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HomeMy WebLinkAbout040-1261-60-000 o f 3 m -0 0 o d C 3 c p. lot 0 0 Z ° w a oo A °C lr • 0) 0 3 O 3 K IV Q ICI k O. t~D y 01 OD N p `A1 CO CD N 0. 7 7 O N C- g O soo 5 ° 19 H y 0) ° O ° cn z D ~a (D t m m D y a I C N 3 O = ° CD CL o (D o 0 2 n r fn N m w ° w ° y 3 c O v_ 000 000 N 0 3 CO) co CO) 0 0) M N I c ~ ~ T v v y N 7 3 ~ I A z a 0 Z ~i 7 N O O o 7 N N (/1 (a c m 0 N. C ~ CA m a Z CD N tb -i y T E3 A ? C m O c L! n `e.. o p Z 0 N G) 7 0 C w m 0ND aD CD CD CL Z A z ° z c m Z CD A A F z (A C= W CD a) a. a v CD a CD a y O G O fo? ~.m y C l< E ed d N m S m, m w N CD N d i am co R 0) N (D 7 e fD I m3N0 ~ ~ 01- o I m ? o _ m 930 o- O N O0 ~ A fD " N D) CD `0 7 f~D 7 C ti S o- Ln R O o ~ .An = q dQ V 69 O cN„ ti Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430162 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: Erdman, June Troy Township ® /,24d- 6go-a--y -1- 1 CST BM Elev: Insp. BM Elev: BM Description: -2--- Sectionlrown/Range/Map No: I ~y -1 j.5' 18.28.19. 5- TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. r Septic Benchmark Ii els" -7 Dosing w l o d At.PM if l knt-t -At)o -3 .0,5 166, Aeration Bldg, Sewer d 10 99. s6 Holding SUHtlnlet fa / TANK SETBACK INFORMATION St/HtOutlet 5 05 e77- 7 (e TANK TO /L WE BLDG. Vent to Air Intake ROAD Dt Inlet Septic I` ) , I Dt Bottom / i- Dosing u Header/Man. CI 5 % / / all. Aeration Dist. Pipe I p Holding Bot. System 93. Z3 PUMP/SIPHON INFORMATION Final Grade I✓ r.~ (0•~J ~ ~~u. ~d-h Manufacturer DP and St Cover Model Number ti TDH Lift Fr' n ss System Head TDH Ft Forcemai Length Dia. SOIL ABSORPTION SYSTEM 1C ,Q 2sv~S ~a GG~ BEDENSIO HNS Width [ Lengthb / No. Of T s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIO ((.~(1( SETBACK SYSTEM TO P/L BLDG WELL LAKE/STRE M LEACHING anufacturer: INFORMATION o / CHAMBER O Type Of System, 'tn & I t / Mo u DISTRIBUTION SYSTEM J~ ~y /VGU Header/Ma if Id Distribution x Hole Size x Hole Spacing Vent to Air Intake Yti Pipe(s)gcl> Ilk1 g 0 1 Length Dia _ Length (V Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~G 1 v O Depth Over / =Bed/Trench epth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench enter Edges Topsoil Yes No j Yes ',_J No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:Inspection #2: / / Location: 356 Deer Valley Dr Hudson, WI 54016 (SE 1/4 NE 1/4 18 T28N R19W~)) Deer Valley Lot 26Parcel No. 18.28.19. It 1.) Alt BM Description = via I/a7q-4~ ✓ _.f ~ ~L Q Gi 2.) Bldg sewer length = 35,_/ 4a- a V~y l - amount of cover / 4- C~v Plan revision Required? Yes ~ u No ' I t! - 70i~ Use other side for additional information. ) ( - - L7- SBD-6710 (R.3/97) Date gna ture Cert. No. s Safety and Buildings Division County • gtoo Ave.. P.O. Box 7082 nn 201 W. Washio Madison, WI 53707 - 7082 Sanitary Pandit Number (to be fi11 in by Co.) F A Department of Commerce 261-6546 30r16 Z- Sanitary Permit Application State Plan L° Number In accord with Comm 9321, Wis. Adm. Code, p«sonal information you provide may be used for secondary purposes Privacy Law, si 5.04(t xm) Project Address (if different than mining address) 1. Application Information - Please Print All Information r _ r, 4t I Property Owner' s Name Parcel N lG La N WV lBbc iY V a j Lk lr\k . t6 Property Owner's Mailing Address I Property Location u f t / b yes JV EY., Section t City. fte a Zip Code Phone Number ' S 4 `f~ ~ acct IIEbWCommacia) of Building (chedt all that apply) YJ 4 - Q \ , T ~ N; RE o~ r 2 Family Dwelling - Number of Bedrooms S Name CM Number -Describe Use ❑ State Owned - Dace Use - c ❑City ❑Vipage 41 of ro III. Type of Permit. (Check only one box on line A. Complete line B If applimble) J A' jKNm System ❑ Rapiacemeat System ❑ TreatmentlHoiding