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004-1029-90-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538825 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: Kerr, Allen & Dorothy Cady, Town of 004 - 1029 -90 -000 CST BM Elev: Insp. BM Elev: T Description: Section/Town /Range /Map No: 1 rn �iS 13.28.15.201 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER k,, CAPACITY STATION BS HI FS ELEV. Septic •�,�,• Z, � Benchmark Dosing Alt. BM, S$ 1,62 1 Aeration J'� J� � � . Bldg. ewer 7 � Holding G• St/Ht Inlet PAZ cM Z 7 TANK SETBACK INFORMATION St/Ht Outlet S.t� 98.1Z TANK TO PJL 1 WELL BLDG. Vent to Air Intake ROAD Dt Inlet 97 2 • Septic $� 1 / $ Ft Bottom 1Z• g3 I Dosing 1 A6 / Header /Man. 4 26 162.54 L Aeration 7T Dist. Pipe ' Holding Bot. System 5 Z7 Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover.n r 6 0 4) �C S GPM Yv S• ✓ 61. 3 7 /8.cy Model Number ZS. gs Jd 6 DID• ' TDH L% • Friction , g i System /e S TDH , r It - r i Forcemain Length Dia. i1 Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. On s PIT DIMENSIONS No. Of Pits Inside Dia. Li uiq d Depth DIMENSIONS 7 SETBACK SYSTEM TO I P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION TypA stem: �� / , CHAMBER OR rb ` UNIT Model Number: j J DISTRIBUTION SYSTEM a� Header /Manifold I/ Distribution y x Hole Size x Hole Spacing Vrvj Air Intake Length Dia /� Length 3� � Dia �• 5 Spacing 3 3 3 • z� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over I xx Depth of 1 xx Seeded /Sodded xx Mulched Bed/Trench Center 1 / 7 Bed/Trench Edges To 1t Yes d No Yes 0 No / . W 1 COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / je 1 ( Inspection #2: / / Location: 3204 Cty Rd N ilson, WI 54027 (SW 1/4 NW 1/4 3 T28N R1 5W) 40 acres Lot �'� +`� arcel No: 13.28.15.201 1.) Alt BM Description = �� c� a ; �- Pie..) L�s 2.) Bldg sewer length = L oc.�5 bV� /b.-J j - amount of cover = �� 38 Plan revision Required? R Yes No Use other side for additional information. t � SBD -6710 (R.3/97) Date Insepctor I Signatulw Cert. No. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538825 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)]. city Village X Township Parcel Tax No: Permit Holder's Name: b g 004 - 1029 -90 -000 Kerr, Allen & Dorothv I Cad v, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 13.28.15.201 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM CHAMBER OR Manufacturer: INFORMATION Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipes) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded r ched BedrTrench Center Bed/Trench Edges Topsoil Yes 0 No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 3204 Cty Rd N Wilson, WI 54027 (SW 1/4 NW 1/4 13 T28N R1 5W) 40 acres Lot Parcel No: 13.28.15.201 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? [m] Yes FBI No Use other side for additional information. Cert. No. Date Insepctor's Signature SBD -6710 (R.3/97) Comm ov Safety and Buildings Division County �- r � 2 W. Washington Ave., P.O. Box 7162 5 �; b ' C O �+ \�� Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Daps t d co �� o�F 3 8 an i ' it Appli State Transaction Number In accordance with s. Comm. 21(2 m. Code, submission of this form t appropriate governmental � 7 unit is required prior to obtai fila Mary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department o mmerce. Personal information you provide may be used for secondary p urposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. I. Application Infor lion — PJoM e Print All Information Property Owner's Name Parcel # / 1, f 00 q' lDo?q' QD O� Property Owner's Mailing Address Property Location 3 �lo Q Govt. Lot ( J City, State Zip Code Phone Number J (� -5� y, M � 1A Section� 01 OpF ! j 77 C7 ( T -Z `4 onk N; R circlk II. Type of Building (check all that apply) Lot # or 2 Family Dwelling - Number of Bedrooms Subdivision Name n�t ❑Public /Commercial - Describe Use Block # ❑City of State Owned - Describe Use CSM Number ❑ Village of t ❑ � M ,Town of ' x 75 MDJ& C-ek III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System X Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New ^ Before Expiration Owner �/ W d� IV. Type of POWTS S stem /Com onentlDevice: Check all that a I ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil KMound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) t V. Dis ersal/Treat ent Area Information: Design Flow (gpd) Design Soil Vication Rat gpdsf) Dispersal Area Required (s Dispersal Area Proposed ( System Elevation �So - � z5 a 5, � /04 72-5 VI. Tank Info Capacity in Total # of Manufacturer Gallo Gallons Units / / / � v 2 New Tanks Existing Tanks y / 5,? ? v) �7 0- GJ o (, H Septic or Holding Tank ay Dosing Chamber S C/ VII. Responsibility Statement- 1, the undersigned, assume responsibility Installation of the POWTS shown on the attached plans. Plumb 's Name (Print) Plumber's Signature MP /MPRS Number Business Phone Number Zz Z 7/ 7 22- Zl Plumber' Address (Street, City, State, Zip Code) VIII. County /De artment Use Onl Approved Permit Fee Date 7lued Issuing ent Signature ven Reason for De ' I 625 °° 1 IX. Conditt I&A� r va I�V{nv l/Reasons for Disapproval `sEM ER �e.►�Q. il,g ((�� f� �{ 1 Septic tank, effluent filter and �t'y^c�' L✓( +'h , dispersal cell must all be services /maintained as per management plan provided by plumber. n . f111 se llck=u�rements must be maintained J4 O d( rV-_ wrmo system and submit to the County only on palter not less than 8 I/2 x 11 inches in size ab SBD -6398 (R. 02/09)' All� �5 °.1 1Y et 6 1. - -------- {{ 8 9` n - - - - - - - -- r a , Rd N Safety and Buildings OTMg rpm 141 NW BARSTOW Fl 4TH 53 WAUKESHA WI 53188 -3789 contact Through Relay www.commerce.wi.gov /sb/ 3 www.wisconsin.gov w Scott Walker, Governor oSS7ox�L5`` Paul F. Jadin, Secretary August 12, 2011 CUST ID No. 226524 ATTN: POWTS Inspector ZONING OFFICE ROGER L TIMM ST CROIX COUNTY SPIA TIMM EXCAVATING 1101 CARMICHAEL RD 3128 20TH AVE HUDSON WI 54016 WILSON WI 54027 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 08112/2013 Transaction ID No. 1980459 Site ID No. 770249 SITE: Please refer to both identification numbers, Allen Kerr above, in all correspondentx� with the 3204 Cty Rd N a Town of Cady, 54027 St Croix County SW1 /4, NWI /4, S13, T28N, R15W FOR: Description: Mound, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No n Soil 7 Maintenance required; Replacement system; 450 GPD Flow rate; 18 in Soil minimum depth to limiting factor fr om original grade; System(s): Moun Compo 0706 -P Ma nual Versi ffluent S BD- 10691 -P (N.01 /O1), Pressure Distribution Component Manual Version 2. 