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HomeMy WebLinkAbout022-1038-95-000 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER UIZ + ADDRESS 132 LOT # c" SUBDIVISION / CSM# SECTION -_Ta 8 N-R_W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 110V JAI y o ~~{Pt 3() O y 3~ ~ QeDt;~t,r,~ I1~ Al INDICATE NORTH ARROW I Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: W z e Liquid Capacity: ' S' Setback from: Well (3~ e 15, House S- Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location >a v 5 loo jo SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: y ~v e r' r Setback from: well: IDU House 3 Other ELEVATIONS I p_ 5 ° 3 ST outlet )5- 5 co v~ Building Sewer ST Inlet. ca~•'7g PC inlet PC bottom Pump Off o- Header/Manifold «i,~-3 (31-~i~ottom of system 100.50 Existing Grade p Final grade ~I03 lo~ DATE OF INSTALLATION: la I~ PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt LOUATaiQ11epa*,Te1t9"jgNIC 14.28p ~ / ~CO. RD. County: Labor and Human Relations INSPECTION REPORT ` Safety and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 193384 Permit Holder's Name: ❑ City ❑ Village IV Town of State Plan ID No.: u- hT ev : Fs-P--BM lev.: BM4escription: Parcel Tax No.: << =,b , R (cam 022-1038-95-000 TANK INFORMATION ELEVATION DATA A9300043 g ^5 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark Septic F~, 77S Dos Aeration Bldg. Sewer Holding St/ Inlet TANK SETBACK INFORMATION St/0 Outlet 3,J7~ ~S TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Airlntake Septic > / NA Dt Bottom Dosi NA Headert= r- ';70 /D/, ~o? i Aeration NA Dist. Pipe L5' 4/27 Holding Bot. System * PUMP/ SIPHON INFORMATION Final Grade 16,17 Manufa Demand t~ r 53 /0 7 721 Model tumber GPM TDH Lift Friction Sye m TDH Ft Forcemain Length Dia. Hi Dist. To Well SOIL ABSORPTION SYSTEM 1 Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth BED/TRENCH Width i DIMENSIONS S -UIIUEN I N SYSTEMTO P/L BLDG WELL LAKE/STREAM LEACHING anufacturer: SETBACK INFORMATION Type O x-) CHAMBER Mode r. System:ie.n~V >$0( OR UNIT DISTRIBUTION SYSTEM Header / pGaarfold- U Distribution Pi e(s) f x Hole Size x Hole Spacing Vent To Air Intake Length Dia- Length 71 Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched e0@d /Trench Center 7~ - ? Bid /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: KINNICKINNIC 14.28 184215C,.S 1/2,NW,,CO. RD. J, LOT 2 r r Plan revision required? ❑ Yes [E'No Use other side for additional information. SBD-6710(R 05/91) Date Inspector's Signatur Cert.No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: _ j SANITARY PERMIT APPLICATION :_z EP&HR In accord with ILHR 83.05, Wis. Adm. Code COUNT - P Is STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑::8% x 11 inches in size. Ch k if revis on tppli cation -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPER OWN PR ERTY LOCATION Krw9 R,R S' ,XY4 MWY4, S 14 Td$, N, R 8 E (or) PROPERTY OWNE (LING nDRFI& LO Y# BLOCK # p t 1A 3' PHONE MBER SUBDIVISION NAME CSMNU BER -1s CITY, eTE_Q`• S ~~.