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Home My WebLink About004-1012-95-400 (2)Wisconsin Departmentof Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 'ermit Holder's Name: City Village X Township Peterson, Lance & Donna Cad ,Town of .ST BM Elev: Insp. BM Elev: BM DescripXion: bfi Iu 1'ti'~ 1 GST TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~._ Y /~ Dosing ~~ z~ ~- ~ Holding TANK SETBACK INFORMATION TANK TO P/L ,1 SoJ1~.. WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ ~ 1 1 b ~ ~ ~ / ~r Dosing ' I~ 1 / ~~ 2 x/ J V b Aeration Holding PUMP/SIPHON INFORMATION ~~ Manufacturer r Demand (~v .~ G GPM Model Number ~ ~~ 3g • Z TDH Li, ~ Friction~ Loss System ~ad T ~~ ~~ _/ ~ • J ~ Forcemain Leng~ ~5' Dia. ri Dst, to Well i 5 Z Sell ~4gSnRPTIGN SYSTEM , ELEVATION DATA County: St. CroIX Sanitary Permit No: 479292 0 State Plan ID No: Parcel Tax No: 004-1012-95-400 SectionlTown/Range/Map No: 06.28.15.87D STATION BS HI FS ELEV. Benchmark '~• 55 /b4• /~ AIt..6~~~ s~~~ ' ~~.$ 9y.as Bldg. Sewer SbHt Inlet D r~o~ ~~, Z St/Ht Outlet 1 ~_ Dt Inlet -~, ~~ Dt Bottom Zl ~, $~ ~ ~~ Header/Man. I `.~ Dist. Pipe ~ ~ 9g 65 Bot. System •~ ~ (~ ~t 7 ~ Z S Final Grade ~ ~~ ~~ t St Cover I ~ _ ~7 ~ O La v~b v(~ 8. ~ cj(p , 0 ~~~ ~~~ 13. ~S ~1 ~ z- BED/TRENCH Width / Length / No. Of J~nches PIT DIMENSIONS No. Of Pits '; ~-t-- Inside Dia. ~~ Liquid Depi t~ DIMENSIONS ~ GJg i.Ce _ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHIN Manufacturer. ~ CHAMBER OR INFORMATION Type sam: / / Z3 ~ / • ~ ,~ I~ /V UNIT,' Model Number. J ~Z ~ 6 I'11STRIRIITIv7N SYSTEM - Header/Manif~ld // Length~_ Dia ~ Distribution /~ 1 / ( 1 Pipe(s) ?~j' C. ~ Length J v Dia ~ Z Spacing x Hole Size / r 3 / /~ "' x Hole Spacil~g / Vent t~o'Ai~nt~~~ Coll rf1VFR ., o.e a c..~•e ~ n.,r.. ..., Mn~~n`I nr A+_[~rade Svcfems Only Depth Over G ~ Bed/Trench Center ~ Depth Over Bedlrrench Edges ~ xx Depth of Topsoil ~ xx Seeded/Sodded ~ I xx Mulche~d~ ,,t" ; I No ' ~ 0 ' ~' 2S ,, No ;fir res ~ IJ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ /Z`f/ U5~ Inspection #2: / /_ Location: 553 270th S et ilson, WI 5400~,(5{V~/ 1/4 NW 1/4 6 T28N R15W) NA Lot 4 S, ~-'' /~eu.~ Parcel No: 06.28.15.87D r ~dll~r ~~ ~ d LS y'~ ~~~ 1. Alt BM Descri tion =~ ~~ d~ I 2.) Bldg sewer length = ~ ~] ~ . ~ ,. -amount of cover = ~ 0 Plan revision Required? L-1 Yes G I (~ Use other side for additional mformation. ~ 0 II~ 1 ~ -~ Date SBD-6710 (R.3/97) 7 V~ L_~ Cert. No. Safety and Building Divis~ B 7 2 ~~ .~ ~-" ~ C ' ~ ~ oz 201 W. Washington Ave., .O. 1 o ~( r j~~~~~I~ Madison, WI 5370 - 7162 Sanitary Pe t Number (to be tilled in by Co.) Department of Commerce (608) 266-31 i 1 ~~~ ~ ~ Z~O~ L i.~ ~' • Sanitary Permit Application s r. ur-~olx(; State Plan 1. . Numbe ~ uNi ;; .~A~S ~~ In accord with Comm 83.21, Wis. Adm. Code, personal information you ovide ZONING 0 ~ may be used for secondary purposes Privacy Law, s15.04(1)(m) g address) aili s (if differ nt than m n ~ / ~~ ~ ~ ~ I i i f ` ' ~ . Application Informat on -Please Print All Informat on • Property Owner's Name Parcel # oc # Property Owner's Mailing Address Property Location Q • 0 I ~Go O IC ~ ( /'' t~ 5 mil/ '/< /~ ~'/ Section ~ City, State Zip Code Phone Number , , _ G V1~tit•'1/ ~ 1 ^ l ~ y ~ `'~ trcle one) T ~ N; R~E or~ Type of Building (check all that apply) LI . n,~ / 1 or 2 Family Dwelling - Number of Bedrooms '~ v Subdivision Name CSM Number ~ ~ 7 ~ ~/ ^ Public/Commercial -Describe Use ~ ^ State Owned -Describe Use ^Village,Township of ^City _ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) `~' ~ New System ~----- ^ Replacement System ^ TreatmenbHolding Tank Replacement Only ^ Other Modification to Existing System l3• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS S stem: Check all that a 1 S ^ Non -Pressurized In-Ground ~t`Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gra - ss Pipe ^ ther (explain) V. Dis ersal/TreatmentRrea Information: S Design Flow (gpd) Design Soil Applica ' n Rate(gpdsf) L~ 5~ S!`~`'r~ (- o ,('~ 1 Dispersa Area Req re sf) ~ ~p yS7J Dispersal Area Prop ed (st) r C' y ~ ~sv System evation ~'~ ~ ~ , O a- D VI. Tank'[nfo Capacity i Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing 'Ibnks Tanks Sep[ic or Holding Ta~ilc Joao ~ ~ ~ d ( ~~ r Aerobic Treatment Unit ~•, ! t/ ~ ~ -~ Dosing Chamber r „~ V/ r _ O YJ I ^ti ~ ~/ 1" VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI is S ature MP/MPRS Number ~ BusinessPhone Number Plumber's Address (Street, City, State, Zip Code) /V (g `( 83 ~t'av.'