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HomeMy WebLinkAbout022-1014-90-450 Wisconsin Departmen±of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division , INSPECTION REPORT Sanitary Permit No: $ 0 GENERAL, I1 FRRMATION � (ATTACH TO PERMIT) State Plan ID No: Personal infownation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holders Name: City Village X Township Parcel Tax No: Kobilka, Paul & Harmon • W own of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: (3{k # 06.28.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 5 Benchmark Lj 3 . / zo a JF 5� �1. 5 . Zl� l05. 2 59 • C(4 , ems •,n. Dosing Alt. BM C �� 3.5 /6 /.7Z Ascatior Bldg. Sewer 7 .9 -7 °►' Z - G , J Holding St/Ht Inlet 9.� 95y TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ' ki, — Septic , ' i Dt Bottom Dosing 1 i Header /Man. `78 A)A— S S�F- Z.9 /o • 3 2. Aeration Dist. Pipe Holding Bot. Syste75 '3, 1 5 Z PUMP /SIPHON INFORMATION Final Grade I > /6 . 3 ', Manufacturer /` I� Demand St Cover �/� ck 6.a Ot rJ GPM t 77 6 Model Number Re 0 Gc r / o „J o +�, o .1 J TDH Lif%, Friction Loss System Head TDH, . z4 3-Z Forcemain Length Q Dia. 2 ,, Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of renc PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer. r � INFORMATION Type Of System: CHAMBER BER OR UNIT Model Number: .` DISTRIBUTION SYSTEM Header /Manifold D�� 1 x Hole Size I x Hole Spacing Ve to Air Intak Pipe(s) )c1 '3 f / Length Dia Z- Length 4 y Dia � Spacing 3 �D J SOIL COVER x Pressure Systems Only xx Mou nd Or At - Grade Systems Only Depth Over i Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center d Bed/Trench Edges \ Topsoil es I' No es No o COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: g I I / 5 Inspection #2: Location: 599 A 90th Street R berts, WI 54023 (NW k4 NW 1/4 6 T28N RI 8W) NA Lot 14 �''�` J °d Parcel No: 06.28.18. 1. Alt BM Description= "` q pI 2.) Bldg sewer length = �d{ J\ / (Aver t l o"i C) r� - amount of cover = Plan revision Required? j Yes o xx � VSj Use other side for additional information. __ Date Insepctor's Si ature Cart. No. SBD -6710 (R.3/97) II APR -12 -2005 16:28 FERGUSON ENT HUDSON 715 386 6144 P.01 [IGOULDS PUMPS Submersible Effluent Pump i PE A. u , kklkw PUMP a•� SPECIFICATIONS MOTOR FEATURES Pump — General; General: ■ Corrosion resistant • Discharge :1 NPT • Single phase construction. • Temperature: 104 °F (40 °C) • 60 Hertz ■ Cast Iron body. maximum, continuous when • 115 and 230 volts N Thermoplastic impeller and fully submerged. • Built-In thermal overload Pro. cover, • Solids handling: 1 4" tection with automatic reset. ■ Upper sleeve and lower maximum sphere, • Class B insulation. heavy duty ball bearing _APPLICATIONS a Automatic models include a • Oil- filled design, construction. float switch. • High strength carbon steel w Motor is permanently Specially designed for the a Manual models available. shaft, lubricated for extended following uses: • Pumping range: see PE31 Motor service life. • Mound Systems performance chart or curve, • .33 HP, 3000 RPM ■ Powered for continuous • Effluent/Dosing Systems PE31 Pump: • 115 volts operation. • low Pressure Pipe Systems • Maximum capacity: 53 GPM • Shaded pole design ■ All ratings are within the • Basement Draining • Maximum head: 25' TDH PE41 Motor working limits of the motor: �.. • Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM ■ Quick disconnect power Dewatering • Maximum capacity: 61 GPM • 115 and 230 volts cor 20' standard length, • Maximum head: 29' TDH • PSC design heavy duty 16/3 S)Tw with PE51 Pump; PE51 Motor. 115 or 230 volt grounding • Maximum capacity: 70 GPM • .50 HP, 3400 RPM plug. • Complete unit is heavy duty, Maximum head: 37' TDH • 115 and 230 volts • PSC de portable and compa FEET g ■ Mechanical seal is carbon, a _ ceramic, BONA and stainless 061 i i i I 1 I I o . >31, ream, vFS� steel. 1 I ■ Stainless steel fasteners. Y f GPM 30 •�E4 _ '_ ' ..! i i I I AGENCY LISTINGS I ' ; 1 Fr i i Z5 L�_ �us I. c Q 20 I j I i . 4 _ - Tested to UL 778 and r , I ' CSA 22.2108 standards ' I I I (.. ' BY Ci Sfax ►- j,,• 1 1 I i l• l. i i. I I l i #W" nu° '°n File 10 ' ` .•L ( I I I I . ' _I Goulds PUMPS is ISO 90M RegLque& • I � (•I i� i � �I I. .I I � I i � r �. '�I 0 0 0 1 10 � Z 0 - _.. 