Loading...
HomeMy WebLinkAbout030-2038-30-000 f / sv/ STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNELV, /"9 ADDRESS 1370 C;'4 Rd SUBDIVISION / CSM#_ LOT # SECTION_OL_T_J0 N-R ,Id_ W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM (9 Di4L. .Sri tvOU- 1 ~.~600 C-AL, AC Ho ~ D E~ =C, TR,4*1FakY7rk. QI"/ /p 1p. T2RNS ~v:~lt~ R, ~L. %00: D k 'f19 SFrpACE INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center`of septic tank manhole cover. s BENCHMARK: ALTERNATE BM:- SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: 'S Liquid Capacity: 12Z70 B~ Setback from: Well House Other Pump: Manufacturer 7_DCLi_A2--p Model# 1,6/ Size Float seperation ja ft Gallons/cycle: L Alarm Location i~ &4415e SOIL ABSORPTION SYSTEM Width: l Length yr 3 /-jA-rE /~t0 Distance & Direction to nearest prop. line: 17 S041-714 Setback from: well House Other ELEVATIONS Building Sewer ST Inlet: rs ST outlet: _ PC inlet PC bottom, t71 Pump Off G.~ Header/Manifold D Bottom of system q Existing Grade Final grade DATE OF INSTALLATIO ~j PLUMBER ON JOB: LICENSE NUMBER: //~/~1'GL~3:CCd INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) ry Perm it No.: Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: WIENKE, JERRY ST JOSEPH CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: (9 o / 030-2038-30-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic IQ0 0 r,~? Benchmark Dosing Aeration Rldq-Sewer L' Holding St / Ht Inlet /I R3 54 ` TANK SETBACK INFORMATION St/ Ht Outlets 6 Vent TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet 13 i J Septic 50 ' J NA Dt Bottom /734 r ,Z 17 Dosing rI / ~5D r NA Header / Man. - a~ a -7.17 0' Aeration NA Dist. Pipe .12,? ia2•s3 '7 Holding Bot. System d_S? ~ vo.6G PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand 1~, y0' 9 ,39' Model Number GPM /J a 7y TDH Lift/~,o °I Lri oss ctionS System TDH clgkt u•R. L, Head 5.9 3 [Forcemain Length Dia.,p - Dist. To Well>~ ~ SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /A' L/ DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO CHAMBER Moe Number: System: / >50 -/Q,-) d4k OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil El Yes ❑ No ❑ Yes El No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ST. JOSEPH 25.30.20.480B,SE,NE 1370 CTY RD V Ilf~''°., _a I J ' cY Plan revision required? ❑ Yes 1, No Use other side for additional information. SBD-6710 (R 05/91) Date In a "Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: Safety and Buildings Division ~~■~~r■rt SANITARY PERMIT APPLICATION Bureau of Building Water System! 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County n than 8 1/2 x 11 inches in size. l (i` • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. save. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEAS E PRINT ALL INFORMATION Property Owner Name Property Location Xqjel?y / _ g1 /a - va, S T 30 N, R A,0 E (ore Property Owner's M Ailing Address Lot Number Block Number Ci State ZPhone Number Subdivision Name or CSM Number c 8 ( ) A II. TYPE F BUILDING: (check one) ❑ State Owned ❑ Cit Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms - ❑ VRag OF , , ;[Town III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) a 5.30. 2O. f$OCj 1 ❑ Apartment/ Condo 40 30 --10 3A 10 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2. Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------System System Tank Only Existing System _________Extsting System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental. Other 11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 6106 1 - 8 h Feet Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Ex per. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App structed Tanks Tanks Septic Tank or Holding Tank X, `S 0 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber x ❑ ❑ ❑ ❑ ❑ VII,. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plu aSignature - (No Sta s) /MPRSW No.: Business Phone Number: - 9-66si Plumber's Address treet, City, State, Zip Code): ,5d IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issue Issuing Agent Sig ature No a s) A roved Surcharge Fee) pp ❑ Owner Given Initial /~(~j~~ s.-/off/~ Adverse Determination l CJ X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber t INSTRUCTIONS 1 A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of, renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped,by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary-permit application must include: L Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed- Il. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line E3 if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.-MP, etc.),_ address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes,- soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss,- pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE , 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. ' PVC APPY?o os //E/vT A!~/~/1oc~n ec+c~e2 3Lj /0 A aoo C-L ® ~ousE 8~ ~P', c oeo sysT~iy T B~ Svc FoQCJ~ I'jAld (ovkF2 y' PIF") k N Top Etter. 7RAXSrMM1Li ' Zvi e L, /00,0 f E/ic~ 4r LN--- A'-r 8tl, 70,P wOOO C,O ue& ~a s, h~o ISxyd S~~paaE 130 Q ~ ~t ~ ~ 5 kSG4cE / yo ~ V Cr a2 63 T3/7 ~L-/oo•o Top Eteer rPANsFoQ/fW000 COAMCK pas $ ©Cc TH L~ T G l ~l'~" PRAWIA(4- fog e/-gyp-97 q,?,4 /fry gy c7eV y Uj1o) x-kF o 1370 CC 120 1/ amew Tom, syo,25- / jf~iPlCU' 32dS WiscpPsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pagel of 3- Aabor and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but Si-. rroix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 030-2038-30 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Jerry GOVT. LOT SE 1/4 NE 1/4,S25 T 30 AR 20 iE (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1370 Co. Rd. "V,, na na Ina CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE~fOWN NEAREST ROAD Houlton, WI. 54082 (715) St. Joseph [ ] New Construction Usej) Residential / Number of bedrooms 4 Addition to existing building f~] Replacement [ j Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate ._bed, gpd/ft2__8_trench, gpd/ft2 Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate -7 ed, gpd/ft2__8__trench, gpd/ft2 Recommended infiltration surface elevation(s) 101.64 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material pitted gal r-i al r1rift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable for system 12 S❑ U [is OU CRS❑ U f] S❑ U $7 S O U El S I U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-8 10yr3/3 none sl 2msbk mfr Cs 2f .5 .6 ..1..... 2 8-21 10yr4/4 none scl 2csbk mfr gw l f .4 .5 Ground 3 21-41 7.5yr3/4 none s_ cl 2mgr mvfr gw na .4 .5 105/64t. 4 1-84 7.5yr4/6 none co s Osg ml na na .7 .8 Depth to limiting factor +84 Remarks: Boring # l -10 10yr3/3 none sl 2msbk mfr cs 2m .5 .6 2 2 0-23 7.5yr4/4 none is Osg mvfr gw if .7 .8 3 3-82 7.5yr4/4 none co s Osg ml na na . 