Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
002-1079-10-200
C P~,! l-itk~sS) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM S:3fety and Btzlding 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)]. ermit Holder's Name: City .Village X Township sin erhouse, Kenneth & Karen Baldwin Townshi ST BM Elev: Insp. BM Elev: BM Description: ~ 00 ~~ t ~ t;A . o ~ 5' ~~ ~,. ~ ~ GST ~ w~~' ~ 'ONK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ vvt.~ P ~ I t7o0 ~, Sz> Dosing ' ` 1 Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL LD 9 Vent to Air Intake ROAD Septic 2 ~ i --~ Dosing ~~ t,~. u -\.. ,Z ~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ „(~(~_ _ o=! Model Number ,~,~~~~•,/~ /0• TDH Lift . ` Friction Loss System Heap '~•~~ ~ 2'3'1 ~' 'S Forcemain Length I Dia. ~ Dist. to v 2fl 2 SOIL AB50RPTION SYSTEM Width ~ Length f N DIMENSIONS ~ ~,.s' , SETBACK SYSTEM TO P/L INFORMATION Type Of System: /n~ 1M e~,n~dl DISTRIBUTION SYSTEM ~ ~,. Header/Manifold Distribution l 1! Il pipe(s) k Length~_ Dia 2 Length Dia f' ~ Spai QAII /~AVCD __ ..____.___ n--_a_~~ A..1- ..., ~~.......~ n. A~1:r~r1o Svc4ams Anly jl Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed(rrench Center Bed/Trench Edges Topsoil ~ Yes [] No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~~ /~/ ~}~~~v~alnd Inspection #2: / C~~ t~3 " " Parcel No: Location: Woodville, WI 54028 (NE 1/4 NE 114 32 T29N R16W) NA Lot 1 1.) Alt BM Description = (ap,._~ (2 {- eK eAjQ'' `~~ 2.) Bldg sewer length = 2 p ~ D ~ 1 - amount of ~g f~ • s,~,$-ram- ~ r. (t)`F. 2~ t l 3 Contour ~j8 n r-"evision Required? Yes No 13 ~/~'^' ~F' ~~ Use ether side fir a~~iti~nal information. ~ Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) GPj`•\~ Ft 6.(Z county: St. Croix Sanitary Permit No: 395252 0 State Plan ID No: ~sLg(z- Parcel Tax No: 0~3 -/a ~9 - _~ STATION \ 23 ~ HI FS ELEV. Benchmark ( ~ Z% lob Z3 t va• ~ Alt. BM Bldg. Sewer Q ~Z per,. ~ ~ ~ StlHtlnlet 9-~ / (~ ~}, SUHt Outlet Dt Inlet D ottom jZ+ Fj p~.~~ Header/Man. ~$D 9~. ~/3 ~ / 77 Dist. Pipe ti4~e , 9.6 Bot. System • Z ~ . Zb ~ •O Final Grade ~ ~ S- St Cover 4. Of Pits _ Inside Dia. Liquid Depth ylBEft OR UNIT 3~ u I ,IQ ~, _ as/,, Ana ~/J J.J (// \/ (/^ o~+R55 ~~..// Safety & Buildings Division Sanitary Permit Application 201 W. Washington Ave. In accord with Comm 83.21, Wis. Adm. Code PO Box 7302 ~~~Ci~~.~r~~ See reverse side for instructions for completing this application Madison, WI 53707-7302 Personal information you provide may be used for secondary purposes (Submit completed form to county if not Deportment of Commerce [privacy Law, s. 15.04(1)(m)] state owned. Attach com fete fans to the coun co onl for the stem, on a er not lest than $- S to Plan IcD. Number r t' ~ ~ ; S f Coturty State Sani iiN' ber ^ Check if revision to ~ P I< S ~' Z ~~ J `~ . C~ ~ 5 C. ~ ko tion: I. A lication Information -Please Print all Information •~Pro f6, Property Owner Name ,(, ~~~:f l ~~- ' J~~~~~~ ~~ ~j, R g or .~ /~ 'e / , Q U `e I.ot N r Block Number ro Owners Mailing Address ~ .C. r ~ ~ ~ ~"~ .3 Q ~ h Phone er ~,~~ ;' Subdivision Name or ' SM Number City, State Z'p Code Z ~ ' O O~ U I ~ Q ~'O ifl~-fr ~C~ ! ~'1 , a.5. S w" ~~ ''~ ~~ Village II. Type of Building. (check one) /~ ~, ,~ ~ ~ ~awno° _ I or 2 Family Dwelling - No. of Bedrooms : ~~ ~ ~ ~ ~ ! ~ ~Public/Commercial (describe use):_ ^ Stat -Owned Nearest Road ~~ m ~~ $ n U ` O. S ~ (1~ . f Parcel Tax Number(s) Q ~, ~~'~ III. T e of ermit: Check onl one box online A. Check box on line B if a licable 5 6. ^ Addition to A) 1 ew 2. ^ Replacement 3. ^ Replacement of 4. Existin S stem S stem S stem Tank Onl Date Issued Permit Number B) ^ A Sani Permit was reviousl issued N. Type of POWT System: (Check all that apply) ^ .Sand Filter ^ Constructed Wetland ^ Non-pressurized In-ground ~J~Mound ^ Holding Tank ^ Single Pass ^ Drip Line ^ pressurized In-ground ^ Recirculatin ^ Other: ^ At- de ^ Aerobic Treatment Unit V. Dis ersal/Treatment Area Information: Elevation 1 Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final G e Required Proposed Rate (GalsJday/sq. R.) (MinJinch) ~ d YSo ~.~ ~, oo. 6 Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic VII. Tank Con- Con- glass Information Gallons Gallons Tanks Crete structed New Existing Tanks Tanks ^ ^ ^ ^ ~p~ VIII. Responsibility Statement [, the undersi ed, assume res onsibili for installation of the PO shownt ~at~hed tans. B~iness phone Number Plumber's Name (print) Plumber's Signature (nos ps): /~ r .