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030-2081-80-000
C) Q o 3 0 3 0 ° rr ~ 0fn, O� m h tl �L O O h p O y O w N m N D ti N C C N 0 C N a c ai Q N Q Z X " m bo g � o � a c E c m _a w y O y y N Y O) O N O N - O c Z.y c Z 3c m _LL o y LL. o rnN a7 — 7 O CD U E Q C Q O a) U CL M 3 Cl) 7 ! a) N y Z y > W E E N Z O ;, O W g B ° a Z — v O a1 0 d w N M Z a m a m y C C O O O O Z a U c U w C O O o d) H r N Z O) N Z N E C 'O c N M O a) M ICI a) 0 N a) U " N a) N N N N N a N N a • O N = O a) O .O L O l eo O _ 0 m Z O a Z o0 Z Z O o N Z U) c m c L = Cj y C N y E C N 00 Lo o. a c o CL w� 0 (D� N O N v 3 N N r N � v 0 •� =aaa N �aaa N d r O 2 O N O N v y r co O y (n J V N N 1 0 0 0 c U C M N N O O "p ] 'O O ml O O m y C d M y Q y y (D Q7 O 'p d d Q Z U) cv 'O d Q Cn co co d .+ p w 7 O O C 7 N C r H C O 4 O Z Y j LO 0 o H U a ° o c U d ° o v O a0 O a) O f0 C co 6 a) 2 M LO CD . �. N O O 1 0 cn " cc N C C_ N n O M ✓ a) Z c 0 0 U • M LO ? O N U O� O y O @ O O F. O N (A v o Z 0' Cn O N Z I— (n CC 0 M d a € a m c m c � 3 EL IL E > > _1 A ciao Ov Ov�c I TOWNSHIP 3,;�, JCi, SEC. T N, R W DRESS , ST. CROIX COUNTY, WISCONSIN. .VISION i���,��L) 4wo IIaLs LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 1 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM .-'TIC TANK(S) &g2o MFGR. X11 ZF CONCRETE S_ STEEI, NO. of rings on cover Depth_ DRY WELL INCHES NO. of width length area no. of lines _ width length area &5, depth to top of pipe 3REGATE LK RATE —° AREA AREA AS BUILT ::claimer: The inspection of this system by St. Croix County does not imply complete - pliance with State Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for .tem operation. However, if failure is noted the County will make every effort to ..ermine cause of failure. ..ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. "INSPECTOR DATED I� ";, 29 7X PLiTriBER ON JOB L -_2 LICENSE NUMBER f _ I or l z REPORT OF INSPECTION — INDIVIDUAL SEWAGE SYSTEM San.ixaty Petm.it kk " State Septic � f NAME � � (% , �- c-���� �, Town.a hi p J�' St. Croix County Location/f/11'44 o Sectio T5' 0 w SEPTIC TANK Size 'J gatQons. Numb en Car anmenxd .ia anc Fxom: CU t x a x a D Z e e.2..� 7- , _ � ; - P . 12 o a g e �e Zvpe it Bu.itd.ing /w it. Wettands Highwaten - it. DISPOSAL SYSTEM D.i.dtance Ftom: WetZ it. 12% of gxeatex scope _ jt. Building it. Wettandb F t. H.ighwatet it. FIELD DIMENSIONS: Width o6 trench it. Depth o6 tack below tite .in. Length a6 each tine Depth of tack oven Cite .i n. Number. o6 Zin 3 Depth of tite below grade .in. Totat .length o6 tines 1? 4 it. Sto pe o6 trench in pen 100 it. f Dd4 ance between Zined Depth to bedxock Totat abz otbtion area // y02 4t2 Depth to gtoundwatet 2 Requ.Lxed area it f PIT DIMENSIONS: Numbet a6 p.itb Graven axaund p-itss ye4 no j Ou�.ide diameter Depth below .inter it. f' 2 Taal abdatb n'c(tea it z a Axcea teq ui red t2 ^� i INSPECTED BY TITLE i APPROVED ,DATE �: < < �' 19 7 REJECTED ,DATE 197_ f EH 11 5._ - � WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ► DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: �`�� /4,JP�' /4_, Section s, T.3~N, R� —t ate 1 W, Township `��' ��=�f Lot No. 1 Block No. 1/\�C�i'�L`�i� /v;:� �/ c � � County � 1 C y < , >. � X Subdivision-.Na Owner's Name: Mailing Address: e_1 7 � `_... Z - - _.,.... x T /c r� kL j r X, , sd TYPE OF OCCUPANCY: Residenc No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW / ADDITION REPLACEMENT / 11 - DATES OBSERVATIONS MADE: SOIL BORINGS ; / o z! z t`'' PERCOLATION TESTS `' � SOIL MAP SHEET �'�'!= -/:'-- SOIL TYPE PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER I SOIL SINCE HOLE HOLE AFTER INTERVAL NUM— INCHES THICKNESS IN INCHES MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 _ _ I ! ' P -.L 1 4-8 4-4- M ; _ c - 4 v 1Mr 3r3 1 4- 3 l4 y - 4 Z ,: y. �� `� SOI -RING ;VCSTS4_ 3,c7 x' /Y4- 1 -3 / TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) 2 r {i r T� `� , • i c• �� i l o w I)'fIi t' r{eT S B— L. . r c s Sfrc 7 L [ L 1 / I-' VVIEN KI xcC_TS 1 c n `� S / c' oa J ITN i9a>:.. r Z" ca / r /vim y l Z /G � j l "� r t t l V1� '-.... r .