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004-1031-70-050
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL i1~FORMATION (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 Butler, Robert Cad ,Town of ;ST BM Elev: Insp. BM Elev: BM Description: I ('~rM TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic "7 C,~ ~ ers.~~ I Dosing VAN ~ z~ ~- ~ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~, f `I ' 'Zc ~ J ~ i ~,7 I Dosing ! 5 `~ ~ 7Z5 ~ Z 7 1 z~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ ~~~~ mand GPM Model Number ~~33 ~~ ,~ TDH Li~ ~ ~ Friction Loos ~ System H~d J T ~H ~ Ft Forcemain Length i Dia. ~/ Dist. to well Z~ SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 479280 0 State Plan ID No: Parcel Tax No: 004-1031-70-050 Section/TownlRange/Map No: 14.28.15.213A ELEVATION DATA STATION BS HI FS ELEV. Benchmark Z. `f /6Z ~ ~a'O AIt.BMr;,~/oJ ~' ~ ll.... ~~ Z ~.~p w er Bldg. Se ~ r 55 ~ ~o SUHt Inlet ~ z5 QS ~ ~5 St/Ht Outlet ~_ ~ Dt Inlet ~~ Dt Bottom /~ 1 JJ, 2. Z. Header/Man. /~z.lo ~/,J~( Dist. Pipe r~ ~o l Bot. System ~ r ~~~ ~ Final Grade ~~ Z,~ bZ ~ ~~/ f st CoverF~ ~~-~- ~ /v ~DS~I$ ~,~ Z. t~C2. ~~ ~av.~a~ C' 3. ! `fit ~ 3 BED/TRENCH Width ~ Lengt / No. Of Trenche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ ~~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of stem: ` `, l ` ~~ l ~ UNIT Model Number:, ~ z r11STRIR11T1(~N SYSTEM U,... Y. Header/Mani[old ! ~ ~ Distribution /,~,F ' i~ / ~ i 7 x Hole Size / 1/ x Hole SLpa/cing J Vent to Air Intake ~ ~ ~ Length~_ Dia Length ~ O Dia ' Spacing ~ ~(~ "T ~ Q' Sell C(7VFR v D~ecm~re Cvc4omc nniv vv Mn~~nrl Or dt.C;radp Systems ~nlv Depth Over ~[ r Bed/Trench Center ~ Depth Over \ Bed/Trench Edges xx Depth of Topsoil ' ~ xx Seeded/Sodded °' r"' xx Mulched N 8 \ ~ No es o s // Q dk COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ,.~1 / DSO Q/ 'Q{~~ Inspection #2: b / / Location: 3172 County Rroad~,W~ilson,(WI~ 54027 (SW 1/4 NE 1/4 14 T28N R15W) NA Lot ~~'~ n f` t~0 Parcel No: 14.28.15.213A 1.) Alt BM Description = r~' ~ "" `-"J ~~ ~ ~` ~-~ '~ ~~'S a yam,, VS~t,,,~ 1 1 ~l~ ~~ 2.) Bldg sewer length = ~~ ~ ~I~y`Q ~- 1~ ! ~ C -amount of cover = ; - ~~1' ,1 ~~ ~ 5 1<j~ ~, ` v~ ~( ,~ -~,I~,LN {p,dl Plan revision Re wired? ~ ~ Yes _ No q I ~~ I Use other side for additional information. ~ ~ ~_ ___ _- --- -- i-- Date Insepctors Sig re Cert. No. SBD-6710 (R.3l97) Safety an ivision County ` 201 W. Washi gton !~ r; ~/10/ is~ansin Madiso wI ~ ~ _ 'terry Permi Numbs (to be filled;o by Co.) , 66-3151 ~ A ~ Pi'1 De artment of Commerce ~ LO " • ~ San><tary Perm>tt Applic ~ . ` - Plan LD. Numbs ' Tn accord with Comm 83.21, Wis. Adm. Code, personal inf att ~od',ii = t `/tw . / ~ may be used for secondary purposes Privacy Law, 15.04(1 ~ f'" feat Address (if different than mailing addrma) , J F -1 L[ I. Application Informafion -Please Print All Information ,~ ~ A,,, ~ ~' .. ~ Property Owner's Name 19ioolctt-' Paroel # T -'-~- l~l~'1L~ - o (-~o - o5U .Zl3 A Property Owner's Mailing Address Property I.ooation I~ ~I .~/ ~a . ~ ~L v t1~~y ~~ ~ City, State Zip Code Phone Number S s _ ~ e./ !/ .SyO.? 7 /S 77 - f 8 7 (oirole,°~e) T ~ N; Res °~C II. Type of B ding (check all that apply) J ,~1 or 2 Family Dwelling - Number at' Bedrooms 3 Subdivision Name CSM Number ^ Public/Commercial -Describe Use ^ State Owned - Describe Use .~iiy ~iHage~l'ownahipof ~ADy IIL T ype of Permit: (Check only one boz on line A. Complete line B if applicable) `~' ^ New S tem ya Repleoement System ^ Treatmart/Holding Tank Repleoement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Przvioua Permit Number and Date Issued Before Expiration Plumber ~« t 1 / ~~ ~ ) IV. T of POWTS tem: Check all that a 1 '~ ~~ ~ z /~ ^ Non -Przasuriud In-Ground Mound >_ 24 in of suitable soil ^ Mamd < 24 in. of suitable soil ^ At-Grade ^ Single Pala Sand Filty ^ Constntded Wetland ^ Presaurizod ln-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Reoiroulating Sand Fiher ^ Rceiroulatin S thetio Media Filter ^ I.eaohing Chamber ^ Drip Line ^ Gravel-less Pipe ^ Othe (explain) V. Drs rsal/I'restmentArca Wormation: Design Flow (gpd) ign Soil Applioatian Rate(gpdsf) Dispersal Area Recptirod (af) Dispersal Area Proposed (sf) System Elevation yso i o yso y~~ ~o+o. ,.