~ Z Plumber's Address (Street, Ciry, State, Zip Code) ~ ~ rf ~ IX. County/Department Use Only ss • g Agent Signs (No stamps) Sanitary Permit Fee (Includes Groundwater Date Issued ^ Disapproved Su r e Fee)S ` Approved ^ Owner Given Initial Adverse g 2 ~ z9 ~p r L Determination SR-~ So' 1 .~"~- X. Conditions of Approval /Re sons for Disap~~ova~ ~ ~~ ~, ~_ -'" j~~~-4-1~zs~u~c 0~ tit ~„~ ~~}- a~:~` ~., ba t bvt. IMFt.M. ~ . o (~ ~ s~ S 3 (~,~~ ~,s,~ - c,a'~Q iwl~- ~ ~" w SYS~ s; b~ ~ ~ 3-b~.d~-~~ ( ~~ P~~~ = ~~~ Wisconsin Department 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 sin erhouse, Kenneth & Karen Baldwin Townshi CST BM Elev: Insp. BM Elev: BM Description: INK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding c°unty: St. Croix Sanitary Permit No: 395252 0 State Plan ID No: Parcel Tax No: ELEVAIIVN uP-~H Benchmark Alt. BM Bldg. Sewe TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding Inlet Bottom Pipe PUMP/SIPHON INFORMATION ITDH (Lift (Friction Loss (System Head I I url rc I Cnrncmoin I nnnfh f)ia. Dist. to Well SOIL ABSORPTION SYSTEM ovnn•oeuru ~nratti I onnth Nn Of Trenrhes r11@TQIQi ITIAAI QVCTCIIA Cover Header/Manifold . Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing c•~n /~A\/CD __ .._____.__ c._._•_~_ ~..~.. .... u......rl nr eFr_~~rlo Sverams only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedlrrench Center Bed/Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: Woodville, WI 54028 (NE 1/4 NE 1/4 32 T29N R16W) NA Lot 1 Parcel No: 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = 3.) Contour = Plan revision Required? ^ Yes ^ No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) ' pt(,t~SS Safety & Buildings Division Sanitary Permit Application 201 W. Washington Ave. In accord with Comm 83.21, Wis. Adm. Code PO Box 7302 ~~~~~~~~~ See reverse side for instructions for completing this application Madison, WI 53707-7302 Personal information you provide maybe used for secondary purposes (Submit completed form to county if not Qepartment of Cgrmmerce [privacy Law, s. L5.04(I)(m)] state owned. Attach tom lete Tans to the coun co onl for the s stem, on a er not less than 8-1/2 x 11 inches in size. State Sani (~ermit Nrumber ^ Check if revision to ~ p i / ~ State Plan LSNu~ i r,~ County - ^ _ L S2J ~ ` G. (~l~ ~ ~ J~o ation: I. A lication Information -Please Print all Information 6, Property Owner Name R~4i'f! ~ ~r~t ~~~~ ~~ ~, C, N R ~ or ' ~ ~ " e ~ ©U ~ Lot N er Block Number ro rty Owner's Mailing Address ~ - °~ 3 Q Phone r.•- r Subdtvi on Name or CSM Number City, State Zip Code ,. ~, ' ~ f ~` tY II. Type of Building: (check one) 01~ w S N^^ ~ ~''`~ ~/iltage 1 or 2 Family Dwelling - No. of Bedrooms : ~1~- ~~ • ~ i ~ ~ ., 'own of /J~ / J ~ , ~ Public/Commercial (describe use):_ ~ L~Gr ^ Stat Awned Neazest Road ~~ m ~~ $ 6 , k ~ ~ ~ t~.~ `` D u _ O , s ~ t I ~ /? ~ Parcel Tax Number(s) ~ ~ !~ '~ III. T e of ermit: Check onl one box online A. Check box on line B if a licable 5 6. ^ Addition to A) 1. ew 2. ^ Replacement 3. ^ Replacement of 4. Existin S stem S stem S stem Tank Onl Date Issued Permit Number B) ^ A Sani Permit was reviousl issued N. Type of POWT System: (Check all that apply) ^ Sand Filter ^ Constructed Wetland ^ Non-pressurized In-ground ~Iviound ^ Holding Tank ^ Single Pass ^ Drip Line ^ Pressurized In-ground ^ Recirculatin ^ Other: ^ At- de ^ Aerobic Treatment Unit V. Dis ersal/Treatment Area Information: l .Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation Elevation e Required Proposed Rate (GalsJday/sq. ft.) (Min./inch) Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic VII. Tank Con- Con- glass Information Gallons Gallons Tanks Crete strutted New Existing Tanks Tanks ^ ^ ^ ^ ®Q~ VIII. Responsibility Statement ~ O I, the undersi ed, assume res onsibili for installation of the PO shown on th attached Tans. Business Phone Number Plumber's Si atu nos ps): 1,1'/MPRS No. Plumber's Name (print) ~ ~~4 ~ 1r- r J ~ z Plumber's Address (Street, City, State, Zip Code) ~ ~ J.... ~ r- IX. County/Department Use Only ss • A ent Signs (No stamps) ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued 8 g Sur arge Fee) ~ ~~ ~ ` Approved ^ Owner Given Initial Adverse 22 ,~... Determination _(,kb..