-r - ..1� C+' •c."' �G ^,ryr. - ! /!U VVfit/ ti ~ / ". c c c. L..� -I rh i' /v tA / r TH P I VIEW (Lo iNlrolationtests,�oij org holes at fsgi b�a'soi�a�eas7 �r , hii7N 0- C - K TS In ica`fe on the pl ) b location and sgaiare feet of suita`tii'e ar .� Indicate umU'r ri of IgUare feet of absorption area i needed for building type and occupancy. II z- 6 F 1 ` &2CIA- I " - 4; c,c: c' FT �c/dr- 40 WeIi cate scale or distances. Give horizontal and ve tical reference points. Indicate slope. r' P 't ! — i + r �r q O O _ Z Nea h 7 4 T <71 N f� _. ` r -L / m a I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name (print) �1 ��� V`_� t Certification No. z� 5 Address 47A Name of installer if known CST Signature COPY A —LOCAL AUTHORITY p State and County State Permit # Permit Application County Pe t j for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: f� �tDN EL L B. LOCATION: ` Y %' Section Z�_, T30 N, R _310 E -{e} W Lot# City Sub 'vision Name, nearest road, lake or landmark Blk# Village �( OO I L. L. S Township 5r - Jo_c C. TYPE OF OCCU ANCY: Commercial *Industrial *Other (specify) Variance Single family Duplex No. of Bedrooms 3 No. of Person OC D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathrooms_ Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY Igpc7 Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation X Addition _ Replacement _ Prefab Concrete *Poured in Place Steel Other (specify) F. EFFL T DISPOSAL SYSTEM: Percolation Rate 1) 2) t V Total Absorb Area IIZ sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length 3 - 1?1 — Width ad Depth 27+ Tile Depth 4-7— No. of Lines 5 Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land 4 , ! 7 0 - 10 0 70 Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the C rtified Soil Tester, NAME 2 C C.S.T. # ��' ^ S'[� g and other information obtained from (owner/builder). Plumber's Signature MP /MPRSW# Phone Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord v H62.20, including well). Wtr uS t: ` d 1 49 Do Not Write in Spate Below FOR DEPARTMENT USE ONLY Date of Application —/ Fees Paid: State ��. / oun y� ate / Permit Issued/ (date) _Issuing Agent Name Inspection Yes No " Valid# Date Rec'd 1, county (whi copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 I` 2. state (pink copy) 4. plumber (canary copy) ' Revised Date 6/1 /76 I Wisconsin De of Commerce p PRIVATE SEWAGE SYSTEM county. St. Croix Safety and Building Division ? INSPECTION REPORT Sanitary Permit No: 420424 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: Rosentreter, Doug St. Joseph Township 030 - 2081 - 80-000 / CST BM Elev: Ins p. p '� � BM Elev: BM Descri tion: / _ Y � U 4 TANK INFORMATION j6o. � I ELEVATION DATA ,lob TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic k,5 Benchmark ,ae. c,o Dosing BM/) ) T ( Qi1f s14 G3 7 Aeration j Bldg. Sewer C Holding St/Ht Inlet \ \ TANK SETBACK INFORMATION St/Ht outlet \ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Z I Septic f I -7(M / :5 Dt Bottom J4 u Dosing 1 / 2 i _ Header /Man. �V Z6 , 3 � J / Aeration Dist. Pipe 5 5. Z4 3� Holding Bot. System 5.85 166. 