Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
022-1023-50-030
~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 561058 U (ATTACH TO PERMIT) State Plan I GENERAL INFORMATION Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Parcel Tax No: Permit Holder's Name: City Village X Township Zeitz, Susan Kinnickinnic, Town of 62z- l~ 23-w- too Ins BM Elev: BM Description: Section/Town/Range/Map No CST BM Elev: P• G 5 09.28.18. l3fl /ob ' vv1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS Se ELEV. ptic yr, Benchmark Dosing ~J r J ~,A Alt. BM - / ~6 7,77 o ~w~op 7 ,3 CvA~ ~ ~ Bldg. Sewer P7,-1 16 z ~P Holding St/Ht Inlet ~r q Z ''l ? (o St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / Dt Bottom /3- 9 -3 -756 Dosing .1 J Header/Man. Z LP lo~- Z 7 5v~ /0A- ~9 /d5 Aeration Dist. Pipe Z • 4 w4. Holding Bot. System 3 3 1,03-45 L . Final Grade / Z /6 PUMP/SIPHON INFORMATION J Manufacturer F~ ~r Demand St Cover GQ S 2 /Q 7 , S GPM_ Model Number 4 /~7/(/J\ 4- 7 ~Z v ~CSG~~ov~ rForcePmain ~ Friction j.o ~ System Head TDH/~, ~ Length / I Dia. / Dist. to well A_ A56 Z SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length No. Of T nche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S7 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHAMBER OR Manufacturer: INFORMATION Type Of S tem: , C+ i ZQ , / /t UNIT Model Number: D v .a0 r? DISTRIBUTION SYSTEM x Hole Sing 7 x Hole Spacing Veprt~to Air Intake Header/Manifold fit DisVibution S I{/ 1 Pipe(s) v Length '4 _ia Length Dia Z 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 Mulche Bed/Trench Center Bedrrrench Edges \ Topsoil , ❑ No sI No Z I COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: '7/ $ / /3 Inspection #2: / J~ JJJ ,{'I Location: 482 South Skyline Rd Roberts, WI 54023 (NW 1/4 NE 1/4 9 T28N R1 ~ m~ges & boyy~ds Lot Parcel o: 09.28.18. i~`l1-1..~ GoJU, be~1L¢.iJ K~p J ~~J[l 1.) Alt BM Description = Gp p~~ p~ 1N~ 2.) Bldg sewer length = 9 9 I Q - amount of cover = Plan revision Required? ❑ Yes No _/Sature - g3 T~ Use other side for additional information. L-y 1~-- - - Date Insepctor's Cert. No. SBD-6710 (R.3/97) Parcel 022-1023-60-100 05/02/2013 03:22 PM PAGE 1 OF 1 Alt. Parcel 09.28.18.130A 022 - TOWN OF KINNICKINNIC Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 08/15/2012 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - ZEITZ, SUSAN KAE SUSAN KAE ZEITZ 305 WILDWOOD CIR ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 SCH DIST RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 9 T28N R18W NW NE EXC CSM 25-5869 Block/Condo Bldg: AND PT NE NE AS DESC IN DOC 961754 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 09-28N-18W Notes: Parcel History: RETIRED 022-1023-60-000, Date Doc # Vol/Page Type 022-1023-20-000, 022-1024-40-000; NEW 08/15/2012 961779 CSM 022-1023-60-100 REMAINDER, 08/14/2012 961755 AFF 022-1023-60-200 LOT 1, 022-1023-20-100 08/14/2012 961754 QC OL 1, 022-1023-20-100 REMAINDER, 08/14/2012 961754 QC more... more... 2013 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 03/08/2013 Description Class Acres Land Improve Total State Reason Totals for 2013: 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 Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 I`p t P S, Madison, W! 53707-716 Sanitary Permit Number (to be filled in by Co_) moN~~ P a A it 5~ I b S Sanitary Permit Applica ri- State TransactionNumber In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit .22 3 4IO4 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTSar submitted to Project Address (if di Brent than mailing address) the Department of Safety and Professional Servies. Personal information you provR oses in accordance with the Privacy Law, s. 15.04 1 (m , Stats. °ndary d J i 1 1. A lication Information - Please YrW All Information ~O rl••. Property Owner's Name APR 2 013 Parcel # _5u-s 0__ ~1 ~ p Property Owner's Mailing Address t Otlc COUNTY Property Locatio City, State S / Govt. Lot r~ Zip Code Phone Number ~L t7~ / A_ J .1 Z'/.,Section T ircle o II. Type of Building (check all that apply) Lot # T Z' Y N: R E r W r 2 Family Dwelling - Number of Bedrooms Subdivision Name 1 El Public/Commercial - Describe Use t5fy V 44 Dt, h.p0%jq., Block # ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of S-N- 57 e sTown of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 1k System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber El Permit Transfer List Previous Permit Number and Date Issued Before Expiration to New / Owner I< f IV. Type of POWTS System/Component/Device: Check alt that apply) V i ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ound < 24 in. of suitable soil Holding Tank ❑ Other Dispersal Component (explain) El Pretreatment Device (explain) V. Dis ersal/Treat nt Area Information: Design Flow (gpd) Design A lic 'on Rate PP (gpdsf) Dispersal Area Required (sf) ~ Dispersal ea Propoed (sf) System Elevation y~~ A 1125 i/5 7' 3 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units & a New Tanks Existing Tanks v Septic or Holding Tank K u C7 fi hosing Chamber ey" VII. Responsibility Statement- I, the undersigned, a me responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI s Signature e MPvJPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Co VIII. Coun /De artment Use Only pproved ❑ Permit Fee Date sued Issuin ent Sign e "iven Reason