HomeMy WebLinkAbout022-1061-90-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 572837 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)].
Holder's Name: Ci Village X Township Parcel Tax No:
Permit city 9
VanHeukelom, Duane I Kinnickinnic, Town of 022-1061-90-000
CST BM Elev: Insp.BM Elev: BM Description: Sectionlrown/Range/Map No:
Zc j,-. 21.28.18.33383
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic / t Benchmark / OZ• /arz- 7
g Alt. BM
Aeration Bldg.Sewer
Holding SUHt Inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic ( Dt Bottom
Dosing Header/Man. �' g 3 ,Z7
Aeration Dist. Pipe 9' ?Z 75
Holding Bot. System /a� • qZ• ZS
/�,O c3ar •7s
Final Grade S
PUMP/SIPHON INFORMATION Q Z
Manufacturer Demand St Cover
GPM /6L.7
Model Number
TDH Lift Friction Loss System Head TDH Ft / OJ
Forcemain Leng s.to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width MLength No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 %Gn.L� �_ �—SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR f
Type Of k u em: , o� C 2 , 2 9 /) UNIT Model umbers ,I
DISTRIBUTION SYSTEM VJJe -- /� / 4C/.LGC,�-Rp yl��17
Header/Mani ld / // Distribution Ix Hole Size Ix Hole Spacing Vent to Air Intake
Pipe(s) L — x135 a.fs
Length Dia T Length Dia Spacing ✓� e�
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of jxx Seeded/Sodded xx Mulched
Bed/Trench Center �. Q Bed/Trench Edges Topsoil [W No Yes No
COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2:
Location: 1198 River Drive River Falls,WI 54022(NE 1/4 SE 1/4 21 T28N R18W) NA Lot 3 Parcel No: 21.28.18.33363
1.)Alt BM Description
2.)Bldg sewer length— ]_,, � _!�5
-amount of cover= ��� 6° ' �' ft+"`� b°_n�
Plan revision Required? Yes No
Use other side for additional information. t
4T
—
Date Insepctor's gnature Cert.No.
SBD-6710(R.3/97)
A �
, ,c
rol rA
oml
g� Q,
Safety and BUildings Division
R
201 W.Washington Ave.,P.O.Box 7162 Sanitary Permit Number(to be filled ter llt,Cc, i
sp -
Mad i n,W 5370Vf%7-7162
A A
N
2- �7
"j;- Permit Appfi dtdio State Transaction Numb"
�n
2),Wis.Adm.Code,submission of this form to the appropriate governmental unit
In accordance withV& LJZA --I
is required prior to a sanitary permit. Now.Application form for state-owned POWTS am submitted to Project AddresKif different than mailing address)
the Depalmtwwnt of ely and Professional Servies. Personal information you provide may be used for secondary
-29rposes in accordance with the Privacy Law,s. 15.04(l)(m).Stan.
29-P //
L Application Information-Please Print All Information
Property Ow►er's Nam parcel
aA_
0 M 61
Property Owner's Mailing Address Property Location
ail
y IF(VOL b V- Govt.Lot
- ( . 33 -3
1P_
City,State Zip Code Phone Number '/4, Section e oe)
raw Fa)k T 9 N; R E 6n
r 0
U.Type of 8eilding(check all that apply)
41 or 2 Family Dwelling-Number of Bedrooms Subdivision Name
Block 9
PubliUCoinmercial-Describe Use
city ol,
0 State Owned-Describe Use M N 0 Village of
VTown of
HI.Type of Permit.* k Complete line B if ap licable)
A.
lgaqow system 1h4lplacement Systepi reatmentiliolding Tank Replacement Only [4'6her Modification to Existing System(C,�Pvaiu%
Add 5a s
B. Q Permit Renewal 0 Permit Revision O Change ofPlumber OftrmitTriuisferloNew List Previous Permit Number and Da I
Before Expiration Owner
IV.Type of PO"WTS Sy stem/Coro ponent0evice: (Check all that
0 Non-Pressurized In-Ground 0 Pressurized In-Ground 0 At-Grade D Mound>24 in-of suitable sail 0 Mound<24 im of suitable soil
Holding Tank 1)Other Dispersal Component(explain) 0 Pretreatment Device(explain)
V.Dispenalfrreatment Area,Information: d C' rt C"'V WU
Design Soil Application Rate(gp&f) DispdAd Area Required(sf) DisPefSal Area Proposed(kO vT Melt?
t' 6 V1 1,40& t,/ -
DesTF,10(w)"llp") I e6
VL Tank Info capacity in 1 1'.ro /11-W
Gallons Gallons Units
New TMAM Tanks�T
Ui r, 05 if
Total 'I of
Septic or Holding Tank
Dosing Climber
VII.Ptesponsibitq Statement- 1,the and td,assamr responsibility for installation or the POWTS shown an The attached plans.
