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HomeMy WebLinkAbout022-1035-30-020 n Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix id Building Division Sanitary Permit No: INSPECTION REPORT 463137 0 ERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: lal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. it Holder's Name: City Village X Township Parcel Tax No: chida, David I Kinnickinnic Township 022 - 1035 -30 -020 BM Elev: Insp. BM Elev: BM Descrip ion: Section/Town /Range/Map No: /a 1� 0 /o 4 • &t� 13.28.18.195A20 ANK INFORMATION ELE ION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark d / �� �GPS SR�r -S e� 3 Dosing A 3 M %0 Aeration Bldg. Sewer 25 "_5 4 " 4 4-&Z Holding S t Inlet St1Ht Outlet TANK SETBACK INFORMATION TANK TO P /L J WELL BLDG. Vent to Air Intake ROAD Dt Inlet Q t� �-- Septic ) 95 2 5 / a r Dt Bottom �� _)8 Dosing Head an. Aeration Dist. Pipe 0 24r /OC/- 37 Holding Bot. System 2. 106 Findf drade PUMP /SIPHON INFORMATION / _ Joe Manufacturer Demand t over GPM / 3 }'� Qh !v Model Number �, /`^ C f0 TDH Lift � m Friction ss Syste .Head TDH Ft �I Forcemain Len Di a Dist. ti�p/V SOIL ABSORPTION SYSTEM - -17 1% BEDITRENCH Width Length r No. Of Trenches J PIT DI ENSION No. Of Pits Inside Dia. Liquid Depth DIMENSIONS �`� Cy u �` SETBACK SYSTEM TO P/L BLDG WEL AKE/ REAM LEACHING Manufacturer. INFORMATION Typ�f?Syst ( >' CH R � Y � Model Number: DISTRIBUTION SYSTEM 0 o !6 Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake – 7- -- e N Pipe(s) (r i Length U — Length Dia Spacing l� SOIL COVER j x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed/Trench Edges Top oil '.4 12 Yes [] No F� Yes D No COMMENTS (Include lode discrepencies, persons present, etc.) Inspection #1: 11 Inspection #2: �( ! /6) Location: • 1 1 .195A 1466 County Road J River Falls, WI 54022 (SW 1/4 NE 1/4 13 T28N R18W) NA Lot 3 Parcel No. 3.28. ,_.., 8 --_ 1.) Alt BM Description = _ L _,t 2.) Bldg sewer length = ZSOI 1 h y --- �G ,�/ (,U o C —� kOf A+ - amount of cover = ! D � I J Yar /OD f- ff}.ne 4 4�04".-d- tr Use other side for additional information SBD -6710 (R.3/97) Date Insepctor s Signature Cert. No. ,. I Safety and $uitdin t j'� Coun 201 W. Wash xY62 7 1*i sConsin Madison WI - 71St' anitary Per it Number (to be filled in by Co.) Department of Commerce ( > 266 004 Sanitary Permit Applicat n 0 0- Y s to Plan I. .Number In accord with Comm 83.21, Wis. Adm. Code, personal informal n yoQ / 1" may be used for secondary purposes Privacy law, s15. 1)(m QP1N`1C' OF Z rojec.t Address' (if different than mailing addre s) I. Application Information - Please Print All Information D Prope rty Owner's Na me Parcel # Lot # Block # operty Owner's M ailing Address Property Location City, State - -� Zip Code Phone Num e_r icircle , I.�IllType of Building (check all that apply) S �`— —� T N; R E. j IX�1 or 2 Family Dwelling - Number of Bedrooms I ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use ❑City_ ❑villa e, Township of III. Type of Permit: (C heck only one box on line A. Complete line B if applicable) -� A. o z - LS -v - o2o SA -Zo TNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System $• ❑Permit Renewal _T "`— I ❑ Permit Revision ❑ Change of r J Permit Transfer to New I 1 ist ?revious Permit Number and Date Issued Before Expiration Plumber Owner IV. Tv a of POWTS System: (Check all that apply) — Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil Mound 24 in. of suitable soil I 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 tuber ❑Drip Lu ❑ ravel - less Pipe ❑ O r ex ain V. Dis ersal /Treatment Area Information: '�(� j ,' ) Design Flow (gpd) Design Soil Application Rate(g Dispersal Area Required sf) Dispersal Area Proposed (st) Syste E levation O VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Gallons Gallons of Units Plastic New Exiting Concrete Constructed Glass Tanks Tanks Septic or Holding Tank �` G Crl�S Aerobic Treatment Unit 61 - _ .. Dosing Chamber i GS"o , : ` VII, Responsibility Statement- I, the undersigned, assume responsibility for ' llati of the PQWTS sh own an the att ached plaits, - - -1 Plumber's Na me (Print) Plumber's Si gnature MP' PRS Number Business Plane Number Plumber's Addre ss (Street, City, State, Zip Code) s � t-Li�IG VIII. Count /De artment Use O Approved ❑ Disapproved Sanitary Permit Fee jincludes Groundwater Date Issued Issuin Agent Signatu (No Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial Q ru i ., 7 IX. Conditions of Approval /Reasons for Nsapproval ():)Septic tank, effluent filter and dispersal cell must all be servicgd / maintained ` as er management plan provided by plumber. 