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022-1009-60-950
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 563869 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)I. Permit Holder's Name: City Village X Township Parcel Tax No: Helmueller, Daniel &_J o ce Kinnickinnic, Town of 022-1009-60-950 CST BM Elev: Insp. BM Elev: escription: Section/Town/Range/Map No: /DU BM D 13 fyA 1 G5 / / ( 04.28.18.57A10 TANK INFORMATION ELEVATION DATA . , 4.4 TYPE MANUFACTURER • `,~,K { CAPACITY STATION BS ,H` II /3 FS ELEV. 11'r 13 400 Septic Benchmark /mod 14.24 M - 24 Sao Dosing L-) i e dj.e.`_ ~'S Alt. B(~v . ` * 3• /~z . `~l Aeration +D Bldg. Sewer ct. 16 #50 Holding L 7-3 St/Ht Inlet &45 ~ TANK SETBACK INFORMATION St/Ht Outlet 47.$7 1454 V TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet /Jof )Z -1 1d3.(o Septic Dt Bottom * 16eL Dosing Header/Man. Aeration Dist. Pipe L•2~ /ll. oL Holding Bot. System //a J Final Grade T PUMP/SIPHON INFORMATION !!•Z c.3p ✓ Manufacturer Z0 G~ DePm~tand St Cover _KW- Q y 3-7 • Model Number ~Eqe TDH L' Friction Loss System Head T DH ,~FFt b t~'j , $ 3. ZS 14, ~(p th Forcemain Length / Dia. / Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length ~j No. O PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /5 9j %_1 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of S 11 ' CHAMBER OR ys O J 27 Z UNIT Model Number: DISTRIBUTION SYSTEM C+ Header/Manifolill Distribution 4 x Hole Size Hole Spacing i/ Ve~ Air Intake Length Dia Z Length 34A Dia Spacing 3 J SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only 11, 4 Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edge,,,.. Topsoil Yes 7N No Yes F0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: //3/ /-3 Inspection #2: F-/ Location: 536 Valley Court Roberts, WI 54023 (NE 1/4 SW 1/4 4 T28 R1 8W) NA Lot 4 61A,~ _ Parcel No: 04.28.1~8.57A110 ~~t / Gay c.~ ~L tAr-A- 4- s<.,~ QIoL.-) OI-- 1. Alt BM Description naGC 2.) Bldg sewer length ` , e► - amount of cover (D J t- G~ Plan revision Required? ❑ Yes No Use other side for additional information. Date Insepctor's Si ture Cert. No. SBD-6710 (R.3/97) v` C, -,S\ G D _ L' Q - o v-` w SST LOT o n°S S 10% 14 Via.. ~a~a TIZ) x 4, 0 C, ~i oo - o~ \ C3 v rl oz ~ I 71 c-S ru D ~ C'1 ~ m to r n Q VN 70 •a 1Cf ~ W 0 00 kn 00 N f _m o \~n -o ` O L 1 u d Itz -mL 6~ z -o d -o ~ Safety and Buildings Division County 5 r p 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co. SP Madison, WI 53707-7162 s. 54 3 S' co Transaction Number ZA. Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit ma Iii is required prior to obtaining a sanitary permit. Note: Application forms f ed POWTS are submi o e t Address (if different than g address b cc11 the Department of Safety and Professional Servies. Personal inform n~ de may be used for se,o oses in accordance with the Privacy Law, s. 15.04(1 (m , I. Application Inform 'on - Please Print All Inf a Par ~NTy Property Owner's Name q y~: e~ t C-4 D R N 14 F- L E 0 2a ,1 q ;4, l~0 Property Owner's Mailing Address Property Location 57/x} //D 7 gs Govt. Lot Li ~ Aw .5L-1 p.o. aa~ City, State Zip Code Phone Number X 0 1/,, 5" '/4, Section q_ W~ s~~o21 T 28 N; R "no, /g(circlEo1II. Type of Building (check all that apply) Lot # Subdivision Name VAL -Z Y C-, f L) V g: 91'or 2 Family Dwelling - Number of Bedrooms Q L Q~ Block # ❑ Public/Commercial -Describe Use ❑ City of 4 El village of jr SM ber to ❑ State Owned - Describe Use 33 8 P `L~ Town of FG /Y C e W X 75 O✓k J III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ❑ Other Modification to Existing System (explain) I!d'New System El Replacement System ❑ Treatment/Holding Tank Replacement Only List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner Z~ I D ✓ ~ IV. Type of POWTS System/Component/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade RL Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Pretreatment Device (explain) ~ Z ❑ Holding Tank ❑ Other Dispersal Component (explain) V. Dis ersal/T'reatment Area Information. Design Flow (gpd) Design Soil App ation te(gpdsf) Dispersal Area Require sf) Dispersal Area Pro sed (sf) System Elevation y~o 2~j Y~o 575 l(a.q ~ Capaci in Total # of Manufacturer y VI. Tank Info ty Gallons Units ~'P S~ L Gallons 2 2 y New Tanks Existing Tanks Wl . ° aU h v) wC7 a Septic or Holding Tank ~ p p o ~ O oO pp Dosing Chamber / 6 co 0 6 a 0 ( W sv VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number N i, c h~ :2s/" ~ X273/ -X9 3 - Plumber's Address (Street, City State, Zip Code) 4-7 VIII. Coun /De artment Use I G Permit Fee Date Issue Issuing t Signature Approved ❑ $ ~z5• gJ7 ~3 en Reason for Denial OD 1X. Condif3s1f119sTi~lA~~Reasons for Disapproval Septic.tank, efflt nt, fRW and 3) Go dispersal cetl,must all be services es .per management plan provided by plumber. e, 2 A~ sue. "oft mustbwMaintelood ~ p~ alq>~gi code / Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 z 11 inches in size SBD-6398 (R. 11/11) G Qlt~l esT G o T Q S ~OQ I~ (t1 / , 'S Q c - ~ v~ Jw rn m c~ rn W I ~ - z' r m 70 ` O r oo n► ter, 00 rq C> N S rd - _ -V ~j C"~ 4 9ti*ARTM~vT DIVISION OF INDUSTRY SERVICES 3824 N CREEKSIDE LA 11 0~ P HOLMEN WI 54636 O 3 S Contact Through Relay P S www.dsps.wi.gov/sb/ `ow www.wisconsin.gov ~OssioNA1s~ Scott Walker, Governor Dave Ross, Secretary August 05, 2013 . CUST ID No. 226375 ATTN.