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022-1012-50-200
o (1) v 0 d 3 m -o n it o 00 r T o o T �l S N C O C �• U7 N ee • 0 � � co cj l CD R O Ln (D — 1 N C O � O O d A O O m v m a y> Q U u ' W �J Cn 00 � N CL 0 (D O O C/) a � '± 3 � 0. � 0 C ' C ' < Z O . N C M O N O C - W m 6 c N N 3 w o N Z =� D D o 0 O 0 CL CD o I � 3 n m m -� N z N O C c A Z N J et N N N CD P C 7 N O C cf) W < OD 4 , Z o 3 cn I � w C� a C/)N a N n N C n O G CD N CD _ S - ro o 3 m N A d 3 m 4 N cz C7 N O I a o p CD o O o o y o a Parcel #: 022 - 1012 -50 -200 08/22/2007 09:09 AM PAGE 1 OF 1 Alt. Parcel #: 05.28.18.75B 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 08/04/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner STEVEN W MONSON O - MONSON, STEVEN W 501 CTY RD SS ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 501 CTY RD SS SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 3.880 Plat: 5230 -CSM 21 -5230 SEC 5 T28N R18W PT SW SW CSM 21 -5230 LOT Block /Condo Bldg: LOT 01 1 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 05- 28N -18W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 04/23/2007 848964 EZ -U 08/04/2006 831430 WD 06/28/2006 828360 CSM 07/10/1998 582767 1339/255 WD more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/07/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.880 60,000 74,000 134,000 NO Totals for 2007: General Property 3.880 60,000 74,000 134,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 WiscAsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix 'Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488273 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Lubich, Paul I Kinnickinnic, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / c is 05.28.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER . 5 CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing p"., 3 Alt. BM c � l05o F,1 Coy / z rd 1dIG PLSG� Bldg. ewer z• 43.71 IF, 4<A Ho Ing St /Ht Inlet 6,b qq /1 F TANK SETBACK INFORMATION t t ut et TANK TO PIL WELL BLDG. V ent o it Intake ROAD Ot I nlet e p is 1 7 1 A 1� :54' Sq 1 B ottom AZ �J. S osing 47 1 I 5 J�} ea er an. 3 .?j /dZ • 7(p era ion Dist. Pipe 3.7 /a2 •7 o mg o . system /aZ ` t7 PUMP /SIPHON INFORMATION ina ra e z .7 3. S3 .17 anu ac urer eman over Z � A _� GPM F, l4, C&J . m ociel Number 31 � If D C T 9 , 11 ,7S t I UN IL ITT nc ion oss system ea nn 7.2, 3. ZS 1 2 . pJ dZ �e �•� !6l• 3� o c ain en t ZO Z DIMENSIONS -75 7 (� INFORMATION 1 � CHAMBER OR .1 ; UNIT 10011M Nullibtil. O V I ! 1 �1r1 �. Length 3 Dia Z Length 3 �'� Dia Z Spacing 3 13)1 /13)1 1 1 3• Z� � 501L L;UVtK x Pressure Systems Only xx Mound Or At -Grade Systems Only l5evu I of A' 11 Bed/Trench Center Bed/Trench Edges \ Topsoil ;Yes No Yes , No 1. COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1; / �J / A� (P 42 #2: (9 Location: 501 County Road S River Falls WI 54022 (SW 114 SW 1/4 5 T28N R1 8W) NA Lot 1 '' j Parcel No• 05.28.18. 1.) Alt BM Description= ` ', , L-•C� v Q� C • G,: r\ 5 S. `-'�. r Parcel 2,) 2.) Bldg sewer length = �3 �" ��O%.J - amount of cover = 44 � V" Plan revision Required? -] Yes XNo Use other side for additional information. gnature - SBD -6710 (R.3/97) 4' • Safety and Buildings Division County P 201 W. Washington Ave., P.O. Box 7162 St Croix f Madison, Wl 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) 8v isconsin (608) 266 -3151 �� De artment of Commerce Sanitary Permit Application StW-O 2. � In accord with Comm 93.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(lxm) (�llnV s (if different than mailing address) L Application Information - Please Print All Information (/ Property Owner's Name Parcel # Lot # Block # PAUL LUBICH Property Owner's Mailing Address o e2� /o /r � , 7S 909 Chapman D CEIVED SW 1 SW 5 City, State Zip Code Phone Number /y /a, Section River Falls WI 54022 lit il 1 1 20 06 28 1 G(ciroleone) T N; R v IL Type of Building (check all that apply) Q 1 or 2 Family Dwelling - Number of Bedrooms 3 . R o I X O U NTY Subdivision Name C Number 0 Public/Commemial- Describe Use NA °� I Q 0 State Owned - Describe Use !t/ n�- Qeity_Qvatage Brownahipof Kinn lCklnnl C IIL Type (Check only one box on line A. Complete line B if applicable) A. 0 New System ❑ Replacement System 0 Treatment/Holding Tank Replacement Only 0 Other Modification to Finating System B. (] Permit Renewal ❑ Permit Revision [3 Change of 0 Permit Transfer to New list previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T of POWTS stem: k all that a CJY! ' Non Pressurized 1n -Groun Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil 0 At Grade 0 Single Pass sand Fitter 0 Constructed wetland 0 Press ding Tank Peat Filter ❑Aerobic Treatment Unit 0 R ecirculating Sand Filter 0 1' Recirculating Synthetic Media Filter 0 Leaching Chamber 0 Drip Line 0 Gravel -less Pipe 0 Other (explain) // V. Dispersal/Treatment