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A 4 ti ~ w CD CD D V A w O 0 0 O 0 0 N cO O O y CD O O i N Wisconsin Department c�Comm"e PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 429991 0 GENERAL INFORMATION (ATTACH TO PERMIT) tate Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. s ��aw.•aj . /p Permit Holder's Name: City Village X Township Parcel Tax No: Yan , Asher Kinnickinnic Township CST BM Elev: Insp. BM Elev: o r BM Descnpf : Section/Town /Range /Map No: l OD , O 00.0 Sw 'Y&I 05.28.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic Benchmark oe Z' (u - 6 1 trv. O Dosing ` t( Al. B 5l' Aeration Bldg. Sewer / , 30 Holding St/Ht Inlet t TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ,L G D 1 1 r _ Dt Bottom 3 o' Dosing 11 Header /Man. Aeration Dist. Pipe ' - �1 . O J Holding Bot. System Z� V p Z 03.00 Final Grade PUM IPHON INFORMATION Manufacturer Demand St Cover �L.CZ GPM R UE, pZ - Zo e 11• del Number � DH Lift Friction Loss System He d TDH Ft 00 .1\ . � . Vo �s, zo' 3.rao oz .0 Forcemain Length 1 Dia. �/ Dist. to Well .w SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length 1 No. Of Ti 148h is PIT DIMENSI S No. Of P'ts Inside Dia. DIMENSIONS `;- S 9 (_ L_ � s SETBACK SYSTEM TO P/L L BLD LAKE /STREAM LEACHIN nufacturer: INFORMATION CHAMBER Type Of S stem: �S� UN Mode ber: DISTRIBUTION SYSTEM Header /Manifold Fistribution x Hole Size 1� I x Hole Spacing Vent to Air Intake /_ ipes) 1 \ �t 5/� 1t �•- ----"" Length — mo t / — � Dia ength y Dia Z Spacing � a Z 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 (] Yes L `i No L Yes L No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection # jqL7" 00 1z�3 Inspection #2: / Location: 563 Cty Rd SS Hudson, WI 54 (SW 1/4 NW 1/4 5 T128ti R1 8W) _ _Lott 4 • Parcel No: 05.28.18. 6 1.) Alt BM Description QQ �'C ���� `� °1 `i S it A;, 2.) Bldg sewer length = / - amount of cover = LLZ Q4- ot Plan revision equired? Yes No t r si a fo additional infor IL SB 71 — (O�-ti � Signature Cert. No. LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF KINNICKINNIC COMPUTER NUMBER 022 - 1011 -70 -100 Parcel Number 5.28.18.71 D OWNER NAME: First ASHER Last YANG PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 563 CTY RD SS SECTION 5 TOWN 28N RANGE 18W %160 NW '/440 SW Line Description Line Description TOTAL ACREAGE 2.230 PLAT CSM 17 -4482 022 -03 LOT04 BLK 01 SEC 5 T28N R18W PT SW NW 15 02 CSM 17 -4482 LOT 4 16 03 (2.23 AC) 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit Safety I Buildings Division t-ounty ,L , 201 W. Washington Ave., P.O. Box 7162 / ' Madison, WI 53707 — 7162 Sanitary Permit Num (to be Tilted in by Co.) sin �scon (608) 266 -3151 �� 999 / Department of Commerce Sanitary 'Permit Application Stagy — Plan I.D. ( Number � » In accord with Comm 83.21, Wis. Adm. Code, personal infotmati VV ED C D may be used for secondary purposes Privacy Law, s15. 1 'V Xn�EC E oject Address (if different than mailing address) 4,, )Zd - ss I. Application Information — Please Print All Information 3 O 2003 1 t # Block ay Pro Owner's Na me f ST. CR0 COUN Y Ptopergy Lyfpation 9 Property Owi>er's M ailing Addr �� %Z� v ! � /� /� � C , A { " w yi,Section 5 J City, State Zip Code PWmnber 66 Z7i � � / - t � (c e o S Jt) `� N; E rW H. Type of Building (check all that apply) ,/ �1.� �ct'2 Subdivision Name CSM Number 1 or 2 Family Dwelling -Number of Bedrooms �1 t� (' A Q D I 1 l 0 1 .❑ Public /Commercial - Describe Use O El State Owned - Describe Use &(1 eyL / W hd " X 75 L14sf' CW 0 �� ❑City ❑Village*ownship of 10 7-. III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System [] Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner IV. TYIPT of POWTS System: (Check all that apply) ❑ Non -Pressurized In- Ground ound > 24 in. of suitable soil El Mound < 24 in. of suitable soil ❑ At Grime El single Pass Sand Filter P ❑ Constructed Wedand ❑ pt"essurized In-Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ ber ❑ Drip Line ❑ Gravel -less Pipe Other (explain) V. Dis rsal/Treatment Area Information: Qil cwt A0 10l / O 1 3T0 ►'a n I Design Flow (gpd) Desi Soil A � tion Itate(gpdsf) Dispersal Ar ired (sf) Dispersal A� Proposed (sf) System Elevanaft VI. Tank info Capa " in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Z- S Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber f VII. Responsibility Statement I, the and ed, assume responsibility for installation of We POWTS shown on the attached Plans. Plumber's Na me (Print Plum i gnature MP/MPRS N