Loading...
HomeMy WebLinkAbout022-1021-70-200 ~ o ~ oo I I a c c a 0 I ~ I 0 N N ~ I I I I r 0 I V z c ii c o I 3 I I v ~ Z y I O ~ w C I z r a m I w 1N- cn o I o z I o I in H r Z M ~ Y I •,v c o o w a a I Q z z N = C I M NO is N F N a 'M .dom. c i V ! N 4i N L O a c6 0 IL L) < Co n O Z N> O S 5 l` Z • aaa ' c U H co I v~ J U y rn rn CO V O N O O O O U o E N I I'D :z o 0 m o aci d a} cn o i \j o 0 f Oy 3 ~ H e CN LO Q N N U j on O G C N N in = C N C R N v N GO C (p ` N = (O 06 .2 ~ N co = N O N m its v ~y O O Y m N 0 Z N U Q °i #t L ma CL d aa s = r`I~i E c c m 00 0 U) 01/23/2006 10:04 AM Parcel 022-1021-70-200 PAGE 1 OF 1 Alt. Parcel 08.28.18.125A-20 022 - TOWN OF KINNICKINNIC ST. CROIX COUNTY, WISCONSIN Current X' Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - HAUGLAND, PAUL J & KAREN M PAUL J & KAREN M HAUGLAND 1083 COULEE TR PO RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 3.789 Plat: N/A-NOT AVAILABLE SEC 8 T28N R18W PT OF TH 2 SE114 7's Block/Condo Bldg: BEI C Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 08-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 04/29/2002 677534 1880/31 WD 08/27/1997 1260/233 WD 07/23/1997 1202/575 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 143188 325,400 Valuations: Last Changed: 09/08/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.789 60,000 269,000 329,000 NO Totals for 2005: General Property 3.789 60,000 269,000 329,0000 Woodland 0.000 0 Totals for 2004: General Property 3.789 30,000 221,800 251,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 122 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges 00 Total 0.00 0.00 1A ,fl STC - 104 o AS BUILT„SANITARY SYSTEM REPORT 199 St GPpx ti OWNER /(~N &&7 4 4A, ADDRESS 1013 edry A0 1W15 6u IS • S 103 (UkA S,Ve `7R. Ap4. rd,? ~ T S ~ - (7/l,~ DD,E'FS S/ SUBDIVISION / CSM# SCI eg&q. (JDI• It h 3 Is? LOT Z SECTION. T N-R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM V&_ ~ NOTE- ~lU S yt10T JY~7-v fry!/-~Q/ i OT /vS ORIGINAL INDICATE NORTH ARROW Provide setback and elevation information on reverse of this-form. Provide 2 dimensions to -center of septic tank manhole cover. MW Top aF BENCHMARK: _ /3u~Gt ALTERNATE BM: NON To ~ of sE p+,•~ s ys-r. •~~N ~ ~v~ S• T C w ra'L~ y' olG /?r&e4s SEPTIC TANK / PUMP CHAMBER / HOLDING.TANK INFORMATION S-7--L4 /0-0-0 Maniifac'tureri 1P&7,4`~~ Liquid Capacity: ~•C• " 7S O NO w 6'!/ • ' Setback from: We117! S6 ' House ZS other eD Model# 3 Size )6- H P Pump: Manufacturer I. S Gallons/cycle: 1 93 Float seperation Alarm Location R E -:SOIL ABSORPTION SYSTEM Width: S Length 76 Number of trenches X03 to Distance & Direction to nearest prop. line: s 4a~4x /3-r 0' Other Setback from: well: 7/00' House Nor 4PPII- &Cr- NC) Del-;14 -[,Ol° of 57-, -k 41-tr ELEVATIONS ' ~>T• O T Inlet; 91 & 1/ ST outlet. 97,39 Building Sewer S PC inlet 8~L'T PC bottom Pump Off 8 S Header/Manifold of system `1 G'•Z r Final grade 9g" G 7 ' Existing Grade ~?,efll,roleAj - axes P~ra,~ •fa p/6wi•,v DATE OF INSTALLATION : NaV- ya N I NDV ' ~ / ~y~ PLUMBER ON JOB: ltiMS 33 o 7 \ LICENSE NUMBER V f'1SpeGn~"J ? INSPECTOR: !7 /V?zv0,~°lc/ 3/93:jt DUES 7- 7- L_ ' l a m N OD N p ~ I ~ m ~am~; y ~I TOO o ' owl n~y 0 ki, z Oci , ~ Lk Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: ` Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildigs Division Sanitary Xerit No.: (ATTACH TO PERMIT) 253 GENERAL INFORMATION State Plan ID 53 Permit Holder's Name: ❑ City ❑ Village Town of: BALL, ALLAN & GRETCHEN KINNICKINNIC Parcel Tax No.: CST BM Elev.: Insp. BM Elev.: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS rHIIT FS ELEV. Septic Benchmark Dosing ab SO Qat- Aeration Bldg. Sewer s~ohez~, Hold ing St Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet 3, 3' y7' TANK TO P/L WELL BLDG. Vent to ROAD Dt Inlet Airlntake Septic y/a 3 a - NA Dt Bottom D 93.8' NA Header / Man. ~y z Dosing ' ~ S ' Aeration NA Dist. Pipe Holding Bot. System 2 2. ?7- PUMP/ SIPHON INFORMATION Fina rade Manufacturer Demand Model Number 137 :p GPM TDH Lift ,f Frictio /99` System, TDH_~ Ft Loss Forcemain Length Dia. Dist. To Well f~ SOIL ABSORPTION SYSTEM -7-, BED/TRENCH Width Length No. Of Trenches PIT No. Of its Inside Dia. Liquid Depth DIMEN 1 N DIMEN I N Manu acturer: SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING SETBACK (CHAMBER Mode Number: INFORMATION Type O OR UNIT System: DISTRIBUTION SYSTEM Header / i oLld~~l Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length . L ength Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Of xx Seeded / Sodded xx Mulched Depth Over Depth Over xx Yes E] No Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ~ddaw~. X _ LOCATION: KINNICKINNIC.8.28.18W, SE, SE, LOT 2, COULEE RO AIV, -r .,.R.. to cle Plan revision required? ❑ Yes ❑ No Use other side for additional information. 6 Cert. No. SBD-6710 (R 05/91) Date in pectoCs Signature ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 3`61 74E57- 6-0X1,2/ T44e:-5:a111 Safety and Buildings Division j SANITARY PERMIT APPLICATION Bureau of Building Water System: 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 countys Gti°G~,X than 8 1/2 x 11 inches in size. T • See reverse side for instructions for completing this application !State sanitary P~ it,ry/S3 The information you provide may be used by other government agency programs I❑ 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 s /rye - yo3 Z- Property Owner Name Property Location' 1 /4 s'F- 1/4, T2.40 , N, R A? E (or)Qtvj Property Owner' Mailing Address Lot Number Block Number -3 gl-pw_ CState Zip Code Phone Number Subdivision Name or C M Number r 7~ cs t.~ sy ! v~/ II, . 3/ ,S ll /V ~~Y~/f C~/• 5~102,2 Nearest Road II. TYPE F BUILDI G: (check one) ❑ State Owned !tLme Public or 2 Family Dwelling - No. of bedrooms -3 W vllwn 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 0 2- 2 - '/oz/- 7o-LOo 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10, ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12'I ❑ 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. ~w 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 010ound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 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. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 5 Elevation yj~v 3-75 1-7 1.11 Feet f j•17 Feet VII. TANK Ca in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- steel glass Plastic App New Existing structed Tanks Tanks r Septic Tank or Holding Tank /off l0 S/ Er , ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 750 7 S~ ❑ ❑ ❑ ❑ ❑ VIII. 