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HomeMy WebLinkAbout022-1042-10-050 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463353 0 c GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Tricker, Jim & Patty Kinnickinnic, Town of 022 - 1042 -10 -050 CST BM Elev: Insp. BM Elev: BM Description: P Section/Town /Range /Map No: `'i (dtnn # Z CS � �r 15.28.18.228A20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ( Benchmark Dosing Alt. BM RerBt+en �d� � a cjr, , Bldg. Sewer W w W . w T Holding St/Ht Inlet 11.9z c1y \/ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DtInlet Septic 5_7 y / / 7 6 / _ Dt Bottom Dosing / Header /Man. + cm �• � �� 1 . X 72. Aeration Dist. Pipe Holding Bot. System 7` 7Z. 161 Z O Final Grade PUMP /SIPHON INFORMATION ` , IbZ • Of- Manufacturer Demand St Cover \ GPM rr.•.. 5 - 111 IV3 .sz. Model Number G C -33 - r Cow 7.7Z TDH Li Friction Loss System Head TDH ft `J.� o ,Zd `3 .7 -5 1 Forcemain Length 1 Dia. /I I Dist. to Well Z SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS �h f� � 1 �- SETBACK SYSTEM TO V P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type 0 Sy tem: � Y 4 Z ' 1 / I44-- UNIT Model Number. DISTRIBUTION SYSTEM Header /Manifold Distribution f \ I x Hole Size /� x Hole Spacing / Vent to Air Intake Pipe(s) lit- J �Q J Length \ Dia Lengt Dia ` I� Spacing � Z� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Over xx Depth of rseed xx Mulche Bed /Trench Center �2� rench Edges Topsoil ` es No "`5s No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:(/ 7- Inspection #2: / / Location: 1296 County Road J River Falls, WI 54022 (SE 1/4 NE 1/4 15 T28N R1 NA Lot 2 r lot.-j � P rcel No: 15.28.18.228A20 1.) Alt BM Description = �' I C " I c , V \ (�J6� rr05� L 2.) Bldg sewer length = Qa J- S - amount of cover = / Use other for additional in Yes Xno L VJ format _ Date Insepctor's S ature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O Box 7162 �COnS In Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -31st �(o 3s 3 Sanitary Permit Application O State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you pr may be used for secondary purposes Privacy Law, sl5.04(1)(m) Pro cet Addre s (if different than mailing address) n.. # 12 9 w I. Application Information - Please Print All Information Property Owner's Na me Parcel # Lot # Block N r Property Owner's M ailing Address —� j a Property Locution 4 i City, S tat e ` n� lfp Code Phone Number l ..d.G mot) , , l � ' P � --- - -- - -- S _.r T �• / �. r , ,f, � bi,Scction I II. Type of Building (checic all that apply) _ 1 or 2 Family Dwelling - Number of Bedrooms r 1 (�CLv�AN C� '4(� ' 'M Nt utncr _. may — __ -- 2 ❑ Public /Commercial - Describe 1Jsc - to (1 4 1I_'.��_ 72 93 V0Z 17 ❑ State Owned - Describe Use �(1D ' S �jQar»uS City_J_JVillage 1l ownship of III. Type of Permit: (Check only one box online A. Complete line B if a pplicable ) - 0 2 Z- j oqZ -/o e) SO(. 2 .2 19A - A. )5 New System n- Replacement System I ) 'rreatnient /Ifolding Replacement Only I.1 Other Modification to Existing System .__..._-•-• _._._.. -_ ___---'- ---.__.. - --- -._._�, .._ _ 13, CJ Permit Renewal I�1 Permit Revision I J Change of I J Permit 'Transfer it) New List Previous Permit Number and Date Issued Before Iixpiratlon Plumber Owner r N. T e of PO WTS System: (Check all that ap ❑ Non - Pressurized In- Ground CJ Mound > 24 in. of suitable soil I -J Mound < 24 in. of suitable soil At (;rude (J Single Pass Sand filter ❑ Constntcled wetland 1 Pressurized In- Ground I J Holding Tank I I feat Diller I I Acrobic 'Treatment Unit J J Recirculating Sand filter ❑ Recircula Synthetic Media Filter ❑ L eaching Ch amber J D p Line I I Gravel-less Pi nc J otlieg e x pl ain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) ispersai Area Ili upo.•ed (sf) System Flevation .` r� �. � � �� � r(� ✓tai ..� VI. Tank Info Capacity in 'Total Number Marufacutrer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete C0118MIClel1 Glass New Existing Tanks I 'ranks Septic or floldhag Took 0ositt (:h;uuhcr VI1. Respo nsibility Stat ement- 1, the un dersl ed, assume respousibillty for Install o f the POWTS shown on the attached plans. Plumber's Na the (Print) Plumber's SI gnature Mf' /MFRS Number I;usiness Phone Number Plumber's Addre ss (Street, City y, State, Zip Code) VIII. County/Department Use Only Approved ❑ sapprove Sanitary Permit Fee ('t eludes Groundwater - Date Issued Issuin Agent Signs re (No Slamps) Surcharge Fee) ❑ Ow en Reason for Denial IX. Conditions o r' / SYSTE R: 3) AiA. ©tic� -Q ' c�awt# 1 Septic tank, effluentfilter and