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70 ° o 0 M C R O c O 0 — U oa — U C.. N T N O@ 2 — T .2 @ N O.. C O V C N d C N V C n� h O� C _� O0 to 0 fa C N O° O 01 O 0. O O = C C = C= C' C q 0 0 0 >@ U C O O U '> @ U C oU o Co o o s oU ° r m - 0 �a =c aoi 3c0 CD (0 0 T a) O a) T C a) a) Q C E Q T - O C t... C E O. T - O C Er. o= N E= Y o o, 0 0 co ° y Ncs °s_ E c c Ncs 8= 3 E a c 'L N c Eno = = N c� Eno = 3 3k O° J O :m 0 O 0 N N n 0 _a "� ca o. m a o .a O 0 ca o a� W'c= o C E'E �w ca o C = E p ° Y N N 7 C 0 d � ° y 0 N C V a) � Z N C .. O (D 7 Z N C ` O cp O. O 3 c6 C m O U 3 N N C O O U 1] N i N LL o = c0> o = - >'n c0> J a) E@ o a) a) J Q) f6 O N N M 3 � c� @ m= m ° as 3 yE N m= m <i w 0 as cO LL o N 3 C w 0 f0 (O LL o N 3 I 3 Cl) W Z £ a� 4) o Z .+ O r s � v ° o 0 Z v a� 0 m m o N I !' a m E E v 0 °. 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(0 T N O N f T N O O c m v c m o N N O O c` U v O O C U o" a.. � C. o � o m2 O O V •� U c o o V •y p c L �O 0 O L f0 -p 00 O z N -p pq 3 C o a) N a) 3 C o a) o N Q) me my a) ac a) a) T - C - a) T - C - Q C m w C T V= E a E a - m - m o � o i o a) c � c o 'v o 00 O U N E E .�„ f-- (n A'S O N 'O I� Cn ca O O N N� t3E (CD N� =3EcE N c E Q o 5� N C E a o >> O O J O p J LL O m .p 05 N - O N LL O in 0-6 °2S N N � Ea oo c w' ca o c N E'� O T 'O O C V N ,a O >,"a O C O a7 C Z N C p 8 n m a N Z N C p t) � q � N III 3 (4 C O) ...r O ] N C LA O O N LL O 7 N N •�� N ` o > O 7 N a N =o > ' N ° a) a) N J a) ` m ° CA N N a) -) C '•' N 3 - C 'O N 3 o co 3 � �N m mL m m 3 4N co= m cn Q w0 m(OLL o N 3 Q w0 c6cflLL O N 3 M Z w E m a� ° z o Y C� p o 0 L 7- d d 00 CL m E N a o a o c (9 a) c m O Z c m N o w N o w - - 0 0 d Z d m N L7 F- N o Z N a) m Z E N a E N a o 2 c o M c o m E O L O V O LO U O a O U ff . N co m C m C N 'a C N O t C O o Q Q A l O a O Uw 4 z z Z Z N 0) N N MI _ � m � t t M N N m m N L L CL ° L w m m CL m LO w d c o a qJ Z > 0 0 O Z n-1 LL Z • N _@ LL ° W J U U) O O Z Z Z Z (n N N �►J 00 O Z a Z N LO b T° Cs E o Cl E 71 0 ° ° m ° ? � a m ° c: CL N ,: Q N l ift, O p a Q n Z (r, is Q n +. ; Z m o M N C ++ ° m o o m E ao o - o o E o U m c _c m c a ° o w c c m c� i yr N C N C E E N M a�j N N C E E N m N 9 a) `m C7 r° a) a) 0 c cn ° U CO n 0 a) a) C% a) • ya N c m� C) w c0 0 O N U O ai N O O a) U O y o Y I, i 7° z m z z Y � z d z z `1 U) cC r • w 'a m a a d .� 4) r A ciao' 0 m LO) OF Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM county: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463482 0 GENERAL INFORMATION (ATTACH TO PERMIT) g / ate Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ( 3 3•Z• 5 = Tr0-%S • A -; Permit Holder's Name: City Village X Township Parcel Tax No: Ward, Mitchell I Kinnickinnic, Town of 022 - 1050 -50 -025 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: I M-ID C7� C ru` 4of f %1 18.28.18.2751310 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / Benchmark „� �• D3. Co .p Dosing C.�'�'�► V p Alt. BM Aeration Bldg. Sewer -32— T. Holding St/Ht Inlet 0,3 Z % TANKS TBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / ,` �� �� Dt•Battern� 1 Dosing t t t � Header/ an. Aeration Dist. Pipe •Z Holding Bot. System IW- 3L .$ Final CMe 1 62 Z a . PUMP /SIPHON INFORMATION �,,. Manufacturer Demand St Qv r GPM Model Number A 4 / . • �2 , L' Friction Lo Z-. SystLn HH_e TD�y Ft 1p Forcemain LenntbL / Dia Dist. to Well SOIL ABSORP ION SYSTEM E H Width Length No. Of s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth ENSIONS n SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufac INFORMATION CHAMBER OR 1 G • �6�J laKt Type Of System: � / 'j[ UNIT { � v ,�� Model Number: O •O t 5 L_ 0A I DISTRIBUTION SYSTEM i 060 Header /Manifold �� Distribution x Hole Siz x Hole Spacing Vent to Air Intake I Pipe(s) ? ", �-- i Length - 3 - - 0 Dia f- Length k t .1a Z' Spacing J g Z X� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes I;1 No Yes [ l COMM S ( clude code discrepencies, persons present, etc.) Inspection #1: Z L ODZM S) oa�rr Location:- Parcel No: 18.28.18.275B10 352 Ct . Rd. SS River Falls, WI 54022 SW 1/4 NE 1/4 18 T28N R18W) L� / 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = SOD r �a Plan revision Required? es [j No � c�V� Use other side for additional information. Date Insepctor's Signature Cart. No. SBD -6710 (R.3/97) I 4 CD ° m c `D m _ fs z p g< OD N O• 3 O W W j y O N j OD C7i O 7 n 7. N 9 n 0cm� o cm f f N 7 O G Q co D N a �' d W O a S. I O Fli i N t�l I N � O p N p c !1 cn , 3 -! ctrl M r ::: c� 3 (1) CA CA O o i D v� y C -0 v v N � 1 C w .. N D D o O CD (D Q • I �m a i y (D O CD m 3 a a O $ m m m m U) S A Z Q t 90 N A (A o (D _ O f 3 W O CD a i z co '� A Z1 O C :i z CO y m < W C ? =L QL rr m c Cl) z a CD I � o U) e N N y l 07 000 t I CD C j p }: C N N ^' O I�f N a \` A I\ O \� CD t� d0 , A 69 O ti b O CL ti 9 I Safety and Buildings Division County L 201 W. Washington Ave., P.O. Box 7162 .S 1 C 2c' 1 ��Sjn Madison, WI 53707 - 7162 Site Address lSC 35 - Department of Commerce Sanitar Permit 3 - Sanitary Permit Applicati a Z In accord with Comm 83.21, Wis. Adm. Code, personal information y © ❑ Check if Revision may be used for secondary ses Privacy Law, sl5. 1 m I. Application Information - PI a Information State P I.D. Number V;� RE Property Owners ' ' f Parcel Numbe D 2 —/05 Q�is KA AV 11 Property Owner's Mailing Address Property Location 2 7s p `f : - -/ sr.cROlxcouNl ' S,,, )jA r/t , A; S Y T Z 9N, R/5 City, State Zip Code Lot Number Block Number Subdivision Name CSM Number H. Type of Building (check all that apply) CCt'? _ doua rtkity 1 or 2 Family Dwelling - Number of Bedrooms Village rr ❑ Public /Commercial - Describe Use L L ownship / t r- K i ti� i - ❑ State Owned (., ) 3 / Nearest Road �+ 4 SS III. Type of Permit: (Check only one box on line A (n bering scheme f ternal use). omplete line B if applicable) A For County use 1� New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to System Tank Only Exis ' N system B. ❑ Check if sanitary Permit Previously Issued IV. Type of Permit: (Check all that apply)(number � on.