HomeMy WebLinkAbout016-1004-50-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 538857 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:
Peabody, William E.& Katherine Glenwood, Town of 016-1004-50-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
4Z. 6 ' C-5 vT 03.30.15.38C
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER fr CAPACITY STATION BS HI FS ELEV.
Septic 3 dG~ i Benchmark A43• 1 9Z- ?
Dosing Alt. BM~-!
5ccx~ Y. 1Z, 1 lE, gZ. ~l
ems' ` Bldg. Sewer
dWS 15/ . 77
Holding St/Ht Inlet 16 -_1 63P '57.5-7
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO ~P WELL BLDG. V ttoAirlnt p R PAD DtInlet \ \
Septic Fl 24 ` Dt Bottom ZI 5 'gZ \,7
.7
Dosing i / ► _ Header/Man.
36 Z* y/ ~r 3 /6z.r1Z
IN
Aeration Dist. Pipe /.3!5
Holding Bot. System 164V -z/D7 Z.~
PUMP/SIPHON INFORMATION Final Grade D --'05 1-63 Manufacturer GP nand St Cover t~ J Z lp QZ l I
Model Number Z5 , Coc1
/s'Z Ce~. Fo~~ z. s ado, ~
TDH Lift Friction Loss System Head TDH Ft
15 2. Z(o
ForcemalliJJnf~ Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM (1Z g , i o
BED/TRENCH Width Length No. Of T nches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
-75
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of S stem: Z r `/az I UNIT Model Number:
DISTRIBUTION SYSTEM
Header/Manifold Distribution / J L x Hole Size 3 x Hole Spacing Vent Air Intake
it Pipe(s) /'r ZS 5 Spacing3 ✓Lz
Length Dia Length Dia V
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over jxx Depth of xx Seeded/Sodded xx Mulched
Bedfrrench Center Bed/Trench Edges \ Topsoil ) ~P4, Yes 0 No Yes 0 No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1d / Inspection #2:
Location: 3037 180TH AVE Glenwood City, WI 54013 (Gov't Lot 2 3 T30N R1 5W) metes & bounds Lot Parcel No: 03.30.1~51.38~ /
F: I Les~t~ /'1d~ a( ~e~c(
1.) Alt BM Description = / C ^g f-(S G~ t J e f
2.) Bldg sewer length = L13 1 ,s 1- ,f 1✓ltillla"
-amount of cover = ' f 7 f$ a'1-- tg~- 3O S V► y, 4Z LL Plan revision Required? Yes No
Use other side for additional information
SBD-6710 R.3/97 Date Insepctor -ignat Cert. No.
l
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
538857 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:
Peabody, William E.& Katherine Glenwood, Town of 016-1004-50-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
03.30.15.38C
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
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: UNIT Model Number:
DISTRIBUTION SYSTEM
Header/Manifold Distribution Ix Hole Size Ix Hole Spacing Vent to Air Intake
Pipe(s)
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 xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil % Yes 0 No X Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 3037 180TH AVE Glenwood City, WI 54013 (Gov't Lot 2 3 T30N R15W) metes & bounds Lot Parcel No: 03.30.15.380
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan revision Required? Yes ® No
Use other side for additional information.
Date Insepctor's Signature Cert. No.
SBD-6710 (R.3/97)
Cosrtsnetrr~eR.wL90V SafetyaadBuikbgsDivisim county
201 W Washigg6eln Ave., P.O. Boat 7162
t(ODOPMUMMONscons n ,WI 537 71 ~r ,.(~b->;dmby Co.)
Sanitary Permit Application 11 Soft Tnosadion Number
in acoordamx with s comm 83.21(21 Wis" Adm. Code, sub imm of this form to the J 717(0)2-,F
unit is required prim to obtaming a smuWY Permit" Note Am*cab- forms for we (ifdeSaeatthanasabmmidreas)
submitted to the Department of Commerce. Personal information you provide be ird "Y
is atxardmrce with ft Laws 15. t m State
L A tion %hrmatims - Pksse P An Idersation U✓ - 0 SI
Property Owner's Name , P A <~N~N~ ~~y O (P • G~7 sd - d~0
e L~ 2 \
Property Owner's Madmg Address / g G 1
g Govt Lot 3 J
City, stale zip code rma Number _
kam-A
er Z 5y0a3 -115-716-W O T 30 N; RcircE;
ll. Type of Buildisig (dteelc aH tlltat apply) Lot#
Name
Subdivision
01 or2FamilyDweHiog-NrmaberofBedwoms J ^,t ~ ~ ~G(,
_ I 0 city of
CSM Number 0 VWWof
aSideOwned- DevcrmeUse /110 4'
75 gTownaf Glert mo-<
X GeQ~,.