umber Business Phone Number 1 z Plumber's Addre ss (Street, City, State p Code) VM Count /De artment Use Sanitary Permit F (includes Groundwater Date Issued is Ag t Sigma Stamps) Approved ❑Disapproved Surcharge Fee) O d �7t ❑ Owner Given Reason for Denial Z 9 & IX. Conditions of ApprovaUReasons for Disapproval 4Abll- 8 l� Atiach� ptaffi (to � Cottat7 �1�) eor �GZ.Gt..e�i//Y` ` an SB -6398 (R. 0 /0°l 3 I PLOT PLAN PROJECT Asher Yana ADDRESS 6422 E. Babcock Trail Inver Grove Heiahts Mn 55077 SW 1/4 NW 1/4S 5 /T 28 N/R 18 W TOWN Kinnickinnic COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/15/03 BEDROOM 4 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 12 55 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100 Filter Zabel A -100 ❑ BOREHOLE O WEL *H.R.P. ame as Benchmark SYSTEM ELEVATION 103.1' b2, SOV� 3% Scale = 114" = 10' 444 roperty Lin 101 Slope Alt. B.M. B M Area 15' below B - 2 g _ 1 system is to remain �6 undisturbed 102' Huffcutt Combo Tank B -3 103' Pro 4 �ft'h �s to be done to Bedroom g i Tank is to be properly House yc/25� Grading divert run -off away bedded and provided from system with lockdown covers with approved warning ` 1 labels ro lOV �U� / Well is to meet all S / S� setbacks found in Comm. 83 r m .D EROSION CONTROL PLAN For Lot 4, 563 County SS (Kinnickinnic ) — owner (s) Asher Yang Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. 2. Route contaminated runoff into vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between excavation areas and any drainage ditches or waterways. A diversion may be used to contain runoff on owner's property along the south lot line and keep sediment from moving onto neighboring property to the south. 3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan effectiveness and make recommendations to owner and building inspector for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. r r responsible f r he owner of record during site construction will be compliance with the ESC Plan. o p Attached is a detail for temporary diversions. Please feel free to contact me with questions or ask for assistance with erosion & sediment control installation. Prepared by: Pamela Quinn, Soil Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements: 2//2003 J ' V Indicate management strategy by checking (✓) the appropriate box. Q Z Management Strategies Q' Temporary stabilization of disturbed areas. Note: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1 and September 15), or by other cover, such as tarping or mulching. Permanent stabilization of site by re- vegetation or other means as soon as possible (lawn establishment). • Indicate re- vegetation method: Xseed ❑ Sod ❑ Other • Expected date of permanent re- vegetation: J� &t r V � • Re- vegetation responsibility of: ❑ Builder ❑ Owner /Buyer • Is temporary seeding or mulching planned if site is not seeded by Sept. 15 or sodded by Nov. 15? ❑ Yes ❑ No Use of downspout and /or sump pump outlet extensions. Note: It is recommended that flow from downspouts and sump pump outlets be routed through plastic drainage pipe to stable areas such as established sod or pavement. Trapping sediment during de- watering operations. Note: Sediment -laden discharge water from pumping operations should be ponded behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off -site by wind or water. Maintenance of erosion control practices. • Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the height o f the barrier. • Breaks and gaps in sediment fences and barriers will be repaired imme- diately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. `5 Ui EROSION CONTROL FLAN CHECKLIST V a Check (✓) appropriate boxes below, and complete the site diagram with necessary information. a o a z Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. Location of existing drainageways, streams, rivers, lakes, wetlands or wells. Location of storm sewer inlets. se Location of existing and proposed buildings and paved areas. The disturbed area on the lot. Approximate gradient and direction of slopes before grading operations. J' Approximate gradient and direction of slopes after grading operations. s Overland runoff (sheet flow) coming onto the site from adjacent areas. - MEW Erosion Control Practices ❑ Location of temporary soil storage piles. r Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from 'm an downslo a road or draina ewa Y p 9 Y• Location of access drive(s). i Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less). Location of sediment