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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 479396 0
GENERAL INFORMATION State Plan ID No:
Personal information'you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j.
Permit Holder's Name: City Village X Township Parcel Tax No:
Richie, Brian & Helen I Kinnickinnic, Town of 022 - 1030 -95 -000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
/ p CS ?' 1 11.28.18.168A
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic , 3 Benchmark
Dosing �laT Alt BM / 1 Z 99• / O
b � Bldg. Sevlpr
Holding St/Ht Inlet 9 X0'3
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic � d , Dt Bottom 1 Z
-- z -9
Dosing 7W' Zd 1 ` Header /Man.
3.75 /62.35
Aeration Dist. Pipe
- rsZ. i7
Holding Bot. System
X 7.5
Final Grade
PUMP /SIPHON INFORMATION Z•75 �� 3S 7
Manufacturer Demand St Cove, • ( 9 k
GPM 1i ,-I
Model Number ZZ• Zq C ow a - ev f 5 ' Z 100.
TDH 1 1_1f;-, , 45 Friction Loss System Head TDI:i, t
Forcemain Lengtt / Dia. Zi i Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS r _ e
SETBACK SYSTEM TO v � P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: 1 1.5 , " � /_/I / / UNIT Model Number. v N �I[.`i�►
DISTRIBUTION SYSTEM 64
Header /Manifold i t Distribution C 3 i I x Hole a 11 I x Hole Spacing Vent to Air Intake
Pipe(s) //� �j ^� �✓
Length,_ Dia 1 L Length 65 • `� Dia ` Spacing v
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Syste Only
Depth Over / Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil ,� = es ( No
[] No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: A / /� / 0 S Inspection #2:
Location: 1335 Christie Court River Falls, WI 54022 (NE 1/4 NW 1/4 11 T28N R18W) NA Lot 4 Parcel No: 11.28.18.168A
1.) Alt BM Description = fu C_ Go )� I �� 0I
2.) Bldg sewer length = "Z0 I
- amount of cover =
Plan revision Required? R Yes , o 0 / ?
Use other side for additional information. I__. � =_1__! J _ ! — —
Date Insepctors onatur Cart. No.
IlL
SBD -6710 (R.3/97)
Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162 St. Croix
is Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.)
consin
Department of Commerce (608) 266 -3151 7 / q 3�l
Sanitary Permit Application State Plan I.D. Number Y �
In accord with Comm 83.21, Wis. Adm. Code, personal information you prov5dtl\ J / 6 Z Z' g 3
may be used for secondary purposes Privacy Law, sl5.04(1)(m) Project Address (if diff c ent tha mailing address)
I. Application Information - Please Print All Information Q �� 1 3
JS
It Ir
Property Owner's Name IL . " Parcel # Lot # Block #
Brian & Helen Richie
Properly Owner's Mailing Address
1352 Bartosh Lane NE NW
' /,,
%, Section 11
City , State Zip C r YA
R ver Falls, WI 5402 7O INS F I 28 ,) A(circleone) �
T R v r ✓
H. Type of Building (check all that apply) nn g w i Seilyd+visiarrl�lame SM Number
a 1 or 2 Family Dwelling -Number of Bedrooms 4 /9 P 9 /z
Public /Commercial - Describe Use
❑ State Owned - Describe Use ❑City ❑village Efrownsh of Kinnickinni
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A, 0 New System ❑ Replacement System Treatment/Holdin Tank Replacement Only ❑ Other Modification to Existing S
P Y ❑ g P Y g stem Y
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
IV. Type of POWTS System: Check all that a 1 I
❑ Non - Pressurized In- Ground 0 Mound > 24 in. o f suitab soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑
Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line vel -1 ❑ Other (explain)
V. Dispersal/Treatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal ea Required (sf) Dispersal ea Proposed (sf) System Elevation tD .
600 0.4� 5 i�Lt (, p �1 1I 600 SUV 600 ( 566 101.5
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank 1200 1200 1 Wieser x
Aerobic Treatment Unit $/ , T
Dosing Chamber 800 1 800 11 Wieser x
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signatu MP/MPRS Number Business Phone Number
Roger Nelson MP226497 715 - 273 -4444
Plumber's Address (Stmt, City, State, Zip C
122 East Summit Avenue Ellsworth, WI 54011
VII oun /De artment Use On
Approved El Disapproved
Sanitary Permit Fee (includes Groundwater Q Issued suing Agen Signature PS)
�) t
Surcharge Fee)�
El Owner Given Reason for Denial J� S
IX. Conditions of Approval/Reasons for Disapproval
T -
ffl nt filter and !/N
1 Septic tank, e ue t�J1.e ���
dispersal cell must all be serviced / maintained ,] V ac,� -
as er management p lan p rovided b lumber.
P 9
p P YP
2. All setback requirements must be maintained
as per applicable code /ordinances.
Attach complete plans (to the Cons o ) or the system p r than 8r a 11 inches Insize
C A_0��
SBD -6398 (R. 01/03)
Brian & Helen Richie
1352 Bartosh Lane
River .,Falls, WI 54022
NE%,NW%,SII,T26N,R18W N
Lot #4
Kinnickinnic Township
St Croix County
Scale P' = 40' �.
