HomeMy WebLinkAbout022-1098-95-200 WisconBin'03parament of Commerce. PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 429917 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Donharl, Eric I Kinnickinnic Township 022 - 1098 -95 -200
CST BM Elev: Insp. BM Elev: I BM Description: Section/Town/Range/Map No:
. E (, b ST 6 kA � � � 34.28.18.534A20
TANK INFORMATION EL94TION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic W 6A s ,� �� ) m• Benchmark � /
• ���
Dosing Alt. BM 4-10 bZ• 3
Aeration Bldg. Sewer 0 r
Holding St/Ht Inlet 3 9Z 'el / !•
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic , r� �7 r DtBottom
Dosing L Header /Man. to. 1 p • ,t
Aeration Dist. Pipe l l • L go /
3.1
Holding Bot. System /� ,ol
14. Db
Final Grade 1C �p p yO m
PUMP /SIPHON INFORMATION S .arut .f
Manufacturer Demand St Cover •Z
GPM DZ
Model Number
TDH Lift Frictio ss System Head TDH Ft
Forcemain JCengtl Dia.
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS s t e*► • 7-(
• JJ
SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufac ur r: I s
INFORMATION
Type Of stem: CHAMBER OR v Z3 r t�Z / UNIT Model Number. v t(
DISTRIBUTION SYSTEM W« [•,
Header /Manifoid �. Distributio x Hole Size x Hole Spacing Vent to Air Intake
Length •v
CC11 Di Pipe P7 i
a Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mo und Or At -Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
j Yes !r� No A Yes ' j No
COMMENTS: (Incl Scode di cr encies, persons present, etc.) Inspection #1: . Z. �f�J Inspection #2: --- vezw
Location: (/ 'fl / 1 NA Lot 3 Par N 3 .28.1 534A2
1209 Rifle Range Road Ri r Falls, WI 54022 W 1 4 NW 114 34 T28N 8W)
1. Alt BM Description
= m S'�' j � ' 0 - W - �� 5 �
p P 1
2.) Bldg sewer length =
- amount of cover = f " f''
PI n revision Required ? hw' Yes No qq :y`� 7�
Use other side for additional information. 21
SBD -6710 (R.3/97) �_ _ ___ _
Date V Insepctor's Signature Cert. No.
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ST. CROIX COUNTY
== WISCONSIN
- ZONING OFFICE
ja ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
EROSION CONTROL PLAN (715) 386 -4680 • Fax (715) 386 -4686
For Lot 3, Rifle Range Rd. (Kinnickinnic) — owner(s) Eric & Angela Donharl
Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion
prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant
and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized.
The owner is responsible for notifying all contractors performing construction on this site that an
Erosion Control Plan is in effect and the following activities will be required in order to maintain
compliance with the plan:
1. The main source for construction site runoff will be the house foundation excavation, driveway, and any soil
stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to
temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and
mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment
movement.
2. Route contaminated runoff into vegetated buffer areas by creating temporary diversions graded ALONG
CONTOUR between excavation areas and any drainage ditches or waterways. Use a diversion along the
southwest portion of the construction area to contain runoff on owner's property and away from the surface
water drainage /ravine shown on the site plan.
3. If builder /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 silt fence MAY not be necessary. Silt
fence or other approved sediment control products will be required if sediment cannot be contained on
owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan
effectiveness and make recommendations to owner and building inspector for any action required to comply
with applicable regulations.
4. Construction equipment and vehicles must use only one driveway access off county /town road that is
properly stabilized for heavy equipment; this helps avoid muddy, rutted conditions that may allow
contaminated runoff to reach waterways and/or drainage ditches. This includes cement trucks, well drillers,
and other contractor's vehicles that access the property during construction. Property owner must repair
damage to ditches resulting from multiple access points. All vehicles, except those used for mound
installation, MUST stay off the entire mound site to prevent damage that could prohibit its use for the
system.
5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not
wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather
will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /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.
The owner of record during site construction will be responsible for compliance with the ESC Plan.
Attached is a detail for temporary diversion. Please feel free to contact me with questions or ask for
assistance with erosion & sediment control installation.
Prepared by_ Pamela Quinn, Soil Erosion Inspector #66505 �Zq�
Owner acknowledgement of ESC Plan requirements:
/2003
Gk
Sanitary Permit Application Safety & Buildings Dig isio i. wt In accord with Comm 83.21. Wis. Adm. Code 201 W. Washineton A%c
See reverse side for instructions for completing this application PO Boy 730
` iseonsin Personal information you provide may be used for secondary purposes Madison. WI 53707 ,0
Department or Commerce (Submit completed form to county if not
[Privacy Law, s. 15.04(l )(m)] state owned l
Attach com fete plans (to the county copy only) for the system, on a er not less than 8 -1/2 x I I inches in size.
Count) State Sanitary Permit Num eC +fir� y in r#o prey us application State Plan I. D Number
REC
I. Application Inform ion - Please Print all Informa ion Location: (}
Properi% Owner Name F,K ,� . Property Location
4 r / h �Q �- ��ja./' ' Cd1 1 /4 01 /4, S T 7$,N, Rf&�'
Propem Owner's Mailin Address Lot Number Block Number
3el e•
Cin', State Zip Code Phone Number Subdivision Name or CSM Number
• P $73 (o3S CS k)W 13 , 3 55V
II Type of Building: (check one) oe p Swb ❑ City
Z1 I or 2 Family Dwelling — No. of Bedrooms: ❑ Village
ZJ Public /Commercial (describe use): awn of
State- owned n���
III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Rua
_1q 0 4
A) 1. ErNety System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s)
System Tank Only Existin System 07.2'1O — 'ZQ7
B)
El Permit Number Date Issued
A Sanitary Permit was previously issued
IV. ape of POWT System: (Check all that apply)
on- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland
O Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
O At -grade , , ❑ Aerobic Treatment Unit ❑ Recirculating ❑Other:
3 • -JS �Cs,�ca . re r. -�7 C2 r. s - sek
V Dis ersal/Treatment Area Informati „d, W // 22 ,8;0 3/,/ 97 0
I Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation ate 6. System levation 7 Final Grade
Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation
0060 8S' � 870.80 o. � vt �4- 93. �D' 9G. 97.48.