- POWTS Inspector ROBERT W ULBRICHT ZONING OFFICE ULBRICHT & ASSOCIATES CO ST CROIX COUNTY SPIA 2812 10TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/05/2015 SITE: Identification Numbers Dan Helmueller Transaction ID No. 2276151 County Road N Site ID No. 793441 Town of Kinnickinnic Please refer to both identification numbers, St Croix County NW1/4, SW1/4, S4, T28N, R18W above, in all correspondence with the agency. Subdivision: found in Vol. 20, Pg 517; lot 4 FOR: Description: Three Bedroom Mound System / 3% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1440092 Maintenance required; 450 GPD Flow rate; 24 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.01101, 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, GQN pQR stats. Olt The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders: PRO • A sanitary permit must be obtained from the county where this project is located in accordance with the ©~QN 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. • A state approved effluent filter is required. 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. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. ROBERT W ULBRICHT Page 2 8/5/2013 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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). • 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. • 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. 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 - Fee Received $ 250.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.switn@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm 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 Commerce 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 3 i ' by SPS Chapters 360-366. ROBERT W ULBRICHT Page 2 8/5/2013 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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). • 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. • 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. 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 Fee Received $ 250.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART' code 7633 jerry.swim@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm 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 Commerce 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. i 2812 10th Ave. • Spring Valley, WI 54767 RECEI~IED 715-772-9 f(ft JUL 15 2013 PROJECT INDEX INDUSTRY SERVICES Plan T.D. # Date Owner T oyCC Ecm 0fa IIe~~.... _ Phone 715' 3 0 7 - 353 / Address P .O. 13 0X q e hRo WZ7-5 W s. 5 yo z 3-- Legal Description L..O 7- 1--~ C5m Vol • Z4, P~ • 517(p P1W 02-2- /oo g• &o • , N) LA) SLu Y41, S q, T- 2- 6' N, R 18 w Town of (Gi Nlv C K I M Ad L G Coc:nty S T: C- C.S9T. 5havo 31 RD 2-2-(,o960 Installer Local A~~thor#ty/~anervision _S T.. GiZo6(, Zo~r~G.-~.~~~ - PROJECT DEscRIPT\10N 7L 5. 3,P& qCe 80_.._,,..~. • IV~5G) c-DV.5TRVC,770A) IFOR. A 3 13C:DP,,M. Scz~=-D IUD ~c E - ~ST i M ~g-T~- L~ D E-5 i (r~U W,~4s 7- ~ W ~4-'t-[-.' le ~/©rc~ = 4,5 a sCrE k5 sui=rAi3(E- FOR A co~uu~~r,oAJ Ad ~+6uAJL TyP -5 YSTL- M Zt5 rx3 6- ~a " /l . R 5-CnMmf5o D ep P Pa es ~D y sr~M E IeUArrroAj P 5 T3 f tc~ . w r ~1,, 2 w 1 ro Rear t' o u-k3 D co ~o v R NALLY . e- C 01ys aFJVED ETY AND ROBERT W. J SERVICED ULsRICHT STRY SERVICED D1150 e~~~,~~' HUDSON, W1, J ''I 4~' S1 ARW*Pftl:)N Pg-1 PLOT PLAN VIEWS Pg-2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS (REVERSE SIDE DETAILS INSPECTION PIPES & FABRIC,/TOP FILL DETAILS) Pg-3 WIPE LATERAL LAYOUT (REVERSE SIDE SHOWS DETAILS OF LATERAL CLEAN OUTS) Pgr4 DOSING CHAMBER CROSS SECTION & SPECS. Pg®5 PUMP PERFORMANCE SPECS (REVERS: SIDE SNOWS PUMP DETAILS) Pg.6-OPERATION, MAINTENANCE REQUIREMENTS (REVERSE SIDE SHOWS SITE & SPECIFIC PROJECT DETAILED °INFORMATION,UNIQCIE TO LOCALE AND GOVERNMENTAL UNIT AREA; The attached plans and specifications are based can the following approved ma ualsa "Mound Component Manua? For Private OnsiLe Wastewater 'T'reatment Systems if (version 2.0 SBD--10691--P(N.01+01 ) and "Pressure DIstr ibutiOn Component Manual For Private Onsi to Wastewater Treatment Systems" (version2.0) SBD-10706-P(N(3S.,/01). t I r i ti'--: 1,: ~.f`y~~+cr.sW ~:.J ~~~r;oiw; II 4~1\ Q w e.YT LOT L Q Ow~~'~` OQ a~.P4s~Q a / 46 - i ovp a c ~ a4'- ~o - i53 o~ J N ~ ~ P N ~ z 70 Cla rN ' C W D - ~ Iz Z I r ° m Z rn Rt ; o - Z v► -A ~ to 00 `n i N o 0 iT m N ~~C o S d H y ro +p Q ~tl r m 0 1, -o 7-1 o _ ~ 00 0 ~ ~ L 9 I-o N ~ ~ cr K U~> > h G T i O&j O t-- ,M O U Aj I? tv i r ti e-r-> 0' f St o OF l" ro cc1~ 'Di S7 Ri(3uT+on) ' Ayg~rSATE' G- / rki cka es 3 Pip w G- oF T'oP so(L ,v/ 12F,,p 14,14 - s ysret-4 U)J i FORM TOE Y41 //0.410, I-I'" E -r- i RKPO ' Mao. ~3) ,11111111111, piawto "r P,50 um FORM 3 q 510PE FORCE, + MAW ~ t EW1T100 t» DER [3E~n / O ~f p Fr. p r ELEVArION5 S Fr. lmvERr of I 1ATERMS /0. F FT. • Top ©F Rock III. C> C, F-T. OF ft 0.04 PLAN VIEW OF MOUA3D Wir ff BE; D GEra'T~R~ FaRciz MAW A ~ F T. B 75 F r r k ld Fr ' B I w y w 30 ~ o Fr t3Ev aF Agti tzEtr-~;T " PVc cAPpEp To t 10 0 3SERVATtoa r Pepes /oc.47':atJS -4o /d PERMAutuT PlAek-ERS (,Tops o C/cAA-7Oo% sev~E RECQUiRED BASAL. AQeA - 1)A~'~ whSi'FF'fow ~ s ca ^ '~c ,Tr~tnnv E• y ff-°z :gat. Fr. PRZoPOSED BASM ARe4 = x ( A fi z 75/ I.5-7.5 x ` 1 + " U 1 s T. fI Observation pipe Distribution cell 6" 6.. Fill material Cover material (ASTM C33, fine aggregate) i Till , Force - main ed area Slope 3 / Figure 6. Cross-section of a Mound System rte.. Water tight cap i Top of 4" min. dia. leaching Repair cbuplinys chambe Slot 6" 6" min. min. 4 In.. Infiltrative surface Water Closet Collar Bar(318'" mi 'Ia.) Figure 8 - Observation Pipes 1144 i~ I s~tiG~ G 'loom it TV ~lf~ DF= v c C r ~ (61 Gi 7`e tt 6/f Tl-.