for Denial Z ' 00 Z L 3 Ix. CondtVWtReasons for Disapproval ~eptlctank, filter and dispersal cell must an be serv I maintaltied as per management plan provided by plumber, 2. AN w0pack regt*ements must be maintained as per app6calile oode / ordinances. Attach to complete plans for the system and submit to the County only on paper not less than 8 l/z x 11 inches io size SBD-6398 (R 11/11) PLOT PLAN PROJECT Susan Zeitz ADDRESS 475 Vallev view road. Roberts Wi 54023 NW 1/4 NE 1/4S 9 /T 28 N/R 18 W TOWN Kinnickinnic COUNTY ST. CROIX SYSTEM ELEVATION 103.0' 1.5' sand lift BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 1.5" pipe ASSUME ELEVATION 100' ❑ B REHOLE O WELL *H.R.P. sameasbenchmark to S. S ky I i ne Road 1320' Property Line Area 15' below system is to 40 acre parcel remain undisturbed 100' 101' 102 B-2 scale = 1/4" = 10' 6% Slope Grading is to be done B.M.* to divert run-off A away f ro m system B-1 B-4 B-3 Pro 3 Bed roo m House 101.5' Tank is to be properly bedded and provided with Huffcutt Combo Tank Iockdown covers with approved warning labels Wel I is to meet all WDNR setbacks pEFi~RT~ DIVISION OF INDUSTRY SERVICES 141 NW BARSTOW ST FL 4TH oz P WAUKESHA WI 53188-3789 a Contact Through Relay 3 .s vwuw.dsps.vri.gov/sb/ 9 vwvw.wisconsin.gov Q SRONP~ Scott Walker, Governor Dave Ross, Secretary April 19, 2013 CUST ID No. 226900 ATTN PO WTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EMPIRES: 04/19/2015 Identification Numbers Transaction ID No. 2230464 SITE: Site ID No. 789830 Susan Zeitz Please refer to both identification numbers, S Skyline Rd above, in all correspondence with the Town of Kinnickinnic agency. St Croix County NWl/4, NE1/4, S9, T28N, R18W FOR: Description: Mound, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1423006 Maintenance required; 450 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans ao*'th% anti the Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD 0691.0. (N.O11A "Pressure Distribution Component Manual for Private Onsite Wastewater Treat ste VERS 2.0 SBD-10706-P (N.01101). The building sewer and distribution network piping shall be of material listed in Table 3~4. - and 384.30-5, Wis. Adm. Code. ~ In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII of the mound component manual. A copy of this information must be given to the owner upon completion of the project. All holding/treatment tanks are to comply with SPS 384.25(7)(a). Y SHAUN R BIRD Page 2 4/19/2013 Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. Owner Responsibilities: • SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. W hoi You RoxfVC That irvvvtee; Pleai;e 1iiC1Li~ it C+.2j?y With Yiilr PQWT% Rgv1rnygr I ; Iniggrai0d %gn=igo~ li tm nt %iihmirial, (262) 317-6005, Fax. (608) 283-7481 W SMART code: 7633 julia.lewis@wisconsin. gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Conunerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. Cover Page RECEIVED APR 11 2013 Shaun Bird INDUSTpy SERVICES Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 4/ 9/13 Owner: Susan Zeitz Location:NW1A NE1A S9 T28 N,R18 W S. Sklyline Rd Kinnickinnic System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-12. Soil test 13. Filter Specification a cross ection Shaun Bird Signature License numbe /26900 c,~ PLOT PLAN PROJECT Susan Zeitz ADDRESS 475 Vallev view road. Roberts Wi 54023 NW 1/4 NE 1/4S 9 /T 28 N/R 18 W TOWN Kinnickinnic COUNTY ST. CROIX SYSTEM ELEVATION 103.0' 1.5' sand lift 3 BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 1.5" pipe ASSUME ELEVATION 1001 ❑ B REHOLE O WELL *H.R.P. sameasbenchmark to S. Skyline Road 1320' Property Line Area 15' below system is to 40 acre parcel remain undisturbed 100' 101' 102' B-2 scale = 1/4'1 = 10, 6% Slope Grading is to be done B. M. to divert run-off A away from system B-1 B-4 B-3 Pro 3 Bed roo m House 101.5' Tank is to be properly bedded and provided with Huffcutt Combo Tank lockdown covers with approved warning labels Wei I is to meet al I WDNR setbacks ST. CROIX CotjNTy SFPTTC TANK MAINTENANCE AGREEME NT AND OWNERS"HiP CL i , IZTIl TGA1 ION FORM j O wner/Buyer k S c Mailing Address s _ _ Property Addres erifeation required from planning & Zoniti a g Dep nt for new (,onstriction.) _ _ City/state Parcel Identification Number ~::2 a~' A DESCPT1Cl1'J Property Lo cation y4' fL) f-. ~ Sec. ~ ~r• ~ ~ - -1V•,R-k~W, Town of- Subdivision - . Lot # Certffled Survey Map # Volume Page # Warrant), Deed # - - volume page # Spec house yes uo Lot lines identifiabl yes no SYSTEM MAINTENANCE AN O W 'R >i✓ERTYFICA'CION Tmproper rise and maintenance of your septic system could result in its prarrmture failure to handle wastes. proper maintenance consists ofpuinph:rg out the seprtic tank emery three years or sooner, if needed, by a li,:ensed pumper. what per the system can affect the fcuicticm of the septic tank as a treatment stage in the waste disposal systt!m. Owner maiutenancecc put into responsibilities are specified in Womm. 83.52(]) and m Chapter 12 - St. Croix County Sanitary Ordinance. { The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, sighed by the j owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri, r that wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessa ry)), the the w septheeric tank is less than 1/3 trill of sludge. C/'we, the undersigned leave read the above requirements and agree to maintain the private ,towage disposal system with the standards set forth, herein, as set: by the De Certification start that t partment of Commerce and the Department of Natural Resources, State of Wisconsin. ng your septic system has been maintained must be completed and returned to the 5t. Croix County Planning do Zoning Department within 30 days of the three year expiration date. I I/we certify that all statements on s form are true to the best ofiny/our knowledge, Uwe am/are the owner(s) of the property described above, by virtue of a rranty deed recorded in Register of Deeds Office. Numl:e f M>'ed -SIGNATURE OF APPLICANT(S) ~ - DATE -0,**Any infonnation that is misrepresented may result in the sanitary permit being revoked by the I"Irknrung & toning Department. 