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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479488 0 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: Womak, Brad I Kinnickinnic, Town of CST BM Elev: Insp. BM Elev: BM Descriptio Section/rown /Range /Map No: /v G5� 15.28.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � /, S p+-• Benchmark � 3� �O( • �j /Q W esc�.— 2: l5 5 Alt. BM °`} 3 AA /OZ • �. Aeration Bld . Sewer ` Holding St/Ht Inlet 7 9 9-3 p St/Ht Outlet TANK SETBACK INFORMATION I TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � 25 �tJ�- 1 Dt Bottom ` \ Dosing Header /Man. 7, C j Aeration Dist. Pipe Cy s Holding Bot. System rr •• rL 1 . q PUMP /SIPHON INFORMATION Final Grade ft / Manufacturer Demand St Cover ` �• /OZ Model Nu m • � c � , ` cN cL TDH Lift Friction Loss System Hea TDH Ft Fo1'cemain JC"th Dia. ist. to well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length N9. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS '2 Q G SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer. ` 1 L INFORMATION CHAMBER OR Type Of System: 30 Z 5 ► / ,, I UNIT Model Number. � U ` / V /lJ � , DISTRIBUTION SYSTEM I ZA e,, /5 8r c,(ti 0 al -_C Header/Manifold .1 Distribution \ x Hole Size O x Hole Spa i Vent to Ai Intake Length 2q Dia L Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over i Depth Over xx Depth of r eded/S ded xx Mulc d Bed/Trench Center G Bed/Trench Edges Topsoil �s I , - J Yes No I��`° Yes COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 336 County Road River Falls, WI 54022 (SW 1/4 SE 1/4 15 T28N R18W) NA Lot 2 Parcel No: 15.28.18. 1.) Alt BM Description Ri/ 5 d 1 Go IS (e`er J 41 Ca. � = � 2.) Bldg sewer length = /3 / - amount of cover = Z 8 fk M c r LJa Q W�av Plan revision Required? J Yes No S Use other side for additional information. Date Insepc o Signature Cart. No. SBD -6710 (R.3/97) MA, Safety and Buildings Division County t 201 W. Washington Ave., P.O. Box 7162 ,S iseonsin Madison' 'i�� Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608 - 31511(# # V Sanitary Permit Applica State Pan 1. . N In accord with Comm 83.21, Wis. Adm. Code, personattillformatio you provtt�e may be used for secondary purposes Privacy Law, s15.04( xm) Projec Address (if different than mailing address) Sj 1. Application Information - Please Print All Information ZON]NG OFFK;E IT Property Owner' Name Parcel # t Block # Property Owner's Mailing Address Property Loca / G �1� Y., J1._ Y.., Section City, State Zip Code (,/ Phone Number l trcle / T R/ E or 11. ype of Building (check all that apply) 0 / 0 - I or 2 Family Dwelling - Number of Bedrooms .�,,,b " S� Subdivision Name / SM ember ❑ Public/Commercial -Describe Use 1 P �a. ✓�_ 792/W7 11 / . \ ❑ State Owned - Describe Use b;l CQA6 w a ( 15 + G�a oe.('S (1 ❑City_ ❑ " rage. &Townshipqf t III. Ty a of Permit: (Check only one box on line A. Complete line B if applicable) 0 ' /6 A ' J System ❑ Replacement System g Tank Replacement Only ❑ Other Modification to Existing S y p y ❑ Treatment/Holding p Y g stem Y B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that ap 1 on - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ound 224 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Aineing Chamber ❑ Drip Line ❑ Gravel-leer V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Require (sf) System Elevatt O / VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank / .� Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigA assume res o 'bility for jusollation of the POWTS shown on the attached plans. P s a Pr' t) `7r7 PRS Number Business Phone Number Plumber's Address (Street, City State, X� l VIII. unt /De artment Use Onl Approved isapproved Sanitary Permit Fee (includes Groundwater at ssued Issuin ent Signature Stai Surcharge Fee) OJ caner en Reason for I A 1 72 IX. Conditions of A r•o�_ val /Reasons for Disapproval 11 e t r e .iR 11ii$4ftrw Mop lqdm*d 2 A i l�ah�tinNnta � (1� e ,ti erGe Its per appomm Go* / a dM WWW 35 C /% lob 1 Attach co plete plans (to the County only) for the system on paper not ess than S1/2 x 11 in c In sin S V I Gc6i5 c r— C ates -c`� ` L) SBD -6398 (R. 01/03) I , "O"W4 Va bobpja,l rriq k"msw*m "q +n .ae�na�rD*u +Nds�ggs �q as �57 4 P of 3 y� � i =yd a � �-�- 0 e /3/K / _ boo i -ag � Tom. � —ael � :5y Ilk V -5 , 5 - �� 3 5� Wisconsin Department of Commerce SOIL E LUATION REPORT Page of 3 Division of Safety and Buildings in e omm 5, Wit ode ���PPP %J County Attach complete site plan on paper not less than df2 x`1 ►ricf� in size. Plane' � x include, but not limited to: vertical and horizontal referenW point M), direction and QQ� — percent slope, scale or dimensions, north arrow, and location distar>�e.3rest road. par , � Please print all information. ,r , ° ;(� R Date ` Cf_ Personal information you provide may be used for secondary purposes ac y t®v. S�> E' @4 (1) (m)). 