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13 Page 1 of 2 Pam Quinn From: Jennifer Shillcox Sent: Wednesday, April 30, 2008 3:38 PM To: 'Troy Nemmers' Cc: Steve Olson; Kevin Grabau; Pam Quinn Subject: RE: Special Exception Question 7; c yr "aA n i ovF, _', i��)( J;:ir f ..> �,,,,� �! t os :1ermit pursuant to v.;:1;'i C !cf 1tS outlined 111 attached). iK y iii (�dt�r (1,i)�1t U ) ff,t:;T i "i.,, vih just need a Clu @ ;icing "or kls ll wS ' vi nc'.'J y - An _� :3 (1 �f. cl {1c 1 j hot ' fl the z�f ld S>; i_; � 7 hls ;night ::7UITlt) ti?P. pI"oIF C.� �ili:� ..t,f cl;ri tC. - - - -- Original Message---- - From: Troy Nemmers [mailto:troyn @humphreyengineering.com] Sent: Wednesday, April 30, 2008 2:31 PM To: Jennifer Shillcox Cc: Kevin Grabau Subject: RE: Special Exception Question Jenny, Following up on your previous comments... I just noticed that approximately 2500 square feet of the addition would fall within 300' of a navigable waterway (Rush River). Does the fact that some of the addition would be under shoreland zoning change things? Would that mean that we would still need a special exception permit or would that qualify for a land use permit? I have attached a PDF of the situation so you can see what I'm talking about. Troy Nemmers, PF. Project Manager Humphrey Engineering, Inc. <hr size =2 width =" 100 %" align= center tabindex = -1> From: Jennifer Shillcox [mailto: jennifers @co.saint- croix.wi.us] Sent: Wednesday, April 30, 2008 12:15 PM To: Troy Nemmers Cc: Kevin Grabau Subject: RE: Special Exception Question Yes, a church is an institutional use that requires a special exception permit. Do you know how old the existing church is? Depending on the history of the site and the use of the proposed addition, this may not require a special exception permit. If the church pre -dates the Ordinance (is at least 30+ years old), then it is likely a legal nonconforming use and an addition would not need a special exception permit unless the addition would be used for activities and uses not previously done on that site. Jenny 4/30/2008 Page 2 of 2 - - - -- Original Message---- - From: Troy Nemmers [mailto:troyn @humphreyengineering.com] Sent: Wednesday, April 30, 2008 11:11 AM To: Jennifer Shillcox Subject: Special Exception Question Jenny, Peace Lutheran Church located just south of Baldwin in the Town of Rush River is proposing to do an 8,000 square foot addition to their existing building. Am I correct in assuming that this classifies as an institutional use and would require a special exception? Please let me know as we are trying to put an application together for Monday. Let me know if you have any questions. Thanks for your help. Troy Nemmers, PE Project Manager Humphrey Engineering, Inc. 2211 O'Neil Road Hudson, WI 54016 www.humphreyengineering.com 715.531.0525 866.599.0820 715.531.0520 (fax) This electronic data is transmitted for your convenience and is the sole property ofHumphrey Engineering, Inc. (HEI). By accepting delivery, the recipient agrees to indemnify, hold harmless, and defend HEI from all claims, damages, losses, and expenses whether actual, incidental and /or consequential resulting from the use of the files and data. There are no warranties, expressed or implied. While all digital data may appear to be very accurate, the CAD files being transferred for your use may contain unintentional or deliberate inaccuracies (including but not limited to not -to -scale information, which may or may not be identified as such), In using the CAD files, you assume responsibility for the correctness of all measurements, dimensions, inventories, areas, etc. extracted from these files. This electronic data is subject to change and updates are the responsibility of the recipient. HEI is not responsible for updating the disk or for compatibility with recipient's hardware andfor software. 4/30/2008 0 0 -u n O d (D �.(D v h K T ' o c CD m A 3 Z \ 1 3 o � Q n CD C N O O N N `C • < <_ G O N N N- pr fl. O 7 CD V2 O O ? _� O N c G) G) °' N N Q O Q Q O S O CO rt 0 0 1 C C C) CD --I co ' y Q (b C O O O Jl � l , N � � O C � O1 CD V CD cry D m a O CD �c�" a w s D1 N CJ 3 O Ov O OD V 00 CD ,.�',' Z W N p n C.n ` O N N C CD 0 0 `< CA O C W CD N N !Y o I v , CL O O O z Q. °' �• lv� c 3 3 a v v O N 1 � 'm '°' ( 90 F m o m a � � N c 3 m cn C a CD z is z z 3 ? oO 1 �� M O D b0 i lV 0) j O Z CD CD 3 CD p 2 CD Lo A z i U) N N ao z C p — cn O .: M m y N A O A p� _ CD Z �OCD a y O (D "" CD CL O K v O = C CD — 7 0 o z a C: O CD o =r 3 CD N CD CA N � I O 3 CD (b y O p WO 4 N O O fQ 7 ? CD a 0 O O O y w Izz SD (A O 00 � A CD py r D O r o o 90 , n m m m c IA z 3 ;a -r-' y M m r j a o! �► rn m m m z 0 s! a � z 0 0 F z VIC ; I b VV kl x f F a gloom k Parcel #: 028- 1018 -60 -000 03/10/2008 04 :57 PM PAGE 1 OF 1 Alt. Parcel #: 12.28.17.96B 028 - TOWN OF RUSH RIVER Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - PEACE LUTHERAN CHURCH PEACE LUTHERAN CHURCH X BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 2084 CTY RD N SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 6.970 Plat: N/A -NOT AVAILABLE SEC 12 T28N R1 7W 6.97 AC SE COR OF SE SE Block/Condo Bldg: (ABOUT 