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030-2024-90-000
Wisconsir,Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 515217 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Givens, Michael R. I St. Joseph, Town of 030 - 2024 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: CST BM Elev: 7 P G 1 12.29.20.436C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. K � fir.• --"- - Septic ; G PV ,n � / zed Benchmark Dosing , J 7 ` Alt. BM G$ 16,4> �G �11 �� ` a Bldg. Sewer 17 . �. 17 . 7 Holding St/Ht Inlet 11 �b TANK SETBACK INFORMATION St/HtOutlet /1-2cl TANK TO P/L WELL BLDG. V to Air Inta OAD Dt Inlet Septic 577 7Z Dt Bottom 1 g 3 Z Dosing / Header /Man. , Aeration Dist. Pipe 5, 38 461 /Z Holding Bot. System V b JnQ S f%`C PUMP /SIPHON INFORMATION Final Grade 1 1 4, 38 /d r Manufacturer / Demand St Co r / (�o.bL 5 GPM 'l �.� �0•'L� N O - 5 Model Number 6 : , p G �g j' TDH Lift2 Friction Loss System H ad TDH J 15 . Forcemain Length Dia. if 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 BLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type f ystem: :56 r© UNIT Model Number: DISTRIBUTION SYSTEM �� t: a�S �� j^ — ' /0 • S• /a. V �o Header/Manifold i Distribution Y C x Hole Size t 7 ole Spacing I Ventfe ) Air Intake Length 3 Z.3 Di t Leng *� - ✓ 3 ) / S: a th v Dia Spacing 10( SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only u Depth Over Depth Over xx Depth of �� xx Seeded /Sodded xx Mul hed Bed/Trench Center (� Bed/Trench Edges Topsoil V4, �! s ❑ No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / ZZ / Inspection #2: �/ Z�/ Location: 233 River Heigh Trail Hud on, WI 54016 (Gov't Lot 1 1jf29N R20W) metes & bounds Lot Parcel No: 12.29.2Q,4436� 77 1.) Alt BM Description 2.) Bldg sewer length= 7V - amount of cover = / &V / Z Plan revision Required? ❑ Yes No jo 10 Use other side for additional information. Date Inse or's Si ture Cert. No. SBD -6710 (R.3/97) r I ab V '' I i P_ ` Safety and Buildings Division County 4• 201 W. Washington Ave., P.O. Box 7162 L e iseonsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 5162 - 1 7 Sanitary Permit Applieatio State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal informatio you p JAN rR C" / 7 5 Z � 4 may be used for secondary purposes Privacy Law, s15.04( (m) Projcc Address (if different than mailing address) 1. Application Information - Please Print All Info ation r � 5 � 23 Qi�J?.t, : ?�l1 T Property Owner's Namet� • 14 t 1 ST. C RGi X COUNT)' Par Lot q Block a [PLANNING & ZONING 0 FICP 6 � ;Z* — vo do() Property Owner's Mailing A dress Property Location CWryuuc /•.! l.[! /., Section Zip Code Phone Number i 6` Z g 7 `(circle q nej T L ! N; R o W II. Type R Building (check all that apply) or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ��/❑ Public/Commercial - Describe Use ❑ State Owned - Describe Use ❑City_❑VillagcATownship of Q 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System Replacement System ❑ Treatmcnt/Holding Tank Replacement Only ❑ Other Modification to Existing System B • ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV, Type of POW TS S stem: Check all that a 144 ❑ Non - Pressurized In -Ground )9 Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Pcat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravcl -less Pipe ❑ Other (explain) A / V. Dispersal/Treatment Area Information: a D esign Flow (gpd) Design Soil Application Rate(gp 0 Dispersal Area Required Dispersal Area Proposed (sO System Elevation /"' __ o 5" i 7 ►ti / SOD, J� '� i VL Tank Info Capacity in Total Number Manufacturer Prefab Site Stecl Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing lak( �z J Tanks Tanks Septic a Holding Tank Aerobic Treatment Unit Dosing Chamber {� J 1 iv if, VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown an the attached plans. PI u s Name (Print) Plumb 's Signature MP PRS umber Business Phone Number Z / - 77Z'3zi Plumbs s Address (Street, City, State, Zip Code) l �f/ 07 VIII. County /De artment Use Onl Approved Sanitary Permit Fec ( Groundwate Date Issued Issuing A Signatur tamp Surcharge Fee) ; � (045 vcn Reason for Denial e' � n IX Conditions of ApprovaUReasons for Disapproval SYSTEM OWNER: J a 3� L etti.Qi�". r d� i,ti, �� (�Jgy. ge ft e 1. Septic tank, effluent filter and a,F w ptJ`,ro�� dispersal cell must all _be sefvFces /maintained as per management plan provided by plumber. �� OI cJt '6 e«% 6 4b .oYexadL tt�A 2. AN setback requirements must be maintained as per applicable code / ordinances. Go I) r t4L d I Z wl s a I v Attach complete plans (to tht County only) for the system on p■ e less than 8112 x I I inches in size SBD -6398 (R. 01/03) I c a a \ M ti _ \ Nc j 3 � o m � V 1 v � I f% It o a w E3 roN O tJ r. w 3 1 0 CS ° ' o n 3 O� v / J Cl d Safety and Buildings 3824 N CREEKSIDE LA commerce.wi.gov HOLMEN WI 54636 Contact Through Relay i scons i n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary January 04, 2010 CUST ID No. 226524 4TTN: POWTS Inspector ROGER L TIMM ZONING OFFICE TIMM EXCAVATING ST CROIX COUNTY SPIA 3128 20TH AVE 1101 CARMICHAEL RD WILSON WI 54027 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/04/2012 Identification Numbers Transaction ID No. 1752694 SITE• Site ID No. 753932 Michael R Givens Please refer to both identification numbers, 233 River Heights Trail above, in all correspondence with the agency. Town of Saint Joseph St Croix County , NWl /4, S12, T29N, R20W FOR: Description: Mound / Four Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1252247 Maintenance required; Replacement system; 600 GPD Flow rate; 40 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101); Effluent Filter 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: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • 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. Cone • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption A PPF area. chs. NR 811 & 812c DEPARW� • A Sanitary Permit must be obtained from the county where this project is located in accordance with the N l requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CARP • 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. Stat ROGER L TUv1M Page 2 1/4/2010 • 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 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. 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WSMART code: 7633' (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz @wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Monday, 7:00 A.M. To 3:30 P.M. Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. f For further information, go to our website: www.commerce.wi. C i ROGER L TRvS4 Page 2 1/4/2010 • 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. 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 mtenance verific ' , g anon report acceptable 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 10 1. 12 2 nothing ' for designing c g t. this review shall relieve the designer of the responsibility going 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 ? Fee Received $ 250.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WisiviART code: 7633' (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz @wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Monday, 7:00 A.M. To 3:30 P.M. Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they a Building Y ilding Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business " means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www.corninerce.wi.Rov/SB/SB-BuildimContractorPropTarn.btrnl MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN W Residential Application 0 INDEX AND TITLE PAGE Z W cv —= Project Name: > M U 0 6 Owner's Name: Michael R. Givens W L L U ® Owner's Address: 233 River Heights Trail site add. Q I Hudson WI 54016 Legal Description: NW / s 12 t 29 r 20 w Township: ST. Joesph County: ST. Croix Subdivision Name: NA Lot Number: NA Block Number: Parcel I.D. Number: 030 - 2024 -90 -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 Page 6 Management and contingency plan Page 7 Pump curve and specifications i Designer: Roger Timm License Number: 226524 Date: 12/21/09 Phone Number: 715 - 772 -3214 Si 1" ( /V Tonally 77 I' Designed Pursuant to the .OVED :1 Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and both roFC0 SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01) � . Version 5.1 R. 06/06 ( ) Pa e 1 of 7 ESPONDE 9 Mound and Pressure Distribution Component Design Design Worksheet I Site Information (R or C) ! R] Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in -situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150 % fecal coliform of <= 36 inches. 600.00 Design Flow (gpd) 8.001 Site Slope ( %) 100.00!, Contour Line Elevation (ft) 40.00 Depth to Limiting Factor (in) 0.50 Soil Application Rate (gpd /ft Distribution Cell Information 93.00 Dispersal Cell Length Along Contour (ft) = 6.46 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) 3 '; Center or End Manifold Lateral Spacing (ft) If N above, enter the elevation (ft) —4-i Number of Laterals of the highest point. 0156' Orifice Diameter (in) 3 Estimated Orifice Spacing (ft) = 11.55 ft /orifice 2.00a Forcemain Diameter (in) 255.00! Forcemain Length (ft) Does the forcemain drain back? Y 86.00 Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 41.59 F cemain Drainback (gal) 14.33 Vertical Lift (ft) 83. x Void Volume (gal) 4.35 Friction Loss (ft) 125 Minimum Dose Volume (gal) 0.00 In -line Filter Loss (ft) stem Demand (gpm) T� 23.231 Total Dynamic Head (ft) 7iJ Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 I 1.25 x 1.00 x 1.50 x x 1.25 x 2.00 - - -- 1.50 x x 3.00 2.00 x I 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Prod Manufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) Poly Lock Filter Manufacturer 20.83 Dose Tank Volume (gal /in) PL 525 Filter Model Number Wieser Concrete Prod! Manufacturer Project: Page 2 of 7 Mound Plan and Cross Section Views ........... ....... .. .. .......... . . .... ............... T 1/10 B J K -`!: Observation Pipe..... . ©• • . 5 A 40 ..... ................... ............................ .......... B ............. ........... I ....:•:•:•:•:•:•:•:•:•: .:•:•:•:.:•:•:•:•:•:•:.:. . L Mound Component Dimensions A 6.46 ft E 12.20 in H i1ft ft K 7.65 ft B 93.00 ft F 9.50 in z ft L 108.30 ft D 6.00 in G 0.50 ft J ft W 19.91 600.78 (ft) Dispersal Cell Area 1448.23 (ft Basal Area Available 6.45 (gpd /ft) Linear Loading Rate 1 9.30 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.29 (ft) —♦ G t H t ,,,,,,,,,,,,,,,.. 1 ....................... F 101.00 100.50 (ft) --► — Dispersal Cell (ft) Invert Lateral Dispersal Cell t Elevation D r. r 1 -,11 X1.1 <11 '• . 1.1:. 100.00 (ft) Contour Elevation 8.0 % Site Slope Geotextile Fabric Cover Shading Key o — Dispersal Cell See lateral details on 1❑ "_ Topsoil Cap CL 1.5 ft : • • • • • • • • • • • • • • Page 4 for number, size, ❑ Subsoil Cap o;;,`:,' " :.:: ::'::: '`'`::.:;::.:;: and spacing of laterals. ASTM C33 Sand 16 ° Laterals are equally :5 2 ' F s aced from the Tilled Layer d W 0. ft •:''''.! Typical Lateral p © ❑Aggregate c : { distribution :'``:': centerline in n the the * A distribution cell (MB). Project. Page 3 of 7 I Center Connection Lateral Layout Diagram Force main connection via tee or cross to marWold at any point. Laterals are identic al I p S 11 lip AI/ • = Turn-up w+bsil valve or (E X- 3JE�d2' zl2+I Laterals ti force main off'VCSch40 olsanoviplug per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. I Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.66 ft Lateral Length (P) 45.75 ft Orifices per Lateral 13 Lateral Spacing (S) 3.23 ft Orifice Density 11.55 ft /orifice Lateral Flow Rate 7.00 gpm Manifold Length 3.23 ft System Flow Rate 28.00 gpm Manifold Diameter 1.50 in Total Dynamic Head 23.23 ft Forcemain Velocity 2.86 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Disconnect Electrical as per NEC 300 and - -► Comm 16.28 WAC 4 in. min. ' ' Tank component is properly vented F Alternate outlet location Forcemain diameter Wieser Concrete Prod Manufacturer �_ 2 in. Ca aci 750.00 Gallons Volume 20.83 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.98 416.15 B 2.00 41.66 C d Pump off elevation (ft) C 6.03 125.55 86.67 D 8.001 166.64 D ......... . Total 36.01 750.00 Dose tank elevation (ft) 3" Bedding under tank. 86.00 Alarm Manuafacturer i Septr _ Alarm Model Number 2501 Pump Manufacturer Gould Pump Model Number EPO Pump Must Deliver 28 - 01 gpm at 23.23 ft TDH Project: Page 4 of 7 I Mound System Maintenance and Operation Specifications Service Provider's m POWTS Regulator's Name R ST. Croix - - —__ Phone 715- 386 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600.78 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 years 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 Moundi Inspect for ponding and seepe once every years 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 Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Page 5 of 7 R GOULDS PUMPS Submersible 41r Effluent Pump MODEL 3871 EPO4 & EP05 Series APPLICATIONS • Fully submerged in high ■ EPOS Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: • Effluent systems heat transfer. ■ Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • Farms superior strength and corrosion s manual operation. Auto - Canadian Stan dards Association • Heavy duty sump matic models include resistance. V Fle # LR38549 • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron • Dewatering assembled and preset at the for efficient heat transfer Goulds Pumps is (SO 9001 Registered. factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic • Solids handling capability; FEATURES cover with integral handle and float switch attachment points. /a" maximum. ■ EPO4 Impeller: Thermoplas- 0 Power Cable: Severe duty • Capacities: up to 60 GPM. tic semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1' /z" NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA -N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60"C) Intermittent. METERS FEET • Fasteners: 300 series ° -- - - - - -- - - -- stainless steel 9 30 L--J- 5 GPM • Capable of running dry without damage to -a - - - - - - - -- - 8 2.5 Fr components. 2 o a Motor: _ • EPO4 Single phase: 0.4 HP, 6 20 115 or 230 V, 60 Hz, 1550 RPM, built in overload with o 5 15 I automatic reset. • EPOS Single phase: 0.5 HP, 0 4 - �. _....... _._... _ . + . P05 115 V or 230V, 60 Hz, 1550 3 10 RPM, built in overload with _ __ ...- - - - -- EPO4 automatic reset. 2 • Power cord: 10 foot 5 standard length, 16/3 i _. - - - -- --- - -- -- - - -- --- - - - - - - ----- SJTW with three prong grounding plug. Optional 20 ° °o io 20 3o ao so GPM foot length, 16/3 SJTW with three prong grounding plug I ' (standard on EP05). 