11riclude with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey trap if preference is made in the warranty deed. .1-REV. 08/05) Mound System Cross Section and Plan View Dimension Feet < A r J c B~ J `I • I. D r I J 1T .•me 1 I .{r{ ,{j,{ rtr}}}}•~•, }r 7i • i 'f{[]jl • 1 4 { r • } }r! ry ti ~ ' yjy,~~ t i • xx }T} r i r {e Fr } r r •r r .r r f r r } ♦ 7•r.r R.~ L A V + G r 1 S r` llZI H 1 I a f - f J V f r K 'r K I Bf 7 L Slope % n =Topsoil ASTM C-33 }{;K =Cleats aggregate = 4 in. sch. 40 pvc L Cap 1~Iateri'al sand fill { %2 to 2 f/2 in. dia. observation pipe Geotextile H Fabric G F O i I D i• v I' Ft Contour Plowed Surface ' 1.-._. Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10/07 lgj Page _ of Pressure Lateral Layout Two Laterals - End Manifold r l02J.7 4 Threaded s Cleanout Manifold Lateral Turn-up ----fr Plug i 114 L Long Force Main Sweep 90 ` Bend Distribution Netwox-k 5 ecifieations PressureSystenj Construction Lateral Diameter In. Manifold Diameter In. Laterals are constructed of Schedule 40 PVC Orifice Diameter In. pipe. Orifices are drilled perpendicular to X Orifice Spacing) In. the pipe with a sharp chill bit and face dmvn. L (Lateral Length) Int. Lateral turn tips terminate with a threaded M (Manifold Length) Ft. cleanout plug and are enclosed in a 6-8 inch Force Main Diameter In. diameter lawn sprinkler valve box accessible Force Main Length O ft. from finished grade. 00000 Grade i•••••• 6-8 Inch Lawn Sprinkler Valve Box Rage - of - 03105 lgj I Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer PUMP Manufacturer Fi 10 f7__ Tank 1VYade>i Nuunaber Cf Purn model Number 5 4a Tatai -'ardc Capacity Alarm Manufacturer t 1e Max. Bury Depth Alarm Model Number TJ ✓ i swit& TYPO Fiiter Manuf'areturer _ Total Dyrizrtnic He ed (TDI:i) -Feet Filter Model Nu~xiber Elevation Head: Distal Presage C7 Network Loss Minimum PUMP perform ee Required Force Main Loss - 0 Gp 64 S'; Ft TDH Total / - outlet Manhole Min. 411 Above Grade With Manhole Min. 41' Above Grade Locking Device. lnlet IVMan1101e Soou~urel Mounted With Locking Device b" Below GrWe Sealed Watadobt Secrely-proof Junction Sox WOW Fi4isheO Grade IGI.. Yow .r. .n. ■1.11 YlYlal ,.r vent Min, 12" Disconnect Above Grade Means • with Vent Cap ' I Y Y YIY+Y+Y{.{Yai~ +t+YVY+Y av+YaY+Y1iYYaYa.ai+ +Y+ ,`;Y Y Y ..VY Yr +YaY1Y+ +YVYai Y+YyY 1VYa.1iVi +r+;{Y{ y. Y r Y . .;Y ;r1 /~Y ii Yi Y Y YYY }'YYYY . Y a +t Y y;Y ()utletFillter Inlet game Y• f inlet .A.. ya{. ; and Reserve Capacity iY Ya1 Switch 5 r 'Weep Yard .Y ri ~ i +>1 GPI " 1401e I,.y Tank'Vo tam B Inches Volurne Gal. . inch ' Dimension; YYY ~;r S.- Y (reserve ft, 7' Off Elev `on C 2 a + : (talarm $ ,;Vy :Yt Bottom + D (dead) ' Elevation , Y Yak Ft Y ~ (d~ +IYy ~ - ;IYY Y.Y1Y+iy.Y+Y.y11i a/i a 'a. Y. -row' a 1 a a Y+.+ I r 1 a 1Y+YV~r + 9~ raYYi / aaY I. Y Y I Y Y Y Y Y/ Y Y+Y 7 Y+►iIYYV Y V a 1 V Y ' jriYil +Y+~IY~Y' ' ;•~+~Iy~l~Yy ~YyY~Y'Y~►+Y~Y~i~Y+Y+1~1a ~Y1Y~Y{ ~ iY YyiY Yr{rf ti/ {YYi{Y+Yf + a . 1 + i 1 + + + + a { . + + r + t + . +Y+Y 1Y+Y+'{y+{' rIY Y Y i Y YVYr Y r Y Y Y: tc/dose tam is bedded -and .'back- filled in accordance with the GENERAL INSTALLATION'. The . sept' . of bwy as. spodflod, by the inanu~facturtr maY not dejA 1s rod~,60pro~val specifications. itnum have an efPeativre lacking device (padlock) manufactvr~ p al. Manhole covers x;wd t. grade i"ittin s and roved material conned to the teak with watertight g s be exceeded ~n►ithaat p 4pprov to bridge the tank installed. Piping A tW inlet and outlet is of app.,1e fog r1 . is sired with X71 Scot 40 ?V. e1lt s wing or sa~' ca'ith ,C 3a0 and COMM 16.2K• laid on stable soil to per! l service cozti:plies bt Flees excavation and the,sleeve. is seal+od. ' : . Page ~ of 02105 L) tY Wa, SEN-40 Series 4/10 hp Submersible Effluent Pump, 3/4" Solids Construction f=low - Liters/Minute o so 'too 150 200 250 300 Cover Epdxy~coated cast-iron 35 10 Mo{o, Y~oultl© iElxy-~oate `ast lrt7, 30 9 In-ipoller Material Thermoplastic Elastomer 25 a '111pell7°lyfai ~ on*e{o0~ -on 20 6 m Volute Epoxy-coated cast is 'a 9-owor.0co" -P 10 s x Mac i han cal Shaft Nitrile with ttarbon-and Seal ceramic faces 2 6 1 Fa&teners vhf"StaihIW at. 4'? ; 0 0 8hsaft stool 0 20 40 60 s0 „~x . U ~t#ar{r~~ ~ PPer,4 aRow-Gallons/Minute td ae pie ~ d.uu•--i u., s• a. iii ~.au• u His' SEN-40-AF SEN-40 specifications I -40 61211 A,~fQ' 1*a ? 1/g~' aN 0/92d~` 80 70 80 45 25 3' 14 20 26 6 1750 e5~ 1`1''6 i1 2?VPT"a ~d/82Q dU.n.`, 70 ~l3~1 ~ 1~5 ~ ~ ~G :~~`q,•~ ~Q• i~ afi!.°~ . NPT 9/920 80 70 60 45 25 92 20 27,6 1750 SEN 0.0 AF. 6D9213 ~A750 -'15!'