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HomeMy WebLinkAbout002-1088-90-000' Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of ~ Division of Safety and Buildings m acxvraanoe w¢n ~,omm aa, vvis. ream. ~.ooe County St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size Plan must . include, but not limited to: vertical and horizontal reference point (BM), direction and paw I,p• 002-1088-90-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all InfOlt'naiJOn. Rev' ed by Date Personal information you provide may be used forsecondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ /fl b Property Owner Property Location ~ ~ G1ennBrenne Govt. Lot SE 1/4 SE 1/ S 34 T 29 N R 16 0 Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 622 250th St. City State Zip Code Phone Number ity ~Vllage ^ Town Nearest Road Woodville Wisc 54028 ( 7~ 5-698-2592 250th St. ^ New Construction Replacement Parent material Use Residential / Number of bedrooms Public or commercial -Describe: Code derived design flow rate GPD General comments and recommendations: Flood Plain elevation if applicable Soil test was taken for failed Septic System Benchmark: Bottom of Siding El. 100' - Ground El. 98' -Dry Well Inlet El. 95"-Bottom of Dry Well El. 91' Pit was dug Oft. away from dry well ft. 1^ Boring # ^ Boring 0 Pit Ground surface elev. 98 ft. Depth to limiting factor 32 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0.10 10YR2/2 --- sil 2fsbk ml cs 3m 0.6 0.8 2 10-19 10YR4/4 ---- sil 2fsbk ~ cs 2f 0.6 0.8 3 19-32 7.SYR4/4 ---- sil 2vfgr mfr cs lvf 0.6 1.0 4 32-50 7.SYR5/6 fl fSYR 4/6 Spots sl 2vfgr ~' cs --- 1.0 1.0 Boring # U Boring ^ Pit Ground surface elev. ft. Depth to limiting factor ~n• Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dff~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Etf#2 - tmuern ~i = tsvu > so < uo mg/L antl TS5 >30 < 150 mg/L * flluent #2 = BOD < 30 mgll and TSS < 30 mglL CST Name (Please Print) Signature CST Nulhber Thomas W.Gedatus ~ ''~°` 962178 Address Date Evaluation Conducted Telephone Number Stang Plumbing & Electric P.O. Box 263 Woodville, Wisc.54028 6/6/2006 1-715-684-5166 ~' ~~ ~% Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safetyrand Build:~g Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you~rovide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Brenne, Glenn Baldwin, Town of CST BM Elev: / Insp. BM Elev: BM Description: ~ cam. o BD, I ST n~t TANK INFORMATION TYPE MANUFACTURE /C ACITY Septic w~ ~ ~ bs~ Dosing . L~ C~~ loo . C< Aeration o Ing TANK SETBACK INFORMATION en o it na e I r ~ $b I > (C7O LJ IJ• r osing h ll ll ~~ r era ion o Ing PUMP/SIPHON INFORMATION anu ac urer eman GPM f, 0 o e um er 3~ Q° S i t1 ~•~ nclon ss 2.0`~ ys m ea 3•z-~" 13.3' em I N $~ la. 2 u ~ '~ / ELEVATION DATA County: St. CroiX Sanitary Permit No: 488202 0 State Plan ID No: arcel Tax No: 002-1088-90-000 Section/Town/Range/Map No: 34.29.16.511 a STATION BS HI FS ELEV. Bencrh`mark ~ ..~ Z,(p S' ~ 2.(•S ~.~ ( ` Alt. M ~ ~} - 0.~1X 1 ~~ Bldg. ewer 6 •~•O 9S. qS' t/ t n et ~ (~ D 9~ OS ~ t t u et t net 0 om 1Z•~ q0,~ i ea er an. 3• ~fo ~ l • Z•9 / is . ipe -7, ,3 (~ , 3~ Z9 ~ o. ysem ~ ~ 9~ ~s' In~ W ~ ~t ~ ~~ 1-f- ~ -- m o~er ~~ ~ ~ (u~, !c, Q ~~ .1VIL H6JVIC1' I IVIV .7T.71 CIYI DIMENSIONS ~ ~ 3 ~ gyp f Uv ~ I gyp-- _ ~ ,. o~A~ INFORMATION CHAMBER O UNIT UL71 R16U 1 IVIV .7T.71 CIYI ~J ^n `~ ~W ~pAC~ p / I Pipe(s) / r rI ~ r/ Length 2 ' oy Dia I /z- Length 39' aS Dia~ Spacing z .s Z' 3/~~p `j • ~'~ , JVIL VV V GR X I'reSSUre JySLemS Unly XX nIOUnU yr r~o-v~aue oyatcn~a viuy Bed/Trench Center Bed/Trench Edges Topsoil j Yes , No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:v ~I~-~r.{~`~ specnon mac. - ~ Location: 622 250th St Woodville, WI 54028 (SE 1/4 SE 1/4 34 T29N R16W) NA~`Y /TO"~' `tJ Parcel No: 34.29.16.511a 1.) Alt BM Description = N~~ 2.) Bldg sewer length = f?p } - amount of cover = LIZ F • (~ ^ • 3) ~ t r~ ~ / m r 0 • _. Plan revision Required. ~__ Yes ~ , f D _ - - -- - ~ ~ ' No ~ Use other side for additional information. ~ -Bate- _. _ Irtsep r`s- igna ure--_ _ £e .-No. SBD-6710 (R.3/97) 05r25f06 THU 10:33 FAg 715 386 4688 Safi;ty and B ldings Division Count} L /! t I.M. _ 2U1 1~4'.1N;tshingt c., P.Q. koa 7162 (.~ ~ l.