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Home My WebLink About022-1007-40-000 ~ boo 0o a•3°io °o a ry O 64 tl c N ~ .a ayi > .2: 2 O L 3 O d L a O U~ a(n a u O_ ~U m a) , € x ~V M' N ar(D o E Yo o'D I d 92- Lo cam 2 y o ate) cr X o cr Xo ° ^00 m yo a) E E°cm a)O NE 222 0 y w o C o O p o y J p C A Nopa N•= N_0oa Y~ N04 .0 = ma 'o 0 (D cc o 'p o-c a) r y 0)O j o c w j c a 0ai 0 0 a) O)C2 a 2 cc, a) L L 4a) = cu - o F L L t~ co am- 0. g CC", 3: om -M CML o N j O €u) r cCD Ch 0.2-5 N Oui c0) L N o Cc N a) y c°o ° m~ c z p) y c°o o 3: E c -t A? V ° T 0. m 0 04 Cc m .2 C4 (D L. C 0)'5 c L M O a) = U j U C L fM a) O N Z CO w p• a) p. 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Albert, Secretary February 25, 2002 " 1L729 CUST ID No.267341 ATTN: POWTS Inspector f ARTHUR L WEGERER ZONING OFFICE + ~i cFX)tX WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA 00A(ry PO BOX 74 1101 CARMICHAEL RD 210N#0*G(E RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 02/25/2004 Transaction Fn No. 709651 Site ID No. 641415 SITE: Please refer to both identification numbers, Ervin Symanietz Residence above, in all correspondence with the agency. 1307 County Hwy N /-o T Town of Kinnickinnic St Croix County SETA, NW1/4, S3, T28N, R18W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 830436 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. 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 enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.01/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01/01). • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • Per manual sited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • Comm 83.52 Responsibilities. 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). In addition, 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. • 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. ARTHUR L WEGERER Page 2 2/25/02 • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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. Stat 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us y r 6TC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER U't/ l q 6,r CL ! L1 I e ~2 ADDRESS_ /0 ,ret)Vn el v SUBDIVISION / CSM#_ Ogg LOT SECTION T 6*7U" N-R__"Town ofT( ST. CROIX COUNTY, WISCONSIN PLAN. VIEW SHOW EVQERYTHIN~.WITHIN 100 FE)3T OF SYSTEM )vo,~ tQp 2o' INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. `pENCHMARR: r . Q e7A 6 ALTERNATE BM: i PTIC TANK / PUMP,/CHAMB / HOLDING TANK INFORMATION Manufacturer: ~LvV3< IP l~s 7~ Liquid capacity: ~daO Setback from: Well OD House ~D Other Pump: Manufacturer_ :Model# Size , Float seperation Gallons/cycle : ~r Alarm Location 0 b N ~ SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop, line: Setback from: well House ~/Zd ! Other ELEVATIONS Building Sewer ST Inlet: ST outlet: PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLAT O : f~ PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Commerce June 9, 1997 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S97-40552 FEE RECEIVED: 180.00 SYMANIETZ, ERVIN SE,SE,3,28,18W TOWN OF KINNICKINNIC COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters Comm 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter Comm 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. ~O Sincere , ~1b 19 !I go~ a 199? erard M. S im Plan Reviewer ` ( CRCaX cri p gGe » Section of Private Sewage ` (608) 785-9348 SBD-7997 (8.11/96) Page of 6 MOUND SYSTEM RECEIVED FOR MAY 2 2 1991 A 3 BEDROOM RESIDENCE SAFETY & BLDGS. DIV. LOCATED IN THE S F 1/4 OF THE S E 1/4 OF SECTION 3 , T28 N, R la W , TOWN OF 1~C LN►y 1C~cl ~N ~C , ST, c4lc X COUNTY, WISCONSIN. INDEX PAGE 1"of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN -PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR L~.utN t~D cR'R1=1~ S ywi I~ t~z s~tuZZ- PREPARED BY WECCEEZER SO I L_ . TEST I NG 0 ~ .gCO N atvD S/ 41 DES ? GN SERVICE s~ SYSTEM • ARTHUR L U. L pR6VATE SAGE vF.O. BUX 74 421 K. KAIK ST. _SER i®~ J RIVER FALLS. WI 54022 = ELLSWOftTM, condit Tis-~Ls-Dias r l KV UV ~~as %SIGS 0@!T. OP NtDUSTRY. Y #AD ®tgtlG'° R$ - Z 1 ~r1 Dw t0N S FiES,CE SEE C JOB NO. PLOT PIM (o - Page Z -of L10 ' Scale 1"= 2 ZM „ FoucE- N 3T MwPE~'TY Uhl(` 0 3 /is~ two 1vOT CAr1.pt~t1" OR 3~ ~lStvQ~ 1~S A'it.6R • \ G \ ea ~DcF 6h'R I ~A , otG 4 P\) 0C. e .1 • Zc r- w QoT'TOti`1 OF ~pcp~-x1ro T.L• `19.0 > So' MUM MM" ~ ~ 25~~ ti'Pr►~S NOTES: •1. Elevations shown are existing ground elevations unless otherwise noted. 2..Install permanent markers at end of each lateral: required) 3. Install .4" observation pipes with approved caps. ( -L required) 4. - Septic tank to be loco I&SO gallon, capacity manufactured by w1 ~ D w~T~•RN c~R~eA-sr ~ ~ ~ c • 5. Bench Mark - ~1. 1A0 0' on, ~oP of Svr~.u~y Sly Pn-T• %h - LTL. 98.41 av `ropor 2" "bm- pUC PLpt. 6. Divert surface water around system to. prevent-.ponding at the uphill side. Page O f 6 Approved Synthetic Covering Prs,-M G 33 Distribution Pipe Medium Sand H G i Topsoil F Elev. , 3 E b 10 % Slope Bed Of 2- 21* Force Main Plowed Aggregate From Pump Layer D ~•O Ft. E `•B Ft. Cross Section Of A Mound System Using A Bed For The Absorption Area F 0A Ft. G \,O Ft. A 8 Ft. H k•S Ft. Linear Loading Rate=9•6 GPD/LN FT B L41 Ft. Design Loading Rate= o•y.GPD/SQ FT j ) 1c Ft. J -7 Ft. K I-) Ft. • n L 69 Ft. W 3 ~ Ft. Feree Mai,- L Observation Pipe 8 K W Force ain oppose E Distribution Bed Of 2~- 2 Pipe Aggregate Observation Pipe Permanent Markers (Anchbr securely) Plan View Of Mound Using A Bed For The Absorption Area 4 Page Ll Of Perforated Pipe Detail 0 / End View )Perforated End Cap. ~e 0 PVC Pipe Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main Q PVC Manifold Pipe Distn ution Pipe I Last Hole Should Be Next To End Cap `i End Cap /J P Z Z Ft. Distribution Pipe Layout S Y_ Ft. X V 2) Inches Y 418 Inches Hole Diameter Inch Lateral 31 Inch(es) Manifold 2 Inches Force Main Z Inches # of holes/pipe b Invert Elevation of Laterals 9q.5 Ft. ZY_ lb Place 1st hole Zq from center of manifold with succeeding holes at q$` intervals. Last hole to be next to the end cap. Combination Sep.I;Ac; Tank and j . PLfMP CHAMBER CROSS SECTION ARID SPECIFICATIOMS PAGE 5 OF 7 WEATHER PROOF -NEWT CAP JUMCTION 90X ; 4'C.I. VENT PIPE APPROVED LOCKING lO f R0- DOOR. MANHOLE COVER P%Xld .rI1JDOW OR FRESH wARt.11LlG L.agEL. A1K IMTAKE S aWiNjir `I" MIIJ. I~R/s i i ~ IB'MIIJ. L-_ PROVIDE I INLET AIRTIGHT SEAL 1 r.1_ a APPROVED JOINT A I I APPROVED JOINTS W/C.-.. PIPE cR Tank construction I 111 W/C.I. PIPE4PVC I 11 ALARM shall comply with •1 I ILHR ('33.15 and 83.20 d 1 II i I ON C I I I LLEV. $0-1S FT. PUMP y OFF 0 CONCRETE 1?1 , Bp•Oc~~ BLOCK 3" APPRwii RISEN EXIT PERMIITU ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL E SPECIFICATIOAIS SEPTIC DOSE TAIJK MANUFACTURER' *u 3WQSTOW Nzi-C." T NUMBER OF DOSES: 3' S PER DAU . , TANK SIZE : Wb 1650 GAL.LONS DOSE VOLUME r ALARM MANUFACTURER: S•-'. E'tFT )24 S't -S INCLUDING BACKFLOW: 1S3 GALLONS MODEL NUMBER-. 101 ~w{~ CAPACITIES: A= )6 WCHES OR 3o6 GALLONS SWITCH TYPE: B= Z INCHECOR a=1.- G( LLOWS PUMP MAMUFACT UREIt: GOU "-bS C- 9 IIJLHES OR ) S 3 GALLONS 3$-11 - Epps MODEL NUMBER: D- INCHES OR N 5"12 GALLOWS SWITCH TYPE' NOTE: PUMP AND ALARM ARE TO DEq 6 MINIMUM DISCKARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEILENCE BETWEEN PUMP OFF AUD-DISTRIBUTION PIPE.. va.-I5 FEET + MINIMUM NETWORK SUPPLY PRESSURE 2.50 FEET ♦ 1 SO FEET OF FORCE MAIM X !*b' F, Y100 fLFRICTIOU FACTOR. ' - FEET TOTAL DyWAMIC HEAD = Z3- 67 -FEET Pump chamber DIAMETER 38" INTERNAL. DIMEWSIGUf OF TANK: LENGTH ;WIDTH _-.;LIQUID DEPTH BOTTOM AREA - 231= GAL/INCH AS PER MANUFACTURER = GAL/INCH Goulds o 6 Submersible Effluent Pump 3871 EP04 i EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for automatic and tic cover with integral handle • Farms Motor: and float switch attachment • EP04 Single phase: 0.4 HP, manual operation. Automatic • Heavy duty sump models include Mechanical points. • Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with automatic reset. preset at the factory. rated oil and water resistant. Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EP04 built in overload with construction. ■ EP04 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi-open design AGENCY LISTING 3 /4°maximum. • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO • Total heads: up to 24 feet. with three prong grounding mechanical seal protection. GO' Canadian standards Assodation • Discharge size: l'/i NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length,16/3 SJTW with plastic enclosed design for end in "F" or "AC".) rotary/ceramic-stationary, three prong grounding plug improved performance. BUNA-N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104°F (400C) continuous superior strength and ' 140°F (600C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10- ,9 Capable of running I s'~ dry without damage to s 30 {E components. Pump: EP05 a - - • Solids handling capability: c 25 ' maximum. a 7 23.6 w • Capacities: up to 60 GPM. 6- 20 • Total heads: up to 31 feet. • Discharge size: 11h' NPT. z s • Mechanical seal: carbon- 0 15 rotary/ceramic-stationary, _j a ze.o BUNA-N elastomers. o • Temperature: 3 10 104°F (400C) continuous 140OF (600C) intermittent. 2 5 1 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m-/h CAPACITY ®1995 Goulds Pumps. Inc. Effective may, 1995 j P%Q71 7 ; Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau Building Water Systems n ■ ~ 201 E. Wa ashington Ave. ~ In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. State Sanitary Permit Num er • See reverse side for instructions for completing this application A87 #35*** The information you provide may be used by other government agency programs ❑ Check it revision to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan_I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property L ation T r r R Prop y Owner Nam s ,1 /4 t/4, 5 3 N E (or W Propert Ow er's Mai g Address Lot Numb r Block Number me or CSM Numb ` SubdivisSi Std 2 i~~~ 2 2 Phone - Number II. TYPE F BUILDING: (check one) E] State Owned ❑ City village t ` Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms Town O / C / _5 Ba III BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 10'- l ` 622 C f~- 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 E] Outdoor Recreational Facility Merchandise: Sales/ Repairs 11 ❑ Restaurant/ 3 ❑ Campground 7 ❑ Bar/Dining 4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) of an A) 1. New 2. ❑ Replacement 3. E] Replacement of 4. E] Ex so nn Stsotemf 5. E] ExistiRepairng System - - - Sy - stem System Tank Only------------------- g-y-__-____ B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 E] Seepage Bed 21 JZ Mound 30 E] Specify Type 41 ❑ Holding Tank 12 E] Seepage Trench 22 E] In-Ground Pressure 42 El Pit Privy 43 ❑ Vault Privy 13 E] Seepage Pit 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. E. Fin evati l Grade ~D Re ir~e~d (sq. ft.) Pro o ed (sq. ft.) (Gals/day/ q. ft.) (Mi .inch) 3 Feet jD l Q Feet VII. TANK Capacity Site Fiber- Plastic Exper. Prefab. in gallons Total # of Manufacturer's Name Concrete Con- Steel glass App INFORMATION New Existing Gallons Tanks strutted Tanks Tanks Septic Tank or Holding Tank D'DD I,J'PS ~eQ03 ® ❑ El ❑ ED Lift Pump Tank /Siphon Chamber 43 Rd 1:1 n ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage m shown on the attached plans. lu ber's Name: (Pri t) Plu s Signature: N t mps) tMRffAPRJWAd- Business Phone Number: 0 31a s'-~99s~' ova a Plumber's Address (Street, City, St e Co)~ L//) IX. COUNTY / DEPARTMENT USE ONLY ~J Disa roved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Agent Signature (No Stamps) E] pp Surcharge Fee) XApproved F1 Owner Given Initial Adverse Determination pv 1216C4 1i AL'a-"( X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Divi.ion, Owner, Plumber INSTRUCTIONS, 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved bythe permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the S :ate of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county,- E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. "Wisconsin' Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 'Labor and Hurnpn Relations - Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL f-~ dimensioned, north arrow, and location and distance to nearest road. 022-1n07 _ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION RE BY ATE PROPERTY OWNER: (g~ c f PROPERTY LOCATION Ervin & Carla S anie GO . OT SE 1/4 SE 1/4,S 3 T 28 N,R 113 F(or) W PROPERTY OWNER':S MAILING ADDRESS OT # BLOCK # SUBD. NAME OR CSM # 409 N Freemont CITY, STATE ZIP CODE PHONE NUMBER ❑VILLAGE MOWN NEAREST ROAD River Falls, WI. (71~ 425-7599 Kinnickinnic Co. Rd. "N'r [x] New Construction Use is ] Residential / Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd/ft2 - 5 trench, gpd/ft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 99.00 ft (as referred to site plan benchmark) Additional design / site considerations system el based on on o it 1 i nP r) P1 AR nn r Parent material limestone uplands Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ®U Cl S ❑ U ❑ S O U ❑ S ®U ❑ S ® U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ..1... > 1 0-8 10 r3 2 none 1 2rnsbk mfr 2 8-30 10 r5/4 none sil 2csbk'_ mfr if .4 .5 Ground 3 30-48 10 r5 4 2 7.5 r5 6 sicl lcsbk elev. 99.00 ft. Depth to limiting factor 30" Remarks: Boring # 1 0-11 10 r3/2 none sl 2csbk mfr 2f .5 .6 2 2 11-30 10 r4 4 none sl lcsbk mfr if .4 .5 Ground 3 30-60 10 r5 4 c2 7.5 r5 6 sicl 2msb mfr na .4 1.5 elev. 99.0Qt. - `1 Depth to limiting r ] factor `i 301, 101D MAY 11197 a~ S a 1 Remarks: COUNT CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th e. New mo WI 54017 Signature: Date: 5-10-97 CST Number:m PROPERTY OWNER Ervin & Carla SymanietkOIL DESCRIPTION REPORT Page 2 of 3►, ` r PARCEL I.D.# 022-1007-40 Depth Dominant Color Mottles Texture Structure Consistence Boundaq Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-8 10 r3 2 none 1 2msbk mfr 9w 2f- .5 .6 3 2 8-31 1 Ground 3 31-50 10 r5 4 2 7.5 r5 6 s' elev. 95.00 ft. Depth to limiting factor 31" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Ervin Symanietz New Richmond, WI 54017 MPRSW 3254 SE SE4 S3-T28N-R18w (715) 246-6200 town of Kinnickinnic lot #3-csm N 1"=40' BM.= top of mid lit survey stake @ el. 100, Alt. BM.= top of 2" pvc pipe C el. 98.40, 77 rat 3 c 171 X89 o ~o 2 Y 1-k ~f C° Gary L. Steel 5-10-97 ti . STC- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER El`' V f ~'1 J M Cf--Yl t f S.j MAILING ADDRESS S;Veet PROPERTY ADDRESS V/,-' 50 r Cal- /(location of septic system lease obtain from the Planning Dept. lr''7~S ~,rJ i< CITY/STATE PROPERTY LOCATION 1/4, r _ 1/4, Section T ~42,5:- N-R_2.,J- W TOWN OF n 1e- i n n I ST. CROIX COUNTY, WI SUBDIVISION b ~t~ f LOT NUMBER` CERTIFIED SURVEY MAP - VOLUME PAGE-LOT NUMBER 3 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement.of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted Hits-program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year ration date. SIGNED: DATE: :?Z-J AI 7 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property Location of property-,r 1/4~ 1/4, Section & T,2,~:- N-R•1~_W Township - , " ; c v► Mailing address -1/0i tv VnIOA i cP Address of site 0/20 7 C ryn ti _ e r~ s Subdivision name of l Lot no. Other homes on property? Yes No Previous owner of property all 14" Iy_-f ;Z Total size of property D 4 YES Total size of parcel Date parcel was created ~'v vxe / y Are all corners and lot lines identifiable? _~L-Yes No Is this