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HomeMy WebLinkAbout022-1071-10-050 � 1 gnsin Department of Commerce Count .ety and Building Division PRIVATE SEWAGE SYSTEM St. Croix r INSPECTION REPORT sanitary Permit No: 487991 0 O f GENERAL INF MAtION I , (ATTACH TO PERMIT) tate Plan ID No: ,,//•�� Personal information,you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 2o/2Z2 Permit Holder's Name: City Village X Township Parcel Tax No: Wolfe, Mae Kinnickinnic, Town of 022- 1071 -10 -050 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: (� . a r P d L 25.28.18.395A1b TANK INFORMATION ELEVATION DATA TYPE MANUF A TU R CAPACITY STATION BS HI FS ELEV. w - F l 4 Septic Benchmark r � c - � I v� �oz� , C ! o v . Dosing L �) C << Alt. BM 3 •ZO Aeration Bldg. Sewer t Holding St/Ht Inlet r . 90 r TANK SETBACK INFORMATION S t Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic \ l � r r Dt Bottom I2, --M l ZO Dosing Ll J t ti X Header /Man. / Lt) I Aeration Dist. Pipe / �d b r Holding Bot. System 240 Final rade �r PUMP /SIPHON INFORMATION [� u I Z + -- v Manufacturer Demand St Cove nn ^ n I r 4T -- �(�� GPM Nvdd l 3• BS C Model Number G 5 (� a � �, (0 3 �� .3 `� �� O H 1 1-ift TDH r Frictio Loss System Head Ft c I I t s5 °t 2 0. l� ?.,D Y-MyS Forcemain Length f Dia. Ir Dis . to Well l Y' SOIL ABSORPTION SYSTEM BE 1�l�flAH Width �+� Length / No. Of PIT DIMENSIONS No. Of Pits In Dia. epth DIMENSIONS 9 ZJ�S SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING nu urer: INFORMATION CHAMBER OR Type Of System: r �— UNIT Model Num DISTRIBUTION SYSTEM •�� Header /Manifol I d tr Distribution f r r r x Hole Size x Hole Spacing Vent to Air Intake p ci Length �O Dia Z ' Length Pipe(s) I Z 2R Dia Spacing - O Z 3 7 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed/Trench Edges Topsoil "a , No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection , #1 ��. '' V - LO Z / - 640 I spection #2: / Location: 1398 Halo Drive River Falls, WI 54022 (NW 1/4 SW 1/4 25 T28N 18W) NA Parcel No: 25.28.18.395A10 I. —6 1.) Alt BM Description = t,�a�- C�"x�l V �°� •, v 2.) Bldg sewer length amount of cover = Z rt+ Plan revision Required? Yes No 1 _ __ Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) Safety and Division County d B�� ` 201 W. Washington Ave., P.O Box 7162 m MV M icon, WI 1 )ber (to be filled in by Co.) nsconsi n (6 08) 2 -315 I n ?� Department of Commerce �N .D. Number ' Sa nitary Permit per�ion o a 1 In accord with Comm 8321, Wis. Adm. Code, s 3 provide �+� maybe used for secondary purposes Privacy Law, sl5.04(1)( ) Project dress (if different than mailing address) i �� T. Application Information - Please Print All Information Property Owner's Name y / Parcel #. Lot # Block # Property Owner's Mailing Address Property Locatton 12 �✓ �� '/,, b, Section 37 City, State / ) Zip C Phone Number ] � j /V z L/ ) J L r� � 1 / �` T V N, / r W e) - 5 3T1 II. Type of Building (check all that apply) 3 (/Yl hZ�11 Subdivision Name CSM Number X .-r- 2 Family Dwelling - Number of Bedrooms f14 A3, i ❑ Public/Commercial - Describe Use ❑ State Owned - Describe Use _ ❑City ❑villag ship of III. Type o Permit: (Check only one box on line A. Complete line B if applicable) A. System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B. ❑Permit Renewal El Permit Revision El change of ❑ Permit Transfer to New Before Expiration Plumber Owner / IV. Type of POWTS System: Check all that a I) ' ❑ Non - Pressurized 1n- Ground ❑ Mound _> 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recircula Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip L'ne ❑ avel -less i ❑ Other (explain) V. Dis ersab Treatment Area Information: tv: ' Des' Flow (gpd) Design Soil Application Rate(gpdst), Dispersal Area uired (sf) Dis ersal Area Pr posed (sf) System Elevation D /L 0X_ A VI. Tank Info Capacity i Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Ex'sting Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber�}� Y � VII. Responsibility Statement- 1, the undersign sume responsibility for installation of the POWTS shown on the attached plans. Plu er' Name (Print) Plumber' ature MP/MPRS Number Business Phone N bef Plumber's Address (Street, City, State, Zip C VIII. C un /De artment Use Onl Sanitary Permit Fee 4 Groundwater Da Issued W Agent ps) LIA PPI-ved El Disapproved Surcharge Fee) �/ /1 ❑ Owner Given Reason for Denial �f IX. Conditions of Approval/Reasons for Disapproval U�2 p p -/-S & STEM OWNER: GL Septic tank, effluent filter and dispersal cell must all be serviced / maintained all 1Lmanapement plan provided h�a �� W acl 2. All setback requirements must be mainta !ih as per applicable code /ordinances. Attach complete ? to the C a y) for the s o p of an 8 '/ x 1 is SBD -6398 (R. 01/03) PLOT PLAN PROJECT Mae Wolfe ADDRESS 117 Ctv Rd JJ River Falls Wi 54022 SW 1 14 NW 1 /4S 25 /T 28 NIR 18 W J�TIONAL nickinnic COUNTY ST. CROIX SYSTEM ELEVATION 106.5' 1.5'sand L �C �/ 5 / BEDROOM CONVENTIONAL AT -GRADE CON LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1600 LIFT TANK SIZE DOSE TANK SIZE 1352 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 750 # of chambers none BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL + H. R. P. Same as Benchmark 1320* Prore Line 600' Scale _ 1/4" _ 10' 150 private drive to 106' Halo drive B -2 105, 104' 102' B.M. garage k r in -law ng Alt. B.M. is Top edroom B-1 B -3 of 1/2" pipe 0 97.3' 12% Slope Pro 4 Bedroom Area 15' below House Huffcutt Combo Tank system is to remei in undisturbed Tank is to be properly bedded and provided with lockdown covers with N Well is to meet al l setbacks approved warning labels Grading is to be found in Comm. 83 done to divert run- off away from system n/y, � Z'd d b0 00 £0 99,I ST c UNR 0 CROIX PLANNING & ZONING EROSION SEDIMENT CONTROL PLAN Parcel # 25.2$J` 395A -10 Site: 1398 Halo Drive., SW 1 /4 of SW '/4 Sec. 25, Kinnickinnic Twp. — Owner (s) Mae Wolfe U tier St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosl - : ..prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requWifhe building permit applicant and /or landowner to follow erosion control procedures and maintain them ............... untiiSte has been stabilized. Erosion control is a requirement of the conservation easement recorded for this The`rty Owner is responsible for notifying all contractors performing construction on this site that an Erosir'& Sediment Control Plan is in effect and the following activities will be required in order to maint` compliance with the plan: Code Admintstratia 715 - 386 -4680 1. Thdrimary source for construction site runoff will be the house foundation excavation, driveway, and Land lnformadMo,s it stockpiled until final grading and stabilization is complete. Septic system installation adds to Planning temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and 715- 386 -4674 ,, ulch cover as recommended in #5 below. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. Surface drainage flows both northeast toward a tributary of Nye Creek Real Prom and southeast toward a pond. The proposed septic system is >150 ft. from the pond, according to the 715 =G -4677 USGS Quad Map. Recycling MI5- 386 -46 Intercept and route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between construction areas and any potential receiving waters (includes drainage ditches). Do not allow diverted runoff to be directed into surface water conveyances. (See specification sheet for temporary diversions provided by Zoning Dept.) 3.'f excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves ;::adequate vegetative cover to protect areas of concern, installation of other products may not be necessary. However, silt fence, straw wattles, or other approved sediment control products will be required if sediment cannot be contained on owner's property with diversions and vegetative buffers. The POWTS or Building inspector may evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4... > Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy ; ;equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the "property during construction. This helps avoid muddy, rutted conditions that may allow contaminated run ff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches renting from multiple access points and sediment tracked on public roadways must be removed at the erlf each workday. 