Area Wormation: Design Flow (gpd) Design Soil Appl ation Rate(gpdst) Dispersal Required (sf) Dispersal 77ed (sf) System 450 0.6 • w 750 �/ j 1270.5 6 102 VL Tank Info Caps6ty in Total Number Manufaoturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tank, -Hnwng T u` 1000 1000 1 Wieser Concrete x Aerobic Trestinwtunit WLP 1000/650 U `00 Dcsi%Chamber 650 1 1650 1 Wieser concrete x VIL Responsibility State t- I, the un 4MIgned, assure responsibility for installation of the POWT3 shown on the attached plain. Plumber's Name (Print) P s Sign MPAVRS Number Business Phone Number Darrell Hubbell 3 221073 715 273 -6360 Plumber's Address ( ity, 3tate, Zip Code) N6490 9 S H 63 Beldenville WI 54003 VIIL oat /De artment Use Onl ed ❑Disapproved Sanitary Permit Fee (includes Groundwater D Issued suing A Si Stamps ❑ Owner Given Reason for Denial Surcharge Fee) ��� (I—,,— ; l IX, Conditions of AoorovaUResisons for Disapproval ., � JnG� �, ' 1.L.� -.c ate SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all he serviced /maintained as per management plan provided by plumber. �U G 2. All setback requirements must be maintained' as Pe. '� u iGpP�S (to the County only) for the system on paper not less flan SW z 11 inches to size SBD -6398 (R. 01/03) e� t. Plot Plan Page K of 8 Property Owner L.u6ic+f, PA 1 " =40ft Legal .Description JA- VkZCW wc* 14 TVG (excep where noted) sW IIg or— syw `l 4 j ss, T2X4, j�►e w. - ro\A a or- KW ►cXV4 N ►c, _ Backhoe pit ST' CR y, Co ut'STY, vJ 4- "—;e0W . 34 L-1 ACKES North I . j , (L It Gn!1 � PVC ?i1PE .60 � 106.00 3 � LOC*Uoa of PR OPOSED LWELU als pSED WeLL Site Location: cr,� �1 y ti X t CWIX CO UNTY e PLANNING &. ZONING 0 EROSION & SEDIMENT CONTROL PLAN Site location: pending Cty. Rd. SS, Lot 1 CSM #828360, Town of Kinnickinnic Owner(s): Paul Lubich Parcel ID # 05.28.19.75A Code Adminis 715- 386 -4680 rya; .a 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." In Land Informatio addition, Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit Planning applicant and/or landowner to follow erosion control procedures and maintain them until 715 - 3864674 the site has been stabilized (Uniform Dwelling Code Comm 21 is available on -line at: www. commerce. state. wi .us /SB /SB- DivCodesListing.html) Real Property 715- 386 -4677 The Owner of the above parcel is responsible for notification of all contractors performing construction activities on this site that an Erosion & Sediment Control Plan is in effect and the Recj'cling following activities will be required in order to maintain compliance with the plan: 715 386 - 1 . Maintain existing vegetation wherever possible to minimize erosion and sediment g movement. 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 installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. Surface drainage is northeasterly toward Cty. Rd. SS road ditch, with construction planned <100 feet from drainageway shown on soil report plot plan. " 2. Install construction entrance before any excavation begins!! Construction equipment and kt vehicles must utilize a stabilized driveway access off public road for heavy equipment; this x includes cement trucks, well drillers, and other contractor's vehicles that require access to the property during construction. 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. 3. Do not allow diverted runoff to be directed onto neighboring property or into surface water conveyances. Contain runoff by installing temporary diversions graded ALONG CONTOUR between construction areas and any potential receiving waters (includes drainage ditches and retention basins). Temporary Diversions specification sheet is available from count �.: p rY P h' 4. If sediment cannot be contained on owner's property with temporary diversions and vegetative buffers, then installation of approved sediment control products (straw wattles, silt fence, and /or erosion control matting) will be required. The POWTS inspector and/or building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. ST. CRoIx COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD HUDSON, W1 54016 715 - 386 - 4686 FAA PZ9CO. SAINT- CROIX. WI. US W W W . CO. SAI NT -C RO I X. W I. US J Page Two — ESC Plan Acknowledgement Form 5. Stabi tze soils (septic system included) with seed and mulch immediately after installation - do not wait r final stabilization and/or landscaping of entire site to establish permanent cover on the site. When late - season weather conditions will not permit seed germination, a heavy straw mulch cover will prevent erosion until veget` n can be established. Erosion control matting can be applied any time of year and, if installed properly, will pro rotection even if seed germination is delayed. X' The owner = rd during site construction will be responsible for compliance with state and county