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HomeMy WebLinkAbout002-1059-30-000 (2)S't. Croix County Planning and Zoning Detail Sanitary Information Thursday, December 21, 2006 at 4:19:25 PM Page 1 of I Computer #: 002-1059-30-000 Sub/Plat: NA Section: 24 Parcel #: 24.29.16.362 Lot: TN/RNG: T29N R16W Municipaiity: Baldwin, Town of CSM: 1141/4: SW 1/4 SW 1/4 Owner: Luckwaldt Agriculture 2606 Cty Rd D Woodville, WI 54028 State Permit: 488248 Issued: 06/28/2006 POWTS Dispersal: Non-Pressurized In-ground Permit: Replacement County Permit: 0 Installed: 08/09/2006 POWTS Detail: Infiltrator- Quick4 chambers Bedrooms: 4 WI Fund: POWTS Pretreatment: NA Notes Issuer/Inspector As Built Plumber Other Requirements Additional Notes Monev Owed Ryan Yarrington NA Stang, Jce need calculations KG office $0.00 Kevin Grabau Signed Off: No Maintenance Scheduled Puma Date Pumped 1st Notification 2nd Notification 3rd Notification 8/9/2009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~onsin Department of Commerce ety and Bpilding Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT ~ENERA~. INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purywses [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Luckwaldt A riculture Baldwin, Town of CST BM Elev: Insp. BM Elev: BM Description: loo. ~ ~ / ~ ~~~^ a~s;~: 1 HIV 11 IrVI'VKMHI IVIV TYPE MANUFACTURER CAPACITY Septic (~ l ~S ~ (L ~ D Dosing ~ j/f~ U ~~~„ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 7~ r y 1~ r ~ ~~~., Dosing ,~' /~, 1~-'l~Ln.~h-C~ Aeration Holding PUMP/SIPHON INFORMATION C~ /~-'~n/ Manufacturer Demand GPM Model Nu er TDH Lift riction Loss System Head T Ft Forcemain Length Dist. to well SOIL ABSORPTION SYSTEM RENCH idth Lengl DIME 9 3 /_, SETBACK SYSTEM TO fQ~ INFORMATION Type Of System: ~N.J. DISTRIBUTION $1_t$TEM tLtVAl1U1V lJAIA County: St. CrOIX Sanitary Permit No: 488248 0 State Plan ID No: Parcel Tax No: 002-1059-30-000 Section/Town/Range/Map No: 24.29.16.362 STATION BS HI FS ELEV. Benchmark Alt. BM ^ ~, , V Bldg. Sewer ~ Z ~ / / `, SUHt Inlet ~,~ SUHt Outlet b• 0 9~•C~ Dt Inlet Dt Bottom Header/Man. A (~~ -------- l ~ ~ j~ 7 wv ~~ Dist. Pipe 1 t7~ p Q,~Y ~ ILO GC~, b Bot. System 12 . o i Final Grade St Covert-B . ^`s~ 3. ~ T DIMENSIONS INo. Of Pits Ilnside Dia. CHAMBER UNIT ~ - No. Of Trenches ~ seq. 3 P/L BLDG WELL ,rca~ .8. tJ. Header/ ani~l ~( Distribution x Hole Size x Hole Spacing Vent to Air Intake f ~.$C l ~ Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Ed es g To soil p Yes ® No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/,~ inspection #2: / / ~J1/~t//--ff,~ Location: 2606 Cty Rd D Woodville, WI 54028 (SW 1/4 SW 1/4 24 T29N R16W~/) NA Lot,,j~~ ~~~'~(f {P,acrQce~l N"o: 24.29.16.362 1.) Alt SM Description = '1~ S~Sr'" " ~- - ~ -G( ~- G~~ // 2.) Bldg sewer length = ~ ~ ~ t~ ~Idi'n /~~/r~'1Lr ~ ~ ~Z~~ L~ ~~ - amount of cover = Plan revision Required? ~ Yes Ido Use other side for additional information. Date Insepctor's Signature , C rt. No. SBD-6710 (R.3/97) ^n ~,G~ ,r ,-~~» Gyf'T ~+ ~/t~7t,~/~.yd-~~,,~I~~ Safety and Buildings Division County // ~ ' ~` 5~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 i (..~ ~ _ ~seons~n Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (~8) 266- ~/$$~ Sanitary Permit Application to Pla I.D. Number ~~ In accord with Comm 83.21, Wis. Adm. Code, personal information yo provic(e , may be used for secondar ur oses Privac (>4(1)( Law s15 N 2 6 2 J ~J oject dress (if different than mailin addr s ) y p p y , . . g e s I. Application Information -Please Print All Inf do ST. CROIX CO NTY C j~`~ Property Owner' Na me ~ ~~ ,, ~- ~~ i ~~ 1'~- ~ 11 ~~ I L ~ Parcel N Lot if Block // ,; ~ . . ~~ ~ ~- . , ti ~~. l t. . ~r: G 0>5 2 - i0 5 9.30 - i~0 \ Property Own/er's M ailing Address ~? ~ j ~ ~ Property Location f (,~ r ~ ~ ~ ~~ S ~ ~'ti Section City, State "~'~', ~ ~ L,r ~ ~~Q ~.