~' ..~ 9 9 s ~e.~~ VI. Tank Wo Capacity in Trial Number Manufaotura Prefab Site Stcel Fiber Plastic Gallons Gallons of Units ~/~ r „ n ~/~ /' oncrete Conattuded Glass New Hxiating / °'~C l., Taeka Tenks optic ~ ua~~r~~b a o ~ ~!d-s e./c.~ rr Y Aerobic Tmatmera Unit Dosing Chemlxr ~Ob - f OD YI ,.~ ~ VII. Responsibility Statement- I, the tmderaigned, sseturte responaihi8ty for irotallation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum ignature 1fe/MPRS Number Business Phone Numbs .i a ,~~ ~.~~ ~-c~~-c ~ y ~s ~.~- sa`~ Plumber's Address (Strcet, City, State, e) ~ is !/ .~ ~ ~ VIIL Coun /De artment Use Onl Approved ^ roved Sanitary Permit Fce includes Groundwater Date Issued Issuing Agent Signature (No Stamps) ' Suroharge Fee) ~~ ven Reason Denial 1X. Condition pprov YSTEM OWNER: 3~~` ~ `~~ ~ S 1 Septic tank, effluent filter and ~~ , l rld / maintained dispersal cell must all be erv er management plan provided by plumber. as p 2. All setback requirements must be maintained as per applicable code/ordinances. ((~~ ' ~ i(~~= C Attach eompkte plena (to the Connty oely) for the system oe paper cot less than 81/l :11 inches ie arse SBD-6398 (R. 01/03) t 0 0 J 3 X 0 a ~ v ~r a a r ~ a ~ ~ ~ ^ '• r~ ^ ~ Its t. 1 ~t t_ n ~ h ~ Ri a , ~. N r; ~ ~ © ; '~ '1 w ~ n i 7 ~ ~ n w 11 ~ ~ n ~~~ Q..O ~ o ^~ c^ o JJ ~~ • L ~'` ~ V Z ~ a ^ ~ ~ ~ ~~ ~ a ti v ~ ti ~~ ~ ~ a ~ ~ ~ o ~ ~ Z ~ ~ t. ~, h a " ,. ~ c ~ ~ e r ° , ~, .C, C ~ z ~ / ~~ / r ~~ o L ~ ~ ~ ~ ~ M h o~ r ' ^ ~ ,~ °a o ~ ~ o ^ N i~ o ~ -! ~, -. a ~ ~, ~, ~ o ~ Via` ti ~ C N~' ~ o J a ~ ~• -~ ~ ^ ~• ~ ~ ^~' t ..' 1 'zi Z ~ t., ~ 1~ v a s ~ ~ti ~ M~ w. A ~^ ~~1 ~ \ r ~ ,1 ` s O c Q ~~ ~ y R P ~i ~ ~ M ' !`~ p c v ~O 1 _ 0 v T ~ a l'\'~l ~ ~." ~t ~ ~ Lev p '~ ~ ~ ~ ~1 ~ 'w~ "~ ~ a ~v ~ ~ ~6 ~`o` ~~ az \t w w C~ ~` ~ 1\ ,~ A ~ ~ a ~ 3 ,0 w` i ~ ~~ ~~ O ~~ ~ ~ ~p~ h n `; ~ w g` ~~. ro . f t wv l~ a I~ ' ~ commerce.wi.gov i ^ ~~ ~ isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. co m m e rce . w i. g o v/s b/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 13, 2005 CUST ID No.231346 JOHN PELKE W2108 CNTY RD FF DURAND WI 54736-8114 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/13/2007 SITE: Sharon Butler Identification Numbers Transaction ID No. 1144594 Site ID No. 700009 Please refer to both identification numbers, 3172 County Road N above, in all comes ondence with the a enc . Town of Cady St Croix County SW1/4, NE1/4, 514, T28N, R15W FOR: Description: 3 Bedroom Mound Object Type: POWTS Component Manual Regulated Object ID No.: 1023227 Maintenance required; Replacement system; 25 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.O1/O1); Zabel A100 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: P.O.i ~ondia APPR Reminders OEP~RTMENTI MQII Of • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706- (N.O1/O1). $~~ ~ • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/O1). 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. ~ JOHN PELKE Page 2 6/13/2005 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, Dennis R Sorenson Wastewater Specialist ,Integrated Services (608)785-9336 , dsorenson@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 . ~~. ~ .~ 9 i ~~ r ~J' ~ i y~~~y Private On-Site Wastewater Treatment System (POWYS) Index and Title Sheet Owner: ~,~ilaa.•~ .~uro~~ Project Name and System Type: ~,dAao,~ ~ar[e•~t - ~ Ba. /` .~vvo G~ewPs Location: Street Address Legal Descr~ti Township/County ~` ' N V• l ,n~- ~~ "~ ~: Contents: Page 1: Page 2: G'L o r dpi s.