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HomeMy WebLinkAbout002-1063-80-000St. Croix County Planning and Zoning Friday, January 11, 2008 at IO:I0:23 AM Detail Sanitary Information Pnge 1 of 1 Computer #: 002-1063-80-000 Sub/Plat: NA Section: 26 Parcel #: 26.29.16.3880 Lot: 1 TN/RNG: T29N R16W Municipality: Baldwin, Town of CSM: Vol. 01 Pg. 246 1/4 1/4: NE 1/4 NW 1/4 Owner: Gralow, Norman 2535 80th Ave. Baldwin, WI 54002 State Permit: 506301 Issued: 08/21/2007 POWTS Dispersal: Mound less than 24" suitable s Permit: Replacement County Permit: 0 Installed: 09/13/2007 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Issuer/Inspector As Built Plumber Other Requirements Additional Notes Monev Owed Ryan Yarrington >4/1/00 -Not Required Helgeson, Bennie $0.00 Ryan Yarrington Signed Off: Yes Maintenance Scheduled Pump Date Pumped 9/13/2010 Owner: Thompson, Steve 2535 80th Ave. Baldwin, WI 54002 State Permit: Issued: 01/01/1971 POWTS Dispersal: Non-Pressurized In-ground Permit: New County Permit: 0 Installed: 01/01/1971 POWTS Detail: Seepage Pit Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Issuer/Inspector As Built Plumber Other Requirements Additional Notes Monev Owed Not determined NA Unknown existing drywell has the that discharges to east of $0.00 Not determined Signed Off: No house, into a road ditch and Carr Creek (approx. 600 feet away) 2007 soil report for replacement shows location of wastewater discharge and owners are planning to apply for WI Fund. CSM in 1976 shows existing house NOTICE OF VIOLATION August 7, 2007 NORMAN & MARY ANN GRALOW 2535 80T" AVE. BALDWIN, WI 54002 Code Administration RE: Failing POWYS at 2535 80th Ave. 715-386-4680 Land Information ~ Town of Baldwin- St. Croix County, WI Planning Computer # 002-1063-80-000 Parcel # 26.29.16.388-C 715-386-4674 Dear Mr. & Mrs. Gralow: Real Property As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in 715-;86-4677 violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 12.1.F.4.d of the St. Croix County Zoning Ordinance. This Private Onsite Wastewater Rccvcling Treatment System (POWYS) has failed under the definition in § 145.245(4)(b) Wisconsin Statutes 715-386-4675 (Category I). This violation was first noted on July 20, 2007. The violation has been documented as septic effluent discharging to surface waters, specifically to Carr Creek. An on-site inspection conducted July 4 2007 verified that septic effluent was discharging to surface waters. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed from July 24, 2007 in accordance with Chapter 145.12{4) Wisconsin Statutes. THE FAILING POWYS ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND NEEDS PROMPT ATTENTION! REQUIRED ACTION: A sanitary permit must be issued through this office. You have already contracted with a certified soil tester (Bennie Helgeson) to have a soil evaluation conducted. The soil evaluation determines the type of on-site wastewater treatment system necessary, the required sizing, and its location. You must then contract with a licensed plumber who will design the replacement POWYS and apply for the sanitary permit. The POWYS must be replaced by February 1, 2008. If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. Your cooperation in abating this violation is appreciated. Sinc mela Quinn Zoning Specialist cc: file ST CRO/X COUNTY GOVERNMENT CENTER 7 lO 1 CARM/CHAFE ROAD, HUDSON, Wl 54016 715-386-4686 FAx PZC~?CO:SA/NT.CROIX,_W/.US WWW.CO.SAINT-CROIX.WLUS i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Gralow, Norman Baldwin, Town of ~~ :ST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER : tic, CAPACITY Septic '~:.~ '3 Dosing ~ e~.s' Holding , TANK SETBACK INFORMATION TANK TO P/L~ ~-~ WELL BLD Ae~ Vent to Air Intake ROAD Septic ~ c,Jl ~ ~t7 > Z~ > 7L~ .