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HomeMy WebLinkAbout022-1007-50-000 Q o I o c m I c 4 o ~ I o ~ I o I N ! N ~ d O obi Fr I N Z c LL c O 3 ~ I I 3 Cl) z co w E d d c') ~ a m o o z v o I f% F r 4) Z Cl) (D O O 30 c 0 O w Z :S 0 Z M c C ~ d N N N o a G cQ- o c G y 2 o ~ o m a n U) U) E Z N> LO U) I- F- m a o h~ 000 Z .+J IL CL IL N t~ J U 0 .0 LO co rn rn ~ I Z ~ ~ v r O N N N E a W c 'o N (n rn U y N n m Q } to cc ~i p y U w c ►~l w °o o i E L o a'-o cn 4 a o Lo 0D U m c a N i. d U Y M ao c o c c a, 7 N V d m a • c~ CL m .2 G> a tt`~~V E c c R ~1 A uCL j0U)u Parcel 022-1007-50-000 11/17/2004 02:18 PM PAGE 1 OF 1 Alt. Parcel 03.28.18.48B 022 - TOWN OF KINNICKINNIC Current 1K 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 * SCHMITZ, JAMES L & ARLENE A JAMES-L-&ARLEN MITZ 1311 CTY RD N ROBERTS WI 54023 i Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 400 N DIVISION ST SC 4893 SCH D OF RIVER FALLS • ~ / , SP 0100 CHIP VALLEY VOTECH 7,U ) c (,o &-L G1 7 Legal Description: Description: Acres: 19.920 Plat: N/A-NOT AVAILABLE SEC 3 T28N R18W PT SE SE BEING LOT 2 CSM Block/Condo Bldg: 10/2933 19.92 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 03-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1170/123 WD 07/23/1997 1143/30 WD 07/23/1997 1137/451 QC 07/23/1997 1072/644 LC 2004 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/11/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 40,000 256,600 296,600 NO AGRICULTURAL G4 7.000 1,000 0 1,000 NO PRODUCTIVE FORST LAND G6 8.000 20,000 0 20,000 NO Totals for 2004: General Property 20.000 61,000 256,600 317,600 Woodland 0.000 0 0 Totals for 2003: General Property 20.000 61,000 256,600 317,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 307 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 (COUNTY MON. FOUND) I I S W s q ie 2 4 , UNPLATTED LANDS y -:o y~ j~ 1313 N 86° 45'01 "E .79' 1278,64 S0028'261E N.LINE SE-S 51.85' 0 a ,l"`11""•• ~lir° BUILDING ~ ~ q► W 5y0~ / SETBACK Z~5 100' N y 9h~395 5A .......\3t0~. ~ai LINE W . B3°26'49"W L'.• -03 1 1 / '~a,~~ 272.43' W C LOT I N83°26'49"E 0 \ 1188 ACRES ' V 66' WIDE PRIVATE N W (886,153 SO. FT.) w h ~ y ROADWAY EASEMENT \ •17.33 AC. EXC. ESMTS. M e y (763,540 S0. FT.) ~ \Ai ~ ~ ~ ~ Mf N. 3 s, s Z. -j. 4C,1 a.. xh, P' N 86° 35'27E 1316.61' ~ 555,00' 676.78' 84. 3' APPROVED W. Jug a• C4 ' J. c Z. ST. CRGjXC4a •~f y tn.: LOT 2 -;omprshemfv* bw,;r $ u • .3 p 19.92 ACRES Zoning ard a (867,837 SO. FT.) Parks Cotnmftu,9 v m If not recorded 2 within 30,deya of approval data approval Imm bo fK A A -vole! S. LINE SE- BE 860Z25'55" W 1319.25' SE CORNER SEC. 3 el~pR (COUNTY UNPLATTED• LANDS . SILO 0A,fg°~o~vA NOTE: BEARINGS ARE REFERENCED TO THE r EAST LINE OF THE BE 114 OF SEC. ro~ 41 JAMES M. 3, (ASSUMED BEARING), ► WESER • ' S-1804 a SPRING VALLEY o + SET I "s 24" IRON PIPE WEIGHING 1.13S• L 407 BS. PER LINEAR FOOr zo SCALE : 1".