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002-1022-80-075
Department of ~ ~~~ ~r~~ce PRIVATE SEWAGE SYSTEilR J Su~tliny Divisic ~~~,^, INSPECTION REPORT caENERAL INFORMATION (ATTACH TO PERMIT) 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 Utecht, Marvin & Sharan Baldwin Townshi CST 8M Elev: ~'~° Insp. BM Elev: ~ t9'vU ~ BM Description: 2 " C.~ Nth. a TANK INFORMATION TYPE ~ ~ MANU ACTURER } YU5 I S ~'i~ CAPACITY Septic / ' W ~ e~~ i 4 vw ~ ~- ~ ~ ~~ TANK SETBq~i~ INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic ~ G,• f JC? ~~ w~ i rj ~ ~ l Dosing ~ ~ i ~ i ~~ ~5 r Aeration Holding PUMPISIPHON INFORMATION .~ Manufacturer Demand GPM Model Number C ~~T , ~ 3 ~~~'" TDH Lift Friction Los System Head TDH Ft Forcemain Length , Dia. ~ •i Dist. to ~I ~ f~ SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 430393 0 State Plan ID No: Parcel Tax No: -~ Q'] 002-1022- -050 Section/Town/Range/Map No: 11.29.16..1 a9Pr' 1.57Sf~c~s' STATION 2. BS .D HI iu6• FS ELEV. od--d Benchmark Alt. BM G/~+~Jli\ ~ "'- k ' X97 Q~. Bldg. Sewer Q Z ~~u/ /v~~ /O St/Ht Inlet Gp /Q.~ SUHt Outlet 0. d 9 ~• 9 Dt Inlet ~r. b ~6. ~ Dt Bottom ~.~ / 2. to Header an. -~ 2~9 ~ 0 3. Z Dist. Pipe ~• l • S ~~ 2.X3 l d 3. -z Bot. System ' 2• ~ 3 /~~ ~.~ Final Grade -}-- / St Cove ~ -G/ c tv~ ~' i vY-~~ d • 05 !oo -8 vy1 ~~l~crQC. / 2 2 ti BEC.~TRENCH DIMENSIONS Width r Length f~)~ t/ r/ No. Of Trenches PIT DIMEN~ONS / No. Of Pits Inside Dia. Liquid Depth !.¢/t~ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: T ype f System: ~7~ ~ I M` i y ~ ~ r // UNIT Model Number: DISTRIBUTION SYSTEM ~",,,, ~~ j1 U e _~ _,~0.c...--,s //~~...~ -" ~ 9_.r~J..t..,(.o~~ 1M s. ,,,~ .~~I-~c4 `~ o~b_ Header anifol r '~ ~5 D L th~ ~ ~ Distribution 'Q ~ N Pipe(s) P . ~ ~ ~ ( ~ x Hole Size ~ ~ x Hole Spacing S j 2 Venj,to A'r I tak p' , eng ia Length _ Dia Spacing__ . SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulc d Bed/Trench Center BedlTrench Edges Topsoil ~ (;?~~ Yes ~ No r'' Yes ' No COMMENTS:~(Include code discrepencies, perso s present, etc.} Inspection #1:~~1~1 c~J Location: 105 250th St. Woodville, 5402 ~/W4 NW 1/4 11 T29N R16W) Nn Lot ~ ""~ On~ a~ 2 ~ ~G~c~1~/ (~~~~ P~rvt. 1.) Alt BM Description = ,., (~~!( ~~ , X15 ~ ~ j s j n' 2.) Bldg sewer length - ~ C'~`'~ .,J (^,e•" ~J~, l~ -amount of cover = y 5 ~ b ~ Lirt'n~ (fy~ - - , --- Plan revision Required? ,Yes i~ No I Use other side for additional information, l____ _ _, ' ______ ._. ________ _ _E _ i 5BD-6710 (R.3/97) ate Insepctor's S Inspection #2:,~/~/ Parcel No: 11.29.16.159A 1/ ~ s_ ilLt,a~ ~- ~'j I'~l vYwc.a~ ~ ~?~a b~ ~t -~t~ ,106 ~~ , ti----- __ Cert. No. e a~ -- ~ ~( /o ~~ ~~ S7 7~ L~~ s, d~ Attach compkte pla s (to the Coaaty only) for the system oa aper aot less than 8I/2 : 1I lathes fa sIu I-eco ~ t^.Gt ~ ~' ~~ I~~ saD'~~~~x. osio~ h~ ~ >EXCa v~c-~ ~ (it~~ksh~ -~ d~~r~+. ~(,~a.c.d',~n~r t~ rte Safety and Buildings Division ~tY ~rO ~ x ar ~ • 201 W. Washington Ave., P.O. Box 7082 I ®~"~~~~,~ Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled in by Co.) t)e artment of Commerce (fig) 261.6546 ~3~ 3 Sanitary Permit Applieatio State Ptan 1.D. Number In aceord with Comm 83.21, Wis. Adm. Code, personal in rmazio~r i~tdf V ED ~9~9~~ may be used for secondary purposes Privacy Law, 15.04( Project Address ('f different than m~a iling address) j i. Application Information -Please Print All Information CEP 4 ~ ~~~3 !~j ~ ~~Q ""~ J y ~ 's Name Parcel Lot # Block # Y .1~ », ~ U O G / CE F G OF Ct rv~ L~ l° ~ ZONIN ~ Z2- roperiy er's Mailing Add ~~n~ ~ Property Location ~~ /1 O~ t /1 ~., ~ -. G' s~ , N~~ 0 Section ( /~ ~ _ _ , ~ City, State t Zip Code Phone Number Gf/OLY~ 6~d ~~ Lf/, ~+ ~~/f~ ~~.~ "~~~-^ ~/7(~ T N R ~ ; ~1. r ~ B or II. ape of Building (c eck aU that apply) 3 8 ~ B ®/ / _ ~ Subdivision Name SM N ml* l ~~ 1or2Fami yDwelling-NumberofBedrooms ~~ , j~~t ,,,~, , j, - J~'~ T ^ Public/Commercial - Describe s U e _ / y ~ l~Y~ l •( ~( t.V Q71 ^Ci ^Villa a ownshi of ~ /~ ^ State Owned -Describe Use ty B P Ltd III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) - A' New S stem y ^ R lacement S stem ep y ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System l3. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T r!f POVYTS S stem: Ch k sll that a 1 ^ Non -Pressurized In-Ground Mound > 24 in. of suitable soil Mound < 24 in. t-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculazing Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersaUTreatment Area Information: .Design Flow (gpd) Design SRii,Application e(gpd ,f) ~ Dispersal Area Requi (sfJ Dispersal Area Proposed (sf, System Elevation tt ~' ~~ ^s rya - ~ ~- ~6~ 66~ ~0~.~ > ,,, VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Q~ ~~ /1_ , /D~ ~/ ~ _ Concrete Constructed Glass New Tanks Facistiag Treks O ~, ~ l/l~ .CYz~.~"'~_ / J ` Septic w Holding Tank ~-,.~ ~ 4 Aerobic Treatmetu Unit lasing Chamber O®~ - eta VII. Responsibility Statement- f, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum 's Signature MP/MPRS Number Business Phone Number Plumber's Address (yStreyet~, City, State, Zip~Code) / VIII oun 1De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Surcharge Fee) ~ ~ ~ ~ !~ at issued ~~/ ~ uing Ag t Signa a (N s) ^ Owner Given Reason for Denial IK, Conditions of ApprovaVReasoas fpF Disapproval ~ S Z SYSTEM QWNER: ~ ' , -~ G6~ ~ ) Septic tank, ef~luent filter and t3 3.S~li ~tQ ~+~ 1 f ~,~- ~ZT/YLQ2 Gtr/ dispersal cell mini ail u~~rviced 1 maintained ~ ~ ~ y I as per management plan p' wit~c) b~,~ ~ilumber. ~~ ~ ~~G~m~z ` ~2. JAII setback requirements rr as- k~,; rrdai~ii~iined ~ [ ~ /'~ ~ ~o~~~ v as per applicable code/orG~„a~ ~~cs. ~~ 1~ ( ~lrit~,. ~ ~ Sys t~ ~s-~~?~-~ t (Z~ ~5 If ~~ ~`i~ uf~~f • ~f~ i ~ !~ ~Zv 3Z~ J6t. (0~$~2$~g' ~~ .----~ Ptopobed Mound of z,S.B/ X /.Z/ lPS w/ L,L9',+Ctac~'Q(,;~crsa/ GeJ/. Fvu.r(~ ~a~t~a./s of /Yz`ir ~R 3 v' ~/ y8 ~ _ o ri ~,• cCS Spa cto/ a~ z , s3.` _...~i,,bh ` moo[ r`" ~_3 Q. ~ ~_ 8~ Proposed wteser ~v c P ;~ n~ K Gceao ,s~ /OwnP ~a+nb-Gi; a /P:~~oFo Seal /, cc~11/__SG,b/ ~ a11. u.Y ,~a bcJ r¢-/~ elf'/u ~f ~,'~ ~c.r a~owt/~~ ©F 5GC.ond Chia-mbCr: .-.-E Ji ki/di nq .ewer z "Sc.j,. J0 F v, c . •~'orcurt0.:n . SoilQ/Gt~ua'~•0~ ~~^E -~F- EXi~6' ~ence/ire -~~ra p.1, n c ~ EXiSt~~radc Cl¢/a-~ion SC4/G~ I =~0 nc.l, : 7 o p AF ~ ~, C. p;~x. A ss u.Ycc.d 99. o'c.o.~k~ ioio' 2 ,oo.o 1.0' S~ "A.S,T. ~l. 3Q31~ ~~~ K~J•J~..(J" ~ ~~ I ~/ o d w o,0 ~ M~ .~~N° Va~ C ~~ e`er -~' - ._,_ base ~;•N e icv-afso~ ~o bQ = /Ofd 3 ~, .~ `~ .~ SoltC~. lD~~ir7G -/1l1J./CS /df/inC H Proposed ~, ux~/Su~yN~ Gom b; n a Ei~» ~•~~ ',~J ~ (~( r4-~ct~ 2F~'lGten~~Ifer'ut ~SeCCnd ~-ha...b~J ce X03.68' A ~~. g.m.: Top o+^ e~~c~r;c Sv~4Ci~0'~aS~or s.~7. Ccr~eroF~uSc as SCE-X~'`- 0 l~ fot.8~:~ 8 ~ ~~ ~- St. Croix County ~l''lanning and Zonin Tuesday, August 23,1005 at 8:34:25 AM Detail Sanitary Information Page 1 of 1 Computer #: 002-1022-80-075 SublPlat: metes 8~ bounds Section: 11 Parcel #: 11.29.16.158A05 Lot: TN/RNG: T29N R16W Municipality: Baldwin, Town of CSM: 114114: SW 1!4 NW 1l4 Owner: Utecht, Marvin & Sharon 1 057 250th St. Woodville, WI 54028 State Permit: 430393 Issued: 09/30/2003 POWTS Dispersal: Mound less than 24" suitable s Permit: New County Permit: 0 Installed: POWTS Detail: NA Bedrooms: 4 WI Fund: POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Requirements Additional Notes Money Owed Pam Quinn NA Hudson, Dale Marv owns >40 acres total, but this part is 23.7 $0.00 Signed Off: No acres. 