~ Zip Code ~} ~ ~~G~ ~~ Phone Number p (~ ~~~~~7 0 ~~/Z , , We)~i ~~~ Eo T~N R~c r . ; I I . T ype of Building (check all that apply) ~ , / - L71 or 2 Family Dwelling -Number of Bedrooms L ~4~`~ Subdivision Name CSM Number x. 6 a ^ Public/Commercial -Describe Use //~~ ^ State Owned -Describe Use ~ {J. ts~- CG t! ~ a,/ Sf- ~/~ ~'" ~,~ _ (,5 ^City_^Village Township of ~ c~/r `~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' ^ New System p y ~` Re lacement S stem g p y ^ TreatmenUHoldin Tank Re lacement Onl ^ Other Modification to Existin S stem g y B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner ~. I - 1 .L ~ ~ ff r0.A'Cl'L. IV. Type of POWTS System: (Check all that ap ly) S Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersaUTreatment Area Information: Design Flow (gpd) Design Soil Applicatio te(gpdsf) Dispersal Area Required 0 Dispersal Area Propos s System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concre te Constructed Glass New Existing ~ ~J () /1 ~d~ V ~ /~ L I ~~ Tanks Tanks j/ - Je~/~" ~ Septic or Holding Tank ~ ~ L7C,J ~ r ~ ~ S E' %'~ Aerobic Treatment Unit Dosing Chamber ~. VII: Responsibility Statement- I; the undersigned; assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plum 's Si gnatur ~ p' a .-tvtP7MPRS Number Business Phone Number ~~ ~ SE rFej .j e~-~_ ~~1~= ~ ~ 3 ~~') 5~ ~ l5-~~~ s'~ r ~ ~ / .~ Plumber's Add/r/e~]ss (IyS/freer, y,/f State, Zip ode) 1 /I e l [ ~(/,// l ~J~ ~~ ' I ( T ~! i / Cl ~ ~ ~ J,~~'a •/4' _ 7 , l.' 1. (J CT /` VIII ount /De artment Use Onl Approved ^ isapprove Sanitary Permit Fee (includes Groundwater Dat Issu Issuin gent Signa re o Stam ) ^ O teen Reaso enial Surcharge Fee) ~~ ~ ~ ~$ IX. Conditions of Approval/Reasons for Disapproval ~ 5 ~~: ~~ 6~A s~a-~ a~ ~. ~~~~d t. tank, effluent ~ner and /~ dispersal cell must all be serves / maar>ft~d GOB , as per management plan provided by pkgpyar, I (~ ^ tJ6 ~" ~.Q_. 1C~ 1'- ~ o~ e-~. `Ld L ~ ~ ~ ~C.v~-c..~ -M. ~ ae Per keppACeble sbde / otrJkattae . / ~cR~rt.. ~ ~tw Sb ~ ~S ' Attach complete plans (to We County ody) for the system odpaper not less than 81/2 x 11 inches in side SBD-6398 (R. 01/03) l~ w A J~-~ ~ , ~N c ~~n ~ m~~~ l u ~. ~ 2vv G C~~~ RGC ~ I.~GF1 d v~ I (~. c~~ 5°L1 G~ ~°' SJ Ent/~,~~Gh~,~laL~'S i~~e ~ ~. ~ 13~ ~~ 1 SttE4 - ~ - - 3- ~•- - S O'~ - ~~ -- - e. ~ ~~-____~, 5- - S~o~ ~ ~ - - ~' Rats to E ~ ~ ~ $~ ~~ ~ ; r w `~ 4 g ED 1 `~ Z ' ~ ~a KSE {~ i 3 a 8 ~ Stal - I - ` a o--firrb w,. d _ o~~ 8-Z ~ ~ `Q-~. - - 9s.$ EL . \ 7 S ~ -(3-y 40~b ~L _ ~ _$-5 .gQ7 ~~- i S t 5 ~L ~~'.? - - ~` ~ ~ f ~y , :; . ~' ©C - ~C w A I C'a't ~Q ~N ~. l.~n rF- l ~'1 ~''~/ u C, d 2U0 ~ Gt~:, RGl 1,Jo~ d ~ ~ - ~~. ~s ~"~~ ° ~ ~ ~l ~ ~~~ - ~~~ G-~ ~a ~ ~7 3- 3~La ~~, ~' y s, EL : $ ~ , ~ S'~ - ~,~ I/ ~~ ~ ~ ~ ~ ~ "~ ~' e~~S ~~~- ~~~n rte. ,~~ :~ 3 ~ ~~ G-1G-~G. _ ~ y SoS ~ _. .. ~ ~ ~ ~, ~,- S~o~, ~ ~ _ C~RRa ~ ~ . 5~ e _- ~ _ ~ ~~ ~ _ ~~ ~ ~ ~ . ~-- s -c ~ 4 gEp . ~ r~~ ,~ ~ g ~ ~o ~sE 3 a B ~ 8n-1 _ ~~ ~.' ~ ~ ~ ~ ~. ,__ `t 'Q 4i~o w.. b D ®-Q-- t 9.s. ~ E L ~ a' ` ~ ~ ~ -g- z. _93.4 * ~ ~ ~ 7 S ~ ~ -Q-4 406 E.L. ~ _ g- S .E3~`t ~7 E £~ ~ s ~~ ~9~7 ~ ~ . ~=~ ~ ~ ~r _ ~~~ ~_~ ~ Fj ~ ~~ _ „' ' Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page 1 of 4 m auvruancx wan ~.vrnrn aa, vvp. rlurn. ~.aaC County St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size Plan must . include, but not limked to: vertical and horizontal reference point (BM), direction and pares I.D. 002-1059-30-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (mp. q A fp Z p U Property Owner Property Location ~ a Luckwaldt Ag. Inc. (Dan & Mary) Govt. Lot SW 1/4 SW 1/4 S 4 O T 29 N R 16 Property Owner's Mailing Address Lot # Blodc # Subd. Name or CSM# 2606 Cty Rd D Cily State Zip Code Phone Number ity ~ Village own Nearest Road Woodville Wisc. 54028 ( 1-'~ 15-698-3240 Cty Rd D New Construction Use Residential ! Number of bedrooms 4 Code derived design flow rate 600 GPD Public or commercial -Describe: Parent materiel Glacial Drift Flood Plain elevation if applicable ~ / ~ ft. General comments 3 cells, each 3x60 and recommendations: Elevation at bottom of cells at 89.7 Boring # ~ Boring Pit Ground surface elev. 95.8 ft. Depth to limiting factor >110 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlf~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Etf#1 *Eff#2 1 0-10 10YR4/3 --- sl 2tbk dl as 3m 0.6 1.0 2 10-26 10YR5/3 ---- sl 2tbk ~ cw if 0.6 1.0 3 2 0 7.SYR4/6 --- is Om mfr cw lvf 0.7a 1.6a 4 0-110 10YR4/6 -~- lcos Om ~ ~' --- --- 0.7a 1.6a it !