-200' 0, S .,o~yo v a ;O' 100' 200' 400 00~l0008 Q SHEET I OF 2 JAMES M. W BER 5-1804 ` 93-161 DRAFTED BY J.W. DATED VOL. 10 PAGE 2933 a STC - 104 AS BUILT SANITARY SYSTEM REPORT .14 OWNER QA 6 ip S le R J UL _ 1996 ADDRESS g D S~ Sr CR x SUBDIVISION / CSM# b/ LOT # SECTION - 3 T ~0p N R l /0o W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 0 7~v` a~ i ~7 ` as `--a''~►ce d7` • 716 7"t Iron "P e INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tan}; manhole cover. BENCHMARK: !/')1D ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: c We 5d f~Peb Liquid Capacity: ( 6665 x f /I Setback from: Well `66 House Other Pump: Manufacturer. ] l l`~OLLI Model# /f4~ Size ~ ~ Float seperation 6 11,2 Gallons/cycle: (f Alarm Locationp~n 4601),p 71 SOIL ABSORPTION SYSTEM r n Width: ~Length / Number of trenches Distance & Direction to nearest prop. line: N Setback from: well: -~>3oy1 House Other II ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATI O p PLUMBER ON JOB: LICENSE NUMBER: ~j INSPECTOR: 3/93:jt wiseonsin Department of Industry, PRIVATE SEWAGE SYSTEM County: ~X Labor and Human Relations ST. CROIX Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Pedbl,Qjq's N OLYN ❑ City E] Village C] Town of: State Plan I o.: CST BM Elev.: Insp. BM Elev.: BM Description: 7~ Parcel Tax No.: i /001 00 / 4 ; A9500401 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic g , Benchmark Dosing Aeration ` Bldg. Sewer Holding St/Ht Inlet 9UG; , TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Verit Air Intake ROAD Dt Inlet (o.`f0 95. Septic >w '/oor o, NA Dt Bottom Dosing 0 o l NA Header / Man. (o.ay / 95. 6 Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand"` Model Number `GPM TDH Lift Friction System ' TDH61q Ft oss H ead Forcemain Length ` Dia. au Dist.ToWell>5J' SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No- Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS a? r, ~ / DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER Model Number: System: - -d00'1 -175 ' -300 ' U N OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia_ Length Di a. Spacing j~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Seddu&- xx Mulched Bed /Trench Center ' Bed /Trench Edges ~a Topsoil 10 ['J'Yes ❑ No FT Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION-: Kinnickinnic.3.28.18W, SE, SE, Lot 2, County Road N L' J IS4 Plan revision required? ❑ Yes [!3No Use other side for additional information. " y, , , P IF, Id SBD-671(R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH •w . SANITARY PERMIT NUMBER: Z/ F1 r~'yrf or 0- D it _ ?ra~ 1/ SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than , .5Gr ` 66f 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY O NER PROPERTY LOCATION v bS e %'TE'/4, S Tc* , N, R /F E (o PROPERTY O N R'S MA NG DDRESS OT # r BLOCK S b 14 46 c R CJ,TY, STATE t ZIP COD PHONE NUMBER SUBDIVISION NAME OR CS rjp II. TYPE OF BUILDING: (Check one) CITY L NEARE D El State Owned ❑ VILLAGE ❑ Public El l or 2 Fam. Dwelling-## of bedrooms 3 ARCELTAX . NUMBER( S) III. BUILDING USE: (If building type is public, check all that apply) /~10 /PO 1 ❑ Apt/Condo V if 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 100 Outdoor Recreational Facility 30 Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. El Reconnection of 5.0 Repair of an rv;zl 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 210 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 120 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 140 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.) 3 PROPOSED (sq. ft.) (Gals/da /sq. ft.) (Min./inch) z ELSE-NATION 4X o / t ► Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank lab kid 1. 'T Lift Pump Tank/Si hon Chamber I P t l ` F-1 I El LJ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum is Name (Print): P 's Signature: (No S amps) /MPR W Business Phone Number: ,we 0)< S Plumber's Address (Street, i tats, ip d : bi 2A le 1,C) ey, k1l . sLoo, IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (include g roue Water a e Issued Issuing A ps) AApproved I F-1 OwnerGiven initial //-2/• 9-F 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 r. 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 (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 & 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. 111. 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 arid/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. it 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% 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, ground- water contamination investigations and establishment of :standards. SBD-6398 (R.11/88) 'WEGERER SOIL TESTING and DESIGN SERVICE- SOIL TESTING - SEWER SYSTEM DESIGN - MORTGAGE SURVEYS ATTN: DATE CC. SUBJECT: THE FOLLOWING ITEMS ARE ENCLOSED ak:'' `4?r, 0. OF DESCRIPTION t.~,. COPIES ~ 1 w► ov ~ ~ SENT TO YOU FOR THE FOLLOWING REASONS: t-,FOR YOUR USE FOR REVIEW AND COMMENT INFORMATION DESIRED S L~ L `T~ `ma'r- ~ ~ a ►2~ S ~ 4~y~ l=o WEGERER SOIL TESTING AND DESIGN SERVICE f9-R: Ire v` ~1z L-~l~ P.O.BOX 74 421 N.MAIN ST. RIVER FALLS,WI 54022 PHONE 715-425-0165 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations October 30, 1995 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S95-41351 FEE RECEIVED: 180.00 JOSEPH, CAROLYN 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. I Sincerely, e I Ge ar Swim P an Reviewer Section of Private Sewage (608) 785-9348 3143R/ 1 SHDA-7887 Is. 19/841 Page of 6 MOUND SYSTEM FOR 595,w4135I A 3 BEDROOM RESIDENCE LOCATED IN THE S E 1/4 OF THE SEi- 1/4 OF SECTION 3 , T 28 N, R 1S W, TOWN OF ~LNIU ~ C ~(~A ~ 1 C ST. C-IU1 I COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN ICr 1 *c~~ PAGE 3 of 6 PLAN VIEW-CROSS SECTION S~~E PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT 011v PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR CN%ZL \f w_ 