2. All set ac_C requirements must be maintained as per applicable code /ordinances Attach complete plans (t ' the Count o -J y ttly} for the system as paper not less than 81/2 x 21 inches In size SBD -6398 (R. 01/03) I i r - - ■ Soil ¢ ✓a /tcafi'on ♦ Ex :s �% � e 2 1e ✓ab� are Sca OU cof Propoxd well S �o� � •� -G, Wits er Concrete �rapostd 7-0 M �p� C�/ /000 /GSb- A+PCorr6:�7a�.ir� 36edlbo.+, SCpfiG�J� /�OkMp 6�fLM�G� res;dchu � "5�. �oP.c% ��- .� S�oR ✓c. � O �4\ Prop osLat eKo u..)do- 6 .Z S.S/ 2 X GA w/ XSO'd: sloer sa/ec/l74ree(3)di'stribui�idr � 6 /*4,entAT a � ��; \ Sp4eeds. e5.2 .SS, o � ` o_ b¢ncl. wlofk Tp off' /se "P ✓.e. .pe. ��- 30 7 0 Co. 4 1 Safety and Buildings 4003 N KINNEY COULEE RD commerceml.gov LACROSSE WI 54601 -1831 TOD #: (608) 264 -8777 isconsin www.w www.coe.wi.gov/s / I t, of Commerce isconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 27, 2004 CUST ID No.227990 ATTN: Alex WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/27/2006 Identification Numbers Transaction ID No. 1064948 SITE: Site ID No. 690088 Bordertown Builers Please refer to both identification numbers, 1466 Co Hwy J above, in all correspondence with theagency. Town of Kinnickinnic St Croix County SW1 /4, NEIA, S13, T28N, R18W Lot: 3, FOR: Description: New 3BR Design Object Type: POWTS Component Manual Regulated Object ID No.: 983238 Maintenance required; 22 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, SBD - 10573 -P (R.6/99); Zabel A -100 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 10 1.0 1 (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, sro stats. The following conditions shall be met during construction or installation and prior to occupancy or use: 0 J Nh • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.01 /01). • The pressure network is to be constructed in accordance with publications SBD- 10706- P(NO1 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the G sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/8 1)". • This system is to be constructed and located in accordance with the enclosed approved plans and with publication SBD - 10573- P(R.6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems ". A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. , WILLIAM C SCHUMAKER Page 2 9/27/2004 I 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 D Wastewater Specialist, Integrated Services WiSMART code: 7633 (608)785 -9336, dsorenson@commerce.state.wi.us MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Border Town Homes 3 bedroom residential mound Owner's Name: Border Town Homes - David Tschida Owner's Address: 402 Durango Drive Roberts, WI 54023 Prop. Add.: 1466 Co. Hwy J Legal Description: SW1 /4NE1/4, Sec. 13, T.28N., R. 18W. Township: Kinnickinnic County: St. Croix Subdivision Name: CSM Vol. 15, Pg. 4054 Lot Number: 3 Block Number: Parcel I.D. Number: 022 - 1035 -30 -020 Plan Transaction No.: O to iJ 11 LA L Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank RECEIVED Page 5 System maintenance specifications Page 6 Management and contingency plan SEP 2 ] Z004 Page 7 Pump curve and specifications Page 8 Site Plan SAFETY & BLDGS DIV. Page 9 Soil evaluation reports Designer: Bill Schumaker License Number: 227990 Date: 09/15/04 Phone Number: (715) 386 -3121 Signature: �f -- 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) Version 3.0 (03/01/01) Page 1 of 9 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 - 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal - - - - - - -- coliform of <= 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150 %) 450.00 Design Flow (gpd) 5.00 Site Slope ( %) 99.50 Contour Line Elevation (ft) 22.001 Depth to Limiting Factor (in) 0.501 In -situ Soil Application Rate (gpd /ft Distri Cell Information . 50.00 , 1 Dispersal Cell Length Along Contour (ft) _ F____ 9001 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft 1� Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y o r N (c or e) e! Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 3; Number of Laterals of the highest point. 