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c ( ƒ E / � ±ƒ ; s z o A 7 @ 8 S ® W — # & co / } ( \ * ( § f - 0 2 o k /k§ \� 0) § co � �kk O ` 4 ® §y CL \ 9 = >. a \ ~ K § § CD � ® C CD � k CD 0 k k/ 2 c - 0 9 Zoo z 0 0 0 \ - ` \ I & CO) CO) J § w ® a � r � ° =2 l CL A S z " / g > >o ° q p 3 z / _ -q CO) F , g a \ 0 E _ CL ® } 8 � § � § 2 q z �EEwCL CLS! § X0006 ] §ƒ %Z k = CIL � / \�f §�BCA � $ #] S � . /EE 4 (D ao§ \ ! ' 2 0 * % f / ® 14 8 � 7 Parcel #: 038 - 1040 -50 -200 06/21/2007 03:26 PM PAGE 1 OF 1 Alt. Parcel #: 9.31.18.175B 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BELISLE, CAROL A CAROL A BELISLE 1131 212TH AVE BOX NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description " 1072 220TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 5.000 Plat: 4159 -CSM 15/4159 SEC 9 T31 R1 8W SW SE BEING LOT 1 CSM Block/Condo Bldg: LOT 1 15/4159 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 09-31N-18W SW SE Notes: Parcel History: Date Doc # Vol /Page Type 10/13/2003 743465 2434/305 WD 09/28/2001 657719 1727/601 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/27/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 47,000 101,000 148,000 NO Totals for 2007: General Property 5.000 47,000 101,000 148,000 Woodland 0.000 0 0 Totals for 2006: General Property 5.000 47,000 101,000 148,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce SOIL /#"'lF V Page of Division of Safety and Buildings ' . -` '" �� in accordance with Cofflat$5; Wis. A*. Cod Attach complete site plan on paper not less than 8 1/2 x 11 i e' in size rsE include, but not limited to: vertical and horizontal reference goInQBM), direction and percent slope, scale or dimensions, north arrow, and locaticii&O dista to ea� l Please print all informatio# El '5T CAOix r' ie d by Date ''- Personal information yo provide may be ed fo secondary purpos s{Pti�acy Law, ) (m)). f w Property Owner PrUp &rty Loc4Y n 'r r' 4C — , 11 1/4 S T N R E Property Own 's Mailing Address w ock # Subd. Nam or C M# J O city tat Zip Code Phone Number LLC, r tY � p ❑City ❑Village own Nearest Road New Construction Use: Residential / Number of bedrooms Code derived design flow rate �A5 GO GPD ❑ Replacement E] Public or commer ial - Describe: Parent material c Gc Flood Plain elevation if applicable ft. General comments and recommendations: /t _ F-/1 Boring # ❑ Boring Pit Ground surface elev. 9 / ft. Depth to limiting factor 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 �- f / o 5 Boring # ❑ Boring LJl Pit Ground surface elev. �y O ft. Depth to limiting factor _�_ 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 ,0 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name Please Print) / Si tore CST Number 4 ? J�v� Addres Date Evaluation Conducted Telephone Number SBD -8330 (R07 /00) K Property Owner */'�00?/t �� � �� Parcel ID # Page of F�] Boring # ❑ Boring Pit Ground surface elev. =—� ft. Depth to limiting factor ZR� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 - e -� . - - t2 d F-1 Boring # E] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F1 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /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. SBD -8330 (R.07 /00) i Property Owner 4 - 01 �Gf''T Parcel ID # Page of ® Boring # ❑ Boring �i Pit Ground surface elev. / 3T ft. Depth to limiting factor 7a_ 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 A /19 A f? F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Mot:( 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 ❑ Boring # ❑Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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 Effluent #1 = BOD > 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 need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) ` Soil Test Plot Plan Project Name Noerman Mante By on Bird Jr. Address 1041 220th ave NewRichmond Wi. ` 54017 TM #220527 Lot acres Subdivision - ------ Date 7/20 S W 1 /4 1/4S T 3 N /F W Towns h 1 p StarPriarie F] Boring Q Well PL Property Line County S T. CROIX ,BM or VRP Assume Elevation 100 ft top of steel post #alt BM top of steel post 99.7 System Elevation 91 .6 H.R.P. same as BM 5,� . -�- -7' P ,4 t , * V_W 330' #altBM 25' BM 90' y Lf S 22 h Ave. PL 120' 92' 200' 939 >.. 