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538825 004-1029-90-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s 15.04 (1)(m)J 'ermit Holder's Name: City Village X Township Kerr, Allen & Dorothy Cady, Town of ;ST BM Elev: Insp. � Elew [.C� BM Description: Pj M i --7-'� LS 7 TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic .2. Aa4 Dosing , e-�- 5a Aeration a �a CZ Holding TANK SETBACK INFORMATION TANK TO PIL 1 p�—L✓ WELL BLDG. Vent to Air Intake ROAD Septic Ain Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer //JJ Demand a v �t s GPM Model Number /' Z7 185 TDH Lift Friction Loss G System Head TDH Ft 5$ o , sg1 2/, ss Forcemain Length / Dia. )I I Dist. to Well /6�:) / SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 538825 0 State Plan ID No: Parcel Tax No: 004-1029-90-000 Section/Town/Range/Map No. 13.28.15.201 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. gewer 7.75 r9 . o 1 St/Ht Inlet If, c7F , 3 7 SUHt Outlet C) Dt Inlet 9. 9 7. Z Dt Bottom 'Z g,3 . "I Header/Man. �' � ✓� Z . L , / ✓"1 Dist. Pipe �} • (v� I6Z . l 9 Bot. System s 7-7 Final Grade St Cover /1J 57.4Z r b , 77 1,66 BED/TRENCH DIMENSIONS Width Length 7 No. O�nc s PIT DIMENSIONS No. Of Pits Inside Dia. [Liquidepth SETBACK SYSTEM TO P/L BLDG WELL LAKEISTREAM LEACHING Manufacturer: \ INFORMATION CHAMBER OR UNIT Type O` stem: 75 Model Number: DISTRIBUTION SYSTEM /lrl=r. ) Header/ManifoldII Length Dia /� Distribution y Pipes) / 1 5 Length 31f Dia ✓' Spacing 3 x Hole Size it 3 IxHole Spacing n Z V Ven Air Intake v SOIL COVER i x Pressure Svstems Only xx Mound Or At -Grade Svstems Only / ¢, Depth Over Bed/Trench Center / Depth Over Bed/Trench Edges xx Depth of Topsoil 1 xx Seeded/Sodded xx Mulched r r� ' t Yes C No Yes � No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: o z 7, / lr Inspection #2: / / GL. '-..0 Location: 3204 Cty Rd N ilson, WI 5//4027 (SW 1/4 NW 1/4 13 r C T28N R15W) 40 acres Lot ln.'�; i— arcel No: 13.28.15.201 P�D..) L)54-1 1.) Alt BM Description = LAv�� 2.) Bldg sewer length ✓[� --t' 1-o6✓,,- D/ of r - amount of cover = 0 dl ( 36 Plan revision Required? ❑ Yes �<No Zip �_ - /n J l�✓ Use other side for additional information. Insepctor' --- SignatuW Cert. No. Date SBD-6710 (R.3/97) ,"', ��p \ Comm QT160V d '\ Safety and Buildings Division 2 W. Washington Ave., P.O. Box 7162 County C, 1 S O S. `4� Madison, 'Al 53707-7162 Sanitary Permit Number (to be filled in by Co.) Departm nt of Co rce G� pF� 2 j� anit it Appli �p(�— State TraansaacctiioonnnNumber In accordance with s. Comm. 21(2 m. Code, submission of this form t apertlT€ priate governmental �y0 unit is required prior to obtai 'n rtary 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 purposes in accordance with the Privacy Law, s. 15.04 1 m), Stats.Yr^' I. Application Infor tion - e Print All Information Property Owner's Name Parcel d �! Ileoo - /0.?? - c/o- oco Property Owner's Mailing Address Property Location / 21 11 �1d641 ✓ tie14/ Govt. Lot � t�'/. �%(� '/. Section 1J� City, State Zi Code Phone p Number 7/7'--772 circle on�� T N, R /_-7 II. Type of Building (check all that apply) Lot # or 2 Family Dwelling - Number of Bedrooms Subdivision Name # Block ee� ❑ Public/Commercial - Describe Use �'t' , fttiL ❑ City of ❑ State Owned - Describe Use //► CSM /X ❑ Village of ATown of Number 75 00 � 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) B. ❑ Permit Renewal Before Expiration ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Owner IV. Type of POWTS System/Component/Device: Check all that apply) ❑ 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) r V. Dispersal/7 reat ent Area Information: Design Flow (gpd) Design Soil Application Rat gpdso Dispersal Area Required (s Dispersal Area Proposed ( System Elevation /50 � y / Z-5 Z -5/ 5 /o i 7� VI. Tank Info Capacity in Total N of Manufacturer Gallons Gallons Units � /a� 5a b o � r New Tanks Existing Tanks v� d U C, rn v' 2 Septic or Holding Tank / d '�� 6! /V X tieDosing Chamber 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 77t =77 Z- Plumber' Address (Street, City, State, Zip Code) ^/ VIII. County/Department Use Only Approved � = Permit Fee $ OD Date I ued / 1 Issuing ent Signature ven Reason for De I �J IX. Conditi �f��DD rovaVReasons for Disapproval nn STEl1r+POWWER:' �.,X.V-+ �s , .� cX'.�. rb %.)..Q- , t. Septic tank, effluent filter and � t,✓� I dispersal cell must all be services/ maintained Ore, ' " as per management plan provided by plumber. �� L � � / 2_ 064,fbackrequirements must be maintained Qiliid:LJ � • •A nacaTo-corttpretepratra•tyr"ft system and submit to the County only on pater not less than 8 1/2 x 11 inches in size t :�D ` e'_ LOcQ.a- t. SBD-6398 (R. 02/09) ' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT (ATTACH TO PERMIT) GENERAL INFORMATION 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 Kerr, Allen & Doroth I Cad , Town of CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION MANUFACTURER t gHoIding nt,_ �- -rAnik cr=TRec:K INFORMATION TANK TOMILVent to Air Intake ROAD Septic �� -- Dosing�ti -- Aeration Holding PUMP/SIPHON INFORMATION Manufactur;Length / Demand Vag[ �5 GPM/ C Model Num TDH LiftFriction Loss G /System Head TDH g 61,949 Z/r ss �f Forcemain / Dia. l f Dist to Well ELEVATION DATA STATION Benchmark Alt. BM S� d,,' c, F.•l Bldg. 8evver SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom Dist. Pipe Bot. System (Final Cover BS HI FS I ELEV. LAB 45$ . 7•b� $.5 9S . 37 1,Z97.2 IZ g,3 . `i 4511,2.54 N77/6 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid DIMENSIONS `7� P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK SYSTEM TO CHAMBER OR INFORMATION TypMOstern: UNIT Model Number: DISTRIBUTION SYSTEM b x Hole Size x Hole Spacing � ven Air Intake HeaderHeader/Manifoldit / S Distribution � � Pipe(s) Length 3 �C , Dia Spacing �r 3 . Zd Length1_ Dia xx Mound Or At -Grade Systems Only Seeded/Sodded ✓`^ xx Mulched SOIL COVER x Pressure Systems Only Depth Over Bed/Trench Center 1 / (� Depth Over Bed Trench Edges xx Depth of r Topsoil d CT 1 xx Yes - No Yes No Inspection #1: z Inspection #2: / / 13.28.15.201 COMMENTS: (Include code discrepencies, persons present, etc.) Location: 3204 Cty Rd N ilsoIn, WI 54027 (SW 1/4 NW 1/4 13 T28N R15W) 40 acres Lot arcel No: 1.) Alt BM Description = /)/a %\ '- oc•lG� O� �i (J 2.) Bldg sewer length = of cover - amount Required? 