•9 L_ . C 3 16 / Pb- 3 of AJI POUTS coi-tp©Ncx~i ptprN G-- MATERt/!~L SHAII GE- SP5 38y tuts. ADM. core comPli,4Nr APPRoUCLr) ScA _ <+o P\)c AS-TM CNA IF p 37t7-S7 r 3- F: r JiSTRi130T1011 mil! A~fl- }lp IE 35 SQ. FT . X IWcNE< yp Fr. PVc FoRce M,411\1 • y tucHf; VARi*A(3LE TOTAL. VCgt[) UOIuNE ~.(o GA15 • 'PisT^ac~ 3 To ~L N oil tN~ H 05 RAL- ~IVZ t0c Nes 3. 2.5 . ~ MM k F Oi., n FopcE- FAIN - ►~c t{ ~s I NINES • OF No1E -5 pi PE 13 %37° IVVERT E LEVAT100 ~52 #o %"s To TEL l ~ TI-ERIIWAL l 'OF LATEtQAI S SIDE Fo /O i m' I L } 3 (DE R Fc~ R 14TE D P ~ P, 1,,-5 7' 140% I NEx T TO • REM°vE All DRill C30PR5 G~17 TEb o,v f3oT1'oM GquAIIy SpAcED , 1)(STRi v I- Burto" •D'SchAR~E RATE ~ PER ~`t'i s g• 5 g r-~R ~~ch LAr ERj L , - GAL j ~ TOTAL 17i5TRiBOTIoO IA5CHARGE PATE r-oR y r t~T woR K 3 g v~ G'~4L~MIN. ~ a•5 Mt'IUtMUM DETAIL- 6F L ATL-R A L- CID l~~P s o vE- A i EA 6(t-, E-,uzP OF /3ox _ o E 1316ti AV -3 P13414 /4E7 P~ . 3 of R~~~~sc sr~ PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS w= E ,t--- /~vc VENT CAP i PIP VENT PIPE WEATHER PROOF APPROVED LOCKING JUAICTIOtJ BOX MANHOLE COVER c., f (v ►~',~t,~ l~ ~A/3 I p IZ"Mlu, I 5 riG-- ~1 1/ 't'Tl~ict GRADE 4" MIN. 4/1 ~ ~ ~ I B" M I IJ CO►JDUIT ~.0 I AIL ~ I - - ~OJ S11•'1o tr` / PROVIDE- AIRTIGHT SEAL L"'wirav-r- 5 1/ 11JJ I APPROVED JOINTS APPROVED JOINT A 'N ~h~ h \,J/ PIPE r5~ltN i i , I EXTENDING 3' EXTENDING 3'O t I I ALARM ONTO SOLID SOIL OMTO SOLID SOIL B d r t i 1 S , gU IPJC G , 419 P0611 ON )01 ,0 C f ELEV, FT. f PUMP OFF t{ q BLOCV, S/1N1~ CI VAf!Gd ruts t>Ronvc7' { ?PF->ouAL- 2-c>0-?. 02..COZ .511-1 13-- RISER EXIT PERMITTED OIJLtd IF TANK MANUFACTURER HAS SUCH APPROVAL ' SEPTIC E SPECIFI'CATIQKJS TASNKS MANUFACTURER: WtSt~"R Co WMBER OF DOSES: PER DA-4 Co. TAMK 51ZE : S•T." ~OdU GA LLONS DOSE VOLUME p L E-'UL L, pA R"'1 O , INCLUDING BACKFLOW: GALLONSB ALARM MANUFACTURER: G, (U MODEL HUMBER: ' L CAPACITIES: A= INCHES OR C 30 ONS SWITCH TYPE: Mr-L A.4miCA z- /2 FICHES OR ~ GALLONS PUMP MANUFACTURER: C= 7 INCHES OR ~ld60 GALLONS MODEL NUMBER: ZOE.l(ER T9 R F D= 167 INCHES OR -12 GALLONS PUMP AND ALARM ARE TO BE SWITCH TYPE: rl6 'BAtk MF-6C ` FI&A7/jLOTE- MINIMUM DISCHARGE RATE -GPM INSTALLED ON 5EPP.RATE CIRCUITS' VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET + MIKI/I~MUM NETWORK SUPPL`~ PRESSURE 5 FEET 6AC6 1 t_) t~° + FEET OF FORCE MAIN Y, F o Fr.FKICTION FACTOR.. A - FEET JA TOTAL DYNAMIC. HEAD 0 FEET IIJTERNAL DIMENSIONS OF TAIJK: LENGTH ! ;wLDTH ; LIQUID DEPTH Lots. :D.S.P. S. SEPTIC TANK, per shall be equipped with an outlet attached approved filter device (Zabel IDC~- fliter). Tank shall have an approved above 'POj`.10c.; ground locking manhole cover for regular (every 12 months or less) inspection & servicing by a f1 licensdd service pumper. ZOLLER EFFLUENT PUMP MODEL 98 HEAD CAPACITY CURVE a 7/e t/M MODEL -ow, e 4 6/6 " 2s- s/e ta- 14 ~ ~ J/te e io- ! 1/2-11 1/2 NPr e- tYILLONS 10 - 20 40 _5o 60 _ 10 a0 so 240 t) FLOW r'ER MINUTE roru ®m^t'ro H1AMtaw ttli tn.wr[ [t[lV[rat wo V4w,"W4 1atN eAPACIIV 12 VNII ~tMrK e v P[[1 M[t[nt QAli4r no [ I.ei ii 9t3 t0 i.tes of 201 t IL 4. 40 a'ro 20 I to 10 21 45 _ LockyaMO ,i J 5/11 CONSULT FACTORY FOR SPECIAL APPLICATIONS 11"311ed w111 ith an art sl al8"9111810,11, arm. for .duplex systems tuppN are svaliabie and ® Mercury lloat switches are available for coniroilin9 single and withounlcd ellernetote, her chfptex systems, are available with of ® Double mercury floal ewdches ate available Term hvhchae. piggyback a for verlable level long cycle controls, 9tenderd~ Ali modal! - welphl3@ lbs. • r/1lf.p. 4. Bnlrprrlaoato nlsd2 SELECTION GUIDE N $*floe - - 1. eln to I poto r^uhurkalswhch,noeMetnuconuoinqutrod. awhelf. Plefor to 047?, Co_ntrot 9olocllon e P o0ybaeN mefcuty float switch of double p:o0yback mercury, Most -Modal ! 6 h- - -+.Ph ►lodo Am a 61m bx Duplex *ca kW h FRitc4 t M9e-- a. Mochanei Altsrneot 100072 of !0-0OIS ! ~ 4.6 ` 1 p!