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Waaconsin �artment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix S�fety and Building Division INSPECTION REPORT Sanitary Permit No: 408231 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: Jackelen, Thomas Kinnickinnic Townshi 022 - 1076 -9 00 CST BM Elev: Insp. BM Elev: IB�Won: tr oo, c 5 � �� Rd TANK INFORMATION tLEVATION DATA ! ✓j TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark / I S Dosing Alt. BM 3.0 q, eration Bldg. Sewer Holding_ �" S t Inlet � 3, ? ?, St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD 2!—1 Septic Dt Bottom �(80� t 3 S Dosing 7 / t � Z � ,> � / r Header /Man 6 6 Aeration S Dist. Pie L Holdin Bot. Sys em L Z Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number I TDH Lift Friction Loss ystem Head TDH Pt �3 es A I , Forcemain Leng Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 4 r 5 1_/ l SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM G Manufacurer. INFORMATION (HAMBE4 OR S Type Of System: Mo I Numb r: DISTRIBUTION SYSTEM S Header /Manifold Distribution I x Hole Size I x Hole Spacing Vent to Air Intake Length Dia Length S Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bedrrrench Center Bed/Trench Edges Topsoil [] Yes ' No Fin Yes [_S] No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1:// D Z Inspection #2: / / Location: 145 County Road JJ River Falls, WI 54022 (NW 1/4 SE 1/4 27 T28N R18W NA Lot 4 Parcel No: f 27.28.18.P429A 1.) Alt BM Description= � < W � �� y) ✓y S T�C(y 5�9/t�(►' �wiSiOl� 2.) Bldg sewer length = (jf D,� ,o v,,.� k4 amount of cover = 7 r X r—X j, a r � j U I " s 3 c � ..� GGC1 Plan revision Required? � es ��" No Use other side for additional information. ` / / / - /ate sepctors Sign lure // �b Cart. No. y SBD 6710 (R.3/97) S S �ifVr�.t �✓ ridr/( Owe- w St✓ (,( ,./ mod 7 A e !M e K e e c Of �� /+I Nt L� C ,�l �c i y rri7 ��`� Ile 1 001-e y. F ST. CROIX COUNTNJN j)FT AITMENT D WEAL AS BUILT S NITAk T 9 N Owner TOM J k'C-Z,,r'A) ( 0,0A4kD . 1 �1�� Address LU y J City /State R / u h - 1 I S — _ — I _ Z Legal Description: �--- Lot _Y___ Block S"Wivi�sian/CSM # _ 6PS VOI .16 • ! ' y, '/a S ,Sec. 2-7 T�N -RILW, Town of j' %.✓N j PIN # 022. • Jd 76 ' 7 • oa9 � 1 I 0 2-2 • /07� • � •Otra SE PTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Wank manufacturer Size ST/PC 1 O (960 Setback from: House Well PIA P/L Pump manufacturer I%Vei 5 Model ¢ O Alarm location GV 1- (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: 7jrVQ f Width 3 ' Length Number of Trenches Setback from: House Well P/L Vent to fresh air intake > ELEVATIONS C5 7 - '5 3 1y" PSG Pi/,e 2 /oo. o Description of benchmark Elevation Description of alternate be nchmark 7'OP Elevation S 85.E g7 ' f ' - Building Sewe ST/HT Inlet -�" " ' ST Outlet PC Inlet C° ' y� PC Bottom Header/Manifold �_.,.,� Top of ST/PC Manhole Cover /a /Q� S Distribution Lines O S O O 13e ld W Bottom of System Final Grade �UA -115 • ZQ ?ere I, �' 0-1 Date of Installation / f Permit number Yo j / State plan number N/ Plumber's signature }? 6 License number ZZ� 3 * Date I / D L Inspector . BONN E'�u �'f ('� � Complete plot plan * i I . I C61'eleE-l72Z,v Ca r Ulbricht & Associatn�ttants p sewage Co 855 O'Neil Rd. Hudson, Wis. 54016 r • r O 0 Q ; r te/ N 00 kjj d► � � �� - W �, � 04 �It t t O i tl Y I I I c3l �• �WZ= Z vti p p Cn W3v MEr Z 'Msconsin Departmenl of Commerce SOIL EVALUATION REPORT Z rivision of Safely and Buildings Page of in accordance will' Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x i 1 inches In size. Plan most Count 5 7 C�D /• �- Include, but not limited to: vertical and horizontal reference polill percent slope, scale or dimensions north arr , Parcel I.D. O Z Z • /O 7 ow, and loca ai* ;.. } ( ?'..�lrAar�Sl roa `� Please Print aft Inf�ormaf n. Reviewed by Date Personal Infornralion you pup%! filly be used for s as (P y sriy acy ta , - 79 ' 6141 y - Property Owner Property localio s Prop / erfy Owner's Malling Address Gvy1. te1 114 y 114 S 2 7 Y N R (or) w lot Block # Subd. Name or CSM# T j ` cS G0oi� d . 110/ !G • y3a i GII State Zlp 1 ode Phone Num er SYO (I City ❑ Village &] Town Nearest Road IT Ir New Conslructton Use: r Residential I Number of bedrooms .�_ Code derived design now tale Gpd ❑ Replacement ❑ Public or commercial - Describe: Parent material la d g flood Plain elevation If applicable General comments it. and recommendations: 7 X ` 45 T A & CD U ,Ur%/ Zo J;A)6- P_ , _ ORi6liA1 Di m N,0 ;N4wD & /` e g e-dv& " -At _ . ��� tvl�.tte s ysr• w,9.s . Boring 0 11 Boring �D .2 > V 1"7j4?- 1 r 1 V Pit Ground surface elev. J it Depth to limiting factor - in, Norizon bepth j[ ., "edox . Description Texture Structure Consistence Boundary Roots Soil Application Rate In. ry GPD/fl' . Qu. St. Cont. Color Gr. Sz. Sh. 'Eft #1 '1211#2 �• z S•rs s•3 LAS f �q. Boring # U Boring !