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VOL 19 PAGE 4982
KATHM9 K. MALSH
REGISTER OF DEEDS
CERTI F1 ECG SURVEY MAP ST. RECE CO.. C WX
RECEIVED FOR RECORD
05/23/2005 64:45PM
LOCATED IN PART OF THE NEI /4 OF THE SW1 /4 CERTIFIED SURVEY PIAP
OF SECTION 4, T28N, RI SW, TOWN OF REC FEE: 13.00
KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. COPY FEE: 3.00
PAGES: 2
SURVEYOR NOTE:
RVEYOR
OWNER FIELD DRIVE LOCATED ON LOT
DANIEL & HEIDI FESER EDWIN C FLANUM 2 TO BE REMOVED AT THE TIME
1131 C.T.H. "N" NORTHLAND SURVEYING, INC. LOT 2 IS IMPROVED.
BOX 14 ROBERTS, WI 54023 P.O EAST -WEST 1/4 LINE
ROBERTS, WI 54023 UmpLzRvv1F.B EXISTING
CENTERLINE
S89 °42'39 'E 1317.49' — SB9 " E 657 .4'1 '
� g�9° °42'39 "E
_ 341,14 q6.01' 217.26'
f� r 283'27 M Et {4 CORN
- > 342.57' 03' 215.54' SECTION 4
WSECT ONN4 R F 8 °59'07 "E 281.57— S8 0 — J z POSITIONED FROM `n g ' 33' 1 bl X x x g DRNEWk s
WITNESS MONUMENTS w LL `` g " w i • EASEMENT � � °srr� w OF RECORD I LOT 2 L aT 3 < � \� LOT 1 AREAS
N �I 1�' S LOT 1_
LEGEND :2.7 ACRES INC. R/W 3a ' N � 0 2.35 AC. INC. R/W
1 121,483 SQ. FT. a �; _' �I �� � \ 0 102,290 SO. FT.
CD
ALUMINUM COUNTY ' I :2,40 ACHES EXC. R v
/W a ` 09\ \ "
SECTION CORNER 104,478 SO. FT. z i cs \ 2. AC SO. FT.
MONUMENT FOUND I I LS ° 1.5
I F�
v � 5 2 v \ \ \ �� N 66.319 SO. FT
IRON PIPE FOUND LL�3 66 03' 205.3' \ °
O
3 133' 33' 1x "6 ' a N88 "59'OT'W 271.42 \\
/4" X 18" IRON REBAR ` \ NOTE:
SET WEIGHING 1.50 1 1x M �� NO FURTHER LOTS MAY
LBS. PER LINEAR FOOT , 6� 2g N ACCESS EXISTING
DRIVEWAY WITHIN THE
DRIVEWAY EASEMENT FOR
- x - -x -- EXISTING FENCE 8; 1 1 x LOT 3 LOCATED ON LOT 1
DRIVEWAY EASEMENT LOCATED ON LOT 1
• 100' BUILDING I ZZ11) SHALL BE VACATED AT SUCH TIME THAT THE
_
ZO * v ROADWAY EASEMENT (LOCATED ALONG THE WELL 0
SETBACK LINE I 0 1 WEST LINE OF THIS MAP) OR A PORTION OF C,
1�. N I N w SAID EASEMENT IS DEDICATED TO THE PUBLIC
"�
ih AS A PUBLIC STREET AND THE OWNER OF LOT
Q w Q D 1 8 I CV I I 3 APPLIES TO THE TOWN FOR AND IS GRANTED N
1 c) M A DRIVEWAY PERMIT, HOUSE CI
J¢Q ?�� g *" w
S¢ C 'a z O 1 r I z LOT 3 SEPTIC
w F W v F Y
z � o w w °� 1(h I 12.40 ACRES INC. R/W SEPTIC VENT Op 0
qa Q I 540,204 SO. FT. CLEAN OUT v O cr
LLi p Q p 2 ¢w w 1 1_ 1 100' 12.37 ACRES EXC. R/W w
0 w =
n 7) ¢
O� Q Q I 1� 1 538,641 SQ. FT, Q w Z
z 'S w Z o i :11,74 ACRES EXC. EASEMENT a
¢ =Zf �v`ni� r� I IO I : 511,317 / i O w�
acs zo�0 CSI Z ���� N c�
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10 105,581 SO. FT. �7 / /p� c= NJ
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OF THE SW 1/4
ACCESS TO LOTS 2 AND 4 l(JJ (��L DD d SCALE IN FEET 1" = 150'
OVER 66' ROADWAY EASEMENT - - -' - - - - - - -
THIS INSTRUMENT DRAFTED BY SAM ADAMS SHEET 7 OF 2 SHEETS 150 0 150
JOB NO, 04 -68 DATE 6 -02 -04
Vol 19 Page 4982
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Parcel #: 022- 1009 -60 -000 09/1512005 05:32 PM
PAGE 1 OF 1
Alt. Parcel #: 4.28.18.57A 022 - TOWN OF KINNICKINNIC
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
DANIEL F & HEIDI B FESER O - FESER, DANIEL F & HEIDI B
1131 CTY RD N
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1131 CTY RD N
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 20.000 Plat: N/A -NOT AVAILABLE
SEC 4 T28N R18W 20A NE SW EXC E 40 RDS Block/Condo Bldg:
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
04- 28N -18W
Notes: Parcel History:
Date Doc # Vol /Page Type
10/22/2004 777794 2681/188 EZ -1
10/22/2004 777793 2681/186 EZ -1
09/26/2003 741459 2420/375 SC AF
03/20/2003 713950 2178/89 50
A ...
