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HomeMy WebLinkAbout022-1098-95-100 n ■ o' ■ n tv 2 § q § § V m V 1 � 7! @ � I 7 z \ w= w o $ § £ ( o E )- , - ��E� oR' §'&go° 0 , o @ CO CO � CL ° \ /2; c Q c # a © ` ® > °� in E 7 § ] it w m CD CL \0 ¢] « - § § m ; n r CO) CD Co o tr f k: �: 2 / 0 0 o f § ° § « & c § & w J § $( 7w ° ; 2 � K) \ § � m � F � / o > 0 E $ C ƒ } k $ m C ƒ n CL z 2 )2 ■ « c 1 _ ■ a k in. § 9 § ® 0 / z G) $ 7 E � / £ c 0 % $ f � � k � $ � b � § � 7 k-4 \ m % \ Q C) Parcel #: 022- 1098 -95 -100 12/13/2005 03:37 PM PAGE 1 OF 1 Alt. Parcel #: 34.28.18.534A -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): 0 = Current Owner, C = Current Co -Owner CASEY &JENNIFER LOESCH O - LOESCH, CASEY & JENNIFER 1213 RIFLE RANGE RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 1213 RIFLE RANGE RD SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.183 Plat: 3558 -CSM 13/3558 SEC 34 T28N R18W NW NW BEING LOT 2 CSM Block/Condo Bldg: LOT 2 13/3558 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 34- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 10/23/2002 695381 2020/435 WD 02/26/2001 639277 1592/186 WD 01/07/1999 595216 1393/404 QC 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 88897 297,700 Valuations: ' Last Changed: 08/11/2005 Description Class Acres Land (251,000 mprove Total State Reason RESIDENTIAL G1 2.183 50,000 301,000 NO Totals for 2005: General Property 2.183 50,000 251,000 301,000 Woodland 0.000 0 0 Totals for 2004: General Property 2.183 20,000 188,100 208,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 1011012005 Batch #: 05 -30 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of - 1- Labor and Human Relations . Dfilsion of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach,comptete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but S. notftmited to vertical and horizontal reference point (BM) directioniand % of slope; scale or,~ PARCEL I ©. # climenstoned, north arrow, and location and.distance to nearest road. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION l :BY ; DATE . , REV 'mow• -.� PROPERTYOWNER: T-MEUXJE PROPERTY LOCATION %Nsl �. : 3EQI.J�C'� L SCyu GWT -.-LM 1vW 1/4 NW 1/4,S T -3 ,N,R Wj E PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # SUBO. NAME OR CSM # QvK St,'I Z — N:F )rvG `S`wl CITY, STATE ZIP CODE PHONE NUMBER ❑CITY (]VILLAGE ®TOWN NEAREST ROAD �c 1U �12 RrLQ I.vl Sq()rL- ( gzZE- $31 S \- r" 'i k0- 2)tjvtC 2 R16"6E Rt �Q New Construction Use Residential / Number of bedrooms ' [ ] Addikn to existing building [ ] Replacement [ ] Public or commercial describe Code derived dally flow gpd Recommended design loading rate S bed, gPt ' G trench, gPdfit Absorption area required '• bed, ft trench, ft Mandmum design loading rate _ - S bed, gpd/ft ' 6 trench, gpd/ft Recorrn,mended infiltration surface elevation(s) S Zt1 Tom, 3 It (as referred to site plan benchmark) Additional design / site considerations ' ' Parent material c)\,, s �1 Rood plain elevation, if applicable r • 1 . It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S 0 E) S 0 ®S ❑U as ❑U ID S ❑U ❑S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourd3y Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rfiench � � o -� � �u �-� t3 � � S �csbvt mv`�1� �S zv•� •1 •Y� o s9 Ground 3 v3 I R S � b — � S o S Y4 S elev. 1 Db.0 It Depth to limiting factor Remarks: Boring # 1 3 - 1Z 3 L3 - s �as�l mv•Fr cS Zug • 1 - 2, 1 3b-V- fo-1 2 s16 Ground elev. )o It Depth to limiting face � Remarks: TName: =- Please Print one' Arthur L. We erer 715 - 425 -0165 Wegerer Soil Testing•& Design Service -P.O. Box 74 River Fa11s,WI 54022 Signature: l / c \ aA �1$ – Date: (� - CST Number: M00576 PROPERTY 0WNER SOIL DESCRIPTION REPORT - Page `Z of 3 PARCEL I.D. Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence earxlary Roots Bed In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rench o -$ l bit l�- 31. - s �Sl� M\.) J- e-3 Z v j . S� 3 . Ground ;3 - 1 Ll `-t R S 16 — S D g elev. Depth to limiting fac or 4 t ; Remarks: Boring # L3 w V Ls ZV� y Z - 1.S`tfZ V/6 - 1�s o s� Y�� CIA, 3 3Z -b, l O 4 fZ S /L Ground:° e . elev. i l b2.l ft. Depth to limiting factor y )Renarks:- Boring # ., , 0 -9 o ` vz- 3�3 — 1 s � asb Mv` v. C-S Zug ,—I . S z =z� - )•s yNt v/� - ��s o S9 w,l ems, o S9 M Ground elev. ; 1 oy•5 ft. Depth to limiting factor ' Remarks: Boring # i .... . ..... Ground elev. ft. t Depth to limiting factor Remarks: SBD- e330(R.05/92).; PLOT PLAN Page 3 of 3 SCALE 1 "= SO ' e —Z 6 � Ao�y8.�' m+v P tp� t' -tope ` $ -Z tVU \'h 6 �t0y S f o� 1 "\ P-oN Pti Pe 7 m �. HuvsE�o BE 'PsT LET Z.S' �zaw► 'T'RC� et�,S , 3. \v�S1`trc_l�vS �CWhJ G�UV12 t?T ►� j ( 4�i� P7� G E trip M) nV "tit Z q `` U� 1, yfi' `T}F6 �C1h1`N SW'C�E; U GC `[�"'� T t~t E ot= 1 ti, STPSU �� o>✓ L Z p t- - 3l — `!g ( 715 ) 42.5 –n1 65 I400576 CST Signature Date Signed Telephone No. CST # wisc Departrr,ent of Industry SOIL AND SITE EVALUATION REPORT Page of Labo Humam Rela4ons , Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site Plan on paper not less than 81/2 x 11 inches in size. Plan-must include, but ST, Czo n ot imited to vertical and horizontal reference point (BM) direction; and % of slope, scale or PARS�L:I.D. ## ,�Q . dimensioned, north arrow, and location and distance to. nearest road. APPLICANT INFORMATION - PLEASE PRINT ALL'INFORMATION REVIEWED BY DATr* PROPERTY OWNER: 7— PEU lU E P V-AIZ PROPERTY LOCATION `i �m _ 3EQtJ� C'� L SCyv GOR-. @T NW 1/4 Nov 1 /4,S3k[ T - Zb ,N,R L8 E PROPERTY OWNER':S MAILING ADDRESS LOT fi I BLOCK 0 SUED. NAME OR CSM 0 Q( SQ�'I Z -- G `-& CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD 2LUL1z ) �t_t.lS ►N S4°zZ (_) is) LLZ g31 s 1 NQAF\_Z R16v61e 2t� (>Q New Construction Use Residential / Number of bedrooms ' [ J AddiWn to existing building J J Replacement [ J Public or commercial describe Code derived daily flow ? gpd Recommended design loading rate - S bed, gPcW ' 6 trench, gl Absorption area required 7 bed, ft 7 trench, 1`1 Maximum design loading rate • S bed, gpolft ' 6 trench. gpd/ft Recommended infiltration surface elevation(s) S ft (as referred to site plan benchmark) Additional design / site considerations Parent material 0 �j Flood plain elevation, I