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040-1008-70-000
► County: Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM St. Croix FSafety and Building Division INSPECTION REPORT Sanitary Permit No: 515222 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: Johnson, Oscar & Mar of Troy, Town of 040- 1008 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: '6 M / c5T 03.28.19.38D TANK INFORMATION ELEVATION DATA j, 30 /43.34 146 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 5 3.SSia3.8 /ate Septic ' 3 / Benchmark Id, 1W Dosing , , BM ,3,05 3, j /Q� Aoc iea ' 4 1 Bldg. Sewer Holding 4AA- �, + St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet T IZ. 93 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD 19t filet-• 1.69 93. Septic 7 ZS /$ Dt Bottom !Z 7 $ $� Dosing �Jd Z 7 Z , 7 / ._�, Header /Man. 4 9 9 - Z Aeration Dist. Pipe A/. 16 5r9 , z Holding Bot. System j $3 98' -4 PUMP /SIPHON INFORMATION Final Grade - Manufacturer Zoe.t f Dema St over 3 � GPM 6 gg� 57 Model Number / 3", y TDH Life (� FrictionLogs 6 System ad� TDH � �Ft Forcemaiin • I Len g biia. Dist. to Well lJ39 SOIL ABSORPTION SYSTEM BED/TRENCH Width No. Of en PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS %-- --- '-� SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of System: CHAMBER OR A-, -7Z �� �� UNIT Model Number: M OIL CQ DISTRIBUTION SYSTEM Header /Manifoy I Distribution / Z x Hole Siz 1 x Hole Spacing V t to Air Intake Pipe(s) - L Length � t/ Dia / Length / � -Z Dia � J Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of 4 TSeeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges \ Topsoil ` es Z No es t No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1; 7 / / » 1 spection #2: Location: 594 White Oak ve Hudson, WI 54016 (NW 1/4 NW 114 3 T28N R19W) NA Lot / O""'" �'� Parcel No: 03.28.19.38D 1.) Alt BM Description 2.) Bldg sewer length = "'-�+ - amount of cover = ` 7 8 Cal Plan revision Required? ❑ Yes XNo �j r7 Use other side for additional information. 11 " _ SBD - 6710 (R.3/97) Date Insepct Signat 0 1 Cert. No. IFA+ COMmerCe.Wi.gOv Safety and Buildings Division County E 201 W. Washington Ave., P.O. Box 7162 St. Croix i sco n s i n Madison, WI 53707 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 5 5 Z Z Z t Sanitary Permit Application to Transaction Number fa In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate govemmen 746 Z 70 unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are project Address (if different th res ) mailing add submitted to the Department of Commerce. Personal information you provide may be used for secondary Same 55�j Nwt f� oses in accordance with the Privacy Law, s. 15.04 1 m , Stats. J �7 I. Application Information Mease Print All Information r, Property Owner's Name Parcel # 040 - 1008 -70 -000 Oscar & Mar of Johnson Property Owner's Mailing Address Property Location 594 White Oak Dr. 7 , ST. CROIX COUNTY Govt. Lot City, State Zip Code NW Zip Section 3 Hudson, WI 54016 (715) 222 - 0245 (circle one) II. Type of Building (check all that apply) Lot # T28N; R19 W ®1 or 2 Family Dwelling — Number of Bedroo s 3 Subdivision Name Na Na Block # ❑ Public /Commercial — Describe Use Na City of ❑ State Owned — Describe Use r CSM Number ❑ Village of (O t X 75 4 JJ Na ® Town of Troy III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ® Replacement ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) System B. ❑ Permit ❑ Permit Revision ❑ Change of ❑ Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Expiration IV. Type of POWTS System/Component/Device: Check all that appl ❑ Non Pressurized In Ground El Pressurized Iri Ground ❑ At - Grade ® Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) w � V� V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Applic ion Rate(gpdsf) Dispersal Area Requir (sf) Dispersal Area Propose sf) System Elevation 450 1.00 450.00 sq. ft. 5 450.00 sq. ft. 5'f 98.69'@ 6" above 0 ` j 1 Z 98.19' contour VI. Tank Info Capacity in Total # of anufactur Gallons Gallons Units J! • M L ��', ( z Q U U v a a� P New Tanks Existing Tanks 5 1 S c a ) O R H m .