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022-1035-20-000
� . . n ■ o ■ n o g; c• o n Lo� � g . s 3 0 z/ z c) C 7i X 3 8 \ E @ a o o =� , M . m , C'. E 2 c - ® - \ E _ @ , & , _ ; n ■ m _ 7 ; _ � o _ N) CL {\ 5� §§ § \ , G g $ \' \ 2 \ g CL ( E F /: § § & 2. 2 e m E 2; - v> E 3 e ® " m ƒ CD $ / s % / § R. CD 9 z / § / « § § \ n r m & / 3 3 : fT \ � CL � . \ o o o \ &. \ 1 A � ƒ > � @ � -; k a } M a a I' § f CL CD i A 2 8 U : } ( & 2 � \ _ / o > > o � { / \, t ® R . w \ 2 } § ® CO) o m ( \ \ k \ / \ ■ ƒ § 0 \ 7 / o r z / z 2 � © sEw> D9 \ ¥ . ate=& � CL CL -n CD z { E£o /2 / /\ n � \ � &@ ( CD ) ±E � 3 0 \ CD / C % � 7 ? _ \ . 0 r < ( e o § \ i \ � � % Parcel #: 022 - 1035 -20 -000 08/17/2006 09:25 AM PAGE 1 OF 1 Alt. Parcel #: 13.28.18.P194 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 O - PHILLIPPS, DAVID R & PATTI DAVID R & PATTI PHILLIPPS 389 PLEASANT AVE RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 389 PLEASANT AVE SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 13 T28N R18W NW NE Block /Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 01/07/2002 667421 1808/430 QC 07/23/1997 1018/342 PR 07/23/1997 931/366 07/23/1997 302/327 2006 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 40,000 416,500 456,500 NO AGRICULTURAL G4 38.000 2,600 0 2,600 NO Totals for 2006: General Property 40.000 42,600 416,500 459,100 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 42,600 416,500 459,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 555 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 022 - 1035 -50 -000 08/17/2006 09:29 AM PAGE 1 OF 1 Alt. Parcel #: 13.28.18.P197A 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 DAVID R &PATTI PHILLIPPS O - PHILLIPPS, DAVID R & PATTI 389 PLEASANT AVE RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 389 PLEASANT AVE SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 23.040 Plat: N/A -NOT AVAILABLE SEC 13 T28N R18W N 1/2 OF NE NW & INC Block/Condo Bldg: THE N 1/2 NW NW EXC W 1120FT Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 01/07/2002 667421 1808/430 QC 07/23/1997 1018/342 PR 07/23/1997 931/366 07/23/1997 302/327 more 2006 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 22.040 3,300 0 3,300 NO OTHER G7 1.000 10,000 10,000 20,000 NO Totals for 2006: General Property 23.040 13,300 10,000 23,300 Woodland 0.000 0 0 Totals for 2005: General Property 23.040 13,300 10,000 23,300 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 VVboonsin Department ofCommeme SOIL EVALUATION REPORT Page, of 3 Division of Safety and Buildings in accordance w �' with Comm 85. Wis. Adm. Code County i" t' Cxpt Attach complete site plan on paper not lew then 8 1!2 x 11 Inches In size. Plan must Include, but not limped to: vertloal and horizontal reference point (SM), direction and P ZZ ER percent slope, scete or dimensions, north arrow, and location and distance to nearest road. preasa print aff Information. R by ��(1 O 3 2001 oats : Personal iniamstlon you provide may be used for secondary purpose$ (Privacy taw, s. 15.04 (1) (MI). 1 Prop"Owner PropsrtyLocation 00 COUNTY o Do,K.tJTtt llL-L Ps - N+►� 1 ►��t , • 1t N4" � 1 w Property Owner's Malting Address Lot Black >Y Subd 33 50MUJ "00D (=MSt T R (a(e Code a ber City ❑ VINage Town Nearest Road ell , V-A U—S I LOTS 1 5402 7 - 1 ( - 71:5 7 ) 9 tMN C 1G Q� G!\SRNt P�t1E • �rJ New Constnrdlon User Residential /Number of bedrooms - Cads derived design flow rate 0 GPO i .. ❑ Replacement Public or comrnerclal • Describe: > Flood Plain elevation if applicable Parent material ----. General comments p 1Vr.l% and recommendations: ) /kOL,t.l�t1) S`t3Tt✓ �l REQk tREU QJ (OI4D 1N6 RATE I�ECE S cw El- 4 7. 66 ' � � � t ► � � �. � i < 0V X Boring ' \ l ng pl Ground surface elev. 7, 2-5 h• Depth to timitirlg factor 3Z- dO °'" Icas So GP Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary c>�ts E „ .092 In. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. 1 11- 6 rL 4 -t 1 avr 312- .. 11 Zv+1s1aK c� .5 .8 I CS ors $ -25 10VR g' 2 .� 5 - 32- 10 341 s f cS 1�1f - � 0'q 0.(, G 3z -34 4b � S1 by, mJ�� 0.(. .Z Boring Pit around surface elev. _ fl. Depth to timtting_taclor fn• Shc Appke6on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots .E GPOM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. J silo _rn .S 0 ,- s -rr► oS o � e►I 3 -IK n X313 _ L 7-YY\SQK 51 1 21 sb ds - 0 .4 o, C 3 b 5 04 0.7 I' Z _ 10 R a b z- 3s 3� ent #1 a BOD > 30 1 220 mWL and TSS >30 1150 nV& ' E lihlent N2 a SOD 30 nV& and TSS 5 30 mWL CST Name (Please Print} Tim store Zhu Z r- 'l0 bwS Address Date Evaluallon Conducted Telephone Number v�IQS �S lo90� "a�E• Rain W= SK#oaz 0 7 - Z2Z 0 5 Hz.o -1775 r - p 14 S 02-Z -1035-2D- 00 0 Page Z of 3 Property Owner _i� ._..