-H- _ 6eo FLbI12, for correct modal of Electl" Ahornalot, „E-Pak". txe ._3.SE st21t _ a 1u 1, e. Mucury sansoe Not awhile 10 02zs}reed y conbd ugvatof paeih' foe 230 i -Auto t - i a 1 t 7 duplex 19) a 14) 11001 system 230 t Hon t ! R 7 -)--4 td a .F°f'r:IH h* " 1 Pak' IuneNoti eortnecllotr or w4ed in skrr p4a a duput opaatio !00002. I. Trao ttI pole "J PO". Ow wstatleN Conn.,--.. „r tpkt i•biw~el[~MaYEtw 2yrW paducNrrl«beafatoEenf^.amblrsr.tlonBUnM fMOCid; CAUTION r"MIII [Yt4kd Manua Ft"- Nvthmkjj R1Gmatof. A[ kubflallon e! tonltats prdectbfl {.Gb.a and wk luatil , Pw yr11/~ti; Rw~VE„.aer aufru ffW+Ad; and 9 64 Ilcrnkd atewrlataa As *"I..l ar.4 " s h ►a tom . a d d. iex a ~~ad I+ Mwl veeed Nalbnat Eta(& c Ce& des elrcu" o (olioa tna{„d• ~ ~a H-0h Ad I0/HA), °ae IK[Ll ant Ceoupelbnel SalNy eM RESERVE POWFPED DESIGN For unusual conditions a reserve safely lector N dngineered lnlo the design of tidery Zoeller pumpr HAII rd-;.O. sox I63f7 `O Z91 ~ Hanulacluror; of . , , L #HIP 10, 3480 01' AGltors Ian! a V lr1.it, r,; xr QUA///! q/PS siNC! 1501)118•2731:w FAC;302) 507/719-36?t . 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page b of FILE INFORMATION SYSTEM SPECIFICATIONS Owner _J)AN S Joy GE E`M V 6figP- Septic Tank Capacity /0-0-0 al ❑ NA Permit # Septic Tank Manufacturer &j 1j '.5E- Co , ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer PDfly/OCK, ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model 5:, 5 ❑ NA Number of Public Facility Units aNA Pump Tank Capacity /d"-a oaf ❑ NA Estimated flow (average) -300 gal/day Pump Tank Manufacturer 60 ( F,$F2 Cp ❑ NA Design flow (peak), (Estimated x 1.5) gal/clay Pump Manufacturer ❑ NA Soil Application Rate , al/da /ft2 Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit jX NA Fats, Oil & Grease (FOG) :530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) <_220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <150 mg/L ❑ Disinfection ❑ Other: Pr Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD5) mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) <30 mg/L A ❑ At-Grade Mound Fecal Coliform (geometric mean) <104 cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size 36 in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 0 years month(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA ❑ month(s) (Maximu 3 years) NA Inspect dispersal cell(s) At least once every: yearn Clean effluent filter At least once every: ❑ onth(s) ❑ NA year(s) Inspect pump, pump controls & alarm At least once every: month(s) ❑ NA ❑ year(s) Flush laterals and pressure test At least once every: 3 ❑ month(s) ❑ NA X year(s) Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pondjng of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. 1 5 ~'`f ~ Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages, pump tanks may fill above normal highwater levels. When power is restored 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 power to the 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. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park,over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. 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; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails 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 SIPS 383.33, 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 taken, to provide a code compliant replacement system: ❑ 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 upon by required 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 with the rules in effect at that time. ❑ 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 a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat 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 ENTER 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 POWTS INSTALLER POWTS MAINTAINER Name W115WRY I WA1+e-R.. rr, Vt Name ~il RIG~I~ SSOG - Phone -171$ • -7y I. 53-2..-Z, Phone 71C,7 • 3b ~p g 1-7 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name 114 g i ckt s Assoc AT S Name ,5-r. 0201 A C4-. 7,6A))'N Phone F-715- ✓9lV ` 9 PL -7 / Phone lS 3 ri (p- q& 0 This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. Revised 3/29/13 r_~~Gta D''" Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the_ treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored 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 power to the 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. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. 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; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails 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 SPS 383.33, 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 taken, to provide a code compliant replacement system: ❑ 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 upon by required 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 with the rules in effect at that time. ❑ 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 a last resort to replace the failed POWTS. . Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat 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 ENTER 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 POWTS INSTALLER . POWTS MAINTAINER Name PRY I WA-1♦KR- 15C U~ el LNa e R IfC(4 " 0C Phone -715 . '77 J 7ZZ'' ne -715 - .39(e SEPTAGE SERVICING OPERATO /R~PUMPER) LOCAL REGULATORY AUTHORITY !!s'" Name 1 1 G~/1t- , ssoc I Ar-(" er'5' Name s-r: G (20l 6L 7i0 NI X3 Phone -715 ` 3g W " 9,e -7 -7 Phone '~15 r 3 S(p- y& o This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. Revised 3/29/13 0 ooaao T -7 I Z Q DO0 m ~1110CD O C .Z7 Z D ' T n m~ nee rm~ CT - O cNn n m I I I' ~l li ii o m D Z ~ 00 cn m ~ m cn ~ CCo - m li'llig m ~ a O z cn m OH IF w cr m co %4 CD m n -n C' mo D V c = 1 O) O cn c cn 07 Cf) z n --i Cn cn N O CJ1 y IV co n m cn O r ~ co -ml =n 0 v m cn V N A ~ rn ti tYMRRB~E01 ZA o A o B m 1OP~WAgI cD w ~ Q V Lo P n co O C) A ro 0 3 N3 3 rn n c ° 4 N W N A ~II u I' r D , m N z u, for- r~r PDO= o o m N o r-i G) N>ccc c I Z c o = 0 O ('fl Z r C 'n G7 cn r~ c 0 _ --q T r -00 03 C) -0 C: C) Q'cn ;D~ C m cn z m Z nM --qc" rT1 = m m o m CO a Z O ~j C O O Z (n V O O co Co Lo N 00 -A Ca w O ~ W .p N W Cn ~ o o cif ri ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer R El- M c-~- J5 E rD d Mailing Address Property Address 3 (Verification require*from &PPlanni & Zoning Department for new construction.) City/State Parcel Identification Number 0 13- - 10 ° 9 10' LEGAL DESCRIPTION K I , Property Location I~GtJ 1/4 , S &a 1/4 ,Sec. T -.19 N R W, Town of _ Lot Subdivision Plat: Certified Survey Map # $ 3 3 q 8 , Volume , Page #Z Warranty Deed # 9 g 11 g 4 (before 2007)Volume , Page # Spec house ❑ yes )(no Lot lines identifiable 0 yes [I no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department 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/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty dee corded in Register of Deeds Office. Tm er of b ooms X 8 /S/!3 SI A U O PLICANT(S) DATE * * *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) • ~r • \t`,~dprrutrr•urArk., , APPROVED BY a^GF _ 8 3 3 4 1 6 TOWN OF KINNlCKtNNIC a 6-2484 = VOL 21 PAGE 5265 Ctr-AR LAKE, r' it KATHLEEN H. DATE: rl V.j A& Wan Qr WXMK ~11,a~~./7 hti _ .~q tff REGISTER OF DEEDS ST. GROXX CID yi~~SURVE`~~~``er R ECEIVED FOR' k MECOIRD n►+nnn=au~n~"`r- t 5 p(. 08/30/2006 01: 33PM CERTIFIED SURVEY MAP } THE WEST UNE OF THE SW 1/4 OF SECTION 4 REP FEE: 17. afyB SEARS SOO 39'44"W AS REFERENCE TO THE 5T. PACES.- 5.04 CROIX COUNTY COORDINATE SYSTEM LANDS SOO 39.44'W 2644.34• L s sA WEST UNE OF THE SWI /4 i V®6, X009 26 I NOO 39'44"E 877.1.8' i - w mot. IP- ® s ,Q ro Alp- ! Li 34- Is r ~ 2 j~ NOO 42 08 E 3;- 91 4 v ~ 8 401.9137. A 'z 0 I W IM $~p ~pO9 4 . r 1 70 1'\ 80y~,~~ V ~Oo Ilia' i2i i n. aS~ N ;0 DZ~ I `N 44 Iran 1 <7 r"t N r I 0 29 t x` + A C a M '54.42"W 477.87' 9 .rte t, lob T r6 LOT 3 m 4 v EAST UNE OF THE SOO'54'42 W~► I _ cn A v NWI/4 OF 7W SW"1/4 3fi.1fi' ~N ~ ~ co ~ i • " n ~ o a ' _2 S2 30-1 C 0 ~ ~s s a :20 n ~in~ 0 Nm o a Si G IV tV 42M [ 40 ~ ° SHEET 1 OF 4 A W or a Vol 21 Page 5265 4 CERTIFIED SURVEY MAP SW 1/4 AND PART OF THE LOCATED IN PART OF THE NW 1/4 OF THE NE 1/4 OF THE SW 1/4 OF SECTION 4. 728N. R18W. TOWN OF KINNICKINNIC, ST. CROIX COUNTY. WISCONSIN. BEING OUTLOT 2 OF A CERTIFIED SURVEY MAP IN VOLUME -2&- PAGE 517 RECORDED IN THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. S59'42'37'E 95291' Sss`49~SO' E 37'5.48' i '13-7'ZS'4~w ~ Nw~ s m 3~ D 0 ~p INC ~N r lVr E ~r y o r 8888888888j3jg .4 9, 9 d!, 2, 9 Ed 11 m OUTLOT is , y v ~3 tr EASMA00. 19-alkiViiAa:g IE ssy v~ .pp _ y+ w c r .g FM 49'13'W G.j L CC ; ' JNr'~o 4i co co S N t N t a 98.00' \ I _ _ 1~' of 1 ~I~ s N p ao.Cp~Si'y 1... 1 % \ CAw~„ CA 9 LOT 4 its 87.136 s4 f T. C a r I is ' v3 y z SQ .g y V g ~ ~ ~ , 2.000 ACRES `3 nib," ~~QQ 9 yy~~ m ' 4 p'~S~J i ;9 "A *5n1N~ p~ O~ Os N W ~ X17' / • • ~ 1y, r" 4A 4.115~ N, kt° 2- <S -off, as.66r~ ~ ,~g1~~ ~ cu'MOT CON *5• O ~ 71r . TY R. • , * ? /pie X66' WIDE DODGE } 'Y A LA~ S € I4' LOT 3 DRIJVEWAY J~ "I LLE Wi r''r EASEMENT ,,.1 ay9 93.530 SO. FT. y ACRES LOT 2 VEYOR: 90,353 SQ. FT 2-074 ACRES • +150' FROM R-D-W MEASUPED ALONG CoMMDN LINE w 7H L60=!0_00 DRAINAGE EASEMENT. TY R. DODGE FRaW S 20 ENL~OE STREET SURVEYING. INC. \ • ALpvG PROPERTY LWE. HUDSON, VA 54016 gg. 336,40. ~ PREPARED FOR: -N 929'22"W 1311.73' ROGER VAN BEEK 578 HWY. "85" SCALE IN FEET 1" - 15V ROBERTS, VA 54023 150 O 150 THIS INSTRUMENT DRAFTED BY: WILLIAM KANE 2 SHEET 2 OF 4 JOB NO. 6011-08 DATE. 02/15/2006 of4 Vol 21 Page 5265 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NW 1 /4 OF THE SW 1 /4 AND PART OF THE N.E 1/4 OF THE SW 1/4 OF SECTION 4. T28N. R1 8W', TOWN OF KINNICKINNIC. ST. CROIX COUNTY. VASCONSIN, SONG OUTLOT 2 OF A CERTIFIED SURVEY MAP IN VOLUME -2a, PAGE W W76 RECORDED IN THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. SURVEYOR: PREPARED FOR: TY R. DODGE ROGER VAN BEEK S do N LAND SURVEYING, INC. 578 HWY. '65' 2920 ENLOE STREET ROBERTS. WI 54023 HUDSON. WI 54016 I SURVEYOR'S CERTIFICATE 1. TY R. DODGE. REGISTERED WISCONSIN LAND SURVEYOR. HEREBY CERTIFY THAT BY THE DIRECTION OF ROGER VAN BEEK, i HAVE SURVEYED,. DIVIDED AND MAPPED PART OF THE NW 1/4 OF THE SW 1/4 AND PART OF THE HE 1/4 OF THE SW 1/4 OF SECTION 4. T28N, R18W. TOWN OF KINNICKINNIC. ST. CROIX COUNTY. WISCONSIN. ME 20• PAGE 5176, RECORDED IN THE ST. CROIX COUNTY BEING OF DEEDS A OFF CERTIFIED SURVEY MAP 04 DESCRIBED AS FOLLOWS REGISTER OF DEEDS OFFICE DESCRIBED AS FOLLOW& COMM04CNG AT THE WEST QUARTER CORNER OF SAID SECTOR 4. THENCE ALONG THE WEST LINE OF THE SOUTHWEST QUARTER OF SAID SECTION 4, S0039'44'W A DISTANCE OF 445.11 FEET TO THE SOUTHWEST COMM OF LOT 1 OF CERTIFIED SURVEY MAP VOLUME 20 PAGE 5023 AND THE POINT OF BEGINNING; THENCE ALONG THE SOUTH LINE OF SAID LOT 1. 