)b Type of Penuit: (Cheek only one box on Ike A. Casspk4e Foe B dappillicaWe)
A- 0 New System Repkmma t System 0 Tnestmendffoldmg Tank Rcptaoe®ent0* 0 Omer Modification to Esistng System (eaplain)
Lust Pmvxm Prmert Number ad Dose Issued
B. 0 Pen"Reoowai 0 Ptami<Re:vio n 0 CZ0oofftanber 0P0®itTiansfatoNew
Before Spiration owner
tsart
IV. T ofPOWTS tlne~:eG am
0 Non-Prized In mmnd 0 Pasunized ht Ground 0 At-Gradc 0 Mound 2:24 is of sudWA0 soil Mound <24 in, ofsoilabile sal
0 Holding Tank 'R Otter DWassel Component (e> ) Z l=7oc , />~o ~K~ 0 pyakestrocat Devine (=plain
V. Dispe rsal/Trestaaeat Area Lfnrnatiow OJ
Dew Flow (gpd) Design Soil Application Jts Di*WecW Area Dbpermd Area Sys Etavattae
~15v . ~ So 125 "o 16 I to l . ~7
g c °
VL Task ItsFo Capacity in Total # Of
o _
Grallott4 Gallons Units
A
Now Taala Taarc 'uCW I M1,3 mA -5
Dosing Chumber 10,
Vp. Respoutsiblillky Staftasenk-1. tdw 11 bastagar.s of at ro*rIB shows me the atddret Plans;
Plumber's Name (Print) MP/MPRS Number Basin= Phone Number
Phmit►ez's Address (Street, City, State, Zap Cade)
FN I$ C&U&41,1 I oaeQ E nomo..;e 1 "751
~V-~IR C use
Stg>mhae
)4.AWov'.d 0 Pr=ait Fex DalPZ)/
own rR (25.06 7for nm'pp"""al c ce-
C~ S s tankefftut nt fitter and Cc ' s((
dispersal cell must all be services ! maintained e-t-c~ir w
as per management plan provided by plumber. /n~ I
2. All. Setback requiremerb must bamaintained o ~LQ.
as k:abla code I ordinWkn. .
Attach to complete plum far the system sad submit is the Canty 4sly an pnpa not kit than 8 lax 11 inches in sae
SBD-6398 OL 02/09) Valid thru 02/11
! N
44 + cif ----2
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t ~~tiyART gtr Safety and Buildings
w o~ 10541 N RANCH ROAD
HAYWARD WI 54843
3 0 S Contact Through Relay
E1 s www.commerce.wi.gov/sb/
9 w www.wisconsin.gov
A~O'ss1o~A~ 5~N Scott Walker, Governor
Dave Ross, Secretary
September 21, 2011
CUST ID No. 253976 ATTN.• POWTS Inspector
LEWIS C BJORK ZONING OFFICE
LEWIS BJORK LLC ST CROIX COUNTY SPIA
E7818 CTY RD E 1101 CARMICHAEL RD
MENOMONIE WI 54751 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 09/21/2013 Identification Numbers
Transaction ID No. 1996128
SITE: Site ID No. 771715
William Peabody Please refer to both identification numbers, 3037 180TH St above, in all correspondence with the a enc P.0
Town of Glenwood O n, &
St Croix County
NEIA, NWl/4, S3, T30N, R15W
FOR: pEppRTME
Description: Mound, 3 bedroom residence Dili F S
Object Type: POWTS Component Manual Regulated Object ID No.: 1334830
Maintenance required; Replacement system; 450 GPD Flow rate; 16 in Soil minimum depth to limiting factor fr
original grade; System(s): Ezflow Mound Component Manual, (R. 8/07), Pressure Distribution Component M ual - SEE GOl
Version 2.0, SBD-10706-P (N.01/01), SSWMP Pub. 9.6; Effluent 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(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:
Key Item(s)
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the
owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the
mound component manual are complied with. A copy of this information must be given to the owner upon
completion of the project.
• The gravelless system components must be installed in accordance with the manufacturer's printed instructions,
the plan approval, and COMM 83 system sizing criteria. If there is a conflict between the manufacturer's
instructions and the plan approval, the plan approval and code requirements will take precedence.
• The 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.
• The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle
size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner
of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to
service the filter shall terminate at or above finished grade with a watertight cover.
LEWIS C BJORK Page 2 9/21/2011
Reminder
• The orientation of the mound system must be such that the longest dimension is oriented along the surface
contour per COMM 83.44(6)(a)2.
• Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual.
• Surface water drainage shall be diverted away from the system area per Mound Component Manual.
• Materials shall conform to the requirements of COMM 84. Comm 84.10. No fixture, appliance, appurtenance,
material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,
unless it is of a type conforming to the standards or specifications of chs. Comm 82 and 83 and this chapter and
ch. 145, Stats.
