Loading...
HomeMy WebLinkAbout002-1072-30-000St. Croix County Planning and Zoning Wednesday, February 1 S, 2006 at 7:51:26 AM Detail Sanitary Informat' Page 1 of 1 Computer #: 002-10 -30-000 Sub/Plat: metes & bounds Section: 29 Parcel #: 29.29 6.433 Lot: TN/RNG: T29N R16W Municipality: Bald 'n, To CSM: 1/4 1/4: N 1/2 NE 1/4 Owner. Veenendall, Ge 2255 th Avenue Idwin, WI 54002 State Permit: 112759 Issued 0812611988 POWTS Dispersal: NA Permit: New County Permit: 0 Installed: 07/04/1989 POWTS Detail: NA Bedrooms: 0 WI Fund: / `~~ ~, POWTS Pretreatment: NA / ~ Notes a ~., ~ ~ _ / ~ ~~ C ~~D ~' "r" ~ ;~~~'~f~- ~ ~~~ ~ er I! Other Requirements Issuer/lnsaector As Bu PluCmb Additional t~'~C Monev Owed Not determined Yes Hudson, Dale find this permit and get correct data- original $0.00 Tom Nelson Signed Off: No house before CSM 17/4551 Owner: Veenendall, Geny 2255 80th Avenue Baldwin, WI 54002 State Permit: 430215 Issued: 08/12/2003 POWTS Dispersal: Mound 24" or more suitable soi Permit: New County Permit: 0 Installed: 09/04/2003 POWTS Detail: NA Bedrooms: 4 WI Fund: POWTS Pretreatment: NA Notes Issuer/lnsaector As Built Plumber Other Requirements Additional Notes Monev Owed Kevin Grabau >4/1/00 -Not Required Bird, Shaun Shaun has a new mower, which was needed to $0.00 Pam Quinn Signed Off: Yes clear vegetation on the mound. This parcel is remaining acreage after CSM 17/4551 Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 9/4!2006 Parcel #: 002-1072-40-025 02/15/2006 07:42 AM PAGE 1 OF 1 Alt. Parcel #: 29.29.16.434A 002 -TOWN OF BALDWIN Current J 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 -VEENENDALL, NATHAN B NATHAN B VEENENDALL 2255 80TH AVE BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 2255 80TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 29 T29N R16W PT SW NE & PT NW NE Block/Condo Bldg: BEING W 1/2 OF NE 1/4 EXCEPT PT TO CSM 17-4551 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 10/10/2003 743328 2433/364 EZ-U 07/22/2003 731533 2326/473 WD 793/86 778/174 more... 7M~ CI IMMeRY Bill #: Fair Market Value: Assessed with: - - - - - - ------- - - - - 87212 Use Value Assessment ValUatIO11S: Last Changed: 05/19/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.340 9,500 187,600 197,100 NO AGRICULTURAL G4 34.159 3,600 0 3,600 NO UNDEVELOPED G5 0.500 100 0 100 NO AGRICULTURAL FOREST G5M 18.000 6,300 0 6,300 NO Totals for 2005: General Property 54.999 19,500 187,600 207,100 Woodland 0.000 0 0 Totals for 2004: General Property 54.999 27,500 76,900 104,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 09/26/2005 Batch #: 05-16 Specials: User Special Code 010-GARBAGE Category SPECIAL ASSESSMENT Amount 45.00 Special Assessments Special Charges Delinquent Charges Total 45.00 0.00 0.00 a ~~ v .~ ~-~ ,..~...o..... Z 3 ~~ ~'f', -~ ~ '~ ~ o ~ H y ~ ~... ~ . • u # N 3 ~.~ o ~~ ~ rJ ~ v d 3 Z ~ ~~ ~ W v~ z~ ~I 4 `) I ~~ r ~ _. ~~ J .~2 ` ~ O (~ M ~~ ~I ~~;. //. K ~ ~: ~- P Z q S ~ A O ~ ~ ~ ~ M ' ate. +- i ~ , ,~ . ' ~` .. L v d` h ~ ~ ~ ~ 3 N n (~ ~ O V ~ ~ oEo ~'' _ b ~, tl M CM1 a., ~ ,. v a # # J ~ r~ 4y. ~r~ L ~ LI '~, ~ \~ ~ \1 ~ p , \ t ~ ~ ~ Y\ `, ~~ T ~ -s ~ •--3 ~~ s 1 ~ tY r -; # p - 3 N C~ ~_._... . O ~ w hJ 1,111 ~` yy~ '/'d bn L!J Wisconsin Departrrerlt of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Veenendall, er Baldwin Townshi CST BM Elev: Insp. BM Elev: BM Description: ~~ V • t7 ~ ~~' ~ / / ~ ~~ ~V ~i TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic j 2 S~ Dosing -7 / W Aeration ~ U Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ .Z.ct~ ~ ~ ~ ~,p ~f'ns . Dosing ~~ , /O ~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer - Demand GPM Model Number / I' ~ , /0 • (7 TDH Lift Fricti n Loss System ad TDH Ft ~~3 Force ain Len th Dia. ~~ Dist. to Well Z N bT ~,~ ~ SO{ AB ORPTION SYSTEM BED/TRENCH Width Length No.OfT DIMENSIONS ~ / SETBACK SYSTEM TO P!L B INFORMATION _ _ _ _ Zoe' I ~Z~I DISTRIBUTION SYSTEM ELEVATION DATA County: St. CrOiX Sanitary Permit No: 430215 0 State Plan ID No: Parcel Tax No: 002-1072-30-000 Section/Town/Range/Map No: 29.29.16.433 STATION BS HI FS ELEV. Benchmark~~ ~ ~, r /~~ ~ O~ ~ v Alt. BM v o c, 7i 3- /O2~02 Bldg. Sew 5~ SUHt Inlet .