0.1251 4 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft /orifice 2.0 01 Forcemain Diameter (in) 83.00 Pump Tank Elevation (ft) Enter Y or N 140.00 Forcemain Length ft Does the forcemaln drain back. Y 6.50 System Head (ft) x 1.3 22.84 Forcemain Drainback (gal) 17.17 Vertical Lift (ft) 29.64 5x Void Volume (gal) 1.90 Friction Loss (ft) 52.47 Minimum Dose Volume (gal) 25.56 Total Dynamic Head (ft) 24.72 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 Ga llon s /in ch Calculator (optional) Treatme Tank Information __646.0_ 0; Total Tank Capacity (gal) 1000 00 Septic Tank Capa (gal) 17 00 Total Working Liquid Depth (in) Wieser gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 646.001 Dose Tank Capacity (gal) ;Zabel Filter Manufacturer 17.00 Dose Tank Volume (gal /in) Al 00 jFilter Model Number Wieser Manufacturer Project: Border Town Homes 3 bedroom residential mound Page 2 of 9 r - Mound Plan View 1/10 B :':':':':':':':' �:':�:'::::::::..:.: .:: J :� Observation Pipe 5 W A ....... B .... .' ..... ..... I • :�..:. . .. . . . . .......... ............................... .......... ............................... L Mound Component Dimensions A 9.00 ft E 19.40 in H Mft ft K 9.43 ft B 50.00 ft F 9.00 in z 1ft L 68.85 ft D 14.00 in G 0.50 ft J ft W 25.42 450.001 (ft Dispersal Cell Area 1 955.881 (ft) Basal Area Available 9.00 (gpd /ft) Linear Loading Rate 5.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.42 (ft) . /// .•... G H / /// F ; : ; ::: Dispersal Cell 101.17 (ft) Lateral 100.67 (ft) - -► — . . . . : . Invert Dispersal Cell Elevation :: E D ::::: :::::: • . • J • J • ] • ;' ;' ;' �' _j -; -.] • -, _; •_; -•; •- � j • j •; -•] - -; �� _,] -; _j •_,] _,] •_ j ,] _; _.] '� •� • -; - �'J - J 1 -• 1 J J ] � j� J - J J ' J. _• 99.50 (ft) Contour Elevation 5.0 % Site Slope Geotextile Fabric Cover Shading Key T Dispersal Cell See lateral details on Fil Topsoil Cap c a 1.5 ft Page 4 for number, Subsoil Cap H size, and spacing of © " ... ASTM C33 Sand � � �:��'.'' F laterals. Laterals are 0.5 ft Typical Lateral ® `-,.-?: -. Tilled Layer � h '�' "' equally spaced from 05 Aggregate o � the distribution cell's --- A centerline in the distribution cell (AxB). Project: Border Town Homes 3 bedroom residential mound Page 3 of 9 End Connection Lateral Layout Diagram Center the laterals over the A & B dimension != Turn -up wdball valve or oleanoutplug P All laterals are IOentioai IF X —�I Holes drilled on the bottom of the lateral 6 equally spaced Laterals & force main of PVC Sch 40 S (per COMM Table 84.30 -5) Force main connection via tee or oross to manifold at any point. Number of Laterals 3 Orifice Diameter 0.125 in Lateral Diameter 1.00 in Orifice Spacing (X) 2.55 ft Lateral Length (P) 48.45 ft Orifices per Lateral 20 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft /orifice Lateral Flow Rate 8.24 gpm Manifold Length 6.00 ft System Flow Rate 24.72 gpm Manifold Diameter 1.50 in Total Dynamic Head 25.56 ft Forcemain Velocity 2.52 ft/sec Dose Tank Information Locking cover with warning label and locking device and .l sealed watertight Electrical as per NEC 300 and -♦ Comm 16.28 WAC I Disconnect 4 in. min. --"'!!-- Tank component is properly vented E- Alternate outlet location Forcemain diameter Wieser Manufacturer 2 in. Cap acityl 646.00 Gallons Volume 17.00 gal /inch A i ` .. ` - Weep hole or anti - Dimension Inches� B siphon device Gallons A 18.44 313.43 B 2.00 34.00 C P P ue levation (ft) C 5.56 94.57 84.00 D 12 .00 204.00 D Total 38.00 646.00 Dose tank elevation (ft) 3" Bedding un er tank. 83.00 Alarm Manuafacturer LevelArm Alarm Model Number DVL Pump Manufacturer Goulds Pump Model Number'3871 EP05 Pump Must Deliver 1 24.72 gpm at 25.56 ft TDH Project: Border Town Homes 3 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Providers Name Bill Schumaker Phone (715)386 -3121 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone (715)386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 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 every 1.5 years Moundl Inspect for ponding and seepage once every 3 years 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: Border Town Homes 3 bedroom residential mound Page 5 of 9 f - - Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Coda 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, 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. 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 ghould 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 ireezing. 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. 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(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 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Border Town Homes 3 bedroom residential mound Page 6 of 9 .M GOULDS PUMPS Submersible Effluent Pump MODEL 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- M Bearings: Upper and ov, r grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction . following uses: heat transfer. • Effluent systems ■Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • Farms manual operation. Auto- superior strength and corrosion SP Canadian Standards Association • Heavy duty sump matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron • Dewatering assembled and preset at the for efficient heat transfer Goulds Pumps is ISO 9001 Registered. factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 3 /4" maximum. ■ EPO4 Impeller: Thermoplas- 0 Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1'12" NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104 °F (40 °C) continuous METERS FEET 140 (60 intermittent. • Fasteners: 300 series t0 �__ -- i + _ stainless steel, • Capable of running 9 30� s GPM dry without damage to ,2S.S(o � 8 -. -__ components. Q Motor: i • EPO4 Single phase: 0.4 HP, " 6 20 115 or 230 V, 60 Hz, 1550 RPM, built in overload with r 5 I automatic reset. a 4- EP05 • EP05 Single phase: 0.5 HP, o 115 V or 230V, 60 Hz, 1550 3 10 RPM, built in overload with EPO4 automatic reset. 