5. S 6ilize new topsoil cover over septic system with seed and mulch immediately after installation - not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the POWTS. If late- season weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until vegetation can get established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. `'he owner of record during site construction will be responsible for compliance with the ESC Plan. Please feel free to contact me with questions regarding erosion & sediment control product installation. Pr jjared by: Pam Quinn, POWTS & Soil Erosion Inspector #665054 QWner acknowledgement of ESC Plan requirements: , _/ _ /2005 ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W1 54016 715386 -4636 FAX PZC?CO.SA1NT- CROIX.WI.US W W.CO.SA]NT- CROlX.4"di.U5 0 4 _ 0 o o m m ' m co 1 Wo m o o o _ � F :w 1 � - o I Z Z - - -- w - , 0 I - (b 01 CD- � N C Q C CD 0 N °= • aq - zT DO o n� c to o v CD O O Q 0 0 ; r- > — cn cn r — `( o -- �� n O O Q D m I' _ m C --- (D z / 0 O Cl (D N O v z q Q (D 3 N v 1 fi (D p rTl II i 0 0 I �■ II 0 A W m v O_ -0• v — z ��1�y o f Safety and Buildings 4003 N KINNEY COULEE RD commerce LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 iscont;ih www "commer / www.wisco isconsin.go sin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary October 07, 2005 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 Identification Numbers PLAN APPROVAL EXPIRES: 10/07/2007 Transaction ID No. 1201222 SITE• Site ED No. 705658 Mac Wolfe Please refer to both identification numbers, Halo Drive above, in all correspondence with the agency. Town o mnickinnic St Croix County SWl/4 NW1 /4 S25 T28N R18W FOR: Description: Five Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1043640 Maintenance required; 750 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /01) C071(1764 and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). � EP TM ENT OF • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Dl OF S EY Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and � dispersal are prohibited. SEE CORRESI • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stat I r SHAUN R BIRD Page 2 10/7/2005 • Comm 83-22(7) A copy of the approved Mans specifications and this letter shall be on site during constru ction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence 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, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 9/26/05 Owner:Mae Wolfe Location:SW1 /4 NW1 /4 S25 T28 N,R18 W Halo Drive Kinnickinnic System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# RECEIVED 1. Cover Page SEp 3 U zm 2. Mound Plot Plan & g�I�pINGS SAFE 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contig n y plan 9 -11. Soil test Y � Shaun Bird Signature cs License number 12e � 0NL)ENCE PLOT PLAN PROJECT Mae Wolfe ADDRESS 117 Ctv Rd JJ River Falls Wi 54022 SW 1 /4- NW 1/4S 25 /T 28 N/R 18 W TOWN Kinnickinnic COUNTY ST. CROIX SYSTEM ELEVATION 1065 1.5' sand Lift 5 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1600 LIFT TANK SIZE DOSE TANK SIZE 1352 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 750 # of chambers none BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter ZabelA -100 ❑BOREHOLE O WELL *H. R. P. Same as Benchmark 1320' Property Line 600' Scale = 1/4" = 10' 150 private drive to 106' Halo drive B -2 105'104' 102' Grading is to be done to divert run- off away from system B. M. Well is to meet all setbacks KN found in Comm. 83 B-3 Alt. B.M. is Top B-1 of 112" pipe @ 97.3' Pro 5 12% Slope Bedroom House Area 15' below Huffcutt Combo Tank system is to remain undisturbed Tank is to be properly bedded and provided with lockdown covers with approved warning labels It Designer Date ` Non -Woven Filter Fabric 4" Observation Pipe Perforated ,Distribution Pipe Below Filter Fabric AST t4 C -33 Send - -� G }H " Topsoil - -- o, �-� t i E r_ L% Slope �. Force N•oin `Plowed Bed Oi ;j�_ 2'Z Layer Drain Rock From Rump �D Cress Section Of A Mound S sttm using F J �� A Bed For The Ab sor P lion Area G . _s �— A 6 � � F t • . ����- 1 F t. �, Ft. K 11 Ft. Ft. W a Ft. rl �kt� u �� L eObservotion Pipe -� CD 1 ` _ Force Moin A l °- - - - - -- -------- - - - - -- ------ - - - - -- From PUMP a Distribution Bed 0� /2 Z'2 0 Pi Drain RocK i , 4 Observation Pipe '-OCt- '�� Permanent Marker pe or Rods Pion View Of Mound Usin A Bed For The Absorption Areo PAGE„DF_. --- I p Pipe Detail 1 _ End Vies _. �Perio�atsa Pvc P ipe Motes t_otated On gotrom. Are, ER�+at}y SGOted C IL` cx n t7c.GC � Jt � . + pVC Force M6in S i t FIRST %OLL NCxT ro CartnsG }'ot � 1 i1 Qvc Manifold Pipe alb (i'i5lriDYt4CT t \ Pipe �istripu Pipe t.ayav P Ft. f Y ,. R Ff. X 64 " 1 I nches Y tr . inches Signed; Hole Diameter 5133- Inch Lateral Inch(es) License Number: J'w1an i fol d Inches_ Date: Farce Main inches #`of holes /pipe Invert Elevation of laterals /0 ?, OFt. L OthP C�,RM$rR CROS S SECS SEPTIC TAN SPECIFICATIONS K P wEATWRPROOF APPROVED 141N. N. ABOVE GRADE juNCTION B +t �€ Etd'� PZPE IC WINDOW {}R WITH C ONDUIT MANROLE COY ER ck rRO�s notes. 1�f PADU�� £ FR£ i O.IR INTAKS: � � � ;� y,�pR�I�IG LA$E - —._ .. GRADE i� .. zY S. D• INLET GAS- T IGHT' RQIFEO ieiA�R TIGHT SEALS SEAL ; . 3ilII5 BIT�i Lm ApPROVED PIPE --- ` 3. OlitO # DN SMIC SOIL APplOVED FF PIPE 3' C. . 000 SOLID. p[#t4P {)I'I' EL£V -� �_. � - FT EDDING CINDER TANy- 30 AP3'RC3u � B COiqC$ETE PAD s PY��F�cA��a� ►s s /�/� FMB DOSES PER DAY - --- SEP'T'IC DOSE f t TAHK 14A1�3I'ACTURER= �L - � vowmE FN�$ACX � -- GAL. I1E SEPTIC:: �. � _ G� ti,C� GILL- TANK SIZES = � - - - - � INCAMS DOSE "- COAL - CAFACITI£S = A ° GAL, NF SY 8 A LAM MA1AC'n3RF 2 mc)DT� -L NUMBER = f- "I — _ � 'INCHES ��J---- -"' SW I-rcg TYPE C - �� GAL Q�IT4P �ppC't�3R£R ± _ � I�fS£S r WA KODF -L atilt#BER Ai�ARH AS PER I LHR 15. 3 sv ;TCx TYPE= J' WIRING a ��,fTiP £ FEAT E£ D; SCHARGr- RAT F DI STR I I E7 PIPE REODIR� - - - �' �'r E piJt4p OFF AND - - T - vEaTICAL DIFFERENC $ FT/10 IOg FT- FR2CiOi FACTOR - M�r,rn � flxlc st�i=�LY � � �� �� , IC g� F£.£'T FORCEtSAZN _.--- TOT los wilDTH -7 DIAMETER L£i+iCTH � INTER DIMEVSIONS� or PUMP `SANK: LIQUID i.ICEivS£ NUMBER' - SIGNED- _ it88 STA- RITE° cast ir on submersible effluent pump OUTUNE DIMENSIONS SECTIO 12.00 - -- + - -� 6.6 2 13.60 000 000 2' NPT ° -6.09 - 3.69 .W I Dimensions (in inches) are for estimating purposes only. ORDERING INFORMATION PUMP PERFORMANCE Max. F Mechanica l Catalog° Load Phase/ Cord CAPACITY LITERS PER MINUTE Number HP Am s Volts C cles Len t 0 so 100 150 200 250 300 350 400 450 EC650120T 1/2 12.0 115 1/60 20' 90 EC650120 1/2 12.0 115 1/60 20' 26 E T 112 5.6 230 1/60 20' Tethered EC650220M 1 112 5.6 230 1/60 1 20' Manual 80 Fy�� EC650320M 1/2 5.5 1 208 -230 3/60 20' Manual °O,yA 2a EC650420M 112 2.7 460 3/60 20' Manual 70 Fc 22 EC750120T 1 13.0 115 1/60 20' Tethered EC750120M 1/2 13.0 115 1/60 20' Manual 'yA 20 EC750220T 112 6.4 230 1/60 20' Tethered so 1e EC750220M 1 1 6.4 230 1/60 1 20' Manual So K750320M 112 6.0 208 -230 3/60 20' Manual w tip 1s ' K750420M 1 3.0 460 3/60 20' Manual z so F QS SO A EC7100220T 1 6.6 230 1/60 20 ' Tethered z Uj J 40 D EC7100220M 1 6.6 230 1/60 20' Manual x EC7100320M 1 5.8 230 3/60 20' Manual Fa 12 a K7100420M 1 3.0 460 3/60 20' 1 Manual 0 10 0 'I " \N HIGH HEAD MODELS 30 EH750120T 1/2 12.0 115 1/60 20' Tethered _ e EH750120M 112 12.0 115 1/60 20' Manual EH750220T 1/2 6.5 230 1/60 20' Tethered `— EH750220M 1/2 6.5 230 1/60 20' Manual EH750320M 112 5.2 230 3/60 20' Manual 9 +"j o EH750420M 112 2.7 460 3/60 20' Manual 2 EH7100220T 1 8.7 230 1/60 20' Tethered EH7100220M 1 8.7 230 1/60 20' Manual o EH7100320M 1 6.0 230 1 3/60 20' Manual 1 0 20 40 60 80 100 120 EH7100420M 1 3.1 460 1 3/60 20' Manual CAPACITY GALLONS PER MINUTE -All EC6 /EC7 /EH7 Series Pumps have 3/4" solids handling S . capability and 2" NPT discharge. Customer Service: (888) 782 -7483 • Fax Orders: (800) 426 -9446 ■ www.staritepumps.com ■ Sta -Rite Industries, Inc. ■ Delavan, WI 53115 USA S3953SSE (4/01) - TOTAL DYNAIvtiC HEAD /CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERiNG u , MODEL 152/153 MODES I 152 153 i i w Feet Makers Go!. liters Col. I t itcrs 50 5 1.5 69 261 77 291 . 10 1 3.1 61 231 70 1 2 12 40 15? 15 4.6 53 201 61 3 a 20 6.1 I 44 167 I r W 159 z 30 25 7.6 34 129 U 30 9.1 23 33 125 z S ( , n � -- 22 85 35 , 20 40 I 12.2 f -- 11 � 42 � o i pck I 38.0 c. ( 11. 