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 09/08/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 70,000 341,000 411,000 NO
AGRICULTURAL G4 14.000 1,700 0 1,700 NO
AGRICULTURAL FOREST G5M 3.000 7,500 0 7,500 NO
Totals for 2005:
General Property 20.000 79,200 341,000 420,200
Woodland 0.000 0 0
Totals for 2004:
General Property 20.000 39,200 290,000 329,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 533
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
r
Sa fety an d B uilpdings Dvision i Co mmerce PRIVATE SEWAGE SYSTEM y'
Safet and Buildings Division Count St. CTO1X
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) SanitarxP_erg0
Pe information you provice may be used for secondary purposes [Privacy Law, s.15 ge .04 (1)(m)]. �UUJ U
Permit Holder's Name: ❑ City ❑ vi ❑ Town o State Plan ID No.:
Feser, Dan & Heidi Kmmckmmc t Ownsh p
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel T�G -60 -000
I lYZ I r G LL
TANK INFORMATION 4 OL4 ELEVATION DATA
TYPE MANUFACTUR CAPACITY STATION BS HI FS ELEV.
r
Septic 5 2 � Benchmark
g t .
Rosin � �ij v 9 3 Z
e Bldg. Sewer
Holding St Ht Inlet A L,Z o
TANK SETBACK INFORMATION S / Ht Outlet A (� /0 3 _ Sp
TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet Z
Septic y/ f NA Dt Bottom Z Z, Zq (P,
Dosing >� 5 7 �S�di NA Header/Man. A /,S
Aer NA Dist. Pipe
olding Bot. System '� }
PUMP/ SIPHON INFORMATION s u/►f ItQ Final Grade
Manufacturer � Demand St cover (0 ,p O Z Z .O
Model Number _ �Sf� GPM
TDH Lift Friction Syste Z TDHZ' ,F�t �0_ /
Forcemain Length 00 Dia. Z11 Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS / DIM EN I N
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEAC Manufacturer:
SETBACK MBER
INFORMATION Type O Moe r:
System: 0,04,j >166 r /S�� > Z0d/ OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length K' �� Dia. ? +' Length � � Dia. Z Spacing ? 9 �� 1// d?
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed / Trench Edges Topsoil 11 Y s E] No E] Yes E] No
COMMENTS (Include code discrepancies, persons present, etc. K ^
spection #1: y / I /o4 Inspection #2: S / ? / o/ S
Location: 1131 County Road N, Roberts, WI 54023 (NE k/4 SW 1/4 4 T28 18W) - 04281857A
1.) Alt BM Description = (XK d Sl � ado u e Ji k 'c k r c ✓ G� c
2.) Bldg sewer length = 2 9 ' 3a' _
- amount of cover = [ 8 it �) QQ44
3.) contour = cud $3 .&b CSC
r --
Plan revision required? E] Yes �No
Use other side for additional information. �� l0
SBD -6710 (R.3/97) Date Inspector's Sign6ture Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
E m.
}
off' E
3
� S }
4 ( '
i
E I
i
r
/ (
0-1 ) Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave.
N visconsin See reverse side for instructions for completing this application PO Box 7302
Personal information you pro [Privacy Law, s. 15.04(i)(m)J vide may be used for secondary purposes Madison, W[ 53707 -730.^
Department of Commerce (Submit completed form to county if r
state owner.
Attach com lete plans (to the count) copy only) for the system. on paper not less than 8 -1/2 x I 1 inches in size.
County State Sanitary Permit Number O Check if revision to previous application State Plan I. D. Number
1 -
5 CAZOIX c, #-= 331%
I. Application Information - Please Print all Information Location:
Property Owner Name Property Location
Pa I - t Hr !d 1 - �,F .S t n,, :- A/�1 /4 � `1 T28,KR� W
Property Owner's Mailing Address L6t Number Block Number
I �)4
C0 X27 G.f C ` �c /� i4 ,C
City, State Zip Code Phon `Njij tber �ubd#ision Name or CSM Number
II Type of Building: check one itY
12 I or 2 Family Dwelling - No. of Bedrooms: � s4vw fRO� �� % 7 I - _ '� `� Village
• Public /Commercia (describe use): QITOWn of
• State -owned &_t
III Type of Permit: YCheck only one box on line A. Check box on line B if applicable) Nearest Road
A) I. IN New System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Num r(s)
System Tank Only Existing System o a - I O o 4 - o `�• 2g .l�r, S
$) Permit Number Date Issued
❑ A Sanitary Permit was previously issued
IV. Type of POWT System: (Check all that apply) - � C
• Non - pressurized In- ground N Mound ❑ Sand Filter ❑ Constructed Wetland
• Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
• At -grade , r ❑Aerobic Treatment Unit O Recirculating ❑ Other:
S x 136 g�� l� �s u D`� ,
• Dispersal/Treatment Area Information:
1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation
�,aQ 12 3/ ;S ® pit qH ��
VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
f O /oao /
VII Responsibility Statement
I, the und ersigned, assume responsibility for installation of the POWTS show on the attached plans.