--- Dosing < < ~ ~ ____ Aeration Holding PUMP/SIPHON INFORMATION ,,C I Manufacturer `\ ~ ~~ Demand t+~ ~~_ GPM ~ 5 Model Number ~~~ ,3D~ TDH Lift Frictio~ 04 System Held b 5 TDH ; t Z , ,oz 9 . r ~ Forcemain Len th `b Dia. ~ ~ Dist. to well ~ Z 1~~ SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 506301 0 State Plan ID No: Parcel Tax No: 002-1063-80-000 Section/Town/Range/Map No: 26.29.16.3880 ELEVATION DATA STATION BS HI FS ELEV. Benchmark , ], ~ 7 /~+ $ ,~ Alt. BM ~ a'N'~ ~.~; ~6~ 90~ ~~ ~ 9a Bldg. Sewer ~y St/Ht Inlet ~- 7•~ Q 9~.~~ SUHt Outlet Dt Inlet ` ~_ Dt Bottom Iii.Z~ c~ ~l+Ja Header/Man. /2'S7S . Dist. Pipe //'' 7' ~ ado Bot. System S. 015 / `1.75 Final Grade 3, +-~ ~6 Cl7'c~. ~ ~' a ~ V BED/TRENCH Width ~ Length / No. Of TrencJ~es PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS g S(P,~ ~lJ] ~. ~ -~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR '~~ Type Of ystem: O J 35, ~ ~ S~ ' ~ ~ / J,/~ /~,/ f'~ UNIT Model Number: ~~ DISTRIBUTION SYSTEM 3 '""aT `"'`-`" ~s+~. HeaderlManifold ~ ~ ~ Distribution 1 ~ ~ i / x Hole Size Q ~ i x Hole Spacing ~ ~ V to Air Inta ~,Z~ Pipe(s) S~. /0 f 5 3Z ,l Cl z^'~ ~aJw•+~ G Length Dia Length_ Dia ~ ?i Spacing / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems OnIV .c , rti~-_~ Depth Over ter B h C d/T -~ Depth Over B d/Trench Ed es xx Depth of To soil ~ xx Seeded/Sodded xx Mulched renc en e / ~ (~s g e ~ p ( .}- --. s ~{ No 'es [] No ~~~ ~. COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / ~ ~ / U 7 p Inspection #2: / / Location: 2535 80th Ave. Baldwin, WI 54002 (NE 1/4 NW 1/4 26 T(~29N R16W) NA Lot 1 ~ ~'~- a~',©'~(,.,,1 Parcel No: /26.2`9.16.3880 1.) Alt BM Description = ~~ , ~ ~~J`~'"'"- V\ ~ S'h~~"-- V' ~ w~ ^ J /I 2.) Bldg sewer length = C,` ~ ~~ „~[~ .~- ~i 1 ~ '~~ oaf Q~ ~v ~~lil -amount of cover = / _ _ IT' 2 Plan revision Required [] Yes No c{-- ~~,L a~-' --_ _ _ -- - - - _ - - --' , ~~J ~-~~ - ~~ Use other side for additional information. ~ L Y _ _._i SBD-6710 (R.3/97) Date Insepctor's Si nature Cert. No. ~erv~~vt,l- commerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix f sco ns i n Madison, WI 53707-7 162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce G, ~ ~ 3cj l Sanitary Permit Application a~ action Number Stat 21 0 In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form approp governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for weed roject Address (if different than mailing address) POWTS are submitted to the Department of Commerce. Personal in rmatt ~ C / L ~- n J ~ ~ ~ rt ~" l+ seconda u oses in accordance with the Privac Law, s. 15.04(1)(m Slats '.~r'1 L 5 '3) I. A lication Informati Plea se Print All Information Property Owner's Name ~ AUG 2 1 2007 Parcel # 002-1063-80-000 Norman Gralow Property Owner's Mailing Address ST. CROIX COUNTY Property Location ~gQ ~ D 2535 80th Avenue , Govt. Lot City, State Zip Code Phone Number NE '/a,NW 'b, eStion 2.6 Woodville, WI 54028 715-698-2797 (circle one) T29N; R16 W II. Type of Building (check all that apply) Lot # 1 1 lli f B ®1 2 F il D N b d Subdivision Name we ng - er o or am y um e roo m N/A N/A Block # ^ Public/Commercial - Describe Use ^ city of N/A ^ State Owned - Describe Use i i CSM Number ^ Village of ,~ 56 , ZS t%/la~~r~ (-m '~- ~ /A z~ ®Town of BaldWlri III. Type of Permit: (Check only one box on line A. Compl ete li ne B if applicable) A' ^ New System ®Replacement ^ TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System (explain) System B. ^ Permit ^ Permit Revision ^ Change of ^ Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner ~J ~ b ~ Ex iration o O IV. T e of POWTS S stem/Com onent/Device: (Check all that a 1) ^ Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Grade ^ Mound > 24 in. of suitable soil ®Mound < 24 in. of suitable s ' ^ Holding Tank ^ Other Dispersal Component (explain) ^ Pretreatment Device (explain) ~ V. Dis ersaUTreatment Area Information: c, Design Flow (gpd) ~ Design Soil Appli n Rate(gpdsf) ~ Dispersal Area quired (sf) Dispersal Are Proposed (sf) 4 ~ System Elevation 75 99 450 1 , ~ 450 -750 50 ~Z , VI. Tank Info Capacity in Total # of Manufacturer w q Gallons Gallons Units ¢ ~ U° ~ a H New Tanks Existin Tanks g ~/ ~O I ~ C7 ~ ~'~_} _ ~~ fc-t w o w~ ~ F W a a .. Septic or Holding Tank 1000 1000 1 Wieser oncrete ® ^ ^ ^ ^ Dosing Chamber 600 600 I Wieser Concrete ® ^ ^ ^ ^ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu 's Signature MP/MPRS Number Business Phone Number Bennie Hel eson 220292 715/772-3278 Plumber's Address (Street, City, State, Zip Code) W1229 770th Avenue, S rin Valle , WI 54767 VIII. Count /De artment Use Onl Approved _ paeve Permit Fee Date Issue Issui Agent Sig Owner Gi t Rea p for Denial $ O~ oo ~ Z ~ O-~ - n IX. Condi,~~~UReasons for Disapproval 3) G~ ~ 5 5~-w`- 'd"v ~' ° ~ ~- 1, Septic tank, efftti>~1)~N atispersai cell ~'~M~~ ~ l Goc~R . as per managert+t~~lA'p4~tllidlbtYpWmAsr:. Z, All setback requ~IM11~KwrklrtNr~irtf~t as Ir~tr a11pY~r.~1! ~ / . Attach to complete plans for the system and submit to the County only on paper not less than s to x 11 mcnes to size SBD-6398 (R. 01/07) Valid thru 01/09 ~ ° ~ ~- ~ ~0 j ~ ~ (~ ~I ~ ~ x {= m ~~.4 Q ~ I ~ ~ 'r `r1 ~ ~ ~_ ~ ~- -~. to ~0 v .~ --__.. M X a ~- ~. O O d S 0 o\ I\ \ i I ~' a 1,,~ -~ .~ 1,~ ~o e a ~ ----. ~ ~~~--~ ~~ J O o ~ O ~J q ~. ~J ~'U ~ ~ ~` t? ~ ~tL s t.~ J r ~~ ~Y\ ~~ ~-..) ~ ~r--4 r \ ' S3 4 \ O .c \ ~ ~~ \ ~ ~ / / n~ ~ Q ~ ~, ~ }- \ i tr ~ ~ ~ ~ 7 ,, ~, _. ~ d c3- ~ ~ v V ~ ~-~, U ~g .1 ~-- d :{ ~ r ~~' o ~ u. ~ w ~o ~ ~. ,~, ~ ~ ~`- '~ °s W ~ cm ~ ~ Q ~ .~ ,~ ~ `~ d ~ S °~ ~ v m ~Z.s © ~rsz ~ Q~ k -` w ti(? ~~ Q~V `7 ~~ ~ ~ ~O d S .~ S . > i ~! 0 ~. O\ O I\ ,7 q M ~ ~ 4 0 ~a~e~rf t a~u~ d r9 J ~~ ~ o ~ ~Q o o ~ d ~ \ J -., ~ ~ H O d 4. ~ v ~ U ~ ~- 1 ~~ 0 .~~ J\ J ~ a,~ J n.~ 4 ,~ J ~ 4- \ ~ -~.~ \ O ~m , ~ Q ~ ~ ~---- ~-- d 0 --•~ ' commerce.wi.gov iscansin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 17, 2007 CUST ID No. 220292 BENNIE W HELGESON HELGESON EXCAVATING W 1229 770TH AVE SPRING VALLEY WI 54767 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08%17!2009 IdentificationNumbers Transaction ID No. 1432107 SITE• Site ID No. 729240 Norman Gralow Please refer toboth identification nurnbers, 2535 80TH Avenue above, iii all corres ondence with the a enc. . Town of Baldwin St Croix County NEl/4, NW 114, 526, T29N, R16W FOR: Description: Three Bedroom Mound System /Replacement construction Object Type: POWTS Component Manual Regulated Object ID No.: 1.147697 Maintenance required; Replacement system; 450 GPD Flow rate; 15 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual, SBD-10572-P (R.6/99), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the effluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • The existing POWTS shall be properly abandoned per Comm 83.33, Wis. Adm. Code. • A copy of the ap rp oved 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 ins ecn tors. F':O.V~'.T.S. ~'t-rtditi~anulll~ BENNIE W HELGESON Owner. Responsibilities: Page 2 8/17/2007 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate pperation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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). • In the event this soil absoiptiori system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code. compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~f 1c-'~z''ti''~'7 Gerard MSwim /...~ POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon -Fri, 7:15 am - 4:00 pm j erry. swim@wisc onsin. gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. .• ` ~ R~~'~~1lE° INDEX SHEET AUG i 5 2007 SAFE~~~UI~~~~SG~' PROPERTY OWNER: NORMAN GRALOW 2535 80TH AVENUE WOODVILLE, WI 54028 PROJECT NAME: NORMAN GRALOW PROJECT LOCATION: NE 1/4, NW 1/4, S 26, T 29N, 16 W MUNICIPALITY: TOWNSHIP OF BALDWIN COUNTY: ST CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL SBD-10573-P(R/99) MOUND COMPONENT MANUAL SBD-10572-P (R 6/99) CONTENTS: Page 1: Plot Plan Page 2: Cross Section and Plan View of Mound Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section and Specifications Page 5: WLP 1000/600-MR ZABLE Tank Specifications Page 6: Pump Specifications Page 7: POWTS Owner's Manual & Management Plan - Pg. 1 Page 8: POWTS Owner's Manual & Management Plan - Pg. 2 Name: Bennie Helgeson Signed Address: W 1229 770th Avenue Spring Valley, WI 54767 Credential Number: 220292 Date: August 13, 2007 ,.. _ ~. _ .:,Ltwt DIVISICjF,~ SHrLlYAND'CUILDiNGS t ALE CUfkES ONDENi:k .