¢a ¢ Septic or Holding Tank 1000 1000 2000 1 Wieser Co Crete ❑ ❑ Dosing Chamber C00 0 600 1 Wieser Concrete ❑ ❑ VII. Responsibility Statement- I, the and signed, a ume respoesibility 1 allation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum is Si MP/MPW Number Business Phone Number James K. Thompson 30021 (715) 248 -7767 Plumber's Address (Street, City, State, Zip Code 340 Paulson Lake Lane, Osceola, WI 54020 VII Coun /De artment Use Onl Approved _ trdppres Permit Fee Da Issued Issuin ent Sign e Owne ea finial $ Zy �� IX. Conditions f A rov UReasons for Disapproval n SYST 8 N&. 3, Lo,.d[ l-i ons i •� s G �L C 1. Septic tank, effluent filter and dispersal cell must all be services / maintained �✓ ft as per management plan provided by plumber. 2. All setback requirements must be maintained AIR per Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 1 /Jo /e Sled �o�'l Q�a�cca&on/Ui � p EXiS �i nq c� -f Q. �C ll. �G d �� 11dB w IUAVVI S 9 y �Jh, Cb- O jv ar ny S�. 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Come. 98 l - P u )tesei C� µ/ / �� C / � • �� pal; '' �� w F001660 niQ Cam bna 3� i� ' i 3 Sin 0.x24 ff'F /ut�f /Ecr �iC rti�i'if walls y in.5bo /.� d a�/o am p d/S�i 4 r�2. r i i 4� Ski %s/�S/�� °K� / bb if r Sysbcm Girc6k \ �e4 oFSys� a d � 5,� iS V e�y lt.eaci, %y eJcode.d 4Ji � da-nse E /Gdct'� Orin c�.�dus�r brks� �i/dzsE of eKi S�ii StoEI�n�'ou /t f 93 SZ' (G rd. = 97.9,1) �frll m /n %ma..� ScZ`�izc� EX�3finq � ¢6. ° 9.S� i^e l�r been F�iapo S y s Ecri ��ou -r: 9� l9 , " � v�c.� °f' �eecdc cl. rnF; /t/tttii/C5u.r7�4ClG -t �d�9rCtdc•{ �i��f{tCC� .�.�9' Lai. ia.�iAvt -sf 9. /9 ' l�./uo4 /0 II� Safety and Buildings 10541 N RANCH ROAD commerce.Wl.gov HAYWARD WI 54843 Contact Through Relay sco n s i n www.commerce.wi.gov /sb/ www.wisconsin.gov I tilep of Commerce Jim Doyle, Governor Ri chard J. Leinenkugel, Se January 21, 2010 CUST ID No. 30021 ATTN. POWTS Inspector JAMES K THOMPSON ZONING OFFICE A.C.E. SOIL AND SITE EVALUATIONS ST CROIX COUNTY SPIA 340 PAULSON LAKE IN 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/21/2012 Identification Numbers Transaction ID No. 1760270 SITE• Site ID No. 754232 Oscar & Margot Johnson Please refer to both identification numbers, 594 White Oak Dr above, in all correspondence with the agency. Town of Hudson St Croix County NW1 /4, NWl /4, S3, T29N, R19W FOR: Description: Mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1254091 Maintenance required; Replacement system; 450 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; System(s): Ezflow Mound Component Manual, (N.6/03), SSWMP Pub. 9.6; Effluent Filter P Q 4 T The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Conditio and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructeA ` and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. p aPwl w I The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code OF S*Ev requirements. OiV No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06 EE COHAE; stats. S The following conditions shall be met during construction or installation and prior to occupancy or use: Item(s) • 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. • The bottom of the distribution cell shall be level per the Mound Component Manual. The "D" dimension shall be a minimum of 6 ". The maximum finished slope of the mound surface shall not have a slope ratio steeper than 3:1 per the Mound Component Manual • The gravelless system components must be installed in accordance with the manufacturer's printed instructions, the plan approval, and COMM 83 system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. 