2 } • Power cord: 10 foot 5� standard length, 16/3 1 i 1. -. SJTOW with three prong grounding plug. Optional 20 ° 0 0 10 20 1 30 40 so GPM foot length, 16/3 SJTW with .2 Y 7 .,r,, M inimum SwO�O� / a Ee r q / three prong grounding plug (standard on EP05). ° 2 4 6 s 10 a n, r CAPACITY Go ulds Pumps O 2002 Goulds Pumps ITT Industries Effective September, 2002 p7/ B3871 0 . / Soy'/ ¢ ✓a /uafi'on - 1 E EXiS fi r q 8r'a,dt — -- cx4r '^9fen�e /.iet N Sca /e: + O U L � r Q odtittio� �O c011� �� p�1 Proposed w� << t o �Qa�4� s �o� ti pN� .i of Wicsc conC: Ze nrapostd CY) /0 -Mf Ca.+b:na,d:" 3 bed Ce S [QfiG pfr.» Jt //�4 M�0 6�s�r'Jd G/ rc s ,Ie c.�ce 6,e FC' /u �n E afs• 0 /c t'. �'�5�. voP.d.C. bu; /d;n� scwci 4 1�rCen(4i'7 Propost- eKound a t< 1 S Y..Z X 9XSo'divee aa/ot/� j¢/ibu2�i'd. /a-itrt.4 a / X s/B- f % " or ;de;` t �s. Sod «c/ ail. ss.' a 5*ue12d L ee%: /00.40.' 30 7. 0,2-' OF c let. 6. .: 7apa{' 3 /s� "P ✓,C.�Pe. " u ding snm cc SOIL EVALUATION :yiyis�on vt SaSety aid Buildings REPORT i rase ti in ;=rdanct wilt; Camrn e3, WI,. Adm. Cc. e Attach txmplele site pia', on paper not less than 8 1/2 x 1' inches in , ize. Plan must County ir°c ude, but not limited to: veri)cal and horizontal reference point (BM), direction and �� pPr�nt slope, scale or dimensions, north arrow, and IDCaGon ara CistanCe t0 nearoit road. ParGEI L0. '` till rJ Please print 8111nrormatlan. Reviewed by Personal Infom%ati Data. On Y� Provide may be uosd rar.cond lear?. purpo9oa (PfVdGY L,aYv S. 15.00 (1) (m)), Property Own or Propery I.ccaunn 6C�GO R. F},UO � >_ GEl s s > G � PropvrryOwner's Mailing Address mot 114 S �� T 'z5 N R lg E (or 36 J Lot M 81ock TM Subd. Name a CS1�» ity _ State Zip Code Phonp Num er i'_(V �2 ! -fr1.L ❑ City [] Village Town I W1 5�{oZ�l (BLS) �lZ5.8 i Zo � Nearest Road I". NJ Z New Con- struction Use: (� Res;dvnpal /Number of bedrooms Repiacarnent Code derived design now rate Public or rnmtner�al - Describe; C Parenti 2rat 5 S �.r't Cl Pr � Z 'T7+ Genera( carnments Flood Plain e!evadon !f appli�hte f` and recornmandafions: `f 'K SL.S ' IatS 1 t.LL3c, rior N-^+ i „'r 1 "' U t- �'� or-. l Boring # Q Boring Pit Ground surface elev,� ft. Depth, to !imitfng factor 3 Horizon Depth Dcxntn- ih. ant Color Redox Desciption T Sot! Appiigtion Rata In Mansell exture I Strtrc;ure Consistence Boundary i Rccts en «� i Ru. Sz. Cont, Color I ( G, ,-" r �- 2 Dti1'C�31 z Gr. Sz.Sh. i I - 'Eff -1 'EN 2 is -z t o oz _ sit z sb►� , �, �� s .6 3lS/ S1 I 1'q � r o'r ` WI r 6t M Q 5 � E i S I r Boring # ❑Boring L Pit Ground surface elev. tL Horizon " g Depth to limiting facirr In. Z _ Depth Qomiriartt `(,�}pr Redox Dss�ipGan Texture Sail Aop cation Rate !n. 1 rtuRSeil Sbucture G ?D!tt* , +Consistence Boundary ;cols Liu. Sz. Ccni, Coicr f I / O� LZ Cr. , 1�'-t l� 31 . � 5z Sh _ 'tEr�f I •EfFAE2 i`�. f rr/.v ( T'F ( . S- . ,� . S Vu t Al ( f i ' E!Auent #1 = 80D� > 30 < 220 mg/t ertd TSS > CST tvarne (Please Prnt) - 30 < 1S0 mgR ' FMuent *2 a 30D � 30 4 r t h n r T .: " - Si Lure : g/l. anc TSS < 3G mg1L A '' tse m zer CST Number ddress Wegener S "• , gyp- :Z.t.tS / %' 1+. I r- Soil Testino, & be Sign SexvicPDaleEvstuationConductad 220254 R1�er ra1ls, 1 J1 54022 IalepheneNumber 715 - 425 -0165 I GM S eo�9 p 1�C]r B'14 Parcel !b � ,— •' j K,y P!t Ground avfaea etsv. al 2! . � l��• Page xtiat Dept D ti •-- •— nalft Cctpr it, Depth to Nr"lonp ¢actor in. Utme+t Rgdox Eescurption Texture truot� -- - -tn. Qu. St. cofL Dolor ° s ttan Rata � p .... { 3 i p 1 9 R >1 � ,+ or. t3=. Sri. t$r� Boundary Rc>ota GF'D1fR -s El Pit GroUnd M face WV. an Depth I Color De pth b Amteng iector In- Uesc4P61n tn. Qu. fiz. Coot Cum sbucgge con :latence g 8vU Apptiea Rafe Routs G ' 1 :1 �� 'P1111r2 orrB Bonny Pi, mound sUrfaoe Neu. �nh,ant C Redoz Depth b & tatter � in. Munsalf Cone} �exttas py Boundary � S !ADP bon Rate. sh. � Dma TAVI 'z fRuerw = Roo , 31D c g?o aruf TS , 30 _c ISO `EfRuent #2 = 9op,y 3p "Q& and 7SS a 3p j �t of CORwc4 $u CQuaj 0 ty ft i*e rov' nod l as �ttra=te ftu, � p aaaa t ogte,c� t n a GO8.2 IfYou need ttesistmwe to ac4ms a�rri or 6G - 3 ISI or TTY 609-264-8777. c�a I Hug. 26 2004 09:12AN F4 Scale 'i' I 4 I � f I ---- �-.