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040-1306-12-000
Aiscongin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 514834 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: I City Village X Township Parcel Tax No: B & L Land Development Troy, Town of 040 - 1306 -12 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: - 7 / '61 08.28.19.1839 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 0 L? 7 Alt. BM � S .!f Aeration Bldg. Sewer / �� ✓ �� s 5 6 - 4 1 3u 1 1 3.1, 97 Holding St/Ht Inlet ')--(- 0 / 7 , Z— TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L W5L,- Z l BLDG. Vent to Air Intake ROAD Dt Inlet �/ I f, Septic > JCO r i � 7i Dt B qm �- + / 2-. d , Z Dosing J ®h y � Heade an. 7 A 7 d f Of VS Aeration Dist. Pipe, , (lg -- df 7 Holding Bot� Y S5 / Z _C/5 Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover C GPM Model Number 33 2a TDH Lift Friction Loss System He d T Ft D ' , 3 ►� A I l 3 2- kvN, Forcemain Len th Dia. Dist. t WeU SOIL ABSORPTION SYSTEM / - 7 BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS '� SETBACK SYSTEM TO P/L r BLDG WELL LAKE /STRE LEACHI Manuf, rer INFORMATION C R OR � Type System: / UNIT Model Number: 0.1 I - DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake 4 /� Pipe(s) ' / Length_ Dia _ 1 1-ength�� Dia Spacing (O 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 3 Bed/Trench Edges Topsoil Yes No Yes 0 No COMMENTS: (Include code discrepen es, persons present, etc.) Inspection #1: / 2 j / 6 Inspection #2: / / Location: 420 Jordyn Lane Hudson, WI 54016 (SE 1//44 NE 1/4 8 T28N R1 9W) Sunset View Lot 12 Parcel No: 08.28.19.1839 1.) Alt BM Description = * Z-, "- 7 �1 �'t "v G` S � 41, 2.) Bldg sewer length = Z.il - amount of cover = of l Plan revision Required? ❑Yes No Use other side for additional information. Date Insepctor's Signatu Cert. No. SBD -6710 (R.3/97) Tm rabbi Ec, core mercemi.gov Safety and in ivis County 201 W. Washing ox 7162 S IN s/' o n s i„ Madison, WI 53 7077162 .. Sanitary Permit Number (to be filled in by Co.) Departtmment o C '�`� y/ Sanitary Permit Application StateTransactiojaNumber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental N r/ unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you vide may be used for secondary u oses in accordance with the Privac Law, s. 15.04(1 )(m), Slats. YZO Ian I. A lication Information - Please Print A Infor mation (,� Property Owner's Name Parcel # Rd L u ( �� 640 - 13 6(o - /Z - 060 Property Owner's Mailing Address roperty Location / f Q -31 Q Q 33 ovt. Lot (� r! D I City, State Zip Code Phone LNG OFFICE e j y,, _ 1 A, Section m LG-'C W Sy g 1 O „? /� y 3 3- (circle one Ill. T e of Buildin check all that a I T o� N; R E W YP S ( PP Y) Lot # b�. � I or 2 Family Dwelling - Number of Bedrooms Subdivision Name ` , 6,Ao M. �° ck # � l l 1 V� et- V ❑ Public /Commercial - Describe Use rr__ ❑City of i V C � El State O - De / scriibee Use �j � f CSM Number El Village of Z RJ t>5��� �.C� 1 lilt / / ' - L -7 CNAw1 Town of T f III. Type of Permit: (Check only ne box on line A. Complete line B if applicable) A. New S stem Tj(J y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. �❑ Pe Reeneewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. T e of POWTS S stem /Cora onent/Device: Check all that a 1 t Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersaVTreatment Area Information: Design Flow (gpd Design Soil Application Rat gpdst) Dispersal Area Required ( Dispersal Area Propose sf) System Elevation ) ysc� .1 6 66 ( �O Vt. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units c D U y New Tanks Existing Tanks f Q� c A Z� 60 4 �� a U � � in w t7 w Septic or Naidivg-Faak I .,�/� l W1 er LofZC , t/ Dosing Chamber - WV /�w / �� - t% VII. Responsibility Statement- I, the undersign assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's gn lure W /MPRS Number Business Phone Number S6 k e, c I 0 Plumber's Address (Street, City, State, Zip Code) w t C:2 7 S , Ll ? ,4 VIl Coun /De artment Use Onl r Approved El Permit Fe Date I sued Issuing ent Signatur 00, ❑ O er tven Rea for Denial IX. ConditiswW easons for Disapproval \ /� e c �) 1. Septic tank, effluent filter and dispersal cell must ail bgservk:es / maintained '�g �,,�`�''� its per management plan provided by plumber. Iry w 2..A# requirements must be maintained Q' s Attach to complete plans for the system and submit tot a County only on paper not less than 8 ll2 x t I inches in size SBD -6398 (R. 01/07) Valid thtu 01/09 - I%C NSA s I I Page Of--7 t PRIVATE SEWAGE SYSTEM INDEX AND TITLE SHEET Fraperty Q.oIIe s): �- 1 D Q Q -t E I o , C Proj ect Name: r CA e _ �` _ CAS C ]'rajectI.ocafixn: �ar� �, L a r - Straoc Ad3rass 5 $ lit W s-ipt a oaaorum*iplay Cam�T . C op -1 1, Page 2: pi Page 4: PC, M P� �^ -ea "Acrlr - Lk / v Paige S: PCy ,,,1� 5 � ?