Loading...
HomeMy WebLinkAbout032-2052-70-100 0N0 3vn C �1 C 1 G 0 C M 1 n C A N I O 3 L- C- F Z o w 'o (n O r5� 0 d j � O O A & O N rl 3 C O Q O (n fn N N A N N O N A c (p O O Co y, O M (D 0 7 = 0 D O O N 0 1 O O O C {D N N n O O W co a_ R O O (C (C h p o 0 0 v cn v D a Ln N (O A (p C. N O j W C N o c T 3 ° o o w CL O O O o CD N°o°oN Nrr_ o c c o CL O O O m ,I h. o < c (A (n fA o D cr (� CD w = N f0 L O) W co CD ! O DDo O \ \� CL � N A 0 c 3 I 3 m m � c t v CD ? 0 O W < W U1 < O C. Z 0 A ° o Z to y Z W C A o v 0 3 n O N C CC r2 y S 7 . T -_ (D c N 3 0 ( D w Z C. _S=raD = O_ CD C. D) N M N W O 707 0) j y U1 N O � N N a' N -& 0 O (D 0 .0 3 (D o O = C Q 7 C N 7 S C ' O A q O 0 N O ao v v H moCA ° = m ° 0 N 7 0 V CD a ti C:) O ti Parcel #: 032 - 2052 -70 -100 01/04/2011 07:45 AM PAGE 1 OF 1 Alt. Parcel M 15.30.19.698A -10 032 - TOWN OF SOMERSET Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner 0 - PIERCE, ANTHONY R ANTHONY R PIERCE 1572 63RD ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 1572 63RD ST SC 5432 SCH DIST OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.199 Plat: 3786 -CSM 14 -3786 032 -2000 SEC 15 T30N R19W PT SW NW BEING LOT 6 Block/Condo Bldg: LOT 6 CSM 14/3786 (EZ -U- 1141/335) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 15- 30N -19W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 10/01/2001 657831 1728/398 EZ 06/09/2000 624576 1518/74 WD 07/23/1997 827/445 07/23/1997 594/554 2010 SUMMARY Bill M Fair Market Value: Assessed with: 64616 197,600 Valuations: Last Changed: 10/12/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.119 25,500 158,100 183,600 NO 05 Totals for 2010: General Property 3.119 25,500 158,100 183,600 Woodland 0.000 0 0 Totals for 2009: General Property 3.119 48,900 129,000 177,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 533 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r r wanonsin Department of Commerce PRIVATE SEWAGE SYSTEM oW� ty. ' Seely and'Buildings Division Ji. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sar�i�Ly,Pg8 it No.: Personal infoml *m you fie � on y be used for secondary purposes (Privacy w, x.15.04 (1)(m)). 33 44LL i � g it I �fagre: O City 50 Tf ownship State Plan n ID No.: CST 87 Elev.; YY Insp. BM Elev.: BM Description: Parce Tax No.: j /f 032 - 2052 -70 -100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �t� S / � Benchmark j "� 3 3 on It. BM 3 Z Dosing C L — S d Aeration � _ - _ - Bldg. Sewer _ M ding �t ' Ht Inlet 7z, TANK SETBACK INFORMATION St Ht Outlet 9 _ TANKTO P/L WELL BLDG. Ventto Air Intake ROAD Dt Inlet ± v�� Septic Ss � NA Dt Bo om /� _ Z Dosing - I"c(� Z' / NA Header /Man. Aerate A Dist. Pipe Pv G - S H Bot. System 9 PUMP / SIPHON INFORMATION L(d S ° Fine( Grade Manufacturer / Demand Model Number 3q.32GPM TDH Lift Friction S tem3 z TDH t 3. Z P 1.1 Forcemain Length z s ' Dia. a Dist. To Well > S� z 5 9' 1 SOIL ABSORPTION SYSTEM ° BED / TRENCH Width , Len h No. Of T ch PIT No. Of Pits Inside Dia. Liquid Depth D IMENSIONS 5 Y/ DI HI nu adurer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM _ C 8 e Num r: INFORMATION Sysystem: em ys / k RUNIT S DISTRIBUTION SYSTEM /, x Hole Size x Hole S Header / Mani old Distribution Pipe(s) rj pacing Vent To Air Intake p I l [ Length ' Dia. S Length l Dia. Spacing Z I y 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 Edges Topsoil O Yes O No O Yes O No COMMENTS: (Include code discrepancies, persons present, i pec ion C � 1: /�/ / 6 4D 1 Inspection #2: I 1 001 1 l I Location: 1572 