2� Q Property Owner Govt. Lot 1A SE 1/4 S I S T jt $ N R &(er CV Property Owner's Mailing Address ` Lot # Block # Subd. Name or CSM# 3'a - 2, Co 0r t �oaC7l S'S a -- - �a be_ c3t�t eel m trJe�'o sc� rve City State I Zip Code Phone Number ❑ City Q Village Mown Nearest Road ever u_� � �1 5 (/ ) 5 -59 i twr�, k, ' o' = C P.c�' 3 � New Construction Use: aResidential / Number of bedroom Code derived design flow rate yt1 k-na -j GFD ❑ Replacement ❑ Public or commercial - Describe: Parent material rJ r) 'L Flood Plain elevation if applicable General comments and recommendations: Totr- e_h'l or1C�� S ��� - -H'1 Cent -e / r - M--Ad-4 hAtA _ ? s S! s --J-b 6e 20 ' 11aQ04Uj 63 © Boring # Boring p Pit Ground surface elev. ft. Depth to limiting factor a y in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 i o- iay — 51 a r s a rn o. (P t.0 o. 3 - 3 /ay s13 — 5 05 c_t� a� ep 1 r Dy _ ,s Boring # Boring Pit Ground surface elev. 9� • � ft. Depth to limiting factor �a t in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /f? , in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 i `Eff #2 - /J YA b C7 7 -. '7 / s mfr �t.J V f �, 0.7.. I to use r c c,J 1 • YR — s / �r o Effluen = BOD > 30 220 mg/L and TSS >30 < 150 8/L fflu t #2 = BOD < 30 mg /L and TSS < 30 mg/L CST ame (Please Print) CST Number e Address Date Evaluation Condu ed Telephone Number Property Owner �t'S QIXI JgNk A.— Parcel ID # n �a ���� �j d �r Page of y � Boring # Erring q Pit Ground surface elev. /S ft. Depth to limiting factor ± in. Soil A lica_cn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roos GPD1ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I 0 A * G r rr cu-) a� m 1116 J , ,D- a l y m f r C-U) I � ;}38 M YR s 0 6 - C- 0) -k !, S - 6 / U Boring # Boring U ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Applicaton Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roos GPD /f- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 t N ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ pit Soil Appl icabon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roos GPD /f` in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 '=ff#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 altemate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 - 8777. SBD -8330 (R- 07/00) Property OwnerC tOJ It'S ' Ut7tl C- I f N tf A.— Parcel ID # n aoZ' 5'b Page _ of _ Boring #��4q Boring q pit Ground surface elev. /S ft. Depth to limiting factor in. Soil A ia:on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 a ( c /OYR y la n . y . .3 _a lO S/r3 .5 m -r CO) f � .7•-38 Y o� c uJ . - q� 1. s - ' F-1 Boring # n Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil A icaE•on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roos GPD /f 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 Applicaton Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roos GPD /f? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'cff#2 .Effluent #1 = BOD > 30 <_ 220 mg /L and TSS n30 < 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. SPD•8330 (R- 07 /00) Page of 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. 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. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative 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 POWTS MAINTAINER Name Name Phone 7�S"" - 6 2� Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY It Name Name �$�7"'� ° Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. CR S T C-4- — r I n rd x lam• ~ G �V ` i o r x 1 b I� QL t o \ c . .;� 0.J 4. k � r p� o S S POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner /3 Septic Tank Capacity 1 1 5 - 0 0 gal ❑ NA Permit # V Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 4 4 ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity al ❑ NA Estimated flow (average) gal/day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) 7 Q g al/day Pump Manufacturer ❑ NA Soil Application Rate i gal /day /ftz Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L iRin- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: C;( ❑ month(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ Years 1(s) (Maximum 3 years) ❑ NA o p Clean effluent filter At least once every: month(s) ❑ NA $' year(s) Inspect pump, pump controls & alarm At least once every: 0 mon )(s) ❑ NA ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: ❑ year(s) Other: At least once every: 0 month(s) ❑ NA ❑ year(s) Other: ❑ 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 include 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 chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, 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. GMW (4/01) Page of 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. 