PT's Nam(Print) P&PRS Number 7-j Business Phone Number
15
VYW 17
Plumber's Address(Street.City,Star Zip Code)
�VdN
VI V.Conn rtment Use On!j
Date issued issuing Agent gmityro
S
Approved
(01 01)iwsappr rGo viveedu Reason for Denial
Permit Fee
IX Conditions of ApprovaUResksons for Disapproval
SYSTEM OWNER:
1.Septic tank,effluent filter ep c,L6.3-/
dispersal cell must
as per
management plan prpvid,90 by pluMber. B 5-,% le
2.Allsetha
C6 system and submit to" County only not im[ha ' I i ias per applicable 00 fidw"dsi6
TJ
SBD-6399(R. 11/111
CONVENTIONAL COMPONENT DESIGN
Residential Application
Ou&o_ INDEX AND TITLE PAGE
Project Name: VAM
Owner's Name: se_,� e
Owner's Address: 1b tv
Oklell
5 �
Legal Description: — S S� —' (?7 6f�W
Township: t kh t
County: j YL9
Subdivision Name:
Lot Number.
Parcel ID Number:
Page 1 Index and title
Page 2 Plot Plan
Page 3 System Sizing&Cross-Section
Page 4 Filter Specs
Page 5 Maintenance Information
Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Maintenance Form
Page 8 Warranty Deed
Page 9 CSM or Plat _-
Attachments: Soil Test&House Plans
Designer/Plumber: 7k/u ' ",Y4 License Number. �/&6 7 6
Date: ,�_ Y-N Phone Number
Signature
Designed pursuant to the In-Ground Soil Absorption 4rnponent Manual for POWTS Version 2.0 SBD-10705-P(N.01/01).
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-IVDISAHd NOI.LVcIIZ)IJ NVal-3Ncl/.LN30S3-IOOV
Jul, 9, 2014 3:48PM No, 0268 P. 1/2
1—or 2—Famiiy Dwelling Iround Soil Absorption System (2-cell Conventional)
Daily Wastewater Flow(DWF) #of bedrooms x 150 gal/day/bedroom gal/day
Design Goading Rate(DLR)or Soil Application Rate i gpd/ft2 (per SPS Table 383.44-1,2,or 3)
Required Distribution cell area=DWF ��gal/day A DLR b gpd/fta = p ft2
#Chambers is Required Distribution cell area e v ft, + 90 fta/unit EISA Sy Chambers
tv
Chamber Manufacturer and Madel. k'C,� d-to
Actual Distribution cell area-Required cell area /60 D ft, + ft2/unit EISA End Cap Pair IWW W
Cross-Section in-ground Soil Absorption System (2-cell):
'* _e
4"Schedule 40 PVC Oti
vent pipe with vent cap -- S r t rye
12 inches minimum 12 inches minimum
iL
��l inches Soil Cover
Trench 1 Sys-
tern Elevation inch Chamber Height
—ft Trench 2 System
{�"—'^`--"'-�►�.. s Elevation
ft 3 h
Trench Separation Leaching Chamber Width
ft to limiting factor
Plan View In•eround Soil Absorption System(2-cell): a-91.6
Trench 1 3 91.
Modify
ft
C/� Ddb header/
I design as
ft
Leaching Chambers needed.
Trench 2
4 inch Header
wfth am
Draw 0 for a Vent and for Observation Pipe above. They will be located d ft from the end of the cell,
Vent pipes shall be Schedule 40 PVC and extend at least 12 inches above finished grade,
Observation pipes that extend above finished grade must also be 4 inch Schedule 40 PVC.
Page of
Page Z of y
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant
replaceme t system: I ` S 6�N�
suitable replacement area has been evaluated and ...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.
T
N aluat' a o ing Cank
be ' a aia 19RD4415 771✓ fb2-A/6%AJ 4!1')NJ57KCIC-A0
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
<<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name 7 U/M WA Name
Phone 7/s, V 2 S —99�7Y Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name 0, /� E:2��/LJ Name ST. C-kb( V(q N/ 20AJI�
Phone Phone
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner VA^J )d ,C LoyL1 Septic Tank Capacity J'ZUU gal ❑ NA
Permit # Septic Tank Manufacturer We7Z-� ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model _Z ❑ NA
Number of Public Facility Units OkIGA Pump Tank Capacity gal 9 11A
Estimated flow (average) (] U gal/day &Pump Tank Manufacturer /A
Design flow (peak), (Estimated x 1.5) �j 6 gal/day Pump Manufacturer A
Soil Application Rate gal/day/ft' Pump Model LU�IVA
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit 11346A
Fats, Oil & Grease (FOG) <_30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) <_150 mg/L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BODS) 530 mg/L In-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L X2 NA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 510° u/100ml ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size %8 in dia. ❑ NA Other: ❑ NA
Other: ❑ NA Other: ❑ NA
*Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: 0 ponth(s) (Maximum 3 years) ❑ NA
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA
Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
2- 3 Iear(s)
Qr�rsrfth(s)
Clean effluent filter 5 At least once every: Z -3 [IYyear(s) ❑ NA
Inspect pump, pump controls alarm At least once every: ❑ ryionth(s) ❑ NA
v Q year(s)
Flush laterals and pressure test At least once every: ' ❑ month(s) ❑ NA
❑ year(s)
Other: ❑ month(s)
At least once every: ❑ year(s) ❑ NA
Other:
❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of:512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
C Biotube Cdlluent
Mor
Extendable PVC handle.