38 � Yes No Q Zb 1 Plan revision v Use other side for additional information. Date Insepctor't3ignat Cart No. SBD-6710 (R.3/97) ItOomm T.ov Safety and Buildings Division ryO� 2 W. Washington Ave., P.O. Box 7162 S O $ 1 1 4� Madison, WI 53707-7162 County �.. 51 Sanitary Permit Number (to be filled in by Co.) Departm nt of Cornt�rc G OFF\ 3 01 anit it Appli Sta[eTransactionNumber In accordance with s. Comm 21(21 m. Code, submission of this form tethirappropriaw governmental Project Address (if different than mailing address) unit is required prior to obtai nary permit. Note: Application forms for state-owned POWTS are submitted to the Department o mmerce. Personal information you provide may be used for secondary in accordance with the Privacy Law, s. 15.04 I m), Stats.Y�"� -purposes 1. Application Infor tion - e Print .All Information Property Owner's Name r Parcel # �� ©0 q' Property Owner's Mailing Address Property Location / 3 p30 � !/l/ Govt. Lot ( J y, Section I City, State Zip Code Phone Number till 7l circle on T N; Ro II. Type of Building (check all that apply) r3Lot # Subdivision Name "� ' or 2 Family Dwelling - Number of Bedrooms Block # n ❑ PubliciCommercial -Describe Use MX_ ❑ City of ❑ State Owned - Describe Use f —q— CSM /x / El Village of A Town of Number 75 oo l 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System Replacement System ❑ Trea[ment!}lolding Tank Replacement Only ❑Other Modification to Existing System (explain) B. ❑ Permit Renewal Before Expiration ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Owner List Previous Permit Number and Date Issued / _� R i2 Ppyl( w IV. Type of POWTS System/Component/Device: Check all that apply) ❑ 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 ersaareat ent Area Information: Design Flow (gpd) Design Soil Application Rat gpdsf) Dispersal Area Required (s 1145 Dispersal Area Proposed ( System Elevation NT Tank Info Capacity in Total # of Manufacturer v Gallons Gallons Units `'tl c o $ ` °' 2 New Tanks Existing Tanks LL v c V� — Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility Installation of the POWTS shown on the attached plans. Plumb 's Name (Print) Plumber's Signature M11/14PRS Number Business Phone Numberl Z2 Z `71 -7 7 Z21 Plumber'- Address (Street, City, State, Zip Code) A/ f VIII. County/Department Use Only Approved Permit Fee $ OD Date I tied / Issuing ent Signature 'en Reason for De 1 6,Z5 ' IX. Conditi �fAA�� r val/Reasons for Disapproval �i5TEN1�1iVNER: 1. Septic tank, effluent fitter and dispersal cell must all be services/maintained a' tL as per management plan provided byplumber. OU 2. AA setback requirements must be maintained 6*- / �Q l -- r---rF1TTMo`P6Tfrpfe►Pjf F81F FRre system and submit -to the County only on pa#er not less than 8 1/2 x 1 I inches in size cb Pal-. LZ� '. SBD-6398 (R. 02/09) ' Safety and Buildings 141 NW BARSTOW ST FL 4TH WAUKESHA WI 53188-3789 Contact Through Relay www.commerce.wi.gov/sb/ www.wisconsin.gov Scott Walker, Governor Paul F. Jadin, Secretary August 12, 2011 CUST ID No. 226524 ATTN: pOWTS Inspector ROGER L TIMM ZONING OFFICE TIMM EXCAVATING ST CROIX COUNTY SPIA 1101 CARMICHAEL RD 3128 20TH AVE WHUDSON WI 54016 ILSON WI 54027 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 08/12/2013 rTransaction ID No. 1980459 ID No. 770249 SITE: se refer to both identification numbers, Allen Ken above, in all correspondence with the 3204 Cty Rd N agency. Town of Cady, 54027 St Croix County SW1/4, NW1/4, S13, T28N, R15W FOR: Description: Mound, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1328707 Maintenance required; Replacement system; 450 GPD Flow rate; 18 in Soil minimum depth to limiting Pressure Distribution original grade; System(s): Mound Component Manual - Version 2.0,0, SBD-10691-P (N.01/01), Component Manual - Version 2.0, SBD-10706-P (N.01/01);o Filter 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(l0), 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 the installation of float switches or relays that contain mercury. Please specify an altempye,'product prior or to applying for a sanitary permit. m J! Table 84.30- yd 84.30- The building sewer and distribution network piping shall be of material listed in , 5, Wis. Adm. Code. *ise . gFt Feate l�health hazard, In the event this soil absorption system or any of its component parts malfunra*Lion, the owner the property owner must follow the contingency plan as described in the apprmust comply with the operation, maintenance and monitoring duties asdescrof 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 inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under 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/insWIation/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, Julia Lewis -Osborne POWTS Reviewer 2, Integrated Services (262) 397-6005, Fax: (608) 283-7481 julia.lewis@wisconsin. gov Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 SMART ctxie; *3 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name Owner's Name: Allen Kerr Owner's Address: 3204 CTY RD N Wilson WI. 54027 Legal Description: SW/NW S 13 T 28 N 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 5 .