7 ZPid ? Final Grade PUMP /SIPHON INFORMATION Manufacturer 'Demand St Cover - 736 97 Model Number � �� ��. co,ti4..w,i TDH Lift. ,1 � Friction l- % System He LL) TD JJ (P �Ft II ""tt ,. Forcemain Length Dia. �t r Dist. to Well 7 l SOIL ABSORPTION SYSTEM c ��� 5,.,,E, 5 • L ►hcd 7 6C /00.'78 BEDITRENCH Width Length No. Of Tr ches PIT DIMENSIONS No. f Pits Inside Dia. Liqui th DIMENSIONS W �1 S SETBACK SYSTEM T P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHA OR Type Of System: ft r UNIT Model Numb f l a -s 4 fZ (Zd , my DISTRIBUTION SYSTEM 4 4 > ' " t ,o ; �m p 0 rz 0b 5 0, vt61 Header /Manifold Distribution �L )� x Hole Size x Hole Sp i 3b / Vent to Air Intake f �/ Pipe(s) _51 1 1V1/ ` Length `, Dia J Length Dia Spacing ,6 Q SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edge Topsoil Topsoil , a V (1 Yes [] No Yes �! No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: - 7 14 / 0 4( Inspection #2: Pt ls. Location: y 1 � 383 Woodland Court Houlton, WI 54082 (NW 1/4 NE 1/4 25 T30N R20W) Woodland His Lot 18 Parcel No: 25.30.20.695 1.) Alt BM Description =� GaJ�. al 2.) Bldg sewer length - amount of cover = 3.) Contour = 5 4, 2_ e3--A r o ° .'t $ Plan revision Required? Yes �_ No Use other side for additional informati - . li ! ; _ "_ — -- - —- Date Inse tor's S' to Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division City 201 W. Washington Ave., P.O. Box 7162 S T, C R 01 C N Visconsi n Madison, WI 53707 - 7162 Site Address Department of Commerce -i--30 - 0 -r-- -e i 3 Y2 a - 6' Sanitary Permit Application sanitary Permit Number Y _ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision L /v ) may be used for secondary Privacy Law, sl5. 1 m I. Application Information - Please Print All Information -___. _ _ "'a State Plan I.D. Number 7d 5 13 6 3' Pro Owner's Name Parcel Number 2 S • La Property Owner's Mailing Address Property WL0 C 3 i4 ; S T N, R g City, State Zip Code P vnmbec -- Lot Number Block Number A 401- Subdivisi a CSM Number A401 S Y O 812 W00,01-AND 'GG IL 'I` of Building (check an that aPP ❑City or 2 Family Dwelling - Number of Bedrooms n n ❑Village 0 Public/Commercial - Describe Used gfownship % 0 State Owned d 6 - 7 S r ap-& �° Nearest Road -edj� ew 6C)9 -0-z-� "!`. 3!3 Sind- ArilA( - D III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A � 111 New . 2 Replacement System 3 Replacement of 6 0 Addition to For County use stem Only stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that app ring scheme is for internal use) it 44 0 Non - Pressurized In- Ground 1 Mound �- 47 0 Sand Filter 50 0 Constructed Wetland 22 0 Pressurized In -Ground 41 Holding Tank 48 0 Single Pass 51 ❑ Drip Line 45 0 At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recircula 30 ❑ Other V. D rsai!'I'reatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required ✓ Proposed Rate(Gals.Mays/Sq.Ft.) (Min./Inch) rr Elevation Th s "Ja- 10 So y "v , s NA loo. 93 10% VI. Tank Info Capacity in Total Number Uafitifacturer Prefab Site Steel Fiber Plastic i ons Gallons of Tanks �!/ A 100 Concrete Constructed Glass New Eaistdog Tanks 1 Tanks Septic or Holding Tank 6 go E� Ding Clamber 190 o g VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. lumber's Name (Print) Plm 4 Sigffiture r Business Phone Number A Ara . rT 7 V/ ) s -SY9 is Address (Street, City, State, Zip Code) E - yon VIII. oun /De artment 1 9se Onl Sanitary ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Signature (N S) Surcharge Fee). ❑ Owner Given Initial Adverse � U � �/ �� / O Determination Conditions of Approval/ for Disapproval C .tPlut/vitp�v4 t.c1v�: v;,edea&d �rLt�i/✓U�d � S 0 phm (to the Qftmy off) for tL0 ayrtlm OD paper not 1�a than ti112 111 stye SBD -6398 (R. 05101)-,&,-Z l PA�c R 0,5 A) sec rE�2 — I ►oo PRoPcQry LINE l o o — -' g oo o n K, b� SOO AL ' P.0 Lv I EX157��V 1 i►"i °o `� B3 SX•1s•3 7 % G a I ScoO� Z _ Woao cAPuO E-- CO%4 QT Pa p WELL way Or House SO + FRoM Ail. coal PcwcA-*rS A' $1V1 = NAIL ! JA/ .2b JF6P OAK _ . rft, CoN ?rT,E _ iEP ",0 4 4WV - - — j I SrtE+OL, .= 9S1. 02 PeAwitia FOR. - -- I I I 000 (p r'' 00uuA Ros TQE .. -- SC n C7: I i (OHO /rS0 H 13 f l , ul000�N � � !