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HomeMy WebLinkAbout022-1094-10-000 Q ° o o O cv p 609 p °H3, d m a> Q) O o o ~ I o N a~ I`.. N _O O c f6 O N LL E - O co Lu N _0 N C (D 'i a) -r -0 cn C y E U LO Efl N> O O - L a O a N O _ i N u cn u) 72 (0 O 3 N O c 0 " O a = N N .a 5 00 01 .a j co o 0-9 U) (6 6 L O H N N c 3~ N N NL ~ O - rr I I a c N w a m ~ o ~oO LL 0 oa~LO- o tea,- E C z C Z W y N N N 3 (Cf C N E' 7 tt} C> O E j, U. O r? C N N U. c N U N O aL O H O O V :tf a 7 N L N C 'O c 2 Q a E Q co ° E Q° Lvo a20 i U U M _N c) a O W : C r O Oi~ p z j''. N d d d N N W C m C co c~ h Z c N o Lv ~ C C7 ~ U O Z d' _N m z of ^i N N `y M C N j N ~ c N • FV -O L -O ~ N 2 z z o N 2 z z 0 Q _ z N N N Z O " N N c LO O N N N 00 _ E m 00 N t0 i N ZT ~ N - 4J E N - vi CL M w O N.. C Fo . 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C =O) co _ co N O C N C 2 N N N a) U N T E Q (4 O F N Q) U O M a v ° ~ y I co U) O 00w1 am z M z c C9 .0 ° z d a1 Z d C O z c v • N a) c Q 2 z z O w N z N p U'_, 00 I 00 H E N L i 0 O ~ Q w ) n C M M ca H d L N O LL c o d Q m N z ~i O O O ° g o 7 O fA B O O N V) J V C m m ~7 7- } M LO co co U N p C) C) O N N E o) Lo m CL (D N a) C)) 4 Q) p N Q } 's? co O 7 C p c C, Qo 00 O O° U o aa)) C c 0 CL o o o y v(1 'C -3 N E Y c- N N N v 00 C Vj c C (m U) o6 .2 ~I co "t a) p C\l N C O C N •O L O M Y > N O N z fn E d ~ 3 *k d is d ii 0 CL CD E ` ° ° o 0 CL 0 U) L) i • ~ r STC - 10 4 AS BUILT SANITARY SYSTEM REPORT OWNER WS ` a ADDRESS_ /0 JV"16 A 1h /I SUBDIVISION / CSM9 LOT SECTION _•rN_RW Town of e• 1 -3- D C/ ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM -Tbf fnuT Ku' o ~ a INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: DQ ( ALTERNATE BM: c~ , S TIC T / PUMP CHAMBER HOLDING TANK INFORMATION Manufacturer: " f f C'S Liquid Capacity: 2 - e ~ Setback from: WellerVD House Other t Pump: Manufacturer_aLa > / Modelk~~3/l~ Size Float seperation ~ Gallons/cycle: 1Y6 Alarm Location y Q a -:SOIL ABSORPTION SYSTEM Width: Length y~ Number of trenches Distance & Direction to nearest prop. line: ~ r Setback from: well House Other t ELEVATIONS Building Sewert ST._ Inl:et ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATI ~ 6 PLUMBER ON JOB: LICENSE NUMBER: J j INSPECTOR: 3/93:jt WiscaAsin Department of Industry, PRIVATE SEWAGE SYSTEM • County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Pe rpitl o tate Plan ID No.: Per it Holder's Name: ❑ City [I Village [I Town of: S 2(~ CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA ~}~I~DD 44 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r'1 7, ! U U J Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic ~U odd ZS f NA Dt Bottom Dosing w f la v' bS ~S NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade f 9s Manufacturer Demand b 7 d3 Model Number 2 5-09GPM TDH Lift { 7 Friction` Z? 11 System TDH/)- 7(.Ft oss Head Forcemain Length 3() Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S 