3/15/05 -Adjacent parcel re-zoned; corrected both addresses and parcel numbers for this system to be installed north and west of permit #463349 to Jason Bostrom. 10/3(03 -affidavit of correction recorded that the building being serviced is not commercial excavating business, but accessory building to go with house, per zoning violation letter in 2003. .~ ~ ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.ustsb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary August 22, 2003 CU5T ID No.220853 DALE E HUDSON BOLDT'S PLUMBING & HEATING, INC. PO BOX 78 _ ~ BALDWIN WI 54002 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/22/2005 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 895988 SITE• Site ID No. 663104 Marv Utecht Residence Please refer to both identification numbers; 1067 250TH St-"' ~3(wY+ 91,t.(3~~ (~~~rd above, in all correspondence with the agency. Town of Baldwin, 54028 (i St Croix County SE1/4, NW1/4, 511, T29N R16W ,~~ ~f/29 03 FOR: C~~~6~~z `7~' cl ~iS~./ / - ~ ~?'fi`,C'~ Description: Comme ctal sidential (two structures) Mound S tem ` Object Type: POWT System Regulated Object ID No.: 915012 v G~ The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes C07td9 and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in ~~~~ chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The followin conditions shall be met durin construction or installation and rior to occu anc or use: DEFARTMENI g g p p y N0 General Approval Requirements: SEE CORRE • 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.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81) • The plumbing for this project discharges to a private sewage system. The a royal coy domest;c/sanitary wactec rti_c..rted into this system. The De artment of atural Resources must be contacted regarding the treatment and disposal of all industrial wastes. o o e Y YLZ~y,S rn~Y ~~-/nom s'Pj-p~'i'~ sys~-, 0 • Per manual cited above, limited activities are allowed in the area 15 eet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stat DALE E HUDSON Page 2 8/22%03 • Comm 83.22(7) 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. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincere~ly, /~' C ~~2~, ~ ~i %~~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 ~ ~ ~ ~,. ' MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Utecht combined residential &non-residential mound system Owner's Name: Marv Utecht Owner's Address: 1067 250th Street Woodville, WI 54028 Legal Description: SE1/4NW1/4, Sec. 11, T.29N., R.16W. Township: Baldwin County: St. Croix Subdivision Name: Lot Number: Block Number: - Parcel I.D. Number: 002-1022-90-40D.d5p / , Plan Transaction No.: Pale 1 Index and title C'~ / C R Page 2 Data entry ~~~ G Y 1~.IJ Page 3 Mound drawings ~ ~ ~ 2 $ 1.~~~~ Page 4 Page 5 Lateral and dose tank System maintenance specifications DtV Page 6 Management and contingency plan . ~~++ BLDGS a7AFE~ ~ Page 7 Pump curve and specifications Page 8 Site Plan Page 9 non-residential calculations Page 10 Soil Evaluation Report Designer: Dale Hudson License Number: Date: 07!18/03 P/hone Number: ure• L / ~~t-/~-~ 220853 fion~~ o®~`~ ~5~ ~ERCF ~~~ SPpN~E 715-684-3378 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01 /01) Page 1 of 10 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 446.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of <= 36 inches. 669.00 esign Flow (gpd) ~(SagPd r~54~~'hCc-pQ~.~ ~{,~.d4,~,~ Site Slope (%) J r {3- ~_ 1~/Si N. ~. 101.00 Contour Line Elevation (ft) 16.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell {nformation 100.00 Dispersal Cell Length Along Contour (ft) _ 1.00 `Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) c Center or End Manifold 3.35 Lateral Spacing (ft) 4 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimate Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) (p0~ 35.00 Forcemain Length (ft) 91.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 /b.~ 11.50 Vertical Lift (ft) ~.i, 0.81 Friction Loss (ft) 18.81 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 x 1.25 x 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1000/500 Septic Tank Capacity (gal) Wieser Manufacturer Dose Tank Information 1001.88 Dose Tank Capacity (gal) 27.83 Dose Tank Volume (gal/in) Wieser WLP1000-MR Manufacturer 6.69 Cell Width (ft) Are the laterals the highest point in the distribution ji Y j network? Enter Y or N If N above, enter the elevation (ft) of the highest point. j ^~ 8.36 ft2/orifice Does the forcemain drain back? '~ Enter Y or N 5.71 Forcemain Drainback (gal) 90.53 5x Void Volume (gal) 96.24 Minimum Dose Volume (gal) 32.95 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice - 1.25 x ~ . _J, , _ 1.50 X x L ~ ~ 2.00 ~ _ _ _ '' 3.00 ,-- -. _ _.._i Gallons/inch Calculator (optional) 1001.88 Total Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) 27.83 gal/in (enter result in cell 649) Effluent Filter lnformation Zabel ,Filter Manufacturer A100 Filter Model Number Project: Utecht combined residential &non-residential mound system Page 2 of 10 Mound Plan View 1_ 1!l 1~; • Observation Pipe ~~ ~ . . • r:}.r. .`rdrC: ~r:r~: •r :'• •.;•:; C~~ r:ft,'•.r.; .r•r•: •. ~. .B LJ I L Mound Component Dimensions A 6.69 ft E 23.61 in B 100.00 ft F 9.50 in ~' D 20.00 ins G 0.50 ft 669.00 (ftz) Dispersal Cell Area 6.69 (gpolft) Linear Loading Rate -r _I -1 H 1.OOft K 10.83ft I 11.30 ft L 121.65 ft J 7.82 ft W 25.81 ft lira s~~u 1799.42 (ft2) Basal Area Available 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal.Area Finished Grade 104.46 (ft) ~--~ ,,/~/ Inn. G t H 1/1/t/ /// !- ois ft) Latera I F , . ; ::: ; / persal~Cell 103.17 ( I 102.67 (ft)--- - ~: ~ Invert Dispersal Cell ; 3~ ; ~ ~ ' ~ ~ ~ ~ ~ .. .. Elevation E • ~ D ~ ~ ~~ . .•.•.•.• .. .: .....~~ ~G i ~ i "' l • l . 1 ~. ~ ~1 t ~1 l ~ ~1 l~ l~Y 3~ 7 J ) Kl,*•l J ~ _ l J ~ { ~ .{ .{ 4.5 °!o Site Slope Shading Key '~ ~. 