¢ ing sch a is ernal use) / . 44 ❑ Non - Pressurized In- Ground 2gmound � Zc� `5 j ❑ Sand Filter 50 ❑ constntcted W 22 ❑ Pressurized In -Ground 41 ❑ Holding rank SO ` ' 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobi Treatment Unit 49 ❑ Recilculating 3 ❑ Other V. D' ersal/Treatment Area Information: 1 2 Design Flow (gpd) Dispersal Area DisperAl Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) /Inch) Elevation 6 0 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks tic r Holding Tank ,Slag CBam r �D� 5555.. ,5555,. VII. Responsibility Statement- I, the undersigned, assume responsibility for on of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signa RS Number Business Phone Number j�a 53-05 Plumber's Address (Street, C ity, State, Zip Code) -- VIII. County/Department Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing nt Signature (No Stamps) Approved ❑Disapproved Surcharge Fee) Owner ` °batial,tldvetse. '�f� ��..' -� �dl l J e rmimtion / IX. Conditions g ( � C'eSj M tnit-Q,_�� CSIT J�TE ept ic tank, effluent filter and �� t^^tS - C dispersal cell must all bp serviced ! maintained g w,,* as er m � l N 2. setback requirements must be maintained per j app ica a @H8e (to the County ody) for th em on ess than 81/2 x n es in size �! W�Y CO � v w 4s � C cs-. D -398 .05) l SB t;R t -e .� EROSION & SEDIMENT CONTROL PLAN Parcel #18.28.18.275B -10 Site: 352 C. T. H. SS, Lot 1 (Kinnickinnic Tw.) – owner(s) Mitchell Ward & MarannWeiss Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and /or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control (ESC) Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization has been completed. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. Surface drainage is southeasterly, toward C.T.H. SS road ditch and a designated storm water ponding area, with <100 feet of buffer between drainage easement and the construction site. 2. Route contaminated runoff into vegetated buffer areas on this parcel by creating temporary diversions graded ALONG CONTOUR between excavation areas and any potential receiving waters (this includes drainage easement and road ditches). Do not allow diverted runoff to be directed onto neighboring properties. (See specification sheet for temporary diversions provided by Zoning Dept.) 3. Due to proximity of construction to designated ponding area, straw wattles, silt fence, or other approved sediment control products must be installed to intercept runoff on owner's property (in addition to any temporary diversions and vegetative buffers). Sediment controls must be installed prior to excavation for foundation. The POWTS inspector and building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Please feel free to contact me with questions regarding erosion & sediment control installation. Prepared by: Pamela Quinn, Soil Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements: —/—/2005 PLT PLAN p 3 >cu_ u "- W Nome ` .1r N swrE or 1S o 504 00" W/ Wma ND amm eo %i LKmumm 5513 AGRm5 Wsu_ - M BE ?Sa fzpm MOUIJM s tJoiZ�'t� 'P'l�D'4ERTy L11J�E . , 1 • T) ' NO WELL ON SITE P WELL SITE MUST .COMPLY WITH NF 811 NR 812. 1 0. ! 1 _ I J_ �g•� �� �PALMER'S SOIL TMTING' 38R a LgIP'yo + N27128 Lindstrom Road 80 1V ,� t.,UFFQUTr Blair, W! 54616 ! ' FORCEMAIIf 1000/600 C' SITE PLAN LOCATED IN PART OF THE SOUTHWEST 114 OF THE NORTHEAST 114 OF SECTION 18, TOWNSHIP 28 NORTH, RANGE 18 WEST, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN, BEING LOT 10F THAT CERTIFIED SURVEY MAP RECORDED IN VOLUME 16, PAGE 4434 OF ST. CROIX COUNTY CERTIFIED SURVEY MAPS. PREPARED FOR: MITCH WARD RIVER FALLS, WI 54022 NOTE - AN EROSION CONTROL PLAN WILL BE REQUIRED BY THE ST. CROIX COUNTY ZONING OFFICE PRIOR TO CONSTRUCTION ON THIS LOT. N / ` NT F 1"= 100' p �'p2 °F 3 � y y / •y CERTIFIED SURVEYMAP_ VQJ --V- E 16, PA -GE 4_ o / PROPOSED GARAGE G W /ATT d 28.5' / GAR. a 26 Q 82_ 34 - / 148' t?'r'' (GQ` Sf��` / co F 4 00 , + / z ; ; "off / 60 / 79t 301.82' 54.40' / N 88 °29'25" W 356.22' -� -.- NOTES - 1. DIMENSIONS SHOWN TO PROPOSED BUILDINGS ARE TO THE EXTERIOR FOUNDATION WALLS, FOR DISTANCES MURPHY LAND SURVEYING nxe 313105 TO ROOF OVERHANG, THE OVERHANG wnsuav" 3/7/05 DIMENSION MUST BE SUBTRACTED SELDENVILLE VVISCONSII�T FROM THE DIMENSION SHOWN. WAE 1" =100' MAW 2. NO FIELD SURVEY WAS DONE FOR JLL THIS MAP. INFORMATION SHOWN IS Laurence W Murphy AS PER PLAT INFORMATION AND 7I S -42S -9032 1m 182818 BUILDING PLANS PROVIDED BY THE CLIENT. NO. 2005-018 Safety and Buildings 4003 N KINNEY COULEE RD commerce.wl.go'v LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sconsin www.w www.coe.wi.gov/s sin.go / iscosin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary April 28, 2005 CUST ID No.224736 ATTN.• POWTS Inspector ZONING OFFICE MARK H PALMER ST CROIX COUNTY SPIA N27128 LINDSTROM RD 1101 CARMICHAEL RD BLAIR WI 54616 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/28/2007 Identification Numbers Transaction ID No. 1131325 SITE: Site ID No. 697400 Mitchell Ward Please refer to both identification numbers, .CTKState Hwy SS' above, in all correspondence with the agenc Town of Kinnickinnic St Croix County SW 1/4, NE 1/4, S18, T28N, RI 8W Lot: 1, FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1014812 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System: EZ -Flow Mound Component Manual, (N.6/03), Pressure Distribution Component Manual Version 2.0" SBD- 10706 -P (N.01 /01).