~ j~ r ~ ~ r n~ a,~ ~ rci. ~i ~ ~ ,'~ST~"l L 3 Medium Sand - Topsoil s % Slope Synthetic ~:overing 3 '` ~ C E ~d-G ( i •- 2 'z Aggregate -" Cross .Secti >n Of A Mound Paae ~. ®~~ -Distribution Pipe _FL.~,__ ~~\~G . 1D C O rl i~ Force Moin ~ Plowed From Pump Lcyer q g Ft. Signed: __._ Q ~~.~'Ft. ~;/~_Ft. License Number: ~ ~ Ft. O a t e: ---- J _~___ F t. i o3 Ft. W~ Ft. L D /, 7S Ft . E x.15 Ft. F ~ ~~ Ft. G d 5~ Ft H 1. ~ Ft. Observation Pipe J ~ 6_ r _--- _ - - - -- K r_ - -------, ----- ~-- ------------ o --- ~ A ~ r - - - - - - - - - - - - - - - ~- ~- - '- - - - °'- - - - "'- - w ~ --.= T --- - - -- - - -- / - i„ ~,~ % Distribution E`t_t_ Of 2 - 2'2 Pipe Aggregate I ~~ Observation Pipe ~a5a~ ~r~'c~.. /J~l/. f Plan View Of Mound ~ • r <•,. ~. ~,~.~7 ~ , ~ End Vlaw {~orlor~lru / Pvc Pipe Cf.ul r~ ui,l E~1 r t.. __ ~~ Holes Located on Bottom are Equally Spaced t"J1r1~..~hir ~~~~~I ~'~~ ~tvl o _. Oirl(Ibullon..• Plp~ Discribucior, Pipe Layout Signed: License Number: Dace 6 4~ ~~ R .3 ~'' S X ~~~ ., ,, y ~.7 Hole Diameter __~,_ Inch Lateral " ~ Inch (es) Manifold " ~ Inches Torte Main " ~ Inches ~.,l.~t,~EK`7" Cl~e~. lDa. a~ (~olPS P~~- ~-~-f~~-~ l ~ as ~b-~4.1 ale ~-~s ~ ~ r L INO.~.o~ T' P o r (V r O l n n P l p o O n l g l l ~ lrs~ ~ ~_ Cr G ~Cr.~nC,r~ ~~®rma. ~,rcLlo Page ~ Of$ SEPTIC TANK b PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS v" ~UC..VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF 2S' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W ! PADLOCK ar ~'I.ev. ~~': `7 WARNING LABEL l_,___.._ 4 " MIN . 2y" 18" IN. ~ _ r.D. ~~ ~ ~~ 18 MIN• ~ INLET ' ' t' WATER TIGHT SEALS _ GAS- i ~~ ~ T /APPROVED FIt_TER q ~ ~ SEAL , ~ JOINTS KITH ~vl ~ ° k -~- , ALM APPROVED PIPS APPROVED ' `~ ~S B ' O N 3 ONTO PIPE 3 ~ ' ~ SOLID SOIL ON70 SOLIO C 1 ~ SOIL PUMP OFF ELEV. Zq~~FT. -~-- OFF D 3" APPROVED BEDDING UNDER TANK SPECIFICATIONS CONCRETE PAD SEPTIC / DOSE CTURER F ' ~1~5~ ~ X ~ '° ~ ~ r ~~ ~``~f : A TANK MANU ~ - TANK SIZES: SEPTIC (OOC~ GAL. Q GAL DOSE VOLUME INCLUDING ~~ Gam( FLOWBACK: ; g ~. 3l GAL. / DOSE . n~} L , _ ALARM MANUFACTURER: ~ T, ~h~-~-d ~yS~ CAPACITIES: A = / g INCHES = 3or.~~ GAL• MODEL NUMBER : ~ b I N ~ ~ B = 2 S~ GAL. 3.3. INCHES = SWITCH TYPE: /~.~~ct~1r-t, _ F_ 1©~ . PUMP MANUFACTURER: ~,~.~I--- C = 7~ INCHES = /~~ GAL. MODEL NUMBER : P _~~! ~ - D - ~' ~ _ INCHES - /~~L• E: SWITCH TY ~ ov- REQUIRED DISCHARGE RATE p.7S-GPM PUMP E ALARM WIRING A S PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF A ND DISTRIBUTION PIPE ~ FEET + MINIMUM NETWORK SUPPLY PRESSURE /.,~~ FEET + ~ FEET FORCEMAIN X FT/100 FT. FRICTION FACTOR . • TOTAL DYNAMIC HEAD - FEET - a INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH DIAMETER __,! LIQUID 6~P'i`F{- ~E,'' , l (0.7(~ ~'~~ I ~/Plc.s.G See ~~r,~ .~~'~. S`t-e~e.r SIGNED: LICENSE NUMBER: DATE: I/88 n Q.r ~. ~ ~ r rn a.,h G Y'cs„ I ~i i50' :, ,, ,. ,. :, , ~ ~ ~ i -- ~ . ~ ~' ~~ ~ ~ , ~ ~. 4" VENTS in -~- ------ ------ ~ ti . r. ~ ..... OUTLET _________ ___ ______ INLET n; ~ - ~ f Qi N ~ - 3., ~ _1._. SIDE VIEW s~ I~ILP1000/600=MR ' ZABLE TANK SPECIFICATIONS !~ DIMENSIONS• WALL: 3° BOTTOM:. 3` COVERc 5" MANHOLE: 24" I.D. HEIGHT: 56" O.D. LENGTH: 150" O.D. WIDTH: 84° O.D. BELOW INLET: 42` O.D. LIQUID LEVEL: 36" WEIGHT: 14,795 LBS. INLET AND OUTLET: 4" BORE WITH STOP FOR QUIK-TITE, FERNCO GASKET, CAST-A-SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLES: WISCONS3N, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.88 GAL/IN (SEPTIC) 16.76 GAL/IN (PUMP) LOADING DESIGN: 7' 0' UNSATURATED SOIL ~Q~~C~~ ~o~~~~~~ 4Y3716 US HtiVY 10. MAIDEN ROCK, WI 54750 800-325-8456 MODEL WLP1000/600-A4R ZABLE SEPTIC /SEPTIC, SEPTIC j PUMP ;R SEP l'IC/SIPHON ,~; ~t-c~Vt t'w~ ~, I V~ d3 r rytic~V~ __~ry V'c~.