-�_' - I JUL S 7 2011 =ETY& BUILD77,3 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 SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and 1+" Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) '9uj4 n E Version 5.1 (R. 06/06) /yGs Page 1 oPdL FNCF Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 4.00 Site Slope (%) 100.201 Contour Line Elevation (ft) 18.00; Depth to Limiting Factor (in) - ---, 0.40 In -situ Soil Application Rate (gpd/ft2) Note: Sand fill (D) calculations assume a Table 83-44-3 in -situ soil treatment for fecal coliforrn of - 36 inches. Distribution Cell Information r 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd/ft2) Influent Wastewater Quality (1 or 2) Are the laterals the highest point ...... in the distribution L Y _ Pressure Disribution Information network? Enter Y or N (C or E) 61 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 ft2/orifice 2.001 Forcemain Diameter (in) 110.00 Forcemain Length (ft) 95.001 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 6.53 Vertical Lift (ft) 1.62 Friction Loss (ft) \� 0.001 Ji 12.701 In -line Filter Loss (ft) Total Dynamic Head (ft) E Project: Lateral Diameter Selection in. dia. options choice 0.75 1.00 _ x 1.25 x 1.50 2.00 3.00 x x x ---- x Treatment Tank Information 1000.00 Septic Tank Capacity (gal) Weeks Concrete Prod' Manufacturer Dose Tank Information 800.00 Dose Tank Capacity (gal) 22.22j Dose Tank Volume (gal/in) I Weeks Concrete Prod Manufacturer Does the forcemain drain back? Y Enter Y or N 17.94 Forcemain Drainback (gal) 67.53 5x Void Volume (gal) 85.47 Minimum Dose Volume (gal) 25.85 System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in (enter result in cell B49) Effluent Filter Information Poly Lock Filter Manufacturer PL 525 Filter Model Number Page 2 of 7 Mound Plan and Cross Section Views Mound Component Dimensions AA18.00 ft E 20.88 in H 1.00 ft K Aft ft Bft F 9.50 in z 10.34 ft L ft Din G 0.50 ft J 7.48 ft W 450.00 (ft2) Dispersal Cell Area 1225.14 (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate p750 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.49 (ft) G I H 101.70 (ft) F Dispersal Cell 102.20 (ft) Lateral Invert Dispersal Cell :...:: , . .. Elevation D 100.20 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key 0.2- T— Dispersal Cell See lateral details on 1❑ _ Topsoil Cap o C 1.5 ft Page 4 for number, size, Subsoil Ca a� o andspacingof laterals. ASTM C33 Sand ..;..:.:;:; F Laterals are equally Tilled Layer 4) 0. ft •'::' Typical Lateral spaced from the ' �• distribution cell's © Aggregate v a :'`1•`.1??:; centerline in the ---- A ---} distribution cell (AxB). Project: Page 3 of 7 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any polrN_ �— P 1.1 •- Turn-upw/ballvalve or I<x—CIE d2 I x/2�l olea n out pl u g Holes dnlled on the bottom of the lateral. Laterals are identrcal Laterals & force mam of PVC Sch 40 per COMM Table 84.30.5 Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 4 Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density gpm Manifold Length gpm Manifold Diameter ft Forcemain Velocity 1.50 36.80 3.00 6.46 25.85 12.70 Dose Tank Information Electrical as per NEC 300 and Comm 16.28 WAC Disconnect Tank component is properly vented Weeks Concrete Prod Manufacturer Capacityl 800.00 Gallons Volume 1 22.22 gal/inch Dimension Inches Gallons A 22.16 492.33 B 2.00 44.44 C 3.85 85.47 D 8.001 177.76 36.00 800.00 Total A B C _t 3" Bedding under tan Alarm Manuafacturer Septronics Alarm Model Number 2501 Pump Manufacturer Gould Pump Model Number , EPO 4 J Pump Must Deliver 2_5 —8 -51 gpm at 12.70 ft TDH S 0.156 in 3.20 ft 12 9.38 ft2/orifice 3.00 ft 1.50 in 2.64 ft/sec Locking cover with waming label and locking device and sealed watertight 4 in min. F — Alternate outlet location Forcemain diameter 2 in. Weep hole or anti - siphon device Pump off elevation (ft) 95.67 4 Dose tank elevation (ft) 95.00 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 St. Criox 1 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 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Service Frequency Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 1.5 years Inspect -for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the 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 • • ............ . 0 0 0 0 .. 0 0 • • • • 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 De ooet l ff ,NSG� fo� r U4 w �-Wfic �,. oF�07UIe16r AtAAQ! 7' System Management Management of this system is critical. As a condition of approval of these plans this system management section must be rep iewed with the owner, and the owner must be provided with a complete set of plans including this management section. If oroblems 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, 715-3864680, 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 soi I 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. Install water -saving appliances whenever and wherever possible. 3 Repair even small water leaks as soon as possible. I Never pour grease or oil down any drain or stool. 5 Garbage disposals are not recommended; if you must have one, use it sparingly 5 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 ,olume 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 'i;ter 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 If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 5 The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the Dump 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 area Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or nsufficient 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 83.5a 2) 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 --R.. GOULDS PUMPS APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 3/4" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 11/2 NPT. • Mechanical seal: carbon - rota ry/ce ra m i c- stati o n a ry, BUNA-N elastomers. • Temperature: 104°F (40'C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 SJTW with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EP04 Impeller: Thermoplas- tic semi -open design with Pump out vanes for mechanical seal protection. METERS 10 9 s 2 1 0 FEET 31 2' 2C 15 10 5 Submersible Effluent Pump MODEL 3871 EP04 & EP05 Series ■ EP05 Impeller: Thermoplas- tic enclosed design for improved performance. ■ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant. ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SPCanadian Standards Association File # LR38549 Goulds Pumps is 150 9001 Registered. — i------- -, - -- i �I F� 5 GPM — — i - - - ------ — -t -- --- i, � 1 ----------- ----------------- ---------- -------- --- +------------ -------- - -- - - i -- - ----- ------------- - -} -; -...