~ f` D ' ~ ~~ a 2 Boring # !--~ Boring 93.4 >100 Q pit Ground surface elev. ft. Depth to limiting factor ~ • Soil liration Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef#k1 *Eff#2 1 0-10 10YR4/3 ---- sl 2flbk dl as 3m 0.6 1.0 2 10-34 10YR4/4 ---- sl 2fbk dl cam' if 0.6 1.0 3 34-100 10YR4l6 ---- lcos '~' mfr --- __ 0.'~a 1.6a r ,~'~' * Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mg/L * E nt #2 = BOD < 30 mglL and TSS < 30 rrg/L CST Name (Please Print) Signature CST Number Thomas W. Gedatus ~ 96278 Address Date valuation Conducted Telephone Number Stang Plumbing & Electric P.O. Box 263 Woodville, Wisc. 54028 b/21/2006 1-715-684-5166 Property Owner Luckwaldt Ag. Inc. Parcel ID # 002-1059-30-000 2 4 Page of _ 3 V Boring f... Borin # g ~ Pit Ground surface elev. 94.5 ft. Depth to limiting factor >100 in. Soil lication Rate Horizon -Depth Dominant Color Redox Desc ' Texture Structure Consistence Boundary Roots GP D/ft'- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10YR4/3 ---- sl 2~k dl as 3m 0.6 1.0 2 10-32 l 0YR4/4 ---- sl 2fbk dl cw 1 f 0.6 1.0 3 32-100 10YR4/6 ---- lcos Om mfr --- --- 0.7a 1.6a ~ I , :i ~ ~3 q L ~~ ^ Borin # ~ Boring g ~ Pit Ground surface elev. 90.6 ft Depth to limiting factor >106 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/flz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Etf#1 "Eff#2 1 0-11 10YR5/4 --- sl 2fhk dl as 3m 0.6 1.0 2 11-18 lOYR /3 sl 2fbk dl cw if 0.6 1.0 3 -3 7.SYR4/6 ---- is Om mfr cw lvf 0.7a 1.6a 4 36-106 10YR4/6 ---- lcos Om mfr --- --- 0.7a 1.6a Boring # ~ Boring 89.7 >104 ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "`Eff#2 1 0-10 10YR4/3 ____ sl 21bk dl as 3m 0.6 1.0 2 10-38 1 4 _ sl 2fbk dl cw if 0.6 1.0 3 38-4 7.SYR4/6 ____ Is Om mfr cw lvf 0.7a 1.6a 4 •``48-104 10YR4/6 ---- Icos Om mfr --- --- 0.7a 1.6a * Effluent #1 = BODg > 30 < 220 mglL and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mglL and TSS < 30 mglL 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. SBD-8330Tast (8.07/00) ~~o ~ c,~Y Ra ~ moo ~.~,Atc., w~s~. 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L Y "x { O ~ y ~~ ~ttp://72,21.230.1?8/website/LRPortaUARCIMS/MapFrame.asp?PIN- b/26/2pOG ArcIMS Viewer Page 1 of 1 ^ ~~ ~yVaB r / Fr{ l ~s /~4,sa„~. 5 L ~~ Sa8 ~ -~-~ Sr~~ .~I~yG~~-- ~ ~~~ ~~ ~ S~~Y ~~ ~~ ~~~ ~ v~ s ~ a~~~ http://72.21.230.178/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 6/28/2006 dg/2~/qt3 FRI 14:24 F.AX 715 386 413$6 ST CR% CO ZONING ppWTS ©WNER'S MANUAL & MANAGEMENT PLAN FILE li1FflRMATlOfl1 Qwner < / ' ~ /1 ~ ~ ~ C C.r Permit # ~j~}o1 Page _~ of ~'T IIIIAINTENAIOCESOHEDULE Service Event Service Frequency D mornh(s) 3 _. Q tdA Inspect condition of tank(s) At [east once every: (Maximum 3 years ~ ar{sl - When combined sludge and scum equals one-third (Y3) of tank volume ©iJA Pump out contents of tank(s) D month(s) (Maximum 3 years) D ILIA Inspect dispersal celHsl At toast once every: p year(s) ..~ ^ month(s) Q IdA Glean effluent fitter At teas[ once every: ' ~ ~ ^ year(s} - o rnonthts} o ua Inspect pump, Pump controls & alarm At least once every: p year{s) ..,~ p month(s) p 1tA flush laterals and pressure test At least once every- p year(s) r..- © month(s) ~ NA Other: At least once every- ^ yearlsl -. Q NA nnAINTEtuewct: INST>:tucnolus lnspeCtions of tanks and dispersal cells shah be made by an individual drying one of the following licenses or certificat ens: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector; POWTS pl}amtainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tanktS} to identify any missing or broken hardware, identify any cracks or leeaks, mBaSUre the volume of combined sludge and scorn and to check for any back up or pand'eng of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the abservatiora pipes and to check for any poriding of effluent on th® ground surface. 