dispersal cell must all be §erviced / atr intained 6 4 0 Szk_ -dz as per management plan provided by plumber. .p, o C 2. All setback requirements must be maintained D as per applicable code /ordinances. ap, ^ `4en (re;�k ��,tS , Attach complete plans (to the County only) form on paper not less also 81/Z x I I lncl In SBD -6398 (R, 01/03) I O At - G'`d alc Scwc� Pa • 2Xlstiw9 �1. in s A c CL �{- � o I 1� M 4 V u.s.r slot �Ok*O( task wth P KS-IX "� cstec� l � O�ce, a to f irS7� d(i.7 l�.s I C 1-TI�vCNt !'i �y'C�" N epo�te dd" es f 'rdhk Ley W c.,- Grscoete- P� yr M tK ` mot' I e C 3 A � V P M �i` � •h pyG PGvice 1 Irl r a �{ is b 0 av /'�� i "dl�dtt►s dfj�f 6 % slop / ethc� • i l•a ��. I �p.O `—'� BM'l = t °P o�'�•hc�i ia.w �•Pc, a % /vn• O G Safety and Buildings PO BOX 7162 ` commercemi.gov MADISON WI 53707 -7162 TDD #: (608) 264 -8777 isconsin www.coe.wi.gov/s / www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary March 01, 2005 CUST ID No.220673 ATTN.• POWTS Inspector CHARLES L WEBSTER ZONING OFFICE WEBSTER EXCAVATING, INC. ST CROIX COUNTY SPIA N5815 770TH ST 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 'CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/01/2007 Identification Numbers Transaction ID No. 1113283 SITE: Site ID No. 695226 Jim & Patty Tricker - Dwelling Please refer to both identification numbers, CTH J above, in all correspondence with the agency. Town of Kinnickinnic, 54022 St Croix County SETA, NE1 /4, S15, T28N, R18W Lot: 2, CSM: V.17, P.4558 FOR: Description: New At -Grade System / 450 gpd Object Type: POWTS Component Manual Regulated Object ID No.: 1006082 Maintenance required; 450 GPD Flow rate; 42 in Soil minimum depth to limiting factor from original grade; System(s): At -grade Component Manual, SBD- 10570 -P (R.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (R.6/99); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Cons ♦ This system is to be constructed and located in accordance with the approved plans and with the component manuals listed above. DiVIDE T SA 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 SEE cUR required by the state or the local municipality shall be obtained prior to commencement of R 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. CHARLES L WEBSTER Page 2 3!112005 4 Sin Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 l C� et Private Sewage Plan R wer , Integrated Services WiSMART code: 7633 (608)266-2889, M - F, 0630 - 1500 Hrs pepagel@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 II WEBSTER EXCAVATING, INC. N5815 770th St. ty Ellsworth, WI 54011 (715) 273 -3430 .� POWTS Index Sheet Page 1 of 8 At -Grade System for a 3 Bedroom Residence . ® Property Owner/Project Name Jim & Patty Tric Lot 2 CSM Vol 17 Pg 4558 L� ^� SE /4ofNE /ofS15T28NR18W r� Town of Kinnikinnic, St Croix, WI Contents Page 1 of 8 Index Sheet Page 2 of 8 Plot Plan Page 3 of 8 Plan View Cross Section Page 4 of 8 Distribution Pipe Layout Page 5 of 8 Pumping Chamber Layout Page 6 of 8 Pump Performance ,Curve Page -7 &8 of 8 Management Plan ``` 011 %, io CHARLES L f WEBSTER _ E•18W3 tc • O ELLSWORTH de • vv Wis. 4b ull Sfo ` sp a / �-- .v Ptry M E E Component manual used: ! D1 NGs Nazne: At -Grade Component Manual for POWTS spoNOE Version: SBD10570- P(R6/99) Date: 6/99 Name: Pressure Distribution Manual for POWTS Version: SBD10573 (R.6/99) Date: 6/99 ' eX,'Jtrw�C Pala ` s ti e d D -t- I 'm i- I �t —1• 0 Pt _ Y• G cSe �/ Y`Cr yt4,r P ldA,,, Q M 4e 4 o rack �►.'t/h Pol /o K.�� ! I � C (" T l �vcK t' �i 1't•Cr I�ePo�to dd"� es f T A;, W, -rsCa- C —ccete- 5� �t- QYpQa \pa��M Z i Nflp M tK I J tiP r• Gov t o F YL ool 6% sleP e / yra' �FcZ i` I / x pt d l0 8M / t P P •P , AN 5� j �f CT / o/V B r clt P.,ber d.n / A- ` V Feet °� �hclz B= /� Feet Linear Loading Rate - ( ? GPD /LN FT L- Fe Design Loading Rate = D•.T GPD /SQ - FT N= - Z-c - Feet Fabric Distribution - Late al Observation -- �U - T nve� -r- 7 Well 'Q� S �oP P Wwr„�gj PSCZ.LM 12 L /4 do ke _ d f e /n -P C � a �� c e , r• �,d �� ' cI VL' PG v d P p k-•v e d - eo tek f,' �C �d dr.'c r c en �or.