controls (filter fabric fence, straw bale fence or 10- foot -wide 9 ­ ) vegetative strip) that will prevent eroded soil from leaving the site. Location of sediment barriers around on -site storm sewer inlets. Location of diversions. Note: Although not specifically required by code, it is recommended that concen- trated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow)from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. s- k Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or seeding with use of erosion control mats. y ✓ Location of practices that will control erosion on areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In- channel practices should not be installed in perennial streams (streams with year round flow). Location of other planned practices not already noted. 11 1 X Q Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 ,sconsin www.commerce.stat ons www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary April 25, 2003 CUST ID No.226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016��� CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 04/25/2005 Transaction en No. ion 861185 SITE: Site ED No. 657969 Asher Yang Please refer to both identification numbers, Cth Ss above, in all correspondence with the agency. Town of Kinnickinnic St Croix County SWIA, NW1/4, S5, T28N, �.Q FOR: New mound, 600 GPD y B p P Object Type: POWT System ated Object ID No.: 899813 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 MENT pEPAR chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. p SAE I IV!' The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: 5 �� E CORR • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P ( N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10706 -P (N.01 101). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Key Item(s) • The actual liquid level of the specified pump tank is 47" and the gallons per inch is 16.12 per product approval. The proposed pump settings have been adjusted provide a dose volume that is greater than 5 times the void volume and less than 20% of the design wastewater flow plus drain back. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. SHAUN R BIRD Page 2 4/25103 • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings 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 to the owner and any others who are responsible for the installation, operation,or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L Shandorf POWTS Plan Reviewer, Integrated Services WiSMART code 7633' (715) 634 -7810, Fax: (715) 634-5150, M -f 7:45 am - 4:30 pm pshandorf @commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715 - 246 -4516 Date: 4/15/03 Owner: Asher Yang Location: Lot 4 Cty Rd SS System type: Mound System Manuals Used: Mound Component Manual version 2.0 (01/31) Pressure Distribution Manual version 2.0 (01/31) 1 Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -9. Maintance and Con 'gency plan 10 -12 Soil test Signature License numbe 226900 4/15/03 PLOT PLAN PROJECT Asher Yana ADDRESS 6422 E. Babcock Trail Inver Grove Heiahts Mn 55077 SW 1/4 NW 1/4s 5 /T 28 N/R 18 W TOWN Kinnickinnic COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/15/03 BEDROOM 4 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND )= SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK,SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE O WEL *H.R.P. ame as Benchmark SYSTEM ELEVATION 103.1' b2, Sov44\ 3% Scale = 1/4" = 1 444 roperty Li 1 01 ' Slope Alt. B.M. B M B-2 Area 15' below ❑ B-1 system is to remain C/6 undisturbed 102' 13 10v Huffcutt Combo Tank B -3 103' Pro 4 Grading is to be done to Tank is to be properly Bedroom WeS� divert run -off away bedded and provided from system with lockdown covers with approved warning labels 6 Well is to meet all 0 0� setbacks found in m D, �.,' S Comm. 83 CD �) Designer C "01 bo Date Non Woven Filter Fabric 4" observation Pipe Perforated Distribution. Pipe Below Filter Fabric f Ab C -33 S and Topsolt J E .., . % Slope Bed Oft 2 % Force V. in \Flowed : • - From Pump Late r Drain RocV 'Q — Cress Section Of A Ntound'S stem Using t �.