7 8 Ground elev. 105.13 ft. , X y Ive 0. Depth to limiting pp ' factor - +82" Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. New Richmond, WI 54017 Signature: ~ 2pl~y Date: 4-25-97 CST Number: m02298 PROPERTY OWNER Jerry Wienke SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # 030-2038-30 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tw& sl 2msbk mfr gw 2f .5 .6 4 0-11 10 r3 3 none 2 11-27 7.5yr4/4 none sl 2msbk mfr gw if .5 .6 Ground 3 27-82 7.5yr4/4 none ms Osg mvfr na na .7 .8 elev. 105.O8ft. Depth to limiting factor +82" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Jerry Wienke 1554 200th Ave. CSTM2298 SE4NE4 S25-T30N-R20W New Richmond, WI 54017 M¢PRSW 3254 town of St. Joseph (715) 246-6200 I N 1"=40' BM.= top of elec. transformer @ el. 100' Alt. BM.= top of wooden corner post @ el. 106.40' kk 33' o' ~M P ~ r7' ~0 33 F xE Gary L. Steel 5-25-97 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property Aely Location of property-,5,C- 1/4 &j F 1/4, Section 57, T_,?( ) N-R_g_o _W Township s `u f Z7--,o jj Mailing address /3 240 a7- 0& CL 7-6f( / y'Gl~2 Address of site 2320 eZT 010 - Zia A'6' Subdivision name Lot no. A(A_ Other homes on property? Yes No Previous owner of property C- 11-41?L E- Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? _ Yes No Is this property being developed for (spec house) ? Yes _,;K' No Volume Jt# and Page Number --(O'% ~l as recorded with the Register of Deeds. ------------------------------------------------7------------------ INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. 55;-70 , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. _Y-1 -7 o L egn ure of Applicant Co-Applicant 1i LZ -q / 97 Date of Signature Date of Signature STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS / 3 7e) G r)/ R o ~f~ou c ~n.cf 10/1- . PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE Ad 4 C To/ , CO/1- _ _W2_ PROPERTY LOCATION SAC 1/4, A(C-- 1/4, Section ;?--05' , T__30 N-R___go _W TOWN OF 3 7, r 7-6 5'E/-14 ST. CROIK COUNTY, WI SUBDIVISION MA LOT NUMBER &A CERTIFIED SURVEY MAP A/A , VOLUME , PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: Lf rZ Q'/~7 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 HEAD/CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 185 should not be subjected to less than 30 feet TDH. TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING 5335 BEOIE6..___ 42 45._.. 6749.. 85. 137-139_. 161. 163 165.... t85 too too 155-__.. 11 M.: 44 14N 140 H(f 44 .01 tod 14! 44 LhM ar 111 ,4. 43 NNO, 110 1:!1M, 44 H!c: 4" 00; 441, 14'. pd l.4"', 5 1.62 15 87 28 108 43 I63 7P 273 104 .304 106 401-. 61 .23t 61 -231 58 220. 135 X581. 188 387 10 a Q~ 13 40 25 0 34 12~ 61 231 79 M 100 378 61 W 61 231 58 920 148 060 151 Q9,_ 20 4,10 2 8 7 26 25 95 36 136 82 MQ.. 59 223". 60 .227. 58 ,220 136 516 140 5a0.','. _957:62. 8 30 74 280 57 24 59 223 58 I, 220. 126 494 133 603. N 30 014 65 246 55 206 58 220 90 340 58 1220 121 458 127 481 WF 40 I2.t8' 46 174» 46 172. 55 206. 75 283 58 ,1220 105 397 114 431 W W 50 15,241 21 60 33 125 51 191 58 219.. 58 220 90 .341 100 379.5. M U_ 60 <1820 15 >.57 43 181 36 136 58 5220 71 .269 85 32 70 21.31 I'. 30 114 10 $6 52 .''197 51 193 70 26S 11 80 24.33 14 53 45 ,170 28 106 54 204 90 2743. 32 ,"1 2 37 11Q. 34 too 41491 1 t8 0 21 10 1 1 110 32.00' 7 < 28 8 30 32 1055 LodN4w: 21' 22' 1925' 23' 26' _56' 86, 87_W 73' 115' 91' 112' 100 30 95 28 90 26 85 24 BO 75- 22-- 186 = 70- Q 20 65 165 18 60 J O 55- 16-- 163 50 14 45- 12- 40 185 35 . 