property being developed for (spec house) ? LYes No Volume 7V- and Page Number,--C3 ~ as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING. A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. OJLA, Signatu a of Appl cant Co-Applicap;~I-j Date of Signature Date of Signature s c VOL 12.50 PACE 467 562168 I STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DL•rD DOCUMENT NO. REGISTER'S QF~t:1 ;E Mi cha 1 NP-1-7- a/kLa Mfk~ Netz_and,_ ST. CROIX CTY., WI Sandra .M. Netz, a/k/a,_. Sandra N tw,twMyu~.i Q U L `9 1997 conveys and warrants to Ervin Symani t and C rl a m Symanietz, husband and wi e. „~Ka", A 1,).44 Register of Deeds THIS SPACE RESERVED FOR RECORDING DATA NAME APO RETUR ODRESS the following described real estate in - St. Croix _ County, Fd~ ~lrG~ State of Wisconsin: o 0 _ - PARCEL IDENTIFICATION NUMBER Lot Four (4) of Certified Survey Map ated June 29, 1996, recorded June 16, 1997, in Vol. 12, page 3282, as Document No. 561506, being located in the SE1/4 of the SE1/4 of S3ction 3, T28N, R18W, Town of Kinnickinnic, St. Croix County, Wisconsin. (Being a subdivision of Lot 1 of the Certified Survey Map, Vol. 10, page 2933). TRA NSFER 00 This.. is not homestead property. . XXV (is not) Exceptiontowarranties: Easements, restrictions and rights-of-way of record, if any. Dated this / day or _ July , A.D., 19_27. (SEAL) (SEAL) Michael S. Ne Sandra M. Netz (SEAL) (SEAL) t Y AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. St. Croix County . 1 FROM RICHARD CONSTRUCTION, INC. PHONE NO. : 715 4251089 Dec. 13 2001 08:44RM P1 RICHARD CONSTRUCTION, INC. LESTER P. RICHARD N9889 1031"' STREET RIVER FALLS, WI 54022 FACSIMILE TRANSMITTAL SHEET TO: FROM: Lester P & Debby K Richard C P Y. 41 DATA: 2001 PAX NUMBER: TOTAL NO. OP PAGES INCLUDING COVER: (715) 425-1089 PHONE NUMBER: (715) 425-9732 NOTZ5/COMM5NT5: t/` r c M co m o0 O m ~ r x lip C0102 C m . m co v, n N a) O O r Z7 a n O ' r m rn n 7J 'D Z O O m C ' jp Z D o . O En Q z < 71 C Z G~ Cn n O rn o Z o O m 5 z Feel C m _ - fi -I rn m0~ ~cr 3e fri O e r ~j lot O _ 4 O ^ all= < K E G ul -n 4 O s~ zA r-3 a 3 < rv^ in 111 ' " $oN ~ M Z 01 ~ pH PI. or ~ 03 M ~ 7t- i a^ A D ~ 00 SAO- CA C.0 e e QA'd Ed wust7:80 T00z ET 'OaQ 680TSZb STZ SON BNOHd 7 'ONI NOIiondlSN00 GHUH0I6 W06J • r' ' .O O O -O_ in ~ A C7 O cy,.,;s CL 3 i t.. fill 1~ ~.C•5~ Q % .t . to c-~ ED "r 0 r~, C.a f9 a i r - .rya +o.i~ C A N ~ W ies _i cn O O O ` O W-A Its, IN j r Ed wuvv :80 T00Z £T 'OaQ 680TSZb STZ 'ON BNOHd 'ONI `NOIondiSN00 aadHOIa WOad I 101 CwnldaM Road. Hudson, wl Ike (715) 3864690 st. • County (715) 3864696 - fax Zoning office FcAix To: ~L r~ y From: h u~}r Fa )a Pages: iY~ !h~' l L _ i Phone: Date: Re: CC: ❑ Urgent 0 For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle Comments: 1 TJJ 21 t Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD (608) 264 8777 V scons~n www.commerce.state.wi.us/sb www.vAsconsin.gov Department of Commerce Scott McCallum, Governor`' Philip Edw. Albert, Secret8r~ EIVEO February 25, 2002 CUST ID No.267341 AM. POWTS Inspector ARTHUR L WEGERER ZONING OFFICEt WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 - CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/25/2004 Identification Numbers Transaction ID No. 709651 SITE: Site ID No. 641415 Ervin Symanietz Residence Please refer to both identification numbers, 1307 Co / above, in all correspondence with the agency. Town of Kinnickinnic qs rn~J St Croix County "T 3 4 CS M (a/~ Z 7~ SETA, NW1/4, S3, T28N, R18W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 830436 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. 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 enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.01/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01/01). • 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. In addition, the wner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system us a given to the owner and each subsequent owner upon completion of the project. • Per manual sited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. O~ • Comm 83.52 Responsibilities. 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). In addition, 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. E • 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. ARTHUR L WEGERER Page 2 2/25/02 • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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. Stat 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. 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, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , integrated Services WiSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us TITLE SHEET Page 1 of MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD-10691-P and the Pressure Distribution Manual SBD-10706-P (N.01101) (N.01101) LOCATED IN THE S E 1/4 OF THE SC 1/4 OF SECTION 3 T Z8 N,R 18 W TOWN OF ~C1!`fIVtC bc_lh j IUtC` ST-. CV-10 V COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIES]-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVED E v_IN S lP NAE~TZ FEB 2 2 ZOOZ 1- 0-7 -C.our,1)- j N " - - $ -rs , w s o Z.3 SAFETY & BLDGS DIV. PREPARED BY L;IECEF:;z EFZ SO I L . TEST I NG AND. - DES = Gfii S~RV = CE P.O. Box 74 421 N.Main St. River Falls. WI 54022 Phone 715-425-0165 'r c. j~~ Fax 715-425-6°6 r`q° ART!-•1'>. i. ~ YJE;ri `:F>a # ELLe+"^JGRTti. YA W C©nc f......G IN • ~ Of. APPS s~ cotes. . JOB NO. C7 Z- O Mound System Management Plan Page Z of -1. Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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, Safety and Buildings Division. 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 for frost protection. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG. 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual rgolz 4 G972 P (R. 6" arid local or state rules pertaining to system maintenance and maintenance reporting. ~D-'105otI _P 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 Comm 83.33, 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. Contin4ency 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 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 adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning-Office at l S - 3~1j q 6 8.O S1' C2U1X The system installer at l S _ L~ZS _ of 59 W t~CkJG The tank manufacturer at ~C)~_ 3ZS-~~Sb l.vL.LStrl2 The effluent filter manufacturer at 3-LgD S ih7 The pump manufacturer at ~31~- ~ZC)~$ - -pULO 3 PLOT PLAN Page of Scale r ~ 2 - ao Ivor CM-L, Ihe•T oR I > 1svwG Cro Ba\~ t Pries !Au P IACF~ , a•~ ~ 3801 2 lam. l{uvsE Co~~v~~Z. ~1. ~a •o ' X s uGS ~s . orlvv~ C~~ ' cam., w Eti.L ~.S ~ LOC1°~7JN > SOS Pqt" POAjp ~ 2 S • ~ ~ `IPt7v~tS Nam: 1 1~?LIVG---f~'1V17-LLt>G_C,_~- flSAU- _ _ L ~tS POSE OF 1` &t2i-s? e~ C LR2Ct ( - NOTES: •1. Elevations shown are existing ground elevations unless otherwise noted. 2.-Install permanent markers at end of each lateral. required) 3. Install •4" observation pipes with approved caps. ( -L required) 4. -Septic tank to be \vim ASO gallon capacity manufactured by \ Ls ~Z"°~h) e~~ w1 S t r1-`IZsC` STF- LOco. Fi ~7L~GZ ~'yS'TI'~-l.C'~ / tJ . ~ISC~ f~~E L INE. • 5. Bench Mark eM - Boa o' on, 1~p- of svu~r S1tzE HLT• @M- L7,L. 98.4' one 1v~o~ 2"~t1t• pUC linm. 6. Divert surface water around system to. prevent-.ponding at the uphill side. Page Of 7 Aocrove2 S,r t etic covering _ ASTH C33 Distribution Pipe Medium Sand H ~6 Topsoil F E- Jell. °18. S 3 . - u b l p % Slope I Distribution Cell of Force Main \Plowed 2" to 2-2 " Aggregate From Pump Layer 0 o-S Ft. E \,4 Ft. CROSS SECTION OF A MOUND SYSTEM F 0.8 Ft. G o-S Ft. A Ft. F. N-o Ft. Linear Loading Rate="' •C GPD/LN FT B SO Ft. Design Loading Rate= b.3SGPD/SQ FT j -1 Ft. J S Ft. K cj Ft. A4terff,t PQ&*WOn I_ 66 Ft. of -Fe,L.:;-p-, W 31 Ft. . L I L 4--Observation Pipe - K A o4-- r 6 g_______ Force Main ~ w _ Z Wl- or Distribution Cell of h. x " to 2,z . Pipe aggregate Observation Pipe. (Mchbr sec=ely) aT.gv VTVTj 0 MOUN-D SYSTEIf . 