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AS BUILT SANITARY SYSTEM REPORT
OWNER 6~-
ADDRESS
As w
SUBDIVISION / CSM# LOT
SECTIO E --T ~ N-R~W, Town of ~r'-( yl i k im 14
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
Si
e
S
't l/U
J
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
i,
n ~s
BENCHMARK: , er
ALTERNATE BM:
EPTIC TANK AMP CHAMWE~ HOLDING TANK INFORMATION
Manufacturer: ~~r~~~,,;C'S 1 Gf~Cli.S Liquid Capacity:
r r '
Setback from: Well House 35 Other
Pump: Manufacturer r)6u A) Model# Co 4 Size
Float seperation Gallons/cycle:
~
Alarm Location 2rit L12 e2:
;SOIL ABSORPTION SYSTEM
Width: 3 , Length / Number of trenches
Distance & Direction to nearest prop. line: & ~ Le- S
1 i
Setback from: well : House Other
ELEVATIONS
Building Sewer ST Inlet; ST outlet
PC inlet PC bottom Pump Off
Header/Manifold Bottom of svstem
Existing Grade Final grade
~L
DATE OF INSTALLATION: 71 c)
PLUMBER ON JOB: f
LICENSE NUMBER: 1
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Hdman Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-:
Permit HHoollder•s Name: [I City E) Village ~J_ Town o : State PI
WANG, x
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
✓l/tJ. J /mar I~P 0S /411'1_f ~ 1.
TANK INFORMATION ELEVATION DATA -
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ~l?"C~uJf'S~Frr~ ^G 7 Benchmark Q J•
Dosing
Aer n Bldg. Sewer
Holding,---- St/~if Inlet
TANK SETBACK INFORMATION St/j0 Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
_r
Septic > 50 NA Dt Bottom
Dosing q NA Llsa4er / Man.
Aeration-— NA Dist. Pipe
Holding,-~' Bot. System
PUMP/ Sid INFORMATION 086.P Final Grade
Manufacturer ` Demand
G6 _Cis
era C'c;. 5
Model Number Lc~r<O 3 `J I~A
ction~ Sy
TDH Lift Lri
mead stems 'TDHFt
oss
Forcemain Length /j:5_ Dia. a'' Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSION 7 DIM I N
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufactur
SETBACK CHAMB
INFORMATION Type O i Model Number:
System: mcv Md. 166 OR T
DISTRIBUTION SYSTEM
Header / Ma ifold Distribution Pipe(s) „ x Hole Size x Hole Spacing Vent To Air Intake
Length S , Dia. Length 4;):;' / Dia. Z Spacing o ~Sl r VS,
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of T xx Seeded/ Sodded xx Mulched
Bed / Eenter Bed / T dges Topsoil E] Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATTQJI: Kinnickinnic.,33.28.18W, NE, SW, County M 12,
~B.Y1'l,-31U~
Plan revision required? ❑ Yes ❑ No
Use other side for additional information. 9 8 -
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
I
SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code CoffV
STATE SANITARY 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 ;49-7/4
revision to ious application
-See reverse side for instructions for completing this application. STAT PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY NER PROPERTY LOCATION G
n0u "Pt F% f, s 3? To'Y, N, R 6 E (o~
PROPERTY tW NER' f4AILIf4G A ESS LOT # BLOCK #
C K, STATE f Z~CODEt PHONE NUMBER SUBDIVISION NAME OR CS ER
-e
11. TYPE OF BUILDING: (Check one CITY I NEAREST ROAD
❑ State Owned VILLAGE 1
-3 R TOWU OF:
PARCEL AX NUMBER(S)
❑ Public R 1 or 2 Fam. Dwelling-# of bedrooms -
III. BUILDING USE: (If building type is public, check all that apply) 0 "
1 ❑ Apt/Condo v
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. Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 W Mound 30 El Specify Type 41 F-1 Holding Tank
12 ❑ Seepage Trench 22 In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
1140 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
L REQU151CD sq. ft.) PROPO ED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
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 Holding Tank ` fJ 1/,e-a5'7
Lift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber' -Name (Print): Plu r' Signature: (No Sta s MP/ )A No.: Business Phone Number:
, 4_ . J, -'::~;~2
/44-~
/It
Plumber's ddr (Street, City, Sta Code):
2 ~ bi~
IX. -COU TY/DEPARTMENT USE ONLY
ps)
❑ Disapproved Sani ry Permit Fee (Includes Groundwater ate Issued Issuing A n nature o b
Surcharge Fee)
5~ppr,ved ❑ Owner Given Initial /~3
Adverse Determination O`d
X. CONDITIONS OF APPROVALIREASONS 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 (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/ea r
s.