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. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative 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 POWTS MAINTAINER Name Name Phone �jS'' - 6 �y f�� Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name $T. � Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. START UP AND OPERATION Page of 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 oft tan he tank(s) removed b a se to a servicing Y p 9 g operator poor to use. 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. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative 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 POWTS MAINTAINER Name Name Phone �jS _ g / y �^- Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name J;r� `y t Phone Phone - 21 - This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. EROSION & SEDIMENT CONTROL PLAN Parcel # 26.28.18. pendine Site: 336 County Road A Lot 2 Kinnickinnic Twp. — Owner(s) Brad & Kari Womak 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 primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system 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 southerly toward the Kinnickinnic River. The proposed septic system is approximately 120 ft. from the 75' setback for the River'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 during site construction will be responsible for compliance with the ESC Plan. Please feel free to contact me with questions regarding erosion & sediment control product installation. Prepared by Ryan Yarrington, POWTS Inspector #683475 Owner acknowledizement of ESC Plan requirements: //2005 7 9 8 1 4 4 VOL 19 PAGE 4998 KATHLEEN H. REGISTER OF DEEDS CERTI FI EM S V RVEY MAP 0T. CO., 3 WI RECEIVED FOR RECORD 06/20/2000 /206 5 01:0PN LOCATED IN PART OF THE NWI /4 OF THE SE9 /4 CERTIFIED SURVEY HAP AND PART OF THE SW1 /4 OF THE SE7 /4 OF REC FEE: 13.00 SECTION 15 T28N R TOWN OF COPY FEE: 3.00 PAGES: 2 KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. OWNERS SURVEYOR CHARLES AND DIXIE ANDREA EDWIN C FIANUM 332 COUNTY ROAD "JJ" NORTHLAND SURVEYING, INC. RIVER FALLS. WI 54022 P.O. BOX 14 ROBERTS, WI 54023 EAST - WEST 1/4 LINE f �p E1/4 CORNER W1/4 CORNER S87 ° 56'27 'W 5304'70 V V SECTION 15 c� m SECTION 15 3971.34' 1333.36' (D 0 f d 004 9 _C�o� °�° �� EXISTING DRIVE ON LOT 1 TO BE c) G) I Q RELOCATED APPROXIMATELY 38' TO �' 4 T3' 5' , ©� O THE SOUTH TO MAINTAIN 200' m 9 f I SEPARATION FROM DRIVE ON LOT 2 1 N88°1 '05 "E 514.95' Z d O m o NORTH LI OF THE S1/2 OF THE NW1 /4 OF THE SF -1/4 O I i �s LOT 1 AREA: 02 PROPOSED DRIVE o O m m i m -I S88 11'05W 29026 " . A Ii I �� � � 2.66 ACRES O z UUUWWW = Q �° i (�j 115,793 SO. FT. m m o I I ♦�i° m y 40 i ° O M. LEGEND FOUNDATION I C i m m FOUNDATION :Ejr i � i m cn o g Sn NG N II i ALUMINUM COUNTY SECTION LOT 2 8 CORNER MONUMENT FOUND m 10.1 ACRES ± TO = w ' J THREAD OF RIVER SECTION CORNER POSITIONED FROM 440,677 SO. FT. ± � LOT 1 : PROPOSED "00' WITNESS MONUMENTS OF RECORD - r6 m m 9.34 ACRES gI� • 1. O.O. IRON PIPE FOUND TO SOUTHERLY m �^', G� QC+' �DRIVE n� MEANDER LINE rn Q?S N I O 3/4" X 18" IRON REBAR SET WEIGHING o 407,108 SO. FT. A a 'POOL p rA I I I 1.50 LBS. PER LINEAR FOOT A ' POOL ° w 0 m SHED L _ c I .......... 