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HomeMy WebLinkAbout022-1015-30-300 Parcel #: 022 - 1015 -30 -300 04/12/2007 10:15 AM PAG 1 OF 1 Alt. Parcel #: 06.28.18.87D -30 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner ANDREW M &MARY BETH JOHNSON O - JOHNSON, ANDREW M & MARY BETH 561 90TH ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC PAV- Zoo Z Legal Description: Acres: 2.975 Plat: 4166 -CSM 15/4166 FKA 15/4105 SEC 6 T28N R18W SW NW FORMERLY LOT 3 CSM Block/Condo Bldg: LOT 3 15/4105 NKA LOT 3 CSM 15/4166 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 06- 28N -18W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 11/27/2002 700242 2063/273 WD 10/04/2001 658314 1732/242 QC 10/04/2001 658313 1732/241 WD 08/09/2001 653423 1696/636 WD more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: L t Changed: 08/10/2005 Description Class Acres Land / Improve Total State Reason RESIDENTIAL G1 2.975 50,000 I 253,100 303,100 NO Totals for 2007: General Property 2.975 50,000 253,100 303,100 Woodland 0.000 0 0 Totals for 2006: General Property 2.975 50,000 253,100 303,100 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 571 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: _ 420550 0 ' GENERAL INFOF�M%�tTION (ATTACH TO PERMIT) fate Plan I No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 8 I p = /,& . Permit Holder's Name: City Village X Township Parcel Tax No: Morrow, Jason & Jeff Kinnickinnic Township 022 - 1015 -30 -300 CST BM Elev: Insp. BM Elev: BM Description: `79. (O 94•rdo CSi g,M 2 p ticr w� all - Gj , DJv TANK INFORMATION IELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ((�, � 6.(S 1.01 am �� Dosing Alt. BM Aeration Bldg. Sewer f /S. V; ) ,F D- Holding St/Ht Inlet f 5 .ao o• 4 S° qS. TAN ETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air intake ROAD Dt Inlet Septic y � f 1 t Dt 6 t•0 O 9 1 -'t 5 Dosing > I t Z' Header/ [ •22 e l' :T-3 Aeration Dist. Pipe �3p L'S •30 7 .s o ) �(•t'oS Holding Bot. System . ( i 0 3, PUMP /SIPHON INFORMATION F'nal Grade m w4 L( 6a R +„10& IKW - eo Manufacturer 6LL�4- Demand St Cover GPM Model Number (sZ 4 � rt V -% V-_ 1 1-ift Friction Loss System Head T"" ZO -ID Forcemain Lee ( Dia. Lc Dist. to Well SOIL ABSORPTION SYSTEM C1.5 OZ. 0 BEDITRENCH Width Length No. Of Tructial; �� PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / / SETBACK SYSTEM TO P/L lJ, BLDG WELL LAKE/STREAM LEACH G M acturer: INFORMATION CHAMBE R Type Of System: r UNI • >ZO �Za� — DISTRIBUTION SYSTEM "&,I Header /Manifold Distribution x Hole Sizeb N x Hole Spacing Vent to Air Intake w pipes) ! D I '6 Z'5 If 1 1 -engt 1 l a. 0 Di a Z ' Length Zf a Di • d Spacing 3 ' SOIL COVER x Pressure Systems Only xx Mou nd Or At -Grade Systems Only C5 'I" C vD Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes I No L� Yes [ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1 /7 / OZ Ins ct� ion I #2: Location: 561 90th Street Hudson, WI 54016 (NW 1/4 SW 114 6 T28N R18W) NA Lot 3 Pa - No: 06.28.18.87030 r 1.) Alt BM Description = J6- ID'T- r�3rr tr•►w• c� t �, a 2.) Bldg sewer length= 1 t.D - amount of cover = > 4Z 3. Contour = �flZ.D P J Yeses o - -- - - -- Use other side for additional information _ / �— } D i ` Inse ctor's Si nature Cert. No. SBD -6710 (R.3l97) 1. ,� Z p 9 Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 (f F V Madison, WI 53707 - 7162 1 Site Address De artment of Commerce I OA 9's' 11 49 - 4A SF Sanitary Permit Applica k if Revision G t - � Chec PT2 In accord with Comm 83.21, Wis. Adm. Code, personal info ti on y u provide maybe used for Seto sea Privacy Law, s15. 