�.. ' �• 101:`�r ON � ` �ttlGf¢�'3lc( DITt3... P1lC__,�j�,� _� f.LT7� i fh` 2 _ i f 1 � f I i 1 1 f i I�z .. o • � bo rA 1 _c. ( µII b cur, 1 -ST c, 7Z5W425 ° 0165 2211254 Si gnature Date �S— Te 3 e Pl� ri e lv CST FO. Job NC. '"Wisconsin DepaFtment of Commerce SOIL EVALUATION REPORT Page 1 o f 3 i Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County S 'T C �Z_Q 1 X include, but not limited to: vertical and horizontal reference oint BM direc ercent P ( ). and Parcel I.D. � �'�I � G slope, o e, scale or dim • P dimensions, north arrow / S.4 and location _ 9 and distance to nearest road. Q 'Z .16 3s, - - 36 — .020 Please print all information evie d by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). �jljyl, 3 O 3 Property Owner Property Location C>VLEDG02V PrAA &- r1 6 E S S L G t;T� 4GIA -Ut SW 1 /4QC 1/4 S k3 T ? N R 18 E (or)(@ Property Owner's Mailing Address of # Block # Subd. Name or CSM# 363 PLZ—�N-Sr' -#uT 1�4 vE►v U City State Zip Code Phone Number ity ❑ Village ® Town Nearest Road lZlUL1Z P I WI I '5VOZZ ( - 1 LS) qZS -S1 \� 3KjlelzlKjQ 1C CTS�m �t New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate 2 3 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent Inaterial A - 1 - T7 LL Flood Plain elevation if applicable Q ft. General comments and recommendations: ? Nt1"VZ bv/ q 'X- BLS' DLSTVLLa(iil.pN cR.L - n o{' �ri n )-u M AA Ism I tr-I U.j+ -t / 4 S hf� C / -!fl vndtnt= fv I 4.1, rfruo k e o �rovrt. _ I • I - 7 y� v� .. a� V- it p V a Borin Boring # ® Pit . Ground surface elev. 4 4 • e l ft, Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 p l S )Utf LZ- 31 Z _ 2 is -z ) t.I 3 34�-�1b �a�cz 4 Z:/ - b Co S S ° 4 \—I" NS1-T4 ut � I S F ? a Boring # ❑ Boring rA`� >✓FmC� pit - Ground surface elev. 8 8 Z ® ft. Depth to limiting factor Z in. t Soil AppHda ti • •Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary 1106ts in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 •Eff#2 =tZ 1 - 641z'I S'11 Z`F sbt2 ►>7T - �.. � tz -zZ I p �f(a..313 _ S) ( Zm.S6 rn� Cg - . S •� 1t 3A - ..sue -/2 3l �p �4` � •5 `-r2 S/g S I o� col � _ . 3 . S C� l7 ►v ti T ' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) Signature CST Number Arthur 'L *Wei er 220254 Address E,1 e g e r e r Soil Testing & Design •Service Date Evaluation Conducted Telephone Number 421 N. Bain St. River Falls, 1111 54022 715 -425 -0165 L � _ )��w► Property Owner Parcel ID # Page Z of 3 F�-�] Boring # ❑ Boring ® pit Ground surface elev. q ® I ft. Depth to limiting factor Z 3 In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 0 — I - b I p `? iZ 31 Z - St 2 `(�5b1Z i�t`�1- �c-v l'� Z 13 -19 l pt- -3 /3 _ sip Z`FSh� ►n•Fc- - S .�3 x )q -i Jo — si Z m s b k v� `Ft- c-S -y0 StifZYy el -1S ytz S/ sl o�, . /n u`P - - - .3 • S ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate - Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L ' The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access, services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SBD•9330 (86/00) PLOT PLAN Page 3 of 3 Scale 1'= So f { fit-- Lo 0,c' ON - 1 tt 16 if,3ty Dtr� .PVC Pt PA 1vl ( TN , ) f � i f f 1 1 d 1 1 ( ..A L0'r i Z _t —p8 � 33 6 r i Do nor Co"pn -r art , � 8 3 � Ol 'r ? `9 F 'z � a e I eks 4 e e.-L, Lzz_loo.bl CTH�S S 715 - 425 -0165 220254 Up- Z4 3 CST Signature Date Telephone Ito. CST No. Job NO. WiisconsinbepartmentofCommerce SOIL EVALUATION REPORT Division of Safdty and Buildings Page of 3 in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County S' • CSLO l X include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. kEKJhZ)i A J G percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location C�l ?ERGOTZ f-}AJ>) G '1L rjEJ S S 111 G t�T� mot S-j 1 /4QC 1/4 S 1 3 T Z3 N R 18 E (or)(@ Property Owner's Mailing Address Lot # Block # M=21� # 363 PU�S>l-ti' t�\)El j u 3- - cwt City State Zi p Code Phone Number C] City _ E] Village ® Town Nearest Road t IULZ\Z PfrtLs I WI I 5'1 - 1 LS) 4 4 z.s_S1 ZQ �..ti�r��el le cTr�� 3 rt New Construction Use: ® Residential / Number of bedrooms -� Code derived design flow rate Q SQ GPD Replacement ❑ Public or commercial - Describe: Parent material 6 - V Ll Flood Plain elevation if applicable N . 1� . General comments ft and recommendations: t'tiOVtvD 1N/ R �� �L.S I fltS11Zt.(3c, i70" cRL , 1 1 4 " O F S fv^-1�> A L L t— E Boring #. ❑ Boring ® Pit . Ground surface elev. C � 4 - �/ ft. Depth to limiting factor - 3 in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 r p_ ►rbl-icz - _ s it z . s b k ►�`Ft �;;J . )f s :� S 1 I Z 'M 9 I " w! `� C - • S . t3 \'azb M 34 - fib �a `BIZ 613 f c-F 5Y2s18 �s o� m v f4_- 4 Coru s S 0 1. Ltr�( esrZ'i t KM'E4 ► S E Boring # E] Boring ® Pit Ground surface elev. — C I S $ ft. Depth to limiting factor Z Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #1 - Eff#2 CO--1Z 1�`�1Z 3lz _ S! 1 Z`Fsbk ►n'fv �w )'� S .. �. 