— ! H:OU L oA) ITV ohs I i I j � _ V M till BOO GAL'. P C LI 111 E v I , o �► I r � — 6;5 x �� T 4$ Y'o � i Ex s u ` I �► - , -- MOuN n - )4ou5 - 77 2 I ' � I I 47. Lu 6 UlJoao c,l+uio CNOT , W ELL bya 0 ,�, MOU5= SO + FRoM Au Co,neOfj6A,fY - AI , I I , '1 TA M, CoucQr'To, :5 ar 8 ©� E No's - s I - �Coti —. �O%4R. -- - -- ,, = yon I i W1 B 4 to 1 �0 �' puuA ! S �1 r'i'FR .5c'Nrn� I (of(v /s D K r �3 �100o u4Nm CT. _ ; �,� ornl%P5 -- . spa - �S �p►'l Mks 9 7 6 6 - Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 N visconsin www. commerce.s i www.wiscon isconsin.gov n.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary September 06, 2002 CUST ID No.223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL Y"), "), 0 t, q PLAN APPROVAL EXPIRES: 09/06/2004 Identification Numbers Transaction ID No. 784363 SITE: Site ID No. 649692 Doug Rosentreter Please refer to both identification numbers, 1383 Woodland Ct L above, in all correspondence with the a enc . Town of Saint Joseph, 54082 St Croix County NW1 /4, NW1 /4, S25, T30N, R20W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 868172 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 /O1). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The existing septic tank must be inspected for structural soundness, size and baffles and must be brought into conformance with the requirements of ch. Comm 83, Wis. Adm. Code. If it does not conform, a state approved Condit (� tank must be installed. APP Access to the filter for cleaning must be provided per Comm 84.25 (7) and (8) Wis. Adm. Code product p ARTMENTI {Cl" approval conditions. N 0 TI • A Sanitary Permit must be obtained from the county where this project is located in accordance with the SEE CORRE requirements of Sec. 145.135 and 145.19, Wis. Stats. • 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 I JOHN F SCHMITT Page 2 9/6/02 • 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. • The changes made to this plan on 9/06/02 by this reviewer were acknowledged and approved by the system designer. Owner Responsibilities: • Comm 3:52 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 R ECEIVE D 11 SCHMITT a SONS EXCAVATING AUG 19 2002 586 Valley V:ew Trail Somerset, WI 54025 SA FETY & BLDGS Ol Va `. ' 715 - 549 -6651 MOUND SYSTEM For: �p Lf (n APJQ DONN R©sr'IV 1 7 P Address: 13 $ 3 W O O D LANO C7. 5 7 , - OS'FOH WT SVO? Legal . W Yq k) L VY -s a % 3 O lU R a O W Township: ST, ! OSCO# County: S% . CRC)))( i Contents Page I Plot Plan Page 2 System Cross Section Page 3 Pipe Lateral Layout Page 4 Dosing Chamber Page S Pump Curve Page 6 Management Plan Attachment I Soil Evaluation Report Attachment 2 Mound Component Manual (Version 2.0) SBD -10 691 -P(N. 01/01) Pressure Distribution Component Manual (Version 2.0) SBD-1 0 706-P(N 01/01) By: MPRSW 3 76, 0 Date: F CV ERCE Y BUILD GS 3PONO E I - -Page Of Straw, Marsh Hay, Or Synthetic Covering ASTMC33 Distribution Pipe Medlum Sand _ H G 6" Topsoil _____ SYS. ELEV. 1 . 3 - E D ANILy 3 / . 11 Y % slope Bed Of 2 %� Force Main Plowed �L 2 Aggregate Layer (6" Below Pipe) D / t . S Crass Section Of A Mou nd System Using E Ft. F Os ' 79 Ft. A Bed For The Absorption Area rr G 0. Ft. A t0 Ft. H J. Ft. y Signed: B Ft. ` license Number: 9.137(o C7 K 10.7S Ft. Date: $ -� ��'"D.Z L %b.5 Ft. a 7,a Ft. Alternate Position I j,� Ft. of Force Main W'Ft. 5 =7 .._.— L Observation Pipe 6 115 To 1/10 B From En of B ed K i - - A _ ♦� Force Main 11 � Distribution Bed Of z — 2 'z Pipe Aggregate . Observation Pipe Permanent Markers 1/5 To 1/10 B From End of Bed Plan View Of Mound Using A Bed For The Absorption Area I Turn -up with Cieanout AcCeaa ®c�X Plug or Ball Valve �- ----► - L 49 � -, PVC Force Main Distribution Lateral S PVC Manifold X/2 Distribution lateral Layout P 3�! "Ft. .S X ,�f�„ InchRt Hole Diameter Y/16 Inch Signed: Lateral " / Inch(es) License N rber 2;a3-7 0 Manifold Inches p Force Main " _ ,^ Inches Date: - # of holes /piae Invert Elevation of Laterals O! Ft. • PA6 r pump CHAMP S CR05s sccr - wo 5Pccirtc riwas ' VC WT CAP 4 C.L. VCAI'T Pin WCATibER PRQOI APPROVED LOCitillltr .ius�GTIO64 &Ofi � COVRIt .tttUiiuw vIt i k ►OH j t1 "Mi�1. A11t INTAKE { t 9 GRAgC 1 4 141M. i i i 10' IJ3. COWDUIT le•Mlu. N. �$ PROVIDE •.•"••• M ULC T .. _�. AIRT1444Y SCAT. � APPn0Yt0 J01t,1Y � A y 1 ( { At ►lI,OYR� �Oi11 ?i w/c.Z. firs t I { { w/c. •, firs CIITCNWW6 3' ALARM LXTCWIY6 3 OW'�O 60419 %OI L 0 a 6 A C , 1 1 p{t0 i0L10 WA. 1 t 1 ON I LUCY. ° y f T. PUMP "" J • w. off G CONCRETE &LOCK � RiSCIt CXIT ICRMI'TTED OWLS IF TAWK MAQWfACTURCR HAS SUGI4 ArPROVAL. 3~APPA�IM� 4iO411� >3tITIC f SPE GIFICATIOMS D05R ,I� t� MAMUF^c M cK: ...�.WE E .. r. KS kwAbCR OF Doscs: PL#L 0" T"K LIZ>`: ._....r.,. R .,. CPAI.L.Okdi 0039 VOLW14C A�L� (&�MM s>cfrTRa N jc . It ln, r� imcl uothiL MtcKr4ow: � ©� 4�t�owt 7..Ii�.Y�.. MMiL11�ACTV R, �i�[. rw � r A'1009L LILiMOCR: ?rn� !. �,. CAPACITIES: As / / IMCHES OR 7 .......,,yTW1LLONS SWITCH' TSPC: w . . 1njFk[ y IMCNES OA °GOLLOUS LIMP MIAMUPACTURCR: Zn�L L FJe ��,,,,, G ■IAKNCf Olt 8 WILLOWS P UMP NUM SER: 37 D. / a JMCMU OR ;Z a GALLAUC 5 WIT C A TyNC2 _ M Coe _.. M9 1-9: PU ^UP ALARM ARK TO bC M1Ai1FWA D1SCIARGL RA �• C FM INSM.L 90 OU SEPARATC CU[CUITS VERTICAL DiPFMULE 6CTWCEW PUke OFF pISTRMUTIOM PIPC.. /D FEET + M MCTWORiK SUPPL1 PKESSURC .... ..... _ FLr6 — r + _[..QQ I FCET OF FORCC MAIM X 3 � r ly,o#tFRICY10M FACTOR, 3 .... �y Ffv .= TO.TAL. D MEAD •� FLET I0TERZtiA4 GIMfI.IJ131pIJP Of TAhtK: LEN47H .....r.........:WIDTN -- .iLIQUIO Dr6PY04 .. .r�..,. 510AicDs LICEUSE WUM691t: r • • ® W L� � ^ C L ® LLSL:® 4�iy1y +: +®�U^�i{:�»1®,n;!MAL.byAp- MOM ® �d�L��`' �`''''p( gA+.:�ysY.�Li�CMq�p�T.ry��`�dL. ���A'dA.4m �d�rod� a J© 4+® .✓:�® ,� .. - K3 ` KM .�,® ELI MEN ■■■■■.■■■■.■ VEMMEMOMMEEME ENE ■\O\MEMEMEMEN0 ' . SMORNMEMOMMO mom ■ \ mom \\� \1100111 MEMO No MENNOMMEOMM MEN MROMI \► MMEMOME mom REM M OMMEM No lk mmo Imommm MOEN \\I!llImm\ \`Im MOE■ 50- M MI MMORMIll mom 45-� 111001120 ■h 1111\ 111111\\'1MOMME■ ■W \I M I■ \E MEMNON MEE\I1►MEMINE ► ■EEM■ EMN mom mom kTI-M-M& R7 ZIP ����11� I i \ \����► mom L EMERROMMEMOMM EEO .. . 1104 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper n County ot 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 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. 0 -3 0 -1 vre By Date Personal information you provide maybe used 1) (m)). Property Owner Pro erty Location Rosentreter, Doug And Donna Govt Lot NW 1/4 NE 19 25 T 30 N R 20 W Property Owners Mailing Address JUN 1 9 2002 Lotj 4 Block # Subd. ame o SM# 1383 Woodland Ct. I Woodland Hills City State Zip ode t*60WfQllr>hk uw Y City Village ✓ Town Nearest Road Saint Joseph WI r ZONING OFFICE St.Joseph Woodland Ct. New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ✓ Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable NA General comments and recommendations: Area is suitable for a mound system. System elevation is 100.93' based on contour line established at 99.35' with a limiting factor of 17 ". Slope is 7 %. Boring # Boring ✓ Pit Ground Surface elev. 98.10 ft. Depth to limiting factor 17 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 "Eff#2 1 0-8 10yr 3/3 none sit 2fsbk mfr cw 2m2f .5 .8 2 8 -17 10yr 4/4 none sit 2fsbk mfr gw 2m2f 5 .8 3 17 -31 10yr 4/6 m2d Syr6 /8 sicl 2msbk mfr gw 2f .4 .6 10yr6/2 4 31 -53 Syr 4/3 m 5d 5yr6/8 sl 2msbk mfr --- ---- -- .5 .9 ❑ Boring # Boring ✓ Pit Ground Surface elev. 99.50 ft. Depth to limiting factor 2 6 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 " fW2 1 0-7 10yr 3/2 none sil 2mgr mfr cw 2m2f .5 .8 2 7 -13 10yr 2/3 none sit 3fsbk mfr gw 2m2f 5 .8 3 13-26 10yr 4/6 none sicl 2fsbk mfr gw 2f .4 .6 4 26 -51 10yr5/6 m3 7.55vr6/2 sil 3msbk mfr gw if .5 .8 5 51-67 7.5yr5/6 ii25yr6 /6 /2 sl 2msbk mfi --- -- 5 .9 Effluent #1 = BOD 30 <_ 220 mg/L and TSS >30 < 150 mg /L Effluent #2 = BOD < 30 mg/L and TSS < mg/L CST Name (Please Print) S' nature: CST Number Thomas J. Schmitt , 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 5/31/02 715 - 549 -6651 Property Owner Rosentreter, Doug And Donna Parcel ID # Page 2 of 3 F3 ] Boring # Boring ✓ Pit Ground Surface elev. 97.95 ft. Depth to limiting factor 23 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDr in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-12 10yr3/1 none I 2mgr mfr cw 2m2f 5 .8 2 12 -23 10yr514 none sl 2fsbk mfr gw 2m2f .5 .9 mrFI 3 23-32 10yr4/4 S �g /1 scl 2msbk Mfr gw if 4 6 4 32 -56 5yr4/4 m2d 5yr6/8 sl 3csbk mfi - - -- - -- .5 .9 7.5 6/1 F-1 Boring # 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 F-1 Boring # 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 I Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg /L " Effluent #2 = BOD <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or naP.1 motPrial in on oltn,w,otr., fn.mat „lAgcA nnntont A..i—*--t of AnQ-144 -11 G1 — Tr'V 4nR- 74A_2777 y i R e d Om �c L . J 00- 0 0' 7% W. t Y r� i �QW She�� q cnnc. tsjQv► �n7/ Ig A u/4" t U✓Z, r lyoep? c' ! alle ?/ 7r�; N� y S �s' T.3�a�+! �aa� �� A.' d lid /`YN 141'a l, I Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 A� 8) 264 -8777 TDD #: (60 s � isconsin www•commerce.s i.us/sb Department Of Commerce 6 20 www.wisconsin.gov ._. Scott McCallum, Governor Philip Edw. Albert, Secretary September 06, 2002 CUST ID No.223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/0612004 Identification Numbers' Transaction ID No. 784363 SITE: Site ID No. 649692 Doug Rosentreter Please refer to both identification 1383 Woodland Ct numbers, above, in all Town of Saint Joseph, 54082 correspondence with the agency. St Croix County NW1 /4, NW1 /4, S25, T30N, R20W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 868172 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01/01) 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. i JOHN F SCHMITT Page 2 916102 • The existing septic tank must be inspected for structural soundness, size and baffles and must be brought into conformance with the requirements of ch. Comm 83, Wis. Adm. Code. If it does not conform, a state approved tank must be installed. • Access to the filter for cleaning must be provided per Comm 84.25 (7) and (8),Wis. Adm. Code product approval conditions. • 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 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 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. • The changes made to this plan on 9/06/02 by this reviewer were acknowledged and approved by the system designer. 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. JOHN F SCHMITT Page 3 9/6/02 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 (608)789-7893, 7:45 am - 4:30 pm Monday - Friday WiSMART code: 7633 cbratz @commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 ' POWTS OWNER'S MANUAL & MANAGEMENT PLAN p age of FILE INFORMATION SYSTEM SPECIFICATIONS Owner P � o s Septic Tank Capacity at ❑ NA Permit #. Septic Tank Manufacturer 4VAF6X5 ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer - A CL ❑ NA - 4 Filter M odel /D 13 NA Number of Bedrooms C3 NA Effluent F Number of Commercial Units IS NA Pump Tank Capacity ' S oo al ❑ NA Estimated w ( average) 3Op aVd Pump Tank Manufacturer ��I: S ❑ NA Design flow (peak), (Estimated x 1.5) 4150 c ali day Pump Manufacturer Zo e LC.c iZ ❑ NA I Pump Model 3 7 ❑ NA Soil Application Rate � '� aVda /ftz Month average' Pretreatment Unit IN NA Influent/Effluent Quality y [3 SandlGrBve( Fitter ❑Peat Filter Fats. Oil >3< Grease (FOG) 530 mg/L O Mechanical Aeration O Wetland Biochemical Oxygen Demand (BOD 5220 mg1L ❑ Disinfection ❑ Other. Total Suspended Solids (TSS) 5150 m /L Manufacturer Pretreated Effluent Quality kNA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (ROD 530 mg/L O In -ground (gravity) -❑ In -ground (pressurized) ❑ At -grade (Z�Mound Total Suspended Solids (TSS) 530 mg/L. ❑ Other. Fecal Coliform (geometric mean) -Ow