1)(m) r I. Application Information - Please Print All Information i ;`; -y 4 ` °' Sta Plan I.D. Numbe 9 y Z&L- mmc, 1D. Property Owner's Name ;; 1 Number. Property is Mailing Address Property Location V 93 7 1r15 NW -ks S 4; S 6 Ta N, R J E City, State Zip Code Phone Number Lot Number 3 Block Number Subdivision Name CSM Number �lae� is k) fyQ � z, '-OW _5y'q Vat * 1.1* t 41 16 (0 H. Type of Building (check all that apply) �+. S •�9 El or 2 Family Dwelling - Number of Bedrooms 3 S — — .w ❑ Public /Commerc' - Describe Use s++ �iate�"Q+tt� C►w'bx+� I o;l • O $Township h / t �C / ❑State Owned Nearest Road `�' � K 5� � U�t91.J.Kd� c� ♦� tt � �•� � <-{ " `�G�C � �` III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 A New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use System 1 Tank Only Existing System B • ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) �E zw 44 ❑ Non - Pressurized In- Ground 21K Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At-Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min./Inch) Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank AGC / Dosing Chamber 5 I /' X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. P ber's Name (Print) Pl Signatu MW Number Business Phone Number Mitt CS - 5 / l ir M 22 1 z �-Y3I Plumber's Address (Street, City, State, Zip Code) 3 r glier 7, -Z VIII. Coun /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) • - Surcharg Fee) El Owner Given Initial Adverse . it Determination IX. Conditions of Approval/Reasons for Disapproval Affuh . -- �'- complete p om o or the all inches In size s� SB -6398 (R. 05101), _ PLOT PLAN Scale 1" =50 Page 3 of 7 0 6 ,r PU o � Yv or cO�aA �r ` oQ S'rUj 8 3 'J I \ w a `o Z �i �j Z3 -1 - Lam-• 1 Da- �v 1 1tzz j P> ! ! .� Bn -14 1 P V 0— l PF-r w/ LPT'� w�:� To 8� 7 5 0 � rte? 7!%}�vn -- i Lo L We NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with a p p roved 3. Septic tank to be ) 000 /65 o gallon caacty manufact ed r by uir e d). 4. Bench marks S f'�3ou s �. Divert surface water around system to prevent ponding at the uphill side. - Safety and Buildings 4003 N KINNEY COULEE RD REC � LA CROSSE WI 54601 -1831 I TDD #: (608) 264 -8777 ,SCOns n ww www.wisconsin.gov n.gov Department of Commerce NOV 4 0 7007_ Scott McCallum, Governor ST. CF OIX CO3. ;,`" Philip Edw. Albert, Secretary v October 29, 2002 CUST ID No.267341 A7TN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/29/2004 Identification Numbers Transaction ID No. 798418 SITE: Site ID No. 652291 Jason & Jeff Morrow Please refer to both identification numbers, 90th Street above, in all correspondence with the agency. Town of Kinnickinnic St Croix County SWI /4, NWI /4, S6, T28N, R18W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 876761 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • 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. • 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. • Comm 83.22(7) - 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. Owner Responsibilities: • Comm 83.52(1)(a) - 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. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Repo rlbt!l be bitted at intervals appropriate for the component(s) utilized in the POWTS. Co llditllanf,i' r,y APrae r%01!'rr- M 1% U ARTHUR L WEGERER Page 2 10/29/02 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 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART' code: 7633 jswim @commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 • TITLE SHEET Page 1 of 7 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057 P and the Pressure Distribution Manual SBD- 10573 -P C CZ. b lgq� C R. 6 199� LOCATED IN THE SLR 1 /4 OF THE OJLV 1 /4 OF SECTION 6 , T Z?J N, R 18 W, TOWN OF 1-_l i'j 1 j lc_1C.1h1}'j IC , Sr. cy?