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) VP/MPRSW No.: Business Phone Number: ;e0,6k 13, Plumber's Address (Street, City, State, Zip Code): `'rte/s, yO/ /tea l/ v C,,, -s O t I -el IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps Approved ~j Surcharge Fee) F1 Owner Given Initial ~j Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, 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 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 1/2 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 mode( 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. ~oawy y a SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin October 18, 1996 201 East Washington Avenue P. O. Box 7969 Madison WI 53707 ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN 596-04032 FEE RECEIVED: 180.00 BALL, ALLEN SE,SE,8,28,18W 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. Sinc rely, n eth Stiemke P1 Reviewer Section of Private Sewage (608) 266-8230 7:00 to 3:45 Mon. thu Fri 8610R/ 1 SBD-3524 (R. 09/88) UL13RICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants PROJECT INDEX DILHR PLAN ID # S96-04032 DATE Oct. 18, 1996 OWNER Allen & Gretchen Ball PHONE 715-426-9714 ADDRESS 1473 Riverside Drive, Apt. 108, River Falls, Wis. 54022 LEGAL DESCRIPTION Lot 2, CSM 548864, Vol. 11, Pg. 3157, Tax Parcel # 022-1021-70-200. 3.5 acres. SE 1/4, SE 1/4, Sec. 8, T28N, R18W TOWN OF KINNICKINNIC COUNTY St. Croix CSTM Robert Ulbricht CSTM 2482 LOCAL AUTHORITY/ SUPERVISION St. Croix County Zoning Dept. PROJECT DESCRIPTION: New construction. For a proposed 3 bedroom sized home. Estimated daily wasteflow: 450 gals. Soils are permiable (.4 GPD/ft) but seasonally saturdted at 30". A long narrow mound system is proposed using 12" sand fill. wow POv~rt 896-04032 Canesbn~r ED Ulbricht 5 Associates Private Sewage Consultants 655 O'Neil priOV 5 ONeil Rd. F Z~~ Hudson, Wis. 54016 WOW. VAN . GY-1 8EE NDENCS ~I PD 3 3 0 7 - /07 Pg.l PLOT PLAN VIEWS Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEW SPECS. Pg.3 PIPE LATERAL LAYOUT Pg.4 DOSING CHAMBER CROSS SECTION Pg.5 PUMP PERFORMANCE SPECS 03vuliqqA "Our I ft-ft" anew sb ~ . ~ ~ GU £S T Go i L W ~ ~ c o o m ro Ql~ CNZA N rn o IJA N d c U3 krn -44, o 0 0 , -r N N J ?o v~ Ln w I ~ C1 -n J y~ 3J T T C cri CT p~~ ca -0 a~QOmv _ y rn M cR = -21 49j" g O a 11 ~1 n ~yCC> r3.- 53 0 -W \I-/ ~ o Va T P5.zof5 CROSS SEGTIC» of mouAjD wi rti Qoe- OED of " r'o I z' A5911? C-1 ATE' ~ISTRi13uT~o,V G, T'Aick~sFSS pip °F r°psorL 5y5TEM E I EvA rioA3 '7. SZ Uu i FpR M To E- E F N a RRT~O Mao. 5AuD ll/ llll 111 i/l i PIowE~ TopSoc uu FOR PA E FORCE" ~ R►h 8 MAW E I rVATAoa Uu MER f3~ (?Co. 52- D 1.0 Fr ELEvhrio►J S rr , E Fr. INvERT' OF IA-TERA(s T F. oz i F ' g3 FT. I, TOP of R oc~ 3S ! ~ 1 1( H 1. 5 FT. • T°P °F IATERA IS i PLA N VIEW ~F Moue - wi rV} 13E D i • C Efl-5TQ8L- FoRcE MAW A s FT• I t, • I B 75 F r K Iz Fr F L q9 T' w ----j 1 FT k~l - - - f T IS T- ~a r F f T- i7 Bev aF To I PVc CAPPED ~-'1 C ►~TRAL. MAC 1 FO L p D►STRi Bu Tio&) pipe NE Two R k , t P -P►S-TRI 3uT101-3 LATERAI5 EN0 CAP s 2____,.. [BUG FoRCE LAST" VioIE S HA 1l [3E NEXT To END SAP . VOID Vc)1 urn t Fo R ~2.