du/iDoml ❑ Dri 'ne Maximum Effluent Particle Size Y. inch diameter Values typical for domestic (non- comrmrclal) wastewater and septic tank effluent. " Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency At least once every ?3 [1 months C1 year(s) (Maximum 3 yrs.) Inspect condition of tank(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume At least once every 3 ❑ months to year(s) (Maximum 3 yrs.) Inspect dispersal cell(s) Clean effluent filter At least once every 1 ❑months �year(s) At least once eve I ❑ months 4 year(s) ❑ NA Inspect pump, pump controls & alarm every Flush laterals and pressure test At least once every ( 17 months ®year(s) ❑ NA Other At least once every O months ❑ year(s) ❑ NA Oliver At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS I Inspections of tanks and dispersa cells shalt 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 cells) 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 %) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less 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 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other the treatment process and/or damage the dispersal cell(s). If high concentrations are chemicals that may impede detected have the contents of the tank(s) removed by a septage servicing operator prior to use. . y S System start up shall not occur when soll'conditions are frozen at the infiltrative surface. Pa of During power outages pump tanks may fill above nominal highwater. levels. When power is restored the excess wastewater will be discharged to the dispersal call(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of e To avoid this situation have the contents of the pump tank removed. by a j Septage Servicing Operator pdor.torestofing 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 compac the area within 15 feet down slope of any mound or at-grade sop 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 clgeotte butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation diem (sump pump) water; -fruit and vegetable peelings; gasoUrm; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons, and water softener trine. ABANDONNMENT When the POWTS falls and/or Is permanently laken out of service the following steps shall t7A taken to Insure that the system is properly and safety abandoned In compliance with ch. 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 property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shalt be excavated and removed or their covers removed and the void space filled with soft, 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 dffect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. l3arring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. �9 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area Is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 ANDIOR 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 POVVTS MAINTAINER Name J O rf A) SC Kjn i / Name f AJFe C/Vo Phone j 5 - ,5' y y — (o ($' Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name f)I.t)AJ E C 14610 G Agency .5 1 , C&Q( C7 Z ON /Ill 1 0 Phone Phone 7is — 3 g Z 1 6 �FP This document was drafted by the staffs of the Green. take. Marquette and Wausmm County Zoning and Sanitation agencies. This dooAlent meets the minimum requirements of ch. Comm 8322(2)(0x1)(d)&M and 83.54(1), (2) & (3). Wisconsin Administra lve Code. Use of this document does not guarantee the performance of the PoWTS. GMW (2/01) ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer LoiA a o Jrd; Mailing Address 139 l l� � � 1� � L Property Address / ?Q 1 A11-1 / / G� (Verification required from Planning Department for new construction) City/State 464 11a �c �-z• s `,�Of�.1 Parcel Identification Number 12 3,0 ? n,1 -406 LEGAL DESCRIPTION , f 1/ Pro per t y Location %4, ., Sec. �25, T _3o N - U W, Town of f L� . Subdivision UIX0 1 ' 1/s . Lot #. Certified Survey Map # . Volume . .Page # Warranty Deed # 571 j o - . Volume I / Page # S`fD Spec house ❑ yes 2 no Lot lines identifiable 2 yes ❑ no SYSTEM MAIlVTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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. 