- • Q Z Pit Ground surface elev. � tL � o � � �7 8 • Depth to Ilmllin factor g Nori '— In zon Depth Dominant Color Red Soll Ap ica In. Munseil Rate ox Description Texture Structure Consistence Boundary Roots GPD/ft' Du. Sz. Cont. Color Gr. Sz. Sh. •Eft #1 'Eft# p� z. 3/ i 3 s K its s .s Z • /Z AO yR 3 fa •i � s s/� z shie dvk Gov 5 75 sA s Y G s S / S S , Effluent #1 = BOD > 30 < 220 mgn- and TSS >30 < mg/l • EfBuenf ff2 - < �-'!Iu BOD 30 and Y < 30 mg/L e iPlease Print) �_ SS nature - Ro Nu CST CST Nam T ztlhR f •�Gt 7' Address 2 Z GP 3 S Date Evaluation Conducted Tele h one N p umber Ulbrlcht &Associates O Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 OR IGINAL f � • Properly Owner Parcel ID Page - Of Soring 0 ❑- Boring IA ❑ Pit Ground surface elev. fl. Depth to Ilmitin factor g /In. I tortzon beplh Dominant Colo Redox Description Texture Structure Consistence oun W Application Rate dory Roots GPDm In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. TIM 'Eff#2 i . noring 0 ❑ Boring ❑ Pit Ground surface elev. It. Depth lo'llmlfing factor M, tlorizon Depth Dominant Color Redox Description Texture S1 ucture Consistence Boundary Roots Soft Gf'Om Rate llcatloh In. Munsell Du. Sz. Cont. Color Sz. Sh. 'Etf #1 EM2 r U Boring # ❑ Boring ❑ pit Ground surface elev. ft. Jfn, .E Horizon Depth bominant Color Redox Descripllnn Text Bounda Roots Soil Application Rale �' GPDIfI° In. Munsell Qu. Sz. Cont. Color •EH #1 'Ef/p2 ' Emuenl #1 = 8OD, > 30 220 mg/l and TSS >30 < 150 mg/l • Effluent #2 = BOD, < 30 mg/L and TSS < r 1 he Uepartrnenl of Commer a is an equal opporhrnity service provider tind employer. If you need assistance to access services or need material in n alternate formal, please contact the department at 608 - 266 -3151 or 1TY 608- 264 -8777. 3On! ?7e (RFMIp t r � r l Y 1 - W � h � 1 ) y UA t Cj r VS 7t O N . o 11 l+ m I {1 I 1 • , f O � o � � 0 Safety and Buildings Division County ,. 201 W. Washington Ave., P.O. Box 7162 57 ' CRP j' x- ` isconsin Madison, WI '53707 - 7162 Site Address Department of Commerce 9--7-3o .oZ Sanitary Permit Application Sanitary Permit Other In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Z g ma be used for secondary ses Privac Law s13. I m 0 Check if Revision I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name N/ 7 Parcel Number V Z Z /0 7 O �',� s TA ��- e-l-�- , i3�E•�v,g- 5. 4 , . 30 • e � Property Owner's Mailing Address SS ,/ &IARP 5 7- • Property Location City, State �'(J / Zip Code Phone Number N � s � u I S �, T Z N. R /00 h' Lot Number Block Number t pi Z s yo ZZ [ T �� S I d ` 4$,A4 c (� /r0� GO/ CSM Number II. Type of Building (check all that apply) 4 Z.. 1 or 2 Family Dwelling - Number of Bedrooms R E C W DCIty 0 Public /Commercial - Describe Use Ovillage 0 State Owned 141kAe -l_ /oD / €.i owns /�l1N / i ` 2(' ''' Nearest Road SW7td of EV 3 " �Z is C ru 1 S III. Type of Permit: (Check only one box on line A numb ring ( SI;dr; use) Complete line B If applicable) A. 1 New 2 0 Replacement System 3 0. Replacement of 6 Addition to County use stem Tank Oni Existin S stem B ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check ail that apply)(numbering scheme is for internal use) . / vJ Ffus e- 44)4-Non - Pressurized In- Ground 210 Mound 47 0 Sand Filter a 50 ❑Constructed Wetland 22 0 Pressurized In- Ground 410 Holding Tank 48 0 Single Pass 8 510 Drip Line 45 ❑ At - Grade 46 ❑Aerobic Treatment Unit 49 ❑Recirculating 30 0 Other V. Dis ersal/Treatment Area Information: Design Flaw (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate Sy evation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min./Ineh) 9 ` y6s 1• / ,; � Elevations 16 Z-0 VI. Tank Info Capacity in Total Number Manufacturer Gallons Gallons of Tanks New Existing Prefab Site Steel Fiber plastic w /�f1 Z f4 I JU �j /� Concrete Constructed Glass t Tanks CD/1� , - Septic or Holding Tank / Tanks / � "' Dosing Chamber OD �,e� .� VII• Responsibility Statement- I, the undersigned, assoane responsibilit� for installation of the POWTS shown on We attached plans. Plumber's Name (Print) Plumber's Signature #P/MPRS Number Business Phone Number. Plumber's Address (st Cit State, Zi Code) Ce S S N i c. / l� /-jdp Count /Dana Use On1 Approved ❑ Disapproved ' Surcha e t Fee (includes Groundwater Date Issued ent Si lure mps) 8m (No Ste ❑ Owner Given Initial Adverse . )�� Deterrrilnatioo ]j G �y y G IX Conditions of Approval /Itracn for Disapprove a � se_ hM- trw►1 /tea a�Fs �G -f-La ote ��� r",, (.wn v�-, g 3, (3 —/ � Nk- d )1I g12, o "c p1�, yt rb4e� red CVZ, y P w - Q /?� 1,0, U j 1 c P e cots o f e cyst on pope! not less than $W tt 11 inches in ehe t C r�� ltXpGtr� {'hQ'c�+1 �dlir� S(�yn S: SBD -639 (R. 05(01 ���.'�4, � �' ® 13 c/C j I T S Iv 6 Y 3• p& 49 ,00 ov Cd bs h Rai' h � #)AIL a ll b, 6 .'v L Y y- c 7�r of o(so o 50 M L 7g , r — � ULBRICI & ASSOCIATES CO. 655 O'N'ell toad • 1 Judson, WI 54016 Reg..Designers of F.nginoering Systems 715- 3136 -8165 Private Se►vage Consukalits PROJECT INDEX PLAN ID # 13�E,t11 .S.a l �i, DATE OwNFR �'p 1 `A ck ieA1 PHONE 1 12-5' 0779 ADDRESS g ,Sg 11-11GU� X P • 57T• RI V-, 1�ct.ClS lu /. Sao L DESCRIPT 4 9' • CSM 696 - 1400 Val• 16, J°�. 4"34 Z NW Y 4 Po sF yl/ a4- ykl *` s 6 , s. 2--7 T 2-8 �C' MOW . j/ TOWN OF K i AIN l GK / •1VN I C _ COUNTY sV•�/ x_ LOCAL AUTHORITY/ SUPERVISION ST• cjeOi 17`y. PROJEC'C DESCRIPTION: p D 2 Z • /O Co , 4"p , a� o Z '2_ • /v') 7 • �O • o� ti-eelv s /w 3 /'io//e S j 7. 