7'tie ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumuiatian of sludge and scum in any talk egUSls Oflg-~ttrxl tYt) OC IYIOffi Of th8 ink volume, the E~ntiite contents of the tank shall be removed by a Septage Servicing ©perator and disposed of in accordance with chapter NR 113, Wisconsin Adrrunistrative Code. Alt other services, including but not limited to the servicing of effluent fillers, mechanical or pressurized components, pretreatment units, and any servicing at )ntervais of <1 ~ momhs, shat) be performed by a certified P()WTS Maintainer. A service report shall be provided to the local regulatory authortty within 10 days of completion of any service event_ 06-23-@6 16:3@ TO: FROM:715 386 4686 P@i *Values typical for domestic wastewater and septic tank effluent- OB%2~%OB FRI 14:~~ FAg 715 386 4686 ST CRX CO ZORTING I~j00~ Page ~ of 'Z START UP AND OPERATION Fur new construction, prior to use of the POWTS check treatment tank{si 'Far the presence of painting products or oilier chemiatls that may impede the treatment process andlor damage the dispersal cell{sl. If high concentrations are decocted have the conteri'ts of the tank{s} removed by a septage servicing operator prior to use. System start up shall not occur when sail Conditions are frozen at the infiltrative surface. poring power outages pump tanks may fill above normal highwater levels. When power is rostored 'the excess wastewater will be discharged to She dispersal cell{si in ono larQc dose, overloading the cell[sl and may result in the backup or surface discharge of effluent- To avoid this situation have the contents of the pump tank removed by a Septagc: Servicing Operator prior to restoring power to the ®fflu+rnt pump ar contact a Plumber or POWTS Maintainer to asSisT in manually operating the Pump controls to rostore normal levels within the pump tank. Do no't drive or park vehicles over tanks and dispersal cells. I]o not drive or park aver, or otherwise disturb or compac'C, the a ea within 15 feet down slope of any mound or at-grade soil absorption area- Reduetion or elimination of the following from the wastewater stream may improve the performance and prolong ilia life of "he POWTS' antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss: diapers; disinfectan'CS; 11at; foundation drain {sump pump} water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; ail; painting products; pesticides; sanitary napkins; tampons; and water sof'Cencar brine. ABANDONMENT _ When the POWTS fails andlor is permanently taken out of service the following steps shall be taken to insure That the System rs properly and safely abandoned in compliance with chapti?r Comm 83.33, Wisconsin Administrative Gode: All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents o'f all tanks and pits shall bo removed and properly disposed of by a 5eptage Servicing Operator. AiCer pumping, ail tanks and pits shall be excavated and removed or their covers removed and the void space filled v~'ith soil, gravel or another inert solid material. CONTINGENCY PLAN rovide a code compliant If the POWTS fails and cannot be repaired the following measures have been, or, must be taken, to p replacement system: ^ A suitable replacement area has been evaluated and may be utilized for he location of a replacement Soil absorpl ion system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot fines and w®Ils. Failure to protect the replacement area will result in the need for a new sail and site evaluation to establish a suitable replacement area. Replacement systems rr'ust comply with the rules in effect at that time. [~ A sui'Cablc replacement area is not available due m setback andlor sail limitations. Barring advances in POU'rT5 technology a holding tank may be installed a5 8 last resort to replace the failed POWTS. 