~__ X. Conditions of Approval /Re sons for DisapP~}~ova}: ~ i I _ ~ ~q~ -" 5'¢-e- S° ` -F- /I d~ Si tom- VL1J~.~- ~ ~~'t"" ~ S u ~vanf. ~ ~' ~'" nn .~}- ~,D,~,~ts G~:.C~+~r~1~-d` ~ ~ rJ4.~,~1~ S 3 - ~ trtt,. IN1,at..lYt. ~?ut~C.. n t)vw s t~ c,~ ia.~ :, Sr.~-f'ci. sYS ~e•~^ S' b~ ~°'' °` 3 ~ 6~.~L"~'r~^ ~iv~ Pc.~+~ = ~t`~-c~ ~.... . ' >r" :x yn. ~~ ~~ ~- RvE. So6G~~~ 1~i~~.. 2 L-o e-Ar~ u}v J x ~- Page 3 of 7 +~T lv s~~-+~. . • PLOT PLAN Scale 1 "= yp ' ~(Zp~ OS~ 3 1317RtM1'~ ~1•o M t. ~ tL°19 s io'~r-~YpuC ~ S ass' o~• z`~PVeFw~_- I ~. 48 S S-1 ~l,.q$ x /a~o !~ ~- ss~x~ P ~T' - J~ VF I~ h~l ~ 2 ~~-r loo;o`o±~-s-p-k~_=II'~:~7BVV~:=-6tzov~p- _s-..-_ s-'k $-"~cx~b ~:c~r~`s2.: Vic, g~- _t~r~lbfE-Z---L-~L__1.o0-A~---ot.! S~?Lh,re_74~'c~uu_E-GR-~~~ -_ _ ] _._ 13~yt~ I ,~M ~ Z _. -- ~7,lCF r 1.0 T LLnIE j ~qt` So10 y ~~qo ~.~,._ s 3.,..59 ~~~-~• °19.S - ~- , ~ V • 1 ~S , q/. ~ 48 ~~ of c~L ~'- `lg.o cat-q.6 9_ ~"-9.~ ~-ts-nwG co~ro~~ ' hp *»T e~i PP,-C'r' OlZ ~ t~~ s1v~Zt3 ~ tt~1g ~41zs.~A SEE • ORRESPONDENCE NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 1p00 16S0 gallon capacity .manufactured by w LAS ~,Z. C01tJ C RL~~L~' kJ ~ /emu 1'~ ~L /9 I~'00 Z,p~ ~t I°H LT~rR 4. $ench marks . Ste- ~'c3pUE . ~. Divert surface water around system to prevent pondinR at the uphill side. '~ ~ ~ ~scons~n Department of Commerce July 07, 2001 CUST ID No.691727 ATTN: POWTS Inspector 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 Scott McCallum, Governor Brenda J. Blanchard, Secretary ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVI ST CROIX COUNTY SPIA PO BOX 74 ~~ ~ ~ _.. ~~'~1.~ 1101 CARMICHAEL RD RIVER FALLS WI 54022 .~'` `~:, ~`;:. ~iJDSON WI 54016 ~~ n ~ ~ ,. CONDITIONAL APPROVAL ,~~ ! A ~ ry~ !Y~f ~ , :-' PLAN APPROVAL EXPIRES: 07 ~ 003 Identificati tubers __ ~~~! ~ ~ ~~~~ ~~ Transaction ID No. 568 2 Site ID No. 632141 SITE: ~ S7 CAgt~ ~'" "' please refer to both identification numbers, Ken Singerhouse - 230 Street r~~ ~ COUN'S'Y St. Croix County, Town of Bald ~ ~., 2oNtNG ~~-GE ,(~~, above, in all corres ondence with the a enc , NE1/4, NE1/4, S32, T29N, R16W f FOR: ~ ~ ; J ~~ Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 799760 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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 "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information regarding proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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. ' ~ ARTHUR L WEGERER Page 2 7/7/01 . +- • 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. Note: The CST recommends that the mound site be plowed to a minimum depth of 15 inches to help break up the platy soil structure that was reported at the site. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Siprcerely, _ _~_ ~ > _~ Gerard M. Swim POWTS Plan Reviewer -Integrated Services 608-789-7892 Mon -Fri 7:15 AM to 4:30 PM j swim@commerce. state.wi.us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: Ken Singerhouse ' TITLE SHEET Page ~ of ~ FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD-105 7 P and the Pressure Distribution Manual SBD-10573-P Ctz. 6189. CR. 614~~ LOCATED IP1 THE NE 1 /4 OF THE. N ~ 1 /4 OF SECTION 3Z, T Zq N, R 1 b td, TOWi1 OF gl°~lr~I,yL~ ST• C.ZZ.p~ COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEPI IIAidAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI.7PING CHAIiBER CROSS SECTION PAGE 7 of 7 PUMP PERFORI.IANCE CURVE PREPARED FOR _ .~CC~'~ _t~llab ~~~-Ulf _ S I tiG~~-U U SE 6~ $ _ 'Z3.O n~ sT, _ _ __. PREPARED BY L~1EGE[~ER SCE I L - TEST S NG AND . . DESIGN SERVICE P.O.. Box 74 421 N.fiSain St. River Falls, WI 54022 Phone 715-425-0165 Fax 715-425-6864 RECEIVED JUN 2 1 2001 SAFETY & BLDGS D11~. Pnditiona~lly Co PPR4VED A PARTMENT OE COMMERCE ° ETA ANU BuiuUNCs pMS10N SEE GOR P4NDENCE JOB N0. Oo-Z33 6-~q-oi Mound System Management Plan Page 2 of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certifted to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. Th rating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th utiet felt shall be cleaned as necessar; rc, ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain.solids in.the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tanks If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. _ Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flaw specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] arid local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for watertightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it wilt be repaired or replaced in its' present location by Increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system Into proper operating condition. Questions about the operation or maintenaCnce of this system should be directed to: The County Zoning -0ffice at 1.