�, s- *- p s _ c _ 3v �6J ��. w,'s ,cJ d,,., . co e _ Distribution Pioe I,avout of CJ Place the holes at the bottom of the distribution pipes at eeual spacing. Remove all burrs from the pipe and holes. lt d t$e end of each ktcW 0 with the use of long turn or 4.3 ° fi ' � to a • int . � Fa wrdzia sx lnohea of the final Srade. Terminate the cads of the lz=4 with a valve,: &=zded = or threaded ping. P'rovidc act front $nei sde fbr The valve, tllr�sded d2w or thrza Q plL7. �cCEsS anx_ T`•! F' 1 �1� L �,CLgs S stiT�i 1V 1�] P C Pvc 1'U G 'r• L�tar�l • .. � eaecl� Catterd ist��uto PL�� V1Ew o- - f � v te; p -4 Ft. Hole Diameter 3 � .Inch Lateral Inch(e's) X Inches Force Main 0 2 Inches Iof holes /pipe Invert Elevation of.l.aterals /6 7 Ft. f y r ter- �ldw = c1 6- A -f - G kd de P /ds. �aJ­ pdi Page ' 0 f Co r7 6iA)'�'i7 S�D / iC YJ h � //� 4.r., cti 1 h-6e� (No Scale) P 7;c rei/T �jo{7 . Approved Locking Manhole Covers {, With Warning LabelS Attached e17 7' d Weatherproof Approvedn _ 6 r "1Ke y, „+���./ ✓� Junction Box Vent Cap —� 12” Minimum rn tt g, Minimum Quick._ 18" Minimum Discohect -- l I i 1/4" Weep Baffle Hole � � �� /c�P�f �•yek i A Alarm 6' 6 On C - APPROVED Off oFcoyer to JOINTS WITH /°`OV'Ol` d`c-'J APPROVED PIPE p 3' ONTO SOLID SOIL Conc. Block 3" of Bedding Under Tank Pcv* / own,P 0�cdct* rr 04 SAP o1 ,� C ei r ee� Number of Doses :5' !-4 Per Day Gallons Per Day /Dose : OS" Gall ons Volume of B.ackfl ow: /" "'- /6�)+ /6 3 Gal 1 ons Tank Manufacturer: GfI�GJ(°r �oiCefe Pr.d� cry; Zhc- Total Dose Volume ......... = C> , Gall ons Tank Size - Septic /Pump: /oo u O Ga 71 ons Alarm Manufacturer: Model Number: Day/ Capacities : A -Z02 inches or 37 Gallons Switch Type: sr- «1 0j / + B ;inches or 3 Gallons Pump Manufacturer: 1 v e k-s + Cam` inches or I o a Ga11ons Model Number: E O 1 + D F — inches or Gallo(s Minimum Discharge ate: 33- GPM Total ..... = .3)R inches or Gallons Vertical Difference Between Pump Off ancLDistrib ut`lon Pipe: l� -a Feet Minimum Required Supply Pressure:... a`. 6�.?.o ... ? �S .P. +3.Feet /OO Feet of Force Main x a.. 3dL Friction Factor /100 Feet: + .2.3 eet aZ Inch Diameter Force Main Total Dynamic Head:... = 7 Feet AA Internal Tank Dimensions: Length Width Liquid Depth I = l 7 o O d 1� 4 I / r /a k-A" 0 c e cco'yc p 1- Page'C of 0 A t'G►�o% Pl dh �vr J",i., Pd ff rkl kc-A- Product Performance Chart CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 30 G 8 25 z F� _ 20 6 � s 15 r- 4 10 2 5 0 1 1 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE �Y�Y � 1gX�;.t✓➢i }1 �1t� 'a11 7��e+ ;Y`•[' Qt011p .sup IX f. Y5 S FE Myers is a certified ISO 9001 registered quality system. Copyright ® The Pentair Pump Group All Rights Reserved Ply Polky - Terms and Conditions of Use By using this site, or by accessing any information on this site, you are agreeing to the Terms and Conditions. http : / /www. femyers. com /products/sse /sse_me4O.html 5/20/2004 . POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner J"� �� T r,'c �" Septic Tank Capacity 162 00 a l ❑ NA Permit # Septic Tank Manufacturer teSHS'Co ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model �� �' ❑ NA of Commercial Units Number NA Pump Tank Capacity gal ❑ NA Estimated flow (average) 3 UV g al/day Pump Tank Manufacturer W, cst s Ca,�� ete, NA Design flow (peak), (Estimated x 1.5) ,S gal/day Pump Manufacturer 14 yS ❑ NA Soil Application Rate`` .- d c �-- O.. b aUda /ft Pump Model /t�J� 4-O ❑ NA Influent/Effluent Quality 4-S' ` °' Monthly average' Pretreatment Unit NA ( FOG) 530 Fats Oil & Grease FOG ❑ Sand /Gravel Filter ❑ Peat Filter ` Biochemical Oxygen Demand (BOD 4 mg/ 20 mg /L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L0 Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) 530 mg /L KAt - grade ❑ Mound Fecal Coliform (geometric mean) s10 cfu /100m1 L ❑ Drip-line ❑ Other. Maximum Effluent Particle Size Y inch diameter Values typical for domestic (non - commercial) wastewater and septic tank effluent. •* Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months ;1 year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y,) of tank volume Inspect dispersal cell(s) At least once every ❑ months jikyear(s) (Maximum 3 yrs.) Clean effluent filter At least once every 02 months ❑ year(s) Inspect pump, pump controls & alarm At least once every+ rrce,Wcd ❑ months ❑ year(s)' ❑ NA Flush laterals and pressure test At least once everyA_,, ❑ months ❑ year(s) ❑ NA Other At least once every ❑ months ❑ year(s) >K NA Other. At least once every O "months ❑ year(s) NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector POWTS Maintainer, Septage Servicing Operator. Tank inspections must In a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatIment components and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Pd'tt/ Tf^i'G /� Ci- - /ylyue/ M���1r^e0;0 �e��1 P age (T of System start up shall not,occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMMENT When the POWTS fails and/or is permanently taken out of sery ice the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83:33, WisconshAdministrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the - POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER ` , � kh °'may POWTS MAINTAINER Name Name Phone Phone SEPTAGE SERVICING OPERATOR PUMPER - 66,k. LOCAL REGULATORY AUTHORITY Name Agency S� Cp° X Co ti.