6m)I 44.0 Ft. (13.4m)I 4 1 0 ` 0 0 40 60 80 1 ! GALLONS LITERS 0 80 160 2 320 - 32 1 1 4 5/8 FLOW PER MINUTE I � � . , 3 27l32 CONSULT ACTORY FOR SPECIAL APPLICAT S 6 i 3 27/' • Timed dosin els available. " • Electrical al ators, for dupl stems, are available and supplied with an alarm. 1 • Variable level control swit s are available for controlling single phase systems. • Double piggyback variabl evel float switches are available for variable 1 level long and short cycl ntrcls. • Sealed Qwik -Box availabl for autdoor installations. See FM1420. i • Over 130 °F. (54 °C.) spe quotation required. I � ,2 , /8 I 1 53 Series i Can of Selection 152N53 AA DE Duplex I 5 1/6 1 Model Vons Pk Anode 8 S s Sim I� 2 or 3 N152 115 1 Non sK206+ 9.5 Included 2 or 3 t i SN162 115 1 Auto 43 1 2 or 3 E152 230 1 Non 4.3 Included 1 .3 2 or3 BE152 230 1 Auto 1 2 or 3 N153 115 1 Non SELECTION GUIDE BN153 115 1 Auto 10.5 Included 2or3 5.3 1 2 or 1 Single piggyback variable level float switch or double piggy back variable level float E153 230 1 Non SE153 230 1 Auto 5.3 Included 2 witch. Refer to FM0477. o cAU noN 2. ee FM0712 for correct model of Electrical Alternator E-Pak. 3 riable level control switch 10 -0225 used as a control activa t All installation of controls, prole 'on devices and whin in ould be done by a qualified licensed electrician. Ali el ical d safety codes sho be followed including the most. (4) float System. recarlt National EleetricCode (NE and the Occupatio safety and iieaah Act (OSHA). RESERVE POWERED ESIGN For unusual conditions a reserve safety factor is engineered th n of every Zoeller pump. AWL To. P.O. SOX 16347 Louisville, KY 40256 -0347 Manuhacturersof.. SHIP T0: 3649 Cane Run Road Q ® Louisville, KY 40211 -1961 P! Q yNAF SN A Cf PUMP � O, i 21 7 ?8 27 .1(800) 28 PUMP (5 ° FAX (502) 77436624 hup;//Www.zoeUer. corn @ Copyright 2000 Zoeller Co. All rights reserved. t + t JA •� h N 0 5� `,14 MANAG PLAN p age of Z _ NER'S MANUAL S� EEF ATtor[s QOWTS C?YI! SYSTEM SI 1400 ai 0 NA s Tanis CaFac►tY :[[� INFORMA� f $epfic Tank Man[lfactvrer o p�n er W to err ❑ NA Pernik �. Effluent Flter Mane �� {� NA DESIGN P p�IlEt ERS O NA Effluent FilterModel - O NA g al Pump -Tank CgPadty ❑ NA p NA of Be Un'ds da Pump Tank Manufacturer f t N[nnber Co 1J� al! -7 t] NA Ecdmated ttow �� �� aVd . Pump Manu1`acr EstlMated x 1.S) Pump Model �' DeOgn 60v (P��+ ( /', t� allda /ftz Qfe ent Unit y E3 Peat Fitter Son Ap Monthly average P ' Rate Fitter n p Wetland Infltret M t Quality 0 m9/L p Mechanical Aeratro tI Other. Fats,, Off & Grease CMG) S3 mg /L p Disinfection BiodhemICaI Oxyg4W Demand (BODs) Total Su sPended Solids (TSS) nthlY nd (P m /L Manufacturer (pressurized) Monthly average" Dispersal Cel[(s) �-- rou p In -ground (gravity) nd peed Effluent Query BODs) S30 mg/L p At-g�e ther B'�hemicat Oxygen Demand ( 53b Mgn- ❑ Dri ine Total Suspended Solids {TSS) 510. dull QOMI n m °"�t0` and dwuWjc Fecal Conform ( mean) ya Inchdiameter vstues�l�u® o t. t �gt7c --Stll r - Maximum Effluent Particle Size .. Values tyP� °f ' CE SCHEDULE Service Frequency Maximum 3 yrs.) MAINTENAN �? p months ear(s) Service Event At least once every one -th ird (tS) of tank volume als Inspect condition of tank and scorn equ s) When combined sludge ear (Maximum 3 yrs.) out contents of tank(s) p months pump At least once every .,© months ar(s) Inspect disPe►s� Cells) At test once every r(s) O NA to p Mon Clean Effluent filter At least once every s ) p NA �„ Qontrots S alarm � p months Inspect Pump, pump At least once every p months fl year(s) 0 t4A NA Flush laterals and pressure test At least once eve? p months II year(s) 13 over At least Once every crier or UD"f10NS individual canyln9 one of rile following li or MMUTENpiyCE iNSTR dispe sails shad be made by individual $ewer. POWTS lnsPe�r. POVV7'S mainta or b[vKen lnspe of tanks and [sPe Master plumber Restnd ienfifY any m� fo any Mastiff Plumber on of the rankle) d bade UP e and scum and to check fir. Tank inspections Include must ide a visual inspect to check the e ffluent evefs swvkft Ope cks or leaks, measure the volume of l(s) s ed sludge nt lly inspected PO P of e ffl uent on the hard rant, Identify any Cta The dispel cell(s) shall be authority - round sum ceY ponding of effluent an the ground surface The p° of efflu on the g notif�tion of the local regulataY or pondir in the o pipes and to cifing n and requires the Immediate tank volume' the indicate a farTing conditio oats one -third (� more of the or once with �'• NR ground sut� may a and scum in any tank eQ disposed of in accordance mutation of slums by a Septage Servicing Operation and When the combined acin vents, and an e ntice Contents of the tails shall be rem - ment compo stn Administrable Code. POZTS components, p; tt fled pOVVTS Maintainer. 113, apical or pressurized fin ceM e qng of effluent is of 1y months or s shall be Ae leVon of any seP4 event nae or monitorin9 at interva r�rith n 14 days of come er . , re na provi o the local regulatory authority A report shan 'be proY+ t roduds or Other treatment tan�(�-S�)�f dte P �e'ce of painting p START t1P AN areal cel(h oonoentiatwns are For new oonsduc�n, PdOr to use of the POV�ITSsct�e an d/ o r damage rit che e lisp lS). If high rior to use deteded have the contents t>� that may imped e the treatment a nk Pr by a septage servicing operat P - of the ta k W ? - Page 1 2 . . shall not occur when When soil conditions are frozen at the infiltrative surface- gored the excess System startup es PAP tanks may Sill above nortrmal highwater levels. power is �uru,9 r— discharged the dlsl� ceii(s} in one large dose, overloading the Ce and may result in the cimp Sank removed by a waste discharge of efts ?t To O this situation have me n contact lug or POWTS Maintainer to backu cr sur[ang O M.St+Dring 'p to the effluent pump 3 O t urimp t to restore normal levels with the pump tank SeptsBe Setvic 3,st In manually oPerair 9 and dispersal Ceps- Do not drive or Park overt or otherwise dlsttmrb or compact, Do not drive or park VeWcles over tanks the area within 15 feet down sbpe of oily mound or at -grade sort absorption area and prolong the fife from the wastewater stream may improve the performance Reduction or-eruntnation of the fol�g tie butts; condoms; cotton swabs; degreasers; dental floss: dhPeM of the POW TS- antiblotics; balbY v{+iP d9 e soline; grease;- herbiades; meat t� on diain {sump PAP} water, fruit and vegetable Pe lings; gam - and water softener brine. dam' fouridafi p roducts; pesticides; sanitary napkins: tampo �; oil; gain8ng p ASANDOA M taken out of service the following steps shall to taken to insure that the When the POINT`' fans andlor is pdonedermtly Dance wit G� - Gomm 83.33. wm onsin Adm[nWrafiive Code: system is properly and safely abandoned in comp i In s sealed. The contents of an tanks and P t tanks and pits shall -be disconnected and the abandon posed o f by Sepfage Servicing Operator. All piping its shall be removed and property vets removed-and the void space In After pumping' a ll tanks and pits shall be excavated and removed or their coo filled with soil, gravel or another inert solid material counNGENCY PLAN the following measures have been, ar must be taken, m provide a code if the POWTS fans and cannot be rep aired compliant replacement system O A suitable nepiacement-area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replaceme ar from existing and pro tect ed Posed structure ce and be rues and welts - Failure to not be infringed upon by required setba prated She replacemen area wr71 result in the need for a new soft and site eva l ua tion to establish a suitable les P nt area. Replacement systems must comply with the ru l l i m itations- effect at that time_ replacement nd/or sot! Barring advances in POWTS 0 A suitable replacement area is not available due to setback 3 technology a holding tank may be installed as a last resort to replace the failed POW'i S. of to identify a suitable replacement area. Upon failure the POWTS a Soil and site has not been evaluated replacement area is available a — Site evaluation must be perforrned to �� a soluble replacement area_ if no rep holding tank may be installed as a last resort to replace the failed POWYS. abs of the biomat at u al �Pti°n stems may be reconstructed in place Mond and at -grade s following removal the infmttrative scrrfaoe. Reeonstruc�ons of such systems must comply wiffm the rues in effect at that time < TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. ENT" S. DEATH MAY DO NOT ENTER A SEPTIC, TREATM PUMP O R OTHER TREATMENT TANK UN ANY RESULT. , RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMAffFXM - Pt7YitTS INSTALLER POWTS MAINTAINER Name /` cl.r t f J I Name u�✓ J I 1� ) Phone .