~vs ~~ tl 7G( ~~'~w.cf tcJi 5'`~)3(p VIII. ount /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee includes Groundwater Surcharge Fee) ,(~a ~ ~ Date Issued 7/~ ~ I ing Age Signature (No ) ~~~%~~~ ^ Owner Given Reason for Denial / ''" ~ IX. Conditions of Approval/Reasons for Disap va -/~ J~%~'ZC-fjs",r Q ~ ~ . YST ~ ~ l~'ti` S~ "„' Sr Septic tank, effluent filter and ('Iyyy~,..., . ~3. yQ~t'r,>r.P/1/ ~/ma~n~`- dispersal cell must all be serviced / maintai ~~ 'T I~ ~~ Z ~ r t~,~ l(a.~fo~- ' (~' lumber (~ J~ rovided b ement lan an IV . p y p p p ag D as per m ~`// uirements must be maintained ~ All setback re t~ ~C ~; ~ ~2 2 ~~ d ~3` C s , ~ , q ~ , - , . as per applicable code/ordinances. ~ t I~,`~ ~~~, / Attach complete plans (ro me county ontyt ror the sysrem un paper nm ~eaa u.a.. o..~ .. . `~ SBD-6398 (R. 01./03) qq '1 ~~ ~ ~ vJd~:-• 4 ~;~ ''N ~, ~i ,~ ~,,°l, , ~0 .a 1 g1..S0 L. G.v~cC ~ ~an+~C. ~ekeS~7~~ Site Plan ~'/4, ~,1/a, S ~a , T~. ~ N, R ~ W Town of c 4a~ pARt,Gt ~~e i ~ P~toP. V'co Q oSQC~ I ~.i Lo~a~'~ov* ~~ i a c ~~ ~~ Y, ~" L. 1 p0o/600 G~ rvE ISarR '~~K q~, o ~~ ,~~ . 1 1 Legend Scale 1"=40° x Benchmark= dM ;-~ i ~', I ~ '~ '~K3 ~~' K N ~a ~~°'0 , j aS.o t . ~ pp.fl Q+ bPIRoX- sov['H i'RoPL~RTy ~'~'~ ~ `"FaP'oF SPIKE AT AS DbSCJCtdfcD 6`~ ocs~NCR 6Rov~tD SuR.Fr101° Meets all Apparent Setbacks As Per Comm 83.43(1) commerce.wi.gov ^ ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. com merce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 22, 2005 OUST ID No.220684 CHRIS M BAUER BAUER PLUMBING AND SEPTIC SYSTEM INC N6483 DORWIN MILL RD DURAND WI 54736 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/22/2007 SITE: Lance & Donna Peterson 270th Street Town of Cady St Croix County SW1/4, NW1/4, S6, T28N, R15W Identification Numbers Transaction ID No. 1143155 Site ID No. 699536 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1021736 Maintenance required; 450 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/O1). • The pressure network is to be constructed in accordance with publications SBD-10706-P(NO1/O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. The section of force main that will be located within this area shall be installed in a trench that is no wider than 12". _ • 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. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. P.Ca.~'.T.~. C~r~~it`iojtr~t','~~ R 0.1~ T.S. Ca~~a~dtro~iall -- - -------- -- ---. _ w w ... ~ - - ..___ J' CHRIS M BAUER Page 2 6/22/2005 • Comm 83 22(7) - A coRy of the approved Mans specifications and this letter shall be on-site during construction and- open to inspection by authorized representatives of the Department which mawinclude local inspectors. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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 Safety & Buildings 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Mound Cover Sheet System is to Comply with Provisions of SBD-10691-P (N.Ol/OZ) Location: 5~,;_ 1/4, ~~~J 1/4, S ~~ T 28 N, R ~_w• Town: L a tQ County: ~~( G~`E~ Owner: Name/Address: %P~ ,n~~ ~`~~~u~ j~, ~ eF ~` Plumber: Name/Address: ~ .,u~.e~' Alba ~_e~k'•c t Pr~~~~-~ Lic# ~ ~«,c.rirQ v~1 S`f~~ Signature: ~ Date: ~'Z~O"~~ Attachments Page 1: Plot Plan Page 2: Page 3: Page 4: Page 5: Page 6&7: Page 8: Page 9: Page 10: Plan View Cross Section Pipe Lateral Layout Tank Specificati/ons Pump Curve / Siphon Specifications - Construction Techniques Project Specification Sheet (Materials, Treatment, Dispersal) Operation & Maintenance Performance & Monitoring Page 11: Contingency Plan & Plan Documentation RECEIVED JUN - 1 2005 DEPARTMENT OF COMMERCE DNIS-UN OF SAFETY AN BUiLDiNGt SEE CORRES NDENCE SAFETY & BUILaINGS I /p(~ ~ ~-- ~~ ~,~ c gc,,as ~~. q3,~o L G~t~C '~ IJC1nvlG 'Q L'}~S~i~1 Site Plan Town of C~c 4a~RE PARtGt r~j~ pp„oP. _ ~ nn `~'co~052Cx ~, late{~~ 3 i ~ ~.I~ Lo ~ ~.~'~ or- ~ PRoP. ~'~~ ~~ ` ~t\ y~ ° r.a w F,y 1 Legend Scale 1"=40' ~ Benchmark ~ sM 'i~ ~! i ~ ~' i W ', . K ;: wx ~~~ 4 a~.o c-- ~` ~~ i i I g8,fli: ^+ 1 Oo.a i ~ ~~~ I ~ ~ ~pA aPfICo~C. sov[7~1 P~:~y ~~'"~ ~ 7o'P oR sP~rcE /1T AS DbSUCtSfcD by a.vNeR biCoua'b SuRF,~t~l° ~, C~~'''`~ 1028 ~~ 5 ~ u~'4"•~- logo/600 La1-~. ~ ~~ ~i ~tK t ~~. Meets all Apparent Setbacks As Per Comm 83.43(1) 2 Mound Plan View & Cross Section z J A W -7 L B ~ Slope System Contour 94, 0 ' G , S ' C~'~ H __~___' W 23. ' Diameter of Lateral ~~~" Bottom of Lateral Elevation mil', 5 ' Bottom of Sand ~ ~ , D Bottom of Aggregate `')'7 0 ' ~~~> c~~.~L"~ F .~9 ' cgs') C D~_' E Ns ' ' L ~(~.~' I ~o.