----- ----- • ---- ----- --EP05 - -- i ----------1----------- ------ -- ...._-..._... - ---- EP04 ' I ----- -i---- - °D 10 0 2 to 30 40 50 GPM 4 6 8 CAPACITY 10 12 m3/h Goulds Pumps O 2003 Goulds Pumps Effective July, 2003 / �) ITT 1 - J , 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). y� z \\ \\l; m �. gg-l-M _ r� \ Wisconsin Department of Commerce S VALUATION REPORT Page I of 3 Division of Safety and Buildings ce with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 % x I 1 inches in size. Plan must St. Crolx Include but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 4102990000 Percent slope, scale or dimensions, north arrow, and BM referenced to nearest road. - - -• ron viewed Date Personal information you provide m be ses ( vacy Law, s. 15.04 (1) (m)) %fJ i0 l Property Owner Property Location Allen Kerr Govt. Lot SW y. 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. CROIX COUNTY ZON111 !1 E City State ❑ City ❑ Village a Town Nearest Road Wilson WI 54027 715-772-4469 Cadv Co. Rd. N ❑ New Construction Use: 21 Residential / Number of Bedrooms_ Code derived design flow rate 450 GPD 0 Replacement ❑Public or Commercial -Describe: Parent Material Loess/sandstone Flood Plain elevation if applicable N/A ft. General comments and recommendations: A4- /0 � # / 1 Boring # 0 pit-" Ground Surface Elevation 100.2 ft. Depth to Limiting factor 18 in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDKe *Eff#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 3 8-18 10YR5/4 - FSL 2-m-bk mfr gs 1f 0.4 0.8 4 18-30+ 1OYR5/4 7.5YR4/6&10YR4/2f-2-d FSL 2-m-pl mfr - 1f 0.0 0.2 n Boring # 0 Boring OPit Ground Surface Elevation 98.6 ft. Depth to Limiting factor 22 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDKe *Eff#1 *Eff#2 1 0-4 10YR3/2 - FSL 2-m-gr mfr gs 3f 0.4 0.8 2 3 4-8 8-15 10YR3/2 10YR4/4 - FSL 2-m-bk mfr Cs 2f 0.4 0.8 - LFS 2-m-bk mfr gs if 0.5 1.0 4 15-22 10YR5/4 - LFS 2-m-bk mfr gs 1f 0.5 1.0 5 22-26 10YR5/4 7.5YR5/6 f-1-f LFS 1-m-bk 1-m-bk mfr mfi CS as 1f - 0.5 0.5 1.0 1.0 6 26-31 10YR5/4 10YR4/6 c-1 A 10YR6/4&7/3 LFS 7 31-36+ FS 0-Sg ml - - 0.7 1.6 * Effluent # 1= BODS> 30, 220 mg/L and TSS > 30 < 00 mg/L * Effluent 42 = BOD5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ature CST Number Mark Iverson _� �✓' 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 2 of 3 ❑ Boring 3]Boring# OPit Ground Surface Elevation 100.2 ft. Depth to Limiting factor >38 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDMe *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 ml as mfi - 1m 0.5 1.0 5 32-38 10YR7/3 - FS 0-sg - 0.5 1.0 5A* 32-38 7.5YR4/4 - LFS 0-m - 0.5 1.0 *inclusions ❑ Boring 4 Boring # OPit Ground Surface Elevation ft. Depth to Limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 ❑ Boring 5 Boring # Opit Ground Surface Elevation ft. Depth to Limiting factor in. Soil A lication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDW *Eff#1 *Eff#2 i I * Effluent # I = BOD5> 30 <_ 220 mg/L and TSS > 30 <_ 150 mg1L * Effluent #2 = BODS <_ 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. 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: 715-772-4469 CST# 46672 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORIv1W Owner/Buyer ` I-e-ii (�-� Y✓ �� Property Address �}�r✓t�- (Verification required from Planning & Zoning Department for new construction.) City/State �� _S� kJZ Parcel Identification Number LEGAL DESCRIPTION Property Location 571,.) /4 , ((.� '/4 ,Sec. L' 3 T 28 N R is W, Town of Subdivision Lot # Certified Survey Map # , Volume , Page # '/ Warranty Deed # � , Volume 42-6 Page # Z Spec house yes 'jK Lot lines identifiable yes ,aQ SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private s,,wage 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. L/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 ' / 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. VOL 425 PACE444 28*$47 THIS INDENTURE, Made this ._...._21 s t......_.day oL.._June_....-......._._...................... Eand Anna D., ,___ .......................... ...................... ....-•-----•.............................•-----....---.._.._....................-•-••--•--..._............................... --_ .............................. .... -.................... _.........._._.-.......••.. _ --•--••part.. a S..o the first pa and Allen L. _Kerr. -and Dorothy-L. Kerry �1is wie� WARRANTY DEED STATE OF WISCONSIN-FORM 1 THIS SPACE RESERVED FOR RECORDING DATA REGISTERS OFFICE ST. CROIX CO., Wis. Rec'd for Record this_22t1_ day of___31L_____A.D.19 66 at -2 _00 ----A -, 1 _ - t rt r o Deeds egls ---.....-•--•.............................•----...............-•---•-•-•---•----..._....•----.................•-------....._........._.................•------ par�-eS...... of the second part, RETURN TO W i t n Is s Is h, That the said part=S....of the first part, for and in consideration eterson, Thedinga & Pet of the sum of_.....On_e...CZOlI•AY__-al]fl___OtYleY:___g•0003--_a21-d-V81L1ab12•---_•-__ eri0[ilOnle, W1.SConSln ------------------------------------cons deration_-- _...... .................. .........._...-.._.___..._.to...., them......... in hand paid by the said partLe S-_.of the second part, the receipt whereof is hereby confessed and acknowledged, ha.Mg.-given, granted, bargained, sold, realised, released, aliened, conveyed and confirmed and by these presents do... ......... give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said part..1eSof the second partF_he1_lheics and assigns forever, the following described real estate situated in the County of_ ---- .S.t_,____Cr01 ---_•__._.and State of Wisconsin, to-NLit: The West one-half of the Northwest Quarter, Section 13, Township 28 North,•Range 15 West. >NG7IF[61'TAliY, i E }� 1 ^.2 xoOT'l_\�1'lIZQ !�A ihD•'r1TES . 