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: Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the EZ FLOW Mound Component Manual (June 6, 2003). with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P (N.01 101). • The pressure distribution network shall be sleeved through the 4 -inch corrugated pipe located in the EZ -Flow product. One out of every five orifices in each distribution pipe shall be installed at the 6 o'clock position to allow for thorough drainage of the distribution pipe following each dose. The remaining four orifices coed shall be installed in the 12 o'clock position. All pipes must drain after dosing. pi • The observation pipes must be located at a junction point between two EZ -Flow products so as not to create Air I& separation of the bundles within a product. WEPVRTMEI • Comm 83.43(8)(a)3. Wis. Adm. Code. The manifold diameter is reduced to 1.5 inches so as to provide fora pressurized flow of 2 feet per second. -- . SEE CORE • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. MARK H PALMER Page 2 4/28/2005 • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Z / Z Balance Due $ 0.00 t Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us cc: Leroy Jansk Wastewater Specialist, 715 Y Y� P � ( ) 726 -2544 Earl J Lubinsky, , Lubinsky Plumbing, Inc (Plans Mailed To) 7- Flo MOU COVER SHEET SYSTEM IS TO COMPLY WITH PROVISIONS OF: (4. 4 /O J ) ❑ SBD- 10572 -P (8.6/99) ❑SBD- 10691- P(N.OUO1 r / ) Mound Component Manual & /� ❑ SBD 10573- P(R.6/99) or)iSBp10706-P(N01 /01) (Version 2.0) Y(r Pressure Distribution Component Manual - LOCATION: S 1f 1/4 N E 1/4 S 1 8 T Z8 N R I `� W TOWN: k i Nh r C:1<1 NA0 C COUNTY: ST- CP-01 k OWNER: NAME/ADDRESS: >Ca=1 R iv m v:-Au-,--3 w l 5 'i o Z2- DESIGNER NAME /ADDRESS: MARK PALMER N27128 LINDSTROM ROAD LICENSE #1508 -007 L IR WI 54616 SIGNATURE: _ DATE: .APR L 7L� ZaD S i ATTACHMENTS CO.11r PAGE 1: PLOT PLAN H. Pa Mark rk H H PAGE 2: PLAN VIEW CROSS SECTION 1508 -007 PAGE 3: PIPE LATERAL LAYOUT Blair WI PAGE 4: TANK SPECIFICATIONS PAGE 5: k PUMP CURVE ❑ SIPHON SPECIFICATIONS PAGE 6: PROJECT SPECIFICATION SHEET PAGE 7: OWNER'S MANUAL 'tiortalIV g A 5t �ro PAGE(j: MANAGEMENT PLAN k U � T OF CORMERCE ~TE � , NGS :ESPONDENCE -7— 1�. r PL. f PLAN p 3 OMM 14 p- U-WAM 4 ffifivAign wam 1 D StPtCE o 15eo Ea'a BOMM W/ 8/ICKIa . iV0 LY1iVIM � 5�18/ILK FI901�M5 3,513 14GR.rS . WEU -.'to Be ? S�� FROM MOW1D s.EsTtM ►J o RTtF P R�pEfa 4 u a�E T� 3 � w N4 WALL ON sffE 9� P; WELL BITE MUST COMPLY WITH QTR 811 & NR 812, l h S o J I 9.i tiger PALMER'S SOILTESTING ' 38R � ge'ya N27128 Lindstrom Road Blair, WI 54616 }apUs� NuFFG�T`r 2 FOACEMA 100 J p Z Cross Section Of A Mound H. As .33 medium sand Fill _� 1 0 o 6" `!'opsoil F 3 E D 140 Plowed layer EZ FLOW UN , Trench . 6" Below Pipe., Covered With P Synthetic Fabric E �;6°- Ft: 0 .S Ft. System Elevation 1o�•a� F� Ft. 11. 7- Ft. Plan View Of Mound �oob� ` T Distribution Pipe Observation Pipe Z `y diameter -- FORCE Ja% A __...�__ RAIN T {r 0 )I I b E Fw w. uN , g�• 1 i 98 •t A 6 Ft I 13 Ft, K to Ft. W Z5. Ft. 13 Ft. J Ft, L Too Ft. DACE SEPTIC & PUMP CHAMBER CROSS SECTION Venc Pipe With cap Approved locking manhole > 10' from door, window ��J���, � Cover w/ warn6n.a l abel or fresh air Incoke Weather Proof Vent Cap } Warning Lobel J�'ncclon Bo r � I �^ on .cove 4 seta yp 18" M IN �r c� r r •- w /CAP11 r T I 1 W MR �. � SI►1 T6� .l Quick AK _ = Disconnect 18' IN °+ F I r: 18' MIN % o.� 1/4" weep Inlet p Provide —Hole Air -clghc i � Seal Approved - r Joint li -- TA \ • \ / II 1 t ` 11 Appro AlarrmY Tg Jolncs ►► Baffles �� on 0; L t 1 I r C Off II I \ II ELEV. ft Il \\ cotrc- Ir block ' "'rrr 3' arproved tedding macer0l under conk SPECIFICATIONS Note: Pump and alarm are on separate Number of Doses: 5 9 Per Day circuits as per ILI IR 16.28 Wis. Allen. Code Gallons Per Day /if of Doses: '76- Gallons Volume of Backflow: 13.0`4 Gallons Tank Manufacturer: Total Dose Volume: 8 Gallons Tank Size: 1000 Gallons Alarm Manufacturer: S . J , r lec tro Capacities: A 25 it Icl�es ur 373 Gallons Model Number: 11W 101 B 2 inches or Z9. 8(o Gallons C G Indies or 8 Gallons Pump Manufacturer: GOULDS D 5 incises or / 3'i•3 7 Gallons Model Number 3 ER b5 Minimum Discharge Rate: 3 Z• 8 GPM o f FI�rC7 LASS ?JIRU FILTER T Vertical Difference Between Pump Off and Distribution Pipe: ............ : rti_7 Ft. Mi nimum Required Supply Pressure: ......... a ...................................... +G•5 Ft. Ft. of Force Main x Z .58 Friction Factor /100 Ft .................. +Z Ft. Total Dynamic Flead = 23.8 Ft. Depth of liquid 7L?r GALLON /inch /y, 9 M N go d. CD £ n 04 O o . O ° b CD IQ F 00 N Ul Ln m LQ CD C -- y � 5 CD 0 CD N m ? r !D m X2 p z v m Z i !� m0 O i U O tj u `° ° rn fD b 5. CD CD CD 0 � ?r =s CD o C7 o 0 w � D CD Goulds -5- Submersible a , Effluent Pump f 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. •Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for automatic and tic cover with integral handle Motor: and float switch attachment • Farms manual operation. Automatic •Heavy duty sump 1 15 EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer P , 230 n ov v Hz, 1550 d with Float Switch assembled and ■Power Cable: Severe duty R • Dewatering RPM, built in erloa preset at the factory. rated oil and water resistant. automatic reset. ■Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, SPECIFICATIONS • EP05 Single phase: 0.5 , FEATURES heavy duty ball bearing Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- construction. • Solids handling capability: automatic reset. plastic Semi -open design 3 /4" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. CO- Canadian Standards Association • Total heads: up to 24 feet. with three prong grounding • Discharge size: 1 NPT. plug. Optional 20 foot ■ P lastic Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F" or "AC ".) rotary/ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running dry without damage to s 30 components. - -- - - -- — - - -- - �. -- Pump: EP05 s • Solids handling capability: 0 25 YV maximum. a W • Capacities: up to 60 GPM. s 20 • Total heads: up to 31 feet. • Discharge size: 1 NPT. -- z 5 • Mechanical seal: carbon- 0 15 rotary/ceramic - stationary, a 4- BUNA -N elastomers. o -- — - -- - -- - -- - -- • Temperature: ~ 3 10 104 °F (40 °C) continuous _ -- 140 °F (60 °C) intermittent. 