63rd Street, Somerset, WI 54025 (SW 1/4 NW 1/415 T:AV4 4 - 153019698A10 - Lot 6 1.) Alt BM Description = /'°n (rd 2.) Bldg sewer length - amount of cover = y� 3.) contour =y.S Plan revision required? []Yes ❑ No Use other side for additional information. . SBD -6710 (R.W97) Date inspector's Signature'+ Cert ' No , oafs Safety & Buildings Division Sanitary Permit Application 201 W Washington Ave. iseonsin In accord with Comm 83.21, Wis. Adm. Code PO Box 7302 Madison, wt 53707 - 7302 Department of commerce Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(I)(m)] (Submit completed form to county if not Attach tom lele lane to the count co only) for the system, on ea per not less than 8 -1/2 x 1 I inches in size. state owned. County' State Sanitary Permit Number O Check if revision to previous application Slate Plan 1. D. Number 38 2 I. Applicatio n Information - Please Print all Information Location: Property Owner Name Properly Location Property Owner's fling Address �Gt! 1/4 �llf 1/4, S /'j T ,�Q ,N R/ o W �S7d Lot Number Block Number City, State Zip ode I umber ".' p Subdivision Name or CSM Number • r /I CSlY1 VO/ /� 1 0 5 72 Wo II Type of Building: (check one) -/� � I ❑ city I or 2 Family Dwelling - No. of Bedrooms: 3 QS r ❑ Village ❑ Public/Commercial (describe use): cc I � 1 i (�'1'own of 0 State -owned CC> III Type of Permit: (Check only one box on line A. Check lX n It llapplic le) Nearest Road A) I. l New System 2. ❑ Replacement 3. ❑ Repla f 1 d C fi p A ' 'on to Parcel Tax Number(s) S stem Tank Onl 11301 ' S stem Q -176-10 B) 0 ❑ A Sanitary Permit Number / - go" �f9 �p Date Issued Permit was reviousl issued IV. Type of POWT System: (Check all that apply) ❑ Non - pressurized In- ground Mound �.S k �D�� ❑Sand Filter ❑Constructed Wetland ❑ Pressurized In ground ❑ 1lolding Tank ❑ Single Pass ❑ Drip Line ❑ At - grade ❑ Aerobic'rreatment Unit ❑ Recirculating ❑ Other: V Dis ersaUTreatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade ( (321 S ./day/sq. ft. ) (M Elevation Required Propo Rate y s /, lJ o ✓ � � � ✓ in. /i m I � ��, $ 3 ✓ / 0 1. V Tank 43 Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete strutted Tanks Tanks e ❑ ❑ ❑ ❑ Weeks - � - - o— o — ❑ ❑ VII Responsibility Statement 1 the undersi ned assume re onsibilit for installation of the POWTS shown on time attached plans. Plumber's Name (print) Plumber's Si gnataro stamps): MP /MPRS No. Business Phone Number LIM Q 01 02 / = 3� _ Plumber's Address (Street, City, State, Zip Cod %U Mtd ,10A) VIII County/Departnient Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) J� Approved ❑ Owner Given Initial Adverse Surcharge Fee) / \ Determination IX. Conditions of Approval /Reasons for Disapproval:' I t SyS� -gym r5 fr`�c� fp✓ 3l � vim- oiv� e, awy aGl�`�,pw l�cay v <s /� ,� ,K CvPa SeG� Was>l c✓af�v 5 V 5 4e r I mo"" eoae Cty /6a>.'. ocnr`v�y WrCC 56n0 ��e C0VAACjed frior YI Q(n�v c 5 Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 isconsin www www•commerc .viis c ons .wisonsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary June 05, 2001 CUST ID No.222904 ATTN.• POWTS Inspector ZONING OFFICE JAMES W BOUMEESTER ST CROIX COUNTY SPIA 1070 HWY 35 N 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/05/2003 Identification Numbers Transaction ID No. 643402 SITE: Site ID No. 630135 ANTHONY PIERCE Please refer to both identification numbers, ST CROIX COUNTY, TOWN OF SOMERSET above, in all correspondence with the agency. 