7d 1 /1 DIMENSIONS LEACHING Manufacturer. SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION TypeO CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length ZS Dia. ! Spacing LZ 3 lr 2 f-,-- SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over r Q Depth Over /J_ xx Depth Of , f xx Seeded/ Sodded xx Mulched Bed /Trench Center -~-vc Bed /Trench Edges Topsoil Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Ke~ Cwt / rm :S ILA Plan revision required? ❑ Yes ❑ No G Z I Use other side for additional information. p SBD-6710 (R 05191) D Inspector's Signature Cert. No. ~DITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: E ~1 = • X5.9 ~ • s SS 3.9a ~e 3y e~ 5 1 l r ~c -6 - - 1 Submersible 0 MODEL: 3871 SIZE. 3/4 SOLIDS 0 - Effluen*t Pump H H PP:: 0..4 4 1550 METERS FEET 8 25 7 a w 6 20 5 15 a Z 4 J 3 10 2 5 1 0 01 - 10 20 30' 40, 50 GPM 0 4 6 8 10 12 ITWh CAPACITY [QGOULDS PUMPS, INC. Mle--A FAMS WW 1 OFyC MS f_ G Effec d" October. 1988 O 1988 Goulds Pumps, Inc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN U.SA. O►NITARY PERMIT APPLIC10ION COUNTY In accord with ILHR 83.05, Wis. Adm. Code STATE SANITAR PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if r i , vie aiation -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S96 -010CI3 PROPERTY OWNER 4 D PRO~~E..RTY LOCATION "on l 1 M,g n FZ % S S o? T N, R /f E (or PROPERTY OWNEft:S MAIL ~a DR LOT # BLOCK # WY, STTAT ZIP COD~~ PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ~ Q 9V IN NEAR D CITY 13 11. TYPE OF BUILDING: (Check one) ❑ State Owned VILLAGE T ❑ Public ~ 1 or 2 Fam. Dwelling- # of bedrooms ARCELTAX NUMBER( ) III. BUILDING USE: (If building type is public, check all that apply) /D /o 1 ❑ Apt/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 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. IKI 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 Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Mound T' 7,r 30 El Specify Type 41 El Holding Tank 12 1:1 Seepage Trench 22 In-Ground 420 Pit Privy 13 ❑ Seepage Pit Pressure 430 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 REQU 371~ NA IRED (sq. ft.) PROPOSED (sq. ft.) (Gals/da q. ft.) (Min./inch) 1 + JLLEVATION ~(f" j~ ► J e' ~ Feet ;/r ~ Feet VII. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank F-1 F-1 171 El 1 11 El Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum er's Name (Print): Plu a ignature: (No S mps) M MPRSW N : Business Phone Number: a 3 VX4 t lum er's ddress (Street, City, Sta , Zip Cod : ✓ ko~ _p RL IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issue I n Agent Signatu No Sta S) Approved ❑ Owner Given Initial YG IV Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) 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 the 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 (SBq,6399) to be submitted to the county prior to4nstallatiorr: 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 & 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. 