1489 41'06'E A DISTANCE OF 547.48 FEE, TO THE SOUTHEAST CORNER OF SAID LOT 1. THENCE ALONG THE EAST LINE OF SAID LOT 1, NOW42'08'E A DISTANCE OF 439.34 FEET T) THE EAST-WEST QUARTER LINE OF SAID SECTION 4; THENCE ALONG SAID QUARTER LINE S89 42'37 E A DISTANCE OF 952.97 FEET; THENCE S01MV52'W A DISTANCE OF 49.49 FEET: THENCE S82'2542W A DISTANCE OF 137.28 FEET; THENCE SOT10'4eW` A DISTANCE OF 130.26 FEET: THENCE SOO'54'42-W A DISTANCE OF 61.28 FEET TO THE BEGINNING OF A 283.00 FOOT RADIUS CURVE., CONCAVE NORTHWESTERLY. WITH A CENTRAL ANGLE THAT MEASURES 42'12'19'. A CHORD. THAT BEARS 522+00'51.5'W AND MEASURES 203.78 FEET. THENCE SOUTHWESTERLY ALONG THE ARC OF SAID SAID CURVE A DISTANCE OF 208.46 FEET; THENCE S40'I1'13'E A DISTANCE: OF 24.27 FEET 70 THE P0I14T OF CURVATURE OF A 233.00 FOOT RADIUS CURVE, CONCAVE SOUTHWEESTERLY. WITH A CENTRAL ANGLE. THAT MEASURES 41V5'S5'. A CHORD THAT BEARS S19 3WI8.5'E . AND MEASURES 163.57 FEET: THENCE SOUTHEASTERLY ALONG THE ARC OF SAID CURVE A DISTANCE OF 167.13 FEET: THENCE SOO'54.42"W 36.16 FEET TO THE POINT OF CURVATURE OF A 80.00 FOOT RADIUS CURVE CONCAVE NORTHEASTERLY. WITH A CENTRAL ANGLE THAT MEASURES 45%410', A CHORD THAT BEARS 521372" E AND MEASURES 61.32 FEET:. THENCE SOUTHEASTERLY ALONG THE ARC OF SAID CURVE A DISTANCE OF 62.93 FEET TO THE POINT OF CURVATURE. OF A 80.00 FOOT RADIUS CURVE. CONCAVE _ NORTHWESTERLY. WITH A CENTRAL ANGLE THAT MEASURES 435'04'10'. A CHORD THAT BEARS S23'22'37'w AND MEASURES 147.88 FEET: THENCE SOUTHWESTERLY ALONG THE ARC OF SAID CURVE A DISTANCE OF 188.59 FEET TO SAID EAST LIME OF SAID NORTHWEST QUARTER OF THE SOUTHWEST. QUARTER. THENCE ALONG LAST SAID EAST LINE SOO'S4'42"W A DISTANCE OF 477.87 FEET TO THE SOUTHEAST CORNER OF SAID NORTHWEST QUARTER OF THE SOUTHWEST QUARTER: THENCE ALONG THE SOUTH LINE OF SAID NORTHWEST QUARTER OF THE SOUTHWEST . QUARTER N89'29'22'W A DISTANCE OF 1311.73 FEET TO THE SOUTHWEST CORNER .OF SAID NORTHWEST QUARTER OF THE SOUTHWEST QUARTER; THENCE ALONG THE WEST LINE OF SAID NORTHWEST QUARTER OF THE SOUTHWEST QUARTER NOO'39'44"E A DISTANCE OF 877.16 FEET TO THE POINT OF BEGINNING- CONTAINING 35.218 ACRES 098 SO- SUBJE (DL:SgR[BED PROPERTY AND CSUBJECT TOT ALL OF-WEASEMENTSAY . RESTRIC ONS ATHE NOR-MERLY U OF THE ND COVENANTS OP RECORD. ABOVE i ALSO CERTIFY THAT THIS CERTIFIED SURVEY MAP IS..A CORRECT REPRESENTATION TO SCALE OF THE EXTERIOR BOUNDARY SURVEYED AND . DESCRIBED: THAT 1 HAVE FULLY COMPLIED WITH THE PROVISIONS OF CHAPTER 236.34 OF THE WISCONSIN. STATUTES AND THE LAND. SUBDIVISION ORDNANCE OF ST. CROIX COUNTY AND THE TOWN OF KINNICKINN IC N SURVEYING AND MAPPING THE SAME. iza- 2L- 'we" 44\SC01V 01, . _ R DATE . 4t TUNG TYR 2920 . :J ENLOE ST. DODGE: HUDSON. 1111 54016 CI.EhiWt %v II ~.tt+Qr EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE, COUNTY AND TOWNSHIP LAWS. RULES AND REGULATIONS O.-. 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 KINNINCKINNIC FOR ADVICE. Vol 21 Page 5265 THIS INSTRUMENT DRAFTED BY WILLIAM KANE SHEET 3 OF 4 JOB NO. 6011-08 DATE: 02/15/2006 30f4 w \\\\f\1\11t111iJINllr.. ¢ `a`te s CLE t' ..KE.. s c .J S \ ~`'~y~~ SUFiV llek~.~• ~ CERTIFIED SURVEY MAP LOCATED IN PART OF THE NW 1 /4 OF THE SW 1 /4 AND PART OF THE NE . 1 /4 OF THE SW 1 /4 OF SECTION 4 BEING OUTLOT 2 OF A KINNICIONNIC, ST. CROIX. COUNTY. VASCO T'NSIN,28N, RTSW, TOWN OF CERTIFIED SURVEY MAP IN VOLUME 'O PAGE 5176 - RECORDED IN THE ST. GROIX COUNTY REGISTER OF DEEDS OFFICE. 004EWS CER-mCAIE OF DEDICATION THIS CERTIFIED SURVEY MAP TO BE SURVEYED. AS OWNER. I HER6$Y CERTIFY THAT I CAUSED THE LAND DESCRIBED DTNDED MAPPED AND DEDICATED AS REPRESENTED ON THIS CERTIFIED SURVEY MAP. I ALSO CERliFY THAT THIS CERTIFIED SURVEY MAP IS RE'GUIRED BY S236.34 (1)(0) TO BE SUBMITTED TO THE FOLLOMANG FOR APPROVAL OR TO CKINW, THE VNI.AGE OF ROBERT S do ~ ~ CROIX COUNTY PLANNING Se ZONING COMMITfkEa ~ OF X" WITNESS THE HAND AND SEAL OF SAID OWNER THIS DAY QF i IN THE PRESENCE OF: A VAN x ROGER BEEK t' ~ n AY OF - coING IHIS~ T -AND ~ ACKNOWLEDGED NAMED ROGER THE sSAAME. THIS ML ~T Y PERSON WHO EXECUTED WISCONSIN MY n TovNi BOARD TION RESOLVED, THAT TMS .CERTF1ED SURVEY MAP W THE TOWN OF KIrNICKBINIC. ROGER VAN BEEK 8 SANDRA VAN maX- OWINFRS, IS HEREBY APPROVED BY THE TOWN BOARD: . MARY IA RPIi' , DATE/ TOWN CHAIR I HEREBY. CERTIFY THAT THE FOREGOING IS A COPY OF A :RESOLUTION ADOPTED BY THE TiDYNV BOARD OF THE TOWN KINNICIQNNIC. aW c) TOWN CLERK CONSENT OF CORPORATE MORTGAGEE S C BANK. A. CORPORATION DULY ORGANIZED AND EXISTING UNDER AND BY VIRTUE OF THE LAWS OF THE. STATE OF WISCONSIN, MORTGAGEE OF THE DESCRIBED LAND. DOES HEREBY CONSENT TO THE SURVEYING. DIVIDINE. CONSENT TO AND DEDICATION OF THE LM40 *OESCRIBOD ON THIS THE CEJ TIRCATE OF ROGER VAN BEEK & SANDRA ~VAANN~BEEKR OWNERS. AND DOES HEREBY IN WITNESS WHEREOF, SAID S. 3: C BANK HAS CAUSED. THESE PRESENTS Too"GNED DAY PAUL SCHWEBAdi PRESIDEI AND ITS CORPORATE SEAL TO BE HEREUNTO AFFIXED THIS OF , f 200-&,, IN THE. PRESENCE OF:. APPROVED S C BANK APR 2 4 2006 PAUL SCHWEBACK PRESIDCTTIT ~f~~ 3Q STATE OF' SS wAu"vm COUNTY OF PERSONALLY CAME BEFOR- MF THIS1 . DAY OF 20 v PAUL SCHWE9ACK. PRESIDENT OF THE ABOVE NAMED ON. TO ME KNOWN TO. BE THE PERSON WHO EXECUTED THE FOREGOING INSTRUMENT, AND TO SUCH PRESIDENT OF SAID CORPORATION AND ACKNOVAED M THAT HE EXECUTED THE FOR llCli PRESIDNNT. AS THE DEED OF SAID TION 9Y ITS THORITY t NOTARY TARY PUBLIC PUBLIC S MY COMMISSION EXPIRES THIS INSTRUMENT DRAFTED BY: WIUJAM KANE SHEET 4 OF 4 JOB NO. 6011-08 DATE. 02/15/2006 4 of4 Vol 21 Page 5265 8 1 6 5 0 6 7 Tx:4135426 981284 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI 06/27/2013 1:53 PM EXEMPT#: NA REC FEE: 30.00 TRANS FEE: 78.00 PAGES: i .ae,.rxri<,,..n.vv..e.,..u.i•n...,M.wn.,...u.,.>.r,ww......uruN,s»en,au..a....,.vna...uuhne..m..e.w.........•numY.w,..«m•......ne,rov...v...>....4.....ix,...ww....w.,....,......s....v...u.v..e. ......................,..w»,o.......,w....,new.....w,.:..a.e.......e.........a...-...,........wm.......................r........,,.,..w.»„n..a. .w.e.., w.ru,..........,.......•.....x.... DOCUMENT NO. SPECIAL WARRANTY DEED THIS DEED, made between Central Bank ("Grantor" whether one or more) conveys to Daniel J. Helmueller and Joyce E. Helmueller ("Grantee", whether one or more), the following described real estate in ST CROIX County, State of Wisconsin: Lot 4 of Certified Survey Map filed August 30, 2006, in Vol. 21 of C.S.M., pg. 5265, as Doc. No. 833418 located in part of the NW% of the SW'/< and part of the NE'/ of the SW'/. of Section 4, Township 28 North, Range 18 West, Town of Kinnickintric, St. Croix County, Wisconsin; being Outlot 2 of Certified Survey Map in Vol. 20, pg. 2176. RETURN TO St. Croix County Abstract & Title Co. Inc. 219 S. Knowles Avenue New Richmond, WI 54017 Tax Parcel 022-10Q9-60-950 This is not homestead property Seller conveys title by Special Warranty Deed without covenants of title or the equivalent for the state where the property is located. Seller makes no representations or warranties, of any kind or nature whatsoever, whether expressed, implied bylaw, or otherwise, concerning the condition of the title to the property. Dated this 13th day of May, 2013. Central Bank y: Heather Whebbe, Assistant Vice resident AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this day of STATE OF MINNESOTA 20_ ss. COUNTY OF WASHINGTON TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me this 13th day of May, 2013, the above (If not, named Central Bank, by Heather Whebbe, Assistant Vice authorized by § 706.06, Wis. Stats.) President to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAT TED BY Robert L. Loberg / Loberg Law Office * Jenny L Hundle Notary Public Washington Co. MN Comm exp 1-31-17 1314298 / alp Y NOIMy paw MNNr~ofa 31 2017 RECEIVE[ 1 __.J < Wr*cLV in Department of Commerce ' L OA%~ TI N -PORT T~~ nnBB i Pa e f Division of Safety and Buildings y ~l~ in actor rice O~~N7t'Rdm. ty l 4 ~t OING OFFI Court Attach complete site plan on paper not less than C include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ~~(O / n percent slope, scale or dimensions, north arrow, and location and distance to nearest road. OZG -/00 J v Please print all information. R 'ewes by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 121 I Property Owner / Property Location P[:;) Govt. Lot LJ 1 /4.fx J/4 S Y-:::Tz I N R E (or Property Owner's Mailing Address Lot # Block # Subd. Na or CSM# W4 City State Code Phone Number Q City ❑ village Town Nearest Road f SAD 1,221 ?1 ( ) i~ n New Construction Use' esldentiai / Number of bedrooms Code derived design flow rate f~ GPD CC3 Replacement Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General and recommendations: V Apfll / //0/ Q 4,10 /'Y1 t7 u ~c 1. l aaruw~ S~w..c2 . M Boring # Boring ~it Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 rn-gr 2' S 50V -1 0 S K I , Boring # Boring Ground surface elev. ~sdft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fY in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1) el q A ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird S' re 226900 Address k?001 Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 715-246-4516 i ~ r Property Owner _ Parcel ID # Page of Boring # ❑ Boring Z © pit Ground surface elev. -f-- ft. Depth to limiting factor 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 i2 L 0 0 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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 ❑ F Boring # Boring 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. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD; > 30 < 220 mg/L and TSS >30:5 150 mgA- ' Effluent #2 = BODS 130 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. SBD-8330 (R.W00) Property Owner Parcel ID # Page of ® Boring # ❑ Boring 2 pit Ground surface elev. ft. Depth to limiting factor 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 4z z 0v ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. 