1880) (ORIGINIAL N PROPERTY INC CEMETERY) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 12- 28N -17W SE SE Notes: Parcel History: Date Doc # Vol /Page Type 2008 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/11/1990 Description Class Acres Land Improve Total State Reason OTHER X4 6.970 0 0 0 NO Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 028 - 1017 -85 -000 03/10/2008 04:57 PM PAGE 1 OF 1 Alt. Parcel #: 12.28.17.91 B 028 - TOWN OF RUSH RIVER Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - PEACE LUTHERAN CHURCH PEACE LUTHERAN CHURCH 2084 CTY RD N BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 2008 CTY RD N SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 12 T28N R1 7W PT SW SW COM SW COR OF Block/Condo Bldg: SW 114; TH E 20 RIDS & 25FT; TH RD TH W 20 RIDS & 25FT; TH S 3 1/2 RIDS TO Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) POB EXC 91C EXC PT TO CTY RD PROJECT 12- 28N -17W SW SW 95 -N -2 (P ER TOWN HALL) (ABOUT 1890 Notes: Parcel History: Date Doc # Vol /Page Type 07/2311997 1174/223 WD 07/23/1997 378/37 07/23/1997 3091302 QC I 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/07/1995 Description Class Acres Land Improve Total State Reason OTHER X4 0.000 0 0 0 NO Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Comme PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: + IN 408206 0 GENERAL INFORMATION (ATTACH TO PERMIT) State 5ft ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. -T Permit Holder's Name: City Village X Township Parc ax No: Peace Lutheran Church I Rush River Township 028 - 1017 -85 -000 CST BM Elev: ( Insp. BM Elev: ! BM Description: ( -b I I C70•C7 rlttc� I t C CS.T ,, -I� Ij TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark (jA e v� SCR— / • `v OD, UO ' C) Dosing Alt. BM Aeration Bldg. Sewer Holding SUHtInlet �.(oo .3Z' TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic �. / y t 2 Dt Bottom !fi Dosing v s r Header /Man. ['• Aeration Dist. Pipe �, y� Z ( �. �2 S � t q . Holding Bot. System s� S •10 � ` 22 r Final Grade PU /SIPHON INFORMATION Manufacturer /1 Demand St Cover 0—di GPM Model Number wt` ( .�jZ . °li (or,- a S' H Lift Friction Loss System Head TDH Ft 6 1 Forcemain L �� Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length f No. Of Trend es PIT DIMENSIONS No. Of Pits Inside Di Liquid Depth DIMENSIONS " SETBACK SYSTEM TO P/L JBLDG •+^ WELL LAKE /STREAM LEACHI Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake A l/ P'pe(s) �/ ( r « 2 t 1 n Length 3 ' Dia Z Length is Spacing ` ( 7 SOIL COVER x kressure 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 I`_' No Yes a No C C OI�AM_ENTS (Incl p dis pencies, persons present, etc.) • Inspectio` fi n Inspection . �y�el A I (� a l! Location: 2084 County oad N L B � ,WWI.p5 P �4002 (SE 1/4 SE 1/4 12 T28N �17W) NA Lot ce 1.) Alt I No: 12.28.17.96B BM Description = �� �^"_" _ "�',"/"�`- �'°"�l, �) � � • - ,(� t t'"'7("t` o �° � 2.) Bldg sewer length = ` ,�,, °" ) °p I"" — ' (� - amount of cover +� 3.) Contour= 3 sp �54� t0 � •� 7 _ Plan revision Required? ,, Yes � No � �" Use other side for additional information.__ ___ - -- -- D 4tvignature Cert. No. SBD -671 (R.3197) n Safety and Buildings Division County 1 201 W. Washington Ave., P.O. Box 1162 �s2 a _ X Iconn 'wh �' f Madison, WI 53707 - 7162 Site Address Q Dep artment of Commerce Number Sanitary Permit Application 0t2©(p In &acrd wigs Comm 83.21. Wis. Adm. Code, personal information you provide ❑ Checl�. Revtston may be used for secondary MOW Prlrac Law, 615. l� rri 1. Application Information - Plow Print All. Information State Plea I.D. umber Properly Owner's Name Parcel Number s. Z8 • !� • `� B e- &Z6 c « al C r Property Owner's Mailing Address Property Location c RI " �i4 S 2 T , 2 0 N R l City, State Zip Code R r �® 7 --------------------- Lot Number Block Number r Subdivision Nary CSM Number u /d -:r/ �` 3' Yoo �-- � 11. Type of Building (check all that apply) [ City ki or 2 Family Dwelling - Number of Bedrooms _ _ _ ST ..., ..�.— mqe ❑ PubliclComme - Describe Use ovmshi e Y ❑ State Uw>rd 93 �� ILq _ ! e *treat Road C >c K-10 Wtwx�D C4 - so 18 c M. Type of Permit: (Check only one boat on line A (numbering scheme for internal u5e). Complete lime B if applicable) A. Ror County use 1 Nam 2 Replacement System 3 ❑ Replacement of 6 ❑Addition to S Tank Ott( Exist Existba System I3. ❑ Check if Sanitary Permit Previously Issued Permit Number Nate Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for interttai use) y - 44 ❑ Non - Pressurized In 21XMound 47 ❑ Said Filter 50 ❑ Constructed Wetland 22 l J Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recircula 30 © Otber V. D art area 11tformatiott1. Design Blow (gpd) 6i-m1 Area Dispersal Area Soil Application Percolation Ra System Elevation Final Grade Roquired Proposed Itate(Gals./Days.1Sq.Ft.) (Min./Lrch) Elevation VI. Tad( Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic (3111005 iaZ2 of Tanks Concrete Constructed Glass Now Existing Now Taub Septic or bolding Tank y isicr tnm6er C e Y VI I. nsllalli Statement I, the undersigned, awuam r nsiMy for lion of the POWTS shown on the attached Plumber's Nanm (Print) Plumber's Signature Number Business Phone Number `ll�u c za ��QG Plumber's Address (Stroet, City. State., Zip Code) 7U C 7 4-1 sK rIX. Coam tDe artmaa Use only proved Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) dD ❑ Owner Qiven initial Adverse Determination 2oD Conditions of Ap prov w�.