Weiser 12001800 tank
BM #1= 100.00' top of Survey iron
35' of 2 "force main
� r
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R 6�,���
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00
i
Page 8 of 8
Y : ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
" Hudson, WI 54016 -7710
(715) 386 -4680 • Fax (715) 386 -4686
EROSION & SEDIMENT CONTROL PLAN Parcel #11.28.18.275B -10
Site: 1335 Christie Court, Lot 4 ( Kinnickinnic Twp.) — owner (s) Brian & Helen Richie
Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion
prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit
applicant and/or landowner to follow erosion control procedures and maintain them until the site has been
stabilized.
The owner is responsible for notifying all contractors performing construction on this site that an Erosion &
Sediment Control (ESC) Plan is in effect and the following activities will be required in order to maintain
compliance with the plan:
1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any
soil stockpiled until final grading and stabilization has been completed. Septic system installation adds to
temporary disturbance, but establishing cover on exposed soils will prevent erosion. Schedule application
of seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize
sediment movement. Surface drainage is easterly toward wetlands along the Kinnickinnic River, with >100
feet of buffer between the 75 ft. OHWM setback and the construction site.
2. Route contaminated runoff into vegetated buffer areas on this parcel by creating temporary diversions
graded ALONG CONTOUR between excavation areas and any potential receiving waters (this includes
wetlands and road ditches). Do not allow diverted runoff to be directed onto neighboring properties. (See
specification sheet for temporary diversions provided by Zoning Dept.)
3. Straw wattles, silt fence, or other approved sediment control products must be installed west of the
property line shared with lot 3 to intercept runoff originating on owner's property (in addition to any
temporary diversions and vegetative buffers). Sediment controls must be installed prior to excavation for
foundation. 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.
4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy
equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property
during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach
waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple
access points and sediment tracked on public roadways must be removed at the end of each workday.
5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do
not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If
weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until
grass /vegetation can get established. Erosion control matting can be applied any time of year and, if
installed properly, will provide protection even if seed germination is delayed.
The owner of record during site construction will be responsible for compliance with the ESC Plan. Please feel
free to contact me with questions regarding erosion & sediment contro latio
Prepared by: Pamela Quinn, Soil Erosion Inspector #665054
Owner acknowledgement of ESC Plan requirements:
� a,41 �UL�y�
L
789 I c"" I
VOL 19 PAGE "4944
KATALEER H.
REGISTER OF DEED -
CERTI FI E10 S V RVEY MAP RE I VED CO. VI
RECEIVED FOR kECORD
LOCATED IN PART OF THE NE 1/4 OF THE NW 1/4 03 / 68 / 2 "5 11 s0QlAM CERTIFIED SURVEY MAP
OF SECTION 11, T28N, RI 6W, TOWN OF R OO ECC Y F F s EEEfi
KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN COPY 3
BEING PART OF LOT 4 OF CERTIFIED SURVEY
MAP RECORDED IN VOLUME 10, PAGE 2861.
N ° r ' OWNER SURVEYOR
� �o r LEE CHRISTIANSON EDWIN C FLANUM N 1/4 CORNER
1 0' 2037 50TH AVENUE NORTHLAND SURVEYING, INC. SECTION 11 •
BALDWIN, WI 54002 P.O. BOX 14
Cr � I ROBERTS, WI 54023 ST. CROIX COUNTY ZONING OFFICE WILL
o r REQUIRE A STOAMWATER &EROSION CONTROL
w �� °O '� dOU' �3 C?o�oG�iII° PLAN BE SUBMITTED FOR EACH LOT PRIOR TO A
\IOI�° � P ®o �C�9 `UNITARY PERMIT BEING ISSUED. CONTACT THE
s till �- - - - - ZONING OFFICE AT 386 -4680.
Q Q 1 S69 ° 41'17 "E (S89°41'25 �M (S89°5605"W 729.19 FENCELINE IS 1.2 FEET
z al 1 33.24' ( N89 °66'13. 729.37 WEST OF LOT CORNER
w _
385.08' 344.29'
c j 4 5 r 1 WETLANDS
4J� Boa ' LOT 1 LOT 2 -
0 2.01 Acres 4.23 Acres I I
87.781 sq. ft �y 184.351 sq. ft � /
r ( o
°I VI u`� N.B.A.- 1.O AC.
Q �l l I $ L.B.O. = 963 oot
s^ pR E �' BENCHMARK
�I Off At 2 o _ 70P OF REBAR
J/ N7 JbIN� ... • . ELEV. =972.33 .:. is` ,
C - 0 �0 1 W L 1g5602*yy -QRI �� 'Vim} �� ♦ \ N
ti 9 r 6D 7s'
__ 1 \ �O0 ti
0
Z Ea / 6�✓ / b ��2� `� C� �P W
P TO tEO °01'04 "E 518.39 A�? TH
PUBLIC 160 t�
j ai /
14N,
/33' 33' ? ..•........ ,e. -• '' �� - 2 2
o' ��'` / :LOT 4 �d BENCHMARK ,lra `. w
�� // d/ / 2 /� 203 Acres vt TOP OF REBAR F'::. r ��
/ i 88,291 sq. ft
3 > ELEV.