�t� Phone j �-' b " `� l LOCAL REGULATQRY AUTHORITY SEPTAGE SERVICING OPERATOR PUMPS 1 Name / cis -vim / Phone '� f J'. Phone - te r.% and SanAatiM agwdes- This doaurle� ins this 000rxnent was dished by the stafs of the terser take, Mattiuetfe and Waushara County Zoning �� Use of this Qoaimerir does not the minimum requirements of dt Comm 83=2XbHi)(dWo and 83 & (3). Wisconsin Adrrilnlstrar GMW (1lOt) guarantee the performance of the POkWTS- WisoYnsi SOIL EVALUATION REPORT Page of Division of Safe and Buildings s 9 in accofdance with Comm 85, Wis. Adm. Code County C Attach complete site plan on paper not less tha , 8 1/2 � i11 inphes in size, Plan must include, but not limited to: vertical and horizontal referenpg Poi , t -(BM), direction and Parcel I Pe Pe . percent slo , scale or dimensions, north arrow�distance tonearest road. Please print all information. Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). /L 3 Property Owner /- / PropertyLocatio C� i� Govt. Lot 1 /4 r/4 rT a N R E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# / /-? cs 'I r " City �neA St5 te Zip Code Phone Number ❑ City El Villag Town Ne est oad /Z ; �e�, a�C�o a /Oca 5 � �OReplacement ew Construction Us esidential / Number of bedrooms Code derived design flow rate J"y GPD ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable /I/ General comments and recommendations: S n Boring # ❑ Boring W tg Pit Ground surface elev, o ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ®Boring # ❑ Boring Pit Ground surface elev � ft. Depth to limiting factor c, i ✓ n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Df /o , 3�z � — -� • � -B 3 3 Af Effluent #1 = BOD > 30 < 220 mg1l and TSS >30 < 150 ' Effluent #2 = BOD 1 30 mg/L and TSS < 30 nVL CST Name (Please Print) Si re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �—� �� 715 - 246 -4516 Property Owner _ Parcel ID # Page of Boring # ❑ Boring ` 1 Q fZ–pit Ground surface elev,( zV 3 ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I 'Eff#1 'Eff#2 F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 F-1 11 E] Boring Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 not and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. seD68330 (e.6(00) Soil Test Plot Plan Project Name Mae Wolfe sh Bird Address 117 Cty Rd JJ River Falls Wi 54022 TM #226900 Lot ------ Subdivision -- - -- --- pa 9/26/05 1/4 KW 1/4S 25 T 28 N /R W Township IQnniddnnic Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1 /2" pipe System Elevation 106.5' *HRpSame as Benchmark 1320' Property Line 600' Scale = 1/4" = 10' Scale is 1" = 40' unless otherwise 150 private drive to noted 106' Halo drive 104' B- 102' B.M. * KN B-3 Alt. B.M. is Top of 1/2" pipe @ Pro 5 97.3' Bedroom House B -1 12% Slope ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP/ /C,,ERT/ IFICATION FORM Owner/Buyer ' ' /Q Q� w D l�-�C/ Mailing Address Property Address (Verification required from Panning & Zoning Department for new construction.) 022 - /o7a City /State Parcel Identification NumberaL 2 — / D ' o LEGAL DESCRIPTION 37a�J>�/ Property Locatio> '/a , /4 , a v' `� , T y N R W, Town of 1� -viti Subdivision �Lot # Certified Survey Map # - VAIu , Page # �� f , Volume , Page # �6 3 Spec house yes no Lot lines identifiabl ye no 19 SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe 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. ✓ l j 2 SIGNATURE APPLICANT(S) DATE * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey trap if reference is made in the warranty deed. (REV. 08105) Parcel #: 0 ?2- 1071 -10 -050 11/04/2005 04:23 PM PAGE 1 OF 1 Alt. Parcel #: 25.28.18.395A -10 022 - TOWN OF KINNICKINNIC Current X'', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner MAE A WOLFE O - WOLFE, MAE A 117 CTY RD JJ RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 'd _ HALO D SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 16.813 lat: N/A -NOT AVAILABLE SEC 25 T28N R18W SW SW EXC PT TO CSM lock/Condo Bldg: 13/3649 EXC AS 1532/46 ��� L C •d ` Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) J 25- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 09/1 179 1715/563 LC 14/2001 638459 1586/307 WD - 08/03/2000 627598 1 LC 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 40,000 21,700 61,700 NO AGRICULTURAL G4 14.813 2,100 0 2,100 NO 7 Totals for 2005: General Property 16.813 42,100 21,700 63,800 Woodland 0.000 0 0 Totals for 2004: General Property 16.813 22,100 18,600 40,700 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I j VGL l 1SPAGE JU3 LAND CONTRACT � :�i : �ai..kE� i H.vIALBH Do cument Number Form 11 f<EGISTER OF DEED :'T. i:ROIX CO., CONTRACT, by and between John W. Swenson and Ardis F. Swenson, R OR RECORD husband and wife, as survivorship marital property, ("Vendor ", whether 09 -10 -2001 9:30 AM one or more) and Mae A. Wolfe, a single person ( "Purchaser", whether LARD CONTRACT one or more). Vendor sells and agrees to convey to Purchaser, upon the EJ(ti'IPT R prompt and full performance of this contract by Purchaser, the following CERT COPY FEE: property, together with the rents, profits, fixtures and other appurtenant i;OPY FE_: interests (all called the "Property'), in St. Croix County, State of Wisconsin: TRANSFER FEE: 1056.00 iECORDING FEE: 15.00 See Exhibit "A" attached hereto and incorporated herein by reference. PAGES: 3 Recordina Area Name and Return Address C. L. Gaylord Attorney at Law P. O. Box 46 River Falls, WI 54022 22-1070-95-000, 22- 1071 -10 -000, 22- 1074 -95 -000, (Parcel Identification Numbers) The parcel described as "part of Lot 1 of that Certified Survey Map recorded in Volume 13, page 3649 of St. Croix County Certified Survey Maps" is being added to the larger parcel described in this conveyance document to create one parcel and they will not be sold separately, and this transaction is thereby exempt from Chapter 18 of the St. Croix County Land Use Regulations pursuant to Section 18.05 (A)(3) This is not homestead property. Purchaser agrees to purchase the Property and to pay to Vendor at such piece as reasonably directed, the sum of $352,000.00 in the following manner. (a) $5,000.00 at the execution of this Contract; and (b) the balance of $347,000.00 shall be paid as follows: On or before May 1, 2001, Purchaser shall pay an additional 583,000.00 as down payment; thereafter. Purchaser shall pay monthly payments beginning June 1, 2001, on a 20 -year amortized basis, on the principal balance of $264,000.00 plus 6% percent (6% %) per annum interest computed on the balance outstanding from time to time, until the entire principal and interest have been paid in full. (The parties shall procure an amortization schedule to formalize the payments and the apportionment between principal and interest.) Following any default in payment, Interest shall accrue at the rate of 6%% per annum on the entire amount in default (which shall include, without limitation, delinquent Interest and, upon acceleration or maturity, the entire principal balance). due Such -Fno Feaelved by 11he VORAOF for paym RIG DRA I MLAFOAGS will has ASP061101A 4 140 AR SAW Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after the date of closing (OR) There way be AD PFOPQVM@Fd 91 PFiRQ OF IRISFeal wilhaidi In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month "If be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Vendor will fumish title evidence to Purchaser within 30 days of receipt of survey of property; Purchaser shall thereafter have 20 days to raise any objections to the same, in writing; Vendor will have a reasonable time thereafter to correct the same. Purchaser agrees to pay the coat of future title evidence. If tithe evidence is In the form of abstract, It shall be retained by Vendor until the full purchase price Is paid. Real estate taxes for the year 2001 shall be pro-rated between the parties as of May 1, 2001 and paid at the time of receipt of billing. Purchaser shall be entitled to take possession of the Property on May 1, 2001. 