(2" JPTn ~ 14 , Flranlclin Electric 400 East Spring Street, Bluffton, IN 46714 Tel: 260.824.2900 + Fax: 260.824.2909 Form: 995100 7 11 www.franklin-electric.com POWTS OWNER'S MANUAL & MANAGEMENT PLAN page of FILE INFORMATION SYSTEM SPECIFICATIONS owner septic Tank Capacity al ❑ NA permit # Septic Tank Manufacturer NA [ XA r DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 13 NA Effluent Filter Model ❑ NA Number of Commercial Units NA Pump Tank Capacity al ❑ NA Estimated flow (average) aVda pump Tank Manufacturer A Design flow (peak). (Estimated x 1.5) al/da pump Manufacturer NA Application !Rate aVda /fly Pump Model C~ ❑ NA Soil App Pretreatment Unit A Infiuent/Effluent Quality Monthly average` p Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Grgvel Filter ❑ Pest Filter } 5220 mg/L [I Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (HODS ❑ Disinfection ❑ Other. Total Suspended Solids ([SS) 5150 m /L Manufacturer Pretreated Effluent Quality Monthly average" Dispersal Cell(s) C1 :530 nnglL D In-ground (gravity) In-ground (pressurized) Biochemical Oxygen Demand (60135) [:I At-grade ound Total Suspended Solids (TSS) 530 mg/L ❑ Other. Fecal Coliform (geometric mean) 5104 cfu1100m1 L7 Drip-line the Maximum Effluent Particle Size Y. Inch diameter Values typical for domestic (non-commercial) wastewater and septic tank effluent. Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Frequency Service Event At feast once every l_7 fif7ear(s) (Maximum 3 yrs.) Inspect condition of tank(s) When combined sludge and scum equals one-third of tank volume rump out contents of tank(s) Maximum rs. dispersal cell(s) At least once every ®months r(s} ( y ) Inspect At least once every Z ❑ months ar(s) Clean effluent filter ar s ❑ NA Ins PUMP, pump controls & alarm At least once every ❑months' ( ) ~ ❑ manths~ ear(s) 13 NA Flush laturals and pressure test At least once every _ At least once every [3 months O year(s) ❑ NA Other ~ At least once every ❑ months ❑ year(s) ❑ NA other: MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an indivldPa011N S Irt Spector, POWWTS Maintainer, Septage certifications: Master Plumber: Master Plumber Restricted Sewer Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, Identity any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up the Pow ng of efflueu t onefhels ent or ponding of effluent on the ground surface. any of effl ant on the ground surface. The in the observation pipes and to check for Y pond authority. ground surface may indicate a failing condition and requires the immediate notification or the local more of regulato volume, the When the combined accumulation of sludge and scum In any tank equals one-third (Y,) entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. Hants; and any s, pretrea tip compo The servicing s shall be perftorm d by a certified POWTS Maintainer. a effluent filters, mechanical or pressurized or monitoring at irkenrals of 12 months POWTS other r maintenance or A servk;0 report shall be provided to the local regulatory authority within 10 days of completion of any service event. STARK UP AND OPERATION For new construction, prior to use of the POVVTS check.treatment tank(s) for the presence of painting products or other tanken emo process by / r pdamage the tage servicing dispersal cell(s)- If huseigh are chemicals that may impede the detected have the contents the START UP AND OPERATION For new construction, prior to use of the PO S' check treatment tank(s) for the presence of Page of ' may impede the treatment process and/or d mage the dispersal cell(s). If high concentrations nre detected have the contents of the tank(s) removed by a septage servicing opera or prior to use. painting products or other chemicals that System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal hlghwater levels. When power is relitored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. power to the Do not drive or park vehicles over tanks and dispersal cells. Do not drive or ark over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area, p Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapei°s; disinfectants; fat; foundation drain (sump pump) water; frult and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ng p ABANDONMENT When the POWTS falls and/or is permanently taken out of service the following steps shall be taken to insure that the system Is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another Inert solid material, CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be I:aken, to provide replacement system: a code compliant Q A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply won with by the rules mules in effect at that time. n 13 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area, If no replacement area is available a holding tank may be Installed as st resort to replace the failed POWTS. ound and at-grade soil absorption systems may be reconstructed in place following rernoval of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT I=NTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES, DEATH MAY RESULT, RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE, ADDITIONAL COMMENTS POWT3INSTALLER Name ~ POWTS MAINTAINER 0_1'n.'-.. 