11. 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 in 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallon, 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 81/2 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 model and pump manufacturer; D) cross section of the soil absorption system'if .;required by the county; E) soil test data on a 115~orm; 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 yffect groundwater. The monies colleQted through these surcharges are used for monitoring ground water, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) 7154257413 BYE GOFF & ROHDE LTD 201 P02 JAN 22'36 16:11 ' . . Vr .11J1pAG~ e)~S1 PRIVATE SANITARY SEWER SYSTEM EASEMENT Gerald A. Williams and Carol L. Williams hereby grant a perpetual Private Sanitary Sewer System Easement on the property described on the attached Certified Survey Map to the John E. Family Williams and Irene J. Williams/Trust. Dated this 28th day of November, 1995. Gerald A. Williams Carol L. Williams STATE OF WISCONSIN ) ss. COUNTY OF ST. CROIX) Subscribed and sworn to before me this 28th day fof November, 1995. > r ye, ary ublic t Wisconsin ission is permanent A afted by : C. M. Bye, Attorney at Law 710 North Main Street FREEGGISTMS OFACE River Falls, Wisconsin 54022 T.CROIXCO.-W1 Reo'd for Record DEC 4 1995 5 J.1~• 10:00A.. t Ali'. r Deeds l~ f SAFETY & BUILDINGS DIVISION Stat i Department of Ind uman Relations July 29, 1996 26 Rose Street "'10" L` Crosse WI 54603 WEGERER SOIL TESTING 421 N MAIN STREET } c\ PO BOX 74 j RIVER FALLS WI 54022 RE: PLAN S96-40813 FEE RECEIVED: 180.00 WILLIAMS, GERALD NE,SE,32,28,18W 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. Sincerely, Gerard M. Swim Plan Reviewer Section of Private Sewage (608) 785-9348 SKDA-7997 (K. 10/84) • Page of 6 MOUND SYSTEM S96-40813 FOR A 3 BEDROOM RESIDENCE LOCATED IN THE 1/4 OF THE S~ 1/4 OF SECTION.3Z ,T Z8 N, R 18 W, TOWN OF t}yQ lC h-lly►V 1~° , ST, C~L~C COUNTY, WISCONSIN. INDEX RECEIVED - JU1251996 PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN SAFETY & BURS. DIV. 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 GE-TzALD W),LU t)MS 1 o s b covJK cN le-1p m _ ~l v ~ ~-4cus, wI s~ o zZ PREPAIM BY WECEFZEF;?-- SQ I L TEST I h[G ,mB~p40H AND . 4'P z3E13 z Gh! s; =FZv x cE ~ ~ ®SCONS~', i pp GE V411041 74 421 K. KAIK ST. f $ t~ ARTHUR L. t SoNx s WEGEP.ER jal1< Fi1LS. KI 54022 g ! o-W 915 P ditiOllaft 715-42`x-0165 IVOfTN. ~00 s V ~ IGN 0 solos a UMW 6i ~ wt. ~a wv of tot) GE SEE GoR JOB NO. ~6-~69 PLOT PLAN „ ?age of • • _ . • Scale 1 o-Z w11 ~ ~ llol S~P`11C ~ 1`a G 0 pA1 1flP OF Y , H M -WL FE~jce- j>6 sT o ~s z ~ 7 r-) ~SS> G ~ ~ 3O ~O"C LsL .6 Cl ®I s 3 X3.3 ~G P 0 - _ eo o~ z''tw c • ~N B.2 y. ',zs• . Lt~10°-' e~1r,Pf'~eT ojZ t~'8Rti~0u~U ~S Ply ~~F. t NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be ~0k30 16SO gallon