applicable N. • �► , ft S = Suitable for system CONVENTIONAL MOUND IN- GROLIND PRESSURE AT -GRADE SYSTEM IN RLL HOLD gJG TANK U = Unsuitable fors stem ®S ❑ U 2S ❑ U ®S ❑ U ®S ❑ U ID S ❑ U [IS ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rriench I ` ` 1 0 -,, \ l.3 \ S tCS )'vl LN-S - L \j .1 `ti Ground 3 M -fig lv `'t 2 s1 . elev. 1 4b.0 fL Depth to limiting factor 7 f3 15 Remarks: Boring # 2 3 f►- �S Zug •-) -� Z Z g 30. - 1 -5`0 VIL - Rs v S9 M 1 ci..., • s L 3 30.8 tU S!6 Ground elev. )o . b ft Depth to limiting factor ti Remarks: CST Name:- Please Prxit one Arthur L. We erer 715 - 425 -0165 egerer Soil Testing-& Design Service -P.O. Box 74 River Falls,WI 54022 Signature: l �c Date: (� _ 3 , �� CST Number: 2 L /z,J a . °18 -257_? M00576 PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. # n� Lry 6 Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Bcurd3y Roots Bed Trends v - 7 _Z $ �.5 LfVL V1 r. S9 1►�I ek, , S , 6 Ground 3 - $b ` t IZ S 1 - s o g rrj • 5 b elev. L oZ:. e ft. Depth to limiting fac�r y d 1 Remarks: Boring # : o -s `m 13 V `F1- �S Zvi • •� Z 8 -12 Y/6 3 3Z -b - ) 1 O L t R S 1 L `�S C� gg lM S • L Ground 4, elev. � oZ•I ft. - . Depth to limiting factor ? 87 Remarks: Boring # 0_9 10m\l 3t 3 — 1 s 1 as b►� my �S Zvi ,� ` •� wS c, S9 `21Z 516 — o S9 N1 — •S _1 Ground elev. I 1 04.5 ft. Depth to limiting factor 7 8-) 4 I } Remarks: Boring # 13. i i Ground 1 elev. ft. Depth to limiting _. factor ,Remarks: SBD- 8330(R.45/92� _ PLOT PLAN Pa 3 of 3 SCALE 1 "= SO ' d �? Qom PtpF tl.� ' $ -Z / NL �0 � 6 etL6y s ov-s 1 �' \�oN PtiPe • r v ymvSE BQ� M Ls�f - T 3. \ vv 'C`� -l_ ��'CL'�v �H'�5 'f�l•C)N G � j"�, ��'l��%12 1'rT - R y, t ti kJ E - MEYA ON t)-f�` M0 u S F r \ z ( 715 ) 425 140 0 5 7 6 CST Signature Date Signed Telephone No. CST # W ftooraft ° `�" Division onxneroe PRIVATE SEWAGE SYSTEM County: ��� INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitaryinq, Personal Morrnation you provide may be used for secondary purposes (Privacy Law. s.t .04 (t)(m)). Permit Holder's Name: City Vi a ou�vn q = State Plan ID No.: Hollenbeck, Gina Yn RFn"N c Tow r S CST BM Elev.;. Insp. BM Elev.: BM Description: Parcel Tax •O l on r D / ire„` - =CST 2 02 _ 098 -95 -100 TANK INFORMATION ELEVATION DATA 3y. LB. Iff , TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic W Benchmar Z 13.20 9• p' Dosin g Alt. BM Aeration Bldg. Sewer g-3o 02_ c7 r 1 4 Holding St / Ht Inlet TAN ETBACK INFORMATION St/ Ht Outlet Io 1, s f TANKTO P/L WELL BLDG. Vent to ROAD Dt Inlet Air Intake Septic * >'5 -0 f 3. dD - NA Dt Bottom Dosing NA � . f . p 1 9 • I Aeration NA -�- f Z• 8 • sty Holding PUMP / SIPHON INFORMATION Final Grade t> Ma ufacturer -Qemand St cover o�beve Model ber d- pM TDH ii Friction S tom TDH Ft Forcemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM 15 Width Len h N Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENS 3 q I I SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manu a�gturer. n INFORMATION Type Of r _ CHAMBER a Num r. ` System: �p►4.11 $ 0 OR UNIT - Lc DISTRIBUTION SYSTEM Header/ Mar i N Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake LengtiF Dia. ngth .. Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes C] No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present etc.) Inspect on #1 / Iq /01 Inspection #2: --�- -I Location: 1213 Rifle Range Road, River Falls, WI 54022 (NW 1/4 NW 1/4 34 T2 R18W) - 342818534A1 -Lot 2 �� A- 9(A 14 . 1.) Alt BM Description 2.) Bldg sewer length = `•D S - amount of c vpr A Plan nevi on ;r1Aui3 No Use other side for additional information. 0 1 oj]. SBD -6710 (R."7) Date Inspector's Signature Cert. No. �L I t " Sanitary Permit Application Safety & Buildings Division U In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 'Mr sconsin may y ou Personal information y p y p rovide be used for second p urpose s p Madison, WI 53707 -7302 Department of Commerce completed form to if not [Privacy Law, s. 15.04(1)(m)] ( Submit com coup p state owned. Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State San ija 1 r it Number ❑ Check if revision to previous application State Plan I. D. Number I. Application Info rmation - Please Print all Inf ormation Location: Property{ Owner Name Property Location Property O Mailing Address Lot Number Block um r Y// City, State Zip Code �Ph�e Number Subdivision Name or CSM Number 5 (� P. 35 I. Type of Building: (check one) It f ). l 11 city t 1 or 2 Family Dwelling - No. of Bedrooms : �!` t pro j r sue. ❑Village ublic /Commercial (describe use):_ ?, own of ❑ State - Owned .I Nearest R ZONMG OrFiC�': PaYcgYT umber(s) III. Type of Permit: (Check only one box on line'Xl C4edk ip ,dtl' if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacem of ` 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) aE `tea Or ! UO on- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade _ ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: p , 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Appiffidation S. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) /0 o . C3.0 Elev 8n G VII. Tank Capacity in Total # of anufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for inslalloon of the POWTS shown on the attached plans. Plumber' Name (print) Plumber's r no stamp MP/MPRS No. Business Phone Nu ber Plumber's Address et, City, State, Zip IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcbw Fee) Determination 1 4 s , dD X. Conditions of Approval /R asons for Disapproval: 5�j 12 a t,v s� 4• -�- �4-l. ( so.�� �.r� s -� 1� ,,�ti.��� as � Z ���uv,9.u�.a..+ a.. �. o� mat t cPs' SBD -6398 (R. 07/00) PLOT PLAN PROJECT Gina Hallenbeck DRESS 810 State St. River Falls Wi 54022 NW 1/4 NW 1/4s 34 /T 28 18 W TOWN Kinny COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 2/27/01 BEDROOM 3 CONVENTIONAL XXX IN -GRO ESSUR CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 500 # of chambe 30 ENCHMARK V.R.P. T of 1" Iron P ASSUME ELEVATION 100° Filte eZZabel A -100 ❑ BOREHOLE O WELL •H.R.P. Same as Benchmark SYSTEM ELEVATION 100.0 Vent >12" Sidewinder High of Cover Capacity Leaching Chamber 6' Long 16" B.M. #2 3 4" Grade at System Elevation Rifle Range Road 0' 100' 102' 50' B- 50' B--1 104' Vents 143' 6% 5 10B- 2 -3' X 