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022-1057-70-000
0� f 0 f ':1 3 w o m tz `i1 7 m m l m ' � O' N 9 n I O ! C N I m IM M ill O O O N O O N 7 s w w w vi Q o OD 3 O N 3 3 m a m z 3 m cD v i.� N c c !r 0 0 N a IDID �• �• H N l �_ j� o m 3 no m �;� o .Nr C W N C C w m O cn D a c w �n v D ca N a v m �o ? N n C m y W v CD d C j (0 K C 0 d M zt O O -+ 0 m O O O it w l CL 0 a C (D o o Q o r' to CD m 0) y o o 3 •• a N T N �_ -u N w O O O �n a O O O m c CL F3 N to to O 3 y y ai a D a vv 3 a vv_v c m ID m N N m .m+ m N A ! co 3 d 3 3 0) I � .. I � I A ` �1 O D a O D 0 m m m• m N m N I m v to fp C <O N C m m C m m �' n �' n 3 3 CD m to CL n f' Z -I N w M OD m o CD m m m CL 3 CL z !n 3 3 m ° ' Oa. II A W 0 A 7 m� m o a 3 °—' 3m a CD n � _ 3 o o w o ai m c m y m c CD � o a ma uci o a ��v, u CD W CD ANN �3N ° CD =,3 0O C X G N �' > P N N • IZ U) 4 O N =r om (Da °' w ED CD 0 fu 'ca ° —•0 0 0 OL m '0 CD <a V m m m x� � o0 N -4 N N O CD m A O O N m m Oq N to O to O v o f o ° o a o o OL cam, n (a o : ■ n @ K \ § § % J \) (D , (Di 2 15 / z 0 % 2\ X N 0 �a a, < a w / k ) k ■ k $ \ \ \ m 2 0 - J . - //k ±§ $J 7\f § 0 0 0 0 w§ » » @ B ƒ § o \ \ o t K 4 J (\ \ % E E 2 « « y 7 k \ \ ° E J m e " \ // 2 m I . 0 0» g a §§ a\ / 0 \ \ § } j / §2 - §n ® 2 \ §% f' J o o o k - �- . � Z - \ 0 CD � m � 0 I k / 7 CD \ . = m � \ \ Oro I » \ a 7 CD \ \ k 2 m c ■ � I \ . ■ � \ $ G § � k : 7 \ 2 e 2 \ M 00 . D 0 .� 7 f =r,< 2 \ } Vi2 (D Ek §� § ���rr S ~ k n �� 222 $ - ,E§� - [ . AfE7W& >� k \q \ 0 (D ) E =m -< f CL M, \ ƒ CD /E% /; \ 0o0 (D CD a a'(D 2 cn �CL� \ 0 \ N m \ § \ f ? \ § 8 E \ , 7 � Wiser�in Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety iftd Building Division INSPECTION REPORT sanitary Permit � f7 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: Smith, Kenneth B. I Kinnickinnic, Town of 022 - 1057 -70 -000 CST BM Elev: Insp. BM Elev: BM Desc iption: Section/Town /Range/Map No: / 00.0 A16- '►�c. 20.28.18.317C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark D / Alt. BM M 4- Aeration n / 6—k s e we C / M // 71 Holding SUHt Inlet 15' yam 5 75 A$- St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD l i t I, `� d ,� Septic �—�/ � �'V , D � /O• r � d Header /Man. ,r+ Dist. Pipe t✓() Hoi V Bot. System PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand GPM + Model Number TDH Lift Friction Los ystem Head TDH Ft o ld rn t-i' Forcemain Length Dia. Dist. ell SOIL ABSORPTION SYSTEM BED /TRENCH Width Length INo.OfTrenches PIT DIM SIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Sys tems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil hh❑ Yes FRI No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:/ / V I) Inspection #2: Location: 238 Liberty Road River Falls, WI 54022 (NE 114 SE 114 20 T28N R18W) ; � / A Lot 1 e Parcel No: 20.28.18.317C 1.) Alt BM Description = s� 2.) Bldg sewer length = ✓ IPA �/� W - VQ t/ I q - amount of cover = / t is 71 C� W1 .�/y►v2_ ;3 Plan revision Required? R Yes No / Use other side for additional information. F � SBD -6710 (R.3/97) Date �Inseptor' Signature Cert. No. commerce .Wl.gov Safety and Buildings Division County r n 201 W. Washington Ave., P.O. Box 7162 i sc o n s i n Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 53 p X Sanitary Permit Ap ic a1391PEIVED State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission this form to the appropriate govern ntal N A unit is required prior to obtaining a sanitary permit. Note: Appli ation forms for state -owned POW are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you pr �m� �e �� I ffor sec dary p urposes in accordance with the Privacy Law, s. 15.04 1 m), Stats. 1 J I. Application Information - Please Print All Information I S i - . CRQ;X Property Owner's Name NNING & ZONING OFFICE Parcel # � rJ Property Owner's Mailing Address 7� Property Location C O L � D Govt Lot r -3/-7 03 Ci State Zip Code Phone Number �7 f E y, �' y4, Section 0 - A u s w__F G Z 7 7� (circle one II. Type of Building (cheek all that apply) Lot # T N; R � e V or 2 Family Dwelling - Number of Bedrooms Subdivision Name Block # J\.J El Public /Commercial - Describe Use �� ❑ City of ❑ CSM Number El Village of State Owned - Describe Use � � V, / I Q / 1?<own of )ellw"& el"w 1 C_ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' ❑ New System ❑ Replacement System Y p y ❑ Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner 7 Z / j cY 17 D / q IV. of POWTS System/Component/Device: Check all that a 1 a i IY k 74 Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in, of s rtable ail ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treat ent Area Information: Design Flow ( ) Design Soil Application Rate(gpdsf) Dispersal Area Re uned (sf) Dispersal Area roposed (sf) System Elevation iq y�� 00 C X455 Z U,S 6 7q ) 200 q�� -12- ' 0 9S! S�7 93. 59' If� VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o g New Tanks Existing Tanks ° c 0 2 wU rn wC7 a Septic or Holding Tank /� Z GY - - l Dosing Chamber / VII. Responsibility Statement- I, the and signed, assume responsibility for in tion of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signatur MP/MPRS Number Business Phone Number 3 (715J.20-7767 Plumber's Address (Street, City, State, Zip Code} 3 see �Q 1A45 1/-� 6,SC206 LO OK s Vo2.6 VIII. ount /De artment Use Onl Approved ❑ Disapproved Permit Fee Date ssued Issuing Agent ignature ❑ Owner Given Reason for Denial $ 3 l IX. Conditi n of � (/Reasons for Disapproval 0 �J � J��- (�..f �V SYSTI�M OW lv�l Y� 1 Septic tank, effluent filter and �f dispersal cell must all be serviced / maintained '�� �O�c/�" l�° �v 1 1132 as per management plan provided by plumber. U J 2. All setback requirements must be maintained as per applicab yllx'Y W,%e system and submit to the County only on paper not less than S 1/2 x 11 inches in size SBD -6398 (R. 02/09) Valid thru 02/11 fS�D' Ad Qo �ie/g Z 36 2, Exi Pd. �/ eSM 9 2io'�; q 5e-. 2.0 7'zb�t,, �4, le /BcJ. ✓ 7 - A, of - Pc% #102-2- - /0 57 - 000 Z-2 'X 757' iso�rs C-ell i* t{,' /6ru..6'4& cci c< 9 5/7.' bP�/)q �o,o�acics /6'x 7o' �U � ���i'eX• /'ca>�'an of • z o 'o r X /:f iz 4 7i cser Ca"cic,c L: 6<r� EXiS�i � ♦ p ♦ a/Yt U_ I Index & Tilte Sheet - Existing Dispersal Cell Reconnection Project Name: Smith Existing Dispersal Cell Reconnectio Owners Name: Ken & Margarte Smith Owner's adress: 238 Liberty Road, River Falls, WI 54022 Site address: Same Project Location: Subdivision: Lot 1, CSM Vol. 9, Pg. 2654 Legal Description: NEvaSEva, Sec. 20, T.28N., R. 18W., Town ofKinnickinnic, St. Croix Co., WI. Parcel ID #: 022 - 1057 -70 -000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Daily Flow Calculations & Existing Dispersal Cell Evaluation Page 4 Weeks Treatment Tank Cross Section Page 5 Filter Specifications Page 6 Septic Tank Maintenance Agreement Page 7 Existing Septic Tank Certification Page 8 POWTS Management Plan Page 9 Waranty Deed Attachments: None Mater Plum Restrict d Service: James K. Thom son, De 't. of Comm. Credential #30021 Signature: ✓ S Date: . :2,0/0 Page 1 Of 9 Design pursuant to In- Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD- 10705 -P (N.01101) i n �i+lgafaL Silt. c� 1 � . 