10 30 189 8 25 6 20 15 161 4 188 10 2 98 5 42 4 53,55 57,59 131139 0 U. S. GALLONS 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 { LITERS 80 160 240 320 400 480 560 640 0 FLOW PER MINUTE Note: For Head Capacity on Model 112, industrial column-explosion prooof pump, see FM0219. In~'~ .•F r PUh1F CHA,M.e~R CRu55 SEC-1C'.; A~JG `PECIFICI,FIOkJS VEL1T CAP i C.I. ~E"1T PIPE WEAT{aERPKOOF APPROVED LOC,',!%IG JU►JCTION BOX MA~JHOLE COVEF. 25' DGOR, "I I W~WAtN/N~ LAic~ WIMDOW OR FRESH 12 M U AIR IIJTAKE GRADE I I y.. MIIJ. ~ COIJDUIT-- IB"h11A1, \ 1 PROVIDE I - )LET ~ AIRTIGHT SEAL I I ~ I V I III APPROVED JOIM-r A i III APPROVED JOIUTS W/C.I. PIPE i III W/C.I. PIPE EXTENDIWG 3' ( II ALARM EXTEWDIIJG 3' OWTO SOLID SOIL I II OUTO SOLID SOIL I I ow c I ELEV. FT. PUMP OFF D CONCRETE CLOCK RISER EXIT PERMITTED OIJLH IF TAUK MAWLIFACTURCR, HAS SUCH APPROVAL_ SEPTIC E SPEC.IFI'CATIOUS DOSE TANKS , MAIJUFACTURER: WZFZF~ I' Is WtABER OF DOSES: PER DAM TANK SIZE: O®~ GALLONS DOSE VOLUME ALARM MAUUFACTU • A LAR/~9 CO, INCLUDING 6ACKFLOW: .37 GALLONS RE.R. MODEL 1JUMBER: /lL CAPACITIES: A=.LC INCHES OR '~da _ALLOLIS SWITCH TYPE: I'TERCUpV FLOA 7- B = Z INCHES OR D, YA GALLONS PUMP MAAIUFACTURER: 7,0 /t LL ie2 C = / ,r IAICHES OR 12L 6 CALLOUS MODEL DUMBER: D= INCHES OR .two SGALLOMS SWITCH TYPE: uQ~ MOTE: PUMP AMD ALARM ARE TO BE MINIMUM DISCHARGE RATE ~_GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEKEMCE DETWEEW PUMP OFF AMD DISTRIBUTIOW PIPE..FEET + MIIJiMUM NETWORK SUPPLY PKE~SrySURT,E~, FEET + /DD FEET OF FORCE VWM X ~F/00 F FRICTIOLI FACTOR: FEET TOTAL OtiUM'.IC, HEAD = FEET - ~7 40 IIJTERMAL DI USIOMS OF TAQK: L -4-zE H 4d ;WIDTH --L~ ;LIQUID DEPTH SIGIJED: _ LICEMSF DUMBER: -3 05 DATE:q-31012 /O STATE BAR OF WISCONSIN FORM 1 1982 552706, YUL j TY. D PIR 2GOA I rr D OCUMENT NO. cr-r- ICE aT. CFC;A V0., WI Rac'C tot ReCOrd This Deed, made between Charles-T-. Boley_-and--___. -__Kristie L.-holey,-_husbanJ and.-xife---------------- l DEC 2 1996 - - dt 8:00 ..11 A.M and __Jerry W• Wien-and--LYnel1_e,i,-Wienke.-huaband_ and Wife------ PA79M of 000<3 - • Grantee. THIS SPACE RESERVED FOR RECORDING DATA Wltnesseth, That the said Grantor, for a valuable consideration _ NAME AND RETURN ADDRESS conveys to Grantee the following described real estate in - roix--- /44001 County, State of Wisconsin: Fast 400 feet of SE} of NEk of Section 25, Township 30 North, Range 20 West, St. Croix County, Wisconsin EXCEPT South 422 feet thereof and EXCEPT Lot 1 of Certified Survey Map filed _030_-2038-30 December 17, 1976 in Vol. 11211, Page 337. (Parcel Identification Number) v TRANSFER This homestead property. (is) Together with all and singular the hereditaments and appurtenances thereunto belonging; And -Grantor------ - warrants that the title is good, indefeasible in he simple and flee and clear of encumbrances except easements, covenants and restrictions of record, if any. and will warrant and defend the same. . Dated this 29th day of -j1----Novembb.er.-_-_-_ 19 96 (SEAL) / -(SEAL) ► Charles T-Bo (SEAL) (SEAL) Kristie L. Boley - AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN Signature(s) - ss - St. Croix - County. authenticated this day of , 19__ Personally came before me this 29th day of November - , 199-0--. the above named - Charles T Boley and Kristie L. Boley_-_. Husband and Wife TITLE: MEMBER STATE BAR OF WISCONSIN - - (If not. - - authorized by §706.06. Wis. Stats.) to me known to be the person s who executed the fo Instrument and c/kn9~Jwl#Age/ the same. Tu~C ~uCT[f..uCUT W,C f1O,CTCf1 CV ` ]/1~A / /~,tll/l~ s ~ ' ~ F