2 5 0- 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m' /h CAPACITY 01 qq5 I n drlc Pi imns Inc.. Effective May. 1995 Vlfiscoria Depatrnent of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Ms. Adm. Code Cry ST. CROIX Attach complete site plan on paper not less than 812 x 11 inches in BM size. Plan indude, but not limited to: vertical and horizontal reference point (), directi Parcel I.D. 022 - 1050 - 50 - 025 percent slope, scale or dimensions, north arrow, and location and distance to Please print all information. Date Personal irdormatbn You provide may be used for Property Owner .,., . P t 11 a W 18 28 18 MITCHELL WARD & IvIARANN WEISS P Lot S 1/4 NE 1/4 S T N R E (or) W Property Owners MakvAddress ; 5 L� tot Bloars Subd. Name or CSW 445 Jefferson S — CSM Vol. 16, Pg. 4434 City State Zp Number Phortr Nu A, image own Nearest Road River Falls, WI 54022 715 'C .426 {71830 S.T.H. SS E] New Construction tkerZ] Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement 0 Pubic or commercial - Describe: Parent material outwash/till Flood Plain elevation if applicable b-1 A- ft General comma Mound System — 1.0 & sand fill — 0.6 loading rate and recommendations: (If pre- treatment - below ground drip - irrigation system) ring Boring # © � O Pit Ground surface elev. 102.00 ft. Depth to limiting factor 33 I in. Sot App lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Cansisience Boundary Roots GPDIFF in. Muhsell Qu. Sz. cont. Color Gr. Sz. Sh. - 0101 *892 1 0-4 10YR2/2 — sil 3f-msbk mvfr cb 3vf-m 0.6 0.8 2 4-10 10YR2/2 — sil 2f-mabk mfr ai 2vf-m 0.6 0.8 3 10-33 10YR3/3 — sil 2fabk mfr aw 2vf-f 0.6 0.8 4 33- 2 10YR3/6 Of 10YR416 s Os mI orb lvf-f 0.7 1.6 5 52-62 10YR3 /6 c2f 10YR4/6 s Osg ml ab — 0.7 1.6 6 62-65 10YR3 /4 c2d 10YR5 /6 sl 0m mvfr I _ _ 0.2 0.6 (Horizon 4 has some we 10YR3 /4 Is bands; Horizon 6 almost I saturated Borin 2 Boring # 0 s 98.50 29 ❑ Pit Ground surface elev. fi. Depth to lunitirlg factor i n. Soil Application Rafe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *1201 *Eff#2 I 0-4 10YR2/2 — sil 3f-msbk mvfr cb 3vf-m 0.6 0.8 2 4-12 10YR2/2 — sil 2f-mabk mfr ai 2vf-m 0.6 0.8 3 12 -29 10YR3/4 — sil 2fabk mfr cs 2vf-f 0.6 0.8 4 29- 4 10YR3 /4 m2 10YR4 /6& 1 YB6(I s il lmabk mfr cs lvf 0.4 0.6 5 34-40 10YR&4 mad IOYRS /6& 10YR6/1 c Om mfi — lvf-f 0.0 0.0 * Effluent #1 = BOD > 30 710 mglL and TSS >30 150 mglL * Elkxmd 02 = BOD _< 30 mgiL and TSS < 30 mg& CST Name (Please Pricy ` CST Number Mary Jo Hollister 224832 Address Dale Evaluation C xkxied Telephone Number W9875 690th Avenue, River Falls, WI 54022 06-17-04 (715) 426 -1775 Property Owner Ward & Weiss Parcel ID # 022 - 1050 - 50 - 025 Page 2 of 3 Boring 3 Boring # ❑ Pit Ground surface elev. 96.40 ft. Depth to limiting factor � n. 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 I *Eff#2 1 0-4 10YR2 /2 -- sil 3f -msbk mvfr cb 3vf-m 0.6 0.8 2 4 -12 IOYR2 /2 __ sil 2f -mabk mfr ai 2vf-m 0.6 0.8 3 12-24 10YR3 /4 -- A 2fabk mfr as 2vf-f 0.6 0.8 4 24- 0 IOYR3 /4 f2f 10YR4 /6 & 10YR6 /1 sil Imabk mfr as Ivf-m 0.4 0.6 5 30 -32 IOYR3 /4 c2d IOYR5 /6 &IOYR6 /1 Sid Imabk mfr aw lvf-f 0.2 0.3 6 32-40 10YR6 /4 mad 10YR5 /6 &IOYR6 /2 c 0m mfi -- -- 0.0 0.0 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#f *EfM2 F-1 Boring # Pit Boring Ground surface elev. ft. Depth to limiting factor in. Sotl ic;ation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff' in. Murrell 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. S110- 8330Teet(R.07 /00) M � PLOT" PLAN p 3 • Aww LI-- Wmmkmwm Lum l' lsxmpr ww-m mom 1 g V ot.. 16 PG- = 7WAF PM /we A n+E . i 1 1e T 0-50L OO" W/ l31CK1'q.` STPcTE OF 1500 51 NoaMB5"AfX 3,513 ACRI45 WEu_'to 8E 75t)� RROM�6 TCM i ►Jofi'�'tt PtsopEFay a N� T� W� i� P N1� 1 / $A�3t2 V jet.. gb.40 s- APPRO% - 7 ST. CROIX :,c: 7 0 4.2 6 4 . Planninn 7,r,l,. ,...:.,_: ... VOL 76 PAGE 4434 JAN 0 2 2003 REGISTER OF WWEW -- ST. CROIX CO.. WI CERTI �" EY MAP RECEIVED FOR RECORD a 01/02/2003 09:00A1i �an y REC FEE: 17.00 PREPARED FOR LOCATED IN PART OF THE SW1 /4 OF THE NE1 /4. AND PART COPY FEE: 5.00 OF THE NW7 /4 OF THE NE1 /4 IN SECTION 18. T28N, R18W, PAGES: 4 FREDERICK LENERTZ TOVM OF INNICKINNIC. ST. CROIX COUNTY, WISCONSIN. 220 LIVESTOCK EXCHANGE BUILDING NOTE: DRAINAGE EASEMENT SHOWN ST. PAUL, MN 55075 HEREON IS CREATED TO I � MAINTAIN EXISTING SURFACE g DRAINAGE. IT IS THE SURVEYOR RESPONSIBILITY OF LOT OWNER ACCESS EASEMENT RECORDED I� THOMAS M. HEALY TO STABILIZE AND MAINTAIN 12/31/2002 IN VOL. 2097, PG. 150, O S do N LAND SURVEYING, INC. APPROPRIATE VEGETATION ON DOC. # 704222 -n z 1 2920 ENLOE STREET SAID EASEMENT. m m HUDSON, WI 54016 SEE SHEET 3 FOR U"1IpLAT'E UNDS m IF DRAINAGE /PONDING It EASEMENT N1/4 COR. DIMENSIONS. ° 2 -1 3`3'E2�16. N85 ° 1 9'04 "E 540.6 F' m i� SEC. 18 r z -4— LOT 4 o t t1 ♦ N O 3.746 ACRES N O W W (163.186 SO. FT.) INC. R/W• .......y cQ N� IV _ 3.188 ACRES 'b' ? LOT 3 ro N -, (138,687 SO. F r.) Exc. RAN o w NW, / 4 OF THE NE1 /4 4.474 ACRES ITT SW1 /4 OF THE NE1/4 1 4 —' (194,907 SO. FT.) i INC. R/W 1 ® , ni (181,807 SO. F / I W EXC. R/W mac^ cl If m z SEE DETAIL T I ON SHEET 2 m O ` 8°O m /s S js `•3 78 Fq ? � A m iv SO40 / S °' SCALE IN FEET 1" = 200' W s O' N f s Niiiiiiiiiii f LOT / LOT 3.65 ACRES` 2�0 0 200 ®/ o� Inic 9, 20 sa. Fr.n► ` ,°-o 3.047 CRES' �1i Q j ry co (132,7 2 SQ. FT.) o"� O' + y t ® s`` ON J,I cn Z EXC. O _'. i tI = pN m m O �/ °�/ / /�j �/ - pq% In O g N I LO 1 :'50.62 m A _ � OCR 3.513 CRES • G1 Go 1? m (153,0 SO. FT.) 3 I . R v ` ►*� S m /W I' U R � � Z 3. 