•~tSC, ZyO~~ 1( 4U _fn V"I I P" II. TYPE OF BUILDING: Check one) CITY S NEAREST R AD ( State Owned ~j VILLAGE ~"t ~ N.tKINN~ C ❑ Public N1 or 2 Fam. Dwelling-# of bedrooms _I_ PARCE TAX N,u` Ill. BUILDING USE: (If building type is public, check all that apply) O O 1 ❑ Apt/Condo r 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ 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 JR New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 PK Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: ) Oy 73 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. Sl % LEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) - •7j ELEVATION Q . IS o ® 1,500 . U C 00 - Feet 1041, 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 I 11 Septic Tank or Holding Tank w laoo 2 Q s 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's Name (Print): Plumber's Sri ;~Z(N o Sta ps ) MP/MPRSW No.: Business Phone Number: 3 0 7 38 Z- ~Qo Qou s 4 ~ Dt _0 I Plumber's Address (Street, yty, S e, Zip Code): 11621 " c, h SON .S _ ~~kW 0 rJ W) S C. IX. CO NTY/DEPARTMENT USE ONLY Disapproved Safi ary Permit as (includes Groundwater ate issued issuing A gent big % Approved El owner Given Initial Surcharge Fee D t rmin tion Advers X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary-permit is valid for two (2) years. 2, Yobr.sanitary permit may be renewed before the expiration date, and at the time of re ev> d any new criteria in the Wia(;orisin Administrative Code will be appii, ab'e. 3. All revisions to Hiis permit must )e approved by the permi'.: j, suing authority. 4. Changes in vwrwrship or plumber requires a Sanitary Pe n;, t -ansfer/Rerev r+ rrq ( 3C 639? 1) to be ,submitted to the county prior; to installation. 5. Onsite sE _`Fe systems niust be proper .y maintai red. Th _ tank(s) mug`. bea:c°: _..::.y ^ licensed- ' pumper whenever necess,,iry, usually every 2 to 2 years 6. If you have questions concerning your onsite sewage systern, contact your local c de adn-driistrator 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. IL 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 Ahsorotirn system infcrmEt=on. Provide ai= information requested in, -141 ; VII. Tank ;rr..r'mation. Fill in the capacity of j new and'or existi;t;; a ' st the total c Y=ilrrlLer of tanks arid +anWacturer's n,ar'ie. Indica.o p, Mab or site constru(.`= ' .;:r r." ank rnaterkiil. (r3r 1°<`:'T~' for all septic. p+:, r n/siphon and ho!ding tanks i ,a system. Check c.? itp al a ;)reerai - + tanks received r experin-,?-,-wJ product approval from Dili. VIII. Respons&i!ity statement. Installing p!ur^) ^s ^ fill in ;r< f q ni_-nber with a ,prop-ki:e prefix (e.g. MP, etc. adress and phone number. PIv,;,`Fe. must sign; k-m IX. County/ Deliartmert :Jse Only. X. County/Der,.artn',.--nt Use Oniy. Compleas ?;nt+ speCIfication= not c,-?aller than 8Y2. be utmit{P'j to !h',' ,-.ouirlty. The plans srlciud,,a thE` following plot elan, draw!; to scr, ` f+I6`8 a, I£+? + ~ r,:: `rjr;F Cirl of ie dt L, - eptic tank(s) or n7!her treatme-it tacks; bur "a3e;- service; Streain:y d+ a + tr ~5' pump or siphor. _a^& distribution boxes; sy;;te!ii rr rt a_ +mer t system areas, tocat :7n t.'e bui i°.r,~,j 3) hC."IZOi 1•' ~ 'If?Vatl_ n >''f-?rE I,':;t.' points; C) complete specifications for punips and controls; dose vo urr-., eievat differences; friction loss; pump performance curve;tpump model and pump manufacturer; D) cross secs•c7n of the soil absorption system if required &7fhe 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 nr m'Oer of regulated practices wh,c`, .,an effect g,,-oundwater. i Tf,:e r.onies Collected thl`C;UCjh these su,cha,ge?; Fir, )J°ipd f^r l~n'stt~!ritu t~tl 9VY..'r` rJ Water contan+iriiat;on i roeesi igai ions and establishr i of # :'ISSrdS. _ e7 SBD-6398 (R.11/88) 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 'Ien the property is sold and submitted to this office with the appropriate deed recording. owner of property rt e er n P e r Location of property V?