94 30' 60' 3 J 655107 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. WI RECEIVED FOR REHRD 08 -29 -2001 10:10 AM O O COPY FEE: 3.00 0 p RECORDING FEE: 12.00 PAGES: 2 $ = r /o 038 O Z $ $' c Z z o n m m� m� M M co Z v C— M A z m z 50 cl) O w m c § A O i z -+ BEARINGS ARE REFERENCED TO THE I M SOUTH LINE OF THE SE1 /4 OF SECTION 9, II 8 ASSUMED TO BEAR S89°55'33 ML O N C S y MfIG?144CD_L�GJG_�l_D� @ [ACED o v PLa44[ n O 33 33' C i g N00 3 524.27% ' _ O co �N I APPROVED ; P * — ST. CROIX COUNTY I Z Z m Planning Zoning and Parks G�.. , ttgv, I 'Q on I 1 I�� Oo AUG 292001 0 I I Y/ I M If not within 3U trays of -9 Mn z approval dat approval shall bo _ ,w m nUl nd voi 'w 1 8 ; s r I CA Ig m , �a i W i O `� m m cn W 1 @ M S N v O �Z m MA I A I f rJ Q m 4J z I �jJ �.L I� Ic A �0 :1 0 s o X111 j o 1 O C I � °° Q on I I n I� I M 'q O m� p I 1 n m I uuU 1 O� 491.2r C O 0 M 33.00 417.00' 74.27' _ 0 3 �D SOO °13'12 "E 524.27' - m � � EAST LINE OF THE SW1 /4 OF THE SE1 A /4 OZ _ MGvJG°P l�rt O�[n�CED �'l 04Cz10El �3 N m I 1 O n Z c o N In 9 0 o y —M gIz N M Mo �� m m co N c z THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 0144 DATE: 7 -02 -01 Volume 15 Page 4159 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463236 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: Linder, Don I Star Prairie Township 038 - 1040 -50 -200 CST BM Elev: Insp. BM Elev: BM Descriptio : I Section/Town /Range /Map No: ,� 97•'� O �J f � Z 09.31.18.1758 TANK INFORMATION ELtVAM6N DATA TYPE MANUFACTURER CAPACITY STATION S S _� FS EL Septic /,L S� Benchma � rj-O� Dosing ff - Alt. BM /i �� p d -f0(.G �, 7 Aeration BI Sewer / /.2 Holding n e 13 0 p 7 –D I� TANK SETBACK INFORMATION St/Ht Outlet / TANK TO P/L WELL BLDG. Ven it Intake ROAD Dt Inlet l �� 1,Je6� Septic z6 ,4 1 Dt Bottom Dosing � I / Header /Man. /O ' G Qh 1 on Aeration D Dist. Pipe Ae- 3 (4-7 q 7 9 Holding Bot. System 4. Z-7 ( z � > 8 PUMP /SIPHON INFORMATION ` Final Grade 2 7 Manufacturer Demand St Cover Z 07• Za e. P Model Number n t S 3 • • 3 �• U S TDH L1 3 $� Frr do System H�r�, Ed a rj/ae� -y2 Forcemain L I Dia. 2_ .,, GuGti��yud L SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length No. Of ench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ' / \ �\ �� SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type f stem: CHAMBER OR YP UNIT Model Number: Y / 1 . n ) DISTRIBUTION SYSTEM D ( Header /Manifold Distribution Z ( / x Hole Size_ r f x Hole S ing/ Vero Air Inta�� J I / Pipe(s) 5 Length q Dia Z Length I Dia Z Spacing_ 3 _ z c SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over i Depth Over xx Depth of xx Seeded /Sodded 1 xx Mulched Bed/Trench Center / i (_ Bed/Trench Edges Topsoil Ies '_ f No es No X155'' y COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: f 1 , l d - Inspection #2: / / Location: 1072 220th Avenue Star Prairie, WI 54026 (SW 1/4 SE 1/4 9 T31 R18W) NA LOV / O l " Parcel No: 09.31.18.175B 1.) Alt BM Description 26 T ' "�� 2.) Bldg sewer length = IP, - amount of cover, Plan revision Required . Yes No / A 3� 3 s Use other side for additional information. I Date Insepctor's Signatur Cent. No. SBD -6710 (R.3/97) Safety and Buildings Division County �. t 201 W. Washington Ave., P.O. Box 7162 F Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) l Visconsin (608) 266 -3151 ' D�Spar of Commerce St lanLD.Number Sanitary Permit Applicatio _ g 2-? „ ,,,5. JA --A= In acwrd with Comm 83.21, Wis. Adm. Code, personal information Yo u P �� Address (f different than 'ling address) DEC O 2 O O may be used for secondary Purposes Privacy Law, 215.04(1. 3 ' Z Z G L Application Information- Please Print All Information 5 CROIX COUW Y _1 • CTl I property Owner's N " " � b property Owner's Mailing Address Property Loahoa II an --- City. State ,, , LL 1 zip fie Ph N '7 one) . k�l/ ` T 3J N. R o W II, a of Building (check all that apply) °° s i Subdivision N LZM Number 1 or 2 rFamily Dwelling - Number of Botimono i J 'C Public(Commercial - Describe Use Cif Village of State owned - Describe Use Type permiit: (Check only tae box on line A. Complete line 13 if applicable) t p - 1 °yo - Sb - ?ao • 1 }� A. ew System Replacement System Treatment/Holding Tank Replace y Other Modification 13ttisting System List Previous Permit Number and Date issued B. Permit Renewal Permit Revision Change of Permit Transfer to New Before Expiration plumber Owe Iv. a of PoW TS S Ch all that apl2l ) x S M - " ' k pass Sand Filter Non - Pressurized 1n- Ground >- 2.4 in. of suitable soil Mound < 24 in. of suitable soil At -Grade Single Constructed Weiland p� In-Ground Holding Tank Peat Fdter Aerobic Treatment Unit Recirculating Sand Filter media Filter Chamber Line Gmvel-kss Pipe Other (ex lain) ' Synthetic M s. St7 V. D' ersal(freatrnent Area Information: Proposed Area Requited (st) Di spersal posed (st) System Elevation Desir Plow (gpd) Dosig” Sail Application Raoe(gpdsfl 1 A . 