10 ®Topsoil Cap c = 1.5 ft ~ ///// Subsoil Cap a o ©~ ASTM C33 Sand `-° ® `5. ~ ~. Tilled Layer ~ y Q 0.5 ft Aggregate v ' 0 101.00 (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). Project: Utecht combined residential &non-residential mound system Page 3 of 10 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. P •=Turn-uprrn'ball valve or IE-x--~IExl2~xl2-~I cleanoutplug I'I Holes drilled on the bottom of the lateral. Latera{s are identic al Laterals & Force main of PVC Sch 40 per COMM Table 84.30.5 S ,~ Number of Laterals 4 Lateral Diameter 1.50 in Lateral Length (P) 49.34 ft Lateral Spacing (S) 3.35 ft Lateral Flow Rate 8.24 gpm System Flow Rate 32.95 gpm Total Dynamic Head 18.81 ft Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and -~ - Comm 16.28 WAC Disconnect ~- Tank component is properly vented Wieser Capacit 1001.88 Volume 27.83 Manufacturer Gallons gal/inch Dimension Inches Gallons A 21.15 588.64 B 2.00 55.66 C 4.85 134.94 D 8.00 222.64 Total 36.00 1001.88 A B C D ng under tank. Alarm Manuafacturer LevelArm _-~~ Alarm Modei Number DLV i~ Pump Manufacturer Goulds ~-~ Pump Model Number 3885 WEO3L _ Pump Must Deliver 32.95 gpm at 18.81 ft TDH 0.125 in 20 8.36 ft2/orifice 3.35 ft 1.50 in 3.37 ft/sec Locking cover with warning label and locking device and s-e-al~ed• watertight 4 in. min. _ ---~_ F- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P, ump off elevation (ft) ~t-~- 91.67 D~elevation (ft) 91.00 Project: Utecht combined residential &non-residential mound system Page 4 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name Boldt's Plumbing -Dale Hudson Phone 715-_684-3378 POWTS Regulator's Name St. Croix County Zoning ~ Phone~15-386-4680 System Flow and Load Parameters Design Flow -Peak 669 gpd Maximum Influent Particle Size 118 in Estimated Flow -Average 446 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 0/500 Co gal Maximum TSS 150 mg/L Soil Absorption Component Size 669 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for onding and seepa e once every wears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished • ............. ............... Grade 6-8" Diameter Lawn ~ ~ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral `~. -- Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Utecht combined residential &non-residential mound system Page 5 of 10 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Genera This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01101) and SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. 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 unauthor¢ed 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, Stats. 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 filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. if the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter 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 of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The add'Rion of biological or chemical additives to enhance septic tank pertormance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem 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 mglL 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 tt is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv 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 tce leakage occurs or by removing biologically clogged 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: Utecht combined residential &non-residential mound system Page 6 of 10 .~. ~~ n ~~ ~1 Efllueat Pumo ~;~ ~h \~\. - \ .. ``~ mot` . G is?J ~6 ~ !~~ / '%D. ~, _ _ _ - ...-....___-. . If 3z.9S~.P,irr. Pur1~p Specifications r~: - _ ~o ',2~ - ~• NP1~ ~,~ , ~~, ~_~, m f~9otor `e~ n re ball _ ~s r ton = S r and - - -..• ' 1 ~ 200, -5~' = - - ie!s ,motors r;1afenals of Construction - - MODEL 3885 i ,DO iJ0 ~0 iIS GVM ~~jYam~ s~yo~o r„ r'a•fe (`eA~cd• Features and Benefits • Ali models feature silicon carbide mechanical seal faces for superior abrasi~~e resistance anti extra long life. • Cast iron semi-open non-clog impeller ~^,ith pump-out vanes for mechanical seal protection. • Rugged cast iron volute t,,~pe casing adaptai~le for slide rail sysiei7~s • Corros~~on resistant threaded stainless steel shaft. • Motor .s full~a submerged m high qualify oil fo- lubrication and efficient Heat transfer. • Optional silicon bronze impeller ava~~laLle. • ~SF1 il~teri n'GC)i'iS aS'aiia!)ie ;7; I ME'FRS fFf' ~.--___.-_~ ~___.~_. _.._ I ..y. _.-_-'-.__._._. -'-_.....--___ _.. -.. 61 I ~ i ~ MODEL.38?2 ~ ~ sod---~-- 6r i --~ --- --. - - . ~ 5 i ~ ~t _ ~ i5I -____ ~_ - _.. ~__-.-. ____ - .... -.. . .-_. _. v i I ~ i i Q T ~, G ~ '~i r F- ; O j ~ _z;- ~~ ~ - - -. .. a ~~ CAPAGIT t Pump Specifications r=eatures and Benefits z HP ° G!~ 5~ t~,l?~i i~',rnlnr~ ~cn~_ Up to 75 GPM im,,e Ir ~ ~~ ~t~, ,,in!~s ;,_ Maxinnim head to 18' ins~,r~ and ,~,n~~~p oL ~ _, ~~r Discharge size 2° IVPT ~'~e i a~ i~<~-~ sEa~ pro[ ..t c Solids: 2" maximum ' Ru.1c eu g,ass-fiile~d t r~~ , _~ cas rg anal base des q~ ^~~ ' __ Motor sul~e~ior strength ana co~~~:r ~~~ All motors feature hall res s.a~,ce. bearing construction. Single phase: ' 15V • Ca t r ,r ~r,ntor ho ~~ ~ ~~~ eff i r; ~ir^at transi~~ ~ ~~.~.~,.~~ Materials of Construction any, , ~,,ab'~,ri Cast iron Thermoplastic ~ Co r s o~ res e pant ~ ~ ,-.- Stai~~~less steel sta ~ e.,~ steEl ~ raft U~'~ Underwri(ers Labora(ories fall Models are designed for continuous oparat~on and feature sta~res:~ s'ee~ "3;r~ln-,re ~~ ~„ ~. lot -~- Ex~Y~b~ Fe~~ee~i~e -~~arop. t;ne • EXiSv.~~~de e/evasion ,. , Ptopobed Mou,nal a~ x.5,8/ X J,Z/. ~ , ' v w( G. (~ ~' X i~x?' d,:SPcrsa / Cep(. ~ ~(~ anc,i, : T c,F ~ ~, j4~lra./s a£ tYzir4J9.3v'cv/%8" P ori~'~ SPare.da~2.S3.~ ~, `-..._~ 83 ~~/u..4ssu.ntrJ •''~`ed -~- on a led:. JOD. vo.` _ h Proposed wfeser 9e- _ iv ~ p ;ce~o rn K (rceiva.q} -y ia..o~ T3 2 ` ~O~' o' P~oPose~ ~ ~/scn ~~ ~Q bel f~-/~ e~L/u enf ~,'l ~~ a.~ou f/~ ~ of Second Clu,.~„ b.ci; / Jf Gti/olinq .52w~ ~u.mp ~amb.tf; b v o d w a~C1 Day ~' z "sc~. ~o P./. c . Fort errt0.~ n . ¢ "A.S,T. ot. 303 /,e. eF~'lucn~ /ant,. 3 ~I ,~ .~ ioz.o' Proposed ~ uz~/,u?y~~ efT'l6c e-n~ (-,`It ~Q~~-p:xi:le~,JF Sz Co n d C h a.,, bp-r'. ~opascd ~{ b.cdroon, ~e5~ d~.nc~ Jo3, b8' It. g.m. ~ I op of eIEC~-~c Sn ~ ~ /~0 'Ca S~ o F S. c,J . Corne~'oF~uSc as Sf~~ Sacct~. lob/iric -/1Ca/tS~. /bf/ir-C ~- 1J~~/~,~ay/ ~-,yiS-~' ~ Fc,.,~.rc Tu1+~ ~ax/ 8 ~' /o 5~ base ~~Il e It~Q~oh ~;~e~ ~oz,BS'~ WORKSHEET JOB DESCRIPTION: Accessory structure restroom - Utecht Excavating: Proposed restroom with shower facilities to serve two employees. The restroom will contain one lavatory, one toilet, and one shower. Maximum use per owner will be two employees, 5 days per week, 1 shift per day. Estimated daily wastewater flow calculated by applying standards as specified in Component Manual SBD-10691-P, table 4. ,,. DAILY WASTEWATER FLOW CALCULATIONS: 2 employees @ 13 gpd per employee = 26 gpd 2 showers per day @ 10 gaUshower = 20 gpd ~/(~ ~ ~, ,S . (o ~ ~ d ~~ SEPTIC TANK CAPACITY: 1. (2 people )(IOGPD) = 20 GPD (20 GPD)(1.5) = 30 GPD/ 75GPD/person = 0.4 person equivalency (30GPD) +(11.61)( 0.4)(3) +(46.77)(0.4) = 62.64 gal. minimum tank capacity 2. Tank Manufacturer & Capacity: 1 00/500 gal Wieser Concrete combination tank Page 9 of 10 ST CROIX COUNTY SEPTiC TANK MAINS At3RHEMENT OWNERSHIP CERTIFiCATiON FORM Owner/Buyer Mailing Address __ /D~ ~ ~ 5"Q /1~53.~ Property Address ~ ~ - ~; (Verification requirrd from Planning Department for new City~tat~ ~~A~~ ~ ~ `~ Parcel Identification Number ao,~ /U~Z - 94 - LEGAL DI~SCRIPTION ~ as z!a z~-90 ~oo~ D i~~~ Property Location 5~' y,, /VGJ y,, Sec. _~ T.~/ N-R~W, Town of ~Sq~~uJ~~rs.~. Subdivision Certified Survey Map # Warranty Deed # ~.~~~~~ Spec hoase ^ yes ~no Lot # ~ 7Sf.