* llf~✓ 1/4, Section q T S N-R W Township ' C 1 4))11C Mailing address _ S~ ro (4 Address of site Subdivision name 1f~1. / ,Oq. ~Sa Lot no. o~ Other homes on property? yes No Previous owner of property a l aft S _ J evvs Total size of parcel arce f P ~Sp Q l -f aA C:Z < ? U eu. P _etc rPr Date parcel was created Are all corners and lot lines identifiable? .__Yes No is this property being developed for (spec house)? Yes 4__ No volume/423 and Page Number 7000 as recorded wit„1 the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING. A WARRANTY DEED which includes a DOCUMENT NUMBER NUMBER & THE SEAL OF THE REGISTER OF DEEDS., In VOLUME ition,AGa certified survey, if available,;would be helpful so as to avoid delays of the reviewing process. ~ If refer the deed description ences t to a certified survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner (s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No._Qv2 own the , and t1~at I (we) presently 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 County Regis,:er of deeds as Document No. Xatnuure pant of ap lic '4C? .apPl can n Date of Signature K Gate of Signature r CERTIFIED SURVEY MAP HEINER JORGINSCN Part of the South 1/2 of the Northwest 1/4 of Section 14, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wis S88 0/ SS V _ _ /77.63' qp 66' Note: Bearings based on the C.re East/West 1/4 line of Sec. 14 'ps being assumed due East. . - 2,0fJcres F e . op o 9- O 50813 OZ W 6348 47 Sca/¢ /vo' .888°01 55X~~ 293.35 , d \,h~~ o O~q. o Indicates 1" x 3011 PO h\ iron pipe stake % ap 5 , weighing 1.13 #/ft- T- 20 PowerLine fs1rf ti X N. 02~ _ . c4, M Access m EA S E M IJ -r 201~ A 8 22 S0£ 30300 345 Accass 66' C.T. H. "J,. _ AiK N 88° 2 2'SO "E 133,700" V con .Sac. -28 /8 5 ~k Description: That certain parcel of land located in the S 1/2 of the NW 1/4 of Section 14, T 28 N, R 18 W, Town of Kinnickinnic, Sib. Cro .x County, Wisconsin, more gully described as follows; Commencing at the West 1/4 corner of said Section 14, thence go N 880 221 5011 E along the centerline of C.T.H. "J" 1339.00 feet; thence N 010 581 0511 W 50.00 feet to the north right ofway of C.T.H. "J" and the Point of Beginning of the parcel to be herein described; thence continue N 010 581 05" W 216.87 feet; thence N 400 501 29" E 113.31 feet; thence N 010 581 05" W 350.00 feet; thence S 880 01' 55" W 177.63 feet; thence S 180 071 14" W 304.32 feet, to the meander line of the Kinnickinnic River; thence along said meander S 080 13t 02" W 63.18 feet; thence along same S 130 W 4911 W 314.86 feet; thence departing said meander N 880 221 5011 E along the north right of way of C.T.H. "J" a distance of 303.00 feet to the Point of Beginning, the above described parcel including all lands lying between said meander line and the thread of the Kinnickinnic River, together with an easement 66.00 feet in width adjacent on the East side of the above described parcel and 33.00 feet in width adjacent on the North side of the north r. o.w. of C.T.H. "J" for a distance of 411.00 ;,gatn►fpny7111 the last described easement, the above described parcel being subject to,`'ea~ent,V o,,record for power transmission line and conservation easement. L. Dated: 17 April 1976 amen=: Mu VOL. PAGE St. Croix County, Wis. gistered 7,an for Cc if~~ 3 Su:-vey ?s (Sr_:^ n, - 1 S 0 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER r~ V eLu- lei el J lnh r~l P~ TFIRE NO: / ADDRESS: (dje rsif& /Z~/ QaI4 LOCATION: S 1/4, SEC. TN-R~W, TOWN OF: ffiA 4 ! C ~i A n I*(- ST. CROIX COUNTY ~✓.