7-SbSC~7pH q6 E. ~b `rt~v So~1 ST. PREPARED BY +ga6@@@00&C WEB-sEERER E3 C3 S L- TEST I NC ~~\Cc o"vs 0 •,N..N..i... AND. If 1:> =S = C7N I f CE 6° • i S i : ARTHUR L t F.O. 901 74 421 K. KAIK ST. _ ' o.9E5 PR, RIVER FALLS. VI 54022 ELLi9.01 TH, Wis. 440nally TIS'4L, ~I6J s Sw Vol 10N$ ~eR ~d~ cis 0~' ~p►V1S ~ JOB NO. PLOT PLAN Z of b Page Scale s a ' ~ ~ , ~ cnt r~^ 2 x S~S~ ELgo Za El -7 Lo ttemk) glt-~ 1 ZSo ~ ~ 1 y I rL q k4 I' ~ ~ ~I B.3 w f9 ! q S O~ PVC ' 30 of S- I ~ S z.o' o~ E 1 j jl z.`' o O & 8.1 ,gyp W~l.l 1W 6E- IqT U~"T .Sp FIZOA1 ' ~ ova T-~ k r LNIT I'S a a 0 m 76" - t31 100 , p' O~j 1z Z4iv 1~t P~ ~ f N-Ysl~ T L1ki 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 \%W3 gallon capacity manufactured by HIt3W STVW tare -RRnp Vr lb ~ 16 wC1:1TWtnj ~So G*kL , rnA. 5. Bench Mark S M4 V e 6. Divert surface water around mound to prevent ponding at the uphill side. ' Page 3 Of b Approved Synthetic Covering t~sT c 33 Distribution Pipe Medium Sand _ _ H_ G Topsoil F Elev-. ~3• -J 1 D 3 E u b \D % Slope Force Main Plowed Trench of k"-2-2" From Pump Layer Aggregate Undisturbed D 1.O Ft. Soil E I- S Ft. Cross Section Of A Mound System Using F 0-a Ft. I Trench For The Absorption Area G 1 • a Ft. A S Ft. H I- S Ft. B S Ft. I `S Ft. Linear Loading Rate= b,o GPD/LN FT J '7 Ft. Design Loading Rate=O,'3 GPD/SQ FT K 1 ~ Ft. L o1-1 Ft. 4er+ t , P o s i ti on of Force Mai n W 7-'7 Ft. L I FeFee J B K Multi"- W Distribution Trench Of 2 - 22 Pipe Aggregate 1 I 1 Observation Permanent Markers Pipes (Anchor securely) I Mound Using I Trench For Absorption Area i page Lq Of 6 Perforated Pipe Detail 0 End View Perforated End Cap) e~. PVC Pipe W ~ot`o `o~ca ~ as Install permanent-marker at end of each lateral Holes Located On Bottom. Are Equally Spaced Q End Cap Q ~-t * S PVC Force Main 4 Distroution Pipe Last Hole Should Be Next To End Cap Distribution Pipe Layout P 3~. S Ft. X _3'73 Inches Y 3p Inches Hole Diameter Inch Lateral l 'tV Inch(es) Manifold Inches Force Main Z Inches # of holes/pipe t S Invert Elevation of Laterals - 93.9 Ft. 1SXV.v1_ ".Ss Y_ Z= 3S. ! GPM Place lst hole 1S from tee with succeeding holes at 3& intervals. Last hole to be next to the end cap. ' PUMP CHAMBER CROSS SECTION ARID SPECIFICATIOUS PAGE S OF 6 VEM CAP ti" C.Z. VENT PIPE T WEATHER PROOF APPROVED LOCKING MANHOLE JIJUCTION BOX COVER WITH WARNING LABEL ~ 10' FROM DOOR. It•MILI. WINDOW OR FRESH 1 AIR INTAKE 1 GRADE I 40 AIM. 15' MIN. CONDUIT 18"MIN. • 1JLET PROVIDE ' I AIRTIGHT SEAL . ~ II v APPROVED JOINT/ A Tank construction shall comply I ICI APPROVED JOINTS with ILHR 83.15 and ILHR 83.20 i ill ALARM d I jl 1 I 1 ON c .I I C6 b~ I LLEV. FT. PUMP-~ _-i ~ OFF D ff2 85 , SO COUCKETE BLOCK 3" AVP'RAVED K15EK EXIT PERMITTED ONLY IF TAWK MANUFACTURER HAS SUCH APPROVAL. JgEDpI SPEGIFICATIOMS oosF 1~'t10►~ t?~ ~g~- 3. 