/ LO" 3 �
427.Acres v -
sq. MAR 0 8 2005
It.
DEDICATED TO 1.0 A
THE PUBUC If not nacoroea Wltflin 3N Oi
560.36 > da t rA d A op rod OW 255.72' 9727 463.08'
S09 °4 02 6
MIE migoompolp
s / LEGEND 314"X 18" IRON REBAR SET WEIGHING m
f ALUMINUM COUNTY SECTION 1.50 LBS. PER LINEAR FOOT
CORNER MONUMENT FOUND 2GS
............•• • ROADWAY SETBACK LINE (AS SHOWN)
1" STEEL SURVEY MARKER NAIL FOUND
(2.0 AC.) NET BUILDABLE AREA
1" O.D. IRON PIPE FOUND S CORNE
12' WIDE UTILITY EASEMENT
PROPOSED DRIVEWAY LOCATION SECTION 11
- - - - -
L.B.O. = 963 LOWEST BUILDING OPENING ELEVATION _ 20% OR GREATER SLOPES
CURVE DATA TABLE ( ) PREVIOUSLY RECORDED DATA
NUMBER RADIUS CENTRAL ANGLE CHORD BEARING CHORD LENGTH ARC LENGTH TANGENT IN TANGENT OUT
1 233.00' 10°4433" N54°29'38.5"W 43.62' 43.89' N49°07'22"W N59'51'55
2 659.13' 17°01'56" N18'44'56"E 195.22' 195.94' N27'15'S4"E N10'13'58 'E
3 692.13 17°10'09" N18 °49' 02.6 "E 206.63' 207.40' N27°24'07"E N1p°13'S8"E
4 2200.61' 2 °54'47" N08'46 "E 111.87 111.89 N10'13'58"E N07 'E
5 2233.61' 3 1 01'02" N08°43 117,61' 117.62 N10 N0r1258 "E
6 80.00' 65'38'17" S46 86.72' 91.65' S79'46'02"E S14'0745 E
7 80.00' 245 ° 38'17" N43'03'06.5 "E 134.46 342.98' S14 ° 07'45 "E N79'46'02"W
8 80.00' 82 °05'57" S55'10'43.5 "E 105.07 114.63' S14'07'45 "E NBW46'18 "E
9 80.00' 79'47'22" N43'52'37'E 102.62' 111.41' N83'4618 "E NO3'58'58"E
10 80.00' 60 N26'03'54.5"W 80.11' 83.91' NO3 ° 56'58 "E NW08
11 80.00' 23'39'17" N67'5V23.5"W 32.79 33.03' N56 N79°46
THIS INSTRUMENT DRAFTED BY SAM ADAMS JOB NO. 04-47 DATE 10 -19 -04 SHEET 1 OF 3 SHEETS
Vol 19 Page 4944
Safety and Buildings
4003 N KINNEY COULEE RD
commerce.wi.gov LA CROSSE WI 54601-1831
1 831
i TDD #: (608) 264 -8777
�scons i n www.commer isco govsb,
www.wisconsin.gov
Department of Commerce
Jim Doyle, Governor
Mary P: Burke, Secretary
August 05, 2005
CUST ID No.226497 ATTN.• POWTS Inspector
ROGER D NELSON ZONING OFFICE
NELSON PLUMBING ST CROIX COUNTY SPIA
122 E SUMMIT AVE 1101 CARMICHAEL RD
ELLSWORTH WI 54011 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 08/05/2007 Iderztificat6n Numbers.
Transaction ID No. 1162283
SITE: Site ID No. 702562
Brian& Helen Richie Please refer to both identification numbers;
Cemetary Road above, n all cgrres of dence with the a enc
Town of Kinnickinnic
St Croix County
NE1 /4, NW1 /4, S11, T28N, R18W
CSM No. 226900; lot 4
FOR:
Description: Proposed Three Bedroom Mound System
Object Type: POWTS Component Manual Regulated Object ID No.: 1032247 ,—
Maintenance required; 600 GPD Flow rate; 30 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); 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.
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.0 1 /0 1).
• The pressure network is to be constructed in accordance with publications SBD- 10706- P(NO1 /O1) "Pressure
Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the
sizing methods of publication "SS WMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS
(01/81)"
• 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 POWTS 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.
• The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil
compaction in this area is prohibited.
• A state approved effluent filter is required. Mainten cgWftl�ian must be given to the owner of the tank
explaining that periodic cleaning of the filter is re, a ec®ss to t6 filter for cleaning must be provided
per Comm 84 product approval conditions. f " l �t l ��
PROVEED
HPARTMENT OF COMMERCE
M%firinkt nc QALCTV A — enn nit—
ROGER D NELSON Page 2 8/5/2005
• Comm 83.22(7) - A copy of the ap rp oveMans 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:
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval.
• 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. 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.
