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n L"= 9anment of Commerce Count end BuiiGing Division PRIVATE SEWAGE SYSTEM St. Croix Sanitar Permit INSPECTION REPORT 488057 N . • GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID o: 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: New Horizon Homes Inc. I Richmond, Town of 026 - 10EF_ a5 - 000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: L1D 6 AA 1 c,-ST 22.30.18.1474 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER J4; A11:5 CAPACITY STATION HI FS E Z . � Septic �-}� /6041Aa6 Benchmark py ,$ Dosing G ` / �} Alt. BM / . 8 7 4 f 41% C 1 Go 7 ran /� Bldg. Sewer 7f 90 . 3 10 Holding St /Ht Inlet 7. ��. ce, � TANK SETBACK INFORMATION St /Ht Outlet "IN TANK TO P /L WELL BLDG. Vent to Air Intake ROAD 7 Dt Inlet Septic 1 t � / x I Dt Bottom lo - 85 3 Dosing / 11 � ► IJ / 7` + Header /Man. / O v Aeration Dist. Pipe Holding _ Bot. System i PUMP /SIPHON INFORMATION Final Grade ' 8 Manufacturer // Deand St Cover y++ m l71 a GPM 7 Model Number TDH Lift Friction Lo System Head TDH t I�f . 5 3. j .V ZZ • o r 3, '5. (o W Forcemain Length i o+ Dist. to Well I Za I lDia. Z 1 — lY1 /03.5 15 - L 93.3 SOIL ABSORPTION SYSTEM S• 5 BED /TRENCH Width 7-Length + Nu. Of Tr ch -- PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5`7 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer, INFORMATION CHAMMR OR Typ 10., ,-- Syst A 3Q / 177 � � UNIT Model Number: �\ DISTRIBUTION SYSTE /[l E Header /Manifold Distribution #/ x Hole Size x Hole Spacing Ve to Air Intake ' Pipe(s) 3/ Length Dia Length Dia ?' Spacing ' L SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded /Sodded T Mulched Bed /Trench Center / Q Bed /Trench Edges Topsoil f (^� V No Yes COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: Inspection #2: 5 / / / � 0 � '~ Location: 1403 129th Street New Richmond, WI 54017 (SE 1/4 SE 1/4 22 T28N R15W) Lundy's North Lot 21 � rcel No: 22.30.18.1474 1.) Alt BM Description= �` ��•� -�- l.p �'x L oe 6 �. (ld-�,,,�... `` 2.) Bldg sewer length = �.4.. o �.,5 ` G1,,, /R'' 6 5� - amount of cover �� or,�J 01'x• Plan revision Required? _ . Yes >;�No 5 O $' r Use other side for additional information. 6 i� SBD -6710 (R.3/97) Date Insepcto ignature Cert. No. J - peouawwoo sey uogoe lualuaoJolue ualipm pue peleipi uaaq sey uogonjlsuoo jage pal;llugns suoi ;eoildde jol palgnop aq plM 999 - algepunlaj -uou aie seal pV 091' L :pa4ala4 091:Pa4ala0 990' L :Pa4aloa owpa7alap OZ6:Pa4alaa OU Ma4alaa 000' 6$ sajoe Og< 069:Pa0alaa - - -- - — - �80 l$ - �9l$ 4Z6$ 09 of 9Z< 06:Pa4alaO 1 11 - - --- - - - -- , C46$ 5l$ 008$ 5Z of 5L< 0917:pa4alaa 09 :Paaalaa ----- $ - - $ 009$ 9L of O L < ocz :pa4ala0 VLti$ UL$ OM 0 6 01 9< oe:pWal _._---- -- - - -- �$ - �$ OOZ$ 503 L e0j lelol 6ej ele;S ee .1 IL4unoo sejob pawleloejun aa� sea.1 uol ;eweloeu lenuub 000'Z$ saJoe 0g< 009' L$ saJoe 09 0; gZ< euryq to azlS pasodwd 09Z' L $ saioe 9Z of L Suunap jggnd o sapnlouj aa� , ;lw-19d Bulu!W allle ;awuoN ONINIW 011 tooz: Pa4alad ----- -------- ------------------- - - - - -- - - -- Op `i UVnuep 3eu3a33a JNIINIOZ V DNINNV'Id a'IflagHDS aa3 3DKVNI(RIO HSfl V Ql�t 'I Irry AINfloa XIoua Us �.[�jn0 XIC7N� yS r - 1 commerce.wil.gov Safety and Buildings Division County �� t 201 W. Washington Ave., Box 7162 j tlemrtrnent s!'to r , s ■ n Madison, WI 537 62 Sanitary Permit Number (to be filled' b Co.) vV of Cornme roe S I y CO Sanitary Permit Application ,State Transaction Number L/ u In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate g menta ) -)-3 Q unit is required prior to obtaining a sanitary permit. Note: Applicatio m e - ors for state-owned PO are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal informatio ro ide may be used for seconds ILI p urposes in accordance with the Privacy Law, s. 15.04(1)( , Stats. � G 1. Application [ nformation - Please Print All Informatio REG Property Owner's Name arcel # � H-4 r) k 0 /0 6 Property Owner's Mailing Address roperty Location / ST. CROiX COUNTY ov LSt City, State n ( Zip Code honeNZ6WtNG OFFICE 1 � �tion WI) J c�t'YU t _p 1 TT N; R I. Type of Building (check all that apply) 3 i 2 Family Dwelling- Number of Bedrooms i r - Subdivision Name ❑ Public/Commercial - Describe Use _. ❑ City of CSM Number ❑ Village of 11 State Owned - Describe Use ! X 57 Q j — n of Ci 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ew System ❑ Replacement System g p y g Y (explain) ❑ Treatment/Holding Tank Replacement Only ❑ Oth odifica 'on to Existing System ex lain ) ✓� � f 9 7, 7 List Previous Permit Ntunber an Date Issued B. Permit Renewal C1 Permit Revision ❑ Change of Plum Befo tion y��b57 ) 7 of- IV. Type of POWTS System/Component/Device: Check all that appl ❑ Non-Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ound > 24 in. ofsuitable soil ❑ Mound < 24 in of suitah le soil / ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersalfrreatment Area Information: Design Flow (gpd) Desig Soil A placation e( pdso Disp Area Rep' (s Dispersal Are Propos (sfj Systery, Elevation ^ VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units U d 0 New Tanks Fxis t Tanks 1 m Septic or Holding Tank ZL Dosing