_u V COUNTY, WISCONSIN. LOT 3 OF- CSm 1IV INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVED OCT 11 2002 N - I E 10 l S `!�_ zlvk-_� Ff �I ,wt Sg0ZLZ SAFETY & BLDGS DIV. PREPARED BY WaCCEF:ZER Si71 L .TESTING AND . DES ? Get S�Ft'�1 S CE P.O. Box 74 421 N. iia i n St. River Falls, WI 54022 ��yro�� Phone 715 - 425 -0165 d Fax 715-425-6864 '•ti,� G9!> P y EUS WOR 1 i. rHxiMEN1 OF COMNILKU DIVISION FETYAND BUILDINGS* SEE CORK DENCE JOB NO. 0 - � 6 Mound System Management Plan page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septid 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 gpeating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The ou et i e s hall be leaned as necessary to e nsure proper operatio 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 113 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. _Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps Aall 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 BODS, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. 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. 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 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 about the operation or maintenance of this system should be directed to: The County Zoning at -- liS— 3�6_.�lba� S�". C�>_Jj�x The system installer at `Z lS _ _SSy.�{ - � The tank manufacturer at X00 =:3 LS _ g S 1AjV T S�T1Z The effluent filter manufacturer at _Ii pw_ 2_z J _ S 7_PB . The pump manufacturer at 7"4 L9 - Z:ff -= I PV PLOT PLAN Scale 1"=50 •Page 3 of 7 0 6 I 36p1ZM �z r) 17Z1V�1 \`1'Ol^�It 15`OF g3 - Z \P G F M • , tp YV 0 C M Ppro- l t - r - o _ �i �•.lu3.ZS' 2 \\ �� \\ N \ C! szo v 1 Vew C e - %P03 6 ' one $ ..i�'C "3C�`lA_ - - - - -- x f Lo T L I )vp lob =v;b� J J NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( 7- required). 3. Septic tank to be f Ooo /65 ogallon capacity manufactured by Vj Oz- S LZ �o�l C� �� - w/ Pt - L oa Z►°� L3 rL 1= �� n4a 4. Bench markg = S f�l3UU y 5. Divert surface water around system to prevent ponding at the uphill side. Page Of ? i - T AST.H C33 Distribution Pipe Medium Sand Topsoil '� H - jG —�� Ab o. u n b 3. Scope Distribution Cell of Force Main Flowed z" to 2- Aggregate From Pump Layer d 1. Ft. E Z -oZ Ft. CROSS SECTION OF A MOUND SYSTEM F 0 -8 Ft. G 6- S Ft. A _ Ft. F. 1 ,u Ft. Linear Loading Rate = -O GPD /IuY FT 8 S 0- Ft. Design Loading Rate =D•39 GPD /cQ FT j 1 Ft. J q Ft. K 11 Ft. A _.'-ion L --1 Z. Ft. t I - Observation Pipe Ae-- �-- - -� 8 - -- --- - - - - -- -------- - - - - -- --- - -- 6 _ _ _ _ dorce F Main W � - - -� -- - N -- - - - -- _---- - cuss �Distrib „ Pipe Cell of to 2 - 2 " aggregate Observation. Pipe (Anchor secarely) PLAN VIES OF A MOUND SYSTEM Distribution Pipe Layout Page of c Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45 fitting to a point within six inches of the final glade. Terminate the ends of the laterals with a valve,:threaded cap or threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. - T`t P L. CZzs s PVC F�1C Lateral Manifo ld Lateral X x x x xfZ I x!Z x x x x Lateral lenath JL Lateral Lenqth — p Distribution Line o- — Tr box S PVC � yid i o -- P Ft. Hole Diameter ) JS Inch - 5 3 Ft. Lateral ) Inches) X 13 Inches Manifold " Z Inches Force Main " Z Inches > of holes /pipe 13 Invert Elevation of.Laterals Ft. 13 u -il S -33 K = 31 6P" Combination Septic; and PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE OF - 7 NEWT CAP WEATHER PROOF JUIJCTIOU BOX . ti C.I. VENT PIPC APPROVED LOCKIMG 1 10' FROM 000? """NHOLE COVER wIV ,huo0w OR FRESH �'`'P`RN1�JG LA.gEL. u PIPE A P IWTAKE cni.