- A Bed For The Absor lion Area G -/ A 9 Ft. I ���,Ft. Ft. Ft. L — 44 Pipe --%,,,, K m Force Win n- A ___---------•----- _ ----- _-- - - - - -- - -- From Pump ° ..r. • W • p Distribution prain Z 2 d pi I l„ P e r Mnent Morker 4 Observation Pipe P tpe or Rods Pion View •f Mound Usin A Bed For The Absorption Area Pestorot Id Pipe veto!! �0 • Perlo�otaa �. PVC P.pt Metes Located On Bottom. �o Are Ettooey SpO lea O'zx ►� X t Q w PVC Force Main ftR9T ttot.L tide's' •es CnR� }+ 1` PVC marootd Pipe "- pistp Ila 0/ a t i" 4'ex --40 ? i/ Ft. r I ., Qisiribtttiatt Pips Layout x Inches YL Inches Nola Diameter `�� Inch Signed: Lateral Z Inch License Number: Manifold Inches. Force Main " Inches Date: • # of holes/pipe, Invert ElevAtion of Lateral s4 1/rft• SEPTIC K 6 PU`M! CHAM SECTION TAN AND SPECIFICATIONS WEp�RPR00F APPROVED 4 ° CI VENT PIPE iZ n NIK . A80V E GRADE JUNCTION BOX HOLE COV £A 45t FROM DOOR. WINDOW OR WITH CONDUIT W1 PADLOCK 6 pRESH AIR INTAKE WARMING LABEL FINISHED MADE 4 MIN . MADE p•w. , S.O• a INLET • GAS- + . WATER TIGHT SEALS T1 A SEAL • JOI f ivir ER • ONTO pPpAQYfD SOL I SOIL PIPE 3' C FF 000 SOLID SOIL PUMP OFF ELEY D 3 APPROVED BEDDTM UNDER TANK CONCRETE PAD SPECIFICATION ::, C 1 1OW4 25- SEPTIC / DOSE MUmBER DOSES PER DAY TANK MANUFACTURE / `�' ., DOSE VOUJME INCLUDING SE /-� --5�` GAL' FLOWBACX. TANK SIZES: IC DaSE C .�� GAL • 3 (� ( �IZICHES j/ � CAPACITIES: A n GAL. ALARM mAj1UrACIVRER �.-✓ g = _� 'INCHES �,..� -- f " .1, MMSER S W ITCH TYPE z C = 1- J(CHES .._. -.-- ' AC1URER: INCHES P UMP H�F Z. D = 14009L 11UM8ER � /' 16.23 W y .WITC$ TYPE: pUtiP E ALMM WIRING AS PER ILHR GPM FEET REQUIRED DISCNARaE UISTRI�ITION PIPE • -,FEET g BE'I'WE PUMP OFF AND 4 ` FEET VERTICAL DbORK gUPPLY PRE _ FEET � MI FEET FORCEMAIN X IRS FT/ 10 0 • F T. 'TA� DYINp+Mi AI'IEApr _ . �' ID H 6 DII.METER M8 TANK-- C.E1�GTt1 � . � , I NTMNA L DINtENSIONS OF PU LIQUID� LICENSE gUMBF. 4ATE = SIGNED: Ilse TOTAL DYNAMIC E /CAPACITY PER MINUT HEAD CAPACITY CURVE EFFLUENT AND DEWATERING ILL MODEL 152/153 MODEL 152 153 W L Feet Meters Gal. Liters Gal. Liters g 1.5 69 261 77 291 153 10 3.1 51 231 70 265 12 40 152 15 4.6 53 201 61 231 20 6.1 44 167 52 197 X 30 25 7.6 34 129 42 159 S2 125 � 8 30 9.1 23 87 33 a 35 10.7 -- -- 22 85 Q 20 40 12.2 -- 11 42 Lock Valve: 138.0 Ft. (11.6m) 44.0 Ft. (13.4m) 4 t o►aoe 10 ar► 0 20 60 80 100 GALLONS 6 1/4 LITERS 0 80 160 240 320 - 3 27/3 4 s/a FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPUCATIONS _ -- ® 3 27/32 • Ta11ed dosing paneis avAibW • are available and supplied vdth • E�npi alternators, for duplex systmis• an alarm are OMB for OxWdrin9 single phew ' • Vari�le>� ca►troi switches � piggyback variaWe lM UW swit tm are available for v daWe W M long and Stroll cy& controls. See FM1420. • Sealed (%*-Box avd We for okitdW it k s • ()ver 13°F. (54 °C.) speaW q repaired. 1F J & 15?1153 S�esies 5 1/8 Mode 2 model 1 2or3 sK9m Ni 1 1 Has 2or3 2or3 Btl152 115 :1 Auto 4,3 1 2or3 E152 230 1 Noa 43 M+ded 2or3 SE152 230 1 ludo 4 .3 1 2 of 3 SELECTION GUIDE 115 1 tldt BN153 115 ; 10. bd;dad 2 or 3 1. �9b *black' w0l bat 9001" or double Pi99Y� VaNA level float E153 230 2 or 3 Refer b FNID477. 53 BE153 23D 1 AtAo ® 2 See fM0712 tr oared aredei d t7ecbicfll ANemabr E a and v�tias 1dmW 6e d one by a W 3. Variable level CM*d s mCh 10M used as a car�dac5vata, sperm► I3) Iw aw a" cod" show IN kwAW decblidwL All d@& tW0w0PN& r S� mad �} ar (4) dOHtsy ► RESERVE POWERED DESIGN eves For unusual conditions a reserve safety WW is ergmeeM into design of NAL Tf): P.Q wX 16347 of. Lowwft KY 40MO47 A e►a swm 3w caw ft POW '� r O ` 8 (No fN 1 F (5M y1fpJ/www soeAer coin ® Copyright 2000 2oeper Co. Ail rights reserved•. Wisconsin Depattmen tOfCommerce SOIL EVALUATION REPORT � ��age --L— of —3— Division of safety and Buildings in accordance with Comm 85, Wis. Adm. Code County f. f ,� , � e Attach complete site plan on Paper no t less than 8112 x 11 inches in size. Plan must `�' Z _ /b / �� ' and Parcel I.D. cvJ lfc include. but rid limited to: vertical and horizontal re ference ce to arest road. percent slope. scale or dimensions, north arrow. and by Please pri ate nt a in k 7 D _ ' msybeusedfor �� (� S. 75 (1)(m))• Peracnat information You P P Uwat Property Owner � 114�f 14 S t t pC N R E{ ) W or CsW Address (i Town N t Road St ye Tip Code ❑City ❑Village GPD d design flow rate New U Residential i Number of bedrooms Code derive _ �_ ❑ ❑ P c or - Des aibe: - -- iii parent mate" !