• The existing POWTS must be properly abandoned per s. Comm 83.33 Wis. Adm. Code.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise malting 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.
Sind y,. Fee Required $ 250.00
Fee Received $ 250.00
Balance Due $ 0.00
Patricia L Shandorf
POWTS Plan Reviewe, , Integrated Services WiSMART code: 7633
(715) 634-7810, 715) 6-14-5150, M-fr 8:00 - 4:45
pat.shandorf@wisconsin.gov
cc: Carl J Lippert, Wastewater Specialist, (715) 634-3484
Charles L Bratz, POWTS Reviewer H, (608) 789-7893 , 7:45 am - 4:30 pm Monday - Friday
v
EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: William Peabody- Replacement Mound Design
Owner's Name: William Peabody
Owner's Address: 1538 County Road N
Roberts WI
54023
Legal Description: NE NW 3 30 15 west
Township: Glennwood
County: St. Croix
Subdivision Name: Site Address 3037 180th Street Glenwood City WI"U.T.S.
tionally
Lot Number: na Block Number: na 10 D
~
Parcel I.D. Number: uT of MM CE
4FET AN 1 1 S
Plan Transaction No.:
2RESPO CE
Page 1 Index and title
Page 2 Data entry
Page 3 EZflow mound drawings
Page 4 Lateral and dose tank
Page 5 Distribution media
Page 6 System maintenance specifications
Page 7 Management and contingency plan
Page 8 Pump curve and specifications
Page 9 Septic and Dose tanks
Page 10 Plot Plan
Page 11 Soil Report
Page 12 Effluent Filter
Designer: Lewis Bork License Number: 253976
Date: 0 Phone Number: 715-231-7375
Signature: ~ L
Designed Pursuant to the
EZflow Mound Component Manual Ver. August 20, 2007,
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and
Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)
EZflow Mound Version 2.0 (R. 4/4/11) Pagel of 12
ICC Flow Tech®
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)
10.00 Site Slope
100.00 Installation Contour Line Elevation (ft) 110.00 Contour Length Available (ft)
16.00 Depth to Limiting Factor (in)
0.40 In-situ Soil Application Rate (gpd/ftz)
Distribution Cell Information
AI Cell Width (ft) 3, 4, 5, 6, 7. 8, 9 r 10 Only 75.00 = Dispersal Cell Length (ft)
Dispersal Cell Design Loading Rate (gpd/ftz)
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) a Center or End Manifold
3 Lateral Spacing (ft) If N above, enter the elevation ft
2 Number of Laterals of the highest point.
0.156 Orifice Diameter (in) (e.g. 0.25)
3.50 Estimated Orifice Spacing (ft) = 10.23 ft2/orifice
2.00 Forcemain Diameter (in)
130.00 Forcemain Length (ft) Does the forcemain drain back? Y
86.50 Inside Pump Tank Elevation (ft) Enter Y or N
0.00 Forcemain Filter Loss (ft)
4.55 System Head (ft) x 1.3 21.21 Forcemain Drainback (gal)
15.00 Vertical Lift (ft) 67.44 5x Void Volume (gal)
1.63 Friction Loss (ft) 88.64 Minimum Dose Volume (gal)
21.18 Total Dynamic Head (ft) 23.69 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25 x
1.00 1.50 x x
1.25 2.00
1.50 x x 3.00
2.00 x
3.00 x
Gallons/Inch Calculator (optional)
Treatment Tank Information Total Tank Capacity (gal)
1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Weiser Manufacturer gal/in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
500.00 Dose Tank Capacity (gal) Bear _ Filter Manufacturer
9.84 Dose Tank Volume (gal/in) ML3-916 Filter Model Number
Weiser Manufacturer
Project: William Peabody- Replacement Mound Design Page 2 of 12
icc Flow I ecnw
Mound Plan View
t
J
1/10 B : Observation Pipe
- T
A
5
1
3 .
L
Mound Component Dimensions
ft
A 6.00 ft E 27.20 in H E4ft ft K Eaft
B 75.00 ft F 12.00 in I ft L ft
D 20.00 in G 0.50 ft J W 450.00 (ft2) Dispersal Cell Area 1660.71 (ft2) Basal Area Available
6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
EZflow Dispersal Area
Finished Grade 103.67 (ft) -0
,,rrrrrrr„ ♦ H
...,,,..r.,,.;:;..... G 1
...r............
I F Dispersal Cell 102.17 (ft) Lateral
101.67 (ft)-► ::6" Invert Elevation
Dispersal Cell 3
Elevation D 3::::::::::•.
Q.