~ 2 d 1 1( Madison, 37i} 7162 5anit:try Pumit Number (tn be tilled in by Cn.) %~r~~l~S/l~ ~7 zG $rd' Z department of Commerce . ~ State flan I.D. Numhcr Sanitary Permit AppYicatio 1 ~ ?v~ ~- ~ / 3 l.3 In accord with Comm 83.21, Wis. Adm. Code, pr-rsonal informtlion You [tin mats be usntl for s4eondary purposes Privae n Project A&3reSS (if different than mailing address) 1. Applicaliun Infnrmutinn - Pleslst: Print Ali lnformati n ~ ~~r - {y( .~i Yrttperty~_Uwne~'s Nams. ~ ~ MAY -2 5 2006 I'~~r~el ~+ Lnt # 131ock if -- l ~.h~ ~~?,hn+e.. c~o~-- ll~~~.o~vo~ ]'roperiy Loc;,LOn Property Owner's Mailing Address ST. CROIX COUNTY tlt_ r t~ C~riry, rtSG3FC ,,~ t " -.Zip Cods: /Phone iVumb/cyr ~i rQl~ p W6G ~V "e.~ ~~~2 /1S ~~'Z9'~J lf- -I".~ (_N: R ~L(c,t.nrW~) <~ ~'I~ II. Type of 13nildin$ {check all thstt apply)WM "'"' E~~"/ 3 E~,~d= ~ ~^}'~,~~ SuGcliviginn Name CSM Number 1 or 2 Fam i7y L]wel Ii,tY - N u mbcr of Bedrooms Y ~ ^ PtlbliclCommercial -Describe Use / / _ -••- "'"""` ~ S ~ ~tJ ~ p . ^CitY_uVillagc n'Tavvmship of ~~~~G~ ~/ t h ^ State Qtvned - Describe Use t-_~._. ~`~ ltl. -l-v ~ of l'erntrt: ('heck only utte hox on line A. Com fete line B it aplslits-bi .~ _ q _ (- I New System ~iKeplBCemcut Systun ~ I TreatmcnUl-loidirg Tank Rk.Plpecmentthtly ^ <JII,Cr Modification to L-xisting Slstctn __ --~ -~ -- '° ' -~. I_i;t f'rcvioos !'er,ha Numhcr nrd Da,to Issued ,. l~ ~ . ~] l'c9nrtil k~n~ttni ^ Pcnnit Revision " ^ C:hangc of ^ Pcrtnit l-rm5rei to T4cty / Bclorc L"~piration Plumlacr C)wner _ of ~.. _ \ [V.'I~ ' c of POWTS S stem: (Check ail that apply} _-_ -•--- _... ~ ^ Nott -Pressttri~cd 1n-{,hound ~ MUUnd %24 in, of guitaUlc soil ^ Mound' ?d in ofSltiiablc soil ^ At-Grtide ^ ~inglc Pass Sand l~illct' ~1 i Consiructcd Wetland ^ I'ia::guri~rd ln-Ground ^ Holding'1'ank ^ Prat Filter ^ Aerobic -l"re:,unznt knit ^ Reeircul Ling. SC,(n~ci~Fitter p ^ , Recir_cul:itinc Synthetic Media Filter ^ Lr..tehir,Y Chamber I 1 Drip Linc ^ Grtvel-le:+ Pipc ^ Other (cxptuinj S~ti~ ~,,,~, ]/(' ~ 02- V.Ais..crsal/Tt'eatrt-entArca.lzlformsrtinn: • _ •..-~ s Dis c.rsal .Area Yro se[S (s System blcva[tnn Desi ,n Plow (.:,pd 1 DestCit $OIl Appll4<i11V11 Rae S Dispersal Amu Rsyan ~ P' PU ~ ,y ,•., ~ ~~ VI. Tank ]nf"n C'upaciq .n Total Number Manufacturer ~ Prefab Site titeel Fihcr I E'LY;hc , ConCrctc C'onslricdc~;t I i Glass ! t tiallnns Gallons all-nit+ I {F New tx,zlu' • / ' l tc.J~,.. ~ i -ranks Tanis ,. ".,. -__... __. r _,,........... ~ ~ C S /~ I _ St Is nr Flnhtinc Tank G G ~~~~ t` ~ _. Atrt>tiic l'rcntnxnt lhsit .-~•"-_ _- ' ~~ - -- Dosing i'hambcr ~ ~ ~....:.._ / " ~ G t ...._ .. VII. Re~pousYbility $tatemcnt- I, the rcndersi nod, nssumc esPOnSlhility for installation orlhe I G'''t 1 S short n on the a[trcltetl p>rsn~- ___ _,,_ T...T ---.. .. Plum er's Namr (1'rintl Plumb s Ssgnautre PRS Number Business Pitone I'1tnr, h.~r P3Ytmltcc' ~ddress~~t, ~y, 3r ,. L.tp (: dc} f r , t • ~ ~ ~~ ~Fn~t _ fi~ ~ `'T/ ~ G Cam- (J , ~ l p (y t [,~ ~ _ _.._ _ . ~_.....,.w- , - . 1 YIIL -:nttnri'll)c arlmcnt Iltie C)nt~' .. - ..... -... Stan 5amG,ry Peunn fc~ (ncluocs G/r~oundw~at/erg t>at< I ,,,Cd issuing cn[ Signau,r• (N Appro'.~ad l Sutt:huir;G fc~l ~ CCV UlJ f_I wncr G' Rcnso ar Denial ~____ „JJ -. - 1X. ('nndiu Y 1 }aeons fur Disapproval ~ ~~ 1. Septic tank, efnuent nRer and ~I dispersal cell must all beservit:es ~ maintainenn~ 4,s ~ ~~ ', as cer management plan provided by plumber. 2 AM setback requirements must be meattamea ss per appNcsblecode / ondinattces. Attnch eomple,e ldatt9 (10 tltt COtsnry' Only} inr the zystcm un patilrt7 Ytot SBD-b398 (R. Of103) B1R c 11 inchn in sixc r~uu1 I 05-25-06 12:39 TO: FROM:715 386 4686 P01 ~~.ep~ `~t`tnn~ j~ ~:t.~ 25'at-h St l.~o o d U'. ~ t ~' t~ e S ~02~ $ ~ ~~ S~~t ~ 3 ~ ~ ~ ~ R s~ ~ town ~-~ ~3~~~~~'~, ~ ~ ~~ ~. ~~ ~~~~ D~ ~~ ._-.--_ _ ~ - - --,_ ~ __ ~~,~ ~ ~• qS ~ ~ ~i ~ _ ~ ~ ~ , ~,~ SEE CORRESPONDENCE `~~' a ~~~'" a • ~ 1 b a Q ~~~'.~~ :, i ~1 v `~~ ~~ 4 ~y ~ 6 ~'~~~ f~ ~` 3 r~~~~ } •' i C ~1 Cd~ i a ~aG ~ .~, ~,, .~~, 3~ G _. ~ ~~ ~ ~ 9?mss- ~} _ J ' ~, ~~ ~ ~ g~~ ~ "~s ~ ~ ~~ ~~ ~~5 ~ 8 of 5 •ne" f .enn ~rtn n~ ~ ~2. 25'°~h S't ~o o d v:! ~ ~. ~' S ~~Z~ ~~~~~ ~~~ ~ ~` "~ ,~. V, ~ ~,.~~ ~~ --.----- __.____ _ ~~ '~II~~ ~ ? , ~~ SEE CORRESPONDENCE ~~ ~;,~~ /,l ~ ~ 6 ~ • i ~awtic~ gy~1G#~~ ~ b e d • ~ ~~ ~ _ ~; ~ ~°; 4t ~. 1 yV ~ E its d ~ r { ~ _ j{t; ,.... ,~ ~ ~ ~-°~ ~.