VI Tank Capacit in Total # of M art ufact Ae r Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing �� �Q —/� crete structed
Tanks Tanks
T ❑ ❑ ❑ u
❑ ❑ ❑ ❑ ❑
VII Responsibility Statement
I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (print) Plumber's Signature (no tamps) MP /MPRS No. Business Phone Number
,t ELI. p h' /s 3156 _ S�
Plumber's Address (Street, City, State, Zip ode)
1 6 70 Z6 vOSor! ltd ® �!o
VIII County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuin Agent Signature (No stamps)
(Approved C3 Owner Given Initial Adverse Surcharge Fee)
Determination 7ZS 3j
.Conditions of Approval /Reasons for KC- Disapproval;, —
f , Cv _ od p e ww
le / 6 1. 1 Fo:ic_ 7 L7 — w TH 77-4 is p�"1e/n aun/6L
SBD -6398 (R 07/00)
COPY
EROSION CONTROL PLAN
For Lot 3, Rifle Range Rd. (Kinnickinnic) — owner(s) Eric & Angela Donharl
Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion
prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant
and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized.
The owner is responsible for notifying all contractors performing construction on this site that an
Erosion Control Plan is in effect and the following activities will be required in order to maintain
compliance with the plan:
1. The main source for construction site runoff will be the house foundation excavation, driveway, and any soil
stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to
temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and
mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment
movement.
2. Route contaminated runoff into vegetated buffer areas by creating temporary diversions graded ALONG
CONTOUR between excavation areas and any drainage ditches or waterways. Use a diversion along the
southwest portion of the construction area to contain runoff on owner's property and away from the surface
water drainage /ravine shown on the site plan.
3. If builder /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 silt fence MAY not be necessary. Silt
fence or other approved sediment control products will be required if sediment cannot be contained on
owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan
effectiveness and make recommendations to owner and building inspector for any action required to comply
with applicable regulations.
4. Construction equipment and vehicles must use only one driveway access off county /town road that is
properly stabilized for heavy equipment; this helps avoid muddy, rutted conditions that may allow
contaminated runoff to reach waterways and/or drainage ditches. This includes cement trucks, well drillers,
and other contractor's vehicles that access the property during construction. Property owner must repair
damage to ditches resulting from multiple access points. All vehicles, except those used for mound
installation, MUST stay off the entire mound site to prevent damage that could prohibit its use for the
system.
5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not
wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather
will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /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.
The owner of record during site construction will be responsible for compliance with the ESC Plan.
Attached is a detail for temporary diversion. Please feel free to contact me with questions or ask for
assistance with erosion & sediment control installation.
Prepared by: Pamela Quinn, Soil Erosion Inspector #665054
Owner acknowledgement of ESC Plan requirements: '—/—/2003
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680 • Fax (715) 386 -4686
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SCALE 1'.24 000 ROAD
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1000 0 1000 2000 3000 4000 5000 6000 7000 FEET
hard surface. -
1 .5 0 1 KILOMETRE Secondary highway,
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CONTOUR INTERVAL 20 FEET
NATIONAL GEODETIC VERTICAL DATUM OF 1929 WISCONSIN Interstate Route
THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS QUADRANGLE LOCATION
FOR SALE BY U. S. GEOLOGICAL SURVEY, RESTON, VIRGINIA 22092
NISCONSIN GEOLOGICAL AND NATURAL HISTORY SURVEY, MADISON. WISCONSIN 53706
A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON REQUEST
CF JET Sta n Erosion Control Plan
Sta Er o
� 1 2 Family Dwelling Construction Sites
,I _OUNTY
A�cc) rd' �p�t s 20 & 21 of the Wisconsin Uniform Dwelling Code, a soil erosion control plan needs
t be n approved prior to the issuance of building permits for 1 & 2 family dwelling units in those
jur si dictions where the soil erosion control provisions of the Uniform Dwelling Code are enforced. This Stan-
dard Erosion Control Plan is provided to assist in meeting this requirement.
Instructions:
1. Complete this plan by filling in requested information, completing the site diagram and marking (✓) appropriate boxes
on the inside of this form.
2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading.
Water runoff patterns can change significantly as a site is reshaped.
3. Submit this plan at the time of building permit application.
Site Diagram Scale: 1 inch = feet
EROSION
CONTROL PLAN
LEGEND
PROPERTY
LINE
EXISTING
' DRAINAGE
-� TD TEMPORARY
DIVERSION
FINISHED
-' DRAINAGE
LIMITS OF
GRADING
e- SILT
�-' FENCE
STRAW
CL BALES
GRAVEL
VEGETATION
SPECIFICATION
® TREE
PRESERVATION
STOCKPILED
SOIL
Please indicate north
by completing the
arrow below.
( I
—N—
I
PROJECT LOCATION 4E ' It A :1 M 11ge /.3, e% 355-e
4 w % 3 y, - r - 2 &I. /BcJ "ntiic �cinnic iV CO.,
BUILDER OWNER E/"-e G 0'A f9:s l
e3
WORKSHEET COMPLETED DATE _`a��
EROSION CONTROL PLAN CHECKLIST -
a �� s
Check (./) appropriate boxes below, and complete the site diagram with necessary information.