• 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
Gerard M. Swim
POWTS Plan Reviewer - Integrated Services
(608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSN1ART 7633
jswim @commerce.state.wi.us
cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: Richie 4 bedroom Mound system
Owner's Name: Brian & Helen Richie
Owner's Address: 1352 Bartosh Lane
River Falls, WI 54022
Job address: Cemetery Road
Legal Description: NE1 /4, NW 1/4, S 11, T 28 N, R 18 W
Township: Kinnickinnic
County: St. Croix
Subdivision Name:
Lot Number: 4 Block Number:
Parcel I.D. Number:
Plan Transaction No.:
Page 1 Index and title
Page 2 Data entry
Page 3 Mound drawings
Page 4 Lateral and dose tank
J,E Page 5 System maintenance specifications
Page 6 Management and contingency plan
Page 7 Pump curve and specifications
�5���,C�t��►S Page 8 Plot Plan
SAFE
Designer: Roger Nelson License Number: MP 226497
Date: 07/26/05 Phone Number: 715- 273 -4444
Signature:
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)
t
Version 4.0 (R. 04/03) Page 1 of 8
Sr:'c CQi�i l_S P3 [TEEN
Mound and Pressure Distribution Component Design
Design Worksheet
Site Information
(r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a
400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment fpr fecal
1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches.
600.00 Design Flow (gpd)
6.00 Site Slope ( %)
101.00 Contour Line Elevation (ft)
30.00 Depth to Limiting Factor (in)
0.40 In -situ Soil Application Rate (gpd/ft)
Distribution Cell Information
67.001 Dispersal Cell Length Along Contour (ft) = 8.96 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd/ft)
1 I 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) a Center or End Manifold
2.99 Lateral Spacing (ft) If N above, enter the elevation (ft)
3 Number of Laterals of the highest point.
0.125 Orifice Diameter (in) (e.g. 0.25)
3.75 Estimated Orifice Spacing (ft) = 11.12 ft /orifice
2.00 Forcemain Diameter (in)
35.00 Forcemain Length (ft) Does the forcemain drain back? Y
90.00 Pump Tank Elevation (ft) Enter Y or N
�L 6.50 System Head (ft) x 1.3 5.71 Forcemain Drainback (gal)
11.17 Vertical Lift (ft) 40.04 5x Void Volume (gal)
0.39 Friction Loss (ft) 45.74 Minimum Dose Volume (gal)
18.06 Total Dynamic Head (ft) 22.24 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25 x
1.00 x x 1.50 x x
1.25 x 2.00
1.50 x 3.00
2.00 x
3.00 x
Gallons /Inch Calculator (optional)
Treatment Tank Information Total Tank Capacity (gal)
1200.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Weiser 800 - 325 -8456 1 Manufacturer gal /in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
800.001 Dose Tank Capacity (gal) JZabel 1- 800 - 221 -57 42 Filter Manufacturer
22.24 Dose Tank Volume (gal /in) A100 Filter Model Number
Weiser =Manufacturer -
Project: Richie 4 bedroom Mound system Page 2 of 8
Mound Plan View
..........................
... .................................
1/10 B . 3 J Observation Pipe • . . . . . . . . . . . . . . . . . . . ... . . . . . .
A
.01 . . . . . .
W
. . . . . . . . . . . . . . .
..........................................
.........................................
.................... ... — ... I
..... ...................................
............... ............
. . . . . . . . . . . . . . . ................. . . . . . . . . . . .
............ ........................... * .
.........................................
... I .....................................
.........................................
........................................
:-�–
L 0
Mound Component Dimensions
Down slop a toe extension made.
A J 8.96 ft El 12.45 in H 1.00 ft K 7.56 ft
B 67.00 ft F1 9.00 in 1 13.43 ft L 82.11 ft
D
4.45 26.84
A6.00 in G 0.50 ft Eilft W Eaft
600.32 (ft) Dispersal Cell Area 1 1500.001 (ft) Basal Area Available
8.961(gpd/ft) Linear Loading Rate 1 6.70 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 103.25 (ft)
............ I --- 2
. 1 G H
....... ........ ** . .....
F Dis 1 102.00 (ft) Lateral
C
persal C . . . . . .
....... ......
101.50 (ft)--10- . ....... .... Invert
Dispersal Cell 3[ . . . . . . . . ..........
D
Elevation E
............. ......... .......... ...
............... I ........................
.............. ......... .......... ....
.........................................
............... ......... ... .....
.........................
............... .........
................ ----
4
4
101.00 (ft) Contour Elevation
6.0 % Site Slope Geotextile Fabric Cover
Shading Key Dispersal Cell See lateral details on
Page 4 for number, size,
0
F/ Subsoil Cap 7� Z 0 and spacing of laterals. • ASTM C33 Sand
. . . . . . Topsoil Cap 1.5 ft Cd r,
Laterals are equally
F
® Tilled Layer 0.5 ft i t r spaced from the
distribution cell's
centerline in the
Aggregate 0 9 --�—
distribution cell (AxB).
Project: Richie 4 bedroom Mound system Page 3 of 8
End Connection Lateral Layout Diagram
Center the laterals over the A & B dimension •= Turn -up oW bal I valve or clean outplu g
P ,l
All laterals are identical IE >C ill Holes drilled on the bottom of the lateral 3
equally spaced
Laterals & Force main of PVC Soh 40 S
(per COMM Table 84.30 -5J
Force main connection via tee or cross to maniFold at any point.