30 50 50 70 GPM 80 0 s 10 15 W/h Goulds Pumps ® 20" rrT Water Technolo CAPACITY Effective June, 2004 �' �E31/41 ITT Industries f \ R�� I f . Safety and Buildings Division County 5� '� C n (� 201 W. Washington Ave., P.O. Box 7162 FN 6C. V%nscon Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 y c5 O State Plan I.D. Number p , eta Permit Application aaf c ord with Comm 83. 1, Wis. Adm. Code; personal information you vi d may be used for condary purposes Privacy Law, s15.04(l)(m) O Project A dr tf different than mailing address) I. plica ion nformation - Pie Print All Information 0 A ¢ Tti Prope ty 0 reF y arcel H \ �ot N Block N c Fj Property wne 's M ailing Address Property Locafi 1Z_ l4, dV G(/ �k,Sectioi City, St at Zip Code Phone Number W f Yr D 3,� 1 7Z (c ircle o e) l/�/ I- G ✓ [� T � N; R� E o6 II. T pd of Building (check all that apply) , Subdivision Name CSM Number 1 or 2 Family Dwelling - Number of Bedrooms ✓ ZJ D 9 a4(513 ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use ❑City_ ❑Village Wtownship of NN Cl' UT III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New Sys tem p Y 8 A Y 8 Y y ❑ R eplacement System ❑ Treatment/Holdin Tank Re Onl Other Modification to Existin S B. ❑Permit Renewal ❑Permit Revision Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner Z - <Y N. Type of POWTS S stem: (Check all that apply) ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ITPeat Filter ❑ Aerobic Treatment Unit ❑ Recircu ling Sand Filter ❑ Recirculating Synthetic Media Filter 11 Leaching Chamber ❑Drip Line 11 Gravel-less Pipe ❑other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rat dsf) Dispersal Area Required Dispersal Area Proposed Systern Elevation �� I X( VI, Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Consti•ueted Glass New Existing /� �` Tatrks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for I of the POWTS shown on the attached plans. Plum is Na me (Print) Plumber's Si gnature MP /145 Number Business Phone Number Plumber's Addre ss (Street, City, State, Zip e) VIII. Count /De artment Use O pp nl r oved ❑ approved Sanitary Permit Fee (includes Groundwater Dat Iss d Issuing nt Signatu ( tar Surcharge Fee) L Owner n Reason for Denial o 2 1 IX. Conditions of Approval /Reasons for Disapproval (� SYSTEM OWNER: 3J 4V I. Septic tank, effluent filter and dispersal cell must all b .!ces n : Mme i a f e — t '�' e '�� "' L" YK as per management pl - in ar ri 2. AA setback regwrorr > ;s mi; as per applicable comae I ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) Safety and Builds s County ) (, 201 W. Washington Ave., Po 082 ✓ T C/r d //� fr fment Math son, W[ 53707 Sanitary P t Number (to be filled in by Co De of Commerce (608) 261 6546 2 12— Sanitary Permit Applica p S Phi �. Nutaber In accord with Ceram 83.21, wis. Adm. Cock, personal in lion v / / 3 S ? 3 — maybe used for secondary purposes priv atktttidC I " E D 14 NS. J Q, vary Law, sl 04(Ixm) o'exx Address (ifdifferent t6m mailings�j I. Application Information - Please Print All Information 90 X 9 7 " . 1 Property Owner's Name v Nvi, aA Hf�'O no y /\ D�✓ilj�' ZONIN FCC r d Lot# / Blocku Property Ow G Addras r c Z• d ,3 Ad S 7 w� �Location� City, State Zip Code Phone Number — Ya Section u2� � �. �{ a Z 3 33 4 • 17 a / T � N. ie(c ircle all that apply) ,�1 R E /4 1 ex 2 Family Dwelling of Bedrooms Jar; Snhdadsiereblaeee CSM Number 11 Public/Commercial — Ud ❑ State Owned - Describe Use ~' / ❑City_❑Vi ownstnp of III. Type of Permit; (Check onl box on line A. Complete line B if applicable) " A. New System ❑ P System ❑ Tmatment/Holding Tank Replacement Only ❑ odifics 'on to Existing System B. ❑ Permit Renewal ❑ Permit Revisi P lumber of ❑Permit Transfer to New vious Permit Number and Date Issued Before Expiration Owner IV. TM of PO WT S rem• Check all that t I ❑ Nero - Pressurized In -Ground • ❑ Mound > 24 in. of l soil Mound < 24 of suite ❑ t Grade ❑Single Pass Sand Filter ❑ Constructed wetland ❑ Pressurized In -Ground ❑ Ho Tank ❑ Pest Filter ❑ A rearm ❑ Recirculatire Fi ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber Drip Line ❑ Gravel - V. Dis reatment Area Information: I / Design Floes' (gpd) Design Soil Appli 'on ) � f) I