2.38 L: be� Pd E /eda ,P•ve/��s Lam/ esMd9�� z�ss; �no� er� , Baa`Ea�+ de�zc�ieo/ 41,&ySEYy 5ec, z - o 7 9a / 5, d. �. F /ei = ice. a� ' Q �• /BcJ., Tip, tc>;GScr S OLC 6",f/ o /057- 70 - 000 12'X__ 79 "*jAe. -s a / �J /: n ' /fia +�i GC' s rci cc ifP��ox. /eca ion cf z 3 � �C yo Sepe"c- 4a.d 8a.rc� e jq,,Ird�e d ccX I D n Dispersal Cell Sizing Calculations 1. (4 bedrooms)(100 gallons estimated flow)(1.5 design factor) = 600.00 Gpd design flow 2. Infiltrative capacity of native soil = 0.5 gpd/sq. ft. 3. Absorption area required: 1,200.00 sa. ft. 4. Absorption area available: 1,272.00 sq. ft. Existing 18' x 70 dispersal cell: 1,260.00 sq. ft. Existing 12' x 79' dispersal cell: 948.00 sa. ft. Existing Septic System Evaluation An inspection of the existing conventional POWTS dispersal cells that serve the residence at the above address was completed November 2nd, 2010. The system consists of a 1,000 gallon Wieser Concrete septic tank and two gravity fed dispersal cells. The systems were installed as per codes in force at the time of the installations. Records obtained form the St. Croix County Zoning Office and field verifications, indicate that there are two dispersal cells comprising this system. The first cell consists of an 12' wide x 79' long x 12" deep gravel bed that was installed November 6, 1986 under permit #79213. The second dispersal cell consists of a 18' wide x 70'long x 12" deep gravel bed that was installed November 22, 1994 under permit #193542. Excavations of both cells reveal that the newer system is in a state of hydraulic failure with more than 12" of effluent ponding within the dispersal cell. The older dispersal cell showed no signs of effluent ponding. There were no indications or evidence of effluent discharge to the ground surface or to the surrounding area. Because the failure of a septic system is a progressive process, I cannot predict how long these dispersal cells will continue to dispose of sewage effluent before failing. Portions of this inspection were based on a surface evaluation, so there may be hidden defects within the system that were not discovered. P, 3 ar9 4 1 f'I lT.6 L G oi�Ar�V� A cl 0 SS v ri � R G�OAn 4iXE1 .O w A -- - - - - - - - - - - 5 y ,.91 r 8 S 3y�� fill � u � - III.. WEEKS CONCREI 3 I� 3 RAY L WEEKS - i 1832 215th St. dew Richmond, M 5417 P� _ q 0�-9 EFFLUENT ML FILTERS �x "The PL -525 has 525 linear feet of 1/16" slots. It has an automatic shut off ball. When Alarm the filter is removed for cleaning, the ball will eccesslbility <- -----__, Accepts PYC aclenio- handle float up and temporarily shut off the system so the effluent won't leave the tank. No other 5251inear fast filter on the market can make that claim!" I 011st.t$ HtratlOn 91u1s _e Rated for Over 10.000 GPD Accepts 4" & 6" ' • s`+ SCHD s0 Pip. ~\ ?r i .l,. w. Gas dell.ctor Automatic shut.oH t ball when tilt., is removed "The PL -122 has over 122 linear feet of 1/16" slots. Rated for 1500 gallons per day, and <—. H. , /2 PVC can be manifolded together with other PL- Alarm 122's to double or triple the GPD. It has an Switch 122 Linear h. automatic shut off ball that stops flow when l /18inch Filar Slots the filter cartridge is removed for cleaning. Comes complete with it's own housing, no - Filter Housing gluing of tee or pipe and no extra parts to .111,3 " &4" Pipe Adapter buy. 1' Ga. Deflector Automatic Shut -Off Ball When Filter is Ra—ved From Tank Order # Model # Description List Price PK -525 PL -525 Effluent Filter System 203.50 PK -122 PL -122 Effluent Filter System 62.50 6 -10 ' y ( S off' i I I ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /J3uf e Mailing Address z Property Address ;5a2:21C (Verification required from Planning & Zoning Department for new construction.) City /State P'� 6 - Z �� Parcel Identification Number a� A0 7 LEGAL DESCRIPTION Property Location i /a , ,�i� /a , Sec. ay , T -,_e N R / W, Town of Subdivision ��� , Lot # �. Certified Survey Map # SO :!�A& , Volume , Page # Warranty Deed # 5"3005 , Volume 11 , Page # SS Spec house • no Lot lines identifiable yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. $3.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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 wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms & SIGNATURE OF PLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08105) i ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following resid nce: (Street address) X38 L;6.e�� / o Qd � IZs iJ /, located at: 17 t- `/4, .5 E '/4, Section ?p , Town ;28 N, Range / _ W, Town of c,�i�m , St. Croix County Wisconsin. Upon inspection, 1 certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service 0 ��, 2630 Did flow back occur from absorption system? Yes No i--' (if no, skip next line.) Approximate volume or length of time: _1/�,� gallons minutes Tank Capacity: 0100 w. Construction: Prefab Concrete Steel Other Manuf u rer (if known): t0leSel— A of Tank (if known): -� P rmit number (if knowi)�— 7 5W censed Plumber Signature) (Print Name) (Title) (License NumberMPRS a 1 0/0 (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10705 -P (N.01 /01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(i)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be <_ 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October- March) dictate that the system be heavily mulched for frost protection. Y Y p Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two -year schedule by use of diversion valve. Effluent to be diverted from older 12' x 79' dispersal cell to newer 18' x 67'dispersal cell at 4 year anniversary of diversion valve installation. 18' x 67'dispersal cell to be utilized for a I year period. Effluent dispersal to be alternated between cells on a two year rotating basis thereafter. Continizencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248 -7767 or the St Croix County Zoning Department at (715) 386 -4680. 6 - I' State Bar of Wisconsin F: ;rm 2 - 19QZ iI ;1 WARRAN'CY DEED ff � �j *p-�� l i fp- tf - -- DOCUMENT NO. g li( , k l . ph Vv - - - - -- - - - - - -- -- - R ick E. Svatek and Sue A_ Svatek, divorced and JUN �, 2 1 995 ` r . L 11:115 A. it '( .veyg o - - -- K enneth ' B. Smith and Mar ar - et 1( conveys and warrants [o __ - ^__ .. -- _.._ —_.. _'�i - l` Smitn and wif -_- - -- - - - -_- -- ._____ -_— - .r. - -- - THIS SPATE AFSERVEO FOR RECORDING DAM __r l NAME AND RETURN ADDRESS 1 GeV/ i it {i the following described real estate in _ _. _ St__ Croix r I� County, St..•c of Wisconsin: 1 i (Parcel Identification Number) - -- ' { tl Il ij T - *n•+ �/, of SE IA of Section 20. Township 28 North Ra 18 :lest '( { - 1TSaL part OL ttaC- .�lii/ •+ v + , g , , St. Croix Cot.mty, Wisconsin, described as follows: Lot 1 of Certified Survey Map filed in Vol. 9, page 2654, Doc. No. 502894.. it Md i2 ° }� !i This _ is homestead property. II I (is) X=w ` Exception to warranties: Ea restrictions and rights -of -way of record, if any, _ Dated this -- - -' -' -- - - --- - -- - - -- -- day of -- - - - -- .June -- - 59..._95 (SEAL) f - - - - - - -- - - -- - - - -- - ._ - -- (SEAL) ! Rick E. Sv atek (SEAL) (SEAL) { • __.. — _. . _ . .. - __ - __ - . - - _ ._--- -_ - _' - -- Sue A. Svatek { AUTHENTICATION ACKNOWLEDGMENT !I Signature(s) Rick E. Svatek,- - - _ - - STATE OF WISCONSIN �+ Sue A. Svatek 55 - -- - 1( County. ' authenticated this ._.( .day of _._ _ U11t?- 19_95 Personally came brfore me this _ _- .__._- _ -____ - day of �{ 19 the above named ll -- - ... _ - - -' - -- - - - -- - __ __ i Kristin Oglaiid TITLE: NIEMBER STATE BAR OF WISCONSIN i (If not. authorized by §706A6, Wis. Stars.) to me known to be the per-son _— .._.__ _.__. _. who executed the II II foregoing instrument and acknow►cdge the same. Ij II THUS INS RUMENT VJA3 DRAFTED BY 1: + Kri s ti.na Ogland !; i` Attorney at Law I N.xary Public County. Wis. (Signatures may he authcnticated or acknowledged Floth are not 'AV commission is rermaner.t. (If not, state expiration date n eccsaa ry .1 '( • \:. n.,...I I ... n .. n.ne in Ina . -rn. na .h..�.:a; hr .a�v�.l.. r... .�.I 1•rl,.aa :4.•ir .,F nxlnn• - _ .. ll w tRRwTt tDF.ED STar E Rntt OF wt5('ON*SM1 w.mnng•^ Legal Rbnw C-: v. i; 50289' CERTIFIED SURVEY MAP LOCATED IN THE NE 1/4 OF THE SEI /4 OF SECTION 20, T28 N, R18W, TOWN OF KINNICK- INNIC, ST. CROIX CO., WI. PREPARED FOR: HANS AND JAN ZOERS I UNPLATTED LANDS I I I E -W QUARTER LINE NS9 "E """ 3 2 9 30.00 7.00' I E! /4 CORNER OF SEC. 20. I (COUNTY MONUMENTFOUN01 33.00 3.00+ 1 SETBACK 133 331' RL mz F LINE 100' I I S tt 1 JAMES O'CONIML 2 I W_Ivwf d 03ce-S SL Cron CO., WI W N v): ;� L 0 T' 1 W E C. 10.01 ACRES Z' 14 3 6, 238 SO.FT. 1 Q: N 8.85 AC. EXC.