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h ~ 0 v� c a a 0 � I N O U C 0 N 0. E Lo c 0 0 U O cc 0 o � v C Z L 0 LO w P Li c m _ -0 EFE c m 003 c z� €0) co Lu Ncli am 'o I 0 z a I 'i'i. m I co y I fA H r y O N �l C 1� N 0 O O 0 O O I! � Z Z o Z o N I N Z LO v co LO E 3 2 '� CL a M .. m v m y d (n L O 0 a z M> > H H H m 0 0 0 a 'N A >aaa CT o ! m CO, o M U) J U O N N } O O O N r Z 0 0 0 N I- _ N N ) O O = O N E n r m c a Q o O C y SA N O m A (A 'D d Q 0 !� o ` ca ^l O O' L y C O E ° o I 0. 7 d 7 0 O N rn ci ,�� a c n a 0 00 o Cj Rpy O V U N y C U d O � r N Cy ac CD c " ° n co ~ N N C '', L > E - L o N Y ° v o z 2 Y d g cn 0. ° 2 c c 2 c f 8 0 0 p09 6 3 Document Number Document Tic Tj 178869 e BETH PABST St. Croix CO REGISTER OF DEEDS Cou nty ST. CROIX CO., WI Occupancy Affidavit RECEIVED FOR RECORD 06/22/201010:15 AM AFFIDAVIT /s uC✓ C �DLi EXEMPT #3 Name -- (Owner) Typed or printed REC FEE: 1i.00 being duly sworn , states, under oath, that: PAGES: 1 1. He/she is the owner /part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume /S8G Page /// Document Numbe' St. Croix County Register of Deeds Office; Recording Area Name and. Return Address A parcel of land located in the SC y of the /�W of Section 9 q 7Z /X / 1 4 , C, T0'4 y T 2P N— R A St. Croix County, Wisconsin, being duly described as follows (include lot no. and ` subdivision/CSM or detailed legal description): �� �' F" s 1.3.etn� L&r 3 C�VM I- f/3 22- 106 - Zoo Parcel Identification Number (PIN) As owner of the above described property, I acknowledge that the septic system serving this residence is sized for a bedroom home, or a design flow of (� g . The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. There are currently p occupants living in this residence; - ,R occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, l understand that if there are intentions to exceed the number of permitted occupants, the system Will need to be . modified to aocomodate any increased wastewater flows and /or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. DatedtNs l7" dayof Lle G ,..► v C AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ' authenitcated this day of St. Crol x County. , � �a� came before me this day of . * �x U m to b .n TITLE: MEMBER STATE BAR OF WISCONSIN ttttfrt (if nod to me known to be the person(s) who authorized by § 706.06, Wis. Scats.) rostrum t and acknowledge a same. O � INSTRUMENT WAS DRAFrEo By * CYNGLrzz L+�Sbv� � • `' (Signatures may be autheniketed or My Co Public. State of in advlowledged. Both are not My Commis ' is not, dot ��• sI n p nnanent. If necessary) Date: 1 V %P. 'MIS PAGE IS PART OF THIS LEGAL DOCUMENT - 00 NOT REMOVE T1* kdiomra lon must be conpWed by submMter: dmmwx (fig, W= a refum addrrss. and eM (If requk". 0owtrNarumlion such as the V wft d oft kAW dosa(pttoa, eto. an be placed on this A* paps of dw dbciamN or awy be pfaoed on addif W popes of the downent. M; Ilse of M aoW paps adds are page to your documeW and 1200 to the re wdw lbs. %Ucunsbr sfetwes. 59.517 1 of 1 ' §� o k CD; gƒ 2 g CD a — @ � a■ eZ A 2 k 8 3 } ; § } $ $ 7; 1 ® > - w P ■ = E 2 $ ' 9 5 $ � K Z ] & ' C $ § x ® \0 E E ° 8 , § f / @V> 2 § � } � ; f -4 ° o: � x� u) CD k k k A r c ` < 2 k k 0 0 0 - 2 § § § g < CA) z / & ■ ■ ■ - ; % > 0 9� E m ± ; -4 Z ƒ 0 > >0 [ CL C C i j 0 CD . ■ _ 0 R � { . ■ m 2 k C _ � � � � 2 . ) k 0 § � § 0 E e 3 � \ . � @ � $ . 2 � ■ ) k _o �$ 0 CL 2 Isconsin Department of Commerce PRIVATE SEWAGE SYSTEM County St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: • 404924 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: John, Chris & Brooke I Kinnickinnic Township 022 - 1067 -90 -200 CST BM Elev: Insp. BM El v: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ass 0 /•e Dosing F " // __ Alt. BM 4� �s brim eF S roi' Aeration / v Bldg. Sew 3 ! !, Holding ! St/Ht Inlet S, qs s TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to it Intake ROAD Dt Inlet Septic / / Dt Bottom Dosing / r I D / Header/ Q - O Aeration Dist. Pi Z D Holding Bot. System p�Aiw , q� (� 1 ` ' 41q Final Grade PUMP /SIPHON INFORMATION --<— b, / 46; - 7 Manufacturer - L Demand St Cover (/VWYriCv7 LG GPM Model Number S Q � /D . TDH Lift ' � Friction Losq ystem Hea� TDH Ft 11 � �3. Forcemain Le gt ! Dia ETA. p D. to Well rb � SOIL ABSORIPTiON SYSTEM BEDITRENCH Width Length / No. If Trenches PIT DIME NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS .iJL e SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LtACHyfG Manufacturer: INFORMATION CHAM OR Type Of System: NIT Model Number: d M1 7 6 1 / DISTRIBUTION SYSTEM / �/ e-�-- Header /Manifold Distribution l x Hole Size x Hole Spacing Ve it Intake Pipe(s) � Q� Length Dia Length Dia Spacing SOIL OVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched B rench Center I l BedrTrench Edges Topsoil — I 7 ;. Yes - No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: l /�/ Inspection #2:/ / � / d ? � Location: 1442 Oak Road River Falls, WI 54022 (SE 1/4 NW 1/4 24 T28N R18W) NA