~ ~ ~, a ~,~ ~ ~ ~ ' ~~ _ __ o~ ~~ ~ A~ ~ a ~ ~ ~~~ J ~- commerce.wi.gov ~sconsin Department of Commerce May 23, 2006 CUST ID No. 223475 JOE STANG STANG PLUMBING & ELECTRIC PO BOX 263 WOODVILLE WI 54028 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/23/2008 SITE: Glenn Brenne 622 250'x' Street Town of Baldwin, 54028 St Croix County SE1/4, SE1/4, 534, T29N, R16W ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Safety and Buildings 4003 N KINNEY COULEE RD l.A CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary Identification Numbers Transaction ID No. 1270865 Site ID No. 713139 Please refer to both identification numbers, above, in-allcorres ondence with the aaenc . FOR: Description: Three Bedroom Mound System .Object Type: POWTS Component Manual Regulated Object ID No.: 1076649 Maintenance required; Replacement system; 450 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, 5BD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter 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, stets. CO~ICjI~ The following conditions shall be met during construction or installation and prior to occupancy or use: ' ~ Reminders DEPARTMENT ~ ~! OF FTE • This system is to be constructed and located in accordance with the enclosed approved plans and with the ~ ~ SEE CORRE; component manuals listed above. • 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. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • 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. Stets. JOE STANG Page 2 5/23/2006 • , Inspection of the POWTS 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 • Comm 83 22('n A copy of the approved plans specifications and this letter shall be on-site durin~~onstruction 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. Allpermits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz `~ POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wiscons in. gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Bn:nne Replacement Mound Owner's Name: Glenn erenne Owners Address: 622 250th St. Woodville Wisc. 54028 Legal Description: SE 1t4, SE 114, 534, T29N,R16W Township: Baldwin County: St Crrox Subdivision Name: Lot Number. Block Number. R Parcel I.D. Number. 002-1088-90-000 F~~~~ ~ M Q AY Plan Transaction No.: j ~ s Z ' ` QOS U ~ Page 1 Index and ti~ ~ e~/, ^ Page 2 Data entry / N Page 3 Mound drawings ~s Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications ~l R^~ yr~ Page 8 Page 9 Plot Plan Soil Evalyation Report ~,. , ~"` ~~ 2~ ~, ~ s~ ~ CQ~~+~pCi; iNGS , ,PpNpE fV ~~- Designer. Joe Stang License Number. 223475 CE Date: 0 /06 Phone Number: (715) 684-5166 Signature: oesignea Pursuant to the Mound component Manual for POWTS version 2.0 SDB-1os91-P (N. 01ro1), and SSWMP Publication 9.6 of Pressure ~tribution fiu; for ST-Sp-S (01/81) Version 4.01 (R. 09/04) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Infomtation (r or c) ! _ ~~ R~ Residential or Commet+cial Design 300.00 Estimated Wastewater Fkrn- (gpd) 1.50 Peaking Factor (e_g. 1.5 = 150%) 450.00 Design Flow (gpd) +__..w_.__.__0.'0 Site Slope (%) _ _97.85 Contour Line Elevation (ft) ~_ ~~ 30.00 Depth th Limfing Factor (in) 0.60E In-situ Soil Application Rate (gpd/ft ) Disbibution Cell Information f~T 80.00 Dispersal Cell Length Along Contour (ft) _ ^, ~1.OO~j Dispersal Cell Design Loading Rate (g ) Influent Wastewater Quality (1 or 2) Pressure Distrbution Information (c or e) Center or End Manifold ~ 2.82 Lateral Spacing (ft) 4 Number of laterals 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft} _ 2.00 Forcemain Diameter (in) 75.0 0 ' Forcemain Length (ft) _ _ ~~ 87.00 Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 11.10 Vertical Lift (ft) 1.84 Friction Loss (ft) 16.19 Total Dynamo Head (ft) Lateral Diameter Selection in. dia ~~ o ns choice 0.75 ~ _ _ _ 1.00 __ - - _ 1.25 x= ~ x 1.50 x --_ ~__ 2.00 x _ ~ 3.00 x _ _ Treatment Tank Formation 1000 c Tank Capacity (gal) Wieser ~ i Manufacturer ~__.___m..__~.______. ____~ Nye: Sand fdl (D) c~lcufat~-u assume a Table 834-3 in-s~u sod treatment fw' fecal colifomn of ~ 36 Indies. 5.63 cell width (ft) Are the laterals the highest point in the distribution Y neivvork? Enter Y or N If N above, enter the elevation ft) of the highest poirrt. 8.66 ftz/orifice Does the forcemain drain bads? ~_~___Y Enter Y or N 12.23 Forcemain Drainbadc (gal) 50.02 5x Void Volume (gal) 62.25 Minimum Dose Volume (gal) 34.08 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 1.50 x _ x -- x ~_ 2.00 ~ -- 3.00 ~ Gallonsllnch Calculator (optional) __ 650.00; Total Tank Capacity (gal) 38.00 Total Working L~uid Depth (in) ___.