~ Fr. zo.s gals, XNuF-RT' 13IEVAT-►o&) dF a` FORCE t4Ai" PERFoRArED PIPE DET-Ai L Q` HolEs IOCAT-eV D1V GOTToM SHAH BE' I "I Y VARiA(3LE- y E gom(y SN,4CeD. Dt STANCE P 3Cp Fr Hole Di AKA Te R ►N L ATERA L ' Z t N, R MAO% FOLD " iN. Xg - iN~ht:s FoRc~ MAID Z tN• Y / Luc l,~ s or- (4olE5p p E /0 • • r PUMP CHAMBER CROSS SECTIOIJ AMD SPECIFICATIOUS P4 yE_ _ I of 5 -VE"T CAP 4' C.I. VE"T PIPE WEATHER PROOF APPROVED LOCKIUG 2S' FROM DOOR, JU"CTIOM BOX MAMHOLE COVER WIJOOw OR FR ESN 12"MIU. wtvA~(,0f, )6- IA13EI / AIR INTAKE ej-INDE 'r-/E t"l-f/o'v GRADE zl' 4" MI". ~ O N COIJDUIT X IB MIU. ~IEU~f► rv I"LET PROVIDE V6 I . 570 - AIRTIGHT SEAL I I IpE I ajc0/ PPROVED JOIN( A y PIPE IN I III APPROVED JOINTS EXTEMDIIJG '00, ffv I I III w/c.i. IP 3' OI,ITO SOLID SOIL D ALARM I B UNTO SOLID SOIL g yp c ~J4 3 Oki ELEV, FT. I PUMP --j 1.0 OFF k /E VIA) rood I BLOCK RIStR EXIT PERMITTED OIJLg IF TAUK MAUUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOUS DOSE Q TAUKS MAUUFACTURER:/OWESTI (DUMBER OF DOSES: TAOK SIZE PER DAy GALLOIJS DOSE~VOLUME Zp.$ ALARM MAUUFACTURER: _ AdU£L INCLUDIUC, BACKFLOW: 1-75 GALLONS MODEL MUMpER: ~.y- L.- CAPACITIES: A_ lS• 306 SWITCH TYPE: M_ _Ej9'VJlol~ IAICHE5OR GALLONS PUMP MAUUFACTURER: ZD~~~~~ B=uZ INCHESOR -LGALLONS MODEL "UMBER: 137 Yv. f f P C IIJCHES OR 11 5 CALLOUS D = I_' 3 INCHES OR 2'37 SWITCH TyPE:~V~ ~lfJ/~~~U CALLOUS MI"IMUM DISCHARGE RATE 30 NOTE: PUMP AMD A GptA INSTALLED 0" SEPARATE CIRCUITS VERTICAL DIFFEKEUCE 6ETWEtU PUMP OFF A"D OISTRIBUTIOU PIPE., / y8y FEET 1"ANk SP GS ; -I- MI"IMUM "ETWORK SUPPLY PRESSURE • , . • 1- /25 FEET OF FORCE MAIM X /s F)/ 3 FEET 6AC(L_`_~ per{- J)} (fit i _ IooiT.FRICT10At FACTOR.. '?FEET t`~~Ur1S 2- I- . TOTAL by"AMIC HEAD •ZS FEET ~AIs• IUTER"AL DIMEIJSIO"S OF TA"K' LE•."GTH C019It G ;WIDTH 1 ~LIQUIb DEPTH `3/ f C P .5® Q W rW LL J W MEAD 11S CAPACITY 34 32 105 _ 30 CURVE-1-00- 95 29 90 29 85 EFFLUENT 24 --go- I MODEL and Q 75 MODEL 189 DEWi47ER/NG x 70 185 V 20 65" > 18 80 G 55 J 18 50 MD EL p 183 MODEL t- 14 45 111. 188 12 40_ 4- 35 10 MODEL : MODEL 30----- 137, 139 18S SEWAGE and ° 25 DEWATER/NG 9 20 MODEL ,S MODEL 181 4 7 . 10 2 MODEL { 5 53, 55, _ 57,59 0 GALLONS 10 20 30 40 s0 80 70 80 80 100 110 24 75 LITERS 0 8o 180 240 320 400 22 FLOW PER MINUTE 70 20 85 G 18 - MODEL Q 295 1 IU SS ~ ' x 1S V 50 MODEL Z 14 4S 294 C. 12 40_ a MODEL 35 - t- 10 293 O MODEL 284 8 25 MODEL 8 20 - 282 15 4 s: 10 MODEL 2711 ~ u 2 S 267,268 0 i 3280 Old Millers Lane GALLONB 10 2 i 30 40I 50 601 70 801 too ITO 120 30 too "isp 180 1y0 180 11o P.O. Box 16347 a I Louisville, Kentucky 60216 LITERS 0 SO 180 240 320 400 480 580 840 720 (502) 716-2731 FLOW PER MINUTE "137" Cast Iron Series "139" Bronze Series HEAD CAPACITY UNITS/MIN Feet Meters Gal. Ltrs. • Automatic or Non-Automatic. 5 1.52 104 394 ~ Gv£S T L-O ~ ~ W R1 ro h Z CIA w a ~ i ~ rn o 10 -44 N ~ E o\4a N O u n i CERTIFIED SURVEY MAP GORDON'A, TRUESDILL JR. Located in the NE1/4 of the SE1./4 and the SE114 of the SE114 of Section 8, T28N,R18W, "town of Kicuuckuuuc, St. Croix County, Wisconsin. Ouners address: 1112 loots, Ave, R.oba-rts, Wt. 54023 Dated May 23, 1996. I This instrument drafted by: -W4,G'~ I 3.11 s' 1/• 36' 35 "~y M[--~ 46,V_58 ' I35 33 ' I • 2 ' ' w ~ w w x0 3 p ai M v, a ti 'ZI~ .`mo~a Q Q ~ tij ° M M rn I y Im nl M` 3 I w W. o0 1~ ri L a W Q I O q V ?3 ~I ® HQ a a n, Qf F. a Q I C c: ~I I a 0% iK 1 v W aWn 4I ~ ~ o`aU'a y ~ 4jI IRj h Oki 3 y' ~ I rk i h m JI .N 04. 