Lot 3 Parcel No: 24.28.18.376C 1.) Alt BM Description — 2.) Bldg sewer length = 0 r - amount of I� cover = I� � 3.) Contour = 3 ` q,,7 Plan revision Requir d? y, Yes No Use other side for additional information. Date Insepctor's Sig ature Cert No. SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ,r �( N v l' sconsin Madison, WI 53707 -7162 Site Address ent of Commerce De artm �3�5' P /u -� z�. p � c) z � o � � W Z QA1 U/4fl Sanitary Permit Application Sanitary Permit Nupi& -rr In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Check if Rev c I ma be used for second Privacy Law, s15.04(1)(m) I. Application Information - Please Print All Information State Plan_3.D_NM (T .,Q Property Owner's Name Parcel Number Property Owner's Mauling Address Property Lation op C91—TOMN, qI?' City, State Zip Code Phone Number Lot Number Block Number 3 7 if Subdivision Name CSM Number 1 /J H. Type of Building (Check all that apply.) O City or 2 Family Dwelling - Number of Bedrooms 7 7 O Village O Public /Comme al - Describe Use ownshi O State Owned �'`,r clearest Road upK _ l,o' `` s � r,` III. Type of Permit: (Check only one box on line A. Numbering is for internal uie.VjCon) R4 line B, if applicable.) A.ew 3 O Replacement O Addi' stem 2 ❑Replacement System Tank pl � 6 ` Ex ' Fo . j/ ty use j �/C B. 13 Check if Sanitary Permit Previously Issued Permit Number ' iM Date Issued IV. Type of POWT System: (Check aAlound t apply. Numbering is for. �.IVp , 44 ❑ Non - Pressurized In- Ground 2 47 O Sand Filter 50 O Constructed Wetland 22 0 Pressurized In- Ground 41 Holding Tank 48 O Single Pass 51 Drip Line 45 13 At -Grade 46 0 Aerobic Treatment Unit 49 0 Recirculating 30 Other V. Dispersal/Tr ent Area Informatio Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min. /Inch) f Elevation � o6 �dv l 6 - - fix / /D/ 0 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber / VII. Respo ilit tatement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's DTme int) Plumber' Signature MP /MPRS Number Business Phone Number ber's Address (Street, City, State, Zip C ) VIII. Count Department Use Onl O Disapproved Sanitary Permit Fee (includes Grout w Determination ater Date Issued Issuing Agent Signatur (No Stamps) Approved Owner Given Initial Adverse Surcharge Fee) 32S r .?$ �.O IX. Conditions of Approval/Reasons for Disaplproval(� n(1 n Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size �,ais John LOT PLAN tWV ADDRESS 284 W. Johnson Ant #3 River Falls Wi 54022 i /4 S 24 /T 28 /R 18 _s W TOWN Kinnickinnic COUNTY ST. CROIX MFRS Shaun Bird 226900 2�g/02 CONVENTIONAL IN -GR N DATE BEDROOM 4 RESSURE CO NVENTIONAL LIFT HOLDING TANK MOUND 1 SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE HOLDING TANK SIZE DOSE TANK SIZE 765 _ LOAD RATE 1.0 ABSORPTION AREA 600 BENCHMARK V.R.P. T # of chambers none TOP of Steel Fence Post ❑ BOREHOLE WELL .H•R.P. Same as Benchmark SYSTEM ELEVATION 98.7 440 Property Line 200' Well is to meet all setbacks found in Comm. 83 Scale = 1 /41f = 1 O' Pro 4 Bedroom t House 4 Tank is to be properly =' bedded and provided with lockdown covers with Grading is to be done to = Huffcutt Combo tank approved warning labels divert run -off away zf B. from system 200' 0 � B -3 � v m 98' Ej 97' Area 15' Below System is to 4% remain undisturbed Slope v Wisconsin Department of Commerce 4 SOIL AND SI ION Division of Safety and Buildings "�" Page of Bureau of Integrated Services ( � in accordance with 83 �69; Wis.,A Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must C" include, but not limited to: vertical and horizontal re erence point (BM), direction and perce slope, scale or dim sions, north arrow and location an lance to nearest road arceU, . # v „Tl A L CA I A WO- ase riot all infor ton. R i "d by Date Personal information you provide may be used for secondary purposes (Priva Law, s. 15.04 (1} Property Owner Property ipcat(or�_ /�rr Govt- Lcit1 /4�/�t' /4,Sa� T� E (o W Property Owner's Mail' A dress Lot # Block# Subd. Name or CSM# City State Zip Code Phone Number City ❑ Village -Town Nearest Ro d ;ET-N Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: / Code derived daily flow rJ(/ gpd Recommended design loading rate /' - bed, gpd/ft � trench, gpd/ft Absorption area required d bed, ft .500 trenccJh, ft 2 Maximum design loading rate / • Z bed, gpd /ft / 7 r 2 trench, gpd /ft Recommended infiltration surface elevation(s) / $ ft (as referred to site plan benchmark) Additional design /site cc sideration Parent material Flood plain elevation, if applicable ,�L /tu ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S U ❑ U ❑ S� ❑ El S El S SOIL DESCRIPTION REPORT NwJ Qa- 64;r_� Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 #� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench mss- Gr 0 9 / - a 177 �ft. Depth to limiting cto p�,in. Remarks: Boring # Ground el ev. G ft. Depth to limitin t T Remarks: a (Please Print) Signature Telephone No. ca�,n -� Address - Date CST Number p � 6-1ve iS/ OO � 94W a 1 KI SOIL DESCRIPTION REPORT PROPERTY OWNER Page of PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench 2 Ground 6 I r t/, 3 �� ^ �7 /f/ r✓/ ,l/�o , �y ?' ft. Depth to limiting M ctor S'� in. Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor in. 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 # ; 13 Ground elev. ft. Depth to limiting factor in. Remarks: Boring # NMI Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) , Soil Test Plot Plan Project Name Terry Gallentine Shaun Bird 4 ` 1 ) Address 1436 Oak Drive River Falls Wi 54022 CSTk- #226900 Lot 2 Subdivision ----- -- Date 2/ 23/00 SE 1/4 N W 1/4S 2 T 28 N/R 1 8 W Township Kinnicldnnic n Boring Q Well PL Property Line County ST. CROIX' BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 98. *HRP Same as Benchmark Alt. BM Base of Fine Tree @ 97.8 Od 440' Property Line 200' 200' O a� a a Alt. o B. B- M. 95 , B� 30' Mound Area 0' 4% Slope 55' B -1 440 Property Line L � ' Standard Erosion Control Plan 6 for 1 & 2 Family Dwelling Construction Sites _ According to Chapters ILHR 20& 21 of the Wisconsin Uniform Dwelling Code, soil erosion control informa- tion needs to be included on the plot plan which is submitted and approved prior to the issuance of building permits for 1 & 2 family dwelling units in those jurisdictions where the soil erosion control provisions of the Uniform Dwelling Code are enforced. This Standard Erosion Control Plan is provided to assist in meeting this requirement. Instructions: 1. Complete this plan by filling in requested information, completing the site diagram and marking ( ✓) appropriate boxes on the inside of this form. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Submit this plan at the time of building permit application. S � 2 `� b ) _ Site Diagram Scale: 1 inch = feet EROSION IV 4 CONTROL PLAN LEGEND PROPERTY LINE r o — — EXISTING DRAINAGE TD TEMPORARY DIVERSION K FINISHED _r DRAINAGE D� LIMITS OF f � GRADING SILT FENCE l STRAW BALES ' GRAVEL O VEGETATION SPECIFICATION ® TREE PRESERVATION STOCKPILED SOIL Please indicate north by completing the arrow below. —N— PROJECT LOCATION BUILDER el-rj"C- OWNER --�iAl -� WORKSHEET COMPLETED BY DATE r� aL EROSION CONTROL PLAN CHECKLIST ` Check ( ✓) appropriate boxes below, and complete the site diagram with necessary information. Q Q Site Characteristics North arrow, scale and site boundary. Indicate and name adjacent streets or roadways. > rY s. 1 Y 'PIr ❑ l Location of existing drainageways, streams, rivers, lakes, wetlands or wells. �>a ❑ Location of storm sewer inlets. Location of existing and proposed buildings and paved areas. The disturbed area on the lot. Approximate gradient and direction of slopes before grading operations. Approximate gradient and direction of slopes after final grading operations. ❑ Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices ❑ Location of temporary soil storage piles. Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway. - f Location of access drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less). ❑ Location of sediment controls (filter fabric fence, straw bale fence or 10 -foot wide vegetative strips) that will pre- vent eroded soil from leaving the site. ❑ Location of sediment barriers around on -site storm sewer inlets. ❑ VLocation of diversions. Note: Although not specifically required by code, it is recommended that concentrated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow) from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. ❑ Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or by seeding with use of erosion control mats. ❑ [Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In- channel practices should not be installed in perennial streams (streams with year -round flow.) EIX Location of other planned practices not already noted. EROSION CONTROL REGULATIONS UNIFORM DWELLING CODE (DEPT. OF COMMERCE) PROJECTS AFFECTED • Straw bales, filter fabric fences or other barriers to • All new 1 and 2 family dwellings in Wisconsin started protect on -site sewer inlets on or after December 1, 1992. • Additional controls if needed for steep slopes or other • Additions to dwellings built after June 1, 1980. special conditions MAINTENANCE AND WASTE DISPOSAL APPLICATION PROCESS • Sediment controls must be maintained until the site is • Erosion control measures must be included on the plot stabilized by mulching and seeding, sodding or plan submitted with the building permit application to landscaping the local building inspector in communities where the . All building waste must be properly disposed to pre- dwelling code is enforced vent pollutants and debris from being carried off -site • Plot plan must show: — Location of the dwelling, other buildings, wells, sur- ENFORCEMENT face waters and disposal systems on the site with •Erosion control inspections will be made during other respect to property lines regular inspections (footing and foundation, rough con- struction, final, etc.) — Direction of all slopes on