0VaL 1715PAGE 565 Exhibit "A" That certain parcel of land located in the Northwest' /. of the Southwest '/. of Section 25, the Southwest '/s of the Southwest '/4 of Section 25, the Southeast '/4 of the Southeast '/4 of Section 26 and part of Lot 1 of that Certified Survey Map recorded in Volume 13, Page 3649 of St. Croix County Certified Survey Maps, Town of Kinnickinnic, St. Croix County, Wisconsin, more fully described as follows: All of the Northwest ''/+ of the Southwest' /. of gaid-Section 26, All of t e Southwest '/. of the Southwest '/A of said Section 25, EXCEPTING THEREFROM, those lands described in Volume 1532, Pages 46 and 47 of St. Croix County Records and ALSO EXCEPTING THEREFROM, all of Lot 2 of that Certified Survey Map recorded in Volume 13, page 3649 of St. Croix County Certified Survey Maps. All of the Southeast '/s of the Southeast '/4 of said Section 26, lying Easterly of a line being 66 feet Westerly of and parallel to the East line of Lot 1 of that Certified Survey Map recorded in Volume 13, Page 3649 of St. Croix County Certified Survey Maps, EXCEPTING THEREFROM, those lands described in Volume 1532, Pages 46 and 47 of St. Croix County Records and ALSO EXCEPTING THEREFROM, Lot 2 of that Certified Survey Map recorded in Volume 13, Page 3649 of St. Croix County Certified Survey Maps. The above described parcel containing 64.002 acres or 2,787,946 square feet, being subject to easement over Southerly portions of said parcel for town road purposes as now laid and traveled and also being subject to easements of record. This parcel also being subject to those building setback line restrictions as shown on said Lot 1. ST CROIX U NTY PLANNING &. ZONING November 7, 2005 Ms. Mae Wolfe Code Administra 117 Cty. Rd. JJ 715 - 386 -4680 N River Falls, WI 54022 Land Information & Subject site: Parcel #022 - 1071 -10 -050, part of SW '/4 of SW '/4 of Section 25 Planning Town of Kinnickinnic 715 - 386 -4674; RE: Application for new POWTS sanitary permit Real Prop Dear Ms. Wolfe: 715 -3 - 677 A sanitary permit application was submitted to our office on October 11, 2005 for a proposed mound Re cling septic system on the above - referenced parcel. However, the house plans accompanying the 5 -386 -4675 application indicate that more than a single - family residence will be constructed, which will require approval by the Board of Adjustment per Zoning Code 17.15 (6)(a) Special Exceptions. The main 3- bedroom house will be connected to both a smaller one - bedroom house and a garage /shop via s s separate covered walkways. All three buildings' domestic wastewater will be connected to a single mound Private On -site Wastewater Treatment System ( POWTS). An application must be submitted to our office for the prior to the issuance special exception permit pp � P P � P P k' of a sanitary permit for the proposed POWTS. The application will be on temporary "hold" until it �. has been received with all applicable fees paid. N.5 The following items must also be completed before the sanitary permit can be approved: An affidavit (see enclosed form for your use) must be recorded on the parcel's deed that r: discloses multiple dwellings connected to a single POWTS. / /// aY'6_5� ✓2. The plumber will revise the plot plan to show the actual building and sewer pipe locations j originating from both ouses. The plan must show where the Private Interceptor Main Sewer (PIMS) will connect to the main building sewer above the septic tank inlet. The plot plan also does not appear to match the house site indicated by the locator map on the house o/ plan cover sheet — Shaun's drawing indicates POWTS is 600 feet east of the southwest corner and 150 feet north of the south property line. 0 , An Erosion and Sediment Control Plan is required for all new construction within it Kinnickinnic Township. I will prepare an acknowledgement form for your review and signature that specifies activities your contractors must perform during construction. This will be mailed to you prior to permit issuance. After the sanitary permit is issued, you can then submit your building permit application to Dave k Phillips, Kinnickinnic Building Inspector for his review. ST. CRoIx COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W1 54016 71X386 FAx PZC- CO.SAINT- CROIX. Wt. US WWW.00.SAINT- CR0IX.W1.US I NO If you have additional questions, please do not hesitate to contact me at the Zoning office, S' mela Quinn " oning Specialist - POWTS c: Shaun Bird, master plumber Robert Bezek, Code Administrator " Jennifer Emmerich Zoning S g ecialist p Mary Murphy, Kinnickinnic Twp. Chair Dave Phillips, Town Building Inspector file .Y z �r 4 gx� a p F y� �' s ,. ,:,., ....." . <. ,'..w., � e.. 'n ,:. -:::: x�.., evmae?�. wn..+' rn: n. aaa�. �_ w: a'.' fi.FbW484i`F:ittis:+w�dtYF.t�e'.. ae. Mta�. mn> x�w.` �6m+ 1�WR�e! iW3taxttta: YF+*: Tai?dls+.l w. V' aTW�eb?nMniti� •Rf.?`1.�rza�.rx�s:P` °n. - �*°!zayG. "^ ci�yaa' Ht- f a�aaiWavxi�u :Maatufl'b�Sn'lltY�e'R - !vu ST. CROIX COUNTY GOVERNMENT CENTER 110 1 CARM/CHAEL ROAD, HUDSON W1 54016 715.3864686 FAX PZPCO. SAINT- CROIX. WI. US WW W.0 O. SA I NT -C ROIX. W I. US Parcel #: 022 - 1071 -10 -050 11/10/2005 04:28 PM PAGE 1 OF 1 Alt. Parcel #: 25.28.18.395A -10 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner MAE A WOLFE O - WOLFE, MAE A 117 CTY RD JJ RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1398 HALO DR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 16.813 Plat: N/A -NOT AVAILABLE SEC 25 T28N R18W SW SW EXC PT TO CSM Block/Condo Bldg: 13/3649 EXC AS DESC 1532/46 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 25- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 09/10/2001 656179 1715/563 LC 02/14/2001 638459 1586/307 WD 08/03/2000 627598 1532/46 LC 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 40,000 21,700 61,700 NO AGRICULTURAL G4 14.813 2,100 0 2,100 NO Totals for 2005: General Property 16.813 42,100 21,700 63,800 Woodland 0.000 0 0 Totals for 2004: General Property 16.813 22,100 18,600 40,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 022 - 1070 -95 -025 11/04/2005 04:22 PM PAGE 1OF1 Alt. Parcel #: 25.28.18.394A 022 - TOWN OF KINNICKINNIC Current X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner MAE A WOLFE 0 - WOLFE, MAE A 117 CTY RD JJ RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 37.000 Plat: N/A -NOT AVAILABLE SEC 25 T28N R18W 7SW` CPT TO CSM Block/Condo Bldg: 17 -4565 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 25- 28N -18W NW SW Notes: Parcel History: Date Doc # Vol /Page Type 07/14/2003 730194 2313/611 EZ -1 09/10/2001 656179 1715/563 LC 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 20.000 3,000 0 3,000 NO UNDEVELOPED G5 7.000 17,500 0 17,500 NO AGRICULTURAL FOREST G5M 10.000 25,000 0 25,000 NO Totals for 2005: General Property 37.000 45,500 0 45,500 Woodland 0.000 0 0 Totals for 2004: General Property 37.000 35,000 0 35,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 U, 2883P 097 y% STATE BAR OF WISCONSIN FORM I - 1998 8 112:11 8 6 6 11101 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number ST. CROIX CO. WI RECEIVED FOR RECORD This Deed made between John W . Swe and A rdis F. Sw husband and wife, a survivorship marital property, 09/07/2005 09: WARRANTY DEED Grantor, EXEMPT i and Mae A. Wolfe, a single person, REC FEE: 11.00 TRAMS FEE: 63.00 _ COP F EE: Grantee. PAGES: 1 Grantor. for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property "): Recording Area A PAR e1LT2tTS•M..P�RT OF THE 6, T28N, Name and Return Address TOWN OF KINNICKI T. CROIX COUNTY, WISCONSIN, BEING PAR LOT 6 OF A CERTIFIED URVEY MAP RECORDED IN VOLUH£ 19, PAGE 4980 AT THE ST. CROIX REGISTER OF DEEDS OFFICE; DESCRIBED AS FOLLOWS: Mae A. Wolfe COMMENCING AT THE SOUTHEAST CORNER OF 6; THENCE ALONG THE 117 County Road JJ EAST LINE OF THE SOUTHEAST QUARTER OF SAID SECTION 26 N00 ° 17'31 "W A River Falls, WI 54022 DISTANCE OF 398.58 FEET; THENCE S89 ° 15'44 "W A DISTANCE OF 265.66 FEET TO THE POINT OF BEGINNING; THENCE S89 ° 50'44 "W A DISTANCE OF 388.93 FEET; THENCE N00'00'03 "E A DISTANCE OF 276.05 FEET; THENCE S86 ° 12.51 "E A DISTANCE OF 53.87 FEET; THENCE S76'38'18 "E A DISTANCE OF 371.89 FEET TO THE WESTERLY RIGHT -OF -WAY OF A PRIVATE ROADWAY EASEMENT RECORDED IN Part of 022 0174 - 95 - 130 VOLUME 2313 PAGE 611 AT THE ST. CROIX COUNTY REGISTER OF DEEDS; THENCE ALONG SAID RIGHT -OF -WAY S17 ° 36'39 "W A DISTANCE OF 10.99 FEET TO THE Parcel Identification Number (PIN) POINT OF CURVATURE OF A 670.15 FOOT RADIUS CURVE, CONCAVE This is not homestead r0 er[ SOUTHEASTERLY, WITH A CENTRAL ANGLE THAT MEASURES 15 ° 08'31 ", A CHORD p p y THAT BEARS S07 ° 34'49.5 "W AND MEASURES 176.59 FEET; THENCE SOUTHWESTERLY (is) (Is not) ALONG THE ARC OF SAID CURVE BEING THE WESTERLY LINE OF SAID RIGHT -OF- a A DISTANCE OF 177.11 FEET TO THE POINT OF C ACRES (9 CT TO ALL EASEMENTS, RESTRICTIONS 46 7 L OV S OF RECORD. S LOT 7 OF CERTIFIED SURVEY MAP IN VOL.:AO , PAGESOG7 , IS RECORDE THE ST. CROIX COUNTY REGISTER OF DEEDS. THIS DEED IS GIVEN ENT OF THAT CERTAIN LAND C CT BETWEEN THE PARTIES HERETO DATED APRIL 28, 2005, RE , 2005, IN VOL. 2804, PAGE 189, AS DOC. NO. 795188. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good. Indefeasible in fee simple and free and clear of encumbrances except Dated this / si day of (SEAL) 1..P lam (SEAL) * + Joh W. Swenson (SEAL) ,�/ :�e (SEAL) ci s * Ardis F. Swenson AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. % acE County. authenticated this day of Personally came before me this I st day of & . a M!�o . the above named ,1 hn W. Swenson and Ardis F. Swenson. husband and wife, as survivorship marital property, TITLE: MEMBER STATE BAR OF WISCONSIN (If not, me known to be the person ! J who exec" authorized by §706.06. Wis. Slats.) Instrument and acknowledge the same. C1 .••', ; i THIS INSTRUMENT WAS DRAFTED BY • CP Mae Wolfe + ( 04 L Notary Public, State of Wisconsin 117 County Road JJ, River Falls, WI 54022 My commission is permanent (If not, s 'aaff e 1r31Io �it (Signatures may be authenticated or acknowledged. Both are not necessary.) sq_ ' Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Bunk Go., Inc. FORM No. 1 - 1998 Milwaukee, Wis. OAA VOL 20 PAGE 5064 i(� b � KATKLZM H. KLSH 1 REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR WORD CERTIFIED SURVEY MAP 09/07/2005 09:15AM LOCATED IN PART OF THE SE1 /4 OF THE SE1 /4 OF SECTION 26, T28N. CERTIFIED SURVEY MAP R18W, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. BEING PART REC FEE: 13.00 OF LOT 6 OF A CERTIFIED SURVEY MAP RECORDED IN VOLUME 19, PAGE PAGES: 2 4980 AND PART OF LOT 1 OF A CERTIFIED SURVEY MAP RECORDED IN VOLUME 13. PAGE 3649 AT THE ST. CROIX COUNTY REGISTER OF DEED OFFICE. SURVEYOR: PREPARED FOR: �� OF W / DOUGLAS J. ZAHLER MAE WOLFE Q y S do N LAND SURVEYING, INC. 117 COUNTY RD. 'JJ" r j DOUGLAS J. Z E1 /4 COR. 2920 ENLOE STREET RIVER FALLS, WI 54022 Z H SEC. 26 HUDSON. WI 54016 - CURVE TABLE Number C1 Radius Length 670.15' Central Angle 15'08'31' Chord Bearing 50734'49.5 "W / Chord Length 176. / S86M2'S1`E � Arc Length 177.11 / _ 001 Tangent In S1 5`09'05"W Tangent Out SOO'00'34 "W/ �, C� 1 � ,18 3 �• e9• S1T36' "W - y 10.9 / g J :DRIVEWAY C /. /i N � i pt / ' / c c 1 V '' LOT 7 -100• A 0 I a 2.163 ACRES ' C J. z >- 94,225 SO. FT. Q�� i co C i S8950'44W 388.93' I I S89*15 *44"W 5.66' a LEGEND m FOUND ALUMINUM COUNTY I M SECTION CORNER MONUMENT = ^ I I = Q� CA I I .4 vA <n SET 1' OUTSIDE DIAMETER BY I �z iSD z 4 O 18" LONG IRON PIPE, WEIGHIN J $ C 1.13 LBS. PER LINEAR FOOT I Zi _ �z I Q m ROADWAY SETBACK LINE N w ................. I (100' FROM RIGHT —OF —WAY) I t SOIL BORING I I PRLVt41� RQAQ= �CL_yaQE HALO DRIVE EASEMENT RECORDED IN VO�._2313 PG_ 611 CO0 S EC. 26 SCALE IN FEET 1" = 100' - / 100 0 100 THIS INSTRUMENT DRAFTED BY: WILLIAM KANE / JOB NO. 6256 -02 DATE: 09/02/2005 � �� SHEE 1 OF 2 SHEETS Vol 20 Page 5064 ` -�SLi � oa's ST CROIX COU NTY PLANNING &. ZONING November 7, 2005 Ms. Mae Wolfe Code Admiais&a 117 Cty. Rd. JJ 715 -386 -4680 River Falls, WI 54022 Land Information Subject site: Parcel #022 - 1071 -10 -050, part of SW '/4 of SW %4 of Section 25 Planning Kinnickinnic Township 715- 386 -4674 RE: Application for new POWTS sanitary permit Real Prop Dear Ms. Wolfe: 715 -3 677 A sanitary permit application was submitted to our office on October 11, 2005 for a proposed mound Re cling - 386 -4675 septic system on the above - referenced parcel. However, the house plans accompanying the application indicate that more than a single-family residence will be constructed, which will require PP g Y approval by the Board of Adjustment per Zoning Code 17.15 (6)(a) Special Exceptions. The main 3- 'M bedroom house will be connected to both a smaller one - bedroom house and a garage /shop via ' separate covered walkways. All three buildings' domestic wastewater will be connected to a single mound Private On -site Wastewater Treatment System ( POWTS). An application must be submitted to our office for the special exception permit prior to the issuance of a sanitary permit for the proposed POWTS. The application will be on temporary "hold" until it has been received with all applicable fees paid. 4 The following items must also be completed before the sanitary permit can be approved: 1. An affidavit (see enclosed form for your use) must be recorded on the parcel's deed that E discloses multiple dwellings connected to a single POWTS. 2. The plumber will revise the plot plan to show the actual building and sewer pipe locations originating from both houses. The plan must show where the Private Interceptor Main Sewer (PIMS) will connect to the main building sewer above the septic tank inlet. The plot plan also does not appear to match the house site indicated by the locator map on the house plan cover sheet — Shaun's drawing indicates POWTS is 600 feet east of the south eaf corner and 150 feet north of the south property line. KO 3. An Erosion and Sediment Control Plan is required for all new construction within Kinnickinnic Township. I will prepare an acknowledgement form for your review and signature that specifies activities your contractors must perform during construction. This will be mailed to you prior to permit issuance. After the sanitary permit is issued, you can than submit your building permit application to Dave Phillips, Kinnickinnic Building Inspector for his review. ST. CROIX COUNTY GOVERNMENT CENTER 110 1 CARM/CHAEL ROAD, HUDSON, W/ 54016 71x386-4686 FAx PZCaCO. SAINT- CROIX. W1. US W W W. C O. SA 1 NT-C ROIX. W I. US f � If you have additional questions, please do not hesitate to contact me at the Zoning office. Sinc I me] Quinn f oning Specialist - POWTS y c: S haun Bird, master plumber �G. Robert Bezek, Code Administrator Jennifer Emmerich, Zoning Specialist Mary Murphy, Kinnickinnic Twp. Chair Dave Phillips, Town Building Inspector file r M }. �Sq.:'•,. > .q ,..:. -.; Y - ...a..,. ronwa .(.i'. 1m.be+.A. M.e_.. _'KIASRSN�aFSn9h rw*JriaxFY4. Far:mn.w!'s+Laa. itskacaastaY+�C¢R .:. '� _ _. iTwMFNFStYAiU: ST. CROIX COUNTY GOVERNMENT CENTER 1101 CARMICHAEL ROAD HUDSON, W1 54016 715386- 4686FAx PZCaCO. SAINT- CROIX. WI. US W W W, CO. SA I NT-C ROIX. W I . U S 7 � �i V \: .. c r- f I i r l i �l of o 'o, I I �I r "`VVVVV4 Ul I, f is I Ms. Wolfe, As you requested, please find attached copies of the ordinance applicable to your situation along with an application for a Special Exception Permit and an application for an Administrative Appeal. It is my determination that the structure meets the County's definition of a "two family dwelling" which requires a Special Exception Permit under section 17.15(6)(a) of the County Ordinance. Typically our office would not issue a Sanitary Permit until the proper zoning constraints are complied with. Understanding your desire to get the project underway yet this fall I would offer to issue the sanitary permit if the Special Exception Permit application and fee were submitted first. I need to be clear that while our office can issue the sanitary permit, the decision on whether or not to allow a two family dwelling, or any additional requirements, would be up to the County Board of Adjustment. If you wish, you may appeal my decision to qualify your house as a "two family dwelling." This process could proceed concurrently with the Special Exception Permit. The deadline for both applications is the 15 of the month. There is a $750 fee for a Special Exception Permit and a $600 fee for an Administrative Appeal. All fees are non - refundable once processing begins. Since both application processes involve a public hearing that could be held at the same meeting with the same notification requirements the combined fee could be reduced by $150. 