0 , The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101 .01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). The float switch shall be a type that does not contain mercury. 2009 Wisconsin Act 44 prohibits th or to installation of float switches or relays that contain mercury. Please specify an altern0 ,"rep ct P applying for a sanitary permit. o ,�d 84.30 - The building sewer and distribution network piping shall be of material listed in Alf le 5, Wis. Adm. Code. S ' Q of sqVT aF e �lhealth hazard, In the event this soil absorption system or any of its component parts malfunc eat tlon, the owner the property owner must follow the contingency plan as described in the approve must comply with the operation, maintenance and monitoring duties as described in se cU of the mound component manual. A copy of this information must be given to the owner upon completion of the project. ROGER L TIMM Page 2 8/12/2011 All holding/treatment tanks are to comply with Comm. 84.25(7)(a). Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspecti Sts S all be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Owner Responsibilities: Comm inter Responsibilities. occurs n accordance respon with this chapterand t e approved man gement plan and maintenance of the POWT under s. Comm 83.54(1). Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. in rely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Julia Lewis- Osborne *04* �'7633; POWTS Reviewer 2, Integrated Services (262) 397 -6005, Fax: (608) 283 -7481 julia.lewis@wisconsin. gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE RECEIVE JUL 2 7 , 2011 Project Name: �ETY & BUILD!' Owner's Name: Allen Kerr Owner's Address: 3204 CTY RD N Wilson WI. 54027 Legal Description: SW/NW S13 T 28N R15 W Township: Cady County: St. Croix Subdivision Name: NA Lot Number: NA Block Number: NA Parcel I.D. Number: 004- 1029 -90 -000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Designer: Roger Timm License Number: 226524 Date: 07/25/11 Phone Number: 715 - 772 -3214 Signature: ` Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and both V �,� SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and ) 144 , Al Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01 /01) 4D QU / e Version 5.1 (R. 06/06) Page 1 oPC7N) /V C Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150 %) fecal coliform of - 36 inches. 450.00 Design Flow (gpd) 4.00 Site Slope ( %) 100.20 Contour Line Elevation (ft) 18.00 Depth to Limiting Factor (in) L 0.40 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) C Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 3.00 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 110.00 Forcemain Length (ft) Does the forcemain drain back? r - Y 95.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 17.94 Forcemain Drainback (gal) 6.53 Vertical Lift (ft) 67.53 5x Void Volume (gal) 1.62 Friction Loss (ft) 85.47 Minimum Dose Volume (gal) 0.00 In -line Filter Loss (ft) 25.85 System Demand (gpm) 12.70 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. o ptions I choice 0.75 1.25 x 1.00 x 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weeks Conc P rod Manufacturer J gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) 1 Lock _ Filter Manufacturer 22.22 Dose Tank Volume (gal/in) JPL 525_ Filter Model Number Weeks Concrete Prod Manufacturer Project: Page 2 of 7 Mound Plan and Cross Section Views T 1/10 B . J Observation Pipe I 5 i{ .: A }� rr:• W f. g :- .... .............. I L Mound Component Dimensions A 6.00 ft E 20.88 in H ft K 10.24 ft B 75.00 ft F 9.50 in z Eflft ft L 95.47 ft D '18.00 in G 0.50 ft J ft W 23.81 450.00 (ft Dispersal Cell Area 1 1225.14 (ft Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 1 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.49 (ft) —► G t H 1 F Dispersal Cell 102.20 (ft) Lateral 101.70 (ft) — — Invert Dispersal Cell [3 Elevation D K 11� ^r�M1±l 4 �t 4 `rW ' A x z ; k '� ' ' 100.20 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key m $ T Dispersal Cell See lateral details on 1❑ _ Topsoil Cap c 1.5 ft Page 4 for number, size, and spacing of laterals. Subsoil Ca o ;. ... Laterals are equally ASTM C33 Sand 16 ••;'•`: •`• F Tilled Layer d ical m 0. ft '•.Typ spaced from the c :.::.::.::.::: L at e r al :.::.' distribution cell's © Aggregate o centerline in the A _* distribution cell (AxB). Project: Page 3 of 7 Center Connection Lateral Layout Diagram Face main connection via tee of cross to manifold at any point. laterals are iderok al T S I 1P >� �= Turn -up wtball valve or X--+IEd2 %n+J Laterals & face main of PVC Sch 40 olesnoutplug per COMM T.N. 84.30.5 Holes dried on the bottorn of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.20 ft Lateral Length (P) 36.80 ft Orifices per Lateral 12 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 ft /orifice Lateral Flow Rate 6.46 gpm Manifold Length 3.00 ft System Flow Rate 25.85 gpm Manifold Diameter 1. 501 in Total Dynamic Head 12.70 ft Forcemain Velocity 2.64 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and I 111���� Comm 16.28 WAC ft lternate in. min. Tank component is properly vented A outlet location main diameter Weeks Concrete Prod Manufacturer 2 in. Cap acityl 800.00 Gallons �— Volume 22.22 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 22.16 492.33 C B 2.00 44.44 Pump off elevation (ft) C 3.85 85.47 95.67 D 8.00 177.76 D Total 36.001 800.00 Dose se tank elevation (ft) 3" Bedding under tank. L 95.00 Alarm Manuafacturer S_ eptronics ._ Alarm Model Number Pump Manufacturer Gould j Pump Model Number I EPO 4 Pump Must Deliver 25.85 gpm at 12.70 ft TDH Project: Page 4 of 7 Mound System Maintenance and Operation Specifications Service Provider's Name Roger Timm Phone 715 - 772 -3214 POWTS Regulator's Name F-St. Criox 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 Moundl Inspect for ponding and seepage once eve - 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ............... Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Page 5 of 7 YA), 5& f? T�a4 16w L P✓ - P P Y i 4 ° C Rd N System Management Management of this system is critical. As a condition of approval of these plans this system management section must be re% iewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Roger Timm, 715- 772 -3214, or the St Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which !lows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water- saving appliances whenever and wherever possible. 3 Repair even small water leaks as soon as possible. 4 Never pour grease or oil down any drain or stool. 5 Garbage disposals are not recommended; if you must have one, use it sparingly 6 No paper products other than tissue should go into the system. 