Area Requi i posed s ov ' O (0 7 � Q 3. VI. Tank Info Capacity . in Total N ufaexruer Prefab Site Gallons d'- of Units S tber Plastic New Faris' Glass Tarim nks Septic cks oriiatdi■g -T■olc . /� D Aerobic Treatment I as Dosing tlnnaaber D VII. Res onsibility Statement I, the undersigned, ass asibility for In of the POWTS shows the b plans Plumber's Name (Print) P umber's Si P tuber - �LQ R 1 ti T— Is Plumber's Address (Street, CW ri State, Zip Code) / VIII. Court artment Use Oul X Approved ❑ Disapproved Sanitary Permit Fee ' Groundwater i o ) ❑ Surcharge Fee) R ial IJC. Conditions Ap rov ea or Disapproval SYSTEM OWNER: bQ.t A, --tao 1 Septic tank, eff filter and 1 � dispersal cell all be serviced / maintained 3) 0� � as per man ent plan provided by plumber. 2. All setbac uirements must be maintained CS as per a able code /ordinances. Attach c -Raete 0 0 the C 1J eatatr ody) tae the "0 8 t ■'tae SBD -6398 (R. 8/02) I � � I` f A R ' Y r# T` 4' w t 4 4j SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / mai ied as per management plan provided by p 2. All setback requirements must be maintained as per applicable code /ordinances. w,. Ulbrich# & Associates Private Sewage Consultants 2812 1 Oth Ave. -' Spring Valley, W154767 a p - U t s � o o �Q o m a� YJ i � z • - V% C.. N o ; ` I 6 1 , Q 0 d - / 71 c, iA Q et 4 -4h Q -. � -W �\ o ":! 0 o r_ - _ moo Safety and Buildings ov PO BOX 7162 commercemi. g MADISON WI 53707 -7162 TDD #: (608) 264 -8777 scons I n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary May 18, 2005 CUST ID No.226375 ATTN.• POWTS Inspector ROBERT W ULBRICHT ZONING OFFICE ULBRICHT &ASSOCIATES CO ST CROIX COUNTY SPIA 2812 10TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/18/2007 Identification Numbers Transaction ID No. 1136573 SITE• Site ID No. 698601 Paul & Harmony Kobilka - Dwelling Please refer to both identification numbers, 90TH St above, in all correspondence with the agency. Town of Warren, 54023 St Croix County NW1 /4, NW1 /4, S6, T28N, R18W Lot: 14, CSM: 784513 FOR: Description: New Mound System / 600 gpd Object Type: POWTS Component Manual Regulated Object ID No.: 1018599 Maintenance required; 600 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01/01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 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. P vy The following conditions shall be met during construction or installation and prior to occupancy or use: 4EE 1. This system is to be constructed and located in accordance with the approved plans and with the component manuals listed above. 2. On page 4, the force main is 50 feet long as shown on the system plot plan (pagel). 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 q g p Y P on this letterhead. ROBERT W ULBRICHT Page 2 5/18/2005 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. Sincerel , Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 teag 1 Private Sewage Plan Rev' er, , Integrated Services WiSMART code: 7633 (608)266-2889, M - F, 30 - 1500 Hrs pepagel@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 KBRICHT & ASSOCIATES CO. 2812110th Ave. • Spring Valley, WI 54767 Reg- D8801W3 Of &Vtaeft S y Wsm 715- 772 -3442 Pdvafe she comftr►ts PROJECT INDEX Plan I.D. I 11 3(o Sl y Date /./,*Y la •.?pOS Owner PIM • Phone • 6V 33 J O . 17x 1 Address laZ,? 13�QD ,$•T' ` ,4 -3 Legal Description L07L � /�jf, L',S/�'I 7��/S /j 11_T�, p, oZZ. /a /y- 9 Nw ,W, s��. �� T Ste, P 8 w Town of � �R ) County ST G (1L. C.S.T. 71 1MiGGi7" 2 375- Installer Local Authority/ Supervision ST 6WO/ X c.Ty Z.0 4 i ).3 ( J +E P T' PROJECT DESCRIPTION 13,ev0f. �S 5 � rE - r i,S / � � a � �IDU•vv I IV07 /R!F-' iyov vp 51 7�C-_ -- 6741 ptaw 1)ezn S240 - fo � T � Vt 1 iskUPr s �-� U S6iL "I' V0N%,nunrulu 11111#1111,11-11 0, 4� � O sly tl �richt & Associates ULM • Private Sewage Consultants MIGS `�aa4. rn ll' 2812 1 11th Ave. o . Nu r F -x -c py Spring Valley, y, 54767 Z IG� loF Z- 3- S ��inunrnumn�uU�� Sp cS / r — O Oti F 0 w P9.1 PLOT PLAN VIEWS � o Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS (REVERSE SIDE Z Z DETAILS INSPECTION PIPES & FABRIC /TOP FILL DETAILS) Pg.3 PIPE LATERAL LAYOUT (REVERSE SIDE SHOWS DETAILS OF LATERAL CLEAN OUTS) V g. OSING CHAMBER CROSS SECTION & SPECS. PUMP PERFORMANCE SPECS (REVERSE SIDE SHOWS PUMP DETAILS) w Pg.6.OPERATION, MAINTENANCE REQUIREMENTS (REVERSE SIDE SHOWS SITE & SPECIFIC PROJECT DETAILED INFORMATION,UNIQUE TO LOCALE AND GOVERNMENTAL UNIT AREA) cxu4 . The attached plans and specifications are based on the following approved manuals: "Mound Component Manual For Private Onsite Wastewater Treatment Systems " (Version 2.0 SBD- 10691- P(N.01 /01) and "Pressure Distribution Component Manual For Private Onsite Wastewater Treatment Systems" (version2.0) SBD - 10706- P(NOl /01). ULBRICHT '& ASSOCIATES CO. 281210th Ave. 9 Spring Valley, WI 54767 Reg. DeWgiws of Enomedng sysWm 715- 772 =3442 Pnvafe Sewage consume _ . -• ._ PROJECT INDEX Plan I.D. # Date 144Y A oZ a.'tDl�S Owner P,40L 3 IIA4rA 6A ) /44171144— • Phone • 65V 33R• 17 ,1 Address 6.24 l3R S Ro13&-or �v_ /. s/ Legal Description LOf- #/y C51V 7Y 3� ,o /,v o ZZ • �o /y 90- yoo ,t u,, 4W, s��. TZ �^�, R ► 8 w Town of a lit County 57 G t')c- C.S.T. R 7- , Z-2�,37S Installer Local Authority/ Supervision ST PROJECT DESCRIPTION i • e v e w C OA1 rl,?067 oA.) : tr ox 4 pif s&o y .DE s 1 G-,J -1 i t-y IVAS4 104) S y sT�•�i Zl s ��t?G- /lv �� syr,�,o f � ! � A107 - e /� /`l ov vp S /�a� �O F" j 5pp fT /oAJ -- N _�o 2>(sjkVP7 LoE ,4k ih e 57R�c rum So P y ,9 Uihricht & Associates ¢�1 Private Sewage Consultants 2812 10th Ave. c ;; Spring Valley, WI 54767 1)'4 ` c "� �i /✓2S zZCP3�S !/y N ,O t,Pg .1 PLOT PLAN VIEWS `� VPg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS (REVERSE SIDE Q DETAILS INSPECTION PIPES & FABRIC /TOP FILL DETAILS) O Pg.3 PIPE LATERAL LAYOUT (REVERSE SIDE SHOWS DETAILS OF LATERAL CLEAN OUTS) PC DOSING CHAMBER CROSS SECTION & SPECS. g. PUMP PERFORMANCE SPECS (REVERSE SIDE SHOWS PUMP DETAILS) O V Pg.6.OPERATION, MAINTENANCE REQUIREMENTS (REVERSE SIDE SHOWS SITE & SPECIFIC PROJECT DETAILED INFORMATION,UNIQUE TO V LOCALE AND GOVERNMENTAL UNIT AREA) The attached plans and specifications are based on the following approved manuals: "Mound Component Manual For Private Onsite Wastewater Treatment Systems 11 (Version 2.0 SBD- 10691- P(N.01 /01) and "Pressure Di t ' s ribution om onent an C p Manual For Private Onsite Wastewater Treatment Systems" (version2.0) SBD - 10706- P(NO1 /01). r"N Ulbricht & Associates p Private Sewage ConsW#ants 2812 10th Ave. ..° Spring Valley, WI 54767 ,_.. ' a a t n o 0 0 .,, N . o � o C V! J s Z � , W f`ii � Q Q-Z ' ` x r D m f / M Q :13 OM m o w W � 1 O kN 0 . � rn �►� ADO . F5 z or t5 C'RDSS SECT IoXJ OF ICI ouAj D -• w i r ti BeD 0!: v OF % ro Di STI?43uT o ASgecSA = G � rkeCkxJ G 3 Pip 110 Cr f r o s ysrEM o PSc�iL t~ lEV hr io,i U u ` Fo P M TOE { a 1. 3 g E .- � 1 RATIO MEt7. `� - • 9 SAMP /I/ plew6� To p so l' L 1 N i FO RM Z. °10 S IoPE i'oRe Et rVATtCW UA MAW .T> 1. 3 3 F 4 — Ei.EvAr -5 E, � Fr. - ilavERr OF }AT�ERA( 00 F — Fr. • Top of R / 02. 2 .0 G � -� FT• y,t - '� o l �i 1. D �FT. P F I AT R A I S H �- PLA VIEW DF MoujiD -- wirff 13E:D FoRciz MAW /qt � � d F-r. 16' Fr K // Fr -- - - - - -- -- ----_- - h �Z t i _ T k rl Fr r w Sep OF 1 PVC CAPPED To I '" 0 3SERVA'N60 R g9 PEI ATE -j Pipes (2) ?'0 BE Se7 $� OdAl ajE of- C&I/ PERMA,i toT M A eERS ^ RRQt) REf-> BASAL hgeA T �el� C APAei Ty sa. FT. PRn oSE _ f3 A + d f3tts P Aa ARe� - (! I ey Observation pipe Distribution cell 6° 6" Fill material Cover material (ASTM C33, fine ^ aggregate) Tined area <- Slope Force main Figure 6. Crass - section of a Mound System Water tight cap 4" min. dia. Top o leach! n Re r couplings chamber Sloi 6" min. 6" min. 4" mi infiltrative surface Water Closet Collar Bar [318" in_ dia.) Figure 8 — Observation Pipes cyj . 