1 will also call to discuss the above. Bob Bezek, Code Administrator St. Croix County Planning & Zoning ST CROIX CO U PLANNING &. ZONING November 7, 2005 Ms. Mae Wolfe 117 Cty. Rd. JJ CodeAdministra 715 - 386 - 4680 River Falls, WI 54022 Land Information & Subject site: Parcel #022- 1071 -10 -050, part of SW '/4 of SW '/4 of Section 25 Planning Kinnickinnic Tesk�iW� 715 - 386 -4674 RE: Application for new POWTS sanitary permit PP rY P Real Prop Dear Ms. Wolfe: 715 -3 677 A sanitary permit application was submitted to our office on October 11, 2005 for a proposed mound Re cling septic system on the above - referenced parcel. However, the house plans accompanying the - 386 -4675 application indicate that more than a single - family residence will be constructed, which will require approval by the Board of Adjustment per Zoning Code 17.15 (6)(a) Special Exceptions. The main 3- bedroom house will be connected to both a smaller one - bedroom house and a garage /shop via separate covered walkways. All three buildings' domestic wastewater will be connected to a single k mound Private On -site Wastewater Treatment System ( POWTS). An application must be submitted to our office for the special exception permit prior to the issuance of a sanitary permit for the proposed POWTS. The application will be on temporary "hold" until it has been received with all applicable fees paid. The following items must also be completed before the sanitary permit can be approved: 1. An affidavit (see enclosed form for your use) must be recorded on the parcel's deed that discloses multiple dwellings connected to a single POWTS. 2. The plumber will revise the plot plan to show the actual building and sewer pipe locations originating from both houses. The plan must show where the Private Interceptor Main Sewer (PIMS) will connect to the main building sewer above the septic tank inlet. The plot plan also does not appear to match the house site indicated by the locator map on the house plan cover sheet — Shaun's drawing indicates POWTS is 600 feet east of the southeast corner and 150 feet north of the south property line. 3. An Erosion and Sediment Control Plan is required for all new construction within Kinnickinnic Township. I will prepare an acknowledgement form for your review and signature that specifies activities your contractors must perform during construction. This will be mailed to you prior to permit issuance. After the sanitary permit is issued, you can t1oJiMmit your building permit application to Dave Phillips, Kinnickinnic Building Inspector for his review. ST. CRO /X COUNTY GOVERNMENT CENTER 1 101 CARM/CHAEL ROAD, HUDSON, W1 54016 715. 386 FAx PZ @C0.SAINT- CR01X. W/. US WWW.CO.SAINT- CROIX. WI.US �ihYY+@ ':+ti!kM1x"'NHU39V'zkl".b[fsiEiS xaxzeS* e, 44s.+ ki( 6� "�Nrh'35aV'...vM»N. "4vveehcaR- M�,Rh'a .. fA: �NPA�6 te 4 If you have additional questions, please do not hesitate to contact me at the Zoning office. Sincerely, mela Quinn - oning Specialist - POWTS c: Shaun Bird, master plumber Robert Bezek, Code Administrator ` Jennifer Emmerich, Zoning Specialist Mary Murphy, Kinnickinnic Twp. Chair av hillips, Town Building Inspector �� file � r A& n ST. CRo/X COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD HuDsoN, W1 54016 7153864686 FAX PZOCO. SAINT-CROIX. W1. US W W W. C O. SAI NT -C ROIX. W I. US Document Number Document Title l ' St. Croix County Occupancy Affidavit for a single POWTS servicing Two Dwellings via PIMS Name — (Owner) Typed or printed being duly sworn, states, under oath, that: 1. He /she is the owner /co -owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume /7/ 7/ 1 Page 5 Document Number 6 5 - 4 St. Croix County Register of Deeds Office: Recording Area A parcel of land located in the t/ of the5(/J t/ of Section ZS , Name and Return Address T N — R /_ W, Town of St. Croix County, Wisconsin, being duly described as follows (include lot number and subdivision/CSM or detailed legal 0,�.2 _ 6 7 _ /p , 07W 3 5A 1 d description): S'vu% * SW t f41 _t„_ „! n�� -� r �'r" fi Parcel Identification Number ( PIN ) CS fiA 3 V( q Iu JgyCggl' Qo h /il,c," kl.' Y /. l J Z, As owner of the above described property, I acknowledge that a Private On -site Wastewater Treatment System (POWTS) serving the primary residence is sized for _ bedroom(s) with a design wastewater flow of gallons /day. (DWF calculation based on 150 gpd /bedroom @ 2 persons/bedroom). Two dwellings will be connected to the POWTS via Private Interceptor Main Sealer (PIMS) in compliance with Comm 82.30(12). A maximum of _ occupants are permitted. There are currently a total of _ occupants in these residences, therefore the POWTS can be considered code - compliant at this time. However, I understand that if the number of occupants exceeds the maximum for POWTS design, the system will be undersized to accommodate any increased wastewater flows and /or contaminant loads and may be subject to premature failure. I also acknowledge that I will disclose this information to any parties interested in purchasing this property in the future. Dated this day of , AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) )ss. St. Croix County. ) authenticated this day of Personally came before me this day of the above named TITLE: MEMBER STATE BAR OF WISCONSIN to me known (If not, to be the person(s) who executed the foregoing instrument and acknowledge the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. My Commission is permanent. If not, state expiration Both are not necessary.) date: Date: "THIS PAGE IS PART OF THIS LEGAL DOCUMENT — DO NOT REMOVE" This information must be completed by submitter: document title. name & return address. and M (if required). Other information such as the granting clauses, legal description, etc. may be placed on this first page of the document or may be placed on additional pages of the document. Note: Use of this cover page adds one page to your document and 52.00 to the recording fee. Wisconsin Statutes. 59.517. u� , x - T j i I lot c j ( I�. ji Iii 1 j i t • Parcel #: 022- 1071 -10 -050 11/04/2005 04:30 PM PAGE 1 OF 1 Alt. Parcel #: 25.28.18.395A -10 • 022 - TOWN OF KINNICKINNIC Current. _X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner MAE A WOLFE O - WOLFE, MAE A 117 CTY RD JJ RIVER FALLS WI 54022 Districts: SC = School SP = Special fioperty Addr * = Primary Type Dist # Description *4469 HALO DR N h - D SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Y tS Legal Description: Acres: 16.813 Plat: N/A -NOT AVAILABLE SEC 25 T28N R18W SW SW EXC PT TO CSM Block/Condo Bldg: 13/3649 E XC AS DESC 1532/46 LcYT Z Tract(s): (Sec- Twn -Rng 401/4 1601/4) 25- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 09/10/2001 656179 1715/563 LC 02/14/2001 638459 1586/307 WD '(Jd/U3/ZUU(J 6 17598 1 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 40,000 21,700 61,700 NO AGRICULTURAL G4 14.813 2,100 0 2,100 NO Totals for 2005: General Property 16.813 42,100 21,700 63,800 Woodland 0.000 0 0 Totals for 2004: General Property 16.813 22,100 18,600 40,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments S P 9 Special Charges Delinquent Charges Total 0.00 0.00 0.00 1' rn w o o n c p0 coal s M t - S2 x.' ►+ 1 I C N� `I, A� RDARRY v W t. ►~+.e RAIRIE 2 'M R ��.�.� � 0.• W&123 ~ Podensd QMS1 R s a }} RD TY a y a W n Oo N y L 6y V% °M G t •'1 y 1"► ?• J J 1 A M w m 'Q uva Inc \a G o• t d Y Oo H K J4 Da.h tqm c • C � 1 QI �is'n �� W = EE RD Fa 2 Q z; ? re - fi t ARS 20 �S ��. R� w e 9O DBPP ,.'.. Lt M m p �A n r IS KBHC 10 I )@MC 10 O a ,. D 23 Dm O 3&W 19 � 1 X 99 �I O X ~� s -1 Z I F+rt C' 'D . N� �•w � �. ,�..a K °uff h3c ��?' b< ^�„� " rS ! Q Off,. fE �+n��• B� f".4� eb fE z�� N f XYa �saa ; N C L� i� l' < 69 0 m ' �1 V < •t M. rz z 3 �4 szq� ROL !!a -- -- - — II - P.• , y , g .% 3 s3 N x" ` a o �yp o i I �•ff '.". £ fit /1 ow 0 `L_1:111 INA �f I �tdd b ?� 1.2 , z z 6i ►+bed dim OND ROSA oR 1 O x y C �� z � {z 9 9fD r 7 a C 1 1DR �£�° g•" x .+ " H o �� C Ys up zr < = C 1 :W x } 7 _ z o - .. �`a2 B in 17 O mo V1 � �S Y � F s Ber £ ••x W C woy IV �> O .49WWe w , n. Y y:p ZI NC N 1 B e n st7' w . N U i N J n Cr w5 1 tai. ° rQr h k Pedersen ` 1 9 O NJ NJ rgMr r1Pq r q_r" r "r" r"rn, Tr"r P ' Parcel - #: 022- 1071 -10 -200 11/04/2005 04:30 PM PAGE 1 OF 1 Alt. Parcel #: 25.28.18.395B -10 022 - TOWN OF KINNICKINNIC Current ;X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner MICHAEL W &SHARLENE KESSLER O - KESSLER, MICHAEL W & SHARLENE 1400 HALO DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1400 HALO DR O� SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 23.431 Plat: 3649 -CSM 13/3649 SEC 26 T28N R18W SW SW & PT SE SE SEC 25 Block/Condo Bldg: LOT 2 BEING LOT 2 CSM 13/3649 ALSO COM NE COR LOT 2 CSM 13/3649 POB;TH N 75 DEG W Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 1485.21';TH S 89 DEG E 1432.77';TH S 00 25- 28N -18W DEG E 379.72' POB Notes: Parcel History: Date Doc # Vol /Page I Type 02/14/2001 638459 1586/307 WD 62759 153214b LC 06/21/1999 605311 1435/458 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 20.431 2,600 0 2,600 NO OTHER G7 3.000 30,000 206,000 236,000 NO Totals for 2005: General Property 23.431 32,600 206,000 238,600 Woodland 0.000 0 0 Totals for 2004: General Property 23.431 17,600 148,400 166,000 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: 12/0411998 Batch #: 520 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f � p 9 ;. V r1 AY 2 619 ..JU 2 1 , Re9iset ol0e+� 60787 ST. CROIX COUNTY SURVEYOR'S RECORD CE RTIFIED RVEY MAP IC John and Ardis Swenson Part of the Southeast 1/4 of the Southeast 1/4 of Section 26 and part of the Southwest 1/4 of the 1 Ir Southwest 1/4 of Section 25 all in T 28 N R 18 • W Town o g f I{innicicinnic St. Croix � roix Coun h', Wisconsin Im o � West Line SE //4- S£ //4 Sec. 2¢ O 2 N 00 0 28'46 "W /3/7.06' i0 1284.06 �! -rite- , ~ i f �, • O / t * T Q �y 03 y ' r.` s Ic,r g a s a P c a (� u • a n O Q� eb of (4 � 2 ko th r � to � w� cc , fS : O o N .� o0 Z � � � c I I � O :b a I� IN $ . y y �' j la I � j;t ty 1 S00' 12 /2 "E i m aNy 1 0 63.9 T NO336.92 W " "p g S � 56'F SB, �B6,S `` -- a 'y 0 0 C3 se, s' o i 20.0' I �.4 , gz, y + w o [ ] -- - N OO °30'27 2640.80' - - - 0m x O o n �- yy I `A Na O (A U -na y, 'v Its y � \\ r0 O I I A c" Iy Ib VIE �y �� �``�: '�� o� .4• ° �� o cS) c �,: c �o'y o o NN N ww ov IN Icn � 0 J 1 n lb 0 �a Q— Cb %% \s C O /NS, �o • "l0 1 • LA UR CE' N� 08.40' � • W PHY • cc o F' S 713 xS00 ° ?3 39 E „ •: , • y� East Line SW / /4 -S //4 See. 25 � RIVER FAL .I IINPL DATED- APRIL 1 , I SC ATT£D LANDS WI. >' • =o 9 �� ,9 JQ ,• , REVISED -MAY 11, 1999 �i '0 S This Instrument Drotted by Mork W. Peovey • , , _ _ _ _ SHEET / OF 2 PLOT PLAN /20 ZZZ PROJECT ,Mae Wolfe ADDRESS 117 Ctv Rd JJ er Falls wi 54022 SW 1/4 NW 1 /48 25 /T 28 N/R 18 W TOWN Ki ckinnic covxTY ST. CROJX SYSTEM[ ELEVATION 106.5' 1.5' sand Lift / !'� -5 BEDROOM 5 CONVENTIONAL AT -GRADE CONV IONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1 600 LIFT TANK SIZE DOSE TANK SIZE 1352 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 750 9 of chambers none BENCHMARK V.R.P. Top of 1/2 pipe ASSUME ELEVATION IOA' Filter Zabel A -100 ❑ BOREHOLE O WELL # H. R. P Sam a as Benchmark F 1320' Property Line 600' Scale = 1/4" = 10' / I 150 private drive to 1 aio drive B-2 10 5' 04' T 02' garage B. M. Mather in -law NN E wing Alt. B.M. is Top 1 Bedroom 3-1 B-3 of 112" @ , V%A ' 97.3' 12% Slope Pro 4 Bedroom House Huffcutt Combo Tank Area 15' below system is to remain undisturbed Tank is to be properly bedded and provided with lockdown covers with Well is to meet all setbacks approved warning labels Grading is to be found in Comm. 83 done to divert run - off away from system Z - d dZ£:b0 00 Co gad E 1 � (��% - �- D �� � � � -L� l I C � -�.�� �� � � (� D �. 3 � O � v -sconsin Department of Commerce �� R OIL E VALUATION REPORT Page of 3 ivision of Safety and Buildings in ag6jrdarice with `�5, Wis. Adm. Code Jr'r; , County Is-7- Attach complete site plan on paper not less (h9cr 6 1/2 x�'+jnches in siz,#� Plan must include, but not limited to: vertical and horizpn Vreference point {B% direction and Parcel I.D. Zz - ���tJ - QS A/v1J percent slope, scale or dimensions, north ar) :and location and di lance to nearest road. O ZZ - 10 7 ) - 10 , O S O Please print al),inhDrmatioi: Reviewed by Date Personal information you provide may be used for secondary purp acy Law, S. 15.04 (1) (m)). Property Owner Property Location 1,� _ S1,3 - eonF SW 1/4 S W 1/4 S 2 S T N R ,B E (o 0s) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 11`1 CUuyl �.o s s " — City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road zAuizF I Lvl I S4oZZ ( L )Z6 -( �--ltQo -O- 2LQQ'LC EL New Construction Use: ® Residential / Number of bedrooms �_ Code derived design flow rate 0 O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material I -0t!!�- ou 3 L L Lf 1- e — emu u � Flood Plain elevation if applicable N fl ft. General comments and recommendations: ' - Awt-� wlni CC)' Lt:�"u`n 0 (`mil I Iv l MCI UK, a '*' O 1 S A F I L L , Boring # ❑Boring © pit Ground surface elev. Cl q D ft. Depth to limiting factor 3 b in. .Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell ` Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 o -q �o�rz3l — S11 Z s b1 z vn`f O S Z v� • .a Z q _31 l0`t � l(, — si f 3`FS 1�`Fl- C y OR L 1J 01= A pMtJ' /GS - �10TL `T+" S O c /o LL !r GJ�1 S a Boring # ❑ Boring ❑ Pit Ground surface elev. 4o S ft. Depth to limiting factor Z9 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 �- �o� -t231z si I Z4% b17, Z �= Z� IoK 2 3! b — s i 1 Z f 5 b►�c m'�1� e S _ , s . 8 . - -Zo y !0`i 2 613 LS6R Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) gnature CST Number Arthur L.- liegerer O )I - 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Ilain St. River Falls, WI 54022 y - 1 - J 715 -425 -0165 A Post -it' Fax Note 7671 ° g 1B m H � � o ° ges► ai To tJ£7�N � Fro CoJOept. Co_ Phone N Phone a Fu Y Fax N ` 1l►• � W W ° Z N = L LL W Xo V o W 0z 4 CL 0 Q 1-: N ■ � 9 SOC ANM L �XON ,L9 ■ C9 1. X00 G C? C) CO C) d C:) C 5 10� C:) C:) co C) UL m cU �' �'-' C� N ° C) cY) aC �, O = 1- v O o o O _ Q o o c� F O d- O co p d' - .� o (D - p C� % O ` z p N O 6) VJ 19"Soc C) �3 11 LCIL LOO Os �,, ANF Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 %rDivision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County - CtZf� LVI include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 0 2 - Z - 10 1b - CIS yh iv.-) Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. O LZ - )_o tp - o Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner ,b4N SK3 E1vSpN Property Location _ SW 2'100�' Gaft tut SW 1/4 SW1 /4 S 25 T N R E(or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 11� cou" zoo ss " -- — — F -, iZ,YI St ate Zip Code Phone Number E] City ❑ Village ® Town Nearest Road UEZFPc, --S I Ivl I SiLL0 ( LJ Z6 - $ ZV ` ttJ1JLCkLij)VlC I 1}-IbT -.) vu a New Construction Use: ® Residential / Number of bedrooms GPD �_. Code derived design flow rate >S 4 0 ❑ Replacement ❑ Public or commercial - Describe: Parent material LOeSS OUQAt L Lr'L try — Flood Plain elevation if applicable General comments and recommendations: V`-ApU NA"� 1-7H 9 r X 6 7 ' n S1Zlt�U�1 t) !J 'M U KI " W — F-t L t_ . Boring # ❑ Boring © pit Ground surface elev. 9 9 • D ft. Depth to limiting factor 2 10 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz In. Munsell °` Clu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2- v� Z q -31 _ 36 -4b 1D`i 2 bl� - ZS @R - - •o .o y C1�L 01= PrL.L 6oR1n/63 - 'I'\Ut " T*ft Q S o °lo LL (: Gfi4 s Boring # ❑ Boring ❑ pit Ground surface elev. 10 - S fL Depth to limiting factor 2- 1 4 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -� Lb- Ltt - I tZ si 'Z�tbz w►`�v- eS zv� •S .� Zf S b►z W1 e S • S - 8 3 21 Z9 - I - S ifLVA" — sic l lcsbk y eS , z _ 1 pK2 ' EfBuent #1= BOD, > 30 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = SOD, < 30 mg/L and TSS < 30 mWL CST Name (Please Print) ignature CST Number Arthur'L Wegerer J. 1' �`f 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Bain St. River Falls, WI 54022 y_Z) -O J 715 - 425 -0165 I Z- Z - 1 O - 10 - °!S fjpuD Property Owner W Q Parcel ID # O ZZ — lb"? � —10 - O SO Page Z' of 3 Boring # ❑ Boring ® Pit Ground surface elev. '.I. 7 ft. Depth to limiting factor 7 - 8 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Etf#2 0 -9 vnVL 31z - si► z sbl Mf►- v4 •s •e 2 �j6 - si k m`F1, �s - . s • 8 3 z� ZY �.5 NfZ4/l6 - sic.1 tcsblz ;•» Fy �S` � - z • 3 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Boring # ❑ Boring F ❑ Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Ef1#2 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -6330 (8.6(00) PLOT PLAN Pace -3 of 3 Scale 1' _ Y)' co s ` Cr p -Z \ m I � .W � o rvp � CO►rtP�9 co�vvv� Ez.. aq.s' ,I 6omi or- �� `SJ L� . 100,1 Bt^f tF-i � L S�'TC1� ►vw - sw � I osro, DrZ. C. _y -Z1 -OJ 715- 425 -0165 220254 01 -� CST Signature Date Telephone Pao. CST No. Job NO.