��..r.. --- Parcel ID N Boring a C] Boring 1= J 9 _9S n. Depth to limiting __ Z_— In Soil fc bn Rate p Ground strriace elev. _ S. tiatlzon Domtnsnt Cola Redox Description i g Canaistance Boundary Roots GPOAt to vie Vz Depth ' 'Ef1N1 'EtfN2 In. Munson Qu. Sz. Cont. Color ( - l0W- 3 - —A AP4901 VA � ZJ 4-rti N V' (0 0,2 0 7- 1 0 V IC. 3 ` I -f o .y o.�. F-1 Sorg N ❑ Botirtg — in. Son ti0n Rate ❑ Pit Ground mace elev. ft. Depth to limiting tailor Horizon Depth Dominant COlor Redox Description Texture Structure Constatenca Boundary Roots •E GPDJtt'EffN2 In. Munson Qu. Sz. Cont. Color Gr. Sz. Sh. ❑ Boring BOring Ground surface etev. _ ft. Depth to tlmlting factor _ In. F ❑ Pit Soil !cation Rate Roots PD Horizon Depth Dominant Color Redox DesalpUon Texture Structure Consistence Borrrxlery 'ER01 'EiW2 in. Munson Qu. Sz. Cont. Color Gr. Sz. Sh. Effluent N1 = Boo. > 30 _< 220 mWL and TSS >30 _< 150 mg& ' Effluent N2 = SOD, < 30 mglL and TSS 130 mglL 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, pleasc contact the department at 608 - 266 -3131 or TTY 608 - 264 - 8777. sso-�uw(R.�aor P�Of PLAN F a --'*- a 3 PROP OY OW k: { t. u 5 Ro gEK T a V "Y io W O N ID- MM 0 t F S /01.79 �• 50L "NG W/ DKAgiGt � NO COMM 85 5e j 100 AC RE5 LDCA-ct OAJ 0 vF Home l U � (STAKED B y D 1 curs � C3u n1CSC ot- s�-u+RB 2 1 Q l ti 0 s of SL T - VJO 0 W J ` 4 y � gB,4 w 4 k c.z•H.�r 5aEL7 C5f 4 5EC.1 ZZ493Z vAn: 07 - ZZ-01 dVisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division III INSPECTION REPORT Sanitary Permit No: 430032 0 GENERAL INFOFWATrON (ATTACH TO PERMIT) StatQ PLan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). = T/p�s • �� . Permit Holder's Name: City Village X Township Parcel ax No: Phillips, David Kinnickinnic ToWnshi 022- 1035 -50 -000 CST BM Elev: Insp. BM Elev: BM q escription: �ljQ Section/Town /Range /Map No: / 0 0/.03 —�'I�w> 4Cr� 6 M'Z- r a <X 13.28.18. P11 7,4 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS I FS ELEV. Y1 5 0 Septic Benchmark �1 � tz5 -iSn D/ -03 Dosing Alt. B ��'�• w.tl'I abo t� S �.� ld3.3 Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION � St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet / Septic ;* tT r , I T I ti q5 I _ Dt Bottom 18 M Dosing 1 OCR i , t t /, Heade an Aeration Dist. Pipe Holding ' got. System Z G 25 [ 17 PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St C�ove_r, D GPM odel Number pl� 7 .1. 06. t Z5 / / - O Lift • � 3 Friction Los Syste Head 5 TDH S' Ft > ' o 3 .3o . orcemain Le'gth 1 Dia. q Dist. to Well SOIL ABSORPTION SYSTEM �( S BED /TRENCH Width Length No. Of Trench IT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS i L --- SETBACK SYSTEM TO P/L JBLDG IWELLO �,h LAKE /STREAM L CHI anufact INFORMATION Typ Of ystem: L/ CHA OR e J(� � _ � I t-� lJ� / tuber. DISTRIBUTION SYSTEM 3 Header /Manifold Distribution i x Hole Si e i x Hole Spacing Ve to it Intake R Pipe(s) / ,,�� I 1 �� 2 G' l L Length l!/ Dia Spacing y SOIL COVER x Press Systems Only xx Mound Or At -Grade Systems Only Depth Over ' / Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center I l Bed/Trench Edges Topsoil �f � ]Yes U No i °�� Yes i No C MENTS' (Inclu e dis a enci s, p s s present, a ction #1: / cod Inspection P 2,jl � (* Location: 389 Pleasant Ave Rive WI 5 (NW 1/4 NE 1/4 13 T28N R18 ) IVA Lot J �arcel : 1. ) Alt BM Description = 7 2.) Bldg sewer length =L amount of cover = '� (00 tt • 3� P �� r- __ T - - - -. - - � Insepdo - - - -- Plan rewslon Kequired? Yes No i Use other side for additional ,, p information. C -O; SBD -6710 (R.3/97) rl�aten r's Signature Cert. No. r Safety and Buildings Division Canty 1 0 + ` 201 W. Washington Ave., P.O. Box 7 rseonsin Madison, W1 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) (608) 266 -3151 3 06 3 � W l Department of Commerce State Plan LD. Number Sanitary Permit Application J - in accord with Comm 83.21, Wis. Aden Code, personal inf may be used for secondary purposes Privacy Law, 15.04(1`) Project Address (if different than mailing address) 1. Application Information - Please Print All ]reformation /d3S e Owner's Name /` /�''/ l Par # 'yg # �/ n � �Q Bl # ��� O /' , t �'• /I S �i l '.. iC l/i k.. C.C�IJ i`If �' •` , !/G `� �/N [M+'�i �71GVGGK, operty Owner's Mailing Ad CE y on ( T - � +� � � ; 0 FF1 9 �� / !�v • I a % ,���t44, Sectio Ci State Zip Code Phones Number q T VP N; R t 540 Zz, I/S -#Z4 - / 7 / d(circie or6jl V i / 11. Type of Building (check all that apply) Subdivision Name CSM Number A llor 2 Family Dwelling — Number of Bedrooms _ ❑ Public/Commercial — Describe Use a�'» ❑ State Owned — Describe Use Z �Z 07 4 City_ ❑Village Township of i 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System list Previous Permit Number and Date Issued B ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner 1V. Type of POWTS System: Check all that appl ❑ Non — Pressurized In- Ground ;? Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil ❑ At -Grade 11 Single Pass Sand Filter El Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip line ❑ GraveEless Pipe ❑ Other ( m ), t t V. Dispersal/Treatment Area Information: lru m. Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation t/ kOD al r ?.00 Z.o 0 7 I. 7r VI. Tank info Capacity in Total Number Manufac er �� Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass Ncw Existing ,p � Taankss Tanks Septic opOok iap-Weak i�► Aerobic Treatment Unit Dosing Chamber - 7 VII. Responsibility Statement - 1, the unde ned, assume resppgibility for installation of the POWTS shown on the attached plans. PI s Name (Print) PI s S' W�RS Number Business Phone Number a3 /0410 U ��L GZ 74r- r_ Z4 F Plumber's Address (Street, City, State, Zip C �' i ba ? D ,fv a V111. County/ e artment Use OnI IF Sanitary Permit Fee includes Groundwater D Issued ng Age) Signature ( s) ��'HPPro �� ved Dis. roved o+ ❑ pp Surcharge Fee) -3 6 0 • El Owner Given Reason for Denial J 1X Condition Ap sons or s roval�t ,t %/� �°" � G(,CGC � 3.3 , , 13 „fL Attach mpkte plans ( the County dfly) for the system oo per oot /v CI x I yr►y6cs In size d2 D- 03 G! Q,�� l'dh��i,t,o 31 ,01aav3 . r Scale 1"= q 0 Page 3 of r 1Ov� 4�'PUC Gott- . a ,X _ / per -�So Gk1 j 11yW Cam' + oe'no \q S , o F' 3o'oF S;p 7-11 t'UC�.►y. W LIHo D C2." 2 ' r- (�� q s o F JJ G �C(snNG .1 qq ZS ' ' 13 S -3 r ; n L 13 Tt' A,�f bD N�ti i 1 ? �� 1 c>>z tLs 7v� L3 i 1 I � g , 161 1 L 1 X10 z5 p p �sCU�xZ �D_e\1_ 1 4As @o rmM nF _ .._1. 0.0__ W Pv% O U G 2av � �►J T1Z ::: ELL ! S > 10 p ` i"12 6r'') r'1 �Uti1�. : - - - -- NOTES: _ - -- -- 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be N' /boo gallon capacity manufactured by w I zi ez ecu Owl - KJ l 8 - tQ,au 4. Bench mark 73. Divert surface water around system to prevent ponding at the uphill side. r ST. CROIX COUNTY =` WISCONSIN ZONING OFFICE 9,11M I L I ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 EROSION CONTROL PLAN (715) 386 -4680 • Fax (715) 386 -4686 For 389 Pleasant Ave (Kinnickinnic ) — owner(s) David & Patti Phillipps Under St. Croix County Zoning ministrator may attach reasonable erosion n (Zoning) g) Y g Code 17.70(3)(b)5. • "The prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. Parker Creek is a pp rox. 600 ft. east of Pleasant Ave., which leaves 300 ft. of vegetated buffer. 2. Route contaminated runoff into vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between excavation areas and any drainage ditches or waterways. Make sure no concentrated drainages or ditches can pick up runoff and/or create erosion problems in neighboring fields. 3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan effectiveness and make recommendations to owner and building inspector for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Attached is a detail for temporary diversions. Please feel free to contact me with questions or ask for assistance with erosion & sediment control installation. Prepared by Pamela Quinn Soil Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements � • '• Y r t_ PL PLAN 3 3 PROP{;tzfM OMV: — �+ CS L L 13M- s uN0 suR ACE AT GC Eal p sT' 1 z8N N`C at12_ Sh KE IN TP-6E .(►E A601E c o IscoAs GeouN - rol.o o6,3'i i 501L z}10E W COMM 83 56TPKK PROPLEM5 �sE Xf��� WCLL- 7..0 $ti >5D`�o FIZOln o� d.sa�bwa�� W $►'� o �� e � w ty LL r � o � � 40 P� G►/�RDFaJ ! i / 4: l 06 ` F�E�D 'ROAD x SIGNED C5t ZZ493z SEC � 3 DAe: OI - 2-1-0�5 - -- -fv AJ� fit/ -- � o . i ' � 963 --� 975 i L 1000 '-I0o0 A o 1635 _ J. 985\ - �83 j 965 4974 i 11 _ - kinnicki is Ckm 55' I I ❑ II 1 4 _.i �� . 1 5'960 946 3 1 49 73 \ CD C:�D 0 13 940 � i I 92 /040 ' - - i � o /000 - o -- - -__ BR 943 L��- 997 !� '� 111 O 23 4 ( � /000 _ O 1080 It I II 958 \ _ _ ._ Cre k 71 a - „� - II � 1 p� •� 87 7 -�- 979 - �986 -��26 �1\ �� ` -. �� X25 4970009 -N I �` \� I a O, r r � TERIOR -I 44 °52'30" '35 1.8 MI. ro wis 29 32'30" 537 GEOLOGICAL SURVEY, RESTOrv, V RG ry "539000n E 0 ' ROAD CLASSIFICATION �� / JOINS 29 1� u /•94 Tj �i Cty. Rd. N ! Al �S Cty. Rd. N b ZONE A S(� 1/30/76 d. u • ZONE A4 C 3/26/76 _J Cty. Rd. J Nr )NE A4 ansns ZONE s A ZONE B :x ZONE A4 4/27/73 ZONE B 'J W ZONE B ^Z 37ij /7s A {� JOINS 41 Safety and Buildings • 4003 N KINNEY COULEE RD 1 \ MA LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 iscons�n www commerce state.wi.us /sb www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary March 10, 2003 CUST ID No.267341 ' A7'TN.