11 Name Phone Phone SEPTAGE SERVICING OPERATOR PU PER Name LOCAL REGULATORY UThIORiTY L Phone Name This document was drafted in compliance with chapter SPS 3113,22(2)(6)(1)(d)& and Phone > (fl 383,54(1), (2) g, (3), Wisconsin Administrative Code. r - FILTER CARTRIDGE r INSTRuCTIOjVS eIA'" Y i5ry ut t,'.' IYNktt' C8A Yr I.FYitp ttrtt Slid uP tltrl null"t bipd to araaturr! it ix chterad under lbw ara ewvvs upenir#y. Jr ##utr tt" #oitltrl i touriu tai* tai* tai* thrutryrJl tote uuklat or aosudrrt Wald ftrlumy Jdditltrhrrl hbert tirttt tit" pipe. iipm U#tlCow nUf!"t ttf I14~incx p vio t tile Ciu to brtiirll.•a tf la ilu Outl t 1,100, rrteasurv tiro lm"llff, ulrtiurtaJ >+ulrnJiartelrtal r.Jrib st#µlwrrt. l si tl ti th i d;Ift it uto11e111V tl#a pruts~r:d to Sul, pprYrt #rrrotlrud (e imt utlNctYd, k r> For trrst+allirthr ns I+tpMxirtq tito ulltlarlw!piyltsfrwutrta! se Suwl,art 401ge -ROWA arrro w till, Y6••i ep tows, id utiRiad, prar4s,t} 'ter stele four ""to the sir#. If :lido sllJwpurt ht6titOrl b: not 5*01t Wb}d the titer a:Jrse t* ft the erufi}att Cartddye "u the cill;&1 I'lrg%SlYI trim. Y'hsurt klaa f#Itar lire cer.-v_ dnWY# ilnli! "lit filtrlr load into tiara buttott, of •~`c If a VAS switch os tl ,14 tsd: irra:Vtt lulu the filter and IvclC b y diuckwit a Sou, y turniriy f ' I~~~afLllrYi~Iy ~ • ° +i. •;bi it:k ~~.4;' 1. The uffltlerrt ffltor Should be clothed "very time tale 640tic Wnie Is sarv}cud. 2, t7ps,h that uuklet a cal ss ulmt lnu to insplact the tonic and Met; Z1. 15urt10 the eeptic tainic ^ Jaydr on the buttartr at, tis for k Otoot jjlujtrHieus ory Oh lht) ua u ' v 4. 0-9t tall ut"U"ht lavel ha v burb rt lowered WOW c71#Yi urt f tillunt nt. „u uut6t pipe, i udija of tow !t iQrrrr' Pull up an that tiller hnndia to dio esled~tl the turktitive frn#tt Utr crass. 5. Slide the cartridge sp ;teal tit ar: of the costar our cJs,anitly. 7.' 6, Via VAS switlcir tvilturctod to our alkrtYl ib liWal lit, the su#iti:h sfiuuld be wera-ed by ttrrl11h9 r *llnterclud WWP4 yt?° end ulttalmd With vi ater r,rrly. s 7. While hltidkil; the cWtrllilg a on its: sidw Chiral flat surfatcaa i`crrsbru duym) oval" bite 4MUSli ulYnldrlg. *1611 11100 the ,q t Witfidge lt tile twpi v~yi rtrrikkt#y ss#M'e alt suptagrs ruruitlrrioi !g rlnsanf Ilatk ihtiD the Utrlk. ' 8. it Vrts WWkvh Is utiliamd, Mplu;ly by }!#satCi barn"" dockw wo uu°. liy F#ttp NlttilF' and s. 1615crt that fflcar ciAitt'idgre bac k into tlla ' jtrtlstllry dt/trsnl until ~yru. 7" tFre #ifkarr leaks into tirtr bt►tiaur, rrf tlrW coAli, 1tl.kepluce and sucura the a"eub uouninu on the ttFnlt- S,i- rJ;_'•ar~ 401 C#t JYrrrd 'kl s R~, 'Y rC i lr4t' 6t? :•Y.aJldr:r.V'' eni, TYN1W"IMf:~@$'!('~11~.C[i]!►1 '.~'~^~~,1~.."1"~i i' ~ly~M~~'~'.~1i~:,~.~ ...~r~ 12 8 0 7 7 7 8 2 State Bar of Wisconsin Form 3-2003 Tx :4058455 QUIT CLAIM DEED 961754 BETH PABST Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI 08/14/2012 1:35 PM THIS DEED, made between LISA ANNETTE SOLLOM AND STEVEN J. SOLLOM, EXE M PT# • NA wife and husband REC FEE: 30.00 TRANS FEE: 26.40 ("Grantor," whether one or more), and SUSAN KAE ZEITZ f/Wa SUSAN KAE PINSKI, PAGES: 2 a married person ("Grantee," whether one or more). Grantor quit claims to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in ST. CROIX Recording Area County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Name and Return Address a SEE ATTACHED LEGAL DESCRIPTION. SUSAN ZEITZ 305 WILDWOOD CIRCLE The parcel shown on this document Is being added to the parcel shown on the document recorded ROBERTS, WI 54023 In Volume 929, Page 594, as Document Number 477735, described as a parcel of land located: The NW'/. of the NEY. of Section 9, T28N, R18W, Township of Kinnickinnic, St. Croix County, Wisconsin. PART OF 022.1023.20-000 Parcel Identification Number (PIN) to create one parcel, and this transaction is thereby exempt from Chapter 18 of the ST. CROIX COUNTY LAND USE REGULATIONS pursuant to § 18.05(A)(3)• This is homestead property. (is) (is not) ```1q~liruyerge, S OTAp CP .0 iilF Dated AUGUST , 2012 -IZ- O %lif e (SEAL) (EAL) * * LISA NN TT SOLLOM (SEAL). (s * ST E J. SOLLOM AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. authenticated on COUNTY) Personally came before me on August ZZ .,-20112 * the above-named Lisa Annette Sollom and Steven J. Sollom TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. I\ V"lon~or THIS INSTRUMENT DRAFTED BY: STUART J. KRUEGER Not Public, State of onf~ RIVER FALLS, WI 54022 My commission (is permanent) (expires: E T777) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED 02003 STATE BAR OF WISCONSIN FORM NO. 3-2003 *Type name below signatures. INFO-PRO' Legal Forms•(800)aSS- 21•Mprofoma.com 1 of 2 - - - - Tins srwcc ncocnvco-~;aw nc 0oc.u>ricl•rT r-+0: - WARRANTY IlES=D - _ ST:A~111F.. 13AR OF W1SCO2~S1 't T•'<>itlri t - itio~ g•77735 ST. AL.MA-.VAN..BF-E.K _r lia ~c~ v :eta 9th 1-, January 92 r- A - SUSAN;KAE PINSKI c•onveVS and warrants to _ sods ncf" a+ e . RETURN TO - - - - t.JA RA AAC3-.!t{a.l iK L.Y'lrv u•~C F.O. Box 467 l,s.__foll., ~c•~nt< Jes-r,bcd real estate in -.-St. Croix County, Rive. Falls, WI 54022 Mate. yr. lvisconsin: rTas-Paroel No: . The Ev,» 4 1 of the-NE 1/4 of Section 91 T28N, R18W, To;rrrahip of - • 4- county, L~ i. scon s in . _ Kinnic;:inn C, S:€'. Contains 39.67 acres, more or less. „ txElmp- 3 This ...._.15 ~10°~ homestead pzopert}•.. Pki Cis not) Exception to .warranties:" 21st November . 19.51.... Dated this 'lf siec? ......(SEAL) ...........................................................