Number of Laterals 3 Orifice Diameter 0.125 in
Lateral Diameter 1.00 in Orifice Spacing (X) 3.85 ft
Lateral Length (P) 65.45 ft Orifices per Lateral 18
Lateral Spacing (S) 2.99 ft Orifice Density 11.12 ff /orifice
Lateral Flow Rate 7.41 gpm Manifold Length 5.97 ft
System Flow Rate 22.24 gpm Manifold Diameter 1.50 in
Total Dynamic Head 18.06 ft Forcemain Velocity 2.27 ft/sec
Dose Tank Information 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.
--ii --
Tank component is properly vented F— Alternate outlet
location
Forcemain diameter
Weiser 800- 325 -8456 Manufacturer 2 in.
Cap acityl 800.00 Gallons
Volume 22.24 gal /inch A
Weep hole or anti-
Dimension Inches Gallons B siphon device
A 21.91 487.38
B 2.00 44.48 C Pump off elevation (ft)
C 2.06 45.74 90.83
D 10.00 222.40 D
Total 1 35.971 800.00 iF
Do, se tank elevation (ft)
3" Bedding un er tank. 90.00
Alarm Manuafacturer IS. J. Electro Systems
Alarm Model Number 1101 HW
Pump Manufacturer JGoulds
Pump Model Number PE 41 �—
Pump Must Deliver 22.24 gpm at 18.06 ft TDH
Project: Richie 4 bedroom Mound system Page 4 of 8
Mound Svstem Maintenance and Operation Specifications
Service Provider's Name Installed by Nelson P lumbing Phone 715- 273 -4444
POWTS Regulator's Name St. Croix County Zoning Phone 715 - 386 -4680
System Flow and Load Parameters
Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L
Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L
Soil Absorption Component Size 600.32 ft 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 eve 1.5 years
Moundl Inspect for ponding and seepage once every 3 ears
Other
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: Richie 4 bedroom Mound system 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 (01/81)] 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 fitter 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.
Continoency 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: Richie 4 bedroom Mound system Page 6 of 8
. � (g j GOULDS RUMPS
Submersible
Effluent Pump
PE
SPEK7FICAnONS MOTOR FEATW ES
Pump — General: General: ■ Corrosion resistant
• Discharge. 1'h" NPT • Single phase construction.
• Temperature: 104•F (4Q.QQ • 60 Hertz ■ Cast iron body.
maximum, continuous when • 115 volts ■ Thermoplastic impeller and
fully submerged. • INA-in thermal awdoad pro- cover.
• Solids handling: tection with automatic reset. 9 Upper sleeve and lower
maximum sphere. • Class B insulation. heavy duty bail bearing
APPUCATMNS • Automatic models include a • 0ibfilled design. construction.
float switch. • High strength carbon steel ■ Motor is permanently
Specially designed for the • Man ual models available, shaft lubricated for extended
following uses: • Pumping range: see PE31 Motor: service life.
• Mound Systems performance dart or am. • .33 HP, 3000 RPM ■ Powered for continuous
• Effluent/Dosing Systems PE31 Pump: • 12.0 Maximum amps operation.
• low Pressure Pipe Systems Maximum capacity: 50 GPM • Shaded pole design ■ All ratings are within the
• Basement training • Maximum head: 25' TDH PE41 Motor; worlting limits of the motor.
• Heavy Duty Sump/ P'E41 Pump: • .40 HP, 3400 RPM 8 power
Dewatering • Maximum capacity: ord, 20' standard
ty: 60 GPM • 7.5 Maximum amps heavy duty 1613 d men with
• Maximum head: 29' Tf)H • PSC design NEMA 5.1 SP, three prong,
PE51 Pump: P151 Motor, 115 volt roundi plug.
• Maximum capacity: 70 GPM • .50 HP, 3400 RPM ■ Complete unit is heavy duty,
• Maximum head: 37' Tl?H • 9.5 Maximum amps portable and compact.
METERS FEET • PSC design ■ Mechanical seal is carbon,
40 - t ceramic -i ' and Stainless
..i ................. t . ...! s. ; ,......i...,...:.._a._
fEB1 �.....;. }...,... :- - -..: MOOELS: IE31. PE41. PFS1 s teel.
;.... NF: ,33, .aa.. ■ Stainless steel fasteners.
35 10
t , 2 i
+...- `,a+" s. T ,- �NCr umf+wS
30 r 1 FT a « r'
+.
= 25 • .. .. CM 7 S ..
z
20 i ` ..; _. r
a x
cs� zz
.... 22.2 100 Sbmdm*
778 and
1 Cinwdfan doa Atwaa
.... r
N
10 * t ; . } - fiolft Pnnlps is 1509001 Rl$gend
-}-
,.. t t._L..... . �. �...
0 ° 0 10 z0 30 40 so 60 70 GPM so
F4V o
0 10 15 m Goulds ftxnps
2 ' 2 CM%Clny
6 2002 Goulds Pumps GP/)1
Iffective 8PE31/4 Motiember, 2002 <& ITT Industries
BPE31M1
Brian & Helen Richie
1352 Bartosh Lane
River Falls, WI 54022
NE %,NW%,SII,T26N,R18W 11
Lot #4
Kinnickinnic Township
St Croix County
Scale 1 " = 40' �.
Weiser 12001800 tank
BM #1 = 100.00' top of Survey iron
35' of 2 "force main
, t3m'"2 = 1x3.3' TeP o� Y :' jd -per.
� � r
0
� W
Tp �evn,r7f"cr R imed �r�b.,5
0 0
� 3
c hox �
i
C?9'
Page 8 of 8
I
DED D
RECEIVED
Wisconsin Department of Commerce �01L EVALUATION REPORT Page of 3
Division of Safety and Bui dings
i r ce with Comm 85, Wis. Adm. Code
Attach complete site pl n on paper not less than 8 1/2 x 1 inches in size. Plan must County
include, but not limited : vert"I &4Ad'iiiM1; if +eferen point (BM), direction and Parcel I.D.
percent slope, scale or imensi"NibOOF&Cbrld loca on and distance to nearest road. Q Z2 Q
Please print all information. 7 ' e M Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). v QS
Property er // Property Locat' Z
4` -- i .� 1' G' ° L�..� Govt. Lot fJG 1/4 Ni d1/4 S i1 T i/ N R E (or) V
Property Owner's Mailing Address, Lot # 7 Block # Subd. Name or CSM#
City l State Zip Code Phone Number ❑ city ❑village Town Yearest Road
-S56 rte!1 ( ) �r I� JA /L� C' , c
New Construction Use: Residential / Number of bedrooms _ Code derived design flow rate 6 G G GPD
❑ Replacement p ❑ Public or commercial - Describe: __—
Parent material _ Flood Plain elevation if applicable
General and recommendations:
Boring
#
1 Boring
pit Ground surface elev. 3. ft. Depth to limiting factor
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
i in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2
1
JO
11 , �/� - ------ - ^ C � , �' -r o kt- -- L
Z t 1 i/;
® Boring # O Boring j
Pit Ground surface elev. ��►�LSJft. Depth to limiting factor 1 4 ft. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 YY I M 6 -3
v , ,- � • �` , �-- rte-- � nom! w /!¢ � � , a
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) e' CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 �_ _ -_v 715 - 246 -4516
Property Owner _ Parcel ID # Page of
a Boring # ❑ Boring
Pit Ground surface elev. � �Ift- Depth to limiting factor _ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Q Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2
31 7 - r te, C 0
L/ ht- ftlt4
a 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 GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2
❑ Boring # E3 11 Pit Boring
Ground surface elev. ft. Depth to limiting factor 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. 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 130 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 (8.6100)
f Soil Test Plot Plan
Project Name Lee Christianson Shau ird
Address 2037 50th Ave
Baldwin Wi 54002 M #226900
Lot 4 Subdivision Date 11/10/04
NE 1/4 N W 1/4S 1 1 T 28 N /R W
Township iGnnidcinnic
Boring Q Well PL Property Line County ST. CROIX
(�� or VRP Assume Elevation 100 ft. Top of survey iron
System_Flevation 101.3' *HRPSame as Benchmark
Alternate Benchma Top of 1/2" pipe @ 103.3 Scale is 1" = 40'
unless otherwise
Cementary noted
Road
Property
Line
99' 6%
Slope 25'
B-
B -2
101'��
25' 35'
80' B -1
1t.B.
1'
M .
256' Property Line '
08/01/2005 23 39 FA,i 715 273 0444 NELSON - PLUMBING V"001/001
ST CROEK COUNTY,
SBPTIC TANK MAINTENANCE AOREEME NT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer.
Mailing Adam
'
Property Address
(Verification rcguirod from Plumin&jkTartment for new constraotion)
City /State R vr_ R._ A LA-S W I Parcel Identification Number o 1a I ®l) ` 9S 000
LEGS DESCIMP
'l(v Property Loation '1., Sec, JL T�N RILW, wn of VI aIViC.K IYU t G
Subdivision trot #
Certified Survey Map # 1 ` �1 of . Volume P&9* #
Warranty Deed # S . Volume x 8 0 4 , Page # �)S
Spec house O yes Veno Lot lines idend&ble dyes O no
SYSTEM A.NCE
TnWropor use end maintetunea of your septic system could result in its premature failure to handle wastes, Proper tnaintenmce
omim of puvVing out the septic unk every dmee years or sooner, if needed by a licensed putoper. Wbat you put into the system
can affect tare function of the septic teak as a treatment stage in tho wasta disposal sysibm.
The pqxrty owner agaves to submit to Sc Croix Zoning Deparmnent a certification form, aigned by the owner azA by a
plaster lulu leer, journeymanplumber, restricted plumberoralioeusedpurnpervoifyingdi at(1) the oe- sitewast vmterdisposal.system
is in proper operating condition and/at (Z) after inspectku and pumping (if nooessary), dw septic tank is leas fan 15 full of sludge.