Chamber VII. Responsibility Stateme - 1, the undersigned, assume r bility for installation of the POWTS shown on the attached plans. Plumbe ' ame (Pt ant) Plumber's S& MP /MPRS Numybe�r7 Business Phone Number vv �� Plumber's Address Street, City, State, Zip Code) VIII. De artment Use Onl Approved �,vn Permit Fee Date sued Issuing nt Signature Denial $ g`� • °� J2- 0 7 IX. Conditions f A roval/Reasons for Disapproval o �d Ctl; SYS�'Ei SWNER: 3, ��r{ / 1. Septic tank, effluent filter and W 1 p AAAV -Cwt I& UL dispersal cell must all be services / maintained / as per management plan provided by plumber. v 2. AN setback requirements must be maintained as tm t he system and submit to the County ont on paper not less than 8 112 x 11 inches in S e- �- w� P SBD -6398 (R. 01/07) Valid thru 01/09 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer eu/ Mailing Address Property Address (Verification required from Planning & Zoning Department for new constriction.) City /State Parcel Identification Number LEGAL DESCItYPTION wovi Pm Location � 1 - '/a Sec T N R Property � � W, Town of . PQ Subdivision /L/ $ Lot # L Certified Survey Map # r' , Volume , Page # Warranty Deed # , Volume , Page # Spec house (910— no Lot lines identifiable no SYSTEM MAINTENANCE AND OWNER CERTIFICATION improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pimnpnog out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system bas been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Offim tuber of bedrooms - " SdIGWAtM OF APPLICANTS) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08 /05) i U, 2 8 0 5 P 2 7 6 79336 State Bar of Wisconsin Form I - 2003 KATHLEEN H. VALSH WARRANTY DEED REGISTER OF DEEDS Document Number Document Name ST. CROIX CO., VI THIS DEED made between Environmental Holding Company, _ RECEIVED FOR RECORD LLC, a Wisconsin Limited Liability Company , 05/18/2005 12:45PN ( "Grantor," whether one or more), and New Horizon Homes, Inc. VARRANTY DEED EXEMPT # ( "Grantee," whether one or more). EE: TRANS 675.00 Y FEE: Grantor, for a valuable consideration, conveys to Grantee the following CC described real estate, together with the rents, profits, fixtures and other PAGES: 1 appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Lots 2, 6, 8, 10, and 21 Lundy's North, Town of Richmond, St. Croix County, Wisconsin. Recording Area Name and Return Address jl +► -e o Part of 026 - 1066 -95 -00 and 026 - 1067 -30 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Roadways, Easements and Restrictions of Record. Dated May, 17, 2005 ErAvi onm 1 ding Company, LLC (SEAL) (SEAL) * * by e f Warren, President (SEAL) (SEAL) * * AUTHENTIC eG ACKNOWLEDGMENT Signature(s) �� y Cn STATE OF WISCONSIN ) ) ss. authenticated on 1� ie St. Croix COUNTY) Personally came before me on May, 17, 2005 , N h the above - named Jeff Warren TITLE: MEMBER STATE BAR O S to me known to be the person(s) who executed the (If not, f egoing instrument and acknowledged the same. authorized by Wis. Stall. § 706.06) THIS INSTRUMENT DRAFTED BY: mv *Meri a J. Bun. Michael H. Forecki, Attorney At Law Notary Oublic, State of Wisconsin Eau Claire, WI 54701 My Commission (is permanent) (expires: 11/20/2005 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY' DEED STATE BAR OF WISCONSIN FORM No. 1 -2003 *Type name below signatures. Attorney Michael H Forecki 3452 Oakwood Hills Pkwy Ste 1, Eau Claire Wl 54701 -7928 Phone (715) 835 -3029 Fax (7151935-4112 T6063626 ZFX Merilec 1. Bune Produced with ZipForrn" by RE FwmsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 383 -9805 www.ziolorm.com I partment of commerce PRIVATE SEWAGE SYSTEM county: St. Croix ,wilding Division r INSPECTION REPORT Sanitary Permit No: 488057 0 :RAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: ml information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. nit Holder's Name: City Village X Township Parcel Tax No: Jew Horizon Homes Inc. Richmond, Town of ;ST BM Elev: Insp. BM Elev: BM Description: Sectionlrown /Range /Map No: 22.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer ,r �I Holding St/Ht Inlet SVHt Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration QiSt. Pipe Holding Bot. System F Final Grade PUMP /SIPHON INFORMATION Manufacturer Demandfs" Cover GPM k'tf Model Number TDH Lift Friction Loss System Head TD H Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tren s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L VbG IWELL LAKE /STREAM LEACHING Man cturer. INFORMATION CHAMBER OR Type Of System: Model NIV r. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Syste Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes # No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1403 129th Street New Richmond, WI 54017 (S 1/2 SE 1/4 18 T28N R15W) Lundy's North Lot 21 Parcel No: 22.30.18. 