Plumber's Name (print) I Plumber's Signature ( �'" L �• t - OW � Ml� P�No. Business Phone Number
NR �r e c, h �1, 1 ,7 7th 797- 3 2
Plumber's Address (Street, City, State, Zip Code)
9 6 - 7 N L>3 l (o 1l �� 1s Csl' �'/O.
VIII County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps)
Approved ❑ Owner Given Initial Adverse Vcharge Fee)
Determination - 1 , ; — 2'
IX. Conditions of Approval / Reason -
s for Disapproval:
it
"T
SBD -6398 (R. 07/00)
Safety and Buildings
PO BOX 7162
MADISON WI 53707 -7162
TDD #: (608) 264 -8777
isc ns,n www.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
September 21, 2000
CUST ID No.226375 ATTN: POWTS INSPECTOR
ZONING OFFICE
ROBERT W ULBRICHT " i i , >*, ST CROIX COUNTY SPIA
655 O'NEIL RD �� ` 101 CARMICHAEL RD
HUDSON WI 54016"' .� y tl DSON WI 54016
RE: CONDITIONAL APPROV 1
PLAN APPROVAL EXPIRES: 09 214002 ; '' �' zUd Identification Numbers
��. Transaction ID No. 433176
Site ID No. 198671
SITE: ^. ZONING oF i , `,i Please refer to both identification numbers,
DAN & HEIDI FESER- RESIDEN ' ��'� �' above, in all correspondence with the agency.
ST CROIX County, Town of KINNICK iG;�C�I�'` I N
NE1 /4, SW1 /4, S4, T28N, R18W
FOR:
Description: MOUND SYSTEM
Object Type: POWT System Regulated Object ID No.: 761423
The submittal described above has been reviewed for conformance with a
i PP licable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
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.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letter ad.
Sincerel , DATE RECEIVED 09/05/2000
FEE REQUIRED $ 175.00
1�
FEE RECEIVED $ 175.00
E REP EL , P TS P AN REVIEWER II BALANCE DUE $ 0.00
Integrated Services
(608)266 -2889 , M - F, 0745 - 1630 HRS
PEPAGEL @COMMERCE.STATE.WLUS W . 33
cc: DAN & HEIDI FESER
: Safety and Buildings
PO BOX 7162
MADISON WI 53707 -7162
� TDD #: (608) 264 -8777
�sconsin www.commerce.statemi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
September 21, 2000
CUST ID No.226375 ATTN: POWTS INSPECTOR
ZONING OFFICE
ROBERT W ULBRICHT ST CROIX COUNTY SPIA
655 O'NEIL RD 1101 CARMICHAEL RD
HUDSON WI 54016 HUDSON WI 54016
RE: CONDITIONAL APPROVAL Identifica rs
PLAN APPROVAL EXPIRES: 09/21/2002
Transaction ID N .
Site ID No. 198671
SITE: Please refer to both identification numbers,
DAN & HEIDI FESER RESIDENCE above, in all correspondence with the agency.
ST CROIX County, Town of KINNICKINNIC; CTY HWY N
NE1 /4, SW1/4, S4, T28N, R18W
FOR:
Description: MOUND SYSTEM
Object Type: POWT System Regulated Object ID No.: 761423
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
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.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letter ead.
Sincerely DATE RECEIVED 09/05/2000
FEE REQUIRED $ 175.00
2 FEE RECEIVED $ 175.00
P T REP , PO P AN REVIEWER II BALANCE DUE $ 0.00
Integrated Services
(608)266 -2889,M- , 0745 - 1630 HRS
PEPAGEL @COMMERCE. STATE. WI.US WOW 'code 4643
cc: DAN & HEIDI FESER
llLBRICMT & ASSOCIATES CO.
655 O'Neil Road - Hudson, WI 54016 RECEIVED Reg De of Systems
715- 386 -8185
S E P 1 9 2000
SAFETY & BLDGS. DIV.
PROJECT INDEX
Plan I.D. # _f33_/7 Lo Date �•2. 4:!�rO
Owner MAO 1-�Et i ` FES Phone G o5 l 773 • gG 13
Address 2..6t 2- G A X3 i rE A VE'. C M e-
Legal Description P10 dn �Cao9• !�D! __ _
N�, * -5 10 y y . .s T.Z. 8 P rz g
Town of Kl�1,V t%i t !�G._ County ST- 690 t' K
C.S.T. Rpf3ER1 }- 2 2t'l �,s3 Installer
Local Authority/ Supervision T. GQ O t' x
PROJECT DESCRIPTION
S
.r
p2%os�D
� is
.Q S �' � ��•a tis . sl
Ree W.
x- CHT
Lem
I G
P, . 1 PLOT PLAN VIEWS '''�:'
Pg. 2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS CO IZI�l l 'S.
Pg. 3 PIPE LATERAL LAYOUT
�� f1O ''ufy
P 4 DOSING CHAMBER CROSS SECTION & SPECS.