-_ 17.11 gain (enter result in cell B49) Dose Tank Information Efflu_eM Filter Information ~_ 650.00 Dose Tank Capaaty (gal) ;Zabel _ _ Filter Manufacturer _~ _ 17.00 I1; Dose Tank Volume (gaUn) A100 ' ____ ~ _ ,Filter Model Number 1 Wieser `~ i i Manufacturer ~m___ _--_____- Project: Brenne Replacement Mound Page 2 of 9 Mound Plan View 1_ • 1!~ 1 O B .. Observation Pipe • Q' - K O - d. B '• ::C~ 1 -} -I _l ! L Mound Component Dimensiats A 5.63 ft E t~s4 rn n r-~ ~~ "."" •• B 80.00 ft F 9.25 in i 5.48 ft L 93.71 ft D 6.00 in G 0.50 ft J 5.23 ft W 16.34 ft 450.40 (ftz) Dispersal Cell Area 888.73 (ftz) Basal Area Available 5.63 (gpd/ft) Linear Loading Rate 8.00 (ft)1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.12 (ft) --- ire ~:,.. G ~~~ I " ~ ..f~«fri~i Z ~ri~iiij,. I_ :.,,... ,..,. F x Dispersal cen 98.85 (ft) Lateral 98.35 (ft)--I- < Invert Dispersal Cell .[3.~;~~~~~~~~•E~ :: ~.~:~=~:•. t -:;~~, Elevation ~ D ~ = ~~ • • • • • ~' - - .- 97.85 (ft) Contour Elevation 0.5 % Site Slope Geotextile Fabric Cover Shading Key ~ $. ~- Dispersai Celt See lateral details on 1[] r-~ ' Topsoil Cap ~ °~ 1.5 ft Page 4 for number, size, © i}~f~ Subsoil Cap a ~ ~ ~ /~~Q ~ and spacing of laterals. ASTM C33 Sand ~ `0 ~ / F Laterals are equally Q Tilled Layer ~ ~ 0.5 ft Typical Lateral 5 spaced from the © A99ro9ate ~ o ~ ~ ~. do~rterfine incelthe *'-- A ---~ distribution cell (AxB). Project: Brenne Replacement Mound Page 3 of 9 Cenfier Connection Lateral Layout Daigram t.atewis are identical Force main cow via tee or cross to nwn~old at arr! t~x- I P ~=Turrwp+edbeilvstveor olsanoutPlu9 }Iples dn~ed km the battorn of the lateral Number of Laterals 4 Lateral Diameter 1.25 in Lateral Length (P) 39.25 ft Lateral Spacing (S) 2.82 ft Lateral Flow Rate 8.52 gpm System Fk~n- Rate 34.08 gpm Total Dynamic Head 16.19 ft Laterals 8 force main of PYC Sch ~0 per tX1P+Nt Table >D4.3~6 Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity s .~ I 0.1881 Dose Tank Infotnnafion Electrical as per NEC 300 and -- ~-- Cantu 16.28 WAC ~ Disoonned 1 2.82 ft 1.50 in Locking t~ver with warning label and lodketg device and sealed watertight i 4 in. min. Tank component is propeiiy vented Wieser Ca 650.00 Volume 17.00 Manufacturer Gallons ga~nch A B C D Dimension Inches Gallons A 23.57 400.75 B 2.00 34.00 C _ 3.66 62.25 D __ ~ 9.00 ; 153.00 Total ~ 38.24 650.00 E- Alternate outlet location Foroemain diameter ~ 2 in. Weep hole or anti- siphon device Puma off elevation (R) ~-`-'- 87.75 tank. Alarm Manuafacturer (~SJE-Rhombus Controls_„~~_,~ Alarm Model Number jTank Alert 1 _______,_ t _.___._ _____-_, Pump Manufacturer ~ G_oulds _ _ ': Pump Model Number ;3871 EPOS ~~ Pump Must Deliver 34.08 gpm a# 16.19 ft TDH •Dose tank e~vabort (8) 87.00 Project: Brenne Replacement Mound Page 4 of 9 Mound Svsfiem Maintenance and Operation Specifica~ _ _ _ ___..~ ___._..._~ Phase 1-715-684-5166; Service Providers Name ~ ~ J°e Stance--.------„--- _ -- -~ ~ ~~ Phone,1-715-386-4680 POWTS Regulator's Name ~ ,_~ St Criox Coun Zonin~c $y$tem Fb~v and Load Paramet®rs Design Fkrar -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flaw -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 1 ~ m9~L Maximum FOG 30 mglL Soil Absorption Component Size 450.4 ~ Maximum Fecal Coliforrn >10E4 cfu/100 mL Type of Wastewater Domestic Serves Freauenc~t Septic and Pump Effluent Pump and Co Pressure System Mound C~:;e: Inspect and/or service once every Should inspect and clan at least once Test once every 3 years Should test monthly ais should be flushed and pressure tes Inspect for ponding and seepage once neoua Construction and Material Stand 3 1.5 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap. and are secured in as shown in the mound component manual. 2. Dispersal Dell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. Ail gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal ama is acxomplished with a mold board or chisel pkwv. 5. The mound structure and other disturbed ar+~ wilt tie seeded and mulched m prevent soil erosion and help reduce frost penetration. Lateral Tuna-up Detail Finished •.. •~~~~~~~• •~~~~~~~~~~~~~• Grade ~~ " 6-8" Diameter Lawn ~ Threaded Cleanout ~ Plug or Ball Valve Sprinkler Vahre Box Distribution Lateral ~_~ Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Brenne Replacement Mound Page 5 of 9 Mound System Management Plan Pursf~ant ~ Comm 83.54.11Yis. Afin- Code This systerrr shah be operated m accordance with Comm 82-84 VV'is. Adm. Code, and shall rrYau~tair~ed in accordance with its' cannponeM manuals [SBD-10691-P (N.01/01) and SSWMN pubiir~ion 9.6 {01181)] and loci or state rules pertabrirrg to syse~ mairrterrarwe and mamtenanoe reporfkrg. tardc sirroe dangerous gases ~Y be present that could came deaftr. No one should ever errtar a septic or pump vr~ Corrurr ~.