~ SUHt Outlet ~ ~ Dt Inlet ~~ Dt ttom .2 r~ ~ /7 Q/ ~0• ~ Header/Ma~_, Z. f ~D _ O Dist. Pipe ~ z~ 2• S lD ~o Bot. System ~- 2 3 .z ~ s ~~.3 Final Grade v.~S oS. ~ St Cover c ~r/~ J ~ ~~ ~ ~- ~.Z /02.3 Inside Dia. Liquid Depth Manufacturer: OR Model Number: Header/ ifold n Len th Dia 9~ L N Distribution Len th / ~ Dia 2 S acin Prp9s)/) ' ~/ p 9 ~' x Hole S' ~~~~ x Hole Spacing Z~ ~~ Vent to Air I ake d SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ` Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes ~ No Yes ~_) No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /~/ ~.~ Inspection #2:~/~/ / ~3 Location: 2255 80th A(ven~Due Baldwin, WI 54002 (NW 1/4 NE 1/ 2,9 T29N R16W) NA Lot ~ ~~ Parcel No: 29.2 .19 6.433 1.) Att BM Description 1 01 6~~~'~'d~`'\ """'- ~'v ~~Y ~V~-~ ) 2.) Bldg sewer length = /f / O - amount of cover =°>} ~ ~ Plan revision Required? Yes '~ o ~ (~ i , [~O~J ll',ll__-- - ~ L(Y~~ ~~ Use other side for additional information. I __ _ `7 ~ SBD~710 (R.3/97) Date Insepctors rgnature Cert. No. ~.~ r 0 -~" 1. S Safety and Buildings Division County / i ~ ~ 201 W. Washington Ave., P.O. Box 7162 - . /~ / 'SCOn~'',~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266-3151 fl ~ S Sanitary Permit Appl ca ~ ~ ~ ~ ® State Plan LD. Number In accord with Comm 83.21, Wis. Adm. Code, personal nformation you provide B ~-~3~ =~r«~.ts. lh. may be used for secondary purposes Privacy La , s15.04(1)(m) Project Address (if different than mailing address) •, ;; ~ , b f~ I. Application Information -Please Print All Information .~ 22 SS 4 ~~ Property0wner's Na m ~ Fl. ,/P ,p ~%"r' ~1 ~ l~ ~ ~ -~ Parc #f -t p-~ Lot f~.~eQ Block /f Property O^w~ner's ailing Address C..~ ~ Ci~'~ " v Property Location ~ ~/4 ,~ ~k,Section City, State J r >~ l ~ / f ~( Zip Code ~ ~ / L~ Phone Number ~~ ~circ] ne) N; E w k all th l ) h at a II T f B ildi ( Qy S w un t ~ y c ec p p . ype o u ng er u b Subdivision Name CSMN m^ 1 or 2 Family Dwelling -Number of Bed ooms ~' ~~c , - ^ Public/Commercial -Describe Use ,~, //~~^~ hh 1 ^ State Owned -Describe Use ~ ~ , ~ C.xXS( ~ U - ~' ~ - ~z ) _ ^City_^Village nship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' ew System ^ Replacement System ^ Treatment/Holding Tank Re lacement Onl P y Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (C eck all that apply) ^ Non -Pressurized In-Ground and > 24 in. of suitable soil ^ Mound < 24 in. of suitable soi l ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic T reatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/Treatment Area Information: Design Flow (gpd) Design Soi] Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation ' X06 ~', G o-~ ~Dd o3.~ VI. Tank Info Capacity in Gallons Total Gallons Number of Uniu Manufacturer Prefab Concrete Site Constructed S~:eel Fiber Glass Plas[ic New Existing Tanks Tanks Septic or Holding Tank 7~ G Aerobic Treatment Unit Dosing Chamber _~ VII. Responsibility Statement- I, the undersi ~ ,assume responsibility for installation of the POWTS shown on the attached plans. Plumbe/r's Na me (Print) ' Plumb i gnature MP`7P~RJS Number ~ Busifness Ph~~ mp~~~~~ D/ ~/L ~ ~ G- l/ ~ ~/ J Plumber's Addre ss (Street, City, State, ip Code) ~ / - ~ s~" D/ ~ ~o l y~ .~.D t~~ /1/~.C/ VIII. Count /De artment Use Onl roved Sanitary Fermit Fee (includes Groundwater Date Issued Issu' g Agent Signattue o Stamps) roved ^ Disap A p pp Surcharge Fee) ~ ~2~__ ~ 12 ^ Owner Given Reason for Deztial IX. Conditions of Approval/Reasons for Disapproval ~ ~ ~ ~~ ~ i~L r~~~• ~ 2~ /~9 //~ j ~ ~F ~ S ~ S~ a~ CSC ~ ~ ~ ~~_ ~ ~2~ 3 ~~ ~' ~ ~"f P ~s~r ~ 1 , ~Z) =5 ~ ~~ - v Attach complete plans (to the County only) for the system on paper not les an Sl/2 x 11 inches in size .~ . ,~ - PLOT PLAN °Nathan Veenendall ADDRESS 2271 80th Ave Baldwin Wi 54002 ~1./4 NE 1/4S 29 /T 29 N/R 16 W TOWN Baldwin COUNTY ST.CROIX RS Shaun Bird 226900 DATE6/6/03 BEDROOM 4 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top Of 1"pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 103.2' Property Line 4 5 0' Scale = 1 /4" = 10' Tank is to be properly bedded and provided with lockdown covers with approved warning I els U'" ~u Pro 4 Bedroom House ~ 102.2'~~ Hutfcutt Combo Well is to meet all setbacks found in Comm. 83 101 0'~ ~~.M.