� f o� h Phone Phone 7i, f 4 K 0 This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies. This document meets the minimum requirements of ch. Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not GMW (2/01) guarantee the performance of the POWTS. j Ni .sconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of -Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ` County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must I include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. G Please print all information FPdvacy RECEIVED Personal information you provide may evi ed Dat be used for secondary purposes Y seco Law s. 15.04 1 m . O ( )) Property Owner MA r�e8ty �� 'on Gevt:- ��et�• � � 4 N � 1 /4 S � S T � N R 1 � E (or) �W Property Owners Mailing Address y dk # ubd. Name or CSM# �'�C C ZO IN OF ICE— � 7u �� T City State Zip Code Phone Number ❑ City ❑ Village R Town V Nearest Road , tiZ.tU ZNZ � SI 6 v! I S q0 ZZ (? (S) 41S MW- -Iuu) New Construction Use: Residential / Number of bedrooms 7 Code derived design flow rate ? p Replacement G D ❑ P Public or commercial - Describe: Parent material L� ES ��l��t�f't� ��L Flood Plain elevation if applicable IV A ft. General comments _ 3& H and recommendations: � � G ��� � S ►^'� , Boring # Boring �� -�� oli � F't� ?M ® Pit Ground surface elev. ��� ft. Depth to limiting factor L l �- in. Soil Application Rate Horizon De th — Dominant Want Color Redox Description Texture e Structure Consistence � s ence Bounda ry Roots GPDlft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 I •Eff#2 0 4 `m'FI c-w - • S - "ji rnA- cL'i - S " I.� 3 )6_t4 ' -s 12- 5 ) 0 M u - f CS — p it �° z •� E Boring # ❑ Boring 101 •5 ®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 .-9 1 3lZ — sl ( z.'F- W)f1- Cki .S : 8 .c� Of -q51-i,Sx-12.3t V 1 e-5� M V `F1- Clv •1 t.2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/l- • Effluent #2 = BOD, < 30 mgll. and TSS < 30 mg/L . CST Name (Please Print) _ S'gna re CST Number Arthur L; Weg 220254 erer E� . 1�3 —S� 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 �'�S —U� 715 -425 -0165 l w Property Owner page LT Z— Parcel ID # ,- ���I hl Z FKS1 G of 3 Boring # ❑Boring ® Pit Ground surface elev. ft. Depth to limiting factor Z In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *E61 •Eff#2 o- 9 ►b`� tz- 3 t Z s11 Z-`F b k Yn`F1 �I,,,� - 'S 3 ?,\4 ) 6 v16 is lei bk `F►- �g _ ,� 1. z .� q o - z FY-1 Boring # ❑ Boring ® Pit Ground surface elev. l S ft. Depth to limiling factor S o -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 •E11Y#2 b -1Z t o �t�z 31 Z — s t 1 Z `Fsb k �n�� C LJ Z �z - 3) tu�rz,3lb sz Ztinsbk y,,t�j cS _ , 5 ,s 3 L to�� yl� — s t�sbk mv- — •�. 1.2 Sa -6y toy R- yl `!� -S �l2 Spa is si I 1 asbk m �. — . Z .3 Boring # ❑ Boring ❑ Ground surface Pit e 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 -8330 (R.6/00) r PLOT PLAIN -Page of 3 f Scale 1'=S(Z) ' W 0 N s l Lo T �bT 1 v J .Z `o a i 31 � Sew t3 L)A- FoZ AT- G►zq -t� 5 S air / •3 7- \ �` mar' - - - -- � -a R . o _ZS—O 3 I' 715 -425 -0165 220254 03 -S 7 Z CST Signature Date Telephone No. CST No. Job NO. W+sconsin Department of Commerce SOIL EVALUATION REPORT Div1'sion of Safety, and Buildings Page of in accordance with Comm 85, Wis. Adm. Code Attach complete site plan'on paper not less than 8 112 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. l G Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 18.04 (1) (m)). Property Owner Property Location 1 G S 1� 1/4 N�'1/4 S I S T ZS N R )g E or •W1 Lot # Property Owner's Mailing Address ( ) 1 4 Bl7k# ubd. Name or CSM# Clty State Zip Code Phone Number ❑City Village kr Town Nearest Road 7Is) L423 -bS91 Y-jlv0 ,v�v� % cry I New Construction Use: Residential / Number of bedrooms 7 Code derived design flow rate GPD Replacement Public or commercial • Describe: Parent material LZ l �t�'tt l �D LL Flood Plain elevation if applicable IU A General comments and recommendations: F T] Boring # ❑ Boring ® pit Ground surface elev. ft. Depth to limiting factor t _l 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 D 4 1v-1 3 )z Si Z�Sb YY1� c-�v • S - ti - o� 2310 CCU.) • S -6 3 16 -BIZ ',5�23�.