~, ~~. Ad<n• Code when the tarns are no kx>9er used as Septic and pump tardc abarxbtrmerrt shah be b accedence manhole risers, access risers and coMers should be irurpec6ed for opening deerrred unsound, openings used for service and assessnrerrt shall be sawed vraterfight upon the detective. or subject to fafiure must be replaced. F_xposed access cPenings 9 thaar 8 ~ diameter she/ be secured by an effective bddng device ~ P ao~derrtal °r urrautlror~ end ~ a lank or componerrt- Seotic Tank The septic tank sfrafi be maintained by an individual certified to service septic tardcs under s. 281.48, Stets. The of the septic tank shall be disposed of in accordance witty t~2113, Wis. Awn. Code. The operating oondrbon of the septic tardc surd outlet ifi6er atreM be assessed at I~st once every 3 y~ till - The tfiter caRrtdge should rrot be rerrroved unless provisions The outlct biter shah be damned ~ necessary to ensure Proper are made to retain solids in the tank that may skrugh off the ffiter wtrerr removed #rcrn fis encbsure. ff the t ~e4u~Ped alarm, the t16er shah be serviced if the alarm ~ adivatsd oorrtaruousiy. interrrritfsnt f~er alarms may crorrtirruars alarm. The septic tank shag have its corderrts removed when the vohrrne of skrrige and spnn ~ the tank exceeds 1/3 the liquid vokrrre Of the tank. ff the corrterrls of the tarn are n~ removed at the tune of a triennbi assessrrretrt. mairrter~r+oe persr>nnel sly advise the owner of wryer the nmd service needs to be perfomred to mairdain less than ma>dmum srsurr and shxlge aoaerru~on in ~ ~• The addfiion of biological or chemical addfives m enhance septic tank perlortnanoe ~ 9e~1- not ' ~ such Products are used they she/ be s~pproved for septic tank use by the D~artrrrent of Corrunerce. Puma Tardc The prxnp (dosurg) tonic shy be inrrpecied ~ least atwe every 3 years. Aq swfidres, aleurrrs, and pumps shill be tested Lo verily Proper operation. ff an eflluerrt fiker is installed wfitrin the tank k shaft be inspected and serviced as rrooessary. Mowtd and Presa•~ Svstem fro trees a shrubs should be planted on the mound. Plarrtkrgs may be made around the mound's perunefar, and the nwwrd shall be seeded and mulctred as rre~ssary to prevent erosion and to provide same prot~tiar from frost perrebabon. Traffic (other than for vegetative maintenance) on the mound is trot recorrrrnerded sfice soft compacxion may hinder seratbn of the irrve surfaos witltar the mound and arrow carrpadion in the vrirrter w~ promote frost perred~iorr. Cold weather irdorrs (October-Februsuy) a ttrat the mound tre heaviy muk~red as protredion from freezing. influent qualfiy into the mwmd system may rrat exceed 220 rrrglL BODs. 150 mglL TSS, and 30 mg1L FOG for septic taMc eflluerrt or 30 mg1L tiODs, 30 rrrgA. TSS, 10 mg1t. FOG, and 104 du1100 mL for highly treated effluent. irrfkrent fbw may rrot ezoeed maxrrrum design lbw spedfiad b the pemu't for this it>st~ation. The pressure d'rsfnbu6orr system is provided wfih a tkrstring point ~ the end of each . and fi is reoorrrrrerrded that eactr lateral be flushed of accumulated solids at least once every 18 months. When a pressure best is perforrrred k should be compared to the krfiiat test when the system urea insteNed to determine if critics doggarg has occurred and if orifice deaning is required m mekrtawr egad distribution within the dispersal ceN. Observatiar pies vrdtiur the dispersal osN stiafi be drecked for etfNrent porid'uig. Pondn9 levels shed be reported to the owner. recd any levels strove 6 kx~res considered as an impend'urg hydraupc fa~ure requRing add~'ionai, more frequent monfioring. Project 6renne Replacement Mound Page 6 of 9 isa ~ etgrzsestt=xo~ ~cou~as PuMPs s . f . ~•- :~ ydee~edtor~s .~ Selids • gIb89C,PM. • Td~i~es11C 1~t1D3'1 imet _; + QIsd101p~s~"tyY' Inf. • ~ CMhOH- tr11~Ib6fi11b~di~Oflry. ~~* aen~faaous ~~~ sfafilMes~ s1eeL •M~ ~~ t~60t~9~1s. ~~ • ~t~4~P~ t156f2.90 . a9 H~ t~;i0 1~. ~ • ~N~ 1;~i0 ~iA. , 1t6Y, I~ In a~oa~ ~ aaionrliCwaet • P~onr~ 1~fiooc sr ~ ~ ~si.3s~ttrr ~ ~ ~~ ~t'~~- dea0w ~~~ ~~~~ ~~~~ ~~ ~'~~ 3871 ~' GouMs P~rnps aa~ low' ~ o~N;~~ oo~b~'~ t -- e ~,r,ta~tll~t!