~~ Volume ,Page # Volume ~~f3 .Page # _,~r? ~ ___. Lot linos identifiable []d yes ^ no S YS 7.FM ~~ v1 AIN TINA NCE I~opause and mai~aanceof your septic systemoould resalt is itsfailure to handle wastes. Proper mair>Aeaanoe ooasists of paaupiag oat dye septic taalc cvrxy ~noe yceaa ar soonry if nradod by a licensed pumper. What you pert into the system c~a. affoct.Qse,oa of the septic tanlc-as_ a hush stage m dye ~rastedi;posa. lzyrtem. T~ ProP~Y~ owner ~ to s to St Qroflc Zooiag Deputmeat i .ouhficati~ form, by the .owner and fir. a -'~~P zodphrmhao~rs ~odpamopcxreaifying dot (I) t3ye oa~ite disposal system ii iia penPee operating oaaditioa and/or Cl) sfter iaspoc~ion and pamping_(rf necessary), the -taalcis less tl>an v3 -full of nudge. . ~ dye n~adurignod have read dye above n~ and ~ to maiaxaia tlye private sewage with the ttaadards net faetfi, Lor+em, -as set by the Department of Comnacroe and dye Departmeat et'rtatarat Rresocaces; state of wisoonsin. cation 1b~xt 1~' ~c sy~ has boon maintained mast be ooaopletod and rcturncd to die St. Cmix.Camty Zoning Office wiflria 30 days~of die throe year expiration daft. SIGNATURE 01< ' PLIGAM' / ~ / ~.~ DATE Oq'NER. CLRTI£ICA'TION I (we) certify that all statements oa this form are trot to rho best of my (our) Icnowlcdgc. I (we) am (arc) the own«(s) of die pmpcxty des<xt-bed above, by virtue of a warranty deed rceot~dod in IZogister of Deeds OfT'ice. SIGNATURE OF AP 'GAM' / / DATE «««««« Any information that is mis-represcatod may result is the sanitary permit bciaig rcvolced by rho Zoning Dcpartmcat. «•"«' `• Iadudt vrlth this application: a starupcd warranty deed from the Register of Deeds office a copy of the certified survey aup if refcrencc is made in the warranty Aced r Wisconsin Department of Commerce Division of Safely and Buiklings SOIL EVALUATION REPORT in accordance with Comm ti5. Wis. Adm. Code County Attach complete site plan on paper not less than 8'/ x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and and location and distance to n~rest road. north arrow scale or dimemsions percent slope Parcel I.D. ' , , , a 002-1022-90 p-O.5 Please print al/ inlformatfvn. ..._._, eviewed y Date Personal iniormatiar you provide may be used far,~eoondary W~ t~~r' t.atv,. 6.15.04 (1~ (m)). ~yL ~' ~~ property Owner Property Locatio~f ,~ ` /~ Marv Utecht y N R 16 Govt. t.ot SE 1/4 NW 1/4 ,6 11 T Property Owners Mailing Address Lot #° Block # Subd. Jrleme or CSM/# 1067 250th Street • 7S City State Zip Code Phone NumbeF..:: : City ~ Vllage t~ Town Nearest Road a~~ ~ Woodville I WI 54028 715-698-2148 Baldwin i ?I/ New Constnfction 0~~ l~ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial -Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 102.67' at 20" above 101.00' contour. Boring # J Boring 24" i n. Sal ication Rate Pit Ground Surtace elev. 100.95 ft. /~ Depth to limiting factor APPI Horizon Depth Dominant Color Redox Description Texture Structure .Consistence Boundary Roots GP `Eff#1 Dift= 'Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-11 10yr3/3 none sl 2fcr mvfr as 2f 0.5 0.9 2 11-16 10yr4/3 none sl 2fsbk mvfr cs 1f 0.5 0.9 3 16-24 1 r4/4 none sl 2msbk mfr cw 1f 0.5 0.9 4 24-40 7.5yr4/6 fad 7.5yr5/8 Ifs 1fsbk mvfr cvv 1f 0.4 0.6 5 40-60 7.5yr4/6 m2d a i~(2 fist 1 csbk mfr cw - 0.4 0.6 6 60-77 7.5yr4/4 "i3t~a'i~f 2 scl 1csbk mfr - - 0.2 0.3 Boring # -f Boring ~~ ,/,J Pit Ground Surface elev. 101.00 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Descr~rtion Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GP 'Eff#1 Dlft~ `Eff#2 1 0-9 10yr3l3 none sl 2fcr mvfr as 2f 0.5 0.9 2 9-18 10yr5l4 none Ifs 2msbk mvfr cs 2f 0.5 0.9 3 18-23 7.5yr4/6 none Ifs 1msbk mvfr cw 1f 0.4 0.6 4 23-36 7.5yr4/6 fad 7.5yr5/8 Ifs 1 msbk mvfr cw - 0.4 0.6 5 36-57 10yr4/6 m2d ~'SyrSlg 8` m2d 1 2 Ifs 1 msbk mvfr cw - 0.4 0.6 6 57-75 10yr4/6 ii3~d'i~/ ~ fist Om mvfr - - 0.3 0.5 r ` Effluent #1 = BOD ~ 30 <_ 220 mg/L and SS >30 < 150 L ' E #2 = BOD <30 nrg/L and TSS < 30 mg/L CST Name (Please Print) ignature: CST Number James K. Thompson '~-- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, 154020 6/162003 715-248-7767 1650 Page 1 of 3 A.C.E. Soil & Site Eval AID Property 04vner Marv U~echt Parcel ID # 002-1022-90 Page 2 of 3 Bonng # ~ ~~ Pit Ground Surface etev. 99.66 ft. Depth to limiting factor 16" in. Soil Applicaiion Rate Horzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10yr3l3 none sl 2fcr mvfr as 2f 0.5 0.9 2 9-12 10yr5/4 none sl 2med.pl mvfr cs 2f 0.4 0.6 3 12-16 10yr5/4 none sicl 2msbk mvfr cw 1f 0.4 0.6 16-20 7.5yr4/6 f2d 7.Syr5l8 sicl 2msbk mvfr cw 1f 0.4 0.6 5 20-36 7.5yr4/6 m2d 7.5yr5/8 Ifs Om mvfr cw - 0.4 0.6 6 36-58 7.5yr4J4 map 7.Syr5/8 & m2d 1 /2 fsl Om mvfr - - 0.3 0.5 ^ Boring # J Boring -J Pit Ground Surface elev. 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 'Eff#1 'Eff#2 ~~ # ~ Borng Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Harizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BOD ~ 30 ~ 220 mg(L and TSS >30 < 150 mg/l. ' Effluent #2 = BODS < 30 mglL 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. - t~C~ro~. 1, ~[- ~t Sca/c~ /~=~0 r ~anc,l, :Top aF' ~,, ./. C. pr`ju..4 Ssu.ncd ~ 83 Qo , e leJ: ~ fop. uo: ti 8l r.a~ '' - .oo.o -•_ ' ia.~ ~ ioi.o, f3 2 /01.0' v r P~onosed worc~~~iop base ~;~~i ~i~e~ 3 ~~ ~~ fA ~J[J° - ~T7 hris~~ ~~ I~~cA.e ~C®~'~ ~( I GYo~~ ,n~ iOd. 8~ ~ ~-oposed ~{ 6.cdroorn res~ d~ncc. /03, b8' A ~~. g.m. ~ I op o~ c(~c~r;c franS~rn<.r-(~t.~.J. Corne~J. 1 E~t~J.' . /07.90` ,(-oca~~.d /77 S~~~t /S!0'Cas~ oFS.~. Corn¢raF~uSc ~s ~~'~~ --~---- ~- is-E,'~ IJ ri /~ ~a-y /F~.-~r~ Tin k~a~( 3Pf.s ~~ St. Croix County Zoning J f~, Fr/may, December o3, zoo4 ar 4:x4:45 PM ~I - ~ Pa e 1 0 1 Detail Sanitary ion ~ ~~ ~ ~ g I Computer #: 002-1022-90-050 SubiPlat• N Section: 11 Parcel #: 11.29.16.159A Lot: ~~ TN/RNG: T29 R16W Municipali Baldwin Township CSM: , 3 1/4 1/4 SE 1/4 NW 1/4 Owner: Utecht, Marvin aron 1053 250th St. Wo 54028 - State Permit: Issued: 09!30!2003 POWTS Dispersal: Mound less than 24" suitable s it: New County Permit: 0 Installed: POWTS Detail: Bed (seepage) Bedrooms: 4 WI Fund: POWTS Pretreatment: Unknown Notes insaector As Built Plumber Other Requirements Additional Notes Monev Owed Not determined NA Hudson, Dale $0.00 Signed Off: No d: 2'~26P 630 I)ocumem number I AFFIDAVIT OF CORRECTION (TYPE OR PRINT CLEARLY INJBLACK OR RED IMF AFFIANT, .~~/e !// N t/ ~c%(~ ,hereby swears or affirms that a certatn document which was titled as follows: ~l'J / /~ QS ~:Qtj~K~°rrecoSrdedon th~~~/ day of _~ rr ~ _ ao0 (year) in voltune _~.,.~p~_, page __ e~, as document number ~ ~ ~, ~ 7 (~ and was recorded in ~~r R County, State of Wisconsin, contained the following error (if mo a space is needed, please attach addendtm): 1) Jy1~-tG~~' SyS,l~vn -~ Serve.. -~jy.e~y ,be~rOdry. Yes~'Qe~r, ~ G~ ~' eXCct va ~i h ~• Gvor.~sh~ cxu.~.e~1 Lii7d Qty <,~d~.~~/ r,pGun e r'' G~ ~Si ~.ev, c~ Z) Pa y~ ~ ~D moo Z - ~o zZ - 90 -~ 7423t~2 KATNLEEN N. MALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 10/03/2003 08:45AK CORRECTIVE AFFIDAVIT EXEMPT 1R REC FEfi: 13.00 TRANS FEE: COPY FEE: 3.00 CC FEE: PAGES: 2 Recording area ~3 3 Name and return address ~,,/ /~'1 a ~~ ~, 'K L . jt~c ~ fi d\ ~o s~ ~.s o ..-~ S f r <~ t ~dodQv,•l% I.J, ~S~ SYa,•~8 -f~7S AFFIANT makes this Affidavit for the purpose of correcting the above document as follows (if more space is needed, please attach addendum): ~~ /ylou hd syS-~~- -~a S~ ~-ve ~v~r ~e~-a~ ~', y~S~CI/c'~JCQ ahd ~~..lhroo~ %h aCCe.sSo~ oU~bu r,~~--Y-~i ~~- ~ers~a-( u5.e b~ aruner. a),~~,-mil ~~D.