1 9 '^ � / p j" Capacity in Number Manufacturer Prefab Site Stes1 F Plastic VL Tank Info capacity t„onstmcted Glass Gallons Gallons of Units New F.tisting Taub Tanks Septic or Holding Tank 0 2 S i pembicTssatnssotUsd= Dosing Gwnbar yII *bill S meat- assume respoaslbili for installation of the pow TS S shorn on the attached igrtaturo MP r Business Phone Number Flambe s Name Plumber's Address (Street, , State, (f 17 vm. corm me t use o L d Date Issued issuins t signature trio stamps) Sanitary Permit Fee (includes Groundwater pproved mPPM _/ Surcharge Fee) Reason J � IX. Conditions o pprov SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach eompkte plans (to the County only) for the system on p2per not kssthan S1/Z z tl itches is doe PLOT PLAN Pr= EJECT Don Lindner ADDRESS 1131 212th Ave New Richmond Wi 54017 SW 1 ;4 SE 1/4S 9 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX SYSTEM ELEVATION 96.5' 4 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark * Alt.B.M. * is top of 2" pipe @ 96.3' Property Line (not to scale) Scale = 1/4" = 10' well is to meet all setbacks found in Grading is to be done to on Comm. 83 divert run -off away from � system _ B -3 96' 5.5' 95 5. � /h srd� �D 0 C B -1 Sloe ] B- /ggAT 5 '� �J p 100 .��rc�m�~ Huffcutt Tank is to be properly Area 1 S' below ComboTank bedded and provided system is to remain ith lockdown covers undisturbed wit proved warning labels I Pro 4 t B H; use I 524' i Property p Line O 220th Ave • Safety and Buildings commerceml.gov 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 isconsin TDD#: erce. i.gov/ b/ www. commerce.wi. gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 19, 2004 CUST ID No.226900 ATTIC• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/19/2006 Identification Numbers Transaction ID No. 1085528 SITE: Site ID No. 692640 Don Lindner Please refer to both identification numbers, 220TH Ave above, in all correspondence with the agency. Town of Star Prairie, St Croix County SWIA, SE 1/4, S9, T3 IN, RI 8W FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 993634 Maintenance required; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 1069I -P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, Cond!66 stats.+ The following conditions shall be met during construction or installation and prior to occupancy or use: DER RTMEw!T OF Approval Requirements: / DPIS61N OF wi EY • This system is to be constructed and located in accordance with the enclosed approved plans and with the (' SEE CORFU -SF Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • 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 SHAUN R BIRD Page 2 11/19/2004 • Comm 83.22(7) A cony 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 der 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 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 11 A 2/04 Owner:Don Lindner Location:SW1 /4SE1 /4 S9 T321 N,R18W Lot 3 220th Ave Star Prairie System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section EL) 6. Pump Curve COMPERc� 6 11 G 7 -8. Maintance and Contigency plan = =� 9 -11. Soil test ONUENCE - Shaun Bird Signature License numb 226900 PLOT PLAN PP- #)JECT Don Lindner ADDRESS 1131 212th Ave New Richmond Wi 54017 SW 1/4 SE 1 /4S 9 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX SYSTEM ELEVATION 96.5' BEDROOM 4 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark * Alt.B.M. * is top of 2" pipe @ 96.3' Property Line (not to scale) Scale = 1/4" = 10' well is to meet all setbacks found in Grading is to be done to Comm. 83 divert run -off away from system B -3 96' 95.5' 9 5' B -1 4% p Slope B-2 Huffcutt Tank is to be properly Area 15' below Combo Tank bedded and provided system is to remain with lockdown covers undisturbed with approved warning labels Pro 4 Bedroom House 524' Property Line 220th Ave / No Designer_ Date Non -Woven Filter Fabric 4" Observation Pipe Perforated ,Distribution Pips Below Filter Fabric Asn4 G -33 Sand —� G C . T `- � % Slope ,. L F orce Hain \ Flowed Bed Ot f / - 2 �= From Fump Layer Drain Rock � F � 5 . Cress Section Ot A M scrdtionsArtoustn �' For The Ab P G A Bed _ A 5 Ft. 6 Ft. Ft. Ft. K Ft. L Ft. r( W of Ft. L 4:'Observotion P'Pe N K q - _ Force Moan _ _ _ _ --- - - - - -- m Pump _ Fro o Distribution Bed Of 2 p Pipe Drain RocK 1 4Observation Pipe ',oc,,Ae � Permanent Morker pi pe or Rods pion View o f Mound Using A Bed For The Absorption Area pAGE, -,._, OF... PesFosate4 Pipe Oetaii / ~ End 'tier _ �PertOrottiG �' + pVG Pipe -'4.4 Motes to =a/eo Oa Got =on+. Are SOualfy $potea ♦ 4 PVC Forte Main FIRST t{OLL NEXT TO C.arttltC } � +�` r I' PVC Ma6fald Pipe � Pipe � 4- -� Distribution Pipe layout P / Ft• R Ft. X inches v� Inches H o l e Diamete Signed- Lateral ." 