Pg. 5 PUMP PERFORMANCE SPECS 4 / P ARt
pg. 6 OPERATION, MAINTENANCE, AND PERFORMANCE REQUIx y co MR �
CoRRFSP
B EN
This design for installation is based entirely on measurements, elevations
landscape conditions (slopes etc. and so suitabili
The accuracy of his specs, as reported, shall rted remain ty provided by CSTM ,
the sole res ponsibility
of the CSTM. ponsibility
Any use of this POWTS design ty any licensed plumber, or any
related unlicensed parties or persons (excavaters, laborers)
shall not be construed as an assumption of responsibility by
the designer for the workmanship, construction, placement,
substitution or selection of any components not specified, or
any assumptions by the plumber that any unspecified components
are state approved or proper, or the effects of poor judgement
If working under adverse damaging weather conditions (wet /frozen
soils) by any such parties or persons.
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y �r Sa ,¢ > /0 fo Zvi vDocJ, -tDeoe
p VEN CAP I PIPE
VENT PIPE WEATHER PROOF APPROVED LOCKING
JUNCTION BOX MANHOLE COVER
.0 12 "MIU. I c.,` 4V f1M 1A SE1
r- ��E IACIA GRADE I
C1�1 P ..:
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CONDUIT -- --- - - - - --
S.7Q\\ ---- - - - - --
r .3 D INLET PROVIDE I ( - -- --
e.. -- AIRTIGHT SEAL
I I
APPROVED JOIM'r A �Ny � aN K � � i � � APPROVE P JOiMTS
CKTEtJDI1JG 3' �pM 4 (� I ALARM EXTENDING 3
ONTO SOLID SOIL B '00 O ' I ONTO SO S OIL
Z �• 5 r c � I
ELEV, FT. PUMP - - -�
1„ OFF
D , S f�1 OF
S�tvD
N VA iO ,J BLOCK ��6.
�e
RIStR EXIT PERMITTED ONL4 IF TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC E SPECI
DOSE
TANKS MAIJUFACTURER: � r•Y ^'� r � 3 � �1UMBER OF DOSES: PER DAS
-�
TANK SIZE: ��/ `� GALLONS DOSE VOLUME 2.3 i
/ ��^^ INCLUDING SACKFLOW: GALLONS ;
i ALARM MAUUFACTURER: til "t/
MODEL NUMBER: +" CAPACITIES: A= INCHES OR GALLONS
r
SWITCH TYPE: C o /f g = INCHES OR 5'40 GALLONS
PUMP MAMUFACTURER: C 0V 'L'P C= I INCHES OR � GALLONS
MODEL NUMBER: W '5 ff / 'T � D= / INCHES oR 31i GALLONS
SWITCH TYPE: P0503 F 7 MOTE: PUMP AND ALARM ARE TO BE
MINIMUM DISCHAPGE RATE _ _ GPM INSTALLED ON SEPAR
ATE CIRCUITS
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. ' Q _ FEET RANI`` SEC
-I- MIUIIMUM NETWORK SUPPLY PR S UR77,E/. . . . . . . . . FEET 6AC(A-
-I #- FEET OF FORCE MAIN X F I. ,FR%CTIOM FACTOR.. � FEET tg0,,A�S 2 5
p �Ais,
TOTAL DYNAMIC HEAD = Z a FEET
IMTERNAL DIMENSIONS OF TANK: LENGTH ;WIDTH DEPTH
Z go 54 15 M, I ,
- SEPTIC TANK, per Comm.83.44 (2) (c) shall be equipped with an
outlet attached approved filter device (Zabel
fliter). Tank shall have an approved above
ground locking manhole cover for regular (every
12 months or less) inspection & servicing by a '
licensdd service pumper.
Submersible
Effluent Pumps 4
3885
AVAILABLE CERTIFICATIONS
ETL LISTED SUBMERSIBLE PUMP
CLASS; AND 11 OIV. 2 AND E
CLASS III DIV 1 AND 2
ETL TESTING LABORATORIES, INC.
CORTLAND, NEW YORK 13045 G1086131480 /
CANADIAN STANDARD ASSOCIATION
PERFORMANCE RATINGS (gallons per minute) MODELS
WE0511H WE0511NN Series HP Volts Phase Max. Amp. RPM Solids Wt. ( 16s.)