~ crw 14 t2 1C /? Q~ W = f V_ z 0 4 a 0 0 U.S. LITERS w ~~ ~ ~ HEAD CAPACITY CURVE MODELS "140/4140" TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING Ft. Meters Gol. Ltrs. 5 1.52 9I 3aa 45 10 3.05 84 ate ~ IS 4.57 76 288 40 140 414 20 6.10 68 zs7 , 25 7.62 59 223 35 30 14 9 49 185 2 . 35 10 67 38 144 30 . 40 12.19 21 79 2$ 45 13.72 5 19 20 lock Vo le: 4 6' 1 5- t0 5 ALLONS t0 20 3 40 50 60 70 80 90 100 110 G i 80 160 Z4U d[U +~~ p FLOW PER MINUTE 010904 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mechanical alternators, for duplex systems, are available with or without alarms. • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. • Refer to FM0806 for 200° F. applications. 140 Series • 53 lbs. 4140 Series - 73 lbs. 14014140"` MODELS Control Selection Model Model Volts•Ph Mode Amps Simplex Duplex N140 N4140 115 1 Non 15.0 1 or 1 8 5 2 or 3 8 4 E 140 E4140 230 1 Non 7.5 1 or 1 8 5 2 or 3 8 4 BN140 BN4140 115 1 Non 15.5 1 or 1 8 5 2 or 3 8 4 BE140 BE4140 230 1 Non 7.5 1 or 1 8 5 2 or 3 8 4 I6 SELECTION GUIDE of 8 ,. • 1 1/2 NPT SK1824A i 1/2 NPi SK75248 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. Mechanical alternator M-Pak 10-0072 or 10-0075. 3. See FM0712 for correct model of Electrical Alternator E-Pak. 4. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. O CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 - Louisville, KY 40256-0347 Manufacturers o(. . ~ ~ ~ SHIP T0: 3649 Cane Run Road p ~® F,' ~~~'~~~~ Louisville, KY 40211-1961 P QvaL/TY~UMP9SNCE~9s~~~ ~!` (502) 778-2731.1(800) 928 PUM http://www.zoeller.com PUMP CO FAX (502)774-3624 © Copyright 2001 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 7 of 8 FILE INFORMATION Owner Norman Gralow Permit ~ DESIGN PARAMETERS Number of Bedrooms 3 ^ NA Number of Public Facility Units ~ NA Estimated flow (average) al/day Design flow (peak), (Estimated x 1.5) gal/day Soil Application Rate 0.6 al/day/ft2 Standard Influent/Effluent Quality Monthly ayerage* Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (GODS) 5220 mg/L (~ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand IBODSI 530 mg/L Total Suspended Solids (TSS) 530 mg/L C~} NA Fecal Coliform (geometric mean) _<10^ cfu/100m1 Maximum Effluent Particle Size YB in dia. ^ NA Other: ^ NA *Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Septic Tank Capacity 1000 al ^ NA Septic Tank Manufacturer Wieser Concrete ^ NA Effluent .Filter Manufacturer POlylok ^ NA Effluent Filter Model pL-525 ^ NA Pump Tank Capacity 600 al ^ NA Pump Tank Manufacturer 6dieser Concrete ^ NA Pump Manufacturer Zoeller Pum Co. ^ NA Pump Model 140 ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: C,q NA Dispersal Cell(s) ^ NA ^ In-Ground (gravity) ^ In-Ground (pressurized) ^ At-Grade ~ Mound ^ Drip-Line ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 2 ^ month(s1 (Maximum 3 ears) ~ yearlsl y ^ NA Pump out contents of tankls) When combined sludg e and scum equals one-third 1%31 of tank volume ^ NA Inspect dispersal celllsl At least once every: 2 ^monthls) (Maximum 3 ears) ~ year(s) y ^ NA Clean effluent filter At least once every: 13 month(s) ^ year(s) ^ NA Inspect pump, pump controls & alarm At least once every: 13 [~ month(s) ^ year(s) ^ NA Flush laterals and pressure test At least once every: 3 ^monthls) yearlsl ^ NA Other: At least once every: ^ month(s) ^yearlsl ^ NA Other: ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankls) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The 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 accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of S12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Owner : Norman Gralow Page 8 of 8 " ' 'START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the ceftls) 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 Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of al{ tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption 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 lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name Helgeson Excavation Inc Phone 715/772-3278 SEPTAGE