7 No chemicals should go into the system. 8 Avoid surge flows of water; try to spread laundry throughout the week. 9 Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run -off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance The septic tank must be inspected every three years by a properly licensed person. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed !nto the septic tank to remove accumulated material. System use may require more frequent filter cleaning, initial inspections of the "Iter should be made every 6 months until a minimum time sequence is determined. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell 5 If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6 The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7 Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8 Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9 Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 0 Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system a Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring ma\ become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83 514 ?) Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing. and or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 GOULDS PUMPS Submersible Effluent Pump MODEL 3871 �- EPO4 & EP Series APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower Specifically designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing following uses: lubrication and efficient improved performance. construction. • Effluent systems heat transfer. ■ Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • Farms manual operation. Auto- superior strength and corrosion • Heavy duty sump matic models include resistance. s�j. Canadian Standards Association • W r File # LR38549 Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron • Dewatering assembled and preset at the for efficient heat transfer Goulds Pumps is ISO 9001 Registered. factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic • Solids handling capability: FEATURES cover with integral handle and 3 /<" maximum. ■ EPO4 Impeller: Thermo las float switch attachment points. • Capacities: up to 60 GPM. tic semi -open design with p ra Power Cable: Severe duty • Total heads: up to 31 feet. pump out vanes for mechanical rated oil and water resistant. • Discharge size: 1 1 /2" NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA -N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) Intermittent. METERS FEET • Fasteners: 300 series 10 ---- - - - - -- - ------ - ----- - - - - -- -- - - -- - -- - -- I stainless steel. -- + • Capable of running 9 30 - .(�5GPM dry w - without damage to L-- - -1 - ---- - - - - -- - -- ----- com ponents. 25 2.5 FT Motor: _ - - - -- f----- - - - - -- ---- - - - - -- ----- - - - - -- - -- - -i i -- - ---- --- - - - - -- - - -- • EPO4 Single phase: 0.4 HP, y 6 20 115 or 230 V, 60 Hz, 1550 a - - -- ----- - -- - - - - -- ------ - - - - -- ---- - - - - -� 5 RPM, built in overload with > automatic reset. ° 15 J • 4 EP05 Single phase: 0.5 HP, ----- - - - - -- - ------ - - -- - -- 115 V or 230V, 60 Hz, 1550 ° 3 o RPM, built in overload with automatic reset. 2 ---- - - - - -- I - - - - -- - -- - - - - - -- - ----- EPO4 - -------- • Power cord: 10 foot 5 I standard length, 16/3 I - - - - - -- I SJTW with three prong -- - -- - ! - - - -50 ".. grounding plug. Optional 20 ° GPM °0 10 foot length, 16/3 SJTW with 20 30 40 three prong grounding plug (standard on EP05). 0 2 4 6 8 10 12 m3/h CAPACITY Goulds Pumps z 2003 Goulds Pumps Effective July, 2003 PL -525 Effluent Filter Maintenance Instructions: 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL -525 out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7. Replace septic tank cover. PL -525 Installation: Ideal for residential and commercial waste flows up to 10,000 Gallons Per Day (GPD). ♦ � r � �' Lam/ Id d 1 ; El 0 o e N lf� O M Ch � M o N M LO OO r I Co o - r` Ln z o O cn v P= F- z a L.li X X v W C.0 LU LU = Z ~ LLJ z LLJ �Z =� C.) w cn as W > x p CO O W LU L.L. ►- _ O LU N Z: LU o p = a- C7 a. cn� ' � Z L � Z m C . 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Adm. Code complete site plan on County Attach com p p -paper not less than 8' /z x 11 inches in size. Plan must St. CI'O1X Include but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Percent slope, scale or dimensions, north arrow, and BM referenced to nearest road. 4- 1029 -90 -000 lon viewed Date Personal information you provide m be ses 'vacy Law, s. 15.04 (1) (m)) Property Owner Property Location Allen Kerr Govt. Lot SW /4 NW -/. s 13 T 28 N R 15 w Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 3204 Co. Rd. N ST. CRQIX COUNTY ,�� � city State E 0 City ❑ Village 0 Town Nearest Road Wilson WI 54027 715- 772 -4469 Cudy Co. Rd. N ❑ New Construction Use: 0 Residential / Number of Bedrooms Code derived design flow rate 450 GPD 0 Replacement 11 Public or Commercial — Describe: (�� Pif2� G Cdr n Parent Material Loess /sandstone Flood Plain elevation if applicable N/A ft. General comments and recommendations: /D W 14 � . 1 Boring # Bormg 0 Pit Ground Surface Elevation 100.2 ft. Depth to Limiting factor 18 in. Soil Awlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efl#1 *Eff#2 1 0-4 10YR3 /2 - FSL 2 -m -gr mfr gs 3f 0.4 0.8 2 4 -8 10YR3/2 - FSL 2 -m -bk mfr Cs 3f 0.4 0.8 8 -18 10YR5/4 3 - FSL 2 -m -bk mfr gs 1 f 0.4 0.8 4 18 -30+ 10YR5/4 7.5YR4/6&10YR4/2f - -2-d FSL 2 -m -pi mfr - 1f 0.0 0.2 Boring # 13 Boring OPit Ground Surface Elevation 98.6 ft. Depth to Limiting factor 22 in. Soil ADolication 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 0-4 10YR3/2 - FSL 2 -m-gr mfr gs 3f 0.4 0.8 2 4 -8 10YR312 - FSL 2 -m -bk mfr Cs 2f 0.4 0.8 3 8 -15 10YR4/4 - LFS 2 -m -bk mfr gs if 0.5 1.0 4 15 -22 10YR5/4 - LFS 2 -m - mfr gs 1f 0.5 1.0 5 22 -26 10YR5/4 7.5YR5/6 f -1 -f LFS 1 -m -bk mfr Cs 1f 0.5 1.0 6 26 -31 10YR5/4 10YR4/6 C -1-d LFS 1 -m -bk mfi as - 0.5 1.0 7 31 -36+ 10YR6/4 &7/3 - FS 0 -sg ml - - 0.7 1.6 * Effluent # I = BOD5> 30:S 220 mg/L and TSS > 30!S 150 mg/L * Effluent #2 = BO-D5:5 30 -mg/Land TSS <_ 30 mg/L CST Name (Please Print) afore _ CST Number Mark Iverson J 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 Sept. 21, 2010 715- 796 -5664 Property Owner Allen Kerr Parcel ID# 004 - 1029 -90 -000 Page __ .of 3 Boring # 0 Boring OPit Ground Surface Elevation 100.2 ft. Depth to Limiting factor >38 in. Horizon Depth Dominant Color Redox Description Texture Structure Consist Soil Application Rate ence Boundary Roots GPD/ft� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -7 10YR3/2 - FSL 2 -m-gr mfr cs 2f -m 0.4 0.8 2 7 -15 10YR4/4 - FSL 2 -m -bk mfr gs 2m 0.4 0.8 3 15 - 26 10YR4/4 - FSL 