_
1 i -9 7 ,.a I. -k . s 100.00 (ft) Contour Elevation
10.0 % Site Slope
Typical Dispersal Cell
Shading Key See Page 5
0 Topsoil Cap a c T Approved Geotextile Fabric Cover
2 Subsoil Cap 0 c 2.0 ft
ASTM C33 Sand d 6 - 1 -
73 :5
4 Tilled Layer 5 f' S 4:z: F
ae••. °•.•~•:e •1.~
v°r..du •e..a°~ .ps e..:r:
EZflow Media ~ . ~ • •:.:•::•a~a'~
0 0.5 ft
See details on page 4 for number, size, and spacing of laterals.
Laterals are located in the 4" gravity distribution pipes as shown on page 5.
Project: William Peabody- Replacement Mound Design Page 3 of 12
ICC Flow Tech®
End Connection Lateral Layout Diagram
Place Appropriate Lateral Diagram From Right Below
P • - Turn-u p v ibell va lve or clesnoutplu 9
7Forcemai5n rifice loote d at Z 1f X-Orifices pant up except every 5th S
ore points down for drainageo mmion ua tee or c toss to matWM at anq point Laterals & force main of PVC Sch 40
AN laterals kleM cal with orifices equally spaced. (per COMM T&W 84.90.5)
Number of Laterals 2 Orifice Diameter 0.156 in
Lateral Diameter 1.50 in Orifice Spacing (X) 3.50 ft
Lateral Length (P) 74.25 ft Orifices per Lateral 22
Lateral End Z 0.75 ft Orifice Density 10.23 ft2/orifce
Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft
Lateral Flow Rate 11.85 gpm Manifold Diameter 1.50 in
System Flow Rate 23.69 gpm Forcemain Velocity 2.42 ft/sec
Dose Tank Information Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 300 and
Comm 16.300 WAC 4 in. min.
Disconnect
Tank component is properly vented a ARemate outlet
location
Forcemain diameter
Weiser Manufacturer 2 in.
Capacity 500.00 Gallons
Volume 9.84 gal/inch A
Weep hole or anti-
Dimension Inches Gallons B siphon device
A 31.80 312.96
B 2.00 19.68 C Pump off elevation (ft)
C 9.01 88.64 87.17
D 8.00 78.72 D
Total 500.00
Dose tank elevation (ft)
Bedding And Backfill As Per Manufacturer 86.50
Alarm Manufacturer SjE - Rombus
Alarm Model Number 520-002A
Pump Manufacturer Zoehler
Pump Model Number 151
Pump Must Deliver 23.69 gpm at 21.18 ft T D H
I
Note: Switches containing mercury may not be used in this system.
Project: William Peabody- Replacement Mound Design Page 4 of 12
Uflowe Distribution Cell Media Layout
6.00 Cell Width (ft) 1.50 Sidewall tq Lateral (ft)
Distribution Cell Cross-section Arrangements
(91DQMOM
Component Legend
® SR1-7A Bundle - 5 ft or 10 ft lengths
SR1-12A or EZ 1201A in 5 ft or 10 ft lengths
SR3-12H or EZ 1201 P or Gxm SR3-12H in 5 ft or 10 ft lengths
0 4" Perforated Distribution Pipe With Pressure Lateral Inside
• Turnup Enclosure - - - - - Pressure Lateral
Bundles are covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
6.00 Cell Width - A (ft) 75.00 Cell Length - B (ft)
Center Connection Lateral Layout Diagram
Force Main -
6 ft Wide
End
Manifold
Project: William Peabody- Replacement Mound Design Page 5 of 12
Mound System Maintenance and Operation Specifications
Service Provider's Name Lewis Bjork LLC Phone 715-231-7375
POWTS Regulator's Name St. Croix County I Phone 715-386-4860
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
Service Frequency
Septic and Pump Tank Inspect and/or service once eve 3 ears
Effluent Filter Inspect and clean as necessary at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test periodically
Pressure System Laterals should be flushed and pressure tested eve 3 ears
Mound Inspect for ondin and seepage once eve 3 ears
Other Call Lewis For our Pumping 715-231-7375
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 EZflow Mound Component Manual Ver. August 20, 2007.
2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component
Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric.
3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn-up Detail
Finished Grade
Threaded Cleanout
6-8" Diameter Lawn
Sprinkler Valve Box Plug or Ball Valve
Lateral Ends at Last Orifice Where
Variable Length Cleanout Begins
Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
EZflow Synthetic Media 2.00 Feet
Distribution Lateral Lateral Cleanout
Project: William Peabody- Replacement Mound Design Page 6 of 12
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
General
This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals [EVIowMound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101) and
SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting.
Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer
used as POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings
used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or
subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking
device to prevent accidental or unauthorized entry into a tank or component.
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic
tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be
assessed at least once every 3 years by inspection.
The outlet filter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions
are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the fitter is equipped with an alarm, the
filter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous
alarm.