Tank Replacement only ❑ Other Modification to Existing System list Pievious Permit Number and Date Issued B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber owner w. ti-w of PUW r"3 Check all that apply) XNat -Pressurized In-Gr uad ❑ Mound > 24 in of swift soil ❑ Mound <24 in. of suitable soil ❑ At-Grade ❑ Singh Pass Sand Fitter ❑ Constructed Weiland ❑ Pressurized 1n-Ground ❑ Holding Tank ❑ Pat Filter ❑ Aerobic Treatment Unit ❑ Re 4rcula ing Sand Fite ❑ Recirculatin S tbettic Media Filter ❑ Leaching Chamber ❑ Drip Line Gravei-less Pipe ❑ (ex V. Disperzal/Treatment Area Information: Flow (gpd) Design Sail Application RaftWdsQ DispwsM Area Required (sf) Dispersal Area hoposed System Elena 3, p 00 ~ t `7 07 qx&A is Total Number Manufacture PreTab Site Steel Fibs Plastic VI. Tank Info CspachtY Gallons Gallons of Units Concrete Constructed Glass Ncrr ~ Taaira Taaka Septic wwiaaTsak /I I Im Aerobic Theanaeat UaW DW%Cihamber VII. Raponsibfty Statement- I, toe wade sig ass bliky for of the POWTS a w- an the attached plans. - 9 g Zo \ 's Name 's Si !MFRS her Business Phone Number ) QLAZS 3`7 'r (S a (0 S13S Plumber's Address (Strew, Cny~Stide, Zip ) ~h a .P, N-(:t l VIll. Coda rtasast Use On ❑ Sanitary Permit Fee (includes Gromdwater Date Issued z V~it Signature o Stamps) ADisapproved Approved Fee) .2 5-0 • Z~ -NO ❑ Oamrx Givers Reason for Denial _t 00 1 IX. Conditions of App» as for Disapproval gtt, J , 4-- :~ePkc-+&JG a-40-4~~ 11-1-~ -Ax~ P~- AMaek -a plans (to clef Canny ally) fan At q ftW ei japer oar leas tkaa Mn a It IMckes IN atae SBD-6398 (R.. 08/02) I ; i ' f I I i I' I , I I I t . off` ~ I k7ij LUJ , I tb ucta , , I ~Q~ ---I Piz- - L no i f ! f I 1-4 ~ f ! o a i i ; 1177; i - - , i ~ i i t D , I , - ~f ; G ; , ; i ; , I I : .-1 r f uEf s \)(Ak Lo f-0 Lo, ~:D tVU~ ASAP 4-1%. _TCr~e c:D @ 3 6 3 .~j` , ~o T36-0 4 B m = T~,~ ► v~Py 9S, 7? Sa! o a7' r 7 7''.' S - f 6 - .I. Wisconsin pepartment of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Dy ision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point nand % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dist tp 4"it road,'.,.,,- 040-1072- APPLICANT INFORMATION-PLEASE ALL INF~RMATIO REVIEWED BY ~DATE 20at~ PROPERTY OWNER: ` ROPERTY LOCATION 1 G VT. LOT 1/4 1/4,S 18 T 28 N,R19 Bi(or) W u Derrick Construction, In PROPERTY OWNERS MAILING ADDRESS CF "I T# BLOCK # SUBD. NAME OR CSM # 1505 H #65 26 na Deer Valle CITY, STATE ZIP COD '•,P CITY ❑VILLAGE gyOWN NEAREST ROAD New Richmond WI. 54017 \ 5) 0 3,\ if Troy [ New Construction Use [x] Residential/ r fid} m u 4 [ J Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft2.8 trench, gpd/ft2 Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2.8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 93.30 ft (as referred to site plan benchmark) Additional design / site considerations = trenches spaced to code 3.50' below grade Parent material Outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem NS ❑U ®S ❑U ®S ❑U ®S ❑U IRS ❑U ❑S CRU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-12 10 r 3/3 none Sl 2mgr myfr CS 9f .5 .6 1 2 12-58 7.5 r 4/6 none ms os ml w if .7 .8 Ground 3 58-84 7.5 r 4/6 none cos os ml n .7 .8 elev. 96.8 ft. (ac A S S-f . 1 Depth to limiting , factor 3 7 c/ 3 Z 3 +84" 9 G ~6' T-7 Remarks: ~S 4. 14an Boring # 1 0-12 10yr 4/4 none 1 lcsbk mfr cs 2f .4 .5 2 2 12-24 7.5 r 4/4 none si 2m r mvfr- crw if .5 .6 1 Ground 3 24-84 7.5 r 4/6 none I rns) asg M1 na na .7 .8 elev. 1 96.8 ft. Depth to limiting factor +84„ Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. Ave. w Richmond WI 017 Signature: Date: 5-27-99 CST Number: m02298 PROPERTYOWNER Derrick Construction SOIL DESCRIPTION REPORT Page C of 3 PARCEL t.D.