#2 B-2 99' Area 15' below 11 system is to remain Slope undisturbed / ,? . -~,, ~a-a'+ 250 Grading is to be done u to divert run-off away from syst ~~~ ~~~ t B-3 103' r ~ ~ ~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. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary June 20, 2003 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI 54017 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/20/2005 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Nathan Veenendall 80TH Ave Town of Baldwin St Croix County NW1/4, NE1/4, 529, T29N, R16W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 908028 Identification Numbers Transaction ID No. 877344 Site ID No. 660497 Please refer to both identification numbers, above, in all correspondence with the agency. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes L'Ottl~ltl 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 following conditions shall be met during construction or installation and prior to occupancy or use: DE RTMENT 0 OF E General Approval Requirements: SEE CORRES • 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 "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/OI). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • Distribution laterals are to terminate inside an access box or capped pipe. This stabilized access box or capped pipe is to be brought up to finished grade with the laterals terminating within six inches of the cap. • 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 SHAUN R BIRD Page 2 6/20/03 • 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 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, 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 J Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Cover Page RECEIVED A ~t~ ~ ~ llj~i, SAFELY & BLDGS DIV~ Date : 6/6/03 Owner: Nathan Veenendall Location: NW1/4 NE1/4 S 29 T29 N,R 16W 80th Ave Baldwin System type: Mound System Manuals Used: Mound Component Manual version 2.0 (01/31) Pressure Distribution Manual version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-9. Maintance and Contigency plan 10-12 Soi Signature License n~ 'rand y C~MMERC!~ ~d ~ 1NGS ~OND~NC PLOT PLAN 'PROJEC'T Nathan Veenendall ADDRESS 2271 80th Ave Baldwin Wi 54002 NW ' i / 4 NE i / 4 S 29 /T 29 N/R 16 W TOWN Baldwin COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE6/6/03 BEDROOM 4 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none ,BENCHMARK V.R.P. Top of 1"pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H,R,p, Same as Benchmark SYSTEM ELEVATION 103.2' Property Line Scale = 1 /4" = 10' Tank is to be properly bedded and provided with lockdown covers with approved warning labels Pro 4 Bedroom House 102.2' Huffcutt Combo Well is to meet all setbacks found in Comm. 83 4 0' ~'~" 5 / ~~? . 250 Grading is to be done to divert run-off away from system B-3 103' I 101 ^ ~'~ ~~.M.#2 B-2 99' Area 15' below 11 system is to remain Slope undisturbed Na Designer Date .____-1 ~ Non-Woven Filter Fabric 4" Observation Pipe Perforated Below Filter Fabric ASTi~i C-33 S o n d --.~ / Tapsoff .- ~~ ~. Slope ~pistribulion Pipc i ~~_~ ~ ~ - .... bed di=f~-2%2 prom Rock Force Moin From Pump Cress Section Of A Mound System Us1nq g For The Absorption Arta A ~ Ft. s 6 %Sy~ F t . I ~.~-=~- Ft . ~~~Ft. K~~~ Ft. ~ ~ Ft. u~ ~'- 3"" Ft - Flowed Lover ~,~ ~i E f~ I ~ F . ~ ~~ ~/ G / J ti /`~ ~~ _._- L -- 4+Observotion Pipe---~ A ` ' ~ Force Main ~° ~ _ ------------- --------------------- 1 From Pump t ~ J ~. ° Distribution Bed Of /Z -- 2'2 0 pike Drain Root I `„ 4 dbtervotic~n Pipe Permanent Marker Pipe or Rods Plan Vitw Of Mound Usfna A Bid For The Absorption Area PAGE OF' ~o~~c~ ~~~5~~ 0 S`~~C Kpies ZoZatea do 8st:oR+. bre `c,a~atty 5p4cta ~~r_ ~ ~ J~-t7~ ~ °" ti{ r' ~~ .C~~~r ~~~ '~ y a ~i` ~~ S"f! ` / IY~ 7 f'-X -~ - v i~ ~.. pG•~pr6!tu ~~Ct Qt40is ~} ~' ~FertarraftR F'Vi, P.pt CEJCS'T F{41.L. !