•R.O.W Z• AP PROVED J� M 1 385,487 SQ.FT_1 I MI Q W N l 1 J. W At 2 7 ' 9Y d• H ° N 1 I \ W �I 3 In ;T. C"X COUNTY CLL 0 W N saptlt I W 0' sfW U' �• ° barn •, of ~• Z w"of�l U. Z J or Q. ° well �� : 1 QI Z �• Q I- W r G.' N lot foca" �4m (L - ° haat� yl yl -' o W o Z 2 Z wi" 30 dw of W 0 m: ( I < �' sppravat diN W= W W I I W aopmva2 vW a 1` ~ , wi 100. I •j•� 1 33'331 of . O I M � M 33 _ = — --- S 8 9 0 3 6 2i ' W7 p ( UTH �gi1Ht10pM SO C OF THE NE-SE I J et ` O= 1 "X 24" IRON PIPE WEfGHING 1.13 LBS. PER LINEAR FOOT SET. Q, w JAMES M . , � WSBER ° 1 S-1804 I ° ?A wls SP`tiING VALLEY SE CORNER OF SEC. 20. r 0 ( COUNTY MONUMENT FOUND 'q •r ffh i60��� SCALE 1 = 200 JAMES M. WEBER NELSEN- WEBER LANG AND SURVEYING 0 100 200 400' DATED �.,.•ec1,�� SHEET I OF 2 VOL. 9 PAGE 2654 93 THIS INSTRUMENT ORAFTEO BY STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS J 2 F Sao SUBDIVISION / CSM# 2 LOT # SECTION W T Zb N -R �� W, Town of /Ijnhlc ;C- ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM f 4- i T wk x N�Se n r e � r INDICATE NO TH ARROW l 3 Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: V ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capaci- _1 --___ Setback from: Well House Other Pump: Manu cturer Model# Size Float seperatio Gallons /cycle: Alarm Location f �( SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: 7 Et Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header /Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER LU lER •N JOB: 211,1 c�S ..t LICENSE NUMBER: t"p 7 90 INSPECTOR: 3/93:jt F 20.2$ I PRffA1 3 ,mVj Y f County: Labor and Human Relations INSPECTION REPORT 'Safety and Buildings Division � (ATTACH TO PERMIT) 5anitar mit GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village a Town of: State PI S M ev.: Insp. B ev.: 8 Description: Parcel Tax No.: TANK INFORMATION t F;1 DATA A9300191 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 1 01,K I D o Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. Air i to ntake ROAD Dt Inlet Air Septic NA Dt Bottom Dosing NA Header / Man. 7,3 7 y. Aeration NA Dist. Pipe Holding Bot. System 36, S. PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand i Model Number GPM TDH Lift Friction System H ead TDH Ft Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK _ CHAMBER INFORMATION TypeO o i Moe Number: System: -.a �a� 70 > 7s /U OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia Length Dia. Spacing 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 Edge Topsoil El Yes ❑ No El Yes ❑ No COMMENTS: (Include code discrepancies, persons prese t, etc.) ql- LOCATION: KINNICKINNIC 20.28.18.a+9* ( ) — ),36 7. 3 ? 4, XTi Plan revision r aired? ❑ Yes �N o Use other side for additional information. SBD -6710 (R 05/91) Date Anspector's Signature Cert. No. � ADDITIONAL COMMENTS AND SKETCH. SANITARY PERMIT NUMBER: i i I E ; s ; SANITARY PERMIT APPLICATION CILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SA ITARY PER IT —Attach complete plans (to the county copy only) for the system, on paper not less than ❑ ��-CER 8% x 11 inches in size. C ec - sloe to p ous application —See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION Hans & Jan zoerb NE '/a SE '/4, S 20 T 28 , N, R 1 W PROPERTY OWNER'S MAILING ADDRESS LOT # - - -- BLOCK # 2 T.iberty d CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME PA CSM UMBER Rivg-r Falls, WI 54022 715 425 -2546 - - - -- - -- -- - - - - -- °? II. TYPE OF BUILDING: (Check one) ❑ State Owned NEAREST ROAD ❑ Public Liberty Road ®1 or 2 Fam. Dwelling - of bedrooms � A AX N ( ) 111. BUILDING USE: (If building type is public, check all that apply) 022 1057 - 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility /Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales /Repairs 11 ❑ Restaurant/Bar /Dining 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hbtel /Motel 9 ❑ Office /Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. ® Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ,System System Tank Only r� Existing System Q Existing System B) A Sanitary Permit was previously issued. Permit # — J! 21 Dat Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ® Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSO RPTION S YSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) ELEVATION 600 1,200 1,206 .5 93.5 Feet 98. 0 Feet VII. TANK CAPACITY Site in a allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel glass App Tanks Tanks structed _750 11 17 Wi nrar Septic Tank VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): P 's Signatur : ( St mps) MP/C: Business Phone Number: Paul Q.J. Stei w C 715 425 -5544 Plumber's Address (Street, City, State, Zip C e): N8230 Highway 65• River Falls 54022 IX. COUNTY DEPARTMENT USE ONLY Disapproved Sa tary Permit Fee (Includes Groundwater ate seas issuing enL S' Lure (No a roved pp ED owner Given Initial Surcharge Fee) C� Adverse Determination �4d X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD -6398 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS , 1. A sanitary permit is valid for two (2) years. - 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any y new , ;riteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. changes in ownership q a or plumber requires Sanitary ermit Transfer /Renewal Form SBD 6399 to be Y Submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed ;pumper whenever necessary, , usual) every 2 to 3 years. 6. if you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608 - 266 -3815. I To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. Il. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. B,jilding use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Tripe of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in #1 - VII. Tank information. Fill in the capacity of every new and /or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experi mental, product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. County /Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The pans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD -6398 (R.11 /88) ,s 4 Iry Zu ETZ- B Owner's name San. Permit No. H63.05 PLOT PLAN S ho-w::: 1 t Location of building served N '� Dosing chamber Septic tank © Vertical/horizontal reference point Building sewer System elevation is X13. Effluent system Q Well NA Replacement system area N.q Property lines w /in 50 of system Q Distribution boxes Scale = °30 ' , or dimensioned Pump and controls: Mfr. & Model No. Vertical Lift Size Force Main Friction Loss T. D. H. Vol. Dist. Pipe Gal —per Mih. Gal. per Cycle Place check mark in appropriate box, indicating item is shown on plot -plan i B•3 e . 9- 5 �l �L 46 4 h tX -t -3 TIN ` SpaT�c lRx�l� � \O�t� Gkt-� y sn 1 o q kt- k, laz e \z co?v c _ s ep l) c ifM k a � a,( \ U GtN St OJAJS, t't, qg.6' � 1 X wAXIL Z 3 b By the granting or approving of the above plan, or upon the event of a subsequent permit being issued,St.CroixCounty and theSt.CroixCounty Zoning Administrator, does not assume or hold itself liable for any defects in plans or specifications, plan omission, examination oversight, construction, or any damage that may result in or after installation. C Cp 7Sb 2- P I s igna ure License NO. ITa e Iry Zo QIZ.B Owner's name San. Permit No. H63,05 PLOT PLAN Show: o '( I F Location of building served U ' A Dosing chamber Septic tank © Vertical/horizontal reference point Q Building sewer �L- System elevation is X13. Effluent system Q Well N ,A Replacement system area N•A Property lines w /in 50' of system © Distribution boxes [ Scale = 1 Ll =30' , or dimensioned p.q Pump and controls: u Mfr. & Model No. Vertical Lift Size Force Main Friction Loss T. D. H. Vol. Dist. Pipe Gal..per Min. Gal. per Cycle Place check mark in appropriate box, indicating item is shown on plot- plan t8 \ k &.Z �o�o trl. 46 4 h C ° t8.0 HNl4lt@O CSR -kD�, �' tzxtaTtr. . �T7c 1n►�lC ��o�u 6k1� �► �s t_L 1 S O <- kL w I es sit Cwv c , S ep 1) C 1'R+�L • .� ti� wt.�s eo►v�, D�ST�18v »oN fox bf U 1 3 Y'i � 1 — �. �od.o' oN � o� G�re�s� st �i�.