3o C� /f A/W t� = A C C C ) 6/97t e-/f L. 2 �b �i Ila a ' P� 3 co QUTi P ipE - L- AYO(IT C EX) TR AL-. MAC o f Fo c_ D V N 5 r �Z p F r C P nR cE MAi .70 Fr o �•'' pvc y f luc f Q IIARi*Af3LE . T OTAL V(91C) Uo!tortE g�2 S, GAt STAPJcft 3 7oT L lI0 /r�,� N n1E bl IET E`R f�P �A)cHLtS PA INc Nt5 CEA3TRAL MAM%i=ot.D / 6�P tt��NES •�' o�- Noes /p, P� l I•uVERT E LEtlATIo or- L A TE RM 5 .fop �f T��'J�t iNhL c/o b�TW L PER FaR ATE d P� P� DiPiFi �� • � D S r Y 6 Rt MovF ^1{ I)p [309 u i3 RRS ' NotE 5 � oc AT6b o,J [3 ©Ti'OM S'CgOA11Y SpACF L) DisTRi B0'rIO" DISChAR&E RATE FOR EFACh LArf�RI L TOTAL 0 ( STRi bO TIoO I)15cvi^RG PATE PO j � R �JE woR K �''A"�'�A' � �•�' J`'11'NIMVM J Pg. 6 OE 6 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain-'solids in the tank that may 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, Safety and Buildings Division. Puma an The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be Inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic ;other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost, penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual (SBD- 10572 -P (R. 6 199)) 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. Ac openings used for service and assessment shall be sealed watertight u cess unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches n e diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shalt be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. SEE. REVERSE SIDE Pg.6 FOR MAINTENANCE REQUIREMENTS SPECIFIC TO "i'iITS SITE DESIGN, IGN, AND COMPONENTS OWNER'S MAINTAINCE OF SEPTIC SYSTEM ~ POWTS (landowner) is reponsible for maintenance of this system. Regular proper operation and " periodic ins servicing is necessar inspections and for Y th system. The owner a safe healthy operation is required by code to submit all maintenance /inspection necessary reports to of-this control ling,authorities.. SPECIFIC CONTACT AGENTS S/ X C T Y * Governmental authority/ inspectors: zONG. �11�F P 7 . 396• y & go * Licensed installer, responsible for maintenance "Users" manual: Providing an operation/ T X15 ' 77R " 3yyz- I * Licensed service / inspection agent other than installer: 7Y -- r,+7 -U Electrician, for pump, electric controls, wiring units: IMPORTANT OWNER MAINTENANCE RE UIREMENTS 1 • Winter traffic area shall not b permitted, shovelling, etc.) across the not b permitted, or frost can /will penetrate into the cell, f ree z i winter. g up the system. Discontinuos use in the . (a vacaction trip, resulting in no water use) can also lead to freeze ups. 2 • Water conservation needs to be exercised! Or system c hydrolically overloaded and destroyed. an be f designed for a maximum wastewater flow of &0 s sys (000 0 g was gals. daily. 3• POWTS are not designed disposal unit to accomodate wastes from a garbage or any other unnatural sources of waste. Any introduction of such waste materials will overload destroy this system. oad and 4' If a power outage occurs, or a pump fails in a temporar � it maytresult o cell, which may adversely fimpact ethebcell (leakh into the recommended that a licensed pumper empty the dosgng It t allowing the pump o return to dosing the correct amounts. Consult your installer immediately for advice. 5• Neglect of the vegetative cover erosion preventive (the cells insulation & traffic also can destroy lead is failure. Compaction or heavy REGULARLY WATER THE VEG ETATIONOVER m A SYSTEM!! It IS NECESSARY TO the - �Ystem beneath IS NOT sufficient alone t0 Effluent in �� '- ,cover. alntain a 6, Periodic inspections by the owner, or h necessary. Inspection pipes and is agents, is into the system: on the ports have been incorporated inspection mound basal area Pipe (effluent level s) laterals a ' cleanout terminals on the t each tip - for flushin Pressurized out_ The filter system in g and cleaning the laterals ground cover /manhole). Only a tanks (via a locked above Person should be y licensed properly quali6ied & severe sfet performing this work which involves health system's tre�tment cell Eshall c also be regularly laxlly y i nn ps in the ins in Wisconsin Depar went of Commerce SOIL EVALUATION REPORT Page of Dl*lon of Safety and Budidings in accordance with Comm 85, Wis. Adm. n S•7: (Z C t• X - Attach complete site plan of paper not less than B 1/2 x 11 ' V include, but not limited to: vertical and horizontal reference point MI. I.D. percent slope, scale or dimensions, north arrow. and stance to nearest road 32. • /D /y' 9� ` y0 O Please print all i MPS R by Date Personal irdomwtion you provide may be used for secondary Law.:. 