~'i.x'P TO C~r~G}'Dr• -, r, ~`'~ Ft. ~~~ X ~ / ir~~,hes Signec#: ~~cense ~umher: 17a~e: ~ ~_ . ~._.~.,,._ :nches Hole 3iameter~~~~ Inch Latera3 ." ,~ Inchf es? fan ~ fol ~ '° c~ InchEs -., Forte Md'! n ~=- inches ~f !1c7leSi p~pe~ -~ ~0 3..~ Invert ~ievdt?o~ t~4 I.ateral~c~~;= .'`Ft. ~,, Y~~ ~a3. S~ ~iSSsiCutitfn F;pe Loycsti ~3 iiAMB£R CROSS SECTI{1?3 AND SP£CIT ICA'I'It}NS SEPTIC TAN2C ~ SUMP C u£1sIHER~'I~~ y~= CI t~£NT PIPE I2" i4li~. ABODE ~J (1R GRADE ~ ~llMCTTON BOX APPROVED MANHOLE Cbv EA > 2 ~' FR0~4 DOOR , WI NDO WITH CONDUIT W f FAA Lt~CX ~ F1tES#i p,IA I3~tTA1CE frlARi~iI3dG LABEL pIN~~HED Gp,ADE ~ ~„~,s~++ MIN. (~ M+=~t • Z~~ _ .r, fl. ~~~ x + x I#1.ET t `, ~ + . i,iAT£R TIGHT SFALS GA5- ~ ~ TIGHT t ;~ '~QplLt1TEB A SEAti ;~ JOii~RS i1ltli ~3LT£R ~ + ~ ALM ttPPRflY£D ?IPE _ s + pN 3' ON?fl APP~'~Ei3 -;-- + SOtIt~ SOIL PIAE 3` ~ ~= C t " {#~iTt} SQLID L~~, J ' FT . _,~,__ 4FF ~ SE}IL Pt.1t§P .OFF ELE1t -1 / D ~+* APPROVED BEDDI3+~G UNDER I'A3+II{ C4 RETE PAD i~ ~ SPLCZI'ICATZC3N5 ! ,j `~~_. ~. SEPTIC f DOSE /t ~/', l`cf/~ ~ L ' NU3'ISER Ot1S£S PER DA" = _ . . . Pl3RER. f . TANK MAl+it3FAC y /'~-7 I)L3SE v~3T7~ME F~CLUOIN~ ~ GAL .> ~ C'A3• • SEPTIC /~, TAN K SIZES = --- GAL. ' ~ - F` LO~JBACIC : '-'- / ~ -~''" ~ /~ l , DOS£ ~ c _ . SAL. .j „~.,_~ A = ~~ "~ INCHES - :^ ~ N~FACT43RER: ~{7%~~,T'~" ''~ `'~ ____ CApACiTiZES : ~ ~~ ~ " GAL. MA RM AIA ~ ' g = 2 I3rTCHES = _ - MODEL. NEi~iBER: S1~ITCH TYPE: c'~.-~ ~ L (~ _ ~,~~ "~ GAL_ - ~~ INCHES _ ~. ~ ! ,~.: PtIHF MpNc3FACTtJR£R: _~~~ . C . ~ _ %~~ GAL. MODEL NU!'i$ER = " -'-~' SWITCH TYPE. ~- -~1' ~,'~~~r ~ ~ ~ ~ PER ILE1R ;;~~~~' GPM RGE RATE L'~ PU3"fP £ ALARM WIRING AS / ~ REQUIRED I}ISCF#A $ETW£EN pL1t~iP ~ O£'F AND I~ZSTRIBUTI©N FIP£_`~ /y_____,,~~ L.EET , ~~ ~"~ VER'!`ICAL DIpFEgENCE + MINItit3i~i NET~tORK SUPPLY PR£S5L1R£ F ZN X~ ~ F£ 3_!(0 _ ~ . ~` Tf 2QIi FT.. FRiCTI0i3 FACTOR ~ FE / ~~ ~ ~ £ ~i£AD _.,.. - F`£ET FORCEMA . y~ , , ,--' - T{~TAL DYN1'~I a}' ~ W Z i3'~H _ ~ __. ; DIAMETER _______ 4GTI-I ~NT£RNP-L oir~ENSZON~ 4I' PULP TA~~: ` ~ LEI~ I,LQi}ZD LICEi~SF. NUMB£g S IGi~E13 4RTE= :ass HEAD CAPACITY CURVE ~, MODEi 152/153 w w '~ r.,_ _ - 50 153 12 ?0 152 o I ~ 30 z S ~' r I 0 Q i LU Q 4 -~ i 10 0 20 0 60 30 100 GALLONS t - Lt7ERS 0 80 60 240 320 FLOW °ER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. `' • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. - Over 130°F. (54°C.) special quotation required. 1521153 Series N152 715 ~t Non 8.5 1 2 or 3 f3N152 115 1 Auto 8.5 Incuded 2or3 E752 230 1 Non a.3 t -- BE752 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 ( 1 I 2 or 3 BNt53 115 1 Auto 10.5 Included 2 or 3 E t 53 230 1 Non 5-3 ~ 1 2 or 3 BE753 230 1 Auto 5.3 Includea 2 or 3 ~ D CAUTION Aft 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). i OTAL DYNAMIC F,EAD~C,APACITY PER r..t+'~IUTE EFFLUENT AND DWA?ERIN MODEL ~ 15~ 153 1 Mete ' Laers Gal. i L"--~ Feel ~ rs I CiJ,. -~-- ~ ~ Q 7 ,I 5 1 5 I 69 j ?61 77 ~_ t0 3-'3-': '~ 61 ~ 231 i 71265 I 15 ' 4.6 ~ 53 j 20161 1 231 ! ~-~- 107 ~ 52 197 20 .I 6.1 44 _ _, ~5 7.6 34 ~ 129 42r?5g 1n ~~ 99.-1-~~ 23 ! 87 ~ 33 ! 125 ~----I----f-- - _ ` 4~~~ ~ i2.2 ~ -- ~ 11 j- 42 t ~~ 111.&rc. 44.0 ft. (13.4m~ ~______-. c;asoa .- 3 ?7/32 iz ~2 ~-__ I i ,z ~t~e i 3 i I sK2asa __L_-- SELECTION GUIDE 1. Single piggyback variable level float s~.vitch or double piggyback variable level float switch. Refer to Fh10477. 2. See FM0712 for correct model of E:ectrical Alternator E-Pak. 3. Variable level control switch 10-022~ used as a control activator, specify duplex (3) or (4 J float system. RESERVE PO}IVERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. _ ma1L ro: P.o. aox 1s3a7 ~~ ~~ ~ ~~ Louisville, KY 40258-0347 Manuiacturersof. . ! ~ SHIP TO' 3549 Cane Run Road u ~i~~~o~/'~ ® Louisviue, xY aa211-1ss1 Q~aurrP~~PS SHOE /3~~9 ,,. r,. , i (502)178-2731.1(800) 928-PUMP httpJ/www.zoeffer.com /~~/-'~~ ~D' FAX (502) 774-3fi24 n f'nn~rinht X000 Zoeller Co All rights reserved. Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the mound is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7.Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegitation are not be planted on system. The system is not be driven over. 10. Effluent Quality is not to excede the requirements found in Comm. 83 Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump with out float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, retill soil, install new mound system. 3. Replace any other failing components as needed. Important Phone Numbers Plumber: Shaun Bird 715-246-4516 Pumper: Tom Mondor 715-246-5148 St. Croix County Zoning 715-386-4680 Qa9e _`of I ~ - POWTS OWNER'S MANUAL 8~ MANAGEMENT PLAN FILE INFORMATION Permit #. ot.7ru..... -- SepticTank Capacdy ~~.~ :S ~~ at ^ NA Septic Tank Manufacturer 7;~- ''~'~~ h1A Effluent Filter Manufacturer ~~~ ~-,~? ^ NA Effluent Filter Model %~-J ^ NA Pump Tank Capacity ~..~ r a1 ^ NA Pump Tank Manufacturer ~ - y ~ ~ ^ NA .Pump Manufacturer ~~,-`~ ~~/ ^ NA Pump Model ~ ~'./~'.~ ~ ^ NA Pretreatment Unit ^ Sand/Grivef Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other. Manufacturer Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) © At~rade ~l~ound ^ Dri ine ^ Other • Values typical for domestic (norr-rnrn~T'ercla>) vraste~ratar ano septic tank etifuent •• Values typical for Pretreated vrastewater. Service Frequency Service Event Inspect condition of tanks} Pump out contents of tank(s) Inspect dispersal cell(s) Clean effluent filter inspect pump, pump controls 8~ alarm Flush laterals and pressure test Other. Other. At feast once every ~ ^ month ear(s) (Maximum 3 yrs.} When combined sludge and scum equals one-third (Y} of tank volume °---' ^ month~S~'`~-Year(s) (Maximum 3 yrs.) At least once every `5 At (east once every At feast once every At least once every At least once every At least once every ^ months ^ months-'Year(s) ^ NA ^ monthsyear(s) ^ NA ^ months ^ year(s) ^ NA ^ months ^ year(s) ^ NA MAINTENANCE INSTRUCTIONS one of the following licenses or Inspections of tanks and dispersal cells shalt be made by an individual carrying clot, POWTS Maintainer, Septage certfiications: Master Plumber. Master Plumber Restricted Sewer, POWTS inspe Servidng Operator- Tank inspections must in euthe volume of combined u dge and scum and to ch lecicffor any back up hardware, identify any cracks or leaks, n-teasu ~ to check the effluent levels or ponding of effluent on the ground surface. The dispersal cell(s) shat( be visually inspect ndin of effluent on the in the observation pipes and to check for any ponding of effluent on the ground surface- The po g authority. ground surface may indicate a failing condition and requires the immediate notification of coo of the tank volume. the Vvhen the combined accumulation of sludge and scum in any tank equals on~third (l;) ntents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR entire co 113, Wisconsin Administrative Code_ retreat ment components, and any formed by a certified POV1(1-S Maintainer. The servicing of effluent filters, mechanical or pressurized POWTS components, p other maintenance or monitoring at intervals of 12 months or less shalt be pe of cerrtpletion of any service event. A service report shalt tie provided to the locatl regulatory authority within 10 days 1 for the presence of painting products or other START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tanks, emal cells If high concentrations are chemicals that may impede the treatment process and/or damage the lisp ( a septage servicing operator prior to use_ detected have the contents oa the tank{s) removed by MAINTENANCE SCHEDULE • - - - Page of _ ~- ^ Shall nOt occur when soil conditions are frozen at the infittrative surface. Systbm start up Outing power outages Pump tantcs maY flit above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispet5at cell(s) in one large dose, overloading the cell(s) 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 Servidng Operator prior.to restvnng power to the effluent pump or contact a P{umber a POWTS Maintainer to assist in manually operating the pump controls to restore normal tevets 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 soli absorption