~. S--_3$' p- Li(68Q _ '_ ST-_ ~~-U ~.~(__ The system installer at "l, L S - (,$~(-330 The tank manufacturer at ~30C~_ 3Z.S-~ The effluent filter manufacturer at ~D~ ~ ZZ.[ -.57~(Z Z-~1°'CS3~Z ____ .. _ _ ___.. The pump manufacturer at ~Q~ g,Z.~="PVt~Q ~ Zy ~L~- PLOT PLAN ' ' Scale 1 "_ yp ' o - Z +h i ~ Tb ~ ~ 'n+ Rv E . ~~ ~~~ ? ~ e-Ar~ uk., J x ~ Page 3 of 7 Lo O '~ l i ~.~ +~oT ~ g~~ Z3o 'i'1~- S~- , ~~~pS~ 3 3~2w~ ~o wt,r, t='L.a9 s ~o~n~4yPVC~ 5 ' S, ~sS' d~ Z`~pl~eF~.- LTL X18 S B-I ~..~g 4 x i ~~or 0 ?~ ~ i `'- S4~~ 1;~ lt" - i J~ v I~ ~ 2 ~_! =~-loo o' ~ sptk~,=~'r1~BUy~ _:b lzov? _-sti-_ -sJk s _-w~n~ ~~-~?2 -~o gY t3w-~Z-_L-~_.~.otz.o`_o.~ S~ik~~"+°c~u~F._~tu~ __ __ ~ _ .-, _ ~.~c~ . loT t-u~lE -_ 1_~3 _'"' q9 - Zi -- _ - --;-_ ~ ~ au j -s ~ °rr~ 1 `~$ ~~ °F ~~L - _ J p0 *~OT e~1P1~~' OlZ ~ a \ S~v \LL~ Ttt'13 Pri? S.s~P1 E- ORRESPONDENCE NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be Ip00 16S0 gallon capacity .manufactured by _w tL S ~,Z C.Q11J C-2L~1'' h/ ~ M u~ ~L /g - ~$ 0 0 Z-~3 ~'1. H ~ TL~l2 4. $ench marks . S~ ~pUE 5. Divert surface water around system to prevent ponding at the uphill side. . Page ,~ Of' 7 Approved Synthetic Covering ASTM C33 Medium. Sand Topsoil '"~ -~~ E 3 ~ % Slope r Distribution CeII of Z" to 2 2" Aggregate istribution Fipe D e Force Mbin From Pump CROSS SECTION OF A MOUND SYSTE;`i Linear Loading Rate= 6.0 GPD/LN FT Design Loading Rate= a.3~GPD/SQ FT n1~~+o Dnc-'+• .n~~ Y I V I l V I ` ~~1 _. L G Elev . ~ ~. O Plowed Layer 0 0 . S F~, E o•8 Ft. F o -~ Ft. G o-S Ft. A ~ Ft. N 1.O Ft. B ~1 S Ft. I ~~ Ft. J S Ft. K g Ft. L ~ 1 Ft. > w Z I Ft. Observation Pipe r -------- ----- --~ ~-ACCtss 0--~~--------------------- --------------- ----- QoX I ---- --- -------- ----------------------t yy ~_ ~__ ______ 1 Force Main Distribution ~-- Cell of 2" to 2%" °pP°s~ ~D 2 Pipe aggregate Observation Pipe (]-nchcr securely) PLAN DIEW OF A MOUND SYSTE~~ Distribution Pipe Layout pace Sot Place the holes at the bottom of the distribution pipes . at equal spacing. Remove aI1 burrs from the pipe and holes. Extend the end of each lateral up with the use of Iong turn or 4~ ° fitting to a point within six ~~ inches of the fiaai grade, Terminate the ends of the laterals with a valve,: threaded cap or • threaded plug. Provide access firom final grade for the valve; threaded cap or threaded pIuQ. " ._,. 'L=CC`ss ~o~_ Tit P.1 C1~ L ~,ZnS S S'~L~1g ty PVC F~JC PVC Latera! ~ ~ Manifold ~ Lateral x x z Luc ut X X X X Lateral l ankh _ Lateral Lennth _ p PLP.-N V~~ __ a _ F ~ ~ h ~'c1J 1 Fc? ~O S ~p ~ r, Rt>u o- F 3 7 Ft. S 3- Ft. X ~ ~ Inches . , &C.G.~s spX - -o ---0 Hole Diameter ~1$ Inch ~~ -__ , . Lateral ~ I InchEes) Manifold ~_ Inches Force Main " Z Indies - .~. # of holes/pipe l9 - Invert Elevation of.Laterals~,.S Ft. -~•~~- - ,, • ~ •~ Combination Sept~.c~•Tank and • PUMP CHAMBER CRO55 SECTION ArJ~ SPECIFICATIONS ' PAGE ~ OF ~. tt~gp'Lt11pU P 1PE - W IPfLCLT16 f~ N•fTP F! IU LS~ G ~T•p E i !8'KIA1. • .._ f• WEATHER PROOF . -VEaJ7 CAP • .IUtJCTiON 90X . ti C.Z. VEIJT PIPE I APPROVED LOCKIJJG ~ lO' FROM OOOR, ~MAlJHOLE COVER wl'lli ' :IIuDOW OR FRESH ~ wAQ,lJIfJG LA.gEL.• 6`+~w. .~ S ~ u i_a~~~g --~ - 11JLET a~~ `• .., ' ~~ • •^~ 84PF~~S APProved Z~~- ~~~ joint w/ A- 1BOp PVC pipe • LLEV.~~'~•ZfT. ~-~V ~Dll-00` ~ . corapu~r l~ ~ • / I • • ~__ Y'xtu. = ~ 19• Mw. \\~; ' {~ ~ _ PROVIDE I ----- ~'j~ AIRTIGHT SEAL I ~ I' ~ ~/ I I ' ~ v °A i ~~I Approved ~ joint w/ ~ i~ ALARM PVC pipe a I fl I I I ( ou • c •~ I I PUMP ~ --~ OFF D CoucR.ETE . DLOGK ~- RISER EXIT PERM171ED OIJLy IF TAlJK MAIJUFACTURCR HAS SUCH APPROVAL~3"1-?PRotiFD BFD01 N4 SEPTIC F SPECIFICATIC)t~15 . DOSE TA-JK MA-IUFACTUiLCR: ~~ ~~Z- ~~~~~ AJl1M8EA OF DOSES: L~' a PER DJI~ / TAAIK SIZC:_ ~'~~ ` ~ S~ GALLOIJS DOSC VOLUME 2 ALARM hIAUUFACTURCR: S'~ ~ SI-r,S( g IUCLUDIUG BACKf1oW: ~ l'-~ (,ALLOht: MODEL -,1LIM8ER: - lD ~ ~w CAPACITIES: A- 1$ WCHES Oft 30~ GALLOtJy ~ SWITCH T~PC: - ~•~Z-~~~ 8 = Z IUCHES'OR 3 T G~LLOIJS PUMP MA1,IUFACTURCR: __ ~-~ ~-~~ C = ~ tUCtIES ORS ~ GALLOLlS MODEL IJUMDER: q.8 D= IAlCHES OR ~ 1 51= SWITCH TYPE: _ ~~L°CJ~{ IJOTE: -- - .