a8ft8Y WE0512H WED712H WE1012H WE1512H WENT2HH WE1512HH WE0311L 115 9.4
N0. WE0311L WE0311M WE0532H WE0732H WE1032H WE1532H WED532HH WE1532HH WE0312L 230 4.7
WE0312L WED312M WE0534H WED734H WE1034H WE1534H WED534HH WE1534HH 1 1750 56
- -! H P h %3 '/2 3 /4 1 1 '/2 1 Y WE0311 M 73 115 1 4.7 4.4
RPM 1750 1750 3500 3500 3500 3500 3500 3500 WE0312M 230
5 100 70 80 90 106 — 60 _ WE0511 H 115 13.0
10 80 65 76 87 102 112 56 84 WE0512H 230 6.5
15 60 57 72 84 100 108 53 82 WE0532H 2081230 3 3.4
20 36 45 65 79 95 48 77 WE0534H 72 460 1.7 60
1 25 25 59 74 91 100 45 75 WE0511 HH 115 13.0
1
Z _3 50 67 85 40 72 WE0512HH 230 6.5
3 5 40 61 79 92 35 70 WE0532HH 2081230 3.3
S — WE0534HH 3 1.65 3 ,
30 26 52 72 86 30 67 460 WE0712H 230 1 10.0 ��
a5 10 43 64 80 25 64 WE0732H 1, 208/230 5.4 2.7
50 30 54 73 18 60 g 3500
55 17 42 65 12 58 WE0734H 460 70
_ WE1012H 230 1 12.5
60 - - - -- _ -- - -__ 6 - __ - 30----- 54 - - - - -- 3 __ --
65 16 40 51 WE1032H 1 208/230 7.0
7 0 5 26 47 WE1034H 460 3 3.5
75 14 43 WE1512H 230 1 15.0
8 0 4 40 WE1532H 208/230 9.2
90 33 WE1534H _ 460 3 4.6 80
WE1512HH 1 /2 230 1 15.0
11 15 WE1532HH 208/230 9.2
120 5 WE1534HH 460 3 4.6
metal parts, BUNA -N
elastomers. METERS FEET
• Temperature: 160° F (71 C) 90 , --
maximum. I ( MODEL 3885
I •Fasteners: 300 series 25 $0 i .�_ . ! -- ? ? SIZE 3 /d' Solids
m�
stainless steel. NFEt
• Capable of running dry 70-�
!, without damage to 20 WE I i
sGPrn
components. 0 60
lu WEOi P 5FT
Motor: z
50
• Single phase:' /3 HP, 115 or a 15
1750 RPM; 0 4o
c
230 V, 60 Hz,
'/2 HP, 115 V, 60 Hz, ! i
3500 RPM, /2 HP through 10 30 W _ _......_
1'/2 HP,230 V, 60 Hz,
.; 3500 RPM. n i
Built -in overload with 5 20 -
automatic reset, class 6 10
insulation. I i
Three phase: /2 HP through o ° io 20� so ao so s � �io so 90
1 /2 HP 208/230 V, 460 V, 100 110 120 GPM
60 Hz, 3500 RPM. L j 20 30 m /h
j Class B insulation, overload CAPACITY
protection must be provided
in starter unit.
I 8
I
•
'I
P'
pg. 6 Continued.
•
POWTS (landowner) is reponsible for proper operation and
-maintenance of this system. Regular periodic inspections and
servicing is necessary for the safe healthy operation of this
system. The owner is required by code to submit all necessary
maintenance /inspection reports to the controlling authorities.
SPECIFIC CONTACT AGENTS 5 T ICI?O/ ( ' ry A A) (r-
* Governmental authority/ inspectors:
bEpT• HuOS0 w� .
* Licensed installer, responsible for providing an operation/
maintenance "Users" manual: &j}zT j #evRy Ive v%/!e
7/S • 7 1 /f - 33 z o p Ue 7'.S , cZ CS . s ({a z 3
* Licensed service / inspection agent other than installer:
13841 7A Y.
1•uDSo.j, i. 5gotU - 7 15. 30 •31 z o
* Electrician, for pump, electric controls, wiring units:
IMPORTANT OWNER MAINTENANCE REQUIREMENTS
1. Winter traffic (sledding, shoveting, etc.) across the mound
area shall not be permitted, or frost can /will penetrate into
the cell, freezing up the system. Discontinuos use in the
winter (a vacaction trip, resulting in no water use) can also
lead to freeze ups.
2. Water conservation needs to be exercised! Or system can be
hydrolically overloaded and destroyed. This system was
designed for a maximum wastewater flow of (06)() gals. daily.
3. POWTS are not designed to accomodate wastes from a garbage
disposal unit, or any other unnatural sources of waste.
Any introduction of such waste materials will overload and
destroy this system.
4. If a power outage occurs, or a pump fails, it may result
in a temporary overload of effluent being pumped into the
cell, which may adversely impact the cell (lealtkge). It is
recommended that a licensed pumper empty the dosing tank,
allowing the pump to return to dosing the correct amounts.
Consult your installer immediately for advice.
5. Neglect of the vegetative cover (the cells insulation &
erosion preventive) can lead to failure. Compaction or heavy
traffic also can destroy t he system. It IS NECESSARY TO
REGULARLY WATER THE VEGETATION OVER A SYSTEM!! Effluent in
the system beneath IS NOT sufficient alone tO maintain a
grass covwr.
6. Periodic inspections by the owner, or his agents, is.
necessary. Inspection pipes and ports have been incorporated
into the system: on the mound basal area (effluent level
inspection pipes), cleanout terminals on the pressurized
laterals, at each tip - for flushing and cleaning the laterals
out. The filter system in the tanks (via a locked above
ground cover /manhole). Only a licensed properly qualiOied
person should be performing this work which involves health
& severe safety risks. Evidence of effluent ponding in the
system's treatment cell shall also be regularly inspected.
- - A• V V a v
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the
septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and
outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to
ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that
may s ough when remo v ed
from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if
I
off the filter e
the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of
the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise
the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in
the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required.
However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and
Buildings Division.
Puma Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to
verify proper operation. If an effluent filter Is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound
shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic
(other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather
Installations (October- February) dictate that the mound be heavily mulched for frost protection.
Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may
not exceed maximum design flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each
lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be
compared to the Initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is
required to maintain equal distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner,
and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
General
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its'
component manual (SBD- 10572 -P (R. 6/99)) and local or state rules pertaining to system maintenance and maintenance
reporting.