55' ?747P 15' 14 1 439,01 Of ~f Z)l I U I r In Q~ W► WW q V 4, ~I d © e M ti ~ o ° o Q 3 f ~ y R O w' hm to n N Q: , v o v~ to v h N ~W o 5 5 ••E 541.58 Z / 41.38 NO1° R , \gGON / l~ WF-S r t I Nf 01 1 NF E~ S t r, ? ,.•~..,...`•`4- S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/SUM 1411Ail/ ADDRESS ' if~ _ FIRE NUMBER CITY/STATE uff A f:ZA I- W ( • S 90ZZ ZIP PROPERTY LOCXTION t NE 1/4 , SE 1/4 , SECTION 9 , T Z, N-R 1 W TOWN OF/Ni(J/ St. Croix County, SUBDIVISIONESP 54 f8Co7 UDI ~j 31S1 z LOT NUMBER 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 three years or sooner, if needed by a 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 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 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 Co. Zoning officer within 30 days of the three year expiration date. SIGNED: cl1Lt~ DATE., A` ' / '!/~)9 St. Croix co. Zoning office 911 4th St. Hudson, WI 54016 STC-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/cohtractor,(spec house), thenia 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 N61/4 'Sf~1/4, Section , T ~LN-R W Township AJA-) I Iq?3 R Mailing address. Address of site ~ 0 o3 A0 /5~//7 Sao Z Z_ subdivision name- C`S~ S~~~G~ Lot no. a Other homes on property? Yes No Previous - owner of property &0 P_ D 0,0 T- , Total size of parcel 3. S /'A C'j- 5 Date parcel -was created 9- Zq - g G Are all corners and lot lines identifiable? Yes Is this property Peing developed for (spec house)? _Yes No Volume 20 and Page Number 57S 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 & 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 o: Deeds as Document No. 504_;' and that I ( we) ' presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the aboire described property, for 550639 VOL 1202 PacE 575 WARRANTY DEED DOCUMENT NO. REGISTER'S OFFiCE OIX CO., W1 PWd f or P=d r~ 9 1996 This Deed ma de between GORDON A. TRUESDILL a/k/a Gordon A. Truesdill, Jr., Grantor and ALAN W. BALL and GRETCHEN L. BALL, husband and wife as survivorshiop marital property, Grantees, Witnesset.h, That the said Grantor conveys to Grantees the RETURN TO: following described real estate in St. Croix County, State of Wisconsin: Lot 2 of Certified Survey Map filed August 29, 1996 in Vol. 11 of Certified Survey Maps, page 3157 as Document No. 548864, being a part of the NE 1/4 of the SE 1/4 • and a part of the SEJ of the SEk of Section 8, T28N, R18W., Town of Kinnickinnic, St. Croix County, Wisconsin This is not homestead property. Together with all and singular the hereditaments and TR N§FER appurtenances thereunto belonging; And warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances, and will warrant and defend same. Dated this 8th day of October, 1996. (SEAL) Gordon A. Truesdill a/k/a Gordon A. Truesdill, Jr. STATE OF WISCONSIN )SS ST. CROIX COUNTY Personally came before me this 8th day of October, 1996, the above named Gordon A. Truesdill a/k/a Gordon A. Truesdill, Jr., to me known to be- person who cuted the foregoing instrument and acknowledged the same. B , nda Poulin Notary Public, State of Wisconsin My Commission expires: 11/24/96 THIS INSTRUMENT DRAFTED BY: Robert W. Mudge Brenda Poulin MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. Notary Public 110 Second Street, P.O. Box 469 State of Wisconsin Hudson, Wisconsin 54016 X22-/~21-76~d E s