the site •Violations must be corrected within 72 hours — Location and type of erosion control measures • Stop work orders may be issued for noncompliance CONTROLS REQUIRED FOR MORE INFORMATION, CONTACT • Silt fences, straw bales, or other approved perimeter • Local building inspector measures along downslope sides and side slopes • Department of Commerce, Safety and Buildings Divi- • Access drive sion, P.O. Box 7969, Madison, Wisconsin 53707, (608) 266 -2128. STORMWATER PERMIT (DNR) PROJECTS AFFECTED — Proposed erosion and storm water pollution control • Any grading or construction project that disturbs 5 practices during and after construction acres or more and is not covered by a building permit — Documentation that an erosion control and storm • Smaller sites that are part of a planned development water management plan which meets DNR standards involving 5 acres or more of land disturbance has been prepared (plan does not need to be submit- • Effective October 1, 1992 for any new or continuing ted with the application) project —Other information related to site location and per - • Exceptions: Indian tribal lands and work done by local mit holder government staff CONTROLS REQUIRED APPLICATION PROCESS • Erosion control measures specified in the Wisconsin • File a "notice of intent" application (Form #3400 -161) Construction Site Best Management Practice Handbook with the Department of Natural Resources (DNR) 14 • Measures to control storm water after construction days before construction begins FOR MORE INFORMATION, CONTACT • Application must include: • Department of Natural Resources, Storm Water Per - - Timetable for land disturbing activities and installa- mits, P.O. 7921, Madison, WI 53707 -7921, (608) tion of erosion control measures including project 266 -7078 start and completion dates LOCAL ORDINANCES Check with your county, and city, village or town for any local erosion control ordinances including shoreland zoning requirements. Except for new 1 & 2 family dwellings, local ordinances may be more strict than state regulations. They may also require erosion control on construction projects not affected by state or federal regulations. A publication of the University of Wisconsin- Extension in cooperation with the Wisconsin Department of Natural Resources and Department of Commerce, Ron Struss, Water Quality Educator, UWEX Western Area and Carolyn D. Johnson, Urban Water Quality Educator, UWEX Southeast Area. UW- Extension provides equal opportunities in employment and programming. This publication is available from county UWEX offices or from Extension Publications, 630 W. Mifflin St., Madison, WI 53706, (608) 262 -3346. Copyright 1997 by the Board of Regents of the University of Wisconsin System doing business as Cooperative Extension, University of Wisconsin- Extension. Send inquiries about copyright permission to Director, Cooperative Extension Publications, 201 Hiram Smith Hall, 1545 Observatory Drive, Madison, WI 53706. GW0001A Standard Erosion Control Plan for 1 & 2 Family Dwelling Construction Sites DNR: WT- 458 -96 R-02- 97- 2M -10-S C a Indicate management strategy by checking (✓) the appropriate box: � Q� = Management Strategies ❑ Temporary stabilization of disturbed areas. Note: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1st and September 15th), or by other cover, such as tarping or mulching. Permanent stabilization of site by re- vegetation or other means as soon as possible (lawn establishment). Indicate re- vegetation method: See&/ Sod ❑ Other ❑ Expected date of permanent re- vegetation: n/ 7_66 Z . Re- vegetation responsibility of: Builder ❑ Owner /Buyey Is temporary seeding or mulching planned if site is not seeded by Sept. 15 or sodded by Nov. 15? Ye ❑- No ❑ ❑ X, Use of downspout and /or sump pump outlet extensions. Note: It is recommended that flow from downspouts and sump pump outlets be routed through plastic drainage pipe to stable areas such as established sod or pavement. ❑ /Trapping sediment during dewatering operations. Note: Sediment -laden discharge water from pumping operations should be ponded behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off -site by wind or water. Maintenance of erosion control practices. • Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the barrier's height. • Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. For more assistance on plan preparation, refer to Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW— Extension publication Erosion Control for Home Builders. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available through State of Wisconsin Document Sales, 608/266 -3558. Erosion Control for Home Builders (GW0001) can be ordered through Cooperative Extension Publications, 608/262 -3346 or the Department of Commerce, 608/267-4405. Safety and Buildings 10541N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 visconsin www.commerce.s i n.gov Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary February 18, 2002 CUST ID No.226900 ATTN.- POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/18/2004 Identific on umber Transaction ID N4.708089 SITE: Site ID No. 64109 Chris John Residence Please refer to both identification numbers, Oak Dr above, in all correspondence with the agency. Town of Kinnickinnic St Croix County SE1 /4, NW 1/4, S24, T28N, R18W FOR: New mound, 600 GPD R O A Object Type: POWT System Regulated Object ID No.: 829158 C()D ?( The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes ) and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in r- 7 L', F chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. C, MENT The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: .r S �_.E CORRE • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P ( N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10706 -P (N.01 101). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. for inspection shall be made with • Inspection of the private sewage system installation is required. Arrangements p P P g Y q the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Slats. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. SHAUN R BIRD Page 2 2/18/02 • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • The bottom of the distribution cell shall be level per the Mound Component Manual. • Maintain well and waterline set backs per COMM 83.43(8)(1). • Provide frost protection per COMM 83.43(8)(c). • Holes must be drilled with a sharp bit and all burrs and foreign matter removed before installation. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operati or maintenance of the POWTS. Since / Fee Required $ 175.00 Fee Received $ 175.00 - Balance Due $ 0.00 Patricia L Shandorf ' POWTS Plan Reviewer, Integrat6d Services WiSMART code: 7633 (715) 634 -7810, Fax: (715) 634-5150, M -F 7:45 am - 4:30 pm pshandorf@commerce.state.wi.us cc: w Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 2/8/02 Owner: Chris John System type: Mound System Manuals Used: Mound Component Manual version 2.0 (01/31) Pressure Distribution Manual version 2.0 (01/31) Page# 1. T. S. 1. Cover Page 011ally it S'D -- - -,... 2. Mound Plot Plan ' V E iF Co&oME 3. Mound Cross Section A jWCDIN 4. Pipe Cross Section /Pipe Layout _ 5. Pump Chamber Cross Section 'FpNDENCE 6. Pump Curve 7 �U d 7 -9. Maintance and Contigency plan / 10 -12 Soil test Signature License number 226 0 2/8/02 • LOT PLAN PROJECT Chris John ADDRESS 284 W. Johnson Ant #3 River Falls Wi 54022 SE 1 / 4 NM! 1 /4 S 24 /T 28 /R 18 W TOWN Kinnickinnic COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 2/8/02 BEDROOM 4 CONVENTIONAL IN -GRO N RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL sH.R.P. Same as Benchmark SYSTEM ELEVATION 98.7 440 Property Line 200' Ac Scale = 1/4 = 10' Well is to meet all setbacks found in Comm. 83 Pro 4 Bedroom House Tank is to be properly bedded and provided with Grading is to be done to lockdown covers with divert run -off away approved warning labels from system Huffcutt Combo tank 200, O B. B -3 CD 9 8' ❑ 97' B- 4% Area 15' Below System is to Slope remain undisturbed be signer p � �� r �- Non-Woven Filter Fabric 4" Observation Pipe Perforated Below Filter Faba;ic r Aistribulion Pipe AM C -33 Sand � G " Topsoil ter r Slope 1 Bed Of IY 2 :: Force Main ` 'N�Piowed Drain Rock From Pump Layer ID E. Cr ess Section 01 A Mound Systern Using F A Bed For The Absorption Area --�•- G A rt. H 6 Ft. I ,�: Ft.- Ft. K Ft. n L 0/g/ Ft. W Ft. .. L e0bservation Pipe w A force Main W � a •�.�- .,... �.w�-r -�M From Pump C t Distribution Bed Ot Y Z �s Pipe Drain Rock I 4014servation Pipe Permoneni Marker Pipe or Rods . Pion Viev+ 01 . Mound Utin A 9ed for the Abt►ot lion Ar PA01- ... qr" Perforated Pipe 0*1011 0 Eng V140 PVC P,pe !� e �0 NOlee 6O1O1441 0" sO11OT, elect, v Are Equepy Epeeea Ir y+ ' PVC Force Main- f tR1MT tAO1.L Natf,'1' Ira GenMa i imn PVlr. homfold Pipe Pine 11crAA ti up r Distribution Pipe Layout p Ft R fit, X 2 I nches Y o Inches Signed: Hole Diameter .5� Inch Lateral �" � Inches) License Number: ` moo Manifold Inches Ca to:. '— Z Force Main --3 In cues # of holes /pipez Invert Elevation of Laterals Ut SEPTIC TANK 6 1 "UMP CHAMbLR GROSS SECTION AND SPE" ICA'CIONS K" CI VENT PIPE 12" MIN. ABOVE GRADE S WEATHERPROOF X26 FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE -- WITH CONDUIT MANHOLE COVER W/ PADLOCK i rINISHED GRADE WARNING EASEL i 4" MIN. I NLET ' I' WATER TIGHT SEALS GAS- TIGHT: ED _,_,,,.., A SEAL ` 7A P"' kITH FtE�TS•R ALM PIPE APPMEO E! , ONTO P IPE 3 S�l1. I O LID $OI L C t SOIL PUMP OFF ELEV • g� Z FT • -+- OFF D 3 APPROVED BEDDING UNDER TANK ,-' CON ETE PAD SPECYFICATIONS = / 7� S EPTIC / DOSE TANK �Z� MANUFACTURER : TJt3E"!8£R DOSES PER DAY: . TANK SIZ S; SEPTIC /� - - � GAL. DOSE VOLUME INCLUDING _..,....�..,.:.