# 040-1072-10 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1....3. 1 0-12 10 r 3Z3 none sl 2m r mfr cs 2f .5 .6 2 12-43 7.5 r 4/6 one cos os ml cfw if .7 .8 Ground 3 43-90 7.5 r 4/6 none ms os mvfr na na .7 .8 elev. 98.4ft. Depth to f- 93.3 limiting factor +90" Remarks: Boring # 1 0-14 10 r 2/2 none sl lcsbk mvfr 9w 2f 4 .5 2 14-84 7.5 r 4/6 none ms os ml na na .7 .8 Ground elev. 100.7ft. - Depth to limiting factor +84" Remarks: Boring # 1 0-10 10 r 4/4 none 1 lcsbk mfr yw 2f .4; .5 5 2 10-18 7.5 r 4/4 none sl 2m r mvfr if .5 .6 Ground 3 18-84 7.5 r 4/6 none ms os ml na na .7:: .8 elev. 100.7ft. Depth to limiting factor +84" Remarks: Boring # Ground elev. i ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) r r STEEL'S SOIL SERVICE Gary L. Steel Derrick Construction, Inc. 1554 200th Ave. CSTM2298 SE4NE4 S18-T28N-R19w New Richmond, WI 54017 MPRSW-3254 town of Troy (715) 246-6200 lot #26-Deer Valley This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1"=40' BM.= top of 1" pvc pipe C el. 100.00' Alt. Ean.= top of 1" pvc pipe C el. 95.70' 5 0-3 V I i r Gary L. Steel 5-27-99 Ju~~ ~r~i1`~ha V~ rz~!' l~ce 11 .a y Lo~# a i . EZ120311 '•rssss •rst sr s~ssts It ste *tr 12- 4.62.5's ttt t ` et r • • is tt is ' t rv 1 n • 112 C' 18-84" ••ttr t••rtt Irv, t . t.tt .atttt . 24 1 3b" 4_aid v~_ sS<S 12-112, DL A, VOW Cock at 57.41,•, 0(4- pi;, - 4,623 M s Arch V„~ l9. t 4L , € t M lir r f1'. - 3.."- S1~yS~~S~ f 11 f ~.3~jp . 11 - 0. 117 (it 2im 1-4 j O. t). ar ce"W eytpoder 1723 80~ tR IoW w°!„mr In alr 3.ea -t( a^-'~° t' Tat'! Snit Iaterlare Arb ?•UC, E 4.Q of eY~ler~~ li3wi "s ,a•j'..d721r 1 oa* G?'floder, - 12 +nr Ics (`.374 - 422 k 5.14 S Q,FT~ and "°hru 1 V vial ~ 2-~ 1 C t2M ~-ST,.► ~'~iceted Treae! Area ~ I aj 9p) yN !r VOW yotu~ at bona"' bew cy+mdcrs ~ (24i~ St~walt Ifeighl ~ 12 in. -2 = 2,00 oiev at Iw r 7 t i2o h ' 0.2 t S fN 34 in 3140 Sq.Ft. f! owrWc Do""" c°rac*s f 1, ~ Projected 7-reac4 ! T-01 1-d vol-ft 17 - at'raey b _ Arts we.. Cytap l aTtS : - 748 (t 540 5 4.1 r0'422r0'941i. 0 V-Ft. Gat>a per 11 = I,763 X •',48 42lS - s 4,108 = h t iG3 etc r @ r a ! 1 I 26 I 'aggregate Trench I System E 12 3H ! Rig Industrial Grou© 6 fndJ3tr' P Oak d. TN Park Rd_ '1B©60 ~ SCALE • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer G71-6 Al 4, ~ Mailing Address Property Address Co /J,--z:~rL Vdt_ tcZ QrZ (Verification required from Planning Department for new construction) City/State 40560 o ~T Parcel Identification Number 0 VC) Z rP 1~ G G LEGAL DESCRIPTION Property Location 5C V. ~ V4, SCC.lg , T~ N-R /k W. Town of Subdivision Lot # NCO Certified Survey Map # Volume . Page # Warranty Deed # Volume 3 C . Page # 3 j Spec house es O no Lot lines identifiableWyes 0 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result is its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplwnber, restrictedplumberor a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification. stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. _ 6/ a~ G OF APPLICANT DATE I OWNER CERTIFICATION e) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of e property escribed abov y virtue of a warranty deed recorded in Register of Deeds Office. Lfo TURE OF APPLICANT DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of ALE RaMFOAATION sYSTEM SPECIICATiOMS owner Tank Manufacturer` W k' e-Z'e c& El NA .Q 30 !G, 2 - Septic D Dose 3 Holding Vol. j a gal f s ~ Tank Nlevwefacttrer DNA QFS1M PARAMETERS Ntambeir of Bedrooms D NA D Septic D Dose D Holder vol. gal D NA Effluent Facer Mwwfacturer 'I-rCR D NA Number of Public Facility Units red ( ) flow Estk o Effluent Filter Model do a"ay Pump Manufacturer D NA Design ipea4 flow = (Estimated x 1,5) SW Appacatim Rate Pump Model Standard irdl ue ntlEffkant Qty Mardf>ht average" stment