1 JAMES K THOMPSON Page 2 1/21/2010 Reminder • 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 per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • The existing septic/ holding tank(s) must be inspected for structural soundness, size and baffles and must be brought into conformance with the requirements of COMM 83 Wis. Adm. Code. If it does not conform a state q approved tank must be installed. • The existing POWTS must be properly abandoned per s. Comm 83.33 Wis. Adm. Code. 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 may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincer 7 Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 I Patricia orf POWTS Plan Reviewe , egrated Services WSMART code: 7633 (715) 634 -7810, Fax: (715) 634-5150, M -th 8:00 - 4:45 pat.shandorf@wisconsin.gov r. cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Monday, 7:00 A.M. To 3:30 P.M. Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www. commerce. wi. gov/ SB/ SB- BuildinpContractorProviam.html EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Oscar & Marg Johnson 3 bedroom residnetial mound Owner's Name: Oscar & Margot Johnson Owner's Address: 594 Whit Oak Drive Hudson, WI 54016 Site Address: Same Legal Description: NW1 /4NW1/4, Sec. 3, T.28N., R.19W. Township: Troy County: St. Croix I Subdivision Name: Na Lot Number: Na Block Number: Na Parcel I.D. Number: 040 - 1008 -70 -000 S• na Plan Transaction No.: E ID Page 1 Index and title CO Page 2 Data entry Page 3 EZFIow mound drawings Page 4 Lateral and dose tank �PONpE Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Z� Page 8 Pump curve and specifications i' Page 9 Attached Soil Evaluaiton Report Page 10 Site Plan Designer: ames K Thompson License Number: 30021 Date: 01/14/10 Phone Number: (715) 248 -7767 Signature: 3-- Designed Pursuant to the EZFIow Mound Component Manual (N. 06/03), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) EZFIow Mound Version 1.2 (R. 02/04) Pagel of 10 l EZFIow 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 3_0_0.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150 %) fecal coliform of <= 36 inches. 450.00 Design Flow (gpd) 18.00 Site Slope ( %) _ 98.19 Installation Contour Line Elevation (ft) 120.00 Contour Length Available (ft) _30.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Dist ribution Cell Information - 6.00 Cell Width (ft) 3 4, 6, 7, 9, or 10 Only 75.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y P ressure Disribution Information network? Enter Y or N (c or e) el Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft1 2 Number of Laterals of the highest point. i 0. Orifice Diameter (in) (e.g. 0.25) 2.001 Estimated Orifice Spacing (ft) = 6.08 ft /orifice 2.00 1 Forcemain Diameter (in) 46. _ 00 1 Forcemain Length (ft) Does the forcemain drain back? , Y 90.00 Inside Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 8.19 Vertical Lift (ft) 67.38 5x Void Volume (gal) .8 Friction Loss (ft) 73.91 Minimum Dose Volume (gal) 75 Total Dynamic Head (ft) 30.48 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 - - -- -� 2.00 x 3.00 x Gallo /In ch Calculator (optional) Treatment Tank Information 602.82 Total Tank Capacity (gal) 1000 .001 Septic Tank Capacity (gal) 51.00 Total Working Liquid Depth (in) Wieser Concrete I Manufacturer 11.82 al /in enter result in cell 649 Dose Tank Information Effluent Filt In formation __ . Dose Tank Capacity (gal) Pol Ly ok I f Filter Manufacturer 11.82 Dose Tank Volume (gal /in) PL -525 }Filter Model Number Wie ser Concrete Manufacturer Project: Oscar & Margot Johnson 3- bedroom residnetial mound Page 2 of 10 Mound Plan View I ................... ............................... T 1/10 B J Observation Pipe:::' A 5 W 1. .... .................... ...................... ................ B . . . . . . . . . . . . . . . . . . . . . . . I . .': •:'• . . . . ':': . . . . . ..... .. . ......... ...•.:. ..:••• 11 L Mound Component Dimensions A A6.00 ft E 18.96 in H 1.00ft K gift ft B ft F 12.00 in z 20.09 ft L ft D in G 0.50 ft J 3.90 ft W 450.00 (ft Dispersal Cell Area 1956.52 (ft Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.69 (ft) —► H G I F " ' Dispersal Ceil 99.19 (ft) Lateral 98.69 (ft)—► — 6" Invert Elevation Dispersal Cell [ :.:.:. Elevation . . . . :: D .l. - `� i.• 1 i I %. J A) .. 98.19 (ft) Contour Elevation 18.0 % Site Slope Typical Dispersal Cell Shading Key d a See Page 5 Q _ Topsoil Cap o c Geotextile Fabric Gover Q "" " " r Subsoil Cap U, 0 2.0 ft + ASTM C33 Sand n 1 - i5 . , r.... ,;;.. . .ti; ti..:•.. .•. . ti.. a Z 'r : ...ti.ti ; ti::•: : ti F Tilled Layer >= w ft © EZFIow Media o See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Oscar & Margot Johnson 3- bedroom residnetial mound Page 3 of 10 End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below P • = Turn -up wrba I I va Ive or oles pout plug I Z st orifice located at Z 1<-X---+l Orifices point up except every 51h S T one points down for drainage. Force man connooWn wa tee or cross to mandold at any point. Laterals & Force main of PVC Sch +0 AN Laterals identical v4h onf ices equally spaced. (per COMM Table 84.30.5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.04 ft Lateral Length (P) 74.22 ft Orifices per Lateral 37 Lateral End (Z) 0.78 ft Orifice Density 6.08 ft /orifice Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Lateral Flow Rate 15.24 gpm Manifold Diameter 1.50 in System Flow Rate 30.48 gpm Forcemain Velocity 3.11 ft/sec Dose Tank Information Locking cover with warning label and locking device, and sealed watertight Comm isconnect Electrical as per NEC 300 and —� m 16.28 WAC 4 in. min. �_ Tank component is properly vented E F Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Cap acity 602.82 Gallons Volume 11.82 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 30.75 363.43 B 2.00 23.64 C P ump off elevation (ft) C 6.25 73.91 —t 91.00 D 12.00 141.84 D Total 51.00 602.82 Dose se tank elevation (ft) Min. 3" Bedding under tank. 90.00 Alarm Manufacturer SJ Rhombus Alarm Model Number Tank Alert SJE1011421 Pump Manufacturer Zo r Pump Model Number BN V1 Pump Must Deliver 30.48 gpm at 1579 ft TDH Project: Oscar & Margot Johnson 3- bedroom residnetial mound Page 4 of 10 EZFIow Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross - section Arrangements Drag appropriate drawing to space below. G 6 ft Wide Component Legend ® 6" EZFIow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203HP, 5 or 10 Ft Lengths O 4" Distribution Pipe With Pressure Lateral Inside Turnup Enclosure — — — — Lateral Distribution Cell Plan View Layout - Typical 6.00 Cell Width - A (ft) 75.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. Force Main ------------------ - - - - -- 6ftWide ,, IF --- - - - - - - - - - - - - - - - - - - - - - End Manifold Project: Oscar & Margot Johnson 3- bedroom residnetial mound Page 5 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name James K. Thompson Phone, (715) 248 -7767 POWTS Regulator's Name St. Croix County Zoning Dept Phone (715) 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 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 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 EZFIow mound component manual. 2. Dispersal cell media conforms to EZFIow products approved for use with the EZFIow Mound Component Manual approved 6/3/03. EZFIow media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ............... Grade ` 6 -8" Diameter Lawn ....... Cleanout ....... ...... 