63RD ST FOR: NEW MOUND, 450 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 793614 t The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes 01. a t' 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 Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with th "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SB 691 -P ( N.01 /01) and the "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorp n Systems," SSWMP Publication 9.6, • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • 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. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area. • Maintain well and waterline set backs per COMM 83.43(8)(1). 1 , JAMES W BOUMEESTER Page 2 615101 • The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. • Holes must be drilled with sharp bit and all burrs and foreign matter removed before installation. 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. 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 xnay. be made to me at the telephone number listed below, or at the address on this letterhead. / Sincerely; FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 PATRICIA L SHANDORF POWTS PLAN REVIEWER , INT RATED SERVICES WiSMART code: 7633 (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE. STATE. WLUS cc: ANTHONY PIERCE MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Anthony Pierce 3 bedroom residential mound Owner's Name: Anthony Pierce Owner's Address: 6875 Cloman Ave. East Inver Grove Heights, MN 55076 Legal Description: SW1 /4NW1/4, Sec. 15, T.30N., R.19W. Township: Somerset County: St. Croix Subdivision Name: CSM Vol. 14, Pg. 3786 Lot Number: 6 Block Number: Parcel I.D. Number: 032 - 2052 -70 -100, ID?#15.30.19.698A -10 (Y Plan Transaction No.: Page 1 Index and title `.SpCNDENCE Page 2 Data entry I Page 3 Mound drawings 4o-z_ Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Attached soil evaluation report Designer: Jim Boumeester License Number: 222904 Date: 05/03/01 Phone Number: 715 -386 -9020 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SD &10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Pa e 1 of 9 i Version 3.0 03/01/01 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (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 ( %) 99.00 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 90.001 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest int in the distribution Y _ Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 7.50 ft /orifice 2.00 Forcemain Diameter (in) + Forcemain Length (ft) Does the forcemain drain back? �Y 90.50 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 8.83 Vertical Lift (ft) Ud 81.16 5x Void Volume (gal) friction Loss (ft)'3 x.11 87.68 Minimum Dose Volume (gal) 13.36 Total Dynamic Head (ft) 39.32 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 1.25 x 2.00 x x 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 800.00 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) LA Total Working Liquid Depth (in) Weeks Concrete Manufacturer galtin (enter result in cell B49) Dose Tank Information Effluent Filter In formation 800.001 Dose Tank Capacity (gal) JZa Filter Manufacturer 20.001 Dose Tank Volume (gal /in) IA100 Filter Model Number Weeks Concrete Manufacturer Project: Anthony Pierce 3 bedroom residential mound Page 2 of 9 Mound Plan View T 1/10 B •'•'•'•'•'•' . .. . . . . . . . . . . . . . . J .l Observation Pipe FK T � 5: A W — . 