^n ~\ 1~ v~l~ . ~ eye. SOIL EVALUATION REPORT ~ 1 ~ 4 Wisconsin Deparbmer~t ofi CorrKneroe onrision ~Sarety and ~ ,~ ~, c«nn, 85, vols. Adm. code County St. Criox Attach oorrlpte~e sly ~ iDa PaPef nOt less Man 81R x ! 1 indres in sine. Pin must ~> ~ ~ RrrlRed tn: vertices arld horv~rrMl reterer~e point (8~, diredlon and Paroel I.D. 002-1088-90-000 percent sbpe, sole or dimensions, north artow, and bcationand distance M trearestroad- Reviewed ~ DaM e print all Irl'fonr!'athion. Pe-sone~ hdom~lfon you prorrde mall be used ra seca~derY v (~~ ~'• a. 15.04 (1) (m)). Property Owner ~~ l~6on 34 29 N R 16 E~(or Glenn Bt+enue ~. Lo( SE !/4 SE 1/4 S T Przllpeert)r Owner's Mai~lg Address Lot # giock # Subd. Name or CSMfI 622 250 St. ovvrr ~~ Road ~, Stye Zp code Phone Number ~ 250th St. Woodville Wisc. 54028 ~ 7} 5-698-2592 3 Code derived design flow rate 450 GPO IYew Construction Use Resldeniia! ~ Numbe- at bedrooms Rat ~ PubNc or eorrKrlerc~l- Descx3le: R Glacial Outwash Flood Platt! elevation if aPP --~_ Parent material General eorrrrreMs 6" Mound Contour at 97.85 and recomrrrerrdations: 1 Ong # ~ Pit Ground surface elev. 97.75 tt Depth to lirrtin9 factor ~ n• Soif Rate Etorizon Depth Dorrrrirtant Redox Desaiptiorr Texttue Structure Consistence Boundary Roots GPDA~ ~. MunseY Qu. Sz Coat. Cobr ~. ~ ~. ~~ 'Etf#2 i 0-8 10YR3l2 - sit 2fsbk ml ce 3m 0.6 0.8 2 3 8-24 2434 l0YRM4 7.SYR4/4 ` - sit sl 2fsbk 2vfgr ml mfr ce a 2f lvf 0.6 0.6 0.8 1.0 4 34-50 7.SYR516 f1t5Ylt4l6 spots sl mfr cs -- 0.6 1.0 2 goring # ~ ~9 97.95 30 pti Ground surface elev. R DepM M fwnidn9 fatxor in. Soti Rate t u Redox Descri tion Texture Structure Consistence Boundary Roots GP DrIF Notizon DepM ~c. rtarr Dorr Murrell p Qu. Sz Coat Cobr Gr. Sz Sh. 'E~'1 'E1~2 1 0-10 1UYR?J2 - sit 2fsbk ml cs 3m 0.6 0.8 2 10-18 10YR4l4 - sit 2fsbk ml cs 2f 0.6 0.8 3 18-30 7.SYR4/4 - sl 2vfgr mfr a lvf 0.6 1.0 4 30-50 7.SYR5/6 t7t~4/bspots sl 2vfgr mfi' ce - 0.6 1.0 ' Eflhle[rt#1 = BOD ~ 30 <TZO rnglL arW 1 S:i >3U ~ 1511 mglt_ ~n+o~w,rc - _ w ~.gp~ a ••~v- CST Name (Please Print) _ Slgrtatrme CST Number 'rhamoas w. Gedaws 962178 ~~ the Evaluation Conducted Telephone Nttrr~ber Stang Plumbing & Electric P.O.Box 263 Woodville, Wisc. 54028 5/8/2006 1/715-684-5166 (,TAT O•,•1l,TMNM ' 2 4 002-108&90-000 Page ~ Glenn Brenne parcel ID ~ Property Owner ~ _ Bonng 97.55 M ~ 33 ~ ~ R. g«~ Pit Grarndsurface+elev. S rr DeP~ ~ t9 Hor¢on Depth Dorrarrant Color Redox Desrxipgon Texdrre ~ Cor~stenoe Boundary Roots GP *E~ DI~ ~~ in. MunseN Qu. S~. Coat. Color Gr. Sz. Sh. 3m 6 0 0.8 1 0-9 l0YIt2J2 - 2fshk ml a 2f . 0.6 0.8 2 9-21 10YR4/4 '- 2fsbk ml a 6 0 1.0 3 21-33 7.SYR4/4 - sl 2vfgr mfr a lvf . 4 33-44 7.SYR5/6 f1f5YR4/6 moots sl 2vfgr mfr cs - 0.6 1.0 Boring ~ ~9 Pit Ground surface elev. tt. Depth to Ong fac#a' in. Sol ~ Horizon Depth Dominar~ Cobr Redox DesuQiion Texture Stnx~ure Corrsis6enoe Y ROOD Gtr in. MunseR Qu. Sz. Cont. Color ~. ~ ~. ~~ ~~ Ong Bourg ~ Pi< Ground surface elev. tt Depth tD ~rrtiting factor ~^• Sol! Rabe Horizon Depth Dam~rard Redox Desrxiptiorr Texture S'truchrre Coreastenae Boundary Roots GPaI~ tr. MunseN Qu. Sz. Cont. Color Gr. Ste. Sh. "Etf~'1 'Ei~2 * E78uertt ~ a gQOs > 30 < 220 rtglL and TSS >30 < 150 mgll. ' went ~2 = ~5 < 30 rtgll. and 1'SS <_ ~ tnplL The Department of Commerce is an equal opportunitl- service provider and r~ploym. If you need assistance to aocx~s sedvices or need material in an altername format, please cxxrtact the dot at 508-266-3151 or TTY 608-264-8777. sen~asarraelRm/0~ NT N L!'T G T "~.' f'a 9 ~. S a t `,! ~~~~ RE(~y~pgLl ~~ ~ i ~ 4 D ~ ~ ~ LU U ~ ~~ st Criox Attac~r s8ee ~," °" leper not less n ti 1n x 11 ltd in size. and I.D. 2-loss-9aooo irtciude, t~ not to: vertrcef and ' ~. a ~ percent slope, scale or ~, north Rev by Da6e Please print all i $ ~ a(v Parmond moo you Wovide ~ be used for aecondmy PWP~ t ~"• $-15.04 (1) (~). prapertyOvrner ProPedY 1/4 SE 114 34 T 29 N R 1G ~)® Glenn Brenne God ~ Property Owners Maims Address i~ ~ Block # Subd. Norris or CSMl6 622 250 St State Zp Wnrvtville . Wisc_ ~ 54028 Nearest Road 250th St. - 3 Code derived design flow robe 450 GPD New ConstrucUorr lJse~ Residential / Nranber of bedroarrs ~ ~ PubSc or oorrvnercial -Describe: ~ Glacial ~twash Flood l~asr elevation if wow Parent material General oonrr-ards 6" Mound Contour at 97.85 and ' 1 eorirrry / ~9 ~ 0 Pit Ground surface el~r. 97.75 R ~ ~ 9 boor ~ °' Soii Rate