capacity manufactured by 5. Bench Mark SpU~ 6. Divert surface water around mound to prevent ponding at the uphill side. I Page -10f Approved Synthetic Covering 19sTN► c 33 Distribution Pipe Medium Sand _ H G Topsoil F EIev'. GS. S I~ p - b % Slope (Force Main Plowed Trench of k"-2k" From Pump Loyer Aggregate Undisturbed D 1 S Ft. Soil E Z _O Ft. Cross Section Of A Mound System Using F O.8 Ft. I Trench For The Absorption Area G ~•o Ft. A j Ft. H i• S Ft. B -IS Ft. I 11 Ft. Linear Loading Rate= 6'O GPD/LN FT S Ft. Design Loading Rate=0-I" GPD/SQ FT K \'L Ft. L q Ft. A! tei-hate ne~5i-t- en -of Fnrra W 30 Ft. L Force B K Main w o~aPos tT Distribution Trench Of 2 - 2 2 ~`Y.7p Pipe Aggregate Observation Permanent J Markers Pipes (~chor securely) i Mound Using I Trench For Absorption Area Page Of Perforated Pipe Detoll 0 End View )Perforated . End Cop.) o<~~~\t~~ PVC Pipe Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cap * PVC Force Main i Distribution Pipe Lost Hole Should Be Next To End Cap Distribution Pipe Layout P 3 S Ft. X 3 1~o Inches y 3~ Inches Hole Diameter 1!y Inch Lateral ~Iy Inch(es) , Manifold - Inches Force Main," Inches # of hol'~s/pipe 1Z Invert Elevation of Laterals 1/6-0 Ft. %-Lxl-n = IV.DV X z = GP" t, y Place lst hole from tee with succeeding holes at 3(~ intervals. Last hole to be next to the end cap. Combin-a.tion S-ept3c; Tank and P1]MP (sMBER CROSS SECTIOIJ AMID SPEC&ATIOMS ' PAGE S OF WEATHER PROOF -VEWT CAP JUIJCTIOIJ BOX 4'C.I. VENT PIPE APPROVED LOCKING. x.10' FROM DOOR, MAWHOLE COVER rvI11i .JINOOW OR FRESH wARN1NG Ll40EL. ALR_IJTAKE coupv~r ~f' MIIJ. I C' MI IJ. PROVIDE I INLET AIRT16HT SEAL I III . ~ I III BAFF~~S A I I I APPROVED JOIWTS APPROVED JOIMT I I I W/C.I. PIPE,;KPt'C W/C.1. PI PEaR Tank construction I II ALARM shall comply with "I II ILHR (83.15 and 33.20 ° I I ow C l I LLEY. SG-fit PUMP-~ OFF D COMCKETE ' CLOCK 3" APPRa/E[ gFppl RISER EXIT PF-F.6IT(ED OIJLy IF TAIJK MAIJUFACTURER HAS SUCH APPROVAL. SPECIFICATIOKJS f SEPTIC S IJUf2 ~0 TA PER D" IJK 1ANUFACTURER: F'1~DW N ~ ~ MCER OF DOSES: TANK SIZE. ~~UD 6s GALLOWS DOSE VOLUME Z S•S', ~.~C~RA S~LS ~ s INCLUDING 6ACKFLOW: 1~b GALLONS A.LARIr1 MAIJUFACTURCR: MODEL WUMBER: 01 1~ LAJ CAPACITIES: A= ?3 IUCHES OR 3-0~~l GALLOAis LUS2 Y Z- IMCHWOR L_ G LLOU5 SWITC-H B= PufP MAIJUFACTURCR: G°v~ pS ~yr-1~~ s c s g IUCHES OR CALLOUS MODEL WUABER: 38~ D- © INCHES OR_ GALLOWS 6 SWITCH TYPE: IJOTE: PUMP AMD ALARM ARE TO C~ MIUIMUM DISCHARGE RATE Z~`pa GPM INSTALLED OU SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEIJ PUMP Off AI.JD..DISTRIBUTIOIJ PIPE.. C"I FEET + MINIMUM NETWORK SUPPLY PRESSURE ; 2.50 FEET + 8© FEET OF FORCE MAIN X 1`61 F>1/00 fLFKIC7IOLI FACTOR__ ,'Z9 FEET TOTAL 09UAMIC. HEAD FEET DIAMETER Pump chamber _ 3 8 `I IIJTERLIAL DIMENSIOLIi OF TAWK: LEAIGTH ;WIDTH - ;LIQUID DEPTH GAL/INCH BOTTOM AREA - ~ 231= AS PER MANUFACTURER = GAL/INCH ~r ~ o r Sy s-I~-vin not ~lSe.C~-~e-rmi~" ISSlled /c;L6l9b~ ) Yol L_ •Wmconsin Department of Industry, OIL AND SITE EVALUATION RT Page 1 of 3 Labor and Human Relations DiVmion of Safety & Buildings in accord with ILHR Wis. Adm. We' ~ COUNTY Attach complete site plan on paper not less than 8 ze. Plan ude, but not limited to vertical and horizontal reference point (nd % slope, male r PARCEL I.D. # dimensioned, north arrow, and location and distance ; 'ia, °a+ e s APPLICANT INFORMATION-PLEASE PRINT n.nON~'E t REVIEWED BY DATE PROPERTY OWNER: PROPER LOOATION G 1Zli Lb Lv l l ~I N S ~ k 114 SE 114,S3ZT Z-8 N,R 1$ E ( W PROPERTYO OWNERS MAIUN ADDRESS~ L0 LOCK If SUED. NAME OR CSM # CITY, STATE _ ZIP CODE PHONE NUMB , i ILLAGE &OWN NEAREST ROAD 1zWfZ\"4UZ'JI S~4 r~ ZZ. (7t S) YZS-8 tNfJ1Ch1NtJ C ~~v . [ ] New Constriction Use M Residential / Number of bedrooms 3 [ ] Addkn to existing building [q Replacement [ ] Public or commercial describe Code derived dally flow Lt SD gpd Recommended design loading rate - bed, gpdfft2 2 trench, gpolft2 Absorption area required -A--LS bed, ft2 3~ S trench, ft2 Maidmum design loading rate o. S bed, 9pd/ft2 0-~ trench, gpd19 Recommended infiltration surface elevation(s) Cl S- S ft (as referred to site plan benchmark) Additional design /site considerations h0QKAb W / S `Y--1 M I M lb" of S'rq, F1 LL_ Parent material S Q'r 1 M VBgT - OV IM S1 Ley C,Flood plain elevation, if applicable N A , ' It S = Suitable for system CONVENTIONAL MOUND IN-GR"D PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for ter S ER U ®S ❑ U ❑ S 0 U ❑ S &U= ❑ S ZU ❑ S 12U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bwmtiry Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmnch 1 o S o. o-a 1o`1R 31 Z S Z stk., w1~1~ CS w Z 8 3l 1o~ttZ31 sit Zwts~k m`~~ eI," - o•S o.~ Ground 3 31 3vw-l \Z. 'S1 ` -LM S~~T WLJ - C S o S o elev. ct S.10 ft `4 34-37 l0~ttz~16 ~;-still sl$ st) 2-mslh ti►t~~. cS - - - Depth to S O S S l t s i c limiting factor Remarks: Boring # p . S v . 0-8 ~b`tit~-3tZ sib Z~S~k Z Z 8-l~~ ~ltz ~1~ - s i t Z-`F soh rvt C S o S ~t 30 1~`1a-316 C ~•S`11Z Sl S1 Z`FS~~ m'f1- CS Ground eley 3b 33 S`T S l-3 'i 5 i C 1^'~ - - qo.o ft Depth to Gmitng fairy Remarks: CST Name.-Please Print Arthur L. We erer Pine 715-425-0165 Ve*og%rer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signedure: Date: CST Number: q6-16`~ -7=L~-°l~ M00576 PROPERTY OWNER 1w~L-Q J SM ~IL DESCRIPTION REPORT Page ` of_ PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounclary, Roots GPD/ft In. Munsell, Qu: Sz. Cont. Color Gr. Sz. Sh. Bed Trends % o-S d-b ,,<.,,~w,s Z 9->^$ to ~2 31 S 1 J 2 `(zS~k m CS - o. S o, ~ Ground 3 1~-ZZ 10.,~1~, X16 S1Z `~S~k`~4- cS - o•S t~. elev. °►3~ft. 2Z-2q spy 31(, ~~7-S `!R S~' S1~ 2 FS~I. h'1'Ff- L`S - _ _ Depth to S z1--s3 S `'C ! 