�cu�r ' F( Iv LSHfl 6R'^ W • .. ��.. I 7 - � i I - `I MIIJ. G rz..rp IS'I'tli�l.\ ---- - - - - -- + -� PROVIDE I — I)JLET .;�+ AIRTIGHT SEAL Approved Zmil r-wrft A I III Approved joint w/ �}_�gpd I III joint w/ PVC pipe ALARM PVC pipe • I II a I 1 C I I q�.00 F I LLCK T. _ -� PUMP—,_ OFF 0 C ZL gO.Op< CLOCK RISER EXIT PERMITTED OIJLy IF TAWK MAWUFACTURI`R HAS SUCH APPROVAL 3~Rp � B>=t)0 I F+4 SEPTIC F SPECIFICATIOUS DOSE TA Li MALIUFACTURCR. VJV�SZL WUMBER OF DOSES: _ L '' PE.R DAB TAMK SIZE : _ 1OU0 Ij SO GALLOIJS DOSE VOLUME r ALARM MAIJUFACTUR.E.R: s S. 0--QC rVJ SMffL _O_, IMCLUDIMC, 5ACXFL0W: l O Z- GALLONS MODEL 1JUMBER: 1 'J I WW CAPACITIES: A= lg IIJCHE5OR 3D6 GALLDI,IS 1� �0•E JVL SWITCH TyPC: _ 5= 2 IWCHES'OR =' L_ G�ILLOUS PUMP lIAIJUFACTUiCCR: C: IiJCtiES OR �� GALLOIJS MODEL FJUM9ER: D= \I2 INCHES OR �T GALLOWS SWITCH TYPE: ti"1�2�uR -�9 u OTE: PUnP A1JU ALAi�M A TO 6L b MIAIIMUM DISCKAR6E RATE 3�' 9� GPM IN5TALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF A PIPE.. )3 "Z S FEET + MIIJIMUM METWORK SUPPLY PRESSURE . , . 6•SO • FEET - SS FEET OF FORCE MAIN X 2 lq F 00FLFKICTIOLI FACTOR_, FEET TOTAL Oy1JAMIC HEAD = Zu 5S -FEET As per manufacturer. 1`1.0 gal /in. Liquid depth 3� 7 0 7 rI � ME40 Series M "M 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 TOO 350 40 12 35 30 10 in W z 25 8 f Z WW 20 S 6 15 3 t. J F 4 H O 10 F- 5 2 0 0 0 10 20 30 40 50 60 80 90 100 APACITY GALLONS P MINUT 1101 M rs Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/28 Telex 98 -7443 K3326 7/91 Printed in U.S.A. -(5;Q 5 /A 1101 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of D(vWbn of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County S L • C 1 Y ' Attach compl2te site plan on paper noGless than $ 1/2 x 11 inches in size. Plan must � lX include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. NDk& 1D)!U G percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. a wed by Date Personal infornation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). U ((, /O Property Owner Property Location ��L-r Z Gout._LoL S 113 1/4 N W 1/4 S 6 T Z Fa N R $ E (or nW Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P -o _ $QX Z Z — E 01 g•/�. City State Zip Code Phone Number ❑ City ❑ Village Z Town Nearest Road sr. t'cv L I )- ti I 53 0 - 1 s ( 6 l Zo Z3 - ! 0 8 - 7 1 1�M l C 1Z 1 tJ 1 j ! C q Q� `R+ ST- ®, New Construction Use: ® Residential / Number of bedrooms — Lj— Code derived design flow rate 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material L • Flood Plain elevation if applica General comments and recommendations: b�S`C12LB3 J72 0V L`07 -L, V a Boring # [] Boring ® pit Ground surface elev. l �J \ • S ft. Depth to limiting factor 1 r Spi plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bou iR ots' GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1- 0 - l bLI 11 Cz - 2 - 8 -) tio �rz 3« - S1 I Z�s mss cS — s _ s3 Y$ Z? - SY23ZY I 1CSbV' wtV 4 IZSl3 a Boring Boring # ❑ IoZZ ® pit Ground surface elev. fL Depth to limiting facto `u in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 0- q \ o `-t �Z 31 ?- — S I, i z Fsb k yn t - 0-S _ . S 'E Z q - lo Lt 231 - sl.'I Z� s6Vc cS 3 2.q-3 S'f VZ A ' Effluent #1 = BOD > 30 < 220 m S >30 < 150 m ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si re CST Number Arthur L.