~ "~' J~,S~r1 ' K ~~~d Diameter of Manifold " ~. __ ~:;'" ~~ m it cover O O F 1 - v/ 3 ASTM 33 Medium Sand Fill E Plowed Layer ~~ ~` ~~ Bed of'h"-2 1/z" washed aggregate Site must be seeded and stabilized from erosion 3 Pipe Lateral Layout (Not to Scale) ~;1-, E r Feed °~~, ~ System Elevation ~~,~ Invert Elevation Last Hole @~ i ~~ W 151 Ho\e @ ~, r a~ O ~-\ 1 Force Main ~~ ~ In Length ~*~ ~ s Access Cover 1/6 the Distance From the End Grade T ailed Cap Extend laterals up within 6" of final grade ~ ~~~-{` Diameter Lateral (Sch 40 PVC)~_ In Length til ~1`~ ~ =~ ~ ~ ~ "Holes \`I ~t5 Holes per lateral ~_ Hole Spacing Gallons per minute discharge rate (GPM) ~~ holes x ,~ = 38.2-$ GPM 1~ `~ 'x .~`~ = b, 0`-l gal x 5 = ~I,~.~al ~ 'x .~_ = 5:11J gal ~ , ~,~ gal total dose volume 7y.as 3" of approved bedding material under tank Specifications Note: Pump and alarm are on separate circuits as per Comm 16.28 Tank Manufacturer: \ ~) e ~~S ~ ~ Number of Doses: ~, 7S Per Day Tank Size: ~ U t~ C~ ~ ~ (~ (~ gal Gallons Per Day/# of Doses 8. ~ gal Alarm Manufacturer: ~, ~ ~ {~~u~b u-S Volume of Backflow: 5.'~ ! gal Model Number: ~ ~~ v.~~ IPt ~ -C s~- ~ Total Dose Volume: 8 `~. O gal Pump Manufacturer: L~~s ov~n.~-'1 ~, Capacities: A 2 ~ inches or 3.3~gal Model Number: S ~ X ~ ~ ~~ B~inches or 33. G gal Minimum Discharge Rate: 3$. ~ $ GPM C~_inches or 8y.0 gal D ~ inches or 51. al Vertical Difference between pump off and distribution pipe: ---------- 2 ~. 25 ft Minimum required supply pressure: --------------------------------------- 3~5--ft 3 S ft of force main x 3, 3 friction factor/100 ft--------------- 1. 1~ ft Total Dynamic Head---- ~.~..~ ~L ft Internal pump tank dimensions: Length ~, Width ~, Depth of Liquid .~~ ~~ GaUinch 1 ~. $ Septic & Pump Chamber Cross Section Approved Locxing Mannole cover wi warning Label d' I i 40 35 r- w a 30 z °a 25 w x ?~ 75 I i is 0 i S '~ PXSOH SP ~ X50 I o '' I a 20 30 0' so o ~o ao so to CAPACITY GALLONS PER MINUTE I` f; Hy~rom , PX50/SPX50H is recommended to be sold/used with Hydromatif:'s 9] 3 listed rontrol panel. Pump/Motor Unit ~ ~ ~ Submersible Explosion•Proof Pump Phase 10 Voltage 200/230 Horsepower 1/2 HP Run Amps 5PX50 6.5, SPX50H 5.3 Motor Type Oil Cooled Induction, Capacitor Sioct R.P.M. 1750 Temp. Stator Max. Design 266° F(i30°q Operation Intermittent foolant Oil Oil Flash Pt. 390° F Hertz 60 Hz Heat Sensor Bi-Metallic Temperature Max. Water 140° F NEMA Design SPX50 6.5: Type N, SPX50H: Type N Insulation Class B Discharge Size SPX50 2" NPT SPXH501-1/2" NPF Unit Weight Power Cord SPX50 80 lbs., SPXH5017 lbs. Type SOW/SOW-A, Water Resistant, 15' 14/4 6D0 V, 60° C, CSA/UL approved Motor Housing Cast Iron ASTM-48,16 Pump Casin Cast Iron ASTM-48,16 Coolant/Lubricant Dielectric Oil Shah 416 Stainless Steel Mechanical Shah Seoi Dual: Carbon/Ceramic Type 21 BFl Cl Impeller Recessed, Cast Iron Class 20 A-48-62 Upper Bearing Ball Radial 6203 Lower Bearing Ball Thrust 6306 Fasteners 316 Stainless Steel Superior Features Oil-filled motor for maximum beat dissipation and constant bearing lubrimtion • Recessed impeller reduces radial bearing loads, increases bearing life • High torque capacitor start, single phase motor for' assured starting under heavy load • On winding heat sensors will stop motor in case of over heating io prevent costly motor damage 6 Construction Procedures The procedures used in the construction are very important and are to be carried out according to applicable regulations and product specifications. SBD-10570, At-grade manual, Pages 16-17, lists the proper procedures and equipment needed to carry out the installation, which are listed in A-C below: A. Equipment-Proper equipment is essential. Track type tractors or other equipment that will not compact the at-grade area or the down slope area are required. B. Sanitary Permit-Prior to the construction of the component, a sanitary permit, obtained for the installation must be posted in a clearly visible location on the site. Arrangements for inspection(s) must also be made with the department or governmental unit issuing the sanitary permit. C. Construction Procedures 1. Check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a I/4- inchwire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. 2. Lay out the component area and distribution cell area on the site so that the distribution cell runs perpendicular to the direction of the slope. 