~ • Page 3 : G /t o sS - .~~ c ri../ ,o,/a U't .~./ G/~./ . f /~ ..,~o RECEIVED ~~ Page 4: li'i.oe' 1,o r~ir,~~ L.ey,~ r • JUN - g 2005 SAFETY & BUI~DIN r~ ~'~ ~^'~ ~ ~°ff ~ ~ r ~.~ Page 6: ~uyr ~6"ilFoit~.i./~r ~uA/! Page 7: Do s/ 1-.s o a./r•~ f ~.n/wsa ~,o.~~vs~irirr ~~.,/ Page 8: ,~ ~, ,~ ~~ .Page 9: Attachments: ,~'o ~ a Evrsa.~ rio,~ ~~,•i,, r Plumber/ler: .Ta.v.~ ~6LJK! Signed: ~~~-t°~C;1~ Credential Number: /1P.?S- .?3i3y~ Date: C - f~ o„~ l.~SEO .SBA ' 06 9/-O`~ ~u.vo /orlPo.vr~vr ,~r,~ ~ ' l //~y C ~ ip./a.IL vfaJii~I .1 D G1 se-o ~ SAD - /0 7'0l -P ''a"ilrssw.~ ~ ~i1 r.~.oa r.,,r Lo.yP.,rlrr /~l.I,.~a.~ t " d!'.t J..,~ .~.e ,, - / p/0 ~ aa. yo. PAS r o~ ya +,ocaE /rgac`` At c Lang. 83. '/3 srrcLot.~:t ,•1~r S,VEO E~vsri,~c ~-jr/c SYSrEi.~ ro 6! darPro our t ~itoPtur A4.Oi/,pa/ro t F/LLro /.~ ~a rr: .ti r~ Nfs A .fL/a,vr t,.~~L+t sLai! - OfFtrcrroa! i of 3 /~, /~' cressry ~~~•~ Ac ry,~c ~Et t crv c rv • 78 • 78 ~ /. 008, x 77 ' Lru tr.+ y ~EfFrirry ruc uiirr~ s' / r rNc rN EXccros wrrrOro /ri.~i.,-..ro cr„~c rr a F yf ~ .t r l ~.vio rN P ~ W,~•S• ~~~,,~~or ~1 fit` Coridlt •t` ~ ~O M ERCE •~ ~~ FNS of 0 Q 3/71 1 ceAy ,v~o ~,~~ P .P~LAN~ F"~. ,~ a f 9 ?~ ~" ~, S" ~~~~, ~ ~~ ~aavs ~ ~`° ~ ~ ~ ~ F ~~sy ~ ~ ~ £ J~~S ` ~ 6 ~E~p ~ x 78 ,Coca cru ~ pa( ~p,opU ' ' S f ~/ ~S.S x 98 y /7'e4./o Po~rr .SYS. El.- /do.3~cW p93~a,dsowc ~ t ae6°c~ic 8'/0 bP~' ~- ~O /'1o6/LF T ~ /6+0/1! l SO ~ ~ ~~ ~ Y~ ~i v a,~pv~ SNE ~o~csr~ i~ •+sJ ,a e o ~ o~! C /8 "FaDV6' t.~sor) ~oa%ao /dio ~,~! ~o~~ rte; ~/ Puc 3-,Q,c• )y,~''.6Etov c/uo! Y"~•A• 6AuB SAj~sr ~ 5,/ NS~• ~ LBAs! LAu,~ y'~yc -scEr~ro r.~ ~ rots s "P~c ~,~~ u y ya " ~ ~ •? isEr.,~• frav~os' ~ NZO ziA+! ~ Qi.,t/rA QKs,Yrs ~I ~ • PNOJ~ i°~Orsrlr ``J W1~ Q 3178 [ cAOY iY Z -/6f y""oP aF /YEr4c iY,/iGBq~C aU11.01NGS a .i ~ _~ Lo . llp. /V r~Y ~i«- ro 3zo r~ Sr --i _ _-__ D =LFt. . • • .rjr.~r- ~-.cam • • •. MEDIUM SAND ~ g G TOP SOIL ~• ~ ~ . • ~ s /,~ ~ Fr.EV . •,,,~~ 3 Q~ • 3 E D 99.3 Goa rent • ~ ~ ~~ ~ C Etc o~ x-22" aggregat FORCE MAIN PLOWED LAYER $ ~o ,~ Slope ~. G x78' a ~1®~G • 98 f'' ~ . • ~ L ~ n- G Ft.' ~8-j~_Ft. ~. • ~ L J ~ FORCE HAat -,~ "~~G ~ I-l~3Ft, B /a ~ .~_x. J-_f..._Ft. t 4i-.?ss~t. ` A 2TAZIIFOLp ~ ~~ ~/~!!G e1.S'S~ p X C~~Obsezvatioa x Pipe Observatioa pipe ` Dist~ibutioa Pi es = /%2 ~ ~~G/ • G to of ~ ~2~ a~gregate L~t~. x C X7g .. • OXr U~1'tJ.rNlO L/Tlitltt • PAGE .~ • OF I E :~.~~e ~ CROSS SECTION~OF MOUND F- .9 Ft• RIB ryV • • • ~ ~ •• ~•SYKTHETIC COVERING •. •DISTRIBUTION LATERAL • • PLAtT VIEp OF li0Ut1D -~ • ~ PIPE I:ATERAL LAYOUT ~ • • ' PAGE:~OF. ' 9 fiOLE DIAMETER ~In. LATERAL " - /%L In . MANIFOLD ~In. FORCE MAIN " -_~In. ' P- ~~•FG. .TK~OG 'orce Mai S _.~Ft . X-~i. _Ft . ~ . ' ~ -3 Y _~/_Ft. Z . -+ 2~ - ' Manifold ~~~ /'/s ~i~i L~ •~y~. ~l ~J"ut.~/r0 y ~ ~ 2 ~ ~ ~f Te',l.I c. , v~ 6'i+~.cr7eere ~ ~ 3S /YaGC S , G o c.~ rao E'va'~+t r 10 ,yatt-s~t,rrr~~rt x f~cor. = ya ~V("/s~x .Ll ,y ~~~ ~~' ~ o?l, y s,4a,~ jr~,~ ~s ys r~-,, Fie ~/ ,esrr~ //~~' /JoL, = /S.? tC . 09~ 6AL./~cr s /~/ lAts x S s ~O 6.415, C~~ii'fwrl `Darr uet.~ /fir /.wu~~r ctcr~ _ /co. 9 ~ • Page~Of 9 SEPTIC TANK E' PUt~tP CHAMBER CROSS SECTION' AND SPECIFICATIONS ..r Sc.r. yo. 4" CI VENT PYPE 12" MIN. ABOVE GRADE E ?' /p~ FROM DOOR, WINDOW OR FRESH AYR INTAKE /~~N/-rN d0 ~- 18" IN. INLET I APPROVED PIPE 3` OttTO SOLI D SOIL• i/ y ,Cfl.~I l.~I/! WATER TIGHT SEALS ZgQEL • Fit rEs A -/oo PUMP OFF ELEV. 9,~o~FT. __t_. B C D WEIl7HERPR00F JUNCTION BOX WITH CONDUIT .. ~~~ ~' ~- I' GAS- i ,' TIGHT i `, SEAL ~ ~ ALM ~ ON ~ ~. 1 ~ ~ dOFF APPROVED MANHOLE COVERS W/ PADLOCK E WARNING LABEL ~-- -4" MIN. i~ ~t /APPROVED JOINTS WITH APPROVED PIPE 3' ONTO SOLID SOIL ~~~ RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE .PAD SPECIFICATIONS • SEPTIC / DOSE TP.NK MANUFACTURER: ~/iESda ~,~~nerrs- NJMBER DOSES PER DAY: S.y /8s?,~ TANK SIZES: .SEPTIC /aoo GAL. ~ DOSE VOLUME INCLUDING 83.y r 9 DOSE too GAL.. ~ • FLOWBACK: 9,~ y .GAL. ALARM MANUFACTURER: _ S. .T.E~.vv.yBW.f CAPACITIES: A = _ ~o YNCHES = 33`' GAL. ' MODEL NUMBER: C.o .