• Wegerer ,7. 01 - 220254 ' Address W e g e r e r Soil T e s t i �6De�sign S e r � 7onlucled Telephone Number 421 I1. Piain S t . River Fal 01 715 -425 -0165 Property Owner L Parcel ID # E)"M h► G Page Z of 3 Boring # IN Boring it Ground surface elev. »� a ft. Depth to limiting factor Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 t u - I q v- ':� ! Z - si 1 - z4 aS k vvef • 0-S .S 16 . 3 z l -i6 �,Stiiz cllG �- �.�k2s1O s�c� 1.�.s1�+ -� rn.`P►- . �.. .-3 F H - 1 B oring # ® Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor l S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eft#2 o -g lufVV 3 cZ 2 $ -LS lOk231L - sl ( Z`Fs6k ►n` - lS OLIP -V/ - ).SLl 2 S sit �n-SUk F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fN In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 , •Eff#2 • Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R6W) I wI PLOT PLAN Paoe - of 3 ` Scale 1'= CM CP � co�..� -pu�z �!. ►OZ.p � � � Q 11 j -Ok-- 32 Lo / Low � VZ--. ° i ° �.t.- ' 0�1 S K V+LG I+ , 3 1V 1 f l�l t4. PVC PI Pe WlLIT14, -: - 2 u�.�.g' 1'p Q r �u LbT 2- M - -- r I � �. S 715 - 425 -0165 220254 O1 ST —� 3 v CST Signature Date Telephone Ido. CST No. Job NO � - ,w«uu. -..e .u..w .........:.... ..•.. _..:�:... +.Y.�IYr.MW.h- rrrYr...._... .,.,......w.: rrfl /!R'rMi.w.,ulIY.�IrrrW.... .... . ST CROIX COUNTY SMITIC TANK MAHMNANCE AGRUEMENT AND OWNERSIIIP CPRTIhICATION FORM Owncr/13uycr =� Inc Mailing Address /D 15-- Props ty Address �-�— (Ycrifica(ion required from Ph=iat Dcputment for new eoastmcaon) C ity/"3(atc Paxel Identification Number T .XGAL I)CSCRIPIxON Property Location n1�.� �, �$W %, SOC J T, &_N -R W, To of Subdivision Lot # - CatWed Satvc3' Map," Volume }g it _!:=f /C Watrantp Deed ff Volume ./2 ?? - Page # cps/ — Spec house ❑ yes Vno Lot lines idefifia6lc Yyes ❑. no SYSTI VL to NCL . Tm , ��s9'�ooalda-sattmia .. _ .., • :. - ConTIstsof cut fohandiewasf�s.Propermax caa-:ff m � CMY d= YC= oe coon; if b=dol by x 1i�oensedpam Wldt you pa t.into t0 system scptuc i +5 : ctTe I t the W$Sf e & ** iyrkc L Ile PAY owner agrees to CdM to SL ( 'ix 7aeiM D k boa form, signed by the ewam and by : is 7 ap lamb tWnbW,restrictodpaoc arrAC Wdp=P.= vadm fut(1)&ConaiicWLOCwatcr&posalty t= Proper opaafing Condition and/or (2) aRcr kqxcdoa and pm*g C¢' .). tile scptbctU&-is I= fhaa 1f3 full 0f'sladgc,. Ywc. tmaigacd 6av+c tad the abomc Wqd=m=ft and to lfir at focift, . ors set by the Dgpnmict of and t o Pam sew-v disposal tystcm with the daadaids the Y c Uegz�ncat of Named R�esoca+oeS. State of Whmooasia.- t�tb"fCafion tys-Cat hu been makf1incd mast be Completed and MUM& to tic St. Croix Comiy Zoning Office within. 30 dxyr of dLc an= year c TImtioa date. Si TUBE OF APPLICANT Iz /o_L DATE OWNM.0 R—IMI ITON 111C t (WC) Certify that all it tests on this al is fo am trno to the best of ray (our) hhowto*. I (we) am (arc) the owna(s) of Pivlxfy dcscribcd about„ by virtue of a warranty deed tnoordod in it*Vcr of Doody 011ice. ITWm TUu OF APPCICANT�— / Z /a DATE • • • • Arty infOn=tioa that Is mis4c{mxcntcd may tcu t in the tanittry pe it being tCVOiccd by the 7Aniag Department. • • • • • • • • Iadade w'(tx (tds aPPticattoa: a etampod waranty dood f mm the Itagistcc of hoods otlioe I copy of the acGod tuntey trap if ttifcrenoe is trade in the warranty dcod a i w 1732PAGE241 658313 • STATE BAR OF WISCONSIN FORM 1 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS St. CROIX CO., WI This Deed, made between Frederick G. Lenertz, a/k/a Frederick RECEIVED FOR RECORD G. Lenertz, Sr. 10- 04 -2401 9:30 AM WARRANTY DEED Grantor, and