02/25/2002 12:40 17154256864 WEGERER SOIL TESTING PAGE 02 Distribution Pipe Layout Page S of 7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each Lateral up with the use of long tum or 45° fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,:ihreaded cap or . threaded plug. Provide access from final grade for the valve, threaded cw or threaded plug. --~~C~ss aox__ .711!lCif L .1,1C 4.S., S .`[►~}t.7 pvc PvC C. Lataraf Manifold Lateral x x x x!2 xg x x x Lstaral Lanath - Lateral anatb - p istdbution 'n a - -o rrru~~ew Svc Y-oe~ >h rrsn~ ~q P Z W~~ Ft_ Hole Diameter ),16 Inch 5 Ft, Lateral " Inch(es) X_ Inches Manifold Z Inches Force Main Inches # of holes/pipe, Invert Elevation of.Laterals q 9.0 Ft. c~l.~d, ~I = 3. box 6 = Z.Z. L4l 6 PMT 02►/25/2002 12:40 17154256864 WEGERER SOIL TESTING PAGE 03 . Combination SeptAc; Tank and PIJ?MP CRAM ER CROSS SECT140Q AMD SPECIFICATIOUS PAGE OF •7 . i w[ATUER rFPOr •VEuT CAS .ruLICT1OU 601 N C- 1. VCEIT_PIPE APPROVED LOCKING 110- FROM OOQR. \I,I,A,tJWLE COVER MJr'% wIU00w09 FRCSH ? uJapo w PIPE AIR IUTAKE S FIR3LSOW K k. 8q I y ~ i PROVIDE ! - - IRILfT A,RTI&XT SEAL ' M• _A Approved Approved joint w/ joint w/ t 14A LARM PVC pipe PVC pipe u~ sic 9►1 p~W►P pt3C1#'A~6E L1I OU C 'I I CLCY O'1s FT pUhlP-•-` -_J ~ OFF D CoUGR£T£ . + DLOCK P~ti.oU KISER EXIT PERMIITCD OWLti IF TAWK MAIJUFACTURCR HAS SUCH APPROVAL 3~APPwra 8a<D~ I NfR SEPTIC f SPECIFICATIOUS DOSE TAI.IK MAUUFACTURCQ: 12J'Me11 ~ WMDER OF DOSES: PER DA-U TAWK SIZE: 10A)0 !6SO GALLOWS DOSE VOLUME r S . S . Sic T~M~ iNCLUDIUG 5ACILrL0W: 10.5 ;ALLOWS ALARM- /'V1IJUFACTURETL: MODEL LJUM8CR: CAPACITIES: A= R!lZIUCHCS OR 342 .G GALLOLIS 5wITCH TJPr: ~7GC~2~ B a IUCMES'OR GOLLOUS PLIMP MAMUFACTURM /~'1ULiiES OR , Ib' S "LL4175 MODEL WUKbCK'. INICHES OR CALLOUS SWITCH TUPE:. Y IJOrE: PUriP AtJO ALAR}'1 RC TO D MIUIMUM DISCKARGE •RArr- ZZ•'WGPM» INSTALLED bLJ 5EPARATE CIRCUITS VERTICAL. DIFFERENCE DETWEEW PUMP OFF AIJ0,131STR16UTI0►J PIPE.: FECT / t MIU MUM NETWORK SUPPL4 PRESSURE FLCT l -Ox 1. 3) + `S FEET OF FORCE MAIN X ~ - Z FY0 ►[FRIC;IOU FACYOR.. FEET TOTAL 0t1JAMIG HEAP = Z 6' LL~2LFEET As per manufacturer Vn-13 gal/in. Liquid depth ~8 ~I 02/25/2002 12:40 17154256864 WEGERER SOIL TESTING PAGE 04 Goulds :z Submersible Effluent Pump EP04 - 3$71 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Houaing: Cast iron Specifically, designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. - ■ Motor Corer: Thermoplas- • Homes components. Available for automatic and be cover with integral handle • Farms Motor. 'and float switch attachment manua(opelafian. Automatic • Heavy duty sump • EP04 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with rated oil and water resistant automatic reset preset at the factory. Ile Bearings: Upper and lower SPt_CIFICATIM • 115 EP05 V, Singl 60 Hz, e le phhase: 550 0.5 RPM, HP, FEATURES heavy duty ball bearing Pump: EP04 built in overload with construction. ■ EP04 Impeller. Thermo- , Solids handling capability- automatic reset. plastic Semi-open design AGENCY llSTltllfi Ve ma)dmum_ • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. • Total heads: up to 24 feet- with three prong grounding • Discharge size: I Ile NPT. plug. Optional 20 foot ■ EPOS Impeller. Thermo- • Mechanical seal: carbon- length, 1613 SJTW with plastic enclosed design for end In "F" listed or "ACmodel"numbers (CSA rotary/ceramio-stationmy, three prong grounding plug improved performance. end ) BUNA-N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104OF (4(rC) continuous superior strength and 140°F (600C) intermittent. corrosion resistance. • Fasteners. 300 series METERS FEET stainless steel o _ • Capable of running I , dry without damage to s 30 components. I I Pump:EP05 a 7.6-y 25 • Solids handling capability: c 3/: maximum. - i . T........_ • Capacities: up to 60 GPM. s 20 - Z-7- Total heads: up to 31 feet • Discharge size: 1IN NPT. - 5 • Mechanical seal: carbon- c is i rotary/ceramic-stationary. e , BUNA N elastomers. • Temperature: 111 3 10 i 104°F (400C) continuous 1400F pop intermittent. 2 - s 0 00 10 10 30 40 50 GPM .0 2 4 6 e 10 12 arum CAPACITY 0 1995 Goulds Pwr ps, inc. Mae" May. 190 d~ F AILE ~ $ JUN 2 6 D ti7 JUL 1 41997 ~ s suRU~~r°o~~E 561506 o ~ -CERTIFIED SURVEY MAP LOCATED IN THE SE 1/4 OF THE SE 1/4 OF SECTION 3, T28N, RIM TOWN OF KINNICKINNIC, ST.CROIX COUNTY, WI (BEING A SUBDIVISION OF LOT I OF THE CERTIFIED SURVEY MAP VOLUME 10, PAGE 2933). PREPARED FOR: MIKE NETZ NOTE: BEARINGS ARE REFERENCED = - TO THE EAST LINE OF THE SE 1i4. (RECORD BEARING). E E 114 CORNER OF SECTION 3. (COUNTY MONUMENT LOT 3 AREAS FOUND). 2.40 ACRES ( 104,453 SO. FT.) g 2.23 AC. EXC. RIM (97, 941 $0. FT.) ro C. T. H. ' No as w at m) UNPLATTED LANDS EAST LINE OF THE SE 114 r"I 33 33' NORTH LINE OF THE SE-SE N 86.43' 01"E 131.3. T9' 662. J~ 27. 77' •2861'S 7' 51 . 83 Q ro 650.8 N . 33' 00' E 'f `o ®,Y 130 :z 63.33' 7 OT 3: ; 6.53i,~A ~a~, .40 ACRES. 100 1~ 1 264 W gS83 E D 2 / : is y6"~3 S 44!58'21* E ,e 291.00? • 1 r 133.64' /yy is 2.51 N / ( Q ' ' EXISTING 66' WIDE I 1' LOT 4 ~~OV N 83261¢9 4: 282. • PRIVATE ROADWAY J1 I T.49 ACRES .p EASEMENT (761,700 SO. FT. HIGHWAY SETBACK : o, '~y \ 15.28 AC. EXC. E EMENTS L INE -1= V r . i ( 665, 599 S0. FT Na C s~ Alip~~ RI V o SEPT'c HWS ^C) C ON. F 84. 73 553.00' 676.78' a S 86.35 27'W 1316.51' '2 : ro I 1~,1 mI8 : ob V nj ' t0 OF SECTION Ilk 10 SE I - ( COUNTY MJOMUMEN I O FOUND). mlfr * H•I GHWAY BUILDING SETBACK Is i 100 FROM THE RIGHT-OF-WAY LINE OR 133' FROM THE CENTERLINE. ~s<4i~i0~~+ (WHICHEVER IS GREATER) APPROVED `~~cp/vl~Ss Illu 1) '07 ~ ~w_ co FILED a CJLW JUN 8 1995 ► s Rol 529909 ,CERTIFIED SURVEY MAP BEING THE SE I/4 OF THE SE 1/4 OF SECTION 3, T 28 N, R 18 W, TOWN OF KINNICKINNIC, ST. CROIX CO., WI PREPARED FOR: MIKE NETZ EI14 CORNER SEC. 3 I (COUNTY MON. FOUND) I W p q2 UNPLATTED LANDS ~Ke I ~ O 1313 N 86° 43 X01 ~~E .79' t~1 127164' N.LINE SE-d 61.86' • e BtlIL0/N6 i b W► SETBACK 100' N y gybeg56 /~9 A • / \ 1 LINE bi M 1 272.43 W / LOT I ®o` _ 2e:11- b T Nd3.969E 19.88 ACRES r 66' WIDE PRIVATE W (806,133 SQ, FT.) M ROADWAY EASEMENT N ~ , \ 17.13 AC. EXQ ESMTS. In W ~ (763,640 S0. F7:) • e► ~ W ® \ ' lo coo Z; 3 V. J. 4 a . NS6.36'27"E 1316.61 666.00' 676.78' 84. 3 APPROVED \ _ W JUN 8_' 41 a; o a. ST. CROIX ara•~r Z. LOT 2 ~;omprshenalwlplml;r $ U. h 19.99 ACRES ZOnlnq 'and 3 (867,837 So. Fr.) Parks Cwnrrii ug a m v v If not recorded ? within 30'deys of approval-data approval 10heM ba nul a -void S.LIML sE-SE 1319 S86°2S 55~ W .25' SE CORNER SEC. 3 Parcel 022-1007-40-000 11/11/2004 11:44 AM PAGE 1 OF 1 Alt. Parcel 3.28.18.48A 022 - TOWN OF KINNICKINNIC Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * = Current Owner * SYMANIETZ, ERVIN & CARLA ERVIN & CARLA SYMANIETZ 1307 CTY RD N ROBERTS WI 54023 Districts: SC = School SP = Special P operty Address(es): * = Primary Type Dist # Description * 3 SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: CING res: .400 Plat: N/A-NOT AVAILABLE SEC 3 T28N R1 8W PT SE SE 3 CSM Block/Condo Bldg: 12/3282 2.40 ACRES (ADD'L 4) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 03-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 01/18/1999 595921 WD 1093/417 -w 07/23/1997 1072/640 LC 07/23/1997 1054/558 W D more 2004 SUMMARY Bill Fair Market Value: Assessed with: 268,100 Valuations: Last Changed: 08/18/2000 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.400 25,000 202,700 227,700 NO Totals for 2004: General Property 2.400 25,000 202,700 227,700 Woodland 0.000 0 0 Totals for 2003: General Property 2.400 25,000 202,700 227,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 501 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 j [ 7' STC - 104 40 AS BUILT SANITARY SYSTEM REP C OWNER / 41 ADDRESS zy -r ci~d F-14023 ,L z ti t SUBDIVISION / CSMJ ~U 0 - ~ ? 