11t T'a\'L'S (IF Ni.cESSARX, CONTINuB DESCRIPTION ON REVERSE 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 part:1e aoC 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 Hold the said premises as above described with the hereditaments and appurtenances, unto the said partle S.of the second part, and to. the-1 r heirs and assigns FOREVER. And the said ....... Blond. _ Evenson___ar;d__-Anna_•_RyaT .............................. .......-....._.....--•' = --•..........................................•-•..........._ ...... .. _. .. ......... ----......... ......... ....................... __ ................................................. forthemselveS,,___•th21Y'_................... heirs, executors and administrators, do................covenant, grant, bargain, and -agree to and with the said park e s.. of the second part._.._:0_1e.:Lr.......... . heirs and assigns, that at the time of the ensealing and delivery of these presents ------they.._.ar-e------- .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 party 1 _of the second par 11e -heirs and assigns, against all and every person or persons lawfully claiming the wholoor any part thereof .... tbe.y. ....will forever WARRA\"T A\D DEFEND. In Witness Whereof, the said part.le.S.of the first part ha.ue._.hereu o set.. -Sand seal._..S_.this..21_St__•__ day of..._,T11131~....................... A. D., 19.-6-6..-.-. p SIGNED AND SEALED IN PRESENCE OF f G� Lu �% � ��/�!+ � � ��� Z _(SEAL) �?15.QP................. (SEAL) dmian d. _C B vz. m n......................... ....Anna.. R (SEAL) ......-•-•-•--••---•..••---------•................................. _... Howad--F. Thedin-•ga -r- ------r -- ------ - ------- • ---------- ------- (SEAL) STATE OF WISCONSIN, --------------- ------------------- Bunn ------...---.._-•-----••-•-----County. Personally came before me, this ---------------------- 21 S t .-day of................_.....__J17.t1-_-------..---.-._--_---.__...----------._-._., A. D.. 1��.6 __.._ the above named ......... B1ondaL --- Eyenson and- Ajina----Fy.an-_----------_-....------•------•---------•-----••-----•-..-------•--..---•------------------------ ••---.............•.................................................... _........................................ w ............................................................. ..................................... ...... to me known to be the person..._S--_who executed the foregoing i.nstrumenFah acknowledged th same. t r� Howad . Thedinga ,VOTARY ....................................... __..._._.__.-_.. ....... __'. ."---..._...._ SEAL- Du... nn This instrument drafted by _ _ :Notary Public ............ ..................__.._.......__._..._County, Wis. How_ard.--F.,--- T 1G�C 1i1g .. - - ... My Commission (� 15>-...--P-exma�len-I ....._... ...._... _ .........._2-- . .. S rscon . 59.51 (1) of the Wisin Scat tes provides that all instrument. to be recorded .ha11 havo plainly prlated or typawztt tea thereon the of the grantors. esnames grante, witnees ssand notary). WARRANTY DEED —STATE OF WISCONSIN, -FORM NO. I _ H. e. MILLER co., wuwAua. DOCUMENT NO. THIS INDENTURE blade this....24th__ _.... day of ........ A. D., 1�i6 -___, between.... Lj-.t] 7 11an Lovaas ..... ... ......... . ......................... •-- ........ ... ........................... ...... -..—._....... ... ... _ .............................. __._-_.._.. __. __. _.._ . rt__y _ .. of.the first rt and _ Allen L TCerr cili TSorotEi i:-z�:�: err, his wz e, WARRANTY DEED STATE OF WISCONSIN—FORM 1 THIS SPACE RESERVED FOR RECORDING DATA HF_- G15TEFrB OFFICE ST. CROIX Co.. W1s. Rec'd for Record this_ 29th day Of_- July ------A. D.1966 at--__Q=Oo_ A. M. /) r-- Regis r f ---------- ............................. ..... ............. ...... _............................ ................... ... ............. ... .... _..................... part..iE' . of the second part, RETURN TO W i to e s s e t h, That the said part__y__-_of the first part, for and in consideration eterson , Thedinga & Pet of the snln of_ _ _.one___dollar--- and --- other..gaoa� .._and. _valuahle......... enomonie , Wisconsin .................... .. ---- C.ons:Ldexa t.i on.............._. • ............ ... . ....... ................... .... -............. ......................to._...he=.._.. ._._in hand paid by the said part,..i.eg-)f the second part, the receipt whereof is hereby confessed and acknowledged, ha..S....... given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents do.e.s..... give, grant, bargain, sell, remise, release, alien, convey and confi unt the sal partl: L�..s. of the second part,the �ft�-irs and assigns s" It forever, the following described real estate situated in the County of.. ... AlgA ................._......and State of Wisconsin, to -wit: The West one-half of the Northwest Quarter, Section 13, Township 28 North, Range 15 West. k I� DI (IF INECI:SSARX, 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 right, title, interest, claim or demand whatsoever, of the Said part.: ... y of 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 Hold the said premises as above described with the hereditaments and appurtenances, unto the said par�-e S...-of the second part, and to._.the-irheirs and assigns FOREVER. And the said..' ....Lillian.. Lovaas._ - .......... ... ....... ................ - ............ .......... . . ..... ... ... . _ .................... _ ._ _ ..- _... ... _._ . __.....- ... -- .. . . ..... -- ........ .... .... . for....hersel.f. y ._her ....... heirs: executors and ndminislrators, do_.as--- .--- covenant, grant, bargain, and agree to and with the said partLe.S of the second part,. the Paz_ - . 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 incumbrances whatever.__ ....... ............ .... _ . - _. ._._:_............. _....... _ .. ....... ... .. . . .. .. _ .. -. _ ... ....... -....... ,_....... .... .... ...... and that the above bargained premises in the quiet and peaceable possession of the said part..:L_e..Saf the second and assigns, against all and every person or per�ons lawfully claiming the whole or any part thereof,... - She ---- will forever WARRANT AND DEFEND. In Witness Whereof, the said part- y_ .of the first part ha.s...._.hereunto set .. 91-7 hand. -and seat this. 24th ................ day of. .. -Juna ..... ..... , A. D., 19_. U... - SIGNED AND SEALED IN PRESENCE OF � _ � f' ��t�L " ���'-z •--t'_ ez-¢ ' (SEAL) Lillian Lovaas - ...................... •... .......... - % (SEAL) { •l (SEAL) ' ShirleyAt McCormick .... ....... .......................................................... -- (SEAL) California-_.- ................ .................... ....... ... -................... STATE $tanslaus., I ---------- -.....- _... __..__ ..County.} Personally came before me, this . ................ a�Lt)i........... .... ..day of_ ........... ............ ff.une........................ .., A. D., 19.-6.6._ theabove named ......... L.ilhan._Lav_- as.----- ..................... ........ ..-............................... ............................. .............. _-•-----------•--_---- •-•---•--••--••-- ------•--------- -•-- .. a .... .........--------- -•---------- - ------- ---........... ... •-- ._........••• ......... --- ..... -•--------• - ---------- -- •-------.--............... .................... - .... •...... I to me known to be the _...who executed the foregoing instrument and ackn tv dged the same. _ - ~�� �r AI?Y PU Yam(/ Y •'-.•....... �uTl _ _- ..............._.. lc.c This instrument drafted b S AN/PR/Jvs l CO Fj SE {:�- — Y �.q(/ C A Notary Public_...��.:L.G.x„c-,-.r.--f........_... unty, VAS, s COUNr ..... HewaZ:d....._._-.� h' e_d-Lng................................. My Commission (Expires) (Is)___. �.�__ = _�J_ ._%z_f rso (Section 59.51 (1) of the Wisconstn Statutes provides that all Instruments to herecorded shall have plainly printed or typowritten thereon the names I _ of the grantors, grantees, wltnesees and notary). r•- e �C..d WARRANTY DEED —STATE OF �VISCONSIN, FORM kf95 PrEL1 `/j n N. C. MILLER CO., MILW�V KC DOCUMENT NO, rr� (/7� L{3+g/�7 WARRANTY DEED vOL 42V PA u, 44� STATE OF WISCONSIEC FORM 1 THIS SPACE RESERVED FOR RECORDING DATA 2B5349 f2tGfaTERG OFFICE THIS INDENTURE, Made this ....... 2ftt._._....da of._____.July......................•___.._...__. ST. CROiX CO.. WiS. A. D., 19_._._66, between___Orville-•_Ryan-•_anc-Berniece- Rvans ----•-- -•••••• his .wifea--••-••----••.•••---- Rec'd for Record this_�9____ ....._._........................... •--..._..-•................-._.._......_._.._._................. - ................. ....... -..... •- ......... _......... ___ day of --- Ju-1�'-----A. D.1966 ..................... --.................................................. ............. .............................. ......... ... ..... ....... .................. atZ���Reg `2_40A', M. .................. ........................................... --•-._..-•-----___-.._....-•-•--...._..__.part._�2 S_ of the first part and / Allen L: Kerr and Dorothy L. _Kerr.-_his•-wfes __...---••:..........................•-•--••-•-•_..__....__..__._...----••-•-------...----- - - -------------- --------------- - fal- f D eds ---._....... -........................... .......................... ......._...•-•.............................................I._•--_________---_-_._------- part_le_c".. ... of the second part, RETURN TO ' 1 W i t n e a s e t h, That the said part 9.5._.._of the first part, for and in consideration , g eterson TYledin a & Pete. of the sum of___.-one-__dollar---and__,other____ good andvaluable...... enomonle W- scons.a-n• consideration.-• •-••- - _.__. __._. ..- -- ...... ....................... ... . ....... ....... ............. __-............................................ to- ... thgm_.__...__.in hand paid by the said part_Aes-of the second part, the receipt whereof is hereby confessed and acknowledged, ha V e.___.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 parLeA._-of the second partthe% eirs and assigns forever, the following described real estate situated in the County of .. S-t._-,.0 r01X--------------and State of Wisconsin, to -wit: The West one-half of the Northwest Quarter, Section 13, Township 28 North, Range 15 West. awconrl.�-��esxt 4� 1\rL'ELNt i srhlTt [s_ Tas=n Ca1TS (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 right, title, interest, claim or demand whatsoever, of the said part1e S_of the first part, either in law or equity, either in possession or expectancy of, in ano 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 part__.2-a-'%f the second part, and to_ther._heirs and assigns FOREVER. And the said----- QYV7r1_le___Ryan.... anCl..-Bern le Ce---Rya'n_�... tl•1.S---W1fe-...................... ...... ..»..................................... ------------------------ _._.....-•----_._.___..._..---. ___.._......_...._.__... ... -•••--•-.._...__...-•-'••'••_..____...-..__...__.....__.....__..._.,• --_._..._.._...._..........._.. ...... for _._tYiemselvestheir_____________•___-_heirs, executors and administrators, do_ ............... covenant, grant, bargain, and agree to and with the said part_1e5.of the second part ......... h21r____•-___heirs and assigns, that at the time of the ensealing and delivery of these presents ......... 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 saute are free and clear from all incumbrances whatever ----------------------------------------------------------- -______________•_.._-_-- ................-----------...._..-----•.________--•--._-......._._._.._'_..___-_-._-_.._.___.___.....-------__......__.._..._._...__....._......_._._..._.._.__..___________..._.._.__.._.._..__.___..__._.._.-••-•----._._..__.-......-___. •.-•--.._._.- ............................... .............................................................. ................. ........... ......................... r----_.__.-------_._------•------------ ------•----- and that the above bargained premises in the quiet and peaceable possession of the said partL.eS_.of the second partt'hPjbigrs and assigns, against all and every person or persons lawfi ly claiming the whole or any part thereof, -they. forever NVARRANT AND DEFEND. In Witness Whereof, the said part-LeS._of the first part haSTey__hereunto set ..... Che.i]hand____ and seal 2 .S_._..this-_..044- day of. .......... .,71.1..Lyf................. A. D., 19__456__._. SIG AIND BAI�D IN PR ENCE OF r/`- tYYt_/ (SEAL) Oryille�- -an ........................... _ (SEAL) n• James P. ogan $ern ece(c. a•-------•••-•-----•--- ••-a ..................... .................. ............... (SEAL) -••-E 1 a ine•--_F....