'Z - Inch(es) License Number: Manifold Inches-' Date: Force Main Inches of holes /pipe 3 7 Ft. Invert Elevation of Laterals h� ECIF ICATI?hc r CROSS SEC i ' 0 D SF N SEPTIC TAK ? CHAM £ ?�c3!�4 --R W£kTHERPRW F A F PROVE �* ZgSti ABOVE GRADE JUj4CTT0t4 BOX MANHOLE COVER vT.NT pZPE }2 WITH Co t3DUIT W / FADLOCK E WI NDO W 4R WMMIN� LASE'- ` FROM D4flR , � Al A ii�tTAK£ � t �„ Mlit - FItE��, f - '�' E L £Iii; = : �`•D �w _ 7 a � c T GA S- ` p}�ItED FILE -�-- TIGHT HATER TIGHT S�� , � PE A s + r a AI.17 3 ` 0 Fi LT E� $ s ON wig SOIL APPOVED C r OFF plPE 3LID. OFT • -- SOIL pump 'OFF E; ` - D ER coN TANS BETE PAL 3 � APPRpY ED BEDDING UNn / ��z / i1 / SP£CIPICA'% IONS ` i L !! �� DO Eg ?£R DAY SEPTI C DOSE MANjrACT % {y LU ME F LJ !� GAL - TEPT D45y s r,Aj,. TAIiK SIZES; SEPTIC GAL.S�I3�lCHES DOSE '" CAPACI g£S � 8 . 2-'' INCHES � L• A1A1w mAwjFAC1't31tER ;= MODEL MIlIDER : r C INCHES = SWITCH TYPE. r / 3 ZHCH£S = pLK Mh+FAC2'{iR£R : J NumBER % ' Z ytiR KODEL " P�3liP £ p,Z,�,,gH �,tZRZ PFB 16.23 WAC q wITCH T'YK'E'- ,�1 o /, FEET ItAT� 1�-- t^,. !i IB UTI ON ?ZFE - • -� FEET gEgOZRED DISCHARGE FUM? OFF AND D-1 , FEET PRESSUR FRTC'FIOM Fp,CTOR i FEET v ER'flCf'L DIFF£it£i�IC£ PRESSURE U F'F/ Ii3 fl . fT - SIC KEAD 1 ' + MII�ZM'.in NEZ'� ©RK SiiPPiK X ---- TOTAL DY / - -- I'EET FORCE - � ; DIAME'T'ER s WIT flI1KEN5; DNS gF pUMF TANK: LIEU D �� W '�— .�- --'"" j,,i C ENS L NtTM � "R : ,,,_.r.�..-- -•""�'" UAT'E r if88 ..�..� - TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DENATERINc MODEL 152/153 MODEL 52 153 g Feet ,Meters Gal. Uiers Goi. Lit:'r� 50 5 1.5 69 261 77 1 153 10 I 3.? 61 1 231 7C 21;5 12 40 152 15 4.6 I 53 1 201 61 2 3� o 20 6.1 I 44 j - , 67 52 , i 25 7.6 34 129 42 1 :i3 g 30 30 I 9.1 23 i 97 33 a 8 l r 35 1 C.7 -- -- 22 o 20 _— � � 4G I ? 2 2 i i n ! 1 1i 6m 44.0 Ft. (? 3 rn L OCK V01'vc: I .,6 - 4 - )I 1450a 10 10 G 20 40 60 80 100 GALLONS �. 6 1/4 —� LITERS 0 80 160 240 320 3 27/32 j 4 5 / FLOW PER MINUTE i CONSULT FACTORY FOR SPECIAL APPLICATIONS _ ® , 2I /_2 • Timed dosing parcels available. with I • Electrical alternators, for duplex systems, are available and su pplied I an alarm. i • Variable level control switches are available for controlling single phase systems. •Double piggyback variable.level float switches are availa e for variable � level long and short cycle controls. • Sealed Qwik -Box available for Outdoor installations. See FM1420. I �- - • Over 130 ° F. (54 °C.) special quotation required. I 12 1 / 5 1521153 Series T j ' I I p' Control Selo on 15211 3 MODELS Du lex 5 /.: Model Volts -Ph Mode s Sim I" i Non 8 1 2 or 3 J SK2064 N152 115 t B.5 Included 2 or 3 1 BN152 115 1 Auto 8.5 2 or 3 E 552 230 1 Non 4.3 BE152 230 1 Auto 4.3 Included 2 or 3 N753 1t5 t Non 10.5 1 SELECTION GUIDE 10.5 Included 2 or 3 P ggy BN153 115 1 Auto 5.3 1 2 or 3 1. Single piggyback variable level float switch or double i bacf variable level float E153 230 1 Non Included 2 or3 BE153 230 1 Auto 5.3 switch. Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak . Variable level control switch 10 -0225 used as a control activator. specify duplex (3) All Installation of controls, protection devices and wrong should be done by a qualified 3 licensed electrician. AB electrical and safety codes should be followed including the most or (4) float System. recent National Electric Code (NEC) and the occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN ty factor is engineered into the design of every Zoeller pump For unusual conditions a reserve safe . MAIL To. R.O. BOX 16347 Louisville, KY 40256 -0347 Manufackfarsof.. sHIP TO: 3649 Cane Run Road Louisville, KY 40211 -1961 QTrP�/ffP9 SNC[ u wAo (502) 778 - 2731.1(80 928 - PUMP httpJ /www.soeller.com FAX (502) 774 -3624 © Copyright 2000 Zoeller Co. All rights reserved. Page of ' ER MANUAL 8� MAt+iAGl~ ENT PLAN POVVTS OWN SYSTEM SPECIFICATIONS ai p NA Septic Ta Capac manu f ac turer tNFOR>AnON capticTank Ma C2 �► ,er Effluent Filter Manutadtucec p NA Permit Effluent Filter Model p NA .�.