« DOSE GAL. FLOW BACK: �� t G L. ALARM MANUrACTURERI l/�% s �g,t,� CAPACITIES: A = q II�cHES GAL. MODEL. NtUMBER& � g a 3 INCHES s S L/ ,,,GAL. SWITCH T'YP'E: a. - PUMP MAMtFACZVRER: '' ✓ C l� INCHES x IcK MODEL NUMBER: 47 %„ SWITCH TYPE: D ' INCHES a GAL. u�r REQUIRED DISCHARGE RATE'5Q„ GPM PUMP S ALARM WIRING AS PER / ILHR 16.23 WAC DIFFERENCE BE7.WEEN PUMP OFF AND DISTRIBUTION PIPE . ! FEET VERTICAL DI :FEET + MIN ;VM NETWORK SUPPLY PRESSURE . • • • ' • . ' ' " FEET �� FEET FORCCMA :tN X FT /1Q0 FT. FRICTION FACTOR . V `'""'"" TOTAL DYNAMIC HEAD ` , FEET .S" DTI ,,, i DIAMETER ._ INTERNAL DIMENSIONS F ptJMP TANK: LIQU � x' _���_ . -- LICEN NUMBER' =% DA-, r.: 0 SIGNED: .,..�.,.. -.— 1/88 i Ting D etails 1 Performance Data 40 30 Pum C h ara cteristies , Paea Motor o oh s.. 20 AUNs SM401 SW4OM2 AvIeWk Web SWIF40AI SNEF4OA2 1 N 4410 M Lod s it 1 6.5 As* Siid Pok (4 Pak) UK 1550 � 0 10 20 30 40 50 60 70 Phm 10 GPM v 115 1 230 _ Total Haw (test) 10 14 17 0 35 38 30 33 Herb 60 1x0° F ■ orc. Ftu1d Tisryt. r (m) 3.0 4.3 5.4 .9 0. M6MA A GPM (US GPM) 70 t3+0 SO 40 30 30 10 0 m . - hVAN Class A ( ssc) 4.4 3.Z 4.3 1.9 0 s " r mm Dimensional Data Satds 31 28 bs. - rre' e•s�e° (188.27)-- 1. AN ditnenslons In inches. (MoK for Power Cord 18/3, SAW, 20' std. � �'t�rn - •i lownalow use), (�� ° 2, Camponel>t dimensions may Materials of Construction vary t 1/8 inch 3. Not for con0rudim purpose •• '' -- ii,, AA��� (98 4 A i t s!^a H NPT unions certified. "—FL AT U TCH 4. Dimensions and weights are t Iron oppro0nate. tlhd>a�k Sar1 Feces~ t;nedai /Ce�nla � ti . S: We reserye * 0 rlghi !o make Shah Seal Soal 144 A:►edi: t 3teoi revlsiaAF t0 'our pro uct, and their Sprtfgt Stateless Sriei Slrecifkiltiortswithout t)otic #: r >; 1 \ t Y F t `i ax a! F l y a jC eggg M F Qw lo Y + Y tk trim otic Pumps, lo. A R10h R"ar Q 1998 H om IO HYD ROMATUC Your Autf ori Coca) Diftritxrtar - �.� V 0 / Y 1844 hasy Road Ashland, Ohio 44805 Tell: 4 i 9.28!•3042 Fay:: 419.281.4087 �/ Web Site, wta 4l"10lrpuntp -com SALES OFfKES IN All MAJOR CITIES AND C011111Ti<IES Refer to "Pumps' in the yellow pages of your phone directory for your Total QistfUtor W-09-6680 1198 5m POWTS ioWNER'S MANUAL & MANAGEMENT PLAN Pa ge of PILE FORMATION _ — SYSTEM SPECIFICATIONS f -a r i septic Tank CapacltY ass el DNA 4 PemtiI S ` Sepdo Tanis Manufai tuurer NA DESIGN PARAMIE'RS _ EMuent Filter Manufacturer 4,,6 O NA Number of 8edr $ _ O NA went Fitter Model p Q NA Number of OOtYtir WGW Units _ F4jnV Tank Capadty g g O NA Edmalled flew (fie) QO g @ft pump Tank Manufeoturor O NA 2!!!E flow (pswo, (EatUrtated x 1.5) _ Q . Pump manuN►d�r rtP O NA Sol APPICOW Rak _ D av Pump Model O NA MorlEf>hr average Protreatment unit InftuendEMuent Quality O SarAgrBvd Filter O Peat F11W Fate, OA & Grease (F043) s30 mWt D Mechankel Aerebw O Wetland Biodtemloal Oxygen Demand (80%) 420 ffQ& D Dhdrtfectlon Q Other: Total Suspended Solids (TSS) 51fs0 Pretreated >„Muent Quality NA Monthly average" Dispe" Cel4(s) f3 lend (pressurized) 8ktchemical Oxygen Demand (800 s30 mg& O in -ground (gravity) � rade Total Suspended solids (TSS) s30 mg& C] �� � O Other. Feca! COfOrn1 metric me:Fln S10` clwf100m1 weatttK Maxlnwm EMuent Particle Size Inch diameter Val.M MPS fa" doer *8W t" 0ft-w 1Te « V skm ttP waled wrstewsbr. MAlN1ENANC -- = EDULE Service Frequency Service Event s Maximum 3 yrs.) candilior► of tank At least once every 3 D ma'►ths ear( ( lnsp - e and scum equals one -third %) of tank volume pump out contents of tank(s) _ When combined sktdg Inspect dispersal oetl(s) At feast once t3very 13 rnontlls,�y68Ks) (Maximum 3 yrs.) At kart once every �%-� O months„,Isl< Cleaneffluentfiitet _ p months year(s) O NA controls &alarm At {east once every - E3 month s O NA Inspect putttp, p<+'rnP s,. - �( ) At feast ones every Fhsit laterals and pressure test _ O months O yW$) © NA Otl�er At least once every otiar: At least ortoe every ❑ months G years) O NA Se � �g��T1pNS one of the foaowing {lcenses or MA1NTgNAN cells shall be made by an individual cany�g pOWTS MaintalnerS80896 Inspections of tanks and disperse POWTS tnspe a missing or broken moons: Master Plumber, Mast:4r Plumber Restricted Sewer, the tank(s) W ldentlf)t sheds for any bads UP g��g Operator. Tank inspectlon�:� must include a visas{ of combined a and scum to the the enluent levels herdyrane, kkyft any cracks or leak" measure the volu s me of comtsl<►ed stttdg Tsai 0011(s) } hay be vtsusty in ton the or 4WV of snant on the ground r urface. The disPeof eMuent on the ground surface' of etffkien� i sand to shed; for any P�� the hnrruediate of the r on of the local regulatory Iitte� indicate a failing condition and requires tank VON". the and scum M any tank equals � di d r d s nce with ch. NR when q% Combined accumulation o+' sludge a S� Ser vicin g o In a0OO entire Contents of the tank shall be rjmoved by t p �� s, and anY 113, Vlfisoonsin Administrative Code, wed POWTS Malntalner, t fitters, rnedianical or pressurized POWTS �k• The IWVl nS of effluen at intervals of 12 months or less shed) be pertom1ed service event~ other meintenanoe or monttorin VAthln 10 days of cOglletion of any A s r** report shad be provided to the local regulatory au"* STAR i' UP AND OPERATION treatment