8 ACRES( to N c) rrl i (1 .5 42' LEG "° A f S - FOUND ALUMINUM ST. CROIX COUNTY �! i SECTION CORNER MONUMENT SET 1" OUTSIDE DIAMETER BY 18" LONG IRON c l" N88 ° 29'25 "W 356. O PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT CS � UNFLATU di 4�' , , , , , BUILDING S LINE 1 0 — � — SO' / ?/ 100' FROM RIGHT -OF -WAY) �\ _ , • _ • , _ • . _ DRAINAGE/PONDING EASEMENT S1/4 COR. SEE PAGE 3 FOR DIMENSIONS) SEC. 1 S / • FOUND 2" OUTSIDE DIAMETER IRON PIPE PROPOSED DRIVEWAY THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6000 -13 DATE: 09/17/2002 REVISED 1/02/2003 SHEET 1 OF 4 SHEETS Vol-16 Page 4434 ST. CROIX COUNTY WISCONSIN PLANNING & ZONING DEPARTMENT ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 r — Phone: (715)3864680 Fax (715)3864686 FAX To: VN ( ?� LL_l ST�2 From: (-t-u I Fag: 42 Pa es: ( 6 - Phone: �o �� Date: i Re : CC: ❑ Urgent ❑ For Review ❑ Please Comment Vilease Reply ❑ Please Recycle 01 � ,�-Q- �,- ST. CROIX COUNTY WISCONSIN ZONING OFFICE a ST. CROIX COUNTY GOVERNMENT CENTER I AA _ `_ _ 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 EROSION & SEDIMENT CONTROL PLAN Parcel #18.28.18.275B -10 Site: 352 C. T. H. SS, Lot 1 (Kinnickinnic Tn.) — owner(s) Mitchell Ward & MarannWeiss Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and /or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control (ESC) Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization has been completed. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. Surface drainage is southeasterly, toward C.T.H. SS road ditch and a designated storm water ponding area, with <100 feet of buffer between drainage easement and the construction site. 2. Route contaminated runoff into vegetated buffer areas on this parcel by creating temporary diversions graded ALONG CONTOUR between excavation areas and any potential receiving waters (this includes drainage easement and road ditches). Do not allow diverted runoff to be directed onto neighboring properties. (See specification sheet for temporary diversions provided by Zoning Dept.) 3. Due to proximity of construction to designated ponding area, straw wattles, silt fence, or other approved sediment control products must be installed to intercept runoff on owner's property (in addition to any temporary diversions and vegetative buffers). Sediment controls must be installed prior to excavation for foundation. The POWTS inspector and building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Please feel free to contact me with questions regarding erosion & sediment control ' ion. - Prepared by Pamela Quinn, Soil Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements:'��'�.�%�� //2005 2884P 379 I 7'.32 1 9 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIR CO.. WI Document Number Document Title RECEIVED FOR RECORD St. Croix County 05 /18/2005 08: Occupancy Affidavit AI Exr # REC FEE: 11.00 kA -ell �r TRANS FEE: COPY FEE: 2.00 Name — (Owner) Typed or printed CC FEE: being duly sworn, states, under oath, that: PAGES: 1 owner of the following 1. He/she is the owner/part g arcel of land located in St. p Croix County, Wisconsin, recorded in Volume 2 _ q 5_j Page 1 1 01 Document Number ?q&1�S Croix County Register of Deeds Office: Recording Area S Name and Retum Address A parcel of land local m the �� ` Y. of the V. of Section �c h e 1 < (� , �5) d t'CD T 2q N- R 1- W, Town of 411UN I L Y-!1/N 1 C , St. Croix x,45 S e w •e � f County, Wisconsin, being duly described as follows (include lot no. and R xi FIztlis t„aL.11 �3 of subdivision /C SM or detailed �� legal description): tion): j�""� f" � L_ 0_^ ,, _ 1 Ot CaNl� 04 a4 " y " V C Parcel Identification Number (PIN) As owner of the above described property, I acknowledge that the septic system serving this residence is sized for a 3 bedroom home, or a design flow of `> __O gpd. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. There are currently =L occupants living in this residence; (a occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However. I understand that if there are intentions to exceed the number of permitted occupants, the system Will need to be modified to acoomodte any increased wastewater flows and /or contaminant loads. 1 also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this 4Z_ day of xy * ///i`kkw AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) )ss• authenttcated this day of St. Croix County. ) personalty came before me this — day of TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregdng (If not, authorized by § 706.06, Wis. Stats.) instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY / * r Notary public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. if not, state expiration date: necessary,) Date: l/ - `/ -O 7 ..'u "THIS PAGE IS PART OF THIS LEGAL DOCUMENT — DO NOT REMOVE" NOT PLO" Ndiwarsoon must be completed by submliter . name 6 return address. and E& (d reached). oHl kWw i i�s%h* grai ft daises, leagal desc*aon, etc ma be placed on this &V page of the dooaaraent or may be placed on additbtW pages of the document. iW use d Ws oover page adds one ~ lo your docaxraerat and J2 00 to the recorWrm fee. Waconsin Statutes. 