�0 QQ
F Q
Site Characteristics
North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways.
❑ Location of existing drainageways, streams, rivers, lakes, wetlands or wells.
❑ LrLocation of storm sewer inlets.
Location of existing and proposed buildings and paved areas.
The disturbed area on the lot.
!�✓ Approximate gradient and direction of slopes before grading operations.
Approximate gradient and direction of slopes after final grading operations.
Rr ❑ Overland runoff (sheet flow) coming onto the site from adjacent areas.
Erosion Control Practices
❑ k" 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 gravel access drive(s).
Note: Gravel drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick.
Drives should extend from the roadway 50 feet or to the house foundation (whichever is less).
_❑ Location of sediment controls (filter fabric fence, straw bale fence or 10 -foot wide vegetative strips) that will pre -
vent eroded soil from leaving the site.
Fie Location of sediment barriers around on -site storm sewer inlets.
L✓�LOCat10n of diversions.
Note: Although not specifically required by code, it is recommended that concentrated flow (drainageways) be
diverted (re- directed) around disturbed areas. Overland runoff (sheet flow) from adjacent areas greater than
10, 000 sq. ft. should also be diverted around disturbed areas.
❑ Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade).
Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions,
and re- vegetation by sodding or by seeding with use of erosion control mats.
Location of practices that will control erosion in areas of concentrated runoff flow.
Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of
such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap.
When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved
area, or one acre of paved area. In- channel practices h ul no be installed in perennial streams (streams
with year -round flow.)
?Location of other planned practices not already noted.
a
Indicate management strategy by checking ( ✓) the appropriate box:
m
Management Strategies
a s
❑ Temporary stabilization of disturbed areas.
Note: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized
by seeding (between April 1st and September 15th), or by other cover, such as tarping or mulching.
5/ Permanent stabilization of site by re- vegetation or other means as soon as possible (lawn establishment).
Indicate re vegetation method: Seed d' Sod ❑ Other ❑
Expected date of permanent re- vegetation: 3 y o' 4 • /S, 2C&3
Re- vegetation responsibility of: Builder ❑ Owner /Buyer Er`�
Is temporary seeding or mulching planned if site is not seeded by Sept. 15 or sodded by Nov. 15? Yes l" No
❑ P Use of downspout and /or sump pump outlet extensions.
Note: It is recommended that flow from downspouts and sump pump outlets be routed through plastic drainage
pipe to stable areas such as established sod or pavement.
G! Trapping sediment during dewatering operations.
Note: Sediment -laden discharge water from pumping operations should be ponded behind a sediment barrier until
most of the sediment settles out.
Proper disposal of building material waste so that pollutants and debris are not carried off -site by wind or water.
Maintenance of erosion control practices.
• Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to
half the barrier's height.
• Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be
replaced (typical bale life is three months).
• All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday.
• All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday.
• Gravel access drives will be maintained throughout construction.
• All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized.
For more assistance on plan preparation, refer to Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code,
the DNR Wisconsin Construction Site Best Management Handbook, and UW— Extension publication Erosion Control for
Home Builders.
The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available
through State of Wisconsin Document Sales, 608/266 -3558.
Erosion Control for Home Builders GWO001 can be ordered through Cooperative Extension Publications, 608/262 -3346
( ) 9 P
or the Department of Industry, Labor and Human Relations, 608/267 -9360.
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1620
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations
Attach complete site plan on paper not less than 8Y2 11 inches in size. Plan must County St. Croix
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.
022 - 1098 -95 -200
Please print all infonnation. evved B ate,
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ` 23
3
Property Owner Property Location
Eric & Angela Donhad Govt. Lot NW 1/4 NW 1/4 S 34 T 28 NR 18 W
Property Owners Mailing Address Lot # Block # Subd. Name or CSM#
1634 Nevada Ave. 3 CSM Vol. 13, Pg. 3558
City State Zip Code Phone Number J City Town Nearest Road
Saint Paul I MN 1 55106 (651) 793 -6035 Kinnickinnic I Rifle Range Road
0 New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
I Replacement _,f Public or commercial - Describe:
Parent material Glacial outwash Flood plain elevation, if applicable na
General comments
and recommendations: Install two trenches at elev. = 93.00' using 28 leaching chambers.
a Boring # Boring
1/ Pit Ground Surface elev. 97.88 ft. Depth to limiting factor > 109 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /W
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2
1 0-4 10yr32 none sl 2fcr mvfr cs 2fm,1 c 0.5 0.9
2 4 -12 10yr4/4 none sl 2fsbk mfr Cs 2fm,1c 0.5 0.9
3 12 -22 10yr5/4 none Is 1msbk mvfr cw 1fm 0.7 1.2
4 22 -34 7.5yr4/6 none sl 2msbk mfr Cw 1fm 0.5 0.9
C4� 0j$.0 5 34-48 10yr4/6 none Is 1msbk mvfr gw 1fm 0.7 1.2
Ste 6 48 -10 10yr6/6 none s 0 sg ml - - 0.7 1.2
H#6 contains 1/16'- 3/4" bands Of 10yr4/4 Is a Z'- T' intervals. Presence of Lamella should not adversley affect soil loading rate of horizon.