Ywc, the undersigned have read the above requirements and agree to maintain the private scwego disposal system with the standards
set fordi,1terein, as set by the Department of Commerce and the Department of Natural Resotuoas, State of Wisconsin. Certification
stating chat your septic system. bas been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the tbrW y ear ex tration date. (�,�
0 r0.5i
SIGNATURE OF APPLICANT DATIE
+QNMR GERTI_FYCATION
I (we) certify that all statements on this form are true to the test of my (our) knowledge, I (we) am (ere) the owner(s) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office,
SIGNATURE OR APPLICANT DATE
*00*0� t being revokcdb st• eat. �`��rw♦
. Any info rrilati on that is mil- rapresenttd may result in ll7e sanitary pemti g y the Zo ning DCpartan
�• Include with this application: a stamped warranty deed from the Register of Deeds ounce
a copy of the certified survey map if reference is mado in the warranty deed
Parcel #: 022- 1030 -95 -000 08/15/2005 01:34 PM
PAGE 1 OF 1
Alt. Parcel #: 11.28.18.168A 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
LEE CHRISTIANSON O - CHRISTIANSON, LEE
2037 50TH AVE
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 27.875 Plat: N/A -NOT AVAILABLE
SEC 11 T28N R1 8W PT W1/2 NW1 /4 BEING LOT Block/Condo Bldg:
4 OF CSM 10/286127.875 ACRES
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
11- 28N -18W
Notes: Parcel History:
Date Doc # Vol /Page Type
09/05/2003 739012 2402/107 QC
09/05/2003 739011 2402/106 TD
09/05/2003 739010 2402/105 SAD
09/05/2003 739009 2402/103 TI
more...
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 08/10/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 10.000 1,500 0 1,500 NO
PRODUCTIVE FORST LANC G6 17.875 90,000 0 90,000 NO
Totals for 2005:
General Property 27.875 91,500 0 91,500
Woodland 0.000 0 0
Totals for 2004:
General Property 27.875 42,300 0 42,300
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
7952 1 S �
U Z 8 0 y P 3 5 7 KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIX CO., MI
STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD
Document Number WARRANTY DEED 05/17/2005 02:55PK
WARRANTY DEED
THIS DEED, made between Lee Christianson, a married person, EXDPT #
Grantor, and Brian D. Richie and Helen M. Richie husband and wife, as REC FEE: 11.00
Survivorship Marital Property, Grantee. TRANS FEE: 239.70
Grantor, for a valuable consideration, conveys and warrants to Grantee COPY FEE:
the following described real estate in St. Croix County, State of Wisconsin: CC FEE:
PAGES: 1
Lot 4 of Certified Survey Map filed March 8, 2005 in Volume 19 of
ertified Survey Maps, Page 494 4, as Document No. 789121 located in
part of the NE ' /4 of the NW '/4 of Section 11, SN, OR, Town of
Kinnickinnic, St. Croix County, Wisconsin; being part of Lot 4 of Certified
Survey Map recorded in Volume 10, Page 2861.
Recording Ar
Name and Return Address:
Edina Realty Title, Inc.
400 S. 2 St. — Suite 1 IS
Exceptions to warranties: Hudson, WI 54016
Easements, restrictions and rights -of -way of record, if any. 467770
022- 1030 -95 -000
Parcel Identification Number (PIN)
This is not homestead property.
Dated this 12th day of May, 2005.
* istianson
* *
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
ST. CROIX COUNTY. ) ss.
authenticated this 12th day of ! P 11►
A ', S CQQ1S� n Personally came before me this May 12, 2005 the above
* V ` named Lee Christianson, a married person to me known to be
TITLE: MEMBER STATE BAR OF WISCONSIN the person(s) who executed the foregoing instrument and
acknowled the sa
(If not,
authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY * Cheri Brown
Notary Public, State of Wisconsin
Peterson, Exam & Berpman — Steven H. Bruns My commission is permanent. (If not, state expiration date:
50 East Fifth Street, St. Paul, MN 55101 3/11/2007 )
(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
WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2 -2000
npr 14 05 10:41a Team Speer Bast 7153869660 r•3
1162- /9
CERTIFIED SURVEY MAP
LOCATED IN PART OF THE NE I i4 OF THE NW 1/4
OF SECTION 11, T28N, Rl 8W, TOWN OF
KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN-1
SURVEYOR
OWNER
AV
32
- T
SCALE IN ME
150 0 150
2t
F
S 89'4 11 7"E
— 33. - 22
N89 '56'13`F_729k3T
12
L
LOT 1 OT 2
sq
0 ca
Cj
N
•'�:. a fl a � � r , x • 777 .- .�.• :N
0
w
0
LOTS
LOT 4
yo r
THE P «I F
589 "42`02"W 81 fi 07
LEGEND
C AT 10 t'
cURVE-: DATA TABLE
'L v G
--v
_" 5 , L
U77—
?
OF 3 SHEETS
\5
L
7 8 9 1 1
• VOL 19 PAGE 4944
MATALEEA N.
` REGISTER OF DEEDS
OR ERTI FI EQ SURVEY RVEY MAP 0 RECE CROIX W I
F RD
C :
LOCATED IN PART OF THE NE 1/4 OF THE NW 1/4 CERTIFIED SURVEY NAP
OF SECTION 11, T28N, RI 6W, TOWN OF REC F FE 0
COPY
E: 4580
KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN PAGES: 3
BEING PART OF LOT 4 OF CERTIFIED SURVEY
MAP RECORDED IN VOLUME 10. PAGE 2861.