-1~ SUBDIVISION: [ 'OQ v? LOT NO. a:L f C., 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 a licensed septic tank pumper. What you i:ut 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 to help with the cost of the 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 the St. Croix County Zoning a certification form, signed by the owner and by a master 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. Certification from will be sent approximately 30 days prior to three year expiration. t1/WE, the undersigned have read the above requirements and agree to maintain th,-. private sewage disposal system in accordance with the stand,-!, -ds se-,, forth, herein, as set by the Wisconsin DNR. Certification farm must be completed and returned to the St. Croj. County Zoning officer within 30 days of the three year expiration date. 1 SIGNED: ~f -fs _ ' DATE: St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 497702 1003PAGE338 - - VOL - AEG1STER'S OFFICE ST, CROD(CO.r 4 This Deed, made between ._-Donald -J0r.g..son._and______ . _.e.n - R,c'd for S~ecord S-an-dra--Jorgenson.,__-husband-_and_wife_,_--_____________________.._ APR 2 Q 993 10.30 Grantor, ;at A. and....._Kur_t..J..__Kru.eger---amd_..JQ_ana..M.___Krueger.............. hu.s_band--.and_.wif-e.,---a.s---B-urvi.vQr_sUp--mar- i_ta]_______________ ~p~ ftegttw pro-peat.y... . Grantee, Witnesseth, That the said Grantor, for a valuable consideration- Twenty-n Qne.-Thou_s.amd...(.$21.,_G&0_._.0_Q) ---Do.llar_s... -_n RETURN TO conveys to Grantee the following described real estate in ._..S-t..._.Craiy........ County, State of Wisconsin: ~I Lots One (1) and Two (2) of Certified Survey Tag Parcel No: Map in Volume 1 of Certified Survey Maps, page 252, as document number 333341, filed in St. Croix County Register of Deed's office on June 3, 1976, being located in the South Half of the Northwest Quarter (S1/2 of NW1/4) of Section j Fourteen (14), Township Twenty-eight (28) North, Range Eighteen (18) West, Town of Kinnickinnic. j Together with 66 foot and 33 foot easements as shown on said Certified Survey Map. die?' _6 340 FIJI I I~ I This is_.-Tlot...... homestead property. X(1VXXkXRNXX Together with all and singular the hereditaments and appurtenances thereunto belonging; And.. --Dona.ld_..JQ-rgens.on_--and_..Sandia..Jox_genson_,.._husb.and_and-•wi fe. warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, !I reservations and restrictions of record; Ij and will warrant and defend the same. 19.91... ;i jl Dated this - 2.Q.th day of -------------------Ap.r.U------------•------- - I (SEAL) II (SEAL) - * Donald -,J- (SEAL).... C1Y ^r---~ (SEAL) ~I * * Sandra Jogenson - j i l AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN it sa. , Pierce ----------------------------------County. authenticated this day of___________________________ 19 Personally came before me this 20th day of j A.Pril........................ 1 199-3... the above named Donald__Jorgenson__ and __Sandra Jorgenson,--husband _and__wife-. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, - k~tt3F;F~l authorized by § 706.06, Wis. Stats.) s~ to me known to be the person S.. ~ ex i4e foregoing instrument and acknq'-Urje amp-_ THIS INSTRUMENT WAS DRAFTED BY L (.~Oa V"'. . Charles E. White, Attorney at Law Q River Falls WI 54022 -----Gf------N;-C&.. Notary Public (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If 'nA~ ~sfEatre expitation ii are not necessary.) 19___._._.. date- j of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. FORM No. I 199? NT;,~,~T,,1:- Wis. WisSonsinDepartMentof Indus", SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY sT c ILK Attach complete site plan on paper not less than 8112 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. # o Z2 gS dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Y~v\Z T k 1Z UL 6 rC1`2 C QU`1 C-N2) GOVT. LOT s 2 #t NUJ 1/4,S ) Y T z~ N,R t E (ore PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # )g S RtvL1ZSt~e~ DR~v~ NoR~t{ Z - esr-~ vow 1 i CITY STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [MOWN NEAREST ROAD -3 lv 1 S14016 (71 i) 38I_ \-1 3 Z )--I "\C\zt1k11.J I C C• T N S ()Q New Construction Use Residential / Number of bedrooms Z Addition to e)dsbng. building j ] Replacement ( ] Public or commercial describe Code derived daily flow 300 gpd Recommended design loading rate - bed, gpolit2 0 y trench, gpolft2 Absorption area required - bed, ft2 150 trench, ft2 Maximum design loading rate o. 3 bed, gpd/ft2 0. 4 trench, gpd/ft2 Recommended infiltration surface elevation(s).5~. 1~4t6C 3 ft (as referred to site plan benchmark) Additional design / site considerations"'iZRcZvt Y1 aW\"-) Z ~C~t P~ ~M oo w~ G, tug { P P Hfit''t3Ls1Z . Parent material S ~>~t T ©v ffR S I 61-pry t a'(_ Flood plain elevation, if applicable N. ft S = Suitable for system CONVENTIONAL PND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ®S ❑U ®S ❑U LAS ❑U IBS ❑U ®S ❑U ❑S CCU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure Consistence ' GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Roots Bed Trench o l Z l Z - s t Z M S b k Wt'~~ c 5 1 v o• S o. b I - Z Zz-zg l0`?2 3/y )v\ c5 1vf o.S o.6 Ground 3 z$ 3 b - s~ ~l6 6 H s` 1 1(2- S Z K in ~1_ C S - o o- S elev. /bZ • 5 ft. V/6 - G H S t C S U k Y1t U F1. - o o Depth to ~y C- 0'4j n1 S\ 0 Nl R S 3) t m it s limiting factor Remarks: Boring # a i o f Pt r .2 r- 4K>.,>::> 1 0-\2 10 ~t Si: L S1 Z 3 b k rn 1r, a- S 1 v F a. S a.b kv o L w' z ~2 zo Io ~Ito 3/y - S1 I z f s bk m ~1~ cs l u-F O. S 3 Zo-3Y 7-S~1R Yl6 - Cyst ZCSbk m`F' CS 0.6 Ground elev. y 1y-8y -7 Ssvlt yl6 (,r S I N0- r»U`F1~ - 0.3 (I \Z,,,4 - q ft y~,L t ON Pt T5 SbU PAZ S Depth to 1 a Z s t~s -t~ RS t'~i3u - limiting 3 Z0-31 is 11 q_ V/b - 5 I csbre Yn 0-S factor -744 y 31-ey toy ~Y16 ~s o sS m I - U.S a.6 Remarks: CST Name:-Please Print Arthur L. We erer Phone. 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 Signature: Date: CST Number: C) 3_3~ )nom ZZ,l4Y3 M00576 PROPERTYOWtfeR SOIL DESCRIPTION REPORT rage -of. S PARCEL I.D. # O Z Z-- 1C318- Boring Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3``<` 1 0-9 ~o~,Q s z si) 7-m S~ a..S 'A -0_s a e Z q-Z3 ~•Sye y/6 - S~) Z~'S~~ yi~~~~ i_S 1v~ o.$ O."1• o. S Ground 3 Z3-3~J ►o y2 Y/. ~s o 5 c s o,.6 ~ ~ - elev. - Z ft. 3y- 1 S ~•S `711 VA, S ~ 1 0- S10h M'ji~- as o. Depth to S ~ S -8o i o y !2 Y/(, limiting v1 7'x.3 St v ! L S factory +vS S PnT' a E > 80'' ccvv AJ S l>l ~S Uh= Lf r7~ 1"4~U C Remarks: Boring # Y) S o,S p. 6 : 1 a- t 1 c ~r 3/> - s i` Zrrr S bk 'F h a, l v I n 1vo•s. >,.4<:: 3 zz_ZH ~u~~ 3/6 s~ ~~sUk mviH Cs - 0.4 u•s Ground elev. y U-Sb 'f/b S \ C S b1T ~m v'f c S - o a S ft. S S& - 8 o `1 \Z v& _ S o s 3 \1A v ~1- _ o S o, t. Depth to limiting N S PueS U1= y (6 S factor G V'? w r s Remarks: Boring # \ 1 0- 9 1 O~ t R 3/ Z S 1 Z`~ S b1~ m'Fl a- s 1 v o- s o, 6 S 2-21 lbti~ 3!