313 _ S)( Z� - 7.S'La12 3 `P � � •S\-ra s /g s l o - m �- _ • 3 . s ( eo ly ti s S ° J u • Effluent #1 = BOD > 30 220 mg/L and TSS >30 _< 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si CST Number Arthur Z: "Wegerer 00 - Z14S -3 2202 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, WI 54022 715 -425 -0165 Property Owner Parcel ID # Page of 3 Boring # ❑ Boring ® pit Ground surface elev. q ®• I ft. Depth to limiting factor 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 •Eff#2 o — I -=�- ID `? 2 3 Z — -S` 1 Z `(�sblz >�►`�t- et-v Y S _ 8 Z 13- 19 t 1b rZ /3 Si X UZ 31 6 — Sit Z s b k 4 Z3 -y0 '1 S LY(a - Vk/ 2 3/8 sl F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑ Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate - Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 •Eff#2 • Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L ' The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access. services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. S13MS330(RAM) PLOT PLAN Page 3 of 3 ' Scale 1' = So ' 4 � � I I _ i � 0.0 oN "7 ".lf[6tt :51S(�D!!9 I E { t { { � I -� LoTZ i 2 98 ti :3 G i Do ►vor co"Pfrrcr- art go > D S T t.t 12 [3 ► �i1 S`A X01 T I ?0 �9e 1 Nr�s , ",tc,,.►r I o `3ur;uwt ur - &L LZz_►oo.b-2 o � R►111 2 3►M Y* i - 7 fO t �-p _— CTS S � ��• .�. ` S -0 715- 425 -0165 220254 c) 24S 3 CST Signature Date Telephone No. CST No. Job NO. Y • v Y3 , 0 z1 � o/O i 9�I -�o ST. crza C O UNTY Q d35" / a N!annin .q — arw ro,l +a rnramittee iJ �R 2 7 2001 C/ or � /� �� Io • if not leccroud w�uui ha be Z a date ap proval / MQ� appro a �/- null and void � � /3 ? 4 1 Certified Survey Map' Gregory and Gail Geissinger Part of the Southwest 114 of the Northeast 114 of Section 13, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin- 1 0 ; NORTH 114 CORNER OF SECTION 13, OWNER'S ADDRESS: Z T ?BN, R /BW, I1 "I0PON PIPE 363 PLEASANT AVE. ♦ FOUND/ R/VERFALLS, W/ 540 22 UN A rrE L ANDS : S B9• l9'!6 "E 1331.70' N L INE SW III NE //4 /I 100 YEAR STORM 'L ODD ?' O x971 I � ELEVATION I TYPICAL! „ ; t SUIL01N6 SETBACK LINE z W r j 100 YEAR STORM FLOOD �� ��, _ ~���`► �. �� W CONTOURLTYPIcAL1 + • Ig I PRIVATE DRIVEWAY EASEMENT �"[f ') ►� �. \ O O 3. :5' a l LOT 2 a Note: An erosion control plan will be required by the h St. Croix County Zoning Office prior to construction o q I DRIVEWAY o on these lots n bI Z N" "W 260.18' LINE CHART V iu L1. NOO.12'17 "W 25.00' ON I L?- SIB* 47'43 "W 34.01' h b L3- N88 "W 43.04' B h I • I L4 - NJ/ •51'3/ "W 1I ?.90' � W �• 4 I I ' N 89.47'43 "E 1 ?5.86' b u V I I QI V N 311.86' % 24 1.00' i V I Q) Q d at W 100' 434.44' 2 ry s rp h C O ~ � �6 3 SB "E 467.44 $ LOT4 ;� O I z E ` K W N �, W o � SUILOIN6 p a ;II �� YY •-- /7� - � Q M of Z y K SETBACK LINE O• O ? SEPTIC O N ♦ L4 rOWELL /N6�' -a • '` O DRIVEWAY ♦ WELL p o O m 4 " ' • �►� i a t O L/�I ■ 0 2 rS894743 W rp - p .: b 467.47'•" ?41.03' y 3/4.30' �� - ♦ ?4/.00' a �! 3 07. 0 /' .�._ j b — — '� 307.0 ?' _ 1 /3_78' _ _ _�— M TOP OF IRON PIPE p O E/W 114 L /NE ^- -�- b C'r• 4SS b I — c ' N UNPL A r 990'' S ! �.NQ� • N 89.08'38 "W 5J/6.17'-v' O b ti Z h x ALL SEAR /NSS REFERENCED TO THE �`�~O�a'j� NORTH /SOUTH 114 L /NE OF , j C SECTION /3, 4SSUMEO V W f r W W: N 00 •I ?'O? "E l 4 c 2 e "Revised this 22nd day of March, 2001.' WEA FALLS„ z a Q: W : SCALE /I's ?00' WI O 3 .1 Z 4. y A It O Q 0 so /00' too 300' 400' V O it L40 M h 1 W i o A DATED Nov.7, s000 "Revised this 20th day f March, 2001." W W ` 'Revised this 29th day of Jan., 2W' §HEE r I Of 2 3 h m r q R 7N /S INSTRUMENT DRAFTED BY LAURENCE W. MURPNY Vol.15 Page 4054 KINNICKINNIC PLAT ✓LETS T -28 -N • R -18 -W 1 %V (Landowners) See Page 112 For Additional Naaes, WARREN PAGE 32 FE 1000 1100 6M AVE _ 1 i AM AVF 1500 e°af A., N � O F tr � I Dent s•p '�� ZO tM2 Gloria 2S Harold • lenettr 1 VonraW W •aaa civ ' ,..A7 O S Panamint 9331 t TOWER 198 _�y 40 1 ' ZZO '- — �T - 7 F a Q .Gam a f Q. tr RRM tr 94 u T iD I He m, • r r =! I Robert a T ��� 59 _ a Lu61tl� I W°ied N'' m, 170 E s B AD K ` 72 "" �y l 7 ■ _ .!Q . 389 _ _ _ _ sa°m 1 ■ a -w 2 � W ■ 4 , 1 oa¢ / 0. rata.•. sa ~J .ro. � SuNi,er A Marcella ; 1ca, ° Van ! , Lueck 4­ u+ < E ■ CDUI EE Igo IS 160 l y m • y D 9 � M uc N / 8 � A` m T[ust •�, < I '! ! 1S7 2 , 4 rr. fe ,) f O.� 1 I 80 u ' W ea.ir aT. W ¢ ' y ■ gry a }a• ' SS 10 • ey n 160 � h 266, 104 O Or • Met w�a aiw.. ru STEEPLE DR I �a w 1Mrir w M.6- n 1 � iwn ,.