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? I] Yes Ev] No Use other side for additional information. I L Date Insepctor's Signature Cart. No. SBD -6710 (R.3/97) l Safety and Buildings Division County 201 W. 4ad'son ;I VisCOns n M07 - RK E I VE ani Permit Number to be filled in by Co.) Department of Commerce 151 ?FoD - T Sanitary Perm J A ti 7 20 P LD. Number .4 tt14�1 In accord with Comm 83.21, Wis. Adm. aprovide lr = TS may be used for secondary purposes Privacy ST. CROIX COU oject kddress (if different than mailing address) I. Application Information — Please Print All Information D o? � Property Owner's Name (fi Lot # ock # Property Owner's Mailing Address perry tion t `f City, State I Zip Code one umb re sL � 'A, Section circl e '1rr� T (� N; rF � E W I . ype of Building (check all that apply) 3 _�c �'�'^�S ►MeUti, State 2 Family Dwelling — Number of Bedrooms Name CSM Numb El Public /Commercial — Describe Use ❑ State Owned — Describe Use ❑City_ ❑Village wnq ip of „ IIIAAA III. Type of Permit: (Check only one box on line Complete line y B1 app A. System El Replacement System \r..t-ent/Holding Tank Replacement Only ❑ Other Modification to Existing System B_ List Previous Permit Number and Date Issued ❑ Permit Renewal ❑ Permit Revision ❑ Ch e of El Permit Transfer to New Before Expiration Plumbe Owner tf IV. T of POWTS S stem: Check all that apply) Z El Non — Pressurized In- Ground Mound > 24 in. of suitable soil ound < 24 in. of suitable soil El At-Grade El Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground El Holding Tank , :' t Filter El Aerobic Treatment Unit El Recirculating Sand Filter El Recirculating Synthetic Media Filter ❑ Leaching Chamber El p Line ❑ Gravel - less Pipe ❑ Other (explain) r V. Dis ersaVIrreatment Area Information: 90 Desi Flow (gpd) I Design Soil Application Rate(gpdsf) tspersal Area Re 'red (sf) Dispersal Area Proposed (sf) ystem Elevation VI. Tank Info Capacity in Total ber Manufa er Prefab Site Steel Fiber Plastic Gallons Gallons Units u .4 —1 Concrete Constructed Glass New I Existing ' I Tanks Tanks Septic or Holding Tank del Aerobic Treatment Unit Dosing Chamber y , VII. Responsibility Statement- 1, the undersigned, ass a responsibility for installation of the POWTS sho. the attached plans. Plumber' Name (Print) Plumber's ' e MP PRS Number _ ; Business Phone Nurnber Plumber's Address (S eet, City, State, Zi e) VIIL Coun /De artment Use Onl Approved El D' Sanitary Permit Fee ( ]udes Groundwater Date Issued -Issuing A nt Signature Stamp s) Surcharge Fee) E] O Reason for Denia �J V /J . i Z()C) IX. Conditions o , , wFal SYSTEM OWNER: 9 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plane (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) PLOT PLAN .AIICT Environmental Holdings LLP ADDRESS 706 19th St. Hudson Wi 54016 a 1/2 SE 1/4S 22 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 98.7 3 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers- IL BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 570' Property Line 129th St. Well is to meet all setbacks found in Comm. 83 uffcutt Combo Tank Pr 3 Be om use Grading is to b done to divert run - Tank is to be properly B-2 off away from B.M. * /Alt.B.M. bedded and provided with ❑ ystem lockdown covers with approved warning labels B -1 6% Slope 98' 97.7' 5' below system is to B-30 96' P.L. remain undisturbed W 4 — ^0 140th Ave 0 1 Safety and Buildings 4003 N KINNEY COULEE RD commerceml.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.commerce.vA.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary January 13, 2006 OUST ID No. 226900 ATTN.• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 01/13/2008 Transaction ID No. 1230832 SITE: Site ID No. 708783 Environmental Holding L.L.P Please refer to both identification numbers, 129th Street above, in all corres ondence with the agenc Town of Richmond St Croix County S1 /2, SE1 /4, S22 T30N, RI 8W r - Lot: 21, Subdivision: Lundy's North FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1058056 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01101); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7] - A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. F.O.W.T.S. Conditionally APPROVED DEPARTMENT nr rnuu..r. SHAUN R BIRD Page 2 1/13/2006 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - 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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. 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 Gerard M. Swim POWTS Plan Reviewer- Integrated Services (608) -789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 i s ' Cover Page q��� jo ° CO X0 O, Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715 -246 -4516 Date: 1/8/06 Owner: Environmental Holdings LLP Location:S1 /2 SE1 /4 S22 T30 N,R18 W Lot 21 Lundy's North Richmond System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contigency plan 9 -11. Soil test Shaun Bird Signature License nu er 226900 IVIS1uN i3f SAfG7Y AND BUILDINGS SEE COR SP DENCE PLOT PLAN PROJECT Environmental Holdinas LLP ADDRESS 706 19th St. Hudson Wi 54016 S 1/2 SE 1 /4S 22 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 98.7 BEDROOM 3 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers-M BENCHMARK Y.