- 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 3 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/10/2005 Identification Numbers Transaction ID No. 844668 SITE: Site ID No. 656439 David & Patti Phillipps Please refer to both identification numbers, 389 Pleasant Ave above, in all correspondence with the agency, Town of Kinnickinnic, 54022 St Croix County NW 1/4, NE 1/4, S13, T2 8N, R18W FOR: Description: Four Bedroom Mound System Object Type: POW1 System Regulated Object ID No.: 894206 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 101.0 1(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 Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 /O1). • Either option of septic tank and pump chamber combination submitted in this plan is acceptable for this design. The option that is utilized shall be highlighted on the plan filled at the county and the owner's copy. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. hOntW1Y . The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption OVED area. chs. NR 811 & 812c OFCERCE . A Sanitary Permit must be obtained from the county where this project is located in accordance with the UI ING$ requirements of Sec. 145.135 and 145.19, Wis. Stats. SPONDE E . 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. Stat • 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. ARTHUR L WEGERER Page 2 3/10/03 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 1 Fee Received $ 175.00 Balance Due $ 0.00 J Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 TITLE SHEET age 1 of BOUND SYS FOR A -14 BEDROOM RESIIRT4 Q This plan has been prepared in accordance with the MQJuf Component Manual SBD- 10691 -P and the Pressure Distribution Manual SBD- 10706 -P (N.01 101) (N.01 101) LOCATED IN THE NW 1/4 OF THE 1tz- 1/4 OF SECTION 13 ,T Z8 N,R )Fj W TOWN OF \z,� r�1►�1 CSR �►J�.11Cl 3 S Ir- L U I K COUNTY, WISCONSIN. 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 C)?'nON A - 11 PAGE 7 of 7 PUMP PERFORMANCE CURVE op11uN g" PREPARED FOR X14- tLL��PS -- 3 PREPARED BY WEGEr E3 C3 S i_ . TEST' 2 r-1 (3 AND. DES I Gfii SERV I CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 Phone 715- 425- 0165 Fax 715 - 425 -6864 �► o-:is r Ei.LSwo T4+ CO11C Wr. PPi. r .. • A {> 4EPARTMER N 0 SAF SEE CORRL 3 JOB NO. 0 -Z Z, Mound System Management Plan Page 2 of 7 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. 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 enetration. Cold w installations (October - February) dictate that the mound be heavily mulched for frost protection. Bather 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 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. Continaency 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 Office at — t 1S - 3 tb- 1 4 S1^- Ct2u�X The system installer at The tank manufacturer at gp d - 3 Z S _ $ gs w l es IZZz The effluent filter manufacturer at $ pO - Z'-) - S1 Ll Z 2,.p11 LrL The pump manufacturer at 14 q- I'AllM S PLOT PLAN Scale 1"= q0" Page 3 of . 4 10oFy��P�c S SS / Pte— - 'So 6kL q y qu _ � o BT1 Vy i4 4 30 01= W I i F J I r ; San - A g� � r � 0 3 cn Pe �.� bo �aret�nr�e.T 8•) � 40) o zs B = q$ sPLkL o. 48 Pq:a0U1� Gtzav►�►� ;►J TSt�;__ -_ -_ -' - �'=x`S�.►v G t,. E.L.: S > t NOTES: __ - - -- 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation i es with P P a pproved caps. ( 2 required). 3. Septic tank to be \ �o /bud gallon capacity anufactured Y b Vv l `t IM UQ 0-tZ - P� - t 00o Z f $ QL F1 L� 4. Bench mark 5. Divert surface water around system to prevent ponding at the uphill side. Pace Of � P_pprcved S,r thetic Cove;inc _ AST_X C33 Distribution Pipe Medium Sand j G T opsail -i t F E? E`r • �1 . - 1 S � b f . ° Slope Distribution Cell of Force Main Flowed z" to 2- " Aggre; ate From Pump Layer D O --A FL. E 0 CROSS SECTION OF A MOUND SYSTEM F -b Ft. A G1 Ft. H �. p Ft. Linear Loadir_c Rate = Q •OGPD /!1 FT a Ft. Design Load] nc Rate= O.gSG?D /SQ FT j 1 Ft. J S Ft. K S Ft. A! t _� o„�; L 83 Ft. c ^,� W Z S Ft. -Observation Pipe E K A a - �-- -- -- - - - - - -- ------ - - - - -- --- - -- �- o---r- — / - - - - -- -------- - - - - -- Force Main ",c C W L-- -- - ----- -� - - -- - - - - -- Distribution Cell of to 2 Pipe 2 aggregate Observation. Pipe (Anchor secsrely) - PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Page E3 of 7 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 4S° fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve, :threaded cap or . threaded plug. Provide access from final grade for the valve, threaded can or threaded plug. T `-t P_ 1 CIS (_ PVC pV� Laterl Manifold pv C_ Lateral x x x x V2 I V2 x x x x Lateral Length — Lateral Length — P Distribution Line —� Pr Cz-p as sfl}t - -o MYsU \FO�o S PVC wQC�, ni}tn� 0__ P a Ft. Hole Diameter Inch S 3 Ft. Lateral 1 Inches) X 3 6 inches Manifold Z . Inches Force Main " Z Inches # of holes /pipe 1 1 Invert Elevation of -Laterals 1 W1 SFt. ttku.