Stainless steel set screws
i
Top seal plate I
Air vents i
3
i
Biotube•filter cartridge
Solid base
Zabel HMronmened Technology
commercial
Illustration of a typical
effluent filters for resi-
dential and commercial use. Though fllterneasine
proprietary devices are shown in
these diagrams,the National.Small 000
Flows Clearinghouse does not en-
dorse any one manufacturer,; the use
of this figure is intended for illustra-
tion purposes only.
Orenco Systems,Inc. Zabel Environmental Technology
residential residential
Although other research is being performed, turers and regulatory agencies recommend that a
there is still some debate on the overall effective- certified inspector or septic tank pumper provide
ness of septic tank effluent filters. this maintenance.The filter must periodically be re-
The effluent filter,as mentioned earlier,is moved from the tank,and the solids,which have
placed in the outlet of the septic tank.These filters been trapped and attached to the filter, must be
can be installed in old septic tanks,replacing the washed.-,back into the septic tank.This is why it
outlet baffle or tee,or during installation of new would be more appropriate to have this done dur-
tanks. It is important that you contact your local ing the time your septic tank is being pumped.This 40
regulatory agency to determine if the use of an ef- perhaps is the one disadvantage of having an efflu- I
fluent filter is required or recommended for your ent filter. If the filter is not maintained,it will poten-
onsite wastewater treatment system. Some states tally clog and create problems for the onsite waste- o
require the use of effluent filters while others sim- water treatment system.Such an example could be w
ply recommend their usage,yet other states have plugging the septic tank,causing the sewage to
formed no real opinion about effluent filters. back up into the'home.
As noted, effluent filters are capable of reduc- The National Small Flows Clearinghouse can
ing suspended solids and as a result, reduce provide additional information on septic tank efflu-
BOD and increase the longevity of onsite waste- ent filters and resources regarding their usage. You 5*
water treatment systems.This, however,does not may contact the National Small Flows Gearing- $
mean that the onsite system and the effluent fil- house and request a Manufacturers/Consultants W
ter itself do not require proper maintenance. It Database search for a list of septic tank effluent fiil- c.
will still be necessary to have your septic tank ter manufacturers.This information can also be ob- a
pumped and regularly inspected. tained on the National Small Flows Clearinghouse A
The effluent filter also requires regular mainte- Web Site at www.nsfc.wvu.edu
nance and must be periodically checked.As a con-
cern for the homeowner's safety in dealing with Treanor,William O. 1995.Treatment capability of three filters for septic
tank effluent Tennesee Technological University,Tennessee.
the components of a septic system,most manufac- 39
•-
E. u
ent Filters
. a
NSFC ENOINEERINO SCIENTIST
Andrew_Lake
I am having an onsite wastewater treatment system installed, and my
installer said that I need an effluent filter. What is an effluent filter..
and what is it supposed to do far my system?
Editor's Note:This column is based on calls re- The effluent is generally clear but contains sus-
ceived over the National Small Flows Clearing- pended solids,such as food particles,or other
house (NSFC) technical assistance hotline. if you small solid particles that won't settle to the bottom
have further questions concerning septic tank ef- and are not part of the scum layer.The suspend-
fluent filters, call(800) 624-8301 or(304)293- ed solids will eventually pass through the outlet
4191 and ask to speak with a technical assistant to the onsite disposal area. In a conventional on-
site wastewater treatment system, the disposal
The proper management and maintenance of area is referred to as the drainfield or leachfield.
onsite systems is vital to system longevity.An im- The wastewater effluent is conveyed to the drain-
portant part of septic tank maintenance is pre- field by one of two methods, by gravity or by
venting suspended solids from entering the soil pumping.
absorption system or drainfield. Of course,there Even though the effluent normally contains
are many other factors that may extend the life of suspended solids, in most cases,these particles
an onsite system, but using a septic tank effluent do not have immediate effects on the drainfield.
filter is a means of reducing solids from reaching However, over time,these solids can build up
the drainfield. and clog the pore spaces in the disposal area.