59 517. Parcel #: 022 - 1050 -50 -025 06/02/2005 07:42 AM PAGE 1 OF 1 Alt.'Parcef#: 18.28.18:275B -10 022 - TOWN OF KINNICKINNIC Current X1, ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * WARD, MITCHELL R MITCHELL R WARD WEISS MARANN M WEISS MARANN M 445 JEFFERSON ST RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 352 CTY RD SS SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 3.513 Plat: 1432 -CSM 16 -4434 022 -03 SEC 18 T28N R18W PT SW NE CSM 16 -4434 Block/Condo Bldg: LOT 01 LOT 1 (3.513 AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 18- 28N -18W SW NE Notes: Parcel History: Date Doc # Vol /Page Type 11/19/2003 746975 2459/109 WD 11/19/2003 746973 2459/106 AGREE 05/27/2003 722883 2253/132 EZ -U 01/20/2003 706375 2115/128 WD more... 2005 SUMMARY Bill M Fair Market value: Assessed with: 0 Valuations: Last Changed: 07/01/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.513 35,000 0 35,000 NO Totals for 2005: General Property 3.513 35,000 0 35,000 Woodland 0.000 0 0 Totals for 2004: General Property 3.513 35,000 0 35,000 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 U 2459P 109 1} 7 4 6 9 7 5 KATHLEEN H. WALSH REGISTER OF DEEDS QWument Number WARRANTY QFFn ST. CROIB CO.. WI RECEIVED FOR RECORD This Deed, made between Cudd Brothers Construction 11/19/2003 09: 30AN Co., Inc., a Wisconsin corporation, Grantor, and Mitchell R. War WARRANTY DEED and Marann M. Weiss, as joint tenants, Grantees. EXEMPT it Gran or, or a valuable consideration, conveys to Grantees REC FEE: 11.00 the following described real estate in St. Croix County, State of TRANS FEE: 165.00 Wisconsin (the "Property"): COPY FEE: CC FEE: PAGES: 1 Lot ertified Map filed in Vol. 16 Pa a 4434 as Record Area current No 704 64 sated in Part of the V�V '/. of %. Name and Return Address a pa of e , of the NE '/. in Section 18, T28N, R18W, Stephen A Koss Town of Kinnickinnic, St. Croix County, Wisconsin. Attorney at Lew P. O. Box 46 —113 E. Elm St. River Falls, WI 54022 022 1050 50 000 (Parcel Identirkmtlon Number) This Is not homestead property. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: easements, covenants, restrictions, and rights of way of record, if any, and will warrant and defend the same. Dated this 6TH DAY CI N- NE13FR, 2003 (SEAL) ( (SEAL) • 'Douqlas J. Cudd, P de (SEAL) _(SEAL) 'John . dd, IV, Secretary AUTHENTICATION ACKNOWLEDGMENT Signatures) S T SCONSIN COUNTY Personally came before me this day of August, 2003, the authenticated this day of . 2003. above named Douglas J. Cudd, President bpd John H. Cudd, IV, Secretary of Cudd Brothers Co ! JD to me known to be the persona wh�ang Signature instrument and acknowledge the same ' Type or print name ` • � u ' TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by §706.06, Wis. State.) My commission expires THIS INSTRUMENT WAS DRAFTED BY ° %,� 0 ��•�'' •r` `,• Stephan A. Kota �''��•a.i .p_..••••N Attorney at Law 113 E. Elm Street *Names of persona signing in any capacity should be typed or Rher Falls, WI 54022 printed below their signatures. (Signatures may be authenticated or acknowledged. Both are not necessary. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND O WNERSHIP CERTIFICATION FORM Owner/Buyer /hilt h ����/ JI � Mailing Address G/`/S Jegenon S t- 1�1'dQ• Fll l�� /oaf Property Address 6n u ,' Q R, I k a (Verification required from Planning Department for new construction) City /State Parcel Identification Number Ja - / 72 - 025 LEGAL DESCRIPTION Property Location 5W V4, n�E, V4, Sec. l?) • TJ2 N -RJZ_W, Town of Subdivision , Lot # Certified Survey Map # � Volume 1 , . Page # 4<4 V . Warranty Deed # 7 Ll G 91 , Volume o? Page # ZQ 9 Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of �thee three year expiration date. i�/7"� /- �� S/ ,/ / OS� SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, b virtue of a warranty deed recorded in Register of Deeds Office. sl6/ SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.* ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed POWTS OWNER'S MANUAL & MANAGEMENT-PLAN Page FILE INFORMATION SYSTEM SPECIFICATIONS Owner W ARZ Septic Tank Capacity OOO gal. ❑ NA Permit # 3 Septic Tank Manufacturer W UFF(UTT ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 51 MTEG)q ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model $TF loo AZ ❑ NA Number of Commercial Units 0 NA Pump Tank Capacity ( gal ❑ NA Estimated flow (average) Lf gal /day Pump Tank Manufacturer � U FF(_0 -TT ❑ NA Design flow (peak), (Estimated x 1.5) q S® gal /day pump Manufacturer Go L)L ZS ❑ NA Soil Application Rate 1, gal/day/fl:2 Pump odel P ` 971 E - ❑ NA Influent/Effluent Quality Monthly average* Pretreatment Unit 91 NA Fats, Oil & Grease (FOG) <30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODE) _ <220 mg /L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <150 trig /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality ANA Monthly average ** Manufacturer Dispersal Cell(s) Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) <30 mg /L ❑ At -grade klMound Fecal Coliform (geometric mean) <10 cfu /100m1 ❑ Drip 0 Other: Maximum Effluent Particle Size / inch diameter Values typical for domestic (non - commercial) wastewater and septic tank effluent. - MAINTENANCE SCHEDULE ** Values typical for pretreated wastewater. Service Event Service Frequency Inspect condition of tank(s) At least once every 3 ❑ months A year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (%3) of tank volume Inspect dispersal cell(s) At least once every 3 ❑ months Xyear(s) (Maximum 3 yrs.) Clean effluent filter - At least once every year(s) Inspect pump, pump controls & alarm At least once every ❑ months X.year(s) ❑ NA Flush laterals At least once every ❑ months ❑ year(s) A NA Other: At least once every ❑ months ❑ year(s) ❑ NA Other: At least once every ❑ months ❑ year(s) DNA 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 ('/ 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, pretreatement 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 tqe 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. f - Page ` , 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 Septag.e 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. ABANDONEMENT 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 ch. 