7 B .. ... .. -. . ...:. I ' . ... . ............................... . . ........... ............................... .......... ............................... L Mound Component Dimensions A 5.00 ft E 13.00 in H 1.00 ft K 8.25 ft B 90.00 ft F 9.50 in z 8.38 ft L 106.50 ft D G 0.50 ft J 5.54ft W 18.93ft 450.00 (ft 2 ) Dispersal Cell Area 1 1204.41 (ft) Basal Area Available 5.00 (gpd /ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.63 (ft) ► G H F Dispersal Cell 100.33 (ft) La -` teral 99.83 (ft) — Invert Dispersal Cell : 3� '' Elevation ........... I E D ;. . i.1. i. i, i. i,i i i i. i i, { �i i i i i, A , - i i i, �i, i i i i i , 99 00 ) Co El evation (ft on our ev on i 5.0 % Site Slope Geotextile Fabric Cover Shading Key m c. Dispersal Cell See lateral details on Topsoil Cap c ° 1.5 ft .• .: Page 4 for number, 0 . 0 0 " "' Subsoil Cap ;;: (/ �) size, and spacing of © ASTM C33 Sand F laterals. Laterals are ical ral Tilled Layer T YP Late 0.5 ft equally spaced from Q Aggregate v o � the distribution cell's -- A centerline in the distribution cell (AxB). Project: Anthony Pierce 3 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical P S A •= Turn -up yWbal l valve or I <-X----)J<-.12 I x1241 Laterals & force main of PVC Sch 40 clean out pl u9 per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 8 in Lateral Diameter in Orifice Spacing (X) "" ft Lateral Length (P) 33 ft Orifices per Lateral 15 Lateral Spacing (S) ft Orifice Density 7.50 ft /orifice Lateral Flow Rate 9.83 gpm Manifold Length 2.50 ft System Flow Rate pm Manifold Diametern Total Dynamic Head 13.36 ft Forcemain Velocity 4.02 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented IE Alternate outlet location Forcemain diameter Weeks Concrete Manufacturer _r 2 in. Cap acityl 800.00 Gallons Volume 20.00 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 21.43 428.70 C B 2.00 40.00 Pump off elevation (ft) C 4.57 91.30 91.50 D 12.00 240.00 D Total 1 40.001 800.00 iF J Dose tank elevation (ft) 3" Bedding un er tank. 90.50 Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer JZoeller —� Pump Model Number 198 - -� Pump Must Deliver 39.32 gpm at 13.36 ft TDH Project: Anthony Pierce 3 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name F_ Jim Boumeester := Phone 715 - 386 -9020 POWTS Regulator's Name �� St. Croix County Zoning Dep't. Phone 715 - 386-4 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 2 Maximum FOG 30 mg /L Type of Wastewaterl 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 Mound Inspect 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 X7 5Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution g Lateral Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Anthony Pierce 3 bedroom residential mound 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 pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings i in 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 filter 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 fitter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service reeds 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 fitter 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 BM,, 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 flaw 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 d 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 6 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: Anthony Pierce 3 bedroom residential mound Page 6 of 9 HEAD/CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 18514185 should not be subjected to less than 30 feel TDH. TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE V LL 1L33 W r i W i �1 lv SERIES 4] 41 1111 11 11/1)9 110/1110 111N161 1677411] 163N1{S IW111f IW11 /6 1W1111 1491/149 191 __— - - __-__— — _.