15.04 nmrC t)ulll M 2h W u� Py 6 114 S T N R/e E(or) Property Ownses Mailing Address # Block # l a m Subd. l ��� & ' 1/0/ / 9. ZS 3 RAP- sr- / CMy State Zip code Rione Number ❑ city ❑ Mi age JO Town Nearest Roca n �. yoL3 6s/ 339. w R��� �o r 5r. ZI New Construction User Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ PubGc or commercial - Describe: Parent material & E55 5S o ,0.PA_1 y -41S&_ 7i S taood Ptam elevation if applicable tt General aomrnents and recommended=: Area Spot Tested suitable for a mound (RO.W.T.S.) system using sand fill. F /I Bong# ❑ �D.oy z D jK-pit Ground surface stern. ft . Depth to factor Sol Rase Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPM en. Munusell Qu. Sz. Coot Cow Gr. Sz. Sh. •Efi#1 •Efr#2 1 0 • y k 31 G. zfsbk R /)ht c s 3•F Z • 7 D Yle 31 Z- 3 - 7-1 2, /o t fA C' S t F- / • 20 /o YX 5 11Y S/G z,m shx /w - F R- 05 l . . G a "'! • 0 75 �, ,yot�s S'C& 1 h& nn • Z • 3 ❑ .Z Bing # ❑ Boras / 0 0 , 0 Q Pit Ground surface elev. ft. Depth to WON facto G in: Soft Applkadon Rate Horbw Depth Dominant Calm Redox Description Texture Structure Consistence Boundary Roots GPn fP In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •81#2 0• / /12 313 — L 2-f SP / -"' -FR es '3 f . Co 1 13 /o I — / 1 /M fit Q- S .z . �/ 4 3 lo• v Yle Z_ maple eS I mall • 2 / i - ---- -- SAC �:�5 � cwt �!2 GS / f • Co •. 5 1.2 7 S s/ io R G -L SL 4 nM•F',' C 4� . �- . Co 7 -s y �/ C B hors Sc� /�S V-F • 2 `sic 91/ 6! L MN" in = BOD > M < 220 ng& and TSS >W < 150 fnglL • Mxx t #2 - BOD W arid M < M "Q& csr NameR0o �T 2(U'3 2i C tt.� � 3 S Address Data Evaluation Conducted Telephone Number 11,4 • C7 5 - 7 /S • 7 ,). - 3 Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 ORIGINAL I= i WAM Cl mm MER Ulbricht & Associates Private Sewage Consu&ft 2812 10th Ave. Spring Valley, WI 54767 4 0 3 s a o ML �o o 1n 0 0� N C7 . G C 1n G zo 7C-� I O g o A Tj f ` Q 1 \A 0 a ` 784-5 1 3 VOL 19 PAGE 4909 RMISTER OF = ST. CROIX CO. VI RECEIVED FOR W&D ®1/87/2805 04:3WK CERTIFIED SURVEY MAP PAGES: _ .2. LOCATED - N THE WK14 OFTFE't f114 OF I K T2ft REK TOMSV OF KDOEMMCW IC AID Tif SNIi/4 OF THE SMa,/4 OF SECT - MN 33. T29K RJR T' OF - HAMM ; .A DIYTSmN OF LOT 10 OF THAT l ER I it- StRVEY..:i�!{�IP. FILET , IN VdlbE IM PAGE Oft ALL LOCATED DV 'ST, MM C0LNrY. WISMNS3N. 6EARINBS REFERENCED TO THE WEST LDE LE'1;B1tD STEVEN EEF14 OF TIE SMi/4 OF SECTION 31 T29N, RIBM 601 90TH STREET PREVIOU9•Y RECORDED AS AND ASSUIED - INDIC S ECTION CORNER HLUSOK WI. 54016 TO BEAR NDO 0 20 52"W. ® — Z*DICATEB il' ( OUTSIDE DIA. ) *l/4 {DRN[ R. SECTION 31 IRON PIPE FO ND T29V, RUN �' - DEDICATES i' X 18' .( OUTSIOE DIA. ) ( AUK" CAP FOLD) EM P IPE MEIN =1.13 LBS. / LINEM FOOT SET. . - INDICATES 100' BUILDING SETBACK LINE FFM RIGHT- OF-WAY ( 2JM ACRES) -WC - INDICATES EXISTD.6 ORIVBIAY _ INCLtDI G FlMHT--OF -MAY 87.120 §[ FW_E FEET ( -2 A00 ACRES -:) .. . MYT R 'EXf1WING, RIGHT- OF-MAY '�,. EXI8TI*6 .JOW.z ACCESS .^ FROR:: ic(L mew _� t� GEFfiTgI� :SURVEII:.WIP ?8 _ L411tp$ C�SBFD NV cli vaii*E s" Piic `asae m � I � j s�ss.cs • -� • $ $ t ; p 33 i _ aRaro 14 = . i I DWE- t� - airt t� a I i SHED C � } m o Q sECrIaN 31 Ar - I �, sECTlarr LAVE r7: ^ I t"' :v:0 m L� 1� LL'r. Q C1► i o .•i ` Ix ! 45 Z I $ I IFI�O SQUARE FEET Y U z �r i i 2BAw Ebb G�RL� - MAY �D NEW PARCELS w►vE BEEN FATED IN THE TOWN OF E :5�. S73? Yi 4635L' V WARFfN. THE NEW PARCEL. R • 435.36 (: UT -14) IS ENTZREI_Y I m= I F 111to i TFE TOM OF t xlN1mOCINNE. r� t _ i - e ' SW 17''3711 7 V i 27.76_ JOINT i Q LOT 11 1 LOT 12 I C O N c �� D � r` I AY ` ` ��► N SURVEY MAP VOLUME ]S, PAC - X4108. N . Milo c TION s ��jr�'•�• ». 0 NB#, SEC ( i' STEEL SUiVEY 14AFNER SUR` NAIL FOUND ) PREPAMW GRAPHIC -SCALE 1" =200' GiR�4111� S�il?NEYIMC� • 01 400 $00 t�FiM ( 718) 2W7=9 Tm n�srR D Or JOSEPH W. aoe Ha o4�a SHEET I OF 2 NDAO laO 'ldO (131IViSNI 83WO1S(10 A i 0 o w ONl •INIW I CZ Qm O w saw A l ma m no-w za I;I � i;l;fl t�l•I I •,� ;:;•• tL hl 1 III W:D ,I; h,{;lil;l• �I;I I;I,I;11 w� I I'I I I!I I I'1I gLO I� I I �i aA I• I I 1 1 I I yz I;Id = I Utr411 1 50 p '!I I V �m!I!Jtl u Y UF' _ i! I I� AA I '1 ! hl I c a O ` Y O I! I! I f Y cc z �• 'Ill�i I III�I•I�{!h1Y�{IIII � � Y rm I;h{�1�1;1�4I {;i�i�l;l;l ;ll ! IlI!!lI I'!lliutlllhl•hll N I;lil I•I;I;I;I;I;I�I;I;lill; CV 'I!I!i!I I I'I!I•I I�I�I�Il1.1�11 ; i�N f i�l�i 1>7�1 h1�1�f f I� I;I i;1;1 ICI I�I;I�I� {�I;i;l I N l I�I�'i I I!I!Ilidll'I!I i'tlI J I!b(� I'' I�I�I�t'I�I�I�IlIl611 1;1 Q 1 I;I ;I id l ;I� � • !I! !,S IdM °JNI S, Z I' IOjlt{jljli! Oti�j > o ili'Q;�HO;l;l;l;! iy w •1; I; I �{ ; I; I 1 z Op I I IYjI l 14 l 1 III I I' I I III I I H y� I Ilitl l 1!1;1;1 Z w W � / NO w 1 •t I• I I S aSt19 HA ! I! { ! ; Z w � - Jr � a p O j! .'I 0 0 ~- o I; Q �I�I�I 1•I�I�I� . M � , I SSNIIIVH t ;1, 4 !