►s I X quo t wWl.L 23Fs By the granting or approving of the above plan, or upon the event of a subsequent permit being issued, St. CroixCounty and theSt.CroixCounty Zoning Administrator, does not assume or hold itself liable for any defects in plans or specifications, plan omission, examination oversight, construction, or any damage that may result in or after installation. z Z Pl umber's gnature License No. Date ;, �C;SS SECTION OF A -'z SYSTEM �t►ys � Sq Zo E2Lj s rc►� . �� -, rr Ne. ��� F,-)P e , 4" Cast Iron Vent Pipe 12 Above Finished Grade - �x �sT •G[tqDE 4 PVC Distribution Pipe F— Soil Fi. l l 2 Of Aggregate Approved Synthetic Cover Material or of Uncompacted tizu Of P -2 -" Ag gate } S aw Or Marsh Hay. Elev. °13. S Feet ¢ � Perforated Pipe To Bottom Of Bed. bISTRIBUTION PIPE TO BE AT LEAST 36 INCHES BELOW ORIGINAL GRADE AND AT LEAST 20 INCHES BUT NO MORE THAN 42 INCHES BELOW FINAL GRADE. MAJ-r- TYUK.DEFTM, OF EXCAVATION FROM ORIGINAL GRADE WILL BE 6 S INCHES. MINIi1UM DEPTH OF EXCAVATION FROM ORIGINAL GRADE VTILL BE 5 Z INCHES. PLAN VIEW OF BED 4 3 c- -�1�3 3' 1 4" Perforated PVC Di stri buti o C 6' Pipd. _ VPVC From Septic b IK___4 as t " Iron Vent Pipe Tank Solid Wall PVC Header Pipe c��ur- .gc�us s�c� �tc,s� moo, o�� " ;LGSS SECTIOid OF A ED SYSTEM J:L l�vS SPA ZO�� srr•, . PeTtni -r No, 4" Cast Iron Vent Pipe 12" Above Finished Grade - �,c isT'•Ga,�nt 4" PVC Distribution Pipe - L5 E: S of 1 Fill 2" Of Aggregate Approved Synthetic _Cover Material or w o `�: \9" of Uncompacted �Z Of P-2 Ag gate \8� aw Or Marsh Hay. Elev. c 1.5 S Feet Perforated Pipe To Bottom Of Bed. DISTRIBUTION PIPE TO BE AT LEAST 36 INCHES BELOW ORIGINAL GRADE AND AT LEAST 20 BUT NO MORE THAN 42 INCHES BELOW FINAL GRADE. MA9IIfLUI - .-_DEPT D,, OF EXCAVATION FROM ORIGINAL GRADE WILL BE 6 S INCHES. MINIMUM DEPTH OF EXCAVATION FROM ORIGINAL GRADE i,TILL BE 5 Z INCHES. PLAN VIEW OF BED 67� 3 , 4" Perforated PVC Distributio 6' Pipe(. l�' � — __, - -- - 4 11 PVC From Septic 6' Ott Cast "Iron Vent Pipe Tank P 3 ' 4t' Solid Wall PVC Header Pipe r Wisconsin Department of Industry SOIL AND SITE EVALU A L U A / tabor and Human Relations T I O N R E P O R- 1 ` �� Page — of 3 Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but s C�24 LX not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. t) Z2_ 10 S 6l0 APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION YtN S vvvp SRN Z o Eve-lg GOVT. LOT t�l F 1/4 S e 1/4,S Z O T z8 N R PROPERTY OWNER':S MAILING ADDRESS S F ind - v i n Z 3 8 L l aTg LOT # BLOCK # SUBD. NAME OR CSM # iJ� p CITY, STATE ZIP CODE PHONE NUMBER [ ]CITY []VILLAGE MOWN NEAREST ROAD � 1 = rrC�Sl,Jl syu2Z (015) -2S�1b \-cI — IQAj)L` LIZLSL. CZU [ I New Construction Use (,t(] Residential / Number of bedrooms 1 7 / [ ] Addition to existing building L4 Replacement [ ] Public or commercial describe Code derived daily flow 603 gpd Recommended design loading rate S bed Absorption area re �ZoO 2 ��� 2 � 9Pd/� trench, gpolft eq bed ft trench ft Ma�amum design loading rate o . S bed, gpd/ft 0 • b trench, gpd/ft Recommended infiltration surface elevation(s) ° l 3 . S It (as referred to site plan benchmark) Additional design/ site considerations SIZ tug Yt,, V,•, ST*t LOZ c--A Past 3 01- �s Parent material S P►v\-c' y o U tj h S N Flood plain elevation, if applicable N - A , It S = Suitable for system CONVENTINAL nn�� oti IN GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system S❑ U I S❑ U 13(S ❑ LI S❑ U WS ❑ U I ❑ S 4U SOIL DESCRIPTION REPORT Boring # Fz)' Depth Dominant Color Mottles Structure GPD /ft in. Munsell Qu. Sz. Cont Color Texture Consistence Boundaly Roots �>:-����•� Gr. Sz. Sh. Bed rertctt o . t4 -3L »�2 3 � s Ground 3 3b -qo lo`-t yly X0--3 `M V`Fh - o•S o.( elev. cn Depth to limiting factor > O W Remarks: Boring # F� l t Ground Z) ll>`llZ 31y - 1� lc� o.S o.6 elev. 1 g 9 It. Depth to S 57 -�S 10`112 y/y — �g o S� �ou�g o•S o• limiting (� 1 O y 2 y/ EE ,factor Y — S G4, o g _ C). o. b Remarks: pL S't3T014 T Name:— Please Print Phone: Arthur L. We erer 715 425 - 0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 Signature: �. 0 13 -1 Y6 Date: -7 -30- CST Number: M00576 1 PROPERTY OWNER Zo�-rT-B SOIL DESCRIPTION REPORT Page? of, 3� PARCEL I.D. tt o ZZ _ LO 7 6D Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground 3 I wo 1b ` \ 31 � � S � b � m � r ' a5 _ o _ 3 0. �/ elev. q . 41& 1 c S�� f C S b f t, �b '-L VL Sl r S Depth to rj - )Z_ °!q LO `1R y! limiting factor 7 Remarks: � C S`iS ��1 UW `�oiZlzcv.� 1+ 3 Boring # w't.\Z- �y � Z g - 6 u �o� 2 � � � 1 s 1 c s �k r►' � � t� c s _ u. � � o. � s -Z - 1 Ground elev. q -r.$ ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) PLOT PLAN Page 3 of 3 `p S � Zo `eT11.i3 SCALE 1 "= 30 l0 s� -60 y o� s� �tm3 �� Pf1tL�`Fl \ k s .Z 5�!° O m bI u x w�u vsq 23$ 8 M y , z - Lal , 4 9. 6' - yJC N 1 ► STr� l l tTT - - - �io�) �ti � z ��u d3 . ��-�� �'RXI►�iv►"l VZ" �v�R ©u�� �lS`11Z1R�►`no�i ����5. P�. e� VL OE= �GSR gk B�LUw bls�Zlt3�`f7UlV �ta�s tiF r..c5►� -y V-%eleT' -4(zz L12 C.UUER i2 N 1 T, 1 F IB F1 �Nt S PP��`-1 Lu grit L`i�U 1Z IZA+v tS Fovtvb 1rT `Tli E WO T LS" of ` )' e h qli�s VN-T A I I rut EZ EYL Si . S Lt ST9.1 M" DL tru SIYr . CeD Nr At Vk I G R M e.LZv"O". �- 3 0 -93 ( 715 ) 425 -0165 M 00576 CST Signature Date Signed Telephone No. CST # SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County r w L . Zo z. ,- n OWNER/ BUYER i C — �c� W 0 Fire Number � ROUTE/BOX NUMBER ' R; Oe r a CITY / STATE Ri `) 7 C �ri 1w M PROPERTY LOCATION: , �' F- k, Section T, N, R_ W. Town of K*i n St. Croix County, Subdivision l;f Lot numbe Improper use and maintenance of your septic system could result in its premature failure to handle wastes.' Prover maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, canaaliectstdeseunct on t as t a into the treat- system ment'stage in the waste disposal system. St. Croix County residents may be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new 'sys_ _t�e agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, j ourneyman plumber, restricted plumber or.a licensed pumper veri fying that (1) the on -site wastewater disposal system is in prop operating condition and •(2)•after inspection and pumping (if nec- C Certi ear , ex iration. three y p y I /WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- W meet of returned Reso urce s CroixeCountyaZoningo and Office within 30 rned of the three year expiration date. SIGNED DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386 -4680 Sign, date and return to the above address. APPLICATION FOR SANITARY PZRMIT 8TC -100 This application form Is to be completed in full and signed by the ovlet(s) of the property being developed Any inadequacies will only result In delays of the permit Issuance. -Should this development be Intended for sesale by ovnst/contiactot,t housel, then a second form should be retained and completed when the property is sold and submitted to this 911106 with the appropriate deed recording- ----------- - -- - --- - - - -- - -- -- -- -- --- - r -- -- - -- ------------------------ Owner of property . = F &a,c� �Q Location of property /'1 W 1 /4r 8eetlon 7' -c`Z�' 3� R J.z.► V Township K; nr,; k, nr,;C' -- Melling address Ri.?c'r 7 C11 S �..3 _ �-- Gl a Address of site vex- Dr v e' t =�:11� wr 5kbd�2 lubdlvislon name - -- Let number �,_,•�• .. —. Previous owner of property Total sine of parcel X45 C) l Gtc:c e S Date parcel was created _ Ic l Are all cornets and lot lines Identifiable? _._Yes ir 0 is this property being developed tot renal* topec house) ?_„_Tas e Volume ,g and Page Number H 10 as secotded with the Reglatat of Deeds. ••----••--------------- ----•-••-•---------.••.------- •..----- ••-- ••--- ..