2 -m -bk mfi gs 2m 0.4 0.8 4 26 -32 10YR4/4 - LFS 1 -co -bk mvfr gs 1 m 0.5 1.0 5 32 -38 10YR7/3 - FS 0 -sg ml as - 0.5 1.0 5A" 32 -38 7.5YR4/4 - LFS 0 - mfi - - 0.5 1.0 *inclusions Boring # O Boring 4 OPit Ground Surface Elevation ft. Depth to Limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # 0 Boring OPit Ground Surface Elevation 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 #I = BOD > 30:5 220 mg/L and TSS > 30:S 150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS 5 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. L Page 3 of 3 oft. 24 ft. 40 ft. 80 ft. N To well (geater than 100 feet) LP Tank -Sewer pipe BM#2 - Top of concrete foundation 103.7' Pr 1 p1' B-3 O S 100.2 9 9 N 9$ 0 B _ 2 B_1 �o 98.6 0 100.2 3M#2 - Top of 3/4" PVC pipe 100.0' Centerline of Co. Rd. N BMW & Des cription = Bench Mark Elevation - 1 00, = Boring Location & Elevation Owner: Allen Kerr Site Information: Completed By: Mark Iverson, PSS #197 3204 Co. Rd. N SW1 /4, NW1 /4, S13, T28N, R15W 680 Larcom Street Wilson, WI 54027 Town of Cady Hammond, WI 54015 St. Croix County 715 -796 -5664 Phone: 715 - 7724469 CST# 46672 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Iq 1111-914 Mailing Address o� 0g )4 Z7 Property Address (Verification required from Planning & Zoning Department for new con City /State fi(�� sa'o 0z Parcel Identification Number LEGAL DESCRIPTION l Property Location 5-1111 '/4 , /�/ '/4 ,Sec. , T _�LN R 1S W, Town of � Subdivision /(/ , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # AM � / � , Volume f ,� , Page # z Spec house yes 'r6 Lot lines identifiable yes V 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. 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe 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 of bedrooms SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented 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 vOL 4 PA G E444 STATE OF WISCONSIN —FORM 1 THIS SPACE RESERVED FOR RECORDING DATA 47 rjEGi5 c)FF[cE. THIS INDENTURE, Made this ...__.Z1S�....... day of__. Jut!; e........................................ ST. CROiX CO.. Wis- A. D., 19. .66..., between..._Blonda_• Evenson acid - _. Anna ••.Ryan....................... .... . . .... Recd for Record this_ .911 _ ........................•--•-•----- ..................................................................................... .......... ..... ... ...................... day of__-3u1.�r----- A.D.1c, 66 --- -------------- ••-- ••- •--- ..•••. -----•---••-----•••••-••--••-•...-----.....-•--•---••-•-••-•-• •- •---- ••-- .................. -- - -• -• -- .......................... • at_ -9 gQQ - -- A -I _.. ...... •------- ..__._._.... - .............part._1e S..Of the first pat Allen - �.__ - Kerr and .... Dorothy �L..___Kerr .. .ha.s - _wa fe and ? t -- ---••• ----- ...-•--- -- ° - --. _ -•- , °---••---------------••--•---.........__......_.._....-----.... ............................... eg st r d Deeds _ ................... _....._.--••••-•-••--••-•-•--•....-•••----- par�:eS ...... of the second part, RETURN TO W i t n a s s e t h, That the said part eS .... of the first part, for and in consideration P eterson, Thedinga & Pet rs of the sum of ..... on e ---- 491 - LA , at1_� _OtYleY__ - gOOC 1 _atld - Almg0_19�. enomonle, Wisconsin ....-- •• .. ....... ......•- - consa.deration...•- •........ ...................... • -• -- • ..................v to. .... them . in hand paid by the said part1e S...Of the second part, the receipt whereof is hereby confessed and acknowledged, ha. Ve- •__given, granted, bargained, sold, reluised, released, aliened, conveyed and confirmed and by these presents �• do ............ give, grant, bargain, sell, remise, release, alien, convey and confirin unto the said part..1eSof the second part,Ehe. Kirs and assigns forever, the following described real estate situated in the County of ....... S.t. -_._. .......... and State of Wisconsin, to -..Lit: !I The West one -half of the Northwest Quarter, Section 13, Township (' 28 North,-Range 15 West. i i 1 1 1 Ih i 1 1 � I t sl 1 _1 (IF NECESSARY, CONTINUE DESCRIPTION ON REVERSE SIDE) 'Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate l' right, title, interest, claim or demand whatsoever, of the said part:? e $of the first part, either in law or equity, either in possession or expectancy I of, in anfl to the above bargained premises, and their hereditaments and appurtenances. • To Have and To Hold the said premises as above described with the hereditaments and appurtenances, unto the said part1eS_of the second part, and to_the1x _heirs and assigns FOREVER. And the said ....... B 101 } da _ Eyen s on and__. Anna...? ?Yax1 .. .................................... ---------------------- _- -_--- ..-- ...._... .......................... :_ ... ...... ...... ............................... ..... ... ............. ....... ....... _. ._ -- •-- •-• - -- t ...... f _, _ ,thE1K .................... •heirs, executors and administrators, do ................covenant, grant, bargain, and agree to and �� with the said partt -.e S•. of the second part ...... tYle lY __ • _ • , -- heirs and assigns, that at the time of the ensealing and delivery of these presents _._ -• t�lE - -_7 .... -- ..well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance ! in the lair, in fee simple, and that the same are free and clear from all incumbrances whatever ................................................ ............................... IV•• - •• ...... ............. °•.... . ... •_. ............ . ------- •-•• • -- - ° .. .. ....................... _ .......................................... ............... . . .................... _......... II ----------------- --- -. -- •. - -.-- •- ---- ---- ---- ------- --- - -- ------------------------------------------------ - - - - ---- ••- ------.._- _-- _------------ :-- -.. and that the above bargained premises in - the quiet and peaceable possession of the said part! Qa_of the second paA —i —Weirs and assigns, against all and every person or persons laNvfully claiming the wholoor any part thereof,- - t,.he. ....will forever WARRANT AND DEFEND. In Witness Whereof, the said part.l9.S_of the first part ha.ue•_-hereu o set.....t ale 1 111and...__.S and seal._ ..S -- this .......:............ i day of....°JuUe ........ .............. A. D., 19 -- 6 - o SIGED AND SEALED IN PRESENCE OF / r / (SEAL) N .B..Qns? E xa 5.QP .............. (SEAL) t Anna R .......... ... � dm�ar.Id.... .�.. -- V. - M n ----- �---------- ---------- -........ - --- (SEAL) i ll. Howard E ll Thedinga_ __ _________________ (SEAL) .......... .....^-..°_....---......_..... ._.................._........