� - Gr� 1 cS� n1U Cs _ 0.1 Z Boring # Boring � 1 ' of 5 ❑ ®pit Ground surface elev. ft Depth to limiting factor > — I S P 9 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff #1 'Eff#2 O_9 )0Hv_31Z - s Z - i's LI e 3l V — &A5 1 C_A m y `Fr C� . � 1 � 2 3 t 1S ► o 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 le — (P ase Print) - S' n are g CST Number E r L �. '� Arthur 220254 ,. Address W e g e r e r S O i 1 Testing & Design Service Date Evaluation Conducted Telephone Number 421 X. Bain St. River ly alls, t11 54022 y' �-S -U � 715 -425 -0165 Property Owner `\ y L Z Parcel ID # _ �'�� /V G Page Z of Boring # ❑ Boring ® Pit Ground surface elev. it. Depth to limiting factor Z In, Solt Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •EfNt1 •Eff#2 o-9 loN 2 31 Z si 1 Z�� bk rn , s . g )(,-4 Z 316 - 3 zy -�LZ 1 �tiiz y16 1s l�s bk Yn �. czg L►2 ? t 6`12 313 `� , -).-S 'AZ- SIS Boring # ❑ Boring ® Pit Ground surface elev. S ft. Depth to limiting factor 5 0 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 o -1z � o Hjz3 lZ — si 1 Z`Psbk T>^ cw ,s .e )� \1 tz3! b — st 1 21y s bk r>7 `F1- cS _ , 5 •8 3 31 So sa -W 1e ❑ Boring # ❑ Boring ❑ Pit Ground surface eiev. ft. Depth to limiting factor in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary I 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 T1 Y 608 -264 -8777. SBD -8330 (RAW) PLOT PLA:d Page of 3 Scale 1' = SO ' 0 a i M J I LOT Lo r LbT � J ` 'U .Z �OZ `a o t 3� _ 3 \-p 6 C B SLT�z L)Aje A • 0 C-T s" Lf -Z S-03 715 -4 -0165 220254 •3 -S Z CST Signature Date Telephone No. CST No. Job NO. APP IROVED ST. CROIX COUNTY arks Committee c. hall be I iot recur lin 30 days of @ I� I O I O C� � nta!� ;d I Z zM o0 F I -0 lol a0 11 c o 'd c5 0° BEARINGS ARE REFERENCED TO THE EAST -WEST QUARTER LINE OF SECTION ��0 �� I 15. ASSUMED TO BEAR S87°56'22"W A Icl�l 9 ,� I� t• o (0 0 uz 501 cz�g 111 I� I� I I o m- O r - „ m0 NO2 °075VV 489AV �V' - - - - ° Z T Z � Z 0, z M _! 0 o >,� o Oo 6) - - 20 .54' - - - 234.92' / m - T m c to z r D M _ - � o 6 8 - r c oo Z 439.46' 0 c � m v SO Q rr1 < C I R 1 I 1 � cn m m 0o X CD Z I w Z 50; D 70 3 I I I war N 00 C7 N aD r I O O A M) � w �coz O c0 C O j C r ro r D -' m i m zn ro N O0 D O p D 00 _0 0 g m wM X70 $ g z C7 Z C) Z -i m F M Z 5z fn M ���� - I z 0 O m� O I 4 r ' Z M Z Z CS I I I o 1 m G7 !c _ _ S02'02'1 3 489.46' - - - Z m 43946' O ■� \ - -- �9mZ . I�T��M D /+ m M � 1� Fn4Ka ~O cn c Nl n pp •0 = z co x �p Z = � I Q ' q l Z O 2 `O — N j r Iv r I * r0 M I ;ZDZ Dop E _ Q I�0 �pz- M. I n O D m C) cA Z CO c!) Z �1 O� " 90 90 M a p m p �O mQl7 ��C , O N a Nnt 0�0 _91 CIO M m ,1 I Z m� �I Zm v W I tip _ _ - - - S02 °03'38 'E 469.46' S7 4f _ r - 439.46' 5 Ua /11 /VU r Kr 1J:1L r HA t1J Ja0 4000 JL �tca VV LVkYllv Wlvv4 SEPTIC TANK MArt4TRNANCE AG E NT AND OWNERSHIP CERTIFICATION FORM owner/Buyer 1V NC Mailing Address p Address - :- (Verifi' tion required from Planning Department for new constittction) Parcel Identification Number �� 1 city/State EGAD pESCRYI'TIC3N • S ec. I � TR'�� Town o f r AM' G property Location L %, i v �- /�, $ ---- -- Lot# a Subdivision Certified survey Map # _ � 2 ° I 3 2 volume Page # `pVarranty Deed # S Volume ` 2� SO Page # . Spec house O yes no Lot lines identifiable 0 yes ❑ no gySTEM tVftATNTENANCE usaturc failure to handle wastes. Proper tnaintenanee L use and maintcaaaceof your septic system could result in its prc consists of pumping out the septic tank every three years or soo=, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a trcataacnt stage in the waste disposal tystetst. cat a certification fowl, the by the owner and by a -Me property owner agrees to submit to St: Croiz Zoning DeParrtm that (1) the on site wastcwaterdisposal system Uastcrplutnber, joumey�plumbcr, restrictedplumber or a l ceasedpumpervcrifying the septic tank is less than 1/3 full of sludge. is in proper operating inspection and in if necessary), o condition and/or (2) after inspec p� g (� V the undersigned have ad the above requirements and agree to mainta a the private sewage disposal system with the standards re set fort), bcrcin, as set by the Department of Commerce and the Den artmcnt of Natural gesourees, State of WiscousO�t�� 30 stating that your septic system has been Maintained must be completed and returned to the St. t roix County Zoning da of u'r three Year expiration date. 3 , / C , DATE SIGNA OF APPLICANT OWNER CERRTIFICATION o ianowlcd e I (we) am (arc) th e owacr(s) of I (we) certify that all statements on this form are tone to the best of � f D ) eods Office. th ropetty descnbed above b virtue of a warranty deed recorded in Reg _21 �.�� DATE SIaNA ' OF APPLICANT. An information that is mis =presented array result in the sanitary permit being revoked by the Zoning Dcp eat. .