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabei A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 570' Property Line 129th St. Well is to meet all setbacks found in Comm. 83 Huffcutt Combo Tank Pro 3 Bedroom House Grading is to b done to divert run - Tank is to be properly B-2 off away from B.M. * /Alt.B.M. bedded and provided with ystem lockdown covers with approved warning labels B -1 6% Slope 98' 97.7' Area 15' below system is to B - 3 96' P.L. remain undisturbed 140th Ave Designer_ No Date Non -Woven Filter Fabric 4" Observation Pipe Perforated ,Distribution Pipe Below Filter Fabric ASTH C -33 5 a n d —\ o -- . -- F j Topsoil 7. Slope \ owe d Bed Of I. 2 %2 Force Main �` From Pump Layer Drain Rock , A Cress Section Of A w Sys tem Usen� F � A Bed For The Absorption Area A Ft. h= E; Ft. I l .3 rt. . J 3 Ft. K. 0 Ft., _ _ 0 0 , Ft. `` r• w �. � Ft. L I 4. Observation Pipe- -� --K .J A j r.L I" I Force Main `n �° �.�_._ - ---- - - - - -- - -- - From Pump W `.+ ° Distribution Bed Of iz — Z'2 Pipe Drain RocK I 4 Observation Pipe =:,C�� Permanent Marker Y r? t3 ��� .bv;4�wPi or Rods Pion View Of Mound Usin A Bed For The Absorption Area _ PAGE,.. OF Perforated PiPt 0000 / 0 1 End View tPtrtO�otiG PVC P +Pe Notes Lotots4 0 " 10 " 0 "" ps A Equally $poesd „ 040C P . � �Ir + g v `a� D • PVC Force Main S i FcIt9T Matt utax't rn Cannst��on � PVC Manifold P;Qe h � s'f� (J �f� (3l5tlifluaSan i. Pipe Distribution Pipe Layout P � � Ft. r' R Ff, X C L 1 inches UXA Y Inches 7 Signed: Hole Diameter Inch Lateral Inchf es License Number: Man ifold Inches Date: Force Main " ) Inches of holes/pipe '_N 0 Invert Elevdtion of Laterals q��� Ft. LON AND SPECIFICATIONS S£pTIC TANK P�1MP CHAMBER C ROSS Sy ABOVE GRADE wfATH£RPRWF APPROVED 14 ,�UNCTT0N BOX Mt}LE COVER �_= G �tEi3'T DZ£ 1 WTN')() +1 4R -WITH CONDt IT WI PADLOCY £ ? . FROM DOOR, �tARIN6 LABE� FREaI ».IR iI�tTAI � r ^ d, PI1�3 `D GRADE /� T algr I. G� u Mf1i- INLET : S_ TIGHT Y L�iAT£g TI6� SEALS � SEAL, . JOINTS EtiIT3i ' ALIT AppRoVo PIPE ON 3` SMIC SOIL APploVED C. ; FF PIPE 3` OM SM10. SOIL pump OFF E-� ; $EDDING UND' TANY, 3 � ApF'R{3� ED CD CRETE PAD SpYCZFICATIaNS �' Rt3SE S ,?ER DAY: EggZC DO T � � .� TAIYR 24AKUF DOSE fl IiE I NCI,{�13I3 , GAL- GAL. F Low gg - ��7 J CsAL- TAtiic SIZES = SEPTIC GA L. , DOSE ( /CA PACIT IES : GAL- S _ 2 _ INCHES = IiLAR?i 2SA�AtFAC1'€IRER;- /�/ / .'' �., GAL- TYPE. INGHES = ._..� -,-- -- S1rFITCFI . L it = INCHES = ---- PUMP MAW F� TttRF:R = - z✓ � � . 15.23 QA KODEL Nt "ER = WiRZtfG AS I LHR Siil?CFi TYPE,- � P £ ALARM '� - � /o FEET f RCaF RATE T.lcg4 PIPE j MET REQFi ;R3 DTSC E RETEE3� Pump tai F .ANR • I3ISTRI B - _E£T vggTyCAL DIFF£R'EKC SSURE - iRIC'TIQH FACTOR - FEET MII+l AL NETWORK SUPPLY P �T11QB FT- I�AMiC M� e To x TAI { r _ FEET FORCE" DT DIAMETER INTERI4AL DIMENSIONS OF PUMP `'MANIC LiQi3ID ' LICENSE SIGNER: f 88 F EAD - TOTAL DYNAM CAPACITY � / PE R MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEwATERING MODEL 152/153 MODEL 162 153 W 4 50 ! Feet Meters Goi. Liters , GOi. I Liters 5 1.5 69 251 77 291 153 10 ; t 61 231 70 1 265 12 40 15_ 15 4.6 + 53 201 61 231 1 - . 6.1 11 44 ; 167 52 ? 97 i I 25 7.6 34 129 f 42 1 759 30 8 30 9.1 21 87 33 125 a 35 10.7 - 22 1 85 20 ( i 40 I 12.2 42 (11.6m) Ft. (13.4m) 4 G745� 10 1 0 0 4 6 0 80 100 2 GALLONS LITERS 0 80 160 240 32D 3 22/32- 1 .— ••j- 5/8 FLOW PER MINUTE, 3 27/32 SPECIAL APPLICATIONS PE � FOR S - i .-•, CONSULT FACTORY r . CJffi I 3 27/32 • Timed dosing panels available. lied with L •Electrical alternators, for duplex systems, are available and supp r ______ an alarm. 1 • Variable level control switches are available for controlling single phase systems. ' • Double piggyback variable level float switches are available for variable level long and short cycle cont rols• I a bons. See FM1420. • Sealed Qwik -Box available for out door instal • Over 130 °F. (54 °C.) sped quotation required. 12 1/8 rr 1 1=53 series 1 153 m DELS Contr I Sel ion ` I Duplex,.— ' 7/B Model Voks -Ph mode 6m Sim lex i N152 115 1 Non 8.5 1 2 or 3 �- SK200 BN152 115 1 Auto 8.5 included 2 or 3 j E152 230 1 Ndn 4.3 1 2 or 3 i SE152 230 1 Auto 4.3 Included 2 or 3 N153 1 5 1 1 Non 10.5 1 2or3 SELECTION GUIDE 2 or 3 15 1 Auto 10.5 Included itch Or double p ig gy back variable level float E 1 2 or 3 1. Sin le i back variable level float sw P ggy E153 230 1 Non 5.3 1 9 P 99Y BE153 230 1 Auto 5.3 included 2 or 3 switch. Refer to FM0477. o CAUTION 2 See FM0712 for correct model of Electrical A lemator E-Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control sv itch 10 used as a control activator, specify duplex (3) licensed electrician. AU electacsl and safety codes should be followed including the most. or (4) float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act {OSHA). i RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ...MAIL TO: P.O. BOX 16347 Louisville, KY 40256 -0347 Manufacturersof SNIP T0: 3649 Cane Run Road a � �Q ® Louisville, KY 40211 -1961 Quau TYrL4NPS 511rc£ /99� (50217 -2731 2) �84o3fi24 POMP M m Pl! htcpJJ6wvw.sO OIIEl.CO © Copyright 2000 Zoeller Co. All rights reserved. . P age of PLAN ER1S MANUAL & MANAGEMEN� TloHs pOWTS pWl�i SYSTEM SPECIE /Or� g a l ❑ �+ geptic Tank capacity NA FILE INFO WAnON tic Tank ?.qanu{acttrrer Owner errnit Effluent Fllter Manutae P p . Ftfer�Modei (�F/ NA DESIGN P� 4 p Nq Effluent p NA Tank Capaclhr a[ Number