, f
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and
pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as .
POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access
openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed
unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall
be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component.
Continge Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be
immediately repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired
or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption
and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper
operating condition.
Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector.
SEr PEp, SE SiDr Pg.S FOR MAINTENANCE REQUIREMENTS SPECIFIC
TO THIS S E, DESIGN, AND COMPONENTS
l abor and Human Relations
Division of Safety & Buildings
in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1 x 11 ches in size. Plan must include, ut
not limited to vertical and horizontal refer ' Wce point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. __ /GAO zc'o
APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION R IEWEDBY DATE"
PROPERT Y OWNER: PROPERTY LOCATION
e / , �FSF' ` GOVT. LOT _ 1/4 S 1 /4,S 4/ T ;Z N,R / ON W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM #
CITY STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE (MOWN NEAREST ROAD
(� New Construction Use NJ Residential / Number of bedrooms Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow /r (X gpd Recommended design loading rate f bed, gpd/9 -., � trench, gpd/ft
Absorption area required NFL bed, ft �C`1C�C'� trench, 9 Maximum design loading rate /YNP bed, gpd/ft gpd/ft
Recommended infiltration surface elepitlon(s) 8 — ft (as referred to site plan benchmark)
Additional design/ site considerations C' / ,- OLU rL&A2 - k b i
Parent material - 5 - //1 11744 aau- a, Qce // Flood plain elev 'on, if applicable V /A ft
S = Suitable far system CONVENTIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem I D S N U ®S ❑ U ❑ S ®U 0S RU [is ®U ❑ S a u
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture I Structure Consistence I Roots GPD /ft
Boring # Horizon in. I Munsell Qu. Sz. Cont Color I Gr. Sz. Sh. B rr mrich
�:: . ?o: })iijif / /c , SI l ' I�'��� I / /C 4 f r✓
Ground 3 13 - 18 /0 e - (13
elev. 1 1
Sb
Depth to 36 ��q / P C 5tk fn Q
limiting
factor
N A�
Remarks: s v 0
Boring # f -3 =` S
/0 - /-S /D R 3/� Si �J� n'I >Gi�' G• S $ ,�
Ground
C �'�k /1'1 ,cc, s •`
f
Depth to -+ ' I {
limiting S
fact r /
V ,
Remarks:
CST Name - .— Please Pri % Cr' /SF_ Phone:
A ddress:
`
Signatur Date: CST Number.
7 Z
f ti U rG o�o? s
PROPERTYOWNER 7Z)1A1V 4 ed,_ SOIL DESCRIPTION REPORT Page of
PARCEL I.D.# Allo9 �d
Depth Dominant Color Mottles -texture Structure Consistence Roots GPD /ft .
Boring l Horizon in. Munsell I Qu. Sz. Cont Color I Gr. Sz. Sh. Y Bed ITmnch
Ground 3 ; �9 14,e '� SAC'/ In ,`'
Depth to
limiting
factor
Remarks: r,2 l�Z�5: �N S // S 7 'e
Boring #
.
Ground
elev.
Depth to
limiting
factor
Remarks:
Boring #
� }• • - rmy
:.y l h
Ground
elev.
ft
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft .
Depth to
limiting _
factor
s
Remarks:
QQ we �y �
WiisconsinDepartmentofl `''' SOIL AND,SITE EVALUATION REPORT pap Of
Labor and Human Relatioyis
Division of Safety a Buil ngs,;% in accordwith ILHR 63.05 Wis. Adm. Code
COUNTY
Attach complete site i on pt les 1/2 x 11 inches in size. Plan must include, but
not limited to verticaiorizoM f point (BM) PARCEL I.D. #
aL p iqm po , direction and % of sbpe, state or
dimensioned, north locafwoof`8istance;ta.nearest road.
! ICS : R 7 EWED APPLIC ANT INFOR Z PRINT'A INFORMATION BY DATE y8
PROPERTY OWNER: PROPERTY LOCATION w / /•L o F
`3v�'1_: 1v�CJrc _ �1Jg12 e6�F-t8T �� 1 /4gW 114S t{ T L% ,N,R LS E(o�W
PROPERTY OWNER' :S MAILING ADDRESS LOT # . BLOCK # I SUBD. NAME OR CSM #
10 1 - 1 4 Fto-conl --, wu u F I — —
CITY, STATE ZIP CODE PHONE NUMBER ] CITY []VILLAGE (MOWN NEAREST ROAD
izI T WI S%40 z.Z rms) qz S -gnI'S 1 VIC-1fjtv10-v I C Covti ` N"
pq New Construction Use [>I Residential / Number of bedrooms H [ ] AdditiT to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate — bed, gpd/ft 3 trench, gpd/ft
Absorption area required S UO bed, ft S t) o trench, ft Maximum design loading rate S bed, gpd$ - trench, gpd/ft
Recommended infiltration surface elevation(s) \ O 2 •0 t It (as referred to site plan benchmark)
Additional design / site considerations P1 uuh�p w/ S k I u'ci' - vV - Se'e t► . "W1 InuM zk, � or=
Parent material Rood plain elevation, if applicable fJ A , It
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for stem [I S RU 10S ❑ U, ❑ S ®U ❑ S lU ❑ S [au ❑ S 5aU
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rendT
Z. ytR- 3 L 2 — s i \ Z S �� • s b
a Z g_lg 1o�t TZ3L� st 1 - e -yK
Ground 3 ilk 3 s 4 Iz Vl y
elev.