~oaz -~ozz-9o-oso X10 "/U~ ....WJ-~ ~U Parcel idemification au er (PIN1 • ~~~QS A copy of the original document (in part or whole) LEI is ~ is not attached to this Affidavit (i[ a copy o[ the original document is not attached, please attach legal description and names o[ grantors and grantees). Dated: ,~/~-3 d 3 Signed:..<<;C d''s~.~,.., ~ ~_1~~~~~s~._. State of Wisconsin ) ss. County of ) Subscribed and savor to ~F of Imed) befor~~~ AFFIANT is the (check one): O Drafter of the document being corrected. O Owner of the property described in the document being corrected. .3 day of ~ o Other -explain: ~~j. 4h-~'~' Notary Public, State of Wisconsin My Commission (expires) (is): i/ - 9 - 03 . 'nstrument is drafted by: THIS FORM IS INTENDED TO CORRECT SCRIYNER'S ERRORS AND NOT FOR THE CONVEYANCE OF REAL PROPERTY. ' U; 2y26P 630 number ~ AFFIDAVIT OF CORRECTION (TYPE OR PRINT CLEARL/Y IN, /BLACK OR RED INK) AFFIANT, ,~/3k (// ~/ ~~C~-r ~-- ,hereby swears or affirms that a certain document which was titled as follows: ~ / ~ 2S ~ b ~-Qty,' ~}° oc en ,recorded on the ~/ day of a DD (yeaz) in volume ,page , as document number 7 ~ [,~ g ~ (o and was recorded in Sr ~ ~_ County, State of Wisconsin, contained the following error (if mo a space is needed, please attach addendum): I) 1'~l~cno{' SySy~rr -~-o sef-v-e. -~~~ ~edrod»-. 1'es~~d e~ ~ ~ h Q' eXCa y~ ~l`~- y' GvoY,Esh o,~ ~,,~.eci kl'Id o~r~c.~ed d y '~~Guh e r'~ G~ t2si ~2vi G~ Z~ ~a~~/ -~D~ooz-~ozZ-90-~ AFFIANT makes this Affidavit for the purpose of correcting the above document as follows (if more space is needed, please attach addendum): Z) /UIDGI ~d s~ls-~e~ -~a _S.e~-t~e ~o~r ~ed rdo~ ~ f-~S~d~cyr ~ ~hd ~~.~hroo~ %h aCCesSor~ DU}~bu i/~~~{o,, ~e rs~a~ uS-~ b y o~,uner- • a) ~~~~/~.D.~ooz -~ozz-go-oso 74z3~2 KATHLEEN H. NALSH REGISTER OF DEEuS ST. CROIX G0. , 11I RECEIVED FOR RECORD 10/03/2003 08:45A![ CORRECTIVE AFFIDAVIT EXEHPT # REC FEE: .13.0@ TRAAS FEE: COPY FEE: 3.00 CC FEE: PAGES: 2 Recordine area ~, Name and return address 60 S- 7 ~_5 O ~ ~ $ ~r +c ~ t wdoo~v.`l l~ l.J, rS , SY4~ 8 .~/U~a--~°OJ~U Parcel identification number (PINT A copy of the original document (in part or whole) L~f is ~ is not attached to this Affidavit (if a copy of the original document is not attached, please attach legal description and names of grantors and grantees). Dated: _~~.~3 - O ~ Signed:J%Z~~y~ ' ~/~ * l State of Wisconsin ) ss. County of ~ ) Subscribed and swo to ( ~ of trmed) before me th' 3 day of o'ZGYJ,~ AFFIANT is the (check one): ^ Drafter of the document being corrected. ^ Owner of the property described in the document being corrected. •,~~ ^ Other -explain: ~ ~~~~ ~~ q~~ Notary Public, State of Wisconsin My Commission (expires) (is): i/- -a3 . 'nstrument is drafted by: THIS FORM IS INTENDED TO CORRECT SCRIVNER'S ERRORS AND NOT FOR THE CONVEYANCE OF REAL PROPERTY. .~ 2~f26P 631 .' Document tvo. ,.... AFFIDAVIT von 2384 ~n~. 4`73 Multiple structures served By common POWTS Owner name and address: Utecht ~a S'7 7 250`s Street Woodville. WI 54028 This indenture, made by "owner" and their successors in interest, own a POWTS (Private Onsite Wastewater Treatment System) serving multiple buildings or structures on the following parcel(s): Lot Block Subdivisiotu'CSM being part of: GL SE '/, NW '/. of Section 11,_, T 29 N, R 16 W, Tn of Baldwin St. Croix County, Wisconsin. PWOTS DESCRIPTION: .7 3 6 i~ 7 6 KATHLEEN H. MALSH REGISTER OF•DEBDS ST. CROIX CO.. MI " RECEIVED FOR RECORD 08/21/2003 04:15PM AFFIDAVIT EXEMPT # REC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 1 Return to: St. Croix Co. Zoning Dept 1101 Carmichael Rd Hudson, WI 34016 Parcel ID#: Mound system to serve three bedroom residence d Exca do worksh weed and operated by "owner" of residence. OWNERSHII' RIGHTS AND RESPONSIBILTY FOR POWTS: Property "owner" as described holds sole ownership rights. "Owner" is responsible for operation and maintenance of POWTS. c ~g~ c~> 'SATE O WISCONSIN: Subscribed d sworn io before ethic- day if 2003. ~~,~ ,. T •~. TAR. f 'n My comsll :t~c~r ,2,3 ,Z~23 •.,EdF.W19G0. ,,~~M// M M/ I~I11111~,,,` • ~ ~ ~t ~:213~ac~491 5x3366 ~ ;~ STATE BAR OF WISCONSIN FORM 1 - 1982 WARRANTY Dr.ED DOCUMENT NO. ~~?his Deed, made between ~'n„~"~~.~ ~ cue-- ar-~- ---- 1 ncA ~ ~~l'~1P ~l~,S.~Qi~ it r~~ 't ,Grantor, and ~, ~~ a ,,,_a ,~;, Grantee, Witnesseth, That the said Grantor, foi~ a valuable coruideratinn conveys to Grantee the following described real estate in C: a - t' ~ y~. Y C e~~ ~`t T - - - County, State of Wisco(n~sin: , Sou''~~o5'~ Quo~c"~~~ ~ r~~2'k~r.,~r,~'Q+o~'~~5~`(laQ/(~~j~~4 QrP ~~~~ ~rnc'~•c" or` ~t~csiS~eo~;4- t,ytaac'Rer-~S ~1+1y o lU~~~q r'r tl%u~51 Ci~~J G 1'.. ' ~T. Cr9C~X ~0., ti'rl Rx'd 1a Aroord ~ EC ~ 6 1996 ' at I:oo r.N{ Y~t~,L...'~It 13,~~ Rey-ster of DIseC9 THIS SPACE. RESERVED FOR RECORDING DATA_ NAME ANO RETURN ADDRES~S--~. gs~~a ~Q~~',-~ ~o~_ Fc~ctn ~c a'. c1P I mn r~3 y ~1 Scc'~~an ~~eve,n l \ Il , ~o+uv'.~~.~-Twc~,A~.( ~'+r•e.. !L- --=-- - No~~~ C~ as tU> , ~a~~~. S~,x-~.d~. w ~~ Cc~~t.~w) PARCEL IDEt,TIFiCATION NUMOER Su~~ t-r+,- -to -te<T•. a p -'F ~or ~ ov ~ y ~ 5 rr}. cOV~pt~-!'~p~S o 1 Yr avg. c rS~.•c ~Qn tee \ ~$c verge 1~F W i~1~n ~!~-G ~'\ 0.ye O~ ~lJ ~~SCOV.SIr~~ 01 ~ rd ~j'PC ~Y~^pP r' ~9 r \ -t 0 ~ 'and Ce~e c d t~pq ~alnua~~ ~, 1Q 0~, `tr vo`. ~v 0~~ ,~ac~'t? ~~Q, '1JOC_.luo, 39ot"'t~ lam. •-~~^•+5 ~.vot cON'~ ~~ Ae~~ ~t`, `th Sow ~.C~~~~~ ~a~ o~ cx 'alna^ ~etn`~Yoc ~ (r+certdQ~ ~/3a f Qrl 05 ~ct„Mew ~' ~~c1~0~ ~+r, Ur` . ~~1r ~o~~e (~~~ This t S '~ o`~ homestead property. ' ~ F~E (isl (is not) Together with alt and singular the hereditaments and appunenan~es thereunto belonging; And - - - - -- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. t ~~ Dated this I ~r day o[ ~CC evv.~~c" ,19,~_. -~ _~> I (SEAL) C~ ~ ($EAL) ~ t cT P G A , 1,+~ ~I Q.. _ • AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, St Croix authenticated this day of , 19_ Personally came before me TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by X706.06, Wis: Stars.) THIS INSTRUMENT WAS DRAFTED 8Y ._----_ r--~ (T (Signatures may be authenticated or acknowledged. Both arc not necessary.) .- .,. (SEAL) (SEAL) } ss. JZ'9th day of „t~h~e'above named -~'u,;~ ~~ . -rT gar. V , , ~ r to me known to be the 9 'wh~ cut}8 th~forlgriiu~g i` ~ S c ent and acknowle.ge.the"sTame ,*.. L' ,y ••' 4„ . .~~ / Notary Public, St Croix.. VDU ~ntjt,W'ts. My commission is permanent. Q[ nol;''St3l<e "expkon date: January 2 'y'' • ?:~i~, _, 19_QLJ • Names of persons signing in any capaclry should by typed or pnnred below Iheir signatures. STATE DAR OF WISCONSIN Wiaconsn Legal Blank Co., Inc. WARRANTY DEED Form No. t - 1982 M'h"aWcee• wn. ~j i i~ .~.a i -. 'i `4a .t I I -! ,~ ' L' 3R z. •: ~' ~ f ;i il~ 9'~ II •M 1` I !