9 Plu or Ball Valve Sprinkler Valve Box Lateral Ends at Last Orifice Where ... ...... ............ Variable Length Cleanout Begins . . .. Long Sweep 90 or Two 45 Degree Bends Same EZFIow Media Diameter as Lateral 2.06 Feet Distribution Lateral -♦ f' Lateral Cleanout —� Project: Oscar & Margot Johnson 3- bedroom residnetial mound Page 6 of 10 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 (EZFIow Mound Component manual 6/3/03 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 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 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 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 sludge and scum in the tank exceeds 1/3 the liquid volume of the 9 q tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Oscar & Margot Johnson 3- bedroom residnetial mound Page 7 of 10 :6 N PUMP PERFORMANCE CURVE MODEL 151/152/153 TOTAL DYNAMIC HEAD/FLOW so PER MINUTE 14 45 EFFLUENT AND DEWATERING 2 MODEL 151 152 153 35 152 Feel Maters Gal. liters Gal. Liters Gal. Liters i t0 _u 30 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 0 6 25 151 15 4.8 38 141 53 201 61 231 20 8.1 29 110 44 167 52 197 6 20 25 7.8 18 61 34 129 42 159 S 30 9.1 23 87 33 125 7- 4 35 10.7 - - 22 85 t0 40 12.2 - - 11 42 Shut -o1T Heady 30 ft. (1 1m) 3811. (11.Bm) 44 Il. (13.4m) 2 5 0145086 0 10 20 40 50 60 70 80 >b 1 CALLANs LITERS 0 w Bp tO 160 200 2 Z80 3 PLOW PER MINUTE 01450M Model 151 Models 1521153 CONSULT FACTORY FOR SPECIAL APPLICATIONS 67/32 6114 3719 457a 327132 1 Se Timed dosing panels available. Electrical altemators, for duplex systems, are available and 3 iB 327,2 supplied with an alerts. i 4 Variable level control switches are available for controlling ® 3 718 3 27,2 single phase systems. i Double piggyback variable level float switches are available for variable level long and short cycle controls. Sealed Owik-Box available for outdoor installations. See FM 1420. Over 130'F. (54 1 C.) special quotation required. l 151/152/153 Series „ ,s 1218 15111521153 YODELS Control Selection I YodTVolts -Vh Mods Amps Simplex Duplex 5,1e 43.6 IL I N151 115 1 Non 6.0 1 2 or 3 — �_ BN151 115 1 Aulo 8.0 Inducted 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE751 230 1 Auto 3.2 Inducted 2 or 3 SK2444 SK2064 N152 1 115 1 Non 8.5 1 2 or 3 BN 1521 115 1 Auto 8.5 Ind di 2 or 3 E152 1 230 1 Non 4.3 1 2 or 3 BE752 230 1 Auto 4.3 Included 2 or 3 N153 j 115 1 Non 10.5 1 2 or 3 BN1531 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 of 3 SELECTION GUIDE I - BE1531 30 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float a CAUTIOND switch. Refer to FM0477. .c installation of controls, protection devices and wiring should be done by a qualified 2. See FM0712 for correct model of Electrical Alternator E - Pak. censed electrician. All electrical and safety codes should be followed including the most 'ecen! National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 3. Variable level control s4tch 10 used as a Control activator, specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. --------------- - -- MAIL 70: P o. eox 16347 — - - -- - -- - -- - -- L• Lousv111a, Ky 40258 0347 A4anu/acturers or. ff SHIPTO: 3849 Cane R- R oad R ® , Loufav111a, Ky 40211 -1981 4 ?Y P UMP6 S NCE �9,�,9 httpYAvww.zoollercom PUMP LO. (502)1782731. FAX (502) 7743824 © Copyright 2004 Zoeller Co. All rights reserved. ,s 8 471^ 2188 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8%x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and — percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 040 - 1008 -70 -000 Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Oscar & Margot Johnson Govt. Lot NW 1/4 NW 1/4 S 3 T 28 