SERVICING OPERATOR (PUMPER) Name Johnson Sanitation Phone 715/273-5811 POWTS MAINTAINER Name Johnson Sanitation Phone 715/273-5811 LOCAL REGULATORY AUTHORITY Name St. Croix Count Zonin Phone 715/386-4680 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1-(d-&(fl and 83.54(1), (2) & (3), Wisconsin Administrative Code. Wisconsin Department of Commerce Division of Safety and Buildings SO~EVALUATION REPORT Page ~ of m accoraance w¢n ~, o ~s. ram. ~.oae County Attach complete site lan on a er not less than 81/2 x 1 es in si m p p p include, but not limited to: vertical and horizontal reference poin direc Parcel I.D. percent slope, scale or dimensions, north arrow, and location and dis A to nea road. i~b ~ - / b(o 3 -~O Dp0 Please print I inf~e~ ~ V E D iewed Da t e Personal information you provide may be used f r secondary purposes (Privacy Law, s. 1 .04 (1) (m)). ( ~ ~ D ~ U Property Owner AUG 0 6 2007 Pr pertyLocation ~© f'" ~~~ C-r~ci` 8th G .Lot ~ 1/4 ~~4 S~ T ~ q N R ~ ~ E (or W Property Owner s Mailing Address ST. CROIX COUNTY Lo # Block # Subd. Name CSM# / ~s~S Sd tl~, ~. - ~ aY~ City ~ State Zip Code Phone Number ~ ~ % ^ City ^ Village Town Barest Road ~oo t./- e ~,1.- T 5v~aF~ ( fS) 6 -- 9 ~~.1 ~,~~~ C) f uc. ~X~ ~u~ ^ New Constructron Use: Residential / Number of bedrooms Code derived design flow rate ~~~ GPD L~eplacement ^ Public or commerc ia l - Describe: - 7 - Parent material L o rSS 6V<<' ! ~ ~~ Flood Plain elevation if applicable ft. General comments and recommendations: C~~ 75 u-S ~ ; ~~ ~~ ~~~ r~ ~~~ v~-~r j~~q ~ m 1- C~c( t Mc~u~ ~ ~ -~ ~~~.+ou~- 9~. ~ V r ~~ ~- ~ /-~~~ - 7 5- .L ~ ~ tro Bo ng j Boring # / [~' p i factor ~ y th to limitin Ground surface elev De l~ ft ~~ / .1CX~. in p g . . . Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 (~ v ~S '~ ..._~ / C_ ~ ~ ' ~~r / < t0 - ~ C?D )S .S(L h-. u> V~ ~ `-~ rn ~ ~ L b - v ~- Boring # ~ Boring pit Ground surface elev. ft. Depth to limiting factor _Lg_ in. Soil A pication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/flz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ->'~ o~! - ~- a 6k ~ ~ ~ ~ ~~~ to ~- - 1 -~ ~~~ -~ o R ' rn S ~ - f`o ~ `7~s'` S , * Effluent #1 =BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =BODE < 30 mg/L and TSS < 30 mgiL CST Name (Please Print) ignature CST Number Address ate Evaluation Conducted Telephone Number (,~/.~~q ~7G1 ~-il /,~U. S~,r i~r'9 ~Q ~ l e7 ~ 1- 7- ~ 5/- b ~ ~7~-~2?~ ....~ .,....,. m,..,,..,.. 5 Y 7,~ 7 ~- 6''y„ , Property Owner / v~~~~~ ~ ~0.~ ~~ :Parcel{D~'~ Qp~'~~6~3 -~O "~~ -\ GI o J C~'"~ C7 ~ ~ (f g~~ l Page ~ of~ Boring # 3 pit Ground surtace elev. ~,. ~ ~ ' Depth to limiting factor ~_ in. Soil A lication Rate L'1 g ~ ~~T Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 *E ff #2 ~ -~ C~ © '~ - - L b~ ~ . ~v ( '~ a Q -l ~ i u >° ~ ~ to 3 -~ ~ o~[ ~° S k w~-Fi ~ , 8 -y ~ ~ , s`iR ~~-lo ~ ~-F a Boring # ^ Boring ^ Pit Ground surtace elev. ~ ft. Depth to limiting factor I -~ in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots ~ - ~ v `l ~ ~ - L- ~ ~ L u> 2 ~ ?~~3 ` ~ D ~ i w ~ 3 3- b o ~ a ~ ~L ~~ - ~ _ ~ _ ~ ~ -/ ~O~ ~J- - ~, ~,, sbk ~Q ~ r, k-3(o (bYi~ y ~~~ ~.sy~ ~ C L- ~, w~~ Cw rJ c~D ~. s GPD/ftT 'Eff#1 *Eff#2 .~ . l ~ k a ~._ • a? ~ 3 Boring # Ground surtace elev. ft. Depth to limiting factor ~ in. L1.d' nng a.___ Pit Soil A plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ttz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 - / ~l ~'~ p 7 1 F ~ g' -a~ o ~ M~~ ~ ~Yc2 ci^ ~ d ~ ~ ~ 11 i/ k r I ~ Vvl ~ Q C5 'Effluent #1 =BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =BODE < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) _;. /~ I ~ ,~~,,,: Property Owner ! y~r~~(/l ~ ~0.~ C~~ ,Parcel ID~'~ D~~~~f/~~ '~~ ~'~d -' Page ~ of~_ 3 ^ Bori g .~° .