Unit DNA Fats, ON & Grease (FOG) 530 mg/L D Sand/Gravel Filter D Peat Facer Biochemical Oxygen Demand (BODJ 5220 mg/L 13 NA D Mechanical Aeration D Wetland Total Suspended Sow (TSS) 51 so rttl)/L D Disinfection D Other_ Pretreated Effluennt Quality Monthly average Mangy ❑ NA Biochemical Oxygen Demand teODs1 S30 mglL Dispersal Celts) Total Suspended Solids (TSS) S30 rug/L D NA 9(kt Ground tgravkyl D kw-t and 4wessurized) Fecal Cofiform (geometric mean) Sto` clu/loond D At-Grasse ❑ Mound Maximum Effluent Particle Size Ya in dia. 0 NA D Drip-Lute D Odner. D NA Other: DNA NA "Values typical for domestic wasuwww er and septic tank effMhmt. Qtfeer Cl MAINTENANCE SGHONXIE Swvice E~ Service ~uY rrtondt(s) tMaidrs 3 years) ❑ NA Inspect condition of tank(s) At least orK:e every: 3 s) When combined sludge and scum equals once-third tY~) of tank volume p NA Pump out contents of termite) p When the high ureter alarm Is aativatad morr Inspect dispersal CON(II) At least once every: s)t (Naxirrarm 3 Yaws) ❑ NA month(s) ❑ NA Crean effluent felts At least once every: D month(s) DNA Inspect pomp. pump controls & alarm At least once every: D s) D month(s) ❑ NA Flush laterals and pressure test At least once every.- Odor. D (s) D month(s) D NA At least once every: D a) D NA MAINTENANCE VJSTRUCTIONS licenses certifications: inspections of tanks and dispersal calls shall be made by an individual carrying one of the fallowing p atr (pumper), Master Plumber; Master Dumber Restricted Sewer. POWTS Inspector. poWTS Maintainer; Septage Servicing per cracks or Tank inspections must include a visual inspection of the tank(s) to identify any miselr►9 or broken hardware, identify any ground leaks, measu re the volume of combined sludge and scurn and a check for any back tap or Dorn~9 of effluent trrc on check the k for grond to Y surface. The d gwsel callus) shall be visually wwMected to check the effluent levels in the observation pipes condition and pmtding of effluent on the ground surface. The pondiing of effluent on the Wound surface may rnd"te failing requires the immediate notification of the local regulatory aut1writy. When the combined accurnulatim of sludge and scum in any treatment tank equals one-third (Ye} or more of the tank volume, the entire contents of the tank stool be removed by a Septage Servicing Operator and disposed of in accordance with chapter' NR 113, Wisconsin Adrministrathm Code. All other services, Including but not limited to the servicing of effluent filters, machanical or pressurized components, pretreatmen, units, and any servicing at intervals of 512 months, shah be performed by a certified POWTS Maintainer. A service report shah be provided to the local regulatory authority within 10 days of cotrPtetion of any service event. GMW (2102) START UP AND OPERATION , _ For new construction, prior to use of the POWTS check, treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal call(s). If high concentrations ere detected have the contents of the tank(s) removed by a septaga Servicing operator prim to use. System start up shall not occur when sod conditions are fromen at the wyfittrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one urge dose and may overload them resulting in the backup or surface age of effluent. To avoid this situation have the contenla of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent purnp or contact a Plumber or POWTS Maintainer to assist in manually operating the pmrmlp controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the We of the POWTS: antibiotics; baby wipes; cigarette butts. condoms; cotton swabs; ,degreasers; dental floss; diapers; disinfectants; fat foundation drain (stoop pump) discharge; fruit and vegetable P&Wffq ; gasoane; grease; herbicides; meet scraps; medications; Painting products; Pesticides; sanitary napkins; tarpons; and water softener brine. , ABANDONMENT When the POWTS fads and/or is permanently taken out of service the following steps shad be taken to insure that the system is property and safety abandoned in compliance with chapter Comm 83.33, Win Administrative Cade: • Ali piping to tanks and pits shad be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shag be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shell be excavated and removed or their covers removed and the void space filled with sod, gravel or another ineni solid material. CONTINGENCY PLAN If the POWTS fags and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement sod 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 weft. Failure to protect the replacement area will result in the need for a new sour and site evaluation to establish a suitors replacement area. Replacement systems must may 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 test resort to replace the faded POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation roust be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade sod absorption systems may be reconstructed in place following removal of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR R POSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWtS MAINT•ARNER LNone Jr Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Phone Name S~ ~ n ffPhom; 3 This document was drafted by the stafts of the Green (eke Marquette and Wauehsra County 2othing and Sanitation agerhdes in compliance wtth Comm chapter 83.22(2)(b)(1I(d)&(f) and 83.54111. 12) & (3). Wisconsin Administrative Code. - I WAIMANTY WTI) (F'onner Statutory Form). 3TATF. OF MSIA)N9IN Miiler•Onviw Gt., Minnt•aiKAis, Aanu. Fenn No. 9 W. 915 14is Inben$1trJe, Jfade, 011 Archie J. Wagon and Lois Mtxon, his wife r. 01-antors , of St. Croix County, Wisconsin, hereby convey and warrant to" Jack J. Erdman and June M. Erdman, husband and wife as ,'joint tenants , rantei,,of St. Croix County, Wisconsin. for the sent of One dollar and other good and valuable consideration the following tract of land in S$. Croix County, State of jl"iscorasirz Northeast quarter of Section Eighteen (18), Township Twenty-eight (28) North, Range Nineteen (19) West, (NEJ 18-28-19). i i i I V OPI il:lA1L1!) REGI%T1*_Rs; OFFICE ST. CROIX, C-o., wlr. Recd f -.f Hecor .1 this 17th dmyof__..AWT=y_. A.ei,, 7 j(] 7 at- 9-.00....___ ~*Pl. Elope RdsNici of Deputy In Wdnrua U11jerrnt, The said <:r,(nlnr.`~ haVCtlu'rivtto sit their hind Stoat „t s tdti, 14th tdol) of August .i. d). 1!i `it3 SIGNED AND SEALED IN PkESENCE DE Hugh F_ Gwilr ' l iii Waxop Id,t I ti. ILL t1:"old .Val6r.Etidt S .N. St. Croix Cot(rity~ Persontilly (wmc be-fore ter, this 14th tlatd of August ✓1. 1). 1.'1 59 , tlti trhore rtttutetl Archie J. Wilxon and Lois waxon, his wife, to me known to he the pcr•surt iiho e.tccatrtl the fore, d'uit% instrument appal acknoivlctl -cd the natty. Notary Public.. _ ___St__ C]ct11x_--- ___.-----.----_Countrl, iris. '.:Vy eom nuss(orc •'I ypewrite Name under each Stgriature ' ' i r ono 360 rr 6 31 i~ wig CV) r, ' • 'rn %0 Lai "*,f s / X I-- W OL W "3 i 64 L~ W 0 L d A3 J# W L3 W Vl Cb. CV U C4 u V) CD < 4z %D V Lr) (V) 4c if) cv) Cie C, co in C! C'j 4jtiry~ / N N A N o / ` . ~•i~ ~i / U.. LLJ e 150 ' c14 ' 0 1 I~ I II 1 f-)' - 08-19£ ,ZZ'809 M,.£Z,9$,.OOS ~`h • '41 'o ci ----------?J33a- 6 - - - ,S6'LOS- 3.,£Z,9*-00N 80 ..............1.............. .1. 1 N M 1 tG w 06 1 V C3 y f-= W W < W W ^ ¢N OOI ^ 0:) CD W~+ Ncu Leh ,AA DO n n N~ vJ Qy Z Z 00 CV in .00,999 l4'~££ .61'89Z 0~'£8Z ,L*' Z6 3„Z 1, l LOOS in rl- - S83H10 ~\e 43NM0 , xp. SaNdI C]311V-ldNn