Boring # I Boring
M Pit Ground Surface elev. 95.57 ft. Depth to limiting factor >102" 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 I - Eff#2
1 0 -4 10yr32 none sl 2fcr mvfr Cs 2fmc 0.5 0.9
2 4 -15 10yr5/4 none Is 1 msbk mvfr cs 2fmc 0.7 1.2
3 15 -23 10yr4/6 none Is 1msbk mvfr gs 1f,2mc 0.7 1.2
4 23 -28 10yr5/6 none IS 0 sg ml cs 1fm 0.7 1.2
5 28 -52 10yr6/6 none s 0 sg ml gs - 0.7 1.2
chit 6 52 -102 10yr6/4 none s 0 sg ml - - 0.7 1.2
G(e H#6 contains 1 /1 ff' - 1 /8" bands Of 10yr4/4 Is a 4" -10" intervals. Presence of these should not adversley affect soil loading rate of horizon.
Effluent #1 = BOD ? 30 < 220 mg/L and TSS < 150 41- ffluent #2 = BOD < 30 mg/L and TSS <-0 mg/L
CST Name (Please Print) S nature: CST Number
James K. Thompson 3602
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceola, WI 54020 4/92003 715- 248 -7767
Property Owner Eric & Angela Donharl Parcel ID # 022 - 1098 -95 -200 Page 2 of 3
F3 ] Boring # Boring
1� Pit Ground Surface elev. 95.59 ft. Depth to limiting factor >98" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-4 10yr3!2 none sl 2fcr mvfr cs 2fmc 0.5 0.9
o.
2 4 -20 10yr4/4 none Ifs 2msbk mvfr cs 2fmc
3 20 -33 10yr5/4 none Is 1msbk mvfr gs 1f,2mc 0.7 1.2
4 33 -58 10yr5/6 none s 0 sg ml cs 1fm 0.7 1.2
5 58 -81 10yr6/6 none s 0 sg ml gs - 0.7 1.2
6 80 -98 10yr6/4 none s 0 sg ml - - 0.7 1.2
H#4& 5 contain 1/16" -1/4" bands of 10yr4/4 Is a 4" - 10" intervals. Presence of Lamella should not adversley affect soil loading rate of horizons.
❑ Boring # Boring
r} Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2
F—I Boring It J 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
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.
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Capac�ity
desigred f0�"1
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A minimum of�18'q
required ford -1 2Q
4" Knockout
Universal End Cap
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Available Sizes
Lengthy a ,�
;1'76 76
Width k a, ° )1)1 , �4„�'� 34" 34
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Height "' �� 1 14�,. 16"
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Conventional Septic System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
General
The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained
in accordance with component manual SBD- 10567 -P (R.6/99). All local and/or state rules pertaining to system maintenance
and maintenance reporting shall be complied with.
Septic Tank
The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The
septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The
contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to
service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment,
maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge
accumulation in the tank. The outlet filter s hall be cleaned as necessary to ensure proper operatio The filter cartridge
should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed
from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank
manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for
service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective,
or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an
effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank
as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with
Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or
chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be
approved for septic tank use by the Department of Commerce, Safety and Buildings Division.
Soil Absorption Cell
Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should
be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for
vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface
within the system and will promote frost penetration during cold weather months. Cold weather installations (October -
February) dictate that the system be heavily mulched for frost protection.
Influent quality into the system may not exceed 220mg/L BOD5. 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not
exceed maximum design flow specified in the permit for the installation.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the
owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by removing
biologically clogged adsorption and dispersal media and replacing said components as deemed necessary or by installing a
new soil absorption cell to bring the system into proper operating condition.
Questions on the operation or maintenance of the system should be directed to installing plumber; Mike:l .pnell at (715)
248 -7767, or the St. Croix County Zoning Department.
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATI FORM I
Owner/Buyer
Mailing Address / Co 3 AL4 ,, 5 f Z�'-e, n /7.
Property Address C 0� Q
(Verification required from Planning Department for new construction)
City /State )Cider 2s�S, C01 Parcel Identification Number 0 ;2z - /09r 95 AO
LEGAL DESCRIPTION
Property Location 0 V,, y,, Sec. 35/ T 28 N -R /f W, Town of 7�;�n�C nrlf
Subdivision X4- , Lot # 3
j Certified Survey Map # S I , Volume /3 _ , , Page # 3 55
Warranty Deed # (0 4-1 3 3 Z , Volume 03 + , Page # S Z
Spec house ❑ yes [r'no Lot lines identifiable Fery ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
masterplumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
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 been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year 4pirat n date.
/,of/ 03
SIGNATURE OF APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of
the roped34deseribyd a , , by v' a of a warranty deed recorded in Register of Deeds Office.
'e s/ 9/03
SIGNATURE OF APPLICANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * **
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
i
vo!. 1.83'7PArr 532
STATE BAR OF WISCONSIN FORM 2 - t 999 6 71 3 3 2
ECA iHLEEN H. WALSH
Document Number WARRANTYDEED REGISTER OF DEEDS
- 3 . CnOTX CO., WI
This Deed, made between Joe W. Melson and Angela D. Melson, RECE FOR RECORD
husband and wife
02 -18 -2002 9:30 AN
VARRANTY DEED
Grantor, and Angela D. Schnabl, a single person CE C N
CERT COPY FEE:
COPY FEE:
TRANSFEF FEE: 195.00
RECORDIN5 FEE: 11.00
PAGES. AGES: 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
Lot Three (3) of Certified Survey Map in Volume Thirteen (13) of Certified Name and Return l
Survey Maps, page 3558, as Document No. 591889, filed in St. Croix / a !" "� "�
County Register of Deeds Office on November 18, 1998, being located in } S
the Northwest Quarter of the Northwest Quarter (NW �/4 of NW %4) of
Section Thirty Four (34), Township Twenty Eight (28) North, Range
Eighteen (I8) West, Town of Kinnickinnic. St. Croix County, Wisconsin.