�ll = y.Sl k 6 = Z�.o6 Gpw, Combination Sep4c; and PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE 6 OF -] NEWT CAP � WEATHER PROOF JUUCTIOU box . - i'C.I. VENT PIPE APPROVED LOCKIAIG 1 10' FROM OOOR., M44HOLE COVER AJIV u� 3p �c►o�J � ►p � :IIMDOW OR FRESH wARtJitJG LPa6EC.. w!r'ncLTlsitT � ALP IIJTAKE coucuir Fl N Is IIJLET i" PROVIDE I — - -- ��'' AiRTlGH7 SEA I I R I v Approved z�8�t �� -'� I Approved joint w/ � c� v 0 I II ALARM P VC pipe PVC pipe - I II P • P a C I g. �:3 CLE Y. f7 PUMP -� OFF i D COUCKETE L'LL� 86. d 0 BLOCK RISER EXIT PERMITTED OQLy IF TAWK MA)JUFACTURER HAS SUCH APPROVAL IS EDO:NQ BFDO t iy 4 SEPTIC F SPECIFICATIOUS DOSE - TA W!si MAL)U FACT URCR : I % yI LSL�z co k) jJUMbER OF DOSES: _ 5' S PER DAB TAMK SIZC : — 2 0 GALLOUS D05C VOLUME z ALARM MAAIUFACTURCR: S S. �Z SKS7L INCLUOIAIG 6ACKFLOW: — 133 �t GAILON,S MODEL WUMBER: _1 U1 HI-17 CAPACITIES: A_ 1� IUCHCS OR y� 0 • � ALLOUs SWITCH TJPE: - IAICHES'OR L� 4'S G(. LLOA15 PUMP MAAlUFALTURCR: �� -LIZ -S C= � ItJC�iES OR 133 MODEL l.IUMBER: � �O D= ,S ' INCNES OR ZZZ. GALLOA75 SWITC TYPE: — _ 1=U R ( MOTE: PU M P AMD ALA T 10 MINIMUM DISCKARGE RATE GPM INSTALLED OM SEPXPLATE CIRCUITS VERTICAL DIFFERENCE DETWECIJ PUMP OFF AIJO..DISTRIBUTIOM PIPE.. 13 4 ? ET + MIAIIMUM M SUPPLY PRESSURE . ; , , , , , (• SO FLETCS - J , J -I- � y � FEET OF FORCE MAIM X l bZ F 00 fE FRICTIOU FACTOR— 35 FEET J TOTAL OtIMAMIC. HEAD = z _ FE ET As per manufacturer gal /in. Liquid depth 3 ti 1 ' PUMP CHAMBER CR055 SECTION ARID SPECIFICATIONS ' PAGE 6 OF - 7 VCWT CAP 4' C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE 10' FROM DOOR, JuAJCTiOAl 80X COVER WITH WARNING LABEL WINDOW OR FRESH IYMiU. I AIR INTAKE i GRADE COIJDUIT -- ______ ___ l8�1'IIAI.v - - - - - -- -- 11� IMLET , PROVIDE AIRTIGHT SEAL. I III V APPROVED JOWT A I . I APPROVED I I J011JTS I I I I II e O T� O N tag - I I I ALARM I I I I c ow •I I -- LL' 86 A FT. I PUMP � . .� OFF 0 j - L COLICRETE BLOCK Y RISER EXIT PERMITTED OWLy IF TAWK MAIJUFACTLIRCR HAS SUCH APPROVAL 3,•ADPRovED 8ED41 � SPEGIFICATIOQS DOSE : W\I��Z 2 LIJC 2 � s -- 004 S- O'7 T —AAlK� MAWUFACTURCR- �IUMbER OF E PER OAy _ TAWK SIZE: S y GALLOWS DOSE VOLUME z ALARM __MAWRFACTURrrR: S ' Q- Lzr SIL�7 1�E� INCLUDING, DACKFLOW: `� Z ' a GALLONS MODEL WutABER: ` CAPACITIES: A- z UICHESor, ti ' �GALLOAI3 SWITCH TUPCS IAICHES OR �l b. b G{�LLOIJS PUMP MAIJUFAtTURCR: ��'I C G= - IIJCHES OR 141'0 CALLOUS MODEL NUMBER: - MJE:� U O D = IMCHE O_R ! b1' _ - GALLOAIS SWITCH TYPE: -- ��Z� IJOTE: PUMP AMID pLpRM A "Rr TO BE MINIMUM DISCHARGE RATE Z_ GPM INSTALLED OIJ SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEIJ PUMP OFF AUD.DISTRIBUTIOW PIPE .I 4 FEET ' + MINIMUM • NETWORK SUPPLY PRESSURE _FEET - I• 'LA•S FEET OF FORCE MAIN X 1 • (:) Z FT/ fCFRICTIOLI FACTOR � ' 3 S FEET TOTAL NUAM1C HEAD = -�' -FEET As per - manufacturer • Zp. Z8 gal /in. Liquid depth 3� }� s'A �c `7 OF 7 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 0 350 40 12 \-3 10 N 5 8 p Z_ Z A H Q / � J S 15 J o .b6 4 a F- 9 O H 5 2 0. 0 0 10 20 30 40 50 60 70 80 90 100 ' APACI GALLONS PER MINUTE 1101 Myers Pa way, shland Ohio Y. � 44805 -1923 41 144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 Printed in U.S.A. 1 Wisconsin Department of Commerce SOIL. EVALUATION REPORT Page 1 of _25 { n f f Buildings D vlsto o Sa and 8u Idin H 9 In accordance with Comm 85, Ms. Adm. Code County S-r, Ct'ZO�X Attach complete site plan on paper not less than 8 1/2 x 1 Inches in size. Plan must Include, but not limited to: vertical and horizontaf reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road, 2 Z 10 aJ ..2.0 — OCR Please Print all information. R awed Date t Personal Information you provide may be used for secondary pvrposes (Privacy law, s. 15 t m ���� 3 I . ;j ProperiyOwner y Loca on ( JAV 1 P P^-V }-I t L-L- p �s � va ►JT Ira S 13 T Z _ S N R 1r w j Prvperty Owner's Mailing Address L¢? BI # Subd. Name or GSM# 345 iPLGA.5ANTV A t n1 _ 1 City u Stale Zip Code Phone u L2.(,'-� : C] City Village Town Nearest Road ,9 A\j EI? FA � .540 z2 015 `1 -' 7. � (rJni I f NN iC I L�s��.r� AVt New Construction Usa Residential! Number of bedrooms ,� Code derived design flow rate ��� - GPD ❑ Replacement ❑ Public or commercial • Describe: Parent material — OICC , Stt LL � Flood kaln elevation if applicable /V .' —.