94' Cells with >3' lope Spacing 5' 80' -5 _ Pro 3 Bedroom 100' r House B <5 Vents T 42' P.L. 263' P.L. 342' P.L. PLOT PLAN PROJECT Gina Hallenbeck AQDRESS 810 State St. River Falls Wi 54022 NW 1/4 NW 1/4s 34 /T 28 18 W TOWN Kinny COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 2/27/01 BEDROOM 3 CONVENTIONAL XXX IN -GRO ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE DING TANK SIZE LOAD RATE .5 ABSORPTION AREA 500 # of chamber 30 ENCHMARK V.R.P. T Of 1" Iron Ppg ASSUME ELEVATION 100 Filte bel A -100 ❑ BOREHOLE O WELL *H. R. P Same as Benchmark SYSTEM ELEVATION 100.0 Vent > 12" Sidewinder High of Cover Capacity Leaching Chamber 6' Long 16" Grade at System Elevation B.M. #2 3 4" Rifle Range Road 0 100 102 50' B- 50' �' 104' Vents 143' 6 % 5 10B- 2 -3' X 94' Cells with >3' lope Spacing 5' 80' -5 Pro 3 Bedroom House 100' V s ent . 30' 42' P.L. 263' P.L. 342' P.L. Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of _7�! Labor and Human Relations Division of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to r�OerE'roi3: AAtltTd_ APPLICANT INFORMATION— PLEASE PRINT' "A1'I 11�If�0 N R 1 DBY DATE }p 0 PROPERTY OWNER: 7l'PEUJQ E � " RTY LOCATION i r � NW 1/4 Nov 1/4,S3'1 T - Zb ,N,R Iti E PROPERTY OWNER':S MAILING ADDRESS c tg LW BLOCK # SUBD. NAME OR CSM # dux SD'1 j ^,..,_- r? �J — �?F.1D)svG `S►'�1 CITY, STATE ZIP CODE PHONE ' UMIAK 01/ILLAGE ®TOWN NEAREST ROAD 2L1� �Z uS �v S 4oi� , t 1O) X12 S te' .x�� ��iti,tvte QQ New Construction Use �Q Residential / Nu o� 0 [ ] Addition to existing building (j Replacement [ ] Public or commercial Code derived daily flow gpd Recommended design loading rate __ bed, gpdN1 ' 6 trench, gpd/ft Absorption area required '• / bed, ft2 ]L- trench, ft Mabmum design loading rate - S bed, gpd/ft • 6 trench, gpd1ft Recommended infiltration surface elevation(s) S � 3 ft (as referred to site plan benchmark) Additional design / site considerations ' ' Parent material s t1 Rood plain elevation, if applicable Y'*- • Al, , It S = Suitable for system CONVBVTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S ❑U EIS ❑U I ®S 11 ®S ❑U NS ❑U ❑S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ranch mv`Pr ew - 'S Ground 3 \1 - lv `'l R S ! b — �S s� ►� 1 — , S . S elev. � Ob.O It Depth to limiting factor 813 Remarks: Boring # tas �r_ mvfr cS z U4 z Z g-�b. -SCR �!� - 1� S9 �I l ��., • s L , a - 3 3D _;S 1 - V3- 1fZSIC L Ground elev. So ft. Depth to limiting factor Remarks: CST Name: - Please Print Arthur L. We erer 715 - 425 -0165 �egerer Soil Testing & Design Service — P.O. Box 74 River Falls,WI 54022 ' Signature: /� �_ Date: (� CST Number: C�� -i �r2, 7a �. °1� -?S�_� M00576 f . PROPERTY OWNER 7 "�StrZ SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. # tiro 6 r• Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Borxxlary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tranch 3 0 -b 1tj\-tZ- 3L m C-3 Z vi •� •� - Z $= Z8 - I s Lf V. VIt, Ground Q0-1 11 S 1L elev. L OZ. e ft. Depth to limiting � ac 8b 3f• / � }.Z Remarks: Boring # Yvt 1 9 Z � -3z 34rz vl1 Ground elev. ' 1 bZ.1 ft. Depth to , limiting 2 factor , 2S (� Z qol¢ � f3� Remarks: Boring # 0 -9 N z m �l MI zU40 S z q- z-� - ) .S \ - V /6 _ 1� o sg wt 1 - s ` . � • s' Ground elev. i 0w1•S ft. Depth to limiting factor i Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) PLOT PLA Page 3 of 3 -/ SCALE 1 "= SO ' t� -z 'T��u et1�s 6 Ct tppo B.5 f tL(p�S r �i 17 m 3. 