~~r `~ Boring # ~ Ground surtace elev. ~ ft. ,. ''• ~ ~ Depth to limiting factor ~~ in. ,~~' Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/flz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 Q-~(~ (~ 3 ~' L ~ ~ // ~o / `~ I o~ ~ J r~ ~'r/ (~l~ r D -y e ~ , sy>2 ~a-IoY S ~~ ^ Boring Boring # G d l ~ rt ^ ft li iti f t D th t I Z ace e roun su ev. Pit . o m ng ac or ep - ~n• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 *Eff#2 ~ 3- b o ~ ~ PL ~~ - ~ ~ ~ JQ ~ ~ -~~ low `~' - 5, ~,~,, sb~ aP ~ r/ ` ~ ~ ~~~',~ ~ ~^ ~-3W lb Yr~ ~ ~/ ~ 7• s ~ (} //I C !__- w1,~ C c..tJ ~- 1 J N'l a ~ t ~q` ~ -~l4 o C'aD ?~ 5~ ~ c V • e? ~ 3 lLd' nng Boring # Ground surtace elev. ft. Depth to limiting factor ~ in. Pit Soit A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eft#2 ' -/ `~ ~'~p 7- t ~ ~ --~ ~ ~ M ~~ ~ ~YG2 ~ c ~ ~~ d ~ t,J ~ ~' l>! ~ r k ~ l ~ t~l i O (~ ' Effluent #1 = 8005 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =BODE < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. _ SBD-8330 (R.07/00) 1 ~/ •ry^' f ' `~ s I ~' 3 ° ~ ~ L} q N1 ~ w _j S l~+ I ~ ~ ~ 3 O ~ ~ ~( 'y O o O Q ~ 1 ~ ~ 0 ~~ -~- ~ ~s L ~ O w s -~ i ~ IUUU~f \MMa~I ~"'7 J.~ J`" ~ ~~ a N ~~ ~ .~ ~+ Y' v a n d s t~ ~ Go ~ J ~ +l 3 3 .~ ~~ ~ '~ ..~ s y.- ~ p -~ ~ ~-- ~ ~ ~ ~ c~ ~ /o- T ~(+Q~~\ ~+ \ o~ ~, ~ e ~ .~_~ ~, , ~ q J ~ ~ \ ~ ~' ~ _i.y- I 0 ~ ~ Qm ~ ~ ~ ~ ~ ~-- ~`vl ~ 7C-e o~ -~ a-~ a~ -~ a t 1 ~ ` 1 v ~~~D CERTIFIED SURVEY N0. 2146 Part of the NE4 of the NW4, Section 26, Township 29 North, Range 16 West, Town of Baldwin, County of St. Croix, State of Wisconsin UNPLATTED LANDS NW COR SEC. 26 .o ~~rNORTH LINE SEC. 26 TOWN EAST ROAD M WEST 1O ~ ~ M ' ' ' ' • ' 105 .00' (0.8 ROAD ACRES 1 Oro 62.5 - -90, -- - - ..._ _. _ ~ O -I O ~ • OD I I o O ~-~-, oo,, r - -1 L. J °~ .~ ~ N .y 3 LL ~ ON WZW J N h r~~ N ~ N aNC~ ~Nm LL~W ~.~ ~ ; N mZa 1 t~- ~~~ ~ w•~ O I"' ~ z o0 r • O Q. 00 /J • 0j0 VL • Z ~ • `_~ I I 5 ~ rj EXISTING BUILDINGS ,.i I I ~~ 400, 502 SO.IFT. ± 9.2 ACRES± ~~~r~~. r~ 1. ~,~4 ' ~ :_ I ,. UNSUITABLE ~ FOR ~ BUILDING ~ AREA S~ / CARR c CREEK ~~ ~i WEST 1056.00 UNPLATT DS SCALE LEGEND I~~ = 200 ~ 3/4" >e 24~~ ROUND IRON ROD WEIGHING 1.502 LBS./L. F. 200 100 50 0 200 0 o ~? ~ N O~ ,~ t` M x F O y ~-, N V4 COR SEC. 26 D• W~ ~".' ' ~} ~ 4: Z• Q • J• J. 4.~ ~ Z' - ~' ~. Z W z J N a W WATER ELEV. LEGEND ESTIMATED HIGH WATER 96.0 ESTfMA7ED LOW WATER 93.0 APR. 7, 1976 ELEVATION 94.6 BM TOP 3/4~~ I.R. N.E. CDR. ASSUMED ELEVATION 100.00 I, Leon R. Herrick, registered land surveyor, hereby certify: That I have surveyed, divided and mapped a part of the NE4 of the NW4, Section 26, T29N, R16W, Town of Baldwin, County of St. Croix, State of Wisconsin, more particularly described as follows: Commencing at the NQ corner of said Section 26, thence West 82.5 feet along the North line of Section 26 to the point of beginning; Thence South 412.50 feet; Thence West 1056.00 feet; Thence North 412.50 feet; Thence East 1056.00 feet along the North line of Section 26 to the point of beginning. Said parcel contains 10.0 acres more or less. Dated this /G r'y day of 1976 ?~A~t R.~v~sPd,SthisA ?~ ;dY,.-Q~~~..~~,. ;~='=' ~`~T~~~y~J ~r. ~~ ~~ ~, ~ t~~~~ That I have made such survey, land division and plat by the direction of Steve Thomson-'~` That such plat is a correct representation of all exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236 of the Wisconsin Statutes and the subdivision regulations of the County of St. Croix and the Town of B al dwin,in surveying, dividing, and mapping the same. ~,.~~`~5co"s,~~~~ 1~~ APPR~~ED 8 9 ~°~ ~~r~ ~~~~° ~ ~~r ~~ ~' LEON R. ~ ~'- HERRICK ~, w`~ S•2303 ~'~ ~ MENOMONIE, i w ~ WIS. . t ~~ i'y d^ O• ro f V ~s~~i~~s U R b ~,~'~` sT. c~~~~ ~~U~ m F1[ ~o N COMrC! 1=i 'f;'`; E r .." 'S PLANT~tlt~(v E D ah~ ~;:;;,~:ric ci~l.tr,~~;T;£i ., MAY 26196 lE?: ~ O' CONKEit w~t~ ~ V e z r Volume 1 Page 2116 ~ Stock No. 13001 "'~".".~':°`~ ,. DOCUMENT NO. ....