� � �� C�" `'� M Ck" U A I 3 �M cQ Ufa A � w+ e n.`t` ►" C � � Par b: Paige 7: Name: �� h ►� �e- l lc e-- Signed: 31 � 3 te. CY�edeniat Number: la Address: /V 4:;�p 1 pbme Number: �Zi E) ' f / " = Ll 0 o ao Na W C -e - - - / tA PL � o p s � ~� `` W 1 l C Y &yv, 6e rs Alf tvi—'A << — a 1 f 5 ` G ro v t�I b 0 0 ` �3 0 Sys e l . `i3 O 2� 3- bf- K o w.-P- r�u2d bask 7 0 g0.r�a� 2 t� oc iaa QI� c�.m fi3,�r3 I L _ Page,_Of_?_ •SEPTIC TANK 91 PUMP CHAMBER CROSS SECTION SPECIFICATIONS .A 4" C �. VENT PIPE 12" MIN. ABOVE GRADE 8 WEATHERPROOF ?' /p FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVERS W/ PADLOCK E WARNING LABEL G �Caor y ,cEa.► �..�� A ._ 4 11 MIN. 18" IN. INLET I �� .WATER TIGHT SEALS GAS- ZAde� TIGHT i ► •� SEAL �. ► APPROVED ,c/i. r�.c A. JOINTS WITH ALM APPROVED PIPE APPROVED B ON 3' ONTO PIPE 36 C �. SOLID SOIL -0 SOLID I ' * RISER EXIT SOIL' PUMP OFF ELEV . FT • -'. OFF • D PERMITTED ONLY r - %p IF TANK- MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE .PAD SPECIFICATIONS SEPTIC./ DOSE* adl . �- r " TANK MANUFACTURER NUMBER DOSES PER DAY: . _ ����= TANK SIZES SEPTIC 10? GAL. DOSE VOLUME INCLUDING DOSE GAL. FLOWBACK. 1I ,.Fc .GAL. ALARM'_ MANUFACTURER: S R.►�c_J ' CAPACITIES: A INCHES = 3- 36 AL. :MODEL NUMBER: Tank �4t,�,r4 2 GAL. SWITCH TYpB: $ a INCHES 33. PP ....MANUF'AC?'U:RER: C = FINCHES . =. I Q, _ AL. MODEL -NUMBER: S w 33 • J • : SWITCH TYPE: ,7v`�r'cc.,ur D.= -7— INCHES _ll ?_6 GAL. REQUIRED DISCHARGE RATE , �C�, GPM PUMP E ALARM WIRING AS PER ILHR 169 23 WAC AV EAT; CAL'DIFFERENCE DETWEEN PUMP OFF AND DISTRIBUTION PIPE �9.©- FEET. + MINIMUM NETWORK-SUPPLY PRESSURE - FEET t •�© FEET FORCEMAIN'X d FT /100 FT. FRICTION FACTOR . 6 FEET TATAL DYNAMIC HEAD = FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH 53" ; WIDT DIAMETER _ LIQUID D 36 o4 7 HYDRO AATIC SD33 VS33 SW50 SW/SD/VS33 SW/SD/VS50 Typical Application* Sump/Effluent pump Typical Application* Sump /Effluent pump (opacities SW/SD/V533 - to 48 GPM (3.0 Vs) Capacities SW/SD/VS50 - to 44 GPM (2.8 I /s) Heads SW /SD/VS33 - to 26 ft. (7.9 m) Heads SW/SD/VS50 - to 24 ft. (7.3 m) Electrical SW /SD/VS33 - 115V,19,10.0 FLA, 60 Hz Electrical SW /SD/VS50 - 115V, le, 8.0 FLA, 60 Hz Motor SW /SD/VS33 - 1/3 HP shaded pole w /thermal Motor SW/SD/VS50 -1/2 HP shaded pole w /thermal overload overload 1550 RPM 1550 RPM Minimum Recommended SD/VS33 =12" (304.8 mm) Minimum Recommended SD/VS50 =12" (304.8 mm) Sump Diameter SW33 =18 "(457 mm) Sump Diameter SW50 =18" (457 mm) Automatic Operation SW = Wide -angle float switch Automatic Operation SW = Wide -angle float (manual available) SO = Diaphragm pressure switch (manual available) SO = Diaphragm pressure switches VS = Vertical float switch VS = Vertical float switch Materials of (onstructton Cast iron and engineered thermoplastic Maieciah of (orKiruction Cast iron and engineered thermoplastic Impeller Thermoplastic vortex Impeller Thermoplastic two vane semiopen Dischar a Sae 1 -1/2" NPT (38.1 mm) Discharge Size 1 -1/2" NPT(38.1 mm) Solids Handling 3/8" (12.8 mm) Solids Handling 3/4" (12.8 mm) Power Cord 10', SJTW,(20' o tional) Power ford 10', SJTW,(20' optional) Superior Features • (arbon /Ceramic mechanical seal Superior Features • (arbon/Ceraink mechanical seal • Oil -filled motor w /automatic reset • Oil -filled motor w /automatic reset thermal overload thermal overload • Uses single row ball boating construction • Uses single row ball bearing construction • Piggyback plug available for easy maintenance and • Piggyback plug available for easy replacement maintenance and replacement 9 30 40 SD3 33 3 30 SW/SD/VS50 6 VO as 20 ' 3 °10 �n � 10 Tg a s �u , 0 30 40 50 10 20 30 40 50 60 70 �NIIer 1 2 3 GPM �A9��Dack Sw'tChA,` POWTS OWNER'S MANUAL MANAGEMENT PLAN Page , of 7 FILE INFORMATION SYSTEM SPECIFI Owner 6 ., C p s. C I o 1A- Septic Tank Capacity CeDo g al ❑ NA Permit # Septic Tank Manufacturer Q r ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 100 d/bedroom 3 ❑ NA Effluent Filter Model ©a ❑ NA Number of Commercial Units -- NA Pump Tank Capacity 600 gal ❑ NA Estimated flow (average)* p gal/day Pump Tank Manufacturer �,v � ❑ NA Design flow (peak), estimated x 1.5 * y5 g al/day Pu Manufacturer �� �. ❑ NA Pump Model Sw ❑ NA Soil Application Rate g al/day ft Influent/Effluent Quality (NA❑) Monthly Average ** Pretreatment Unit NA ❑ ❑ Sand/Gravel Filter ❑Peat Filter Fats. Oil & Grease (FOG) < 30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) < 220 mg/L C3 Disinfection ❑ Othet: Total Suspended Solids (TSS) Manufacturer: Model: <_ 250 L Cell(s) Pretreated Effluent Quality ❑ Monthly Average * ** Dispersal (WIn- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BODs) c 30 mg/L ❑ At -grade ❑ Mound Total Suspended Solids (TSS) < 30 m ❑ Drip-line [I Other: Fecal Coliform (geometric mean) Wcfu/l00m1 ❑. Leaching Chamber Manufacturer Maximum Effluent Particle 1/8 inch diameter Model q Approval Stipulation *Wastewater Flow Verification on and calculations: Soil Application Rate • 2 gp d/ft 2 Area Req. 60 ft (Other than bedroom based) Absorption Area Credit per unit / 9. 1 ft Minimum Number of Chambers ❑ Aggregate Desi Flow/Loading Rate- ft min ** Values typical for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ** *Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual' Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis — ASAE Publications 5 -77 and "Design Manual — Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 ❑ SBD — 10570 —P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" 0� SBD —10567 P (R.6/99) "In Ground Absorption Component Manual" p SBD . - 10705 -P (N.01 /01) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD — 10628 —P (N.6/99) "Recirculating Sand Filter System Component Manual" ❑ SBD — 10656 —P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" E3 SBD - 10572 —P (R.6/99) "Mound Component Manual" ❑ SBD - 10691 =P (N.01101) "Mound Component Manual" Version 2.0 O SBD. - 10595—P (R.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657 -P (R.6/99) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 -P (R - 6/99) "Pressure Distribution Component Manual" ❑ SBD - 10706 —P (N.01 /01) "Pressure Distribution Component Manual" Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi- flo.Onsite Wastewater Treatment Units O MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE . Service Event Service Frequenc Inspe condition of tanks At least once eve ❑ months 3 M year(s) Maximum 3 s. Pump out contents of tanks When combined sludge and scum equals one -third 1/3 of tank volume Inspect dispersal cells At least once eve ❑ months fa year(s) ( Maximum 3 s. Clean effluent filter At least once every / months ❑ year (s Inspect pump um controls & alarm At least once every ❑ months ,M year(s) ❑ NA Flush laterals and pressure test At least once every ❑ months ❑ ea s NA Valves At least once every ❑ months ❑ ears ❑ NA Other: At least once every ❑ months ❑ ears ❑ NA START UP Page of ' For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. , OPERATION Thep roperty owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the perforiiiance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils; vegetable /fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette: butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ❑ Valves Valves shall be operated in the following manner: .O Alarms — = - Alarms should be' tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a l day reserve under regular gperahng conditions, however :water should be conserved until:any .dwellin roblems �xnth the s stein are cttirrected'to reveitt beck= of;sewa a e, or.surfacin p �' P uP g into th g INSPECTIONS inspection shall be made by.an individual carrying-one of the, licenses or, certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). �1 Septic Tanks Component ` Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, .identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any. backup or ,surfacing of effluent. Access openings used for service or assessment shall be sealed and/or locked completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accideult4l or una4thor zed entry.into the tank When the combination of sludge and scum in any tank exceeds'one -third (1/3) or more of the