2 9 J LOT SECTION T N-R~ W, Town of l1 hn C, Jt ih~ ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Vol INDICATE NORTH AIMOk~ J Provide setback and elevation information on reverse of this form- Provide 2 dimensions to center of septic Lank manhole coves 1 i BENCHMARK: /00 , ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: /'ltC(A/ fs et e4 Liquid Capacity: a oD Setback from: Well House Other Pump: Manufacturer,2 0 fle/-._.- Model# qa Size 2.~ Float seperation Gallons/cycle: 3.3 l Alarm Location I SOIL ABSORPTION SYSTEM / r Width: 4 Length Number of trenches Distance & Direction to nearest prop. line: 1 r Setback from: well: House ` 5 Other ELEVATIONS e-Building Sewer i e, ~ 'ST Inlet. ! 2, s ST outlet / PC inlet PC bo tom Pump Off Header/Manifold r Bottom of system ! ' ( U Existing Grade Final grade DATE: OF INSTALLATION- PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93: )t Wisconsin.Department of industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION PNm' H I, e rIda g , EL ❑ City ❑ Village Town of: State PIS o.: eCST BM EGG Iev.: 7(:riA Ins p. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI Fly ELEV. ~j 9 Benchmark dJ. J) Septic : -Cv /R,;/- ~ eC i Dosing Aeratiorr- Bldg. Sewer Holding St/ Inlet, TANK S BACK INFORMATION St/~ Outlet TANK TO P/L WELL BLDG. vent to ROAD Dt inlet /4)," Air Intake / Septic /Gv a NA Dt Bottom 97 Dosing >55 ' NA Header / Man. Aeration(--" NA Dist. Pipes a? Holding Bot. System PUMP / SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift s d ( Friction System„ Loss EtT DH Ft Forcemain Length Dia. 2, DWell SOIL ABSORPTION SYSTEM BED/TRENCH Width % Length; No. Of Trenches PI MEN t No. Of Pits Inside Dia. Liquid Depth DIMEN I N LEAC Manufacturer. SYSTEM TO P / L BLDG WELL LAKE / STREAM SETBACK CHA ER Model Number: INFORMATION Typeo f,,-7 NIT System: V~ c DISTRIBUTION SYSTEM Header 1 Manifold Distribution Pipe(s) 2 x Hole Size r i x Hole ing Vent To Air Intake Length Dia Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over FBe Over xx Depth Of xx Seeded / Sodded xx Mulched Yes ❑ No ❑ Yes ❑ No Bed /Trench Center Trench Edges Topsoil ❑ COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Kinnickinnic.3,~ 8.18W, SE, SE, Lot 1, County Road N. ~r 3. r? V,} - Plan revision required? ❑ Yes EJ-Uo 9 Use other side for additional information. Date Inspector's Signat re Cert. No- . SBD-710 (R 05/91) ✓iJ Safety and Buildings Division Bureau of Building Water Systems ' ~~GG_irGn SANITARY PERMIT APPLICATION 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less Cou than 8112 x 11 inches in size. State Sanitar Permit Number • See reverse side for instructions for completing this application 3r The information you provide may be used by other government agency programs ❑ Check it revision ttoiprevlous application [Privacy Law, s. 15.04 (1) (m)] State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Property Location Michael Netz SE 1/4 SE 1/4, S 3 T 28 , N, R18 t Roberts, Property Owner's Mailing Address Lot Number Block Number 94 Teresa St. 1 City, State Zip Code Phone Number Subdivision Na or CSlylm~v 2 WI 54023 1(715) 749-3764 v J II. TYPE F BUILDING: (check one) ❑ State Owned ❑ Cit Barest Road ❑ VII y age Ct Rd. N ❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town OF Kinnickinnir- IIL' BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) CAL "14, &-oc 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 E] Campground 7 ❑ Merchandise: Sales/ Repairs 11 El Restaurant/ Bar/ Dining 4 ❑ Church /School 8 E] Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1 ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System _ Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21[2 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14E] System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp- Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft-) (Gals/day/sq. ft.) (Min./inch) Elevation S Feet Feet VII. TANK Capauty site Fiber- Exper. in gallons Total # of Prefab. Plastic INFORMATION Gallons Tanks Manufacturer's Name Concrete con steel glass App- New Existing strutted Tanks Tanks ❑ ❑ ❑ ❑ ❑ Septic Tank or Holding Tank X 1200 1 e ® ❑ ❑ I E:1 -1 ❑ ❑ -4 Lift Pump Tank /Siphon Chamber X 1000 1 Midwestern Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) MPRSW No.: Business Phone Number: Joe Stang MP/MP 6646 1-715-698-2266 Plumber's Address (Street, City, State, Zip Code): 506 Willow DRive Woodville WI. 54028 IX. COUNTY / DEPARTMENT USE ONLY E] Disapproved Sa tary Permit Fee (Includes Groundwater ate Issued ssuing Agent ign ture (No St ps) 4 a" p~ pproved E] Owner Given Initial 60 surcharge fee) /~'C Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SRD-6398 (R. 05194) DISTRIBUTION: Original to County, one copy To: Safety & Ruildin% Division, Owner, Plumber __f INSTRUCTIONS 5 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin,-Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X_ County/ Department Use Only. Complete plans and specifications not smaller than 8 112 x 11 inches must be subn- ttea to the con rty. The plans must incl.ade the following: A) plot plan, drawn to scale or with complete dimensions, location of holcing tank(s), septic tank(s) or other treatment tanks, building sewers; wells,- water mains/water se. vi-: strei,rris is akes-; pump or siphon :arks; distribution boxes, soil absorption systems. replacement system area, ant" the loc,d,_,an )f he building served; B) `,orizontal and vertical elevation reference points,- C) complete spec! fications `ar pump,, c.,iJ (:>ntrols; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump mar•ufa< urer; D) cross section of the soil absorption system if required by the county; E; soil test data on a 115 f irm; and ail :,!zing information. GROUNDWATEIR SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations April 12, 1994 201 East Washington Avenue P. 0. Box 7969 Madison WI 53707 ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S94-00712 FEE RECEIVED: 180.00 NETZ, MICHAEL SE,SE,3,28,18W TOWN OF KINNICKINNIC COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sin er ly, Peter E. Pagel Plan Reviewer Section of Private Sewage (608) 266-2889 ORIGINAL SBD-0483(N. 01/91) . ULBRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson WI 54016 Reg. Designers of Engineering Systems ~ Private Sewage Consultants 715-386-8185 PROJECT INDEX DILHR Plan I.D. # Shy- 067/2 Date /~•PRi( ~I, l~f t~ Owner /'fi*cA,Wl S4,u,PR4 ►JeFT'Z Phone 71$= 376 y Address 9Y r~ipEs :5r pop , E 12 T'S , 605 . S yb z 3 Legal Description I-or L c.st~ i cc. ,4c Rt s 5L yy SG- jy, SL"-z c . 3 T2-[NJ, Rig W Town of County 5 T: C-RO r' J( C.S.T. ROSeieT- uL1--,? RictL T--- Installer lical Authority/ Supervision $T• CRni x couory ZoA,5 x., p T-, PROJECT DESCRIPTION New M 0ua u S y 5 Fow, P gopo st=t~ ,vL---Lv 4 x E ¢ (3 t~ kA% S. E 5 T t',y h r C 0 D^ I L y UJ^ S T E F1,C, - ' 2 . Co (9 d pa s 5 0 ( 5 'Ar {R. t e-PlA A i h Q 1 E C. 4- G PD 'f;o R 'Rev 20T SFASC-0^11)( SIFT vR/~T~D ~locv 2 Y .i. ~~4~rv,p~o Do( 0 Ak e 4-t- o c c u R s ~o w 3 6 L,' Fhc TD 2 Foy- s,'rF 5~~So.~~!!y S~1't-v~2kTC So'lS A-600E- [3.~'~ . A- N e;w AA o v.~ p S Y S T~ n u s r' ~ G- -SA,-50 Fill (-5 1'►2oposttv. .14 . 5~ Pg.l PLOT PLAN VIEWS A COM S ,y S, P9.2 SYSTEM CROSS SECT] & 'EM . f, III` A mum W. 4Y' UU§W P9.3 PIPE LATERAL LAYOUT C ff qA` s V?},~ HUDSON, Pg .4 DOSING CHAMBER CROSiftd, TI WtS P9.5 PUMP PERFORMANCE SPEC J QO o,~~~si~FStaN~P ~~,v~® fill O S94 - 00 7 12 ONS17 SEWAGe SYSTF Apal DEPARTMENT of ,f AND • . 