~x .~Garer_Z" SWYTCH TYPE: / '9F~cau~er ~ B = 2 YNCHES = 33. G GAL . . /L 8 Lots. Pt1MP MANUFACTURER: ~ yo.~.,,.T,L ~N~N C = ~,~ YNCHES = 9x y 6AL. MODEL NUMBER : „~,~ 33 SWYTCH TYPE: r 7~.eic„~r D = 8.S YNCHES = /y,,,8 GAL. REQUIRED DISCHARGE RATE G.y GPM PUMP E ALARM WIRING AS PER ILHR 16:23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PYPE g.q FEET + MINIMUM NETWORK SUPPLY PRESSURE . ,3 3 FEET + _ ss' FEET FORCEMAIN `X _ /s _FT/100 FT. FRICTION FACTOR _ •.9 FEET . ~ TATAL DYNAMIC HEAD T = ~„3, / FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH S.3'~ ; WIDTH_ 78" ; DIAMETER LIQUID D~`PTR- .3G" • SD33 r~ss ., Typical. Application' Sump/Effluent pump Capacities SW/SD/VS33 • to 48 GPM (3.0 I/s ) Heads _ _ _ _._... SW/SDNS33 - to 26 fi. p 9 m) _ _ _ Electrical _ SW/SDNS33 - 115V,1e,10.0 fIA, 60 Hz Motor _ SW/SDNS33 - 1/3 HP shaded pole w/thermal overload 1550 RPM Phinimum Recommended SDNS33 = 12" (304.8 mm) Sump Diameter SW33 =18"(451 mm) Automatic Operation SW =Wide-angle float switch Imanual available) SD =Diaphragm pressure switch VS =Vertical float switch Materials of Construction Cast iron and engineered thermoplastic _ Impeller _ Thermoplastic vortex Discharge Size 1-1/2" NPT (38.1 mm) Solids Handling 3/8" (12.8 mm) Power Cord 10', S1TW,(20' optional) Superior Features • Carbon/Ceramic mechanical seal •Oil-filled motor w/automatic reset thermal overload • Uses single row ball bearing construction • Piggyback plug available for easy maintenance and replacement 9 6 ~ o s z a 3 0 0 (opaaty-U.S. G.P.M.O 10 20 30 liters/Second 0 1 2 ~`. ~ ~ 9 w ,~, JYYJU Typical Application" Sump/Effluent pump Capacities SW/SDNS50 - to 44 GPM (2.8 Vs) Heads SW/SDNS50 to 24 N.11.3 m) ___ _ Electrical SW/SONS50 - 115V, le, 8.0 FIA, 60 Hz Motor _ __ _ SW/SpNS50 -1/2 HP shaded pole w/thermal overload 1550 RPM Minimum Recommended SDNS50 = 12" (304.8 mm) Sump Diameter SW50 = 18" (451 mm) Automatic Operation SW =Wide-angle Hoot (manual available) SD =Diaphragm pressure switches VS =Vertical float switch Materials of Construction Cast uon and et~eered thermoplastic __ Impeller - Thermoplastu two vane semiopen - - - _ _ Discharge Size __ 1.1/2" NPT(38.1 mm) Solids Handling 3/4" (12.8 mm) Power Cord _ __. 10' , S1TW,(20' optional) Superior Features • Carbon/Ceramic mechanical seal • Oil-filled motor w/automatic reset thermal overload • Uses single row ball bearing construction • Piggyback plug available for easy maintenance and 4U 30 t- 20 10 40 50 0 10 20 30 40 50 60 70 -__ .__ 3 GPM Q`~~yback Swit~hA ~4 s ~• POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION Owner S ~o~ rZ _ Permit # ~- t ~ nF_crf,TT PARAMF.TFRS ~ Number of Bedrooms 100 droom ,.3 ^ NA Number of Commercial Units - NA Estimated flow (average)* 30o aUda Design flow (peak), estimated x 1.5* o aUda Soil Application Rate , o aUda ft Influent/Effluent Quality (NAD) Monthly Average** Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (HODS) ~ 220 mg/L Total Suspended Solids (TSS) 5250m Pretreated Effluent Quality O Monthly Average*** Biochemical Oxygen Demand (HODS) < 30 mg/L Total Suspended SolirL (TSS) < 30 mg/L Fecal Coliform (geometric mean) <10 cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter *Wastewater Flow Verification and Calculations: (Other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank effluent. ***Values ical for retreated wastewater. cvcTF.M SPECIFICATIONS Se tic Tank Ca ci o00 1 D NA Se tic Tank Manufacturer //i sE.C ^ NA Effluent Filter Manufacturer ,v ~t DNA Effluent Filter Model A - ao ^ NA Pum Tank Ca ci Sao ^ NA Pum Tank Manufacturer // .sfe DNA Pum Manufacturer pc„ro ric DNA Pum Model .St/.3'3 DNA Pretreatment Unit P~'NA ^ Sand/Gravel Filter O Peat Filter ^ Mechanical Aeration D Wetland ^ Disinfection O Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) D In-ground (pressurized) ^ At-grade Mound ~] Dri fine ^ Other: ^ Leaching Chamber Manufacturer Model Laying Length/Chamber Soil Application Rate_gpd/ftZ Area Req. ft2 Infiltrative Surface/Chamber-ESIA Rating ftZ Minimum Number of Chambers ^ Aggregate Design Flow/Loading Rate= ft min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and a royal letters. n~ci!'