The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the
tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to
when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank.
The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products
are used they shall be approved for septic tank use by the Wisconsin Department of Commerce.
Pump Tank
The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verity proper
operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it
should be noted if it is functional during pump operation, and if not, it should be cleaned.
"***No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death. '
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be
seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for
vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the
mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the
mound be heavily mulched as protection from freezing.
Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30
mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10' cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow
specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be
flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when
the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within
the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any
levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Continaency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in
proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately
repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or
replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal
media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: William Peabody- Replacement Mound Design Page 7 of 12
EFFLUENT Kr CODES FOR z0al r>limps
' BN = w/ Float in Box
Pumps M = Auto Float Attached (vertical)
N = Non-Auto (manual) /°/W9 !O
E = 230V Non-Auto (manuag
"FLOW MATE"'98
AROPA
R L _
ZBN98 BN98 112 HP 11511 Automates Cast Iron 1/2' Solids, 1-1/2" Disc. Tethered Float (151 . , 358.95
ZN98 N98 1/2 HP 11511 Manual Cast Iron 1/2" Solids, 1-1/2 Disc.
319.45
FEATURES:
The "Flow-Mate" is constricted MEAD CAPACITY cuavE
BN98 - of durable cast iron, carbon so MODEI. "98" 1/2 HP
ceramic seals and a non-
clogging vortex impeller.
15' Cord
20
APPLICATIONS:
The 'Flow-Mate" is ideal for
septic tanks, dosing, low 70
pressure pipes, large mounds
and step systems 5
0
0 10 20 30 40 50 so 70 e0
"DOSE=MATE" 151,152,153
~3rr e a x.. p
ZBN151 BN151 1/3 HP 175/1 Aubanatic Cast Iron 11Y Solids, 1-1/2" Disc. Tethered Float
_7N 151 N151 1/3 HP 115/1 Manual { 371.08
Cast Iron 1/2" Solids, 1-1/2" pigs, 281.16
2BN152 SN152 4/10 HP 115/1 Aulornatic Cast Iron 3/4' Solids, 1-1)2" Disc. Tethered Float (201 355.08
ZN152 N152 4110 HP 115/1 Manual Cast Iron 31r Solids, 1-1/r Disc.
314.16
ZBN153 BN153 1/2 HP 115/1 Automatic Cast Iron 3/4' Solids, 1-1/2" Disc. Tethered Float (20) 498.95
ZN153 N153 1/2 HP 115/1 Manual Cast Iron 3/4" Solids, 1-11T Disc.
ZE153 E153 1/2 HP 230/1 Manual 462.00
Cast Iron 3/4' Solids, 1-1/2- pisc• 46200
i _ FEATURES:
The "Dose-Mate" is constructed of PUMP ~ cxrRVE
BN152 durable cast iron, carbon ceramic
seals and a non-dogging vortex u
impeller.
20' Cord
APPLICATONS: >n
The 'Dose-Mate" is ideal for septic
tanks, dosing, low pressure pipes,
mounds and step systems
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LM CARTRIDGE INSTRUCTIONS
Installation
STEP 2 Dry fit the filter case onto the end of the outlet pipe to ensure it is
centered under the access opening. If not, then either insert more pipe into the
tank through the outlet or solvent weld (glue) additional pipe onto the outlet
pipe.
STEP 2 While the case is still dry fitted on the outlet pipe, measure the length
of V4-inch pipe needed to brace the filter to the tank end wail if utilizing the
optional supplemental side support. If side support method is not utilized,
proceed to step four.
STEP 3 For installations utilizing the optional supplemental side support.
solvent weld the 3,4-inch . .ow e..ftJJt c ?sE•__I€ cde_SUP➢A method is
utilized, proceed to step four.
STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter
cartridge into the case, pressing down until the filter locks into the bottom of
the case.
STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning
clockwise 900.
Maintenance
1. The effluent filter should be cleaned every time the septic tank is
serviced.
2. Open the outlet access opening to inspect the tank and filter.
3. Pump the septic tank completely, making sure to remove the sludge
layer on the bottom of the tank and not just the scum and effluent.
4. Once the effluent level has been lowered below the invert of the
outlet pipe, firmly pull up on the filter handle to dislodge the
cartridge from the case.
5. Slide the cartridge up and out of the case for cleaning.
6. If a VRS switch connected to an alarm is present, the switch
should be removed by turning counterclockwise 900 and cleaned
with water only.
7. While holding the cartridge on its side (large fiat surface faang
down) over the access opening, rinse off the cartridge with water
only, making sure all septage material is rinsed back into the tank.
8. If VRS switch is utilized, replace by inserting into filter and
turning clockwise 900.