-. STATE BAR OF WISCONSIN-FORM I q~•~ V4L 6~~ PAGE ~v WARRAI1tTY DEfD ~.i'V~r ~ THIS SPACE RESERVED FOR RECORDING DATA A„! THIS DEED, made between Gerald H. Strobush, a single man, Grantor and Norman Gralow and Marv Ann Gralow, husband and wife, as joint tenants„ Grantee, Wi t n e s s e t h, That the said Grantor, for a valuable consideration ~~*Good and Valuable Consideration~'n'r conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: The North Two Hundred Eighty-four feet (N284') of the West Four Hundred Sixty feet (W460') of the property described as follows: Part. of NE4 of NW4 of Section 26-29-16, Town of Baldwin, more particularly described as followss Com- mencing at the N l/4 corner of said Section 26, thence W 82.5 feet along the N line of Section 26 to the point of beginning; thence S 412.50 feet; thence W 1056.00 feet; thence N 412.50 feet; thence E 1056.00 feet along the N line of Section 26 to the point of beginning. The fore- going described real estate is subject to all easements of record, highways and zoning ordinances. (SEAL) This deed is executed by the grantor in full satisfaction of the terms of a contract exe- cuted by and between the same parties as herein and recorded with the Office of the Regis- ter of Deeds of St. Croix County, Wisconsin., on 11-11-76 in 545 of 207-208, ~F~336567. The well and pump rights as set forth on the foregoing referenced contract are incorporates in total herein by the way of reference to said contract to the effect that the grantor herein is, retaining said rights. This is .homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And the eranto~ warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated this J~ day of A}j'1"i'1' .-( ~lrl. L , 19 83 (SEAL) * Gerald H. Strobush RE~~STERS OFFICE S ~ . ~24X CO., CIS. et'd. for Record t~s 5 ~~~~ eaf Jules A. D, 1983 s~4 I1:00 A. .a,~: TO Tax Key No. ~'~.~ ~:~ (SEAL) (SEAL) AUTHENTICATION Signatures authenticated this '~ ~ day of ~~L Alrrrl 19 83 "T 'b'° ~~ ,~ ~ * John G. Nestingen TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) This instrument was drafted by John G. Nestingen, Attornev Baldwin, Wisconsin 54002 (Signatures may be authenticated or acknowledged. Both ACKNOWLEDGMENT STATE OF WISCONSIN l SS. County. ~ Personally came before me, this day of the above named to me known to be the person _, who executed the. fore- going instrument and acknowledged the same. are not necessary.) Notary Public County, Wis. My Commission is permanent. (If not, state expiration date: 19 ,) *Names of persons signing in any capacity must be typed or printed below their signatures. WARRANTY DEED-STATE BAR OF WISCONSIN, FORM NO. 1-1977 ~~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer e ~ °~- ti, ~ ~ a Mailing Address v~i53S ~d~ Au e-vi k e ~aPd ~-~ LLB, LcJ ~ S ~o.~ Property Address o2~j3~ ~c~ ~z~~-- (Verification required from Planning & Zoning Department for new construcrion.) City/State /~©o ~ v~ ~c~y 41 i Parcel Identification Number ©o a - /off 3 -fsU-l,~o LEGAL DESCRIPTION Property Location Subdivision ~1 >r '/ , N ~ '/o , Sec. ~ ~ , T ,~~ N R_1 l~W, Town of ~j~.~c;d w > ~ N/A Certified Survey Map # ~ / A ,Volume ,Page # Warranty Deed # ~'j ~ S ~ 9 l ,Volume _-~.[~-, Page # Spec house ^ yes. no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Lot # 5~ ~ Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 'Coning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 1/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms IGN TURE OF APPLICANTS} ~/ 7 /~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) Parcel #: 002-1063-80-000 os/o~/2007 01:23 PM PAGE 1 OF 1 Alt. Parcel #: 26.29.16.3880 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 - GRALOW, NORMAN & MARY ANN NORMAN & MARY ANN GRALOW 2535 80TH AVE WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 2535 80TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 26 T29N R16W IN NE NW N 284 FT OF W Block/Condo Bldg: 460 FT OF LOT 1 OF CSM VOL 1!246 ORD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1139/31 QC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 29,200 130,300 159,500 NO Totals for 2007: General Property 3.000 29,200 130,300 159,500 Woodland 0.000 0 0 Totals for 2006: General Property 3.000 29,200 130,300 159,500 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 Tota I 0.00 0.00 0.00