code requiremen ecified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding er & sediment control product installation. PL D BY: PNW QUINN, CPESC #1622, WI SOIL EROSION INSPECTOR #665054 Owner acknowledgement of ESC Plan requirements: _/ /2006 (Pleasegn and return original ESC form to Planning &Zoning Dept. A copy is attached to the owner's permit and ?atehance agreement, which is given to the plumber at time of permit issuance.) Copies provided for excavation contractor, plumber, and town building inspector AM, ra ST. CRO1X COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON, W1 54016 715- 386 -4686 FAA PZOCO.SA/NT- CROIX.WI.US WWW.CO.SAINT- CROIX.WI.US I Safety and Buildings 141 NW BARSTOW ST Fl- 4TH commerce.Wi.gov WAUKESHA WI 53188 -3789 TDD #: (608) 264 -8777 4 t isconsin www. www•comm Wsconsin. ov epartment of Commerce wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 15, 2006 CUST ID No. 224832 ATTN: POWTS Inspector MARY JO HOLLISTER ZONING OFFICE HOLLISTERS SOIL TESTING ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 -4011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/15/2008 Identification Numbers Transaction ID No. 1280221 SITE: Site ID No. 714418 Paul Lubich Please refer to both identification numbers, County Highway Ss L above, in all correspondence with the agency, Town of Kinnickinnic, 54022 St Croix County SWIA, SWIA, S5, T28N, R18W FOR: Description: Mound, 3 Bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1081431 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.01 /01). The pressure network is to be constructed in accordance with publications SBD- 10706- P(N01 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII of th n and component manual. A copy of this information must be given to the owner upon completion of the prQ3e t. All holding/treatment tanks are to comply with Comm. 84.25(7)(a). Maintenance information must be given to the owner of the tank explaining that periodic clea f the filter is required. Access to the filter for cleaning must be provided per Comm 84 product apprgvar conditions. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. MARY JO HOLLISTER Page 2 6/15/2006 Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 Julia 4 Lewis-O � sborne POWTS Reviewer 2, Integrated Services WiSMART code: 7633 (262) 548 -8638, Fax: (262) 548 -8614 julia.lewis @wisconsin.gov 4 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: PAUL LUBICH Owner's Name: same Owner's Address: 909 Chapman Drive, River Falls, WI 54022 Legal Description: SW 1/4 of the SW 1/4, S 5, T28N, R 1 8W Township: Kinnickinnic County: St. Croix Subdivision Name: NA Lot Number: NA Block Number: NA Parcel I.D. Number: (Pending) Plan Transaction No.: �•.n, Page 1 Index and title to, Page 2 Data entry ��•••��� u ONa / ow . o •Page 3 Mound drawings R ECEIVED Page 4 Lateral and dose tank JO '� Page 5 System maintenance specifications JUN 2��6 �( MARY R Page 6 Management and contingency plan ! n rr-m, No L859 = Page 7 Pump curve and specifications +�- nlhlrl' 'r 1859 C �. RIVE AILS, ; Page 8 Plot Plan f ®4® Es��N�• Designer: Mary Jo Hollister License Number: 1859-007 Date: 06112/06 / Phone Number: (715) 426 -1775 Signature: c�..X� Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) f " "O Version 4.0 (R. 04/03) Page 1 of 8 F L Mound and Pressure Distribution Component Design Design Worksheet Site I (r or c) i r Residential or Commercial Design Note: Sand fill (D) calculations assume a (gP ) Table 83-44 -3 in -situ soil treatment for fecal 30 , Estimated Wastewater Flow d 1.50' Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 450.00 Design Flow (gpd) 8.00; Site Slope ( %) 10LO Contour Line Elevation (ft) 24.00; Depth to Limiting Factor (in) 0.60x; In -situ Soil Application Rate (gpd /ft Distribution Cell Information 7 Dispersal Cell Length Along Contour (ft) F 6.00 lCell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /fe) 1' Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution — Y Pressure Disribution Information network? Enter Y or N (c or e) c- Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4i Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.001 Estimated Orifice Spacing (ft) = 9.38 ff /orifice 2.00 Forcemain Diameter (in) 30.001 Forcemain Length (ft) Does the forcemain drain back? 94.50 Pump Tank Elevation (ft) Enter Y or N �3 � j 3.25 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 7.00 Vertical Lift (ft) 67.53 5x Void Volume (gal) 0.63 Friction Loss (ft) 72.42 Minimum Dose Volume (gal) 10.88 Total Dynamic Head (ft) 31.46 System Demand (gpm) Lateral Diameter Selection I Manifold Diameter Selection in. dia. o tions choice - in. dia. options choice 0.75 tl 1.25 x 1.00 i _ 1.50 x X _ 1.25 x 2.00 1.50 x x ,i 3.00 1 2.00 x 3.00 x l Gallons /inch Calculator (optional) T Tank Information Total Tank Capacity (gal) 1000 00 Sep tic Tank Capacity (gal) I Total Working Liquid Depth (in) s Wieser N � Manufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filte Information 65 Tank Capacity (gal) Zabel �__]Filter Manufacturer 1 7.001 Dose Tank Volume (gai /in) A100 �(Filter Model Number Wieser I Manufacturer Project: PAUL LUSICH Page 2 of 8 Mound Plan View ......................... J : B :•:::= := s ... . l Observation Pipe . ' TT K l T A W :.4 ... ... ....................... ... ........ ... ... ..... i .... Mound Component Dimensions A 6.00 ft E 17.76 in H Elft ft K 9.10 ft B 75.00 ft F 9.50 in z L 93.19 ft D 12.00 in G 0.50 ft J ft W 22.49 ft 450.00 (ft Dispersal Cell Area 1 1270.56 (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.79 (ft) --� F Dispersal Cell 102.50 (ft) Lateral 102.00 (ft) —► — _ Invert Dispersal Cell .•:•� :::::::.:.:.:.: ..........:. ....... . E D 3 Elevation 1 111 t 1l , r � si J r r � t., 1t ?... 1 1�• 4 tc 1 101.00 (ft) Contour Elevation 8.0 % Site Slope Geotextile Fabric Cover Shading Key c. T Dispersal Cell See lateral details on 10 Topsoil Cap c ° 1.5 ft - Page 4 for number, size, Subsoil Ca 0 0 -:� . ` ;` :, � and spacing of laterals. © p o Laterals are equally © ASTM C33 Sand v `.;_:`:LL::. '- ::: F ® Tilled Layer 0.5 ft - - - - - - Lateral spaced from the 5 c ?:' Ag �t c 5 •:; distribution cell's 0 centerline in the A distribution cell (AxB). Project: PAUL LUBICH Page 3 of 8 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at arty point. Laterals are identical ri � P S i= Turn -up wdball valve or IF X ---> �O xt2 +l Laterads & Force main of PVC Sch 40 cleanoutplug per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.20 ft Lateral Length (P) 36.80 ft Orifices per Lateral 12 Lateral Spacing (S) 3.00 ft Orifice Density 9.58 fe /orifice Lateral Flow Rate 7.86 gpm Manifold Length 3.00 ft System Flow Rate 31.46 gpm Manifold Diameter 1.50 in Total Dynamic Head 10.88 ft Forcemain Velocity 3.21 ft/sec Dose Tank In a Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --► Comm 16.28 WAC Disconnect � 4 in. min. Tank component is properly vented F— Aftemate outlet location Forcemain diameter Wieser Manufacturer_ 2 in. Ca aci 650.00 Gallons Volume 17.00 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.98 339.58 B 2.00 34.00 C Pump off elevation (ft) C 4.26 72.42 95.50 D 1 2.00 204.00 D D ' Total _ 38.24 650.00 Dose tank elevation (ft) 3" Bedding uncler tank. 1 94.50 Alarm Manuafacturer Tank Alert Alarm Model Number HW 101 - -----T Pump Manufacturer Pump Model Number 98 Pump Must Deliver 1 31.46 gpm at 10.88 ft TDH Project: L- t1$IC44, �?AUL- Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name ! �Darrell' Septic Phone (715) 425 -1025 POWTS Regulator's Name I St. Croix Zoning Office _ I Phone _(7 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 f: Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspe for ponding a seep age once every 3�ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ,• .. • • ........ • ��,�� • • • • • • • • • • • • • • • Grade 6 - 8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: PAUL LUBICH Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. 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. 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. 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 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 sludge and scum 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 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. Pump 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 as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg /L TSS, 10 mg/L FOG, and 10" cfu /100 ml- for highly treated effluent. 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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(s) 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: PAUL LUBICH Page 6 of 8 3 7/8 6 1/4 w�w HEAD CAPACI 30 MODEL 98" 4 5/8 8 2 3 5/8 = 6 20 v ? 15 — 4 - O o ` F ID g i 4 3/16 0 Tw 1 2 s 1 112 -11 112 NPT 0 U.S. GALLONS 1 10 20 30 40 50 60 70 80 LITERS 0 80 R 160 240 T FLOW - MINUTE M 435 MODEL 98 60 CYCLE Feet Gollons Meters Liters 5 72 1,5 273 10 61 3.1 231 15 45 4.6 170 12 20 25 6.1 95 Loch Valve: 23' 009971 4 3/16 nn �°y �: A ! SKtt02 Cam. +h�a�UJ_T � � PE.CI L APP�..1^�. Electrical alternators, for duplex systems, are available and ° Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. Mechanical alternators, for duplex systems, are available Double piggyback variable level float switches are available with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard all models - Weiaht 39 !cos. • ','2 s,.P. 2. Single piggyback variable level float switch or double piggyback variable level, 98 Series Control Selection float switch. Refer to FM0477. Model volts -Ph Mode wu Amps -00 Simplex Duplex 3. Mechanical alternator 10-0072 or 1075. M98 115 1 Auto 9.4 1 or 1 &7 — 4. See FM0712, for correct model of Electrical Alternator. N98 115 1 Non 9.4 2 or 2 & 6 3 or 4 & 5 5. Control switch 10 -0225 used as a control activator, specify duplex (3) or (4) float system. 098 230 1 Auto 4.7 1 or 1 & 7 — 6. Four (4) hole J -Pak, junction box, for watertight connection or ed4n E98 230 1 Non 4.7 2 or 2 & 6 3 or 4 & 5 simplex or duplex operation, 10 -0002. 7. Two (2) hole J -Pak, for watertight connection or splice. CAUTION For information on additional Zoeller products refer to catalog on Piggyback Variable Level Switches, All installation of controls, protection devices and airing should be done by a qualified FM0477; ElectrikxlAltemakx, FM0486; MeehanicalAltemator, FM0495 ; Sump/Sewage Basins, FM0487; licensed electrician. All electrical and safety codes should be followed including the most Single Phase Simplex Pump Control, FM1596 :Alarm Systems, FM0732. recent National Electric Code (P1EC) and the Occupational Safety and Health Act (OSHA). RESERVE POE DS!G For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 — T l C ane Ro �t� /1f.?\/V�Q' SHIPIPTOO. : 3 Came Run Road . _JYf�tafedmersof.. Louisialle, KY 40211 -1961 jJ� ,l /TY PUMas SNCe aw ( 502) 7 78 - 27 3t - http;llwww.zoeikr corn PUMP !O_ AX((502) 77 43624 04, PAU pAC,E ? of 8 Plot Plan Page 8 of S Property Owner t- U&cf4, PAUL I" = 40, ft. Legal Description �, :p. Loe*-rm i t4 Tve (except where noted) s*) Iig of - sw ` /q ss� -r�.8� ale W� - sov.1 a or K�aN tck� �1 N ►c,_ = Backhoe pit Sr. CRM cou.k7y WLseoNsla, 14 ACRES North ` NOV ( / ro <— - :PVC"q9%w- .So r 'a�,4lq/ kgdV6 O-- f�ssw�n�D t oo. oo . 4 'V'¢k LOCA11 oa � of FRop� 2 8eD Rnann � iJW$W KC! USED VieL. n' W t�. 1 1 L . Site Location: �TN., y � �C ?Ropast.� ( U l$f�T ube � X RECEIVED n �� ` Wisconsin Department of Com erce FEB 2 8 2006 SOI VALUATION REPORT 12,4 � "ge of 3 Division of Safety and Building ��n ST. L r� n h Co m 85, Ws. Adm. Code Cou nty ST. CROIX Attach complete site Ilan on r not less than 81/2 x 11 i s in size. Plan must include, tart not limited to: ve ca an onzon (BM), direction and Parcel I.D. (Pending) percent slope, scale or dimensions, north arrow, and location and distance to nearest road. _ Please print all information. Re Date Personal information ou p may be used for seconds p ur po ses ( Privacy Law, s. 15.04 1 m v I� r na � t �r c It u. 31 t2 Property Owner / Property Location PAUL & SANDRA LUBICH / Govt, Lot ---- SW 1/4 SW 1/4 S 5 T 28 N R 18 E( a Property Owner's Mailing Address n o Block # Subd. Name or 909 Chapman Drive ( S - -- CSM Pending pQ(� city Stets Zap code one N [] Vltlaga ■ T Ne oad River Falls, WI 1 54022 ( 715 475-8534 C.T.H. SS Q New Construction Use[D Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ ReplaoementR o Pu¢lic cot al - Parent material W I a is 11 Flood Plain elevation if applicable IaTA ft. General ancomtions: SA 6 G( I o i as -- 1.00 ft. sand fill -- 0.6 loading rate / ` r co �V d�2ll 6 Prl'%GYt m Ida To be desi ed by designer or installer. - Bori ng # Boring _� ��' ✓i v�' I oc" E] pit Ground surface elev. 1020 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. j - Eff#1 - Eff#2 1 0 -7 10YR3 /2 - sil 2f -mgr mvfr as 2vf-m 0.6 0.8 2 7 -13 10YR4 /4 - sil 2fabk mr as lvf -m 0.6 0.8 3 13 -30 7.5YR4/6 - sl If- -msbk mvfr ab lvf-f 0.4 0.6 4 r 30-35 7.5YR4/4 f2f 7.5YR4/6 A 1 f -msbk mfr -- 1 vf- 0.4 0.6 Some gr in D all horizons. Boring 2 Bonng # 99.64 30 ❑ El Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Mtmsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0 -10 10YR3 /2 - sil 2f -mgr mvfr as 2vf-m 0.6 0.8 2 10 -17 7.5YR4/6 - sl 2f -mabk mfr cb Ivf-f 0.6 1.0 3 17 -30 7.5YR4/4 - scl Ifsbk mfi cb lvf-f rO. 2 0.3 30- Some gr in all horizons; few cobbles. EfMent #1 - tH > 30 220 myL and TSS >30 _ 15e myL Etrt>crrt #2 - ND,:_ 3e rnglL and TSS _ 3e rrylL CST Name (Please Pnrd) Signature CST Number Mary Jo Hollister l7w � -161i'L {S 6... 224832 Address Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 02-10-06 (715) 426 - 1775 Property Owner LUBICH, Paul & Sandra Parcel ID # (Pending) Page 2 of 3 Boring 3 Boring # p Ground surface elev. 99.67 ft. Depth to limiting factor 24 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.. Sz. Cont. Color Or. Sz. Sh. *Eff#1 *Eff#2 1 0 - 12 10YR3/2 -- A 2f - msbk tuft as 2vf 0.6 0.8 2 12 -20 7.5YR416 -- scl 2f -mabk mfi as lvf-f 0.4 0.6 3 20 -24 10YR5 /3 c 3fabk mefi cb __ 0.2 1 0.3 24 -28 _ _ _ til sbr Some gr in all horizons. El f� � 5 PCi' w /InV Boring # Bo ring N Pit Ground surface elev. ft. Depth to limiting factor in. Sal j GPD/fF tion Rate �,�JLG� �J Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Or. Sz. Sh. *Ef*Eff#2 Boring # Bones Pit Ground surface elev. ft. Depth to limiting factor in. H Sod ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Or. Sz. Sh. *Eff#1 *Eff#2 i * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mgA- * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD- 8330rmt (R.07 /00) Plot Plan for Site and Soil Evaluation Page 3 of 3 Property Owner Luz\0A, WAI AH s #,mt zh I " =40ft. Legal Description A PkRML- "C*-MO I - rtW- (except where noted) sw of- Tvvs s i Yy. see 's , - r2.1 A, K\ 0. - Of ❑ � J pit PVT NOT 1ASco K,,►AI�CKINN�C, S't. CRio�X OouUT� Wt,Co�St�l� North 3 WEU --X0 >�p�FRD►'A /W01�A10 sVb1 Aron 7 25' FRO\ SE T�K A 4r CL �o �pROStiD y RC.R�S Z :1 0 4 loz.yo' JJ eo 50= P pF D 'PVGT\ P Iv,� ,P.sswMea x..00 N Site Location: t'Pmsb f.6' E+qSr,* mtmt u kl s 7` n n X I ' Plot Plan for Site and Soil Evaluation Page 3 of 3 Property Owner Lkkzx0A, pIMuL ANo S #tmtMpr 1 " =40,f� Legal Description P� �«�o IN -rte. (except where noted) 544 OF - r*C 6 W �y, SIZO. S.Tt4 0, R18 vf io wN 0 F 0 = Rackhoe pit K� �11CK INNtC , S't. CRO%X C0%AWY, vatteo"o s PIT pp? "em North c /Vti p aYbT" ANo p TiWK - AfNdmsvm L A fir-VMS e r oA � (A �4q - ai 1=7.0 � N V- P QF 1� N° "i d d c 6av� +d( —raw 34 -tao� 5 had- Site Location: n c n flp06EC f.L` eAsE*AtUT liar 7' X ST.` CROIX COUNTY, WISCONSIN - SHEET NUMBER 75 W D2 (J SaC2 v x ,rte i . JOB 3 i y P " Saliva ae t. r RnD2 E #ra8 vvhB r SaB � w ISrA 4 l'_ S aB SrA RnC2 3 ,. Sa { $ Sa6 Mats f a t 'MOB r+t Whi x C SaC2 w : a i. Y a R gC2 r .. t SaB � M?et@t � � a a } xasx° $fi � a r � •\ a s L t ,p , . �n i r� y � � s,. 5a6 as t ti - s +� 1 .t + • , . �4„ �' {.. �� , `�� .gyp , { Y z� w� r; v PIA t , 1� � rl O L $µ C� f �s . si* v , r� � ' u ���i�d� �(��� c ��: a • aC2 SaC #� s �� � �� 1 � ��� r•�'r' r � �� r'r�' � �,.� Sad � . ;.t --�_ : �`�""� � ` Wh �c PlA a Ote H NC \ ':i: ` "• w �;,.x;,' .h x '.' SaC2's, ? ShB SaB (Joins sheet 83) — T - 133 I — ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CBRTLKCATION FORM Owner/Buyer Mailing Address o Q c h k 4 n /J r � ve �a v� Fq i t s w j sic 0 ,2 Property Address C.,T. H SS J Nerificlan required firom Planning Degarhnent fa new constru ) City/State W T /�,', / Parcel Identification Number � 2 5 LEGAL DESCRIP� Property Location S w ' /,, S �" %, Sex. S . T 2 8 N R I� W, Town of K; n n %G K; n n; e Subdivision _ Am Lot # Certified Survey Map # �o( �. . volume 2 / , . Page # Warrmtp Deed # S $ 2 7 65%7 Volume 3 . Page # 2 S Spec house ❑ yes ® no Lot lines identifiable i3'yes ❑ no me SYSTEM MAIINTmANCE —3 13 1 2, PO(xj- 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 wash: disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplu nber, jrnuneymenplumber, restrictedplumberor a licensed pumper venfift that (1) the on-sitewastewaterdupont system is in pimper operating condition andfor (2) after inspection and pumping (if necessary), the septic tank is less than I/3 full of dodge. VW% the undmigned have mad the above ne"immem and agree to maintain the private sewage disposal syMen with the standards set forth, heroin, asset by the Department of Commerce and the Department of Natard Resources, State of Wisconsin. Certification stating that yaw septic system has been maintained must be completed and returned to the SL Crok County Zoning Office within 30 days of the throe iration date. Ifs SMATUO OF APPLICANT DATE 42M CERME-QATM I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (arc) the owne(s) of the property de:Cn above, by virtue of a warranty decd recorded in Register of Deeds Office. 7/S fd SIGNATM OF APPLICANT DATE Any information that is ma 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 wade in the warranty deed f Parcel #: 022 - 1012 -50 -000 03/07/2006 11:53 AM PAGE 1 O 1 Alt. Parcel #: 5.28.18.75 022 - TOWN OF KINNICKINNIC Current LX_j ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - LUBICH, JAMES TR & PAUL & SANDRA JAMES TR & PAUL & SANDRA LUBICH C - LUBICH DIANA TRUSTEE LUBICH DIANA TRUSTEE 903 CHAPMAN DR RIVER FALLS WI 54022 Districts: SC = School SP = Special P�rA ress ): ' = Primary Type Dist # Description " 909 CHAPMAN DR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: C_ !- _ 00 0 ' Plat: N /A -NO AVAILABLE SEC 5 T28N R18W SW SW 426/419 Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 05- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 07/10/1998 582767 1339/255 WD 07/23/1997 1066/526 TI 08/07/1996 547855 1193/640 QC 08/07/1996 547854 1193/639 mc(i�C 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 143077 Use Value Assessment Valuations Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 37.000 4,000 0 4,000 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 2.000 20,000 84,200 104,200 NO Totals for 2005: General Property 40.000 24,100 84,200 108,300 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 19,100 75,900 95,000 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: 139 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 600 Parcel #: 022 - 1053 -90 -000 03/07/2006 01:03 PM PAGE 1OF1 Alt. Parcel #: 19.28.18.295A 022 - TOWN OF KINNICKINNIC Current ,Xj ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - LUBICH, PAUL J & SANDRA A PAUL J & SANDRA A LUBICH 909 CHAPMAN DR RIVER FALLS WI 54022 Districts: SC = School SP = Special roperty Address(e) * = Primary Type Dist # Description * 909 CHAPMAN DR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH r jtegal Description: Acres: 40.010 Plat: N/A -NOT AVAILABLE SEC 19 T28N R18W SW NW EXC P295B Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) / 19- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 941/482 07/23/1997 710/578 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 143525 Use Value Assessment Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 22.000 3,000 0. 3,000 NO UNDEVELOPED G5 2.010 200 0 200 NO AGRICULTURAL FOREST G5M 14.000 28,000 0 28,000 NO OTHER G7 2.000 20,000 139,100 159,100 NO Totals for 2005: General Property 40.010 51,200 139,100 190,300 Woodland 0.000 0 0 Totals for 2004: General Property 40.010 41,200 91,600 132,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 , *u*�) /� '`t STATE BAR opWISCONSIN romm / - 1982 WARRANTY DEED ' DOCUMENT NO � Tbis��cud,m�cm,°�n Merton E. Timmerman ~ JUL «="/"r � r and — James H. LAlbich Irrevocable T q _- _'-- ---- - 4 r Paul _jLubK_h — and -- g a — ri d ra Lubich, husband and wife as � aurvzvor�� Property uodi ided1 Witoesseth T the said Grantor for a wu L-mnsa" One dollar and other good and valuable.,consideration c^m,/sw Grantee the following u"�,/u"u real estate m St. _JCroix THIS SPACE RESERVED ,'." RECORDING DATA County, State v|wu, `oo, NAME AND RETURN ^oon^sx Edward F. Vlack NORTHEAST QUARTER OF SOUTHWEST QUARTER Ml/4 OF SW 1/4) Davison & Vlack AND SOUTH 8&lF OF SOUTHWEST OQARTi (S l/% of SW 1/4) OF 200 Quat Elm Street SECTION FIVE (5), TOWNSHIP TWENTY EIGHT (28) 0O8Z8, River palls, WI 54022 RANGE 2IQRn"E%DV (18) WEST. St' Croix County, Wisconsin. 022-1012-30-000, � -60-U00 � PARCEL IDENT'l NUNUMBER This Warranty Deed is given in final satisfaction of that Land Contract dated April 20, 1078 and recorded April 25, 1978 , in Volume 572, at page 596, as ' Document 0b. 348041. Merton E. Timmerman knows of his own personal knowledge that Eleanor Timmerman was also known as Eleanor Mae Timmerman a nd they are one and the same person. . FER ^ This -_-is- not »ome'�uupmn^n/ v") +nm� xu~u~ Together with all and singular the krnuu/m"vu and appurtenances thereunto belonging, y And grJntgr--_ ---- --------------------- � warrants that the title u g ood, indefeasible .n fee simple and free and clear ormm=bon"^^except easements, restrictions, reservations, � reaervatiooa, aod covenants. if any, of record, highway rights of way, and liens or eoconbcaocoa created by acts or defaults of the grantees auu°.U°u,,x"t Arid urfena 'x, sxc.r ^ Dated this u / «'^ ----'-- --_ y-'-------_ 1 «9 8 --' , (ssxL) --_aE^u / ~ Merton E Tim ° | . (SEAL) `ScAu . . AUTHENTICATION ACsw0m/LsoGauEwT Signaturl rton E. Timmerman 6mt, pfnx,couy.o. '- c^"m/ ) authen _-_ Iii Pemwm��m"�mu m~ 'x�___�___-_e�u =-~~�� ---------------------. ,x,��"~o�m"o . Edward F Vlail nruc MEMBER STATE BAR uFwIScvwyw - ----- -'-- (if not, "utx^nz,abvwroocm vws s lats ) ---------------------- —'------'---- mm'mnv"a it, `r the person ---_-°x",sccu,,4/|*^,n mun^n°m�d�km^��, the mm, rws/wornowewr��os���rsoav 00 East Elm ., Rivez Falls, TAI 54022- ~ --------------------'--_-�-_____---' n.^^r Public, c^u"o x.^ (s�nuux^ may b,^u'/u.`/�^vo.`, acknowledged. ow/. are not M' mmm'�"m u pr,wmm/ kK um� �---- /u/ uw "u'^"n) �-� -' '' - `x""°*Pe,="~g= °^�^���*,m^�.s==,�" »^xR,A*,Ymm `,m/mxn�w�mvn °=_� , � � '°°:"., /.m i i _ � - +. •'._ i _. X � � f T - V "� z a ' �e I ug -- a .1. SOL 4 E tas Li i r 3 c f - a � y1 T . V f f IL c i - i 1 3z - '�TC } f VOL 21 PAGE 5230 KATHLEEN H. WTIL_ -.. -- REGISTER OF DEEDS ST. CROIX CO- WI RECEIVED FOR I? ECORD 06/28/2006 09:45AN CIPRTIPTpn S ECT 5 CERTIFIED SURVEY MAR RESFfiE2 13.00 SECTION 5, ( ESTABLISHED FROM LOCATED IN THE SIN 4 OF THE SW 4 OF SECTION 5, T281N, R18W, TIES OF RECORD) TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN PREPARED BY: Z GRANBERG SURVEYING, INC. 1235 C.T.H. 