�"� ab pprov U � Attach complete picas (to tke Counq oaty) fur the syA40 o1 paper not less than Sin : inches in An SITU -6398 (R. 05101) PLOT PLAN - Page 3 of 7 Scale 1 " =qO Q? !1 z "We G a 0 z Nis" Vk Li C1 , O F - p VO I II e 1 N I I N �► 11F Z N 11 N II I �- � ° 1 0 l 'DU "T_ j - I arz io �s j RD ! �S • 3.3 VV) 1' CCU ' �►`tv� �L . q 3.5 oF eeu M, qs.0' tiloT 2 - ✓ 8 - ID- -- 100.0' NftI L- _1 J 30' TN A, -- . cohJtbUIY _... - S > S0' Pi OV"I MOWIt "_Ab > 2S t }=,za 'T't1xh5. NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be \z / 8o® gallon capacity manufactured by 4. Bench mark S S (ZE - due �. Divert surface water around, system to prevent ponding at the uphill side. t Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TD #: (608) 264 -8777 erc iseonsin www w ww.commerce.state.wi.us/sb ons .wisonsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary May 28, 2002 CUST ID No.267341 A7TN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1 101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/28/2004 Identification Numbers Transaction (D No. 753469 SITE: Site (D No. 117536 Peace Lutheran Church Please refer to both identification numbers, 2084 Cth N / Rt 2 above, in all correspondence with the agency. Town of Rush River, 54002 RECEIVED St Croix County; Fire Dept ID: 5510 SEU4, SETA, S12, T28N, R17W FOR: MAY 3 1 2002 Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 853346 ST. CROIX COUNTY ZONING OFFICE The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (8.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the aunally requirements of Sec. 145.135 and 145.19, Wis. Stats. COVED Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the OF COMMERCE designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat I � Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction ESPONDEN and open to inspection by authorized representatives of the Department, which may include local inspectors. ' ARTHUR L WEGERER Page 2 5/28/02 Owner Responsiblities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11 , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 i TITLE SHEET Page of MOUND SYSTEM FOR A BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057 -P and the Pressure Distribution Manual SBD- 10573 -P C Cz. b/ 99� C iz, b 199 LOCATED IN THE S E 1/4 OF THE SC 1/4 OF SECTION \ Z N, R �'7 W, TOWN OF ZU SLR 2LU S_-, CA 2.41 lX COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVED MAY 2 2 2002 Zo ?n 4 CW QTLt SAFETY & BLDGS DIV. "O , k1) s qn z PREPARED BY WECCEF =tEF:Z SO 1 L .TEST 2 hiG AND. DES 2 CCU! SEF:Z'V I CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 Phone 715 - 425 -0165 p �'s^' Fax 715 - 425 -6864 • •••• "'" "•••.S� 7 � ° y AR PAJU � �. R166Y WEGEPER con o-as P ELLSWORTh, i ;iqi r7Lh• ; .�' so JOB NO._ Mound System Management Plan Page 2 - of 7 Pursuant to Comm 83.54, Wis. Adm. Code • Septic Tank - The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code rating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th get fil shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain soli sin a ank that s oug off the i ter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pum o Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration.. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] arid local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole 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 a tank or component. ContinQencv 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. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at �11S -3�6- gL80 sr, (a t'Lo LX The system installer at '1 LS -- 3LZ/ So - Ltu" ilzm The tank manufacturer at zs_ � 6 ki tzsplm- The effluent filter manufacturer at tFl The pump manufacturer at Usi - $ZQ c($ GouLDS PLOT PLAN - Page 3 of 7 ' Scale 1"= ' J 1S'oF R3 S ti K V Z WC Iftz, MOM C, ( t; -s ?L-TL 4O Q F= 4 lti `� PVC I I I �LZ c��Z\ ( N I I N Ism* Z I N I N I l II II �U t�1 i_ I eow► wr�eT- I I �rz � �5N1?s3 I it z.b dUT'.� q emu. a S �, s 0 til oT 2 'rT3 erLI °t 6.-q0'_ 0 NJ `" 0 P I " Dc) 10%J by Cr �S ? NOTES: SO ri ' yl MoU� � > ZS � 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be\z JSot) gallon capacity manufactured by 4. Bench mark 5 SEE ►°cL 5. Divert surface water around, system to prevent ponding at the uphill side. Pace H Or 7 Approved Synthetic Covering ASTM C33 Distribution Pipe Medium. Sand Topsoil _ H _ W _ a — c. Elev . C"\ S , 3 E p b '_7 % Slope Distribution Cell of Force Main Flowed z" to 2- Aggregate From Pump Layer D Ft. E 1,92 Ft. CROSS SECTION OF A MOUND SYSTEM F p Ft. G 0, S • Ft. A Ft. H 1- O Ft. Linear Loading Rate= b -O GPD /LN FT B 10(3 Ft, Design Loading Rate= 0:3Z.GPD /SQ FT I 13 Ft J 7 Ft. K 1 I Ft. cr n L lZZ Ft. ~Fet P4z� -iYr -- W I Jo Ft. j - Observation Pipe Ci � •--------- - - - - -- --------- - - - - -- - - - -- - iF A W [ - -- - -- orce Main Distribution ` of %" e�Pus� �`'fl z to 2 z t Pipe aggregate Observation• Pipe (anchbr securely) PLAN VIEW OF A MOUND SYSTEM I Distribution Pipe Layout Pa &e S of -7 c Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45' f rdnz to a point within six inches of the final grade. Te.