!N !`l?iTTi2iA ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". R.J. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD - 10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD - 10567-P (8.6/99) "In Ground Absorption Component Manual" ^SBD - 10705-P (N.O1/O1) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD - 10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" D SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ^ SBTJ -10572-P (8.6/99) "Mound Component Manual" SBD -10691-P (N.O1/O1) "Mound Component Manual" Version 2.0 ^ SBD - 10595 P (8.6/99) "Single Pass Sand Filter Component Manual" ^ SBD - 10657-P (8.6/99) "Drip-line Effluent Disposal Component Manual" ^ SBD - 10573-P (R 6/99) "Pressure Distribution Component Manual" ~' SBD - 10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units ~ it ~ ~t ~ !'~T 7~.fL+AiT 1~1H11\1L'1\hl\<.L' Al\Ly.i~a....~..,.~...... MAINTENANCE MONITORING SCHEDU LE Service Event Service Fre uenc Ins ct condition of tank(s) At least once eve ^ months ~ ~$( ear(s) (Maximum 3 rs.) P>im out contents of tank(s) When combined slud a and scum uals one-third (113) of tank volume Ins t tits rsal cell(s) At least once eve ^ months ,3 ® ear(s) (Maximum 3 rs.) Clean effluent filter At least once eve /y ~ months ^ ear(s) um controls & alarm Ins ct um At least once eve ^ months ear(s) ^ NA , 1?lush laterals and ressure test At least once eve ^ months -3 ear(s) ^ NA Valves At least once eve ^ months ^ ear(s) NA Other: At least once eve ^ months ^ ear(s) ^ NA Page 7 of 9 START UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. "' System startup shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ^ Valves Valves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). [~ Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alazms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of any filters. Any service needs or repairs shall be promptly taken care of. - ^ In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page~of~ Mound, At-Grade, In-Ground Pressure 'I:he inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits sha!: be rec;zoved rad properly disposed of by :, Septr~g<i Sear wing Gp.,rator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. l~ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN, DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Or A PEl2adi'~' FROi'~Y THE IP3TERIOR OF A TA NK 11?AY BE DIFFICIJLT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name TO//N ~£t r~' ~!'•¢s - :~-ri~t'< Phone 7is [ 7.7 - s,7« SEPTAGE SERVICING OPERATOR (Pum er)- ,~,r,,,ewa Name Phone K:\WPDATA\EFI\POWTS OWNER'S MANUAI..doc POWTS MAINTAINER Name ~Ta .v ~~i~r ~ ~~~ `~a~ ,ws Phone 7is 67~-s.~t< LOCAL REGULATORY AUTHORITY A enc 1: /Loi :.~c O`Fi E Phone i,, ' ,386 - G8o Page 9 of 9 -' ~ Maintenance The interval for servicing septic tanks is set by state and local code. Throughout the United States there is a wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel"' filter, which does not increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and purh ed. However, our filter is virtually self-cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFilter'" alarm, you will be notified by an alarm when the filter needs servicing. To service the filter: `Servicing any zabel filter should only be done by a certified septic tank pumper or installer. Locate the outlet of the septic tank. While holding tl the access open cartridge with fr careful to rinse all 'Note: It is nor `spotless". The ales in the Aral be left on the Hill maybe Remove the tanl and pump the necessary to p any solid escaping to tt when the .