area. - Reductian or-etimination of the fo{lowing from the wastewater stream may improve the performance and prolong the Gfe of the POVYTS: antibiotics; baby wipes: dgarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat'; fourida6on drain (sump pump) water, fruit and vegetable peelings; gasoline; grease;. herbiddes; meat scraps; medications; oil; painting products; pestiddes; sanitary napkins; tampons; and water softener brine. ABANDONMMENT g shalt ke taken to insure that the When the POWTS faits and/or is permanently taken out of service the followin steps system is property and safety abandoned in compliance with ch_ Comm 83.33, Wisconsin Administrative Code: Ail piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of alt tanks and pits shalt be removed and property disposed of by a Septage Servicing Operator_ • After pumping, al[ tanks and pits shat[ be excavated and removed or tfieir covers removed -and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PI~IN 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, tot lines and wells. Failure to protect the replacement area will result in the need for a new sot( and site evaluation to establish a suitab{e 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 faded POl/dTS. e site has not been evacuated to identify a suitable replacement area. Upon failure of the POWTS a soil and srte evaluation must be performed to locate a suitable replacement area_ ff no replacement area is available a olding 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 followfng removal of the biomat at the infiltrative surface. iReconstnrdions of such systems must comply with the rotes in effect at that time. «WARNlNG» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDlOR INSUFFICIENT OXYGE . DO HOT_ERESCUE O A PERSONOROM THE INTERIOR OF A TANK MAY EB DIFIFICU T ORN[MPO SIBLE_ ~Y RESUL ADDITIONAL COMMENTS POWT'S INSTALLER Name ~~~ ~ ,=.~`,. ,~~ !_' ; ~r~ r _. Phone f~ % ~ ~ ~ ~ /~ '"- ~- ...~; -~-. POVYTS MAINTAINER Name ~-rr.~,~ ~ ..~%//~ "` Phone ~%% -- !',5~ ;~"~ ~~~`~ /~ LOCAL REGULATORY AUTHORITY SEPTAGE SERVICING OPERATOR PUMPER ,---- 7 _~<-~ .-- t~ Agency. ~ lip ~%'~°- ~7~.'~`' Name ./,~~ La''~/f ~~: '~ ~ ~ `~~-~ ~ ~.~ ,-- <''~d'~~°'' Phone J~'-- Phone ,i ,,'~ ~---- ~_..- ~" ~.--'~ nt meets This doarmeni was dratted try the staffs of the C,teen LBO. Marquette and Waushara County Zoning and San'rtatian agerrdes_ This docume the minimum requirements of ch_ Comm 83.22(2}(b){t}(d)&(f) and 83.54(7 ), (2) ~& (3}, Wisconsin AdminlsUative Code. Use of thls dement does G~ (yo' ) guarantee the performance of the POWTS_ vYisoonsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site. plan on paper not less than 8 1/2 x 11 inches in size. Plan must County y ~-~) x include, but not limited to: vertical and horizontal reference aroel LD. percent slope, scale or dimensions, north arrow, and location nd di Please print all information evie ed by ate Personal information you provide may be used for secondary purpos (Privac~ s.®5.~! (~~ ~ ~~Z.,~/O 3 Property Owner Property Location ST. C 'h ~ Y /q ~ 1/4 S T N E ) Property Owner's Mailing Address ubd. Name or CSM# State Zip Code Phone Number ^ City ^ Vllage Town Neares d New Construction Use. Residential / Number of bedrooms Code derived design flow rate GOD GPD ^ Replacement /~ / ^ Pu 'c or eraal -Describe: __~ __ ~.__ Parent material f«~..~c~'~~c~ Flood Plain elevation if applicable N J~ fL General corm~eMs /D3 . a and recommendations: /~,i,~..~ ~ Boring ' Bonng # Pit Ground surface ele~ ' ~ ft. Depth m limiting facto _S~~ in. Sod igtion Rate Horizon Depth Dominant Color Redox Description Texture Stnxxure Consistence Boundary Roots GP D/fl? in. MunseA Qu. Sz. Cont. Cobr Gr. Sz. Sh. •Etf#1 'Eff#2 is L ,~ 3 {~ 33 ~- ~ - S e~ N/r4 . S • ~ # Boring Pit Ground surface ele , ~~ tt. Depth to limiting factor ~ in. Sal ~~ Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munseil Qu. Sz. Cont. Ccor Gr. Sz. Sh. •Eff#1 •Eff#2 / -~~ ,-s ,~ - ~' , ~_ r ._.