5- 0 2-,Q �.,e� Rio cv — y,�'b �S • , �- Ce v v ti 7 -v /,u�IP_d uw D s yS 7 _ THIS POWT SYSTEM SHALL tes INCORPORATE PER COMM. Ulbrich tl Asa a c onso fa les wants 83.44(2)c A PROPER ZABEL prW810sit o w FILTER MODEL # 655 O IS 5400 • /� Nudson• P /UM &16k- 1AA > ORIGINAL. � o Pg.l INFILTRATOR SIZING WORKSHEET Pg.2 SYSTEM PLOT PLAN P9.3 CROSS SECTION OF SYSTEM, WITH ELEVATIONS. pg n to to " n it P9.5 OWNER MANAGEMENT PLANS & ZABEL FILTER SPECS P9.6 (OPTIONAL) CROSS SECTION AND SPECS FOR DOSING TANK. PG.7 (OPTIONAL) PUMP PERFORMANCE SPECS. The attached plans and specifications are based on "In- Ground Absorption Component Manual For Private Onsite Wastewater Treatment Systems." (Version 2.0) SBD- 1075- P(NO1 /Ol. , t , 0 Q3 o f Nil m :J0 Ll\ FIT b � o � w V y s Q ash Up ? p of h o 1% n 'v Z� Pv / o 80 o S ' o -&•s 191 fro sq? 5 o 57' 13 3j ' v / �S n TAP ° 5 � 0 0, o A p X4°"2 C,*Ic0 tit P � C U.t1 t IE�. T /oc> / ' i/r ,o Z .O t K 9 Ta slid y y SD eh y Cifo SS SEc TlaAJ L D.t1 c o wt� s f S� Ti � �- 3 /• Q �T, rtd��'ov,�j coif c r Iff OVER: See Reverse Side for Vent/ Observation Pipe Details. �I An observation pipe may serve as a combination observation/vent pipe providing it terminates in the same manner as required for vent pipes. See Figure 6. r - Vent cap" Return hand / Cap W min. 12" min. .,- Final grade \f' Aggregate 0194fibution lateral 3 typ. yp. J System elevation Figure 6— Vent and combination observation/vent pipes Leaching chamber tops are at or below the original grade. Leaching chambers are placed directly on the bottom of the distribution cell. The locations of leaching chambers are in accordance with Table 3 of this manual. Observation pipes are installed in the distribution cells and are provided with a means of anchoring to prevent them from being lifted up. Observation pipes extend from the infiltrative surface for stone aggregate Systems or from the inside of leaching chambers to a point at or above finish grade. The portion of the observation pipe below the distribution pipe for stone aggregate F systems is slotted while the portion above the distribution pipe is solid wall. Observation pipes for leaching chamber systems are attached to the chambers in accordance with the chamber manufacturer's printed instructions, extend from a distance z 4inches above the infiltrative surface through the top of the leaching chamber up to or above finish grade and terminate with a removable watertight' cap. All observation piping has a nominal pipe size of 4 inches. See Figure 5. Water tight cap r PV 4" min. die. Repair couplings nn Slot ' min. i Infiltrative surface Water Closel Collar Bar(M min. die.) Figure 5 - Observation pipes Vent pipes, if installed, connect to the upper half of the gravity flow distribution laterals and extend up to at least 12 inches above finish grade. Vent pipes terminate with the vent opening facing downward by the means of a vent cap or fittings. Vent caps must allow a free flow of air between the distribution lateral and the atmosphere. All vent pipes has a nominal pipe size of 4 inches. 24� SEPTIC TA NK & PUMP CHAMBER CROSS _SECTION AND SPECIFICATIONS CI VENT PIPE 12" MIN. ABOVE GRADE & ?WEATHER PROOF FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER 5ell. 4D W1 PADLOCK 4-- c — WARNING LABEL ....-4 MIN. 0 IAJ tq P INLET ' =_ = GAS- �Iq TIGHT ZABEL _ __ _ A t SEAL APPROVED F� t I , ALM JOINTS W/ puc pi Pte; � - M p� t r_ ja-p ' ON PIPE 3' ONTO 3'16 SOIL -, ; ^� 3�3 SOLID SOIL PUMP OFF ELEV . _F'1'. -I— OFF RISER EXIT D PERMITTED ONL' tN M IF TANK (3D MANUFACTURER go 3" APPROVED BEDDING UNDER TANK HAS APPROVAL CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE Wes a b y TANK MANUFACTURER: /' n 1e D1 r_ / ' L' 40 1 4 "6 0 NUMBER DOSES PER DAY: 0 TANK SIZES SEPTIC / D0_') GAL. DOSE VOLUME INCLUDING DOSE GAL. 33 FLOWBACK: X77 GAL. ALARM MANUFAC'T'URER - --._ CAPACITIES: A = 20 INCHES = GAL. MODEL NUMBER: L SWITCH TYPE: ja ,vim B = 2 INCHES = 30 GAL. PUMP MANUFACTURER: /�Ey f C = 1.7 INCHES = 1 GAL. MODEL NUMBER: p r SWITCH TYPE: 6 _ D = O '7 INCHES = I2 GAL. REQUIRED DISCHARGE RATE Z 4 GPM PUMP & ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BE'TW PUMP OFF AND DISTRIBUTION PIPE . . 11 FEET + MINIMUM NE'T'WORK SUPPLY PRESSURE + 2.0V FEET FORCEMAIN X � FT /100 . FT.,�FRICTION FACTOR.. 'FEET FEET 'T0'TAL DYNAMIC HEAD FEET If u IN'T'ERNAL DIMENSIONS OF PUMP 'TANK: LENGTH S ; WIDTH ; DIAMETER „,-- LIQUID DEPTH / ” SIGNED: LICENSE NUMBER: DATE: c ' NJ ,v 3 3 P/C y `SS ` = s -Q SEPTIC TANK, per Comm-83.44 (2) (c) shall be equipped with an outlet attached approved filter device (Zabel s fliter). Tank shall have an approved above ground locking manhole cover for regular (every 12 months or less) inspection & servicing by a licensdd service pumper. ME40 Series 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMA' CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 U) W 30 tL W H 25 6 E Z O 20 6 J 15 Q ~ 4 O 10 5 2 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE F. E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 Printed in U.S.A. I r iii •,; � iii iii � I • 1�1 � 1 i�i � � 1 • • • o u _ II I_ • 'J • 1 iii � % %� 1 :1' ,. • • ' \tom.::. `�;, � .��.......