N A' OWNER SURVEYOR
LEE CHRISTIANSON EDWIN C FLANUM N 1/4 CORNER
1 2037 50TH AVENUE NORTHLAND SURVEYING, INC. SECTION 11 Q
BALDWIN. WI 54002 P.O. BOX 14
O O �1 l I ROBERTS, WI 54023 ST. CROIX COUNTY ZONING OFFICE WILL
REQUIRE A STORMWATER & EROSION CONTROL
w �I °° 1 I I�O4 C�o�3 PLAN BE SUBMITTED FOR EACH LOT PRIOR TO A
Z Z 97 '! v 7-1 1 V OISo 50OO L?® &£ @-g SANITARY PERMIT BEING ISSUED. CONTACT THE
-
w 0 9i f ZONING OFFICE AT 386 -4680.
11 1 889 0 41 1 17 "E (S89 °41'25"W) (S89 °5605"W 729.19) FENCELINE IS 1.2 FEET
° Z 9! 11 f 33 .24' (33.25') NS9*56'1 3"5 729 °37' WEST OF LOT CORNER
385.08' 344.29 /
_l 4 5 I _ WETLANDS
JU
Cr
O
ra/ / 100 LOT 1 6 LOT 2 l i -
/
O O 1 I 2.01 Acres . 4.23 Acres
° 11 W 1 87.761 sq. h h� ti 184,351 sq. ft
�j ° I VI d N.B.A. = 1.0 AC.
ce
II �1 I aA ^a ` L.B.O. =863 �i ✓ - LIC
PUB eD
1 r a ^ BENCHMARK ✓ o %✓ r�\ °
X1 1 s�?� PRIVATE ^ 2 TOP OF REBAR OQi 1 1 1
L-- JOIJ\/j' �•/ ELEV. =972.33 bj �✓ \ / IH
c'1, oQ 1 I Au N7 85� .. RIVE �' I ^ �d °j � \ �� i N
uj
I L mil {rj - ✓ 11 ��0� g .�p 1�
Y - ,�
? 2 / 6 QED/ 10 \ - b _ �, G�� �
/ �PO W
W _ _ w s�9° TO HE D -8^ 1' °01'04 'E 518.39•
BENCHMARK / r Z
TOP OF RE
2.03 Acres
BAR /
2 3 / 100• 88,2911 sq. ft m ELEV. = LC!'1' 3 1 -1w�
"'"maz «wmc
tia , 427 Acres MAR 0 $ 2005
/
180 sq. «. rn
\a DEDICATED TO BA, 1.0 A
0 THE PUBLIC :n� . = 963 if not rec xaeo with 3L l Cti
•� T
1 560.35' nur and void
/ 255.72' a� 97.27' 463.08'
889 816.07'
LEGEND 3/ X 18" IRON REBAR SET WEIGHING 9?
66 '/ ALUMINUM COUNTY SECTION 1.50 LBS. PER LINEAR FOOT
CORNER MONUMENT FOUND
••••••••••••••• ROADWAY SETBACK LINE (AS SHOWN)
/ (9 ) 1" STEEL SURVEY MARKER NAIL FOUND
(2.0 AC.) NET BUILDABLE AREA
1" O.D. IRON PIPE FOUND S 1/4 CORNER
-�-- --
12' WIDE UTILITY EASEMENT PROPOSED DRIVEWAY LOCATION SECTION 11
- - - - -
L.B.O. = 963 LOWEST BUILDING OPENING ELEVATION 20% OR GREATER SLOPES
CURVE DATA TABLE ( ) PREVIOUSLY RECORDED DATA
NUMBER RADIUS CENTRAL ANGLE CHORD BEARING CHORD LENGTH M207.4a TANGENT IN TANGENT OUT
1 233.00' 10°44'33' N54°29'38.5`W 43.62' N49°07'22"W N59 °51'55W
2 659.13' 17°01'56" N18 °44'56`E 195.22' N27°15'S4 "E N10°73'58`E
3 692.13' 17°10'09" N18 1 49'02.5 "E 206.63' N27°24'07 "E N10 °13'58 "E
4 2200.81' 2°54'47" N08 °4 8'34.5`E 111.87' N10°13'S8"E N07 °19'11'E
5 2233.61' 3 °01'02` N08 °4327 "E 117,61' N10°13'SWE N07°12'56•E
6 80.00' 65°38'17" S46 °56'53.5 "E 86.72' S79°46'0TE S14°07'45 "E
7 80.00 245°38'17" N43°03 "E 134.46' 342.98' S14 °07'45 "E N79°46'02"W
8 80.00' 82°05'57" S55 °1d43.6'E 105.OT 114.63' S14°07 "E N83 °4618 "E
9 80.00' 79 1 47'22" N43°52'3T'E 102.62' 111.41' N83 °48 "E NO3°SIT5WE
10 80.00' 60°05'41` N26°03'54.5"W 80.11' 83.91' NO3 °58'66"E N56°0645"W
11 80.00' 23 °39'1 T' N67°56 W 32.79' 33.03 N56 °06'45"W N79°4602"W
THIS INSTRUMENT DRAFTED BY SAM ADAMS JOB NO, 04 -47 DATE 10 -19 -04 SHEET 1 OF 3 SHEETS
Vol 19 Page 4944