___ n• General comments i.' and recommendations: Mt�un1D SVST�.M O.'So SRAM Fit _L_ I NS E avt hQ►'i2rl�� S� �t"f �ltA ��RD�f TFi Rw eD 4qC Q, _ A -�-- vu S c L Boring # ❑ Bo Z9 G�E'e - S6ti o Pit Ground surface elev. _ 01 0 , Do M. Depth to Ilmifing factor _ in. !!! Soil Applicatio Rate Horizon Depth Dominant Color Redox Description lion Texture S!n;cture Consistence Boundary Roots GPD/ff In, unse Qu. S7- Conl, Cola I 'Etf#1 ' 'EW ' -Y lot P, 2. , r� cb 3 �- � -1 `( Z -" _ 5►�- - _ ch 2v{ -mt DDS o,q 3 l�f -3o �� _ -' s►t_ z bK �r 01 5511_- � - orb 5 36 -3 10 /6o a' 5 .51L- I �'- in liti Mcr CL (0 3?`f3 7,5 7. /y '5 5IL- I Yn �r f� STo rJ�S # ❑ ryry Boring f _ E2 — � gl Pi; Ground surface elev. q ��SD ft. Depth to limiting factor 3!� In Soil Application Rate Horizon Depth Dominant Colorr� Redox Description I Texture Structure Consistence Boundary Roots GPDIfF in, Qu Sz. Cont. Color I z. 'Eff#1 'Eff#2 1 0 -`f lo t L -- L 7 _rr,ab r cb -m A5 0-9 - 10 P, — �� Z�a b i 0.5 0,7 3 -rg r+¢ M -36 ,S , r k N orz. 0,3 ' Effluent #1 = BOD > 30 < 220 rrglL and TSS >30 < 150 mgrs Effluent #2 = BOD < 30 rrgA_ and TSS < 30 mg/- CST Name (Please Print ) 1 nature CST Number N A � 0 H o l- L ST P- ` A, Q 1 0 z 8 3z- Address ��L_1.! Date on ad Telephone Number Wq9?5 (090 AVE. 12\1 E 'FALLS WI 5�t02Z DI- 2{- 03 �iS yzb -1�7s 4 t Property Owner Q 1 �yPP 5 �_ Paroal ID # 02 Z� LO !,Sf Lo - o ap Page . �^ of Boring lJ ❑t Boring 3 7 , i ,Ly Pit Ground surface etev, �� 5� h. Depth to limiting factor _ 3O in. f SOR Ilcatlon Rata Horizon Depth Dominant Color Redox Desuiptlon Texture SWCture Consistence Boundary Roots — GPDM ' in. Munsell Qu. Sz. C ont. Color Gr, Sz. Sh. *Eff#1 T1792 � 0_ to V '�Z L _rn �1� m�r � - D,j O's i Z y -15 0 2 :5tL ati ah -C _ i S a O' 8 a Boring # ❑ Boring ❑ pit Ground surface elev, ft. Depth to limiting factor - _ In Soil leation 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 'Eft1#2 I . ❑ Boring ❑ Boring # ❑ Pit Ground surface elev. tt. Depth to limiting factor In. Soil Appl ication Rate ' Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ff in. Munsell Qu Sz. Cont. Color Gr. Sz. Sh. I _____ 'Eff#1 *Eff#2 M 1 M Effluent 01 in BOD > 30 < 220 mg1L and TSS >30 150 mg/L Effluent #2 = BOD, < 30 mgt. and TSS 5 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 -6777, s8r1I1J0 (R,G001 I � i i L f - F r'AGE 3ff 3 ppDrE�1Y O'JvtJER: P N t t_y Ps 'DA 0 %'0 �ENr7; / - Z/o , 4 Cr. L L-OC," • = wv0 Su E AT zC Eel 65 r u t z8N 1 N C� 2= S/1KE !N Tic .b6 A60vV G p ISCOAS ao"wN - -501L 000% W/ DACga, NO COMM 83 5Er3i ACK PROAXM5 rl �WFJ -c- TO $ti '>60 'FYLo MDtAAD 4v e T d �S� r►bvt'°t"� , � 3 n 2 a .so � g ' S7 `I J T 3 ; r LL i a' y 4 0 0C �/ RDErJ 2 Ot i p FEE �D ROAD Co'� x c.r,N. 51 09 C5f 22-HV3z s Ec. DW. DI- Z► ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer Mailing Address Z g e� S a. -� f ��5 4011 Property Address (Verification required from Planning Department for new construction) City /State ;O-e.f Cam' A L Parcel Identification Number B2 — ( C) - 2.o - O 80 9' LEGAL DESCRIPTION Property Location .A.1U ' /�, ►� ' /,, Sec. -- , 'I' 2-B N -R W, Town of CL t C Subdivision , Lot # Certified Survey Map it , Volume , Page # ? Warranty Deed # D�o� , Volume O , Page # J� Spec house ❑ yes Ik no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterphimber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal 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. I /we, the undersigned have read the above requirements 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 dn of the three yea ex iration date. SIGNATURE OF APPLI A DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the roperty described ov y virtue of a warranty deed recorded in Register of Deeds Office. h a4_1;� — - 3 SIGNATURE OF APPLICA DATE * * * * ** Any information that is this- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Inct 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 ` STATE BAR OF WISCONSIN FORM 3 - 1999 6 CS - 7 4 21 KATHLEEN H. WALSH QUIT CLAIM DEED REGISTER OF' DEEDS DocumentNulfiber 0T. CROIX CO., WI This Deed, made between ROBERT L. PHILLIPPS and RECEIVED FOR RECORD DOROTHY PHILLIPPS, husband and wife 01- 07- 2002 9 :30 AM OUI1 CLAIM DEED Grantor, and DAVID R. PHILLIPPS and PATTI PHILLIPPS, EXEMPT H 8 husband and wife, as survivorship marital property CERT COPY FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 11.00 Grantee. PAGES: 1 Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): o �, The North Half of the Northeast Quarter (N 1/2 of NE 1/4) and the North Half of the Recording Area North Half of the Northwest Quarter (N 112 of N 1/2 of NW 1/4), q2 c the Wes Name and Return Address 4, 1120 feet thereof, all in Section 13, Township 28 North, Range 18 West, St. Croix Atty. Paul M. Dimick Coun y, ,sc Levy & Levy S.C. P.O. Box 127 P ' ' Cedarburg, WI 53012 -0127 S �U 6 022 - 1035 -10- 000,022 -1035- - 000,022 - 1035 -50 -000 and 022 - 1035 -70 -000 — bkjS Parcel Identification Number (PIN) This is not homestead property. 