•-•Car 1 s on.___•_ MINNESOTA STATE OFxii}{l to me known to be the person._.o�_____who executed the foregoinji inttrugient and a �_r10 ;titA Y - :F _ SEAL This instrument drafted by Sy Hot�.rd F� Tlednga (SEAL) A. D., -.Votary Public_ ................. ... .___..------------ __-__--_____'_-.._County, Wis. NO ROY A. CANNOi-iN� My Commissip toL�' Piles 9 c� si rnnePl.R.CouatYr Mrttn:-•--••-•-•-- cat 1s 1 n Expires Jan. 31, 1969 or (Sectlotr$9.51 (1) of the Wisconsin Statutes provides that all instruments to be of the tract rsgrantees, witnesses and notary). \YARRANTY DEED STATE OF WISCO\SIN, FORM NO- 1 have plainly printed or typewritten thereon the names DOCUMENT NO. `eac8'•1c530a� THIS INDENTURE, Made this ....... th ........... da oC_...Jul3' _....__.___.._......L.............. John R an andrances R an ha s A. D., 19__�?.._., bet�veen...........................y.__.._..._._..... .... .............................. ._.Y........t....__.._._.___..__. ........................ --............. wifej .................... - ..... ... ......................... .............. .............. ._......... ..-.-_....--••---------------•---_-•-•----•--....--..._.....-•-•-------.._-•-----•_....._._._.............. 5.... of the first art and .......................... _.................................................. _.......... ._...... _ _... A11en•, L, _Kerr__,and..Dorothy _L. Derr ..._.... wife, _....... ............ ................ -•--...... ..... ........... _...... .................... ..........................---............................. part _e S .of the second part, W i t n e s s e t h, That the said part1e S..._of the first part for and in consideration of the swill of...4ne„ dollar,•, and other good• anti valuable WARRANTY DEED STATr. OF WISCONSIN—FORM I THIS SPACE RESERVED FOR RECORDING DATA REGISTMIRS OFFICE ST. CRIOIX CO-, WIS- Rec'd for Record this_?9_tb_ day of --- Ju1Y----A.D.195§ at--- 00 ---- A -I M. Regls4br f ads RETURN TB eterson, Thedinga & Pet rson envmonie, Wisconsin ............................ ....-.................................. to ...... them_ ....... in hand paid by the said part1! S__.of the second part, the receipt whereof is hereby confessed and acknowledged, ha.ve....given, granted, bargained, sold, remised, released, aliened,, conveyed and confirmed 8Yn1d �b�yY•these presents nn do ............ give, grant, bargain, sell, remise, release, alien, covey and coil unto the said par01e _.of the second part 7-:L_2h'!L•irs and assigns forever, the following described real estate situated in the County of ... -CYOi?S _,.._,._..,and State of Wisconsin, to -wit: The West one-half of the Northwest Quarter, Section 13, Township 28 North, Range Iwccsssveuti• i 1wtTale.��c Q. .�e. is�f cs.Cv. uarv.•s r. aR.vcltb'c 11�71"oawa».w.:nxs I 10o�i; n (IF MCL--SSARY, CONTINUE DTSCRIPTION ON REVF_RSl; SIDI•;)_ 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 pnrf_ e.%f the first part, either in law or equity, either in possession or expectancy of, in and -to the above bargained premises, and their hereditnntents and appurtenances. To Have and To IT91d the said premises as above described with the hereditaments and appurtenances, unto the said partle;s.of the 3- second part, and to._._..___._.___..heirs and assigns FOREVER. And the said........ John ... Ryan..And Frances Ryan,Wtlis wife,------- ---___------.---_---_-----_ --••-------....... ......... -... ------........................... ......... ... ... ..---- .__............. .__....-._...... .......... ._.._............... ..... ... _.......... ................ •-•............. ................ for ------------ tt12R1_$2LVeS-...... tY1E&r _,_,heirs• executors and administrators, do ... _ ... _.... _covenant. grant, bargain, and agree to and with the said part?.4.S_of the second part,___ the& Y-__- ____heirs and assigns, that at the time of the onsealing and delivery of these presents .. __...... the.}?._..ar.e._ veil 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 partIesof the second part-,h@?:1%irs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof,--. tbeY .-will forever WARRANT AND DEFEND. In Witness Whereof, the said part..1.e.Sof the first part h W_P,..__.hereunto set...... th9:L.7rhnd.....__.Sand seal—-_.this_.sth....... day of --------- JU. 1_j?_.._....__...... A. D., 19....G _ SIGNED AND SEATED IN PRESENCE OF � (SEAL) J J o h n R -mice J o on (sEAL) Frances Ryan ... /,� ....._... .........._............_....._.... _...._._.._.__.........._.......... _.... _............... LaVerne M. Peterson (SEAL) ............................. .................. .._........................... -- •------- (SEAL) MINNESOTA STATE OF f3QT.j� _ ss. Henne-pin County. • Personally came before tile, this._ .... .............................................. day of ..................... A;Y........ 8....... ....................... ......... A. D., 19 the above named .... Jpbn Ryan.and Frances Ryan_,.,,,his wife•,•-_-•,_-••....-,•,,,.•_. _•,_._,,,,__......------............. •......................_......--.._.-_..---•----=................._.._.................................... .------------------------------------------ ------------ ----------------------- -- --------- - to. me known to be the person..A__...who executed the Coregpi�t g:' ument-and acknowledged the, same. - NOTAR`.tI- •_,i ..BiCE J n50Y]...-..__ ............. Or _ �ssd}`f ,- Min Henne in This instrument drafted by - ? .-� C -_� - ,� Z 'Notary Public .........................1? ....................... .County, 3VS3c JOHNSON- •,___...._.HQHtard F_,.... Thed 1Ag,4s{ ..............._...�'r �_r,.__ My Commission (ExpireVW.Ji!.At!Jfo. annapla.Contotyr_l = 11117 CoLatalsdon Ezpfr••'!