The solids carryover does not necessarily mean
A,,—InePecti,„Parts ak
------ an onsite system disposal area will fail,just
MW* w that over time,accug:wlation of solids will occur
From House ToAddnionel Treat m and effectively reduce percolation rates.
»
I T »orD�' One method to decrease the amount of sus-
pended solids and subsequently reduce the organic
Effluent outlet Effluent Fllter content of the waste stream,measured as the bio-
Tee (0106one9 logical oxygen demand(BODS),and thus increase
Sludge
the longevity of the onsite wastewater treatment
system,is to install a septic tank effluent filter.An-
other advantage is that effluent filters are cost-effec-
Typical single compartment septic tank with ef- tive,and in some instances, reusable.
fluent filter installed in the outlet tee. Effluent filters come in a variety of shapes and
sizes, and are produced by several different man-
Source.National Small Flows Clearinghouse poster Item# ufacturrers and have a range of applications from
WWPSPE01 Wastewater Treatment for Small comma
pities and Rural ral Are as. individual homes to commercial sites.The basic
Are
principle of the effluent filter is to provide addi-
tional surface area for suspended solids to collect
E Generally, the first component of a conven- and attach, before they pass to the drainfield.
tional onsite wastewater treatment system is the Each filter is unique in its individual design, but
septic tank.Septic tanks can be either single-or similar in purpose;that is,to decrease the
$
multi-compartment tanks(see Figure 1)made of amount of solids carryover to the drainfield and
steel,plastic,or concrete, each having inlet and
outlet,inlet and outlet tees or baffles, at least by doing so reduce BODS.
Independent research performed at Tennessee
one manhole for access to the tank. Technological University(Treanor, 1995)suggests
The septic tank acts as a collection and treat- that effluent filters do indeed reduce suspended
ment component for a conventional onsite system, solids as well as BODS in onsite systems.The
where both liquid and solid wastes from the house- study was performed as research for a master's
hold are received. Within the tank,most solids will thesis, and was conducted at eight unrelated loca-
settle to the bottom,creating what is commonly tions, under different loading rates and uses.The
called sludge.Other waste,such as fats,oils,and study was performed using three different effluent
grease,float to the top creating what is known as filters.The statistical analysis
the scum layer. The liquid between these two lay- Y showed that the fil-
Y tern significantly reduced the BOD and suspend-
ers is the wastewater effluent that is passed to the ed solids in septic tank effluents.
disposal area.
' ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuy u_4t.-v ti rte/ h,
Mailing Address 7 '�D• /e.` '��J�E� t S T
Property Address r i V
(Verification required from Planning Department for new construction)
City/State Parcel Identification Number
LEGAL DESCRIPTION
Property Location '/4, '/4, Sec. 6::21, TC�N-A Sri W, Town of
Subdivision , Lot #
Certified Survey Map #J �' na/ 3 -, Volume _ , Page # S g
Warranty Deed # 6 ,� -3 a� , Volume/� X , Page # �
Spec house ❑ y no_ Lot lines identifiabs ❑ 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 licensedpumper 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.
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 the three year expiration date.
&ciao1? 4
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 owner(s)of
the property
� \
described above,by virtue of a warranty deed recorded in Register of Deeds Office.
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
vw.1514PAGE 41 623722
KATHLEEN H. WALSH
Document Number WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
This Deed, made between Wayne R. Rudesill and 05-26-2000 9:30 AN
Betty J. Rudesill, husband and wife, Grantors, and Duane A.
VanHeukelom and Bernadette M. VanHeukelom, husband Win DEED
EXEMPT R d
and wife as survivorship marital property, Grantees. CERT COPY FEE:
COPY FEE:
Grantors, for a valuable consideration, convey to TRANSFER FEE:
Grantees, the following described real estate in St. Croix RREECOSDING FEE: 10.00
County, State of Wisconsin(the"Property"):
Lot Three(3)of Certified Survey Map,filed on July 18, Recordino Area
1980, in Volume Four(4)of Certified Survey Maps, Page Name and Return Address
959, as Doc. No. 365213, being part of the NE%4 of the SEY4 W ne QJes►'
of Section 21,Township 28 North, Range 18 West,Town of I,�a I Eer v re er-1 D '
Kinnickinnic. r 5
5 a Lo t
022-1061-90-000
(Parcel Identification Number)
This is not homestead property.
Together with all appurtenant rights, title and interests.
Grantors warrant that the title to the Property is good, indefeasible in fee simple and
free and clear of encumbrances except: easements, covenants, and rights-of-way of record, if
any.
Dated this day of 2000.