• Raw I Nil _ Zito q . at 3 • -� o =• � • •, • o • '•mac 4"' 'i�q � � ro =ssgW �. E � .._. 1 i� COT,+Yb� Ply PS' L�4 �61Y\ -.,..E Wisconsin Department of Commerce IL EVALUAT ON REPORT Page of 3 Division of Safety and Buildings ` ' in accordance with Comm 85, Wis. Adm. Code _ County -- C(Zo L ST I ' Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must K include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. P Lam) IAJ Please print all information Re . we by Date Personal information you provide may be used for second aw, . 15.04 (1) (m)). G� /�C_Q 7 // Q ;I-- Property Owner 1� � M \V-S roperty Location P T tp)=1J —S FU BU '41 �nz - - M S 01 N-W 1/4 5 E 1/4 S Z7 T 28 N R ) 8 E (or W Property Owner's Mailing Address A q ot # I Block # Subd. Name or CSM# S $ �owf' �" S T - LI ��> vuc <2&" City State Zip Code Phc& ZONIN OFFICE City ❑ Village �]C Town Nearest Road IZtU�Z FYrl! —S ►.v S L1 o z-Z - 9 lz.ltiw tC-kIK) �J L ® New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate S q GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material flood Plain elevation if applicable N ft General comments and recommendations: R.k m ev Z C.eLIs ) L-"PvtE f ( 00 r L-ohJC wl J6 L,Aj rr-% or-- I416y x`1^1 St DEwj/vo � o.L &f'AM RoRS Pe-p- Cz-L w /Dp S� Fv►-1 P, CALLS �'0 t3E 38" ��4. Boring # ❑ Boring ® Pit Ground surface elev. Q q 1 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 Z`C Sbk M -F1- CS — •s - g 3 _b8 1 O`I 2�1� -S Boring # ❑ Boring ® Pit Ground surface elev. 1 C� Z- (a ft. Depth to limiting factor ' S 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 1 0 -8 l oi n -31 - 30 - Z�7f S b lz cw - •S -S Z I l$ 1D7231b — S1 S Z`FSb1Z yyl cS • 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) � Si atu CST Number Arthur L. tdegerer :C. - OZ �6 -Y 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Main St. River Falls, UI 54022 -ZZ_p Z -715 -425 -0165 t Parcel ID # h wA 1 tit G Page of • M Boring # ❑Boring ® Pit Ground surface elev. W, O ft. Depth to limiting factor —2-2-( In. Horizon Depth Dominant Color Redox Description Texture Stru Soil Application Rate cture Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 T,) -I lOYIZ� 3 2_6 lovQ 14 O S. 1 4 7 4 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 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 GP5/ft 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 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity servicp 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 -8330 (ROOD) ' PLOT PLAN Page 3 of 3 ' Scale 1' = SO' 3 i31> �M / 1 i :9 yz co '� Z i - 13M12 K v y CST Signature 'Date - Telephone Dlo. CST Alo. Job P10. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page l 3 } Division of Safety and Buildings of • 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 ST C(ZO 1)( -i include, but not limited to: vertical and horizontal reference point (BM), direction and Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. P EYQ ".,) Ai G Please print all information. Reviewed by Date Personal infomration you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner I-) Es� IV vas t)lv Property Location P T r 'r—Q E -SF fit) Fop - � S� C�{Z r^ IV(�J 1/4 SE 1/4 S Z1 Owners T Z8 N R 1� E (or W Property r's Mailing Address Lot # Blo�SM# G - i City State zip Code Phone Number [I City ❑ Village E] Town Nearest Road ZlUl1Z I i.vf S4b (Z!S)LLZS_3 - 1 - 29 17 - 1 �j�jLc-yr-tm A.1 LC I ® New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate LL S u GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable N General comments ft and recommendations: R)Zr a)"'1m Ek"ib Z CZLL`) Lap 3 X i D0 ► 1-0),J6- yvl 16 UN rr:S O)= J 1 6?4 'Tb QE 3S' fl�EP. © Boring # ❑ Boring ® pit Ground surface elev. Q 9 - 1 ft. Depth to limiting factor Y 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 I o-t� )o�ez3lz - SO Z`F sb vz- Z o -3u lO`� t2-3lC - s)1 Z`�s �k tines cs — •s - g 3 _b8 Io�2u1� l� o s9 M 1 eS •5 •9 z;8 �� lD� cZ3L3 - s1 0 my`-►- E Boring # ❑ Boring ® Pit Ground surface elev. 1 o z. �o ft. Depth to limiting factor -1 5 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 1 0 -8 L4 9 -- -L — ,S si 1 �Fs b 1 Z- i,, . Z -t� to�t231b - sI j Z'Psb�z ' S •9 �a s tD 1 rz 3 c rn 0 I- '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) Signatu CST Number Arthur L. Wegerer :C , 0Z_b6 -Y 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, WI 54022 _ZZ -0 715 -425 -0165 ❑ � Boring Parcel ID # h��V4 1"G Page of YS 3 Boring # l I Pit Ground surface eiev. ��. y ft. Depth to limiting factor 2 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 -$ �0 H 4Z31 z - sIl 2`E'sb12 »�`�'} Cw - _S •8 1 0Lf V2 -- s Z `('s bk h� f►- es - - - $ m I � •s , 9 y bo ❑ 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 ��J ❑ 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 ' 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 -3330 (RAW) PLOT PLAN Page 3 of 3 Scale 1'= 50' 3 t� b tZ-M o and #-f g•S J - y3 /�\ / g Z i / s ^• Q` I - 13 "ti%t 1� - 2 ___ �T?= - l00 : - S - • - - ,i - 1 K - -_ �i.. - - ? 