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 ❑ Boring E Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Appli 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 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/_ ' Effluent #2 = BOD, < 30 mg& 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 (R.NW) Soil Test Plot Plan Projbct Name Roger Vanbeek Shaun Bird Address 578 Hwy 65 Roberts Wi 54023 CSTM,# 900 Lot 4 Subdivision Date 101304 N W 1/4 S W 1/4S 4 T 28 N/1118 W Township Knnickinnic E] Boring 0 Well PL Property Line County ST. CROIX ABWrVRp Assume Elevation 100 ft. Top of Survey Iron System Elevation 110.4' * H R pSame as Benchmark Alternate Benchmark To of 1/2" i e c o0.4' Pro Town Road 130' Scale is 1" = 40' 50' unless otherwise 109' B-1 noted 108' 90 3% Slope 30 25' B-2 Pro Town Road ' Property Line 225' Property Line N t1.B. RECEIVED i Afft-2- A= - 52066 DEC CERTIFIE RVEY MAP LOCATED IN PART OF THE NW 1/4 OF THE SW 1/4 AND PART OF THE CROIXCOUNI'y NE 1/4 OF THE SW 1/4 OF SECVptlht~,roly, ~~I,T*218W, TOWN OF ~ OR'SRECORD KINNICKINNIC, ST. CROIX COUNTS yVlM SkN G OUTLOT 2 OF A SURV CERTIFIED SURVEY MAP IN VOUt?KAI=F`` E " 5176 RECORDED IN THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. S89'42'37'E 952.91' (~v nn~ zA OD C)r ? w N 3 C C • ■ • .28' •W 3 m 1372542 z N w e E 37 i 3 2. it ° ~ a ~ cvI •C N~ CO a o SSSSSSSSSgSSv ~ _ ww ww a _ ~ Q(, N ~ C7r W v~ ~ CM V~ A r S F d r~ ccii ccww \ ((tena . (~~t NN• OUTLOT d co l w cn raao w co 14, t2' UTILITY a v ~ t~ p n EASEMENT. i i~ . \ \ !Mp 4 4 9! " !s TMCAL ~ ~ cry c>• ~ cr cna m c ~c°i\a ~ i ~ ~ rq rq :9 1-c P,~w4ivy'wiw~w!I~ z s F I~ $ N89'49'13'W F I "v 00 v N Fn° S N N ° 98.00'-- % O~ V~C~ N tp vii O~~ c~'► 1. `.~•~':O rj6 14 (0 oo w '~cj k--'5' [ LOT 4 zp z z ~n cn ~n (pn ~n (y~1 <pn -r \ 87,136 SO. FT. N' I I W O!N N 7n O S G~ O> > O` 2.000 ACR S •°1~ C i I C_> p. 0% cma T IRA c! =xzm -ft Ell Ell 00 N -Zi m U Dl N (i1 w ~et, 2-.S-ob 44.66 OUTLOT pCONS, DODGE , \ x 3 ~ s 5 % ~ X66' WIDE O S-2484 ti • JOINT N Cy CLEAR LAKE, r F LOT 3 DRIVEWAY vrI % cry EASEMENT •1ry~ SO. h. *AD SUR`+~ 93.530 FT. 2.147 ACRES ~.>~Lso= 069.00 LOT 90,353 SO. FT. , - Q- VEYOR: 2.074 ACRES ALONG FROM COMMON R- 0- W LINE LINMEASURED ~ s E Wl7N TY R. DODGEp \s 11.60s1069.00 ORA/NAGE EASEMENT. S &,N LAND SURVEYING. INC. •"200' FROM R-O-W MEASURED 2920 ENLOE STREET ALONG PROPERTY LINE. HUDSON, WI 54016 yh , PREPARED FOR: N 9'29'22'W 1311.73 ROGER VAN SEEK 1 578 HWY. "65" SCALE IN FEET 1' = 150' ROBERTS, WI 54023 GNAWS 150 O 150 wv THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6011-08 DATE: 02/15/2006 SHEET 2 OF 4 2 of 4 Vol 21 Page 5265 RECEIVED ' 3 , 8 0 0 9 2 2 APR 17 VOL 20 PAGE 5023 KATALEEA H. VALSH REGISTER OF DEEDS ST. CROIX CO.. WI ST. CROIX COUNIy RECEIVED FOR RECORD SURVEYOR'S RECORD 07/20/2005 01:36Pt1 Z CERTIFIED SURVEY HAP REC FEE: 13.00 THE WEST UNE OF THE NWI/4 OF THE SWI/4 OF COPY FEE: 3.00 SECTION 4 BEARS S0039'44W AS REFERENCE TO PAGES: 2 THE ST. CROIX COUNTY COORDINATE SYSTEM UNPLATTED LANDS 50039'44'W 2844.55' u WEST UNE OF THE NWI/4 OF THE SWI/4 i 1281.54• - PARCEL IN I TT F ♦ NOO'39'44'E 1322.27' I VOL. 2001 PG. 246 877.18 404.W 4x.74• f',r - - \ / ~r~ .11' Ii0 iCln 0 N r _ II"'3 j~l Z--~. _NC y J Vp to zl.b 4 R cli 37. to I rn z 14 0- 401, 9 q t NOO'42'08'E 439.34• rA _ g z C3 as E w Its x v ` &d ~$A rn d 66' WIDE ROADWAY I Z EASEMENT IN VOLUME t o g - - 2881. PAGE 188- $ g m 28.5'f 363.25' r SQ zo, V EAST UNE OF THE NWI/4 OF THE SWI/4 r UNPLATTED LANDS I l A g I O e 0• N 1. C7~ N g ~,°D• a E9 52 --n CIE m tJ~ N ^r ~ooo ~p in c~ C7 Step ~ i _ a ~-c c~~ ~ ~ ~ c Z a~~ O v '0 ='mom' N !2 id z zB r 1~• 11f S11< O f~T1 Q,Cp rn Z mph O ' -t w O II N o SHEET 1 OF 2 SHEETS AWARD Vol 20 Page 5023 c* Parcel 022-1009-60-950 04/12/2007 09:31 AM PAGE 1 OF 1 Alta Parcel 04.28.18.57A-110 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type .08/30/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - VANBEEK, ROGER A & SANDRA L ROGER A & SANDRA L VANBEEK 576 TROY ST RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 536 VALLEY CT OR SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.000 Plat: 5265-CSM 21-5265 022-06 SEC 4 T28N R18W PT NW SW FKA OUTLOT 1 Block/Condo Bldg: LOT 04 CSM 20-5023 FKA CSM 20-5176 OUTLOT 2 AC) 218 AC) BEING CSM 21-5265 LOT 4 (2.0 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 04-28N-18W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 08/30/2006 833418 21/5265 CSM 03/21/2006 821144 CSM 03/21/2006 821142 WD 10/25/2005 810256 2915/100 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 12/07/2006 Description Class Acres Land Improve Total State Reason Totals for 2007: 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 Message Page 1 of 1 Pam Quinn From: Pete Kling Sent: Tuesday, March 07, 2006 3:51 PM To: Alex Blackburn Cc: Jeff Lueck; Pam Quinn; mary.murphy@pressenter.com Subject: VanBeek CSM, Town of Kinnickinnic Alex, I have received and reviewed the revised plans for the VanBeek CSM in the Town of Kinnickinnic. The applicant has addressed all LWCD comments. Construction site inspections will be important for this project, especially considering the potential for shallow depth to bedrock in the area where the pond is proposed. Inspectors should also look for any agricultural drainage tiles. ;Ve4)n St. Croix County Land and Water Conservation Department 1960 8th Avenue Baldwin WI 54002 (office) 715-684-2874 ext. 131 (cell) 715-760-1991 pkling@co.saint-croix.wi.us 3/9/2006