I
(SEAL) (SEAL)
yne R. desiJJ, , "
(SEAL) . Ct" �, t-�t�iv," (SEAL)
*Betty J pRtf ei! sill
AUTHENTICATION ACKNOWLEDGMENT
Signatures) STATE OF WISCONSIN
PIERCE COUNTY
authenticated this_day of .2000. Personalty came before me this day of
2000,the above named Wayne R.Rudesill
and Bet J. Rudesin to me known to be the persons who
I Signature executed the foregoing ins owledge the same.
r Type or print name
TITLE:MEMBER STATE BAR OF WISCONSIN 'Notary Public,Pierce C_ b J-
*'s_
(If not, My commission expire
authorized by§706.06,Wis.Stets.), �c ,Z
'otlB�•�G •�
THIS '4 J
INSTRUMENT WAS DRAFTED BY ��y O ►`
. T
�,
C.L.Gaylord
m
Names of signing In an ��srypao or
Attorney ' persons at Law � r i1�
P.O.Box 46 printed below their signatures. rrrrrle
River Falls,WI 54022
(Signatures may be authenticated or acknowledged. Both are not
necessary.)
INFORMATION PROFESSIONALS COMPANY FOND OU LAC,WISCONSIN 800-055.2021
Viscondi Department of Commerce
Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 370300
Permit Holder's Name: ❑ City ❑ Village ❑ TDWn of: State Plan ID No.:
VanHeukelom, Duane Kinnickinnic T
CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.:
M . () l0D .O / 022 - 1061 -90 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV.
B
Septic Benchmark p Wpe�.- �Z0�7 - '� 102. $ 5 t3fl o
Dosing Alt. BM 6 1,4- o 5. ZS
Aeration Bldg. Sewer,
Holding St/ Ht Inlet S �S }•(00�
TANK SETBACK INFORMATION St/ Ht Outlet 5 1 1.3Z
TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet
Air I
Septic 50 �r NA Dt Bottom
Dosing NA Header / Man.
Aeration NA
Ho[ g Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Maff alal rer Demand St cover � to
f
Model Num r GPM
TDH Lift Ion System TD Ft
m ead
Forcema' Length Dia. Dist. To Well
IL ABSORPTION SYSTEM ,.
BiD TRENCH Width r Length 1 Trenches PIT No. Of Pits Inside Dia. Liquid Depth
I 51 DIMENSI
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manua ure :
SETBACK _ CHAMBER
INFORMATION Type O i M e Number
System: v , o2z> s2 ------- ' OR UNIT do
DISTRIBUTION SYSTEM
Header 1 Mani � r � Distribu� ipe(s)
x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. L _ _ Dia. Spacing I ? 52
SOIL COVER Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over: ,� Depth Over I xx Depth Of xx Seeded /Sodded xx Mulched
Bed/ Trench Center 3 J -f- Bed /Trenc Edges Topsoil ❑ Yes ❑ No E] Yes El No
COMMENTS: (Include code discrepancies, persons present, etc.)
Inspection #1: ( / f (l C7b Inspection #2:
Location: 1198 1198 River Drive, River Falls, WI 54022 (NE 1/4 SE 1/4 21 28N R18W) - 21. 8.18.333B3 -Lot 3
1.) Alt BM Description = T� �: tc
2.) Bldg sewer length= 13•0
�
- amount of cover =� 18 „ ��'r' 9 3.�o' 'R
.A" `�..� gs�S`t-C3 �• q. 43•B�
0 9S•'tS�E - ( �•�� $,fib a3.`Ib�
Pla ev io required? Yes ❑ No ,
Use of r side for additional' fo�m�ticip.� 02- 15 ( 114 t N
Z
�r1K�oCC__ C
SBD -671 R.3 7) S �'J Date Inspector's Signature Cert.No.
�,
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
5 f
t � t
i f S
33 e � tt
a
r
€
} 3 E
€ } € ... € . e..®. €
I
a r
s
E
s
j
r
� z
�w }}
F
e,.. _. �, �_. ..,, _�.. �. 3.. �.�... ___�_ _„,...a..�,.� _1.�.�...... ..��.. ........ A_.k .,�,. _,.�.�,....r..w.... �...� �._.__€... _-.._a ..�.- _.wz_..— _..1._....,
a...C_._ ....�...a.�— ._d�- _._ ... �. �.,.i»......�.....�..r.2..,.�.�
/ t-4 Safety and Buildings Division
201 W. Washington Avenue
N *hq o sin SANITARY PERMIT AP P 0 Box 7162
Department of Commerce In accord with Comm 83.05 is o e ' \2/ Madison, WI 53707 -7162
• Attach complete plans (to the county copy only) for the sy dry; on p ss caul�ty
than 8 1/2 x 11 inches in size. - -?