0 22- 1098 -95 -200
Parcel Identification Number (PIN)
This is not homestead property.
Exceptions to warranties: Easements, restrictions and rights -of -way of record, ifa ny. pE) (is not)
Dated this P� day of February 2002
+ Joe W. Melson
Angel A. Melson
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
• L ,� i X County )
authenticated this day of qs Y
` , s us hr r �� Personally came before me this /s day of
�T "• " • • • Cbruary 2002 the above named
0 4 ' : r . Oof W. Melson and Angela A Ralson, husband and wife
TITLE: MEMBER STATE BAR OF WISC §I7N * ie
(If not, - • G �°sne known to be the person(s) who executed the foregoing
'Yp�trum
authorized by § 706.06, Wis. StatsJ acknowledged the satrip.
''i � F� / s p n A S� ent and acnowe
THIS INSTRUMENT WAS DRAFTED BY'yi�N tn�t�+ Bather A. Seri
Attorney Krishna Ogland Notary Public, State of Wisconsin
Itu W 1 5401 My Commission is permanent. (If not, state expiration date:
(Sign es may be authenticated or acknowledged. Both are not necessary.) _ Marsh 16 — 1 2001 )
• Names of persons signing in any capacity must be typed or printed below their signature. i,r«o„u,n PROr• NMNS Company, Fond du lac, M
STATE BAR OF WISCONSIN 50045&2021 WARRANTY DEED FORM No. 2 -1999
1. ,LEEH H. WALSH
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
391889
11-18 -1996 9:30 AM
CERTIFIED SURVEY MAP
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.
SOT /
C RT , /[iV�Ymop OWNER'S AOORE'SS:
1248 RIFLE RANGE RO.
VOLUME jQ, ' RIVER FALLS, W/ 54022
PAGE 2916 UNPLAMED LANDS
NORTHWEST CORNER
SECT /ON 34 ' -- S B9• /0' /B "E 2630.80
r 2BN., R. /8 W. NORTH 114 CORNER
_
$01 SECT/ON 34
a 58 %0'lB" 31.3 - - S B9• /O' l8'_'E ' - r.28N., R. /B W.
y 47 33 .37'. ; 503 ?7 "Ntr�rEgiF N.LINWI /4- -- -'�
00 — + UNPLATLip k 4yQS
580.03'? ? "E�
72.04 ry 314 .4BE r l rrr tiw �' 66' RIFLE RANGE RD_
LO/NB
I b NOTE- LOT 2 CONTAINS 95,084 SO. Fr. OR 2.183 AC.
(87, 50 Fr. OR 2. AC. EXCLUDING RIGHT
LOT 2 OF W4r.
W
St l O /V 80.03 ?7"
K'242 j ra K
1
Al M
/-0r3
vl N QI
CON rAINS 297, /6I
CL W N So. Fr. OR 64224C. •...
�1 a /294,702SO. FT.
M OR 6-765-4C.
%14 • 41 £XCLUOING R/GHr 3 ��
p OF WAY! N �� SCALE IN FEET / 200'
OI Z NN N ql O 50 100 200 y 100
k i v p j� BEARINGS ARE REFERENCED TO THE vcRrH
1 2 y LINE OF THE NORTHWEST 114, SECTION 34,
T. 28N. .,R.IBW..ASSUMEOASS89•10'I8 "E.'
rH/S 1NSTRUh4ENr DRAFTED BYJERALD L. LARSON
=
Se cow. 3//. 00 , S_L / Nw i /q NW //4 m J W LAU NC FhP
011 T fR +N89'/6'51'El N 89 05 25 W /R r N 89 •/6'5/ "E/ t O =
LOT 2, C.SM., VOL.9, 2463 L OT. 3, C.S._M.,VOL.9 r S R FALLS/
WISC. t•�� a
LEGEND R 24¢2 r , ' Q• ��
0 SET /'X24"IRON PIPE /MIN. Dated) August 12, 19 4� 491CQ LAND •SJ,"��,
FOUND / 11 IRON PIPE "Revised this 3rd day of /34�j1„N
• FOND "ON
COUNTY MONUMENT November, 1998.11 rence W. Murphy
Rr RECORDED AS Regi ered Land Surveyor
FENCE LINE SHEET / OF Z
Vol.13 Page 3558
W =nsinDepartment lbo� 115b', SOIL AND SITE EVALUATION REPORT Page of
.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 st rm ZZ - /0 o�U
>\
APPLICANT R BY DATE
APPLICANT INFORMATION- PLEASE PRIN LIV RMAliQf4
PROPERTY OWNER: TI "i >EU Al lr P i� C IWOM LOCATION
y 3�IlJt� fvW 1/4 NW 1/4,S - W T ,N,R E
PROPERTY OWNERS MAILING ADDRESS , , T �Q r. BLOCK # SUBD. NAME OR CSM #
rte.
CITY, STATE ZIP CODE PH�NE NU ILLAGE ®TOWN NEAREST RO
2tukiNt grLQ Lvl S qtr VZz ( ,) LLZS� k Q MJAJl.JIC. 2► ��Iv6E 2D,
PQ New Construction Use Residential / Numtaer of bedroar+61 'r x . [ I AddWgn to eAsting building
j I Replacement [ ] Public or commercial dbseEiht<. `-- -J� .- -f
Code derived daily flow gpd Recommended design loading rate - bed, gpd/lt? ' S trench, gPW
Absorption area required - bed, ft trench, ft Maximum design loading rate ,' bed, gpd/ft - S trench, gpolft
Recommended infiltration surface elevation(s) S L ft (as referred to site plan benchmark)
Additional design / site considerations ' '
Parent material Flood plain elevation, if applicable • ►4 , It
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem 1 ® S ❑ U ®S ❑ U ®S ❑ U as ❑ U .I$U ❑ S ® U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
h ) 0 _ l0M T i 1 z — s \
z -, _ 7z, - 1,5 -1 sJ o sr)
►� 1 cw — • S
Ground 27_ $$ B `1 CZ s / - C) yy) - • S
elev.
t
Depth to
faclor
limit
Remarks:
Boring #
13 0 1 to�1►z 2 lz — �5 ��bk M\A- as
3 - 41 1(, W\-t p- S16
Gr
ro nd
elev.