3 c 1 r S i C Vrl j - - limiting factor { I Remarks: Boring # L' .,W I i Ground elev: I E! ft. Deppth to limiting factor : xs I Remarks: Boring # Ground elev. ft. Depth to ' limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: PLOT PLAN* Page 3 of 3 SCALE 1"= LJp ' [ NaT 1. W ~ O F S >~e . P Pt~ce1., 3 9D~ ftvu S2 1101 Iva .p ors 'IOP of y ~~sc a~ -mss ~t LGN Mme- FO,cE P 6 sT` Z; 7 0 CJ qq --'V- - LrL 013 ri, \S-T (!Zrv , kcT 01Z qb-~ 6 9 715 ) 425-0-169 M00576 CSTSignature Date Signed Telephone No. CST # f I .JG4.=~ .J ( 41 tJ Y C UUr r rEul ilJt L I li ~IJ 1 F'a~s J r~r a ~ ° ~b 1 FJ : 12 • V01 1151 PAGE J8 5) 0 DESCRIPTION FOR PRIVATE SANITARY SEWER SYSTEM EASEMENT FROM GERALD A. WILLIAMS AND CAROL WILLIAMS TO JOHN WILLIAMS AND IRENE WILLIAMS .r..._ E 1/4 CDR. SEC. 32, T28N. R 18W LOT I. C.S.M. VOL. 3, PAGE 882rv~ NM~ JOHN AND IRENE WILLIAMS O1n oz t SCALE 1 = 100' WILLIAMS PIPELINE CO. UNDERGROUND ° r PETROLEUM PIPELINE / N 8(R-3_S 67.42' 62" W) 7' 52" E _ 322.92' 124.10' r JV 198.82' I 1 ■ a 1 POINT OF ; I I BEG1,MG LEGEND (i WI 0.800 ACRES NI$ N • 1 1/2" IRON PIPE. FOUND. q' 34,860 S.F. wlci SECTION CORNER MONUMENT, *1~ 82 SIN SERNTSEN CAP, FOUND. S In ■ { : SOIL BORING ~ r•~ °lty f 0 > I PROPOSED (R-) PREVIOUSLY RECORDED AS z v I r ■ 83 EASEMENT NOTE: LOCATION OF PROPOSED DRAW&ED I '-e0`nf f64 FURNISHED BY CLIENT. SE CDR. SEC. 32, I 160! •~N+ r T28N. R18W p0 f S 7y op CLIENT: JOHN AND IRENE WILLIAMS OGDEN ENGINEERING CO. 1101 E. C.T.H. "M" Civil En Ineers i Land Surveyors RIVER FALLS. WI 54022 113 W. Walnut St. DESCRIPTION RIVER FALLS. WISCONSIN 54022 A PARCEL OF LAND LOCATED IN THE NE 1/4 OF THE SE 1/4 OF SECTION 32. T28N, R18W. TOWN OF KINNICKINNIC, ST_ CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: COMMENCING AT THE SE CORNER OF SAID SECTION 32, THENCE N 00'00' 48" W (ASSUMED BEARINGS REFERENCED TO THE EAST LINE OF THE SE 1/4 OF SAID SECTION 32 WHICH BEARS N 00.00' 48" W) 2234.59' ALONG THE EAST L94E OF SAID SE 1/4 TO THE SOUTH LINE OF THAT CERTIFIED SURVEY MAP RECORDED IN VOLUME 3, PAGE 882: THENCE S B7°37'52" W 198.82' (PREVIOUSLY RECORDED AS S 87°42' 52" W) ALONG THE SOUTH LINE OF SAO CERTIFIEO SURVEY MAP TO THE PONT OF BEGINNING: THENCE S 00°03' 55" E 234.67': THENCE S 75.00' 00" W 160.00': THENCE N 06'22' 41'• E 272.64' TO THE SOUTHWEST CORNER OF SAID CERTIFIED SURVEY MAP; THENCE N 87.37' 52" E 124,10' ALONG THE SOUTH. LINE OF SAID CERTIFIED SURVEY MAP TO THE POINT OF SEGINNING. THIS PARCEL CONTAINS 0.800 ACRES, MORE OR LESS. BEING 34,860 SQUARE FEET, MORE OR LESS. SUBJECT TO EASEMENTS OF RECORD, ri `XE CO) A$' I CERTIFY THAT THE ABOVE DESCRIPTION AND MAP ARE COR_ T TO THE T OF MY KNOWLEDGE AND 6ELIEF. JAMES t7. (!f / FILKINS ( I S•2246 RIVER FALL. J E Q. FILKINS 5-2246 JOB NO. 95-2162 wl 0 DATE: NOVEMBER 22. 