6 TAWK MANUFACTURER: NUMBER OF DOSES. PER OAy TANK 51ZE: SQ GALLOWS DOSE VOLUME t ~Z.b.16 ALARM P' AMUF_ACTUKER: Sy5T&IS INCLUDING RACK/LOW: GALLONS MODEL NUMBER: CAPACITIES: A= 1 INCHES OR 31z OGALLONS SWITCH T3PC' B= Z INCHES OR ~GQLLOW5 PUMP MANUFACTURER: GOU L,flS 1~y►"~PS C,= INCHE5 OR 1Z 6' GALLOU5 MODEL NUMBER- 3%-7) $-7) D- INCFIES OR Z73GALLONS 1 ~I ~~~(2 GCII~y' MOTE: PUMP AUD ALARM `A C TO BE O SWITCH TYPE: MINIMUM DISCHARGE RATE 35' GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEW PUMP OFF AUO.DISTRIBUTIOW PIPE.. 1 'Z3 FEET + MINIMUM NETWORK SUPPLY PRE55URE . . . . . . . . . 2.50 FEET + ZO FEET OF FORCE MAIM X z''g3fY0 FLFRICTIOU FACTOR.. q FEET TOTAL DIJMAMIC HEAD = 1O'ZZ'FEET DIAMETER _ INTERNAL. DIMEWSIOLIi OF TANK: LENGTH ;WIDTH - ;LIQUID DEPTH 3$ 7, BOTTOM AREA - 231= - GAL/INCH AS PER MANUFACTURER = ~~-S GAL/INCH • " "`ubmersible MODEL: 3871 - - SIZE. 3/4 SOLIDS Effluent Pump RPM: 1550 HP: 0.4 METERS FEET 8 r 25 w 6 7- 20-- - - 5- 15. Z 4 3 10--- F- 2 E 3 I 5 - i 1 0 00 10 20 30 40 50 _ GPM I I. I L I 0 2 4 6 8 10 12 M3 /h CAPACITY e~GOULDS PUMPS. INC. se E _A FALLS NEw >m r3148 Effective October. 1988 01988 Goulds Pumos. Inc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE__ PRINTED IN U-S-A G-- Wisconsin Department of Industry, Labor and Hu man Relations SOIL AND SITE EVALUATION REPORT Page of 3 Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY 5T C/C~v/` 1f( Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER:. PROPERTY LOCATION SCO-lf 57'~~~~ /'Uw~~' GOVT. LOT SE 1/4 St 1/4,S 3 T 2 9 N.R IS E( W PROPERTY OWNER':S MAILING ADDRESS LOT # [BLOCK # SUBD. NAME OR CSM # 7/ - e-s+ sT • zo A fi~c S _S.4., p'ea01a G- - T. CITY, STATE • s• ZIP CODE PHONE NUMBER [:]CITY []VILLAGE WN NEAREST ROAD R v( 67e r5 yo Z 3 (7i5) 74/f - 326 i.;v,~ c ,~~:v v G h+ YN ( t•Ji1Jew Construction Use [2J Residential I Number of bedrooms [ J Addition to existing building j I Replacement [ J Public or commercial describe Code derived daily flow (000 gpd Recommended design loading rate • 'Y bed, gpd/ft2 • S trench, gpd/ft2 Absorption area required 500 bed, ft2 SOU trench, ft2 Maximum design loading rate • S bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) P 5, . 3 ft (as referred to site plan benchmark) Additional design / site considerations S~ •T~" .s' u Tl-A !is:- V,vO .5y S 7`l~:%'"1 Parent material Soy 74, - W IA A I ea b A s +7-y Flood plain elevation, if applicable N ft RE AT-G SYSTEM IN FILE. HOLDING NG TANK iSSIGaAfC S = Suitable for system CONVENTION MoyWY IN GROUND P U = Unsuitable fors stem [I S 2 CAS ❑ U El S 11 U ❑ S Old- 1 I4 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 A o.` to YR 3/z S,/ 2 s~6K s , S . G 3A., hk ui'F oe C.5 2 .a, . S . 4 <z (3 2~ !o'/R 4117 Ground C ' Imo' Y SYR 7'j/ Le 7.52 S~ L A.,54& r►M_F 90. ,e CS zf . S . 6 elev. 3/ ft. CL- 70 SYR f e .tN^~e~t• u Depth to S T SS/ limiting factor SSS Remarks: T ~ Boring # o !o YR 3/i. S,/ a, M+, shr ,►.t~~R s z • s _ M~ f R S •S 2. 