`0 ft 3Z.� 7 *S I R Y /e SO-1 C I ,Z
Depth to S Vo - L (z 6 [ 3 -' �S B 2 - ��� P\>
limiting
f
Remarks:
Boring # . S
Z °t -�. bo rn�1- C-S • s �b
Z �. �-- 3� ` s t I ZIn s 4� 1 v�
3 10 Zq s 2 y! L . esb ►n� 4- cs - —S
Ground
elev. 4 2 - l0`i rL- 6 �3 _ Ls DR
to ft
Depth to
limiting
factor
C Y
Remarks: k
CST Name. -- Please Print Arthur L. We erer Phone. 715- 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022'
Signature:
C
�14
fJ / p _Zz S Date: (� _ q � CST Numb 0 0 5 7 6
of - c l
PROPERTY OWNE ��gh -�1 SOIL DESCRIPTION REPORT Page of 3
PARCEL I.D. # C1
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouclary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trey
o_� io�cz 3Lz S Zrn S 07 , WV-F
3
- 31 L — s 1 - Lyn S bk r►. �s 1v'� • 5 d
Ground S Li rL V! L Z esb SZ Yh `FI- �— S — • `� • S
� el Lb ft. y q — l Dirt_ 6/3
Depth to
limiting
factor i
Remarks:
Boring #
13
i
1
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring # ;
E3
t
s
i
Ground
elev.
ft. ;
Depth to i
limiting I
factor
i
Remarks:
Boring #
i
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
r
PLOT PLAN Pa 3 of 3
SCALE 1 "=
(3 q
i
woe G3 �e / %�.�n rJ ��- eoa'►� e�- r 1Z
�, -� o ` •3 / � b LS`N�cp `Tr}1 S f'11Z� , �/'
oiv �.Z " l•�1. G 1f �
3 /yt DMA pvC
P L 1Z VT' W L" - 11. .
C
314' b I A.
C
1 bu S E` 8 F )N t"T 2.S / FizuM h1 u vhJ►`J _ - --
W �1L c k S b- 4
(715 ) 4 95 - 016 5 M 00 576
CST Signature Date Signed Telephone No. CST #
r
Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567-P (R.6/99).
Table 1: System Design Specifications
Sanitary Permit Number
Number of Bedrooms y
Design Flow - Peak (gpd) C
Estimated Flow - Average (gpd) a O
Septic Tank Capacity (gal) D
Soil Absorption Component Size (W)
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak (gpd) C� 0
Maximum Influent Particle Size (in) 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component Inspect once every 3 years
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure
proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
r
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
2
f
Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep- rooted trees and shrubs directly over or within ten feet of the
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
s
h R
3
Wisconsin Departnwnt of Industry, SOIL AND SITE EVALUATION REPORT Page X of
Labor and Human Relavoris
DivisiSn of safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
s COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ' .CZ0 W
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or. PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. t> - ?_ - Z -1
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: FZ4$fZ'V_r PROPERTY LOCATION W 11-? o F
T"'SN6-r- -681f t8T �3k_Z 1/4`zAQ 1/4,S y T LAN ,N,R L$ E(OOWW
PROPERTY OWNER' MAILING ADDRESS LOT # . BLOCK # I SUBD. NAME OR CSM #
\o 1- 1:: bRt U E - - _
CITY, STATE ZIP CODE PHONE NUMBER lCITY []VILLAGE [MOWN NEAREST ROAD
\ZIUMR S07 -*L (7!S)gZS_g01,S lukjlJ ,L)jj C CWKA*t`.N`
pq New Construction Use [>q Residential / Number of bedrooms H [ J Add*n to e*ling building
[ J Replacement (J Public or commercial describe
Code derived daily flow y0 gpd Recommended design loading rate — bed, gVW trench, 9pdfil
Absorption area required S 04 bed, {f2 S 0 o trench, ft Ma:dmum design loading rate S bed, gpCW . 6 trench. gpd1ft
Recommended infiltration surface elevation(s) \ O b •0 r It (as referred to site plan benchmark)
Additional design /site considerations Y lOu vp W/ S k t uu' 7) c f . "WI Hum - LW or=
Parent material L. �3 �czs vt, ou TR Rood plain elevation, if applicable Vr J A , It
S = Suitable for system CONVENMVL I MOUND IN GROUND PRESSURE I AT - GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for system 1 ❑ S L$U ®S ❑ U I EIS ®U ❑ S L.0 ❑ S C'U ❑ S U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botind3y Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tends
Fz %-Q Vzs t%R- 3 L 2 — s i \ Zm S� h1iv `a- S N P
loo iz3LL — Zrn. 3bvt wt. - p1- 6 -S 1v �C • S A
Ground 3 A 3 Z S Li iz W y - 1- Opt r, z`�'/ • �S - - 3 `I
elev.