— — -___ __ ---__ -_ __ - __ -_... - _ .._. —_ Ir. M. Gal. Lbv GII. Un. Gal. Lb4 Gal. US Gal Lt, Gal. Lilt Gal, L" G+I. Lln Gal. Lbi. GII. Lh9. G1I. L", Gal Ltr9 Gat Ltn Gal Lk, 140— S 1,S2 1 4.7 6 2 71 10t 43 167 12 173 13 332 14 7S6 1 401 61 111 61 131 It 110 113 341 155 317 4S 1) 1 42 10 3A4 171 14 73 17 H 111 f l 171 19 300 f0 341 00 ]7{ it 171 {I 17 1 - 3 1_720 Itl {60 Ill {17 13 170 3 i1 1. 1.1 f 67 - 11 i 15 1 H 1 44 _u a 91 w 7 fo 217 - -- - sl 219 _u u us }49 Is u 0_ 70 1.10 1.$ 9 3 11 13 11 36 134 1) 116 11 7111 39 217 60 121 34 210 06 Sit 140 J0 45 111 40 - 2S 1 30— - lA! - - 1 ]0 - Ill 14 I10 S7 !11 ff 111 SI 219 ttl 41 4 U1 w3 13 111 )0 1.14 - — 31 201 IS 146 31 111 sl 229 90 HO SI 129 111 431 127 441 4S 110 - — -- - - - -- -- - - -- — 40 lilt ]0 111 46 174 46 111 Sf 291 ]s 291 31 270 lot M1 111 U1 IS 170 39 -- 12 s0 1514 - 21 w )) 121 51 It SI 219 SI no 10 341 100 179 47 170 60 1611 -- — - - - -- - 1S St a 161 76 U6 $1 110 n 261 is 71 a 1r1 2 10 11 31 - - 10 111 10 71 52 117 5 117 10 293 45 171 36 191 _w N.n _ 14 $1 15 179 24 to e Sal IW as_ 170 1 1 90 AAI - - -- - — — _ 17 Iii 7 1 37 140 as 110 100 X44 -- II - 64 - 71 79 40 131 34 -- -- - -- - - - - 110 12.00 7 26 1 30 30 114 1 1 0 - 119 31-4 _ to n 05 32 lSK3 Vala: 21.4' 11 1113' - 71 - 26 t1 7J' its - 111 17r 100 90 186, 26 4186 85 — 1 65, 24 B 4165 75 — — _ 22 70 1 0 — - 1 -- 65 - 8 60- - 163, 4163 189, 55- 4 189 -- t6 50- 14 1 45— 2 - 40- — - 140, 188, 135— 4140 4188 0 — j 30 _ 137. 185, — -- --- 8 - ?25 139 4185 I 20 15 - 10 i 2 - 4- 5 43 48 57. 466 - 1 — — S (;taot1S 1- 10 201 30 40 50 601 - 70 80 1 90 10 0 1 10 120 130 140 150 160 80 160 240 320 400 480 560 640 0 FLOW PER MINUTE � 9t7 �Z o% Note: For Head Capa i on Model 112, industrial volumn- explosion pr000f pump, see FMO219, n 7 o C 9 /1 c� • Exisfi � � �a de (v csM dcf t �. 378`, S Sec. /S T�. o� •`�•ners� SE . Choi tr C •. cJ: ;.fit. .: TP o I')Goc/e n arse PC Ele�h,= /o /•s�:_ _ y�o 'cont�o�cr .z .. o6sor , ceLC w/ i to 43 ��. P fopose.� / Q o �� C,AA MbvP �c bu: /e/:.,q tt. �Pi'oPoscd i T ell rnouuuaui vo '', J UIL ANU Oil r- CVHL.UNI IVIV ncrUn l L *r and Human Relations biwsion of Safety & Buildings in accord with ILHR 83.05, 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 % of slope, scale or PARCEL I.D. # dimension e d, north arrow , and location and distance to nearest road. 0 3 Z - 2- APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION M, t'�2 PjU Fit {� {� Z £eVf-Eff 5 w 114 U W 114,S 1 S T 3 D ,N,R 19 E (00 PROPERTY OWNER':S MAILINGADDRESS LOT # BLOCK # SUBD. NAME OR CSM If tiS fo 63 ST. — 7lZ-OPOS® C S�'► CITY, STATE ZIP CODE PHONE NUMBER E]CITY []VILLAGE .®TOWN NEAREST ROAD ST', �r-t r w) SyoZ.S C1tS) 24 �I S o�• -��R.S 63 �c] New Construction : Use Residential / Number of bedrooms y (] AdditiQn to existing building () Replacement [ ] Public or commercial describe Code derived daily flow X00 gpd Recommended design loading rate bed, gpd/ft trench, gpd/ft Absorption area required 5 p° bed, ft2 St�O trench, ft Maximum design loading rate - S bed, gpd /ft tench, gpd1ft Recommended infiltation surface elevation(s) \' b 0 • O I It (as referred to site plan benchmark) Additional design/ site considerations 'Movx� %-J /8'Y- 3 ` >3E!