- • -... -. INCLUDE VITH THIS APPLICATION Till FOLLOWINGS A WARRANTY DRID which Includes a DOCVMKHT NVMBIRR, VOLUMR AND PACs NUMatR# and the SISAL OT THi REGISTER Or 08608. In addition, a certified survey, if available, would be helpful so an to avoid delays of the reviewing process. it the deed description references to a Ce=tifled Survey Map, the Cettttted Survey Map shall also be required. ---------------------------------------------------------7----------------•---- PROPERTY OWNER CERTIFICATION I(Ve) certify that all statements on this form ate true to the best of spy tout) Rnovledgel that t two) am (ate) the owners) of the property described in this lntotmatlon form, by virtue of a warranty dead recorded In the Office at the County Register of Deeds as Document No. `(? & , .11 1 and that I (Val presently own the proposed site for the sewage disposal system tot I (we) have obtained an easement, to tun with the above described property, tot the consttuctlon of sold system, and the same has been dulyy recorded In the otftce of a County a later of Deeds as Document No. iS 16 a gnstvte of Ov at s i a ate of whet tit Applicable) ate ot sig nature Date o1 s tgnatute i 7 DOCUMENT NO. WARRANTY DEED' THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2 -1982 ��s11 VOL 997PAGE 4 - - kEGJSTER'S OM Elizabeth-- J-,-- PoPe_,... a.. marri. ed._ waman ..with__sQle ................... ST. CROJXCQ. F. manag�m�x�t..aAd..contro7._.of _.the..suba ect ._property ............... Recd fat Record � •- •••- ......---- •- •--- - - -• -- - .MAR 19 1993 - .................... --- .............................................................. conveys and warrants to .__A411B--- F_a._7+Q2X'1?_.x317.d JTazx..L +._.40 .erb,._........ at 8 A .. _ _ _husband- - and- ..wifE- _ as_. suruivaxshi..p.. mar ita.l - .gragerty....... _ _. ............................ --- ....... - ....... ....... ------- • ---------------------•_-------------------------------------- - - - - -- ----- - - - - -- ---------- - - - - -- --------------------------- - - - - -- .............................................. •--....... ----------------------------------- _------------------------------------ _------- __ _ ................... ___________ ----- _---------------- _------- ____ ___ __ ___ ___ ________________________________ _______________________________ ' .................. ... ------------ ..-------------- ------------------------------- the following described real estate in ......... St-.-.. Croix County, RETURN TO .......... State of Wisconsin: Tax Parcel No: ------------------------------ THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER (NE; OF SE;) OF SECTION TWENTY (20), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST. EXCEPT Commencing at the East Quarter corner of said Section 20; thence South 923.07 feet alone the East line of the Southeast quarter of Section 20 to the Point of Beginning; thence S89 282 feet; thence North 367 feet; thence S89 23 feet; thence South 767 feet, more o_z less, to the South boundary of the Northeast Quarter of Southeast Quarter, Section 20; thence East along said forty approximately 305 feet, more or less, to the Southeast corner of the Northeast uarter of Southeast utheast Quarter of Section 20; thence North along the East line of the Southeast Quarter of Section 20 approximately 400 feet, more or less, to the Point of Beginning. Said exception containing approximately 2.927 acres. ALSO EXCEPT Commencing at the East Quarter corner of Said Section 20, the Point of Beginning; thence South 923.07 feet along the East line of the Southeast Quarter of said Section 20; thence S89 282 feet; thence North 367 feet; thence S89 1025.95 feet; thence North 556.07 feet; thence N89 1307.95 feet to the Point of Beginning, said exception containing 19.073 acres. Subject to easements for town road over the East 33.00 feet thereof. (For purposes of this description, the East line of the SE; of said Section 20 is assumed to bear South.) St. Croix County, Wisconsin. This ___ 1$__AQt --- homestead property. p Eis•) (is not) : yi nANSFEB Exception to warranties: Easements, restrictions and rights of way of record. , i Dated this - day of ......... ........ March ............... .......... • --- - . - • - • ---- -- .._., 19..93.... - - - -- (SEAL) >. ----- Eliz eth J. Pop -- - -- --- (SEAL) ------•---••----•--- -- •--- •- •- -••-- ------ -- - - - - -- •-- _------ - - - - -- (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature (s) ------------------------------------------------------------ STATE OF WISCONSIN � n 1� SS. ..... C1! ...................... County. authenticated this -------- day of ........................... 19 ...... Personally came before me this .l V --------- day of __- •-- m(Xt�. !L ---------------- , 1941 . the above named ` - - - ---- I - = � ----------------•----------------- TITLE: MEMBER STATE BAR OF WISCONSIN - - - - -- - - - -- - - - - - -- =' -t - - - -- ---- ..--- -- - - -- a If not ------------------------------------------------------------ to me known to be the' authorized by § 706.06, Wis. StatsJ ................ --------- � ; } • - - --- -- -- -• - - - - --- - -• - -- persen. who executed the foregoing instrumr16it gtcknowledge the same. THIS INSTRUMENT WAS DRAFTED BY , l n Gwen Kuchevar - •-- - El? =lr� ���------------ - - - - -- -------------------------------------------------------------------------------- __RODLI, SKAR & BOLES, S.C. ------------- - - - -- x ry ,, o + ------------- Notary Public . =.-- '�• -� `�'- - -- -• = ' - - - -- --- -- -Count Wis. (Signatures may be authenticated or acknowledged. Both My Commission ; If not, state expiirQra'�tion are not necessary.) d /� . r / Y ...... ........... 19_'�S.?...) *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. FORM No. 2 — 1982 Milwaukee, Wisconsin . ocnO' 0w0 3- c d r� 0 0 '! �+ 0 3 3 w a ° r-4 0 c N p ° m m - o N • ° m Q c m cWi+ z m y w o °° p a. W 3 N A Z Z ? 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(DD _ , ti -4 O 7 O I N( O O < (D D O A fD ~ O O b ti O CD a o N o g p g c y CD O Q 0 ti LANDIN, THOMAS NE SE, Section 20 Rt. 2 T28N - R - 18W - River Falls, WI 54022 Town of Kinnickinnic G aT / � `1 /2bSy San.Permit #79213 9 -17 -86 P. Cudd Conventional, - R eplacement C S'n �L6 ` INSTALLED 11 -6 -86 low Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 46 MA S �N � [iJ TOWNSHIP K1JWJN= -7 # +jM XC SEC. T L$ N - W ADDRESS 9T2- 4*mt..rAU4 '; ST. CROIX COUNTY, WISCONSIN SUBDIVISION _ LOT / LOT SIZE a sy: PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 a SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I: E i .t p F�axa N r D WELL N INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used & ►'► & tji5&* 1ER. ,n� G AR.JF'C'* Elevation of vertical reference point: , Proposed slope at site: ° Iv SEPTIC TANK: Manufacturer: W1:666x-- Liquid Capacity: ^0 6-t. --j Number of rings used: l Tank manhole cover elevation: 9IJ -78 Tank Inlet Elevation: Q Z .Vol Tank Outlet Elevation: q Z,n-- Number of feet from nearest Road: Front,O Side ,Q Rear, O �o�it�''`t�wro kt� feet From nearest property line Front 1 0 Side 0Rear, O 7 ��- � � feet Number of feet from: well q 3 -c , building: 14 - 10 1 (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE AMW PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump /Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: X Trench: Width: 12. Length: 71 "O ' Number of Lines: -- Area Built: Fill depth to top of pipe: lb it t Number of feet from nearest property line: Front, Q Side, © Rear,0 Pt. Number of feet from well: 6 1Ue• 100 ' Number of feet from building: X40 =0`' I' % (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of.feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: p Number of feet from nearest road Alarm Manufacturer: / Inspector: Dated: ! F Plumber on job: License Number: 3/84:mj DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY df BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, W1 63707 MONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number, ❑ Holding Tank ED In-Ground Pressure ❑ Mound u1.1elyneE) NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER INSPECTION DATE: Thomas Landin Rt. 2 River Falls / � Ri r � WI 54022 J— — �1� Q JYi BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.: r PT. ELEV NE SE, Section 20, T28N —R18W, Town of Kinnickinnic U 0 Name of Plumber. J MPIMPRSW No CounrY Sanitary Permit Number Paul Cudd 2739 St. Croix 79213 SEPTIC TANK /HOLDING TANK: MANUFACTURER. LIQUID CAPACITY TANK INLET ELEV. NK OUTLET EL V. RNING LASE LOCKINGCOVER P IED. PROVIDED 1 1 ZL ES El NO ❑YES XNO VENT DIA.. I VENTMATI HIGH WATER