- PAAA� • DNA m Tank CapacxtY -� al NA ES1G14 NA Pu p . Number of Bedroom —s Pump Tank Manufacturer Units aVda NA Number of Comm1 ? aild Mar+ ❑ NA p Pump Es(3mated flow ( stall x 1 �) Pump Mods► flow (��, (E� ailda � ent Unit Pretreatm Titer O Peat Fllter Rate Monthly average` 13 SandlGrBv n p Wetland son APP� 0 mg 0 Mechanical Ae IO 0 Other. lnfluen mu t its �� �` G reas e (FOG) mg/L Ll Disinfec�on I Oxygen Demand (BODs) 50 m 51 / Manufacturer Siodhe SusP°"d°d sonde (TSS) average" DtsPeround lGgsavlty) r3 lno rodund (Pressur¢ed) Monthly Q Atgrade P Effluent Quality and (1300s) .30 mg/L (3 Other Bto�emlC8l O Dem 530 mg/L p prt ine noc t sUc (roemrt+e'dsn'"�'�� e1Q Total Suspended Solids (TSS) 510+ cful100m1 icol for dome metr mean) • Vafues � ter. Fecal COtifecm ( y, inch diameter "I Fe sank � ° @" rotes wastewa .. values tYP� forP tae Maximum Effluent P80cle Site g Frs4uency NpNCE SCHEDULE serfs) (Maximum 3 yrs.) C3 months O►i vent of tan ro]ume Service At At least once every equa one -th'rd (Y M ,) When cornbuted sludge and scum 4 eaRs) (Maximum 3 yrs•) Inspect condition of tank(s) 3 © months of tank(S) At )east once every months arts) Pump out contents s ) p NA cells) At least once every 13 month tnsped dispe every r(s) O NA Clean effluent filter At least once p mo nths contro ls 8. alarm least once every II years) DNA lnspsd purnPI P ump p m onths f7 NA Flush pines Pressure and Pr ure test At least once evsrY s) At feast once every D months II Y� O licenses or other rig one of the folio Anngg lic finer. Septage UCTIONS li be. made by an individual ca rr y ing i���n any mIsMg o h{°ken MmNIEN of � � dtapersat cis S r Restricted Se of the en PD for any U P lnspedions :Master Plumber Master lu P inc vtsuai inspe� sludge an 9 m and t cheer t Weis s ell sludge and scu the efftuen motions Tank Inspecdons must include a v a of effluent on the ufe the volume of oom isually inspec btrs SeMdttg gry �►nY sacks or teaks, The d1SPers� cetl(s) shaft round Su local aut>'orrty ha y of effluent on ground su the rer riding of effluent on the 9 bon of the local feguiink v o lume- the or P and to check for any Po wires the immediate no tificss NR condemn and roc] ird ( Xs) or more of th tank vo in ft observation Pi a failing tank equals one -l� sed of in accordance with ground surface may indicab' a and scum in any r a nd dlsPo combined umulaton of sludged by a S 1 a Seniloing �rato vents, and any entice �tttents of the tank shall be a mov orients pretteatlment co PoWTS Mainta�er. sin Administrative Cod ressurtzed pOV�s comp ed by a oetti Q days of completion of any service Brent 113, W� � e{fluent filters, m echanical ts of 12 months or less shalt be �� The 601d rig or mon'doring at in authority within other maintenance �e loci► regulato coducts or other A servige report eifelt "be provid fesence of painting P for D OPERATION PAS Check treatment tank(S) the P tiraaons are else/ Ce11(s). if high cone sTART UP AN or t use of the s and/or damage the lisp r P rior to use - For new oonsVucw Pn a the treatment er� a septage servicing c chernI perato P MIS that may impel deed have th contents of the t ank(s) Page of—, itions are frozen at the infittrative surface i restored the eaCCt'Ss s opnd When P m res l not ult in the small amour Wh aWve normal htghvrater levels. the COO and sY System start up p u mp tanks tnw cetl(s) in one large dose ovec(ead'tn9 um tank removed by a co ntents of IhO P ump or k re Malntainerto During for ° p to the disP� this situation have the co tad a Plug Will L7O of effW ton y�gr to the effluent &;: � th pum tank adwp ape OPera� prioc.to- trills t restore normal ley or otherwise disturb or compact, Sep me "� no"PUMP . Do not of park over, ly lion area - astl man over tanks mct � -gmde soil a e rformanee and prolong the We poM th � �in � � sl0PO of anY rn the Waste+a� stream may i mprove � �V dente! floss; di8 the ti )n of the folwmng '° . n dine; grease herbidd M M Reduction or.ertminawiptette butts;kand veg table peeling g bri of the PO sumP Pump de �'� ry „apl<i s; tamtaons: end ureter sin eons; 04 painting pcvducts. steps $haft he taken to insure that the n out of service th tottowtn8 W Adrnill strati" Code: DO[�M�T � arlen'dY .tiXe 4Y c h. Go �-� . � � � g �11s andlo aban in oomPliance �' Boned PIPe- openln9s sealed system Alt piping to tan all tanks a is properly so d safety shell be disconnected and the sed of by a Septage servicing Operator. 