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. Zhe 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 b Iled as a last resort to replace the failed POWTS. Mo and at -grade soil absorption systems ma be reconstructed in pl ice f 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 EARL WaNSk- e Phone - 7)5 926 5 5 Z 5 Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name Agency ST CPO I( CO. ZOWNG- Phone Phone - 7)S 4 680 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 guarantee I ST. CROIX ' VOL 16 PAGE 4434 .IAN 0 2 2003 REGISTER H. D EEDS ST. CROIX CO.. WI CERT/ " �° '�/EY MAP RECEIVED FOR RECORD � 01/8212803 09:00AK REC FEE: 17.00 PREPARED FOR LOCATED IN PART OF THE SWI /4 OF THE NE7 /4,, AND PART COPY FEE: 5.00 OF THE NWI /4 OF THE NE1 /4 IN SECTION 1% T78N. R18W. PAGES-. 4 FREDERICK LENERTZ 220 LIVESTOCK TOWN OF KINNIC1001110, ST. CROIX COUNTY, WISCONSIN. EXCHANGE BUILDING NOTE-. DRAINAGE EASEMENT SHOWN ST. PAUL. MN 55075 HEREON IS CREATED TO MAINTAIN EXISTING SURFACE Z SURVEYOR: D IT IS THE TO RES STA BIL I ZE AND MAINTAIN ACC I ENT ECORDED (� THOMAS M. HEALY APPROPRIATE VEGETATION ON DOC. # 704222 2922 0 ENLOE STREET S N LAND SURVEYING, INC. SAID EASEMENT. i '® HUDSON, WI 54016 SEE SHEET 3 FOR DRAINAGE/PONDING ������® ®� m = EASEMENT 276 3C N85 °i 9'04 "E 540.64' m �� N7/4 COR. DIMENSIONS. 3`3"E {ea SEC.18 6�2�. z LOT 4 , 3.746 ACRES ro N (163.186 SO. FT.) INC. R/W....... in N W I v o 3.188 ACRES NWt / 4 OF THE NE1 /4 t O LOT-7 W . v (138.887 SO. FT.) EXC. RNV o ® t W SWI /4 OF THE NE1 /4 4 - (194,907 SO. FT.) Ot 4.174 ACRES ril (181.807 SO. FT.) y co EXC. RNV \ :` •� � I�SEE DETAIL 51 m .4 ON SHEET 2 �m 8• ti s ate I 90 , r— ! SCALE IN FEET 1" = 200' co � 60• 0 N ® -/ -� LOT �'• a 1 / h 4 200 O 200 3.651 ACRES INC. W SO. FT.� FWI 3.047 ACRES' • ^ / h (132.722 SO. Fr.) — `°' a f!i / Z 3r, �L�O EXC. RNbV N / a I LOT 1 : 5o.02 3.513 ACRES - So m m 153.030SO. 3.088 ACRES (134.507 SO. ExC. ww LEGEND j =:I / a ego SOUTH LINE OF THE FOUND ALUMINUM ST. CROIX COUNTY 2 1 � � SWI /4 OF THE NE1/4 / SECTION CORNER MONUMENT m - m :— 301.82- i SET 1" OUTSIDE DIAMETER BY 16" LONG IRON $� n � n N88 ° 29 . 25"W 356.2 O PIPE. WEIGHING 1.13 LBS. PER LINEAR FOOT ca N t i umP LI..�rrim �? ................. BUILDING SETBACK LINE Q — pp �1MM �@ — /42/ (100' FROM RIGHT —OF —WAY) t�lNUCI ®oy .. .. _.. . DRAINAGE/PONDING EASEMENT S1 /4 COR. (SEE PAGE 3 FOR DIMENSIONS) SEC. 18 / FOUND 2" OUTSIDE DIAMETER IRON PIPE PROPOSED DRIVEWAY THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6000 -13 DATE: 09/17/2002 REVISED: 1/02/2003 SHEET 1 OF 4 SHEETS Vol . 16 Page 4434 L ���,�� ��. � i z 1�� � � �� v �� � U 2804 P 3 ?9 7'952 1 9 KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX CO. , MI Document Number Ooarnent Title RECEIVED FOR RECORD St. Croix County 05/18/2005 e8 :20AN DAVIT Occupancy Affidavit AFFI EXEIPT # l REC FEE: 11.00 TRANS FE E: 2.00 Name - (Owner) Typed or printed CC FEE being duly sworn , states, under oath, that: PAGES: 1 I. He/she is the owner /part owner of the following arcel of land located in St. Croix County, Wisconsin, recorded in Volume 2 Page )O'� Document Number ?4&15 St. Croix County Register of Deeds Office: RscordhaAm NE Name and A Return u 1 of land Iota in the ��'` '/, of the %. of Section g i Bch Ll a f T 2 N— R c� � I� S e C .W _� W ` , Town of K /NN 1 L K//VN 1 G S , t. Croix q 4 S e w e rsc eN 5 t County, Wisconsin, being duly described as follows (include lot no. and (�; �r etls CA,S S'yo of a subdivision/CSM or detaile � legal des /r 1 v. O l ��' �' �` �� y ` b Parcel _Id r0kaation Number (PIN) As owner of the above described property, I acknowledge that the septic system serving this residence is sired for a 3 bedroom home, or a design flow of q pd. The design flow is calculated by assuming 150 gpd for 2 al is residence; occu pants are Individuals per bedroom There are currently occupants living in th . ..� pants perm itted based on the design flow. Therefore the septic system serving this residence is code compliant. However, I understand that K there are intentions to exceed the number of permitted occupants, the system will need to be modified to aocomodate 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 QZ day of OQ xy �/ _ Dar AUTHENTICATION ACKNOWLEDGMENT Signatures) STATE OF WISCONSIN ) )Ss• audwiltcated this day of St. CM IX fib• ) Personally came before me this _ day of TITLE: MEMBER STATE BAR OF WISCONSIN Of not to me known to be the persons) who snouted the ftWohV at&artzed by § 706.06. Wis. Stets.) imiruinert and ackrawledge the same. THIS MIRU�M�E WAS ORAFTEO BY Notary Public. state of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My ComrMssion is permanent If not. state expiration date. necessary.) Oats• .�.. L ag - THIS PAGE Is PART OF THIS LEoAL DOCUMENT — DO NOT REMOVE - WM RM flits k9bansgon must be oonpNred by sub nor document nwm A mf= arWff& (MM**b1• oa k* =j nncc nY draft dawss.11apef desorption, etc. my be p/eoed on ado tird pope d doownet t ormay be pfaced on adbybad pwpes d( OW dboww C fift Use of ft cowrpope adds are paps to row downrenr aed 5100 to she mawsk a ties. 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O Q0 p y l c O aq = N �, Q OE O aq = W y _� 3 0 c�OSpy =� 3 ��' rpy � y c 3 CND co C CD 00 Q y= — 3� OC N ?f OC co CCDD ?