~~~.,; Insert the back in the sure the fil completely Replace Firmly pull the filter and slide the carU~it 'Note: A fee handle ma to be used it the tiller !s below Around level to Contact Zabel for info handles ~~~ /~ /.Vi MADE IN USA The product(s) shown are covered by one or more of the following patents: •U.S. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683;577, 5,582,716, 5,779,896, 5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482.621 U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand: 264824, Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1-800-221-5742 • Website http://www.zabel.com At 00/300-I-M,6 t 499 .~~ ~ ' " `'/ ~ Wisconsin Departrr-ent of Commerce R~PORT SOIL EVALUA (9F I ' Divisan of Safety and Buildings ' in accordant with //~~ !~ r~i. ' 6 E~' ~ T ~ 1 Courtly ~~ Attach complete site plan on paper rat less than 81/2 11 inches in size. Plan must include, but not limited to: vertical and horizontal refer ce poir (~lyl),idir~ti n a~ ~ parcel I.D. percent slope, scale or dimensions, north arrow, and I niea st roa lion d ~ta~tc to . Please print all info tior~-, :,~,~,iy ,;~, ,~~~ vi d bye Personal information you provide maybe used for secondary urposes ~I~~~is (1) (m)) Property Owner Property Location J/`-` o.J /JUT"GG" Govt. Lot s~f 1/4N~ 1/4 S y T Property Owner's Mailing Address Lot # Block # SnY~d:d>Fame or CSM# City State Zip Code Phone Number p~;ty ~afiHege ®Town 1 ~ o,/ S oa7 (7is) 7.7- s/ B7 C,voy Page / of 3 Date N R /mar ~ (or,~ Nearest Road Lo. moo. ,~ ~, ^ New Construction Use: f $( Residential / Number of bedrooms -~ Code derived design flow rate S~SD GPD Replacement ^ Public or commercial -Describe: PareMmaterial Loe~.rs edra riLG aal~. S.S. Q.~C.__ FbodPlainelevationifapplicable orJi6 fl. General commertts , .~ / ~ / and recommendations: ~ou./.o ®acJ rf/ / s~NO L/~ ~ C/' itEU.yy~.ra JY.s, ~a't, of /00.3 v~ Y9. s to./Toy~ f ilu.rN G'o /1 E Ruse d!!. ~ SOi'1! G'R!!S Q ~/LL l~Ad!' ~a GROfS ~y0 L/./! Boring #^I~,1I Borin9 .~ 1L`J Pit Ground surtace elev. 98. y ft. Depth to limiting hactor .1S Soil A lication Rate izon H De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF or p in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 .2 S o Ya 3 "' .sri ~ ,l ~' s - C 3 ,75-3 sY.c ,s y< s/e + .701 .c ~ s ! •~ 6 ry~~ L • 0 3/ ~' Ns N!A / 2! D 8~'j/ R .Z ^ Boring g nn ® Pit Ground surface elev. C 3 ft. Depth to limiting factor 3~ N in. Soil lication Rate Horizon Deptfi Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eft#1 'Eff#2 I O- 0 R J/J -' /S s' ~ s' .~O o ~Y/3 - S, ~i~ c s v~ 8 z -3 syz - s6/ /~ - . o " Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 mg/L ' Eriluertt rFG = E3ou < ~u mgru ana r ~~ ~ .w mgi~ CST Name (Please Print) i tuyz , _ ~ CST Number S Address ' ~ j/~~ Date Evaluation Conducted r ereprtone rvurrtoer /sa3 fyic../Ar ~r~ E/vN ~~.t+,aE l/S ~S'~'7oi' I//1 S-~o -as 7~S 83~~ 8~io .. Property Owner Jif/A2o./ ~yTL~it Parcel ID # Page o7 of 3 ^ Boring # ~ Boring ~ N -~ ®Pit Ground surface elev. 9 9.3 ft. Depth to limiting factor _ 3T= in. Sod I'ication Rate Horizon Depth Dominant Color Redox Descripton Texture Structure Consistence Boundary Roots GPD/ftT in. Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ O - o ,C 3 Z "' ~ -~ ~ v ~~ R S ~'- ,Z - S./ ~ -c .8 3 7, s~ _ s ,~ ~~ .~. o ~' Sa<1" o T L cB ~N~ D 8 S ~1 ~~~~ ~ ^ Boring ~~ r......