315!''' ::<< _ . Y _ � _ '� - - -- ' - ,. yZ.Z_ p Z 715- 425 -0165 220254 pZ_ 6 CST Signature Date - Telephone Iio. CST No. Job NO. OWNER�s• MAINTAINCE OF SEPTIC SYSTEM POWTS (landowner maintenance of this system. Regular for proper operation and servicing is hystem. Regular periodic inspections and system. The owner necessary for the safe healthy operation o maintenance is required by code to submit . this f /inspection reports to thall he e controllin g SPECIFIC CONTACT'AGENTS / `, J * Governmental authority Inspectors: St �( 1� G r y , 24W/ ' t Licensed inser, yes maintenance ntalltall ponsible for providin manual: 9 an operation / Uibricht & Associates Private Sewage Consultants 3 655 O'Neil Rd. * L i c e n s e d Hudson, this. servrirce / ins pection agent other than installer: * Electrician, for pump, electric controls wiring units: IMPORTANT OWNER MAINT ENA NCE . i• Winter traffic �E UIREMENTS area shall (sledding, shovetin the cell, not be permitted, or frostecan /willoss the freezing up the s ystem. Discontinuos use In into lead to freeze u P► resulting in n in the ups. o water use) can also a 2. Water conservation }lydroli needs to be exercised! Y designed for Over loaded and destroyed. Or system can be bve a maximum wastewater fl This syskem was flow of 3• ' POWTS are not designed 0 gals' daily. • disposal unit, es gned to acc°modate wastes Any introduction any Other unnatural sources rof W destroy m . such wast Y this system. materials will overload and 9. If a tage occu in a power ort, or a ' Power 011 Pump fails cell temporary overload of effluent being it may result which may adversely g Pumped into the recommended that a li y impact the cell allows censed u (leakage). It is ng the u p mper em t C P mp to re empty the doss , consu your Insta turn to dosing the dosing tank, aller imme correct a mounts. Immediately 5_ Neglect for ad t of the vegetative erosion preventive Cover (the cells insulation Can lead er failur traffic also & REGULARLY Can destroy t he s Compaction or WATER THE VEGETATION system. It IS NECESSARY TOheavy th e Ystem beneath OVER A SYSTEM!! g I S NOT sufficient Effluent in 6. alone t0 maintaii] a Periodic inspection b necessary. Inspection Y the owner, or his agents, Into the sy stem: and ports have been Incorporated Inspe ystem' on the mound basal area laterals, at each cleanout terminals (effluent level out. The fat each tip - for flushing °n the pressurized f s and nd System cl eanin g I , ground Only y m in eanin cove /manhole). nthe tanks (via 9 the laterals Person should y a lic locked above ensed a & severe be Performin properly qualibied system,_- safety risks. E v id ence this work which invo m d 1 heal th s treat once of effl ment col ( fluent 1 shall rly inspected. also be regulars g in the Y s ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM AtnerBuyer 40 1 �14a J Mailing Address + ( - Property Address S ctiel id . construction (Verification required om Planning new g partment fy,LP/ c� z �0 , 0 - VV City/State Parcel Identification Number z � o�� 0 1 /o -- 2 - 2 - 3 - 6 - et LEGAL DESCRIPTION Property Location � V4, S� V4, Sec. Z , T 2� N -R ! o W, Town of Ki Subdivision Lot # �✓ Certified Survey Map # L0 SO 1 Lo 0 , Volume ..Page # 7 Warranty Deed # , GS j Volume f � Page # Spec house ❑yes i�io Lot lutes identifiable yes ❑ no � YSTEM MAINTENANCE wastes. Proper maintenance Improper use and maintenance of your septic system could result in its premature failure to handle . What you put into the system � consists of pumping out the septic tank every three years or sooner, if needed b a licensed per sal can affect the function of the septic tank as a treatment stage m 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 1 ber or a licensed r verifying that (1) the on -site wastewaterdisposal system mastor plumber, journeyman plumber, restnctedp um pumper 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. Certi fication stating that your sep 'c tern has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of a three y iration date. SIGNAT OF ICANT _ DATE OWNER C ICATION I (we) certiff that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of ffic ro desc ' hove, by virtue of a warranty deed recorded in Register of Deeds Office. i 1 / SIGNATURE QFOPLICANT DATE s *s * ** 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 1 19Do " i' 977 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. NALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX Co., MI This Deed, made between Merit C. Nielsen and Maxlne P. IXED FOR CORD Nielsen, husband and wife 06 -07 -2002 11:39 A Grantor, and Thomas L. Jackelen and Brenda L. Smith, EXEMPT # TRAN EE. 255 CO COPY FEE G rantee. _....._ ... .PAGES. _-.._... 1 . , .,. -... Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Part of NE '/. of SE %. and part of NW '/. of SE '/, of Section 27, Township Nam �Return Address 28 North, Range I8 West, St. Croix County, Wisconsin described as U r f follows: Lot 4 of Certified Survey Map filed May 28, 2002 in Vol. 16, page 4302, Doc. No. {� L- C r 022 -1076- 90-000,022 - 1077 - 30-000 Parcel Identification Number (PM) This Js not homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. 