6. If yotr 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.
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 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% 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.
I
SBD-6398 (R.11/88)
I SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
September 13, 1995 2226 Rose Street
La Crosse WI 54603
WEGERER SOIL TESTING
421 N MAIN STREET
PO BOX 74
RIVER FALLS WI 54022
RE: PLAN S95-41088 FEE RECEIVED: 180.00
WANG, GARY
NE,SW,33,28,18W
TOWN OF KINNICKINNIC COUNTY OF ST CROIX
MOUND SYSTEM
I
i
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,
ennis Sorenson
Wastewater Specialist
Section of Private Sewage
(608) 785-9336
SHOA-7887 (K. IWN)
r
Page of 6
MOUND SYSTEM S '95-41088
FOR
A BEDROOM RESIDENCE
LOCATED IN THE Ne-1/4 OF THESW 1/4 OF SECTION 33,TZ8N, RIB W,
TOWN OF t►J}J ~Ch o/j1j 1 C S1'. C,\ZU~X COUNTY, WISCONSIN.
I
INDEX
PAGE l 'of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PA GE 3 of 6 PLAN VIEW-CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER
PA GE 6 of 6 PUMP PERFORMANCE CURVE
RECEIVED
PREPARED FOR SEP - 7 1995
G 42~f ►-v G
} 1 y --t' covr-'ry SAFETY a Km. INV.
w~ s~lozz
PREPARED BY
WEC-,EFCER SO = TESTING R yFTHL ER i
AND i G'');5 p x
tv 6L.LSVIORTM,
13EE; I CCTV ICE Wis.
F.G. sBOX 74 421 K. KAIK ST. d
RIVFF. FALLS_ VI 54072 S I GIS oea
715-4%r--0IbS ~~~1`I!1!!l1~N~,
S ~T', 2 , lg q 5
JOB NO. S - Z~ 3
PLOT PLAN Page Z of
Scale 1"= 10 '
S95-41088
L 1 d ~2.Y~I \~.0 ~D
I
_O
V i
ao tioY CW-1antr atz
~1S~UW3 YrFls
'en '116
~ v P ? G ~!'1 -t~L, 100, u' alV S P! Iz~
III I
ZS o r
L u u LmSY~cL Ly
of Rotun,GS,
U 9(~)
o , ' 1p ~ s H-mV s ~ ~-LS`hN6 YU 3E
iJ 3 ~ 1 ~l3 - ; th3~►.~OU~ C'o IRS PC~c
J
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. ( Z required)
4. Septic tank to be 1606/6S gallon capacity manufactured by
`Fn 1 ~ w k2-ST~ R 1~ S , A j C.
5. Bench Mark S l~'l3 0 OF
6. Divert surface water around mound to prevent ponding at the uphill side.
Page -1 Of
ti95-41088
Approved Synthetic Covering
~)S-7r1 C- 3 Distribution Pipe
Medium Sand
Topsoil H
F G Elev. lOl• S
3 E p
"
\
b
% Slope
Bed Of i„- 2 %2 Force Main Plowed
Aggregate From Pump Layer
D 1.5 Ft.
,Cross Section Of A Mound System Using E Z-o Ft.
F 6.43 Ft.
A Bed For The Absorption Area
G l,O Ft.
A 8 Ft. H l- S Ft.
Linear Loading Rate=Q•5-7 GPD/LN FT B 4-7 Ft'
Design Loading Rate= o.1 GPD/SQ FT j l1o Ft.
J q Ft.
K lZ Ft.
L -1 ( Ft.
fnrr__ _ :n W 3 3 Ft.
L
J Observation Pipe---,,,"
A ------------------~t
Force Main
~ „ i „ ol~nos 1
Distribution \--B ed Of 2 - 2 2
Pipe Aggregate
I
Observation Pipe Permanent Markers
(Anchbr securely)
Plan View Of Mound Using A Bed For The Absorption Area
. Page Of
Perforated Pipe Detail S 9 5 ®4 1 Q g
0
End View
Perforated
PVC Pipe
End Cop) e ~ Install permanent marker
i
at end of each lateral
Holes Located On Bottom,
Are Equally Spaced
Q S
PVC Force Main
Q
PVC
Manifold Pipe
I *'q .
Distn ution
Pipe
Last Hole Should Be I
Next To End Cap `
End Cap /J
P
Ft.
ISisiribution Pipe Layout S_ Ft.
X g Inches
Y~ Inches
p Hole Diameter Inch
Lateral J Inches'
Manifold Z Inches
Force Main Z Inches
# of holes/pipe b
Invert Elevation of Laterals 102.00 Ft.
bxl•l1 = *-)•eL xy= z--g.08 GPM
tl
Place lst hole Z~ from center of manifold with succeeding holes
at 14(6" intervals. Last hole to be next to the end cap.
r
Combination Septic Tank and ISS9 5 M4
(3_
PUMP CHAMBER CROSS SECTIOIJ AND SPECIFICATI
JL-v
VEUT CAP WEATHER PROOF
JUIJCTIOU 90X
4r C.I. VENT PIPE APPROVED LOCKING
.10' FROM ODOR. MANHOLE COVER wIT~
Z wARr.1fIJ6 LIN<3EL.
.jiwDOW OR FRESH
AlK IMTAKC Cor~Dut r
f i
Y" MIM.
97
lb'Mlu.
18"!'l I A1. ~
PROVIDE I
IMLE7 AIRTIGHT SEAL I I I V
3AVPFusS
A I I i APPROVED JOINT$
APPROVED JOIfT I II W/C.I. FIPE,*PuF-
w/c.i PIe. jan cons;tru :tion I III ALARM
t > shall cbmply.,''zvith
I.H :I>3..,15 a,td;.8,20 o I 1
'D 1>
I I oW
C
~f-83 FT. -_J
a. PUMP OFF
F COUCKETC
OLOCK
APPROVEC
RISER EXIT PERMITTED OWLy IF TAWK MANUFACTURER HAS SUCH APPROVAL gC00 INra
........1111.......
SEPTIC SPCC IFICATI0US
f
005►EK MAtJUFACTURCR: L-J~ A~ ST ►JUr+ESER OF DOSES: 3.~ PER DAB
TAWK :,IZC: l~u~ X650 GALLOUS DOSE VOLUME r
S.S. CAL ~1?A SV 5TGI S IIJCI-UDIUG BACKFLOW: 13 ~O GALLOWS
ALARM MANUFACTURER:
MODEL 1JUM13ER: 1Ol NLy CAPACITIES: A= IMC14E5OR 3~b GALLOyS
5WITCH TYPE: Y'1 C~JR B= INCHES OK =L CY ~LLOLIS
PUMP /MAIJUFACTURER: C-yOVt't>S 'Pu" IDS. IIuC, Cr $ ILICHES OR `~IO GALLOUS
MODEL IJUMDER: D- 1O INCHES OR 11~ GALLONS
~1`~LC.UIZ-LJ MOTE: PUMP AWD ALARM RE TO 6E6
SWITCH TYPE:
MIAIIMUM DISCHARGE RATE GPM INSTALLED OW 5EPARATE CIRCUITS
Za- O
VERTICAL DIFFERENCE DETWEEIJ PUMP OFF A►JD..0I5TRIDUTIOW PIPE.. \S'`71 FEET
+ MIIJIMUM WETWORK SUPPLY PRESSURE 2.50 FEET
9 5 T.
FEET OF FORCE MAIN X ~'I`F/Ofi.FRICT10/.1 FACTOR-. 1' 53 FEET
TOTAL Dy1JAMIL HEAD = lQ"ZO FEET
Pump chamber DIAMETER
3>3" '
IIJTERAIAL DIME.IJ5101J~ OF TA1JK: LE.KJGTH ;WIDTH - ;LIQUID DEPTH
BOTTOM AREA - 231= - GAL/INCH
AS PER MANUFACTURER = 1~•O GAL/INCH
performance
`turves
METERS FEET S95-41088
90 I -
MODEL 3885
25 80 SIZE 3/4" Solids
Q WE15H -
70
w i I
- -
= 20 WE10H
J I
60 % I
F WE07H - - - - - -
I
15 50
WE05H }
40 I L _
WE03M - i - - - i
10 30
WE03L - - -
20 19. 20r
I
10
28, o$ '
C. 0
0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
0 10 20 30 M3 /h
CAPACITY
[qGOULDS PUMPS. INC.
SB,ECA FALLS PEW YOM 13148
METERS FEET
it
,20 i MODEL 3885
35~ t - - - - - - SIZE 3/4" Solids
I 110 WE15HH
I i
30r 100 - - t - ~ - - I-- ~
--L_-
90
i
25 ~ - , i
80
Q 70 I -
w +
Z 20 - - - - -i- - 1
-i
H I 60~ I i
G I _ - - - - - - - i - i -
Ir 50 WE05HH
15 I
40
I
10 i
30
44)
20 I I
i
5
' I I
10
I
C 0
0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
0 10 20 30 m3/h
CAPACITY
9'1985 Goulds Pumps, Inc. Effective July, 1985
YUisc6nsin Departrient of Industry,- - - SOIL AND SITE EVALUATION REPORT Page \ - of 3
Labor and Humari Relations
Dividion of Safety & Buildings in accord with ILHR 83.05 Wis. Adm. Code
' sT, lx
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but COUNTY (2'V_0
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
C:> !AJ P\M G eetff. LefF 1`lE 1/4 S 1AJ 1/4,S 33 T Z8 N,R E (06
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD
Z LUL1Z 1Fftt_L S j 1.j 1 S LIp t,Z ( ) 4 c.~t~v.~ tC 1 t l~lJiJ IQ c`(V{-q M y
[ j New Construction Use (,k] Residential / Number of bedrooms 3 [ J Addikn to existing building
j~ Replacement [ ] Public or commercial describe
Code derived daily flow L1 SD gpd Recommended design loading rate o , ed, gpd/ft2 - trench, gpd/ft2
Absorption area required 3, 1IS bed, 112 3-I S trench, ft2 Maximum design loading rate o S bed, gpd/ft2 0- 6 trench, gpd/ft2
Recommended infiltration surface elevation(s) l 5 ft (as referred to site plan benchmark)
Additional design / site considerations uv>v~ w l 4- q-t' BQb . "t W - L tr L) S Pir F-1 Parent material oy lm C d- c~ r Flood plain elevation,
if applicable - ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem EIS ®U ®S ❑U EIS ®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
Zm s bk w,'F~ S - o s ~.6
-t
Z L$' L v `t ti. S 1 G• S o. ~
Ground 3 1$ -3`i ti~`1 ~Z- s1► --)s's►z s/,6
elev.
Depth to
limiting
factor
Remarks:
Boring # p
1 b O 1 O ~-1 lZ 3 Z S L Z vvl S bH( Y~ j c~+S - o- S i o. L
$ 23 lz`IQ s1y S~ l Z'~s1~h wl'~'t ~S
x1.:::::><<
3 Z3-y2 1o`~rz s1 ~l P s!s C (3 wt ~I.
Ground
elev.
'U - S ft.
Depth to
limiting
factor
Z3
Remarks:
CST Name:-Please Print Phone: f
Arthur L__[~TeQerer _ 715-425-0165
egerer Soil Testing & Design Service-P.O. Box 74 River Falls WI 54022
Signature: Date: CST Number:
q S -Z7 3 "PI-1 at L`iis M00576
PROPERTY OWNER '-JVNJ 1 6 SOIL DESCRIPTION REPORT Page of . Z
#
PARCEL IA
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # rizon
in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Z S' Zmsbk a-S - o•s 10.6
~5 0. S
~Y6Z . i~ S`iti slra C I 1 esbk `F~- -
Ground 18.33 11
elev.
1O~•bft.
Depth to
limiting
factor Remarks:
Boring #
Ground
elev. -
ft.
Depth to
limiting
factor
Remarks: -
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
K}: j
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92?
• PLOT PLAN Page 3 of 3
SCALE I"= 144) '
C,-r. ~A
o. S
i
-a
V)
~o ►~,uT cz" a"r G1Z
B•1
"W1 -tJL, 100, u' 61v S P I IzC.-
11 ~ ~ Y Zo" ~~"BOV~ G12.pvuU
o ~o ' "~2 I w l l S Lu c^-Tjzv6
y
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CST Signature Date Signed Telephone No. CST #
L y~
SS EP 2 1977 h,
JAME$ O' CONW9U
Reg(ifer of Deede;
CERTIFIED SURVEY MAP (sr. Croix Cower, to
343429 wls«
ken, Lee
Part of the Northeast 1/4 of the Southwest 1/4 of Section 33, Township 28 North,
Range 18 West, Town of Kinnicki.nnic, St. Croix County, Wisconsin
t~l89°40. 20" 1 _
- M - 3T g. 49 - -
ho u 298.36"
J ~
a o N
~ W
v, 5 ACRE5 7
.1
~ Q ~ w a s
g o DWE LL.
v, a o 0 7
~ o 0
7 z
STOR. SHEDS S :y-COR.
5EC•33
298-36 T 28 N R 18 W
SCALE IH• ZOO'
S89040'20 l-
o Indicates 111 x 241' iron pipe stake weighing 1.13 lbs/ft set.
Description:
That certain parcel of land located in the NE 1/4 of the SW 1/4 of Section 33,
T 28 N, R 18 W, Town of Kinnickinnic, St. Croix County, Wisconsin, more fully
described as follows;
Commencing at the South 1/4 corner of said Section 33, thence go N 000 001 00" E
(assumed bearing) along the North/South 1/4 line of said Section 33 a distance
of 2626.72 feet; thence N 890 401 2011 W along the centerline of C.T.H. 1'M"
a distance of 379.49 feet to the Point of Beginning of the parcel to be
herein described;
thence N 890 401 2011 W a distance of 298.36 feet;
thence S 000 001 5011 E a distance of 730.00 feet;
thence S 890 401 2011 E a distance of 298.36 feet;
thence N 000 001 50" W a distance of 730.00 feet to the Point of Begin-
ning, the above described parcel containing 5.0 acres,and being subject to
easement for County Road purposes over the North 33 feet thereof.
APPROVAL OF THIS MINOR SUBDIVISION
DOES NOT MEAN APPROVAL FOR
State of Wisconsin ) BUILDING SITE OR SEPTIC SYSTEM.
County of St. Croix) REFER TO H62.10.
I, James L. Murphy, Registered Land Surveyor, do hereby certify that by direction
of the Owner, Ken"Lee-, I have surveyed and divided the above described lands
in accordance with offical records, Chapter 236 of Wisconsin Statutes and the
St. Croix County Ordinances; and that the map and description shown hereon are
a true and correct representation thereof.
C `,\\\\\uunnHttrpun~i/z
Dated: 19 August 1977
O
JL. Murphy ~y'~~~''~/~
eLand Surveyor, JAMES L.
Vol. Page x 67 APPROVED - POUHPHY
Certified Survey Maps = S 1 0 4 2
d
St. Croix County, Wisconsin RI-VER FALLS,
SEP 21 1977 WISC.
S~Q
SL cROI p. LAND
COMPREHENSIVE PARKS PLANNINt; ~~rrr1111U1111UN\1\\
AND ZONING COMMITTEE
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER (01 P q
MAILING ADDRESS
PROPERTY ADDRESS R'
(location of septic system)' Please obtain from the Planning Dept.
CTTY/STATE f
AS
PROPERTY LOCATION 1/4,-5 F 1/4, Section J T 0 N-R._,&_W
e 4
TOWN OF ST. CROIX COUNTY, WI
SUBDIVISION r~ LOT NUMBER
CERTIFIED SURVEY MAP 7 / 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.Wlrfyou put into the system can affect the function of the septic tank
as a treatment stage in the wasted al system.
St. Cro' County residents may be eligible to receive a grant for a maximum of 60%. of the cost.
of rep cement f a failing system, which was in operation prior to July 1, 1978. St. Croix County
accepted is 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:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
-,DOCUMENT NO. STATE BAR OF ~.`I~CO`SIN FURJI 1-1952; THIS SPACE I-SERVED FOR RECORDING DATA
! . WARRANTY DEED
't 5'3163 VOL i?;sF497
J
This Deed, made between ROge-r G. Radunzel lrt v i L.~. ~ ,
fix ~ hr RacorJ
-and. Cher.i..A.. Radunzel,- husband _and .w.ife...... _
- -
- - - - Grantor.
11.00 A.
and.... . GarX C Wang. a Single-.man, - -
- _ - -
F?3 #~raf C~at}3 ~''I
-
Grantee
Witnesseth, That the said Grantor, for a valuable consideration...... C
!onveys to Grantee the following described real estate in _ _ Ste-..CrO-~x.- - / f)(/EUfR GO ,
County, State of Wisconsin: P. O. BOX 167
-_R VEh FALLS, WI 54022
Certified survey map in Volume 2 of CSM,
page 467, as Document No. 343429, filed in
St. Croix County Register of Deeds Office on Tax Parcel No: :
September 27, 1977, being part of NE; of SW; EXEIMPT 77.25(3)
of Section 33, Township 28 North, Range 18
West.
A parcel of land located in the NE;SW; of Section 33, Township 28
North, Range 18 West, Town of Kinnickinnic, more fully described as
follows: Commencing at the NE corner of that Certified Survey Map
recorded in Volume 2, page 467, of St. Croix County Certified
Survey Maps,• the point of beginning of the parcel to be herein
described; thence S89040'200E 90.00 feet; thence S000001'50"E 730.00
feet; thence N890401120"W 90.00 feet; thence NOOO00150"W 730.00 feet
to the point of beginning.
Subject to easements of record and being subject to easements over
the Nly 33.00 feet thereof for C.T.H. "M" right-of-way purposes.
~I
(THIS DEED IS RECORDED TO CORRECT AN ERRONEOUS DESCRIPTION IN A j~
DEED BETWEEN THE SAME PARTIES DATED 10/05/94, RECORDED 10/07/94,
IN VOLUME 1098, PAGE 301, AS DOCUMENT NO. 522249.)
This ..__._ls homestead property.
(is) 14 AN
Together with all and singular the hereditaments and appurtenances thereunto belonging; = l
And........ Granto-rJa - - - -
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except municipal
and zoning ordinances, easements for public utilities, and building
II restrictions, if any,
and will warrant and defend the same.
day of - - ..November....-- _ 19.
it Dated this ----------------2nd .4.4.
_'o
(
it - 4.-SEAL)
` - ` -R... e.. G,- Radunzel -
------------(SEAL) 0,~. .a .......(SEAL)
!I
' -Cheri- A.,_.Radunzel---
i
AUTHENTICATION ACKNOWLEDGMENT
j Signature(s) STATE OF WISCONSIN '
SS.
St. Croix /I
-----•-•••••-----..County.
authenticated this day of--------------------- 19_____ Personally came before me this __.......2nd
...._..day of
-------Q,(j6kWi1Q NOV e_., 19.44.. the above named
.Ro ger__ G Radunzel and
• --Cheri-_A_..Ra_iunzel------
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not. -
_ L f}t-
authorized by 706.06, Wis. Stats.) to me known t $ b pt'rsou~~ who executed the
for ing instru ' a natif(i dge the same.
THIS INSTRUMENT WAS DRAFTED BY
Stuart J. Krue er Attorne C!-~kL1.Gt-1~~n
-•-•-g•----'------•--•--------------------- Teresa P or r .~3t ~
River Falls, Wisconsin
. i t... ounty. Wis.
Notary Public %1.111 St C
. :,ro ~~QQ
(Signatures may be authenticated or acknowledced with My Commission•.je 12ffitte ~~If,•'not, state expiration
w11.P~
are not necessary.)
date: 0--7 19-•--- )
-Names of persona eigrinr in any u?acity should be typed - p,4--%.d bel- their signatures.
WARRANTY DEED STATE SAY OF WISCONSIN Wi<consin Leval Blana Co. Inc.
IDRM Nw I-1982 Mil-kee, Wis.
• 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.A./r ~1/4 1/4, Section ,T;~N-R_.,Z~_W
Township f 1 , ' '<"o A i Mailing address &ez s
-T
A
Address of site al{ y,~. L°
Subdivision name Lot no.
Other homes on property? Yes__,\-- No
Previous owner of property
Total size of property
Total size of parcel
Date parcel was created
Are all corners and lot li es identifiable? Yes No
Is this property being developed for (spec house) ? Yes No
Volume bi 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 i the office of the County Register of
Deeds as Document No.~ % 6 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.
Signat e of Ap licant Co-Applicant
~ h
Date/of
ignature
Date of Signature