tank tPatlon$ are s) for the presence of painting P or ott+$r or to use o4 the POVYTss an dem*" the dlsPersat cefl(s). if high concen For new construction chemks that may I mp el truca e the tr8 "'tment PCOO a septag a servicing operator poor to use. detected have the contents of the tank(s) rarr►oved by System start up shall not oocur wttan soil'oanditions are frozen at the infiltrative surfooe. Pam or`� Outing power outages pump tanla; many fill at7ave normal highwater levels. When power is restored the exoa*& wastewater will be discharged to t1u) dispersal 0611(8) in One large dose, overkoding the oee(s) and may result in the backup or surfim disc haMe of of lent, To avoid this sidration have the oon*ft of the pump tw* removed by a � e ft vsa+v w t� nor power er to fret emuent pump or contact a f =W or POWTS Mahtaitter to assist In manually operatktg dw plimp oritrota to restore normai levels within the pump tank. Do not drive or park vwhk** ovwr tiWo and dispersal cab. Os not drive or park over, or oltmwhe disturb or compac k the area wNiM 15 loot down slope of any nwund or at -grade soft absdrptlon area, Reduction cW allmimillon of the f Vowktg from the waste"tor stream may improve the performance and Prolong the fire of the POVVM antibiodoe; baby irApse; cigadetlis butts; condams; cotton swabs; degreasers; dental floes; dhpan; disinfectants; ht lextridiirlFori drakt (, pump) water; firult and vegetable peelings; gasoH W grseeatr hs(bialdea; meat straps; medications; A pakittnS IV : P"Wdea: e;art" napkins; tampons; and wd ar sottaner brine. ABANDONMENT When the POWTS fob andlor Is pemt vw* taken out of service the folk w oV steps shall tale taken to Insure that the system is properly and safely abandoned In compliance wish ch. Comm 83.33, VVIsoonsin Adriilrilstrative Code: e AN piping to tanks and pits shall be disconnected and the abandoned pipe openings seeled. a The contents of all tanks and pfia shall be removed and property disposed of by a 8eptage Swvk*ig Operator. a After pumice. all tanks and pits shall be excavated and removed or their covers removed grid the void apace MW with Wil gravel or another inert Solid materlafl. CONTINGENCY PLAN if the POWTS falls and cannot be tapalr d the following measures have been, or must be taken, to provide a code compliant neplecernent system: O A suitable replaaement'area has been evaluated and may be utilized for the location of a replacement soil absorption system. The reaaownent area should be protected from disturbance and compaction and should not be Inidriged upon by requ irsii setbacks from existing and proposed structure, lot lines and weft. Failure to protect the replacement arm will result In the need for a new soil and site reevaluation to establish a suitable replaoernerit area. Replwnne systems must comply with the rules In effect at that gate. © A suitable replacement area Is not available due to setback and/or soil Nrnitatk». Boning advances In POWTS technology a holding tank may be Installed as a last resort to replace the failed POVVTS, site has not been evalti -Med to identify a suitable replacement area. Upon failure of the POVVT8 a soli and site evaluation must be pe twined to locate a suitable replacement area. If no replacement area Is available a tank may be instMd as a Iast resort to replace the faded POWTS. AAound and alt - gmde soil absorption systems may be reconstructed in place following removal of the bfomat at the WitlraWs surface. Reoma motions of such systems must comply with the rides in ot►ffed at that time. <<WARNING» SEPTIC, PUMP AND OTHER TREATti ENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A $ EPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANORS. DEATH MAY RESULT. RESCUE OF A PERSO , FROM THE INTERIOR OF A TANK MAY BE DiFFICULT OR IMP0881BI.E. ADDITIONAL COMMENTS POWTS INSTALLER ^„ POWTS MAINTAINER Na me i( z Phone 2� SepTAGE SERbtCM OPERATOR I PUMPER) LOCAL REGULATORY AUTHORITY Name � EPhone Phone 02 Title doamwt was dr mw by the stafh of the Gmert Lake. MargaNte and VY aushara k:ounty Zoning and Sanitation meetrtoks. This dootrma(t naeu the minin" M**Oments of ah. evmm 83.2: (2 0X1Xd)&(t1 and 83.Kl). (2) s (3), Wiscwstn AdnUnWmtive Cade. We of title doawnent does trot gusriimee the perfomwee or me PoW'r5. CMW (2/01) ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT /D S, �D,�' AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address o Property Address L (Verification required from Planning Department for new construction) City/State Parcel Identification Numb r - IDO -90 LEGAL DESCRIPTION Property Location 5� vo, %, Sec. T N -R — Town of Subdivision -`' . Lot # 3 Certified Survey Map # - . Volume Page # S Warran ty Deed # 30o . Volume 5 �� Page # I I Spec house ❑ yes o Lot lines identifiable; yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed Pumper- What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplumber, restrictedplumber or a hcensedpumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 