~ . rt. II !f 'i t~ ~1 ~ ~~ i i ii ;~ i is f j ~ i j ,~ i, ~~ff 1 i1 `') '~ i~ ~' ~, ~'t ;~ I' Parcel #: 002-1022-80-075 03/17/2005 04:38 PM PAGE 1 OF 1 Alt. Parcel #: 11.29.16.158A-05 002 -TOWN OF BALDWIN Current ' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 01/30/2004 00 0 Tax Address: Owner(s): " =Current Owner "` UTECHT, MARVIN L & SHARON R MARVIN L & SHARON R UTECHT 1057 ~~OTH ST ~100DVILLE WI 54028-7028 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC _,--~_. al Description: Acres: 01 Plat: N!A-NOT AVAILABLE SEC 11 T29N R16W SWIy~p(~OWN BALDWIN FIG4 Block/Condo Bldg: 002 10 2 0 ~ - -8 2 (158) M 15/4119 & f~i~~~,o EXC PT TO CSM 16/4362 :i ' - _ Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) ~ /~ ( M- ~ 11-29N-16W SW NW , V U ~ ~ / ~~ j Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1115/623 WD 07/23/1997 995/139 WD 07/23/1997 973/128 7f1Ad CI IMMaRV Bill #: Fair Market Value: Assessed with: 42124 Use Value Assessment Valuations: Last Changed: 06/28/2004 _ ? Description Class Acres Land Improv Total State Reason RESIDENTIAL G1 2.000 9,000 36,300 45,300 NO AGRICULTURAL G4 16.374 1,700 1,700 NO UNDEVELOPED G5 5.327 2,100 0 2,100 NO Totals for 2004: Genera! Property 23.701 12,800 36,300 49,100 Woodland 0.000 0 0 Totals for 2003: General Property 23.701 7,900 0 7,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 0411712001 Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 U D 0 ~: i ~ ,: 1 ,, 1 w ii g D o -- z ~_~~ L - ~ o s m ~ a ~ o O "3 r ~~'0 N i ~ ~~ ~S nl. ......~ U '~f cis 237.16 ,~ ~„ ~ ~' nl ~ v ~'b \ A ~ _ I ~ ~ D V -~ ~ \ V \ D o N rn A W N ~, r d ~ t? ~ y ~- '~ ~ - - \~ ~ T (1~ ~ ~_ \ 1-' d ~ ~ ~ o ~z ~ ~ ,-~•~ ~ Z V N '' ~' I \ J a ~ Q r f i ~~ ~ o ~ j V+ ~Ei S ~ ~ F \ f 7 V .~,y-' Jam. ~~ Q • ~ ~~ 0 r r~ ivn ..-.__..~- U\ l.n }Q~ I L 1 c w ~~~~ ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 Phone: (715)386-4680 Fax (715)386-4686 RE: Application for Sanitary Permit for Parcel #1.29.16.159A Dear Mr. Utecht: The sanitary application submitted to the Zoning Department by Dale Hudson has been placed on indefinite hold and cannot be issued at this time. The proposed mound system is designed to service both a residence and an accessory structure that will be utilized by employees for Utecht Excavating. You were notified in a letter from our office (dated 6119/03) that a special exception permit must obtained for a contractor's storage yard in an ag-residential district. Until this permit has been issued and a copy submitted to accompany the sanitary permit application, I cannot approve issuance of the sanitary permit. I have telephoned Dale Hudson to notify him of the reason for delay in permit issuance. If you have any questions regarding documents necessary for the special exception permit, please contact Jennifer Emmerich in our office. Sincerely, f s Pamela Quinn Zoning Technician Cc: Dale Hudson, Boldt's Plumbing Jennifer Emmerich, Zoning Dept. September 17, 2003 Mr. Marvin Utecht , -_.~.4~a'~-250`h Street ~~~Z:(~ru2.c~~ o~~-e- ~~° Woodville, WI 54028 ~ ~e ~~~~3 ~~~ ~~ -- ~~~~- y i ~` ~ ~ ~~ ~~ C -~~ ~~ ~~~~ ~ ~ ~~ ~ ~D~'- ~ . Document No. ~.... ~Q-_ 234 ~~~f 473 AFFIDAVIT Multiple structures served By common POWTS Owner name and address: Marv Utecht ~6 .S'T 1067 250` Street Woodville, WI 54028 This indenture, made by "owner" and their successors in interest, own a POWTS (Private Onsite Wastewater Treatment System) serving multiple buildings or structures on the following parcel(s): Lot ,Block Subdivision/CSM being part of: GL SE '/4 NW '/4 of Section 11 , T 29 N, 736876 KATHLEEN H. IiALSH REGISTER OF DEEDS ST. CROIX CO. J M1I RECEIVED FOR RECORD 08121/2003 04:15P?f AFFIDAVIT EXEhIPT # REC FEE : 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 1 Return to: St. Croix Co. Zoning Dept. 1101 Carmichael Rd Hudson, WI 54016 Parcel ID#: 002-1022-90-669•- O ~ R 16 W, Tn of Baldwin , St. Croix County, Wisconsin. PWOTS DESCRIPTION: Mound system to serve three bedroom residence d Excav tin worksho weed and operated by "owner" of residence. OWNERSHIP RIGHTS AND RESPONSIBILTY FOR POWTS: Property "owner" as described holds sole ownership rights. "Owner" is responsible for operation and maintenance of POWTS. r~~ ~ ~-a ~ -~3 (Owner signature) (Date) 'SATE O WISCONSIN: Subscribed and sworn to before a day if 2003. ~. .•,~ T ~,. TAR e,,,lif sin My Com~il ~ Gt1J~' ,2.~J Z~3 .d.~" .n ~,JJ 4R yy1~G,.: JJy,JN NII~~~~~,',` i A~1G-2c'~-2003` 07 :46 AM A. C. E. So i I & Site Eva I . Omer Hama aad 8dd1ei8: m 715 2~ ...~~. `tom n-d~muri,, >na~ by ~ anp thtir aucce~ora 1a ~n oaa a PO~t'S (Privatc Onsite Wacieoiaear Trapbouimt X41 ~ ~~pti bail~t or ~cnitea on the ~ilowlnj pv~col(a}; La . BLode SabdivisiamlC6M r baLoa P~ o~ C~. SB ~4 NW y Ot Sedba ^,~, T ~_ N, ~ ~_ W, ~'n a~ 9t. Grouc C~r,'CV9scoeoain, r'W~S DESC6tII~'IION: L8 7764 P. 03 ~~~1/"~ ~ts~ ~~i ~y i ~~~~ li. M COPe6: ~r~ i Rohun to: ~o~~ ~Y 23i~droq Wi 7014 Farce! ~: Motustl egsteam w aave ti~roe bodrooan ra~idp,~roe and ~xcavatin~ a~orkthc~p oamce and operatod yy M~w ~~~ v~ 1'~7~ ~1A11 .7 ~ 11L.' ~i~~7/i~L.~ ~' V1C tt/m ~ S7. Prn~eir4Y tlOwAe!" ~ d~crtbed hNQ9 role owncrship rights. "Oa+ner" ~ XQSp0~1bIC.lSr opctatfori ~ m~mm~aaC! Of i?OWT3. t~~~ ~ ~- ~ ~©~ ~..~ vVir7A11`f: SaJ+arn ipt- bed day if 20Q3. ~~ Y ~ .. '~~ •. r.1.rA.: 1 ..~~~~i ~`~ ~~'~. ~~M~Nx~r~ j_ _._ ~s%""sue . June 19, 2003 Marvin & Sharon Utecht 1057 250th St. Woodville, WI 54028 ST. CROIX COUNTY WISCONSIN ZONING OFF=CE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 RE: Notice of St. Croix County Ordinance Violation -Zoning Ordinance Location: 1057 250th Street, Woodville, WI 54028 Computer #: 002-1022-90-050 Parcel #: 11.29.16.159A Dear Mr. Utecht: It has been brought to my attention that you may be in violation of St. Croix County Zoning Ordinance Section 17.71(2)(a)(2) and 17.15(6)(d). During my site inspection on June 13, 2003, you advised me that you are going to be constructing a pole shed as the main building of operation for your excavating business. This shed would constitute a contractor's storage yard, which is not permitted in an ag-residential district without a special exception permit. To abate this matter you must do one of the following: 1) Apply for and successfully obtain a special exception permit for a contractor's storage yard in an ag- residential district; or 2) Stop all construction and remove any remains of the building. If you choose to apply for the permit, please submit you application and fee by July 15, 2003 so that it may be scheduled for the August, 2003 Board of Adjustment meeting. Please be advised that all construction activity must cease until a special exception permit is obtained. If you have any questions, please contact me. Sincerely, Jennifer Emmerich Zoning Technician Cc: Kenneth Klanderma~}~~ 1,~°" Parcel #: 002-1022-80-075 03/17/2005 04:51 PM PAGE10F1 Alt. Parcel #: 11.29.16.158A-05 002 -TOWN OF BALDWIN Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 01/30/2004 00 0 Tax Address: Owner(s): * =Current Owner * UTECHT, MARVIN L & SHARON R MARVIN L & SHARON R UTECHT 1057 250TH ST WOODVILLE WI 54028-7028 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 23.701 Plat: N/A-NOT AVAILABLE SEC 11 T29N R16W SW NW TOWN BALDWIN FKA Block/Condo Bldg: 80 158 EXC PT CS 002 1022 ( - - ) M 15/4119 & EXC PT TO CSM 16/4362 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 11-29N-16W SW NW Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1115/623 WD 07/23/1997 995/139 WD 07/23/1997 973/128 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 42124 Use Value Assessment Valuations: Last Changed: 06/28/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 9,000 36,300 45,300 NO AGRICULTURAL G4 16.374 1,700 0 1,700 NO UNDEVELOPED G5 5.327 2,100 0 2,100 NO Totals for 2004: General Property 23.701 12,800 36,300 49,100 Woodland 0.000 0 0 Totals for 2003: Genera{ Property 23.701 7,900 0 7,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF BALDWIN COMPUTER NUMBER 002-1022-90-050 Parcel Number 11.29.16.159A OWNER NAME: First MARVIN L & SHARON R Last UTECHT (~ / ~ ~ ~ ~d~py~/ PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 11 TOWN 29N RANGE 16W '/4160 NW '/440 SE Line es~riptle Line Description TOTAL ACREAGE 38.735 PLAT LOT BLK 01 SEC 11 T29N TO 15 02 BALDWIN FKA 002-1022- 159 16 03 EXC PTT S-~ ~//~S 04 ~ 18 ~ L,~ G~~~~ / 05 19 ~~ '7" 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit lob ~- a S~U ~' sT, ~~. Z q. ~ ~. ~ s~~ =~ Safety and B D' 'sin ~ 201 W. Wasltingto 0~7~ fs~~n~~l~ ~ Madi~n, W 37 -' 6 rtment of Conlme ~e (608)266-3151 Sani_ta y Permit Application ~ In accord with Co run 8 21, Wis. Adm. Code, personal information yo provide~1 may be urn fo secondary purposes Privacy Law, s15.04(1)(m 1v1A~ ~ 7 I. Application Information - Ple se Print All Property Owner's Name .