«... y •• Include with this appiieatioa: a stamped warranty dad from the Register of Deeds office a copy of the certified survey taap if reference is made is the waaanry decd U. 2766P 342 -7 4B'cDgt5!5 (r KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., NI Domment Number DowmentMe RECEIVED FOR RECORD St. Croix County 03118/2005 08:660 AFFIDAVIT Occupancy Affidavit EXEMPT # REC FEE: 11.00 TRANS FEE: �" ^� sG Sit + k i✓ tz COPY FEE: Name — Owner Ty or p rinted PA FEE: YP P PAGES: 1 being duly sworn , states, under oath, that: I. He/she is the owner /part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume 2S5b Page . 19 1 6 Document Number 1 1597 15 St. Croix County Register of Deeds Office: Recording Area Name and Return Aodress A parcel of land located in the 5 6 V4 of the N C: V4 of Section i T N -R 1'5 W,Townof St. Croix %e VwVIt1V'Ar," County, Wisconsin, being duly described as follows (include lot no. and subdivision/CSM or detailed legal description): i_6r2 17r (\-gM r17- , JS5'8 0`1Z. it) --US0 Parcel Identification Number (PIN) As owner of the above described property,) acknowledge that the septic system serving this residence is sized for a 3 bedroom home, or a design flow of Q gpd. The design flow is calculated by assuming 150 gpd for 2 Individuals per bedroom. There are currently 7. occupants living in this residence; 6 Occupants are permitted based on the design flow. Therefore the septic system serving this residence Is code compliant. However. understand that if there are intentions to exceed the number of permitted occupants, the system will need to be modified to acoomodate any increased wastewater flows and/or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this \(6 - day of M r> Qr_y% '2-00 AUTHENTICATION ACKNOWLEDGMENT Signatures) STATE OF WISCONSIN ) )SS. authenticated this day of St Croix County ) TH MARCH Personally came before me this dby of 2005 theabove.named ..••''�•..• "� ' TRICKE • TITLE: MEMBER STATE BAR OF WISCONSIN ' (if not, to me known to be I* W049=48d the Yoregoing authorized by § 706.08, Wis. Stats.) Mstrument and ack dge the lamer . THIS 04URUMEW WAS DRAFTED BY * PAULETTE 00- - ' .�••�� tjf Notary PubIle. Stated res nom} (Signatu may be authenticated or ac mowledged. Both are not My Commission is wmanent H ttd 4tW e*ratlan date: necessary.) pate: 12/31/06 "THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" n* Nlbrntstlon etlsf be oo W*od by submNer odWkb such as the grandv clauses. lesaa desa don. eft may be placed on thus t&at papa of ft document orma be placed on addlfl W Pam Of the document. fi2fL Use of NAs corer adds one pays to your doc menl and 1200 to the reomdfm Am. wlsow aln Sfehom 50. 517- z o o �� o o p !� - 204.54' 234.92' j m OT m� rn z � M < I 1 J 439.46' - � r o O 0, < 0 s o i Dp 17 7?lp m Z 1- 1 - c n z b m E M c r I t° I ; mn N N I m Z D rom wo o.c D oo p ® S O C) O K a �0 r! w y z y ° o o ZO n0 rj ` C7 0 Z "} D m mW D m cD <i ���rn -� o j �n o � � I Z o O �. C� n i M m 1 S02 °02'1 3"E 489.' � �, C) r M ■ 46 O M o - -_ 46' � CJ -v 439. y _. �o z / — — ° 3D To 37 A to . io l Z x I ~O in U E t7 :z 2 O 1 ro 4 C7 N� C7 l p M O r y r' w I �O :��� 1 O rn C wco C n z D o- i 0 - O � I 1J cn N S IV Z I� OD CSC/ i f O x p G) N G� 0 O IVV �7 (n I Z I�p .A Z yam C2 N N -n -� ` N i y .. n m T (� N M m � N � f`J Yr. �f � � � m co N�ooZCn Y/ co ' I _ O 2.21.41- — j 1 icy 218.05' �' J�! z o ' '�t�s i �' j Y` _ APPROVED GO U o o m n= 71 w m 2 41' . G7 on ( Qp o � 0 ST, CROIX COUNTY l I �( v C .� �7 M ��"-} OZ N i q w I O Plannino Zoninq and Parks Comm] e9 �A I I N� °m <OX� CO LO O N I I (j' = l U L 0 9 2003 �0 �� o o R1 - -� 0 I r >n fT[ + If not rP.C �urr��ded within 30 days of z ou X; N N apprjja7Qale a ®real shall be y O I I N -_ C: C7.. cn N - nr u F►v", h O (q O O N � r o rn C v C O n (7 Z y w z� T m I D O - C) 0 w p Q • D � �® r Z cs} o I N w p U) Z �"1 �� n Z C� o i� C*l - 1 fn ui; f-TrI c� G C�; v v�2 vS �7 7 D >;: ;u W 1 00.0 I O m o — 0 - tn rn i - � BUILDING 0 � { SETBACK LINES z (� 50, .. a .................... II = in EAST LINE OF I O 3n THE NE 1/4 OF (� I O rn rn M 1 I ( SECTION 15 ; S 1 O O O- 0 0 SOQ °11'15 "E 439.70' z z ! —�! ' O0 ! 