100' BUILDING SETBACK LINE cn L5 �1� OI' • I - - - - 75' BUILDING SETBACK FROM O.H.W.M. Ire 11' 5 i `�' A I • ` -- -- - FLOODPLAIN ELEV. = 936 m FOUNDATION ii /h l C 1a` �6 -4 i C s O.H.W.M. ORDINARY HIGH WATER MARK z C f _ / W II I A SOIL TEST Qom. �- O.H.W.M. 55' sa SOUTH LINE Y' I I NOTE: FOF F THE NWI /4I a THE SE1 /4 �� > NO NEW BUILDABLE LOTS ARE CREATED BY THIS ' " �{ CERTIFIED SURVEY MAP. THIS C.S.M. ADJUSTS cr— � \ L1 THE EXISTING PROPERTY LINES BETWEEN L_ NORTH LINE _ee,s ( PARCELS RECORDED IN BOOK 451, PAGE 563 If I� _ OF THE SW1 /4 AND BOOK 498, PAGE 30. THE PARCELS HAVE o OF THE SE \ M _ � ca �I i I THE SAME OWNERSHIP AT THIS TIME. \ ER /-/NE 9° < ' 1 I I LINE TABLE I I NUMBER BEARING DISTANCE m I z L1 S88°25'4T'W 45.01' i N I m 0 I L2 SOO °40'09 'E 250.11' o N i L3 SOO °40'09'E 130.32 I+ 0 I i m h/ m I L4 S00°4009 "E 47.50 iO c L5 N79 °53'32 "E 74.05' 9) �' � 105 m I m I L6 S45°2736 "E 279.51' m i / - _ _ _ - �"�r - I ) L7 S45 °27'36 'E 31.78' v 446 g Z: S45 °2736 "E 247.73' L9 N32 ° 01'10W 108.71' _ I L10 N85 48.50' 7--i zB a' I 160! L11 S52"42'10"W 158.16 55'-- --� I I L12 S52°42'10"W 86.83 TREAD OF RIVER I I L13 S52 °42'10`W 71.33' L74 S34 °46'35"YV 141.61' L15 I S11 °1425 "E 108.81' f i I SCALE IN FEET 1"= 150' THIS INSTRUMENT DRAFTED BY SAM ADAMS JOBNO.05 -22 DATE3 -31-05 SHEET I OF 2 SHEETS 150 O 150 Vol 19 Page 4998 S'EFFIC TANK MAINT NANC1 A(Jk €,1,,'WtLN F AND OWNERSHIP CE 'TIFICATIO FOt Ikl �•t�ailatt� �rlclre;�s ���.� :.. �:�,_..�.�y... � _:���.� �.._.. ��� �.., . —� OwnertBuyer 4s4cti *ar�tirsta x�ytaa r4 from planaing Loev ng mpart , ~ u 1 .,nos 1 4 da : l .' °? .� Parcel tr ewific�tion i c s tate LEGAL Pr operty , Location 1,%L,, i , , rt a 1,4 `sec. Subdivision Lot m , Cerfirted Survey Map � �. _ .. .y,�. v - • �Ma_� 1`� Et ile __.._.__�� I'a�e 9 Warrant' Deed # Spec house yes no l,.trm atria:,:. stl E Z i L ih C C t10 Y.STEM MAINTENANCE CE AND OWNER C ERTIFIC:A'X' ON Improper use and tmiairmtettance apt' yttear septic system crruld tesUlt ial st+ farur:nat ,.,. 11aum4lle > >ti arst¢a. PRriaEx lmace:iau�.ti:ana.e errtt�isis �f lmunmtmirr +ruo l,e aeptie t<rni cvwry rhr� t e.rs crr crcramti.r, a9 7r...1 t c s: _ .! l.armge�r 1 lmGtt }i>u part ill to the system can affect the function of the sq)tic tfln as a tre- atmelit stage in (he avas,k: e,ci j .r1.li 'i.1,1, t. rmmainG: nand a7.,tL i ilitReti an spe 'eit:led in §Ctuamrtt, 8 3.5'_'( and in Chapter 1'' -St. Cmix C'•, ual,1 4atlr «s; t kmair,:c. The property inner agrees to submil is St. Croix Cmiunty 1'lannitmy & f,lrait)r �_ , ., + r!sl,, f t Cic? l t gran, ssptaed by this rlw - wr amrltd by s truster piumber,,jtrurm ynian lalum ber, restriclud plummAxt or a ficcil"cd , _ .fi_, 1 , , it rt tag th m ; -I tft,� on -cile wa;stimater disposal sysleltl is in prorw Operating condition and/or t:'t afleG ir.s}.u.rl,csr, .r. I:er,; 1, _ 1 tw : sr, r, thcc sept"s Lank is s% than 113 full of sludge, Uwe, t1w undersigned [rave react tilt al tequirculents and agree itf a „1..,.0 =♦i;,, f., t r;s, . dslnlaZI r 5slesmi yaith the se[ forth, hers in, as sc i by the Department nt crf ('esrnrrerrec muad tftc r"'i wis ors iat. CsrtifM.1tagal 5tittillp tha( SIOA.Ar sepUc sy-meal il44s k >,, try rnatantained must he eo p1L fcd eis..l n , ,., th, - St. Croix County plannin do Zoning Depaetritent within 30 nays or the love Year expiration date, Yw4 c'eatifv that all suatemmtcnts on this form are true to tlmc best nt n�y'e'ular k =as.r ;u to ft4c <;u , arts} i�f' t)rarlic ati• tie scribed tl 4 )tmk'c, by viCive ut' a w..vr {(l. d uwrded in Register of Dc 01"icu I°+Ttimber of bedrooms f ST�Pfr T1T , t1'PI ICs II S DAT E 'Any information that 2.e nttisreprese rated way raccatii ill the sankar'y perm alit i e,r,� z oning Deha'i'mcla. lrt.• ude. with this application. a records wlln'anty d,-ed fixo tm the Register of Deeds 01 . ,s, i opy of the w lihced survey ralap if retr:t me ii maadc in the warranty deed. i,RFN 08105) tt U. Z S 5 P 0 Z KATHI -EEK H_ W ALSH REGISTER RF 4F.ED$ STATE BAR OF WISGONSIN FORM 1 - 9998 ST, CROIX 00, , WI WARRANTY DEED RECEIVED FOR RECORD e�i2a�a�QS t1:50AK Document plumber This Deed, made batwnon Ch$i�7 a� rtdroa and Drtaroa and DiXi F r�, 4fARRAH DEED u ban8 and wig , Grantor artd� r ltJ .. t - V �v� t t tS- Grantee. RGC 11. tal0 Grantor, far a vaiut�itslG consideration conveys to Grantee thO following TRANS FEE: 570- 00 described real ".9t8t6 in St,C County State? O' CCT'YEEE Wisconsin (the "Property" PAGES: 1 ReGgrdin Area 1 Nomo and Return Address 1i Burnet T 41c 7550 France Ave. S. First Floor Edina, MN 55435 AT'tN, i'[>stCloging q AQ 000 parrot ld"M 'Clkilan Number (Pm) Thls homer'Woo property. (t {is not) Lot 2 of 0artifled Survey p4ap'tied June 20, 2005 in Volume 19 Page 4998, Document No. 798 Located In Part of the NW '/. of the SE '/. and part of the SW * /.. of the SE' /. of Soctibn 15, T28N, R18W, Town Of KinnickiAla, St. Cr*bc County, Wisconsln. Together with all appurtanartt rights, title and interests. Grantor warr$nts that th4 titie to the Properties good, indafeasible in simple fee and free and c=lear of encumbrances except Bated this 30th day of :Cons, Po45 (SEAL) (SEAL) .Cherries Andrea r Obxde An+�rea (SEAL.) (SEAQ .. AUTHENTICATION ACKNOWLEDGMENT VjetgpY SWATZINA Signotture(s onTAt tY F l!BL } C ' - .. State of Wisconsin. STATE OF W' ISCON 5 tN } an- st. Croix County authentlested thPa d2y Of ., -- - perwdnatiy cKarn6 bCTp r(s rnfr th{S jS?Sh hAy Of �tiffi9.MOA t »e abcnre named rt nd Dixle P.nd V_S.6?