~ n ^ pit Ground surface elev. ft. Depth to limiting factor ~n• Sod A lication Rate tan pescri d R Texture Structure Consistence Boundary Roots GPD/ft2 Horizon Depth in. Dominant Color Mansell p ox e Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate ti i Texture Structure Consistence Boundary Roots GP D/fl= Horizon Depth in. Dominant Color Mansell on p Redox Descr t1u. Sz. Cont. Cobr Gr. Sz. Sh. •Eff#1 'Eff#2 'Effluent #1 = BOD` > 30 < 220 mg/Land TSS >30 < 150 mg/L ' Etfluerd #2 =BODE < 30 mg/L and TSS < 30 mg/L '~';'4 The Department of Commerce is an equal opportunity service provider ~i,~~i~loyer. If you need assistance to access services or need material in an alternate format, please contact the t~eht at 608-266-3151 or TTY 608-264-8777. .~ ~y ~ ~ t I i .sans33olx.mroo> ~, ' . ~~ ..,, °~ `i r°:. PLOT PLAN PROJECT NAME : .S~yvao.~ ~'d ~-~ ~-2 PROJECT LOCATION: SL/1 i+/cr .?8~ /Sc/ o u./ of Cw,O Caa L . CST LICENSE D : ~ cs~.-trc ss~rr' SIGNATURE: DATE: :?o -o.f / N ~a t ~oopS 3 0 ~o . yo ~ = /JACKNoto' /~/rS S.i/L'O /7 N ~~R r OF t/O f AL.t! /oA~t G!G AFL ~o%a. 83.53 .4dT~QAG.Gf ipEr Qui[ 4~,~c SE,/ra 6xi rs our /Slto/ xSatlar/r bA~^' 6A0 2~ ;~ o p. ~~. F'g` \ ~ ~ JJ ~~~p?o 3 ~ ~ ~~ 4 c~`~a 1 F~~ao 1 t ~~p~,,c~ ~{ I 1 _._ -3 ro ~on~f /Soc /aa ~- Nsit i.J ~~ ! asx rout ~/e ,o.~ooa' c.csoE) ~ito Ny o tire' ~ q~,Jd _~ ~6. ~ of 3 Y ~ira0 ~}a G7 3/ 78 LAOY ,€S.M. ? /d/. y'aP of /'~E S'A L /7A/L 4SaX !~ ~~ / ' ~ La.llo. hJ . ~y r,~~t- ro ---~ 3.?a r^` Sr 07/06/04 TtiE p9:44 FAX 715 3$6 16$6 ST CRX CO ZONI14'G X1001 ST CIiUIOC COUNTX SEPTIC TANK MAIIv'TBNANCE AGREEMENT ' AND OWNBRSI~ CERTIFICATION FORM +QwnerlBuyer 5~~v~~ ~ U~ ~P i~ Mailing Address ~ I -1 ~ Cv ~ r`k ` ~c~~ Property Address 3 ~ ~~ ~ C v ~ r-ky ~~~ N {Verification required froth --- Department for new construction) e~ OState W ~ lSo n l~ ; - t~~,l tY Parcel Identifiication Number ~~~ 1'~' ©~© CRIpTTO l ' 2(3 ~-~ Pnrperty Location 5~ ~/s, ~-~ ~/., Soc. ~~-~' . T~N R ~S W, Towa of C~. Subdivision Lot # tCertliled Survey Map # _ .Volume .Page # W,lrr~laty Deed # ~~ 2- ( .Volume Z I Z ~ Page # _ ~ 1 Spec house O yes`~1 no Lot lines identi5able ^ yas ^ no SYSTEM MAINTENANCE Improper nse and u3aiatenanceof your septic systemcould result is its pt+amature failure to handle wastes. Proper mainteaattCe cot:.ai4fs of pumping out the septic tank every t8ree yearn or sooner, if needed by a licensed pumper. What you put into the system can atieecttt the ltutction of the septic tack as a treatment stage is the caste disposal system. The properly owner agrees to submit to Sk Croix Zoning Department a certification form, signori by the owner and by a master plumber, j~phmiber, restKicted plutabot ~ a liceasedpamper verifying that {1) the on-site wastewaterdisposal systmY is in p opeatirig condition snd/or (Z) aflcr inspection sad pumping (if neeossary), the septic tank is less than 113 full of sludge. Vwe, the uoddexsigned have mad the above requirements end agree to maintain the prorate sewage disposal sysicm with the standards set forth, herein, as sat by ~e Departtneut of Commerce sad the Deparmneat of Natura3 Resoutcos; State oP Wisconsin. Certificstion stating first your septic system bas been maintaia~ed must be completed and retained to the St. Croix Coanty Zoning OfTce within 30 days of fhe thrac year expi~atioa date. ~~„~ ' - ._. '~'~d.~~.-fit 7 , ~~, a.oS~ SIt~IdAT[JRE OF APPLICANT DATE O R CEItT7H'ICATION I (we) certify that all statements ou this form are taue to the best of my (aur) knowledge. I (we) am (are) the awaer(s) of the property desen'bod above, by viceua of anwart~ty deed t~ecorded in Register of Deeds Office. ~~~r SIGNATURE OF APPLICANT DATE sss.ss Any information that is role-represented may result in the sanitary permit being revoked by the Zoning Department. "•"`*' se Liclude w<tb thls spplleation: a atasaped vrsrraary deed from the Register of Deeds ogee a copy of the oectified etuwey map if refereaae is made is tha qty deed i! 2 1 2 8 P 0 1 1 707921 ~t . f STATE BAR OF WISCONSIN FORM 1 -2000 ~~, r c{ WARRANTY DEED 'I'bis Deed, rmde between Sharon K. Bader crag, and Robert J. Batkr Gradee. Grantor, for a vahrable Gam. conveys to Grs~ee the following dCSgl~betl teal eStatC m St+ Crois Coutuy, State of W~consin (tlu "Property") (if more spttcc is trended, please Mach adden~ttn): That portion of the Soatb Oa>Nbaltof tie Mortbesst Qaarter (5 ~4 otNE %) lyi~ North of Coaaty Road N, all is Setdoo Foarteea (l4~ Township Twenty-~eigbt (Z8) Aiortb, Raa6e (ISM West. lu-ne.