► arfer,. aa ae '-w P m AVE saO, C? �.b _ S! L110 a °!" 'ir.� z «111 �i �'! �! f! a CA 159 f0 - — - 159 _V — - =� 1 a l l Finaas f >= to N, • fohy Gild Harp s 7 t J INC °; o Mkbd°on I 100 I F 117 I $ 1 s• °°mta ® # � s 1 Z� IM u O � J 154 186 - 4113 4 �' p !p #F g� TOM 40t431 Kbuik- �+ a $ �3F� 771 eta !SR ¢ FED t NandFt a x • 1 � a� ggg 1 ■ 4 1 . 411 M Donald _ X 12 a Trust ro ` ' X72 A 'T 21 !o °'� • # ` ■ pV A 2, DaC 1 Ali-- � - f0 � dpi . L208 _ . k r7 _ 154 st f _ - S3 _ _ _� .o p. �_ I z E !ate ) hn Z, r E7 J ' J Te ese < tr Gkm t ' 01 ( .. 40 ° llcmmdorf , so 3 � e ma ' U. 1 " ` 4 •�LLF 20 M wlon8 • car. = o '° • a g I e. a , Partners 0: 140 Ds Liam ¢ i ia� 4o m 120 ai OAK OR I DoM is . it • w ah ,a „our A R x.a.a SIN q � $ t • aWT N S tr ~ 40 Grif I M t $ J I _ a , • _ 9, 4w, 18� m gll �° ids! s 2s0 801 1 — I �N tr aea ° rrae Imta JJ .°$� � t� _,A M A. Andrea ~ B o b " . 25 i a i M River f • f f« fo OR fs I 13 Falls an tr s r ' Tit '•i p $ w Wj t � x e ou�. 1Z 27 y t y 2 ' ' a Soda a • A , Mae a 31s 1r 4]' s. fWol& strr�soo a.. �7 e Adellme W •0 RP Pedus aes math _63 Trust 8 a 22 °�� _ 104 _ 316_ X 10 _ 114 a . '_40 !�, fo ° u re, . _ _ . ?OQ t pad a a w�Lo wia Mobile 65 Gerald z tr u on $ r p �i p— I Gsr7 42 Home Opel I vtv■uam! 33 40 $ 7 !on 40 ¢ us°° ie w fo' W �--R m )ohn ' ¢ • 0 a .�• o D.aaa t A■. n Hanson _ j ;! 35 6. 110 M Ralph Ufa ' 1•eme a lA _1 . L 2 wart M Tooci 0 � � G. w 140 Dean 1,< � rfb r weal 4 Todd t q E x dk r,4 y 8S T ' # , j RWh or.• °_° �7 I p� Patricia 6 amd- 0 i tw L l 100ie _'c1 X 1411 , _ _ _ PURGE CO. OOl tOt4VlOOD LN L The Kinnickinnic River Land Rick McMonagle Trust Executive Director - 1 715425 -5738 phone 219 N. Main St. Ini� 715 -42S -5771 fax PO Box 87 KkudRLT@pressenter.com River Falls, WI 54022 7 Consenft no u ai nesolrrces and scenic beaay in the xinnickinrric luatenhed is ST CROIX COUNTY SEPTIC TANK MALT IMNANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Iiuyer c crt- Mailing Address Z _ ,4,Aj C a aA9 Property Address 6 Gd (Veri fication required from Planning Department for new construction) City/State Z' Parcel Identification Plumber OZ 2 ^I c 3 S - 32 -o 2c) LEGAL DES=171 Property Location S�J ���, V., Sec, a . T ?_F N R � LW, Town o0_ Subdivision Lot #. Certified Survey Map # �`f 3�7 ____. Volume „_ t f Page # Warranty Dart # 72l V Volume -� fj�- -, Page # V1 Spec house 0 yes `6 no Lot lines identifiable 9 yes © no Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance eoasisto of pumping out the septic tack every three yeas 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 aVVN to submit to St. Croix Zoning Department a certification form, signed by the owner and by a ma8WP1umber, journeyman plumber, restrictod plumber or a licensed pumper verifying that (l) the on -site wastewater disposal system Is in proper opentin condition and/or (Z) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set fo here as set b the f cth, 14 y Department o Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of dw tht+ee year expiration data. SIGNATURE OF APPLICANT / DATE OWNER CERTIFI AMN I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (arc) the owner(s) of described above, by virtue of a wamutty deed recorded in Register of Deeds Office, � ATE IC3NATtJRA OF APPLICANT DATE 0A • "" Any information that is mis- represented ma result in the sanitary permit being revoked by the Zoning Department. • `• * * * •" Include with this apptlead": a starnped warranty deed ffrom the Register of Deeds office a copy of the cestfied curve map if reference to mode is Y P the warranty deed ST. CROIX COUNTY , WISCONSIN AMR �.� ����� 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 # 13.28.18. pending Site: 1466 Cty. Rd. J, Lot 3 Kinnickinnic Tn. – Owner(s) David Tschida 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." Wisconsin Admin. Code Comm. 21.125 requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. Erosion control is a requirement of the conservation easement recorded for this lot. The Owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The rim source for construction site runoff will be the house foundation excavation, driveway, and any P asl' Y soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. Surface drainage flows northeasterly toward Parker Creek. The proposed septic system is >500 ft. from the 75' setback for the creek's Ordinary High Water Mark according to the Certified Survey Map. 2. Intercept and route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between construction areas and any potential receiving waters (includes drainage ditches). Do not allow diverted runoff to be directed into surface water conveyances. (See specification sheet