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 594 White Oak Dr. City State Zip Code Phone Number J City J Village _y1 Town Nearest Road Hudson WI 1 54016 (715) 222 -0245 Troy White Oak Dr. I New Construction Use: J Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ✓J Replacement _f Public or commercial - Describe: Parent material Glacial Drift Flood plain elevation, if applicable Na General comments and recommendations: Site suitale for mound with 6" of ASTM -C 33 sand placed on 98.19' contour. System elevation to be 98.69'. F71 Boring # — I Boring I/ Pit Ground Surface elev. 94.54 ft. Depth to limiting factor 30 " in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Eff#2 1 0 -8 10yr3/2 none sil 2fgr mvfr cs 2fmc 0.6 0.8 2 8 -30 10yr4/4 none sil 1fsbk mvfr cw 2fmc 0.4 0.6 3 30 -52 10yr3/4 f2d 7.5yr5/8 sil 2msbk mfr gw 2fm,1c 0.6 0.8 4 52 -72 10yr4/3 c2d 7.5yr5/8 sicl 2fsbk mfr gi 1 f 0.4 0.6 5 72 121 10yr3/6 f2d 7.5yr5/8 Ivfs cemented mfi - 1fm 0.0 0.0 Limestone fragments and residuim observed at bottom of soil pit - indicating limestone bedrock at greater depths. Boring # I Boring Pit Ground Surface elev. 95.14 ft. 34" in. Soil e Depth to limiting factor 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 -5 10yr3/2 none sil 2fgr mvfr cs 2fmc 2 5 -21 10yr4/4 none sl lfsbk mvfr cw 2fm,1c 0.4 0.7 3 21 -34 10yr4/6 none sil 2fsbk mfr gw 1fmc 0.6 0.8 4 34 -43 10yr4/6 c2d 7.5yr5/8 sicl 2msbk dsh gi 1fm 0.4 0.6 5 43 -69 7.5yr4/4 f2d 7.5yr5/8 IvfS cemented mfi lvf,f 0.0 0.0 Effluent #1 = BOD? 30 < 220 mg /L d TSS > 0 < 150 mg /L ' Effluent #2 = BOD < mg /L and TSS < 30 mg /L CST Name (Please Print) Si nature: CST Number Ja mes K. Thompson �--- -- 3602 Address A.C.E. Soil & Site Evaluation Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 10/24/2009 715- 248 -7767 Property Owner Oscar & Margot Johnson Parcel ID # 040 - 1008 -70 -000 Page 2 of 3 73 # I Boring e Pit Ground Surface elev. 99.03 ft. Depth to limiting factor 36 " in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GEDIT in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -5 10yr3/2 none sil 2fgr mvfr cs 2fmc 0.6 0.8 2 5 -25 10yr4/4 none sl 1fsbk mvfr Cw 2fmc 0.4 0.7 3 25 -36 10yr4/6 none sil 2fsbk mfr gw 2fm,1 c 0.6 0.8 4 36 -41 10yr4/6 c2d 7.5yr5/8 sicl 2msbk dsh gi 1fm 0.4 0.6 5 41 -66 7.5yr4/4 f2d 7.5yr5/8 lvfS cemented mfi - 1 V 0.0 0.0 ,❑ Boring # Boring _f Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # J 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 ' 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) A.C.E. Soil & Site�EvalVatons ■ �o,'l eta /ua�,'on/pi © d ♦ EXis�� c�ac✓ elccr �, 6ca/e: z 0 IPc�' # �8a 4 *J Ll wa a`' 0 41kdw,?, 64)4 63 ,h ,oc% & o�/D- /�B 7o -cro wad e�.s,c,p. /b 6 .2- 2- acre.5. S G l ofwG.�gt C`Xi36' OryWe✓ /S. T be we // af�.+donc,das perc�de. — O EXJ3 fixx,, 3 bt(4rc�^n-> ° Qes,ole�ce L I .' p1 � i� �'� 3y5fJ*+ LLre4 /'t balhiir wa! /s I • '� 'car B3 / gD �' 7 oFSys�in area 5, i5 V ery kta. , a.)coded W t7. dAWSe ��Cl�Q.�J4Y/cS: CLndtrS{vr�. br'k5�. eXla6 Seof�G �n�GU Iu ' 9 S2T (6rd. :97.9.2' a),411 mi � c - �X�3�inq c drQ d! a6C,o/ro�scd�oumpC/�..rbv 9760 re 4 /Jroposcd sys&""l �inz`owr: YyZc of azeccdca! r.,F;' /tz�,�/C�ur{aeca.� fo /9radcl.��rFace� 49.