tank. volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filters) shall be inspected and cleaned `to remove any accumulated solids according to manufacturer's specifications. Provisions . are to be ni �dn to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to' the system operating. ❑ Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. -A visual. check.must be. made leaks, backups; surfacing, Missing orbrokeri security�devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly. aaken care of ;_ - Pa e 6 of 7 In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. ❑ Mound, At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may,indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant . repla ement system. A suitable replacement area has been evaluated and may be utilized farthe location of a replacement.soil absorption ..system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement Brea is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions.of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES AND /OR INSUFFICIENT QXY0EN. DO:NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DRt1,TI MAY RESULT. RESCUE,OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSffiLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS`MAINTAINER Name Vt _ 3t3Y6 Name Bohr puk OU b: Phone ?, 6 ?a -5'..D66 Phone SEPTAGE SER VICING OPERATOR Pum er LOCAL REGULATORY AUTHORITY Name Agency Zv n : :L Phone J -!5-- J Zabel A 100 a n d C OMM er a ' a lEfR uen tF e r SPECIFICATIONS APPUCATIC7N& lle A iW is used in res'dint:al and commercial aepric sgstelns: It b effective Won lly hoes rental pro�erry, schools, offices uxi was ter here has so �yW' lids CCRtent. igh a>spa�ded - .. a FLOW RATE: 3,000 perfiltet. Inatailtwoamo refilcecsinaPVCoccon«ae I to achieve flows of 6A00 � amore. Check wich:Zabel FURATION: J 2 6 Disc Daals 1,►16 uuh provide 198 lineal fat of ltration. Z INSTALi.ATiON: The fiber may mualle d inside the tank or haWkd In a Zabel Container Assembly outside the septic tank. SIRVIC : Service residential w=llatioas whenever yon pump the tank. O t'' I 4. b` O.l), U2' I.D. o I 4 34VIV 18' N •1 M. . 1 1 1 +� --- ft�318' DU1. -- Ma M 61 Spectacatioris rte a: Cases, Uds, Reducers Rigid Vinyl PVC 8737 ii " L 2 26 Fdter Discs High Impact Polystyrene Mr. 3 f 0"0 Rod, Nuts Hi Densi Polyethylene ` 3 Rod tY 5 3 Nut U.S. Patent No. 4,710,295 Call 1 -800- 221 -5742 or Fax (502) 267 -8801 for further infonnation. i Maintenance The interval for servicing septic tanks is set by state and local code. Throughout the United.States there is a wide difference of opinion on what this Interval should be, but most regulatory, agencies suggest two to five years. The Zaber filter, which does. not increase the frequenc rvi y of secing fbr the;tatlk, should be cleaned when the septic tank is normally inspected and pumped. However, our filter is virtual)y self- cleaning. The continued action of the anaerobi organisms on the Zabel filter causes lodged particles •to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFifterm alarm, you will. be notified by an alarm when the filter needs servicing. To service the fllfer: "8ervicing any zabel filter should only be done by a certified septic tank pumperor Installer. Cocate cutlet of the sepdc--tank. Firmly puff the.filter h ' and slide the cwVldg Remove the tank of the, and pump the *Note. A tee ha►i msy . Y( �' necessary to to be used a urs tt rs any $o bstow. ound Isvei to escapI ng to th Corrtac7 zabel for kilo when the hwxfts , re While holding t t>a the access Insert �fr b ope 4 " tfte„ cartridge withack in careful to rinse all � i� sure that ptbl o not co et It eh±` �po • 71ie , Not e. R aldes� the be hN on the star (a Replace , may be sass � M IN USA The Pr oduct(s) shown are covered by one or more of the following patents: U.S. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683,577, 5,582,716, 5,779,896, 5, 593, 584, 5,795,472,5,736,035,4,710,295, 5,382,357, 5,482.621 U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007. Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand: 264824, Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1- 800 - 221 -5742 - Website httpj/www.zabel.com A1001300- 1- M,61499 Mar 03 08 08:15a WATERS EDGE CONSTRUCTION 7152469670 p.1 Yv;swnsi a ft Bl dirip ce O SOIL EVALUATION REPOR div:slon f Safetntl 8utdings �. �. .. in seeardance with C omm Be. Ws. Adm. Cady Wcge at — attach WMPWte site plan on Paper nut ue�, but cal t less inan a! v2 x t lathes in size, Plan meat County i n II to. venial and horfzontai reference point (BM) direotian and _ Percent slope, scale ardinvart*onS, nosh arrow, and Tocation and astsnce to r3rast toad. Parcel LD Please print all iniormat�ion. Reviewed ay ' P I �+fa+mation Yost Prcwide AW be ueda for Sam ba Sperry owner kY purposes (Pnrac/ taw, a t 5.4s ,t j mp. roparty tot�tiun 1 . i3 er traAlktr�•S•S T Z 15 N R � Pe t7wr,ei+s +i(m,addr�s ' • O - $ o X i 3 l of r sloe x stloa. Name a< csa � TJP CoCe @Number � � Q �� hJ S� ,14 A t°'S �Pr Nearest Road 1 New Canstrucutim Usa: Residential ! Number of bedrs L. Coda derived flaw rate P R fit M t W Q Public or cornmercim • D@saide: —s G Parent rnaterW G l-W+G 14L Cis r >4 GanerW mmmpnta Flood Plain elevation if appiieadte N ai h and recan�menaations: ��L C D r-1 '''�" ��� rile �.q "lU 8� ►� 1 N X18 " rib raP; ic. S � � �3�'� . ( j Boring At 8 oM9 pit Ground surface *l - C ) ry• Depth to pmiilS;g *W HOt$ar1 l7ep� OOfnittf3nl Color Redox Description 'extl+st Stel.:ctura Censiseanre t3eund Seit M01 eatisn Ratl in. Munn a uY tools GROW cu. Sz. Cont. Col Gr. Sz. Sh. 1061 P: 3 �Z r S i i s�1c. rh�L- �,.� ? . s • 3 - )C -1tz I I E i f sang # ❑ 6ortng IN PR Ground surface Clew. Q1—S ft 0 Yt b n 7 P 1 6 -�� eQ firNil g factor��� Harizoe Depth Dorr>hant Color Redox Detcrl"on Texture 8bueturt ConaietCnoe Bourtda Soil Appigi :n ba te in. Mu Ctu. SZ, Cant. Color b Roots CyP 1 Gr. 9x. stt ` c ear cw �'� _5 • 8 ,1 0 1 t4IL 31 L Sit 3 ��• i i n K2 Y S d Sg hl Efflwtlt #1 = BOCis b 30 s s2C ITWL and TSt.S 1-30 { 160 ►nOiL ' En(uent #2 CST {pleaEe PrJrtq 81 tidtre Doi; c X �- aw TS'8 A�rthor L: - WeRer�r NU" A 220 4 421 Wagerer Sail Testing & Design Service De � '� °"� 42I i1. Bain St. River calls, 1-11 5 4022 �_ et•r'enei \. �.� 7 s..e '2 S -r 1 ec Z0 3DVd NX 13IN1 z£ZbZ8ESiL 8080 eaez /fie /fib Mar 03 08 08:15a WATERS EDGE CONSTRUCTION 7152469670 p.2 ��t n •iw. — ( Prpperty Cvmer j L ""T`r� ~ �°1 `J� Parcel 0 0 A! RaOe (j . f Spring 0 ❑ , f CI �••,,, -j Pit Ground surface wev, a rt OfPlii to WNttrip fatter 'O kL karlxrx► Qepih Damtn Redw[Oescria Texlue Slnrotum Conelstanee soundary p� SOII IraeifP in MuOu. ft Cant, Cofer Gr, Ss. Sh. *Film 'EIu IV e Zf � 001 ❑ Pit Ground surface elev. ft Depth to llpii*V factor _ in. Morlxon Depth cafe* ant Color Redeu. Dee l Rao rrfpllon Tsslure Slrudure Convlalanp 9cundely ROOie la. MUM# Ou. Sz Corot. cow tar. Sz. SIL 'swing 0 ❑ 00rinp ❑ pit Ground surhoe elan. ft. Depth b IMNrnu factor In. go App err Raga iofzar[ Depth DominantCdor Revlor[Oescrlpilpn Tetaure Str4WW a CanalMwe Boundary Roots tiP" ire. Muresell Cu. Sz. CML Color Or. Ss. S& •tSfSt `a:tffG? ` Stflueni 01 = 000, > 30 ; 220 m9fl- it1110 T$S 3 130 , s 450 MOIL ' lrfftuent 02 60: 30 r %WL and T ool 30 nWL [be Deparnnea t of Commexce is un equal opportunity service provider sad employar. If You need assists= to acesa saviees or need material in as alternate forlam4 pleaec Contact the deportment at 608 - 266.3151 or TTY 608. 264 - 8977, �uaa lai�oo► E0 39vcl N3S'13IN1 ZEZtt86Stt eo :eo BOOL /EO /E0 Mar 03 08 08:15a WATERS EDGE CONSTRUCTION 7152469670 p.3 PLOT PLAT( P.8e of 3 Scale 1 - t 1 dc i tiZ GJ � 1 ti J� 1Izz*Q TTPZ Q _- - - ---- '� Lam. [j l Z,S •h. � 715- 425 -0165 220254 _ CST Signature Date %1- ^ tr0 aovcd N35�INi ZEZOISESIL 68 BB 900Z0£0/B0 s 1 ii B >i hB F Z u ii 4 i z 1 B � Q ° Waters Edge Cofttruetfon FfiMMnu . v' kWLTWAMLV • UOW od►+ERCML § PME+CT. 290 Efik)*SUWL SUM 102- HudSW- WI 9W i A ? R&W-h X 09 , PH, 715.981.9758 FX. Ttb :181.978 Z-d U969tZ9LL N0110f1biSN00 3003 Slti31VM d00 :90 80 Co JON .. - - - - -- ......... i 6 Z - .- ....... J e i e a 3 y e i 8 i R� A R eu bVEST DRAB 1_rK D� SIGN Waters Edge Gomtruction ,,�„ C ,,,, FePCENML ° $ ! PAWSL -: 2M eMe S"A subs 102 • Hudew+ VA sale 8 Renc+i 'Ob PFL 715301$156 FX 716. 381 -9760 9'd 0!_969VZ91L Noiion'USN00 3003 S2:131VM dZ0 :90 80 Co RVA O � C 1 i�I 1 I I = S I - R I i i I i _ e i i 3 1 . i �• i I I f i e s e ne- e 3 D A ro elaaFn: N�7�1j���F�C� Fi ��� Water �dg� �iOrtgtt�IdGt�OC1 2920 El s u 1 02 HuftW s o1s p Rarr -h 'O,6 F". v I5+96 -i" F7C nsae� e�eo g� b'd OL969t M LL Noiionl�iSNOO 3003 S2OiVM d C0 :50 80 00 aBW ]O'4 .Q f _ t 0 .'r J 4 R r t 6 1. i Q fS b 1 Y 4r4• r-0' ra• :O Jill a Waters Edge Construction 8 nE1c>anuc • aura rauar • uoin eow>Fxw m .no,ECr: 2020 Enos So", sulr Buz - M,dson, M 54016 a i Ranch • 06 !K 715.WI -9 / FX. 715351 -9780 E'd OL9697Z91L Noi- Lonb1SNOO 3003 S�OiVM d L0:90 80 Co aeW �A 16: 10 715381423 TNIMSEN PAGE 29 0PANAM 441 S g Q ' -� l S SW21'26'�E 94 ? tvi . �- Cq •:- , -. LOT Il ; 1.01 Ac Q-1 �. ..f:° � Ott .: �. �'� - � e .. �r. •�. :�''r.