1995 a SUA na11tx11*4 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER John & Irene Williams MAILING ADDRESS 1056 Count--y Road M PROPERTY ADDRESS 1056 County (location of septic system) Please obtain from the Planning Dept. CITY/STATE River Falls WI 54022 PROPERTY LOCATION NE 1/4, SE 1/4, Section 32-----, T_--28 N-R 1B_W TOWN OF Rinnickinnic ST. CROIX COUNTY, WI SUBDIVISION N/A , LOT NUMBER N/A CERTIFIEDSURVEYMAP 3061, VOLUME 3 PAGE 882 , LOTNUMBER 1 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 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 County Zoning Officer within 30 days of the three year expiration date. <7 SIGNED: DATE: November 29, 1995 St. Croix County Zoning Office Government Center 1101 Carmichael Road 11/93 Hudson, WI 54016 • • 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 Jbhn & Irene Williams Location of property NE 1/4 SE 1/4, Section 32 IT 28 N-R 18 W Township x; nic-kinnic Mailing address 1056 County road M River Falls, WI 54022 Address of site._ 1056 County Road M Subdivision name N/A Lot no. 1Lc~ Other homes on property? Yes X No L" Previous owner of property & 114,W* 3 ` 1osh4 Total size of property . Zq Total size of parcel Date parcel was created Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house)? Yes X No Volume 3 and Page Number 882 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 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. ~ Y Signature of Applicant Co-Applicant November 29, 1995 Ilk li ' DOCUMENT NO STATE BAR OF WISCONSIN FORM 1-1092 Y"o$ SPACE eL%Lr.LD roe eLCOMOINQ DATA QUIT CLAIM DEED 455593 j!I ~1A'(` I REGISTER'S OFFICE i ST. CROIX CO,' WI I Gerald Williams as trustee for..G1,o~.a,..C;~ne~., Rgc'dforRecord I! CharlestW> lliams, Douglas: Will,ams,,,, A 1991IS~i aii*e - Wi i Hams, and .Jeff r,ey Williams, of N 0 A . Jofui E. Williams Famil Trust Gerald W' ft claim ..........Y............x.................lll Cum, . V: Alexander, Alternate TrusWtee.... a„1%2..intere Irerie'~J:"Williems~~t~amity.,'Dust.,..Gerald,llam~,_.Trusx~~, apa~«ofoeeds exarie ;...A~.Lerz~ae..trustee...a..11.2..interest;..each ng with full Rowei'..of...sale..and...en-mobrancs the following described real estate in St,r•..CtQiX County, - C. L. GAYLORD State of Wisconsin: To ATTORNEY AT LAW 113 E. ELM ST. j Lot One (1) of Certified Survey Map recorded t~ - - RIVER FALLS. WIS•-5402: = 1 in Volume 3 of Certified Survey Maps, page 882; being a part of the NWz of the SW; of Section 33, and part of the NE4 if the SE'% Tax Parcel No: of Section 32, all in Township 28 North, Range 18 West. I F EXEMPT i ~ . i 1 i I I~ ~ I I n (4 O s 'v 0 r~ o G d ~l c 3 4 m m 'g (D a # c v `3 m ro ~ a Q U) ~zF z ~ ,W° • 7' OT C O 7 N N I CD (1 CD f6 ? N Oo 3 ~ 70_C ~ O i~'r T v a. L fD V N Q1 (0 A 7 N O W N N N Q : g CD 0 CA O O O c'Y& co C~ =r O Q ~Q c CD 1 co CA N CL 0 O W O O l~ Cn H Q° N d CCD O O 00 D C-p C CD w D CD N Q \ N O N O CD - (`7 OCO J CO O O CD 0) c U7 W C' 7 ~ 1 CD (0 U) O rn Z7 N Oc a a 3 v v v K !I m O Z O O O l~l Z! z O O c N N N O D C) 1 CD a G _G o (1 p O CD N N - W l~ W .D R. N tQ ~ 3 d OD U) 00 m CD A N z + N z O N O =h D D o n c m O ' a 0 CD CD v~ c i ~ J ~ M = ,p z O C) VI P Z -I W W m N (D OD CL z o C/) o " m Cb N A Ili CD A W ~ n (D