_. STATE OF WISCONSIN, Dunn ..----•- °--• °-_ County ss. --•-•-- °--••---- --_........_._. Personally came before me, this ... _........ 21 st ......day of ................. - U 1 - e ................... ............................... A. D., 196.6 .--•- th e • - • a b o • - v- e --• na - • med .......... BZOnCIa ... Evgn iOn �a.... R. Xatl......° .................._....................................................... _......._.. ..................... --.-.- _------------- ------------------------------- .._........... -------------------------------------- to me known to be the person.__S__._who executed the foregoing instrumenf� acknowledge�th sa me. 1 r, H ow ad Thed ins l �FIOTARY r .........-•--..........._.------ I Dunn This instrument drafted by _ = w - .Notary Publ ic .... ........._........._........... ............._....._....County, Wis. -How h4 _ $ My Commission (� ls)- •------ P-P-MM xIP-11t----------•---- and -F T ..._ d > 1.. a ---------- - - - - -- •-- -• -... t -�... . (Section tt 59.51 (1) f 020 s i s 8 nd a provldea that all instruments to be recorded shall have plainly printed or typewritten thereon the names of the Sr UK---t DEED —STATE OF WISCONSIN. -FORM NO. 1 \W DOCUMENT NO. T WARRANTY DEED SrA'Irr. Or WISCONSIN-FORK I THIS SPACE RESERVED FOR RECORDING DATA . THIS INDENTURE, Made this .... day of ......... Jun A-?mGI5TE;F*6 CWFICE A. D., llkjg� w beteet ...... 14-111 - - an o ..... . e I ............................ ST. CROIX Co.. WIS. . . ...... ......... ......... .. .. .. ... ................. ..... ..... ..... ... ..... .. ... .... I .. .. .......... . ...... ......... . ........... ... ..... ... ... . ....... ....... .......... Rec'd for Record this__.Z9_Rk . .......... ........ ... -------- ---- I -_ L ----- y - - a-is ------- ------- ------ ------ --- ----- --------------------- ----------------------- --- -- --- -- - - --- ------- --------- - day Of--A'92Y A. D. 19�66 ....... -f the first part and at M. -------- ----------- -- ' er5� - 'Tils w1fe, --------------------- -------- ---- - --- ------- ------------ ------------------- -------- ......... .............. .. .. ........... .............. . ... ... . .. .. .... ............ ...... . ... I ........ ..... . ... ... .. ...... . 0 ... r. - -t.-.. X. � ....... . .......... ...... P ... ... . ....... .......... ....... Azad-_ . ...-• ......................... ..... . .. ......... ....................................................... ..... I .......... ... ........ ................. part..11ft9i. of the second part, RETURN TO W i to e s s e t li, That the said part..-'y. ....... of the first part, for and in consideration Peterson,- Thedlnga & Pet rso of the suni of....one ... idal.La=-..,and..-jo. the-r..good...and- valuab.le ......... enomonie, Wisconsin 14 .................... ....... c.ons_tde=a.t:Lor ............. -• ......... .... ........ ............. I * 11 ....... . ........ ........ ........................................ to ..... her ..... ..._ hand paid by the said part...i.e_cof the second part, the receipt whereof is hereby confessed and acknowledged, ba..S. ...... given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents do.e s. grant, bargain, sell, remise, release, alien, convey and conliq=he aApart!@A .of the second part,1J!q_AXrs and assigns forever, the following described real estate situated in the County of.. ?.: ................a State of Wisconsin, to-wit: The West one-half of the Northwest Quarter, Section 13, Township 28 North, Range 15 West. (IF XEcr.SsAr_Y, CoNruquz Dizscl;tiprioN ON REVERSE SIDE) Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and a the estate right, title, interest, claim or demand whatsoever, of the said part: ... )Z of the first part, either in law or equity, either in possession or expectancy p of, in and to the above bargained premises, and their hereditaments and appurtenances. To Have and To Hold the said premises as above described with the hereditaments, and appurtenances, unto the said patl-�' S. Of the second part, and to --- t-he-11:1leirs and assigns FOREVER. And said •. .. Li_1lj_ari_. L.ovaas --- --- --- .... _ .... .. . . .... ................ ... . _....- .-•----...._. -... .•.•.. . ..... .. ... ... ... .. ............... .......... . . . ..... ... ... . . ... .. .. ... ......... ....... ... . . ... _.- _. .. --- --- - ... _ . ... .. . .. ..... .. ... ... .......... . ... . .. . . .. . ..... ... ........ .... ..... .... for ... - heirs, executors and administrators, do-e-S-...-covenant, grant, bargain, and agree to and with the said parti-e.S of the second part, the a,r_ - . heirs and assigns, that at the time of the ensealing and delivery of these presents _.-she.. -is ------- - --- well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same Are free and clear from all encumbrances whatever ....... ....... ... ......... ... - - - - - -------------- ------- ... ** ...... ---- * ....... -- ---- ............. . . ............ .... li and that the above bargained premises in the quiet and peaceable possession of the said part.._ the second p.:rtU9_&_.Xheirs and assigns against all and every person or per.onq lawfully claiming the whole or any part thereof_.. she-•..."vill forever WARRA-XT AND DEFEND. - --- ----------- In Witness Whereof, the said part- 'Y- -of the first part ba.J.5L....-hereunto set hand -and seal this ...... day of- .. _June_ _... __ , A. M, 19 -66... /,. --- i I SIGNED AND SZAI.ED IN PRESENCE OF . - -%:,_ (SEAL) v oaas Lillian .. ... ..................... .... . ..... ......... . (SEAL) L .......... ............................ .. ... .... ........... '"Go' _k 'C A_ (SEAL) .... ....... ................................... .... .... . ............. Shirley At McCormick iI II ..... ...... .................... .. . . ... .... . . .......... ....... . ........... .. . ... .... (SEAL) California ............. ............................ ....... ........................ STATE OFAMUONM% ............................. P ersonally came before me, this . .......... ... .... a�tt; . ...._...........d ay of ........................ Mume ........................ .......................... A. D., 19_66. I I the above named ........ Li-11-1am-Lovaas ............................ . ....... ................................... ............. ............... .......................... ...................... .......... ..................... ... : .................. ..................... ...... ........-...... ....._.........I............... ------- * ...... ........ * ------- * ------- to me known to be the _..who executed the foregoing instrument and ackn the NOTA /-/. �o ........................... 