0 LA~iOn DI►/ISi ' cu N b m m m ►o AFETr p S. GS R TIOgI o )a• o ~-j o a• n J P.M m c aMO o F- W m cf l" t o :4 cr f"t" R $ co 0 IV I m H- 0 • r UQ A m m :.T QO h ~t r• m rAA w c 0C r* rn m :J I Al m PLI J n a ca C H x ►-o a c.~ a, En - U.* mMM•ow -7 I o S ~x"00mri 0 O (~D F~-+ i/ l N 1 1 'e "Iwo o 0 k" GI 67J "Ib ro Nb C ° N m o, N h O p 1 to c S94-00712 • _ INVtR 7- o~ y /.472 5 /03 EGEV~9 T~'o v 5 ro p OF R D c K Page z Of S to Top OF 2- 1a7~P61-5 Synthetic Covering Distribution Pipe Medium Sand s y STEM Topsoil 70, 3 E D ~ . Slope UA10 R P>t o % Bed Of i» Force Main Plowed Aggregate Layer 10.3. go 6)41jfv^0M Tos' G•NE D O Ft. /O/ Po a' E A C- Ft. 54l iCross Section Of A Mound System Using F • 9o Ft. 4C? F Oe Absorption Area d 1 G /.O Ft. 40- A Cot Ft. H ~ 5- Ft. g ~ y Ft. K Ft. C111 ASP L /0( Ft. Ft. pg /7 Ft. G e Main W 30 Ft. L_ Observation Pipe J B - K A 0` t-1---- - W M Distribution Bed Of 2 Pipe Aggregate Observation Pipe Permanent Markers y'' pvG c~PpE~ STEEL Roos • S94-00712 Plan View Of Mound Using A Bed For The, Absorption Area DAB, . &"A 7E t' %rcJ ~ ° o rA r', le 0 sQ r T 13-00 ~,PoPos~O ~Ats,q-L py X t - / 93 Z sty. r- r7 t NN y l~ t Page 3 Of S vo/l7 UO/vME ~oR //0 FoRcF ~PIi4C€ IAS r X04E Perforated Pipe Detail 2~~ Ri Gti T Fe VAc AtC vA(v.9 i 1*oN End View Perforated End Cop y" PVC Pipe Hobe Located 01100110M. a Are Equally Spaced R Q Q PVC Manifold Pipe Distribution tsr Pipe rj/law e Mole should as Neil To End Z Distribution Pipe Layout P Ft. I R 3.0 Allow T-d~' l y X inches //0 'Cr o` L /11/c, nr. 0u Y > Inches ONSITE SEWAGE SYSTEM of a Diameter Incl-, e Lateral •:t.,_ Inch(es) AP Manifold Inches i~a;cz} S ' Zu R 1ATIO4IS Force Main z Inches DEPARTMENf OF th 'AfE ~;U t Nla # of'` holes/pipe13 DIVi Cd evation of Laterals~°= Ft. E OR SP E E \ Ti5TRi60r%0#,l 1%SCHA RGE RATE foR E-AC H L, aT R R L_ h Rir ©T i .s epz Z/ TOTAI 'DiSTRi2,urioxi VISGHARG E RATE FOR N3e TWO R K 3 0. V.2- .~Q M i ►J 2.5 X4 I'm I' Al U K D • ,DES i G a 'Lt S G- Al 'S C4 ~4 rP G 6` ~'iA-TE of 3 5~ G.~-~ ~ , S94-00712 PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS P,41E of S VENT CAP 4"C.Z. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER 25' FROM DOOR, W/ /AfV/ WINDOW OR FRESH TFU. 1 AIR IMTAKE c/~Q~Dt' ~E041*10 V GRADE I `i" MIN. 41, - I ~ 0 73 - 1 I ~ 18" MIM. IEv~n a A/ 11~ ~yD PROVIDE I INLET AIRTIGHT SEAL I III I w/ j96 I III APPROVED JOIWTS 5 APPROVED JOIWT A IN ~~K I II W/C.T. `IPE W/C.I. PIPE ,t(o~ ( III ALARM EXTEliDIMG 3' ZXTENDIMG 3' ~0 r ONTO SOLID SOIL r I II. Q1JT0 SOLID SOIL B D• 3 •y5 I I 3f I I ON c I 1 ELEV. FT. PUMP---_ OFF l3EV /3,46CJ5 D /.O `~E p p/,J !s I I5LOCK 7-,4A* Owl rfD• 70 * RISER EXIT PERMITfED OIJLy IF TAMK MANUFACTURER HAS SUCH APPROVAL SPECIFICATIOUS SEPTIC E Z 3 DOSE W lE5ER2 CO 0C.-ci R, IJUMBER OF DOSES: PER DMI TAIJKS MANUFACTURER: tom /000 G.•P • GALLOIJS DOSE VOLUME if .119 TAIJK SIZE: INCLUDIAlG BACKFLOW: GALLONS l-euEL ' A LARM MANUFACTURER: ALitR~t - MODEL IJUMBER: :D. L_ V • CAPACITIES: A= 1S. (o IMCHES OR GALLOWS SWITCH TYPE: r! eTw P-y FloA B Z. IIJCHES OR I - GALLOWS 2otvli~ C=d •5 IMCHESOR ZIa GALLOUS PUMP MANUFACTURER: /37 Y1 H'P l(5 V Dm, 12A IIICHES OR .331 GALLONS MODEL NUMBER: SWITCH TYPE: PI,550AC-9 )gEIee'oAy FloAtT' MOTE: PUMP AMD ALARM ARE TO BE .3~ GPM INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE /,3.7 ?Aak S~EGS • FEET VERTICAL DIFFERENCE DETWEEAI PUMP OFF AAIO DISTRIBUTIOW PIPE- 2.5 FEET EAL~ 1 , O~' Pte- ' + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . + I/O FEET OF FARCE MAIN X Z.os F/ o Fi.FRICTIOU FACTOR.. 2'Z5 -FEET 2- 5. 40 "A TOTAL DYNAMIC HEAD FEET Tr is it / N 3 c~ ~ ~ d Ct7 f LIQUID DEPTH INTERNAL DIMEIJSIONS OF TAWK: LCKIGTH I -;WIDTH ONSVTE SEWAGE SYSTEM soft T10NS PUG R GS pEPAEtTMEt'.T OF 1N T FI; ETY p1U1S~ "CE 594-00712 SEE CORRESPO t N F HEAD/ CAND,AC1TY 2 xe 95 CURVE 2° 90 26 85 I I EFFLUENT 24 -91 11- _ 189 and a 22 75 165 DEWATERING = 70 V 20 65- a ~ s 18 a 55 18 MODEL 50 163 MODEL 1- 14 45 _ 188 _ 12 ~40_ 35 18 MODEL 30 MODEL 137, 139 195 SEWAGE and 6 25 IN, g 20 MODEL 1 DEWATERING 15 MODEL 181 4 87 \ 10 2 MODEL tail W 5 53, 55, 57,59 i 0 GALLONS 10 20 30 40 50 80 70 80 90 100 110 x4 80 LITERS 0 80 160 240 3x0 400 75 FLOW PER MINUTE 20 18 gp MODEL a 295 W 55 Z 18 V 5o Q 14 45 MODEL Z 294 p. 12 4"0- _ MODEL 35 C 10 293 MODEL - - _-1. 30 264 i 8 - - -4 DEL MO 6 20 - 282 - - i 75 OELLER C!. 4 MODEL 2 5 267, 268 3280 Old MNIM Lane _ ° P.O. Box 18347 GALLONS 10 20 30 40 50 60 70 80 90 100 110 120 130 14b, i50 160 *0 160 1110 LoulsdUe, Kentucky 40216 LITERS 0 80 160 240 320 400 480 560 640 720 (502) 778-2731 FLOW PER MINUTE S94-00712 r "137" Cast iron Series CAPACITY MEAD UNITS/MIN "139" Bronze Series Feet Meters Gal. Llrs. 5 1.52 104 394 • Automatic or Nor. Automatic. 10 3.04 79 300 242 20 64.57 64 242 • Yx H.P., 1 Ph., 115V, 200-208V or 230V. 15 .10 36 136 • Yz H.P., 3 Ph., 200-208V or 230V. 25 7.62 8 30 is Non-clogging vortex impeller design. Lock Vane: 26' is Passes Me inch solids (sphere). Standards • 1112" NPT discharge. Canedian Approval UL • Float operated, submersible (NEMA 6) 2 pole listed @ Assoc available mechanical switch. • Automatic reset thermal overload protection. 137 Series SC-2226 • Stainless steel screws, bolts, guard, handle and 139 Shea SS-1115 NN~a arm and seal assembly. 'Bronze motor and pump housing, switch NOTE. No UL listing lot 200-208V/1 Ph. PUMPS. case, bass and impeller. Mercury float switches are available for nonautomatic models. 4 54- /4SX G~ F ~vv ~Flr-4.~ Cr- Wsionsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY s?. G/pO/1C Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT SE 1/4 $C 1/4,S 3 T 24 N,R /9 E (or) W PR PERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER EICITY QVILLAGE WN NEAREST ROAD ,,vW:~~c%.~~.~~ c rr• ,v R r5 Geis. (715) -I4? • 76JAeo' [ ew Construction Use [ 4-Raidential I Number of bedrooms [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow (aDD gpd Recommended design loading rate y bed, gpd/ft2 • S trench, gpolft2 Absorption area required SOD bed, ft2 So d trench, ft2 Maximum design loading rate ~ bed, gpd/ft2 • ~trench, gpd/ft2 Recommended infiltration surface elevation(s) 5-4c-f- • It (was referred ttoo sit plan benchmark) 5V .0Z:> fF y 4V F NL Additional design/ site considerations 5'7E so y-r Parent material s ? Co w (n f E~ - 40 -5 2 1 'rill Flood plain elevation, if applicable ft S =Suitable for system CONVENToI N~L MOON IN GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S Cd'UO U ❑ S [~11_ ❑ S giTj ❑ S Cam" I] S SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GP/tt2 Boring # Horizon in Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Twch /3 s./ Z *K 510& *4v-fR cs 7 S C3 0• y !tti ye Y16 5,-1 2,*. 54,& W-7 ~ c 5 I -F 5 C' Ground C • 3G ~o yR y/4 7-t R 31 elev. S yR 5/ ft. Depth to R G ae'1J G 4F-S 7V •v limiting factor sss Remarks: Boring # f~-G to yle 313 sbk Aw►'f R e S 2f S S; f Z { 13, /o yR zjyz 2,µ, A/C /M- F R CS 2-~ S -ly ct -Ls 7s yR s/y • *4. 