�) - 1 " t t N t mum t Z. Y nt- S'Pry � R L L Parent material �--oCS S Flood plain elevation, if applicable N A . It S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for sstem ❑S ®U ®S ❑U ❑S EJU D ®U ❑S ®U 0 ®U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench �, yr 6 -9 �o L — s z `` <<• Ye'' Z C l - 0 10 `t R - 3 ]3 - SLR z Tgb V✓1 ski 1U� S �<\ Ground 3 zo - 3y Lo �tz 31� - s �esbl yn �{� eS dev. CSU� 9a� ft y 3y-u �oLt 3C� �s �2 �L6 s1� M (a s L 0`t ti �( ` Z o Vn �►� t-�1� . Z Depth to -S ` B Soa S ti 2 l L S - limiting f actor t Remarks: Boring# -L 1D`1tL 9LZ 2 2 t.qL 30 LO `-r2 C S. S 3 3o -a LO`ilz 316 - z- Ground elev. y 9 -tip 1C) yl3 c - v (, Si I mow, MTV TI -6 f Depth to limiting factor 3p` Remarks: CS T Name -.—Please Print Arthur L. We erer Phone. 715- 425 -0165 Address: Soil Testing & Design Service -P.O. Box 74 River - Fa11s,WI 54022 Sgnature: �1 �,(� � q 9 - 37 Date: 3 -1 Z o CST Number: 2 20 2 5 4 ^ PROPERTY OWNER �'Nt = b�l7 E{ f} KVZ SOIL DESCRIPTION REPORT Page Z-of ; PARCEL W, 03Z ZOSZ - Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends w S — >� :::: ,.:;j Z 1 p _Z b 10`'r R 31 � — S t t Z, `� S �k vn`f1 -- , S • � Cs 1v Ground 3 Z6 —�13 ►��cR -31 C Syfz yj( Si ( 1 CSV1Z Yv�'�h CS - Z •� elev. ZAL X •Z ft, uI3 Su 10 `i R yl3 S t2 y S Depth to limiting factor i Remarks: Boring # * a i Ground i elev. ft. Depth to limiting factor Remarks: Boring # Ic . .c: ;.. Ground elev. l ft. Depth to I limiting i factor I Remarks: Boring # Ground elev, ft. Depth to limiting factor Remarks: PLOT PLAN Page 3 of SCALE 1 SOO' � LOT L�N� -- I � o co+vltiv� tTl . 99 . p \ \ 6 Z \ �2 \ J �Lc ('1 \� SOp'•1 qt . vo i.'y' oN C �h I - t*L. Lou . 0 �llP of �l 'Dtq wooer p►J \S` YqG" 3 /14'`boY F Po st U.S T t CLk` -0 �TK-r ZU SItLL !-�c(c- Po sr. L ll y�y o 7 � t , 3 ; l� �"J ( 715 ) 47.5 -016 5 M 00576 CST Signature Date Signed Telephone No. CST # Wisconsin Deparanent of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Divisio of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY • s�r . c,�o t x � 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 % of slope, I.D. # pe, scale or j dimensioned, north arrow, and location and distance to ne d. 0 3 Z - Zp S - 1 - -) APPLICANT INFORMATION PLEASE PRI ( AA o EWEDBY r/ � E PROPERTY OWNER: r' P OPERTY LOCATION J RECT; ° ` fi n 6 fiteT 513 1/4 1J NA) 1 /4,S 1ST 3 D ,N,R 19 E(oi@ PROPERTY OWNER':S MAILING DDRESS LOT BLOCK # SUBD. NAME OR C # \S b3�� sT ? ntzoQOSM cs� CITY, STATE ZIP COD + PHONE NLW ❑VILLAGE .®TOWN NEAREST ROAD �►vtC3Szs�T r I 5VoZ� [�G] New Construction Use Residential / dr Addition to existing b [ J Replacement [ ] Public or co mmer b i Code derived daily flow gpd Recommended design loading rate bed, gpolft - trench, gpd/ft Absorption area required Soo bed, ft SQ1a trench, ft Maximum design loading rate - S bed, gpd$ • IQ trench, gpd/ft Recommended infiltration surface elevation(s) \' D 0 , O ft (as referred to site plan benchmark) Additional design / site considerations - M wv-� w lg K 6 3 ` i3M . M ttit wq v w1 t Z jn>= S � FL L L Parent material \-o Z S Flood plain elevation, if applicable N A . It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ❑ S ® U ®S ❑ U [IS 0 U ❑ S O U ❑ S ®U EIS ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundar Roots GPD /ft nnw in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Tmnch cede K 3 L Z s' } Z `Fs b k yniv c w Z • s S tt Cl - 113 '-L 3 13 - S Ground 3 Zo- 3y LO `� �Z 3� 6 S i t e Sb4� Yn�i- e S 9 8- - 1 ft Lf Ay -Li ` �- Depth to S `ES l o`t limiting i f a ctor Remarks: Boring # J o -L� u-tL - 3 LZ st1 z-f 5bt w> cw Iz3 V 3 o LO �r(Z 3l b siI Z `�'Sb r� h��f�- e S. 1v� • S 3 — 3b-a q Lo`t 316 c s� � �1� s ►1 1 esb� wt`R- c� - :Z, : 3 z Ground elev. �( R - °J ko -t q st' J �►-� -, {vt'Ft - N� • Z q Depth to limiting factor 3p� Remarks: CS T Name.