9. Insert the filter cartridge back into the case, pressing down until
the filter locks into the bottom of the case.
10. Replace and secure the access opening on the tank. .
89M oftstrE" FILTER CARTRWM - FrVfC--YFArt LWINo wARRAMW
Bear Onstte flker cartridges are vmnwKed to be free of defects in material and workmanship for flue (5) years from the date of
consumer purchase.
BEAR ON SITEO1 Filter Caterer -lifetime 13siEaQ warnuft
Bear Onsde warrants the filter case will be free of detects in material and workmanship during normal use for the period of time
the original purchaser owrs the product
If a defect is found in rwrrr W use, Sear Orsite will, at its election. repair. provide a reptaaernau part or product. or make
appropriate adjustrnent. Damage to a product caused by accident, misuse, or abuse is not covered by this warranty. Improper
care or malfunctions resutkV from units not installed. operated, or maintained in accordance with irstnrctiors provided will
void the warranty. Prof of purchase (original sales receipt) must be provided to Bear Onsite with an warranty claims. Bear
Onsite is not respons}We for labor charges„ n rnoval charges, it wn,or other Widental or consequamal costs.
In no event shall the llaWAty of Beat Onsite exceed
the purchase price of the product.
lp'~..la
Wisconsin Deparoner# of Comnbroe SO EVAL PORT paw i of 3
Division of Safety and BUWMP ~ accordance with Adm. Code
St. Croix
Attach complete than 8142x, 11 Parcel I.D.
include, but not to: horimrliad reference d / lv /d d - c7 a~ road.
percent slope, scale or dirtierrsiorrs, north arrow, and bcation and
plowe print aN worn/aftn. N~ °F`icF Dale
Personw infor►nation you provide may be used for secondary purposes (Privacy Law, s. ts.04 (1)
PropertyOwner Pnope"f yLocxibort ❑ El
William Peabody Gout. Lot NE 114 NW 114 s 3 T 30 N R 15 E (or) W
Property Owner's Maifmg Address Lot # Block # Subd. Name or CSM#
1538 County Road N site address 3037180th street
City Stale Zrp M-ft Phone Number QViNege own Nearest Road
Roberts WI 54023 ( 715-796-8880 180th Ave
New Cordon tiseE] Residential I Number of bedrooms Code derived design flow rate 450 GPD
Replacement ❑ Public or comrnercisl - Describe:
Parent material loess over till over sandstone Flood Plain elevation if aPPkmt ie -NA ft
General corrrmft Install mound on 1W contour with 20" sand fill on up slope edge. standard component manual design.
and recommendations: ORIGINAL
DBoring
p-1 Boring # a Pit Ground surface elev. 100 ft. Depth to fun&V factor 16 in. c Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD W
'M1 *Efr#2
in. Muriseq Qu. Sz. Cont. Color Gr. Sz. Sh.
a-1 0-3 10yr3/2 Si 3fgr mvfr cs 2f .6 1.0
a-2 3-9 - 1 3!2 si 3msbk mvfr as 2f .6 1.0
e-3 9-16 10yr5/4 coats on Pe& fsl 3msbk mvlr as 2f .4 .8
b4l 16-21 7.5yr4/6 c2p*5/3 scl 3msbk mvfr if - -
b-5 21-36 7.5yr4/6 c2p5yrW3 scl Om mvlr - - - -
ssbr nnistm to imife pen
[7-2Boring # ❑ Boring 98 16
a Pit Ground surface elev. ft. Depth to knfty factor in. Sol A licafion Rate
Horizon Depth Dominant Color Redox Description Texture structure Consistence Boundary Roots GPDW
Gr. Sz. Sh. *Etf#1 "Eff#2
in. Norwell Qu. Sz. Cont. Color
a-1 0-4 10yr3/2 sl 3fsbk mvfr cs 2f .6 1.0
a-2 4-9 1 3/2 sl 3msbk mvfr as 2f .6 1.0
- .4 .8
e-3 8-16 10yr5/4 silt coats fsl 2msbk mvfr as 2f -
b-4 13-21 7.5yr4/6 c2p5yr5/8 scl imsbk mvlr - -
Eft ont #2 = BOD 30 nV and TSS S 30 mg&
* Effluent 81 = B(]D > 341 220 rttgA. and IZS- >30 < 1 CST Number
CST Name (Please re 253976
Lewis Bork L. Conducted Telephone Number
Address ~
E7818 County Road E. Menomonie, WI 54751 8-27-11 715-231-7375
William Peabody Parcel ID # Page 2 of 3
Property Owner
Boring
p-3 Boring # Ground surface elev. 100 R Depth to limiting factor 20
El Pit in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Smic Lure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh• -Mi 'Eff#2
a-1 0-6 10yr3/3 - grsl 2fsbk mvlr as 2f .6 1.0
a-Z 6-10 1 3/Z - sl 3fsbk mvlr gs 2f .6 1.0
v(a-3 10-16 i0yr3/2 - fsl 2msbk mvlr Cs 2f .4 .8
b-4 16-20 10yr5/4 fs1 2msb mvlr as if .4 .8
b-5 20-36 7.5yr4/6 c2p5 5/3 grsci lmsbk mvlr - - '
ssbr
Boring # Boring ORIGINAL
❑ 1_l Pit Ground surface elev. ft. Depth to limiting factor in. Soy ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. " EfF#1 -Eff#2
Boring # S Boring
F-I Ground surface elev. fL Depth to knifing factor in.