- = GALLOA75 PUxP AUO ALA0.M ARE TO Dty b MIAItMUM DISCKAR6E RATE 3t. 1.6 CPt„~• INSTALLED OlJ SEPARATC CIRCUITS VERTICAL DIFFERENCE DETWCEU PUMP OFF AuO..DISTRIf3UT10-.! PIPE.. ~'SaFEET + KINIMUM NETWORK SUPPLY PRESSURE . ; ~ ~ ~' S~FLET CS•OX\-~~ •} 1 SS FEET OF FORCE MAIN X Z. 09 F~ FRICTIOU FACTOR 3 -Z~ cFC . FEET TOTAL Oy1JAM1C HEAD = L1'•~Z~FEET - As per Manufacturer 1.~•O gal/in. Liquid depth 3a~ A.LR IuTAKE -i ~ -.- .. .~ , w 30 8 25 0 0• 15 0 J 4 0 10 2 5 . 0 U.S. GALLONS LITERS 0 ~~ 1.'1 ~ ~~Z ~ ~1.1~1~1 CE Cl~'2v ~ HEAD CAPACITY CURVE MODEL "98" ~3 7/ 3~,1~6 10 201 30 401 80 160 FLOW PER MINUTE 50 60 1 70 80 240 TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENTANO DE WATERING CAPACITY HEAD UNITS/MIN FEET METERS ~ GALS LTRS 5 ° 1.52 72 273 10 3.05 61 231 15 4.57 45 170 20 ~ 6.10 25 95 Lock Valve 23' 3 5/8 4 3/16 .'"`\ 4 3/16 ~`/ SK7702 CONSULT FACTORY FOR SPECIAL APPLICATIONS Electrical altemators, for duplex systems, are available and Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical altemators, for duplex systems, are available with Double piggyback variable level float switches are available or without alarm switches. for variable level long cycle controls. SELECTION GUIDE Standard all models -Wei ht 39 lbs. -'/z H.P. 1. Integral float operated 2 pole mechanical switch, no external control required. 2 S' I b k bl I I fl d bl b k bl I I 98 Series ConVol Selection Model Volts-Ph Mode Am s Simplex Duplex M98 115 1 Auto 9.4 1 or 1 & 7 - N98 115 1 Non 9.4 2or2&6 3or4&5 D98 230 1 Auto 4.7 1 or 1 & 7 - E98 . 230 1 Non 4.7 2 or 2 & 6 3 or 4 & 5 Ing a piggy ac vana a eve oat switch or ou a piggy ac vana a eve , float switch. Refer to FM0477. 3. Mechanical alternator 10-0072 or 10-0075. 4. See FM0712, for correct model of Electrical Alternator, E-Pak. 5. ConVol switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. 6. Four (4) hole J-Pak, junction box, for watertight connection or wired-in simplex or duplex operation, 10-0002. 7. Two (2) hole J-Pak for watertight connection or splice. CAUTION Forinfonna6ononadditionalZcellerproductsrefertoptalogonComtunatbnStarter,FM0514;Piggyback All installation of controls, protection devices and wiring should be done by a qualiried Variable Level Svritches, FM0477; EleciricalAltemator, FM0486; MechanicalAltemator, FM0495;Sump/ licensed electrician. All electrical and safety codes should be followed Including the most Sewage Basins, FM0487; and Single Phase Simplex Pump ControVAlann Systems, FM0732. 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 18347 ` r©~~~ Ladsvilk. KY 40258.0347 Manufacturers ol. . ~ SHIP T0: 3849 Cane Run Road _ LowsvBle, KY 40211.19'61 Qccaurr PUMPS S.VCE /,9~~ PUMP !O. (502) 778.2731.1(800) 928-PUMP 'r ~ FAX(502)774-3624 • Y P~~. -7 0>•- 7 6 1/4 5/8 -~-I U 1 1/2-11 1/2 NPT - Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 ' Division of Safety and Buildings in accordance with Comm 8 ~ ~ d ~, __ Attach complete site plan on paper not less than 8 1/2 x 11 inche i4 .Plan ust '•• include, but not limited to: vertical and horizontal reference poi ( , dire~~~~~ '• ga el I.D. O OZ _ t O-~ percent slope, scale or dimensions, north arrow, and location 'lance ad. cry ~~~~ ~ w d b` Date Please print all information =' (' ~ ~ ~ ~p !y'' Personal information you provide may lie used forsecondary purpos acy Lib; ~~1504 )). ~ ,,, _ _ n R~A~. Property Owner GJ°~~ aV~ ~' prQ1~9fDa1[tircation ~'CC~~ ~'h.10 ~-'~C`~ S11~J G ~'1Z ~{-p l~ J~' f i ~-' };,, ~ ~l 1V ~ 1 /4 S 3 Z T Z ~ N R ~ b E (o W Property Owner's Mailing Address ~.~ pt.#y -„BYb~k #~ Subd. Name or CSM# City State .Zip Code Phone Number woo~v«~c ^ City ^ Village ®Town Nearest Road w~ S~foZ~ (11.5) 68~f- zoZ~ ~3A~.~~..wu~, Z3o `~.- sT. (~. New Construction Use: (~ Residential / Number of bedrooms 3 Code derived design flow rate U. S O GPD ^ Replacement ^ Public orcommercial -Describe: Parent material Lp ~~.. S OV ~tZ ~'1. LL Flood Plain elevation if applicable ~ ~ ft, General comments and recommendations: , , 4 Gov ~ t~~ 6 ~ ~ S ~fC3 S ~~~-PT~U l~l e-C~Z. ~ , N'1 ljJ , b 0~=- S~i~n7 Fi l.L , 'P~'VCsw ~'1.