-Please Print . Arthur L. We erer Phone: 715 - 425 -0165 eg Soil Testing & Design Service -P.O. Box 74 River- Falls,WI 54022 . Signature: �,o '7�'Lr��,�,� 99-17 Date: 3. 1 �l CST Number: 2 20254 PROPERTY OWNER pNt H f� i�2 SOIL DESCRIPTION REPORT Page bf 3 PARCEL I.D.# 03Z— Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Co Color Gr. Sz. Sh. Bed ITMnch D -10 i py }Z 3LZ stl z`FSb k m ii ri!w Z 10 -z b 1 iy-y f2 3l SO �k vn`F►� C s l.v`� - s . 6 ,5' Ground 3 Z6 -�13 t u`rR 3 1 c Sy yj(� Si I 1 CSU1Z r►�`F►- CS - Z •3 z elev. ` - L ft. X13 Su 1 `t P - yl3 S 2 V& s mow, Depth to limiting factor - i f Remarks: Boring # I Ground elev. ft. Depth to limiting factor Remarks: Boring # i Ground elev. ft. Depth to limiting 1 factor i i Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: �cr, n- ,•,non .,r ,. i • . PLOT PLAN Pa 3 of J _ SCALE 1 "= 413 Sao' LuT llrJkZ N�ITE . "-y _ �,� . -•-- per- U�717 M tQKb 4 _ - -- - ro t D A �ti� eL . q4 . o' ej a� e \ J � NoT CUr1P is �� SOp � FL �sVC(? _ 1J�sYri�•r3 TL dV %y- k- i - L1. L00.0 L u T U w1 N �P of LI b,A wdop p►J �5`'H1Gt� 3 /U``Dl►1 Fe►c.�, P aw, y .s' T ,.- . vte - %# v Nc K*xr - r-i 1 31 l=ev ce P o sr. C�ZI2Vl yu l J�� �,� 7, (77 5 ) 42q-011;S 1400576 CST Signature Date Signe Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 0 , & (yn Mailing Address L ?3 -� 5 d mi r[ r ` - G e 6c[' -2i 0 Property Address IS 7JA lo3 rcl (Verification required from Planning Department for new construction) _ City/State s tt . Lo I Parcel Identification Number 634 -aGlo? - 70 L EGAL - DES!QRI.PTION Property Location ' /,, '/.,Sec. 5 T, QN -R .W, Town of s olM X5,-_ Subdivision , Lot # 1 . Certified Survey Map # � /�� 7/ , Volume /� , Page # Warranty Deed # Volume Page # 7T Spec house 0 yes Ix no Lot lines identifiable 0 yes 0 no SYSTEM MAI,,�i'�'ENANCE Improper use and maintenanceof 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, journeyman plumber, restricted plumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating tha t your sep tic has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 system com P days of the three year expiration date. / _ / / / SIGN OF APPLICANT DATE OWNER CERTIFICATION I (wee) 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. S"l llal SIGN F PLICANT 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 I Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak (gpd) U Estimated Flow - Average (gpd) 100 Septic Tank Capacity (gal) U U U Soil Absorption Component Size (ft') Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Ahcnrntion Component Design Flow - Peak (gpd) U 4 5 Maximum Influent Particle Size (in) $ 1/8 Maximum BOD (mg /L) a ' 220 Maximum TSS (mg /L) ISO 1 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years 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 (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter 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 I ~ Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge 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 an 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. 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. When system fails, we will replace system in alternate area at owner's expense. Replacement system area must be left undisturbed. St croix County Zoning Office 386 -4680 Boumeester & Sons Exc. 386 -9020 Tri- County Sanitation 386 -2130 3 ina m - p V01. 