5?re {~ T - - a a rng tank //~ alua " '~ftDi-tI~ Ti+~L. X12- 1~,~^•~ Lam' IVS`7~2CJGT1 pn-I be a 'as e ^ Mound and at-grade sail absorption systems may be reconstruCwdh thel ulesf nleffe 9 at hat t{ime,the biomat at the infiltrative surface. Reconstructions of such systems must comply ~ <WARNING~ ? SEPTIC, PUMP AND 07'HER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDlOR INSUFFICIENT O}CYGEN. Ia0 I'1 ENTER A SEPTIC, PUMP OR pTFiER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT- RESCUE t:!F A PERSON FROM THE INTtwRIO~t OF A TANK MAX SE DIFFICULT' OR IAlIPOSSIBLE_ ADDITIONAL CQMIUIENTS POWTS INSTALLER Name s~ /}-t2 `~s ~,~- Phone ~ ~ 5 - y ~~ 5' 1 C. G pOWTS NIAINTA1NEfi Name Phone SEPTAGE SERVICING OPERATOR IPUMPERI LOCAL REGULATORY AUTHORITY Name Name ~^'~. ~~ ( (~ ~ ~~~~~ Phone Thane 'j (~~ ~ ~ (~- ~ ~~ This document was drafted in compliance wixh chapter Camm 83,22(21{bl{lild}&{fl and 83.54{11, {2) ~ 131. Wisconsin Administrative Code. 86-23-06 16:30 TO: FROM:715 386 4686 P02 sT. cROix eouNTY ' SEPTIC TANK MA~VTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORIVI QwnerBuyer l ~ ~. /c ~ ~:~ / ~!,~- Y~ ~ .i n ~ ~ ~ ~ ~ ~- r~ ~~~ Mailinig Address 2 ~' y ~ L ~ `/ G ~ ~ /:~ Property Address -~ ~ `~ ~- (verification regiii~ed from Phwni>;g & Zoning Departnanit far new constnsction) City/State wp~;~ ~ ~C/ , ~ l ~' ~''.~ Parcel Identification Number G U ~ _ 1 ~ 5-`1 _ 3 ~ .`~'c, ~' LEGAL DESCRIPTION C. 3~2~ 1 3 ~~~~~'~ Property Location ~ /4 , S ~ '/a ,Sec. ~' ~ , T ~ ~ N R ~ ~ W, Town of ~ ~ ... __.- subdi~en- - __._ _-_--- ---- _. -_-- _ -- __ _ _ .____ .____ __ ._______ _ _.~ ._-- ------ _ -; Lot # _ _.~_ -- Certified Sarvey Map # , volume ,Page # warranty Deed # ~ ~ ~ / 5 ~ ,Volume `~ `10 ,Page # Za 5 Spec house yes no I.ot lions identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION I~xOper use and maw of your septic system could resuh in its pr+~tar+e failuu~e to haidie washes. Proper mainhenance consists of pun~ng out the septic tank every three years or sooner, if , by a licxnsed pumper. What you put imo the system can affect the function of the septic tank as a gent stage in the waste disposal system Owe responsibilities are specified in §Comm. 83.52(1} and in C2ispter 12 - St. Croix County Sanitary Ordizamce. The property owiier agrees m submit to St. Crone County Planning & Zoning Dement a cxrtification form, sigzxd by the owner and by a master plumber, journeymaii plumber, restricted ghia~ei' or a licx~ed pumper verifying that (1) the on-site wastewater disposal system is in proper operating o~ditioai and/or (2) after won and pumping (if necessary), the aept~ tank is less than 113 full of shidge. UwC, the ~ have read fhe above ~ aml agree to min the private sewage disposal system with the s~ndards set forth, hereiq as net by the De~rtm~R of C and the Department of Natural Resotmxs, State of Wiscai:sia, . -. Ceatificatiori stating that your septic system has bcea aasintained >mut be completed and rettirned to the St. Croix County Ple~ng 8c Zaouing Dct within 3t? days of the three year lion date. Uwe certify that all statements on this form are true to the best of mytour k~wledge. Uwe amtare the owneA(s) of the pmoperty described above, by virdre of a vraaanty deed rec~rdod in Register of Deeds Office. ~/ ~!~ DATE v *"*Any inforniation that is misr may rrauli in the sa~miy permit being irwoloed by the P & Za~nmg Deparmaent. ••'' Include with this applies a recorded Y deed fi~i the Register of Deeds Office and a SPY of the cexGified survey map if t is made in tlx vvarraffiy deed _ (REY. t18J~05) --- .~~ y F '', • ixc a M>~ : No. ~ WA~~tTY Leo ~. ` ~ ;STATE BAR OF W3SC4l3SiN 808.95 2 --1~ ~ ~''~ _~~' i i ~ "'~ t'1 ~!n nr~r .............Ltoy.d. L.ucl:~aldt..._a.tkla...LLayd..A...L.uc.k-r~al.dt.. ..-.........and...~7.eAnet.ta...Lu.c-krr.al dx...4/.kla...~.e4n~Ct.~...A.... _lus.kw.ald.t ........................__......._- ... _ -...