NUMBER OF RDAD REDOING: PROP TV WELL BUILDING C ALARM FEET FROM V T/ V 1 ❑YES O / ❑YES 0N0 NEAREST DOSING CHAMBER: MANUFACTURER REDOING LIQUID CAPACIIV 1"LIMP Mf1DEl 11'1111P . SIPHON II ACTIJHEFI WARNING LABEL LOCKING COVER PROVIDED PROVIDED ❑YES ❑ ❑YES ❑NO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PHOPFHTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES ❑NO NEAREST --Y SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing I I N(,Tfl J I)IAKIF T( If I MATi HIAI AND MAHKIN6 or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LENGTH IND OF DISTR PIP( SPACINt, COVER INSII:L DIA sPITS LIOUID BED /TRENCH n THE NC IFS aT tIAL PIT DEPTH DIMENSIONS wA z / GR AVEL DFPT i FILL DEPTH H PIPF DISTH PIP DISTR. PIPE MATERIAL Nn I I IH NUMBER OF PROPERTY WELL BUILDING V NT TO FRESH BE LOW PIPES ABOVE COVE F(fV INIf ELEV (NU 2 �. PIPE >rZ FEET FROM LINE„ AIR INL'� «�- •� N EAREST -- ► J �/ MOUND SYSTEM: �D n ; K t �(- J 2, Z 2 Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- [DYES ONO meets the criteria for medium sand. TIONS MEASURED. OIL COVER TEXTURE PEIIMANINIMALIKIHS I IIIISIIIVAIIIIN ELLS ❑YES ONO DYES ONO DEPTH OVER TRENCH BED DEPTHOVFHTHENCl/REU TIII OI TOPSOIL I S1111111 11 SFE OF I) MULCHED CENTER EDGES DYES. ED ❑YES ONO DYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED /TRENCH WIDTH LENGTH TRENCHES. LATERAL SPACING GH 11f FILL DEPTH ABOVE COVER DIMENSIONS J MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD A ERIA I NO DISTR UISTH PIPE DISTHIBUI ION PIPE MATERIAL & MARKING ELEV. ELEV CIA ELEV. PI S DIA ELEVATION AND DISTRIBUTION:' INFORMATION HOLE SIZE HOLE SPACING DRILLED COHHECI L Y COV PLANS ER MATEI AL VERTICAL LIFT CORRESPONDS TO APPROVED ❑YES ID NO DY ES 0 N COMMENITS: A PERMANENT MARKERS OBSERVATION WELLS NUMBER OF PROPERTY WELL BUILDING LINE OYES 0 N E] YES LINO_ NEARES ki qq, nl.��� �IPVa�Cv)S I� r d i0l Sketch System on Re ain in county file for audit. Reverse Side. i SIGNAT TITLE DI LHR SBD 6710 (R. 01 /82) i - -ccn5,n APPLICATION FOR SANITARY PERMIT DILHR (PLB 67) St . Cro C OUNTY oePaaTrnenTOF UNIFORM SANITARY PERMIT # inousrav,cae01 �0, 6 — Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8' /2x 11 inches iin size. —See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS Thomas W. Landin Rt . 2, River Falls, WI 54 022 PROPERTY LOCATION NE 1 /4SE 1/4, S 20 , T28, N, R18 W X Kinnickinnic TOWN OF: LOT NUMBER JBILOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER - -- - -- - - - - - -- Liberty Road TYPE OF BUILDING OR USE SERVED — Dt 1 or 2 Family Number of Bedrooms: 3 Public (Specify): THIS PERMIT IS FOR A: ❑ New System Tank Replacement ❑ Repair i� Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ® Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank El System -In -Fill ❑ In- Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity 1000 1 X Lift Pump Tank /Siphon Chamber Holding Tank capacity Manufacturer: Wieser Concrete IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound El In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Class 2 945 94$ 1 ® Private ❑ Joint ❑ Public 1, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): re: MP /MPRSW No.: Phone Number: Paul R. Cudd RSW2739 IV15 425 -2049 Plumber's Address: Name of Designer: Rt. 5, Box 364, River Falls, WI 54 022 Art Wegerer (576) COUNTY /DEPARTMENT USE ONLY Signature of Issuing Agent: Fee:_ Date:C� /, Pb El Disapproved _ ❑ Owner Given Initial o Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR -SBD -6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 ' To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please, circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks, 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. I TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. f APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, ( "spec house "), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of Property ,/ rll ,j �/¢�Q //(." Location of Property h SA 'k, Section ZO , T Z � N -R W Township '4<'t iG,� /.tJN /G Mailing Address Address of Site Subdivision Name Lot Number Previous Owner of Property 1 L./ Total Size of parcel L g p 7 3 Date Parcel was Created -2l 2 3 Z12 7 Z Are all corners and lot lines identifiable? r/ Yes No Is this property being developed for resale (spec house) ? Yes No Volume -�_ and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING A Warranty Deed which includes a Document number volume and page number and the Seal of the Register of Deeds In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATIO I (We) eenti6y that att .statements on thus jonm are true to the best ob my (our) knowtedge; that I (we) am (are) the owner o6 the pnopen ty de. cA i.b ed in this .in6o4mat i,on 6o4m, by vi tue o4 a wa4Aanty deed %econded in the 064.ice o6 the County Register o6 Deed as Document No. 3rlzelo ; and that I ((fie) pees entfy own the proposed site bon the sewage di4poiat syst (on I (we) have obtained an easement, to nun with the above ducnibed pnopee ty, bon the construction of said system, and .the .same has been duty kecokded in the 046.iee o6 the County Regi6ten o6 Deeds, ab Document No. 31 1 ) . Slawr6E 0 ER SIGNATURE OF CO -OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED T OL � ^ s,- n + Y�., �,•�: � �'� r e��'! d4ti. i !dfr �� A154 rg F Tr W ' y�r a •i. az ', v yi�.n. + , : i i - �,» � .rP ii' f �•"w".mrMtlgM_ f. wv» '�nv„k art &ice San M�.� 1' a�.wwr.+wvr.,+n 1. iM. g w " ' ! � F � �tpp + yy K yy « yy �* 'A �,� +� S slow" MR P r- I I r h i � s ���'�, �.R,X` t � „ t RaiQ Cirnt►tar, i � '� OOi4ai� 1 �`'��� ' �` � to ,qr {Mf'rl t i� r k St ,}� ,� # f� „ t �1` 8,t 7�� +1► .- j a F '. ,x � h ,S"'il. P��i �� s � {E � " � M�! � L �I��i'� k Tow n 3i i Me. '.�,a �t�` k " rid iqp '1QLtiiF +� tdwnfri�nic #rzaic 9Cly Ccis cr ibed a .,Ol�ow C#ntmen ilea Mi : 'the point .0 :begsrt�3ttg< theme,= +4etj f he SE U. of saW Section 2 ,thence. Atoxth, 367,4# feelµ x4z s ,�tsi, ;,5,9''' feet!; 1 theme, North ', 556;07 fe�,� 13 g : to inn , feet F� � .71:,' Acre:c, 1 Ei sect To 1Ri7 emen evgt thoreof. '� s X ' aT IG s a xis a t0 bea�riiath. ? �� IV 7 alm "s t # t d S K -' , hc►meatRati property,Fzt ►ered�taaan "' and appoteng P titan * /gyp p g}y a get& i an �5 f�+asibi� in ! and fr* adi ox r ` f � n 'way a tiµ O V"� 7 k' I -4 R 4 a lt + 3 t * S `+1 S a Y L' r du t kt� 'z iyR 2�y s$n ry r t f 4a� ]�. 5d''q".ea c rd, 41, t a aw, P `' � y 1:51SC ^�.; }� }h�M • #bw yf ,3" b ' F .......... �►v�.� p It0lme F �� . f 7 , k.+.�,w'tr+ia -� dM lMAlaled el« x r` �Ht'w OVA ?� � � � Wn Wi ti � �yt' pgt',�' F�+ � ( J � M A:' 1 d � " f; � Form No. 105 IH H y r y � H SEPTIC TANK MAINTENANCE AGREEMENT r o St. Croix County z d OWNER /BUYER DI�►�aS Ll�.(lD/ 4 r� ROUTE /BOX NUMBER L - /3 ZOL Fire Number CITY /STATE I" _-;e F S, �(�y, ZIP _5"f 2-7— PROPERTY LOCATION: �4, Sectio T _2_g_ N, R /I W, Town of Arj.'VN,'Ck1'VV1C , St. Croix County, Subdivision Lot number I Improper use And maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a li septic tank pumper. What you,put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 4 I /WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office wit in ays of the three year expiration date. S r DATE (� ZS '�( St. Croix County Zoning Office P.O. Box tSF-7 V8 Hammond, WI 54015 715 -796 -2239 Sign, date and return to above address. C y m S CD O Cn CD 7C n O N ��cL 0 � ram) C O '� 0 C C co CG O 7C `G S~ > 0 �w =� m ...a p0 " ( p N N� % w m CD O 7 K l r (D n �D ' n � 0 C cowo�° w o o ��c w v a' c E; C', �' N w w = co D CD 0 . mco oD� c +� 0o =w 0c m .. 5* 5 Q C 0 N m o �� j;0 Z r ' ri) ( a `< f cc Z CD CD CL m ° ��� M ?o '< QycD — ci > > a CDw=raro� N V ui w C Cl c 0 CD C o v; � w �Om mN� o°�� y 0 � t o CD m w � � cD v °.,.o v,o =mot° a v,0c �NVi o _ �3a cQ.cf_ m CL 0w (Da '0m°N0 06 CL CD cr ��' �. p (0 � � r c cp co �• A c tG 7 o N o cD O o 0,0 7 o(o 0 ' C �N c Vs CL c w =r 0) w0 a 0�mo w m m o ! 