� Gl c Flood Plain elevation 9 applicable r General oonKrier+� �✓c 2,(�'� J / �� 1'1� P tl � ' l Boring . � and recommendations o Boring # K . Pit Ground surface elev! " , ft Dept to rmtiting factor � �ry Rate Hurt M Depth pomirtettt Redox Description Texture Structure Consistence Boundary Roots `Eff#1 I * ff#2 Color In. Mtmsefl Qu. Sz. Coat. Color �. Boring # Boring //T/ Depth to limiting factor in. col mate Ground surface surface elev ' Pit Structure Consisteroe Botaiduy Roots GPDIIf Texture • Holt= Dept Dominant Redox Description Eif#1 Eff#2 Qu. Sz. Cont. Color Gr. Sz Sh. _ in. Munsefl • 3 >30 < 150 mglL , Effluent #2 = BOD < 30 mg& and TSS <_ 30 mg/L • Effluent #1 = BOD > 30 _< 22Q m9A- nature Z � o� CST Pease Pricit , Date Number Evaluation Conduc3ed Telephone Address )3 'S it T P1 P1 o Test of n a Project Name Asher Yang Shaun Bird Address 6422 E. Babcock Trail Inver Grove Heights Mn 55077 CSTM #2 Lot 4 Subdivision ----- -- Date 4/15/03 S W 1/4 N W 1/4S 5 T 2 8 N /13 W Township Kinnickinnic n Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 103.1' *HRpSame as Benchmark Alt. BM Top of 2" Pipe @ 100.2' S- n� J 3% Scale = 1/4 = 10 444' Property Lin 101 Slope Alt. B.M. B . " B -2 p B -1 102' B -3 103' Pro 4 Bedroom House 0 a CL Cn 0 CD r CD Wisconsin Department of Commerce SOIL EVALUATION REPORT / � Page t of —3 Division of Safety and Buildings (/l in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 812 x 11 inches in size. Plan must C1� include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and local m4ndifigance to nearest road. e2--7-1011— -76 , l o& Please print aU Informa n. R CC E I V E D Reviewed by Date Personal intartnation you pnavide may be used for secondary (Privacy law. s. 15.04 (1) (m)). Property Owner MAR 2 Loca on Govt. Lot C f 1/4,(/%,j 114 S T N R E (or)� Property Owner's Mailing Address ZOO I V F BI # Subd. Name or CSM# e Ft = City State Zip Code Phone N []City _ ❑Village Ea Town Nearest Road U-New Construction Use: W Residential i Number of bedrooms 2 1 - Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material r 1 Flood Plain elevation if applicable ft. a Boring # ❑ Boring Ground surface elev. 0 ft. Depth to limiting factor 2 2 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ` 3 3 S � Z m fr Z (1 i ` L4 r , w ZZ to F P 1.5 k o , k — C� a Booi # pit Ground surface elev. 9q Uy fL Depth to limiting factor 3 in. Sal Application Rate Horizon i Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tt in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 (C) 3 c l v� g 2 c5 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ture CST Number Address Date Evaluation Conducted Telephone Number I/ 3 "E-3S1 5YO01,s' -/O -a 2 y3 � 1 Property Owner Z Panel ID # Page of © Boring # ❑Boring _ , ❑ �� 8� ft. Depth to Limiting facto in. pit Ground surface elev. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'EffQ e3 f v-C r 5 -2 Z I1 -22 5�c Zn-> r �5 `l Z Z-3� - 7. Sc- i 2rn f, biz ry' C -` - 4 F-1 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/ft In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. _ •Eff#1 •Eff#2 Boring ❑ Boring g Ground surface elev. R Depth to limiting factor in. ❑ Pit Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 2648777. SB68330 (807100) PAGE 2 s OF- ,;( X 4 &,S S TZK,N,R, E /� lorY� NA ME _��r � LOT# � LEGA_L DE F''TION� l SCALE: I"= /D a BM 1 ELEVATION BM 1 DESCRIPTIO BM 2 ELEVATION -/o BM 2 DESCRIPTION o SYSTEM ELEVATION 9� SYSTEM TYPE II1o�� CONTOUR ELEVATION s o r P _� �l M ° T!� jS i 1 3 ° - 8, d . °° �a SIGNATURE DATE :Z r Soil Test Plot Plan ct Name Asher Yang Shaun Bird cress 6422 E. Babcock Trail Inver Grove Heights Mn 55077 CSTM #2 ��* V Lot 4 Subdivision ------- Date 4/15/03 SW 1/4 NW 1/4S 5 T 28 N /13 W Township KnnkAnnic Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 103.1' *HRPSame as Benchmark Alt. BM Top of 2" Pipe @ 100.2' S� n� �� d C c N 3% Scale = 1/4' = 10 444' Property Lin 101 Slope Alt. B.M. .M. ' B -1 � 102' B -3 103' Pro 4 $ Bedroom ►� House C a v r m Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the mound is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegitation are not be planted on system. The system is not be driven over. 10. Effluent Quality is not to excede the requirements found in Comm. 83 Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump without float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, retill soil, install new mound system. 3. Replace any other failing components as needed. Important Phone Numbers Plumber: Shaun Bird 715 - 246 -4516 Pumper: Tom Mondor 715 - 246 -5148 St. Croix County Zoning 715 - 386 -4680 � - o ST CROIX COUNTY 5-1r 311— SEPTIC TANK MAIM14ANCL AGREEMENT: AND T FORM OWNERSHIP CERTIFICA ION OwnerBuyer Mailing Address Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number 0 2 2 — / - — I LEGAL_ DESCRII''I`ION � N -RAW, Town � Pro erty Location `�� /, N � ' /4, Sec. ' Y Property # Subdivision 0. q, ? Certified Survey Map # q 1Z : Volume l % - Page # a l O ( o 40 Warranty Deed # . e � � , v olume Page # -- Spec house yes O no Lot lines identifiable yes 0 no SYSTEM 11RAINTENANCE fanuretohandlewastes Propermaintenance I use and maintenance of your septic system could result in its premature 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 certification form, signed by the owner and by a The property owner agrees to submit to St. Croix Zoning Department a that ( the on -site wastewater disposal system master plumber, lounneymanplumber, n� er ietedph�mbor a licensed pumper verifying is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 fun of sludge - and a to maintain. the private sewage disposal system with the standards ; Uwe, the undersigned have read the above requirements and of Natural Resources. State of Wisconsin. Certification set forth, herein, as set by the Department of Commerce and the Office within 30 stating that your septic system has been maintained must be completed and returned to the St.- County Zoning days of yearrration date. DATE 1VRE O APPLI OWNER .CERTIFICATION the owner(s) of I (we) certify that all statements on this form are true to the best of my (o& 1wow1 know • I ( we ) am ( are ) the pro described abo by virtue of a warranty deed recorded in Register of Deeds Office. S 3 _DATE SIGNATURE OF APP that is m►is- resented result in the sanitary permit being revoked by the Zoning Department. * * *s «* Any i rep warranty deed from the Register of Deeds office ** Include with this application. a stamped s copy of the certified survey map if reference is made in the warranty deed Page of Z pOWTS OWNER'S MANUAL & MANAG P M E p� Tp t'IO s SYSTEM .E INFORMATION Septic Tank Capacity Owner Septic Tank DNA pew FNW IlAanufacwrer a NA pARI�� a NA a NA Nrxrtberof Bedroom NA pump -Tan k Capackl 74,3 agoL a NA Numtrer & Commercial Units pump To* manufactilow a NA Estimated flow (etveta9e) P� Wi a NA x 1.5) f j a NA tlesiga f ( /1-0 Pump MIS! NA Unit Sol Appftsdon a Peat Flier • Monft a av� Fir a Welland Fats.- Oa ) 00 � ° M®c t ASMOM s= rnglL a Damon a 001st. Siod � Solid (TSS) s150 � Ma s) Pretreated Qu � � o "round (9�a�+nY) K" (pressurized) B� Oxygen Demand (BODE s30 mgrs � At-grade Total Total Suspended Somas �) S10` cfut100ml Feed Coi'iform mean K inch W � aomesbc ( "raste"r°°er Maximum parbjde size VS as tBW jor aetavad MAINTENAHM SCHEDULE Service Frequency Service Event e very o months Agaar(s) (Maximum 3 yrs.) Ins cond'� of tanks} combined sludge acrd scurn equals mte-ind %) of tank volume � When s) (Maximum 3 y,'s.} Pump out contents of tank(s) At least once avert.) a moms Inspect �spsrsad ces(s} a months Yeacts) At least once eve► o months yearls) ❑ NA clea off At least once ovary inspect pump. pP & �`` a months s) a NA Flush and test At least once Busty o months o years) o NA At least once every o NA other a months o yox(s) At least 01x:0 evens Other: Or CE MIS7 be made by a n 9 °� of t M S Matter plumber Restricted Inspections at tanks and dispersal ceft dWA Smal POWTS inspect Maw a visual the Wks) tO W an y back uP �ppt r. Tank '� the volume of c�ott>bined slu and s cum pect t check rt e fflue nt levels any cracks or leaks. s std be vistrath► P on the RWara klerffY The dispersal to on the 9r the on t!}e � of the local re9 y a � or ponding o f 8f&W* in the obs ate a fa�ln9 and requires (* or inany tank "Us On"" When the combined ore of the tank volume. the g m� aacume of sk3e a and d of in accordance with dr. NR b entire s of the t shall be a moved tits, a rty 113, W pdmtntstre nical or �ssurized POWTS components. n � d POWTS MaintairW The rn ser�g of effluent 10 days of eomple or m or a x i n g at i of 12 months or less shad be P of any service event other to the local reg ulatory authority wt'tlh�r lxxr A ssrvi* repo Shall be provided ther t tank(S) for the 1Oe P p or o y --BART UP AND OPERATION POWFS dred< try the drsP s � . If high oon�>>s are the For new eo u trt . prior Ire tre atment process and/or damage serv,1611V operator P to use. kn ed a septage detected h� �� � of the tank(s) remov by . -- L rage of System shad riot occur WW SON conditions are frozen at the lnf�� - is r estored the excess flanks may tM above normal � revels. When power S� and may t the Dunng t will be d to the o�s in one l arge dose. o *Nft 9 tank remmved by a «sum O . To avoid °f be or POWYS Maintainer to V . bach* m reswing Power or oorNar a Plumber in i Pvo� ao to restore normal levels within pump lark vetsic Over W" an off• Do not drive or park over. or dhe.rwise dtsttub or . Do not drive M 1 t � down slope of any mound or atIpade 90 absbrptlon area. the am w(fh6+ and P�t9 the file Reduction or eftinsu n of the following farms the w� stream may > degr floss; butts: conCondoms; cotton swabs: �em: of water. n� and vegetable P �; meat dia�rt (stxnP pt�) scraps; moons: ot Pd sanitary nepidrM A13ANDOIAMENT taIM out of service the steps dug t1P taken 10 insure that the When the POWYS in compliance with ch. Comm 83.33. Womnsin Adman Code. s ystem is Proper and and the abandoned P" 8e3ed. All piping to fatties and pits d" � � ien and ProP�Y of by a SeptW Servicing Operator. The eoMtents o f d Wks. and pits shell be or ttte� covets removed and the void space • Arta' pumping. as tanks a<td pas shell be excavated and removed filled with soli. grave or tract W inet std material. CONTINGENCY PLAN the foaov�+us9 measures have been, or must be taken. to Provide a code be Maked It the POWT S faits and cannot pliant replacement SY-SISM has and far the location of a replacement Sol [3 A suitable from disturbance and n and should not a system The rise from and Proposed structure. tot ones and weft' Failure to be rote r�on n urea wm result i the need for a new soil and site evaluation to establish a sultable , V l aceme nt area. Replacement Systems must comply with the rules in effect at Old ft advances in P01KCS area is not available due to setback andfor the fated PO Barring • ❑ A suitable e � be as a Last resort to MAace technology area. Upon faftme of the POWTS a sot and ,X,-h�Sf no t� area is avarla6te a been evaluated �. M* MW be d as a last.resort to replace the terrbvat of the biamat at Sol system may be reconstructed In piece totiowk>9 — curd at -grade of such systems must comply with the miss in WW at that GM Reconelrucdone the � s<uffem <NVARNING»' TANKS MAY CONTAM LETHAL. GASSES AND/OR I NSUFFICIENT OXYGEN. SEPTIC. PUMP AND OTHER TitE OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY tm NOT ENTER A � CP FROM THE OF A TANK MAY 13E DIFFICULT OR MPOSSIBLE. RESULT.. RESCUE ADDITIONAL COMMENTS ` POWYS MAtNTAtNER POWYS INST Name Name p�,GLv./ i i Phone G OP C� � - TOR MP LOCAL- REGULATORY AtTIHORITY SERWER SEPT AGE Agency Name phone �'� Phor>e - d os no / 1 � r.atoe. I�Aa�que�s and Waushara Count7l ZOt�'°'""d sarataUon Tads d0a"`1°�t no v as do od by stairs of eye c2re«t Ad�rd °'Code. the of uds d°°u� This v doss � fit) dye d ch. CoWn 83 xixd and 83 54(1). t21 (3). VV guatan/ee the Pe�itL°s of the POAMS• p LOT OWNER TO STABILIZE AND MAINTAIN - 1 � �� APPROPRIATE VEGETATION ON SAID aftle \\ EASEMENT. ,P 493 �, \, F PREPARED FOR: \� ` c R�� j � E FREDERICK LENERTZ 3�� 220 LIVESTOCK r� v w �'�V2o 3� r; EXCHANGE BUILDING I N , Op. ST. PAUL, MN c 30 WNA 55075 E 4 6p 34 � ro N r - o� EMENT • ��- .� SURVEYOR: E 35 - THOMAS M. HEALY _ � ' - N8 S & LAND .. , 1 -• -� :' i� t SURVEYING, INC. I 1 - ' • � 0 G 8 ry`" 2920 ENLOE STREET I cn y SFTQ " h' t HUDSON, WI 54016 1 Q r ;• LOT 1 j 0 m 8, 3.00 ACRES ' E •i I (L n 23 � .) INC. RAN \ �: (130,842 SO. FT -4 C�� -t 2.43 ACRES 'ro ro m �� (105,745 SO. FT.) EXC. R/W w P. Z 1 : � - � S Y j oA L. >p31 Z J s0 2 r3. UDSON, Q W� ! �0 0° �H —100' NWi t �O SUR`J� I W w SW1 /4 OF THE NW1 /4 w0 W: C• C, N) Z o. 2 0 2: 2.60 ACRES o O : (113,044 SQ. FT.) INC. R/W _ Z i �1 I fir' l�?� ca (0 0 - M: (101,494 SO. FT.) EXC. / m� 2.33 ACRES o' p I �o �, m .� 1 RW w o j N C l"lv N Z Z r_ p �� SCALE IN FEET 1" = 100' y i ° N rn o co I = [: I I� � ° y m: 100 0 100 aD y I ` 0 rl � "' lr' 6. 438.50' o� � -i�m N89 ° 35'25 "E 475.26' aD 1 O rn APPROVED °D ' ICI 1 1h I m Z �' om 0 ST. CROIX COUNTY O 1 � > m LOT 3 Planninn �n�inn anrt Parks Committee .a i Z O m W o �N (94,312 SO. FT.) NC. RAN MAR 2 4 2003 N 1 N in o co 2.02 ACRES w n (87,874 SQ. FT.) EXC. RiWot recorded witnin 30 days of- Z U _ approval date approval shall be _ null and void 37.38' M I 44 4.03' I M S84 °1 8'12 "E 481.41' J 33' 33' FOUND ALUMINUM 1 �J 6 6' & ST. CROIX COUNTY ' N O N LOT 4 SECTION CORNER o Z � MONUMENT U , . 2.23 ACRES „ rn U' m � (97, 38 SO. FT.) INC. RNV oo SET 1 OUTSIDE x 2.04 ACRES P DIAMETER BY 18" Z ; (88,832 EX ° 0 LONG IRON PIPE, m WEIGHING 1.13 LBS. (� t PER LINEAR FOOT I 1 i DIRECTION OF 37.72 444 27' �`— DRAINAGE °D Z S88 2"E 481.99' _ 66 WIDE JOINT ° UNK ° VV[ffttD LL11`r:Jfo�.B OO �n�INr -FO L @W II Cn� DRIVEWAY EASEMEN U!N ----------------------------------------------- W1/4 co R. U' THIS INSTRUMENT DRAFTED BY: WILLIAM KANE SEC. 5 I JOB NO. 6000 -17 DATE: 09/19/2002 REVISED: 12/12/2002 SHEET 1 OF 2 SHEETS Vol. 17 Page 4482 J 22.30 i 058 7 ,2 101 67 1l STATE BAR OF WISCONSIN FORM 1 — 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., MI Document Number RECEIVED FOR RECORD This Deed, made between Frederick G. Lenertz, AKA Frederick G. 05/12/2003 09:30AM Lenertz Sr.. single Grantor, and Asher Yana , Grantee. WARRANTY DEED Grantor, for a valuable consideration conveys to Grantee the following EXEMPT t described real estate in St. Croix County State of Wisconsin (the "Property"): REC FEE: 11.00 TRANS FEE: 134.70 COPY FEE: CC FEE: PAGES: 1 Recordin Area ' me and Retum Address er Yang C j Lot CountyRd N 8 SS Robe wp TITL.E, INC.' 1900 SILVER LAKE ROAD NEW BRIG TO J, vi e 112 I" NO. .�. e 022 1011 60 000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Lot ,4 in ertified Survey Map filed in Volume I� . Page $Z as Document No. t'�312 Located in part of the NW of a NW %, and part of the SW '/. of the NW % of Section 5, T 28 N, R 18 W, Town of Kinnickinnic, St. Croix County, sconsin. er with all appurtenant rights, title and interests. none Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 27th day of February 2003. (S L) (SEAL) Fre rick G. Lqp6rtz Sr. (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) WENS WAT-ZfN•A State of Wisconsin, NOTARY PUBLIC } ss. S TATE OF W� SCONSIN St. Croix County authenticated this day o _ Personally came before me this 27th day of February > 2003 the above named Frederick G. Lenertz, AKA Frederick G. Lenertiz. Sr., a sinale person to me known to be the person who TITLE: MEMBER STATE BAR OF WISCONSIN executed the foregoing In trument and acknowledge the (If not, same . authorized by §706.06, W is. Slats) THIS INSTRUMENT WAS DRAFTED BY 1 JJt� Z Coldwell Banker Burnet Notary Public, Statf of Wisconsin 1301 Coulee Road Hudson, WI 54016 My cottmis on is permanent. (If not, state expiration date: 3 -21412 b (Signatures may be authenticated or acknowledged. ) Both are not necessary.) Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 -1998 Milwaukee, Wis. � 3 714312 VOL 17 PAGE 4482 KATHLEEN H. WALSH REGISTER OF DEEDS NW COR. ' RECEIVED K ECORD SEC. RTIFIED SURVEY MAP 03/24/2003 01:00PM LOCATED IN PART OF THE NW1 /4 OF THE NW11/4, AND PART CERTIFIED SURVEY MAP m OF THE SW1 /4 OF THE NWI /4 OF SECTION 5. T28N. R18W, REC FEE t 13.00 ,4d v 3.35. TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. COPY FEE: PAGES: 2 'Nn) NOTE: DRAINAGE EASEMENT SHOWN HEREON IS "'`� CREATED TO MAINTAIN EXISTING SURFACE , I M ro l @ DRAINAGE. IT IS THE RESPONSIBILITY OF ` �a © � APPROPRIATE VEGETATION ON SAAD TAIN EASEMENT. ► `�,�� ..� 4g3�9���� cFNTF PREPARED FOR: FREDERICK LENE 3y� 220 LIVESTOCK I N ��\`�j 2 9\� � EXCHANGE BUILDING rte{ 991 N , 03 r00., - ST. PAUL, MN ° (0N 30' WIDE 46 � 55075 �4'� � I N r _ DRAE P`G 'T i/ SURVEYOR: 5 ► EA NE g �"' THOMAS M. HEALY I ; . 0 .504 — -- S do N LAND t I i� ► SURVEYING, INC. N — ''eV��O�N o N 2920 ENLOE STREET �n' ► HUDSON, WI 54016 c� , LO 1 egCk o i o j O m g ` 3.00 ACRES .> n Q 23, / ' ' �: (130,842 SQ. FT.) INC. RNV . , K) C�N 2.43 ACRES N m �o (105,745 SO. FT.) EXC. RAN `t p ' z I w pp z- �' S � 0 3Y �0 463. g0, s0 2 r3. UDSON, Q tS) N W l I O � ° � N1 G , — 100' --= N W 1 - ► O S w SW1 /4 OF THE NW1 /4 W: J j. C. OD I N z rt7 �- cn N I� I 1 -g Icy o Z: 2.60 ACRES I jo ` No �: (113,044 SQ. FT.) INC. RAN 1 Z j � m ' m I�?� w m 2.33 ACRES w O I v, m (O- (101,494 SO. FT.) EXC. R/W ML C > � 7\: SCALE IN FEET 1" = 100' v ; cn m 0 C N �°J �`� ^' M. 100 0 100 M 0 r I r ' 6.76' 438.50' I 0 m N89 °35 "E 4 75.26' bD t n z APP6�Cl1/�D CO m � M j ST. CROIX COUNTY t O 1 Z LOT 3 Planni�n �n�l ^n an i Parks Committee r ; Q Z 0 0 w 0 - n O J 1:� 2.17 ACRES MAR 2 4 2003 0 N 0 I N (94,312 SQ. FT.) INC. RAN N " rn O 2.02 ACRES w n P, 1 (87,874 SO. FT.) EXC. Wi of recoroed wunin 30 days ofd 0 I Fw approval date approval shall be 'U _ I . • null and void � uo M • c 37.38 M 444.03' c) S84 °1 8'12 "E 481.41' C' 33' 1 33 ' FOUND ALUMINUM I 6 6' ST. CROIX COUNTY t LOT 4 SECTION CORNER o Z J MONUMENT 2.23 ACRES Q rn (97, 38 SQ. FT.) INC. RNV w SET 1" OUTSIDE • 2.04 ACRES o DIAMETER BY 18" O LONG IRON PIPE, m (88,832 EX t WEIGHING 1.13 LBS. PER LINEAR FOOT i DIRECTION OF 87.72' 444.271 DRAINAGE A co Z S88 2"E 481 .99' _ 66' WIDE JOINT o o 07 0 _ DRIVEWAY EASEMEN M(VlI�f1 l`� I�C�Ct7 e 1 o v, 0 e r (1y] �� O��'nY1[nJI�C� L��'( �[1u uCG� U!N ------------------'------------------------------ W1/4 co R. 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