>~EU s. ruse ~T53~ ~ I st. c,~ois co. , ri rEn FOR ExBPf # 8 ~. ~: l,t. TRAdS FEE: COPT FEE: CERT COPT FEE: PI1GE5: 1 ~/ ~ ~~5, Name ana ttann wddn.. ~ / ~ Robert .1. Ridtaa+dsea / S233 McKay Avese P.O. Bo= 399 Q ©~- ~d .3/ " ]~ _ ~ ~ Sprlrtg Valley, WI 54747 Toter widt aQ apptota~at rights, tirtk and Wis. t1M-tti3l.f~NO: tlM-~~>-7tl-t~ Paroet tdentfiatioa N~ber (TBd) This ~ botrteetad property (~) (~ ~) Grar><or tt-arra~s that the tide to the Property is good, ittdefea~stbk in fa simple and free atd clear of enctmtbranca ext~t easeaaeats, biSbways, atidty rights and r9aervtttieras ~' reeord, and wiU warraat said defnd the same. Datcd this 30th day of Jatrnarv. 2ti®3. R ' Sbarva K Batkr AUT~N77CATION SiRnature{s1 Sbaran K. Bader Othday o laaaarr ,20®3. • Robert TITLE: MEMBER STATE BAR OF WISCONSIN (If by ~7ob.ob, Wis. stat~.~ INSTRUMIIdTT WAS DRAFTED BY Robert J. RiebarrdsOa, Attorney at l.tn- ~riats: Valley. WI 54767 (Sip~res maybe auded or sdmowkdoed, eoq~ se not neoesesry.} • ACKt~lOWL1~DGMENT STATE OF 1 ) ss. 1 Persomliy came before me this day of the abav~e mined ~ me lotoprn to be the person(s) rho exoatled the imtrttm~ aad acimow~ledRed the same. s Notary Public, Statc of My Commission is permommt. (U not, apde expiration date: ~ P~ spa ~ >~' ~My rose be typed or printed bdaw~ dKir . wartttwnTr t-ette t-oltNt n.. t . yaw trrFO~eteo tt~oo~ss-~¢~ w~..:r~wt~.....ara~rs tt~ue or wrsrn ,. -- ' '1 ~. T-28-N . R-15-W ~~ -~- '~+ CADY PLAT ..: - /~ + a ~ , ' • : * See Pane 112 For Additional Netela. l..~' ~ ~ _ „ ....: SPRINGFIELD PAGE 42 _ E (L311dOWflClS) ... 3000 ~ 3100 ~- Daniel & ~~ ~ Brs- ~ ~ 2~0 60th AVE c Eve1Yn ,__s Anne I Mueller 84 ~nard 2700 l 2800 00 Bengts ~ Lee 8F N OMeaza 80 ~ Kasp3zak 3 QQ ilanleY Gbsta $ n s orda~as CNBiffoxd & ,^ l: ` Trust 5 8 N PauBrie ~ Herman & awe a~ ~ ~. ^ iS Norma q ~ $ClNtte ~ Vbkt I " ~~ 7erke- Bunnell aema 98 Lund 114 F- ,^ ~, o~pp soN S Fo IWesd 140 y hen ~ sansss Harold °+0 7Yt+st ~ 56th R " 'h~mt vaboa ' 36 ~ tlg t ess, ~ ~ ae~ ;. .- 4 hlae I ~ ~ ~ ~I o~ o~u~- Hale 20 dd N ~ AVE B savor A g ^ itd e,bsav I ~ 3E ~ ~ a~+o ~ svw ~ gg ~ jbve1a 100 ~ 150 G~ I 194 8~ M 53rd VE sF 53Fd A E s n a N „ nonalda 5 AVE ~henyn& 000 1m°0~ss 112 ~sr Z8H as tt7 "~F`m ~ ~ F Yen Matuch xodahl 70 EWallesVerd 82 ~~x ~ ~ Ben 35 s+ - v 38_I ~~ sadse & C rd $ Kuctkr Oaks Inc 88 F~im.+ _ 24 sc a csN _ Danny Terry a Ma*7 Alice 65 32 °~°3z 50 aaF F c °. u e easm a ' eraau & Mary gs Lots ~ ' ,y„Q. tssaw 60 33 33 s'a" 33 Lund 50th Formost al ~ ~y 80 Goss 80 4 ~ - ss CBftora e~° Tr~e Fazms USA ss 75 = 40 . ~ Stuart George 72 Ca~Ba~han z P ~_ fey ` H g Debra I & Alice p.p Pet~n a ~ aldine Oatr ~ ~ Lund 120 A q ~~A ~ TtttSt Tenn n'+- R reger ~ 40 45th VE ~ ~ I E~~~ ~ Ia3 eam.a ~$ Rett wa7 ~ 107 .~ GsI~ss 78 1 JoeephR a cem.a tan s, ~ arw vkn as Ronald 8: 2 ~~P. yad.R aa<»a0 160 Stockman ssaanu't' ~ Darin c Fazln~PsFtn~s MAs ~ 153 20 ramua low 1201 ~_ u9 E ~ ~~s GMzaber ~ma JJohnson Daniel 8: ~°° 80 Toga A Ted & Jae I , I ~~ aan u ~ w 128 BAetDiaF+e Ofsde AW ~ Lane atdwa IoWs~ Anderson Trapp 133 s~ 90 gt Julie "` srmosn 80 ef[rey Lao 110 39 F-cken 79 Backus 70 +o _ a tlum~ E ~ I ~~ ~vitz a - - ~ 383 +'+ s 1 8...~e 3 R' p ~; +s ~io ~O ses«~mte. do ifsda I 1~ , 40 -40 w _ _ - - -3 Gregox9 ~ ,~,q Morsiwn 105 gr Taza rerm s ism ~ ao O 120 40th VE ~ -J .~ ~U '~' ~ 77 emmFknw u ~ (a g omo~e sucnud @n~osis *~zs asYRa. ~OOC t~'~- G - I .p'". 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