•f�l I � Pt l�hlilllll�hl�{� I• e I;I; �hI I• �` S� - -7 4H O'w09 p r1l O O I- I /] U m Q ¢ z I I 11b21 HS ,\ I CA � 0 W 112m ldl Y m I 14 ---- M O � U) !I '! :1 ° Q W LO O J ih LIJ J = O Ll J 1- Ym O N - Z ¢ z = Cn O z 0 O m �_ w w m F Y 9 z m ~ O Z U) O O.:i p w U W ! = D C� li t- ° m O w Q LL z LL z Q (7 w ° w = 2 U J z m Q > W isvo S Q J a O enl O j ° u' Q N w Q O U) co ' LL IY 0 Y ° p (/) 2 U) � I ' o WHS s o g Z Of U) p J m Q w Ha �O Q =_ Mq� a � z z w z w z w ow I l N l l J °v a z I w - Y (n Y Q a 0 0 ° C `Qpg 00 'o Z) J= (7 1 I C Y rn (D Z (n i�- (n IL Co ST CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P4 U L n K0 5 i L V- A- -- Mailing Address 6 2 ,� 3 s T /P� Properly Address 5 1 A 76 1-k sr' (Verification required from Planning Department for new construction) City /State Parcel Identification Number 02 -2-' -GAL DESCRIPTION rJ I � r r � 2� /d w �1...,.. �n. � i �. K, t Property Location N /s, / s, Sec. , T N -R W, To of i Subdivision , Lot #. Certified Survey Map # 3 . Volume /� . .Page # � 1� 0 Warranty Deed # 793 z-� S . Volume 2 - 7 Z/ , Page # /D Spec house ❑ yes Xno Lot lines identifiable yes ❑ no SYSTEM MA111TENANCE improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance 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 fimction of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masw plumberjoumeymanplumba; restrictedplumber or a licensedpwgm verifying that (1) the on-ate wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above negairements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expirati on d te. ►� OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) lmowledge. I (we) am (are) the owner(s) of the descn'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. 6 SICiI1A;flP �ttiB1'tAiT' D * *• +* Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •� Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed SPARTAN PROMOTIONAL GROUP INC. Corporate Headquarters: Oakdale, MN 711 Hale Avenue North • Oakdale, Minnesota 51 (651) 73� -1333 (800) 441 -1333 • Fax: (651) 7 5 Abe I t ,,7 - ,,, , * F c� pct e, ee cw r+j e /se Y 7% -/72 uJ6 ..4 795 1 24 / 2 8 0 3 P 6 O$ KATHLEEN H. WALSH State Bar of Wisconsin Fonn 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO.. WI RECEIVED FOR RECORD Document Number Document Name 05/1712005 09:15AN WARRANTY DEED EXEMPT # 3 THIS DEED, made between Steven B. Germain REC FEE: 11.00 ("Grantor," whether one or more), TRANS FEE: and Paul C. Kobilka and Harmony L. Kobilka, husband and wife COPY FEE: ( "Grantee," whether one or more). CC FEE: PAGES, 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Name and Return Address Part of NW 1 14 of NW ' /4 of Section 6, Township 28 North, Range 18 West, St Croix County, Wisconsin described as follows: Lot 14 of Certified Survey Map filed VA I January 7, 2005 in Vol. 19, Page 4909, Doe. No. 784513. / Z (� r, O Together With and Subject To joint access easement as shown on said Certified l Survey Map And on Certified Survey Map in Vol. 15, page 4108, Doc. No. 647500. 022 - 1014 - 90 This deed is being recorded to correct the legal Parcel Identification Number (PIN) description in that Warranty Deed recorded in Vol. 2791, Page 104, Doc. No. 793275 This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated May 10. 2005 (SEAL) (SEAL) " * Steven B. Germain (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF ) authenticated on ) ss. St. Croix COUNTY ) * Personally came before me on May 10, 2005 TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Steven B. Germain (If not, authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: A) ' Attorney Kristina Ogland * Virg nia R. Gartman Hudson WI 54016 Notary Public, State of Wisconsin My Commission (is permanent) (expires: January 2Q._10 (Signatures in td or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD F TIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED � 0 AR OF WISCONSIN FORM NO. 2-2003 • Type name below signatures. 3 INFO- PRO"' Legal Forms 800. 855 -2021 www.infoproforms.com VIRGINIA R y GARTMAN b /,,l h 9lF OF W ks hhlt►, 1 - • lr.�t79� P• goy ?932 7 S {{�� pp 1 KATBLEEII K. VMM 1 'Kl�rrh 2b 9 4 RE[iISTER OP DEEDS State "Baro i o si 2- 0 ST. CROIx CO., VI WARRANTY DEED ' RECEIVED FOR RECORD Document Number Document Name 84/27/2M tol1SAN VMM&y # DUD THIS DEED, made between Steven B. Germain REC FEE: 11. flf8 ("Grantor," whether one or more), TRAMS FEBt 183.90 and Paul C Koblike and Harmony L. Kobilka husband and wife CO t ("Grantee," whether one or more). PAGES.- 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum); Name and Return Address Part of NW Y. of NW V, of Section 6, Township 28 North, Range 18 West, St. Croix County, Wisconsin described as follows: Certified Survey Map filed January 7, 2005 in Vol. 19, Page 4909, Doc. No. 784513. Together With sad Subject To Joint access easement as shown on said Certified Survey Map And on Certified Survey Map in VoL 15, page 4108, Doc. No. 647500. UiILL 022- 1014 - 90400 1_ e r Parcel Identification Number (PIN) U-- 2 �� t' � a9ti� ire - 1� Vu�S This homestead property. 2-- (is) (is not) Exceptions to t se en lc nand rights -of way of record, if any. f Dated CIO {SEAL) (SEAL) * * St ven B. Germain (SEAL) (SEAL) • s AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE F UL ) authenticated on ) ss. COUNT ) * Personally came before me one TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Steven B. Germain (If not, authorized by Wis. Stat. § 706.06) to a known to be the pe s) who executed the foregoing ins ac w e e. THIS INSTRUMENT DRAFTED BY: Attorney Kristina (bland Hudson. WI 54016 Notafy Public, rate o My Commissi (is pe expires: ) (Sigpatures may be authenticated or acknowledged. Both are not seceaaary.) TOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO.2 -2003 • Type now below si8ru tuns. TraCy L. Tumer IWO -PRO^' l."W Fomu 800455 -2021 ww WbpmWn.wm Notary Public State of Wisconsin 1 _ u ?4513 VOL 19 PAGE 4909 KATI{= R. WALSH'� - REGISTER OF DEEDS ST. CROIX CO. VI RECEIVED FOR WORD 01/07/2005 04:30PM CERTIFIED SURVEY HAP 19C FF-F! 1'1 Gury FEE: rymc n rn �/ . 00 CER 1,FIE .� SURVEY 1( M PAGES: 2 LOCATED IN THE NWi/4 OFTFE NW114 OF SECTION B T28K RISK TOWN OF KINNICKINNIC AND THE SWi/4 OF THE SWIM OF SECTION 31. T29K RIM TOWN OF WARM BEING A DIVISION OF LOT 10 OF THAT (RATIFIED SURVEY MAP FILED IN VM1W L% PAGE 4108. ALL LOCATED IN ST. CROD( COUNTY. WISCONSIN. OWNER IVIDER BEARINGS REFERENCED TO THE WEST LINE ST EVEN G IN OF THE SWi /4 OF SECTION 31. T29K R18W. 601 90TH STREET PREVIOUSLY RECORDED AS AND ASSUMED - INDICATES SECTION CORNER FWSCK WI. 54016 TO BEAR N00 ( AS NOTED ) _N_ ® - INDICATES 125" ( OUTSIDE DIA. ) W114 CORNER. SECTION 31 IRON PIPE FOUND. T29K R18W - INDICATES r X 18" ( OUTSIDE DIA. ) ( ALUMINUM CAP FOUR) IRON PIPE WEIGHBC 4.1.3 LBS. / LINEAR FOOT SET. INDICATES LINE FROM R GHT- OF-WAY SETBAIX ( 2.128 ACRES) +C - INDICATES EXISTING DRIVEWAY F INCLUDING RIGHT-OF -WAY IN 87.120 'SQUARE FEET ( 2.000 ACRES) NOT TO SCALE EXCLUDING RIGHT -OF- WAY EXIS TING JOI AC CESS LAN DS RlBED 1N F CERTIFIED SURVEY MAP EASEMENT FF04 VOL. %83,1 ADS DESCRIBED IN IN VOLUME a ` PAGE ` 'a ioe cc u- u 3 AAGE 270 _ 1 VOL. I — � 33 00' cu 312 90 .S � 35 � 3E 7 AGE X37 -1 �Z g 8 ` :, I sai 36e.7s m N :�� Y 33.00• OC I a/ 3 SOUT D LII D 4 p p N p p I fn bWEtLING IOt cnl w to C7� L I O 01 _ -cc R i� ZZZ i SHED ol[tA lJJ iG � �� } cc m SE LIME +- 3 3.00' � WE - � � � LOT l� �i o 4 7 ¢� cio53Q ACRES T g 5 a I 89 INCLUDING A79 SQUARE FEET Y U> �� m I 1 Z 0. j ( 10.112 ACRES ) AVM NO NEW PARCELS HAVE BEEN z I 28.18:' EXCLUDING RIGHT -OF -WAY CREATED IN THE TOWN OF 3C : SB9 1737W 46354' WARREN. THE NEW PARCEL 1 43536' ( LOT 14 ) IS ENTIRELY o _ o WITHIN OF d I °j LOTr d � 6 6 L 68134 N w 435.90' 245.44' •, - ---F- S89° 17 - 37"W 709.10' 27.7x_ JOINT AQZ W� i LOT I l �+nPG. E T LOT 12 C O h o g DIMENSIONS) N CERTIFIED SURVEY MAP VOLUME 15, PAGE 4108. f s - - - NEW R1 DI. W1/4 CORNER R ION 6 pi0 ( I" STEEL SURVEY MARKER NAIL FOUND ) GRAPHIC . SCALE 1"=200 ' PAID 8Y. GRAAGERG SURVEYMMG 1236 C.T.H. T 0 200 400 600 NEW .' 54017 PHONE ( 715) 246 -7329 THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRAN BERG •OB NO. 04'053 SHEET 1 OF 2