• See reverse side for instructions for completing this appliioiiin j ` , State;Sanitary Permit Number
Personal information you provide may be used for secondary purposes ST CNUtx �OtNtlTY (] G � k if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. Plan Review Transaction Number
1. APPLICATION INFORMAT -PLEASE PRINT AL L IWZOAMATION
Property Owner Nam � � 1 � S�/ T , N, R E (O W
Property Ow er's Mailing Address Lot Number Block Number
9
Ci , State Zi Code Phone Number Subdivision Name or CSM Number
I. TYPE DING: (check one) ❑ State Owned fe
Pe j . ,igz,_ arest Road
El Public or 2 Family Dwelling - No. of bedrooms f t `G
111 BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) a2 1, a g p3 3433
1 ❑ Apartment/ Condo m : 1 �v
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 ❑ Hotel/Motel 9 ❑ Office/ Factory 13 ❑ Other: specify
IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable)
q) >. Elew 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. E] Repair of an
m ________ System_____________ Tankonly______________ Existing System ________ Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
1 i ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
1�epage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 0 43 Q Vault Privy
14 ❑ System -In -Fill
2 - 3 �
VI. ABSORPTION SYSTEM 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/d /sq. ft.) (Min. /inch) $F'& Elevation
p 'Feet �� Feet
V11. TANK Cap acit y r .1
i all0 S Total # Of Prefab. Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App
New Existin structed
k
Tanks Tan
Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ 1 ❑ 1 ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for inst Ilation of the onsite sewage system shown on the attached plans.
Plumber' Name: (Print) Plumber's t re: (No Stamps) MP/ PBSW No.: Business Phone Number:
�v�
Plumber's Address (Street, City, State ip Code).
d (5 9 L 1 r,C
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved S itary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps)
Approved ❑ Surcharge fee) Owner Given Initial r
Adverse Determination) . `Ztl
X. C NDITI NS OF APPROVAL/ EAS NS FOR DISAPPROV L:
�) F -b m4z ' (�`,d ed Cftt/ 4 . - Cook Hers'
SBD -6398 (R.12199) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
I NSTRUCTIONS
'
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria 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 or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be 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, usually 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 and Buildings Division, 608 - 266 - 3151.
To be complete and accurate this sanitary permit application must include:
I. Proper owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
111. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information- Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufjcturer'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 experimental 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.
Compl:�te plans and specifications not smaller than 8 1/2 x 11 inchesmust be submitted to the county. The plans rpust
include; the following:, A) plot plan, drawn to scale or with complete,dimensi.ons, locatiorrof 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; frictiontoss; 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-1.15 form; and F) all sizing information.
------------------------------------------------------------------------------------------=----------
GROUNDWATER SURCHARGE
1983 Wisconsin Act 4110 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 contamination investigations .
and establishment of standards.
r
r'
PLOT PLAN
PROJECT Duane Vanhuekelom DDRESS 157 1 Pomerov River Falls Wi 54022
NE 1/4 SE 1 / 4s 21 /T 28 1 18 W TO N Kinnickinnic COUNTY ST. CROIX
MPRS Shaun Bird 226900 D ATE 6 /22/00 BEDROOM 4
CONVENTIONAL XXX IN -GRO PRESS RE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1200 Gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1049 # of chambers 33
BENCHMARK V.R.P. Top of Nail in Tree ASSUME ELEVATION 100'
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 95.0/93.8/92.6
Alt. BM Top of Steel Fence Post @ 95.0
River Rd.
a�
J nt
Sidewinder High
° Capacity Leaching
Chamber with 31.8
ft ^2 per chamber
Grade at System Elevation
34"
3 -3' X 69' Trenches with 6' Spacing
a�
B -4
80' Rep A
B- Pro 4
7% 0' Bedroom
House
45' 30'
t ' T
' 25'
-1 5 B -5 Vents M.
322' Property Line
Wisconsin Department of Commerce
' Division of Safety and Buildings S OIL AND SITE EVALUATION Page of
Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County r
include, but not limited to: vertical and horizontal reference point (BM), direction anil L� /
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # O D
f odi 90
APPLICANT INFORMATION - Please printivfc�'irhttoh:''.` `'>� Re iewed by Date
Personal information you provide may be used for secondary rp� 0 (Phva La*,%. 15.04 (1) (m � _21 —Zit)
h. r.