n C Q CCD N D a fl N.CD v O n V CD N c to (0 z G O 6-0 cn ~O C0i~ ? N O 'O O fD ~ a N CD I fn ~ Q cn N Q CD lV (D Q N = Q N V O n, O N m a Q V r ti O 0 p yb t 02/09/2006 07:54 AM parcel 022-1097-10-000 PAGE 1 OF 1 Alt. Parcel 33.28.18.522C 022 - TOWN OF KINNICKINNIC Current X' ST. CROIX COUNTY, WISCONSIN 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 - HILDEN, MARK E MARK E HILDEN C - ANDERSON, KRISTEN M KRISTEN M ANDERSON 1101 CTY RD M r~ / ~D GRIVER FALLS WI 54022 l~x- Districts: SC = School SP = Special Property Address(es)-:""~~ Primary , Type Dist # Description W , Q/~ SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 33 T28N R18W W298.64' OF N 358' OF Block/Condo Bldg: 605 PAGE 25 BEI r7-) CSM VOL 3/882 ASSESSED W - - Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) EZ-UT-1503/382 33-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 08/16/2005 803540 2867/417 WD 05/2312005 795584 2806/516 TD 1256/227 TI 07/23/1997 890/487 more... 2005 SUMMARY Bill Fair a ssessed with: 0 (P 69 - Valuations: Last Changed: Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 / } 8 9 D C~~~pd~ ~ ~ 10 FILED O fIT 19 1979 i-9 360567 01 of Do$& T. CROIX COUNTY ~54 0~~ ~ Croix emly, SUKUTUn W CERTIFI MAP JOHN WILLIAMS Part of the Northwest 1/4 of the Southwest 1/4 of Section 33 and part of the Northeast 1/4 of the Southeast 1/4 of Section 32, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. o Indicates 1" x 24" iron pipe weighing 1.13 lbs/ft. set. l ~ C. T. f+! M elf i~ 0~; SEG. ~3. TZ8 iV, ?i O Ac 00 R /s~/KE' Il'~' 0 I c I N BA .4/V ~9 W in O - m m ,•~z~TO.QY m ~~mC .=".4A A4 T I„ AC:) `YEGL/NG <j. 0 ACRES 5.05 A C.4~E' S u ` ~ ~ EXCL. R. O. liY, Ux ?Ot N N \ (V W I~\ V po ~N 0 0 o W~~ e 00 ' s e-7°4.z'15 6zz./0 SCALE S / by C:0,4?. 5 EC. :!3 3 'TZQ N, DESCRIPTION: .4/Q Div That certain parcel of land located in the Northwest 1/4 of the Southwest 1/4 of Section 33 and the Northeast 1/4 of the Southeast 1/4 of Section 32, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, more fully described as follows; Commencing at the Southwest corner of said Section 33, thence N 00° 00, 48" W 2604.82' along the West line of the Southwest 1/4 of said Section 33, to the West 1/4 corner of said Section 33; thence S 89° 59' 27" E 298.64' along the centerline of C.T.H. M to the POINT OF BEGINNING Of the parcel to be herein described; thence S 00° 02' 04" W 358.001; thence S 87° 42' 52" W 622.10; thence N 000 02' 04" E 382.911; thence S 89° 59' 27" E 621.60, along the centerline of C.T.H. M to the POINT OF BEGINNING, containing 5.29 acres, more or less. (For purposes of this description all bearings are referenced to the West line of the Southwest 1/4 of Section 33, T 28 N, R 18 W, assumed N 00° 00' 48" W) State of Wisconsin) Pierce County) I, James L. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner. John Williams. I have surveved and divided the lands shown hereon in accordance