1� and p its st�l be re vat m and pro dispo and th „+d eaentrrstg of �� space . and P excavated and re ved or their comers removed. all t� vw WW F i soli mato After pPumping, filed watt soil, gra vel or another m provide a node be !e ms the following measures h e been. or must be �'�"� P CON?iNGFNC � and cannot location of a replacement soil if the POWTS ®nt system: be utilized for the nce and compaction an d should not aom�nt m p�oem t a L hss been evacuated and may from disturt>a to p A Suita reap fePlapement area should be Pro Le� sed sere tot tines and welts. Failure le ab �p�n system- d PrO required setbacks from ezistin9 an oi{ and site evaluation to establish s sortable be infringed upon VAU result in the need for a new at that time. protect the Ceplacetnent area ms must comply with a roles l l effect advances in POWTS rePlaoernent area• Reptaoement syste tabte due to setback a d/or soil limitations- Barring le rrePtacement area is not ava ilable lace the failed POWTS- p A suitable be installed . Upo as a last resort to eP n failure of the POWTS a Soto and technology a holding tank may a su table replace ent area t area is available a. beentuataad to identify stable rep] area If no repla Th site has not locate a su �g site eya ion must be oo d as a las resort to replace the fa led PO following o'er °f the biomat at holding tank rrtaY be ittstili may be reoon Bed in place Wade soli abs�P n sy terns mus comP►y'^� the rules 2n effect that time Mound and att� in �ons of such sys e tn191batlYe st- Y CONTAIN LET" AL C3ASSES ANDIOR INSUFFICIENT OXYOEi!i- <cvYARN1Ntr� 7 ER TREATMENT T MejgT TANH MA UNDER ANY CtRCIjMSTAMCES. DEATH MAY SEPTIC. PUMP AND OT U Oft OV� DO NOT ENTER A PERSON FROM THE 1N�RIOR OF A T tt MAY BE DIFFICULT DR IMPOSSIB RESULT.. RESCUE OF ADDITIONAL COMMENTS . POVrrs MAINTAINER f 1 ' POWTS INSTALLER erne r '0 11 11W Name Phone ?1 Q OPERATOR PUMPER LOC REGULATORY AMORE - SEPTAGE SERVICING envy . I r� N ame �^-' �' _ P one > Phone �) �s = `r`.. nt meets uette and Wausltara linty Zoning end . am >- This doatme This Coarrne tras draRed by IIW Otalf�a a go Can �°. � cansln pd Rltnistr�° COB` Use of this Q�,ment does BMW liloi) me min4nwn ro9n�1ent= d dr. C >S3.�xt)(d)� and 83.Se(i ). (2) L ( ). ppVYTS. guarantee"performanoe of the JF RECEIVED Wis�nsin Department of Corn erce N N 2 2004S01 EVALUATION REPORT Page ' of 3 Division of Safety and Building in accordance with Co m 85, Wis. Adm. Code CROIX COUNTY County f Attach complete site plan on 0ltlZ 11 inch s in size. Plan must include, but not limited to: ve in (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Re ' wed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Q Propegly Owner Property Location 4 _�� Govt. Lot, �r(� 1/4� 1A S T N R E (or W Property Owner's Maili Address Lot #� Block # Subd. Name orb City to Zip Code Phone Number City ❑village Town Negrest Road �'' ( ) —5 New Construction Us . Residential / Number of bedrooms Code derived design flow rate 6 e2 GPD ❑ Replacement lic or commercial - Describe: Parent material Flood Plain elevation if applicable _ �s /� ft. General comments and recommendations: 4 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 GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 C Z — -- 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 GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 `Eff#2 �- r 00, V .� s "���� .� 4 11 1 7 r % ef Effluent #1 = BOD > 30 < 220 mglL and TSS >30 1150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Eval tion Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �° —�J 715- 246 -4516 Property Owner Parcel ID # Page of Boring # J�poring q it Ground surface elev. / ft. Depth to limiting fad o&—J--- - in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 09 la- 51 4410 F-1 Boring # E3 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 GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑ pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. F -E i ii — Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Lure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 1220 nV/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 need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. 580.8330 (RAW) j r Soil Test Plot Pla Project Name Carol Belisle Sh ird Address 1131 212th Ave New Richmond Wi 54017 O #226900 Lot 3 Subdivision ------- Date 1/14/04 SW 1/4 SE 1/4S 9 T 31 N /13 W Township Star Prairie F1 Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 96.5' *HRPSame as Benchmark Alt. BM Top of 2" Pipe @ 96.3' 30' B.M. Alt B.M. Scale is 1" = 40' unless otherwise noted 130' B -3 96' 50' 30' 95' 50' 100' B -2 B -1 4% Slope a a� a N v� 220th Ave are ` W Q 4 1 4e o ,. IE r- fIN � O V O IN o � o M i cz his -----.----..--.-------.-----------..