Horizon Depth kr. Dominant Murrse.N Redox Descxiption Clu. Sz. Cord. tobr Texture Structure Gr. Sz. Sh. Car>s~enoe Boundary Roots GP 'E1flrE1 DVI~ "EfE~ 1 0-8 10YR3/2 - ail Zfsbk ml cs 3m 0.6 0.8 2 3 8-24 24-34 10YR4/4 7.SYR4/4 - - ail sl 2fsbk 2vfgr ~ mfr a a 2f lvf 0.6 0.6 0.8 1.0 4 X50 7.SYR5J6 fl~'~6 sl 2vf mfr ~ --- 0.6 1.0 2 Borbg # ~-•~ Borsrg 97.95 Q pd Grand surface elev. ft. Horizon Depth Darrinant Redox Descxiptiorr kt. Mansell Qu. Sz. Cont Cokx Depth b r9 Texture Strrrchrre Gr. Sz Sh. 3(1 / ~. Consistience Boundary Sod Rob Roots GPDlIC~ '~~ ~~ 1 0-10 loYR2/2 - ail 2fsbk ml cs 3m o.6 0.8 2 10-18 10YR4/4 - ail 2fsbk ml ~ 2f 0.6 0.8 3 18-30 7.SYR4l4 - sl 2vfgr mfr a lvf 0.6 1.0 4 30-50 7.SYR5/6 fl~,,,_ ~ ~ sl 2vfgr ~ ~ - 0.6 1.0 * Effluent ~1 = BOD > 30 < 710 nrglL and TSS >30 < 1 50 mglL " Effluent ie2 = BOD <_ 30 mg1L and TSS < 30 rrgA. CST Name ( ~ Thanes W. Gedatus ~~ ~ Stang Plumbing & Electric P.O.Box 263 Woodville, Wisc stun: 54028 ~j(,~ Date Evabation C,a~ducied 5/8!2006 CST iVrrrrber' 962178 Telephare Number .1/715-684-5166 Property Owner Glenn Brenne 002-1088-90-000 2 4 ParcellD # Page ~_ 3 Borin # V Boring g ~ pit Ground surface elev. 97.55 ft peps to limiting factor 33 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fI? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10YR2/2 --- sil 2fsbk ml cs 3m 0.6 0.8 2 9-21 10YR4/4 --- sil 2fsbk ml cs 2f 0.6 0.8 3 21-33 7.SYR4/4 --- sl 2vfgr mfr cs lvf 0.6 1.0 4 33-44 7.SYR5/6 flf5YR4/6 spots sl 2vfgr mfr cs --- 0.6 1.0 ^ Boring # ~ Boring a pit Ground surface elev. ft. Depth to limfing factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ~ Boring pit Ground surface elev. ft. Depth to limfing factor in. Soil ligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fr? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 "Effluent #1 = BODg > 30 < 220 mg/L and TSS >30 < 150 mglL * Effluent #2 = BOD, < 30 mgll_ ark TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Tast (R.OT/00) ! ~. i ~ A ~~ehr ©'Y eri t~~ fo22 250 s~ - WQ~v:1lQ~ tNisc. S~la2$ S E '~ti~ SE'~4~ .S 3Y , T29N, R ~b w 't"awN o'ff' ~1d wi r ~,rc~t ~C # Oo2-~oeB-Ra-oao .- ~-2 - \ . jZo- N5 P- ~ R ;~~,~ o~ ~ RY 0 ~_ ~ a ..._._.~ ~-3 G ~'/ ~ ~` ~~ I o S~ °''~ ~ I ~/ ~ ! ~ ~°° ~ 9'7. ~ 5 ~, C __. . 9~.Ss - - ~~ I= ~ -- a --~_- _ ~~ - z31ri-z. 3~ - f3--~= t - 3. ~d roo ~.. }~a~.se - ~M-2= ioa}Yec g- Z - q-r. Q5 . ~3 _9~. ss. OR/VE WAy i~;~,~ w- cs r~#- Q62~ ~ s ~a.g G 3 0 -~ '~ NT V ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~ \ e n r Mailing Address ro Z Z. o~ cs~ s t Property Address S A'~n r (Verification required from Planning & Zoning Department for new construction.) .... City/State (il~ o o e~ v ~ ~ 1 ~ ~ ~ Parcel Identification Number C~ ~ Z -/lI 88 -44 " O o D LEGAL DESCRIPTION Properly Location $E '/a , S E '/a , Sec. ~ ~ ' T ~_N R~W, Town of ,Q 4 ~ w i rn - Subdivision_ _ _ __., __ _ __ ._ _. _ . _ .. _ _ ______ _ _ __ _ ,Lot # __-_- __-_ Certified Sarvey Map # ,Volume ,Page # Warranty Deed # ~ C d ~ 2 ~ ,Volume ~ ~ Page # ~2~ Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Irr~roper 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 & Zoning Deparltnent 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Nambe of bedrooms SIGNATURE OF APPLICANT(S) ~~~t~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Plam~iing & 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. {x~v. osros~ ,. ' !J 1979 P 326 , STATE BAR OF WfSCONSIN FORM 3 - 1982 ~ g Ili 6 2 6 QUIT CLAIM DEED KATHLEEN H. WALSH REGISTER OF DEEDS DOCUMENT NO. ST. CROIB CO. , MI RECEIVED FOR RECORD j' G1•enn Brenee, a/k/a Glenn O. Brenne and Charlotte A. Brenne, husband and wife 09-17-2002 9:30 Ati '' QUIT CLAIM f)EED ~I quit-claims to Glenn O. Brenne and Charlotte A. EXEMPt A g~ Brenne, husband and wife, holding as REC FEE: 13.00 " survivorship marital property COPYS E• ~ FEE ' 1 CERT COPY FEE: i PAGES: 2 the following described real estate in St . CZ'oiX County, ' State of Wisconsin: ~ TNIS SPACE RESERVED FOR RECOROMIG DATA See Exhibit A attach ed hereto and ~ made a part hereof. NAME ANO RETURN ADDRESS !' Thomas A. McCormack Attorney at Law PO BOx 2120 i Baldwin, Wf 54002 ' 002-1087-80; 002-1088-10; -- - ~; gn 192-1Q32 7Oe 002 inRA _ - - PARCEL IOENTIFICATI N NUMBER 192-1032-70-100; 002-1087-80-200 V '{ i. '; -~~ 1.5 not homestead property. +~ (is not) Dated this 5th day of September, 2002 , fyc ~.2_ (SEAL) ~ l (SEAL) G/Jllenn O. Bren e (SEAL) ~~~~ SEAL) I Signature(s) ~: authenticated this day of 29 ACKNOWLEDGMENT State of Wisconsin, ss. St. Croix County. Personally came before me this 5th day of tember 2002 F~ the above named Glenn Brenne, a lk a Glenn O. Brenne and ariot a Brenne (If not ..,~...,.