00 (is not) Dated this �Q\�.L1 day of June 2002 ` ^ + M e C Niel — + izinc P. Nielsen AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN, ) _ ss. County) authenticated this day of y day of Personal) came before me this June 1 2002 the above named Merle C. Nielsen and Maxine P. Nielsen, husband and wife r TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be rp n(s) who exe cuted the foregoing (If not, ins ent and ac d he authorized by S 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY +' Attorney Kristine Ogland Notary Pub ate of Wisconsin Hudson, W 1 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) " Names of persons signing in any capacity must be typed or printed below their signature. Tra&?*.mT JWe"1. cdmpury. Fora du Lac. wt eoo �s�zt WARRANTY DEED STATE BAR OF WISCONSIN FORMNo.2- 1999 Notary Public State of Wisconsr V 680 1 60 YOL 16 PAGE 4302 APPRC XATHLEEM H. WALSH 9T.CR01r REGISTER OF DEEDS P1Annin,. 706nr. ' 5T. CROIX CO.. YI MAY 2 g 2002 RECEIVED FOR RECORD 05 -28 -2002 3:00 Pit 4APm =ed Survey Map REP FEE: 13.00 COPY FEE: 3.00 Merle Nielson PAGES 2 Part of the Northeast 114 Of the Southeast 114 and the Northwest 114 of the Southeast 114 of Section 27, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. An erosion control plan will be required by the St. Croix County Zoning Office prior to construction on this lot. LEQEKQ; • INDICATES 11 14 "OUTSIOFD14M£TERIRONPIPE FOUND. 0 INOICATES 1114 "OUTS /0E OIAMET£RX IB IRONPIPE WEIGHING I./3 LBS./L/N. FT. SET. RIIO.O') INDICATES PREVIOUSLY RECORDED DATA. WEST 114 CORNER OF SEC 71ON27, 12 "OUTSIDE DIAMETER IRON PIPE' FOUND) LOT t C.S.N. vOt./ UNPLA rr L p �RffA NJ FASE'NJ'N F I VOL UME 1345, P4GE5141 N 89.16'45 "E 5286.27' -` 4 QI 38/2.36' ! 1 - yARIA LE 1473.71' b EAST /WEST 114 LINE 0. ! WIDTH _ ;I i' 0 ,� © S89 E 362.12' EAS_ T 114 CORNER OF SECTION 27, 331 9.3d' 100' - 18ERNTSEN ALUMINUM MONUMENT - --- FOUND) - h + , 4252 + BUILDING SETBACK LINE M rr 0 elh 1 !v tu o ku tu to !a 11J v� lu � k W t ti I� �m LOT 4 3 w � 3N Q W N a tu 0 0+ oil I 1'l EPPC SYSTEM O 4 m = j a !� AREA - ti Vj to v y c 11 ! h ai 50' C BUILDING SETBAC -_ N£ SCALE 1 ?DD' _ - O 50' /Q?' 200' 300' 400' 500' B -� ^ -` N 89 48'53 "E 542.92' /00 f a R /N 87. 4 8' ?O "E 542. BB'1O ® 1 THIS lNSTRUMFNT DRAFTED BY 550.83'Rl550.801 iq LAURENCE W. MURPHY ' 543.9&' R 1549.84'1 m - 1 6.85 R /6.82') 3840 S O6.38'0. "E 66.00' OA TEO: 3 -14 - 2002 J I 33.24' RlS87.4B'c't')'1Vl ®, �1 J � ROADWAreAS�EMtNT I SHOWN ONC.S.M., VOLUME 5, 'PAGE 13531 I jA / C. S.JIL, t/NPLArrtrO LA NDS I VOL-A, t PA 6E 33 W. AA�NMNY L or AREA S LOT 4 CONTAINS 11.538 4CRESOR5O2,582 SOU4RE FEET. 10. 904 ACRES OR 474, 966 SQUARE FEET EXCLUDING PUBLI C (A R04D RIGHT OF W4 Y. f0. 005 4CRES OR 435,821 SCU4RE FEET EXCLUDING PUBLIC R04D RIGHT OFWAY ANOPR/VATE RO4OW4YE4SEM£N7. OWNER'S ADDRESS: 1295 EVER6REEN DRIVE RI VCR F4 ILL S, W154022 SHEET i OF? Vol. 16 Page 4302 f r 01999 C(n.d C.11-9rapldrr. / . SL Ctdd MN sn3o1 SEE pAaE 30 a 1&rwt peon & elenda 69.5 Simonson � 196.6 .� m 65 -40 Dan & Jacque 38.9 Amerer n Z • �. Ha Se" Farm Inc r � ar • zo• - 72.5 2 N t F LenertZ ' • p; Nelson ad & ti z ` ' Am t : 193.3 E a Harold a• Abdul 71.8 Ma r� , x oT rcella • '" I Lueck Gloria � A ;, 40 116.7 152.4 &shams Hunter Vorwald > Murta* . a . � a 3 Heinbuch 94 197.5 SS 388.8 N ' Trust 109 ONR 4 Gerald& •Gale,+ u &H 379 m Robert & ' r 9 . 170.2 l.3 Robert ,Iy C Kathleen & • Thompson Fever larumw c a s; 1 1 joeepht•e Daniel 120 F rick , 4 0 m eo .mirk 3 Barbara Mark & ors Neu 1 . Robert & Dori s c Benson etal Gaffe � 0 160 ' &Jean x :F • • Lawrence ]ckler Laurie n.4 • cR ` Garbe w V Shaw ° $ terrerta Alvin y Delander &A • James & Holl Lisa srnmur '� ;, 53 N _ ,' n • so van Beek So50 118 199 Lubich 60 50 )amen ra« • 78 o Trust etal lea &. cordo & p sk • Amold & M sherie Donna &Mary 115 „ kw.. a•^w g Alvin Susan ueller ¢ • s • O J 35 " € a Marcella Lueck 80 160 w &M lxaak m'i Pinski Su cuter Edwin = ,s Jr& 110 c &LHahr + wow R�� Van l3eek • 40 19 ' sa.s M. 160 zo ma • s Ead B 9 180 Pas • K &a A,;. 1e Ray Tl_ & Lisa p� • 6 • VIDId a C &5 ( &1 KAwaer'_0 �O K &D� �2 127.3 160 157 ! 7 . 1 . ow 81n Olr &M ' a H;11 � a5 }' Ke.c:v«wata0 • M.dL_ Liddle 4 _ IwIKe 22.. b Fm Tr f34 Fagerlk or Charles& cc° • ?1 > W = Marvin • 305.7 u' . Rtrl BHa. etT 5 p K. 5 "' �.L y n �" hei 'in &• •1.59 • 27 s= Johnson Lem Frederick � `�' r �^ LO sl 1 °r W 2 158 • 1R pppenmer fwa Robert k'm & & Lu<ak x sin z Thekla Madsen drol T C&R Fr de k Phoebe •Mania • NStee 1 Fa smnn r , 10. Gr ry& .`retsert Drama id Pnil;p& &R i' � Gordon Bre 3 3 . 2 �� , ysnirl Paulwn Ca11 Knnr Tr 113.4 Y Bethany r t v, U • rmesdill &7racey • 5m;eh KN � • •38 w s .A m tin & Dorotnl Nelson L;rrehan l :near �' z Ir 42.5 aweho 40 lz r Q e r.l 4 9 • rhaupps 42.6 40 4 40 •I]y z z ; Mimaet r &IC OITn Agronomics Gerald '% DNR c%• • Ryan & s &Susan 135 J Inc Emholtz In } 4�t� Harold 713.2 I17.3 'a Linehan u Kt - 5 dt• C,aldinmo Mlckelson sin rr. 1 • 1 Morrow F J Cr 3 37 r 5 154 173. • - u 122.2 • .4 e C , z3 • ° J ss 3 208.1 ] 67.3 ao.a ` • 221 2 •;' Tm ra.aase.rs sr :. • ~ • a] • • ; P - J sn T L.. & 39 Robert wore • °s N o0 • David 4 • effre &Nan cy WM 52.5 , F z F 186 &Janice Y - 139 3'.'t n `-7 Seeven David Munkittrick & 3 154 1 y e 40 z= r a T c <rala • T Bloom �rsr`� F r prlande 00 oi • 6 W & vcky &Ross CR Qai le Christensen w& 5avueder 88 F William & Gerald ' H • s„ o • z6 55.2 Phillips a.i David a0 5creaton Screaten Stuart Ir & Esther Fuller • 163.9 DNR • 19 Robin KsK :o ReL 11 !Cell ' • reranvn Fam Trust 1 Navun Gloria ry Geo and .ixa a O Rick & 7 ddh 40 Donal Kenn dv • i0 r d & - F `B' a,a N x; 89 Kirchner Mueller o < 57.3 Rid- • • Gerald & Anenmy & e s e 140 p" m Lora lames • •Glenn & 8s z Y 20 98 James RR A• JJ Robin Rick ' Ylrgwa .2 • ML z r : ' Or u r 58.2 Y 8 Donna Badge 80 lios & • & Mary Townley 102.4 1a 3 J 2 Knit & T.