Jeffrey Morrow and Jason Morrow, d/b /a Morrow EXEMPT 0 3 Builders CEP•T COPY FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 11.00 — - — PAGES: I Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is lease attach addendum): LOTS ONE (1), TWO (2) AND CERTIFIED SURVEY MAP IN V OLUME FIFTEEN (15 OF CERTIFIED SURVEY MAPS, Recording Area PAGE , AS DOCUMENT NUMBER 656071 FILED IN ST. CROIX Name and Return Address COUNTY REGISTER F F[CE O EPTEMBER 6, 2001, Steven B. Goff, Attorney at Law BEING LOCATED IN THE SOUTHWEST QUARTER OF THE PO Box 167 NORTHWEST QUARTER (SW] /4 OF NWl /4) OF SECTION SIX (6), River Fa11s, Wl 54022 TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC (This is a deed given to correct a conveyance.) 022- 1015- 30 -M Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (W (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements and restrictions of record. Dated this 28TH day of September 2001 + Steven B. Goff, Power of Attorn4W4ederick G. Lenertz AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss. St. Croix County ) authenticated this _ day of , / Personally came before me this >14 day of September _, 2001 the above named Steven B. Goff, Power of Attorney for Frederick G. Lenertz TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me know to t* 7$on(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instfuntm and ackriMped the same. TA THIS INSTRUMENT WAS DRAFTED BY • t ` K Steven B. Goff, Attorney at Law Not uXil' StateEdj,Wisconsin River F alls, WI 54022 My [,oif ii permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of persons signing in any capacity must be typed or printed below their signature. wdmnat on Pro esnbne s Compan Fong au lx wt STATE BAR OF WISCONSIN ��� eoosss - 7024 WARRANTY DEED FORM No. t - 1999 ■ w l�l w 0 W Q a O G] W cr o w O U Z CD a�0[tiOC�w W � N � ¢� z W 8 z V C 6 ���ti�p � o q g z WC.�t1D�OG � ? 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CONSULT FACTORY FOR SPECIAL APPLICATIONS J • Tinted dosing panels available. • Electrical alternators, tot duplex systems, are available and supplied with an alarm • Variable level control switches are a vaila ble for controlling single phase =Ysterrn• l • Double piggyback variable level float SwitMOS are available for variable _ level long and short cycle eonbols. • Seated Qwik Box available for txrhloor Installations. See FM1420. • Over 130 "F. (60C.) special quotation required. 152!153 Well D"a" t�88-5}� !In t 115 , 1 E 152 115 Induced 2 or 3 f �{� � ' E152 230 1 NM 4.3 1 7 a 3 'i +a I �, r. SE162 230 1 Auto 4_1 tnck&d 2 a 3 1�7 116 1 Non 1 Z ar 3 SN153 115 1 Awe to 5 Includod or a $ELECTION GUIDE E1S3 _230 1 f6 fi3 1 Y 2 or3 6Et53 230 t Auto .' ed 2 c 3 1 • �k p�ybook voW*Av level fleet wAch or double piggyback variable level float wAch. Refer to FM0477. a CA 2. gee FW712 for comet model of Electrical Alternator E•?ak. An insWlWon of convoks, wotactloa devices and wiring should N oone dy a gwmea 3. vai iWe I*%* control switch 10-0225 used as a control activalor, spccity duplex (3) acensad ekcutclm. Ali electrical and eakly *Odes should be followed Includiig the most aecerd Nrrtivnar oscine Coda (NEC) end the Occupadand SoWy and hassle Act ("HA). or (4) Mat System. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered Into the design of every Zoeller pump. _ I(A1L TO P.O. BCVk reSr • • LOUiavma, KY 402 To. 3 !R7 Mara,(adways Of.. O 9NlI . Q4O l :ne LoukvYb .KY402Ai1 nropoywWw z o.n r mow,: PL/A fiW !O. /3021 ntl Y7Jt g ru�rP PAX (�i71I 77( V8 © Copyright 2000 Zoeller Co. Ale rights reserved. e g