- .fir •� k ' u� • -� ( /•�� � �' Vft� iP fm - '�r LOT GT S. • N - 79.77 6 : 7A •t . i ce:. ay.� .`p .` w l • a• . • 'f '% L•d OL969vzg9 z NouonbISN00 3003 S2:OiVM 4 00:90 80 EO alaW WisconsinDepartme Qdi VED SOIL EVALUATION REPORT Division of Safety an Page of • 2 �ilnWrda e with Comm 85, Wis. Adm. Code Attach complete si MAR t less than 8 1 x 11 inches in size. Plan must County ^ , include, but not lim _ percent slope, scal 1r9t�rbhtal ref ence point (BM), direction and Parcel I.D . A I�tEow, an ccation and distance to nearest road. Please m rint all ' p formatio Revie n, ed by "Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner u Property Location S1< 1/4.NE1/4•S �• T Z8 N R W Property Owners Mailing Address Lot # E( Block # Subd. Name or CSM# o. C) 3 >z City State Zip Code Phone Number City []Village Town Nearest Road -Ara"') New Construction Use: Residential / Number of bedrooms 3 - Code derived design flow rate LI S Q — ❑ OC7 GPD Replacement Public or commercial - Describe: Parent material G L�el L �1j .�� }-; Flood Plain elevation if applicable N General comments ft• and recommendations:�' N Ft L I I• Boring Boring # ❑ rip F ® Pit Ground surface elev. 6 ft. Depth to limiting factor > C ) L/ . in• Soil Application Rate Horizon Depth Dominant Color Redox Description T ots exture Structure Consistence Boundary Ro GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr: Sz. Sh. 5 0 �1 �Z 3 , Si I 4- s1� �c tin'�1r CsJ Z� Est , s 2 Z �S 3q )o� 14 3 (b — Si I Z S 1� ,t ❑ Boring a Boring # nr� ® Pit Ground surface elev. ! 1• . S ft. Depth to limiting factor '7 O . 6 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G in, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 C ) ZH NZ-3 I Z — s z 1 Z�sb� -c h� L- ew �`F - S • 8 c� _ sit ZI s b �-� - 'S $ y D qb ) o ti 2 VA _ S 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 ature — �A'rthur L. - Wegerer 03 —Z1S - 1Z . CST Number Address g 220254 4J e e r e r Soil T e s t i n a & Design Service Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, WI 54022 \Z -ZZ -03 715 -425 -0165 Property Owner E `y — � ( /✓� 31�/ L, Parcel ID # }"- v1�1 hi G Page of a Boring # E] Boring t ® pit Ground surface elev. y ' -7 ft. Depth to limiting factor in. Soll Application Rate Root Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary s GPD /fl In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 Z`Fs1,�r- w�`F1 Cam, Z� • s . �, .� e 3b -qb loHV- Yn 1 - , t,-Z •� T Boring # ❑ Boring ❑ pit Ground surface eiev. fl. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 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/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 -8370 (R.6100) PLOT PLAIN Paae 3 of 3 t Scale 1' r 01 i �G UUT I y ( $ � - t � M ,, #fit .._. _..._ y�-Z_: q`b•� `.Oh1 1`'.A1fl= IIZOPJ �i P.0 - :�.UT CU7v;7�"�2 At o f \2 _ZZ03 715- 425 -0165 220254 �3 CST Signature Date Telephone No. CST No. � Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings Page of in accordance with Ccmm 85, Wis. Adm. Code < Attach complete site plan on paper not less than 8 1/2 x 11 incnes in size. Plan must County S ` include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrcw, and location and distance to nearest road. Parcel I.D. Please print all information. Reviewed by - "Date Personal information you provide may be used for secondary purposes (Frivacy Law, s. 15.04 (1) (m)). Property Owner Property Location Property Owner's Mailing Address S 1/4 -N EIM- S -FS • T ? a N R i E ( Lot Z I Block# Subd. Name orCSM# Cit Sl State Zip Code Phone Number Vl�� � ` ❑ City ❑ Village � Town Nearest Road —� t c - ) 1 1E5 ,mss 5 1 TZp`_ I New Construction Use: Residential / Number of bedrooms - — Code derived design flow rate U S Q — U(] GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material G t_�e) }� L ��,`,�� Flood Plain elevation if applicable 1U !1 General comments ft. and recommendations: �� L C l� �M 1 t� 3 ` fit uc � s N F::t L -rz ��v 