1 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS! DIVISION' INDUSTRY, , P.O. BOX 7969' LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707! HUMAN 135LATIONS (H63.09(1) & Chapter 145.045) LOCATION ]SUBDIVISION SECTION: TOWNSH MUNICIPALITY: LOT NO.: BLK. NO. NAME: a '/a 0 -vu - COUNTY: NAME: SE'LC.e;1� MAILING ADDRESS: v Z. •e� l,c -- w,�.s w. Lf 1r� PIUt: FfiLL,S j Gv/ Sy�zz, DATES OBSERVATIONS MADE USE NO. BEDRMS : COMMERCIAL DES RIPTION: (PROFILE DES IPTIONS: PERCOLATION TESTS: F c Residence �� ❑New Replace L -, _ 3 0- g� N A_ � - I... - RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- GROUND•PRESSURE: SYSTEM -IN -FILL HOLDING TANK: RECOMMENDED {optional) ® S 0 0S ❑U ®S DU ❑ S NU EIS ill 'F3 s If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the fj under s.H63.09(5)(b), indicate: [: S S Z Floodplain, indicate Floodp elevation: PROFILE DESCRIPTIONS BORING TOTAL D PTH TO GROUNDWATER -IP) CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH 14. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- �.q C� - 1,a` �YJ).1+� 7 9 w/ Gr l- h`tEZS B- Z C- 2 _Q' B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL- INCHES RA PER IINCH ES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. P RI D 1 PERT D P P- P- P- P- P- P _ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent, of land slope. Sc3oZ"T01" l _9L. P ^GC 2J3 r I vZ �� N fZ� S q 4.S SYSTEM ELEVATION _ __ i _ _ -___ i - -- _ - -_ . - _ _ , � �, . 100 O �?�T�'Ow} o� 1 -� qS� Z', °1 ` 61'__0_ cLt33 -- A � r — fi s t - AA o f iii 1 12 I � �R'C1111J S I I - j ' � ,�I ��aC�RC^►iC i i ;O ( I ! Ql �Q4 WC1V ! r'— ' I ! >y T S St• W I - 1 1 A � se=c zo tt I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin f Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. iI � ) -3� TESTS WERE COMPLETED ON: w�C�� [ADDR AME (print): vR -- 86 E SS: 2T y Q �k ZZ (p C ERTIFICATION NUMBER: PHONE NUMBER (opt ional): �tS- (/ 2S -Q,i6y CST SIGNATU DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. OVER DILHR -SBD -6395 (R. 02/82) — — I _ i VJ . L P -i 1:a l tv — owner's name San. Permit No.. H63.05 PLOT PLAN A -. Show: Location of building served NA Dosing chamber Q Septic tank Vertical/horizontal reference point F Building sewer Q System elevation is g�•S �. El - Effluent system Q Well NA Replacement system area Q Property lines w /in 50 of system Nq Distribution boxes r � � Scale = So or or dimensioned Np� Pump and controls: L � Mfr. & Model No. Vertical Lift Size Force Main Friction Loss T. D. H. Vol. Dist. Pipe Gal. per Min. Gal. per Cycle Place check mark in appropriate box, indicating item is shown on plot plan y" ��.For«tTT� B3 NCH �3' �oUG 3, -79, V�iT 1 to of y i. n Yv G w O g J $°- R�huvE ��S1'11J65�71C - $DR,�r K,Et,I, BYI I f 1iRP 1)vSl`k�Ll 10ZiC3 GRL, LIUIESC -R COAJCrIeTI�S S�p�1C 't-Af.�lc, f � Ul ` 1 - r v PA 1 39.6 ' one CU-PQ CCer -- . By the granting or approving of the above plan, or upon the event of a subseque permit being issued, St. CroixCounty and theSt.CroixSounty Zoning Administrator, does not assume or hold itself liable for any defects in plans or specifications, plan omission, examination oversight, construction, or any damage that may result in or a er installation. Plumbe gna ure icense o. e rt..\. 3j Parcel #: 022 - 1057 -70 -000 10/17/2006 08:15 AM PAGE 1 OF 1 Alt. Parcel M 20.28.18.317C 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner KENNETH B & MARGARET H SMITH O - SMITH, KENNETH B & MARGARET H 238 LIBERTY RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 238 LIBERTY RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 10.010 Plat: N/A -NOT AVAILABLE SEC 20 T28N R18W PT NE SE BEING LOT 1 OF Block/Condo Bldg: CSM 9/2654 10.01 ACRES Tract(s): (Sec- Twn -Rng 401/4 1601/4) 20- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1126/55 WD 07/23/1997 1107/43 QC 07/23/1997 1024/467 WD 07/23/1997 745/416 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.010 100,000 236,100 336,100 NO Totals for 2006: General Property 10.010 100,000 236,100 336,100 Woodland 0.000 0 0 Totals for 2005: General Property 10.010 100,000 236,100 336,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 137 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i /0-47 -7 d tom 1 J/?lB 502894 /D 41110 CERTIFIED SURVEY MAP LOCATED IN THE NE 1/4 OF THE SEI /4 OF SECTION 20, T28N, R18W, TOWN OF KINNICK- INNIC, ST, CROIX CO., WI. PREPARED FOR: HANS AND JAN ZOERS UNPLATTED LANDS E-W O'UARTER LINE N89 34 E 3 30. 00 I - E 1/4 CORNER OF SEC. 20. 2 9 7.00 I ( COUNTY MONUMENT FOUND) `- ' ' 33.00I' SETBACK 133'33 ` LED L 1 NE 100' � I ° JAMES O'CONN[LL �2 a� �„ °. Rt istor C' '.w - St. Croix CO., WI � I f cn: L 0 T 'I I i0 I W E 0: 1 0. 0 1 A C R•E S Z• 1 436,238 SO.FT. 1 8.85 AC. EXC.•R.O.W. N Z' APPROVED 385,487 SQ.FT.) I r4) Q 0 NI J. W d' I u /'/��y Z O 4 N I I \ jVl ` ( 1 I W N N LL It 1Y C!: l'- W a septic / � I / 3 I w p' 3T. CR04X COUNTY W 0 W W �lpf�11MS>iY�.Plfltfl�lA�' v W tD f-- • O born "rn I O I ~ Zoning and ° ~ Parks committee N22 ~ O ;� Oi ° Q. Z,J Q Q. O well �� a l I 1 I - a ff not recorded 0 G Q m house (45 N I J mW� Z, z ~ Z within 30 do" Of W o approval dal* F e w I I W aotwoval 00 bo 00 Ct Z I r-A & void �� mi 1 00 ' Ji 1 33' 331 ri ° ro °— I _ N89 °25 "W 302_284 _ R I • �R M _ .FO .A.Q. . _ 330.00_ S 8 9° 28 7 W7 1: I — �: SOUTH LINE OF THE NE SE 1 M 0= I "X 24" )RON PIPE WEIGHING 1.13 I W I � `•/ � •/ /,yf ~3 s w LBS. PER LINEAR FOOT SET. o: d JAMES M. 1 °: I �". W _EiER °' 1 S - 1804 SP`ifNG VALLE`! 1 ° Wis. i SE CORNER OF SEC.20. I °V� a I COUNTY MONUMENT FOUND. 9� � SCALE I 200 JAMES M. WEBER S 1804 ®® NELSEN- WEBER LAND SURVEYING (�lx 0 100' 200 400 DATED 2 01 SHEET I OF 2- VOL. 9 PAGE 2654 93 - 97 THI S INSTRUMENT DRAFTED BY .aeax t L 4 DEPARTMENT OF REPORT ON SOIL BORINGS AND S AFETY &BUILDINGS ' INDUSTRY(, DIVISION HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON W 53707 (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSH UNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: N� /a`` �/a zo /TAN /R 124 P-3vj1Q tu/,Jrjtc — — -- COUNTY: GlANE-1� BtffEFi`S NAME: SLZL.L MAILING ADDRESS: u ST • �1 -�- ►�-, S w. LPw'at R U�1L USE DATES OBSERVATIONS MADE rra�tt NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: r�Residence 3 ❑New RReplace RATING: S= Site suit for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) LAS DU LAS DU ®S ❑U OS CCU E]S ill If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Ck�S S Z Floodplain, indicate Floodplain elevation: N PROFILE DESCRIPTIONS BORINGI TOTAL DEPTH TO GROUNDWATER -INCOW CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH I% ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 � + I, y' Ve�rblc$t, 1 sTs; Z.�' T3h LS ;z.g 8>1 meA S a - 1,8 IVY 7 b •4 w� Gv.- LKIt eu.s B- Z z •o' � I � 1. 3 ' �� � �. ' II PERCOLATION TESTS V TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL -MIN. PERIOD 1 PERIOD 2 111 r , PER INCH P- P P- P-_ P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. Sc 0V- SYSTEM ELEVATION a g -S y -' 9 ' _� Fi 3 5 I ��) - 1,._ *—�• C �} i i QF x I a 5 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: ��-t�R � w�G� - ) -3k�s -g( ADDRESS: 2� y Qkzsk zzb CERTIFICATION NUMBER: IPHONE NUMBER (optional): ALL 1Z MJ1 SL O I S")6 - ) LS— �2S —�l6y CST SIGNATU DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. D I LH R-SB D-6395 (R. 02/82) — OVER — i INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4, Is this a new or replacement system; 5, Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6, PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagrarn accurately locating your test locations. Drawing to scale is preferred, A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all appropriate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if appropriated . 