V ol. 0 it.
Depth 10
limiting
facto 6 4
Remarks:
CST Name: - Please Print -
Arthur L. We erer Phone: 715 -425 -0165
egerer Soil Testing-&
Design Service -P.O. Box 74 River Falls,WI 54022'
Signature: %) ` a 8- 1 Date: - I- C CST Number.
M00 5 7 6
PROPERTY OWNER SOIL DESCRIPTION REPORT =Page Z of 3
PARCEL I.D.
Depth Dominant Color Mottles Structure " ` - GPD /ft
Boring # Horizon Texture Consistence Boundary Roots.
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. _ _ _ Bed Trerxh
3 0 -� �ov►.2 z,lZ
Z 6 -1-3 �.S `-t R S I b ``FS O S »�) �kJ • S
Ground R s 1(, — �S Cog m�� n . • 5 • L
elev.
\ -0 ft.
Depth to
limiting
factor
? to
. I
Remarks:
Boring # - --
13 • s
Ground
elev.
v os•�i ft. _.
_ S
Depth to
limiting `
factor ._ j
i
.Remarks:
Boring # ,
S 1 S -1 R s/ 6 — R s 0 a . )
3'. -9D lb`1R S�[e _ �S � S9 ►'►'1� — -S I -6
Ground
elev. w --
1 os,s
ft.
Depth to
limiting i
factor
Remarks:
Boring #
13
i
i
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
PLOT PLAN Page 3 of
SCALE I"= S O '
J
� Iv
M
P lPE
A p�1\ .� EL140�
7 \
\ NoUSE . 3E PST u--�-r- -?-ST_ _.
�Ar
t
tZ lO ° _ I� 11 10010
vn
oN 6''lit I I v l
31�'• W 119 Pu � '
Pl FsLs w l�� , /
/ 2 / V7
00
10
NV Z—
cl+ 4'`"r.H, 9 /
t6tfj_ PVC plp�
IQ
iv
i ry S Y's Z 17 e,Wky-3 - `A I w 1. D .v l7N Yf l G �1 e t`ftif
Letc m c ti-1 _ 'T ZOO- wes
--
�'1 v►�"j1u,vS rrT TEL or 2.orj s uc!lftlq
( 715 ) 42,5 -0165 _ M00576
CST Signature Date Signed Telephone No. CST #
Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page N of _a,
Labor and Human Relations .
i iv*n 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
-,no i Grn ted tovertical and:horizontal reference. point (BM), direction and % of slope, sdale br. PARCEL I.D.8 i�>EK_g, &j G
dimensioned, north arrow; -and location and distance to nearest road.
APPLICANT' 1NFOR14toN- PLEASE PRWT ALL INFORMATION DME
: PROPEfiTYOWNER: TiV�XJ Cj 1L" PROPERTY LOC ATION
%Q'1 Z%?- -_ L GA4Fl•.W NW 1/4 Nvv 1/4,S T lb ,NR L8 E
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK# I SUED. NAME OR CSM /
V.'uX. Sol 1 — ��)xJG C_&*4
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY OVILLAGE ®TOWN P IFQ! AREST ROAD
(zlvN12 of �J1 SkL0ZZ (Its) t[ZS- g31 S �»,LC�,�,lc _"V6E RA,
QQ New Construction Use Residential / Number of bedrooms y M Rx . [ ] Addkn to erassting building
] ] Replacement [ ] Public or commercial describe
Code derived dally flow boo gpd Recommended design loading rate -- bed, gpd/ft ' S trench, gPd41
Absorption area required bed, ft \_z-Q trench, 11 Ma)dmum design baring rate __, _�— bed, gpd/ft S trench, gpolft
Recommended infiltration surface elevation(s) S 3 ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material S ant vv w s >"1 Flood plain elevation, N applicable N • t.4 , ft
S = Suitable for system cONVIRMONAL MOUND IN-GROUND PRESSURE I AT -GRADE SYSTEM IN FIJ HOLDING TANK
U = unsuitable for system ® S
El ®s ❑ U 0S o U as [I U 1$U ❑ S ® U
SOIL DESCRIPTION REPORT
Boring # Horizon � Depth Dominant Color Mottles Texture Structure y Roots GPD /ft
in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. Bed Iftch
I ) O - Nz`1 TL �- I Z — S O-5� Yn
Ground 27_ $g 1 U `t tz s / — p V • S . b
elev,
l DO.b ft.
Depth to
limiting
factor
8�i h
Remarks:
Boring #
O= tb` - z-lz-
Ground
lv-1,2 s16
elev.
� O1.0 ft.
Depth to
limiting
factor
Remarks:
CST Name: — Please Print pfa�
Arthur L: We erer 715 - 425 -0165
egerer Soil Testing•& Design Service -P.O. Box 74 River Falls,WI 54022'
Signature: Z S -' Date: r �' g CST Numb 0 0 5 7 6
PROPERTY OWNER - 7 - z-vzsr R SOIL DESCRIPTION REPORT Page? of 3
PARCEL I.D
�n� tiro 6
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon - Texture Consistence Boundary Roots.
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i ..- _.._.__..' Bed Trench
),S -i z sit cw
Ground . 137 10`1 ILS1 — l� n$ hz� _ ' S • L
elev.
ti b1.0 ft
Depth to
limiting
factor
Reinarks:
Boring #
Z" 7 Z 7. S `-t tZ 3! 1 S 1 �-Sb r1' 4S , S
Ground
elev.
\Qia ft.
Dep th to •
limiting
:`.Remarks:
Boring #
S R s! 6 - i s o s9 m I e,� • s;_ b
lt� SI L _ �S O S9 ►'►'1, _ .5 -�
Ground
elev.
1 oS,S ft.
Depth to z ,
limiting
f
� t r
I'llo
Remarks:
Boring #
E.3 I
` Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
PLOT PLAN Pa 3 of 6
SCALE 1 "= 5 O '
1�.
N
�
_? J
1 �
+r<1
N
P i PE x-63.9 �
Hoi SEZp - tF PiT
�-j Lsl- %E fit']"
6
r � � YCcOh!1 ATV 1�w C•�_ _
S S
10,
I r�r
( v /
31 Y ° �iq P\j f
1
V7
I 01
' 8 -4 1 o s
tx�3 �d 1 ' z` nloJa
ory 4O"Qi, 31
R. pve PIpF
1vciT� ZO 1►v. s`�.��R.:
l j IG t�
3 d' ' b l zP 'I'` - TE. ► 1" ) Ai . -7 — V tkeo.. f�r
1h1F )drT 'T> 1C: of aoyv Tmuc-'laf�q. _
( 715 ) 4L -01 69 1400576
CST Signature Date Signed Telephone No. CST #
1
Parcel #: 022- 1098 - 95-200 12/13/2005 04:33 PM
PAGE 1 OF 1
Alt. Parcel #: 34.28.18.534A -20 022 - TOWN OF KINNICKINNIC
Current rLX! 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
ANGELA D SCHNABL O - SCHNABL, ANGELA D
1209 RIFLE RANGE RD
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: 6.822 Plat: 3558 -CSM 13/3558
SEC 34 T28N R18W NW NW BEING LOT 3 CSM Block/Condo Bldg: LOT 3
13/3558
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
34- 28N -18W
Notes: Parcel History:
Date Doc # Vol /Page Type
09/22/2003 740786 2415/512 EZ -U
02/18/2002 671332 1837/532 WD
08/25/1999 609275 1451/648 WD
01/07/1999 595216 1393/404 QC
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
88898 89,000
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 6.822 90,000 0 90,000 NO
Totals for 2005:
General Property 6.822 90,000 0 90,000
Woodland 0.000 0 0
Totals for 2004:
General Property 6.822 44,000 0 44,000
Woodland 0.000 0 0
Lottery Credit: Claim Count 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
WiisconsinDepartment ofIndustry SOIL AND SITE EVALUATION REPORT Page of - 2,-
Labor and Human Relations .
division of Safety & Buildngs in accord with II-HR 633.05, Wis. Adm. Code
COUNTY
Aga ch cofrtplete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but %T. G?.()11(
;;tt9,t gm*d.to vertical and Wzdntal reference point (BM), dtrecUon and % of slope, scale or PARCECJD. # 1
e dimensioned,: north arrow, and location and distance to nearest road.
APPLICANT INFORINATION- PLEASE PRINT ALL IN`FOkMATION REYI EWEDBY DATE
PROPERT OWNER . V - )"DF- ..t. Pis k� R PROPERTY LOCATION
GW W NW 1/4 Nov 1/4,S% T - ,NR 1 8 E
PROPERTY OWNER'S MAILING ADDRESS LQT# I BLOCK # SUM NAME OR CSM #
VWy 501 — G �•Sw.t �
CITY, STATE ZIP CODE PHONE NUMBER ❑VILLAGE ®TOWN NEARESTR
2tv�2 FftW L.Jl SqOzz ( u2 s- g31 S .*JkcN1Uti,1,Jje 1 RPW66 ltb
K New Construction Use W Residential / Number of bedrooms y m pm . ] ) Addkin to exsling btnWmg
() Replacement ( ] Public or commercial describe
Code derived daffy flow boa gpd Recommended design baling rate — bed, 9pcW ' S trench, gPdjft
Absorption area required — bed, ft `IA trench, ft Maximum design loading rate _ bed, gpd/ft - S trench, gpd/ft
Recommended infittrWdon surface elevation(s) S ZIZ E? 3 It (as referred to site plan benchmark)
Additional design / site considerations I
Parent material Sr amt 0y s w� s t-1 Flood plain elevation, if applicable N " la , ft
S = Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT -GRADE SYSTW IN FILL HOLDM TANK
U = Unsuitable for system ®S El ®S ❑ U ®S ❑ U ®S ❑ U 1$1.1 ❑ S Rill
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure , Roots GPD /ft
in. Munsell QU. Sz. Cont Color Gr. Sz. Sh. Bed Tmnch
I ) Z!Z — tS ��'vn Yn a-S
Z -1_ Z7 "I,S`ICZS�� LTS 0S WI� C • S •�
Ground 3 27_ $$ l 0 `1 R s 1 — 0 - • S
elev.
l DO.O ft.
Depth to
limiting
factor
84L h
Remarks:
Boring #
O lb`tIZ Z�Z �S
z L - I - ZL -S `t2 sir
Ground
elev.
1 0 fL
Depth to
tirt>iting (S� Ceq
bclor 0/
Remarks:
TName— Please Print Arthur L. We erer Pfane' 715 -425 -0165
Vegerer Soil Test ing - & '
Design Service -P.0. Box 74 River Fa11s,WI 54022
Signariue: or , -5_ / � K� 9 $ -257 - Date: �� - -g � CST Numb
00576
PROPERTY OWNER N��ES'r�R SOIL DESCRIPTION REPORT • ' Page? 0 3-
PARCEL I.D. Liy 6
FH_6�rl Depth Dominant Color Mottles Structure ` . GPD /ft Boring # Texture Consistence Bour clary Roots. in. Munseil Qu. Sz. Cont. Color Gr.
Sz. Sh. Bed Ttendi
z-L Y4
Ground Z3:.? 10`1 R S 1(' — `�S ng yn� • 5
elev.
ti 0X.0 ft R
Depth to
limiting
f actor
K .. ,..
`Rernarks:. .
Boring #
Z lZ
:Z`A z �.s�c tZ 3t — s 1 L c.sb �I es . S
Ground
el`ev."
VQ_S ft.
i
-
. Iimitl ` r' '
;Remarks:
Boring # ,
S � �. � -zf, -�� s � rz s! 6 - 1 � s o s9 w,) e►v � . s � . 6
3 -90 LtW-fRS L _ �S OS9 yv)1
Ground
elev.
I OS.S it
Depth to
limiting
factor "� f
7
,Remarks:
Boring # ,
' I
Ground
elev.,
— ft ,. _. .
. t
Depth to
limiting :.
factor
Remarks_ •
SBD- 8330(R.09192.)
PLOT PLAN Page 3 of
SCALE 1 "= S O '
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Til
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PIPE Z639) .
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B.5
tZ.l� l ° _ 1r f lI 10
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0 6N 6 I v l
31y" Dt q PUe
' r ^By �l os8
Am
fir * - �. ►«�.$ ' �.�o►o '�
t4 �`WIGH, 31,
Pve plate
N JM� J. S` "Lev_
l�S[�Pcc Z ie'er ZftC.hk I IVifit~ WrT YVIGIA `f�l
3 b'` 'tevp PIT 7ft LJPS I.UM L'bGE nl -'1) mix'. -zv``. bEeo--ftr-.
4 NVE ufY7?LjhsS ),r-T -a -� y
Cis, ;l --Sl AJ ( 715 ) 425 -0169 - - 1400576
CST Signature Date Signed Telephone No. CST #
EEN H. WALSH
n —H ST.ICROIXOCO., WI
• k
L pEC RECEIVED FOR RECORD
a
ST. CROIX COUNTY 591889
SURVEYOR'S RECORD 11 -18 -1998 9:30 AM
CERTIFIED SURVEY MAP
E68ROINS FEE:-- -12: ""
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.
LOT
CERTIFIED SURVEY MAP 0�!NER'S ADDRESS.'
1248 R /FLE RANGE RD.
VOLUME IQ, RIVER FALLS, W/ 54022
PAGE 2916 _U_N_P_L_A_T_TE_D L ANDS
NORTHWEST CORNER
' SECT /ON 34 - S 89 0 /0' /8 "E 2630.80'
.
lr\T. 28 N. , R. /B W. SO/ •2435 "W SECT /ON 34CORNER
`yS89 ° / _ 31.35' S 2/53.8_/' -- T. 28N., R /8 W.
1
0-: 3 03,NW 114�
-3r 3 ?� E 314 -gr i �E g4 S CE q0. UNPL A7' L ANDS
, 3
1 - r 00'237, 4B . ~ ` _ !n
580 "E
72.04' ' Qj 314 4e,, s�, — 66" RIFLE RANGE RD_
M 242 .44' p r ` 4/F4 E g4NCE X90, — —
NC O
° SETBACK O
NOTE- LOT 2 CONTAINS 95,084 SO_ FT. OR 2. 183 AC.
�b
all f87, /65 SO. FT. OR 2. AC. EXCLUDING RIGHT
° .� .r. OF WAY.
LOT 2 % % r
mh
d'I M M
N80.6327, p
r
411
.11
LOT 3 M M Z� C: erhlJrEj! an ivF c., .
N r�
I
CON 297,167
CA. I N O. FT, OR 6.822AC,
V Q
t294 Fr
OR 6.765 -4C. 3 QI Huff and vrsia
EXCLUDING RIGHT
z o OF W A Y) N ,y �` r SCALE /N. FEET / 200'
N a N vl 0 50 /00 200 " �• 400
W i p j l BEARINGS ARE REFERENCED TO THE NA4TH
j Z y I LINE OF THE NORTHWEST 1/4, SECTION 34,
i T. 28 N., R. /B W, ASSUMED AS S89 °10' 18 "E.•
� 1
I THIS INSTRUMENT DRAFTED 8Y JERAL D L. L ARSON
4
..........
e S ; NC
Sir coa. 3 /I. 00' S_L1 N w //4 NW Il4 �. �, = W ac
".0 03' 25 " W 7R -- N 89 •/6'51 "EJ s M O
/R= N89•/65/ EJ S 13 >
L. 0 T 2, _C._S.M., _VO_L.2, P. 2463 LO_T. 3, C.S.M.,VOL.9 s R FALLS ',� •
r -- - LEGEND 1 - P 2462 .� ; wise .•,,.•�
SET I "X24 "IRON P /PE 7M/N. Dated: August 12, 19 tc�•.CAN'd � &J$
O WT. /. 13 L8. /L,FJ "Revised this 3rd day of �4010,00APIA
FOUND / IRON PIPE
COUNTY MONUMENT November, 1998." rence W. Murphy VII
R= RECORDED AS Regi ered Land Surveyor
FENCE L /NE f ' SHEET OF ' I
/►
Vol .13 Page 3558 to