-ninate the ends of the laterals with a valve,:threaded cap or threaded plug. Provide access from final ode for the valve; threaded cap or threw de3 pIuz Tit �.1 cr, L LZtJS S t 7 Fj FVC PVC -1 Laterl Manifolc Uateral x ( x x x/2 1 YJ2 x x x x Lateral Length —F Lateral Length — P Oistribuficn Line IT I Yl Prt.)1 f =� u C ��•••�'. tti Frl� �l P Ft, Hole Diameter / lS Inch S 3 Ft. Lateral Inch(es) X _1_ Inches Manifold Z• Inches Force Main " Inches iof holes /pipe ZS Invert Elevation of . Laterals o i'- -S Ft. �h9 . L11 . 0 61 ` - Combination Sept,3.c: and PLIMP CHAMBER CRO55 SECTION AND SPECIFICATIONS' PAGE OF 7 VCUT CAP WCATHER PROOF JUIJCTIOLJ 90X . ti C.I. VENT PIPC APPROVED LOCKING 110' FROM ODOR. &WHOLE COVER w1'1i•1 -huDow OR FRC5H wARtJ!>JG LX EL.. u.�BP�CC10lO PIPE �H•tt AIR IIJTAKE cot�putT • w �T7 s itj" Grp t , ' •• rJ I ' FtfuISM© 6`..w. OlS f I `f G�DE 18'I'IIAI. ----- - - - - -� IAILET i " PROVIDE AIRTIGHT SEAL I I I t ! \v/ Approved z>',8�.� A I 1 �1 Approved joint w / 1 I I joint w/ 1 PVC pip I� ALARM PVC pipe o �I II 1 C. 1 1 ON LLEA FT-- PUMP OFF p C OLIERETE 5LOCK - RISER EXIT PERMITTED OIJLy IF TAWK MAMUFACTURZIt HAS SUCH APPROVAL 1 APPfM+,t: BFD>1 t av4 SEPTIC F SPECIFICATIOUS DOSE TANKS MAQUFACTURER: W l� - IJUMBER OF DOSES: - 4 0 1 P E R PER OA.. TAMK StZE: / g00 GALLOWS DOSE VOLUME r ALARM MAUUFACTUR.CR: S-S o S' -IS71_5" !S IAICLUDIIJ BACK ►LOW: y GALLONS MODEL IJUMSER: 1p w L H Ia . CAPACITIES: A= IAICHCS OR . L IOO. GALLO1J5 3wtTGH TZPC: �� E= Z IMCHES'OR 4 (( `t• S ll �LLOUS PUMP MAMUFACTURER: GO V \,-DS C s (D IN CHES OR GALLONS MODEL NUMBER: O S D = ' 1Q INCHES O GALLOAIS SWITCH TYPE: —�`'1 �SYLCCJIZ -� MOTE: PUKP AUD ALARM AR TO 5E� MIMIMUM DISCHARGE RATE q GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEILENCE DETWEEU PUMP OFF AIJO..DISTRIBUTIOQ PIPE., a' �1 FEET f MI&J IMUM NETWORK SUPPLY PRESSURE , . , , , So FEET / S.p�c � l -F 1S FEET OF FORCE MAIN X 3 ' q ( v F jp pCFRICTlO►J FACTOR Z 6D FEET TOTAL OyNAMIC HEAD = 1$'12 FEET As per manufacturer Z Z. Z4 gal /in. Liquid depth 36 II Goulds 1*'JE 7 °r Submersible - Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. tic cover with integral handle Available for automatic and • Farms Motor: and float switch attachment • EPO4 Single phase: 0.4 HP, manual operation. Automatic • Heavy duty sump 115 or 230 V, 60 Hz, 1550 models include Mechanical Points. • Water transfer RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty • Dewatering automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design 3 /4 " maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING - • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. Co- Canadia � Total heads: u to 24 feet. with three prong groundin g n Standards Association • Discharge size 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in 7" or "AC ".) rotary/ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and ° 140'F 60 C intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 ; j • Capable of running _ t dry without damage to s 30 _ _ components. I I SGPM: i Pump: EP05 s � F • Solids handling capability: 0 25i maximum. a 7 • Capacities: up to 60 GPM. _ + 7 I • Total s 2 0 tal h - o ends: u to 31 feet. i .. P 1 6. a Dischar 9 a size: l rz NPT. -- • Mechanical seal: carbon- >_ 5 15 rotary/ceramic - stationary, a 4 BUNA -N elastomers. o I - — - EP05' • Temperature: i p 3 10 0 0 104 F (40 C) continuous 140 F 60 C in — termittent. ( 2 - 5 � I I j I 1 � I j OL 00 I I 10 20 30 40 50 1 GPM L 0 2 4 6 8 10 12 m CAPACITY ®1995 Goulds Pumps, Inc. Effective May, 1995 83871 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ of UvWon of Safet/ and Buildings in araordance with Comm 95, Wis. Adm. Code - Artach complete site plan on paper not toss then a 112 x 11 Lishez in size. Plan must -- — . induce. but not limited to: vertical and hortzcmtal reference poirrt (8M ), direction and Pam t. 1, petce".t tAope, scale or dirrcensions, north arrow. and location and distanea to nem'est road. please print all inforrrration. Reviews t by cazQ Peramel kft motion you pmvid® lay be used for Secondary purwW ,Privaci Law. S. 18 -04 (1) (rn)j Property dwner Property Location Lit n /_i Govt. Lot � 1!4 V S f i ? T �� N +� E (� Property Owner's Mailing Address Lot # I Block # Subd. N ime or CS-V# 2bbcf �f ''�c� �j � City State Zip G:ode Phone Number U city ❑ V +tlagEr Mown Nearest RMd ❑ New Constriction Use: Residential 1 Number of bedrows � Code deftved deWlgn fl v rate � {� � GPD P Replacement C Public or c omrnerdi ,[ - Describe: Parent material r v! e _/ _ �^ �) Flood Plain eleva if applic ible General comments ' v + 4 !' PY1 L°! 