of 8edtoPmS Pump NA Number Ommerpai Units al(da Pump'r tnk Manufacturer Estimated f (average) G aVd Pump Manufa r I 13 pin flow (Pei (E x4-5) pump tits Pump Model ` Pretr+ Unit - O Peat Fitter Sol APP�t' Monthly average ravel 1 =titer n p Wetiand lrtticrerttlERluetrt Quardy �i0 mg/L L3 echanicat Aeratlo D other Fats. I b Grease (FOG) 42fl mglL p Oisinfecfion Biochemical oxyt�ert Demand (BOOS slso m /L Manufacturer Total Suspended Sofas average" Dispersal Cell(s) D round (pressurized) Monthly [3 in (gt3vflY) und Effluent Quality 530 m9n- O Other_ P Demand (BODs IL Q Al-grade t3iodternir:al Offe(TSB) 530 m9 Q Dri "ne Total Suspended Solids s1 0` cfu /1 DOM, wasterratsr old Fecal CO rifoRr► (geometric mean) values tYPlm for domestic (n�R"T Y inch diameter tank effluent. ter. maximum Effluent Particle Size .. s aP � tYP I for Pretreated was�a Frequency Service MAIf+ITENp►NCE SCHEDULE ar t s ) (Maximum 3 yrs.) ❑months Service Event At least once every a uais one (�) of tank volume inspect condition of tanks) and s When combined sludge corn 4 D months r(s) (MyzUnum 3 YTS PU out contents of tanks) At least once every r(s) d celi(s) J [3 months . dupe At }east once every g p NA p months Inspect r( ) Clean effluent filter At least once every � p NA nip. pump controls & alarm A months Inspect pu once every c3 © years p NA At least s) and pressure test p months Flush laterals At least once every s) ❑ NA one C3 months 13 YAK At (east once every other- licenses or CE INSTRUCTIONS n one of the following sewer. Poyy Inspector: P01 maintaine it g or e b ro ken lulAlFiTEI+iaN dispe cells shall be m ade b ct +d n individual c arryi ng m i s sing or broken inspections . tanks and dispe Master Plumber to 1den Y any back up ns: Master Plumber; on of the tank(s� m and m check for any oertCatio ns must include a visual inspedi ed sludge and scu check the effluent levels S �rtg operator. Tank inspec6o measure the volume of oombin visually inspected ��g Of effluent on the hardware, tderi fy any cracks or leaks, cells shall be round surface The dispersal t o n the ground surface. p° authority or pdn ,. effluent on the g for any ponding of effluent o lion of the local regu lume. the latory pipes and to check nand requires the immediate no thin rank vo in the obsen+� indicate a fairing Conditio or more Of the with NR ground surface rnaY a and scrim in any tank equals one -th'ird I Y� Of to accordance mulation of sludge b a Septage Servicing Operator and disposed When the combined acc;r vents - , and any f ratite contents of the tank shall be removed Y cofnponents, pretlWtfinent co OWrS i y s tainer. 113, WOOOnsin Admfn istrsUtire Code• Pressurized p01tVTS wed by a certified P The serAcing of effluent filters. mecharncal or 12 months or less shall be Pe of completion of arty service event at i 10 days intervals authority within other M aintenance or monitori at regu l a tory A sefvige report shall 'be provided to the P roduct s or other S for ti"te pence of painting P . c ate START AND OPERATION use of the POVVrS check treatment tank() ersal cetl(sl . if high concentimbo For new construction. prio a the treatment process and/or damage the dis rator prior to use_ chemicals that may imps of the tanks) removed by a septage servicing Pe detected have the conten ?age of -- ate frozen at the infiltrative surface- t system start up shalt not occur wtien 50 t hwater levels_ V1hen power is restored the excess During Power outages pump tanks may � {s} in one large dose. overloading the cell {s} and may result in the w �yvtll be discharged to the �� To avoid this sifitratiori have the contents of the primp tank removed by a backL W or surface discharge of eftkM Pow t4 the effluent pump or contact Plumber or POVYTS Maintainer in o prior tc reitodng �Po�' Septag e Servicing I� pumF controls to restore normal levels w yin the pump tank - a� rnanua�h' Qperah and dispersal cells. Do not drive or park over] or otherwise dis�riltb or pompaG, Do not drive or park vehicles over tanks the area within t5 feet down slope of any mound or at -grade sort absorption area tforcnanCe and prolong the fife from the wastewater stream may improve the pe Reduction or-elimination of the following �gacette butts; condoms; cotton swabs: degreasers; dental floss; drapers: of the pC)WTS_ antibto W; baby ; urn water, fruit and vegetable peelings; g&qolirle; grease • herbicides; meat di � i ��; fourida6on dtatrt {su P } cdes; sanitary napkins; tampons: and wa ter softener brine. s ue; m"cations; of p products' ASANOOm" taken out of service the miowing steps shalt ix taken ti insane that the the POW TS fails an ly is ndonaneistfY. Rance with ch- Comm 83.33, Wisconsin Administrative Code stem is properly and safety abandoned in comp in s sealed- . All piping to tanks and pits shat! be disconn removed and the ab and o ned perly disposed o f Septage Servicing Operator. The contents of art tanks and p+t shall be removed and property • Alter pumping, all tanks and pits shall be excavated and removed or their covers r emoved and the void space filled with soli, gravel or another inert solid material_ CC)tMNGENCY PLAN the fo![owing measures have been, or must be taken. provide a code if the POWTS Earls and cannot be repaired sod ermpriant replacement system luated and may be util¢ed for tine location of a repfan and s hould not 0 A suitable r�eptaa'me nt'area has been eva from disturbance and comps absorption stem_ The re placement area should be protected cks from existing and proposed structure, lot Fines and wells- Failure to be infringed upon by required setba proms the replacement area Will result in the need for a new soil and site evaluation t establish a suitable replacement area- Replacement systems must comply with the rules in effect at that time. p A suitable replacement area is not available due to setback and/or soil limitations_ Barring advances in P01MTS technology a holding tank may be installed as a last resort to replace the failed POWTS- The site has not been evaluated to identity a suitable replacement area Upon failure of the POINTS a sod.and ent area ➢s available a / sit evaluation must be performed to locate a suitable replacement area If no repiacem [ding tank may be installed as a last resort to replace the fatted POVYTS- _ of the trot at and at -grade soff absorption systems may be reconstructed in pfaceth [frg n e � ules at that time- t he infittra surface, Reconstrtscdons of such systems must comply with <<WARNING TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT SEPTIC, PUMP AND OTHER TRFJ►T11d1` T1 ER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY 00 NOT ENTER A SE=PTIC, PUMP QR p7N RESULT_ - RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IAtIPOSS(BLE. ADDITIONAL COMMENTS POWTS INSTALLER pOWTS MAINTAINER < Name Name Phone Phone SEPTAGE SERVICING 4pERATOR PE LOCAL REGULATORYAUTHORfiY Agency ® L Name Phone Phone T td$ document was dtatt9d by the staffs of dw (;teen take, Maltz uede and Waushara County Zoning eras Sanitation a9t es_ Phis docuirtent meets the minimum requirements of eft. Comm 83.22MMXtXd)&ft7 and 83.54(l). 8 (3). yY5co"srn Adtrirttb Coda Use of this document does not DGpyy(jJpt} guarantee ft performanoe of the POWTS. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer - , 14 ze_ n Mailing Address Prop erty Address n., p Y (Verification required from Planning & Zoning Department for new construction.) City /State 4,29w jeicUA" w, « ,,i Parcel Identification Number 6 Z6 LEGAL DESCRIPTION Property Location Tr 1 /4 , s lo - 1 /a , Sec. 2-2__ T 3_ N R _Lg!a__ Tow Subdivision - ( -.w4:T M- l e lu , Lot # Certified Survey Map # Volume ! , Page # Warranty Deed # 4, — ,Volume d , Page # 2 Spec house ye • � no Lot lines identifiable g no i SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by die owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, 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. Ccrtifigation stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I /we certify that all statements on this Corm are true to the best or my /our knowledge. Uwe am/are the owner(#) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. GNAT OF AP NT(S) DATE * *" Any information that is f5i'srepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 2 -d dSOti1 SO 68 2nd r RECEIVED J V 3 Lr L Wisconsin Department of C erce O L EVALUATION REPORT Page of Division of Safety and Building ST. CROIX COUN I ZOIiN WI�iwith Co m 85, Wis. Adm. Code County � Attach complete site plan on paper not less than 8 1/2 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 and distance to nearest road. Please print all information Re 'ewed by Date I Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(l) (m)). Property Owner Property Location r 1� Govt. Lot 1/ j f`1 /4 S t7t OL T 30 N R E Property Owner's Mailing Addr ss L # Block # Name CSitrt# c� — 4 City State Zip Code Phone Number 0 city ❑ Village To Nearest Road f New Construction Us Residential / Number of bedrooms Code derived design flow rate ZIMO GPO ❑ Replacement ` � sib Publ mesa Describe: Parent material _ �' i Flood Plain elevation if applicable /fif R. General mm comments /��J �O ' 7 and recommendations: / �j� f G. �/ F — /] Boqing# Ground Pit surface elev. / �/ " R. Depth to limiting factor in. �— Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 3 F2 —]- Soli # Soling Pit Ground surface elev. `� � R. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 a- Q r S I a 2 -2 ,. 3 - s '�-L ,a ---- Effluent #1 = BOD > 30 < 220 mg/- and TSS >30 < mg/L ' Effluent #2 = BOD c 30 mg/L. and TSS < 30 mg/L CST Name (Please Print) to CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conduc ed Telephone Number 1008 192nd Ave, New Richmond, WI 5404 -C •--� 715 -246 -4516 l Property Owner _ Parcel ID # Page of ❑ Boring # ❑ onng 3 Pit Ground surface elev. S' ft Depth to limiting factory Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GKM in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 /D 36"70 ❑ Borin # Boring F1 F Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. $h. •Eff#1 'Eff#2 ❑ Boring # E] 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 GPM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *011#2 Effluent #1 = BOD, > 30 < 220 mg1L and TSS >30 1150 mg& ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mglt. 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. 3eD433,Q (RAW) Soil Test Plot Plan Project Name Environmental Holdings LLP Shaun Bird Address 706 19th St. Hudson Wi 54016 CSTM #2269 Lot 21 Subdivision Lundy's North Date 12/1/04 S 1/2 SE 1/4S 22 T 30 N /R W Township Richmond Boring 0 Well PL Property Line County ST. CROIX B VRp Assume Elevation 100 ft. Top of Survey Iron r-- ystem Elevation 98.7 *HRPSame as Benchmark nate Benchmar Top of 1/2" Pipe @ 100.3' Please note: soil test may not be suitable for Scale is 1" = 40 owners desired Z' building location, Soil unless otherwise test was done to noted satisfy zoning requirements, please verify system location before excavating. 570' Property Line 98' 96' B -2 B.M. * /Alt.B. 25' -1 90' 180' 6% Slope 40 88' PL B -3 140th Ave U, 2 8 0 5 P 2 7 6 795338 State Bar of Wisconsin Form I - 2003 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number Document Name ST. CROIX CO., MI THIS DEED, made between Environmental Holding Company, RECEIVED FOR RECORD LLC, a Wisconsin Limited Liability Company , 85/18/2005 12:45PH ( "Grantor," whether one or more), and New Horizon Homes, Inc. WARRANTY DEED EXEMPT I ( "Grantee," whether one or more). EE: 675. TRANS 80 Grantor, for a valuable consideration, conveys to Grantee the following CCFEE; described real estate, together with the rents, profits, fixtures and other PAGES: 1 appurtenant interests, in St. Croix County, State of Wisconsin ( "Property ") (if more space is needed, please attach addendum): Lots 2, 6, 8, 10, and © Lundv's Nort Town of Richmond, St. Croix County, Wisconsin. Recording Arca Name and Return Address fi*e- C7� At I Cl .N v.c�S tr, 1.1� i Sal 0l4 Part of 026 - 1066 -95 -00 and 026 - 1067 -30 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Roadways, Easements and Restrictions of Record. Dated May, 1$, 2005 ErA.tti o 1 ding Company, LLC (SEAL) _ (SEAL) * by e f Warren, President (SEAL) (SEAL) * * AUTHENTIC e ACKNOWLEDGMENT G Signature(s) STATE OF WISCONSIN ) ss. authenticated on St. Croix COUNTY) Personally came before me on May, 1% 2005 , N .� the above -named Jeff Warren TITLE: MEMBER STATE BAR O S to me known to be the person(s) who executed the (If not, f egoing instrument and acknowledged the same. authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: *M r' a J. Bune Michael H. Forecki, Attorney At Law Notary F State of Wisconsin Eau Claire, WI 54701 My Commission (is permanent) (expires: 11/20/2005 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS 1S A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOI.ILD BE CLEARLY IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 -2003 *Type name below signatures. Atlemey Michael H Forecki 3452 Oakwood Hills Pkwy Ste 1, Eau Claire WI 54701 -7928 Phone: (715) 835 -;029 Fax: (715) 835 -4112 T6063626.ZFX Merilee J. Bune Produced with ZipFormI by RE FormsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 38 3-9805 www.zkftrm.com ;ter a2S 9�1 I. r° °"x m°unmemwe I + W 9enm{nn .e H PQp� 6H4H�0088B�U(1�118U0�•>�}Ar ld�d "I`dNld N 90 t7 "Y" " RN{*M' bi/L1 - aw m - •Frtnu.•••ti., "..r.l ..F,mrvw•m•w• NSNOOSVA 'ALNWO XpilO '1S 'ONOWNOItl d0 t^ - lo -oec+ ",�, oM° 1 ", " -," 1 "- w •et,V MB t� ' NO£1 'ZZ NO1103S yq -",-ly F\ M"•"1 Ft °°° 'wD ''"° '"" " "" "" dll 'SJNIa�OH �`d1N3WN0a N3 � LG w mio"w vw .,c wl nt ••w °mww Nr uoro +� - W l �71J 5 , I 1 i - -- -- — - - - - - - ti —w•m,t erefee°{ -- seaen.e[•�t. ►t:uL_ _ —_ .. __ _ —_ _ y � Mil a y ���= !'i -"1 -. — — — � — — — -� � y .6H. AtlMN01N HNOUl ➢Ltll➢ — N , I I I q 1 -- ` °-- ------I-- ............................... I R ..................... ............................... I I � a E i 1 tl � ii 6 f oz 9 88 yy �F. gR o , -..- I a3RRS f.{,wn I +F,.a°n) a jwY' QJ•� j I ..1 WI , L .............. ii t°Y� �l I 1 • � ' y � I � � �\`�� p,i - \ i .......... +� .•'�; p n ' ... - -•_ 6�`1��6b Ala ��. �7� N C I I •�'__ �.- -••••- \ ...... I - -- q �,• 1 F6 J \ p / N — WWI � M.99JY.00 � Z a ,� � � W=b tl5 i-1� .al � �� t S�gRglq � � � li sl• � ay, ��,� Ir �I I g �1 E $ P B9J�d�` S ♦; 78p � I , .j��l � •°R I� jl w Y 0� la' Ig i S of /A + �� ��� i� � S4µi p 1� �. �� �3.i� I i.N� .a ��A � � ' 0 t b � aMw` `��I �.r II Q of 8 s � Jill R i t 1% (65 NLBZ'y - 11 , I. ..1 it Ji •.. I� Y. '-1 1 a9 ��� •���g��3 ���,Z. S C t M'al 6 ALi 0` p MI- "° t -•- 1•uar-.arri a - am �y Y ,LO Yt t M• +0.( AON 1 {L //UUII{ t I L Ii NVKS'DEion t� -_ �� �I l saNVnaallvnaNn I I I .,� p, 1 15 p �Q Erg s VI • o KRIM ur "Mlu000 uNnoo N O J ,� ■ I R' %pw 'U 7Nt al RJiQ,Grw ggg7gQq, p, 1y N,tCe99 9Y179 LL NDR099 Iii= � �° °I � JD Y 13e 71LL /0 7"fl Mlf10f 71LL FCi gl'RE[[ E ---------------- ----------- AdMH 3iH USA; ,o st• 3,1 z ALM t' ............................... ...... ............................... ....... .' N �W� w I (1) LL. N W O Oo� N 0 OD loll I C2 N •'•' V� -s I as •� I ol' o , •, .. NW O Ju ro In go n I y, •�ti \ N. I L331 JM .o ,� � •'• �O �.