for temporary diversions provided by Zoning Dept.) 3. If 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 other products may not be necessary. However, silt fence, straw wattles, or other approved sediment control products will be required if sediment cannot be contained on owner's property with diversions and vegetative buffers. The POWTS or Building inspector may 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 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 durin g P site construction will be responsible for compliance with the ESC Plan. Please feel free to contact me with questions regarding erosion & sedimen ontro prod nstallation. ,,. Pain Quinn, oil Erosion Inspector #665054 Prepared by: P O p LG�v� Owner acknowledgement of ESC Plan requirements: —/—/2004 r , V 2636 i' 298 - 771412!ll0 STATE BAR OF WISCONSIN FORM 2 - 1999 XATHLEEH H. WALSH Document Number WARRANTY DEED REGISTER OF DUD This Deed, made between Halvorson Homes, Inc. RECEIVED FOR RECORD Grantor, 08/11/2084 12:50PH and _ David P. an Katie L. Tschida , Husband and W i f t- Grantee. WARRANTY DEED EXElP7 t Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of REC FEE: 11.08 Wisconsin (if more space is needed, please attach addendum): COPYSFEE: 164.70 That part of SW r/a NE 1 /4 Sec. 13- T28N -R18W described as follows t D CC FEE: Certified Survey Map recorded in Volume 15 of Certified Survey PAGES: 1 Maps, page 40 as Doc. No. 641394. St. Croix County, Wisconsin. Recording Area Lq t -7L13,, Name and.Be % CUMEM M Village Title & Abstract Company 2550 University Avenue West Suite 214 North SaMt Paul, Minnesota 55114 022 -1035- 30-020 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this _�_ day of August 2004 Halvorson Homes, Inc. - - -- .. .............. ...-- ----....... I _ ............ -- ............. _._ .......... -- ....... I - --- -------- * * By. Chad Halvorson, President _..... — - - - -- ..... — AUTHENTICATION ACKNOWLEDGMENT Signature(s) Halvorson Homes, Inc. STATE OF __ ) By: Cha Halv orson, Pre sident ) ss. County ) authenticated this of A , 2004_____ Personal! came before me this day of --- -• - -__ _.... -.:: _- -- ------ the above named - -- ----- •--•-...—....•--------...........--- •- •------ - - - - -. * Krishna Oland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Atto rney Kristin Ogland __ Hudson WI 540 16 Notary Public, State of — My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature. lofomtation Professionals Co., Fond du Lac, wl STATE BAR OF WISCONSIN 800. 655 -2021 WARRANTY DEED FORM No. 2 - 1999 cv ST. CROIX COUNTY •. Plan • ^- t, -.bc rr.- -iftee I I. ,AR 2 7 2001 �� 0� It not ir�:c .juj v:,lndt 3U days Of 1 approval date approval shall be F' SAAR 2 FN H� null and void 6 1-3 Certified Survey Map Gregory and Gail Geissinger Part of the Southwest 114 of the Northeast 114 of Section 13, Township 28 North, Range is West, Town of f Kinnickinnic, St. Croix County, Wisconsin. NOR rH 1/4 CORNER OF SECT /ON /3, OWNER'S ADDRESS. - W r2I N, RIa W, // "IRON P /PE 363 PL£4SANr AVE. 2 p FOUNO/ R /VCR FALL S, W/ 540? � O I a . flN PL A TTE LANDS : 1s•�t S B9•/9•/6 "E IS3 /.70• N LINE SW ii4 NE I/4 Xr 10.16, � ;1131 1 100 YEAR S roRN FL 000 l �O ' r971 ELEVA rION/TYP /C,�L) O ! � f f �^ 1 SUILDING SEra4CW LINE III M �� i 1 �j �: 1 J �gRN t rR�� _ 1 100 YEAR SrOR.1I FLOOD ."d F 1 O I� ' CON TOUR/ rYPICALI �� ` " ` ~/^ ` ��•7 ` r ' NB9.1 •Ja••W 207, P6' .. \ b � PA/YI TE DRIVEWAY £ASC+YENr it \ r /\ t L. O r 2 p '' °'' o Note: An erosion control plan will be required by !I I N St. Croix County Zoning Office prior to construction o N 0-91 VC WAY c On these lots. ) Nag. 47'Ja °W zoo. /a. L /NE CNARr W I • 4 i 47'45 ••W 34.0/ ' 4 N •O f b I M - L3- Naa'20'I! "W 43.9f' ! H hl O ui %J r l 1 �I a L4 - NJ /•Jf'! / "W 14Y, 90 - ai W •. q 2 I 1 C4 y I + � Na9•fT'f3 "E 11 S. a6' i Y O e� W1 p u a+ > V '1 i O I q t ^ IW loo• , 4J4. 44' t H > eD. 11.1AI. , e 6,1 3 Sa 17•aI •E 4a7.41' LUT W � LO T5 o W o W DRIVEWAY OWELL1NG 4 ' 2 8 O h 1SR9•47'IJ• Ip p - p IIOJ.34' m M 467.17'• � Yf /. OS' 3/4.J0' bl_ M_tf/.00' l J07.0/• �'v t • L N _ /3?9. 79' �� �� S OY63T.0/' M M 70P OF IRON /PE 3 E/ /14 LINE — ~ _ C.T ., J A SSUN EOEL E VA r I OV b Z TEO —_j yNPL A T �' Naa•oa•3e "w J316.J7• -�-- � z i ALL NZ4R /NOS REFERENCE° r0 rme �`SG F AVII Z Q h O NORrN /SOUr.H I/4 LINE OF y SECTION /3, 4SSUArE0 t M w w i w "Revised this 22nd day of March, 2001. s Tit a a i y 44 4 SCALE /••t zoo. !dNlli.ilf. o i U O Vol IDO' 700• JDO' 400' W 7TT� s h n W W 047ED: NOY.7, r000 "Revised this 20th day f >iarch, 2001." � J o 'Revised this 29th day of Jan„ zoa 'S`HEET I OF 2 3 it N R rN /t /NS rRU ENT OR4 FTEO aY C AURFNCE W. A/ UR PV Vol _ 15 Page 4054