� a d< oo �$ m< oo o ca a- o� ° -$ N I Ao !p I Y CD f G p :^ A t. O O 0 O p O N V 0 O CD CL 0 O �1 W tsconsin Department of Commerce SOIL EVALUATION REPORT Page _ 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 81/2 x 11 Inches in size. Plan must include but not limited to: vertical and horizontal reference point (BM), direction and Paroal IA. , percent slope, scale or dimensions, north arrow, and location and distance to nearest road. v1 j �Q Please print all i v n Re e by _ Date Personal information you provide maybe used fors ndary (FAY FA. 15.01 1) (m)). Property Owner W r� LenQr�- NOV 2 1 20 114 " S T N R �� Property Owner's Mailing Address Subd. Name CSM# ST. CROIX COUN v `i a 1 6 1 Z '1'13 o. Z C RY State Zip Code P illage CgTown Nearest Road ER New Construction Use: [Bb Residential I Number of bedrooms Code derived design flow rate a GPD ❑ Replacement ❑ Public or commercial - Describe: — I _ ft. Parent material � � 1 _^ Flood Plain elevatlon V applicable General comments 5 yS��M $�e V S 3 l 4 lk� and recommendations: e L�v f •CQLf/yic{� Con 4v'r Q 8. Q'd nn �,t�p�yV LtDW ( Q Z 5 � Boring B oring # ft Depth to 1 factor in. F Q pit Ground surface elev. i�9 Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDflF In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 -Eff#2 I o 15 ' �- y3. S 1 r /5 Zy /o / — :c m-� – 04 1 - 4 ® Boring # El Boring ® pit Ground surface elev. • ft. Depth to limiting factor � ? in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. - Eff#1 I - Eff#2 16 s I'M — e, Z sbt fe- c . 6 Z2- / 7, _ . .� m-�J ;6 • Effluent #1 = BOD > 30 220 mglL and TSS >30 150 mg/L ' Effluent #2 = BOD < 30 mgfL and TSS 1 30 mglL CST Name (Please Print) nature CST Number er Y Address Date Evaluation Con Telephone Number 4,,1, Sy' lQ_ -oz 7lszh'� ^5'O °� 1r Property Owner l,L /_ Parcel ID # Page of F-31 Boring # ❑ Boring ' [ pit Ground surface elev. 9r' - ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/If in. Munseti Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Efl#2 t o -1 V Q f S,' b C S 1 t) S' '$ Z/ -.� 1.4 i' 7,S' '`Y ��P SSG l�'7'� -� -- • (o V7 F-1 Boring # ❑Boring Y El pit ?round surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 •Eff#2 Boring # ❑ Boring —_- Ground surface elev. ft. Depth to limiting factor � in. ❑ Pit Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMIF In. Munseti Qu. Sz. Cant Color Gr. Sz. Sh. •Ef1 #1 •01#2 • Effluent #1 = BOD 30 mg/L and TSS >30:s 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- 2648777. saD- 8330(2.07M) Property Owner - 1 Parcel ID # Page -2,— of F-31 Boring # E] Boring r"' p� [9 Pit Ground surface elev. ? Cr it. Depth to limiting factor Z 1 in. lion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfP in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. 'Eif#1 Ef#2 ( p� / •� rn YY4 r 5 V - Me i C ZP 7,S . -J P7 F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft Depth to limiting factor i^ Sol lion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 '01#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe In. Munsell Ou. 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 mglL 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. ssoaswtA 10) I y PAGE 3 OF 3 J 1 lAAME L� Ne r-�L r OT# ' LEGAL DESCRIPTIONS Y4//P, X -S / 17 Flc N R / fl E(Or) SCALE: I"= qd BM 1 ELEVATION BM I DESCRIPTION BM 2 ELEVATION 9 �• 3� BM 2 DESCRIPTION / " aJ c SYSTEM ELEVATION SYSTEM TYPE /'Nl 2 � CONTOUR ELEVATION 9g• O� I CSC /)l? Q� _ / o T AAl< -L L N v 3 - \ 0 o o b • py i SIGNATURE DATE 10-4- '1- PAGE S OF -5 NAME L-• r-. A LOT# LEGAL DESCRIPTION Y 4 1 4 S , /_!�: N R / fl E( or)� SCALE: 1 "= 4 10 BM 1 ELEVATION /Qa BM 1 DESCRIPTION a'`,0� c O -DG BM 2 ELEVATION 97 . 3 0 BM 2 DESCRIPTION .�0 & l QJ� _ e. Df SYSTEM ELEVATION 30 SYSTEM TYPE tr vv CONTOUR ELEVATION 60 a 0. 3 G � d � L _ o � o • i SIGNATURE DATE 16 0 - 4 i • r J AN o 2 2003 daYs If not recorded w! 3t shall be ate aoP CERtiFIED SURVEY MAP PREPARED FOR: LOCATED IN PART OF THE SWI /4 OF THE NE1 /4. AND PART FREDERICK LENERTZ OF THE NWi /4 OF THE NE1 /4 IN SECTION 18, T28N, RISK 220 LIVESTOCK TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. EXCHANGE BUILDING NOTE: DRAINAGE EASEMENT SHOWN ST. PAUL, MN 55075 HEREON IS CREATED TO MAINTAIN EXISTING SURFACE I m SURVEYOR DRAINAGE. IT IS THE '. I � t RESPONSIBILITY OF LOT OWNER ACCESS EASEMENT RECORDED A cn �g TO STABILIZE AND MAINTAIN 12/31/2002 IN VOL. 2097, PG. 150, THOMAS M. HEALY APPROPRIATE VEGETATION ON DOC. # 704222 z S do N LAND SURVEYING, INC. SAID EASEMENT. m 10 2920 ENLOE STREET (j pLR77E® LANDS F z HUDSON, WI 54016 SEE SHEET 3 FOR _ -- � =1 g DRAINAGE/PONDING EASEMENT „�'Z7 185 °1904 "E 540.64' A m N1/4 COR. DIMENSIONS. 0 LOT 4 g SEC. 18 r0 .-, ro N 0 3.746 ACRES I ll o W (163,186 SO. FT.) INC. PLO- ' • • • • • • y N � 3.188 ACRES ? LOT 3 w . j�j �I (138,887 SO. FT.) EXC. RAN b W ` N NE1 /4 O 4.474 ACRES =® m SW1 /4 OF THE i' ' � 0 — (194,907 SO. FT.) INC. R/W i Cn 4.174 ACRES -- • • _ / / f i (181,807 SQ. FT.) _ v co EXC. R/W \ •, / �+ m .� • i ITSEE DETAIL O ON SHEET 2 m m I 0 Z ss m 8 � �17 i � i m s o s A 0s , Cd 0 ! 'SO4 r � SCALE IN FEET 1" = 200' p S0 , IV c$ 3 LOT 8 200 0 200 3.651 ACRE j � �/ �� (159,020 SO. FT.)* ct Z 0° R INC. R/W -�� U) �6 / 3.047 ACRES' ° �rVI' �ry O �+ 1 o h (132,722 SQ. FT.) ,. o ® ��S CON 1 i7, 0 cn v O Q�/ o�� EXC. R/ ' 0 �: I C m MI S 0 3 • �N� / V C W 0 K � D v � m LOT 1 ' 5o.o2f= -' �'' �/ W �� c c m 3.513 ACRES �' SO' 3 O G� m m m (153,030 SQ. . FT J S u V v m INC. W 3.088 ACRES ,,,°? `` 42 o m v (134,507 RA FT.) LEGEND EXC. RA 08 o FOUND ALUMINUM ST. CROIX COUNTY ? � SOUTH LINE OF THE ® SW1 /4 OF THE NE1 /4 / SECTION CORNER MONUMENT r*i pc m I 301.82' ' "�! SET 1 "^•i!TE:IDE n! oY 1R" ! ®RI(; IRON Z o N N88 "W 356.22' U PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT A UNPL 7 0 BUILDING SETBACK LINE v I 4 — — LAN — — so a2 " " " " " " " "' (100 FROM RIGHT —OF —WAY) DRAINAGE/PONDING EASEMENT S1/4 COR. (SEE PAGE 3 FOR DIMENSIONS) SEC. 18 ® FOUND 2" OUTSIDE DIAMETER IRON PIPE PROPOSED DRIVEWAY THIS INSTRUMENT DRAFTED BY: WILLIAM KANE REVISED 1/02/2003 A 09 SHE ET 1 OF 4 SHEETS JOB N0. 6000 13 D ATE: