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HomeMy WebLinkAbout026-1130-31-000 o to o 3 n 11....�� O d C O A 7 ! M � C/) CD ai O O C N `C • 0o C m y 71 3 •° C 2 j G p o O W C C) � n O 0 3 CD 7 N O � N CA 0 Er S c � 'p m cn Z D N c� D a D c CD 3 CL 0 N co w :E CL ° 3 � � 3 ?• 0 �'+ 0 'O M a te + Z O O O 0 o gg 3 Cl) N a o. ; 9a9 CD CD o N CD 3 — 3 CL CD Z D o Q y O O C nn5 3 CL j 7 N O o c 3 W O O n < 3 3 N Z m; 0 0 3 to I -4 y A Z n ° o z in m � � w m m .. G O CD N 0 S a Q O O (n W U7 -o a m M o c a z CD = 0 3 a A 3 a p X Z w y 3 o to Z A W CD Q C 7 2; G N < W C 7 N- 0 d o 0 N �• A a o I � � I N ~ CD N � O O 0 O a °o a, V � rID / % k F 1 0 m , E � k 0 £ 0 °& I , B I ". �f k k f m i \ \/} m e R o o CO \ M / ° 4 } \ \ 3 ° % 0 7 $ 4 , .. > \ - $ (D CL ¥ G w 2 Q 0 / ( , 0 c E C 3 E \ 0 ƒ § § / \ /\ 77 m CD a..; \ . K) ( / 2 E , z E > ƒ k k §� / CL ! ƒ Bf 7 % PO ƒE( e w 0 �� 2 \ ] § -4 ■ \§ƒ m } RD \ §{ E %k FD k w V 2/§ // 3 /2 3 E © z» ` G 7z �E % ƒ ± 0 § ; < § ƒ }/ E %( ' � J \ , I > � � \ � ( � 2 � = K o � (D t \ _o �§ � Wisconsin Department of Commerce T 1 0 44� PRIVATE SEWAGE SYSTEM County: St. Croix Safety 2nd Building Division ) �� 4ve INSPECTION REPORT Sanitary Permit No: (ATTACH TC` t RPAIT) 453410 0 GENERAL INFORMATION `■` State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (! )]. Q s. Permit Holder's Name: City Village X Township Parcel Tax No: Miller, Sam I Richmond Township 026- 1130 -31 -000 CST BM Elev: Insp. BM Elev: BM Description: J' s Section/Town /Range /Map No: r >> t. it I !'v +t.r:r r'� r ., _. ti," 25.30.18.891 TANK INFORMATION ELEVATION DATA y' 8 1 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I Benchmark - Dosing Alt. BM / CC _ Aeration Bldg. Sewer '� �` 5 L , y ! l Holding St/Ht Inlet St/Ht Outlet 10:2 . 2 TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / q Dt Bottom a (V '-(7— Dosing V< Header /Man. Ll Aeration _ Dist. Pipe d b - 'b� 03•zo Holding Bot. System Q , Final Grade „ N- PUMP /SIPHON INFORMATION » : c( hR t d.:12 _ m Manufacturer Demand St Cover / r N / GPM (I �� Model Number p( (t `z 40 t TDH Li U v✓ Friction Loss System Head TDH Ft r IV 1 1 ,(-2- (I. so - 6 ,A d . S(6 lag Forcemain Length S I pia. 11 Dist. t W , tom+ SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Tremlmiw PIT DIMENSIONS No. Of Pits Inside Dia. DIMENSIONS (_ - 7 0 Z SETBACK SYSTEM T BLDG WELL LAKE /STREAM LEACHING nufacturer. INFORMATION CHAMBER O Type Of System: I L Mode ber: /Vt C r__ 1_1_� 12 S_ J+A�'i f I DISTRIBUTION SYSTEM vow w (3' +Df Header /ManifV Distribution 1 f t x Hole Size x Hole Spacing Vent to Air Intake Z iI Pipes) z Z . 57-) w i! 2 • S-S / Length 2' Di Length D ° ' Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of ded xx Mulched 1 13ed/Trench Center Bed/Trench Edges Topsoil xx Seeded /Sod C Yes No ] Yes j ,1 No �[ COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / �� Inspection #2: /�/ , Location: 1410 136th Ave Unknown (SW 1/4 NW 1/4 25 T30N R1 8W) Red Pine Corner Lot 31 Parcel No: 25.30 18 891 1.) Alt BM Description= i „r 1,t h_ ��. �.�t 1 -,o -�✓ k�c�� S t `'r A ll, ar W, \Z00�� (� 2.) Bldg sewer length = 131 C ; as ( 20 - amount of cover 3.) Contour Plan revision Required? Yes No - - — Use other side for additional informa ion. J _ J SBD 6710 (R.3/97) Insepctor's S' a ur Cert. No. Safety and Buildings Division . County ® n 201 W. Washington Ave., P.O. Box 7162 '57 CQOIK c�O��,� Madison, WI 5 '37 - 7162 Sanitary Permit Number (to be filled m by C; �+ (608) 3 1 ;1 4P� 41 De artment of Commerce �.� Sanitary Permit Application State Plan ` °. Number In accord with Comm 83.2 1, Wis. Aden COde,•persoaal information you provide ` O i ✓0 9 = ( S. /& t) may be used for secondary purposes Privacy Law, &I5.04(Ixm) - ( J�ect Address (if different than mailing add. =,s', I. Application Information - Please Print All Information _ , r ' 3�°�'^ Ar �� P-openy Owner's Name - Parcel p Lot p Bloc z i tj L) 0 Z0 1 Property Owner's Mailing Address Property location S � � ►" � Vii, SGCtimD r City, State Zip Code Phone Number C`ttJV W ( 5 r� 7 /S= Y �_2 7� T 50 N; R j 11. Type of Building (check all that apply) ! •— I or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM NuMb,r /❑ Public/Commercial - Desc_,' ✓ - P; u ft__ a✓ N 1: State Owned - Describe Us T ., a �'�� S X r ei,s'fpar / D I • ,q O ❑City_❑village Iosvuship of - 9 - 1 CAN"'rt i \ /I Ill. Type of Permit: (Check only one box on tine A. Complete line B !f applicable) A . New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System 8 ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Isiued Before Expiration Plumber Owner I V. Type of POWI'S System: Check all that appl ❑ Non - Pressurized In- Ground W -Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade Single Pass Sand Filter �. Constructed Wetland ❑ Pressunzod ln- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑^ Recurulating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip line ❑ Gravel -less Pipe ❑ Other (explain) V. Dls ersal/Treatment Area Information: Design Flow (gpd) ip Soil Application Rate(gpdsl) Dispersal Area Requirod (sf) Ispersal Area Proposed (sQ Systc i Elevauou / yso (•o �� tl p. t 1z� !l a ¢ / °z•yo I V1. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel F ?Ia watts Wow of Units w Co crate Constructed Glasi New 8xiAin8 /t r Tanks Tanks r a �.'✓ _� S.-Pix or Hokbq Tank , Omp Q 1 .zrobic Tmatmcot Unit Cant;Chamber 7 S0 S `� 11. FtesponslbUlty Statement - I. the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Nana (Print) P Signature MPR PRS Number Business Phone Number a m. 1 r Vl�ttw t f Z �- S'D 3 �. G� Z - fl (•S- - r Plumber's Address (Street, City, State, Zip Code) 0 7a LUa 06 . l�v�s e►.� r,[> / S o �ft� - i VIIL Coun !Dc artment Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issug4- ,. Issuing gent Signature (No S ao:ps; Surcharge Fee) 2 �. 11 Owner Given Reaso for Denial > � 23 1X Conditions of ApprovaUReasom for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. Ali setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the Coua(y only) for the system on paper not kss than 81/2 x 11 lucbes la sue �' S13D -6398 (R. 01/03) rop.StzLA �n a►' � T /off c. io.t.o' d So. % eda /ua:;b.� � eler� R-ap�scd N(ou.�d Q-6 /7. /7;r /ash so',�/ -, � ^ �,/ /oi ,, $= S;tt'o'd.4aersa /ce /% / ' ti eras of SPa c et✓ a 1� C. wc.Plsv wl� - V ".l •S.Tot. 3o3 ►T'0 OSfd P 3 bed�m / /d3.59 o resrdane.e • r � l� ' � Proposed �, we,l1 ` • � �` Qt f� ✓e �1ke \ i Alt-' e (� rnci zG SeG. �s T,, . 5f.•cro a! P 8 r l ' Safety and Buildings 4003 N KINNEY COULEE RD commerce LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www•commerce.state.wi.ustsb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary July 15, 2004 CUST ID No.225036 ATTN: POWTS Inspector MICHAEL P MC DONELL ZONING OFFICE MILLER CONSTRUCTION ST CROIX COUNTY SPIA 1070 HUNTER RIDGE RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/15/2006 Identification Numbers Transaction ID No. 1019691 SITE: Site ID No. 686480 Sam Miller Please refer to both identification numbers, 1410 136TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County SWIA, NW1 /4, S25, T30N, R18W Lot: 31, Subdivision: Red Pine Corner FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 969004 Maintenance required; 600 GPD Flow rate; 38 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); 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, Condit, stats. ��TR The following conditions shall be met during construction or installation and prior to occupancy or use: pEPARTMENTi OF General Approval Requirements: SEE CORRE • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 /01). • 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 well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. MICHAEL P MC DONELL Page 2 7/15/04 • Inspection of the private sewage system 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. Stat • Comm 83.22(7) A copy of the approved Mans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local injectors. Owner Responsibilities: • 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/installation /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 II , 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 SO- ��GG V000ND AND PRESSURE DISTRIBUTION COMPONENT DESIGN t'� v Residential Application SO INDEX AND TITLE PAGE Project Name: Sam Miller 3 bedroom residential mound system Owner's Name: Sam Miller Owner's Address: P.O. Box 151 Trout Brook Road Hudson, WI 54016 Pcl. Add.: 1410 136th Ave. Legal Description: SW1 /4NW1/4, Sec. 25, T.30N., R.18W. Township: Richmond County: St. Croix Subdivision Name: Red Pine Comer Lot Number: 31 Block Number: na Parcel I.D. Number: 026- 1130 -31 -000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications oylally Page 6 Management and contingency plan Page 7 Pump curve and specifications OVER Page 8 Site Plan )F COMMERCE Page 9 Soil Evaluation Report .Y B NGS iP ONDENCE Designer: Mike Mc Donell License Number: 225036 Date: 07/06/04 Phone Number: 715 - 386 -8692 �Signature: 4 L Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01)01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03101/01) Pagel of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: sand flu (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 450.00 Design Flow (gpd) 5.00 Site Slope ( %) 101.90 Contour Line Elevation (ft) 38.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 90.001 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (11 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 6.25 ft /orifice 2.00 Forcemain Diameter (in) 30.00 Forcemain Length (ft) Does the forcemain drain back? Y 95.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) Lift ft 81.25 5x Void Volume al 6.90 Vertical L (gal) 0.57 Friction Loss (ft) 86.14 Minimum Dose Volume (gal) 13.97 Total Dynamic Head (ft) 29.66 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 750.00 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) 36.98 Total Working Liquid Depth (in) Wieser Concrete IManufacturer 20.28 gal /in (enter result in cell B49) Dose Tank Information Effl Filter Info rmation 750.001 Dose Tank Capacity (gal) lZabel J Filter Manufacturer 20.281 Dose Tank Volume (gal /in) JA1 00 JFilter Model Number Wieser Concrete IManufacturer Project: Sam Miller 3 bedroom residential mound system Page 2 of 9 Mound Plan View 1/10 B J Observation Pipe 8 •'•'•'•'•'•'• •'• •'.'.'. . T • ° s.. A �• ................. Mound Component Dimensions Down slop toe extension made. A 5.00 ft E Aft in H 1.00 ft K Al ft B 90.00 ft F in z 7.50 ft L ft D 6.00 G J 4.67 ft W ft 450.00 (ft Dispersal Cell Area 1 1125.00 (ft Basal Area Available 5.00 (gpd /ft) Linear Loading Rate 1 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.19 (ft) - -► .frri rff.. G � H Z F :::: f Dis 102.90 ( Invert ''rrrr rrrr_ f. (ft) Lateral 102.40 (ft) --► Dispersal Cell Elevation E D; ; '; l , ' , ,,. f �K'1, 4 .41 • ; { •` ••,:x.•4 •, i, :j:_4 4 ,.•'�,.•:: 101.90 (ft) Contour Elevation 5.0 % Site Slope Geotextile Fabric Cover Shading Key - Dispersal Cell See lateral details on 1 To soil Ca 1.5 ft ..;.:�::; »�: • ° » Page 4 for number, rrrr' Subsoil Cap c t�: • ° » .;:,.;. "• size, and spacing of ASTM C33 Sand `-° . °": a� °' a"_ �` °:w equally F laterals. Laterals are •° 0.5 ft s Typical Lateral "° a spaced from ® Tilled Layer.,' q Y P Q5 �::~f:• Aggregate a 0 .• A; > ° ;r the distribution cell's A centerline in the distribution cell (AxB). Project: Sam Miller 3 bedroom residential mound system Page 3 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Jim Thompson #30021 Phone 715 -248 -7767 POWTS Regulator's Name r St. Croix County Zoning Dept. Phone 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 ears Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundl Ins ect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ............... Grade \ 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution / ...... Lateral �1► Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Sam Miller 3 bedroom residential mound system Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01 /01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or um tank since dangerous gases may be resent that could cause death. P pump 9 9 Y P 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. 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. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the finer 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. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent finer 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 as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg /L TSS, 10 mg/L FOG, and 10 cfu /100 mL for highly treated effluent. 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Sam Miller 3 bedroom residential mound system Page 6 of 9 n _ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ • • . • 1 — - . \■ ■ ■ ■■ ■■MEMO■ ■ ■ ■■ ' ■,■■■■■■■■ ■, ■■■■■■■■■■■■■■■ • ■ ®, ■ ■ ■ ■ ■ ■■ ■■MEMO■ ■�. \E► \ ■MN ■M■ MEMO \ ■ ► \I \M■ ■ME ■ ■ ■ ■ ■ ■■ \I�1 ■ ■ ■■■■■■■■■■ : ►��W- ■ ■■ ■E■■■■ ���■����■■■■■ ■ ■■■■ \ ti�■1 1�MMM■M■■■■■ , \O N \ ■ ■■ ■■ ■ME■■ .■►1 ON \\ �°� =E ■■■■■■ NM11 ► ■■WIMMM■■ ■■ ■� \1 VIN ■ \1 ■ ■ ■ ■ ■■ ■■� \5 n \■■um■■■ ■E■ ■�. \I V ■\MN\■ ■E ■■ ■ ■■ ■��1\ ■\. ■M\■ ■MME !®■■1 ► I ► ■■\■ ■M■■ EEN MENNEN MINE MEN mmmmmmmmm ME mm mmmm mmmm ME MINEMEN ME ME ME ME MEWINE .. ® ________MMIM WEEIMWW�� MEmmN�������o ®����� US _____�_�________� 111 Mir 8 tax ✓► ar T o /off i ltoFosed ►✓you nd c, /7 17 X IOV SO' oJl / C" Ql Sty0`cl.�ot�sa /Cell• TwowQ', .5triba.tirn , /adErals at` 5�aceda&?.s3.' s "34,doed.C. r 'w 1�-oPosLcl (4lAe. w ^1C I*ree main ? w-, k ✓. c e #Ikti,6 ' - babe /A 1'17 4O"t of &-Jt- �o p osed �l 3 bcdre+om � /03.59 G reSid¢ntG / Syio 0 \ fi c,z 6 - / /JO - 3i_ �vo "w crot), • Wsconsin Department of Commerce SOIL EVALUATION REPORT Paya _L_ o'- Di rision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must X- - - -- -� include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ( ercent slope, scale or dimensions, north arrow, and location and distance to nearest road, pe nd 1 r Cr _ — - -_ _ Please print all information. Reviewed by Dat•: Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ~� Govt. Lot SW 1/4 NW, 1/4 S 2 5 r 3 0 fl R 1 E3 }n f or) ^r Prc )erty Owner's Mailing Address Lot # Block # Subd. Name or CSIV4 1 61 1 Hwy #1 0 N-E.- Q - - - - -- - -. Ci State Zip Code Phone Number ❑ City ❑ Village Ij Town N .crest Ro rd Sp ring Lake Pprk, VI 5543 (6 ) 780 -4996 Richmond , New Construction use - . Residential/ Number of bedrooms Q , __ Code derived design now rate ___ _ _ -.._ _. _ _ ` E: , eplacement ❑ Public or commercial -Des cribe: ___- --- - - - - -- - - - - - -- ---------------- - - - --- Par rt material — csl ar-i al -_ __ - -_ Flood Plain elevation if applicable _ _._ _,- Gare�al comments and recommendations: I I mound @ e,1. 102.90' based on Contour line of el. 101.90' I Boring �, Bonn 10 l_! g Pit Ground surface elev. _ ft. Depth to limiting factor ___ � — '.i S o .I A I cation Rafe --- P- - - - -: Ho izon Depth Dominant Color Redox Description Texture Structure Consistence Bajndary'1 Roots _ GP _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. r ' 'Bff #2 cs ,� 2f 2 8 -20 10yr 4/4 none sicl 2msbk mfr QNJ I 3 20 - 40 7.5yr 4/4 none sl 2msbk mvfr � gt� a 40 - 70 - 7 — i tea - .0 - -'. i Boring I v.- . Pit Ground surface e1ev. ft. f p`h to li r factor - - -- - - -- ir:. Se I A ��Gan Rate Ho izon Depth Dominant Color Redox Description Texture Structure Consistence 8eundary Roots GPDlfi :ffili n. Munsell Qu. S Cont. Color `� Gr. Sz. Sh. Effa2 _ _ —_ —_ _ i T I 10 2/2 none L �._21f.1�k i '9 - 10 -r 4 ' none - - - -- - sicl 2msb mfr J _ I q _. .0 0 -• i_ _— cent 42 = 30D 3J mjf%_ a� C, c T 1J my /L CST Name (Please Print) — Si S Number Gary L. Steel __ - -- Address Date Evaluation onducted Telept cne Number 1554 200th. Ave., New Richmond, WI. 54017 11 -14 -2000 715 -2 e!6 =6 200 — Properly Owner Oakwood Land D evelopment Parcel ID # pen j ag Page _ of a Bodng # ❑ Boring 3 13 pit Ground surface elev. 10 0 - 9O ft. Depth to limiting factor 62 in. _ r"F- il Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff #1 ' Eff#2 2 10 -2 10 4/4 n n i 1 If 4 6 3 26 -62 7,5yr 4/61 none Sl 2msbk mvfr gw na ,5 _,9 wet S1 2msbk na — _ --- Boring # ❑ Boring ❑ pit Ground surfaca elev. ft. Depth to limiting factor n. Sv;i Applicabon Rate Hurizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I Boring # Boring ❑ ❑ Pit Ground surface elev. ft. Depth to limiting factor in, _ _ Sod Application Rate ron Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '0 E ft#2 Effluent #1 = BOD > 30 < 220 nVL and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 irx3/t arid TSS < 30 rVL T he Department of Commerce is an equal opportunity service provider and employer. If you need assivanze to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or 'CTY 608- 264 -8777. SEC 8 })0 (K6MO) STEEL'S SOIL SERVICE_ Gar 1.. Steel Oakwood Land Development 1554 200th Ave. CSTM2298 SWTNW4 S25- T30N -R18W Nety Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -5200 lot #31 -Red Pine Corner 'this soil evaluation was conducted to satisfy a zoning requirement, it roy or may not 1-e suitable for your use. The location of the test may or may nc.t be as sr,avn as penuanent lot lines were not established at the tide the test wae conducted. C N 1 "= 40' 11 BM.= top of NW lot stake @l. 100.00' 4 Alt. aM.= top of 1" pvc pi?b @ el. 103.70' I� ? ; ✓ _ /p _ -_ -- - -L 2Z n V ! r Gary L. Steel 11 -14 -2000 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page -L—of 3 Division of Safety and Buildings in accordance with Comm 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, anf04o - *ion And djstattce to nearest road. pendin Please print all information. Reviewed by Date Personal information you provide may be used for sedbndary purpos*P vncy Law,, s.'1 y.: 4 (1) (m)). Property Owner ?:. �• ` • rape Location Ggvt:'Lpt SW 1/4 NW 1/4 S 2 5 T 3 0 N R 18 Mor) W Property Owner's Mailing Address ' " Lok.ft i Block # Subd. Name or CSM# 1 611 f4wy #10 N-E Red Rin- Corner City State Zip Code 't \ Phone NZ . U pf i Z7 �. Ity ❑ Village ]Town Nearest Road Spring Lake PpLrk, VN 5543 12> 780 -4996 - '`. Richmond JR New Construction User Residential / Number df besfro0mis_ ' Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material glacial drift Flood Plain elevation if applicable n - ft• General comments and recommendations: mound @ el. 102.90' based on contour line of el. 101.90' Boring Boring # n 7Q Pit Ground surface elev. 1 02.2 ft. Depth to limiting factor 40 in =Soil plicalti,ri Rate [— Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff'[ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I 'Eff#2 cs 2f 2 8 -20 10yr 4/4 none sicl 2msbk mfr qw if •`{ 3 20 -40 7.5yr 4/4 none sl 2msbk mvfr .--- Boring # El Boring 2 ® Pit Ground surface elev. 1 02.2 ft. Depth to limiting factor 38 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 10 2/2 none L 2 9 -21 10 4/4 none sicl 2msbk mfr cfw lf �{ .0 .0 > < > 150 mg/L uent #2 = BOD < 30 mg/L and TSS < 30 mg/L Effluent #1 BOD 30 _220 mg/L and TSS 30 < _ g CST Name (Please Print) Signature CST Number Gary L. Steel 298 Address Date Evaluation onducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -14 -2000 715 - 246 -6200 Property owner OakwOOd Land D evelopment Parcel ID # pending Page —�L_ of _ 3 3 -] Boring # ❑ Boring Ej pit Ground surface elev. 1 00 - 9 ft. Depth to limiting factor 62 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 - 2 2 10-26 10 4/4 1 none sic 2msbk mfr 9W if 4 6 3 26 -62 7.5yr 4/6 none S1 2msbk mvfr gw na .5 .9 •(o 4 2- 7 D Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg& ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (8.6=) r I STEEL'S SOIL SERVICE Gary L. Steel Oakwood Land Development 1554 200th Ave. CSTM2298 SW'NW' S25 T30N - R18W New Richmond, WI 54017 MPRSW - 3254 town of Richmond (715) 246 -6200 lot #31 -Red Pine corner This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test vas conducted. 'N 1 "= 40' BM.-- top of NW lot stake @ 100.00' �! 'Alt. BM. top of 1" pvc p' @ el. 103.70'. `V Gary L. Steel 11 -14 -2000 r POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner � �j W r Septic Tank Capacity 1600 al ❑ NA Permit J1 Septic lank Manufacturer : ss-/ ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model ,C� _ DO ❑ NA Number of Public Facility Units NA Pump Tank Capacity ED a l ❑ NA Estimated flow (average) .3 00 g al/day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) !`gyp al /da Pump Manufacturer - 2 -01 (F ❑ NA Soil Application Rate ,0 gal/day/ft' Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD,) 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA ❑ At -Grade '§KMound Fecal Coliform (geometric mean) 510" cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA "Values typicai for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) earls) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: '� ❑ month(s) (Maximum 3 years) ❑ NA ear(s) Clean effluent fitter At least once every: + I ❑ month(s) ❑ NA earls) Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: At least once every: ❑ y ear(s) (s) C3 NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and dispoged of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. i START UP AND OPERATION Page of ?/ For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to'use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. Iv� T t e ai a '��ZO�- /181T�� �Oi2 /�/�1✓ (�NS`T7Z(1�7'L n�J alua be � ank Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name (D Name Phone Z . 0% J 9 fi Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name S , ( Zo�ll Phone Phone — 71'S_— 3W(4_ (p This document was drafted in compliance with Chapter Comm 83 .22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer -5 1 4 m /-t % I ` Mailing Address 8 o X 5 N a L PJ I Property Address 1 `4 1 O l 3 4- h AJ �[ Q, o K L I •ESL a 1 7 (Verification required from Planning Department for new construction) City/State '' �� �� uwu�� LA) Parcel Identification Number ©Z — 0 0 c) LEGAL DESCRIPTION nn Property Location S� r /4, C4J r /4, Sec. ZS . T 1 N -R ( � , Town of IZ' 41 wt o ►� Subdivision ACL 4-- Cc, ,r vt C-V' . Lot # 3 Certified Survey Map # e`er Z - / Z Volume Page # 7 J Warranty Deed # Volume Z540 , Page # Z Spec house. yes ❑ no Lot lines identifiable Xyes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the s }'s can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a 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. 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. I? / IS o� 4 G � NA OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the oNvnerts) of the roperty described abov , by virtue of a warranty deed recorded in Register of Deeds Office. StCKATURE O APPLICANT DATE • • `* •' Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed U 2400 P 5 23 738849 `� STATE BAR OF WISCONSIN FORM 1 — 1998 REGISTER OF DEEDS WARRANTY DEED ST. CROIX Co., NI RECEIVED FOR RECORD Document Number 09/04/2003 02:3612M This Deed, made between Oakwood Land Development. Inc.. a Corporation , Grantor, and Sam E. Miller, a single person Grantee. WARRAN t DEED Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County State of REC FEE: 11.00 Wisconsin (the "Property "): TRANS FEE. 607.20 COPY FEES CC FEE: PAGES-. 1 Recordino Area Name and Return Address " 000 Sam E. Miller 30 -- 3� - � t P• o, do is f I i leac.R i014"" +d. WI -"Gi;� C) p a(v (13 �a(D _1130 3sX oa� Parcel Identlflcation Number (PIN) This Is not homestead property. (is) (is not) Lots 31,32, 33,34 and 35 Red Pine Corner. Lot 54, Red Pine Corner First Together with all appurtenant rights, title and interests. none Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this t I day of Sy t, 2003 (SEAL) (SEAL) C2 ' Obkwood Land Qbwet8pmeaL Inc. (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ) ss. St. Croix County authenticated this day of Personally came before me this day of �r 2003 the above named Gregory J. Pejqrson the vice pre of Oakwood Lan * Develowri n . to me known to be TITLE: MEMBER STATE BAR OF WISCONSIN the p on who executed the foregoing instrument (If not, an ckn dge the same. X authorized by §706.06, Wis. Slats) �, J A THIS INSTRUMENT WAS DRAFTED BY s = .. P v 81�4�/`�!�'7� � Coldweil Banker Burnet 3 0 •.. -.,Ido 1y Public, State o isconsin 1301 Coulee Road Hudson, WI 54016 2 TAMARA K tpcommission is permanent. If not, state expiration date: 2 -41070 v , HERa ro �$ (Signatures may be authenticated or ackn "d. 6 ) Both are not necessary.) '+q �'F '•••••• •••'SG�_�= hrn W`�,_ ' Names of persons signing in any cap acity must be tyD t� or p rinted below their si nature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 — 1998 Milwaukee, Wis. rl ' 2 °6S AC 3Q 7 1. 24'/N 0 T 24�/ LOT 7 29 A 1 AC� 23 Ile � 1 . 11.62 AC - 5 z , r 1.52 AC YY 13�f a _ I o , f) LOT 19 ! I` \ t , I i X 2.09 AC LOT 21 � 1.5 AC ♦ �� r LOT 25 LOT 20 a \ e 3.87 ACf 1.52 AC 13V2S !`�!� D LO o ,/♦ T 10 1.52A o 18 !y ro � 13 - 7 , ? 1 .53 °AC LOT 26 4 o Q 1.52 AC 1 ° v LOT w..._. , .LOT 17 t .lf n,r P 1 - 5 4 AC 1.51 AC I q 13 0� 1'OT 27 1.52 A WT 1 �3�rti LOT 12 ! -7.s- 1.53 Ac ? , 54 AC / Y ix LOT :: '�C thT LOT 13 x 13 # 1.58 AC 1,5 AC ''� ' +r.�ra'•, t 1, LOT 29 ' " ^54 LOT 30 A , LOT 3S 1 y Z ' 1.61 AC LOT 14 1 �` lcyo6 1, 69 AC • 52 '�4C " LOT 34 f� LOT 31 1.52 AC + 1.52 AC At, 1,-f30 T 33 1.52 AC 151 AC ° 3 LOT 32 / Z re ' LOT 37 1.60 A - 4 7 �3 3 1.52 AC T y °5 ' 1. s2 � LOT 39 AC f 1.52 LOT 5 2g 40 AC 1.51 AC i 1 1.9b 13- � LOT 41 LOT 1 Lo 44 1.53 f..0 42 , AC . ' SE NCHMARP ELEVATION - LOT ►T" LOT 14 73, 54' SO FT. $0 Fr t 69 ACRES CP " 66.046 SO. FT 14 `•� LOT 32 •, 1. $0 ACRES LOT " ; " ty