~. T _~ S ° D ~ -iU $ ~!Ck• uP `T1}'E~ ~ 1~a' ' :5 '~U~ ~ 98.0 . Boring #^I~t Boring 9 a S l~I pit Ground surface elev. • ft. Depth to limiting factor =~~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 O-7 l0"11Z3 J7. - S11 Z~S~1Z ~'`'ti~i- 0.,S 1~ • S v Z ~_t~ Lb~cL31'~z - si[ 1 o~s~ a-S ~V'~ -Z- .3 3 I~(-2y J0'!1Z 316 - S11 ZwlSb ~.5~ ~s - - S -~ y. zy-3z ~.sy~Z~~ - Sri ~~sbk ~~~ ~w - . z . 3 5 3Z-bQ ~.S~tRS/f C1 c~ 1.SyQ S/8 C I ~~ Y11'~' - • O . o a Boring # ^ Boring 3 b ® pit Ground surface elev. ~ - 9 ft. Depth to limiting factor_ L in. ~ Soi! Appllgtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 ~ 'Eff#2 ~ 0~6 1o~~z 31z - sal z-Fsb1z m~>- a.s z~ -s -g Z b-~3 io`t~4~f si\ 1 ~ >" a,s tuf •L .~ 3 t3-32 to~tlz 316 - sl[ Z~tsb ~'~~ eg - .s .6 y 3z_bZ ~S`72 y! ~!~ ~_S~ti o~~ is ~ csb w~`Fr-~fu _ z _ 3 ~u~ucu~ n i - ovus ~ w ~ ctv mgi~ ana i as Hsu ~ iau mg/L - tmuent iFl = rsws < 30 mg/L and TSS < 30 mg/L CST Name (Please Pnnt) C~~,G /J Signa. n: O 0 - ~- 3 3 CST Number Arthur L. Wegerer Lyl~~w,!~ 220254 Address [d e g e r e r Soi 1 Testing & Design Service ate Evaluation Conducted Telephone Number 42I ~1. I~iain St. River Falls, G]I 54022 ~-lg SOU 715-425-0165 r ... Property Owner S(tiG ~'1~~.1s1.;. ParcellD# ~~~'~ ~~~%'~ld Page Z' of 3 Boring # ^ Boring - © Pit Ground surface elev. ~ 9 - y ft. Depth to limiting factor 3 i 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. 1nR'F h ~l, s 'Eff#1 •Eff#2 O~- 6 1 D`11Z 31 Z- - s j l Z ~(-' s b ~ s h a, g 1~ , S .'~ Z 6- is t o~. ii yE 3 _ s ~' ~ 1 w1~ f~- e g Zv ~ • Z- . 3 3 ~5~1 ,.stilL~l~ - SI Icgbk tin ~h - • `I •~ y 31-~ ~.Syli•~/y ~l~ -,.S~~ S~~ sicl lesbk - . z .3 ^ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. 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. •Eft#1 •Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to Hmiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BODa > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODs < 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. sen.s3~o tn.~oof " PLOT PLAPd Page 3 of 3 ~. Scale 1'=y'0 ' Z3o -~.y- sT , - _ ~ o- Z +~, i ~ To ~~ ~+ RvE, ~`~~~~ ? ~~ uk.- J x ~ ~[ZO l O S ~ ~ F ~O M ~, ~ trL.~19 s 2 Z~ o ~ * !~_ 'NOT lv S~t.~, -~ _ ~t::tpo.o`~sptk~-8'`~l'B~1V~-6t~U~4 ~~ - -:i-.r- -5 ~-5 K WOC~'~ _CU1ZlL1~2 _t~p 9~' . t3r~~-Z L'z__1.o0,D~-or~l_S~?1~E_~"~c3uu.~_GCw~a.~ __._ _i+.~ . wao~ _F~~E too S ~ . _ . ~, q 8 S B-I ~.,~$ 9 x /oJfl !~ spc~ ~ ~T- lob- (_ln/L ~~ ~ ~ _ S~Jo '' ~l. ~'lq o -_-! c~ ~ B~~tt. °19.s- ~_- I QD ~~T e.p~PPr~'r OlZ t~ \ STu \L~ Ttt13 J4izs.*W -) ~-00 715-425-0165 CST Signature 220254 O' O- Z 3 3 . Date Telephone Ito. CST Alo, Job I10. sT caolx couNT~r SEPTIC TANK MAINTBNANCL~ AGRL~L~MENT AND OWNBRSIiIP CBR'I'IFICATION FORM Owner/I3uyer __ 1~ .~ .,~ S~ , ~ ~, Mailing Address ~ ~ ~ ,, 2 3 p ~ ~( S Property Address ~ ~ (Vuificatioa required from PUaaing Dcput~acnt for City/Statc CcJ c~~Ur L C e EcJ ~-SPamc( Identification X..F.GAL DESCRl~'T'XON ~ ~ ~/ Property Location ~/, / ~ G/<, Scc..3~, T~N R~W, Town of ~.d~ ~~'cy ~ -2. Subdivision ~~ Lot # ~. ..~ ~ C.rrfified Stuvey Map # ~oS SoS$ .Volume ~S. . P e # ~•2~ ~ wa~tp Did # __ ~ ~ ~ ~1s`r~ ~ 6D~ Volume .Page # Spec mouse ~ ~ ~II0 Lot Lines identifiabie [~-yes ^. no ,SCI=~KAfih1"L;LNAI~TC~ • '~~aaoeofyuarsepticsys~ooc:ldt+csaltiai~pt~n~.fa~to2~andlewastes.Praper cm:ffeet~,fna~ioa of Sbe~ ~ ~Y ~ S"~ ~ soooct; if neodedby ~ Yiaeasodpampc~ What y~oa pat iat~ ~e systca~t ~~"ss.a ~tsag~e m ~e ~isstcdisposai-sys~m„ - . T~ P-roP~Y earner agtucs ~ tp St (kvnc ?aQiag Dcpa~nt ~ occtificaiioat foam signed by tie ~osararx snd fiy : 'P~yaimplu~e~trst~ebodpIumberaralioeasedpaa~u'r~ifyiag$~at(Ij $,c on~aiteera~stearater is is pt+oper operating ~itioa:adloc (7) after inspoctioa and pmmping_(if necessary), t{ve scgtiatanlcu kss $1aa 1!3 ~tull oftludge. . ~. ~e bs~e read Sye sboYt tnq sad sgnx to a~ tbue private seRragc disposal system wit£i the scaadatds ,tet f+ae~. La~iai.~ts net by dx Deputmeac of Ooa~me~c+oe and the Deputment of Isatuui R,esoucres; Stale of Wisoonsia.. t7erti~cxfion ~ 7^~ hasbocamainiainedmast be oompldod snd rctum~od to the St Uroix-t~ocmty Zoning OE~ce within 30 ~' thnx Y'ar' d3t~. T[JRE OF ~1.pPL.it`.