- tmd & Judi. • John 158.7 80 p tee st 3o.s T homas & 5 Fuller wk & � rte �� saeaton 1 4 �^ 01(ee ar G.Ikn Bettendorf Lau & Beverly taw 250 ' ffe s z Trs •Kedre io• *Olive Jacobson ' David & adim E 40 '°• oar- $ ; , 78 • Er ksen 140 Juliann Luse I z 140 Z • • F+nas& +79 m'ahcena w • 80.4• n c 1.0 • • Robert Jr • SS nda Gordon ' Wynona i ; Howard ed l & t Dw r Darwin & s r I s R M 539 old Hans vi Timothy lam p ? Madsen '� e9 i.86 £ M,rgarn E� . rnWmia Tralan Davis • • 78 80 Keatley ,rdel &Aran 3fe� P amaaM•; 3s M s Jan x w.s� • wk Ir ,R sinr,s 91.3 LM Griffey s JH)r &� rumwiede h C • 9 J Ir &N 3 �e 160 Inhn & ii ° Alan & 31 R 4 35 • y MclsugMin Kimberly c y ra Thompson Mart • Candace - Char;s � es & as.3 & M Solum C " „ K` Trust rear lam 166.8 p 91 Hart 9 T, Hill Clark Ande,son 44.5 , I &Sall' • 6 d u`R r < I;k • DtrL Wilson 1&le a ' L,.td a Fbrer ap 26.8 8z • _ Aua z43 z 7 � @ g' • trCK !4 J.9 R01uhm& 7U sn,anrrxr An Oea Andrea x River Falls pg 1 5r' l4. Llr � )r.ir�ce sin wls eH5 < G $t CrOiX ` G Iv r r b _'•£ � �• i•?:2 'F - ! _ __ land Trust Dani Gerald t] � - LLv _ n County 2 Il'! 3.a CemnMus ' _ t t-n etty &B T" v 9r Rp L5t i'aul & 3 42 Linda L;nThan u Pmrixwf.Mik ;'K `r7 B &K 54Z zi. RL b 315.5 270 z C 9 Waame 3: _ c H o Eugene 40 c i 5oderbeck C • Krueger Q w t` p "t Da M8 Vernon 3 314.5 41 • 4 X „.n �r,"w 3;.. v +� •�rp Rotlan 112.8 138.8 s Kne reskar Vernon & 91.16 ' , ' S _ E; Ha z ,� & Betty & Deborah 1 , yr 3 M e,o Fuller vein n& Stange deline Peskar P.Tr k ° Swenson Tr 200 Yy + w,art & Ka,m 9s ntc , Daniel & ' 1 S,a�k}, y Arnold Ald , 81 114.3 1 20.6 Ham n °' Fm r Miller • • Dav;a Janet Bauer 101.3 Peskar Peskar & Rose • Y • ' • K "" ° ' •, G•Il R &Y arson 37.8 Yunkei 9v aN>. p Glerm Darlyne rza K ao coda � .0 Judith n . &rera Barer Gary & r9v 39 IA c 5au11 mm 140 Paul Sr & Judith G u = '^ -K, TrM" f' 101. • Hansen a `� wacbder • etal • ri Gerald 37.3 4Q 219 s E • lu io 9 Janet Cudd Ti Cudd's Mobile _ z _ JJ � ce � t Home Court 65 & Carol Vemon & a1 61.8 _ ` c 213.8 177.8 65 Ke Paul & u1. , `* s E stanlev Peskar 8_ , _ c - U,he John & Williams fi _ - r.` = ; • • • 35 Kuhn 110 Margaret Walker _ _ `zY + = . O M • Alice - ?9 =' r y •Vernon & 9 Gary & _ ^ Hanson Tr &r „ _ • is 5 5s steal art ditn David &Debra Lucille Kelly ^ 125.6 130 _ Ralph 100 40 Lentz Gr 251.3 c imm Ovsak • v p R �V ER ° _ - 39 142.4 39 z T efi • oda & T RM to Robert & n, dare rsr. • • Dean Ber sea 159.9 W _� � Grace g S paaiaaR y ote FALLS _ �KarenMiller m JK & Rut Dare Bo - 1= 120 JJ 57.3 & R„cn Nia Nelson � 40 • 1400 1500 erc �rann z 2 1200 1300 M 1000 1100 PIERCE COU TPY REAL ESTATE Midwest Appraisal Ser ike, I nc• 214 N. Main DENNIS R. SCHULTZ R UG E R River Falls, W154002 WISCONSIN CERTIFIED RESIDENTIAL APPRAISER #98 • FARMS • HOMES • LAND S I N C E 1 9 7 0 • COMMERCIAL TERRY D. BLAEDORN • Buyer Representation WISCONSIN CERTIFIED RESIDENTIAL APPRAISER #56 • Seller Representation P.WM. RICHARDSON Gary W Kruger, Bill Schramm, David Hegre, WISCONSIN CERTIFIED RESIDENTIAL APPRAISER #60 GRI REALTOR Broker /Owner REALTOR® 113 S. MAIN STREET OFFICE (715) 425 -1116 office (715) 425.8400 e-mail: R A W.1 54022 FAX (715) 525 -1110 ( ..,.v., FAX (715) 425 -9459 krugerre@Pressentencom y s dJ O `V JL Ol T E Date: - G To: From: Total Pages: Fax Number. /-2/ Comments: • THANK YOU! Cc: 650 Eben Court - Stillwater, MN 55082 - (651) 439 -4965 - fax: (651) 439 -4973 w%m cottagchomesonlinc. com 1'd £G6i,- 6£i,-T99 100 2utpITng8wOH pleuoaow JLS:10 20 21 Inr • r ■■■■ ■t ■ ■r ■ ■r ■ ■r■■■■NtM■■■us ■t■ ■■■■■■■r■M■ ■■NNEN No mom . ■■r■ ■rrrr■■■rrrrrr■■■ ■r■ ■ rr■■■ r SEEM rr■■:rN rrr ti■r ■■■ , ■ r■■ ■rrr■ ■r ■■ ■■M■MEr■Mr■ ■r Srr■ •-••- ■ ■ ■■r■�r�� ■r0r MOONS ■■ ■r■■r■rrM NEON ME M NONE M NNE ■■ AMr ■■Er■■■ s■rro■■■mrr MEMO ■■ ■ ■■ ■■■■ ■■■■r■ ■■rr■r■r■■ ■ ■■■■rrr■r ■rs .. -. ■■ ■ ■ rMrr■rrMMM■r■■rM■ rr■■■ ■r■ -. r ■■■■■■0■■o■ NNE ■■■■r■■rr■■■r■rOM■OMMON rr■ ME mom rM■r■r■r■M■Mr■■rMr■■■■■NONE ■■ r■ ■ ■■mrm ■t■rrr■■■■■ ■t■■ ■ NONE r■rr■ ■ r ■■MrMr■■■rr■r■ErMr■Mrrrr M■r■ ■■■■ ■rrrrr■r■MErrM■■■rE■r■■rr■ MEN ■■■■ ■■r■rrErr■■■rr■ rrr■ ■ ■r■ ■NN MMINr■■rrMM■MN■■■■MM ror■ ■r ■■■■r■■r�■�■�■■�rr�rr■�r■or■mo■ ■r Nrrr rrrrM■rr■rrr■r■r■■■rErr■rrrrr - ■r■ ■■rr■■■■rrrr■■■r■r■r■■■r ■rr■ r■■■ ■r■rr■rr■rrr■r■■r■■r■r■■M r■r■ , ■■ r■ ■rM■rrrrrM■rMI■■rr■rMr■■EMOM■M■ ■■ r■ rr MMMMMMrrMMMMN■■rrrr■■ ■�■�■■ , ■ ONES ■MMME■■■ME■■E■r■Mr■■r■MrMEN ��•: • ■rr■ ■■■■rrMrM■■r■r■■mm■■■rrro■ mom ■■ ■ ■M■rM■Mrrrr■r■r■■■MOrM■■■■r ■r■ � *iii•, ■■■■ ■r■rMr■■rrr■■r ■■■■E■rrMr■MrM■ .�.