01) (is not) Together with all appurtenant rights, title and interests. - t— Dated this -:2 day of (Dt_ C 1 Ig j= e &Z� * Robert L. Phillipps * Dorothy Phillipps I AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF po 1 ry n:I~Scf714 ) ss. l� m�'�E' y County ) authenticated this day of S F ' Personally came before me this �:,� I ��' day of C> C— Z—= M 9I—= - f -- , -,�) 0 Cy I the above named e41= P L. , Ew / L — L 1 P-P -S / " $j U n DT!/V d`?H /L- L d20ES TITLE: MEMBER STATE BAR OF WISCONSIN to inc known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY • �i �; LA.ca�_ Attorney Paul M. Dimick, Levy & Levy S.C., Notary Pu6fic, State of n c 7 P. O. Box 127, Cedarburg, Wisconsin 53012 -0127 NN tat My Commission is permanent . (I nO fate expLiraUon ate: (Signatures maybe authenticated or acknowledged. Both are not necessary.) ;'eta ►U L' l� t'Z `1/ U0. ' Names of persons signing in any capacity must be typed or printed below their signature. auflcalaaf s Company, Fond du Lac, wl STATE BAR OF WISCONSIN JANE C. FIELDS NO-M -2021 QUIT CLAIM DEED FORM No. 3 - 1999 Ee Notary Public Minnesota * CCnM* on EVkn Jm. 31, 2005 l J KINNICKINNIC PLAT T -28 -N • R -18 -W (Lando —ers) See Page 112 For Additional Names. 1 . / WARREN PAGE 32 'l 1000 1100 60th AVE 120 1300 14 60th AVE 1500 I QQ Ehar 7- 7�4 Dan urr $G 20 &M 00 _I ffi t I zt 23 n Sao tr N� Q F , Jacque, r w a p Simonson 99 Ltntit2 Gloria Ne15on 39 v ki x,.. 17 g Farm Inc L 25 Harold I Vorwald r 1 w Ienertr Hunter &Sha tiU 0,9 u.rt Om 198 197 40 , Z ` M°na z Z c_ n N 193 •.' 1 TOWER RO 1 m ¢ YY¢ 94 O Galin , 1 4 tr F • m o° Thom p T Heinbuch ° ttaaa. Lrnett2 4t 40 u Isom o a ae - °Ye ,.a " w Robert $ ,'^. Trust 59 RBa$rbara u gC a ao m C � lama, Paul t yH AIYIu $ tl -!'Barbara u'd TROUT Garbe yN C LLww ^ B $ Sandra i' +GG+ Ho > I Iekler ,�3, v 170 S AD 72 w+3a l� >e1 {S Q�1N 0- Wbkh - ' VonBeek Om N� .E ' �C] - k mod' E 2 - -52I�I f/r _ -� - _ - �- Trust 120 w.i1 389' so �0 118 Pins --y N . 1- ' se i ,o usan � .. , � , u - - mes kl 8 rio • Fisk tr . &Elaine 80 x,h, o. M ,�, ma �tl 2 y ""r4ei Ose Joa�na 35 Arnold & n c&s fn Sumner"+ Marcella �j Jr & ° tts�a s t 10 120 .� r :s Ka , y 5 Bud ass N $ Lueck a te „ • j < G, 1 �P K � a.'i M tae /q au LE 3 RL E L757 om 2 t 74 "~ N e w10 HW 2] :tl 38d .° Johnson 1 180 ¢ 45 "" a 760 80 T rust 0s ET i 3 8 Havel a a U I C 7 he I $� w 20 ,,, 65 Q h Oppenheimer p Y •. F-Perviven 65 SS 10 rust 7 • N " „ 160 266 , 104 tr O ph.a Mark � mbXh„r n 3 •r,aop y haebt w STEEPLE DR I cc& PLEA N 24 & Mars a a ne o- • _ s9 taw- to - - r�tl•t aids NQ� ra AVE tsaet a N Helms on aNnw g ua u sum � hiO ui'ra �--rt7 �4 _ 53_ HILO nw°° u°e- w RAJ] &_aim - � � _ _S i� � 42 6 2 _ ao _ � 159 _L —. tl Farm �' • a tr M c 14, yl 1 o Gerald O s s Hazol y €l Inc w 1 uatle I ickelson Emnoltz Q Morro 3 v 40 F ABrpnomics tr 1 f 117 I m tr a y ' g Z p Inc [.enertx 3 P3 [� 154 &s tr 186 2 w I 4 66 1 ' 22 122 2 J o _(TOWN HALL z w so ao tl Esther &Nancy IvER kinnic . w eA�gj¢ D J tr F& Jeffrey 1" 40� s Kinnic- ^ _ a HI 77 &SA � p ¢ � M a s i. W `� ❑ a ¢ , & Fuller Christensen - T - Rlvei ` c,nw• LLT 21 V v ^ � < a .3 a maaa Donald tla m_ w Rl T— Pe$ � E3o o a�OOn D&C m < `_'y g � Q _ w � Mueller 208 '' 0L4N 12 u n z 154 SR 1S _ 39�I -}, 53 _ _ U f't 14 Ros - � - z - — ' I ET 80 E ' J Terese g x¢ tr - Glenn & r With ''0o ns $ Donna $ndorf I 8 ^'3Albat Thomas $ 1 tl w FttIler Fm0 $ I Higg1 80? LL I , BadJe 80 z i 20 9 ra Nc 1W10DB ow �A1 Rebecca H ioz ¢ 140 Nelson Dale$ $ , K arners tc F sa y I c Rita 40 a.s m LLP 120 �\lu D HORT 174' , . OAK DR !! C r 9 t O Howard 'IV a �. I Daniel tr „ 1t tor- & Jm 31 53 rao-aa Madsen oward D 15 AGordon - ,. 0D &im r as $W T 4e 3o RIVER tr Gort r & g mwiede I ntl - •a DR utw al Griffey Robe Ktu I Wyno a 3 g s v $ A tz ^ gq w ®: g ,, s s Da : 6§ , Keatley o rtl d S _ 169 60 zt° �8 � _ X3 11 a _¢�. A a a ,, s 1nom9.oa a 1Aatl ., 7 I 250 s 160 QOM 8 I Fn w r- c "t �3 H °beet g $0 tr ,w"° u l -] Debora Leo JJ . _, a _ — ° n S n w rerv. Y ^ & ms s' Wse� A n d m , R 15 G71 RR $ W 1 Andrei g "III nm.em p 2S Y lsa 4o C 'n a ¢ 40 River Fii� as a 9 -_tl8 r w E R EN DR 10 S aaa P 33 Q s Falls fl b ' ur a �p n uv 1 Trust 2 t O County St in c u & Damd uP ❑2 yn z t An )and z > y° 1 q' 1 � �� tr - w 5oderc lettm :�., .Mae ttaua 4 ¢ q T beck a lane .