9 Ground , .2. ~o yR G 3 w+, bK n~.f r ~rc S • s elev. CZ '34 y~4 !j,5VA 1141 Depth to limiting ' A (Fi(°f 7 viPty ~qE' /-Vv E" factor „ Z5 5%.v Remarks: FAddress: Please Print RoGeLOT- Z( Ib2 tlG G►T- Phone: SS o'.uE1/ Ai? . lFVDSo~ sva1~ I1- 53 CSTM ~ Date: CST Number: RIO" _Ms r 40 AJ T roa S S v,v ~ y you sT - ate ZtsE" rl'S /©.v~ ~ il/.l~°~°occ,J+'M JTr-U ~ S ~b S Si i6 v .r+~~ $~'6r--✓' C C) /~I.301~ F f/~D~P~zo✓ r PROPERTY OWNER SOIL DESCRIPTION REPORT 2. Page - of T PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoundEry Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed TAG w y Z S / 2 ;fit SbK ~ ufR_ S ~ S , G k< 13 .2-5 /a YR y 5 if S .G S `3D /0 Yf? Ground y 4 7. S- A ZZ A> C / Z, c, 6~ ~+-fi • C S t f . s elev. ft. Q.3 7•SYA yie V R lL .Y s h& Ant fI Q~. N Depth to Cz, 7' S 7•SYR G' 2" s SC~ 2,,., limiting p _ SS S. b a Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # w: Ground elev. ft. Deptli to limiting factor Remarks: Boring # ti: ryi •n~7Ki:iy.: `•'yti 4> Zvi Group , elev. ft. Depth to limiting factor Remarks: eon O•l•ln/o ncm~% v N h o O r ~9 0 ~ NC a o ~m W N C c o, ~ d o rl one' h W isconsin Department of Industry, SOIL AND SIT ;E~f A LU,ATI O N REPORT Page of Labor and Human Relations Division of Safety 8 Buildings in accord'wtth (LHR 83:05, Wts,,Adm. Code v, COUNTY ST. G/PO/'1C Attach complete site plan on paper not less than 81/2 x11 inches " 'Plan must imIude, but PARCEL I.D. p not limited to vertical and horizontal reference point BM), direction and'd/ .of slope, scald or dimensioned, north arrow, and location and distanc to nearest road REVIEWED BY DATE r APPLICANT INFORMATION-PLEASE PRIN ALA INFORMATION i }:ATX LOCATION D /f'1 i G~► ~4 ~'L s~>tJDIPi4- /(fl GOVT..-6T 5 1/4 SE 1/4,S 3 T 24 N,R AQ E (a) W [PRP,PERTY ROPERTY OWNER: PROP OWNER':S MAILING ADDRESS l ~ ~ BLOCK # SUED. N G~MCS PE A' v~_ TE R~sA4- Sr- CITY, STATE ZIP CODE PHONE NUMBER ❑CITY QVILLAGE WN NEAREST RIOA'D oaEAr5 6vis. -5 rc (715) 7W • 3 7 K, c r, . N ( ew Construction Use ( residential / Number of bedrooms Y (j Addition to existing building (j Replacement [ J Public or commercial describe Code derived daily flow (oOO gpd Recommended design loading rate y bed, gpd/ft2 • S' trench, gpolft2 Absorption area required So O bed, ft2 So O trench, ft2 Maximum design loading rate bed, gpdAt2 • trench, gpd/ft2 Recommended infiltration surface elevation(s) S. 3 ft (as referred to site plan benchmark) Additional design/ site considerations 5.'7 E- S y r' 7-I F ° U 4. i FbOC M o v,a n Parent material SCS 749 4~ k A (EA_) - /.0E35 ? 'rlYl Flood plain elevation, if applicable h LU =Suitable for system CONVENTIONAL MOUN IN•GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK =Unsuitable tors stem ❑ So U S 21T-- O S ❑ S 91-1 ❑ S SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GP Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch K o -1 o ow 3/3 S./ Z *A 5/10k 4M V C- S . s • ~ VAe CS z». s . 6 16 yp- Y16 Ground C • 3Ci /D y/? y/4 ?•t R 3! C~ 3 ww bK ~n~ t a S ~"f " • y • 5 elev. 7,S V9 9/9 ft Depth to ie,E7V G ~q MA.' limiting factor „ SSS Remarks: Boring # / 313 2,-f Shk l,,,, f /Z e S 2f S IN yg >r:..,.. Cr -Ls 7.5 YR S/y - - sl Z•.,w, q~Q n~-FR e s Ground de G 3 e+. b K M^'f r •rt S ('F' • S elev. C z •34 /o v/e 7/1 It. 7•S y/R- Depth to p limiting R. " -5'r ,+e .~+E ~'v F- factor „ ZS Ss S Remarks: CST Name:-Please Print Phone: Address: SS o'iVE// R!9 • Wvpso'J 1401. syo/4~,, 11-11-1,3 GSTAJ Z-L/00~--- Signature: ?6"~~ ~ ~ - I n Date: CST Number: " Z~G•~ to I w vT£R. TES 7- Co Aj 0e-rroa s - sv,va y yob-- yrv -FeosT. kj; f,74)6- 14,fe,770A FO P S, TE - SE4-So ✓.r!//v T,t sE' ~f-S ~~bSSi,e ,~o c~.vv ~~'i'~-~ C C~ /1/30vE" l~ f~OiPiao✓ Now PROPERTY OWNER NC'I' 2-- SOIL DESCRIPTION REPORT Page-of , PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourclaty Roots G P D/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed T1;rc l SbX 13, • Ls to yR 111(e S; 2 A& A-7FA o 5 if. . s . Ground 5%. S ' 30 yi' 4 elev. C1 .S yre y S / 19, f. yR 4v v 12 ec ,t ' S ft. D' 317~~ Depth to CZ 7' s 7••sY/e M/6 '7-s c• 1S $.C 2. M h~ nn.e f r 4 P `:.,V limiting factor P -C R iS-0 Gi ES -L SS• S. Remarks: Boring # •.wC YNt.•'hj La Ground elev. ft. Depth to limiting _ factor Remarks: Boring # 7:i 1 \ i?n} Ground elev. ft. Depth to limiting factor Remarks: Boring # '~`ii>.iv{Fnvjit dC4i}n'in Grou elev. ft. Depth to limiting factor Remarks: L I I i I i i I 1 W ~ N j ~ • c w o i i I I i ~Q ~ II r o C o o N, 0 0 p V) t 4S T • w ~ 94 o ~ R~ ~r r1 D I ~ ~ ~r rn ~ ul r 0 m Ri ~-v CA '~j FILED JUN B 1995 ► 9 IgTHLEEN H. WALSH Croix Coe WI X9909 CERTIFIED SURVEY MAP BEING THE SE 1/4 OF THE SE 1/4 OF SECTION 3, T 28 N, R 18 W, TOWN OF KINNICKINNIC, ST. CROIX CO., WI PREPARED FOR : EI14 CORNER SEC. 3 I MIKE NETZ (COUNTY MON. FOUND) i W 0i h Z UNPLATTED LANDS I !2: -.o 1313.79' a13 1 ~:I N 86° 4501E 1278.64 SO°2@ 26 E 51.85• ~Q h a N.LINE SE-SFn,; a ~I '~g I I•; N ~pFO BUILDING 100' N y SETBACK Z~I W j0A ®b y01 13 ..1d LINE I 1. 2 2649„W QO + 1 272.43' W O.. ° 26.49 E LOT 1 - ~ N@3 0) 19.88 ACRES \ v 66• WIDE PRIVATE (866,153 SO. FT.) ~ rteq. %n ~NI y ROADWAY EASEMENT \ \ :17.53 AC. EXC. ESMTS. M\ (763,540 SO.FT.) ~ W 1 N ~O ` a h W D A M N. Z gyp. ~~'o ' Z: 3 10 A~\~'~~ a . let, ~84.N73 1316.51 N 860 35 27 E 555.00 • 67 6.78 Ay OV W . Q• p CIj.. • J; ST' . CROIX I +dTY c In a• ~;=Prehnnsive . s t0 Z* LOT 2 Zoning and o • 19.92 ACRES Parks C 3e.v 3 a (867,837 SO. FT.) v If not recorded within 30,days of Z approval data approval srhmillit.a mA void S* LINE SE - SE 1319.25' S86°25 55 W ' SE CORNER SEC. 3 (COUNTY ~~At~l~~~ A UNPLATTED LANDS 91;~a . . . . . j 0 NOTE: BEARINGS ARE REFERENCED TO THE JAMES M. EAST LINE OF THE SE 114 OF SEC. WEBER 3, (ASSUMED BEARING). p S 1804 • SPRING VALLEY ® WIS. s O --SET I" x 24° IRON PIPE WEIGHING 1.13 L8S. PER LINEAR FOOT. ~~'~e~~~• SCALE: 1"--200' ~0SUR®,,,`d' 11(01, 100' 200' 400' SHEET I OF 2 JAMES M. WEBER S-1804 93- 161 DRAFTED BY J.W. DATED p.~vKGp b-~-~~ VOL. 10 PAGE 2933 71. Now CURVE DATA TABLE Curve Radius Central Arc Chord Chord No. Angle Bearing 1-2 766.19' 11055'40" 159.51' 159.22' S 6026'16"E 2-3 766.19' 4059'24" 66.73' 66.71' S 14053'48"E 3-4 766.19' 0027'52" 6.21' 6.21' S 17037'26"E 5-6 92.00' 51034'50" 82.82' 80.05' N 70045'46"W 7-8 163.00' 78008'34" 222.31' 205.47' N 84002'37"W 9-10 208.00' 99007'48" 359.87' 316.64' S 7019'15"W 11-12 142.00' 99007'48" 245.69' 216.17' N 7019'15"E 13-14 97.00' 78008'34" 132.29' 122.28' S 84002'37"E 15-16 158.00' 51034'50" 142.24' 137.48' S 70045'46"E 1-4 766.19' 17022'56" 232.44' 231.55' S 90 09'54"E Tangent Bearings: At 1: S 0028'26"E At 2: S 12024'06"E At 3: S 17023'30"E At 4: S 17051'22"E At 5: S 83026'49"W At 6: N 44058'21"W At 7: N 44058'21"W At 8: S 56053'07"W At 9: S 56053'07"W At 10: S 42014'37"E At 11: N 42014'37"W At 12: N 56053'07"E At 13: N 56053'07"E At 14: S 44058'21"E At 15: S 44058'21"E At 16: N 83026'49"E DESCRIPTION The SE 1/4 of the SE 1/4 of Section 3, T 28 N, R 18 W, Town of Kinnickinnic, St.Croix County, Wisconsin, more fully described as follows: Beginning at the SE corner of said Section 3: Thence S 86025'55"W, along the south line of the SE 1/4 of the SE 1/4 a distance of 1319.25' to the southwest corner thereof; Thence N 0013'44"W, along the west line of the SE 1/4 of the SE 1/4 a distance of 1322.79' to the northwest corner thereof; Thence N 86045'01"E, along the north line of the SE 1/4 of the SE 1/4 a distance of 1313.79' to the northeast corner thereof; Thence S 0026'56"E, along the east line of the SE 1/4 of the SE 1/4 a distance of 1315.19' to the SE corner of Section 3 and the point of beginning. Contains 39.80 acres subject to C.T.H. "N" right of way and a 66' wide private drive way easement. Also subject to any and all additional easements, right-of-ways, restrictions or conveyances of record. Note: Parcel shown on this map is subject to State and County Laws, Rules and Regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office for advice. SURVEYOR'S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St.Croix County Subdivision Ordinance and under the direction of Mike Netz, I have surveyed, divided and mapped the above described parcel of land and that this ma is a correct representation thereof. A0 7 Dated this 4 day of 1993. ~i 1~r JAMES M. ~C WEBER S-1804 SPRING VALLEY James M. Weber S-1804 Wis ` NELSEN-WEBER LAND SURVEYING . ~ CL's SHEET 2 OF 2 ®S 111666% r 93-161 VOL. 10 PAGE 2933 r , 1 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER[BUYER Michael Netz MAJLING ADDRESS 94 Teresa St. Roberts, W1. PROPERTY ADDRESS 1309 Cty. Rd. N (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION SE 1/4, SE 1/4, Section 3 T 28 N-R 18 W TOWN OF Kinnickinnic ST. CROIX COUNTY, WI SUBDIVISION 19 acre parcel LOT NUMBER CERTIFIED SURVEY MAP , VOLUME, PAGE oZ/Ze LOT NUMMER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tan', as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained- The property owner agrees to submit to St. Croix Zoning a certification form, signed by the o,,vner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum VWe, the undersigned have read the above requirements and agree to maintain the private se'Nage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR Certification stating that your septic has been maintained must be completed and retumed to the St Croix County Zoning Officer within 30 days of the three year expiration date SIGNED - 1 4J - St Croix County Zoning Office Government Ccnter 1101 Carmichael 1Zoad Hudson. Wt 5401(5 e t'. S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/ contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property Michael Netz Location of property SE 1/4 SE 1/4, Section 3 T 28 N-R 18 W Township Kinnickinnic Mailing address 94 Teresa St. Roberts, WI. 54023 Address of site 1309 Ct . Rd. N Subdivision name -Nerve c6t4 )g . x933 Lot no. 1 Other homes on property? Yes x No Previous owner of property Lee Welfgeng Total size of property 19.88 acres Total size of parcel 19.88 acres Date parcel was created 4/6/94 Are all corners and lot lines identifiable? x Yes No Is this property being developed for (spec house) ? Yes x No Volume 1072 and Page Number 640 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. 515102 , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signature of Appli nt Co-Applicant h6' Date of ignature Date of Signature fi •Ir II pp- THIS SPACL RLLLRVLD FOR RLCORD INJ DATA DOCUMENT No. STATE BAR OF WISCONSIN FORM 1-1982 WARRANTY DEED 5208&4 "L ~ Pa, REGISTER'S OFFICE - - - ST. CROM CO., WI Leland R Wolf an and ...:....•_....•.......t .............'b.....5............ This Deed, made between Rec'd lbr Rs;wd , G.lor-ia. J'...A.smussenli...a.s..loint...tenants AUG 31 1994 Grantor, ; and. -.-rlichaeL..S....ale.tz...and..S.andra..ii,_.RP-t- o------•- I~ ? .hus.band.. and-wi.f e.. as...sur.va vorSh.i p-MaTi..tal-.....---.••••- j .~aroroeeau ` ..pro-per-t.y Grantee, Witnesseth, That the said Grantor, for a valuable consideration...... . RLTURN TO conveys to Grantee the following described real estate in .--S•t r.Qix......... County. State of Wisconsin: ~ - The North 20 acres, more or less, of the SEk of the SE's of Section 3, Township 28 Tax Parcel No: North, Range 18 West, Town of Kinnickinnic. w (This deed is given in satisfaction of that Land Contract •-ecorded j April 6, 1994, in Vol. 1072, Page 640, as Doc. No. 515102, Register I of Deeds' office, St. Croix County, Wisconsin.) II Said Grantors being unmarried individuals on 5_31_89, 6-17-93, 11-30-93, as well as at time of execution hereof. i I I~ This 1..S... ..rio.....t homestead property. ~ . (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; ussen And . . L,e l a -Wolf ang . and•_Glor-la J. Asrl i le is g asi - . I warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and rights-of-way of record, if any, i easements, restrictions, and will warrant and defend the same. .41X August . , 1x.94... day o Dated this . - • - i I ' • - ----(SEAL) . .................(SEAL) - - ' I, • Leland_.R-a---Wo.1fga 4 ..................................(SEAL) .Gloria.J.-Asmu-sse AIITSSNTICATION n.................. a J T A.-I F. op 4im vXi " FI I S S O R I Signature(s) aR. L1 s` Gl' S-•-•-••--.••••. County. .1-Z4/9-day of . the above named authenticated this day of 19....-- ......Pe A.ugu before m9. this LP-land.. R.._..S,io lf$aug aaad.................... Glo r.i a....i.....Asoauss.en TITLE: MEMBER STATE BAR OF WISCONSIN authorized by $ to me known to be the person S......... who executed the (If not, 706. 06, is. State.) foregoing instrument and acknowledge the same. _._._.___--._W..~ i THIS INSTRUMENT WAS DRAFTED BY Gay.lord,..AtIorney---•-•-----•-• ; ~ I; Notary Public IM6. moi~ 'I River Falls WI 54022.~rc - County, (Sig My Commission is ermanent. (if not, state expiration - - natures may be authenticated or acknowledged. Both l~ ge. pls.-lA.) !Ij are not necessary.) date: II - - paglas CouruY 5; I•~ a a• ~ ~t II -Names of ➢ersona signing in any capacity should be typed or printed below their signatures. W kconsin Legal Blank Co- Inc. STATE BAR OF WISCONSIN yfilwaukct. Wu. WARRANTY DEED FORM No. 1- 1982 (0 A v FILED I V 150 JUN 81995 9 , KATHLEEN N. WALSH JLW 2 6 a ` Z Reoister of Deeds j SLCroixCo.,WI ~~9909 % ,CERTIFIED SURVEY MAP BEING THE SE 1/4 OF THE SE 1/4 OF SECTION 3, T 28 N, R 18 W, TOWN OF KINNICKINNIC, ST. CROIX CO., WI PREPARED FOR : EI14 CORNER SEC. 3 I MIKE NETZ (COUNTY MON. FOUND) I , W q n2 UNPLATTED LANDS _.Nl . HIP N86°45 OI"E 1313 79 1278.64 S0028.26"E af.d5 I N.LINE SE-8 a a 1 i• , \;O BUILDING IOO' N en , 8. • i Off, SETBACK Z~'I 0 ® " 065 LINE g SA J p 4A "49 S611 83 276_. 3 ~ O 2 7 2 . 282.1J._ LOT 1 30 6'49"E p1 19.88 ACRES o, a W 86• WIDE PRIVATE I (866,153 SQ. FT.) N y ROADWAY EASEMENT \ 17.33 AC. EXC. ESMTS. M\ \ M 1D W (763,540 S0. FT.) W V1' Z 41'?O { M N Z. a A\ ! J J• N86°35.27"E 1316.51' 555.00, 84. 3• 676.78 APPROVED LU +J: JUN Q • O fn. . d~. ST. CR0IX C4L'Ji TY v, z' LOT 2 i;omprehansive puw,,:x $ cr • 19.92 ACRES Zoning 04 3 r (867,637 so. Fr.) Parks Cm"At" v e r 1p If not recorded M o within 30'days c ;f approval data z approval shdN ibe nuR i -void S.LINE SE-SE 1319.25 ` S86025'55W SE CORNER SEC. 3 !COUNTY IKla ,g"(,~R UNPLATTED LANDS. poi g NOTE: BEARINGS ARE REFERENCED TO THE -Iil~r JAMES M. EAST LINE OF THE BE I14 OF SEC. WEBER • 3, (ASSUMED BEARING), S-1804 SPRING VALLEY f , O + SET I" x 24" IRON PIPE WEIGHING 1.13 Wis. LBS. PER LINEAR FOOT. q SCALE : I"=200' Vp7°~Q %j~; a~e, ee~, offset O~ 100' 200 4001 SHEET 1 OF 2 JAMES M. WEBER S-1804 93- 161 DRAFTED BY J.W. DATED VOL. 10 PAGE 2933 , D FILED a JUN 2 61997 ► JUL 1 41997 Z ~~~.wl~ 9 sr. caolx 561506 F41sw 011~ SURVEYO -CERTIFIED SURVEY MAP LOCATED IN THE SE 1/4 OF THE SE 1/4 OF SECTION 3, T28N, RISW, TOWN OF KINNICKINNIC, ST.CROIX COUNTY, WI (BEING A SUBDIVISION OF LOT I OF THE CERTIFIED SURVEY MAP VOLUME 10, PAGE 2933). PREPARED FOR: MIKE NETZ NOTE: BEARINGS ARE REFERENCED TO THE EAST L I NE OF THE SE 1i4. (RECORD BEARING). E _ E 1i4 CORNER OF SECTION 3. (COUNTY MONUMENT LOT 3 AREAS FOUND). 2.40 ACRES ( 104,453 SO. FT. ) 2.23 AC. EXC. R,'W: (97,941 $0. FT.) ' g wl . ro C. T. H. ' N' 01 w m) a; •UNPLATTED LANDS ~I EAST LINE OF THE SE li4 X33 33' NORTH LINE OF THE SE-SE 1313. 79' 662. N 86°45' OI 27.77- 08 ` 24P615, 630.87' N 00°00' 00'E kZO t 51I = 63.33' ,I'V1 y ✓ s • A 100-1.1 56e539 ba ZVO, .40 ACRES 83 26' cq v 2 : is • 56°6 S 44!58'2145 s 291.00 1 a : 133.64'- 5 I' N' \ N W EXISTING 86' WIDE I? t LOT 4 qgV N 83026 49' 4 cn\ PRIVATE ROADWAY I T.'49 ACRES 282.11 r; n A EASEMENT ' : (761, 700 S0. FT. ) J HIGHWAY SETBACK : m -r 15.28 AC. EXC. E EMENTS (665,599 S0. FT ) LINE v Ch p y s\ \a~s~`p\ C R/ o s fPT,c HWS y ~r~\~r. \ \ 0 SHED : `u a+•\ 84. 1713' 555.00' 676.78- t a S 86°35' 2T111W 1316.51' '2 : ro N 1 jo SE CORNER OF SECTION (COUNTY MONUMENT 1v~T~ FOUND). H-IGHWAY I I~-FROM THE RIGHT-OF-WAY LINEIOR 133' FROM THE CENTERL l NE. s<oydalo~ I (WHICHEVER IS GREATER) APPROVED ~i JUN 2 6 '97 0 - SET I' X 24' IRON PIPE WEIGHING I. 13L BS PER .MME'S M. L I NEAR FOOT. WEBER r ST. CRGiX i:UU1VTY 8 - 1804 • IRON PIPE FOUND. Comprehensive Planning SPRING VALLEY Zoning and Wis. Parks Committee within o d yo fS U Fib 200 0 200 400 appgh to val shall be JAMES M. WEBER S-1804 and void NELSEN-W 89R _LAND SURVEYING , - DATED `°'~`-g' GRAPHIC SCALE FEET REVISED SHEET 1 OF 2 96-46 THIS INSTRUMENT DRAFTED BY JIM *F85%c•, 00 Vol. 12 Page 3282