0 2 4 6 8 10 12 m'/h CAPACITY Goulds Pumps 5 2003 Goulds Pumps �,,I„ ?nn� ITT Inr ictrioc System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Roger Timm, 715- 772 -3214, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and /or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water- saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 1 1. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run -off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance I The septic tank must be inspected every three years by a properly licensed person. 2 If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3 When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4 Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5 If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7 Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8 Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9 Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10 Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 1 I Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2) Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and. /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Z L Gl..�c.e l' Mailing Address 33 (f /r Property Address (Verification required from Planning & Zoning Department for new construction.) City /State _�� -lfL'J yl Parcel Identification Number LEGAL DESCRIPTION '/ /' 1 W � Property Location '/o , , Sec. ) Z , T iN R W, Town of 1V c Subdivision �� , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # V(J6R6 , Volume , Page # Spec house yes no Lot lines identifiable yes 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 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 2 an - sp p §Comm. 83.5 1 () d to 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. I/we the undersigned have read the above re e maintain the private sewage disposal system with the g requirements and agree to ma nt p to se ag p yst 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 Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of ed ooms IGNA URE OF APPL (S) 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 1 4 t Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 5 Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 '/: x 11 inches in size. Plan must 's P St. Croix Include but not limited to: vertical and horizontal reference point (BM), direction an Parcel I.D. 030 24 - - 000 Percent slope, scale or dimensions, north arrow, and BM referenced to nearest road. Reviewed by / Date Personal information you provid may urp (Privacy Law, s. 15.04 (1) (m)) / 1 a Property Owner Property Location �- Michael R Givens n Govt. Lot IV Z '/• NW %4 s 12 T 29 N R 20 W ) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# / 229 River Heights Trail ST. CROIX COUNTY r C ity S ❑City ❑Village 0 Town Nearest Road Hudson WI 54016 St. Joseph River Heights Trail ❑ New Construction Use: 0 Residential / Number of Bedrooms Code derived design flow rate 600 GPD 0 Replacement ❑ Public or Commercial — Describe: Parent Material Loess over Till Flood Plain elevation if applicable N/A ft. General comments and recommendations: 1 Boring # Boring 0 Pit Ground Surface Elevation 95.8 ft. Depth to Limiting factor 28 & 50 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I - Eff#2 1 0 -10 10YR3/2 - LFS 1 -f-gr mvfr gs 3 f-co 0.5 1.0 2 10 -23 10TYR4 /4 - FS 2 -m -bk mvfr gs 3 f-co 0.5 1.0 3 23-28 10YR4/4 - FS 2 -m -bk mvfr Cs 3 f-co 0.5 1.0 4 28 -32 7.5YR4/4 7.5YR5/6 c -2 -f FSL 2 -m -bk mfr cs if 0.4 0.8 5 32 -50 10YR5/6 - GRS 0 -sg ml gs if 0.7 1.6 6 50-60+ 10YR5 /6 - VGRS' 0-m mefi - if 0.5 0.5 *Cemented 2❑ Boring # ❑ Boring oPit Ground Surface Elevation 92.0 ft. Depth to Limiting factor >65 in. Soil Awlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-4 10YR3/2 - L 2 -f-gr mfr es 3 f-co 0.6 0.8 2 4 -24 10YR4/4 - SL 2 -m -bk mfr gs 2m 0.6 1.0 3 24 -51 7.5YR4/4 - GRS 0 -sg ml cs 1 f -m 0.7 1.6 4 51-65+ 10YR5 /4 - GRS 0 -sg ml cs 1 f - 0.7 1.6 4 layers 51-65+ 7.5YR3/4 - GRLS 0 -m mvfi - 1 f -m 0.7 1.6 * Effluent #1 = BOD5 > 30!S 220 mg/L and TSS > 30!5 150 mg/L * Effluent #2 = BOD, <_ 30 mg/L and TSS 5 30 mg/L CST Name (Please Print) Si ature CST Number Mark Iverson 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 Nov 13 & Dec 3.2009 715- 796 -5664 . O Property Owner Michael R Givens parcel ID# 030 - 2024 -90 -000 page - -of 5 ❑ 3 Boring # 0 Boring Wit Ground Surface Elevation 95.4 ft. Depth to Limiting fact r 24 39 in. Soil Application Rat Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I Eff#2 1 0 -7 10YR3/2 - LFS 1 -f-gr mvfr gs 3 f-co 0.5 1.0 2 7 -24 10YR4/4 - LFS 2 -m -bk mfr cw 3 f-co 0.5 1.0 3 24 -27 7.5YR4/4 7.5YR5/6 f -1 -f FSL 0 -m mfi cw 2m 0.2 0.5 4 27 -39 10YR4/4 - FS 0 -m mfr cs 1 m 0.5 1.0 5 39 -72+ 7.5YR3/4 - SCL* 0 -m mefi - - 0.0 0.0 *Cemented Boring # 0 Boring Hpit Ground Surface Elevation 98.6 fl. Depth to Limiting factor 53 in. Soil ADDlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10YR3/2 - LFS 2 -f-gr mvfr gs 1 f-co 0.5 1.0 2 6 -18 10YR3/3 - FS 2 -m -bk mfr gs 1 f-co 0.5 1.0 3 18-41 10YR4/4 - FS 1 -co -bk mfr gs 1 f-co 0.5 1.0 4 41 -53 7.5YR4/4 - S 0-sg ml cs 1 f-co 0.7 1.6 5 53-65+ 7.5YR3/4 5YR4/6 f -2-d LFS 0 -m mfr - - 0.5 1.0 Boring # ❑ Boring 0pit Ground Surface Elevation 101.1 ft. Depth to Limiting factor 40 in. Soil ADDlication Ra Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -7 - - 9 9 10YR /2 LFS 1 -f r mvfr s 2 f-co 0.5 1.0 3 2 7 -23 10YR3/4 - LFS 1 -m -bk mvfr gs 2 f-co 0.5 1.0 3 23 -32 10YR4/4 - FS 0 -sg mvfr gs 1 f -m 0.5 1.0 4 32-40 7.5YR4/4 - FS 0 -m mfr cs 1 f -m 0.5 1.0 5 40 -50+ 7.5YR4/6 5YR4/6 f-1 -f LS 2 -m -bk mvfi - 1 f 0.7 1.6 * Effluent # 1= BOD > 30:5 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BOD5 5 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. Property Owner Michael R Givens Parcel ID# 030 - 2024 -90 -000 page 3 of 5 a Boring Boring g OPIt Ground Surface Elevation 100.9 ft. Depth to Limiting factor >60 in. Soil Aoolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -7 10YR3/3 - LFS 1 -f-gr mvfr gs 3 f-co 0.5 1.0 2 7 -30 10YR4/4 - LFS 1 -co-bk mvfr gs 2 f-co 0.5 1.0 3 30 -36 10YR4/4 - FS 0 -sg ml cs 1 f -m 0.5 1.0 4 36 -39 5YR4/4 - SL 1 -co -bk mfr as 1 f -m 0.4 0.7 5 39-60+ 10YR4/6 - LFS 0 -m mfi - 1 f 0.5 1.0 ❑ Boring Boring # OPit Ground Surface Elevation ft. Depth to Limiting factor in. Soil ADolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ ❑Boring Boring # Wit Ground Surface Elevation ft. Depth to Limiting factor in. S oil Awlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2 ' Effluent # 1= BOD5> 30< 220 mg/L and TSS > 30:5 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS <_ 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. r, Page 5 of 5 0 ft. 24 ft. 40 ft. 80 e. � N B - Top of 3/4" PVC Pipe 98.3' Lot Comer �p Prope Lin � B-6 99, 100.9 98, 0> B-4 p 98.6 / O p B-s 101.1 BNWI - op 4 'PVC .0' BNI# & de scription Elevation = Bench Mark s 1 - Borin g Location & Elevation O = Large White Pine 100' Owner: Michael R Givens Site Information: Completed By: Mark Iverson, PSS #197 229 River Heights Trail NW 1/4, S12, T29N, R20 680 Larcom Street Hudson, WI 54016 Town of St. Joseph Hammond, WI 54015 St. Croix County 715- 796 -5664 Phone: CST# 46672 SOIL EVALUATION — STORM Page 1 of 1 In accordance with Comm 82.365 & 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 %: x 11 inches in size. Plan must St. Croix Include but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 030 - 2024-90 -000 Percent slope, scale or dimensions, north arrow, and BM refemced to nearest road. Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)) Property Owner Property Location Michael R Givens Govt. Lot %, NW v< s 12 T 29 N R 20 E (or) W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 229 River Heights Trail City State Zip Code Phone ❑ Ci ty ag ❑ Village 0 Town Nearest Road won WI 54016 St. Joseph River Heights Trail Drainage Area ❑ Square Feet 0 Acres Hydraulic Application Method: Optional: Test Site Suitable for (check all that apply) 0 Morphological Evaluation ❑ Irrigation ❑ Bioretention Trech ❑ Trench ❑ Double Ring Infiltrometer ❑ Rain Garden ❑ Grassed swale ❑ Reuse ❑ Other (specify) ❑ Infiltration Trench ❑ SDS ( >15' wide) ❑ Other Notes: The 5 horizon is very compacted and will not sustain an application rate of 3.6 in/hr. a Obs. # ❑Boring 0 Pit Ground Surface Elevation 95.8 ft. Depth to Limiting factor >68 in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary % Rock Hyd. Apo. Rate in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Frao Inches/Hr 1 0 -5 10YR3/2 - SL 2 -m -gr mfr gs 0 0.5 2 5 -25 10YR4/4 - FS 1 -co-bk mfr gs 0 0.5 3 25 -34 7.5YR414 SL 2 -m -bk m gs 0 0.5 4 34-40 7.5YR4/4 - GRS 0 -sg ml gs 30 3.6 5 40-68 7.5YR4/4 - GRXS 0 -m mvf - 70 3.6* Obs. # ❑ Boring OPit Ground Surface Elevation ft. Depth to Limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary % Rock Hyd. Rte in. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. Fra . Inches/Hr CST/PSS Name (Please Print) Signature CST/PSS Number Mark Iverson 46672/197 Address L Date Evaluation Conducted Telephone Number P.O. Box 155; 680 Larcom Street, Hammond, WI 54015 December 3, 2009 715- 796 -5664 Page 2 f 2 Page 4 of 5 0 ft. _ 24 ft. 40 ft. 80 ft. N P� Lin Stormwater Top of ale Dry Well boring 983 T nk swb -1 95.8 B-1 95.8 B-3 95.4 House BM#3 - Bottom of siding W 94.1' Shed B-2 92.0 swb = Storm water boring BM# & Description k h Mark B"1 Elevation B 100 = Boring Location & Elevation O = Well Owner: Michael R Givens Site Information: Completed By: Mark Iverson, PSS #197 229 River Heights Trail NW 1/4, S12, T29N, R20 680 Larcom Street Hudson, WI 54016 Town of St. Joseph Hammond, WI 54015 St. Croix County 715- 796 -5664 Phone: CST# 46672 F STATE BAR OF WISCONSIN FORM 1 - 1998 IIIIII IIlII III {I INIf {IIII IINI IlI1 I{fNl I{II Nff WARRANTY DEED * 9 0 5 8 5 8 3 905858 Document Number BETH PABST REGISTER OF DEEDS This Deed, made between Michael Richard Barris. George ST. CROIX CO., WI Nicholas Battis, Marls Edward SattiR Rltzahprh An RECEIVED FOR RECORD Whitaker and Maureen McNeal - Battis 10/23/2009 11:OOAM Grantor, WARRANTY DEED and Michael R. Givens EXEMPT # REC FEE: 15.00 TRANS FEE: 2085.00 Grantee. PAGES: 3 Grantor, for a valuable consideration, conveys to Grantee the following described real estate In St. Croix County, State of Wisconsin (the "Property): Recording Area _ ... -- Name and Return Address See Exhibit A attached hereto and trade a part hereof Premier Title Insurance Agency by reference 7300 Metro Blvd., #3OU Edina, MN 55439 File #27744 03U 2024 90 000 020 1111 20 000 Parcel Identification Number (PINT This is not homestead property. (is) (is not) Together with all appurtenant rights, title and Interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Dated this day of 0 Qtob'er 2009 (SEAL)2' (SEAL) c ae c ar att s ' Ge i ho Batt s war att s abet n Whitaker (SEAL) (SEAL) ureen c ea att AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, l{ County. JJJ { {{ authenticated this day of Personally came before me this day of the above named TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be the person who executed the foregoing authorized by 5706.06, Wis. Stats.) instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Premier Title Insurance Agency, Inc. •inn Mptrn MN SS 44 Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not _ .) necessary.) ' Names 4f lefq s signing in any capacity must be typed or printed below their signature. t STATE BAR OF WISCONSIN Wisconsin Le99 Blank Co.. Inc. ' WARRANTY DEED FORM No. 1 - 1098 Milwaukee, Wt.. STATE OF )ss COUNTY OF ) The foregoing instrument was acknowledged before me this 4� day of September, 2009 by Michael Richard Battis, one of the Grantors. JOAN N. YOUNG Notary Public Minnesota Notary Ub11C My C.&,ini53igr Expires January 31.2010 �.- ..ytc•s.^ara�v� ^�s.v�e -... STATE OF n� ) )ss COUNTY OF The foregoing instrument was acknowledged before me this � ay of September, 2009 by George Nicholas Battis, one of the Grantors. �`1 .JOAN N YOUNG Notary Public NO UbIIC N11nn PSOta j �r.`imsvnn Expvee January 31, 2010 STATE OF COUNTY OF tlevw�e `� oin instrument was acknowle before me this � � Qc� The foregoing g g Q day of September, 2009 by Mark Edward Battis, one of the Grantors. Isi JOAN N. YOUNG Notary Public . Minnesota Mx� rr ivmw Expires 3ry 1. 2010 STATE OF TEXAS ) )ss COUNTY OF 1D , .. 4v. , ) The foregoing instrument was acknowledged before me this Z 3 day of September, 2009 by Elizabeth Ann Whitaker, one of the,Qca&URrs. C P Lie rN O " " • y } Q � otary Public sT ''re of STATE OF Cr�r ) ° ,,, ...... �� )ss COUNTY OF �Q v.1nc� . --�- r The foregoing instrument was acknowledged before me this R day of Or enaber,2 by Maureen McNeal- Battis, one of the Grantors. JOAN N. YOUNC y� Notary Public w, Minnesota rS Kj C'xm lv5w Expires January 31 "010v NotarCulific 2of3 EXHIBIT A LEGAL DESCRIPTION Parcel 1: PART OF GOVERNMENT LOTS ONE (1) AND TWO (2) IN SECTION TWELVE (12), TOWNSHIP TWENTY NINE (29) NORTH, RANGE TWENTY (20) WEST, TOWN OF HUDSON DESCRIBED AS FOLLOWS: Commence at North Quarter corner of said Section 12; thence West on North line of said Section 12, 487.8 feet; thence S1 5 °16'W 471.6 feet to a steel fence post; thence S15 °16'W 528.5 feet; thence S2 °44'E 235.0 feet to place of beginning; thence S2 160.0 feet; thence S7 °02'W 140.0 feet; thence N77 883.5 feet to a steel fence past on shore of Lake St. Croix; thence Northeasterly on shore 300.0 feet to a point N77 °44'W of the place of beginning; thence S77 °44'E to place of beginning. to easement for access to property North of above parcel extending approximately Subject P P�'h' P g PP Y 160 feet North and East to Town Road. Parcel 2: OF NT LOT ONE OF SECTION TWELVE 12 ALSO A PARCEL LAND LOCATED IN GOVERNMENT 1 <) ( ), TOWNSHIP TWENTY NINE (29) NORTH, RANGE TWENTY (20) WEST, TOWN OF ST. JOSEPH, DESCRIBED AS FOLLOWS: Commencing a the North Quarter comer of said Section 12; thence West along the North line of said Section 12 a distance of 487.8 feet to an iron pipe stake; thence SI5°16'W a distance of 471.6 feet to a steel fence post; thence continue S 15 °16'W a distance of 528.5 feet; thence S2 °44'E a distance of 235 feet to the point of beginning; thence N12 0 54'24 "W 66.30 feet; thence N77 °44'W 432.21 feet; thence N87 339.93 feet; thence S77 795.00 feet, more or less, to the point of beginning. St. Croix County, Wisconsin Abstract Property Property Address: 233 River Heights Trail Tax Statement St. Joseph WI Michael R. Givens 233 River Heights Trail Hudson, WI 54016 Premier File # 27744 3 of 3