'qRy j y IP &Q This instrument drafted by SI-AIVIS ��11 L OFF G ORA(E Notary Public_< ... �. v. 'unty. viffia• S COUNT .-_T ..... Howax.d ... F._.-h-4ad-a'.nga ................................. My Commission (Expires) &S ............. (Section 59.51 (1) of the Wisconsin Statutes provides that all liistzum..te to he recorded shall have plainly printed or typewritten thereon the iiam" of the grantom, grantccs witnesses and notary). WARRANTY DEED —STATE OF WiscoNsia, FORM vou 425 PA GE 41-115:: DOCUMENT NO. WARRANTY DEED STATE OF WISCONSIN —FORM I _�jL_ 425 PAGGE446 THIS SPACE RESERVED FOR RECORDING DATA DC 285349 RtEC=I8TMFi0 OFFICE: THI H INDENTURE Made thi ........ ZjP.$.A JUIY ...... d f ............... ........ .......................... ST. CROIX CO., WIS. A. D., 19 ..... jU., betwee ville..J�y -q ... c � ---------------- ...... q ... :L AqKn ... e ... van.-, . ............ ................ ........ �h.&q ... :Lf e K ........ ............................................ . ........................................... .... ............. Recld for Record this - 29 th ------ ......................................................................................................................................... ............. ........•• .... day of --- ....................... ............................................................................................... Z ........ ... ..... ....... .................. ...................... I ............... * -------- --------------- ------ - --------- * ................. part.A.9.q. of the first part and at M. .......... ................................................................................................ ....................... .. ............. ............................ Regi r_ f D eds .............. . ........................................ . ............................. .......................... .................. I ......... . .. part.!LtS of the second part, W i t n 6 a 8 0 t h, That the sa=rtl9� :9 .... of the first part, for and in consideration terson, h Tedi.-nga & Pete sor, of the sum of .. Qjjj�t .. ... .. 51alliqr other RETURN TO e --------- enomonle , Wi_scon,-Un- ...................... P.QP.91,deKqLtlon . .... ............................ ....... ................................... . ........•---.......----••-------- ................... . ............................................... to .... the!R ......... in hand paid by the said part.Aeaof the second part, the receipt whereof is hereby confessed and acknowledged, have. given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents do ........... give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said par&fZA ... of the second Parithig.%ge and assigns forever, the following described real estate situated in the County of .. ' I X .............. and State of Wisconsin, to-wit: The West one-half of the Northwest Quarter, Section 13, TownS'h3" 28 North, . Range 15 West. (IF NECESSARY, CONTINUE DESCRIPTION ON ItzvERsE SIDE) Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate right, title, interest, claim or demand whatsoever, of the said par0=9Lqof the first part, either in la or equity, either in possession or expectancy of, in anti to the above bargained premises, and their hereditaments and appurtenances. To Have and To Hold the said premises as above described with the hereditaments and appurtenances, unto the said park- the second part, and to_th'@AK••heirs and assigns FOREVER. And the said ..... qj;:V 1l 1.e g�g�Kijj_ e c e .. .. ...... _J�y ........... .. ......... ... ........... ........... _._._.......--•-----...-.-.••-.•.---••--.-.•-.- ---- --•---- --------- -- --- •- '- - ° - -• ............................ ; .................... •.........•........ he e xe - to r " s .... and a - - d - m i -- ------- ** ........ * ---------------------------------------------- * -------------------------- * ----------- * ------------ istrators, do . ...............c ovenant, grant, bargain, and agree to and with the said part.19.5.of the second part, ........ th4a * :L ' r ........ heirs and assigns, that at the time of the ensealing and delivery of these presents -------- 1;heY --- a -- -r!�- ---- well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all incumbrances whatever ............................... ................................... ............................................................................................................. .......................................................................... .... ........................................ ........................................................................................... ........................ = .............................. .......................................... ------- and that the above bargained premises in the quiet and peaceable possession of the said pard-JaB—of the second partt:b_P_ h rurs and " a ' Wigns, against all and every person or persons lawfiffly claiming the whole or any part thereof,..theY- ...._ will forever !WARRANT AND DEFEND. In Witness Whereof, the said part3_eS..of the first part ha_VJe__.hereunto set ..... r-he.13Tiand— and seal _13--this .... d ay Of ----------- JU.LY . ................. A. D., .... or, SlGpm5b AN E L IN PRE E NCR OF '0 c -1, 49__Z � (SEAL) rl ........................... ........ l a ' a 4 � P.Xogan r- :M111111_111 ----- Biq&rn-i-ee-e4. a:a ------------ ------------ . . . . . . . . . . . —(SEAL) .... K;Lalne ... .......................................................................... ... .................................. —(SEAL) MINNESOTA STATE OF:*Rffl§Mnk%1% .......................................................................... Hennepin ........................... S- c ount S S. Personally came before me, this ... .......... 2 ,03* 6 A ........... * ......... day of .... July ........ ........ ....... ---.......... _................- •••-•••• -_... A. D., the av 9KK!I .................... le R bo e named ... van and ......... Berniece ....... . ........ Rvan . 21-- ...... ............................. .............. ................................................................................. ................... ......................................................................................................................... ............................. . .......... ........ ...... ? . ... .......................................... to me known to be the person -_5-- -who executed the foregoing inqruqjent and acknowledge a -same a ..._.... A 1M.P.P ............ ........................... SEAL This instrument drafted by 'Notary Public ......................................................... County, Wis. Roy A. CANNON !qotary P bu ...... HP.WA.rd ... E. My Commissm '- jl " r -]-r A--QOU 31 tY,--h1hn -------------- ........... . ... . .9 'P e n Expires Jan. al, 1 of the (Sectlow.59.51 (1) of the Wisconsin Statu provides that an instruments to be recorded shall have Plainly Printed or typewritten thereon the names' grantors, grantees, witnesses and notary) WARRANTY DEED—STATE OF WISCOqSIN-, FORM No I H. C. MILLER Co.. MILWA.KC DOCUMENT NO. WARRANTY DEED STATr. Or NVISCONSU-T—rOltbd I THIS SPACE RESERVED FOR RECORDING DATA 0 aS THIS INDENTURE, ?Vfade this.._.��h ........... d-V'cf_.JUlY REGISTU;1516 QFFICt A. D., between.. ... * ...... ... 9 -------. ... ................. .. . . ... ST. CROIX CO.. WIS- and ances y .................• .... ....................... . . ....... ........... ........... ..... ... ........ ..................... . ... . . . + _ ......... .. . . ...................................... ............. ... ......... Rec'd for Record this__R9_Ab ........ ._ .................................................. ................................................. . ........................................... day of --- L'q1_Y ----- A.D.19 ......... .... .......... . ....... .....................----••-•-...-•----.-............... . ................... v .............. . ........................... . .................................... 3-es at___A__-0' A. M ... . ......... . ............................. ..... . ......... . ..... ert ............. of the first art and -a ------- ........... Alien „ L_. Kerr - and L _ Dorot hy L ............... :!�tly ....... n ........ P ... I ... w i d e ? ....... Regi r f eds .... . ........ . ..... . ................................................... ....................................... . ........ ..... . ........................... ..... ......---•:-• ......... .... . .... . . ................... . ...................... ... . ................................................... ......... .................. Part-119La-of the second part, RETURN TO W i t n e a s e t h, That the said _part:ML§ .... of the first part for * cons ideration 1 'deration Peterson, Thed1riga & Peterson of ti sun o f ..KM ... jQjjAK ... and other .. 0 Od ra le S ............ .. i ... ........................ gq ........ ana .. ... I .. . ...... I . n IS, ................. .... . �Ienomonle, Wisconsin .. ......................... ,9:Ld n. C ....... Anqt on . ... . .......... ...................................................... . ...... .................. •.•••••••••••••..•.........._.._ .......... ........................ . ....... in hand paid by tile said parO: e S ... of the second part, the receipt whereof is hereby confessed and acknowledged, ha.3K9 .... given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed vd by these presents do . ..........g ive, give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said part?:tS_of the second part!f_.2_ and assigns forever, the following described real estate situated in the County of ... S-t ....... Croix ............. and State of Wisconsin, to-wit: The West one—half of the Northwest Quarter, Section 13, Township 28 North, Range 15 West. (IF NECESSARY. CONTINUE DESCRIPTION ON' REVERSE. Slx>r-)— Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate right, title, interest, claim or demand whatsoever, of the said parf_-!!ei%f the first part, either in law or equity, either in possession or expectancy of, in and-to the above bargained premises, and their hereditaments and appurtenances. To Have and To 1191d the said premises as above described with the hereditaments and appurtenances, unto the said part-Lem.of the second part, and to. _:��!��LKheirsand -assigns FOREVER. And the said ....... . : jphp ... )RyATI _g_pq ... Fr.an.ce.s_.'Ry.an..._hA s .... w fe i... . . .......... . .......... ........ . ......... ................. . .............. . ... ................... . .......................... ......... ... ......... .. —.1-1 ....... • .. . ........... ........................ .............. . .......... ..................... ........... ........ 1 ....... for ............ .......... beirs, executors and administrators, do ... .......... . covenant, grant, bargain and agree to and with the said paide_S. of the second part ....... tile 1K .... ,_. -heirs and assigns, that at the time of the ensealing and delivery of these preserits - -- - ------- the-Y. .... aXA_Iwell seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are frec, and clear from all incumbrances whatever ---.-..._-__-._.......-_.-.........._ ...................................... ..................... ......... I ... . ...................... I .. ..................... ................ ................ . ...... . ..... . ......... I . ... .......................... ............................. --------------------- ........................ . ..................... .......... . ............ ....... and that the above bargained premises in.the quiet and peaceable. possession of the said paiL19L�Lof tile second part-,htlGirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof_Atb9Y--will rorever WARRANT AND DEFEND. In Witness Whereof, the said part..Zle.Sof the first part JIM -0.._- .hereunto set ..... t he;L.rand_...__.%nd seat s _this_.!Ith. ...... day of ........ JI-13-Y. ......... . . ...... A. D., 19....6 SIGNED AND SE - AL ED IN PRESENCE Or (SEAL) John 1 e.Vn3-ce Jo on Frances Ryan// ...._... ........._- ........•--- ........ ...... .................... ............... . ..... LaVernb M. Peterson (SEAL) . .... ... ... .................... ............. .............. .................. .................... ............ . ................. ..... . (SEAL) MINNESOTA STATE OF .......... .................. **"'*- County.1 ss> Personally came before me, this .- . ... . . ... . ............ ............................ of ...................... ��IY ........ A...- . ................................. A, D., 19. 6 the above nam d .... e s y ...w i ...—fe .. . ......... ........................................... . ............. . ........... . ........ •...••.........••..•.. . ...................... ................ -------------------------------------------------------------- -------- - -- - -------- ------------- - ----------- --------------------------------- - -------- to- me known to be the person ... $_wbo executed the for .. . en rand acknowledged the same. .............................. ....... nson Minn. rg This instrument drafted by Notary P ........... Hennep�.. ... .._..... ..............__C n 3 MX r ISSRDICE YoHXSQX .......... maward .... Z . ..... 