Zoning Office within 30 days of the three ye expiration date. SIGNA'T'URE OF APPLI ANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SI NATURE OF AP ICANT 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 DOCUMENT NUMBER Es S8 4 O S KATHLEEN H. WALSH WARRANTY ONND REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD Terrance Lane Gallentine a /k /a Terrance L. Gallentine and Anita L. 02-12-2001 1: PM Gallentine, husband and wife, Grantor, conveys and warrants to Christopher C. John and Brooke C. John, husband and wife, Grantee, the WARRANTY DEED following described real estate in St. Croix County, State of EXEMPT I Wisconsin: CERT COPY FEES COPY FEE: LOT THREE (3) OF CERTIFIED SURVEY MAP IN VOLUME FOURTEEN (14) OF TRANSFER FEE 135.00 CERTIFIED SURVEY MAPS, PAGE 3857, AS DOCUMENT NUMBER 623600, FILED IN RECORDING FEE: 10.00 ST. CROIX COUNTY REGISTER OF DEEDS OFFICE ON MAY 24, 2000, BEING PAGES: 1 LOCATED IN THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER (SE4 OF Nw4) OF SECTION TWENTY -FOUR (24), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC NAME AND RETURN ADDRESS It OW VALLEY KYLE SENVICES.INC. PO BOX 750 109 N, MAIN ST. RIVER FALL& VA 54021 6� -ptr a 02 - 1067- 9ionNu _ ParCe I ent 1Cation Num e � /� Y '" 4 � This is not homestead property. -.w. Exception to warranties: W y v ` All easements, restrictions and rights -of -way of record, if any. Dated this I day of February, 2001. Y&"PAA� SEAL �(/!�T 1." /lf (SEAL) (SEAL) QO errance Lane lentin Anita L. Gallentine o I - 1 (SEAL) 1 AXIE JENSEN Puft AVTHENTZCATION sunorywisconsin AOIQ7CWLBDGNZt7T Signature(s) MYCOWn. Expires 5!13101 ETA OF WISCONSIN (ECZCi.�i COUNTY ) authenticated this _ day of , 20_ Personally came before me this day of February, 2001 the above named Terrance Lane Gallentine and Anita L. (si.�ac�r.1 Gallentine to me. known to be the persons(s) who executed the forego' the same. IV Printed ac Tn,d) TITLE: MEMBER STATE BAR OF WISCONSIN LLL Q-a- - si nature (If not, authorized by 5706.06, Wis. Brats.) �� E - • N x m Printed r r d THIS INSTRUMNT WAS DRAFTED BY: Notary Public P, LF- C -n County, Wis. Stuart J. Krueger My commission rs vermenent. (If not, expiration date:) Rodli, Beskar, Boles 6 Krueger, S.C. P.O. Box 138 River Falls, WI 54022 GGG o j �— 09 75 o o0 975 • ��988 /035 - - -- - I = � . / I _ 985 P . I J /j 983 965 ...� 4974 5 I I o u - t -- Kinnickin is Gem 4 \ 5 �� Qj —� 00 u ` 96G 9 46 �- - - --- 991 69 73 - -�_ - _- _- _ 992 /040 _ __ -_ 980_ t �o`� i -- - _ 110 - 4972 BR 943 Olf�) • II 3 . -. 997 <_ I O l /000 I o a ?, p /oso 958 C?- k 49 71 /000 I , � 87 �� l _ .979 - .-J�_ _986 - /0 // - \ 1052 111 - '26 4970000 -N i \_ -.�. o l 1127 i� /Go 4 � �I 111 11281 - ��y 4' 44°52'30" INTERIOR -GEOLO l-I 1 �/ -8 M1. T� /SI 29 `, • 32'30" 531 SURVEY, RESTON, V RGINIA 5390001 11 E 92 00' FILED 2 6 MAY 2 4 2000 ► KATHLEEN H. WALSH ` g Register of Deeds SL CMIX CD M 62:360 ti CERTIFIED SURVEY MAP BEING THE SE 114 OF THE NW 114 OF SECTION 24, T. 28N. , R. 18W. , TOWN OF K I NN I CK I NN I C, ST. CRO I X COUNTY, WI SCONS IN PREPARED FOR NORTH QUARTER CORNER — � TERRY GALL ENT I NE SECTION 24 - FOUND p � p FOUND I" IRON PIPE /* IRON PIPE O _ N54 ° 42' 49 "E, O. 32' °w FROM CALCULATED FALLS 4' S. AND ►2' UNPLATTED LANDS Nwl POSITION.(LARGE BOULDER OBSTRUCTS W. OF OLD FENCE POST r NORTH LINE OF THE SE —NW 4j CORNER POSITION). S89 ° 31' 24 "E 1325. 18' NW COR. SE—NW NE COR. SEPTIC SE —NW WELL•❑ HOUSE Os i o LOT 2 v 28.22 ACRES � Z 1,229,285 SO. FT. y C $ 27.99 AC. EXC. RiW .�� O z 2 w 1, 219, 344 SQ. FT. �\J o C n Z N w m p to � S89 58 19 E . � m ix �—I 440.00' OD o , ��� w _ : l.. y y ° ( O CA z W o, ro o S89 ° 58' 19' E 495.00' W g g L ;q LOT 1 ao 6.60 ACRES ° I $ LOT 3 °° � .y m � i 287,338 SO. FT. ni w 6.35 AC. EXC. RiW I ^'- �, 5.00 ACRES $ p, -n c) FALLS 1 1' W. 0 w 276, 560 SO. FT. SEPTIC w — 217, 789 SO. FT. 0 5 N —S FENCE w �+ 0� o �_ 4. 70 AC. EXC. R.-W w C 0 W SHEDS I f ro 204, 702 SO. FT. $ 0 ~ ^� BUILDING o J N LINE ro SW COR. A_ ..................... ,.. t► _ ............... ..... .. 1 4. . SE —NW $ S89 ° 53' 54'W $ �_ S 1 ACK_, p o, 1325. 79' U S 89 ° �58_ 19_E _439.99' W 0.81 $ � ! 49 � N89 ° 5 8' 19 -- w— — — 2652.31 N89 19"W 1325. 83' SE COR. o 5303.97' SE -NW M O WEST QUARTER CORNER EAST,'WEST QUARTER L INE 1 w SECTION 24 — SET UNPL w N PK NAIL FROM TIES • • ............. .... ...... .... S ro SOUTH QUARTER CORNER ROVED SECTION 24 — FOUND : �ROIX COUNTY AL UMINUM CAP Planning onina and Parks (:ori— e, MAY 2 4 2000 LEGEND If not rewrded within 30 days 6f O SET I " X24" IRON PIPE WEIGHING ePProv81 drat* aPProval shall be ! . 13 1_ BS. PER LINEAR FOOT n %?N# ro0 ti JAMES M. W mm 8.104 BEARINGS REFERENCED TO THE EAST.- SPRINGVUM. QUARTER LINE, SECTION 24. MEASURED AS IM Q S89° 58' 19"E. (ST. CRO I X COUNTY COORD. SYSTEM) Q SuA 1"-300' v rr 0 150 300 600 SHEET I OF 2 JAMES M. WEBER S -1804 NELSEN —WEBER LAND SURVEYING 2000025A THIS INSTRUMENT DRAFTED BY JIM WEBER DATED EFSPSOIE� '•? ^^ Vol.14 Page 3857