1^'1 O F ti •, � �L�S , �S BE 1 tJ X18 Rh� Boring # ❑ Boring ® Pit Ground surface elev. 6 I ft. Depth to limiting factor > in. Horizon Depth Dominant Color Redcx Description Texture Structure Consistence Bcunda Rccts Soil Application Rate in. Munsell �' T GPD / ftz Qu. Sz. Cont. Color Gr. Sz. Sh. Eff 'Eff#2 0 _) 5 ) 0 � �Z 3 12 —' I S1 � I � T S� 1':; �'n�C fir CJ 7 C , S • S Z \5 3q )p� 2 3 (b 3 Q_hy 1u�2 2 Y14 — I S I O S9 vr11 - . S t. Z I a Boring # ❑Boring - - - - - - - - - - - - - T - 1 ® Pit Ground surface e!ev. 1 • ft. Depth to limiting factor '7 O. in. -- Horizon Depth Dominant Color tscription Texture Structure Consistence Boundary Rcots Soil Application C � Rate I in. Munsell nt. Color Gr. Sz. Sh. 'Eff#1 - •Eff#2 p _ \� I �H�Z3 IZ -S V -yo t � 1 L 7 Z w s b s a s g � 1 — •� << Z � 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 (Plea_ se Print) — s _ . Arthur L : li ege si azure CST Number 03 Z - \Z - 220254 Address 220254 e g e r e r S o i l T e s t i n g & D e s i g n S e r vice Date Evaluation Conducted Telephone Number 421 i1, Iiain St, River Falls -4 , [7I�54022 \2_Z2 —U3 715 25 -0165 T Property Owner -�' Et ` y N - � (� /✓1 L1�/�— Parcel ID # 1 "� i1� 1 J j G Page ' of a Boring # ❑Boring ® Pit Ground surface elev. C) ( -7 ft. Depth to limiting factor '7 in. Horizon Depth Dominant Color Redox Description Texture Structure Soil Application Rate Consistence Boundary Roots GPD /fl In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Ll tz 31 - s\ \ Z`F s 1, w�`�1 C � z , s , S9 F1 Boring # ❑ Boring ❑ pit Ground surface elev. fl. Depth to limiting factor in. So11 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 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 /11 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eft #2 Effluent #1 - BOD > 30 220 mg/L and TSS > - • s < _ g 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 llte department at 608 - 266 - 3151 or TTY 608 - 264 - 8777. SBD -6330 (R.6100) w PLOT PLAN Page 2s of ` Scale 1' = S�' 1 1 1 t .. 1 v � CO- s� -� / R c- i c� 1 `\ 0 J I 31 - � q�•�_ - `oiJ 1`'_�1fl 1ROOT �1PC .BUT Cp1�J2 -- st \7L _ZZp3 715 425 - 0165 220254 p3 Zls — 12 CST Signature Date Telephone No. CST No. Job NO. PELKE PLUMBING Fax:715- 672 -5267 Mar 3 '08 8:43 P.01 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND RECEIVED OWNERSHIP CERTIIICATION yORM Owner/Buyer I—q'7 �ciP u � `, MAR 0 6 2008 Mailing Address SZONING CO UN T Y Property Address ;—VI (Verification required from Planning 8c Zoning repartment for me rnstructio .) City /State 11(_115all 4 Parcel Identification Number y�0 � 134 (p , / Z ^ 06n LEGAL DESCRIPTION . 193 1 Property Location ' '/. , % , Sec. $ , T 2'-'1() NR 1 W, Town of 1 re Subdivision 17 t� `Pr.� , Lot tt Certified Survey Map # # , Volume , Page N 7 5!U/6 Warranty Deed # , Volume 2 Page it Pg Spec house yes n o Lot lines identifiable < �55 n o SYSTEM NANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its prep sa= failure to handle wastes. Proper mdnft=e consists of pi mpin$ out the septic tank every duce 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 §Conma. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Depactuxrrt a certification form, si gyred by the owner and by a roaster plumber, journeyamn plumber, restricted phw*w or a lioeased pumper verifying mat (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 Jos 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 abt mg that your septic system has been maintained must be completed and returned to the St. Croix County Platning & zoning Department within 30 days of the throe year expiration date. Uwe certify that all statements on this forth are true to the but of my /= knowledge. Uwe sm/are the owner(s) of the property described above, by virtm of a warranty deed recorded in Register of Deeds Office. Number of bedr !.L12 SIGNA F APPLICANTS) DATE • sss ***Any information that is seated may result in the sanitary permit being revoked by the Planning & Zoning Departure nt. Include wiitb this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is trade in the warranty deed. (REV. 09/05) U 2 519 P 18 5 ?54 1. iZ l KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 2400 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIK CO., WI This Deed, made between Norman Feyereisen and RECEIVED FOR RECORD IShirlee A. Feyereisen, nusband