� Out ,ono of � (n LL — — h Nwd I - rf. WN M.99. "o00N SAFETY WARNING — Risk of electric shock. This pump is SAFETY GUIDELINES supplied with a grounding conductor and /or grounding 1. Read all instructions and safety guidelines type attachment plug. To reduce the risk of electric thoroughly. Failure to follow the guidelines and the shock, be certain that it is connected to a properly instructions could result in serious bodily injury grounded grounding type receptacle. and /or property damage. 2. DO N USE TO PUMP FLAMMABLE OR Your 115V effluent pump is equipped with a 3 -prong EXPLOSIVE FLUIDS SUCH AS GASOLINE, electrical plug. The third prong is to ground the pump to FUEL OIL, KEROSENE, ETC. DO NOT USE IN prevent possible electrical shock hazard. Do not remove EXPLOSIVE ATMOSPHERES OR HAZARDOUS P Po CLASSIFIED BY NEC, rate branch circuit is LOCATIONS AS CL the third prong from the plug. Asepa ANSI /NFPA70. FAILURE TO FOLLOW THIS recommended. Do not use an extension cord. WARNING CAN RESULT IN PERSONAL INJURY When a pump is in a basin, etc. do not touch motor, pipes AND /OR PROPERTY DAMAGE. until unit is unplugged or shut off. If your or water u 3. During normal operation the pump is immersed in installation has water or moisture present, do nottouch wet water. Also, during rain storms, water may be area until all power has been turned off. If shut -off box is present in the surrounding area of the pump. not accessible, call the electric company to shut off service Caution must be used to prevent bodily injury to the house, or call your local fire _department fo r when working near the pump: instructions. Failure to follow this warning can result in fatal electrical shock. a. The plug must be removed from the receptacle The flexible PVC jacketed cord assembly mounted to the prior to touching, servicing or repairing the pump. pump must not be modified in any way, with the exception of shortening the cord to fit into a control panel. Any splice b. To minimize possible fatal electrical shock hazard, between the pump and the control panel must be made extreme care should be used when changing within a junction boxand mounted outside of the basin, and fuses. Do not stand in water while changing fuses comply with the National Electrical Code. Do not use the or insert your finger into the fuse socket. power cord for lifting the pump. 4. Do not run the pump in a dry basin. If the pump is The pump motor is equipped with an automatic resetting run in a dry basin, the surface temperature of the thermal projector and may restart unexpectedly. Projector pump will rise to a high level. This high level could tipping is an indication of motor overloading as a result of cause skin burns if the pump is touched and will operating the pump at low heads (low discharge restriction), cause serious damage to your pump. excessive) hi h orlowvoltage, inadequate wiring, incorrect D not oil the motor. The um housing is sealed. Y 9 5. o pump motor connections, or a defective motor or pump. A high grade dielectric oil devoid of water has FLOW- LITERS /MINUTE been put into the motor housing at the factory. Use of other oil could cause serious electric shock 60 240 320 ° B0 ' and /or permanent damage to the pump. 60 15.0 6. This pump's motor housing is filled with a dielectric lubricant at the factory for optimum ,0 12 motor heat transfer and lifetime lubrication of the 0✓ bearings. Use of any other lubricant could cause w .-- 10.0 damage and void the warranty. This lubricant is L• 30 Li non- toxic; however, if it escapes the motor s � housing, it should be removed from the surface Q 20 L A quickly by placing newspapers or other absorbent w a material on the water surface to soak it up, so = s. o = aquatic life is undisturbed. i0 2. 7. In any installation where property damage and /or_ an inoperative or personal injury might p e ry ht result from 9 p 1 0 4M 0 leaking pump due to power outages, discharge 0 20 40 eo so ioo line blockage, or any other reason, a backup FLOW- GALLONS /MINUTE system(s) and /or alarm should be used. PUMP PERFORMANCE CURVE V 67AIJf 115V 60HZ ge)y 3 LITTLE GIANT' LittleCiMT. SUBMERSIBLE Pump Company EFFLUENT PUMP OWNERS MANUAL FOR 9EH - CAUTION - READ SAFETY GUIDELINES AND INSTRUCTIONS CAREFULLY 0 • SAFETY • INSTALLATION • OPERATION • REPAIR World's Largest Manufacturer of Centrifugal Pumps • O N � L, i- II "101 n�1 t m �n (\l 3 N # Z N mnt 19I Z Z4 1 orb N LU - v� m � z� N d8 0/6 nl - ;1 i = a m de O/V de 0/9 — ?131N30 - N �• 1N3A Ol b —'q � _ N OEEEM LIOEM - L L �� • c paP � OfA v. _ P N aloe ; 1 z I n p - 1 9 3 0 C - 0y I n 1b o ` W O � c c a a o > ; :o o F ¢y I w O ►'�� J - 1f 1 U I 1 — , m \\ R \ I W Z GY O O V O N vi N N O y N Q ? ou — J o LT n 1lflb �IV3d m `� I a E o v .n " (D o vi IY \ \ \J \ \ (] I V o \ Z o 3 E T� J\ cis $- \ a d•- ` v t t ol F o E y.^ I� • - -- -- - - - -- O — C L „ O �U GC _ \ yroE Na C4 °r n 0 lb ,0 - Ib _I m LU Z4 ~ I \\ O N L� // w- � • — II I ,/ o w \� 44 L� —J w I Q uj s Q !� m In n 01 - ,E� u E - I S „II - 1 b B - 1E I (� o z o C i l 19 °,— L'J cs I i — J n�9 ol•ib -- a I/011-$ w u5O -� Jw3l WMl `" F-- �� z uj - CIA z U_ C Z w co = m Q m w N I — - - - - -- 4 cA kn °s «. a -1 Q :z IEd � ►_— o � 94 ZLll � c ` N o w� J _ 4 o g � n b- L u1 -101 u ll - � w nb-11L U . , o aNgN' U i I" LU • Q Q � tj � , w w w 3 F . 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