~.~ .,........ ...~.....,.~... .~ ~ authorized by !;706.06, Wis. Stets.) to me known to be the person ~~ wh : oLego~~. instrument and acknowledge the same. t ~.~N-" Qlt• 1 ~ • ~ = THIS INSTRUMENT WAS DFIAFTED BY ___,~..-------- ~~~'$~ • ~ J ' ' f •w O 1 Thomas A. McCormack s ~~'G)~d~. . t+~u~0~e~~. 4 _.; ~ Baldwin, WI 54002 •~'i •••. Notary Public, 1t~4~,~t~`Wls. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state ''expiration dace: necessary.) , 19 J -~ • Names of persons signing In any capacity should by typed or printed below their signature. QUIT CLAIM DEED S7AiE BAR OF WISCONSIN Mliaconat~ LwpN BiarYt Co.. Ina , Form No. 3 - 1952 MilwtWcN. Wb. AUTHENTICATION i~ U 1979P 327 E}QiIBIT A 1. A ~ interest in the following described real estate: r. -- 7-bout six (6) acres o! land in the Northwest corner of the South One-~fal! of the Southwest Quarter (S~ of SW~) of Section number Thirty-live (.5) in Township num+~er 'twenty-nine (24) North, of Range number Sixteen (16) West, St. Croix County, Wisconsin, lying and beir~ West of the right of way of the Chicago, St. Paul, Minneapolis and Omaha Railroad that runs to Spring Valley, excepti~ theretraa the loilarring: coamencing at the Northwest corner of Out Lot nu~n5er Eighty-two (82)t thence along the North boundary line of said lot, Four (4) rods; thence extending Southwesterly on a 46 degree curve to West line of said. lot, to a point Five (4) rods South of place of coaanencement; thence North to place of coasnencement, all in the Village o! Woodville, St.,Crofx County, Wisconsin. Out Lot number Eighty-two {82) of the ent Lot Plat of the village o! Woodville, St. Croix County, Wisconsin, er,~oepting therefrom the following: eommncing at tha Northwest corner of Out Lot nua:ber Eighty-two (82); thence along the North bour~ary line of said Lot, Four.(4) rods; thence extending Southwesterly on a 46 dagrec3 curve to West Line of said lot, to a point Fi~$ (5) rods South of place of coauienoements thence North to place of t, all in the Village of Woodville, St. Croix Oounty, Wisconsin. 2. That part of the South Half of Southeast Quarter {S 1/2 of SE 1/4) of Section Thirty-four (34), Township Twenty-nine (29) North, Range Sixteen (16) west, that lays South of the right of way of the old main line of the Chicago, St. Paul, Minneapolis and Omaha Railway Company, excepting, however, that part in the Southeast corner thereof that lays South and East of the right of way of the Chicago, St. Paul, Minneapolis and Omaha Railway Company as now operated between Woodville and Spring Valley, Wisconsin. 3. Northwest Quarter of the Southwest Quarter (NW ~ of Sw ;~) and the Southwest Quarter of the Southwest Quarter (SW 3,( of Sw '.L), Section Thirty-four (34), Township Twenty-nine (29) North, Range Sixteen (16) West, Town of Baldwin, St. Croix County, Wisconsin, including Lot Two (2) of Certified Survey Map, filed October 10, 2000, in Volume 14 of Certified Survey-Maps, at page 3966, as Document No. 631483, office of the Register of Deeds for St. Croix County, Wisconsin. ' Parcel #:.002-1088-90-000 05/25/2006 03:38 PM PAGE10F1 Alt. Parcel #: 34.29.16.511A 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 GLENN BRENNE O -BRENNE, GLENN 622 250TH ST WOODVILLE WI 54028 Districts: SC =School SP = Special Property Address(es): ' =Primary Type Dist # Description * 622 250TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 37.000 Plat: N/A-NOT AVAILABLE SEC 34 T29N R16W SE SE FRL EXC P 511 B & Block/Condo Bldg: 511C ALSO INC THE SW SE EXC AS DESC 1288/557 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-29N-16W SE Notes: Parcel History: Date Doc # Vol/Page Type 571414 1288/557 LC 2006 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations' Last Changed: 06/28/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 6,000 66,600 72,600 NO AGRICULTURAL G4 35.000 2,500 0 2,500 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2006: General Property 37.000 8,600 66,600 75,200 Woodland 0.000 0 0 Totals for 2005: General Property 37.000 8,600 66,600 75,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 510 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00