---- -- --------....... conveys ind warrants to . ..O.an-i-e1...M... _L.LLCk.Mal.dt .. ....................... the toaowmg d -real estate in ...... $ t ' ~ r O i ~ \Gounty, ..-- -• - 3tate of Wixro ~~.~ - _- Z ~_ i it it ~{ ii TNt, SPACE RE,EFY[D tOR R[CORDING D-T• i '~ fl REGISTER`S FF '' s~ cROOCCO.,tM 1 kec d fot Reco~ ,i AN 1 S 1993 ~~ ~! 4:15 ~~•~ ,ti of GMd1 {, j RETURN TO l~s '~ Taz Parcel No: ._..... OA ot~e-ha f i rP the ty.~described in ExhibitA attached hereto -and `made a art-here nciudPd in the purchase price are Vendors' one-half interest i~ all cattle and a~achinery. the allocation of the purchase price is as follows: ,/ ~~~° nd and buildin s - #140,000.00 ~r,~~ L a 9 1,L~ ~. Cattle - 45,500.00 ~ ,~" ~ , Machinery 64,5Q0.00 ~~ ~' ~~ - This deed is given in iulfiil>aent of a certain land Contract between the above parties dated December 15, 1992, and recorded December 16, 1992, it the office of the Register of Deeds for St. Croix County, Wisconsin, in Volume 986 of Records, at Page 74, as Document No. 492920. ~~ This ..... ~ A D. ....... homestead propertT. ,~ I Ii~Dxt~ ~) ~ ~ i~ ~~ Exception to warranties; Easements and restrictions of record, and except any liens or encumbrances created or suffered to be created by the ~j ;~ acts and defaults of the grantees, their heirs, successors, or assigns. ;; ~; ~: ---.... day of ...-- -... _...-._. ~.Q--~usa~.~......---.._...-.....- . ; fi Dated this .._ ....................It.~''....... --., 19-g3... ; ` ~{ ,~ •~ ~~ ~ 99~ 2C1~ f ~ ,.. -- (-, r-. F - .. '~ . E?:~IEIT' i. 1. East falf of t:artheast Quarter (E; of t:E)j aad East tali of Southeast Quarter {E1~ of SL"'t). Excepting ~herefro«~ a s~.all lot in the Southeast corner thereo! that was heretofore de e3ed for church Purposes, all in Section 'itienty-three (23)s anA 2~,.- Southxest Quarter (Sit~)j and West Hait of Northwest Quarter (K~ of Ntt~) sxc:pt a parcel of land descriDeei as follows: Beginning at a point high t Hundred Sixty- tight (868') teat Fast (E) along Lhe section lice troy the North•est (NSi) corner of Section Tronty-four (24}, Township Twenty-nine North (T29N), Range Sixteen Kest ($16K), thence South (S) Five Hun~red Twelve (S12') feet parallel wi1,h the Kest (K) section line, thence Kest (lt) One Hundted Seventy (170') feet parallel with th¢ Korth (Nj section line, thence North (K) Pive Hund~ced Twelve (512' ) feet parallel Yith the West (K) section line, thence East (E) One.Hundred Seventy (170') feet along section line to place~~of~beginning, acid parcel approximately two (2) acrest 1111 in Section Twenty-tour (24)s and 3. East Halt of Northeast Quarter (E~ of NE~)= Southeast Quarter of Northwest Quarter (SE} of rr-'~)i North Halt of Southwest Quarter (N~ of Sw~), excepting therefrom one acre described as tollor•s: Commencing at the Northwest (Nh) corner of Northwest Quarter of Soutr.- west Quarter (NIi~ of SK}), thence running East (B) Twelve (12) rad~s~ thence South (S) Sixteen (16) rods] thence Kest (w) Twelve (12) rodsl thence North (N) Sixteen (16) rods to the place of beginning, excepting t hereteon the platted highway, all in Section Twenty- tive (2S)1 and 4. That part of the Northwest Quarter of Northeast Quarter (Nx# of NEB) of Section Twenty-six (2b), lying on tt» East (E} aids o! the abandoned right of way of the Chicago, St. Pr.ul, Ninneapolia and dmaha Railway Com any as formerly located in said Section Twenty-six (26~, Township Txenty-Nine North (T29N), Range Sixteen fleet (R16N), which abondoned right of way is now knoxn and designated as Highway "D", except highway coaveyance to St. Croix County as recorded in "2 29", page 8 !n; the o! lice of the Register of Deeds for St. Croix Countp• and subject to the easement to the Kisconsin Pcier Cooperative recorded in "25i", page 148 in the office of the Register of Bee3s for St. Croix County. r ~' ~:. g~~ ;~ • :~' ... Lr.