4 V qJ . / v and rec ommendations: ! ('Q -lou e1 el — 73. o Bori # Boring I ( +j ®pit ctrovnd surface e!ev. e0 tt, depth to limiting factor _ in. c�j) Appiica{fori Rate Mo-.in Depth (dominant rotor R.edox Description Texture Stntuwre Consisten Boundary Roots GP10W In. munsell Cu. Sz. Cont. Color Car. Sz. StL 'Efi#7 'Eft #2 • G Fi l Boring* Baing p/ Pit Gtvund surface elev. _ /, - ti Depth to tifnliing facto :n. Soil App4cn Rats Horizon Depth Dominant Color Redox Gesa iption Textur?e Stnxture Consister, :e Boundary Roots Gpdrft in. Munson Cu. Sz. Cont. Color Gr. Sz. Sh. 'EfMi 'Eff#2 t LY-IZ. ;p r-3(, Z>rnbk 2 12 Z )d 'f 4 `E S i cl zr - A 6 01 = 00 D r a 30 < 220 mwl and "SS >30 < 1SO mgjl- ' Effluent tl2 = f 00,_ 30 mg/L a n d TSS < 30 r o_& CST Name (P:ease rtnti Sigrrature "/ CST !umber Address pale Evaluation Cot ducted Telephone Number Ed 4AtSth : 60 Zoof 60 - A eW ' OFJ Xld -' WOdd Wisconsin•Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County C X 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 Parcel I.D. percent slope, scale or dimensions, north arrow, and location a t road. Please print all info atfkkECEIVE'D I Rev by Date Personal infbrnation you provide may be used for purposes (Privacy Law, s. 15.04 (1 (m)). Z Property Owner rty ation A � er Chu . Lot oc 114S6114 S T N R / E (or Property Owner's Mailing Address ZONING OF I� # lock # Subd. Name or CSM# 2D8y C�{ Rca . n1 _ _ City State Zip Code Phone Number ❑ City E] Village [Town Nearest Road Id 5'# c1 ) - 1v 'a-e 6 0 /t/ ❑ New Construction Use: Residential / Number of bedrooms Code derived design flow rate G O O GPD Replacement ❑ Public or commercial - Describe: Parent material L, I ( Flood Plain elevation if applicable ft. General comments t/ �' �✓ �. P { V, Q� U and recommendations: ('opt bur el e co0 F Boring # ❑ Boring t 7 ® pit Ground surface elev. 9�• Ss _ ft. Depth to limiting factor i _ �� in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 D-iI 10 3 z SCI 2 cs Iv S Z 11 -1q 10vr 14 Q i9- ID r FZP .' r3 (o llme o IvP NP P-1 Boring # ❑ Boring ❑ pit • Ground surface elev. _,f. _ rt Depth to limiting factor w in. 0- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0-12- IO r3IZ — 51 Za k r c (v j' $ 2 12 - 2v ID r 919 — S►cI Zr b -r W -5i ( U (vP iv P ' 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 rint) Signature % CST Number Z3309 Address `` Date Evaluation Conducted Telephone Number X 5y d2,S I t -R Property owner 6(e- (.-U�I ff �l li ck Parcel ID # Page Z of 3 oring B # ❑ Boring V I �. Pit Ground surface elev. d ft. Depth to limiting factor Z� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I p -II 31Z 5; I Zak m'r 5 Ivy 5 1 I -20 1) y NP F-1 Bonng # ❑ 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 1ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eft#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft Depth to limiting factor in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'EM& Effluent #1 = Boo > 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 - 2648777. SBD -8330 (807/00) r A PAGE, OF NAME LOT# LEGAL DESCRIPTIONSE X -� t4 ,S 1 TZ-9 N.R. E(or)� SCALE: I BM 1 ELEVATION 11Y7. D BM 1 DESCRIPTION 11ct t i n 30 14'ic��� BM 2 ELEVATION -7 BM 2 DESCRIPTION �o SYSTEM ELEVATION ZS /O SYSTEM TYPE rA U o a Ol Sys (-e m CONTOUR ELEVATION �I3, w O L �o pare ^� SIGNA -'' _ DATE — — �� 6� 4 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND PC OWNERSHIP CERTIFICATION FORM Owner/Buyer et C P / et / C A Mailing Address d C® 1d Property Address (Verification required from Planning Department for new construction) City/State �� C�� Parcel Identification Number LEGAL DESCRIPTION Property Location !'o:P ' /., :54 ' /., Sec. _a_, T2N - RL�L_ W, To je Subdivision > �t �� 7.L age #,.."Qo(co 0 � 11-Y Certified Survey Map # , Volume • NING NG OFFS Warranty Deed # �2 / S'o , Volume °- . Page #_ . Spec house O yes ® no Lot lines identifiable yes O 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 tsnk every three yeas 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 SG Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber , restrictedplumber or a licensedpumper 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 has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ,gyp ✓ ' ZI-e C1- � �� A SIGNATURE OF APPLICANT DATE OWNER CERTIFICATTON I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, b virtue of a warranty deed recorded in Register of Y ty g Deeds Office. SIGNATURE OF APPLICANT sssass Any information that is mis- represented nv�y 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 WARRAN DEED Doc — _` : . 11 7' PA',r TY RF70w.S tali otp troa are: ,. n 25(t 2) aie .e.ce e.er.ed for rc.n.diaa duo 7ftt�tNDBNfURJy made b ACE LUTHERAN CHURCH I ` - - -z . cn C 4_ C Van s co :veys and warrants the property described below to ; _ . CLO1 X COUnC f ~^ ,, �X ; l.,''.l Hi hwa De rtment ( �• '.: ► -1 1 gnn're. toe the s other vaivable considerations.^' APR 25 1946 1 Any person named in this decd may make an appeal from the amount o(com notion wuhin $ir • 2:00 months after the date of recording L4 this deed as set forth in z 32.05(2a) Wiscnnsin Statutes. For I , a..� ,^y the purpose of any such appal, the amount of compensation stated on the deed shall he treated 1 + as the award, and the date the deed is recorded shall be trea;rd as the dare of taking and the dste f of evaluation. _ . i Other persons having An interest of record in the property. I I � P.nnrc ro: 1 St-Croix Co. Hwy. Dept. I� �+ P. 0. Box 108 t Hamm WI 5 , r ' 15 =_ Legal Description This (is) u n homcstea. .o p. pe rty, . Fee Title in and to the following tracts of land `n the Town of Rush River, St. Croix County, Wisconsin, described as: '�D Aj The North 40' of the West 556.5' of the NW 1/4 of the NW 1/4 of Section 13, T28N, R17W. Also all land of the owner in the South 40' of the West 355' of Section 12, T28N, Pvw. of the SW 1/4 of the SW 1/4 The new right -of -way cc._.ains 0.14 acres, more or less. • Also incleded herein is 0.66 acres, more or less, lying within the existing right -of -way. Ac y rtg Ie. (Prim Namr) g /trial Wa+e) C t , r rr..r >7 03 •' � (huw i4—) (trot vamej �, Sub.crilxd acrd sworn to before me this '. �Y , � (S. rwe. Naary M4C SYUe or wrnuae. .. Aj. ) (►nor W 7)rpr Name. Naary P bbl. Aare or Wumm ) Proicc( 95 - N _t4 (our Comm.o.oa Fri,,,) This instrument was drafted by the St -Croix CO. ^I •apt • Parcel No a )� -+p- ' r' DOCUMENT WARttAl RECORDING INFORMATION 1 15a vOL ►AGE REGISTER'S OFFICE TIjIS 8EE1 t; een Leroy D. Lindquist and Carol R. Lindquist, Grantor, or. CROa an ace Luther C urch, Gra tee, ? WNESSETH a s IT said Grantor, for a valuable consideration conveys to ROC'd�bPROCrN� Grantee the o owing described real estate in St. Croix County. State of Wisconsin: APR 6 1994 A parcel of land located in the North one -half of the Northwest Quarter (N 112 NW 1/4) j � - (� 1 A: more fully described as rollows: Commencing at the Northwest corner of the Northwest M 41C"' """' Quarter of the Northwest Quarter (NW 1/4 NW 114), thence East thirty -two (01) rods I 1 d170eQa Eight (8) feet six (6) inches, tLe point of beginning, thence East 20 feet, thence South 370 feet, thence West 556.5 feet, thence North 40 feet, thence East 556.5 feet, thence North 330 feet to the point of 'ie&ning; all In Section 13, Township 28, Range 17 W%A. ........................... ............................... V CC RETURN TO: Bakke Norman, S.C. y. } Baldwin, WI 5� Tax Parcel No: y •. This is not homestead property. t is Together with all and singular the hereditaments and appurtenances thereunto belonging; and Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except :, Easements, highways, uVVY -ights and reservations of record, and will warrant and defend the same" Dated this 4th day o f April 1994_ �t (SEAL) (SEAL) * * Lind uist (SEAL) r , (SEAL) r e, • _ * Carol R. t indquist � •. z AUTHENTICATION ACKNOWLEDGEMENT Sigrature!s) of STATE OF WISCONSIN ) ss. + ST. CP.ODC COUNTY ) authenticated this ` day of , d9 Persona:ly came before me this 4th day of April , 19_2j the above named * Leroy D. Lindquist and Carol R. TITLE MEMBER STATE BAR OF WISCONSIN Lindquist (If not, authorized by § 706.06, Wis. Scats.) to the known to be the persons who execu nee trument 7 and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY: , STAR BAKKE NORMAN, S.C. • Cindy R. Campbell BALDWIN, WISCONSIN Notary Public, St. Cro F W *Names of persons signing in any capacity should be typed or printed below their signatures. My Commission is permanent. (If not, state exptr'dtinit date: t February S_ ,190 �:. MC161MGa•w•7 OOCUME#!T NO. STATE BAR OF WISCONSIN — FORM Z ,_. VOL G4 `�:I��U WARRANTY DEED TPW SPACE RESERVED FrMt RECORO W DATA k 1 m :qgAg L,indquist, a Wi and a s._isuste e., ST. CROU( CO., I& ioc'd. Record ss 30th day of Jan. A.D. 19 $1 conveys "warrants to ___pE Church o + 0 A. 111160W ir p RER RN TO i the following described real estate In S t • Croix County, Stale of Wisconsin: R parcel of land located in the North One -half of the Northwest Quarter (N�NWIX) more fully described as follows: Commencing at the Northwest corner of the Northwest Tax Key No. - F•. Quarter of the Northwest Quarter (hwhNW4) thence East thirty -two (E32) rods Eight (8) feet six (6) inches, thence South three hundred five (305) feet, to the point of beginning; thence continuing South twenty -five (25) feet, thence West Eight (8) rods three (3) inches, thence North twenty -five (25) feet, thence East Eight (8) rods three (3) inches, to the point of beginning; all in Section Thirteen (13), Township Twenty -Eight North (T28N), Range Seventeen West (R17W). FEE WN'iPT „ This is nc to mestead property. )W (is not) ( Exception to warranties: Dated this 20th day or January ' 19 81 i (SEAL) L?�Y� (SEAL) • fie Tindquist Gran � (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGEMENT Signatures authenticated this day of STATE OF WISCONSIN 1�� a 1 .19 ss. — W I County. 7J x G Personally came before me, this day of • OrytaS A I�Ic[�6�I1t3{(. '19 TITLE: MEMBER STATE BAR OF WISCONSIN the above named w (if not, sv: authorized by 4 706.06' Wis. Starts.) This Instrument was drafted by l ,n- Thomas A. McCormack to me known to be the person _ who executed the foregoing in- strument and acknowledged the same. (Signatures may be authenticated or acknowledged. Both are not t necessary,) Notary Public County, Wis. •Nrhes of persons sipj^9 M any caWify must be typed or proeb berow th& signatwa& My Commission is permanent. (If not, state expiration date: 1977 .VARRANTY DEED — STATE PAR OF WISCONSIN, FWU NO. 2 — a A& S-1. Warranty coos— t,ommom rorm —To Corporation. (IMATE or Wtecomann (So 286.16, W is. Statutes) Porn Nw ( /abulwd b am am" Soft a 8"do"17 m. s BOU L PA This Indenture, Made this day of ')ecernber , A. D., 19 between ..rthur ,v(,rsori "_i)ici Bois _`versori, husband and -,-rife partic of the first Part, and , ace Liither�w Cnlr•�'i al' Corporation duly organized and existing under and by virtue of the laws of the State of Wisconsin, located at I l . ; i , Wisconsin, party of the second part. MitntOOtttj, That the said part of the first part, for and in consideration of the sum of to in hand paid by the said party of the second part, the receipt whereof is hereby confessed and acknowledged, ha given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents do give, grant, bargain, sell, remise, release, alien, convey and confirm unt the said party of the second part, its successors and assigns forever, the following described real estate, situated in the County of and State of Wisconsin, to -wit: i FE it I� Zogretgir with all and singular the hereditaments and appurtenances thereunto belonging or in anywise 'I appertaining; and all the estate, right, title, interest, claim or demand whatsoever, of the said part of f the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained in vini.ses, and their hereditaments and appurtenances. - Co t ?abe anb to t ?o(b the said premises as above •- lescribed with the hereditaments and appurtenances, unto the said party of the second part, and to its successors and assigns FOREVER. i�nb ti)e �4ib for heirs, executors and administrators, do covenant, grant, bargain and agree to and with the said party of the second part, its successors and assigns, that at the time of the e;-sealing and delivery of these presents well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all incumbrances whatever, I and that the above bargained premises in the quiet and peaceable possession of the said party of the second part, its successors and assigns, against all and every person or persons lawfully claiming the I whole or any part thereof, will forever WARRANT and DEFEND. H An Witntoo Mbereof, the said part of the first part ha hereunto set hand and seal this t day of A. D., 19 _ ned "rl Scaled in P,, esence of """"� `�"�'.Lt.:.�L.a _ :�. L�� '_.. •..a_•• . •.:•(Seat) - - -I _. _ .............._... .... . .:n.... . ......(seal ) ' ._.._.._..._..___ ............._...... _....._._--•- -..._.._.._....... __....._......._.._..._._(Seal) t ��J_ ,___...... ....._._..._.._..._._........ - .._._ ......... _.._...... ....._...r.._._.._..._... Seal w ( ) I I Drafted b ......_.._.._._.._ ...... ........ .__ ._._._.._._.._._._......_._..__ I I�I ._ ,F.11. — ca. N wti etata. er..IM. that .11 lutra rra. s.•... _1tu.t—m 3 0� Z QUIT CLAIM DEED. —Vol. 309 STATE OF WISCONSIN —FORM No. 13 4BER This Indenture, Madeby C ris H--- H n nd Emma Hanson; husband and wife, and ea -- right grantor s , of St. Cro County, WL 338 Our Saviour's Evangelical Lutheran Church, a religious cor grantee , of St. Croix cow One Dollar ( - - - - - - - - - - - - - - - - - - - - - - - - - - - - thefollot County, State of Wisconsin: Commencing at the Southwest corner of the Southwest Quarter of the Southwest Quart Section Twelve (12), Township Twenty -eight (28) North, of Range Seventeen (17) Viest, Wisconsin; thence East twenty (20) rods and twenty-five (25) feet; thence North three rods; thence Vest twenty (20) rods and twenty -five (25) feet; thence South three and to place of beginning, /except the following: Commencing at a point two hundred fifty East of the Southwest corner of said Southwest Quarter of Southwest garter (Sli of S Twelve (12), Township Twenty -eight (28) North, of Range Seventeen (17) Vest, St. Croi thence North three and one -half (3 rods; thence .East forty -four and three - tenths (11 South three and one -half (321) rods; thence West forty -four and - three- tenths () 1 4.3) fe `J �e wcC- IN WITNESS WHEREOF, the said grantor s ha ve hereunto set their hand s and seal S this day of April . A. D., 19 55 _ Signed and Sealed in Presence of _ ---- -- Chris H Harold D. Olson Chris H Harold D. Olson Emma 'Mike Erickson Emma 'a THE FOLLOWING LIST MUST BE COMPLETED PRIOR TO THE SUBMITTAL OF ALL SANITARY PERMIT APPLICATIONS. ❑ A COMPLETED SANITARY PERMIT (COMPLETENESS IS ESSENTIAL!!!!) • ST HAVE LICENSED PLUMBER'S SIGNATURE • TTACH STATE APPROVED PLANS (IF DESIGNED AS A MOUND SYSTEM, AT- GRADE SYSTEM, IN- GROUND PRESSURE SYSTEM, H DING TANKS AND EXPERIMENT L SYSTEM) DETAILED PLOT PLAN • ABSORPTION SYSTEMS: BOTH PRIMARY AND REPLACEME 4T S "IVED LOCATIONS • NORTH ARROW AND LEGEND JUN 1 4 2D02 • LOCATE AND DESCRIBE THE BENCHMARKS • IDENTIFY ALL SETBACKS DISTANCES FROM THE SYSTEM O T �A�' BUILDINGS, PROPERTY LINES /EASEMENTS, CRITICAL SL ... • LOCATE DWELLING /BUILDING THAT IS SERVING THE SEPTIC SYSTEM 2 • IDENTIFY ANY SETBACKS ISSUES ON ADJOINING PROPERTY ( ��' J ❑ MANAGEMENT /CONTINGENCY PLAN 309 /3 � 3� ❑ ORIGINAL SOIL REPORT (PLEASE INCLUDE THE DATE THE SOIL REPORT WAS a COMPLETED AND THE ORIGINAL SOIL TESTER'S NAME) CeW -6161 0 C, , I ❑ COMPLETED MAINTENANCE AND OWNERSHIP AGREEMENT FORM (MUST BE `{ IGNED BY THE OWNERS, ORIGINAL SIGNATURES ONLY, FAXED COPIES CANNO I q 5V COPY OF THE WARRANTY DEED (REGISTER OF DEEDS) C> L D 4 ( LOT FROM THE „,�2 5(c( RECORDED SUBDIVISION PLAT (REGISTER OF DEEDS) r�` ❑ COMPLETE SET OF HOUSE PLANS (NOT REQUIRED FOR REPLACEMENT SITES) ❑ APPLICABLE FEES Incomplete applications will be placed in a "hold” file until they are completed. The workload and number of permits we receive necessitate that we handle only complete applications and that we obtain cooperation from the plumbers regarding the submittal of COMPLETE permits! REMEMBER: WE REVIEW ALL SANITARY PERMITS ON MONDAYS. YOUR COOPERATION WILL IMPROVE THE SERVICE WE PROVIDE. i i Rod Eslinger From: Lepak, Gary T (DNR) [Gary. Lepak@dnr. state.wi. us] Sent: Monday, July 01, 2002 3:59 PM To: Subject, Jr f . RE: Peace LutTBrap,Church od With that size bridge, 45 ft I doubt the bridge is overtopped! With site at more than 7 feet above the bridge this should be adequately out of the floodplain! What else do you need from me? GTL > P Gary . ep , E. > Water Management Engineer > Lower Chippewa Basin > Wisconsin Department of Natural Resources > 1300 W. Clairemont Avenue > Eau Claire, WI 54702 -4001 > ( *) phone: (715) 839 -3761 > ( *) Fax: (715) 839 -6076 > ( *) e- mail:New gary.lepak @dnr.state.wi.us Address > ---- - - - - -- > From: Rod Eslinger[ SMTP:Rode @CO.Saint- Croix.WI.US] > Sent: Monday, July 01, 2002 3:23 PM > To: Lepak, Gary T (DNR) > Subject: Peace Lutheran Church > Gary, > Update: Last week I called you regarding the Peace Lutheran Church > property in the town of Rush River. Specifically, the church is replacing > the septic system for the parsonage and the floodplain maps reveal that a > large portion of this property is subject to flooding; including the > church parsonage and the septic system replacement area. On June 25, > 2002, I verified that the septic system area is 7.8 feet higher in > elevation from the top of the bridge deck (where County Road N intercepts > with the Rush River). The bridge's opening was 45 feet. • Per our conversation last week, you wanted to know what the elevation • difference was from the top of the bridge deck to the septic system area • b -4 signing off on the project. > I don't think the digital floodplain maps for this area accurately reflect • the field conditions and I don't think there'll be any negative impacts on • the floodplain as a result of the septic system installation. > Thanks > Rod > • Rod Eslinger • Zoning Specialist • Zoning Department • 1101 Carmichael Road • Hudson, WI 54016 • Phone: (715) 386 -4680 • Fax: (715) 386 -4686 > maiito :rode @co.saint - croix.wi.us > z aZ SL 1DS - - - p. (v'b - -- - -- t owl Irt4 r - fk - - -- - - - -- - -- - -- - - - -- �P *T `► -- �' - -- -112 �� -- '�0 Z- -- -- - l I D -- -- � - -- =---- - - - - -- - - - - -- Utz -�� - - - -- -- � - -� - -- - - -- - - -___ w� .,►.� -- �'' — - - -- — - -- -- -- - - -t t L.' -- -- -- -- l • Sn ci Z, p,,C,%, 1-r.�i � � Y Co '� '� -� � - -� H,. _ �,, ;. h . - •Sa -- - d r r t t s ti.. J s > } i ' e — �. � � i _ .,�_ - --''__ � � �, � , �� f� ��� 1 �`, '�;' . ; �. -,,`- �� A ' \t i 4 A _ � . � ti 'a 9 ��� �s R `��.� , \( T ... .__� yy � --- �- ...____ �'� �c,;;.; � t 'r L L '�__ Page 1 of 1 Rod Eslinger From: Rod Eslinger Sent: Monday, July 01, 2002 3:24 To: Gary LePak (E -mail) Subject: Peace Lutheran Church Gary, Update: Last week I called you regarding the Peace Lutheran Church property in the town of Rush River. Specifically, the church is replacing the septic system for the parsonage and the floodplain maps reveal that a large portion of this property is subject to flooding; including the church parsonage and the septic system replacement area. On June 25, 2002, I verified that the septic system area is 7.8 feet higher in elevation from the top of the bridge deck (where County Road N intercepts with the Rush River). The bridge's opening was 45 feet. Per our conversation last week, you wanted to know what the elevation difference was from the top of the bridge deck to the septic system area b -4 signing off on the project. I don't think the digital floodplain maps for this area accurately reflect the field conditions and I don't think there'll be any negative impacts on the floodplain as a result of the septic system installation. Thanks Rod Rod Eslinger Zoning Specialist Zoning Department 1101 Carmichael Road Hudson, WI 54016 Phone: (715) 386 -4680 Fox: (715) 386 -4686 mailto:rode(cD-co.saint- croix.wi.us 7/1/2002 Maiden Rock. WI 1.800- 325 -8456 Portage, WI 1-800-3621220 Fond du lac, WI 1400 - 641 MIEIER IIIIREff Website. www.wneserc ncrete.com c- t� .S 4-t # L4 to � Z� l3Z � 1 "5 ��,3" - ���ir mot TJriG�G CTp� q 1 • (O hoc1� f ( , IIz.�i � j, 3y r o c ,b3 1 iZ 3 3y • fS I f y,�i =-� 4 t tof t Ito Pr "ect Name: �� Coll orations Bv: � D ahl• + on: b� hc� By: p 2, Da t c Titic /Item: 7 '1 1tc t:: Of: l Peace Lutheran Church Town of Rush River Floodplain 417.42 a.' n a I S ' Q Peace Grav t 0 162.5 325 650 975 13�eet f; _ °o I I D )VD r b