-, • t-4„ Wolfe 94 Ettg 113 315 & r ¢ i w croon & O�F r tr 5 41 Him 3S b BeaY & 2 0 ¢ p p m Adeline aq a K _ lob- & ,z Swenson aaw a0 H t m wwa w O ¢ a Janet f emon J Peskaz Rose yF 91 RP Pesker M 0 let o Pte ' u Trust p swea O It 3 � 'rOp 39 67 — 3 — a3 104 316 V 2 1� - �ji} 1 6 ` 3 Pa 40 fOgqO 35 Resits _ _ ZDD d $ Cudds Pal e. ' a DarVae. Janet Gtdd Mobile 65 Gerald - > r ' . — _ n udith t . ¢ a sO - > z tr 3 orgen_ ,. N te,a ono W trust 42 Home Court &Carol w 33 40 X u io VA 73 R ON 73 SOn 54 40 ¢ w " h " io ao' m John i Williams m¢ - $ s r - �• � • z Da & & Alice - 21f ^ AC 1 3 rnEa &G .�0' `O Ovsak ' 8 M n Hanson C pl � R i �L G RIVER 35 7261' 110 TSl h wart i a x� �' Weak $ ° m FALLS Len ^ _ TUtd 5 a ' G � � 19d s 1 "� 56 ° MWc L , ,, Ruth ,a n..�. H P�OJO� Grace n O U peng Patri T V yr' ' 3 E ee 70 0 , 0 " y Ci 1 �� 80 - -- 141 ^— - - - -- — — C PIERCE CO. COTTONWOOD LN The Kinnickinnic River Land Rick McMonagle Trust Executive Director 715425 -5738 phone 219 N. Main St. 715425 -5771 fax PO Box 87 KinniRLT @pressenter.com River Falls, W1 54022 Conserving natural resources and scenic beauty in the Kinnickinnic watershed r r _ ST. CROIX COUNTY WISCONSIN ZONING OFFICE 03 ST. CROIX COUNTY GOVERNMENT CENTER own f 1101 Carmichael Road ~ Hudson, WI 54016 -7710 EROSION CONTROL PLAN _ s (715) 386 -4680 • Fax (715) 386 -4686 For 389 Pleasant Ave. (Kinnickinnic) — owner(s) David & Patti Phillipps Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: I. The primary source for construction site ninoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. Parker Creek is approx. 600 ft. east of Pleasant Ave., which leaves 300 ft. of vegetated buffer. 2. Route contaminated runoff into vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between excavation areas and any drainage ditches or waterways. Make sure no concentrated drainages or ditches can pick up runoff and/or create erosion problems in neighboring fields. 3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan effectiveness and make recommendations to owner and building inspector for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. I The owner of record during site construction will be responsible for compliance with the ESC Plan. Attached is a detail for temporary diversions. Please feel free to contact me with questions or ask for assistance with erosion & sediment control installation. Pre pared by: Pamela Quinn, Soil Erosion Inspector #665054 / Owner acknowled ement of ESC Plan requirements: J 6 / /0/2003 W PUMFIPERFORMANCE CURVE MODEL 15111521153 TOTAL DYNAMIC HEAD/FLOW 50 PER MINUTE 1. 45 153 EFFLUENT AND DEWATERING 12 40 MODEL 151 152 153 10 152 Feet Meters Cal. Liters Gal. Uers Ga. Liters Y J0 (� / 5 1.5 50 189 69 261 77 291 Tt ( 10 3.0 45 170 61 231 TO 265 o e 25 1st • c 1S 4.6 38 144 53 201 61 231 o S( 20 6.1 zs 110 M 167 52 197 �- 25 7.6 16 6' 34 129 g22 30 9.1 23 87 125 4 - 35 10.7 - - - 85 10 40 122 - - - - 42 Slxnofl Head: 30 R (9.1 m) 38 fl (11.6m) 418 (13.4m) 2 5 0145088 0 GALLONS 10 20 30 40 50 60 A e0 90 100 LITERS 0 40 90 1 120 160 200 240 280 320 360 FLOW PER MPIUM 014NOA Model 151 Models 1521153 7. 0(0 CONSULT FACTORYWR 6 , -� / 32 IL- 6 1/4 SPECIAL APPLICATIONS 3 7/6 -- 4 5/8 ; 27/32 5/6 i • Timed dosing panels available. 3 e 3 z7 /3z • Electrical alternators, for duplex systems, are available and / 1 supplied with an alarm. ` - - • Variable level control switches are available for controlling K' (a 3 7 /8 ® 3 27/32 single phase systems. • Double piggyback variable level float switches are available - t - - -L i for variable level long and short cycle controls. • Sealed Qwilk -Box available for outdoor installations. See FM1420. • Over 130•F. (54•C.) special quotation required. --I 11 4; Ic ,, ( 15111521153 Series i2 1/8 I _ r 15111521153 MODELS Control Selection T 1 /� Model Volts -Ph Mode Amps Simplex Du lex 4 3/8 N151 115 1 Non 6.0 1 2or3 BN151 115 1 Auto 6.0 Included 2or3 E151 230 1 Non 3.2 1 2or3 SE151 230 1 Auto 3.2 Wided 2or3 161TEMP SK2064 N162 115 1 Non 8.5 1 2or3 BN152 115 1 Auto 8.5 Included 2or3 E152 230 1 Nan 4.3 1 2or3 BE152 230 1 Auto 4.3 Included 2or3 N163 115 1 Non 10.5 1 2or3 8N153 115 1 Auto 10.5 Included 2or3 E153 230 1 Non 5.3 1 2or3 SELECTION GUIDE BE153 230 1 1 Auto 5.3 Included 2or3 1. Single piggyback variable level float switch or double ftyback variable level float switch. Refer to FMO477. a CAUTION 2. See FM0712 for correct model of Electrical Aaemator E-Pak All InsWlation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 - 0225 used as a control activator, spa* duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). Or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Loulsvilie, KY 40M-M7 Manufactu nof.. Y SHIP T0: 3649 Cane Run Road • Laraistoft KY 40211 -1961 (502) 278 2131. 1(801)) 928 -PUMP Qaeurr -F SALY IffiF httpAvww.zoetter.com PUMP !O. FAX(502)774M4 ® Copyright 2002 Zoeller Co. All rights reserved.