Property Owner Property 6 cation
+` Govt. Lot 114 1/4,S T� ,N,R E r) -ve
Property Owner's Mailing Address i " # ock# Subd. Name or CSM#
Ci State, Zip Code Ph pre Nurnw Ou J +f Neares ad
❑ �i ❑ Village Town
ew Construction Use: Residential / Number of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flo gpd Recommended design loading rate bed, gpd/fi gpd/f1
Absorption area required bed, ft ft Maximum design loading rate � �bed, gpd /fie trench, gpd/ft
Recommended infiltration surface elevations) .dam A C Zi Y % /, ft (as refer / red to site plan benchmark)
Additional design /site considerations _ :FX S LLD <
Parent material �54 �� � Flood plain elevation, if applicable r .J ,4z ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tan
U = Unsuitable for system ❑ U ❑ U S ❑ U ❑ U ❑ S� El S U
SOIL DESCRIPTION REPORT
Boring Horizon Depth Dominant Color Mottles Structure GPD /ft
g Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
�f
C .�
Ground
3
C/ s .•--
lev. ,
Depth to
limiting ti
factor
Remarks:
Boring #
Ground
mou- t4 0A
o
Depth to
limiting
factor
/Q% 4n. Remarks:
CST Name (Please Print) Signature Telephone No.
Ad ress Date CST Numb r
SOIL DESCRIPTION REPORT j
PROPERTY OWNER Page of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles w Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
C;� b- D
Ground
�se�ft.
Depth to
limiting (�
kictor
n. o �--
Remarks:
Boring #
e -,5 2 C� 41
Ground S i1/j �✓l S ,
lei ,
Depth to
limiting
factor
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring #
l S,
Ground
le
Depth to ,
limiting
factor
,;3 J in. Remarks:
Boring #
..........................
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
SBD -8330 (R.9/98)
Soil Test Plot Plan
Project Name Duane Vankeukelom Sha 'r
Address 157 E. Pomeroy
River Falls Wi 54022 CS M #226900
Lot 3 Subdivision - --- --- Date 5/31/00
NE 1/4 SE 1/4S 21 T 28 N /R W Township IGnniddnnic
Boring O Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Nail in Tree
System Elevation See Soil Evaluation *HRpSame as Benchmark
Alt. BM Top of Steel Fence Post @ 95.0
River Rd.
P.
a�
a
t~
a
cn
N
N
B -4 B -2
iu
80 ' Rep A Pri A
B -3 Pro 4
7% 80' Bedroom
Sloe House
45' 75'
5' 25' 20'
5 , � -5 5 ,
B.M.
322' Property Line
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner /Buy Ck_.:IL v Q r/ L
Mailing Address 7 '�� 2 ��, 1 S 7 190L oZ
Property Address r i Vim.
(Verification required from Planning Department for new construction) -;
City /State Parcel Identification Number 109 9O 666
LE GAL DESCRIPTION
r
Property Location ' / <, 'A, Sec. , T"- N -R /j_ Town of
Subdivision , Lot #
Certified Survey Map # 4 ' S o 5 2 l 3 , Volume Page # / S 9
Warranty Deed # b - J 2 9 , Volume /rZ , Page #
Spec house ❑ y 6g.21 ho Lot lines identifiabts ❑ 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 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.
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 the three year expiration date.
1". � 4 6
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 owner(s) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
U �. /
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
V-0;- 1514PAGE 47 1 .2 722
KATHLEEN H. WALSH
Document Number WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
This Deed, made between Wayne R. Rudesill and 05 -26 -2000 9:30 AM
Betty J. Rudesill, husband and wife, Grantors, and Duane A.
VanHeukelom and Bernadette M. VanHeukelom, husband EXEMPT T DEED s
and wife as survivorship marital property Grantees. CERT COPY FEE:
Grantors, for a valuable consideration convey o COPY FEE
Y TRANSFER FEE:
Grantees, the following described real estate in St. Croix RECORDING FEE: 10.00
County, State of Wisconsin (the "Property " ): PAGES 1
Lot Three (3) of Certified Survey Map, filed on July 18,
1980, in Volume Four (4) of Certified Survey Maps, Page Name in Area
Name and Return Address
959, as Doc. No. 365213, being part of the NEA of the SEA
of Section 21, Township 28 North, Range 18 West, Town of °`� ne
Kinnickinnic. `� I E ~ -c5 re p-v- �
022 - 1061 -90 -000
(Parcel Identification Number)
This is not homestead property.
Together with all appurtenant rights, title and interests.
Grantors warrant that the title to the Property is good, indefeasible in fee simple and
free and clear of encumbrances except: easements, covenants, and rights -of -way of record, if
any.
Dated this day of k .2000.
i
(SEAL) (SEAL)
yne R. desill�
(SEAL)
•� t, ' "V e' -f�/ + (SEAL)
*Betty
AUTHENTICATION
ACKNOWLEDGMENT
Signature(s)
STATE OF WISCONSIN
PIERCE COUNTY
authenticated this day of 12000. Personally came before me this f = day of
, 2000, the above named Wayne R. Rudesill
and Bet J. Rudesill to me known to be the persons who
Signature executed the foregoing instrument ;owledge the same.