74 624576 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Mark D. Aufderhaar, %Wa Mark RECEIVED FOR RECORD Aufderhaar, 06-09 -2000 9:30 AM WARRANTY DEED Grantor, and Anthony R. Pierce, EXEMPT N CERi COPY FEE: COPY FEE: TRANSFER FEE: 143.70 RECORDING FEE: 10.00 PAGES: I Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Name and Return Address Part of the Southwest Quarter of the Northwest Quarter of Sec. KglSTINA OGLANO 15- T30N -R19W, Town of Somerset, St. Croix County, Wisconsin, ATT ORNEY AT LAW described as follows: Lot 6 of Certified Survey Map filed in Vol. 14, Page P.O. BOX 359 3786. St. Croix County, Wisconsin. HUDSON, Wl 54014 032 - 2052 -70 Parcel Identification Number (PIN) This is not homestead property. (%) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of June 2000 + + Mark D. Aufderhaar, a/k/a Mark Aufderhaar AUTHENTICATION ACKNOWLEDGMENT Signature(s) Mark D. Aufderhaar, a/k/a Mark Aufderbaar STATE OF WISCONSIN ) ) ss. !� y�� County ) authenticated thi '1 ' day of June 2000 Y'-" Personally came before me this day of the above named • Kristin. Ogland TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 16 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) ' Names of persons signing in any capacity must be typed or printed below their signature. Irnomati Prof — onals Company, Fond du Lac, vn STATE BAR OF WISCONSIN SODZ55-2021 WARRANTY DEED FORM No. 2- 1999 � �-- co S KQN 2000 » v z 70 D o � 1 � �I O L ei w C ER T I E I ED S CJR V E Y MA R Located in the Southwest quarter of the Northwest quarter of Section 15, S Croix Count , 1 Town of Somerset t. Township 30 North, Range 9 West, ow y Mark Aufderhaar C,S. M. VOL. 205 Wisconsin. 1576 63rd 5t. - -� - -- - - - - - -- Somerset, Wi.54025 LOT I LOT 2 I 63RD S 00 " 663.22 STREET I'm ( , 179.57' 11 249.57' — r , — 234.08' M N 00'07'37 N 00'07'37 "E o N 00'07'37 "E.•� o Q1 180.15' i'� 249.57' M 233.46' o v o EAST k k L INE OF THE SWl 14 -NW114 Wo 00 o 0737E 663.18 O co 1 I � ............ ................... ...SETBACK.. ........ ._... ..............` .�.NE.......................... 0 Ol Cn = v co - 00 lD to tn to to Ui - w�\ m mN m M \ lL®7T 6 % Cn :y N '� N • M \ \ \ \ \ N N 00 I 41 \ �i W n \139, 351 S m m 11) (500 °03' 1 2 \ (3.199 ac) soo°I/zl'fv�; J Z zinc. r -o - w.\ (3.O1ac) Ln rn W \131, 115 SF\ exc. r -o -w . so.00 i c � � y \ �l \ \ \ \ \ \\ CO NTIGUOUS BUILDING — — — AREA 1 00 01 O N 00'07'37 "E Z: M 249.57' I 1 1 Q1 w v m v � -jI � 3 781,011 SF (17.93 ac) • including r -o -w . 3 O ° D 00 767, 361 SF (17.616 ac) excluding r -o -w. h Z house g 0 1 \ (APPROXIMATE 00 O W i LOCATION) LOT 5 U) 0 I _ HARVEY G. S JOHNSON s LL S -1899 W : HUDSON ? ti WI3 r Legend on back. 3 �I wo < 6.0 - //010 R a 0 > G� Bearings referenced to the �, West line of the NW 1/ 4, 00 c0 J1 � assumed to be N00 ° 10'53 "E. a0 N vl I3I1.B9' L0 " "� SOO lO'S3 W WEST LINE OF NW I/4 590 87' N 00' 10' 53 "E 729A PPROVED NOO /o'5 NW Corner UNPLATTED LA Z5 Section 15-30- _ _ — _ _ _ _ _ _ in Zoning and Parks Committee West 1/4 Corner Section 15 -30, - _ JAN 0 r 2000 This instrument drafted by. 4999 a If not recorded within 30 days of approval dale approval shall be Vol. 14 Page 3786 null and void oil { y ��L �, an � __ __ t � _ _ . _ _ __ ... _. ___... rs:_ ...;__.. _ __ __ _ _ _. _.. ��, '� _... ___.. _ 1 _.. ...._... __.. ..._._,... _ _ _... _... _ �. � -� __ ;f r . __.. _..... _... _ _. ..1 __. _ __.. _ _. .. __ ilk Y 4 4 , 1 i i