2.,o s 2.f ,A< /o Y R Al W-351 16 ~ f S•'/ 3 c, h1r lwfR c s f 5• G Ground elev. C S-7175 Y4 (o SR'tu~'^~'~-T> 51 D, f 7'e A4Nf R. j0.2 ft. Depth to limiting factor 5 5S Remarks: CST Name:-Please Print Ro isee r u I I R 4'e, t% T' Phone: 7/5- 3 gG' S19>5 Address: 60 5 ,S C'A.) Er(, ! (f c~ pSo J 41 I • S y0/ [ 7 ' 3 CST rt Z~{ cQ L- Signature: Z4ea Date: CST Number: C ORIGINAL. V ..j PROPERTY OWNER SOIL DESCRIPTION REPORT Pagez of- -3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rench y I F1 v .,y /o yR /7 - J I/ 2 f Sb,C 2--F S . Ground Sb /o y ,,e of fie ~w►fA 5 7 s elev. 5A-r-0 hr ~-z-P A T- 913 Depth to d - 7 S YR Y/Ct s 1 ~.'F, 9~ iw► v i • - ,v limiting factor 5sS Remarks: Boring # Ground elev. ft. Depth to i limiting factor Remarks: Boring # Ground elev. it Deptii to limiting factor Remarks: Boring # 2~i .,6•.4 Ground elev. ft. Depth to limiting factor Remarks- 00r% 01"Alm ACIAM y t r { ~ C W N n(l th o Q W ~ ~ I N d ~ w 0 Z M _ 4 p\5 w w ~ w • M3 Q I ~-p W 0 ('fi•' W 1 • FILED JUN 8 1995 ► 9 KATHLEEN H. WALSH 'ter ot Deeds roixCo.. W► S X 3t~.C 9909 ,CERTIFIED SURVEY MAP BEING THE SE 1/4 OF THE SE 1/4 OF SECTION 3, T 28N, R 18W, TOWN OF KINNICKINNIC, ST. CROIX CO., WI PREPARED FOR : EI14 CORNER SEC. 3 MIKE NETZ (COUNTY MON. FOUND) i W Ol hZ UNPLATTED LANDS I -,"I 1313.79' Sly' U:I N8604501E I 1278.64 SO°28'26°E (6-0- 51.85, i N: LINE SE- S N, v „ \FAp BUILDING 100' N y 30A b 01 ~~Q........ ~O SL/NECK W 56p 3g y / . 605 511 © 1 6 1 1' 2 5 N5/\39 $e ds S 63°26 491 00- / '~272.43' \ yi j F 0 1. LOT I N83°26'4"E Q l;J ~ Of 01 p I 19.88 ACRES v W 66' WIDE PRIVATE (866,153 SQ. FT.) ~ V) in N to (A ROADWAY EASEMENT \ \ :17.53 AC. EXC. ESMTS. M\ \ rn h \ \ (763, 540 SQ. FT.) D C\j Z. 3 ~sP~ \a y'~,a M r a J~ ~9\ . d. F \m N86035'27E 1316.51 555.00 84.73 676.78 APPROVED W Q; W • ,.1 H: JUN _ 1 ~ • to J: ST. CROiX'tvldt5NJl7 y a. Z' LOT 2 comprehensive Wtaraa y: 19.92 ACRES Zoning and 3 v (867,837 SQ. FT.) Parks CortuNt V' ~o If not recorded M o within 30Tda+ys Of approvalyd*a ONE v approval sltt>aligit o nuts 4 -void S* LINE SE SE 1319.25 S86°25 55' W SE CORNER SEC. 3 (COUNTY B619~WAOQ UNPLATTED LANDS 9 '"'~~77QQ s~'-! SC, ®Il J! * oz NOTE: BEARINGS ARE REFERENCED TO THE JAMES M. EAST LINE OF THE SE 114 OF SEC. WEBER . 3, (ASSUMED BEARING). S 180q SPRING V LLE~ m W is. O =SET I" x 24" IRON PIPE WEIGHING 1.13 LBS. PER LINEAR FOOT. 'Co ~r SCALE : I 200' ~►~m~~o su'FavY:0 0' 100' 200' 400' _ SHEET I OF 2 JAMES M. WEBER S-1804 93-161 DRAFTED BY J.W. 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CITY/STATE Il I U t y L ~S' ~(,,~i• Z~J PROPERTY LOCATION 1/4, d- 1/4, Section T N-R2_W TOWN OF n r-% L K + n i ST. CROIX COUNTY, WI SUBDIVISION 3 LOT NUMBER C? CERTIFIEDSURVEY 0`' 4, VOLUME ,PAGE ,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 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. SIGNED: DATE: 9'r-, 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 Oteh ~S f A Location of roperty S 1/4 1/4, Section T2LN-R_.,Y w Township L m r hlrl 1' C Mailing address f 399 AS6n Address ofsite_ 131 Subdivision name Lot no. Other homes on property? Yes_No Previous owner of property t,2e /~O& y Total size of property 06 , Total size of parcel _004 Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes -_No Volume //V?D and Page Number 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 qqf 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 th f e of the County Register of Deeds as Document No. y 1.7y Signatu e o Ap icant Co-Applicant /4 1 /9-"- Date f Signature Date of Signature t I.I. BFAC9 RZSZRVED FOR RtCORDING DATA • DOCUMENT NO. I STATE BAR OF WISCOyFORM 1-1988 W NTY DEED 534(;24 _ v0~. TT3,PAGE A REGISTER'S OFFICE 11 - ST. CROIX CO., WI This Deed, made between .-...Leland-- W---o 1 f gang and Revd for Record Gloria _Asmussen-,•__single--_individuals . OCT 5 1995 - Grantor, nt 11:05 A. M and. Carolyn--A'---Joseph........ •---••••~,.~1. C•1~, lie Grantee, Witnesseth, That the said Grantor, for a valuable consideration...... Th.i ty-Five.. ho zsand--.Do-llars._--03.5,'.0.00.'_00.) RZTURN TO ° .yk conveys to Grantee the following described real estate in ._.5t...... C rQ.7 G County, State of Wisconsin: 6 st Lot Two (2) of Certified Survey Map in Vol. 10 ,e. , s~/a of Certified Survey Maps. Page 2933, as Doc. Tax Parcel No: No. 529909, filed in St. Croix County Register of Deeds office on June 8, 1995, being a part of the Southeast Quarter of the Southeast Quarter(SEl/4 of (SE1/4) of Section Three (3), Township Twenty-Eight (28) North, Range Eighteen (18) West, Town of Kinnickinnic, St. Croix County. ~slos-~~- c This homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; Sellers Leland Wolfan and Gloria Asmuss And.... g warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except That there is an issue of access to this parcel which is the subject of negotiation between Grantee and Michael and Sandra Netz as addressed i e Purchage Agreement attached and made a part hereto. and will warrant and defend the same. .pw. ~ ' Dated this J.1~. o day of September N (SEAL) 40 4 r" 'j x v•--j5EAL) 1 (SEAL) « AUTHENTICATION ACKNOWLEDGMENT STATE OF Signature (s) es. U .County. A .7 • authenticated this ........day of 19 ~ersonally came before me this _PC .day of _ l04-•-- the ab ve named f ~ rf......... ` TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) to me known to be the person t3 who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY he .I.. Gay l.ard,..At_torney........ *.F-~ D._.~ Riviver Falls, WI 54022 Notary Public ...4 Uo ,rG1~,S---------------••.County, VisN - (Signatures may be authenticated or acknowledged. Both My Commission is anent. (If not, state expiration are not necessary.) date: AA 197.1r..) *Names of persons signing in any capacity should be typed or printed below their signatures. 1 STATE. IIAR OF WISCONSIN Wisconsin Leaal Blank Co. Inc. WARRANTY DEED FORM No. 1-1982 Milwaukee. Wis. L