an w ire 02/23/2004 11:00AN WARRANTY DEED EXEMPT # Grantor, and B &L Land Development, Inc., a Wisconsin Corporation REC FEE: 13.00 TRANS FEE: 3710.40 COPY FEE: CC FEE: PAGES: 2 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum:) Please see attached Exhibit "A" Recording Area Name and Return Address River Valley Abstract & Title, Inc. 1200 Hosford St., Suite 201 Hudson, WI 54016 �I- 040- 1035 -10 ;040 - 1035-40; 040 -1037- 20 - 100;040- 1037 -30 Parcel Identification Number (PIN) This li ' yO , lSomestead property. (is not) Exceptions to warranties: easements, covenants and restrictions of record, if any. Dated this 20th day of February , 2004 * * Norman Feyereisen * * ShIrIelfA. Feyereisen AUTHENTICATION ACKNOWLEDGMENT Signature(s) Norman Feyerelsen and ShirlelfA. Feyereisen STATE OF WISCONSIN ) ) ss. ST CROIX County ) authenticate ,day of February , 2004 Personally came before me this _ 20th day of February , 2004 the above named J�dG A Norman Feyereisen and Shirley A. Feyereisen 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.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Heywood, Cari & Anderson, S.C., 1200 Hosford St, Suite 106 Notary Public, State of WISCONSIN P.O. Box 125, Hudson, WI 54016 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. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 2000 INFO PRO (800)855-2021 www.infoproforms.com U 2519P 186 EXHIBIT A A parcel of land located in the SW 1/4 of the NE 1/4, in the SE 1/4 of the NE 1/4, in the NW 1/4 of the SE 1/4 and in the NE 1/4 of the SE 114, all in Section 8, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin Described as follows: Commencing at the South Quarter corner of Section 8- 28 -19; thence N00 0 56'46 "W along the North -South Quarter section line, 2942.21 feet to the Point of Beginning; thence continuing N00 0 56'46 "W along said line, 1010.47 feet to the Northwest comer of the SW 1/4 of the NE 1/4; thence N88 0 52'26 "E along said line, 337.51 feet; thence S01 0 0111 "E, 32.14 feet; thence S56 °12'32 "E 906.33 feet; thence N01 °18'33"W, 550.92 feet; thence N88 °52'26 "E 1573.74 feet to the NE comer of the SE 1/4 of the NE 1/4; thence S00 0 56'04 "E along the East line of the NE 1/4, 1313.16 feet to the E 1/4 comer of said Section 8; thence S00 0 50'03 "E along the East line of the SE 1/4, 366.31 feet; thence S89 0 04'16 "W 1440.85 feet; thence N00 °40'41 "W 447.87 feet, thence N87 883.47 feet; thence N00 0 09'47 "W 159.98 feet; thence S89 °23'35"W 333.01 feet to the point of beginning. Contains 82.45 acres or 3,591.410 Sq. Ft. SUNSET VIEW DEVELOPMENT VCINITY MAP WED a THE Ss 1/1 Or THE K I /{, KE SE I/1 OF THIS of 1 /1, p \ ` 114 NO 1/1 OF LIE SE 1/4 AND IN M NICE 1/4 OF 1E S 1/1 OF NY NORTH 1/1 CO61[R,\ \ 1 R� SOTta B. raNm \ E �' d ' S' UNPLATTED LANDS NW -NW NE -NW MY -NE - t$ ALtil R t 1\ S ro'ttt \`` -- ----- ---- ---- ------- - - - - -- A IE'S2 - t - - - - - -- UNPLATTED LANDS m \- - - - - -- -- - - - - - - e - NW E -Nw I' N 5 SE NE 80ft1ESAAt' t - cm ula M an M L 99 \ s2611' S a CTH RD. FF E w -NE 5 /+ - - - - --- -- - - - - -- n H 6F51Y6t w506' I Ina i \\75 V�J �yq ti°` y v N LOT I cSr ra 5 PAGE 1271 A 1 \\ oil a sr. z �,�v nw -sw NE -sw Nw -sE NE -SE / D ghM1 o f LOT 5 P Vol I S ra Irl MAI'm or S y\ ' /•" JJ,( Am S.F. \ . d�" raa m NuaNC P u J / 44 Am fV� °v� uk I w i� r1 J / \ C I L5r VOL. s PIQ 1175 I [am L tar. Na, IM a W. I > I \ 0 1 Sf,= a m. um \ E �o g LOT 19 I g, as rmela An Ioml® " W IN HI I 7022 E. 5 0, Da win Rl /N wwwa n 1 LOT 6\ +s I I it 2UO30 SQ.1T. 1 "� I pFaaa u N rArArn 7 J J 0 1 �M, 585 k. i 2 ss o. as Ears oz, E 1e' n mt 5 g sw-NE so' I U T r I ; �; roc[aw in us m ww wOF. ILOT1,3s I O 1 \ \ 55 r L At R oU i yNgi A ia m 2k / ` � \ � f06 \\ \ v 71 _ -�-- -- c .0 "'1,•" Ls DIEd l T b a + / r LOT 7 - - - --- WEST OR ' � u � • v 1.17 IBS PER IOEAA PIT it ALL H OKER TAT COIAm I B Oy m 01 N fir7112 25 -- D 1y s+ ° s� -- -r Irc • woo / ; I �_ • mm BENT IrmNW. s !LOT 2 D a1B LOT 9 ! hb. '% ;' -- - LOT 10 ` %b ;;� . KILDK FEW m1E. .z m K3667 S.P. 1 , (LOT 61 u, ANa2 sr �-- - -,� °1 27 '��',I.,r' 1 a 1 SE -uN a ul ^7 Lm k. , �'A I 1 u 'i H \ 13771 S.F mm WORRY mm 5 I 8•, S' -. ; . + v P j '•U I,La k. _ �SU•q: a D 1 "'�___ ! r'ny1? �y' I 9 • corER wm ma AS NOTE i . SCT b � i. 0 � _ H � � p I ..- 1 `� i'. i ', B . 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