�9. I 1.3 ;3 N 2188 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must 1/ A I ounty St. Croix include, but not limited to: vertical and horizontal reference point (BM), directio&nd percent slope, scale or dimensions, north arrow, and location and distance toa_aresf road. Parcel I.D. 040- 1008 -70 -000 Please print all information. Rev' ed By Dat Personal information you provide may be us for seco ndary purposes (Privacy Law, s. 15.04 (1) (m)). / Z Property Owner roperty Location Oscar & Margot Johnson ovt. Lot N W 1/4 NW 1 S 3 T 28 N R 19 W Property Owner's Mailing Address of # Block # Subd. Name or CSM# 8 ?010 594 White Oak Dr. AN 2 City State ip CoA P oarx c. D fy City J Village 16 Town Nearest Road Hudson I WI NG(atopWqgpjfE Troy I White Oak Dr. J New Construction Use: W1 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD 1/ Replacement J Public or commercial - Describe: Parent material Glacial Drift Flood plain elevation, if applicable Na General comments and recommendations: Site suitale for mound with 6" of ASTM -C 33 sand placed on 98.19' contour. System elevation to be 98.69'. Boring # J Boring V1 Pit Ground Surface elev. 94.54 ft. Depth to limiting factor 30" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD& in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/2 none sil 2fgr mvfr cs 2fmc 0.6 0.8 2 8 -30 10yr414 none sit 1fsbk mvfr cw 2fmc 0.4 0.6 3 30 -52 10yr3/4 f2d 7.5yr5/8 sit 2msbk mfr gw 2fm,1c 0.6 0.8 4 52 -72 10yr4/3 c2d 7.5yr5/8 sicl 2fsbk mfr gi 1fm 0.4 0.6 5 72 -121 10yr3/6 f2d 7.5yr5/8 Ivfs cemented mfi - 1fm 0.0 0.0 Limestone fragments and residuim observed at bottom of soil pit - indicating limestone bedrock at greater depths. Boring # I Boring cif Pit Ground Surface elev. 95.14 ft. Depth to limiting factor 34 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -5 10yr3/2 none sil 2fgr mvfr cs 2fmc 0.6 0.8 2 5 -21 10yr4/4 none sl 1 fsbk mvfr cw 2fm,1 c 0.4 0.7 3 21 -34 10yr4/6 none sil 2fsbk mfr gw lfmc 0.6 0.8 4 34-43 10yr4/6 c2d 7.5yr5/8 sicl 2msbk dsh gi 1fm 0.4 0.6 5 43 -69 7.5yr4/4 f2d 7.5yr5/8 Ivfs cemented mfi - 1vf,f 0.0 0.0 * Effluent #1 = BOD? 30 < 220 mg /L d TSS > 0 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Si nature: CST Number James K. Thompson 5— 3602 Address A.C.E. Soil & Site Evaluation Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 10/24/2009 715 - 248 -7767 Property Owner Oscar & Margot Johnson Parcel ID # 040- 1008 -70 -000 / Page 2 of 3 F ]Boring # Boring ./ ►� Pit Ground Surface elev. 99.03 / ft. Depth to limiting factor 36" 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 1 0 -5 10yr3/2 none sil 2fgr mvfr cs 2fmc 0.6 1 0.8 2 5 -25 10yr4/4 none sl 1 fsbk mvfr cw 2fmc 0.4 0.7 3 25 -36 10yr4/6 none sil 2fsbk mfr gw 2fm,1 c 0.6 0.8 4 36 -41 10yr4/6 c2d 7.5yr5/8 sicl 2msbk dsh gi 1fm 0.4 0.6 5 41 -66 7.5yr4/4 f2d 7.5yr5/8 Ivfs cemented mfi - 1vf,f 0.0 0.0 F-1 Boring # - Boring J 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # Boring J 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 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD -S . 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) A.C.E. Soil & SUP. dons r •• �o /e S�2d 1 5 o,'1 e daALa&onroi E 9radC e le /l, 177 - 7 Z I O �z/aa } / 0 f/ccd.5on, 4J/. 530/6 � h ,Q. 1941 T Troy, / oc% * o0o -1,09 70-&'c wel eas,y,q . 6,4 - T 5,22 aere6. �4SSu.nec1 eltY� = /�ca' E"y�sfi1ag /, oG+o'o -P t "Xi3E-i'4 ScpF'��w+ E,Yisf�in+q Dry evalS, T be r✓e // alxndonc�/cts Cade 0 ® E,Yi3 b x� 3 bL(4robm ° Qes, olr�ue 1- iln 93 3y5�J+n a.re4 rc M�i� !ls • ' ' Cdr � b r i oFSys area 7 , 5, is V en} 4ta /," /y &,)Code.d 41 i t d.Lnse 93�S�T �Grd. 97.9,1 ��Sfinq c� ,ad(Q6,oi °f�aSc°/�oumpC'k.nbv} 97. 6 re u nw�� l�r.�e been / SysEwi you r 9 19 24,6 of azeeedt-0! ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFIC / ATION FORM OwnerG396k SCLZ / U sC�-j Mailing Address S?x ec r e 0 aX - 40_ _ C4D/. GV4 Property Address (Verification required from Planning & Zoning Department for new construction.) City /State ,/ 01 t.-) /. Parcel Identification Number OSO - 10� 2 8 - 7 "cb LEGAL DESCRIPTION Property Location & 1 /a , _.