•b. 12ti (Section 59.51 (1) of the Wisconsin Statutea provides that all Instruments to -be recorded shall have plainly printtd or typewritten thereon the names Of the grantors, grantees, witnesses and notary). •--•, _ • WARRANTY DEED —STATE OF WISCONSIN, FORM NO. VOL 425 PAVE l/'(jt. r•iA� 7 M. C. MILLER CO., a.L AUK, DOCUMENT NO. V - 0 , L 425 PAGE 448 - 2 8�5`5 -1 THIS INDENTURE, Made .......... day of ......... June ............................................... A. D., between ---- RYAP ---- q1 ad ... Mildred tRy V n.,_.hj_s ...... ------------------------ - 4 ...... ------- -------------------------------------------------------------------------------------------------- ------------ ------------- ----- ------------ ........... .................... .......... . ............................... . ............................... part -it S.-of the first P g ;tnd � A1.1-em L K��_-rx AnA Parg:��jjy W 2, - ------ ------------ -- ----------------------------------- --------------- --------------- -------------- -------- - ------------------------------------- WARRANTY DEED S'rA1rr_ OF WISCONSIN-FORM I THIS SPACE RESERVE]) FOR RECORDING DATA REGISTERS OFFICE s-r. cRoix Co.. wls. Rec'd for Record this_25�t4_ day of --- iLlIlY. ----- A.D.19_66 t -00 A . M --- -• ----------- par&e.S ------ of the second part, RN TO of the surn of .. qq@... and other good and valuab.1-e .... . ....... RETURN I e s W i t n e s s e t h, That the said _partl_K!.;� .... of the first part, for and in consideration erson, Thedinga Pei -------------- * ---------- - --------- __ ........................ ........... Menomonie, Wisconsin ........................................................ consideration LmPeelt ...... ...................... ....... ................. .................... . ..... ------ I . e - s ..... ......................................... . ......................... to_lja§�n ............... in hand paid by the said part ------------ of the second part, the receipt whereof is hereby confessed and acknowledged, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, p .Rd by these presents do.39A.....glve, grant, bargain, sell.ramise, release, alien, convey and confirm unto the said part�Lof the second part.t....fAErs and assigns forever, the following described real estate situated in the County of ... att ---- ............. and State of Wisconsin, to -wit: . I The West one-half of the Northwest Quarter, Section 13, Township 28 North, Range 15,West. (IF NECESSARY, GoN-rxNUF_ DESCRIPTION ON RT-Vr_RSF_ Sll>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 part: 13L-5of the first part, either in law or equity, either in possession or expectadey 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 part_.1..5'_..5of the second part, and totYlEIr --- heirs and assigns FOREVER. - " Krthur And the said... ----------- :__..J?y ... .................. e( -ar . ................................... ............ � -.J . _�K.y .... hi .......... t:h%_j2�-*e* :khe-:L--r ----------------------------------- --------- --- - ---------- - --- ------------------------------------------------------ - --------- ------- --------------------- -------------------- for ............................. IF ......................... ............................. � _heirs. ex.-ecutors and administrators, do -.AK ...... covenant, grant, bargain, and agree to and with the &aid partle S.of the second part,..... I r ___heirs and assigns, that at the time of the enscaling and delivery of these presents ...... svell 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 ............... ................ . ............ .......... ................................ . ..................... ...................................... .................... . ... ........ ........ ............... . ............................. ............................. . .. ........ ...... . ................... ............................................. . .... .......................... . .................. i� ...................... ........... H ....................................... and that the above bargained premises in the quiet and peaceable possession of the said part_ jL'_"Af the second patr�_'_9_17.lheirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof ---- tbey, .... will forever WARRANT AND DEFEND. In Witness W�iereof, the said part. 1101 _S.of the first part ha-Me.--hereunt -r.hand.--.S .... and seal._S__...this.A1."-"_�� day of D_' 1 9 ------ SIGNED A. SEALED IN PRESENCE OF (SEAL) 57 -.Arthur ......................... EJT^er L. Go JE en (SEAL) .... RAa . ............................. -- ---- ------------------------ --------------------------------- ----- -------- ----- ----- ...... I (SEAL) 6; 0harleS F Aaronz ......................................... ............. ... . ........... (SEAL) a................... ........................................... . ......... STATE OF .RK, '3- ......... X� ................................ Ctyj SS. Personally . before rna, this .............. 2-7j:1 -- - .......-------_....__..__day of ------ -------- jWae ............................................................... A. D.. 19_,66- the above named....._...A:r.:thx1=_ M-y-4m -------- ... wite .................................................. ----------------_-------- .... .................................. ........ .......................... ........... .................... . . ................... ............. ........... ......................... ........... . ...................... .... . ............... ........ to me known to be the persorL-S.--who executed the foregoing instrument and acknowledged the same. NOTARY SEAL This instrument drafted by Notary Public . . .... --_-------------------- County, NN's-s-E ...... Ho.wax.d-2 - - ---- Thai:Unga. ------------- - -- - ----------- --- My Commission (Expires) (Is) ............ 3.-4-0-70 ---------- ----------- (Section 59.51 (1) of the Wisconsin Statutes provides that all Instruments to be gd shall h plainly Printed or typewritten thereon the names of the grantors. grantees, witnesses and notary)., WARRANTY DEED -STATE OF WISCONSIN. FORM NO. 1 H. C. MILtER CO.. NMWAU.i