~ANT ~ ~ DATE OWNL'R. CERTII~'ICAITON I (~) ~fy that ~ statcmmts oa this foam an tnu to the best of my (our) knowledge, I (we) am (arc) the ownex(s) of ~ ~ desccrbod above. by virbuc of a ~raaaaty dood rooordod is ~R e~ister of Dads Office. L OF,~IPPI.l ~ 1 / 4 DATE ssssss ~ iaform~bion that ~ ~~ may t~tlt in the sanitary pctntit being mvokcd by the Zoning Department. «sssss «« Inclccde with tuts appiicattan: a stan~od vvactaaty doed from the Register of Doeds oflice a Dopy of the certified surrrcy map if reference is tnadc in the warranty dcod f,nt ' ~, L ~ Y '';' ~ ~ ~r KITGNEN ~~ ~ ~ ~ ---~ .r G--~ ,1 O O iiwi~ei •'"iAST.ER i - LIvI~Cs 3EDROOt'~ it RO~f"1 -,-- ,cs: sv,, r.~i 1386 SQ.FT. FEATURESlNCLUDED: Low E Themes Pane Windows 2x6 16"o.c. side walls Shingle roof RJO roof Insulation Prianatic dormer wrl2" end slider and 1 rl circle window Vinyl siding with osb bacJcer Steel door front and rear door vaulted cNling Vo Oak cabinet doors °3~7t 3 Texiuro iiving rOOtT1 Stainless Steel Sink 3 door island Deluxe cabinet pu0s Towel bar~s/tlssue holders Metal roper guides on drawers 20 CF side x side reMgerator Deluxe gas range Dishwasher 40 gat. elec. water heater ' Under cabinet motutted cofieernaker Under cabinet mocmted can opener Microwave 13" color tv Wait mounted hair dryer TV/Mkrowave catNnet to kitchen Main water shut ofi Exterior hucet tMre for cNAng Tan Porcelain bath sinks _ ,, /1 BErJ(~Q~M 9 DINING ~..p. r3eoraoon ~ 10'-5' ~s9~' HOLIDAY HOME 1863 Hwy 53 Chf ppewa Falls 715835-0568 or 800-657"6805 ,` :v I I .. . --•-; t ' I i ~~ Number ~ ' I f~' F ~~c. ~~1~~Fa.~_~'~~ STATE 8AR OF WISCONSIN FORM 2 - 1998 WARRANTY DEED This Deed. made between Galen L. Anderson and Mildred V. Anderson, husband and wife Grantor, altd Kenneth C. Singerhouse and Karen D. Singerhouse, husband and wife, holding as survivorship marital property Grantee. Grantor. for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State oC Wisconsin: 649456 KA7Ht..EEhi H. WAISH kEGISI'EFt OF DEEDS :i-f. CP.QIX CU., WI kECEIVED FOR RECORD 46-26-2001 3:30 AM ItAkkAHTY DEED EJ(EMl'T q CERT COPY FEE: COFY FEE: TRANSFER FEE: 21.60 kECORDIHG FEE: 12.00 PAGES: 2 Name and Retum Address Thomas A. McCormack See Exhibit A attached hereto and made a part hereof. 1020 10th Ave. PO Box 2120 Baldwin, WI 54002 002-1079.10 Parcel Identification Number (PIN) This is not homestead property. Tite arcel shown on this document is bein added to the ~ (is not) P g parcel shown on the document recorded m Volume 1033, Page 322, as Document No. 505302, described as follows: West I05 feet of the East 348 feet of the South 3I3 feet of the Northeast Quarter of the Northeast Quarter (NE 1/4 of NE 1/4) of SectionThirty-two (32), Township Twenty-nine (29) North, Range Sixteen (16) West; AND Easl 243 feet of South 313 feet of Northeast Quarter of Northeast Quarter (NE 1/4 of NE 1/4) of Section Thirty-two (32), Township Twenty-nine (29) Norih, Range Sixteen (16) West. to create one parcel, and this transaction is thereby exempt from Chapter 18 of the St Croix County Land Use Regulations pursuant to Section 18.05(A)(3). Exceptions to warranties: easements and restrictions of record. Dated this ~r.1,.,~ day of ~u„~p 2001 AUTHENTICATION Signature(s) authenlica[ed this _ day of T["1'LE MEMBER S"FATE BAR OF WISCONSIN (If not, audtorized by § 706.06, Wis. Stats.) THIS [NS"rRUMENT WAS DRAFTED BY Thomas A. NlcCormaclc Baldwin, WI 54002 (Signatures may be authenticated or acknowledged. Bo[h are not necessary.) k . Galen L. Anderson ` " ~ !-~ ~~~- . MildredV. Anderson AC[INOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix Coung~. ) Personally came before me this ~~~ day of f/,~t.Q_, , 2001 the above named Galen L. Anderson and Mildred V. Anderson M Y A v to me known to be the person(s) w execute e'Ipiegoiryg~l~ i strument and cknowledge same. ! r~ : ~, r < O ~~ '~(/wlq 1 ~I' to dCdrGrMA.-L, ~t R' .J?i Notary Public, State of Wisconsin S ! ,(; My Commission is pennanen . no , s e expo-a ton a e: ----- I /~~ ,' • Nmnes o£ persons signing N any capacity should be typed or printed below their signatures WARRANTY DEED STATL BAR OF WISCONSIN FORM No. 2 - 1993 [NFORMAI]ON PROFESSIONALS COMPANY FOND DU LAC, wI soo-655-2021 ... ~~~_ 1G68PAGE J~c7 EXHIBIT A Part of NE '/a of NE '/a of Section 32-29-16 described as follows: Beginning at the Northeast corner of said Section 32; thence West (assumed bearing on the North tine of the NE '/a of said Section 32) a distance of 521.48'; thence S01°07'00"E approximately 1317' to a point on the South line of said NE '/a of the. NE '/4; thence Easterly along said South line approximately 541' to the Southeast corner of said NE '/a of the NE '/a; thence N01°59'26"W, 1317.05' on the East line of said NE '/a to the Point of Beginning, EXCEPTING therefrom the South 313.00' of,the East 348.00' of said NE '/a of the NE '/o, said parcel contains approximately 13.6 acres and is subject to easements for town rpad purposes over Northerly and Easterly portions of this parcel and to any other easements, covenants or restrictions of record. ~ } ., r 1f 655055 I:A'THLEEM H. WALSH fiEGISTEf< OF DEEDS fT. CfiOIX CO. WI kECEIVED FOk kECakD 08-29-2001 9:00 AM COPY FEE: 3.00 kECOkDING FEE: 12.04 CERTIFIED SURVEY MAP Kenneth C. And Karen D. Singerhouse Located in the Northeast 1/4 of the Northeast 1/4 of Section 32, T 29 N, R 16 W, Town of Baldwin, St. Croix County, Wisconsin APP~tC)?/~~ ST. CROiX CG~J`~' ~'! AUG 2 9 20U~ It not recoiue,t .v:,;hn ..,. c ,,, approval dads: dpp~o~::d ~~~Uli be null anr! Wur{ OWNERS' ADDRII,SS 678 230t1~ Street Woodville, WI. 5402$ North Quarter Comer UNPLATTED_ - - -East 2600.69' - - - I"~D~_'Northeast Comer Sec. 32, T 29 N, R 18 W ~'~ (Found "PK" Nab ) Sec. 32, T 29 N, R 16 W (Found 5/8" Iron Bar) % ' ~-~- ro 2079.23' / - - North Line NE 114 Sec. 32 0 v1 1 a LOT 2 AREA i I ~' 2.737 acres ar 119,215 eq. tt. ~ (Incl. ~ i 2.359 acres or 102,771 eq. lt. ~i (Excl. I2/W) Scale in Feet 1" = 300' 150 75 0 150 300 450 600 Bearings are referenced to the East line of the NE 1/4 of Section 32, assumed bearing S O 1°59'26" E. ~~~~`SGONS'~ opODO~ G °°° LAURENC ° w. MU P tko ~~ o* .ro~ RIVER °° 0 p FALLS, ~ j ~ °° W I. Qi o °° °°° J o Q~ o 0 ,0 n \~11/~Of~i ~~ °W ND g..~~o Dated: July 18, 2001 This Instrument Drafted by Mark W. Peavey ~oEast 488.44' ~~ --3 ----I ;~ ~f LOT 1 13.320 acres or 580,237 eq. ~t. (Incl. RIB ~-10Q'--~ 12.017 acrea or s23,47o aq. it. , w (Eel. xl~ I , , N , ~pltz I~ I Wh s C1 I N ~ ~ w ,~' O r ~ ~ I~ ' I ~, o , o rN ~' ° 0 ~ ~ Pro , I ~t 368.24' t SeptlC AI f!O°A7°fT~11A/ i ?~ U ~~ Ig86c u7 ~ "' ~ Stred~l'~ N LO'l~ 2 o~ N . ~~~ i.~ . ~ -487.82' - - r ~~ 373.4 ' ,' •: 168.15' 319 6T~ :.. South Lirie `°5't t0' NE 1/4NE 1/4 N 89°56'34" W 541. UNPLATTED _ LANDS _ I,~G ND o Indicates 1" x 24" Iron Pipe Sei (Mm. Wt. -1.13 Ibs.llin. fk) Section Comer Monument 0 (as noted) x Indicates Fence (R =) Recorded As VOLUME 15 PAGE 4155 'F; ~',_ ~, I ~ I ~~ (~ V ~ I ' iD , Ii O , i l ~ C IU], M r etl N INS ~ W o ~; (~ ° 1 _ _, 1 T ~ vJ ~t1 F~ ' 1 I j .' ~ F~ostinp V]~ i i i ~' WA' f--~ i ~' ~' ti M r East Quarter Corner Sec. 32, T 29 N, R 16 W ' (Found 2" Iron Pipe) SHEET 1 OF 2 ,.. r~ , CERTIFIED SURVEY MAP Kenneth C. And Karen D. Singerhouse Located in the Northeast 1/4 of the Northeast 1/4 of Section 32, T 29 N, R 16 W, Town of Baldwin, St. Croix County, Wisconsin DESCRIPTION: That certain parcel of land located in the Northeast 1/4 of the Northeast 1/4 of Section 32, Township 29 North, Range 16 West, Town of Baldwin, St. Croix County, Wisconsin, more fully described as follows: Beginning at the Northeast corner of said Section 32; thence S O1°59' 26" E (assumed bearing on the East line of the Northeast 1/4 of said Section 32) a distance of 1317.05 ;thence, along the South line of said Northeast 1/4 of the Northeast 1/4, N 89°56' 34" W, 541.56 ; thence N O1° 07' 00 W. 1315.97' to a point on the North line of the Northeast 1/4 of said Section 32; thence, along said North line, East, 521.46' to the Point of Beginning, containing 699,452 square feet or 16.057 acres, subject to an easement for 70th Avenue over Northerly portions of this parcel and to an easement for 230th Street over Easterly portions of this parcel, as shown on this map, and subject to any easements, covenants or restrictions of record. GENERAL NOTICE STATEMENT: Note: Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the appropriate Town Board for advice. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, Kenneth C. and Karen D. Singerhouse, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a tnie and correct representation thereof. Dated :July 18, 2001. "Revised this 14th day of August, 2001." o°~'~ \ pON$~ "app0~ ^°°LAURENCE °°~ W. MURP *' o S 1 3 0'~ IVER ~ ~~ FALLS, 0 y. ~ MINI. °° (~ 2 0 °A~ bd \ ° °e° ~ 6 n. °.~.~~'~ °gJ o°° VOLUME 15 PAGE 4155 This Instrument Drafted by Mark W. Peavey SHEET 2 OF 2