-..-..--------------------------.- ..- ..- .._..------------- ...�,�. CD f I Q I V./ I � I I I I I I I i COUNTY ST CROIX .. MAINTEN CE AGREENiE� 1-- ZJ SEPTIC A RM �� • . y VNE � � RS�' C ERTIFICATION E1tTIFICATION 0 , s ` I Owner/BuYcr ,. �t� ess � ►'?v' - Mailing Addr -� Address O 7 from puag Department for new construcdoa) Propert (Venfication required parcel Identification Number cit lanu DES PTION 'Town of LEGAL... 2 TN -R y� - 1 /., Sec. ---� t #� C���U� property Location Subdivision page # 9 Volume Certified Survey Map # � page # ' U - Volume Deed # es C7 no WarmntY Lot lines identifi Spec house *es C] no of sludge. e failure to handle wastes. Proper main tenance t is its prematur What you put into =NAN the system cut sept stem could resin ed SYS and �teaaaceof y our ors or sooacr, if needed by a licensed pe Lwprop � out the septic tam e � a treatment stage m the wee disposal system- and by a consists of pump s i g n ed by the owe ction.of the septic teak Department a certification. form, ergo y�aterdisposal system can affect the ver Z y e on -site waste 1/3 frill owner agrees to submit to St. Croix ZO ifing that (1) th lic per ti task is less tha property restrictedpluaiber n and p if necessary), the septic lumber,) pumping he standards ( with t p � opera ting c oition sad/or (2) a taro the private sewage d Po stem Car mr -stion is in eats and ague to �� Resources, State of Wisconsin. within 30 d have read the above revue a and the Departmcnt of ea xo a St. Croix County Zon of s lave, the et forth, h me et by the DePar must be completed and return sere ur septic system has been ataiat�ed stating that Y e y� Cx piratioa date. of 1. GW v DA E et. AAA-- F APPLI SiQNA OCANT we am (are) t h e owper(s) of OWNER ATI N oa this form are true to the best of my (our) knowledge. I ( ) R ister of Deeds Office. I (we) c3 ' that all statements deed recorded in Reg Property described above, by 'virtue ° a warranty DATE IGNATM OF APPLICANT erirtit being rsvokedby the Zoning Depacat. * « « «•• lion that is mis- represenud may result is the sanitary P = = s *ss Any iaforma Reg of Dee deed sped warmuty deed de in the war from the Rog Deeds office ranty a lication: a if reference is ma ** Include with this PP s copy of the C ertified survey tr�P r �o0l, Parcel #: 038 - 1040 -50 -200 11/04/2004 08:37 AM PAGE 1 OF 1 Alt. Parcel #: 9.31.18.175B 038 - TOWN OF STAR PRAIRIE 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): ` = Current Owner " BELISLE, CAROL A CAROL A BELISLE 1131 212TH AVE BOX NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 W ITC Legal Description: Acres: 5.000 lat: 1341 -CSM 15/4159 SEC 9 T31 R1 8W S W S E BEING LOT 1 CSM Block/Condo Bldg: LOT 1 15/4159 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 09-31N-18W SW SE Notes: Parcel History: Date Doc # Vol /Pa e Type Yp e 10/13/2003 743465 2434/305 WD 09/28/2001 657719 1727/601 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 33,900 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 47,000 0 47,000 NO Totals for 2004: General Property 5.000 47,000 0 47,000 Woodland 0.000 0 0 Totals for 2003: General Property 5.000 23,500 0 23,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 t • w I RV — qc=-5 107 KATHLEEN H. WALSH REGISTER OF DEEDS ST_ CROIX CI). WI RECEIVED FOR RECdRD i 08 -29 -2001 10:10 AN S COPY FEE: 3.00 0 REC FEE: 22.00 _ $ p wX m > g� Z M S BEARI ARE REFERENCED TO THE n a 2 m i J Z m i � � � � SOUTH LINE OF THE SE1 /4 OF SECTION 9. II 1 8 ASSUMED TO BEAR S89°5U33W. r 1 1 g p N O I 1$ y Mlr`_JPdQSi__CD_[GQG�JD� + 1 1 I o o � r ----- -- ----------------- H[g [@ UD& u`�i [ER -L O 33' 33' -- - -- �. I� N00 524.27' I 33.00 12T APPROVED g O O ST. CROIX COUNTY Z rmmitll;C i Q planning 7_onina and Psrks Q f -n 0 AUG 2 9 2001 �� = I� Z O • v If not recorded within 30 days of CC approval date approval shall be m ' m null and void �a In im m cn m = i oc L �C y MA i ;lam A i (D � c.2 1 00 I n M� LI 'q O m '0 R co ' m c� _ i � - �lulI 8' ' O c.� l 491.2T C 0 3 33.00 417.00' 74.2T _ In SOO °13'7 2 "E 824.27' M I � m'o EAST LINE OF THE SW1 /4 OF THE SE1 /4 Q = I M[>`]G° OAVVCED L aliop@ OWH[ED C� V OO UDDIER0 Z m M ------------------------------------------------ - - - - -- - (01 i A Z C p • Z m M o THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 01-44 DATE: 7 -02-01 Volume 15 Page 4159 +1 2 4 3 4 P 3 0 5 743465 lat STATE BAR OF WISCONSIN FORM 1 - 1999 WARRANTY DEED KATHLEEN If. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Chad M. Hatch RECEIVED FOR RECORD Grantor, and Carol A. Belisle, 10/13/2003 11:30AM Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee WARRANTY DEED the following described real estate in St. Croix County, State of Wisconsin EXEMPT # (the "Property") (if more space is needed, please attach addendum): REC FEE: 11.00 PARCEL 1 TRANS FEE: 345.00 Part of SW 1/4 of SE 1/4 of Section 9, Township 31 North, Range 18 COPY FEE: CC FEE: West, St. Croix County, Wisconsin described as follows: Lot 1 of PAGES: 1 Certified Survey Map filed June 26, 2002 in Vol. 16, page 4325, Doc. No. PARCEL 2 Part of SW 1/4 of SE 1/4 of Section 9, Township 31 North RanLye 18 Recording Area West, St. Croix County, Wisconsin described as follow : Lot 1 Certified Survey Map filed August 29, 2001 in Vol. 15, page 4159, Doc and Return Address No. 655107. 038-1040-50-200, Parcel Identification Number (PIN) This is homestead property (is) (is not) Exceptions to warranties: Easements, rqslrictions and rights -of -way of record, if any. Dated this day of 2003 o�f * * Chad M. Hatch * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) e� STATE OF Wisconsin ) ) ss. �• ����' St. Croix County ) authenticated this ',\jSCai P� © r\s N Q ti � . ,SG (� P rtally carne before me thi day of e Q l . 200 the above named SK Chad M. Hatch _....- ......_..... .... .. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) i rument and jcknd ed the same. THIS INSTRUMENT WAS DRAFTED BY Kristin Ogland, Attorney at Law .......... -..... [" .. .. ... y ocust Streetson, WI 54016 Notar Public, 304 L , Hudson, to of ... - - -- . .. _ 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. Information Professionals Co.. Fond du Lac. w1 STATE BAR OF WISCONSIN 800- 655 -2021 WARRANTY DEED FORDS No. I • 1999 4MER7IFIE10 SURVEY MAP LOCATED IN PART OF THE SW1 /4 OF THE SE1 /4 OF SECTION 9. T31 N, R1 8W, TOWN OF STAR PRAIRIE, ST. CRODC COUNTY, WISCONSIN. OWNER NORMAN MANTE 1041 220TH AVENUE STAR PRAIRIE, WI 54026 SURVEYOR EDWIN C FLANUM NORTHLAND SURVEYING, INC. 856 A H WY "65' ROBERTS, WI 54023 SURVEYOR'S CERTIFICATE I, Edwin C. Flanum, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Norman Mante, I have surveyed, mapped and described the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows: A parcel of land located in part of the SW of the SE1 /4 of Section 9, T31 N, R1 8W, Town of Star Prairie, St. Croix County, Wisconsin; described as follows: Commencing at the SE Corner of Section 9; thence S89 °55'33 "W, along the south line of the SE1 /4 of said Section, 1312.50 feet to the point of beginning; thence continuing S89 °55'33 "W, along said south line, 415.43 feet; thence N00 °13'12"W 524.27 feet; thence N89 °55'33 "E 415.43 feet to the east line of the SW1 /4 of the SE1 /4 of said Section; thence S00 °1 3'12 "E, along said east line, 524.27 feet to the point of beginning. Described parcel contains 5.00 acres (217,800 Sq. Ft.). Parcel is subject to Town Road (220th Avenue) right -of -way and all other easements, restrictions and covenants of record. 1, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes and Land Subdivision Ordinance of the County of St. Croix in surveying and mapping same. � 0 . 5'r, * �DIMN C. 84MV +r ,iUl l fffftttt�� Each parcel shown on this map (plat) is subject to State and County laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.) Before purchasing or developing any parcel contact the St. Croix County Zoning Office for advice. SHEET 2 OF 2 SHEETS Volume 15 Page 4159 1 r—• . 6S 5 1 4 7 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. WI RECEIVED FOR RECdRD i 08 -29 -2001 10:10 AM COPY FEE: 3.00 g • O RECORDING FEE: 12.00 r GAGES: 2 m $ - M wN Z� m Q ' M M rn 4� z N zz ° Z Z 2 ML m r � n S --4 _ BEARINGS ARE REFERENCED TO THE SOUTH UNE OF THE SE1 /4 OF SECTION 9, II I I ASSUMED TO BEAR S89 °5633'W. i m x 0 7HI95 C3v( P6J144[ER i 0 33' 33' NOO°13'12'W 524.27' G� 33.00' 491.2T i O Q -'N APPROVED Z m I N sr. cFtolx COUNTY ' Planning Zoning and Pans Cr 'Il9e `N AUG 2 9 2001 ;� O I 1 N 1 _ 1 if not recorded within 30 days of Z 8 approval date approval shall ba 1 1 m null and void o p � m� MCI rn 1 �l ®0 r) A N °v 0 0 O r ul C) m cta� L n 0 33.00' 417.00' 74.27 _ In 15 O I i 800 2'E 524.27' N m '0 EAST LINE OF THE SW1 /4 OF THE SE = I ro 00 N�fn]PdG1144C D L Z%HD� (9) WGD My 05�Cz YM� Z M -------------------------------------------------- - - - - -- N .i z 0 CO Co N �o §9Z Sac's 0 - Im M 441 M C I fn Z THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 01-44 DATE: 7 -02-01 Volume 15 Page 4159