(5EA1.) - . A1ma..:Van..Baek......_--•---- (SEAL) (SEAL) AllTHENTIGAiION ACKNOWLEDGMENT - :TATE Or WISCONSIN ss, P.ierae .................County: -day of--•-_-.------- 19•-•••• Person illy carne before me this 4`lt ......clay of authenticated this b N lri..91._ the above narne4 it cwem er ---•--•.A1ma----V-a t Saek------------------ TI LE: MEMBER STATE BAIL OF WISCONSIN ~b i. (I£ not, - authorized by § ?06.06, Wis. Stats-) s.• ,n.- known to be the person cLli :c 4y c7 -•,rew)in6 instrument an acknowicaSp ~w{A, ; vI I MAttrsrlsT$u4f.K~ Y~~U! ~1Ttl:CSY .s +i' = ~Y H~ •--•P,0,-90x_467----^-- -•Sh-3V-Ol--J S ri- - - "unx `P7 cgtic tNt0~? t;,, y P7.~ Public n i.~ Carn:^ssior, a ser_ ,r,,.ncntj;GB.not. statt:F ex~fxo (Signatures may be authenticated or acknowiedga..- a^th 09-2o iy- nre not necessaryi aiw nncurc.. l' any cs.p~clty should be tyDCd or vrin:cA bNnw a.-.. •2~~mes oL persons alzntns to r LEGAL DESCRIPTION LOCATED IN PART OF THE NEl/4 OF THE NEl/4 OF SECTION 9, T28N, R18W, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. COMMENCING AT THE N'/4 CORNER OF SECTION 9; THENCE S009 8'1 5"E, ALONG THE NORTH-SOUTH 1/4 LINE OF SAID SECTION, 1307.55 FEET TO THE MONUMENTED NORTH LINE OF LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 2, PAGE 311 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE; THENCE S89°05'32"E, ALONG SAID MONUMENTED NORTH LINE, 1320.22 FEET TO THE WEST LINE OF THE NE'/ 40F THE NE'/4 OF SAID SECTION, BEING THE POINT OF BEGINNING; THENCE CONTINUING S89°05'32"E, ALONG SAID MONUMENTED NORTH LINE, 30.99 FEET TO THE EAST LINE OF SAID LOT 1; THENCE S00°1 5'08"W, ALONG SAID EAST LINE, 4.72 FEET TO THE SOUTH LINE OF THE N'/2 OF THE NE'/4 OF SAID SECTION; THENCE S89°14'23"E, ALONG SAID SOUTH LINE, 119.63 FEET; THENCE N00°543 5"W 396.17 FEET; THENCE S89°14'23"E 594.25 FEET; THENCE N00°54'35"W 150.06 FEET; THENCE N89°14'23"W 744.77 FEET TO SAID WEST LINE OF THE NE'/4 OF THE NE'/4; THENCE S00°54'35"E, ALONG SAID WES .43 FEET TO THE POINT OF BEGINNING. DESCRIBED PARCEL CONT 3 ACRE (171,173 SQ. FT) AND IS SUBJECT TO TOWN ROAD SKYLINE ROAD) RIGHT OF WAY AND ALL OTHER EASEMENTS, RESTRICTIONS AND COVENANTS OF RECORD. 2of2 . ~s ~p ~ q s%. sti ToF \ ~~i~~ Sop, os 9a cF R<° Fig oti Fq ~ooogo *7e 9 ~ 4o~S s ~F~F S~F "~oti~ FO/ti eg Fso °q ~c~oti ~ y~~yS s T2 F ~ o `~T ~ qip • O,~ yiF ~0 8.1,q rBly 1? 7,7 F ~L~c°c ° O7SO06CIlk, ~F S a1 T~ T /l'B9 ~~FT/j9 o~ w C°% 9p 90,E Sr90k ~a^ N00°54351 W 150.06' J c0 % • ~ ~Fq C''LrO 00 qqc / \ 's Av F V ,l, C d' o %9,56 F~CTti 4/S~ C9S,oFq.ygF F"coC,,~,O O'H'O `S~TOTi q~ gs~YO ~6 ~ ~ T ELF T Ir,~,y/~G 9FS DA,c~s'~- DSO ~C~ti /o'3yT F T pFSC Oe ~/yo qe FL~s9 FO coRN~1 s sEC~o~ g~UM~ a p8 N~ • 12'b'1 O~ ~,q A /90~ j SGO / 0 2 AGO C3 dQ1 G '0G--\ 0 0 ~ ~5~ 5J GP G<2-22 ~ X15 ~J Q~~~p~ O ~GQ Gp ~~o cG- ~G i8-0 7a O2 l {I ~If Tx.4058658 961779 BETH PABST REGISTER OF DEEDS CO., WI CERTI FI EM S V RVEY MAlm CT. CROZX RECEIVED FOR R RECORD LOCATED IN PART OF THE NEI/4 OF THE NW1/4, 08/15/2012 12:17 PM PART OF THE NW7/4 OF THE NEI/4 AND PART OF EXEMPT V: THE NEI /4 OF THE NEB /4 OF SECTION 9, T28N, REC FEE: 30.00 COPY FEE: 4.00 R98W TOWN OF KINNICKINNIC ST. CROIX PAGES: 3 COUNTY, WISCONSIN. N1/4 COR. SEC. 9 - o w w 1" IRON PIPE FD. LEGEND SURVEYOR z m v ST. CROIX COUNTY SECTION CORNER EDWIN C FLANUM ~ o MONUMENTED AS NOTED NORTHLAND SURVEYING, INC. q P.O. BOX 152 1 1/4" O.D. IRON PIPE FOUND AMERY, WI 54001 :zV3z PA OWNER W 3 ~n 3/4" X 18" IRON REBAR SET WEIGHING wZo 1.50 LEIS. PER LINEAR FOOT (LOT 1) cu z v p O SUSAN ZEITz w CU \O a~ P= a 475 VALLEY VIEW ROAD ~ v p U I X X EXISTING FENCELINE Lo ROBERTS, WI 54023 y Z 0 t m OWNER = w z c i (OUTLOT 1) u w = w !-2- LISA SOLLOM M ¢ r ~2 484 S. SKYLINE I40AD J UNP_L_A_T_T_E_D_ _LA_ N_ DS ROBERTS, WI 54023 a, w ¢ a Si ¢ - -N89°05'32"W 482.39' - - - ' C9 381.89' 100.49' = z z rn ¢ m l.7 mzm Z m z m v `SOp~tlllffo~e~ ti %S\% CO cj~ Zi a* =Z1 EDWIN C LD Li 3 I ~ t I c FLANUM re 1~) D, Q1 ¢ N ° L I ua w g $ 2487 W I in AM Y ~ • I RJ Cu A ( S g¢~,, a ~1 cr C, Z Off/ I ¢ G ~ ~I I W M N89°56'13"W [SHED z M 17.00' LOT 7 ti lJ U-) 7.00 ACRES INC. R/W a o c Q 304,924 SO. FT. 6.97 ACRES EXC. R/W " I I 303,575 SO. FT. W 0 I e°pa w > = U U Lu W c%j K I Z I p o y x X SOUTH LINE .g OF THE X X - - - NE1/4 OF 5.80' X X X 482.39' MONUMENTED NORTH LINE OF 8611'8- THE NW1/4 476.59' C.S.M. - VOL. 2, PG. 311 v' -389-0512-E 351.21' - 4'54"E N00°18'15"W SOUTH LINE-Off-THE N1/2 OF THE NF1%4 55.71' w 8.20' VALLEY VIEW ROAD ' LOT 7_ C_S.M. N VOLE S-1/4 coR. SEC. s 2LPG_ 311 ~ SCALE IN FEET I" = 100' ALUM. MON. FD. DOC. NO_ 3361578 THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON 1 00 0 1 00 10 0 ~10. 