___~- r ~'~' Z~ l/~ ~ U ~ ~ ~~ r r~-- ~ ~/J~ ~ ~~ • Effluent #1 = BOD > 30 < 220 mgll and 30 < 150 mg/L ' Effluent #Z = Bou < :tu mgt arra -ray < su mgrs CST me ( P,r~t~ gnature CST N ~s ~ C/ ~ Address Oate Evaluation Conducted Telephone Number Property Owner Parcel ID # Page of ^ Bones Ground surface elev~ ft. Depth to limiting factor ~ in. ®~~ # ~- Sal ication Rate Horizon Depth Dominant Col Redox Description Texture Stn~cture Consistence Boundary Roots GP DIfP in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'E ff#2 p -'7d / 6 Z /~ . ~.~ -- - ~l~ ~/~ d 3 - ~ a ~~# ° ~~ ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Oepth Dominant Cobr Redox Descxption Texture Stnrrxure Consistence Boundary Roots GP D/iF in. Mansell Qu. Sz. Cont. Caor Gr. Sz Sh. 'Eff#1 'Eff#2 n Boring # ^ Boring Gatti ~ t~n.,~ ~~ ;,! u ru -------- --- - --- - -~- -- -------~ ------ Shc ication Rate Flarizorr Depth Dominant Caor Redox Description • Texture Structure Consistence Boundary Roots GP D/fP in. Mansell Qu, Sz Corn. Cdor Gr. Sz Sh. 'Eff#1 'Eif#2 'Effluent #1 =BODE > 30 < 220 mglL and TSS >30 < 150 mglL '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-8370 (R•6/00) Soil Test Plot Plan Project Name Nathan Veenendall Shaun B' d Address 2271 80th Ave Baldwin Wi 54002 CS #226900 Lot ----- Subdivision ------- N W 1 /4 N E 1 /4S 29 T 29 N/R16 W Boring Q Well PL Property Line BM or VRP Assume Elevation 100 ft. Date 12/18/02 Township Baldwin County ST. CROIX Top of 1 " Pipe System Elevation 103.2' *HRpSame as Benchmark Alt. BM Top of 2" Pipe @ 99.5' a~ . ST CROIX COUNT3C ~' SEPTICTANK MAINTENANCE AGREEMENT .. AND. OWNERSHIP CERTIFICATION FORM i t`- OwnerBuyer ~ j~~`~Q^~,.~ ~~p ~n,~x~y`~~J `~e~f y f,~2~-e~c Mailing Address n(. o~ ! I ~ Q ~ ~hr'~ ~ x~X ~ A `F~'4 Property Address ~ ~-,~' 1C ~ ~ ~ (Verification required from Planning Department for new City/State ~,,-~~~1a96r. s~~,z Parcel Identification Number I LEGAL DESCRIPTION Pro e w Location ~ '/s,~,~ 1/<, Sec. ~ ~ N- W, Town of ~1~~SdL`~ . P rt3' e~d~ °- Subdivision ? `"~~ ~- (Ze~rc~ ~ ,Lot # Certified Survey Map # '-~ .Volume ,Page # Warranty Deed # ~3 (~3 .Volume 2 ~ ~ ,Page # ~ ~ Spec house ^ y~ no Lot lines identifiable~l yes ^ no SYSTEM M~iINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, 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 Zoning Office within 30 days of the three year expiration SiGNA"i'[JRE OF APPLICANT DATE OWNER CERTIFICATION 1(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. /7 /~ SIGNATURE OF APPLICANT DATE ******. Any information that is mis-representedmay result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ......._... ..l __ -.....-.._........-.~`-........_.__~....... __. cocUMENr NO. ' ~ WARRANTY GEED ~4 ~i BTATE BAIL OF WISC,DN91N IORI[ 4--19sf '~ ,! t~0$69 '' ir_._._.~.__ __ ._ . _ _ __ ,. ~~ ~ .k First,National..Bank,-o£_Bal_dwin-,,.-a.national ............ :' f~; ban$~ng..corporat2on:.... ..... ........ .... ....... .. ~~ conveys and warran4 to ........... ....:...........................:............................. .; y. ~~ ......Ga.t~y...B.....V.asAeada.1.1...and..B.nnaie...B.....Y.eeaen.dal.1.. ~~ •• --.Bu.~,ttsud...and..kif.a... gil.. ekt~-.~Yot.~.t~:~P... .. ~.t.~~.a~ ............. ' I! ..... ntoDer.ty ........................................................................................... S ..................................................,............................................................. the foUovlinF described real estate in ......$~~..CFO•j,l( .....................County~ State of Wisconsin: TN/f f-Att Iltt[11Vtp IOe IItCO1101N0 DATA I ft~G15TT~ OFfiCE ~` st. c~orx acs. w~ Reed fosr ~soosrd Iii 6~ th ~ '' 'd°r °~--~~s..,~,a t~~ A i! '', .' ~~ i ,. -_ - ~ -_ jl *~»» T~ BAKKE, NORMAN '! SCHUMACHER, S.C. ~' ___-__ -_ _ _ -- --- -- -- -- -_1! I V, I~ Tar Psroel No :.............................. Quarter of Section 29, Township 29 North, The West Half of the Northeast ~' Range 16 West, St. Croix County, Wisconi'n. ~~ ~~ ~,o 1 S n0 t homestead This .................... property. ~~) (is not) Ezception to warranties: Hated ist October 87, .....--•--••-- ....•---• - ..•...-........ day of ----....... ..................................