�., • r■■■ ■r�rrr■rrMrr■■ r■Orr■rr■o■ro■■ } m EROSION CONTROL PLAN CHECKLIST Q M . Check (✓) appropriate boxes below, and complete the site diagram g with necessary information. z Site Characteristics North arrow, Scale, and site boundary. Indicate and name adjacent streets or roadways_ O Location of existing drainageways, streams, rivers, lakes, wetlands or wells. c 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 grading operations. Q 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. 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). 0 Location of sediment controls (filter fabric fence, straw bale fence or 10 -foot -wide vegetative strip) that will prevent eroded soil from leaving the site_ Location of sediment barriers around on -site storm sewer inlets. C3 Location of diversions. Note: Although not specifically required by code, it is recommended that concen- trated flow (drainageways) be diverted (re- directed) aro und disturbed areas. Overland runoff (sheet flow )from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. *1 ' Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). r " Note: Such practices include maintaining existing vegetation, placement of additional �.:. f � sediment fences, diversions, and re-vegetation by sodding or seeding with use *::?< of erosion control mats. Q Location of practices that will control erosion on areas of concentrated runoff flow. 1 Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected 'k. erosion 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). :k =' Y Location of other planned practices not already noted. E'd EGBir- Set -I59 too 2uipITng8w0H Pleuoaaw des:jo ao ZI Inc ."O'�.: W 3i Indicate mana strategy b checki (W) the a p p ropriate a9 9Y Y 9 box. Q. o Management Strategies Z' '. ❑ 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 1 and September 15), 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: eed ❑ Sod ❑ Other Expected date of permanent re- vegetation: d� • Re- vegetation responsibility of: ❑ Builder 0 wne uyer Is temporary seeding or mulching plan ed if site is not seeded by w IN Sept. 15 or sodded by Nov. 15? C1 No a ❑ Use of downspout and /or sump pump outlet extensions. V . t . 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 CP Trapping sediment during de watering 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 IWO off -site by wind or water. 5 Maintenance of erosion control practices. =k4 + Sediment will be removed from behind sediment fences and barriers r^ before it reaches a depth that is equal to half the height o IF the barrier. $; Breaks and gaps in sediment fences and barriers will be repaired imme- YF ^ diately. 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. z 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 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 the State of Wisconsin Document Sales, (608) 266 -3558. Erosion Control for Home Builders (GWQ001) can be ordered through Extension Publications, (608) 262 -3346 of the Department of Commerce, (608) 267 -4405. t► EL6fr- se* -TS9 loo 2uipjing6w0H Pleuo0aw d6S =TO ao Zt inC OWNER SURVEYOR TOM JACKELEN EDWIN FLANUM 858 HOWARD STREET NORTHLAND SURVEYING, INC. ITE PLAN RIVER FALLS, WI 54022 856A HWY '65'/P.O. BOX 14 ROBERTS, WI 54023 PREPARED FOR; McDONALD H LOT 4 OF CERTIFIED SURVEY MAP RECORDED IN rTN: TODD BJERSTEDT \\\\ �� a a1lGuOul� VOLUME 16 PAGE 4302, AT THE ST. C RO IX COUNTY REGISTER OF DEEDS OFFICE. ? �` : •' EDWIN C. •'•,� NOrE: _ FLANUM = S -2487 , ELEVATIONS ARE BASED NOTE: HUDSON C1 ON AN ASSUMED DATUM AN EROSION CONTROL PLAN IS REQUIRED y�/j BY THE ST. CROIX COUNTY ZONING OFFICE TOP OF FOUNDATION ELEVATION = 114.0 PRIOR TO CONSTRUCTION PER CERTIFIED %• �,�/ )KmCONFIRM WITH CONTRACTORxx SURVEY MAP REC. IN VOL. 16, PG. 4302 ''_._ 1,1 / • •• -•' �� s* x BOUNDARY DIMENSIONS FROM CERTIFIED o, SURVEY MAP REC. IN VOL. 16, PG. 4302 "� %'+liil!!i!'• S8 SOUTH END CULVERT PRIVATE VOLE 1 PG. 4302 N 90 r INVERT ELEVV . OF 103.6 6� 4�?S2 S•E N7 x'0070 S89e16'45'E 362.12' 0 50 BENCHMARK TOP OF V IRON PIPE / sal cl ELEVATION = 100.00 0��0 SIB / - - --- /l � 3 0 r Z� R�zdl�) m L aD 7 FV�' ae W 6 Z o =a �o Uryt -rZ� 7z 5mpoPQZy arv�25lo�✓S! 1/ W �� , ° - /Z kE P /QuNo Fpm Bv�c d� Gr a" JL ,° o w o / V Tl "J L .4 �l' /LLD SCALE 1' 80" °� K/� c7�j S6 /L S C,e 1 0 i[. s cq L J v J tS IJ Z� ;. 04 x 102 hAJX $; �-, �� g ��, r sue �- 0 Io- L 7 W ill c � i q W � I \� C HUB ELEV. • 111.66 1ti X 111.6 r ! %D I � I pc 13.6 ` O v I o x112.4 3 !� p 0 M HUB ELEV. co 6 ro = 112.70 U") LLJ W �' x 112.5 113 / e O 25.00' p A M 4 00 Z s.00 e Z a 0.00• >>5 aa.ao• 192_52' . � _ • HUB ELE HUB ELE / 111.7 = 113. AL 1 � 7 / 50' 33' • 20/ ►_ / 123 100' BUILBING SETBACK BENCHMARK TOP OF V IRON PIPE ELEVATION = 129.34 N89'48 542.93' N O ON 011 0 W PRIVATE ROADWAY EASEMENT AS p OR SHOWN ON C.S.M. VOL. 16, PG. 4302 O p n LP S89e48'53'W 584.07' LEGEND • 1' IRON PIPE FOUND CURVE DATA ® HUB 8 LATH SET CURVE# CHORD BEARING CHORD DIST. RADIUS CENTRAL ANGLE ARC DIST. 1ST TAN.BEAR. 2ND TAN.BEAR. 1 -2 N84'15'41'E 52.42' 233.00' 12 52.54' S89'16'45'E N77'48'07'E A SOIL BORING 3 -4 N84'15'41'E 51.45' 273.12' 12'55'08' 61.58' N77'48'07'E S89'16'45'E 5 -6 S86 35'24'W 49.92' 443.72' 06'26'58' 49.95' S83'21'55'W S89 7 -8 N86'35'24'E 42.50' 377.72' 06 42.52' N89'48'53'E N83'21'55'E .• �� �f •