Pit Sol Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 '0102
• Effluent #1 = BODs > 30 < 220 nVt and TSS >30:S 150 mg/t_ ' Effluent #2 = BODS 30 mg/l. and TSS 30 mg&
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.
SM-8330Test OL07/00)
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Oct-20-5010 08:30 AM St. Croix County PlanlZoning 715-3136=4686 1l1
S'T• CRM CC'Uiv'i Y
SEPTIt' TANK MAINTENANCE AGREEMENT
AND ~7~Vl~ERS1~TP CERTI~IC~l't"Ir~IV FORM SFp 13 FD
Owner/Buyer i i 4m ~~c a~~y~ • h>,~Qir.~.,,
ZaN~NCOry
Mailits AiMress 15_912 eoc= b 2(0;) 31
Property Address _ / Q': t. [4l 5:-q716,
(Verification required from Planning Zoning Deparfanoot fta ttaw copsttuctioa.)
City/State d1r aw- e±Y /or Parcel Identification Number llG S~ -000
LEGAL DFAMPTIO f
Property Loudon _Af6 44, „dW. Y4, Sec. _1__, T 30 N R r W. Town of-Abenc-.3ood
Subdivision Plat: 2 x-r - At~- Lot 0
Certified Survey Asap # , Volume = Page #
Wanaltty Dow # '7 (o ( 15-6 (bef = 2007)VOW= Page
Spec house y~« yiq Lot Ines utemifibte rns
S'YS'I'> N DWNTENA]' E AND D lWirtEJ ~CZRTMCA770-N
improper use and mahmmm otyour septic system could result is its pwmature Mure to handle wastes. Prayer
maintamca conafets of pumping out dw septic tertk every three yearn or soww. If needed, by a ticemed pumpa. Whitt you put into
the system cut of m ft baction oftits vqmb tank sa a ttu mmt stage in On waste disposai syatam. Owner VWnter
responsibirWas are "iiaed in fit. 83.3A J) and in Chapter 12 - St Crux County Stuu`" Ordinance.
11* praparry Met up" m submit to St. rMTX Ciitt►ty FUM- 1 & ZoitMI POPMUMt a wiftictwn R*M. WV W by fits
o►vnw and by a inaato piamter. jaarmeyman ptumber, rune rnl pttnrtber or a tad pamper vvitying mat (t I the an-ft
wa uwator tfitprsaf syrstern is fn Prover ap=vftg condition ttsrdfar 13)'afka ft q=tion tntd pumpfng Vf nevess"). fits stgstir Unk is
k.s than f 13 fafl vfshtdge,
lfwa, the tamed he" read tit Awn r eguitoww% and egras to nos fire pivem wwags elsepo W =y with the
o~ '~•~s set ltommiss, as sot by Else of ~.s~ else ~~~t of 31na1 ~ oaf ~1 fs~sic.
Cectsf ca#ioa S8 fat Yau~r 6asystem ltas bau sa atsmad mast be.oatnpleteds retuned to thu$t Cra& CdrAwai g &
Zoning Depamum wftb 30 days ofthe tluee year meson date.
Uwe certify that all atatotnents on this form are true to the best of myfatr knowledge. Ywe anVm the ownerW of the
property described above, by virtue of a warmly dead recorded in Register of Deeds Office.
Number of bpd~
5 NATURE A"UCANT(S) DATE
***Any information that is taisrelmmtted may result is the sanitary permit being revoked by the Ptouft & Zoning Dwtatertt,"s
include with this appikation a rid wm=ty deed from t" Regi W of Deeds Cffise and a aapy of die 00rd ed survey trap if
reference 3s made in the wafrattty decd.
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Parcel 016-1004-50-000 09/13/2011 01:24 PM
PAGE 1 OF 1
Alt. Parcel 03.30.15.38C 016 - TOWN OF GLENWOOD
Current 1XI ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - PEABODY, WILLIAM E & KATHERINE L
WILLIAM E & KATHERINE L PEABODY
1528 HWY N
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 3037 180TH AVE
SC 2198 SCH DIST GLENWOOD CITY
SP 1700 WITC
Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE
SEC 3 T30N R15W PRT GI-2 COM 660'W NE Block/Condo Bldg:
COR GL 2 S 440'W 198'N 440'E 198'
ALSO COM 594'W NE COR GL 2 S 330'W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
264' N 330' E 264' EXC S 110' DESC IN 03-30N-15W
659/32 & 421/339
Notes: Parcel History:
Date Doc # Vol/Page Type
06/22/2004 766566 2600/508 WD
12/12/2002 702072 2078/483 SC AF
12/12/2002 702070 2078/481 SC AF
09/16/2002 690511 19781275 WD
more...
2011 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/07/2011
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 20,000 52,200 72,200 NO 10
Totals for 2011:
General Property 2.000 20,000 52,200 72,200
Woodland 0.000 0 0
Totals for 2010:
General Property 2.000 25,000 52,200 77,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch 116
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
U 2 6 0 0 P 5 0 8 T66StEs6
STATE BAR OF WISCONSIN FORM 1 - 2000 KATHLEEN H. WALSH
REGISTER OF DEEDS
Document Number WARRANTY DEED ST. CROIX Co.. pI
RECEIVED FOR RECORD
This Deed, made between Eleanor F. Heutmaker, Lavon
Banks, Galen Heutmaker, and Roger Heutmaker 06/22/2004 10:00AN
Grantor, WARRANTY DEED
EXEMPT #
and William Peabody and Katherine Peabody, husband
and wife as survivorship marital property REC FEE: 13.00
a/k/a William F._ Ppsahndg SrLd Katherio I TRANS FEE: 157.50
. Peabed7- COPY FEE:
Grantee. CC FEE:
Grantor, for a valuable consideration, conveys to Grantee the following PAGES: 2
described real estate in St. Croix County, State of
Wisconsin (the "Property") (if more space is needed, please attach addendum):
See Attachment
Recording Area
FIRST NATIONAL BANK OF HUDSON
PO 1308 28
915 DAVIS STREET
HAMKOND WI 54015
part of 016-1004-50-00
Parcel Identification Number (PIN)
Together with all appurtenant rights, title and interests. This is not homestead property.
(is) (is not)
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
Roadways, Easements, and Restrictions of Record.
Dated this 18th day of June 2004.
*Eleanor F. Heutmaker *Galen Heutmaker
*Lavon Banks *P Heutmaker
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN )
Signature(s) ) ss.
St. Croix County. )
ng, authenticated this day ofK8V V- r 0"' Personally came before me this 18th day of
Notary Pu June , 2004 the above named
state Elenor F. Heutmaker and
Lovan Banks, Galen Heutmaker and
TITLE: MEMBER STATE BAR OF WISCONSIN Roger Heutmaker
(If not, to me known to be the person s who executed
authorized by §706.06, Wis. Slats.) the foregoin ent and o ged the same.
THIS INSTRUMENT WAS DRAFTED BY
* Ka v m
Michael H. Foreeki, Attorney No ublic, State of Wisconsin
Eau Claire, Wisconsin My Commission is permanent. (If not, state expiration date:
(Si natures ma be authenticated or acknowledged. Both are not necess December 12 2004 .
*Names of persons signing in any capacity must be typed or printed below their signature.
WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000
Attorney Michael H Forecki 3452 Oakwood Hills Pkwy Ste 1, Eau Claire WI 54701-7928
Phone: (715) 835-3029 Fax: (715) 835-4112 Title One Premier Group T5075078.ZFX
Produced with ZipFormTM by RE FormsNst, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 383-9805 wwwsiotorm.com
U 2600P 509
ADDENDUM TO WARRANTY DEED
Commencing at a point 660 feet West of the Northeast comer of Government Lot 2,
Section 3, Township 30 North, Range 15 West; thence 440 feet South; thence 198 feet
West; thence 440 feet North; thence 198 feet East to the point of beginning.
Commencing at a point 594 feet West of the Northeast comer of Government Lot 2,
Section 3, Township 30 North, Range 15 West; thence 330 feet South; thence 66 feet
West, thence 330 feet North; thence 66 feet East to the point of beginning.
EXCEPT a parcel of land described as follows:
Commencing at a point 330 feet South of a point 660 feet West of the Northeast corner of
Government Lot 2, Section 3, Township 30 North, Range 15 West; thence 110 feet South;
thence 198 feet West; thence 110 feet North; thence 198 feet East to the point of
beginning.
Eleanor F. Heutmaker is joining in conveyance of said property to release any interest she
had in life estate recorded in Document No. 690511.
For Reference Only: Tax Key No.: part of 016-1004-50-000
3037 180th Ave.
Glenwood City, WI 54013
ALTA Commitment
Schedule B - Section I