1h,STYCU_ -- V ' 0.t 3 'PAS }N G -nm Oc� }�`I R " (1 u" b G F PM4js M t tt-I Um Z,%4 `n+-G �Cl�lY�I SW's; E'n G� L!, t ti Ti'I 1 n 'tU EL-G -\ 'R PO"S ft' - L-oT Z- 14 00576 L - C - " (71 ) 4 .5 -n� HS CST Signature Date Signed Telephone No. CST # , Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Shau d #226900 ST CROIX COON i 1 S8P't'1C TANK NCA TMTANCE A(WEEMENT' . AhTD OWNERSHTP cERMCATION FOR I � ownaftyar MGdiiag Addreaa �S ; � p� Property Addren l 3 I E (VatiWtion required Own PlanninS DV6mad for new eoostme doe) Parcel Iden0cation Number c2� — 1 ) f ptope y Location :, %4 sec. . TILN -R I Z w, Town of �'� i Ci Siiri�ou • Loot 0 C Harvey Map Volume 7 Pw # warrwy bad At �, �� �., volume s ✓ L Sr # Yu�no Lot Iiaes ldemti5sbra O no DIVROpac ttaa as aambl nwoof yo our aaptc ayete m could tmit in its pace �il�u+a to Ss�va . lt�apfr ma�mEeemoc cowlsts of paint j l — putt the saPft u* ew.vq dim yaaa or aooese+o iP necdad by a lioenaed ptst� par. what you pat i" the eats atlitot due tlamod" of dw septio tunic as a a+ aftent stage is dw wam AqmW gym= Tie property awns a siw to soffit to lit. Cmix Zonin Delmeineat a oartifioatWn lbea4 djud by du ovfiw sad by a samet ptandw .jaww y mnaphugher, teatriaeedptumber or a tieeaaedpamPer vmlying that (1 the oaraltie araste dhPUSI OVISm is In epm>ttlag t�detiaooa tmd/a (2) alien iaapectio,¢ and pasnpkg (if }► � sapdo tgialc !s ten 13taa v3 � of . v.Na, the taadse *W have Dead dw above regWr eawm and agroe to tnaintain the private :aware di%MW the abp dsrdti ad An* bereb, an set by dw Department of Coamerce and the Depsmneat of NatoW Resources, Sine of wisoottem. Cat on ratting that your wptle arstom !as been maintained mwt be oaaepte"d and m t mwd to the St. Crobt County Zoairts 4lllea 30 dsys of due dunes you expimdon dam. 8109MM CF APPLICANT DATE Q EB CRW rVir C&=N I (we) oertity mat aS staeemoaa on this roem are true to the hest of m (ow) kft" ledge. I (we) am (SM) the owaeRs) of the property ddonibed a by of a warranty deed recorded in Register of Deod t UlRoe. SMATEW APPLICANT DATE .. « «•. Any iatdrmgttiva that is ants- eeprasarned gray resit is the sanitary permit being revolcad by the Zonis$ DAMMUSIs• * *r Include with Ibis application: a :Inlayed warranty deed Boat the Register of Deeds otSea a copy of the certified twrvey MAP if rdOmnce is made in on wartsaty deed i • YOL 1 592PAGE 186 ,o DOCUMENT NUMBER WARRANTY DEED 6 3 92 7 7 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., wI Mark Z. Larson and Bernice A. Larson, husband and wife, Grantor, RECEIVED FOR RECORD conveys and warrants t0 M rk G. Holoubek and Rina A. Holoubek husband and wife holding as urvi svors p marital property, Grantee, the 02 -26 -2001 3:45 PM following described real estate in St. Croix County, State of Wisconsin: YARRAMTY DEED EXEMPT M CERT