10, If thE' intOrl - nation (such as flood plain, elevation) does riot apply, place N.A. in the approrriate box; 11, Sian the form and place your current address and your certification number; 12. Make legible copies and distribute as required, ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10 ") BR - Bedrock cob - Cobble (3 - 10 "j SS - Sandstone gr - Gravel (under 3") LS - Limestone *s - Sand HGW - High Groundwater cs - Coarse Sand Perc -- Percolation Bate med s Medium Sand W - Well fs Fine Sand Bldg - Building Is - Loarny Sand > - -- Greater Than 4 sl - Sandy Loam < - Less Than *1 Loam Bn -- Brovvn * sil Silt Loan Bl - Black si - Silt Gy - Gray 'cl - Clay Loarn Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay wl` - with sic -- Silty Clay fff - few, fine, faint c -- Clay cc - common, coarse pt. - Peat rim Many, medium m - Muck d -- distinct p - prominent HWL - High water level, Six general soil textures surface water for li(luid waste disposal BM - Bench Mark VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securir)g a sanitary permit. The county or the Department may rectuest verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction, i / a q 0 I ° m a . i ts � ■ _ � . i E / E g 4� i k> e E 2 > E ; E ® ] O 9 o � \ ? }) $ f \ k k § e ( E E in o- o m k p ~ (D = / / 7 E CD 0 0 ® $ $ 2 I t ® 4§�; 0 00 00 a a § 2 -n : .- 2 w v w g E "m. z 0001 .. . ƒ I T { z / i o \ 2 �i� , (D � = I k z / CD 0 . / R f 7 M / 7 / J . ƒ ] \ c CD i C , § z CD c6 _ ■ ■ , m & CL o ; ƒ z w M m E § 2 2 OD . � 0 f? � k \ � " f k w f ± ; 7 % $ � $ N . i� 2 < e 0 a k o � . LANDIN THOMAS U t E SW _ Se Rt. 2 T2.8N -R18W _ River Falls, WI 54922 Town San.Permit#83776 6 -27 -86 T. Wang_ Conventional; New INSTALLED 8 -7 -$6 Ynt.Q2 d't Y 2 ! �h mac. Oo oil (�1�� � � �� � �_ ° c� tT ` J °c !� � � �� � � � '� � � .� l� 10/16/20 r Parcel #: 022 - 1093 -30 -001 06 05:14 PM PAGE 1 OF 1 Alt. Parcel #: 32.28.18.505E 022 - TOWN OF KINNICKINNIC Current X I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner TERRI A STEINMETZ O - STEINMETZ, TERRI A 1042 CTY RD M RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1042 E CTY RD M SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 13.740 Plat: N/A -NOT AVAILABLE SEC 32 T28N R18W 13.744A NE SW LOT 1 CSM Block/Condo Bldg: VOL 5/1443 EZ -UT- 1503/390 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 02/1212001 638371 1585/588 QC 07/23/1997 1A7&AaT WD 07/23/1997 47/1 oL � w 07/23/1997 74 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations Last Changed: 09/08/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 80,000 341,000 421,000 NO PRODUCTIVE FORST LANDS G6 8.740 26,000 0 26,000 NO Totals for 2006: General Property 13.740 106,000 341,000 447,000 Woodland 0.000 0 0 Totals for 2005: General Property 13.740 106,000 341,000 447,000 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 131 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 , p cc Et. CERTIFIED SURVEY MAP (� ( LESLIE PAULSON � Part of the Northeast 1/4 of the Southwest 1/4 of Section 32, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. W 1/4 COR. SEC. 32, T28 N, R18 W, E //4 COR. SEC. 32, T28N, (COUNTY SURVEYOR$ MON.) U N PL LANDS R18W,(C0UNTY SURVEYOR'S MON.1 E/W 114 LINE S89. 42'59 "W 5257.94' 6' • 1037.52' To' N 00.48' 56 "W 95.02' 2902.64' R(N00 °27'W) N56 °48'56 "W 56.00' R(N56.27'W) N 16 • 1 1' 0 4 "E 56.00' RIN16.33'EI N 56 . 48' 56" W 109.49' LOT 1 R(N 56 . 27'W) 19 0, 3 1 3.744 ACRES ss� ? 598.,671 SQUARE FEET y U) ? z P / 2I h 3 O ,, � �/ N31 •52'04 "E 165.08' / Q/ J 91 S89.27'41 "E 9(8.37' l / A. �I / 90, J J I SCALE IN FEET 1" : 200' / J/ a. 0' 50' 100' 200' 300' 500' N • M ti UNP LA y 0 W z APPROVED J 3 CURVE DATA N 1 CHORD B EARING N38 °17148.5 E JUL. 0 6 1984 w' CHORD 253. 47 on ARC 254.00 W m 2 q RADIUS 1131.83' ST. CROIX COU(vTY o 0 CENTRAL ANGLE 12.5 1 '29" COMPREMNSIVE PARKS PLANNING 1. W 1 3 7 TAN .BEAR N31" 52 04 / E /1AU? ZOrlMG COMMI I I FE W too 2ND TAN. BEAR N44.43'33 "E y y y Q o Indicates 1 "x24" iron pipe weighing 1.13 lbs. /lin. ft. set. i 3 • Indicates 1" iron pipe found. a R () Indicates previously rec 8 ata. m z JUL 9 1984` T Lu 00 • LAURENCE'- • Dated: 15 .. :le 1984 � Awn z bob". of 04041111 �v � m • W M U R � e Vol. 5 Page 1)0 1400 k owaly, S Certified Survey Maps NJ RIFA ;.••,� St. Croix County, Wisconsin. C L A N 0 �.• Laurence W. Murphy Registered Land Surveyor SHEET 1 OF2 KINNICKINNIC T•28N R.18W" I _ for# SEE PAGE 29 1 Ate. I L ' e�� N ¢zs F/ed • eerr Luc:/ /e. t4 ca Mce. d rn ' y Lenelt3 ,Pudo/ h .Pa nd 65 Ne/san Ha sen 7�.7G tlSir7�nsa�e/a/ w : 74 -9er vo wa /d 116.7 7Z 63 / 71— s L6rman A11711 R a Fred. /se /ss e g � Lorent sen Lueck wg /9B Lerer e1• • d ryz %s 6/ �tl 0 v •� w FF46 � � sePh ,p � p en � o/ierif • ears /r7,9z 94 T��ien tl e cT2neS � rb /` a iJajda / go 0 0 s � Sck /er Lu /i o f w v n v p • . nZ,IIA d� /Sa Qobe t /ar�(er G/oria x . v O ill B/. a8 Lubice aJ ` w� rck/er � 05 /9397 /eo Bo rzo • �! 1 W ILouse • \a � ordan 4voher// ee �p • • • N SKY/ L.ubi ch ,Pobert£ or�ne C NE Q N Mue / /er' Co y no /d f7 f die a/d c (Tames H, 6o J� 24o Bo tly //Q1CB //a Bo /�orh /ee �.g E/°rne march ter RO. Ci; [ -uec.E ,Denson, ,e alt /n • p F/ /v /�� v / .Peubcn y o y JGO CtQ � t' rs949 L /s5 /Ck 9B N rr 217 I/¢ Be : rzo F ruche ^�� rbo N Pi • 5 V Q i /�°/' :: TRACT :. • • /5T Thomas • • e F. ..0 /ao I - Tf K eTohn b W a W� £Anne 'U R• .o �v �� rf.�ra A `- 74 Q2'bar'2 .. 0 ` Ca�c/ b� KQO .j b • rss • Thomas �• , Feyerensen v ° h • ''C •� iao pp+, $$ tlVuj btl urr/ am alxr y F ederrck /mss c u Leona d _cDeO c; ___ 40 N U� z 70.6 C � a y pf Gcrn /d f7 40 7o /7 Emho /t 4 p � �� Ivor id �` e%n V K/ine • •,.QDDOberr� p , ` C� 8o Bo zv y van a, 1 F FJ_yr rncs s.• er P/�'iips tl`i tl /40 /o w o 7 G F / /ems Inc. Do rh U N o o Nowo s'ry. Oi'/ande t V \ �. 4 iJarry W W cStucvY z9o. Bs Meier b Phi //iP.; t] p U udfh N/ / %r Rider, �Tr, 1s7 /S sz.s isB P ' S es t Q V0'�4 a �� Q} i1Cf1- eta/ C M q . o car- pe Phi /APs, 4 .0 /7er is7 s 9 N rs son son L.E T/rom4s C r °ia /r,E h' ,6 es E W W y v L § Kar'en f pP¢/ t ao y #J4 tl - y Bo E p e Tharnas � /4o W � V, hrrstia/nsc✓/ / - 1 - A ro.S /r✓ �o k y Cf • Bo 1 80 7zo J Lowe, ttl `V • � e tux �\ /7my v m Q ch- x a i�a ay f Oh..e 'J cTery Gibson, Fu/er E '/ rten rr et¢/ rrz.s rVe'/sor r9 �� ar c <Tacobsor/ aC t '. • • /92..59 • / z7 '¢ R 4o qo /-ioAVE. I ado /o. c w A� ya rd se `" C • • '� ' pscarS • Car1 Laurs I ores Le -T >o a '� • riB • tly °y y /,Pe t §Ham t w,P9• • /bo � l� Eynck ,p bf 7z7 Av . � � �� C7ordon � /67 ' O \, rvo �.Y ramc Mar c h /r" ,.r.s ¢° 34e.s o o I /73- 37 • hQiYY1 Lon !•✓ �C Norma 9 .0 � O 1 4 //S f/,// /33.95 3J!S rhomPison 5 � � �T 5M Rs o • - Bo C�eo _t re/ [' 4Z K G had ap�C its i Marlili T ohn _y / d as -•oc, 4 /¢rk YB ,l N N .sa.� l q� C y I/,�.yhi and e `? cis _Y Q Kasf�li/� 4o r o. 7 .��° ;��. o so 0 ip l 00 ro4 /<1e¢r ✓✓ R -4 ; - Pe21,; rr o ao \` oo • �QU vy� Y � � /6c � 4 • o A nnay pq,( ^ �hh 20964_ e� o o lb QS .s .. .atl G:rr an /ia 3 ry s �1' r i4 Cau�ty � %ice '\'� • L � c •Sv �u 1� o�u � 10 ubcfi 0Z 7S s "� s /a2 �. X22 6o s. ro s. LQ N/oine 2 7 Mer /e § ous f Sh�eey 7° very° (/ernon § °� Krea1 Ne/ ai o Nar ra7� ~ ' JJa a /,p •Pesh¢r -, /7a.3s �lb / Bo E g e.o 4o q a e 'f�a et t$tan /e a� roo Bb.L7 40 ,g�tt r 7 i°eskar` Emmett - A.io. h6.6 Jo n �'wen.son cage 79 rsa r - /n z ¢O Rose / z , R f u d;Yh ,�• f H rs . �ss yunker /2 /,j HQn on o U �v san zoo W S. Pau / g .David4 - epp /OTN •AVE 1 C71 d LctrsBOn r¢. vohr� -so ao 4O 74/ u'a ae • ,� �7 Bo cr y r-3o W' /h¢ s p difh • 27orothy Ma99 /e 27o Pav/ Vi E y >e f sto°: y x A o Zvi §Debr¢ r; n K h t/anser/ Mar�aref y ra yo Peskar b � � Ovsak /Bo sa Farm/ p W kd' E oo , • � � • ne • ...: ............. ......... .. . ......................... . ................. Boy 140 ra t • • '4o fe9 4o W�� bb Lucr// ts;:::::::::::: ._ • Q rt ve non iT Ke// b ........_...... .z . M 2165 �(e nehS f,eu/h Lee Lerrtg r t R� rzo y • tl 0J bo W J M`Rli f . LLS - 4 /7B ams 40 0� /Oy /VeLscn (� �. �t -9RS� c.Efb d MaPFub /s, I c PIERCE COUNTY tSYCio:x unty Ws Grain Drying ti{�btk R iver Falls HOIKKA Grain Banking � t t�her Medical Clinic, Ltd. n IMP INC. Bulk Handling Liquid Fertilizer River Falls, Wisconsin IHC - Gehl - Fox Custom Grinding - Mixing n! H & S - Lindsey DEISS & NUGENT RF MC /lonas -Kioas s . (715) 273 -5068 FEED CO. Medical Clinic i - ■ Phone: 273 -5066 Ellsworth, Wisconsin ELLSWORTH WISCONSIN A East Ellsworth, Wisconsin 54010