'E' uj u OWNER: C PAUL LUBICH NEW RICHMOND, WI 54017 o O C) PHONE (715) 246 -7529 m o 909 CHAPMAN DRIVE ui uj RIVER FALLS, WI 54022 JOB NO. 06 -020 2 Lo UNPLAT7ED LANDS co s. o W � Bi I �j)7 m ' I AY APPROX. BARN Imo APPROXIMATE LOCATION w I i N86 °3713 -E 178.07' HOUSE LOCATION 145.02' 33.05' co I I �`• �5 o�y I i s APPROX. SHED °a LOCATIONS PH I I * G - BE 2 I LOT 1 NEW NI MOND (I I r9 "" ,roQ co co LEGEND SOIL TEST Q I I I AREA 4 - INDICATES SECTION CORNER MONUMENT I ( AS NOTED) [�' = I I o I � (ED O INDICATES V X 18' (OUTSIDE DIAMETER) IRON PIPE WEIGHING 1.13 LBSILIN. FT. SET • • • • . - 50' ROADWAY SETBACK LINE I i 169,128 SO. FT. w NOTE THE DRIVEWAY FOR THIS LOT WILL BE RELOCATED TO A POINT v NEAR THE SOUTHEAST CORNER OF THIS LOT IN THE EVENT THAT THE I ( 3.88 ACRES) 1; ° SHARED ACCESS EASEMENT BECOMES A PUBLIC ROAD. OWNERS OF INCLUDING R/W THIS LOT SHOULD BE ADVISED TO PLACE ANY STRUCTURES, SEPTIC 66 8 AREA, ETC. ON THIS LOT SO AS TO NOT HAVE TO REMOVE OR REPLACE 146,373 SO. FT. ANYTHING OTHER THAN THE DRIVEWAY ITSELF. UNDER THE CURRENT I I I (3.36 ACRE ORDINANCE THE CENTERLINE OF THE NEW DRIVEWAY WILL HAVE TO BE S) O I I EXCLUDING S) 2W MINUMUM FROM THE CENTERLINE OF COUNTY TRUNK HIGHWAY V I I I 0' 129 240' 369 33.01' . ......... ..... ...... . iiiii EXISTING FIELD DRIVE I 248.47 S % 4 CORNER, I S88 °3$36'W Z81.4� Z , i THIS AREA RESERVED FOR POSSIBLE SECTION 5 °- SHARED ACCESS FUTURE ROADWAY ACCESS 88 FOUND) .7T I ( ALUMINUM C� 2 I S88 °38'36 "W 2637.18' SOUTH LINE O F T HE SW Ys SW CORNER, SECTION 5 DN l rPq Lp 7TED LANDS (ALUMINUM CAP FOUND) THIS INSTRUMENT DRAFTED BY: KRISTIN J. GRANBERG PAGE 1 OF 2 1of2 Vol. 21 Page 5230 c wix CO r"Ir b ` • A, UNTY PLANNING & ZONING G CO w EROSION & SEDIMENT CONTROL PLAN s� Site location: pending Cry. Rd. SS, Lot 1 CSM #828360, Town of Kinnickinnic 11 ` Owner(s): Paul Lubich r Parcel ID # 05.28.19.75A Code Administ IX 715 - 386 - 4680 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." In Land Informatio addition, Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit Planning applicant and /or landowner to follow erosion control procedures and maintain them until 715 -386 -4674 the site has been stabilized (Uniform Dwelling Code Comm 21 is available on -line at: www. commerce. state. wi .us /SB /SB- DivCodesListing.html) Real Property 715 -386 -4677 The Owner of the above parcel is responsible for notification of all contractors performing construction activities on this site that an Erosion & Sediment Control Plan is in effect and the Recycling following activities will be required in order to maintain compliance with the plan: 715 -386- 1. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. 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 installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. Surface drainage is northeasterly toward Cty. Rd. SS road ditch, with construction planned <100 feet from drainageway shown on soil report plot plan. 2. Install construction entrance before any excavation begins!! 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 require access to the property during construction. 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. 3. Do not allow diverted runoff to be directed onto neighboring property or into surface water conveyances. Contain runoff by installing temporary diversions graded ALONG CONTOUR between construction areas and any potential receiving waters (includes drainage ditches and retention basins). Temporary Diversions specification sheet is available from county. 4. If sediment cannot be contained on owner's property with temporary diversions and vegetative buffers, then installation of approved sediment control products (straw wattles, silt fence, and/or erosion control matting) will be required. The POWTS inspector and/or building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. ST. CRO /X COUNTY GOVERNMENT CENTER 1 10 1 CARM/CHAEL ROAD, HUDSON, W1 54016 715- 386-4686 FAA PZ @CO. SAINT- CROIX. WI. US WW W.CO.SAINT-CROIX. WI. U5 A N Page Two — ESC Plan Acknowledgement Form ry,�..x +:.r uw.,tn ,:u...�. x em.. »v.vw �xr d s„ ;s._s"awi ro.!e_a s. ww lY,+s'.+'.aY.ertu u+(varo.'?h^"'..e'kr a -zn=s n ya,:. ... w ..<av x ..e u.:. ..xtl;r . atW+Wkd'S.MeuMwitF<iMFYF.. •..*..nom:.. 5. eed and mulch immediately after installation - do not wait r final stabilization and/or landscaping of entire site to establish permanent cover on the site. When late - season weather conditions will not permit seed germination, a heavy straw mulch cover will prevent erosion until vegetn can be established. Erosion control matting can be applied any time of year and, if installed properly, will prod" ' protection even if seed germination is delayed. The owners rd during site construction will be responsible for compliance with state and county code requirement`' X ' ecified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding er & sediment control product installation. PL D BY: P QUINN, CPESC #1622 WI SOIL EROSION INSPECTOR #665054 Owner ac owled ement of ESC Plan requirement . _��/2006 (Please n and return original ESC form to Planning & Zoning Dept. A copy is attached to the owner's permit and ma . , nance agreement, which is given to the plumber at time of permit issuance.) opies provided for excavation contractor, plumber, and town building inspector ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD HUDSON, W1 54016 715 -386 -4686 FAA PZPCO. SAINT -CROIX W1. US WW W.CO.SAINT- CROIX.WI.US