v y- ' o fL 3'Z_y - IS `iR 31y .S�t2S SCI ow, wi`�i
Depth to R t�►P
limiting
f k
Remarks:
Boring #
s cS • S �lO
Z � Z °t -� tio� �. 3l L s t I Lk . Ir 1 �
3 10 Zq Sit z y! L 1. �-Sb �n�l- cs • �! s
Ground _
elev. 4 2 �i -
1O) IZ 6 /3 - LS imz
Depth to
limiting
fac tor
1
Z
Remarks:
CST Name: - Please Print Arthur L. We erer Phone 715- 425 -0165
egerer Soil Testing ' & Design Service -P.O. Box 74 River Falls,WI 54022 '
Signature: _!I a ,? _ ZZ S Date: () � yj L CST Number 0 0 5 7 6
PROPERTY OW �z�-dg SOIL DESCRIPTION REPORT Page- of '3
PARCEL I.D. # O Z-Z- 100 o/ - 6 .�
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boud3y Roots GPD /ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
ft 3 t i S t Zrn 3 b w�.`i^t� °�- S • s
3 •
Z $ -tis )o�ttz 3l ` — s � 1 Lrn Sb ht �s lv � • s � 6
Ground 3 ks Zq s Lt tz u! �,
elev
ft. y q l Win (113
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft. ,
Depth to
Ilmitlng
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting i
factor
Remarks:
Boring #
f
i
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elev.
fL
Depth to
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Remarks:
SBD- 8330(R.05/92)
PLOT PLAN Pa 3 of 3
SCALE 1 "= �0 '
o•y,� htil �� `tom
• � �lbb`f
� \ v-LOq
i
\o °, ,� �' �``� -moo ►.� Lp
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0 1'��`Yt61�4, 31y Diq.
1�UC PIPS w /Ls�_
C
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�lS�'�li L7� L • ` V ( 715 ) 425 - 0165 H 00576
CST Signature Date Signed Telephone No. CST #
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer ,�� J
Mailing Address ;2 /o
u l�'
Property Address 112)l C N r•
(Verification required from Planning Department for new construction)
City /State S /P 9 Parcel Identification Number P-2 0 - / oc9 –�4
LEGAL DESCRIPTION
Property Location %., t) %., Sec. �W , T -R Town of %yN c
Subdivision koA)g Lot #
Certified Survey Ma # Volume Page e # �/l✓�' � g
Warranty Deed # _ - ;z/ qr _____ /379 , Page # 4/y 7
Spec house ❑ yes 0 Lot lines identifiable 9 ❑ no
SYSTEM MAINTENANCE
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.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
masterplumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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.
Uwe, 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 Commerce 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 Zoning Office within 30
days of the three year expiration date.
SIGNATURE OF APPLICANT DATE
OWNER CERTIFICATION
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 des ribed above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNATURE OF APPLICANT DATE
i
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * **
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
YOL 1.:379 PAu 47
STATE BAR OF WISCONSIN FORM 2 — 1982 KATHLEEN H. WALSH
WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
DOCUMENT N0.
- _ RECEIVED FOR RECORD
Robert L. Ickler and Barbara J. Ickler, 592190
husband and wife, surVivorshi marital propert
L. er a Sr, 11- 23 -199E 9:30 AM
OARRWY DEED
conveys and warrants to Daniel F Feser and Heidi B. RECORDING FEE: 10.00
s r, husband and wife, survivorship marital PAGES: 1
property
THIS SPACE RESERVED FOR RECORDING DATA
NAME AND RETURN ADDRESS
the following described real estate in St. Croix County,
State of Wisconsin: First Mortgage Dept.
First National Bank of River Falls
PO Box 166
River Falls, WI 54022
TRANSFER ZO
0 22 1009 -60
PARCEL IDENTIFICATION NUMBER lal
f
The Northeast Quarter of the Southwest Quarter (NE1 /4 of SWI /4) of Section Four (4),
Township Twenty-eight (28) North, Range Eighteen (18) West, Town of Kinnickinnic,
EXCEPT the East 40 rods thereof.
This Is no . homestead property.
�- (is not)
Exception to warranties: Easements, restrictions and rights -of -way of record, if any.
W
D o a,Jt'
Dated this day of Navember . A.D., 19 98 A
y l d l)� Jl . (SEAL) (SEAL) /
Robert L. Ickler a /k /a Bar J. Ick r
Robert L. fckler Sn
(SEAL) (SEAL) 1 f�J yt l
AUTHENTICATION ACKNOWLEDGMENT
Signamre(s) Robert L. Ickler,a/k/a EU)ert L. I ckler Sr. State of Wisconsin,
Barbara J. Ickler ss.
try County.
authenticated this " day of November , 19 98 Personally came before me this day of
19_, the above named
Kristin bg1and
TITLE: MEMBER STATE BAR OF WISCONSIN
(if not,
authorized by 5706.06, Wis. Slats.) tD me known to be the person who executed the foregoing
instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristina Ogland
Hudson, WI 5 4 0 1 6 Notary Public, County, Wis.
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (if not, state expiration date:
necessary) ]9 )
• Naracs of persons signing In any caparily should be typed or prinad below their signatures.
STATE BAR OF WISCONSIN Wwiansn Legal BierYC Co., Inc.
WARRANTY DEED Form No. 2 — 1962 MiWaLk"Mel We.
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