� 1 /a , Sec. 3 , T Z16 N R /9 W, Town of 77 y Subdivision d& , Lot # A4_ Certified Survey Map # ,�- , Volume , Page # Warranty Deed # /6 7Z , Volume 1 , Page # Spec house no Lot lines identifiable yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above 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 Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number bedro X X�LIL OF APPLICANT(S) aTE MO►War . * of Mnat re presented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) DOCUMENT NO. WARRANTY DEED T•.rs arwcc n1 enrco for n_........ o.T. STATO BAR OF WISCONSIN FORM 21082 ST. CROIX Co., W1 4 Piet F. Aarden and Yvonnc M. Aarden, husband anti wife, Reed SEP 6 19 �• 11:45 A. t conveys and warrants to ...._.. Oscar S: Johnson, 111, aiid_:_ .. ejT.HVi�� _.._rgot Johnson, j . -• ..... ...... ' f;orolsosrat oe�as .. ....... ...... ......................... ... .................. ......... .... _ - ._.............. -.._. _ .......... .. ..... .. '• - - --' ...... ........ ... . . . .... ..-- ......... _. ............ - -. ... .. .. _ ..... ..... ........ ........._. - .... .. ... .- ...._ ... ........... ..._ ncr.,nn ro ......... .... .. ......... ............. _ - .. -...- ... ... .... -. .... .... ...... ............. .. .._ the following described real estate in St...C):oix ......................County, St,atc of 14 uuw:ni., Tax Parcel No: .... ........ ................ i A parcel of land located in the NW 1/4 of ttite NW 1/4 of Section 3, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin, described as follows: Commencing at the Northwest corner of said Section 3; thence SO ° 21'30 "W (true bearing) 418.48' alone the West line of said Section 3 to the point of beginning; thence SO "W 480.41'; thence East 598.32'; thence Northwesterly 211.07' along a 1112.92' radius curve concave Southwesterly, chord bearing N25*04'W 210.76'; thence N30 272..75'; thence Northwesterly 59.81' along a 268.00' radius curve concave Northeasterly, chord bearing N24 59.67'; thence West 343.20' to the point of beginning. Said parcel is also known as Parcel #22. �. ,571 This .. ............. .?5- - -.... homestcud property. Exception to .warranties: Easements, restrictions and rights -of -way of record, if any. Dated this 25 day of _.. August .- _ _.. I0: 94 . ........ P il?t- - - : —Aax d>?ir- J ... (SEAL.) • .... ............................... .. ... ............ ?��rc+nne -.M.. Aarden _ 'i AUTHENTICATION ACKNOWLEDGMENT t1 5TATM OF WISCONSIN Signature(s) ............................................................ 1 3 a.. :. ................................................. .......................... .. ... --- `S-t_e._CS'A.7.2c ................. County. authenticated this ...... .-day of .................... 19 ------ Personally crone before me this _.....2 _....day of -•-- Aug ., U §t .......... .......... ...... lg.-94 -. the above named _------------ - - - - -- ----- --- •--- ----- •-•-•-............. --- -- -- -- ........... PietF,._ Atirden • and.Yvonne..M,..Aerden, -. « husband and - wife ,•-- _--- -.- .-- I............ .. ........ i TITLE: !MEMBER STATE BAR OP WISCONSIN ,---...... '.. w ..!^'_ � ,.. .:......................... . (If not. ...................... ---- • t r 4 �� ; ..::i:::.. ...... ........... authorized by $ 706.06. Wis. State.) to me Itngy9 tojbe bhb person S.__: .... .. who executed the forego tri6pent'ied %cktno le a the same. r>a.S ..4-STRUMENT WAS DRAFTED BY = tr - Kxis.tina - ipgl and ..... - y J' er s_en -...--•-- c '� '- , .............. .............Itt0rI1Py.. cwt._ La w .... ......... ...................... ?.at:,r � SE: County. Wis. (Sienatures may be authenticated or acknowledged. Moth ibi ?' Co mission is pet anent. (If not. state espir n M are not. nccessnry.) date: � 14 _.. ., •Nwmw cr nrrona .tcntna m war ewrweler .. r.,..i.l :..� , > ..,�.I ..: r .: :.:a t. -t::.- �..... s F a ..,,.,,..... s'rA r.? frAR A - Nor " 2 — 1'!`'_' Si': W.crnnvr I r.Wt Blank r:o ...>r WARRANTY DEED &.,.r,�. rknr W..COnS.n F'Olt t>T J