COPY FEE: OT TW (2) OF CERTIFIED SURVEY MAP IN VOL 13 OF CERTIFIED SURVEY COPY FEE: MA , PAGE 3$58, AS DOCUMENT NUMBER 1889, FILED IN ST. CROIX COUNTY TRANSFER FEE: 134.70 NORTHW OF D DS OFFICE ON NOVEMBER 18, 1998, BEING LOCATED IN THE RECORD14G FEE: 10.00 NORTHWEST QUARTER OF THE NORTHWEST QUARTER (NW 1/4 OF NW 1 /4) OF PAGES: 1 SEC71ON THIRTY FOUR (34), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC. Subject to Rifle Range Road right of way. NAME AND RETURN ADDRESS WESTCONSIN CREDIT UNION PO BOX 308 } RIVER FALLS WI 54022 22- 1098 -95 -100 Parcel identification Number This is not homestead property. Exception to warranties: All easements, restrictions and rights -of -way of record, if any. Dated this day of February, 2001. �- (SEAL) / / (SEAL) Nark E. Larson (SEAL) &A&4 01 ! LI (SEAL) Barnies A. Larson AUTHENTICATION ACKNOWLEDGMENT ScgnaCUCe(s7 _ _ _ STATE OF WISCONSIN ) as. F � C P-a. [K COUNTY 7 authenticated this _ day of 20_ Personally came before me this of February, 2001, the above named Mark R. LaregR and Bernice A. L on to me known to be the PB 0 who executed e foregoing instrument 7edge tii� Name Pz'nte ed l ' PITLE MEMBER STATE BAR OF WISCONSIN if not, Si a ure aothcr: zed b/ 5')06.06, Wis. stacs.) • JEFFR Y M MC RD E c Hess Pr ea: THIS INSTRUMENT WAS DRAFTED BYE Leo A. 8sskar, - O Notary Public Attorney b O CoQ> y, Wis. RODLI, BESXAR, BOLES & KRUEGER, S.C. My commission is permanent. y ot, expiration date:) 210 North Main Street, P.O. Box 138 �,%�. N River Falls, WI 54022 2 -15 -0 SEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 59 1 889 11-18 -1998 9:30 AN C ERTIFIED SURVEY NAP REEORBE TEE. 10.00 PAGES: 2 CERTIFIED SURVEY MAP Adeline Peskar Part of the Northwest 1/4 of the Northwest 1/4 of Section 34, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, LQT! CERTIF /EO ,�l/RVEYMAp dWNER ADDRESS: 1248 RIFLE RANGE RD, VOLUME IQ, I RIVER FALLS, W/ 54022 PAGE E916 UNPLATTED L_A_N_D_$ NORTHWEST CORNER ' _ -- __ S89•l0`IB "£ 1630.80' -- SECTION 34 NORTH 614 CORNER { T 28N., R /8 W. SOl •14 3.7 "W SECTION 34 3135' _ _ 5 2/53.8/' -- T 28N., R is w. IV LINE NWl /4 UNP AT TED L A D 580.03'17 "Fi W ,' 8003, 3/' ` 72.04 b ; 242 4BF s `•A'»`.vi,�� --4— 66' RIFLE RANGE RD_ 4 4 ,1 EA�N6E F0. N6 2 b j NOTE- LOT.? CONTAINS 95,084 SO. FT. OR Z. 183 AC. O h a 187, 165 SO FT OR 2.001 AC. EXCLUOING RIGHT m. ._., OF WAY. u M 4 N � : JI LOT 3 0 1 �I CONTAINS 297,161 I w SO. FT. OR 6.8224C. N �I a N 1294,70250. FT. > I M OR 6.765.4C. 3 jl • W EXCLWING RIC �I WI i $ h OF WAY/ SCALE IN FEET I (n ? r n a QI O I 4 N N 0 50 /00 200 400 BEARINGS ARE REFERENCED TO TH£ NA9TH h 2 y LINE OF THE NORTHWEST 114, SECTION 34, Q i T 28 N., R. 18 W. ASSUMED AS 589'10'18 "E, U I THIS INSTRUMENT GRAFTED BY JERALD L. CARSON N,Ip /f1 o' �� ►. V N se CON. 31/.00 SLI N WI /j_ NW1/4 C' N89 "W /R =N 89.16'51 "EI C LLS,/ LEGEND P 2462 SET / "X2 ,4 ",RON PIPE /MIN. Dated: August 12, 19 LAND SJ 0 WT. L8. "Revised this 3rd day of � FOUND ND / "IRON ON P IPE November, 1998." COUNTY MONUMENT rence W. Murphy R= RECORDED AS Regi eyed Land Surveyor *-I FENCE L INE SHEET / OF 2 Vol.13 Page 3558