Type or print name �� M
r
TITLE: MEMBER STATE BAR OF WISCONSIN Notary Public, Pierce C y i
(If not, My commission expire
authorized by §706.06, Wis. Stats.) 's * • G 2 `
THIS INSTRUMENT WAS DRAFTED BY �'y ' pUB � `
C. L. Gaylord
Attorney at Law 'Names of persons signing in any SANA ped or
P. O. Box 46 printed below their signatures.
River Falls, WI 54022
(Signatures may be authenticated or acknowledged. Both are not
necessary.)
INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WISCONSIN 800 - 655.2021
i I
• 11
q►E ly
F1L
JULY 81980 N
M " a 00"m
l of Nods
�. 54 O Cowh, w
5w. wboomb
CMTIFIED SURVEY MAP
TO! -riN O-Q v WAYNE RUDESILL
_I Part of the Northeast 1/4 of the South-
east 1/4 of Section 21, Township 28
North, Range 18 West, Town of Kinnic-
(I� SOO 00 "OC> kinnic, St. Croix County Wisconsin.
�l\ ' - -a 89.75 /, • Indicates 1 iron pipe found.
o Indicates 1 x 24" iron pipe weigh -
ing 1.13 lbs /ft. set.
NO;U ° DESCRIPTION:
•� 4 I That certain parcel of land located in
U. W o J O T the Northeast 1/4 .of the Southeast 1/4
8 II I 0 of Section 21, Township 28 North, Range
18 West, Town of Kinnickinnic, St. Croix
County, Wisconsin, more fully described
1 V 0 as follows;
(� \' Commencing at the East 1/4 corner of said
U U
0 a 8 VQ Section 21, thence S 00° 00' 00" E
( assumed bearing) along the East line
of the Southeast 1/4 of-said Section 21,
981.45 to the POINT OF BEGINNING of
'� •� UI O the parcel to be herein described; thence
continue on said line S 00 00' 00" E
O � 322.75'; thence N 88o 30' 35" W 1054.84';
thence N 00° 31' 35" W 322.75'; thence
0 6 N ,00 I'' 0 S 88° 30' 35" E 1057.80' to the POINT
0 � V � h OF BEGINNING, containing 7.83 acres,
more or less, being subject to easement
i
over' tho So and Easterly 33 ' there
of for Town Road purposes.
l U ALA e3� "�1/ iQ'E.� . 0
'(D . 0 N ° �
�N N m U
o� O
I'! State of Wisconsin)
I
County of Pierce)
S OO '_;EF =sr zo z� ` I, James L. Murphy, Registered Land Surveyoa
�8sa 75 ' 33 do hereby certify that by direction of the ,
Owner, Wayne Rudesill, I have surveyed and '
O I divided the lands shown hereon in accordance
with official records, Chapter 236 of Wisconsin
I Statutes and the Ordinances of St. Croix County
and that the above map and description are a
0 U true and correct representation thereof.
o� � z I m
r
u m .
•
U V j �- James L. Murphy v:�• . j/ L �'��
Re istered Land Surve r� ,A' �AM�S L.
ROVED M URPHY • :., T
o 0 NiPP
1042
y - JUL 16 %,�: RIVER FALLS, ' CO
z8�. - ms's - • �. I 1980 wlsc.
St. CROIX COUNTY , '� ..
Vol. Page F � LIAND `
C3:04 1HENSIVE PARKS PIAm , •,n
PLOT PLAN `( µ
PROJECT Duane Vanhuekelom DDRESS 157 E. Pomerov River Falls Wi 54022
NE 1/4 SE 1/4S 21 /T 8 /R 18 W TOWN Kinnickinnic COUNTY ST. CROIX
MPRS Shaun Bird 22690 DATE 6/22/00 BEDROOM 4
CONVENTIONAL X00C IN O ND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1200 Gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1049 # of chambers 33
IL BENCHMARK V.R.P. Top of Nail in Tree ASSUME ELEVATION 100
❑ BOREHOLE O WELL *H. R. P Same as Benchmark
SYSTEM ELEVATION 95.0/93.8/92.6
r
Alt. BM Top of Steel Fence Post @ 95.0
River Rd.
a�
Vent
Sidewinder High
>12"
a Capacity Leaching
of Cover C ambeer with 31.8
16" ft ^2 per chamber
N 6' Long
3 411 Grade at System Elevation
.. Q[ T 0 6 2000 + 3
r,� t
sT CRax
COUNTY ;
B -4 B -3 30' ��rM ZONINGQFFlCE
T Pro 4
Bedroom
` 80'
Rep A House
B -3
7% 0'
Slope 4-3' X 51' Trenches with 6' Spacing
45'
' 25' W, nt s
B -1
5 , Alt. B -5 51 *
B.M.
322' Property Line