~ Sl Z'~ S~1~ tin ~S o S o•b 3 Zc - 69 ~'S Y'e y/6 - s \ e sbk tin v'F~ - o. ~ o . s Ground elev. 3 eoti iv .s 1~ - ► u " S E S ~O ft. Depth to limiting factor > 69 Remarks: Boring # 6 Z ~o z~ IOyQ Sly - si I Zsbr yn c S lv~ o:,s u•b Ground elev. 3 Co~v t►vS spot-S o~ Vn SSIU M S z ")ck. $ OJZ )Oy s/B tom ft. Depth to limiting factor y 68' L Remarks: SBD-8330(8.05/92) r ' PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' ~ S t Zb R AT LeAS T ZS' FT46Ml -t" PQ CHQ S . w ~t L . Y So' << NoT~ r0 1NS~t.~~ 6 ~ H'i'►'rRT ~ ~~s~~~~ ~ D~T~`12 ~1Nc: S'~ S T~~! N`t.~vR~9 u ~v~2.W G Cur. STR-u e'np 1•..i , ►o(04 rZ L ►R c~ L v-t- \ ° x.105 y B•'L ' lst 104 4 i l0 2.o h iq , \DO , p' 0►J s p l \z Q wwov';-t~ GR QKjtb )w Z ivuZ~~ S+i)t ot= PoWe9- ~ _ C zoo t (_,_300' o•Z~~ ~ ~ e_s _ .~1 ~ DRlUr2• 1i 93-3~ 3- ZZ- q3 (715 ) 425-n1h5 M00576 CST Signature Date Signed Telephone No. CST # E c; . 6 7 PL OT ; a S S S T - , L T' JL .;j T........~.;-.~.... ~.lam i' u e -e-R N A E _J y m &u rnjee NS E: NJ, Noe; [Jell sAYr ~ `'aM I ~~U 50 ~Ror S~P~~c M~ + Sys~eM 1 • O nQao ~°t c yA? r~p~c S~ ~ vru Q Of (06, - I t - i w 4 f ~ ~ 3 ~2Q G~? ~ApArcfi ,34 S).. S)< loo (0 03 Wt~l, a 9'' KocK y. 1 t eNCe i ~ ~ d a yP FRESH AIP. INLETS AND OBSERVATION PIPE i t CROSS SECTION - Pow PR P Approved Vent Cain Mir.imum 12" Above 4" Cast Iron Above Pipe ~ Vent Pipe To Final Grade Marsh [ley Or -Synthetic Covering Min. 2" Aggr.oglol Over Pipe Dislributio~ -Tee t0,)•73 Aggregate Perforated Pipe o~, i3engath Pipe ~r - Coupling Ter.minst:i.n~ r ~I,e1 _ Bottom of System Parcel 022-1038-95-000 08/28/2007 03:48 PM PAGE 1 OF 1 Alt. Parcel 14.28.18.215C 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 - KRUEGER, KURT J & JOANN M KURT J & JOANN M KRUEGER 1324 CTY RD J RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.130 Plat: N/A-NOT AVAILABLE SEC 14 T28N R18W 2.13A IN S 1/2 NW1/4 Block/Condo Bldg: LOT 2 CSM 1/252 EZ-UT-1464/07 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1003/338 WD 07/23/1997 872/528 07/23/1997 825/20 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/07/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.130 50,000 258,400 308,400 NO Totals for 2007: General Property 2.130 50,000 258,400 308,400 Woodland 0.000 0 0 Totals for 2006: General Property 2.130 40,000 258,400 298,400 Woodland 0.000 0 0 Lottery Credit: Batch 563 Claim Count: 1 Certification Date: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 022-1038-90-000 08/28/2007 03:49 PM PAGE 1 OF 1 Alt. Parcel 14.28.18.2158 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 - KRUEGER, KURT J & JOANN M KURT J & JOANN M KRUEGER 1324 CTY RD J RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1324 CTY RD J SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 14 T28N R18W 2A IN S1/2 NW1/4 LOT 1 Block/Condo Bldg: CSM VOL 1/252 EZ-UT-1464/07 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1003/338 WD 07/23/1997 872/528 07/23/1997 825/20 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 40,000 7,500 47,500 NO Totals for 2007: General Property 2.000 40,000 7,500 47,500 Woodland 0.000 0 0 Totals for 2006: General Property 2.000 40,000 7,500 47,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 222 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00