*i:^rt x '' l ~1tuCf~:i ft~¢ 2 y. l;ort?,taffit Quarter of Aorthtast Qu~rttr tt:i+~ of t~E~;)t end t:arth Kait of Korth Kalt of Southss:t Quarter of t:orthEast Qu artrr tN~ of N~ of SEA at N8~) of Ssctica Tticnty-Rine t29), Township Twenty-nine t-osth tT29N), Range Sixteen A'sat tA16K)• axcegt that certain parcel of land described is that certain Karranty Desd troy ~. J. Lackraidt to Richard Eggers dated dune 2S, 1979,.. . and recorded in the office of the ltegiater of Deeds to= Voiu~ao800 otn~~cardacostiPagen617,LasbDocumsntsko• i® 3S9709. 1111 of the aboys described property located in Township Twenty-Wins NortA tT29N), ltange• Sixteen Xest (816X). Together ritb Vendors' one-bait t~) interest in cat tie and aachiasry camp.r!sinq the iarsinq operationartnsraie Luckvaidt Bros., Lloyd and Karvin Luckvaidt, p - ,BXCEPTINt3, however, part of the Southwest Quarter of the - ~ Southwest Quarter (Sw~ of 5X~) of Section Trenty-tour (24), Township Twenty-Nips North (T29N). Range Sixteen Xeat (AlBw), described as Lot Ons (1) of Certified Survey Nap tiled November 2S, 19 92, in Volume 9 of Certified Survey Maps, paq• 258 6, Otiice of the Register o! Deeds for St. Croix County. Xisconsin, together rith the xel 1 rights described in that certain Deed of Interest in Aiei 1 dated Decesber 15, 1992 betraea Ysndor/Grantors and Daniel K. Luckraidt, Ma~viq Luckraldt, and 1ingis Luckraidi. being subject, however, to an easement toe barnyard draihage and wilkhouse runoff in favor of Daniel K. Lnekraidt, Marvin aasiXns$trhich easement ahaiitbetconatruedstoarun rich thed 9 __ land. ;~:, `. ~'~; DOCUMENT N0. ~w~ ~~t ~.'~ ~. ~ PAGE .~ ASSIGNMENT OF LAND CONTRACT /3- 599937 KRTHLEEN H. WALSH REGISTEk OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD Assignor, whether one or more, for a valuable consideration, assigns and conveys to Luckwaldt Agriculture, Inc., a Wisconsin Corporation, ("Assignee" whether one or more) the Vendee's interest in a Land Contract dated the 2nd day of January, 1999, executed by Marvin L. Luckwaldt and Angeline M. Luckwaldt as Vendor to Daniel M. Luckwaldt as Purchaser on lands in St. Croix County, State of Wisconsin, together with (the-indebtedness therein.refer.red_tcL and). all the. interest of the Assignor in the Land Contract and the lands described therein, which Land Contract was recorded in the Office of the Register of Deeds of said County, on February 2, 1999', as Document Number 596932, in Vol. 1400 of Records, on Pages 403-406. The Assignor covenants that there is now owing and unpaid on said Land Contract, the sum of Two Hundred Fifty Thousand and 00/100 Dollars ($250,000.00), and also interest at seven per cent (7~) per annum from February 2, 1999, that Assignor is the owner of the above described interest in the Land Contract and has good right to assign the same, and that the condition of the title of Assignor's interest is the same as at the time of recording cne Land Contract. See Exhibit "A" for real estate description. 43-23-1999 10:40 AM ASSIGt1MEMT LRND CONTRA EXEMPT N CERT COPY fEE: COY FEE: TRANSFER FEE: _ RETXIRDING" FEE: 12:4U PAGES: ~ NAME AND RETURN ADDRESS ~ ' Leo A. Be Attorney RODLI, BESKAR, BOLES &KRUEGER, S.C. 219 North Main Street, P. 0. Box 238 .River Falls, WI 54022 002-1059-30-000; 002-1055-10-000;' 002-1055-30-000; 002-1056-60-000; 002-1056-95-O00f 002-1059-10-000 002-1059-20-000! 002-1059-40-000;' Parce Identification Number (PIN ~ 002-1058-70-000'' 002-1058-90-000; 002-1060-10-000; 002-1060-40-000; 002-1060-80-000;'002-1060-90-000;, By accepting and recording this assignment, the Assignee agrees: 002_1060-95-000; 002-1063-20-000; * That Assignee assumes and agrees to pay the obligation secured by the Land Contract, to comply with all terms and conditions of the Land Contract, and to hold harmless and indemnify Assignor as to the performance of all obligations, terms and conditions of the Land Contract. *002-102-10-000; 002-102-50-000 - This is homesteae~_property. Dated this ~~~ay of March, 1999. AUTHENTICATION Signature of Dani®1 M. Luckwaldt (SEAL) (SEAL) authe ti ated this ~ day of March, 1999. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stets.) THZS INSTRUMENT WAS DRAFTED BY: Leo A. Beaker, Attorney RODLI, BESKAR, BOLES & KRUEGER, S.C. 219 North Main Street, P. 0. Box 138 River Falls, WI 54022 ,. (SEAL) Daniel M. Luckwaldt ACKNOWLHDGMENT STATE OF WISCONSIN ) ss, COUNTY ) {SEAL) Personally came before me this day of . 19 the above named to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. Notary Public County, wis. My commission is permanent. (if not, expiration date: VOL 1~~.~PA;;f~}S7 SOUTHWEST QUARTER (SW;) OF SECTION TWENTY FOUR (24), TOWNSHIP TWENTY r:Ir7E (29) NORTH, RANGE SIXTEEN (16} WEST, EXCEPT Lot 1 of Certified Survey Map, in Volume 9, page 2566. ;EST HALF OF NORTHWEST QUARTER (W2 OF NW;) EXCEPT PARCEL IN VOLUME ?r.GE 533, OF SECTION TWENTY FOUR (24), TOWNSHIP TWEr7TY NINE (25) r:ORTri, =r7GE SIXTEEN (16) WEST. SOUTHEAST QUARTER OF NORTHWEST QUARTER (SE; OF NW ;) AND NORTH HALF OF SOUTHWEST QUARTER (Nz OF SW ;} EXCEPT North 16 rods of west 12 rods :.hereof, ALL IN SECTION TWENTY FIVE (25), TOWNSHIP TWENTY NI?~E (29) 2~~RTH, RANGE SIXTEEN (16) WEST. SST HALF OF NORTHEAST QUARTER (EZ OF NE ;) OF SECTION TWENTY FIVE (25), TOWNSHIP TWENTY NINE (29) NORTH, RAtdGE SIXTEEN (16) WEST. NORTHEAST Q~.%ARTER OF NORTHEAST QUARTER (NE; OF NE3.-) Ar7D NORTH HALF OF r70RTH HALF G SOUTHEAST QUARTER OF NORTHEAST QUARTER (N'z OF N ~ OF SE; OF NE;) OF SECTION TWENTY NINE (29), TOWNSHIP TWENTY NINE (29) NORTH, RANGE SIXTEEtI (16} WEST EXCEPT part to Richard Eggers in Volume 600, page 617. EnST HALF OF NORTHEAST QUARTER (EZ OF NE ,) OF SECTION TWENTY THREE {23}, TOWNSHIP TWENTY NINE (29) NORTH, RANGE SIXTEEN (16) WEST. ?ART OF EAST HALF OF SOUTHEAST QUARTER (E; OF SE;) OF SECTI021 TWENTY THREE (23) AND PART OF NORTHWEST QUARTER OF NORTHEAST QUARTER (NW; OF r;~;) OF SECTION TWENTY SIX (26). ALL IN TOWNSHIP TWENTY NINE (29} NORTH, RANGE SIXTEEN (16) WEST DESCRIBED AS FOLLOWS: East Half of Southeast Quarter in Section 23, Township 29 North, Range 16 West, excepting therefrom a small lat in the Southeast corner thereof that was ::eretofore deeded for church purposes. Subject to the easement to St. Croix County Electric Cooperative, in Volume 251, page 279. THAT PART OF THE NORTHWEST QUARTER OF NORTHEAST QUARTER (NW; OF NE ;) OF SECTION TWENTY SIX (26), LYING ON THE EAST SIDE OF THE ABANDONED RIGHT OF WAY AS FORMERLY LOCATED IN SAIB SECTION TWENTY SIX (26}, TOWNSHIP TWENTY (29) NORTH, RANGE SIXTEEN (16) WEST, EXCEPT highway conveyance to St. Croix County in Volume 229, page 8. EXCEPT land to St. Croix County in Volume 1011, pages 132-134, as document number 499586, AND EXCEPT land in Volume 1011, page 135, as document number 499587, in Volume 1011, page 136, as document number ;99588 and in•Volume 1011, page 137, as document number 499539. Subject to easement to Wisconsin Power Cooperative, in volume 251, page z-;s. St. Croix County Wisconsin. ~U b ~~ http:/!72.21.230.178/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 6/26/2006 ArcIMS Viewer Page 1 of 2 .Parcel #: 002-1059-30-000 osi2si2oos 09:33 AM • PAGE 1 OF 1 Alt. Parcel #: 24.29.16.362 002 -TOWN OF BALDWIN Current 'X~ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -LUCKWALDT AGRICULTURE LUCKWALDT AGRICULTURE C -INC INC 2606 CTY RD D WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description * 2606 CTY RD D SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 38.000 Plat: N/A-NOT AVAILABLE SEC 24 T29N R16W SW SW EXC PT TO CSM Block/Condo Bldg: 9/2566 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 03/23/1999 599937 1412/636 ALC 02/02/1998 596932 1400/403 LC 07/23/1997 990/205 WD 07/23/1997 986/74 LC 2006 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/28/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 33.000 3,400 0 3,400 NO UNDEVELOPED G5 2.000 200 0 200 NO OTHER G7 3.000 4,800 338,400 343,200 NO Totals for 2006: General Property 38.000 8,400 338,400 346,800 Woodland 0.000 0 0 Totals for 2005: General Property 38.000 8,400 338,400 346,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 510 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00