*arJ.i fFl to me kngwn to bo the person - wha executed the L4016 ss4ry.) oregoi" Instninnent sand aCk awte�ige t aerne, MEMBER TATE BAR OF WISGOEwtSlhl JJ11, ot. authorized by §706.06, Wls, Stet$) NSTRUMENT WAS` DRAFTED BY t3q�ry �¢ ubtlG. State Wisconsin eil 5*nker Burnet + Faey -9- 0Clrr._.h.680 r> jQ1,liQQ FOad My cOrnlntgg4pn Is pe en t- (If not, afat© expEiation date. ti, Wi 54o16 9 fir{ t �j '-7 tures may a authenticated or acknrnMedged. re not nssary.) s of acct ens signing in an ca must be typed or rinted below 11161f 31 nature. 7naf7nn ► 20a 8o Wt TH M IVA 99 : 11 Im 9009/99/90 Parcel #: 022 - 1044 -60 -000 06/28/2005 02:12 PM PAGE 1 OF 1 Alt. Parcel #: 15.28.18.P239A 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * ANDREA, CHARLES & DIXIE CHARLES & DIXIE ANDREA 332 CTY RD JJ RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 8.600 Plat: N/A -NOT AVAILABLE SEC 15 T28N R18W T 545' O SW SE Block/Condo Bldg: LYING NLY OF KINNICKINNIC RIV Tract(s): (Sec- Twn -Rng 401/4 1601/4) 15- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/21/2000 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANC G6 8.600 25,000 0 25,000 NO Totals for 2005: General Property 8.600 25,000 0 25,000 Woodland 0.000 0 0 Totals for 2004: General Property 8.600 25,000 0 25,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r { Parcel #: 022 - 1044 -50 -000 06/2812005 02:12 PM PAGE 1 OF 2 Alt. Parcel M 15.28.18.P238C 022 - TOWN OF KINNICKINNIC Current X'', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner * ANDREA, CHARLES & DIXIE CHARLES & DIXIE ANDREA 332 CTY RD JJ RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ` 332 CTY RD JJ '— SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.200 Plat: N/A -NOT AVAILABLE SEC 15 T28N R18W 1.2A IN NW SE COM SW Block/Condo Bldg: COR SE 1/4, N 872' S87DEG E 334.6' N72DEG 30'E 638'; N 2DEG W 208.9'; TH Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) N34DEG E 257.4' TO POB; S76 DEG W 75.6' 15- 28N -18W TH N4DEG 55'W 187.1' N80DEG 13'E 326.4' TH S12DEG 36'W 164' TH S77DEG W 215' TO more Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 451/563 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/21/2000 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.200 20,000 218,700 238,700 NO Totals for 2005: General Property 1.200 20,000 218,700 238,700 Woodland 0.000 0 0 Totals for 2004: General Property 1.200 20,000 218,700 238,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 502 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f 1 r 4 ` Parcel #: 022 - 1044 -40 -000 06/28/2005 02:14 PM PAGE 1 OF 1 Alt. Parcel #: 15.28.18.P238B 022 - TOWN OF KINNICKINNIC Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): = Current Owner * ANDREA, CHARLES & DIXIE CHARLES & DIXIE ANDREA 332 CTY RD JJ RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 7.060 Plat: N/A -NOT AVAILABLE SEC 15 T28N R18W E 545' OF S 1/2 OF NW Block/Condo Bldg: SE EXC P238C & EXC HWY R/W Tract(s): (Sec- Twn -Rng 40 114 160 1/4) 15- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/21/2000 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 1.060 2,000 0 2,000 NO PRODUCTIVE FORST LAN G6 6.000 15,000 0 15,000 NO Totals for 2005: General Property 7.060 17,000 0 17,000 Woodland 0.000 0 0 Totals for 2004: General Property 7.060 17,000 0 17,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f ST. CROIX COUNTY ZONING OFFICE EROSION & SEDIMENT CONTROL PLAN Parcel # 26 2818 lending Site: 336 County Road JJ Lot 2 Kinnickinnic Twp — Owner(s) Brad & Kari Woznak 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 she plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system 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 southerly toward the Kinnickinnic River. The proposed septic system is approximately 120 ft. from the 75' setback for the River'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 during site construction will be responsible for compliance with the ESC Plan. Please feel free to contact me with questions regarding erosion & sediment control roduct installation. Prepared by: Ryan Yarrington POWTS Inspector #683475 Owner acknowledgement of ESC Plan re uirements: �- //2005 a CL �,.. Cie � O � u c a z J Q V1 -�, O' :0) y y af C0 Ln W SW C I I CL c2 '� U 2: cn c a ° a 0 1� vi v L L L L . L L L L L L L I I L L L L L L L L le z %f ..T.. '}! MDR 1N> > N � tint u CQ a ° a jr L a N W �y co } y k =i �i C a �; r n Page 1 of 3 Jennifer Shillcox From: Brad Woznak [bwoznak @sehinc.com] Sent: Thursday, June 02, 2005 9:01 AM To: Jennifer Shillcox Subject: RE: St Croix County Building Permits Jenny, I left the property info at home and have to go out of town on business through the remainder of the week. I attached an image file from the LIS site with the property in question outlined in green. We would like to build a home just north of the 1/4 section line (I believe it is) which kind of divides the property in half, I dropped in a rectangle approximately where we would like to build. Any info, etc you could provide would help greatly! On a side note, I am also on the conference committee for the Minnesota Association of Floodplain Managers (I know its on the wrong side of the river), which we are trying to get more local officials/ floodplain administrators involved and we have lunch meetings and an annual conference some of which are held around the Twin Cities area. I can forward you some info if you are interested. Thanks for your help! Brad Woznak, PE, CFM Project Engineer SEH - St Paul 651.490.2125 "Jennifer Shillcox" < jennifers @co.saint- croix.wi.us> To: <bwoznak @sehinc.com> cc: 06/02/2005 08:24 AM Subject: RE: St Croix County Building Permits Hi again, Brad, The link you provided opens up our general LIS on -line and does not reference the specific property you are inquiring about. Can you send me either the parcel or computer ID numbers, or any other property information? Thanks, Jenny - - - -- Original Message---- - From: Jennifer Shillcox Sent: Thursday, June 02, 2005 8:21 AM To: 'Brad Woznak' Subject: RE: St Croix County Building Permits Brad, 6/2/2005 Page 2 of 3 Sorry for the delay in getting back to you. I will see what I can find on the property and get back to you later today. Sincerely, Jenny Shillcox - - - -- Original Message---- - From: Brad Woznak [mailto:bwoznak @sehinc.com] Sent: Wednesday, May 25, 2005 10:20 AM To: Jennifer Shillcox Subject: RE: St Croix County Building Permits I had contacted Bob Bezek and he told me to contact you regarding any floodplain zoning compliance requirements. I have attached a bookmark to the St Croix County website indicating our lot location along the Kinni. http://72.21.230.178/website/pasystem/PA/viewer.htm Any help you could provide would be greatly appreciated. Thank You! Brad Woznak, PE, CFM Project Engineer SEH - St Paul 651.490.2125 - -- Forwarded by Brad Woznak /seh on 05/25/2005 10:14 AM - - - -- "Robert Bezek" <RobertB @CO.Saint- Croix.WI.US> To: "Brad Woznak" <bwoznak @sehinc.com> cc: "Jennifer Shillcox" <jennifers @co.saint - croix.wi.us> 05/25/2005 08:18 AM Subject: RE: St Croix County Building Permits Brad, The Town of Kinnickinnic will issue building permits, both for zoning compliance and building code compliance. If the property involves floodplain then you will also need a land use permit from the County. The building inspector for the Town is Dave Phillips and he can be reached at 715 -426 -9738. Our office would confirm compliance with floodplain zoning. Our floodplain specialist is Jenny Shillcox and she can be reached at 715 -386- 4682. You can also email her at , - iennifers@co.saint-croix.wi.us . Bob - - - -- Original Message---- - From: Brad Woznak [mailto:bwoznak @sehinc.com] Sent: Wednesday, May 25, 2005 6:40 AM To: Robert Bezek Subject: St Croix County Building Permits 6/2/2005 Page 3 of 3 We are looking to close on some land in Kinnickinnic Township, along the Kinnickinnic River, around mid -June (10 ac near Cc J and JJ, NE of River Falls) and the builder we have been working with asked us to find the contact for the required permits (sanitary, driveway, building, etc..) and also who the provider is for electric service in the area. I have also checked into the FEMA floodplain mapping and saw that this area appears unmapped, but noticed on the preliminary survey for the area a floodplain elevation of 936 depicted (provided by the owners surveyor), does the county have floodplain elevations established along the Kinnickinnic upstream of the River Falls City limits? Are you the appropriate person to contact for this information? Thank You for your help! Brad Woznak, PE, CFM Project Engineer SEH - St Paul 651.490.2125 6/2/2005 • � � - • ' ' WISCONSIN CONSERVATION COMMISSION DOCUMENT 3 A-578 ` i4adison, Wiscons'n i �'� •1 ;3 dour( L� 31 W'41(� CONSERVATION EASENiEN•1' (Dish 11anagenient) TMI9 INDEINTURE made this 16 th day of N ovember , 19 -66-, by and between C 1>��,t;_�B, Andrea a/k/�h _ and 'k D ixie-L -.— And a /k/a . Dix ie Andrea his wife, of _ Uver Falls -. S t.- Er-oix_ County, Wisconsin, Grantor; and the State of Wisconsin (Conservation Commission), Grantee. WMEREA9, the Grantoug-,ab -ame -the owners- in fee simple of certain real estate which is in, near to, or adjacent to a Wisconsin Conservation Department project area now known as Ki ntliicki.nn iRiver Public_ Fishing Grounds and located in St. C roix County, Wisconsin, and ltit('ll'lil;0, the Grantee, through its State. Conservation Commission, desires to develop, operate and maintain such lands as a public fishing area for use and benefit of the general public. NOW, 'IHERETORE, WITNflUETH: For and in consideration of the sum of $ .1.110- -paid by the Grantee to the Grantor -B-, receipt whereof is hereby acknowledged, and in consideration of the covenants hereinafter contained, the Grantor- hereby sell, transfer, grant, and convey to the Grantee, its successors and assigns, upon acceptance by said Grantee, an easement and right in perpetuity to develop, operate and maintain a public fishing area on the following described real estate, hereinafter referred to as "restricted area ", which acceptance must be made by the Grantee within -s X (6) _ months from the date hereof: See attached desc 'ription. ft ..C7l9l't.R6 OF iCE ST. CROIX CO.. WIS. Rec'd for Record this_ 6th -- day o f March_A.D. i9 b7 at- 1 =� - r M. - - Reglst o Ds` ds the location of said easement is shown on Exhibit "A" attached, hereto, and made a part hereof. The price to be paid to Grantors_ by Grantee for such easement'is $ - 3 t 6M.QQ . The purpose and intent of this instrument is to create an easement for the use of the above described premises by the general public for fishing. The use of premises as a fishing area, for the use and benefit of the general public shall include the following rights, privileges and easements: 1. The general public shall have the right to catch and take fish in the waters thereon by legal means and for this purpose to travel in and along such waters and to enter upon and utilize the lands above described to the extent 'n ecessa ry for the full enjoyment of this right, privilege and easement. 2. The Grantee shall have the right: (a) To develop such waters by installation and maintenance of current , deflectors, covers, had retarders and any other means deemed necessary by the Grantee for the purpose of fostering, improving and enhancing, fishing therein without interference with Grantors_ use of land; and (h) 'I'o post such signs and posters along said lands as are deemed necessary and suitable to delineate the above lands and locale them for public use: and (c) To protect from erosion the land above described by mechanical means such as fencing and crossovers or by the planting of trees, plants or shrubs where and to the extent deemed necessary for the protection of the stream or lake. 3. The Grantor 0, for themselves and for their heirs, successors and assigns, covenant and agree that they will cooperate in the maintenance'of the aforesaid land as wetland, including streams, springs, lakes, ponds, marshes, sloughs, swales, swamps, or potholes now existing or hereinafter occurring on the above - dcscribed tract by not draining or not permitting the draining, through the transfer of appurtenant water rights or otherwise, of any of said wetlands by ditching or any other means; by not filling in with earth or an% 4,I1ier material any low areas on said wellands; and by not burning any areas covered with marsh vel;etation. 4. No trees or shrubs shall be removed or destroyed by the Grantor-.S-on the lands covered by this easement, except as may be incidental to the permitted uses. 5. The Grantee shall have the right to make such improvements and installations as are necessary, convenient and incidental to the full enjoyment and use of the rights and privileges " granted by this easement. 6. No sign, billboard, outdoor advertising, structure or advertisement of any kind shall be erected, displaved, placed or maintained upon or within the restricted area, except one sign of not more than 8 square feet in area to advertise the sale, hire or lease of property or products produced upon the premises. (over) I Y� �ooe 119-6 a •nad �� a wont/ hrya U ulsuoasrM Jo uolsslwwoo uolleuasuo3 als1S ayl A'q; alJeip luawtulsul rp $TTQ 'd GOT.ra4o Aq ulsuoas Jo uolsslwwo0 uollenJas u0 ale7S L � ' /( i, Jo Asp t ; t sly) U31d:fDDV eajrdxa u01sstww00 AW ursuoosm 'Alun� .. ��Q.... _........_........_.._......_. .. Ilq�d Aye ) ' oN G awes aye p0J9pa1mouilao put? 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P..R,OJ,ECT , - •�• �J T -Y P.E. ��- '�'t�lG�....s.. . _ .,TOW.t!! •. �l . ... '.. .... T� ... .R.•.... .E.MI, 5��iION;..... l :.:....: :...... .. ?ED .... . . . . ... 074Ri DATA -- . �l1 MAP OttAWN,,.• ,,,........ DRAWN �Y.......... ..,....... `• E... 0 1 a „•,,,U.N1 P4AN, N0. ' 1 0. 0 G � I I p �� h t 1 5 5swt�,��ar A '7 ' 1 7 a k �jo _ o pow o o 's T I 3o s v9 14Qvi1:a� r N .... ...... - -ON NV1d 1!N uvfeag 30 �u,od = A •. ...• �� i Jl9 NMVaa ••••••••••••NlAVVG dVlA 3.1l -- V1Va a3H10 -- .. 8l ..... fi � � ... 31V0 'AG a3ddb ......................157.... N01103S "1 tm �tuu (�uaua euEy; 4�'T•�T) 1�l �S�' 'NMOl •Xt�yyJ•., ..�11Nnc "'}fJ�y�cG. 'LGti ��a���c�,••3dA1 103f' 0�l d. �•�i:rK'�'�vti't�j�twtk..a31V14� L+:11��•�a • r�t�tic(� •a3NW, Uoid VOM 4sun {� 1.12114 -3' Pould,lodep u014DAJasuoo UIS00091 'k B40� 431 PA lV� DESCRIPTION G b 5 b Two parcels of land located in Section Fifteen (15), Township Twenty - eight (28) North, Range Eighteen (18) West. (Parcel One) A parcel of land located in the S14 of the SE1�, described as follows: starting at the SW corner of said forty line go north 812.6 feet to the northerly low water line of Kinnickinnic River being the point of beginning of the parcel hereby described; thence north 29.4 feet; thence S 87 E a distance of 334.6 feet; thence N 722 E a distance of 638.0 feet; thence N 2 W a distance of 208.9 feet; thence N 34 E a distance of 24.4 feet to the north line of said SW-4 of the 5E4i thence east on said north line a distance of 46.2 feet to the low water line of the Kinnickinnic River; thence southerly and southwesterly along said low water line to the point'of beginning. A parcel of land containing 11.3 acres N, /L. ( Parcel 'Two ) A parcel of land located in the Sly of the W-% of the SE described as follows: starting at the SW corner of the SW4 of the SE% go north 872.0 feet; thence S 87 E a distance of 334.6 feet; thence N 722 E a distance of 638.0 feet; thence N 2 W a distance of 208.9 feet; thence N 34 E a distance of 24.4 feet to the south line of .said NV-4 ° of 2 of the SE 4 to the point of beginning; thence N 34 E a distance 33 0 . feet; thence N 77 E a distance of 215.0 feet; thence S 11 E a distance of 239.0 feet to the south line of said NW-4 of the SE47 thence west along south line of said forty 378.1 feet to the point of beginning. A parcel of land containing 1.5 acres M/L. Compass declination - 5 E. The above descriptions were platted with a staff compass and are subject to a certified survey. c a k u • 2uTsoTo jo RMT'l aq-. 'IE wawas'ea eqT jo ao Tid essgo.md aq'� wo.zj pagonpap aq TTEgs assaT eons .Tapun Ts 'lua.z pauzeaun TTE -Eql :.zagTanj papTno.zd •uOTssTww00 uOT4EA.T9suoo ulsuODG- nM 3o agvig eqj lq �uawassa s 3o aouEgdaoo 3o agsp 3o sE agEuTw.Tal TTEgs uTaaaq paglaosap fgsado.zd 2uT.z9eoo Z561 `LT .zagwaqdaS paTEp assaT :papTAo.Td„ •TsTxa BICEM TeAraq gong a,zagn pus aTgTssod ,iana.zagm ssajOa pus ssa.TauT gons .zo3 pazTTT,�n aq TTTM sa4no.T paT@A - eJl STTEuTOu .zaglo Jo saueT 'sfieM82Essed 'sAMpso.z 'spEO.z pTaT3 grgq poogs.zapun sT qI •oxq gds.TaE. vd uT .zoo papTeozd a,TS goTgM squawdOTanap 2u pus `du '. cftr peda.z 'duT.TaqTE '2iuTqueTd '2utgon.zgsuoo 3o asodand aq .zoj ggsaj. gT GODUE 'gT.zoN gZ aTgsuMOL 'ST uoTToa UT paqEOoT TTE SS age 3O !'TMS ago 3O ;tN a PLM Las aqq 3o ll!m aq'l 3o '- aqq 'spueT pagTsosap 2 uTMoTTo3 a14-1 ,aanO „sale pagoTzjsa.z„ PTss wOJJ ssa.z�a pue ssa,z!!uT JO gg2Tz age. ansq TTEgs ''CIuo 'squaDe pu saSoTdwa sjT 'uTSuoosTfq jo uOTSSTwwoD u014sn,T9suoD 94EIS aqy •TT FIELD SHEET DEPARTMENT OF NATURAL RESOURCES DOCUMENT 4 FORM 8600 -12 REV. 7-84 a OTHER DATA [3r�s��r,�y Zone COUNiY ' TOWN ` ' S T T.- 1$.R..A.Kxv /MAPPED BY DATE 2- zs . -199 8 .................. TOPOGRAPHY SECTION SOILS OWNER " "' r " "' C . Rr ,8r �� ......... .............. .... .... ............... .............. ....:....:....:. ......:....:... .nG�r ;E0.,........... ...:....:.... PARCcl ..............:.... � :....:....:.... ......... ...... .... .............. INDICATE = BEARING TREE -BT; MARKED TREE -MT; SQUARED TREE -ST; WOOD POST -WP; IRON POST -IP; CONCRETE POST -CP.