12-47 DWG. CSM DATE 6-26-12 SHEET 1 OF 3 SHEETS Vol 25 Page 5869 ,e CERTIFIEM SVRVEV MAP LOCATED IN PART OF THE NE1 /4 OF THE NW1 /4, PART OF THE NW1 /4 OF THE NE1/4 AND PART OF THE NE1/4 OF THE NE1/4 OF SECTION 9, T28N, R18W, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. OWNER OWNER SURVEYOR (LOT 1) (OUTLOT 1) EDWIN C FLANUM SUSAN ZEITZ LISA SOLLOM NORTHLAND SURVEYING, INC. 475 VALLEY VIEW ROAD 484 S. SKYLINE ROAD P.O. BOX 152 ROBERTS, WI 54023 ROBERTS, WI 54023 AMERY, WI 54001 SURVEYOR'S CERTIFICATE t, Edwin C. Flanum, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Susan Zeitz, I have surveyed, mapped and described the parcel of land which is represented by this Certified Survey Map; that the exterior boundary of the parcel of land surveyed and mapped is described as follows: A parcel of land located in part of the NE-1/4 of the NW-1/4, part of the NW-1/4 of the NE-1/4 and part of the NE-1/4 of the NE-1/4 of Section 9, T28N, R18W, Town of Kinnickinnic, St. Croix County, Wisconsin; described as follows: Commencing at the N1/4 Corner of said Section 9; thence S00°18'15"E, along the north - south 1/4 line of said Section, 687.41 feet to the point of beginning; thence continuing S00°181 5"E, along said north - south 1/4 line, 340.48 feet; thence N89°56'13"W 17.00 feet; thence S00°18'15"E 238.45 feet; thence S38°17'18"W 62.04 feet to the south line of the NE 1/4 of the NW1/4 of said Section; thence S89°1 4'54"E, along said south line, 55.71 feet to said north - south 1/4 line, thence N00°181 5"W, along said north - south 1/4 line, 8.20 feet to the north line of Lot 1 of Certified Survey Map recorded in Volume 2, Page 311 at the St. Croix County Register of Deeds office; thence S89°05'32"E, along said north line, 1351.21 feet to the east line of said Lot 1; thence S00°15'08"W, along said east line, 4.72 feet to the south line of the N1/2 of the NE1/4 of said Section; thence S89'1 423"E, along said south line, 713.88 feet; thence N00°54'35"W 396.17 feet; thence N89'1 4'23"W 594.25 feet; thence S00°54'35"E 396.17 feet to said south line of the N1/2 of the NE-1/4; thence N89°14'23"W, along said south line, 119.63 feet to said east line of Lot 1; thence NOW1608"E, along said east line, 4.72 feet to said north line of Lot 1 ; thence N89°05'32"W, along said north line, 868.82 feet; thence NOW1815"W 620.14 feet; thence N89°05'32"W 482.39 feet to the point of beginning. Described parcel contains 12.40 acres (540,248 Sq. Ft.). Parcel is subject to town roads (Valley View Road and Skyline Road) right-of-way and all other easements, restrictions, and covenants of record. I, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed arid described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes, the Land Subdivision Ordinance of the County of St. Croix and the Subdivision Ordinance of the Town of Kinnic ',~4 04;1`9- Pq and mapping same e° SC v_ _A/S' 'o % EDWIN C • SY ~7 Edwin C. Flanum, R.L.S. Date = FLANIUM -2487 AMER COUNTY TREASURER'S CERTIFICATE S Y STATE OF WISCONSIN)SS ~~o WI OQ COUNTY OF ST. CROIO ~Q••' ' i k ~e~le S U R ; I, Laurie Noble, being the duly elected, qualified and acting Treasurer of St. Croix County, do hereby certlfy~A Cf records in my office show no unredeemed tax sales and no unpaid taxes or special assessments as of _ I I affecting Lot 1 included in this Certified Survey Map. APPROVED ~#IA;Do. K)GQI-- 8115) la Laurie Noble, County Treasurer Date AUG 1 5 2p 12 COUNTY TREASURER'S CERTIFICATE J7 . CKUIX LUUN I Y STATE OF WISCONSIN)SS PLANNING & ZONING OFFICE COUNTY OF ST. CROI~ I, Laurie Noble, being the duly elected, qualified and acting Treasurer of St. Croix County, do hereby certify that the records in my office show no unredeemed tax sales and no unpaid taxes or special assessments as of 1,511 affecting Outlot 1 included in this Certified Survey Map. C;:,"o . woyi- Ells Laurie Noble, County Treasurer Date Each parcel shown on this map (plat) is subject to State, County and Township laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Kinnickinnic. SHEET 3 OF 3 SHEETS I 3o13 Vol 25 Page 5869 i 6989 a$vd SZ TOA S~oZ S133F4S E -~O Z 133"S b O \ O r N OdOd 3NI-IANS CSJ _ 3N13E331N30_ _ _ _ _ - - LL'96EM5Eti5.00N-- J`~ FW O zo LL { ~/O % t~ ~LZ'09Z3.94.LL.OON x Z • W O z~ W 3 Y I W f CO Q N ~d Cam' ~D Q J I U N Z C+' X ZCj wO arch w i s N O U3 C/) Cc^~~ v I Q CV ~ i W 1 ~I 0 Si co Q N z OI ~I N a F- ~I ~I h L I O ~I z ~I J Z1 S ~I a \ U / Z z o ZL'4 w > LL'96E 3■5E,b5.00S ~ z / :n :D o \ U / Z o SUNY7 ~311b'7dNn o 0 N w >oooLU g ~ t!) w z a d / _ 6 -4 - 1 0 '(W31SAS31VNI0H000 Lo li A1Nf100xiouo'1S)3SL.9Le00SSNIUV39 94 v C+')1 mC, Z 6 N01103S 30 3NI7 4/L H1nOS - HIHON us (/jI rn °v ~ 3Hl Ol G3ON3H333U 38V SSNILiV36 V M cc IX: w Lu Lu z • -I CV OI o Z~j--zd Zooms ~I Iii z >w cn OI JI I >O,n~ ~c¢i~ X11 OI UI ]N OJV)<m 0 00 >'~I ZO - - Z cn 'NISNOOSIM 'A1N100 4 m ° XIOWO '1S '01NNINOINNIN d0 NMO-L 'M8 LU 'NSZJL '6 N011.03S d0 ltr/ LMN 3H.L d0 17/ L3N 3HJL d0 -LbI cJ C3 NV 17/ L 3 N 3H1 d0 V/ LMN 3H1 d0 .LUVCI 'V/ LMN 3H1 d0 V/ L3N 3H.L xJO JL ldd NI a3.LVOO 7 dVrw mans a3IMAI.ia3~o r . a N r~ '!L ~ Y .4 ~ Gh~7 Y YC.Vq ~ Y, dam,: ~ oryt+y+~ s ~ r ; _ ~ a; } 1i ~ ~ ~ ~ y ~ w ~ fk . A}~~ _ r j.~',x4 ■ J 4 w W t Qo ,r ® O r. y M N o y ~ C rn O o r II I JII F FSDH N oh. Lb r ~ i Mn E U) N N w s M tul in ul ~ Ali im zi re .9 .9 Zi--- ------Z-- - v,m- T_________- I I I I I ~I I - I I L-_--J {b tl ~ 3 _ I~ b $ l E I E 9~~ I .g i ,gym - s 3 - I g. 1 2 i I O ~I i i I l~,L R.S~l .9l .4.5 .4Zt ZE Wisconsin De rtmentOf Commer SOIL EVALUAI~61N- Page r/ of 3 Division of Safe and Buildin n with Comm B5, Wis. Adm. Code Gov OF nty Attach complete ite plan o n 8 1/2 x 11 inches in size. Plan must include, but not I ited tcrI5e zontal reference point (BM), direction and parcel I.D. percent slope, s le or 4i north arrow, and location and distance to nearest road. U' lease print all information. Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). C'~ Property Owner Property Location S~ A 5, t; 1172 e Govt. Lot AVLJ 1/4 1/4 S T Z9 N R E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# J vCL E~ PiC~ City State p We Phone Number ❑ City ❑ Village Town Nearest Road New Construction User Residential /Number of bedrooms- Code derived design flow rate ~JZ7 GPD ❑ Replacement ublic or commercial - Des 'be: r Parent material Flood Plain glevation if applicable ,r✓~ ft. General corrmeMs r~. l~ G'YlJ Y and reconurlendations: L ~j/tl h W ~ lS - System Type ~~4/-System Elevation J Gc s~ F-/ I Boring # ❑ Boring 1o~r'it Ground surface elevlp ft. Depth to limiting factor 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z. 3 / - SS C, rr~ A JVJ,4 A41-? Xe-- Boring # ❑ Boring PIN Wpit Ground surface elev. Z- t. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 -tea ZX -114 R- V 1,4 A".94 &,p M"o Effluent #1 = BOD > 30 1220 rrtand TSS >30 < 150 ' Effluent #2 = BOD < 30 and TSS < 30 glL _ mg/L _ mglL CST Blame (Please PnnU CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 540 3 °,;7 g--1 715-246-4516 1 1 pppppp Property Owner _ Parcel ID # Page of F3_1 Boring # a Boring d~ Ground surface elev. ft. Depth to limiting factor in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munselll Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ke L-1 L4Ze'Q 501, 5Q_ ,-n InaK. Boring # Boring ` ~ in. Ground surface elev.Aff 1o ft. Depth to limiting factor l Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i I I Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDAf A Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30:5 150 mg/_ ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SOD-8330 (RANG) Property Owner Parcel ID # Page of Boring # ❑ Boring G n F3-1 pit Ground surface elev. Z-ft Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 f~ f!7e J C 1/ / r la~r C _ -S 6141-f fir/4 01, EA l7f Boring # ❑ Boring Pit Ground surface elev. 0 ft. Depth to limiting factor ! U in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 `Eff#2 -7, 0,11V ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil ication Rate Horizon ')epth Dominant Color Redox Description- Texture Structure Consistence Boundary Roots GPDtff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mgll- and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (8.6/00) t Soil Test Plot Plan Project Name Susan Pinski2eitz Shaun BAddress 475 Valley View Road RObert Wi 54023 CSTM 26900 Lot Subdivision Date 3/272 NW 1/4 NE 1/4S 9 T 28 N/R18 W Township Kinnickinic ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1.5" pipe System Elevation TBD *HRPSameasBenchmark To S. Skyline Road Scale is 1" = 40' unless otherwise noted 1320' Property 90' 40' Steep Ravine B-2 10' 20' 0' 40' B.M.* B-4 B-1 5 5' 80' 6% Slope Area of poor soils 10' 100' B-3 101' 102' 1320' Property Line t . ivz :d. m BEARINGS ARE REFERENCED TO THE - p i 33' 33' NORTH - SOUTH 1/4 LINE OF SECTION 9 0 O o C c A S BEARING S00°191 WE D p I I (ST. CROIX COUNTY C) 1 :1u K Q o m I COORDINATE SYSTEM), i~~ f••' r w 0 m Nco 0 o l I UNPLATTED- zz LANDS UNPLATTED LANDS ° o / z o P ~ - ~ it z S00°181 5 E 687.41' m - - - - - - - - - g o S00°18 , 5"E 4543.12' ,I O x - - - - NORTH SOUTH 1/4 LINE z0 z o I g 0 Do (n W D 4 I N m i' b N D 03 I n r z S00°1 5'08"W co I co N D 00 1 4.72' N o I w 11 > I I N !D OD Q Z 'il W S00°18'15"E 620.14' Z Z ~C Z ~ 00 I o (0 m i 0 W , 13 oil 1 o rn -II 1 ~ z j x O ~ A W ^ 1 ;r- O DJ W a0 " O 1 O Q 'p J O'~ I g O can cf) I" z 9)l o' Z Q {Z1 1 x Q tJz m ' I Q "r\) m c O Zip 0 C~ . A N~ f~ 0 --I 1' 1' I Ql o c 'p 0? I 'n C,) jJ 0i m t1 - a m 701 (9 0 K: X 1 W 1. m G.) < j Z 1'n Z Z 0 W N 00 Z a Z m \ o Iv I~ oI m No 0 m m m -u mi rq o Z Z O C) 0 Z C) U) 3 ;u I fn 'U 41 .1 UU D e it v 0 Q oN 0 o e D " --I EAST LINE OF THE NW1/4 OF THE NEi/4 Q .11 - O C D -i---------------------- vi bo l 541.43' N00°54'35"W 770.20' R ~ 0 3: w n r'1 - o ° ; UNPLATTED LANDS I p m ° z co C Z U; D 70 p z -i „ cn o~ ci v, m 04 r- -o I Z m D (q NOO°54'35"W 396.17' 6 ° m O g ~ O~ 0 O 0 6) mg oy- z ..Y I zRc.z z~ O I 'p 3. o z y m P I p 1C 0 O c ~ S m n o g m z pr~ Q n J 2 m W W I O Z mO o mZm C°mO~ mt7 p I (00 Z >2 mOTp z z-° _0 I ~-u z n IT1 j O 1~ ~F~ z0 V- P. z c [9 ~ UI = I i > z au O x mOC N m I W O 6 O m-' ~0: CAmm0m~m ZO 0 Q m b I $ W 1R1 DO C'('".pz~"u'~~z Z•n Z I Z ~K I co 1p Fo z-tmwmCm-6~ Z m- aom b 4? O 1 04 n0 ~N--imz~o ~m ~ m O -I I Z co Z -n S ~0~~ ri W V mz ow tmom- o -•-Iz 10 0 m zD 1 ~0 rn ~~mpm Z 1 czi I nl p 1~ - 2r-~-I~ ,HgM3ZT -0 O 0 I ~nir, nZ--1-nz O~c~p XO Cmp cn n I 1C/) mw mm0 maim T, 0m n ON p I n A Ky -ice o p00mw °i I "I F c`~i ° d I C/) M m oNm= cZ N QOQ I cnw T~~n ~mm20 ~m W m n< rri j mu, mm +mo1 Tm~ ~p Iy '0 0y c0 rn czi I N00°1 7'46"E `O O_ z w w m m M! O Z ~0 i i 52.20' ~ J ~0 0 mm c- ~Z oD ~0 0 or. o 3~ Z c Woowwwxo zoo m z 0 ui D I-------- O~ Z fu Z ~I 70 - L----------- z° Y tai m -t _p~ w n un• m mzmm _°0 O 42.95 y o mm, n 7oM °\r \4~ Z X70 ul•~~-{ .50 z n~z zC ;.K.MI. . m 1 m o SKYLINE ROAD O 0 z z z0 m = - - - - - - 2 N 0Qm.~.TmyPOmm m j m'_~~ m p$O O m i m z 00° n Om° ~I I • ® Q ~p om~rrlpzu;~ m cm- 1 n`g z x O~tS mbm~: 3< mm z 50~ m -I 1w 1 0O ~ n0Z,nZ0oz0 N~ a-q -n O o O me m 0z O~W'Z mN T „ Z~ G~. z 1 x o z~ mzcn -m W z0 Fv 0 m Z Q 74 c~ m m° I_ ~O o z G z ) rn c2 55 p Doc m 0 zm 0:- 08 ~ >~0 0c- tun To O KK g - Nz0O O -n~ m I<< ul z ~Zp Cz ~ pz z0 v ~Z ~ si5 ~ 0 I T2 p jr ~j p C zD m mC ~~nz8 mC ao ~ fV w 0 Q c m 0 m m z m z I z C -i Z m0 -n m 0 m commm O m mm m"DW z g 6; 8 0m cu ° o0 zz o g z G)