7htolnga ............... My Commission (Expires Idy colam"alon X=jP1r6 12., IE 71 (Section 59.51 (1) of the Wisconsin Statutes provides that all Instruments to - recorded shall have plainly printed of typewritten thereon the names of the grantors, Aranteesp witnesses and notary). • WARRANTY DEED—STATE OF WISCONSIN, FORM NO. Vo 425 PUA47 H. C. HILLIER CO.. NCLWAUKEI DOCUMENT NO. WARRANTY DEED STATE Or WISCONSIN-FORM 1 VOL 425 PACE THIS SPACE RESERVED FOR RECORDING DATA 2 85035 THIS INDENTURE, Made this 27 th .......... day of. ... Jun .........................• RF-013TEKS OFFIC& A. D., 19..66..., betw.e.-AKtLt'!A2Z ... RYAP .... S CROIX CO., W!S. n-* ........ 1.9 ...... ........................................................... W.J.19.5- .............................................. .......................................... Rec'd for Record this- ................. . .. . ............................................................................................................. ..• ........................... day of --- iLq1Y. ----- A.D.19_§ ................................................................................................................. ... . .... ...... ................................ t .............................................................................................................. part ... 19 the first pat and a - -- M S wide • ............................................ .............. ................... ........................................... ... ..•.•.•.............................. ......................................................... ............................................................. - . ........................................... parfLle-S ..... of the second part, RETURN TO W I t n. e a s e t h, That the said partl .... of the first part, for and in consideration of the sum of .. qpgk ... SjqjjAK ... a .... o-the r....R.0.od .... an.d...Y-a�lu.a-ble ............ Feterson, Thedinga Peleirs qQnAj&gKqj�1On I Menomonie, W1scons3-n .................................................................... to-lhg M ............... in hand paid by the said partles..of the second part, the receipt whereof is hereby confessed and acknowledged, ha.:Dagiven, granted, bargained, sold, remised, released, aliened, j conveyed and confirmed, i md by these presents do.9-19 .... give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said part2:! the second part,t....!IlWirs and assigns forever, the following described real estate situated in the County of-._S t t 9KQjX .............. and State of Wisconsin, ' to-wit: The West one-half of the Northwest Quarter, Section 13, Township 28 North, Range 15,West. - T (IF WracnssARy, CoNxn-4up, DEscpurriom ON F-r--Vr--RSF- S111m) Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate right, title, interest, claim or demand whatsoever, of the said part .--!A,of the first part, either in la or equity, either in possession or expectancy of, in and to the -above bargained promises, and their hereditaments and appurtenances. To Have and To Hold the said premises as above described with the hereditaments and appurtenances, unto the said part.J.Je..Sof the second part, and tothe :L Kheirs and assigns FOREVER. And the said -, A rthur_ . 9y . .................... .••• ...... ............... .................. ..... ...... ......... ffhe-l-r ..............................................._..._• - -• -• . ... ............................... ................................. •..•....•..•••.•............. ..................... for ... ... p ..... t .......... . ........ t . ...................... : ._.h eirs, executors and administrators, do..AK ...... covenant, grant, bargain, and agree to and with the said partle A.of the second part ...... t hei . ............ heirs and assigns, that at the time of the enscaling and delivery of these presents ke . ....... well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all incumbrances whatever ...... . ................... ....................................................... ..................... ................ . ............ ............................................ ........... ............................ . ..................................................... ........ . ................................ . ............. ................. ... ......... . .. ........ ........ .................... ............................................. . .... ............................................. i� ...................... ........ KH .................••.................... and that the above bargained premises in the quiet and peaceable possession of the said part..��L'-'Af the second par ..T�! r . heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof,they. ...... vill forever WARRANT AN DEFEND In Witness, YVJ,�iereof, the said partA',V-- the first part .... and seal&.thi.... day D., 19. ......6.6. ' SIGNED A SEALED IN PRESENCE OF (SEAL) Arthur R . ....................................... Elme L. Go_ '66n (SEAL) Mil an ................................................. .... ........•...._.._... ..• .•.. ................. a (SEAL) chn ,rje S F. Aaron ........................................................ .... . ........... --------------- .......................................................................... ........... (SEAL) C ............... .................................................... STATE OFRAIW S%mw mt� .............. . ................ co ............ unty.1 Perso nally came before me, this ..._....___ . 271d . ............................ day of .............. June ............................................................... A. D., 1966. theabove named ......... J A- ... P-ypn ........ h.j..s W-i-fe .............................................................................. ......•....•.•...•...........•... ---°-°---• ..............••-••••...__....--•......._............_...._ . ......................... ................ .................. ........ ........ . ...................... . ............................. to me known to be the persorL.-S-r.. executed the foregoing instrument and acknowledged the same. NOTAIRY . ....._..-° At. Mxrle - nrsh&ll This instrument drafted by 90 Notary Public.-.39�ar-am - c Snt-0 ................. ...._.C NVm - LI; for- is -•- - -.1 -O wax-d .... F.-..-. -The, el i n g-a ..................................... - My Commission (Expires) (Is) ------------ 31— -7,0 ...................... I (Section 59.51 (1) of the Wisconsin Statutes provides that all Instruments to be recorded shall have plainly printed or typewritten thereon the names of the grantors, grantees, witnesses and notary), WARRANTY DEED -STATE OF WISCONSIN. FORM NO. 1 N. C. MILLZR 40.. HILWA