/ >'p, 00 Lm L.B.O. ELEVATION LISTED ON THE ELEVATION Wl •/10424 zoz <1 RESPECTIVE LOT. 959.0 80 m V) � �49.57' 0 a: C) in 522.2 7 (A < uj W. uj u C) .84' 37.74 M 2 0 x rq W U Lo P L A 7 7 E 0 S8805 04. L 00 2 o L A DD S 00 6u, Ta r I4 C 09/20/2022 w zw !� - - LINE TABLE Z. Lu Z V .S. \V*Ll N000306W 31.370 SOUTH 114 CORNER SECTION 2 L. 2 2� r Y 00 Ll 1L2 S493327W 49.54NORTH 33'1331 0'"' STEEL SURVEY MARK NAILS THIS INSTRUMENT 'BIAS DRAFTED BY' JLV JOB NO. 8135-001 DATE: JUL Y 25, 2022 SHEET 1 0 F 2 CERTIFIED SURVEY MAP LOCATED 1N PART OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 2, TOWNSHIP 28 NORTH, RANGE 18 WEST, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN; BEING LOT 4 0F THE CERTIFIED SURVEY MAP RECORDED IN VOLUME 22, PAGE 5344, DOCUMENT NUMBER 842539. SURVEYOR'S CERTIFICATE I, Ty R. Dodge, Professional Wisconsin Land Surveyor, hereby certify that by the direction of Richard Krumm, 1 have surveyed, divided and mapped part of the Southwest Quarter of the Southeast Quarter of Section 2, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, described as follows: Lot 4 of the Certified Survey Map recorded in Volume 22, Page 5344, as Document Number 842539 in the St. Croix County Register of Deeds Office. Containing 12.770 acres of land, more or less. Subject all 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 field surveying has been completed as of the signed date hereon; that 1 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. r►� r I� ,� F Ty R. ge P LS #2484----f Auth CoEnsulting & Associates 2920 Enloe St, Hudson, WI 54016 (7iS) 386-2007 tdodge@authconsulting.com 09/20/2022 Date V `�� ;J\� �0!?�1� TV sL (D01309 I-2484 CLEAMR U 0 Approve[ ``"'M...Y►"' P 2 3 202 St, Crolx County COMMUnity Development COUNTY TREASURER'S CERTIFICATE 1, Denise Anderson, being the duly elected, qualified and acting treasurer of St. Croix County, do hereby certify that the records in my office show no unredeemed tax sales and no unpaid taxes or special assessments as of 2D1,2,2 affecting the land included on this Certified Survey Map. nice A rso Da County Ttefisur THIS INSTRUMENT WAS DRAFTED BY., JL V JOB NO. 8135-001 DATE: JUL Y 25, 2022 SHEET 2 OF 2 5t. Croix County 1159151 Page 2 of 2 - ' 1 5__ 1,0 Ik ............ ..... .... UUUN XT 00 6�� 2z2 IV .. .. ... ............ .. ........ 31 I I KO Lk IrRRAN `F vv-bvl-j OWNER :S�Prt2lo... ...� W��........ NO:: r `V` I q0 J` U , k1q) ` R mr_ d .. ............................ .... .............. .......................... . . . . .. .. . . ... .... ... ...... . ..... . ....... ... . ..... ........ ............... ..................... . . 3,2 1 kS17 ji5ol 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. f c The sanitary permit is valid and may be renewedor a �� YP Y 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: 1f you wish to renew the permit, or transfer ownership of the permit, county authority. lease contact the cvun P 7/1Elzoz3 TIRIS U N L -TE'd S S R E N 11 E, J W E I` . . ..... ..... VISIBLE FROM THE IR,OAD F ONTING THE LOT DURING CONSTRUCTION lk ►..o�,,,Y vj&e PcCOOV�-K.ua.P}RCs `ab� 4oe �f�re. 6viz Doc[� O,s4rtc;-! �.t�P W, EMMMMb ssD-06499 cui 1no> � Epp rove pfZ�� � S% '(6a nc& 11 �r