•--•-••---•............, 14..... . 1~ ~ ~/J ~ ~~... SEAL D 1 W. re ent .- .. ..-- - - ~ ~...(SEALj n M. Mentink, ice President A~TBSNTICATION ....................................................• - - .-..-.(SEAL) ...... -- .........................................................(SEAL) wcaxoWivsaazissxT g~a1i~,(,) -_Da1•g-,W ;-- Fgrn.-and Jon M. Mentink aathenticated this ....-__.dsy al....OCt-'-------------- 19_.8 7 Thomas R. Schumacher TITLE: MEMBEiz STATE BAB OF WISCONSIN (It t, STATE OF WISCONSIN St. Croix ~ 'a' ....--•-• ...........................•-County. Personally came before me this _...ist,_._...day of OCtObeT ., 19$~ ... the above named D(!lA_ i1-.- Fern,-.pesident•dE_JQi?..M,.•~!Iext~~k Yice Pxeaident authorised by; ?06.08. Wis. Stats.) ...,. to me known !o be the person $-.-._-... who ezecuted the ~1`-~~..,,,ibr~go 4 ent d~clCtwwled the same. .~', THIa INaTRUM[NT WAa DRART[D BY ~ ~. V ~ J ... BAKKE, NORMAN ~ SCHUMACHER, 9s~. ~ ~ ~--';~ •--• .. ...............••-----..........................------ .......~ ................................................•------....~..-----~ .. • _ Je Pederstuen '. t.. m.-.t------------ --------------•----.......----•--------............. Baldwin.:.. .WL.--•--54002_....-----• ---•~'y•_Q ~ 2(otgi-~Public......._St. Croix---•-------.-.Coanty.Wis. ' ! (Sisnstares may bs authenticated or acknowledg~ed~~oti'i AMY ~orpmission is permanent. (If not, state expiration ~ ' NotaryPrGtt jrateol'Niscors~n t are not necessary.) - ~ y .. 19. .) fi ~r •~b ...._....t,~,-Ctsn,rc.:r: E;~~~r8s•t~v-•tr-'r9~0 ...... •.e.. w•.N•• :~ + ~Iftasr d ytawet .i[alet is aa~ esptcit~ dwnld !~ t,ped oe Driat.d below teeie .ienAtun.. i xcrsswcaw..ti® srerponx xo~ >~ °s g'~ Stotk No. 13002 e s ~~~ 2326P ~l73 S't ATF EiAii OF WISCONSttJ FORM 2 - 2(X10 i~ocumene Number WARRANTY DEED This Deed, made between Gerry II. Veenendall and i3onnie E. Veenendall, husband and wife _. __ ~ __~_._.r - --- --.___._ _ _ _. --- _ .---- _ ...... __ .. -- -._. ~ Grantor, and Nathan B. Veenendall, a single person Grantee. Grantor, far a valuable consideration, conveys and warrants to V rantee the followsng described real errata in St. Cro_ ix _ C'ounry, State of Wisconsin t it more space is needed, please attach addendum:) West Nalf of Northeast Quarter (W I/2 of NE I/4) of Section Twenty-nine {29), Township Twenty-nine (29) North, Range ~ixtecn (16) West EXCEPT Lots I snd 2 of Certified Survey Map flied June 26, 2003, in Volume 17 of Certiilied Survey Maps, page 4551, as ti/ocumenf No. 727346. 7 3 1 5 3 3 KATHLEEN K. MALSH REGISTER OF DEEDS ST. CROIX CO., wI RECEIVED FOR RECORD 07/22/2003 02:15PM tVARRANTY DEED Elf1:MPi REC FEE: 11.@0 TRANS FEE: 67.50 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address Ufa L 1 a ~-~ r o ~,/ UU2-3072-30,002-1072-4U Par•cei ldcntificatian Number (PII\ ) Tttis •_ is not _ homestead property. Gib (is not} Exceptions to warranties; easements and restrictions of record. ~ ~ Dated this __ _ _ ~/~l ° ~ da c+t ~-- ~ 2003 . ~.__ . _._._. y _..... _ ._~. ___ ~ . _ _._ ..___ _ _ _~_ . - _~ _~/1_~___-- ------------- * * C;erry eenendall _ -t-/ ~---" ~ - - ~ Bonnie M;. Veenendall A(1THENTICA-CIUN ACKNOWLEDGMENT Signature{s)___ ~-_-_`_ _.....___ . STA"I'E OF WISCONSIN ) ------------ ss. ___.__ _-_--~--___..---__- _. _ _ __ _ _ _ ___ .______ __. _. _ __ ~ St. Croix County' ) authenticated this day c7f _ .~ . __.._._ ___ _ ____ , _~._ _ sonally came before me this _ ^~. _ day of 20U3 the aboV ._ _' _.. arned ---- - - ---_ - - t ^. '; "C1TLE: MEMBER STATE BAR Of` t~'ISCUNSINF (If not, authorized by § 706.06, Wis. Stars.) THIS INSTRt1MENT WAS C)R.AF"CED 13Y Tfiomas A. McCormack Baldwin, WI 54002 (Signatures may be autkerrticated or ackno~~lc dbccl. Hoch are nut necessmy.} tome known to be the person(s) w instrumem and acknmltled~d the Notary Public, State of WISCONSIN ''•.~'' 'la` My Commission is permanent. (If not, state exp ~~ " \ames of person:; signing in arty cspRCiiy roust be typed or printed hela~•r [heir tiignaturo. STATE ttAR OH' 1ViSC0!VSIn WARRANTY UEF,D FOR\1 Nu 3.2000 INFtJ•PrtO (800}855-2421 wv+v+.infoprotorms.co~r