3. For components in open areas, measure the average ground elevation along the upslope edge of the distribution cell. For components on uneven sites (rough terrain), till the surface, before the average ground elevation is referenced to a benchmark for future use. This is necessary to determine the bottom elevation of the distribution cell. 4. Determine where the force main from the dosing chamber will connect to the distribution system in the distribution cell. Place the pipe either before or after tilling. If the force main is to be installed in the downslope area, the trench for the force main may not be wider than 12 inches. 5. Cut trees flush to the ground and leave stumps, remove surface boulders that can be easily rolled off, remove vegetation over 6 inches long by mowing and removing cut vegetation. Prepare the site by breaking up, perpendicular to the slope, the top 7-8 inches so as to eliminate any surface mat that could impede the vertical flow of liquid into the in situ soil. When using a moldboard plow, it should have as many bottoms as possible to reduce the number of passes over the area to be tilled, to minimize the compaction of the subsoil. Tilling with a moldboard plow is done along contours. Chisel-type plowing is highly recommended, especially in fine textured soils. Rototilling or other means that pulverize the soil is not acceptable. The important point is that a rough, unsmeared surface be left. The aggregate will intermingle between the clods of soil, which improves the infiltration rate into the natural soil. Immediate application of at least 6 inches of aggregate is required after tilling. All vehicular traffic is prohibited on the tilled area. For sites where the effluent may move laterally, vehicle traffic is also prohibited for 15 ft. downslope and l Oft. on both sides of level sites. If it rains after the tilling is completed, wait until the soil dries out before continuing construction, and contact the local inspector for a determination on the damage done by rainfall. 6. Install the required observation pipes with the bottom 6 inches of the observation pipe perforated. Installations of all observation pipes include a suitable means of anchoring. 7. Place the remaining distribution cell aggregate in the component. Shape the aggregate to obtain a uniform minimum depth of at least 6 inches above the original grade. 8. Place the effluent distribution lateral(s) on the aggregate. Connect the lateral(s) using the needed connections and piping to the force main pipe from the dosing chamber. Slope the piping from the lateral(s) to the force main pipe. Lay the effluent distribution lateral(s) level. All pipes must drain after dosing. 9. Place at least 2 inches of aggregate over the lateral(s). 10. Place geotextile fabric, conforming to requirements of ch. Comm 84, Wis Adm Code, over the aggregate. 11. Place cover material on the top of the geotextile fabric and extend the soil cover to the boundaries of the overall component. 12. Complete fmal grading to divert surface water drainage away from the at-grade. Sod or seed and mulch the entire at-grade component. 8 Project Specifications A. Type of System Mound At-grade In-ground Pressure Holding Tank Conventional Dosed or _ Gravity Other B. Waste Water Flow (Maximum Anticipated) Residence (Combined Anticipated) ~_ Bedrooms x 100 gal = ~ a ~? x 1.5 = ~ (Total GPD) Commercial Facilities Flows based on water meter Flows based on occupancy, usage or function & available tables C. Wastewater/Contaminant Loads (Maximum Monthly Average) / BODs >30 mg/1< 220 mg/1 TSS > 30 mg/1 < 150 mg/1 Fecal Coliform > 104 cfu/100m1 BOD < 30 mg/1 TSS < 30 mg/1 Fecal Coliform < 104 cfu/100/ml D. Materials The materials used in the installation of the POWTS must comply with standards set forth in Comm. 84 and must be installed according to product specifications. 9 Operation and Maintenance Private Onsite Wastewater Treatment System Management Plan Septic For Septic and Dosing Tank For At-Grade Component According to Comm 83.54 Wis Adm. Code each Private Onsite Wastewater Treatment System (POWYS} shall include information and procedures for maintaining the system according to Comm 83 and 84. This may also includes standards enforced by the applicable governmental unit or agency. Records of installation and the plan for the POWYS in question are kept at the zoning office of the county ui question. This management plan is based on standards listed in Comm 83.54, Wis Adm Code, and the At- Grade Component Using Pressure Distribution Manual For Private Onsite Wastewater Treatment System, SBD-10570-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Desi n Flow-Peak ( d) ~~ Estimated Flow (gpd) ~ 1 Se tic Tank Ca acit (al Soil Absorption Component Size (ft ) Tvne of Wastewater Dome .,._L,_ .,_ r.._. ,.~..,,..,.+;,,,, !''~~.,..~nPnt_T,;mitc of Reliable Operation i auie L: ,~~„ r'"'J° 'Se tic Tank Com onent Soil Abso tion Com onent Design Flow-Peak (gpd) Max Influent Particle Size (in) NA 1/8 Maximum BOD (mg/L) NA 220 Maximum TSS m /L) NA 150 Maximum FOG NA 30 Septic Tank, Dose Tank, And At-Grade Component (Guidelines Derived From SBD 10570 P (R6/99) The owner of the component is responsible for the operation and maintenance of the component. Periodic inspections may be made by the county, department or POWYS service contractor to check for surface discharge, treated effluent levels, etc. The owner or his/her agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Table 3: Maintenance Schedule 10 The county, or other appropriate jurisdiction will handle design approval and site inspections before, during and after construction is accomplished in accordance to ch. Comm 83, Wis Adm. Code. Routine and preventative maintenance aspects include routinely inspecting the septic and dosing tanks, and at least every three years, inspecting the liquid levels in the observation wells and the ground adjacent to the component for ponding, fluid seepage and erosion in the area of the component. Preventive maintenance includes avoiding all winter traffic on and in around the component. Traffic around the site may lead to detrimental frost penetration and compaction of the site, which may hinder fluid movement throughout the soil. Lack of snow cover and/or deep frost penetration may temporarily cause the pipes in the system to eventually freeze, and the system ervice until it tha The outlet filter should also be cleaned periodically. This should done in such a way that revents unfiltered sewa e t A goo water conservation plan throughout the structure(s) served is also beneficial to the component not being overloaded. Avoiding the introduction of deleterious chemicals or materials, such as paint, minerals spirits, and materials such as cotton swabs, and like objects is imperative. Notice: If the pump malfunctions in the dose chamber due to a power outage or other reason, the dose chamber may fill past the alarm setting and into the reserve area. When power is restored to the pump chamber, this may result in the pump dosing a larger than normal dose and consequently overloading the n s sceneno, ve t e ose a licensed pum ~ .,€oz~~'.:c ;,,.iP hP~llls~ Performance monitoring of the septic tank must be done periodically. The tanks must be pumped and/or inspected at least once eve r if the volume of the sludge and scum in the t reaches 1/3 o t e capacity of the tank. Also, have the baffle, manhole risers, filter, and locking device inspected to be sure everything is secure an ' Ins components o a S must be conducted by a person who 0 P Maintainer credential according to Comm 83.52. Per or - so a one at least once every three years and at time of a problem, complaint or failure. Criteria in monitoring may include addressing the use of the system, the age of the component, and inspecting for nuisance factors such as odor. Maintenance of the vegetative cover, as well as activity over the at-grade component should also be addressed (trees should not be planted within the vicinity of a drainfield, so the roots do not disrupt the integrity and function of the pipes in the drainfield). Also, check the observation wells and the area around the base of the component for excessive ponding, which may be a sign of a developing clogging mat within the system. 11 Contingency Plan In the event component or system failures result, wastewater strength, flows, and distribution systems will be analyzed. Influent or effluent must be properly handled and disposed of so as to comply with all provisions of Comm 83 & NR 113. In case of system failure, pumping and hauling may be necessary while the system is analyzed and repaired. Conclusions derived from system analysis may include conversion of the septic tank to a temporary holding tank as well as soil testing to create an alternate site for a replacement system. County officials will be notified as to any corrective measures needed in case of system or component failure and the appropriate permits will also be sought. Abandonment Tank abandonment must be carried out within the provisions of Comm 83.33. Warning No one should ever enter a septic tank, dosing tank, treatment tank, holding tank or other similar tank for any reason without being in full compliance to the standards set forth by OSHA and other applicable agencies. Gases within a tank are very dangerous and may be lethal and exposure may result in serious injury or death. Rescue of an individual from within a tank may be extremely difficult or even impossible. Documentation of Treatment & Dispersal Claims Please refer to supporting research & documentation Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual (Converse et. Al. 1990) "Wisconsin Mound Soil Absorption System: Siting, Design & `Construction" Converse, J.C., and E.J. Tyler. Publication 15.22 ____ "Design of Pressure Distribution Networks for Septic Tank- Soil Absorption Systems" Publication 9.6 "Design of Conventional Soil Absorption Trenches and Beds." R.J. Otis. ASAE Publications 5-77 and "Design Manual-Onsite Wastewater Treatment and Disposal Systems." EPA 625/1-80-012, October 1980 x SBD-10573-P (R.6/99) Pressure Distribution Component Manual _ SBD-10567-P (R.6/99) Conventional Soil Absorption Component Manual _ SBD-10570-P (R.6/99) At-grade Component Manual x SBD-10691-P (N.O1/O1) Mound Component Manual _ SBD-10571-P (R.6/99) Holding Tank Component Manual _ SBD-10628-P (R.6/99) Recirculating Sand Filter Component Manual _ SBD-10595-P (R.6/99) Single Pass Sand Filter Component Manual _ SBD-10657-P (N.6/99) Drip-Line Effluent Dispersal Component Manual SBD-10656-P (N.6/99) Split Bed Recirculation Sand Filter System f'mm~nnent Manual POWTS Installer Local Governmental Authority Name Bauer Plumbin Name ,5' 0 ~ Phone (715) 672-8224 Phone ..- ~ Cj _t _. _ _.. ___. _... _ SON REPORT p~D Pago ~ at ~ YYfsoonsin Department at Commerce SOIL EVALUAT Ofvislan of Safety and Bufldtngs Nis Adm ~ Ina t>t~.-,.~..~..____ Attach complete sile plan on paper not Yeas than B 1!2 x 1 ~~ It~alYtil.must Include, but not 6rnlted to: venicsl and horizontal erence point (BM), dlredlon end percent slope, scale or dimensions, north arrow, a location and distance to nearest Please print afl !nf rmaH~W l- ®~ 2.~~3 PanonallMormsUOnycu provlds mry bs uead for pC0 ary Pur4we!,(?f~"«y ~8M'• ~ ib.01 (1) Y~.S u.F.T . ~,~. ,~~r ~P~pertyt • ~'ti ST. Lf~ ~ X Perce! I.D. ~~ ~~~~' d Date PropertyOvmer . ~ ,, f.0 E12 `__ -, 51J 1J4 /~1b~ t/4 S ~o T Z~ N R ~~ W Lot M Block # Sutxi. Name or CSfiA# ~ ~- rl~~ Property C?wner s Ma!ltng Address l 5~9 a~o-~ ~o ~~ ~ -' (PEapl~6 C State p Phone u ^ City ^ ~Ilage Town Nearest Road C•AD~ 2'jp~ ST Wow ~uE r >~ z~s ~4~-zb~ New Construction Use: r'~ Residentlat / Number of bedrooms __ 7 Code derived design flow rate _._.___._ ~~-•.---------- GPD ^ Replacement ^ Publ~ or conxnerGal • Oescrtbe: ----'-'- ~"- Parent matenet ` r) LC. ~ Flood Hain elevation ii applicai:+e ` N • ~ General wmmenfs !~ ~~ ~- endrecommendatbns: MOuu1i7 Sy-'+TI+M 0~5 LOflDIA1tp ~?'E /,Q ~ ~p ~te.t_, U Boring Soil icst2on Rate Boring # (~ Ptt Ground suAece elev. _Qb. & 5 ft. Depth to limiting factor __ Z~ in. ° 1 j GPDlff Horizon Depth Dominant Color Redox Deacripfbn Texture Strudure Consistence Boundary Roofs ~ •E<f#2 in. Munseu 4u. Sz. Cont. Color . Gr. Sz Sh. ( 0-~ YK~2 l L S 3 -m 0.5 .`b Z y-iZ VK.,~/3 ~ It 2~-matol~ f CW Z~-m ~5 0•~ 3 IL-i~ 10`!iC 3~ -' Sit 2. t C'~,} y _n, .~ 4-g y q-z~ 5 zt{-3x tovt~~d~ y y ~'' Is O f; - 0.5 0 ., ~ ~ Moms D ~~ Boring # ~ Pis Ground suAeceelev. 43• SO ft. D ~ l I apih to limiting tador ~ 25 in• Sdt nation Rato on Depth Dantnant Color Redox Dnsaiptlon Texture oriz N Strudura Consistence Boundary Roofs •C~GPDRfE~2 in, MunseN Qu. Sz. Cant Cdor Gr. Sz. Sh. 5-10 3 .. L ~ ~ - O.S 0..$ s11 ZfabK fr CtnY Zd~ f O•s a•4 3 ~ 4 4-z5 vR,3~4 St ~ z ->~af r C~ 1~J{- O.5 -8 ~ ZS- 2 10`1K3ri CS~1i r ~" "` 0.3 0 S _ -_ nn ~_n _....r TCC c 'Ul rtnft_ Effluent #1 a BOD, CST Name (Please Print) . ,` / /tl 0 N l ~ S Address W99?5 b9fl+hAVE, > $Q ~ 220 mgll. and TSS >3U < 15(l Rig/L _•~ Signature WT S~~o~2 - - _ -- - - - CST Number ~iir ',~ t' II 1 } ~' ~t~T i ~ PropertyOwner_~TERHOF(..t);4-~iNfr ParcelJD#_~P_E~Dt13ro~___ __ Page ''~_ot Boring # ~ Boring ~ 27 pit Ground surface elev. _ Z. $~ H. Depth to limiting factor,., in. Soil icetton Rate Horizon Oepth Dominant Color Redox Description Texture Struthtre Consistence Boundary Roots GP Dftf ln. MunseA ou. Sz, Cont. Color Gr, Sz. Sh. 'Etf#t `EftYf2 i 0-~e 0 VrC~L <~ -~ Ct^ t^}.7 ti ->7'l b.s 3 (0-10 p-~ 3 R ~ ~- -- Ott z~=~tabK r >cr !.t cs -m zr~,R . S oS 0.~ o.6 '~ -S .20 y K ~ 5 t 1 -rrt abtC Mfr GS 0 . S O.d 5 Z b- 2:7 tC "~ 5 st 1 .L ab K mfr 0.3 0. Z 0.3 w Z'' (D Sly $~ rp 5I 11 .,.~ ~... Boring # ^ Boring ^ pit Ground surface elev. ____ ft. Depth to IimlHng factor . in. Soft ration Rate Horizon Depth Dominant Color Redox Desatptlon Texture Structure Consistence Boundary Roots GPD/tf In. Munsetl Qu. Sz. Cent, Color Gr. Sz, Sh. 'EfHN 'Ef1iY2 Boring # ^ Boring ~~ ^ Pit Ground surface elev. _,__,_ ft. Oepfh to limiting factor in. Soil A liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DItf in. Mussel{ Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#t 'ER#2 'Effluent #1 = BODr > 30 ~ 220 mplL and TSS >30 < 150 mgR ' Ertluent #2 = 80D~ < 30 mgJl and TSS ~ 30 mg/L '!'hc Department of Commtrce is an equal opportunity service provider and employer. If you need assistance to access scrviccs or need material in an alternate format, please contact the department at 608-266-3151 or 'TTY 608-264-8777. SBD•I330 (R,6e00) • • • -- ~~ QQ~ ''''; R N j t~ LL '~,.~. V R° .~ p1.0f PLAN &t' D83 ~, gt.4D' ~C ~[,.scTR~G Fe13C.'E UNE T APPK.OX, LACy1'itOtJ bF sOV~'rr4 P(lOP~..~'y c-tJJE ItF, t_(XA~~ ^"~~ f 7 X x gec.. G z ~ SIGNED G5f u.s. v r ~, ~~y ,~.e..~ ~`'f ~ p{+~I; 3 ~ 3 f.~Gi; n; / = d~ M- t or= sP+ err ~KduAJDSu2.f o .o ' ,~ CPlPE . ' E uua 5urt i, yo, -5011. DOtzING W/ d K}-10~ NO COMM 83 SE1f~AGK '{~0 PO~SEfl y ~}C~2~ 5 Cp~T~~ o~ ao d t G , ~a s~ s~ o 'bF n u r B+ d c ~,. ~o S ~-~ ~ of po ,,wT vts?~ ~~ 2 ~ rod ~. ~- ~ o ~, ~ Y ~. z2483Z DA1E: O b-zt- 03 5T. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~ ~, h L z ~Ci ~~h~ ~t ~t;~C,rboy\ Mailing Address ~ c~ ~1(~ (~r~.k s ~rec i 3~ ~ ~~,,~ '„, W l ~`1 Udo7 Property Address DL' ~~ (Verification required from Planning Department for new construction.) City/State G!>oal~l~ic.(,~_ l,[~' Parcel Identification Number p0~1- /d/a-- /,~'~D~ LEGAL DESCRIPTION ~ ~ *~ _ D 1 Property Location ~'l~ '/4 , ~ ~'/4 ,Sec. ~.o , T ~N R ~ 5 Town of ,,1-C~ v Subdivision ,Lot # ~. Certified Survey Map # ~/'~I"l7~¢~~ / ~' ,Volume ~ ~ ,Page # ~P ~ 0 _ Warranty Deed # '~ ~,~~~ ~ ,Volume«,~~ ,Page # Cr/ _. Spec house U yes ^ no Lot lines identifiable ^ yes C7 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Depart~ent within 30 days of the three year expiration date. `7l_S d 5- SIG ATURE OF APPLICANT DATE OWNER CERTIFICATION I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described ab ve, b virtue of a warranty deed recorded in Register of Deeds Office. ~l S/ QS SIG ATU OF APPLICANT DATE * * * * * * Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. JUN-27-2005 13:29 FROM:KNAPP 17156652018 TQ:17156724977 P:1f1 w ~,~~1.~ w C~ rr~a~ucuut~ ~~~.-• J.YVV~I ' A Product of Wlck Building Systems, Inc, p,o. 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SON ~ . }1:1:1: I:C 1:11 I,/tt17 /'"1:1:1:1:1'1: 1:1:1:1:1'.1:1 {T} 1.1,1'1'.1.1, 1 1 1 1 1 1'1'1 .1 1' 1 1 1.1: 1 111 111,' :1:1.1 1.1,1.1.1; .1.1;1 vJ•Q +f, 1:1:111 "`~ n II m a ~ ~ ar-.aN 0 e 1+ ~ ~ T 0 M O H ~ ~ 4 ~~"' W `~ s o ~ 0 ~/ v,.r/ ~~..r' f->~4 !~;~{ /W V ^/1 rFU ~ 1V~~~J n 1/~1I~ 1/ !{z~D 1 '~" V~ `~~~ U ~ ~~ ~' ~ u "a 5~ ~ ~ ~ ~~~ 1( ~--+ Y l7S? o. JUN-27-2@@5 MON @2:42PM ID: PRIaE:1 Parcel #: 004-1012-95-400 o7io7/2o05 10:10 AM PAGE 1 OF 1 Alt. Parcel #: 6.28.15.87D 004 -TOWN OF CADY Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner * PETERSON, LANCE P & DONNA E LANCE P & DONNA E PETERSON 1290 OAK ST BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 553 270TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 5.010 Plat: 1798-CSM 17-4618 004/03 SEC 6 T28N R15W PT SW NW CSM 17-4618 LOT Block/Condo Bldg: LOT 04 4 (5.010AC) Tract(s): (Sec-Twn-Rng 40 1 /4 160 1 /4) 06-28N-15W SW NW Notes: Parcel History: Date Doc # Vol/Page Type 04/18/2005 792537 2785/348 WD 01 /08/2004 751025 2487/624 W D 09/23/2003 741092 17/4618 CSM 07/23/1997 1023/546 TI 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations' Last Changed: 05/24/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 5.010 500 0 500 NO Totals for 2005: General Property 5.010 500 0 500 Woodland 0.000 0 0 Totals for 2004: General Property 5.010 500 0 500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~ 2785P 3y8 State Bar of Wisconsin Form 1 - 2003 WARRANTY DEED Document Number Document Name THIS DEED, made between Kurt Christensen and Elizabeth Christensen; husband and wife ("Grantor," whether one or more), and Lance P. Peterson and Donna E. Peterson, husband _ and wife as survivorshi marital property ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 4 of Certified Survey Map recorded in Volume 17 on page 4618 as Document No. 741092 being a part of the Southwest Quarter of the Northwest Quarter (SW'~i of NW'rt), Section 6, Township 28 North, Range 15 West, Town of Cady ***Grantor to retain 66' access easement along northerly edge of lot for ingress egress purposes and future roadway easement. Grantee is aware that a future public road may be installed and dedicated to the public (town or county) and agrees to Recording Area 792537 KATHLEE?1 H. MALSH REGISTER OF DEEDS sT. cROIx co. , NI RECEIVED FOR RECORD 04/18/2005 01:25PM MARRANTY DEED EXQPT ~ REC FEE: 11.00 TRAtiS FEE: 140.70 COPY FEE: CC FEE: PAGES: 1 Name and Retum Address Title One Premier Group 706 19th Street South Hudson, Wisconsin 54016 004-1012-95-400 cooperate in any such efforts including the signing pazcel Identification Number (PIN) of any necessary documents without future consideration. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Roadways, Easements, and Restrictions of Record. D ril 1 005 (SEAL) *Kurt Christensen * AUTHENTICATION Signature(s) authenticated on * (SEAL) STATE OF WISCONSIN TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis- Stat. § 706.06} ~~~ p, FAO THIS INSTRUMENT DRAFTED BY: 2~. Gs+p W NOTARY 2 (SEAL) (SEAL) ss. St. Croix COUNTY) Personally came before me on April, 13, 2005 the above-named Kurt Christensen and Elizab_e_~h Christensen __ to me known to be the person(s) who executed the foregoing instrument and acknowledged the same- Michael H. Eorecki Attorne otary Public, State of Wisconsin Eau Claire Wisconsin '-' - * y Commission (is permanent) (expires: 03/23/2008 ) (Signatures w-e u r wledged. Both are not necessary.) NOTE: THIS IS A STANDARD FOR ODIF TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED lSS ISCONSIN FORM No. 1-2003 '"Type name below signatures. Attorney Michael N Forecki 3452 Oakwood Hitls Pkwy Ste I, Eau Claire W t 54701-7928 Phony. (715) 835.3029 Faa: (715) 875-4112 T6995W2.ZFX Title One Premier Group Produced with 25pFtxm^~ by RE FonnsNet LLC 18025 FiBeen Mile Road, Clinton Township, Michigan 48035, (900) 393.980.5 www.ziptorm.cam i~ 8 y~3s ACKNOWLEDGMENT ~~ Q~~~ ~~ 74 1 X92 VOL 77 PAGE 4678 KATRLEEI~ H. MxLSH'--' REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR RECORD 09/23/2003 04s00PlI CERTIFIED SURVEY MAP liQG aV" VV COPY FEE: 3.00 CERTIFIED SURVEY MAC' 2 LOCATED IN PART OF THE SOUTHWEST 1/4 OF THE NORTHWEST 1/4 OF SECTION 6. TOWNSHIP 28 NORTH, RANGE 15 WEST OF THE 4TH PRINCIPLE MERIDIAN, TOWN OF CADY, ST. CROIX COUNTY, WISCONSIN. 3~ ~I glo ~Ir1 I/ y I~ ~I I ~I I I -~ I ~I~ ~I ~ 11 ~I ti I I I I ~1 ZIP =1~ rI `~ I . Z1i ~Ii ~I I 11 I I I I IFOUND 3/4" REROD 11NP.1-AT$L'1ANU5 NW 1 4 CDR. NORTH LINE OF THE SW 1/4 OF THE NW t/4 I SEC. 6, T28N, R15W w nnnr~~lta>~46'52" W 1251.93' ~ ~ ~ ~ Fya'nl,• +.-:,~;; and P••ks r,0mmitlee ~( J ' - - - - . ' ig SEP 2 3 2003 I I I I It It1~1 ~~a:~ www130 Qays or t+~eowM dah approval ahaN bef. _ ~ LOT 1 I ,~.,~~~ ~ I 1 ~ I I INCLUDING ROW , ~~ ~ 807332 S.F. , 18.53 Ac. I C EXCLUDING ROW ~ ~ I ~ \ 786013 S.F. r 18.04 Ac. ~ I 100' 1 I~ 3 \ ' ~ I 1 I I 1~ l' b. MO ~~~ I i '~ I 1 I N I I "/ 133.00' ~------- -------------------- .. 66.00'1 N 89'42'54" E 1250.43' ___ '' j b.00~ N 89'42'54" E ' 1217.43' I 33.00' ~ 626.63' is I ~------------------------------ LOT 3 ItO I INCLUDING ROW 188500 S.F. e N i 4.33 Ac. ''1 N ~ I EXCLUDING ROW ~ N I 1 179063 S.F. °D N ~ X33.00' ~ 4.1t Ac. ip 1% i N 89'38'56" E 660.53' ~ W ~1 1 LOT 4 ~ i ! INC OW + 1 1 ~b I c I 218144 S.F. 5.01 Ac. n I +~ i EXCLUDING ROW n~'~ i~ 207253 S.F. , 4, 76 AC. ~ e -661.56'- ' ~ ' j~33. 0 623.56 ~ i ~ 1 ~' FOUND 1" IRON PIPE WEST 1/4 CDR. ~ I SEC. 6, T28N, R15W O i~ r ROGER LYNN NUccMPNeeReeEY JZ~ W wpoowuE L qA,w - -.I~G ~aa~~'i\~~~1 sa 0 0 LOT 2 INCLUDING ROW 444653 S.F. 10.21 Ac. EXCLUDING ROW 440296 S.F. 10.11 Ac. ~~~ v so Z I •--- N ~i n ~ Z W ' N I . ~ o i J fA W SET FROM COUNTY TIES EAST 1/4 CDR. SECTION 6, T28N, RiSW 587.29' jN 89'38'56" E N 89'•3$'50 f :215.85 ~ 3962.97 EAST - W.rST 1/4 _IN(; IMF SECTION 6 I yt~pl.Aj1~1,ANQS i ~ laNP1.9I~D.J<f,ND~ I D~EQ eY 43-i~R~ "- -- 1248.85' ~~ ' ~ - - N SS'33'S6" E 5211.8? - VOTE: BEARINGS P.RE REFERENCED TO THE WEST UNE OF THE NW 1/4 OF SECTION 6, i,SSUMED TO BEARS 00'33'50" W. SU::VEY CONDUCTED AT THE REQUEST OF: KURT do ELIZABETH CHRISTENSEN 877 BENDY DRIVE HUDSON, WI 54016 SCALE: 1' 20J' ~~ 0 50 Sao 200 OWNER: LEGEND: LOR:2AIiJE ACHTERHOF ^ SET 3 4" BY 18" IRON PIN WT. 1.50 LBS./FT. 509 27QTH STREET WOOJ~i~'_E, WI 54028 ~ COUNTY SECTION MONUMENT ---- 100' BUILDING SETBACK LINE R ON ® JOINT DRIVEWAY EASEMENT THIS INSTRUMENT pRAFTED BY BRIAN PERSON SHEET 1 OF 2 HUMPHREY ENGINEERING Vo1.77 Page 4678