112 / -2 SIGNAAURE OF APPLICANT 15 ATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of virtue f a warranty deed recorded in Re gister of Deeds Office. described above b v o g the property des y h' P P rtY SIGNAYURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Y *N., s►A[L R[S[RV [D IoR R[CnRO N0 DA•a DOEU N!ENir NO. WARRANTY DEED ! i , 5/ ���� Q STATE BAR OF WISCONSLM FORM 2— 1988 1 l _ IAGE 1071 590__ ST. CRO ........ ... Co . * . MICHAEL E. O'CONNELL a /'.: /a Michael and P ) JULIETTF F. O'/0 a /k /a Judy 0 Connell a /k /Ot _ - ........ .. . ► ..... .....�._.. .... '! MAR 3 1 1994 + 4 . . ... ....... ... •---- ...- - -•• -. ------- ••- ••- •- ........... Ju iette 0 Connell : husband and wife Gra�n�gr> ;- - . -. -..• . - 1 �• 13 P. o vv and wa ants to DOUGLAS.. B , ...RoSENTRETER..and.- DONNA..M.. �*�. M � ; single persons, .DQ R, , Dm5 V Crnn.t.�e.$ ........ . ............................... _.... mar'rV , _. ......... v ......._......... .... .. ..... .. ................... ••------- •-- ••-- - - - - -• _ r ..... . .. ....... ......... ..... — .......................................... ................ R[TURM TO . ................................... ........... ............. ...... ..... .... ........ .......... ............. .. .... .. .......... .. .........- .- ...-- .- .- ........ . t the following described real estate in St. Croix County, - ................ ... ........ State of Wisconsin �,�pr —coo ' Tax Parcel ....................•------- , Lot 18, Woodland Hills in the Town of St. Joseph, St. Croix County, Wisconsin. FE E u TOGETHER WITH and SUJBECT TO reservations, restrictions, easements and rights -of -way of record, if any. This ............ is ...... homestead property. (is) (is not) Exception to warranties: ti Dated this ... .....3 day of ..... - ... .. March... ................. 19._.94. a � -- - - -.- - - - -- - ..... .............. . •-- - (SEAL) ? -.`"7. . ........ - .......(S AL) c MICHAEL E. O'CONNELL ...................•--._....... ............._......- ••-- -..... • - - - - -- - - ------- --- .. - _ ........................... ........................... (SEAL) ���✓ "''' 6 - _..(SEAL) �I JULIETTE F ................................ .. ............ . (�� . . O'CONNELL - •- . -• - - -- ...... j �.Ils4.r ii S Af"f$NTICATION ACHNOWLBDOMBNT Sign STATE OF WISCONSIN 'r► �:�r -•-- ----- -- - - -- 536 —. S.t t.. Gx�aX,__...- •-- • - - - -- County. 30th � suth i Ithi�..�._ (f - 4 .......... .......... .•.... 19...... Personally came before me thia .___.._.. .......day of h .J ` • � ♦� ill. : �� ; ° - .......................... 19.11A.. 19.-44.. the above named ' r ter: j 0 44 — ... l - - -- - ..............�!S_I_!!_.�__.......... - - __ . Michael E._ . .. .... ................ j TITLE: MEMBER STATE BAR OF WISCONSIN ---- �u. le__ t._ E.... U�_ G0] OU0ltt11 ___________________ ____________ '' (If not, ................... ---•--------- --- ------ -•-• --- ---•---• -- --............--•-•- ........_ <' authorized by 1706.06, Wis. Stata) to me known to be the persons- ........... who executed the ti � r I' foregoing instrument and acknowledge the same. TH13 INSTRUMENT WAS DRAFTED BY Attorne Barry C. Lundeen _____ _____ ______ *.. "HUI) M PO M SI m C: .. Yirg3nia R. Gartman 110 Second Street Hudson WI 54016 St Croix • - - County, Wis. - --•--..........•-•-- ----•-----• r .. ......... ....r.....-•-•----........----- Notary Public ._......••--•'•-- _ - -... „ (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) 96 " ;. as<te: ......... 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