~~" Proporty Owner's Mailing Addre ;:; ST. CROIX City, State r Zip Code Phone Number II. , pe of Building (check ;tit t6 t apply) ~ ~/ r 2 Family Dwelling - Nun t per o 3edrooms ~~ ^ Public/Commercial - Describt Jse , //~ ~yy~%~~~~~ ^ State Owned -Describe Use III. Type f Permit: (Check ~mly one box on line A. Complete line B if apple able A. w System ^ . tepl; :ement System ^ Tr-eatment/Holding Tank Replacem~ nt Only 'State Pl I.D. Number ject ress (if different than mailing !dress) ~NTY 053 ~~~n ST, CE G~ Parcel # Lot # yt B :k # Property Location 2 ,. S'~ :dt~~+"/., Section // /. l > l- crrc one T(~N; ~ E r W Subdivision Name CSM N Aber ^City ^Village~wnship o~~/%CX1l~.r,, ^ Other Modification to Existing System List Previous Permit Number and Date Is: d B• ^ Permit Renewal ^ :'erm Revision ^ Change of ^ Permit Transfr to New Before Expiration Plumber Owner ~ 1 i !! <. IV. a of POWTS System: SCI k all that apply) ~( t9h 0 ~ /? ~ '~ on -Pressurized In-Ground ~ (~f of nd > 24 in. of suitable s i ^ Mound < 24 in. of suiti bte soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Press i zed n-Ground ^ Holding Tank ^ Peat Filter ^ Aero sic Treatment Unit ^ Recirculating Sand Filter ] Recirculating Synthetic Media Film ~ Leaching Chamber ^ Drip Line ^ Gravel-less Pile ^ Ober explain) V. Dis ersaUTreatment Are, i Infi -mation: // Z p.TP Flow (gpd) Design S ~ I F r VI. Tank Info C a : ty it Gal I ms New Tanks Erdsl Tank Septic or Holding Tank Tteadnent VII. ~onsibility Statemer t- I, to Name (Print) ~ 1 Address (Street, City, ; tate,_: p U ~A>i ~~(~17 VIII. nun /De artnient U: c On _ Approved ^ Disapproves Sanitary Permit Fee (includes Groundwa er D Issued Issuing A ent Signs Stamps) Surcharge F ~''" ^ Owner Give i Rea m for Denial ~ • ~ ~ ~ ~ ~ 7 Q ~. ~~~ IX. Conditions of ApprovaUl teas: is fo Disapproval f~l+,/~ ~~~ '~~~~~ ~t? ~' 3 dca~~ J iyY _ TEM OW N~t~: ~i~ /~2 '.~,QG~- ~ ~ ~ ~~~tiy~ 1 yep c teeter and dispersal cell must all be serviced /maintained 3l /S~pS~ ~ 3~~C~c.e.. p~,.t~2.Q a1$ er mans em b lumber. ~. AI set ac requirements must be main In ~" ~,Q,~,P ~~p(o~ 6y .Thtr~,~d~. ae per applicable code/ordinances. Alta r complete plans (to the County only) for the s moo a e 11 inch .~.-.~ lication gpdst) 4~ Dirsper Requir ba ~ 07J ispe~rs/al Area Prop (sf) 7~~ System Elevation t~ s ~ Total Gallons Number of Units anufacturer fab Concrete Site Constructed Steel Fiber Glass (It~ ~ {~ Plastic for installation of the POW ('S shown on the attached plans. MP/MPRS Nt tuber Business Phone Number _ SBD-6398 (R. 01/03) St. Croix County Zoning Detail Sanitary Information Monday, December 06, 2004 at 11:23:57AM Page 1 of 1 Computer #: 002-1022-80-100 Subl lat: NA Section: i 1 Parcel #: 11.29.16.158A10 Lot: 1 TN/RNG: T29N R16W Municipality: Baldwin Township CSM: Vol. 15 Pg. 4119 1141/4: SE 1/4 NW 1/4 Owner: Cook, Bill 1051 250th Street Baldwin, WI 54002 State Permit: 395255 Issued: 08/31/2001 POWTS Dispersal: Mound Pennit: New County Permit: Installed: 10/05/2001 POWTS Detail: Mound Bedrooms: 3 WI Fund: POWTS Pretreatment: Unknown Notes Inspector As Built Plumber Other Requirements Additional Notes Monev Owed Kevin Grabau >4/1/00 -Not Required Lannon, Kevin Final Elevations for mound are needed. In Kevin's Office - never sch $0.00 Signed Off: No Plumber not ready for final inspection on mspec ion or is system 10/5/01. Needed more sand, too! Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 10/5/2004 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF BALDWIN COMPUTER NUMBER 002-1022-80-300 Parcel Number 11.29.16.158A-30 OWNER NAME: First RICHARD M & DONNA M Last BLOOMQUIST PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1067 250TH -~T----_~ SECTION 11 T WN 29N RANGE 16W'/160 NW'/<40 SW Line Description Line Description TOTAL ACREAGE 12.673 PLAT CSM 16/4362 002/02 LOT02 BLK 01 SEC 11 T29N R16W PT SW NW 15 02 BEING CSM 16/4362 LOT 2 16 03 73AC 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next ` ~ ~ (r~l _U''] a3.1 ~ ' ~ ~ ~- 3~,~ 3~ a ~1. ~q '~° ~~~ ~~ -~t'~-' r >~ ~U ~ \ 6~~ ~o ~ ~ 1-/~ 15 a,~w ~ oo z- ioa~-8a -boo ~a C'S/rl r~ ~~3~ ~. RECEIVED FOR RECORD 09-04-2002 8:30 An REC FEE: 13.00 .~ COPY FEE : 3.00 _ ~ iPAGES: 2 H -n ~ ~ ~ ~ D to -~ ~ ~_-Z'~ ~ o ocaz-i= °~?~~°Dim mom -~ D D m rn r i i ~17 rn -n rn ° m a~°^ Z ~~ ^a m ~~ z rno=~5tz'D~~ mm ~ ~H cn'-' Z o ~ b ~~ z~ v °~ v rn-i~~N~o Z m • ~ oN °'•A-rnn -n G1 ~r ~~ °~ B A O D ~ ...I~l r ~ ~Or°~.. °Z O ~ Hx --1 ~O m NO ~ _ ~°~,,..,fD ~~ ~ m mm °z ~o O n D~m~~~a D ~ o~ ~ ~o mzam ~i n -i'~~~D~~° ~ ~z t~ii "i~'f O Y g H ~ (A (n [~ ~ O~V ~ rT1 ~~cmi Dm ~ ~m ~ mN n p ~ r~cmmm~ ~ ~ °'-' o~ rn ~ o -~ z ° Z ~ c~ o c~ o rn ,~ ,~ o '~ H D z 0 0 ~ r~i I"1'1 UNPLATTED IANDS z OWNED BY OTHERS N ~~ ~~ "~ WEST LINE OF THE NWi/4 A 'T1 D~~ -- --- ------~ - - ~~ m 'A goo _ 6 '41 "W 521.59___ _ ~ ~ N00° 16 T41r'W 521.60 ' c,, N00° 16'4! "W x = v z o m N00° 16 '41 "W ~ ~ ~ 1312.08 ' n Tn ~m~ 790.49' c4i I I ~! ~"=r Z~ C .~ m m - ............................ m ~ ---i ... .............. r ~ 100' BUIl.OING LINE FROM RIGHT-OF-WAY ~ ~ g ~~A f-1 ~j~jt `~~? - -6 ~ X06 7 ~~~ ~ ~~~ o~ ~5 8~I I I ~, ~„ ~, ~ ~ z ~'i I I ~ N ~r~ ~~ '~ I I m ° ~ ~~z Zo c,~ w /,~g~ ' I I o rn ~ ~ z ~z BIZ v I~I com°m ~^ m oIZ ~ m ~ o~ z ° ~ ~ ff° ° ~ ~~ rn o I I m~c~~ o o~ ~ ZAP mHN ~ ~ ~ m ~ o ~ I I H~H~ ® ~ o o ~~ ~ > > ~ mm...im m ~ ~I~ ~ N ~ ~ I I ~--~-- ~ r i ~ rri ~ v ~ ~ ~ N ~ D f ~ zo ~ 30 ~ ~ n ~ ~ z i ,~ i ,.,. ~ m co o ~ r-n ~ ' '0 ~o...~ ~ ~ rn~~ ~ ~~~~ gm ~ ~ 11 w ~IVv~ ~v `5. o a~ lD V y ~ ... .~ ~ ~ 0 3 V~G1 ~ A m N 3 4UTLQT 1 pF ° ~.d ••~.......•. ~ ~ r~.$.M. IN -~ o~ rf ~ ~ . 4,~ o ~ ~ VOL 15, PG, 4119. ----/--~ ~ tn~ 3' n rNQ' - - - I C ~ ~~ m ~ mo~~ IClnlr- ~ ~ / / S00°3a '24"W 521.59' ti ~ ~•'~.° ...••'•f~\y ~~~ AI~I~~O i UNPLATTED_LANDS ~ ~ '~ m~'4 .r ~. I OWNED BY PLATTERS I ~ lalZl~ I I /~~r~ ~~ ~' `- 89 1 78 VOL ~ 6 PAGE 4362 ~~~8~ ~~~ REGI TS ER OF DEF~DS ST. CROIx CO. , MI Vol . 