1 s I ! %1- - 4-- - 1a ! - I 2 ?8.17 m 221 .53' vim- 'v try 4 ` z V \ 1 I _ 33_Q2'� 'T7 — 271.55' �� — 218.17' — ��� -- S00 °11'15 "E OI U) 1 50001 14 5 489.72- w 2141.22' _ — _ T (�-- S00°11 = m a \ 1 '15"E 2630.94' �- m o — LO I! 41 �o� oG�o CE ROA ci m T d 0L- � s G°�LaC�C 4 a ° 40 4 C�o�oG o e e Vol 17 Page 4558 U 2 5 5 0 P 1 7 8 759795 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 2000 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIK GO., W I RECEIVED FOR RECORD This Deed, made between John W. Linehan and Stephanie L. Vlack, 04/16/2004 88:15AN as joint tenants Grantor, and James A. Tricker and Patricia A. Tricker, husband and wife as survivorship marital property Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee EXEMPT # the following described real estate in St. Croix County, State of Wisconsin (if REC FEE: 11.00 more space is needed, please attach addendum): TRANS FEE: 153.00 LOT TWO (2) OF CERTIFIED SURVEY MAP IN VOLUME COPY FEE: SEVENTEEN (17) OF CERTIFIED SURVEY MAPS, PAGE 4558, AS CC FEE: DOCUMENT NUMBER 729372, FILED IN ST. CROIX COUNTY PAGES: 1 REGISTER OF DEEDS OFFICE ON JULY 9, 2003, BEING LOCATED IN THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER (SE 1/4 OF NE 114) OF SECTION FIFTEEN (I5), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC. Subject to C.T.H. "J" right of way. Recording Area Name and Return Address 0 44 St. C , Valley T Services, Inc. P. O. Bo Ri alts, 022 -0750 � &me� 4 TrjckEr t5 d -5 lwee�d L"u 3� Part of 022- 1042 - 10-000 Parcel Identification Number (PIN) This is aot homestead property. (is) (is not) Exceptions to warranties: easements, restrictions and rights of way of record, if any. Dated this 1:34 day of Ana 2004 * * n W. inehan ` Y * * Stephanie L. Vlack AUTHENTICATION ACKNOWLEDGMENT Signatures) STATE OF WISCONSIN 1 ) ss. PIERCE Countv. ) authenticated this day of Personally came before me this day of April , 2004 the above named John W. Linehan and Stephanie L. Vlack TITLE: MEMBER STATE BAR OF WISCONSIN (If not CHAR, ENE A. LARSWne known to be the nerson(s) who executed the foregoing authorized by 4706.06, Wis. Slats.) Notary Public instnun d gcknow dg a same. THIS INSTRUMENT WAS DRAFTED BYState of Wiseonsin_v II(AYY.tI�, JoseDh D. Boles - Attornev at Law River Falls. WI 54022 Notary Public, State of MY Commission is t)e ent (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 62 0 Y ! u r ) • Names of persons signing in any capacity must be typed or printed below their signature. WFO - PRO (800)655 - 2021 www.infoproforms.com STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 2000 CERTIFIED SURVEY MAP LOCATED IN PART OF THE SE114 OF THE NE1 14 OF SECTION 15, T28N, R18W, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. SURVEYOR: S & N LAND SURVEYING, INC. 2920 ENLOE STREET HUDSON, WI 54016 PREPARED FOR: GERALD EMHOLTZ 1250 CTH "J" RIVER FALLS, WI 54022 SURVEYOR'S CERTIFICATE I, Thomas M. Healy, Registered Wisconsin Land Surveyor, hereby certify: That I have surveyed, divided and mapped that part of the Southeast Quarter of the Northeast Quarter of Section 15, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, described as follows: Beginning at the east quarter corner of said Section 15; thence South 87 degrees 56 minutes 22 seconds West, assumed bearing, along the east -west quarter line of said Section 15, a distance of 820.22 feet to the southeast corner of that certain parcel described in Volume 710, Page 357 on file in the Register of Deeds Office, St. Croix County, Wisconsin; thence North 02 degrees 03 minutes 58 seconds West along the east line of said parcel and its northerly extension, a distance of 489.46 feet; thence North 87 degrees 56 minutes 22 seconds East, a distance of 836.27 feet to the east line of said Northeast Quarter of Section 15; thence South 00 degrees 11 minutes 15 seconds East, along said east line, a distance of 489.72 feet to the point of beginning. Containing 9.31 acres, more or less. Subject to roadway easements over, under and across that part taken by C.T.H. "J" and Cemetery Road, and all other easements and restrictions of record, if any. That 1 have made such survey by the direction of Mr. Gerald Emholtz, owner of said land. That such is a correct representation of all of the exterior boundaries of the land surveyed and the subdivision thereof made. That 1 have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the subdivision regulations of the Town of Kinnickinnic and St. Croix County, in surveying, dividing and mapping the same. GO NB�� THOMAS M. Thomas M. Healy, S- H"L.Y Date: January 31, 2003 8,21M HUDSON. Q. aSURv Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Kinnickinnic for advice. THIS INSTRUMENT DRAFTED BY: BRIANA GEISSINGER JOB NO. 6240 -01 DATE: 1/31/2003 SHEET 2 OF 2 SHEETS Vol 17 Page 4558 7 9372 VOL 77 PAGE 4558 KATALEEA H. REGISTER OF DEEDS ST. CROIX CO ' L MI RECEIVED FOR K ECORD _ 07/09/2003 09s30AM � �i I = I � I � CERTIFIED SURVEY MAP in m a REC FEE • 13.00 COPY FEB: 3.00 ;— �� O Z BEARINGS ARE REFERENCED TO THE m EAST -WEST QUARTER LINE OF SECTION 1 15. ASSUMED TO BEAR S87 °56'22"W ��� 09 �� i � •t•• o 50' I d i �I I — {{{ �' - -- Z T g — NO2°03'58 "W 489.46' o v o 0 0 0 LT l 20 .54' — — 234.92' _ / o r^ cn C) RI 439.46' 9� D f1l I 2p r"C � � I I T C, N co n N O n I ➢ p Z Cn 5. m m W cp C a 1 C 1'� n> r Z C) ry O D o p D Cu D O 8 �i xm c x g I8 z� 2 00 D o D �m o I j C N I z 0 m C xZ I � 1c.) I I m z ♦ I , 1 502°02'13 "E 489446' z 439.46' `` I v iT oo x �o z I I��n IV C4 r iv V f ` m X11 I :ZmO� oo Cw Q C r m x ro n z p y O ` C m n C' - m Z C7 p Z a N T D ZI� �, O 7 p ^ �� m L7m S7 11n OAT D -n „ _ I .� C7 n'I S02 °03'38"E 489.46' IN m _ 439.46' - - =_ NIO° cOOZC(7�� �� -- 218.05' m :Z� �.yl T pm p _ Co 9 � y� _ -- �_ " —�� I 1 � APPROVED �� �O �o c n 1 m m n m 271.41 ST. CROIX COUNTY i 4" `� jE � c -4 O Z C m 1 00 1 0 , I I N I g I I Planninq Zoning and Parks �m1Ke4 N r� 2,n 0 m X T O i JUL 0 9 2003 o o �s _ _ rs s ►cW shall be �ded a within 30 days of O7 oo X j Z p tl � g in N m u{vdri� I I� O n n Z o N C• cn to C r C3 m C -.i JZ C r Z O p D o 0.:> w 4 0 w a ED 00 o O Q a C7 Cn 2:c) co Z w -i D cn Z C7 cn Z w° (� r n Cn o MQO:AP L7 w �° S �Q O A a� Z� :cn 4 > m (n -i � I I� TI 3J cn m 2 I m O — 100.00' — -4 ° m 1 ^ gg' cn ` aBUILDING Ya � m - • •+ • SETBACK LINES • • . • • . • . _ z O M .............. .......... �.. .. ......... . . z 5 II = v, a EAST LINE OF I I O 0 �^ — — THE NE 1/4 OF I to rn m m I I I I SECTION 15 g C) O + I I 11 _— S00 °11'15 "E ` I 439.70' $ I z z 221.53' 218.17' Z — 33�'_ ` 218.17' 3352'_ _\\ 5Op °11'15 "E N N - - SOO°11'1WE 489.72' 2141.22 / t = m ° I �— s°° °11'15 "E 2s3o.sa' �� — CEMETERY ROAD rn qg 1 00u u 9.0. . X49 q ( m M d 19 4 pLaC G 16 `IOO d 16 pZ%(m1E 841 - Vol 17 Page 4558 r x STA -RITE' cast iron submersible effluent pumps IC2 SERIES SPECIFICATIONS t Upper Volute - Cast iron Motor Cover - Cast iron Lower Volute Base - Fiberglass s. reinforced polypropylene Impeller- Fiberglass reinforced ar Noryl• with threaded insert Shaft Seal - Mechanical, carbon/ ceramic F Bearings - Upper sleeve and Lower ball bearings, oil lubricated O -Rings - Buna -N Exterior Hardware - Stainless steel Motor - 4/10 HP, 1550 RPM, 115V - 60 Hz. Class B insulation. Oil filled -in shaded le containing - f� 9 built ' thermal overload protection with k automatic reset. Power Cord -10 t or 20 water resistant 16 -3 gauge, type SJTW A/ This product is Listed to UL Standards for Safety SSTW with integrally grounded by Underwriters Laboratories Inc. (UL ). �� 3 -prong plug. Maximum Limits - Liquid . temperature 1307 (55 *0 The EC2 Series Submersible tion of accessories for automatic Pumps are constructed of rugged operation is available, and FE cast iron, with a non -clog vortex includes float switches, simplex Construction - Heavy -duty cast iron impeller typically used in septic and duplex controllers, basins, tank effluent applications. alarms and check valves. _ Corrosion resistant composite base motor housing and upper volute. Product is available in 4110 HP, 1 V single has co m p lete APPLICATIONS ideal for effluent applications. i S, s g phase p with a 10' or 20' power cord and ■Effluent and Wastewater Bearings and Mechanical Seal - permanently lubricated for long life. 1 -i/2 NPT vertical discharge. Removal Automatic units have field- ■ Sump Drainage Cord Seal - Prevents oil loss from replaceable u back tethered and protection for motor if cord is p P 99Y ■Circulation style float switches. A full selec- a Water Transfer Overload Protection - Built -in ORDERING INFORMATION thermal overload with automatic reset. Maximum Mechankal Power Cord - Field replaceable. Catalog Load Phase / Cord Switch Intake - Built -in suction screen with Number HP Amps Volts Cycles Leng Type stainless steel suction plate. EC240110M 4/10 12.5 115 1/60 10' Manual Impeller — Pump out vanes for EC240110T 4/10 12.5 115 1/60 10' Tethered seal protection. EC240120M 4/10, 12.5 115 1/60 20' Manual Solids Handling — 1/2" spherical EC240120T 14/101 12.5 1 115 1 1/60 1 20' Tethered capability. Noryl• is a registered trademark of General Electric Co. In order to provide the best products possible, specifications are subject to change. Customer Service: (888) 782 -7483 ■ fax orders: (800) 426.9446 ■ www.staritepumps.com a Sta -Rite Industries, tnc. 6 Delavan, VW 53115 USA cast iron submersible effluent pumps OUTLINE DIMENSIONS SECTIONAL VIEW u i PUMP PERFORMANCE NOON \` \ ■ ■ ■ ■ ■ ■ ■■ NOON ■ \� ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■�NNE ■ NNE ■ ■ ■ ■N■ NONE ■� ■ ■ ■ ■ ■ ■\ \NONE NONONN Da NOONE 0 MEMO ■ ■ ■ ■ ■ ■ ■ BE ■ ■ ■ ■ ■ ■E