7 6 Page 4362 . ~ f u 2998? ss STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number WARRANTY DEED This Deed, made between Marvin L. Utecht and Sharon R Utecht Grantor, and Richard M. Bloomquist and Donna M. Bloomquist Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix _ County, State of Wisconsin {if more space is needed, please attach addendum): Part of hte Southwest I/4 of the Northwest 1/4 of Section 11, Township 29, Rangt 16 described as follows: Lot 2 of Certified Survey Map No. 16, page 4362, filed September 4, 2002, as Document No. 689178. ~~~8~7 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. , WI RECEIVED FOR RECORU 10-09-2002 9:30 AM IiNkftAliTY DEED EJIEPIPT ~ REC FEE: 11.00 TRANS FEE: 525.00 COPY FEE: CERT COPY FEE: PAGES: 1 Recording Area Name and Return Address THE FIRST NATIONAL BANK OF HUDSON PO Box 187 Hudson, WI 54016 t.~'Z~ 1 G 22.-8d -bpo __ Parul Identification Number (PIN) Phis _is homestead property. (isl (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. dated this _ _~ day of September _ 2002 ~~f~ « "MarrTvin L. Utecht " + Sharon .R, Utecht _ _ _ ,__ AUTHENTICATION ACKNOW LEDCMENT Signature(s) STATE OF WISCONSIN } --°' - - St. Croix `County ) authenticated this _day o£ _, -- Personally came before me this , day of September _ _ 2002 the above named Marvin L. Utecht and Sharon R. Utecht TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed [he foregoing (If no[, _. _ _ - - instrm nt and acknow e d th same. authorized by § 706.06, Wis. Seats.) THIS INSTRUMENT WAS DRAFTED BY + .~,-(, _ __ _ Attorney Kristina Ogl_a_n_d _. Notary Public, State of Wisconsin ttoe Hudson, WI 5401b _ My Commission is p anent. (if not, 4P~~~nDdate: (Signatures may be authenticated or acknowledged. Both are not necessary.) >~_I~_...... ._ t+~o!+tldllaeans~--') "Names of persons signing in any capacity must be typed or printed below their signature. Mforma+ion Pmt.asiorwla company, rand au ue, wt eao-sss.soz+ WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 '~ -• ~-• T-29-N • R-16-W BALDWIN PLAT • .:. G .., r~ ~ r~...e rte. ~+- E ~,arz Cowvrr, wcsan~vsrx :. D ~ ~ ~{ ~ ,k::; ! d' See Page 12 For Additional N (Landowners t n ,~~,,i,"(~jJ~'° {~ ~'~-~ ~ , EMERALD PAGE54 ~ O W ~ 1 l ` ~D ~ ,y/I - ~D~~^ "(,~ 1 ~ ~i ~r<le N _ ~_ zaoo ~ 2soo ~ 2600 1~ 1 I^6 ~0 i E ~ 2 e~ 7g F~, cro~ agt<o~a<r •• N ~" cg9H r &iKayel Ma DD smarm. 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Berk;evi 2 r~ 30. `ui1by n O Hznza tar xs rrbll 0 110 M~ Meyers Albrook I 4] x"m`°° .~'D G+ Inc \ " )ohn 4 ° C « t e oo &{ ~ • 40 40 Inc _ ^ w a~ Y•~: Luckwaldt L Eawara 135 ~ Rei~3N o dE m 8170 3z ~x ^ $ a>~ $ Olsonaza p Agrcltlln< gam- i 214 raw Y~ ° 7 r••, • FI<be o ca, E ~ ~ ~ ~ R3 a P,w. v, F„ ~ E C aq ~ Robert ~n ~~ Metlasa a.r 3 0 ~ m ~ miner. ;2 ~"d't- -d 100 Anderson t ~ m wafter a: tr MwEt as • s o W O: G : m eaao 1 m~ tst ~ ~ as rroa ~`'~. w ~ t Carolyn t40 n Donald 70th A o. ro ro a 6 bb ]97 N a ~ ~ Nelson tz Delmar • RgC „ « N 72 Domm ~ +a r $ 70th AVE DaG E Yt-. +°` o ~ ~ C 15 rd c '~ g 5h<ary $ n GeM BALDWIN w ~ ~ ~ 990 ~~ ~~ e~ ~ +~ F a ~e«Ra ,Z r s - - ta~ la ~ 30 P~zu R~ i~;.~y~~ „Z `d° I~~w~t 6 4oumd4o NTH&MN Nrwv s 28 Haws s 3~. 65THA E~ ~ 64 UEro • '"z Beverly ~J-~ E~ De e g 4 Vy~ODV ILL Athterho ~^ •,~a ~ ~ Bryon, Lee ~ g \~ 4s c~a rlroa ~ acyo ^~~ Jo~1 I~rr r"'enbo1d Z a & Janet Stephen G5 bs u / 1b0 4y _ _ _~-`' w ~ rd ~ Hanson 80 „ °a ^ OKeefe 73 s °~ ,/ - ,~ VANDER- D•°H g ]ohn & Cm aa,aed~ 72 05 bot Carole Q 3T v ~g sown JV > '" a a-« John & ~ g ~ ~' " w,a<s B e T 30 04sen ~ tX r sv<ars ertiffer .~'~~ ~,,,M Shelly rk5 om e O,.n B $ y5 ` t Rti 40 ~ az_g __ 0 LL>-, w Sthmltt AO ~ m c~ g a~ N usw Gr, 3~b8 °n t~ 60th AVE ; : ~ ~ ~ w s r~OBeA~ _ EAU GALLE PAGE 22 t Your Complete Hardware Store Plumbing • Tools • Housewares • Appliances • TVs Sporting Goods Headquarters for Western Wisconsin Over 800 Guns in Stock Andy Rudesill G R E G E RS O N 1962 Cty. YY ~~® Hardware Baldwin, WI 54002 (715) 684-3246 Phone: 715-684-3881 880 Cedar Street • Baldwin, Wisconsin Fax: 715-684-2834 Full Line of: Muzzleloading Supplies & Guns • Fishing Tackle • Reloadin Su lies for Rifle & Sho un ~G G ~1 I~ ~ .~ . ,,, ~ ~ NA3 a °o ~ ~~w A = I QW n p G ~ tiro t ro~3AO ~ o ~ • d ~U.U ~ N ~ W W `i ZCCM W O A Y- ~~Ch t ~ ~wtW-~ ? ~ „~~,,n~~,~ x~o~~evi ~~• f-C7 s o c~wcWi Asa ¢w~ ~~1;~~,~scn ~r ~. ~~ e- ~' .L SECTION CORNER MONUMENT (AS NOTED ) 1" IRON P WEIGHING 1.68 i.RS. AR FO6T SET. ~APPROV~D ST. CROIX t;,OUNTY Planning Zoning and Pa!ks Corom~"°e JUN 2 7 2001 If not recorded within 30 days of approrral date approval shall be \ null and void RNER C'1•i0N 11 ( 314" STEEL REBAR FOUND } CERTIFIED SUR VEY MAP Located in the SW'/+ of the NW'/+ and the SE'/+ of the NW t/+ of Section 11,T29N, R16W, Town of Baldwin, St. Croix County, Wisconsin. CURVE[N_FORMAT[ON Gl RADNS-200.00' DELTA- 87°00'01" CHORD- 275.34' N4P28'11.5"E ARC LENGTH- 303.69' TANG13`Tf IN- S87°O1'48"E TANGENT OUT N0~'S8' 11"E C-21 EASEMENT RADNS-266.00' DELTA- 8'1gD0'Ol" CHORD- 36621' S49'28'11.5"W ARC LINGTH- 403.91' TANGENT 1N - 50458' 11"W TANGENT OUT- N87'01'48"W C-21LOT RADNS- 266.00' DELTA- 02°37'24" CHORD-12.18' ~. N07°16'S5.5' E ARC LINGTH-12.19' TANGENT IN-NOS'35'40"E TANGENT OUT-N0~58'l l"E OWNERS ! SUBDIVIDERS MARY[N & SHARON U'TECHT 1067 250 STREET WOODVII.LE, WI.54028 BEARIldGS 1tEFERENCID TO THE EAST-WEST'/~ SECTION LINE OF SECTION 11, ASSUMED TO BEAR 58740I'48"E. TEMPORARY CUL-DE-SAC TO BE REMOVED UPON EXTENSION OF ROAD ~ ~~ CIE SEE SHEET 3 OF3 FOR DETI~YL / ~ `~ /SBq~pl ~~~~ 66 00' ~ ` ~o i ~ i N ~ W a ,~ ~ °~ o 'd 0 Z l~ 'i a~ as tr a /N\ Scale 1" =150' ~bs~~~ is ~ z ~w ,p t.~~ '~ `' LOT i ;N ~ •N ~ ~ ~ 126,006 St1UA,R (2.893 ACRE FEET ) V , ~yy. 1• c e: ~ i `2~~ uN-'LATTED LANDS ~ ~ ~ N 87° 01' 49" 1N 537.81' I,T f °~° _ / POINT OF BEGINNING '.OV/i~OI ~ r '- 052 SQ. FT. C-1 z z ' 48" E 697.00" C-2 ~ F ~ ~ / I = - - 66' WIDEACCESS EASEMENT- ____ M_. _ /' o o ~~ - 693.26' M I .....126.31'.... M w ~_ 4559.05' ~ ~ N ' I W114 CORNER, SECTION 11 I (1"ROUND STEEL SURVEY MARKER NAIL FOUND } ~ EAST-WEST 114 SECTION LINE 33.05 s 87° or 48" E • UNPLATTED LANDS U U THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG ~~ f I~ ~ D ~~ ~~ O ~~ E1/4 CORNER, SECTION 11 (1" ROUND STEEL SURVEY MARKER NAIL FOUND ) SHEET 1 OF 3 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF BALDWIN COMPUTER NUMBER 002-1022-80-100 Parcel Number 11.29.16.158A-10 OWNER NAME: First WILLIAM H & LANA M Last COOK PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1051 250TH ST SECTION 11 TOWN 29N RANGE 16W'/<160 NW'/40 Line Description Line Description TOTAL ACREAGE 2.893 PLAT CSM 15/4119 002/01 LOT1 BLK 01 SE~..1-a-T~9N`~16W PT~ S-W`N, 15 0~-°"~ SE NW BEING CSM 15/4119 16 03 LOT 1 2.893AC 17 J~~-rGLGt Gc~ ~~~ ~l ~ .~ 4 18 ~-~' 0 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 -- ^----~ ~~ ~/~~~~~+innc FR-HIStOrV. F10-Exit LEGAL ST. CROIX COUNTY, WISCONSIN REAL ESTATE TOWN OF BALDWIN OLD TXSCR02 COMPUTER NUMBER 002-1022-80-075 Parcel Number 11.29.16.158A-05 OWNER NAME: First MARVIN L & SHARON R Last UTECHT PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 11 TOWN 29N RANGE 16W '/<160 NW <40 SW Line Description Line TOTAL ACREAGE 23.701 PLA Description 01 SEC 11 T29N R16W SW NW TOWN 15 LOT BLK 02 BALDWIN FKA 002-1022-80(158) 16 03 EXC PT CSM 15/4119 &EXC PT 17 04 TO CSM 16/4362 1 g 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit