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004-1061-60-050
_ _ ___ __ _ ~ .isconsin Department of Commerce PRIVATE SEWAGE SYSTEM / Safety and Building Division s ,,~ INSP~TlON REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. ermit Holder's Name: City Village X Township Voelker, Stanle Cad Townshi ST BM Elev: Insp. BM Elev: BM Description: az~ ~6 , oo. b ~1/~ ,.~,~ 'A\I// 1\11-111-f 11~I, T1A~1 re~u ~wrw AI~1\ 11.1 VI\IrIMI IVI\ TYPE MANUFACTURER CAPACITY Septic _ ~ b Dosing ~ 6 U Aeration Holding LLLYMI IV17 VAI M County: St. CroiX Sanitary Permit No: 453191 0 State Plan ID No: Parcel Tax No: p 004-1061-60-986' Section/Town/Range/Map No: 26.28.15.414A(~ STATION BS HI FS ELEV. Benchmark , ,,,,,,Q~ ~/"S/Vr~~ rJ Z9 ' I ' 1 a ~ 2 ~~ ~ ~ b Alt. BM S~- ~ V Bfdg. Sewer 3 0 3 ~ g. ~ v ~~~ 1 St/Ht Inlet ~a ~ sr~~-r c~ «~ ~ ~ ~'S' ~S~ ~f SUHt Outl t W / ~~ k.c>~ .~j •~ ~~ -~- Dt Inle~~yl,p ~- 7 Z T ~ ~~ / ~,". Dt Bottom - ?~ A ! Z ' O ea a an. 3 ~ -b Dist. Pipe ~~ I Bot. Syst~ l°i S. 2 `t l l~ p U Final Grp .~- ~~ 3. ~ ! oO` St Cover 3 rn ~~ .'~ 5 O Wl.. :7 l 7 - s TANK SETBACK INFORMATION ~~ ,t-ti, ST C6LtQit TANK TO - P/L WELL BLDG. Ven o ROAD Septic ` ~U.J( / W ~~J ~ Dosing Aeration Holding PUMPISIPHON INFORMATION Model Number .-.r-7 ,\ ~j TDH Lift ~~~ Friction Loss C./ Syste ~ ead TDH Ft c 1=orcemam Lengt~y~ r Dia.2 n Dist. to Welh `O~ SOIL ABSORPTION SYSTEM ~" ~1h~ BED/TRENCH DIMENSIONS Width ~ / Length S ~ NQ,.Lt{.]1~s------ PIT DIMENSIO o. Of Piis Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L ' '~ BLDG WELL LAKE/BYRE M L C G CHA R OR Manufacturer: T Of t 1 ype em: /~ ~/I_ _ ,q ~ ~ ~i ~ „ t UNI Model Number: D15TRIBUTION SYSTEM "~ ~~.,~-p I i tn~ Header/Manif y Distribution ~ ~ x Hole Size ole Spaci n g Vent to Air Intak th~ Di L 2- ~ ~ y ~ ~ 2 S L ~ u (Z~ , ~ - -t ~ 1 ,/ eng _ a ength Dia Spacing ~V~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~~~~~./~- Depth Over xx Depth of xx Seeded/Sodded xx M Ic Bed/Trench Center) V ~ - BedlTrench Edges Topsoil Yes ' ~ No ,_fi Ye~ / N COMMENTS7!'~nclude code discrepencies, persons present, etc.) Inspection #1: ~ /~/~ Inspection #2: /~ Location: ~34~ S{ Hwy 29 Wilson, WI 54027 (SE 1/4 SW 1/4 26 T28N R15W) NA-~c13--~ ~Q ~ Parcel No: 26. 8. 414A 1.) Alt BM Description = ~~ ~~~~ L~%~%L~,~~ 'f" " t "! ~ aq~yd' ~ ~~, 2.) Bldg sewer length - ~ /'' t d "" -amount of cover = ~ ~ 1~ /'~ (~1~.C Use other's de foruadditional informatio~o ~~_ ~ _~ ~ L~ J Ji ?~-~' L~~~Q- _~~('~!~it~_-_ _ ~ ° _ ~ ~~_~_ SBD-671Q (F2.3/97) Date Insepctor's Si ature Cert. No. G~ Safety and ~uildiggs',F'ivision County 1 ~ 201 W. Washington Ave., P.O. Box 7162 I S~~~S~~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be fWed ip by Co.) De artment of Commerce (608) 266-3151 .~ f Sutc Plan 1.D. Number Sanitary Permit Application TRANS ID #993313 In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(!xm) Project Address (if different than ttlailing addrea) ~ ~ ~~ s-~ Kcvy Z ~ I. Application Information -Please Print All Informaticgr°°-• ~ ~ ~ ~, i,~~ ~ r. """"-! / _ { P Parcel p Lot /' Block Y Property Owner's Na me ' STANLEY VOELKER ~ M,4Y ~ ~ ' 004 • ~Z Property Owner's M ailing Address Cr 7~7 ~ > 3154 STATE HWY 29 ~.hCU~i~wu'`• ... _,, ~ '~ : SE Ik' SW Ik,Section 26 Clty, St1[e Ztp CUdt t WILSON, WI 54027 715/772-4514 (circle ) ' ~ 28 N; R 15 E or v~ II. Type of Building (check all that apply) ~~ 'his '~~' a „• , Uh.~~ Subdivision Name CSM Numbs[ ^ 1 or 2 Family Dwelling -Number Bedrooms 3 ri.rGw ^ publiGCommercial -Describe se g fx ~ , ZS ~ ^City_^Village (~1'ownship of C_ ADS ~ State Owned - D c -~` - 1 • sod I Y sd,+ III. Type of Permit: (Check 1 one box on line A. Complete line B if ap ticable) A' ^ New System ~ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System ^ Chan List Previous Permit Number lttld Date lsaued B. ^ Permit Renewal ^ Permit Revision ge ui ^ Permit Transfer to New Before Expiration Plumber Owner IV. T of POWTS S stem: (Cluck all that a 1 ) ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ®Moutui < 24 ill. of suitable soil ^ At-Grade ^ Single Pass Sand FUtef ^ Coruwcted Wetland ^ Pressurized In-Grourxl ^ Holding Tallk ^ Yea[ Filler ^ Aerobic Trerunent Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Cllatnbtr ^ Urip Lint ^ Gravel-Itss Pipt ^ OUler (cx lain) V. Dis ersal/Treatment Area Information: Design Flow (gpd) Design Soil Application tt ~ Dispersal Area Rtyuircd (sl) Ulspcrsal Arcs Prupuscd (sl) ystcm Elevation j 450 ~ 1 J 450 99.0 .~ ~ VI. Tank Info Capa ' it oral umbtr bianufacturer Prefab Site Steel Fiber Plastic ~ Gallons Ga110ns Uf Umu Con(:rett CURSWCted GIuS New Existing Tal>l:s Tar>!:s Septic or Holding Tank 1000 1000 1 WIESER CONCRETE X Aerobic Tratmtu Utlit Dosing Chamber I 600 I 1600 I 1 ~ WIES: i VII. Responsibility Statement- I, the tuldersiglled, assume respoluibil Plumber's Na me (Print) Plumber's Si gnature BENNIE HELGESON Plumber's Addre ss (Street. City, State, Zip Code) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 CONCRETE X ~'~'~ for hlstallatlon or the POWTS shown ou the attached plans. N MP/MPRS Number Business Pttotte Nutaber 220292 715/772-3278 1/_' ~~ Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued ui Agent Signattue (No Sttutnq) ~}'' Surcharge Ftt) 2 lfl~j ^ Owner Given Reason for Denial 350 1X. Conditions of ApprovaUReasons for Disapproval ]~ ~ ~I..~" (.; ,:~ ~ ~ /Vt.,trU~~ 7~ 7~~~ SYSTEM OWNER: ~~ ~ ~ 1 Septic tank, efflu®nt #iltar and 6L~ ! ~~~c ~:,~~1`€~+-. ~~e~ o-r. ~ (~XO,h dispersal cell must all be serviced /maintained Y yY as per management plan provided by plumber. Der-, _ ~, ~~~~~~ ~ ~~ ~p~~ 2. All setback requirements must be maintained (~" ~ r r J ~ as per applicable code/ordinances. r„~ ~-~q ~+'~~^'~~2 . ~nr coo i>, n~ ~ ~~ pleas (to We County only) for We •ystenl ou paper uol less W:ut 81/2 x 11 inches io s[ze LEGAL ST. CROIX COUNTY, WISCONSIN __9LlZ._IXS_~02 REAL ESTATE TOWN OF CADY COMPUTER NUMBER 004-1061-60-050 Parcel umber 26.28.15.414A-0 OWNER NAME: First STANLEY G & CAROL A La OELKER PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type partment 3154 HWY 29 SECTION 2 R~ GE ' <160 SW '/<40 SE Li Description ine Description OTAL ACREAGE 15.720 PLAT LOT BLK 01 SEC 26 T28N R15W 18.72A E1/2 15 02 SE SW EXC PT TO HWY &EXC PT 6 ~~ 03 TO CSM 17-4494 17 18 05 19 06 ~- ~ 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit ~; ~,_ S a~ ~ e ~oe ~ k~ ~-- r `i r . ~F~ dTe ~. r~~ ~ 3e ~ Rowe r'S 'Bc ~~ II Move-~ 1~Ic v~ c ~ro v.-~ ~-/~~~n e ~- ~OCG~t ~ o ti o h ~r0 ,pR rT~ ~93.s / X15.5 ~ a~ i ~ 61 ~ ~. ~5 (o~~ / g~ / ~' ~ PoC. (S.M tov. ec~ N c~c t- ~t-~ ~a ~- ~ c~'o,-~ , ~:~bboN /n~ y~~ pd~ ~~p ~ os c cS~- 5ep~.c/pa5e fia~lc ~ ~ ~ w ~~~ 2~b~ 1 A- fa> ~ ~~ ~ lJe~ ~ N~rv~ ~ ~~ J s a 4 7 ~e t ~ / 41 ~~~ 2 ~~, l / / J r ~9. s" B.M_ ~ I oy.3 , ~•o~ o f ~„ PVL P.p~ IJ.e,~ -~- }v ~a~" h w/ ~ b ~o~ ` 4 _ 9 ~" c T U. ~~ = y0~ ~cc~~e I Lk c e P '~ As Jhou~~ G~P~ /, ~w~, ~ I ''- ~-f j -~' ..--- ~~ Z . ~ s '1 commerce.wi.gov isconsin Department of Commerce Safety and Buildings ~ ' 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary April 28, 2004 CUST ID No.220292 BENNIE W HELGESON HELGESON EXCAVATING W 1229 770TH AVE SPRING VALLEY WI 54767 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/28/2006 A7TN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 993313 SITE• Site ID No. 682451 Stanley Voelker Please refer to both identification numbers, 3154 State Hwy 29 above, in all corres ondence with the a enc . Town of Cady, 54027 St Croix County SEl/4, SWl/4, S26, T28N, R15W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 954913 Maintenance required;. Replacement system; 450 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual, SBD-10572-P (R.6/99), Pressure Distribution Component Manual, SBD-10573-P (R.6/99); 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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • 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. C0111111t • 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 d FARTMENT ~ ON 0 FTC • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CORRE • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat BENNIE W HELGESOT\; , ~ Page 2 4/28/04 • Comm 83 22(7) A copy of the approved plans specifications and this letter shall be on-site during construction and oven to inspection by authorized representatives of the Department which may include local inspectors Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ .0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 ,1 , INDEX SHEET STANLEY VOELKER 3154 HWY 29 WILSON, WI 54027 PROJECT NAME: STANLEY VOELKER PROJECT LOCATION: SE1/4, SW 1/4 , S 26 T 28 N, R 15W MUNICIPALITY: TOWN OF CADY COUNTY: ST CROIX sgFF 9F~F~vF~ 0/p DESIGN: PRESSURE DISTRIBUTION MANUAL SBD-10573-P(R/99) MOUND COMPONENT MANUAL SBD-10572-P (R 6/99) PROPERTY OWNER: CONTENTS: Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Name: Bennie Helgeson Address: W 1229 770th Avenue Spring Valley, WI 54767 Credential Number: 220292 Plot Plan Cross Section and Plan View of Mound Distribution Pipe Layout Septic Tank & Pump Chamber Cross Section & Specifications WLP 1000/600-MR Zable Tank Specifications Pump Specifications POWTS Owner's Manual & Management Plan - Pg. 1 POWTS Owner's Manual & Management Plan - Pg. 2 ~j Signed l/ .-~-~ Date: Apri121, 2004 }i'?1J" t~I Wis., ;:, ~, ;~+ Ir.. ~ Cd+~MERCE ~A UILCI!V S ~pONDEN E ~~ 6 ~ ~ ~ c.Lv. 8 ~93.s X5.5 /. a~ A 6 ~~ ~ / ~ / ~~ ~. M ~#- ( ~d poc tC~c?.oo ~o p o .F° l`' P uc P.'p.u N C~ {- 't'o ~-0. ~- `~°r9 , ~.bbd~ ((~~ ~~~ P~~ ~~p,p mS e CY (6GO~6 ov ~a~. Sep~.c/,C~aSe talc w ~~-~ 20.b~ l A- I a~ ~ ~~''~< ,r j l 1"0 ~ o "f, 3 ~ec~ rs 'Bc ~~``jj Mov~ ~c ~ro ~ t~ o't~ ~t e t- ~. oC a-~~ o h I~l ~~ = y0~ Scale I ~k ~ e P ~ As S~,o~~ _~ / J • ,b v / 41 ~~~ ~, l ~ ~ / J i ~' X79.5 s ~V~ Z t 1 t c r h ~. ti B.M_ ~ I o y. 3 1"0~ of ~"~v~ P•P~ >~~-¢ ~o I~a~'h w/®r~_ ~?.6bo~ y~. ~ ~~ ~~ ~--- ~- Synthetic Covering AsTM ~ 3 3 Medium Sand Topsoil ----~ ~ E 3 Slope Cc:~~Of 2+- 2 2 Aggregate -" Cross Section Of A Mound Signed: License Number: Date: L Page a Of ~ Distribution Pipe Elev lOb. $ ~G 0 0 ~k~. 9~,s Force Moin Plowed From Pump Layer A ~ Ft. Q ~5"Ft. K O, F t . ~ ~?7. 7.3 Ft. J 7 Ft. T t 3 Ft. W a g Ft. p ~. S Ft. E ~. n~ Ft. F , 80 Ft . ~ 5 Ft. H / Ft. Observation Pipe J ~ _ K ir---- __-__---------_--_ r-_ _-__----- --- - A ~-=-- - ------------------------------------- w G ~ - _ _..T--------- ---- N --,~J Distribution ~`I'~' Of 2 -- 2 Z Pipe A99fe9ote I Observation Pipe Plan View Of Mound , r ~~~~'S` ..~~r~~ ~1 .. Perloroled rlp• onioll ~. ,/ End Vl~rr P~rtoroiro ~ i 1 3 o F- S Holes Located on Bottom are Equally Spaced ~vl C }~~ ~+ ~r~r~~II'' LL ,A /~'++ // mil N'2uj -E'o /"[ctvL~iol~ e i~~ r,p• Distribution Pipe Layout ' P~, ... .. ' ,~ R ~-i S _sL= Signed: License Number: . Dace: X ~„ Y ~? r, 1 Inch Hole Diameter ~,~ Lateral " ~ Incn (es) Manifold " ~ Inches force Main " ~ Inches ~.~-~VER~ ~i~e~. 99'x' H o (e s pe ~- ~-~.T°~e r~~ 3 1Jcxw.bev- ©~ 0.+2 ~--. Page~Of S CIFICATION P CHAMBER .CROSS U SECTION AND SPE SEPTIC M TANK E P VENT 4" .~IK PIPE 12" MIN. ABOVE GRADE E NEATNERPROOF JUNCTION BOX APPROVED . > 25' FROM DOOR, WINDOW OR WITH CONDUIT MANHOLE COVER W/ PADLOCK 6 FRESH~AIR INTAKE WARNING LABEL E l~~ .~f~., -~-~,,,r 4 " MIN . _. tya s. D. ~~ 18" IN. ~ ` ~~ 18 MiN. . ,~ INLET ~ ~. .. WATER TIGHT SEALS .. ~' i GAS- ~ TIGHT ~ ~~ VAPPROVED A SEAL JOINTS WITN FILTER "- ~ ~ ALM APPROVED PIPE Z~ $~~ _ _._ B ~ ON 3' ONTO APPROVED ' fa"x~~~~ ~ ' ~ SOLID SOIL PIPE 3 C ~ ONTO SOLID SOIL PUMP OFF ELEV . '~,D FT • -~' OFF D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS 1w , SEPTIC / DOSE ` /D, 37 X ~ ~~ S~' g~ ~"~' TANK MANUFACTURER: (cSct~ TANK SIZES: SEPTIC (ODU GAL. DOSE VOLUME INCLUDING $ • 'S Gal, ~ FLOWBACK: -- GAL. ~ ~ DOSE Q~'Z GAL. A = ~g ' INCHES = D(.6$ GAL. ~r~ $,,~S~c,,,sCAPACITIES: ~ ~h ~ M MANUFACTURER: ~ ALAR W B = 2 •MODEL NUMBER: ~ ~ __ INCHES = 3j• S_? GAL. SWITCH TYPE: ~ INCHES = /00.s6 GAL. C tUMt MANUFACTURER : o ~1 S (~ D = ~ UMBER : ~]L GAL, INCHES = // y _ MODEL N ~ a SWITCH TYPE: ~ilrr c~ 16~ WAC 7~ GPM PUMP E ALARM WIRING AS PER ILHI~ 3b RATE . . REQUIRED DISCHARGE FEET 7 S VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE ~ ~ FEET . + MINIMUM NETWORK SUPPLY PRESSURE FT/100 FT. FRICTION FACTOR T FORCEMAIN X ~ C HEAD ~s-Q-j- FEET •_ FEET _ + ~~_ FEE TOTAL DYNAMI WIDTH _ INTERNAL DIMENSIONS OF PUMP TANK: (L,IQUID ~- 3~`r _; DIAMETER __ s` ~ /was ~ S~~ l ~,.7( ~(. ~e4- Tw~~ 1~K- ~s ~µ- ~~. LICENSE NUMBER: DATE: SIGNED: • 1/88 150' TOP VIEW SCALE: t /4• = 1' OUTLET .n Of M SIDE VIEW SCAIf: 1 /4" 1' I" VENTS JLET N WLP1000 j600-MR ZABLE TANK SPEgFlCAl10NS DIMENSIONS: WALL• 3• BOTTOM: 3• COVER• 5• MANHOLE: ~4" I.D. H~GHT 56 O.D. LENGTH: 150' O.D. WIDTH: 84. O.D. BELOW INLET: 42. O.D. ucwlo LEVEL: 3s• WEIGHT: 14.795 LBS. INLET AND OUTLET: 4• BORE WITH STOP FOR QUIK-TITS, FERNCO GASKET, CAST-A-SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLES: WISCONSIN, SEE DETA{L ~f10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.88 GAL/IN SEPTIC) 16.78 GAL/IN PUMP) LOADING DESIGN: 7' 0• UNSATURATED SOIL ~~C~Q [~oac~a~~~ W3716 US HWY 10, MANN R~pC, WI $4750 800-325-8456 MODEL YVLP1000/600-MR ZABLE SEPTIC/SEPTIC. SEPTIC/PUMP OR SEPTiC/SIPHON JANUARY, 2000 fllE: w1P1000 600-MR POWTS OWNER'S MAl~UQL & MANAGEMENT PLAN . . FILE INFORMATION Owner STANLEY VOELKER Permit # yr~ 3 19 ~ DESIGN PARAMETERS Number of Bedrooms 3 ^ NA Number of Public Facility Units ~ NA Estimated flow (average) 300 al/da Design flow (peak), (Estimated x 1.5) .4.50 al/da Soil Application Rate al/da /ft2 Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODE) 5220 mg/L ~ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODfi) S30 mg/L Total Suspended Solids (TSS( 530 mg/L ®NA Fecal Coliform (geometric mean) 5104 cfu/100m1 Maximum Effluent Particle Size Ya in dia. ^ NA Other: ^ NA "Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Page 7 of _~ Septic Tank Capacity lUUO al ^ NA Septic Tank Manufacturer WIESER CONCRETE ^ NA Effluent Filter Manufacturer ZABLE ^ NA Effluent Filter Model A_100 12" x 20" ^ NA Pump Tank Capacity 600 al ^ NA Pump Tank Manufacturer WIESER CONCRETE ^ NA Pump Manufacturer GOULDS PUr)PS INC ^ NA Pump Model 3871 EP04 ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: ®NA Dispersal Cellls) ®NA ^ tn-Ground (gravity) ^ In-Ground (Pressurized) ^ At-Grade ^ Mound ^ Drip-Line ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA MAINTENANCt ocntuu~~ Service Event Service Frequency Inspect condition of tankls- At least once every: 2 r monthls) (Maximum 3 ears) ® ear(s) y ^ NA Pump out contents of tankls} When combined sludge and scum equals one-third (Y3) of tank volume ^ NA Inspect dispersal cell(s) At least once every: 2 ^monthls) (Maximum 3 years) [~ ear(s) ^ NA Clean effluent filter At least once every: 13 ® month(s) ^ year(s) ^ NA Inspect pump, pump controls & alarm At least once every: 13 ^ monthls) ^ earls) ^ NA ^ month(s) ^ NA Flush laterals and pressure test At least once every: 3 ~ year(s) Otner: At least once every: ^ month(s) ^ earls) ^ NA Other: ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankls) 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 back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third IY,1 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 NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) OWNER : STANLEY VOELKER Pape 8 of ~. • ~ r ., ' • START UP AND OPERATION. For new consffuctlon, 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 start up shall not occur when so(I conditions are frozen at the infiltrative surface. During power outages pump tanks may till above normal highwater levels. When power Is restored the excess wastewater will be discharged to the dispersal cell(s) in one.large dose, overloading the call(s) and tray result In the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWT3 Malntalner to assist in manually operating the pump controls to restore normal levels within the pump tank Do not drive (^ 15 feet down s ope of any mound orsat-grade sOoli absorptionra ea. over, or othervvise disttub or compact, the area with Reduction or elimination of the following from the wastewater stream may improve the patio denml %~~ of the pOWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasogne; grease;' herbicides, scraps; medications; o(I; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONKMENT • When the POWTS falls and/or is permanently taken out of service the following steps shaA ba taken to Insure that the system is properly and safely abandoned in compliance with ch. Comm 83:33, 1Msconsln'Administratlve Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall' be removed and properly disposed of by a Septage Servicing Operator.' • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the Vold space filled with soli, gravel or another 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 e compliant replacement system: O A suitable replacement area has been evaluated and may be utilized for the location of a replacement soq absorption system. The replacement area should be protected from disturbance and compactlort,and should not be infringed upon by required setbacks from existing and proposed structure, lot (lees and wells. FaUure to protect the replacement area will result In the need for a new soil and site evaluation to estabUsh a "suitable replacement area. Replacement systems must comply with the rules in affect at that t1me. O A suitable replacement area !s not available due to setback and/or soil limitations. Barrlrtg advances In POWfS technology a holding tank may be installed as a last resort to replace the felled POWfS. O The site has not been evaluated to identify a suitable replacement area. Upon failure of the POtM'S a sop 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. " the infiltratlvet-surface.oRecosnsptructlonstof such systems must comply with thelrutes In effect at that ttme~t at :<WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND10R INSUFFICIENT OXYG . DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY C1RC,UMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS aOVVTS INSTALLER POVYTS MAINTAINER Name HELGESON EXCAVATION INC Name JOHNSON SANITATION Phone 715/772-3278 'Phone 715 27 -5 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULIITORYAUTHORI1tY Name JOHNSON SANITATION Agency ST CRO ~ Phone 715/273-5811 Phone 715/386-4680 Thia document was draRsd by the staffs Of tIN Groan Ulte, htarquetta and Waushara County Zoning and SanMatbn apend~a; Th1s dOgrrtNnt tnNti the minimum re4ub•msnts of eh. Comm 89.22(2)(b)(1)(d)d(Q and 83.54(1), (2) tL (3), NYisconsin AdmWstratiw Code. Use of (his doatntNtt des aot guarantee the perforrnsna of the POWTS. G~AYIIC!/Ot) Wisconsin Departmen of Commerce SOIL EVALUATION REPORT Page ~ ot~ Division of Satery and uflding~ P ~ 1 9 , - I den with Comm 85, Wis. Adm. Code minty ~ O Attach complete site an ~?~DIR(?i4lt -8 1!2 11 Inches in size. Plan must inGude, but not limit to: v py~ dal refere ce point (BM), direction and Paroel 1.0. percent slope, scale lion and distance to nearest road. Re awed by Date Please print all Information. ~ ,~ Personal Information you provide mey be used ror secondary purposes (Privacy Lew, s. 75.04 (1) (m)). Property Owner r 1 k Property Location t ~ ~ 1/4 S (/`~ 1/4 S ~ ~ T ~ ~ N R (s E ( W t L G f~~ Ie 2 1r- V D~e o ov Property Owner's ailing Address Lot # Block # Sulxi. Name or CSM# 3isy City ffw ~.9 State Zip Code Phone Number ^ City ^ Village (Town Nearest Rosd ~ ~ I/(~ 1 ~S l,U.~ SL10~7 . ( I - 4~ c,v C ~ D ?~ ~S GPD ^ New Conswdion ~_ Code derived design flow rate Use: ~Res(dential /Number of bedrooms (~]c' Replacement •~ ^ Public or commerdal -Describe: ~ L ~ R Flood Plain elevation If appl(cable nt material ~ P ~ /~ D (~ ~~ ~ ~ are General comments ( ( 5 ~' g' k~ S6, a S ' c ~ ~ c. w ~fh ! ~ << S~..d1 c,~v~de ~ ~ and recommendations: ~ , ~~ ~ r ~~ ~ ~ ©~ Co r ~ c,~r- 9 7 $ p Bo ~ g a Boring # ~ 8. ~ _ n. Pit Ground surface elev. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Ti - $ l o y {2 ~ _---- s ~ -18 l o `lK y ~-- s g-y oyle ~ ~ ~ ®Boring # U~ Boring I~YF'tt Ground surface elev. `~Jr $ ft Horizon Depth Dominant Color Radox Description in. Munsell 4u. Sz. Cont. Color a ~-~ ~oy~ ~-y8 1 i7 ~ 7s o~~R ~ • Effluent #1 = BOD, > 30 _< zzu CST Na a (Please Print) ~e vt Vt i ~ ~ I e Address (,{~%~?7 T76 f~ ~ve~ Depth to limiting factor _,LU~ ~• ~xture Structure Consistence Boundary Roots ~ Sh . Gr. Sz. •EB#1 rL rr ( S6K r -Yr CW iiv-~ ,lo Depfh to limiting factor -_..~~• ~ cation R Texture Structpre Consistence Boundary Roots GPD/f! ~~~ Sh. Gr. Sz. I ` ~ b~ i~'l~V CL l.J J u ~ ~ S ~V ~ s ~ ' wtS ~, - ~~~~` ~ and TSS >30 _< 150 mglL Signature 1 ~~ r~_Ua ( e s~ ~6 • Effluent #2 = BOD, < 30 mgll. and TSS _< 30 CST Ntxr ~-is~6y 77~~3a~~ i ~} ~ property Owner S7~a"~ ~~ JL~-~ ' `'~ ` Parcel IO # ("'~ Boring # ^ Boring ,~1 J~ Ground surface elev. s• 6 h• Depd- ~ dung factor Pit o Page ~_ ~ 3 . Boring ~, Boring # Ground surface elev. _______ ft• Depth to limiting factor SoA ^ Pit t Texture Structure Conslste~ce Boundary Roots Horizon Depth Dominant Color Redox Description Gr. Sz. Sh. 'Eff#1 in. Munsell Qu. Sz. Cont. Color Effluent #1 =BODE > 30 _< 220 mglL and TSS >30 _< 150 mglL ' Effluent #2 a BODE _< 30 m8ll-and TSS ~ 30 ~ The Department of Commnran alternate fonnac please contactpthe depaartmenrt at 608-266y3151 oa aT'fY 08-264$77'7, Services or need matenal SBD•8370 (R.6N0) [] Boring ~• Boring # - g• Depth to IimiGng factor ~ tion Rate ^ Pit Ground surface elev. Horizon Depth Dominant Color Redox Description Texture Gr Sz. Sh. Consistence Boundary Roots GPOIff~ in. Munsell Qu. Sz. Cont. Color G ~C~~ ~IGIv~ r 1 ~ D.~ ~ C,S.T ,e ~TQ~ csoh ~ ~ ~a~~ 3 0 ~ 3 ~q3.5 ~ 1 9s.s ~ e ~ ~` $~ ~~=S o ° ~ -_' +~ ~ ~7 lope ~ ~/ ~ ~~ ~, ~- % ~~ 7~0 Sfape- / ~~~ I]= ~y ~ Tb~ of -'' Svc. p=iP~ ~ ~ieXf ~o (~ct~- It q9, S- ~/o r5 . R ~ lobo ~ Pro ~oS~ 3 A~ ~. Nom Crou..~cQ E(e~. IC~~.y . ~, c 8~2r ~ i ~B.M_ ~~ loy.3 Taw o`F l ~` P u C P, P`~ ~~ ~Orq. ~~b~0o~ ~C4-~2 ~ t~ _ ~~ ~ Cxc~ p ~- ~~ shc~~v~ 4 ~ "tea q , ~~ 4 ST CRO1X COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~~- ~-= '~ Mailing Address Z-~ . Property Address i ~ ~ S ~'` ~l 1 ~ ~ ~7 (Verification required fr m Planning Department for new construction) ~ ~ h " ~ ` ~ Parcel Identification Number ~ ~ ~5 City/State 6 ~y LEGAL DESCRIPTION Property Location ~ E Subdivision Lot # ~• ~- ------- ,Volume ,Page # Certified Survey Map # X33 aa7 %~~-fS~•72- /4$'a- ,Page # 335 Warranty Deed # _ Cvl „ LnI~S ,Volume Spec house D yes ®no Lot lines identifiable l~J yes D no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Propermaiateaaace consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into tlu system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastcwaterdisposal systeaot 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 mauitain tiie 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 WisconsOt~iae~tt3ooa stating that your septic syste has been maintained must be completed and returned to the St. Croix County Zoning days f e ee yea expir on date. ~ 9.~ DATE S NA OF APPLICANT OWNER CERTIFTCATI`ON our knowled e I we am are the owner(s) of I (we) certifj that all statements on this form are true to the best of my ( ) g • ( ) ( ) the o e describ ab , by virtue of a warranty deed recorded in Register of Deeds Office. / / DATE / •+*s•s •"*"'" Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. O~ y ~~~ _~ ~/,, S~J '/,, Sec. ~~, T~.~N-R~W, Town of ~~-• •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ~ ,~l° ~i .~ . ~ ~ a ~ ~ ~ ~ ~ ~ ~~ -~ ~ Q ~, ~ ~ M c~° .~ L ~ M `~ ~ _=+C -~ FJ ~= S .~. S v L,~ ~. `Y~ ~ Q -~~ a LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF CADY COMPUTER NUMBER 004-1061-60-000 Parcel Number 26.28.15.414A OWNER NAME: First STANLEY G & CAROL A Last VOELKER PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 3154 HWY 29 SECTION 26 TOWN 28N RANGE 15W'/<160 '/440 Line Description Line Description TOTAL ACREAGE 18.720 PLAT LOT BLK 01 SEC 26 T28N R15W 18.72A E1/2 15 02 SE SW EXC PT TO HWY. 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit TERMINATION OF DECEDEY~if~'S PROPERTY INTEREST OEC£OENT'S NAME Esther Emma Voelker AOORESS OF OE CE DENT AT DATE pF DEATH CCTV STATE ZI 3154 Hwy. 29 Wilson WI 54027 July 28, 1999 ~ 392-36-2826 PRESENTATION OF iDEATH CERTIFICATE 1 certify that f have viewed a certi1fied copy of the decedent's deatlT certificate. nE TER OF DEEO~S SrGNATURE - D Enterest !n property Is terminated under (please check appropriate statute): % s. 867.045 which pertains to property in which 1lTe decedent was a joint tenant,' had a vendor's or mortgagee's interest, or had a life estate. '(You must provide a copy of the document establishing joint tenancy or file estate.) s. 867.046 which pertains to (1) property of a decedent specified in a marital propeny agreement, and also [o (2) survivorship marital property. (You muss provide a copy of the document establishing survivorship marital propeny.) Presentation o/ recorded document establishing Jotnt tenancy, Ilte estate, survivorship marital properly, vendor Interest, or mortgagee Interest In real estate This document number is This document number is This document number is 445172 Description of the real estate 6.1Es6Q5 KATHLEEN H. WALSH kEGISTEk OF DEEDS ST_ CROIX CO., WI RECEIVED FOR RECORD 01-06-2000 10:15 AM TERM OF DECEDENT PRO EXEMPT M CERT COPY FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 25.00 PAGES; 2 Recording area 2S Name and return address: Robert R. Gavic Attorney at Law P.O. Box 400 Spring Valley, WI 54767 -fZ~'~ /~S-3 o- OOt~ _ PARCEL IDENTIFICATION NUM$ER volume 833 ,page 227 of (check one) Records X Deeds volume __ pageA of (check oneJ Records Deeds_.__ volume __, page of (check one) Records Deeds Include onJv the extent of ownershi~~or vendor or mortaaoea'~ into rt in Land of the time oI the decedents death J/ the extent of land is exactly the same as on the document, a copy of that document may be attached to describe the tea! estate. Attach tax bill for year immediate/y preceding death, it applicable. (See directions.) The legal description o/ the property and the persons receiving the property are as lotlows: (//more space ;s needed, attach pages.) East One-half of East One-half of Southwest Quarter, of Section 26, and the Northwest Quarter of Northeast Quarter of Section 35, all in Township 28 North, Range 15 West, St. Croix County, Wisconsin. Description of personal property (i( any) being transterred. You may list savings accounts, checking accounts and securities on attached pages. Indicate person(s) receiving property. DECLARATION: I (We) declare that this document is, to file best of my (our) knowledge and belief, true, correct and complete and is in corTlpr mity with the provisions and limitations of the Wisconsin Statutes. (l/moro space is needed, attach pages.) -Name and Address of Person Receiving Properly Relationship to Decedent Signature (Notarized) Date _ Stanley G. Voelker 3154 Hwy. 29 Son ~ 12/23/99 Wilson, WI 54027 Carol A. Voelker 3154 Hwy. 29 Wilson, WI 54027 This document was drafted by: (print or type name below) Robert R. Gavic NOTE: SEE DIRECTIONS ON REVERSE SIDE. wscons~n Register o+ OoeOa Aas ociaNOn Folm HT- 110 (t 1r96) 2 i S IG I~r97) . (./ Daughter-in- f.~'~~~ Q . uc`~ 12/23/99 Law l ' t STATE OF WISCONSIN, County of Pierce Signed and sworn to before me on 12/2 99 b the above named person(s). Signature of notary or otherlperson __.. _ authorized to administer "~ ~ - (as per s. 706.06, 706. • ~ ~~. Print or type name Robert H; ~ ..... .~:. Title Notarv Public ~~___` (.l~t'~?~q~t11'Sisst©t~K~a~c is permanent ___ DOCV MENT N. STATE BAR OF WL ONSIN FORM 8-19s ~4U1*C>~IM DEED ~ enoK 833 Pa~t227 Esther Voelker, a/k/a Esther E. Voelker, a/k/a Esther '----BIIIItcZ-'VOZI-Jcer~ 'amd--Sr=^t ey--G~ --Vbe3kzr-a/K/a--Stan3ey Vbl '----'alld--Caro2~-A-:- vbeikeri"husband"an~-wi-fE-~icT->~fiI' iil--th!~ va(t-e(aima w ....S.Lan.1.ey---G-.._V.oe.lk-e.c---sod..C.aro.1._A..._Yoel.ker.---•-•- ....._hk.;!ban.Q, ao.Q_wi.f.Q. an(i. as..j.4 i.nt.->ssnan~s~_.and..aach_..__._.-.- .-----'-n..xhelr.._pwn..3ntl.ix.i dua.l_.r._i gbt.,___._ .............................•.---.---- the followirtR described real a4te in ._.•...$~E,.__~I:Q]_2( ....................... Coonty, State o[ Wiseonetn: vor..1~ 8?Pac~ 3,`~6 RtGl~Er2'S OFFICE s• 5T. CR01X CO., Wi own right, Recd for Record -r i=8 Q 3 1°99 °f 9:30 A.AA • Repbtar of needs : - East One-half of East One-half of Southwest Quarter, _ __ _ __ __ of Section 26, and the Northwest Quarter of Northeast -_-" ~~~- ~~~-~ ~ ~~ Quarter of Section 35, a71 in Township 28 North, Range 15 41est, containing 80 acres more or less, according '1GR Pareet No: Government survey thereof, and subject to the following: -'-~-~-'--'-'-'"- 1. Esther E. Voelker does hereby reserve unto herself a life estate F'gta in the following portion of said real estate: Northwest Quarter of Northwest Quarter of Northeast iYl Quarter, Section 35, Town 28 North, Range 15 west. E jiQp'a i. i~ li li (I l~ ~~ ~I ~I Said life estate shall terminate upon the death of Esther E. Voelker or at such time as Esther E. Voelker abandons said property. Abandonment of property shall be construed to be at such time as Esther E. Voelker does not continue to physically reside on said premises for a period of one year at any one time. Affidavit of abandonment by Stanley G. Voelker shalt be sufficient to determine that said abandonment has been made. 2. One of the purposes of this Deed is to eliminate and void the covenant contained in that certain quit Clafm Deed dated May 5, 7984 and recorded under Document No. 393751, Register of Deeds, St. Croix County, Wisconsin, the requirement and covenant that Stanley G. Voelker and Carol A. Voelker pay to Bernard Voelker and Wayne Voelker each the sum of b10,000 subsequent to the death of Esther E. Voelker, and also a17 other covenants and requirements to be performed by Stanley G. Voelker and Carol A. Voelker. Thla _... __......~5 ......... ontaatead property. ..... (is) (s •net) ~~ Dated ..... .....j ............. ear ar ......- -- .. ....................f.!.....~-.......(SEAL) St..nle ..-G.:..VOe.l.ksr.--••---..._-•--.--•- `~__ _".(-_L.(.:..41.E".:. k`_-'~-L./ ...... ........ (SEAL) .... February .................._ .._...., 88.. LL ~./ '''O 19.....- ~Y.!aZLLI~/ ~.....~IGC//~G/~'~ ..(SEAL) Esther E. Voelker ......................................... ......................... (SEAL) AIIT88 NTIC ATION ~! AOgNOWLSDO MBNT !' Sit;Aeture ([> .4f...ESiher..E....LAE.1keX._and___......__ ~ STATE OF WISCONSIN 7 Stanley E. Voelker end Cero1 A. Voelker :. .__ . . ......... ~ as. ....................................... .: ant ated thi ~ F ......................................Cooaty. s _ .._. ay ot___ ebruary___..... 19._$8 Perwndly cams before nse thu .._day of ~~ ... ___.._ ........................................... 19.___.... the above named ~! '-----..Robe.~k.R..__Gav7_c ... ................................••-•- ' TITLE- MEMBER STATE BAR OF WISCONSIN _...........-•--- """~• - - " "" "~ ' "•- _ ..................... . i r ti ... ............................. !! atho iyed Y 4 706.08. Wte. Stab.) ....._...._.._.._. ....................................... ....................... to me known to ba the person _......_._.. who executed the forasoina inetrnment and aeknowtedp thesame_ TN19 ~NBTRUM[NT WAa eRAFT[D sY ----.._ROBERT...R_..GAVIC ............... ........-----..__..-•-------•--..............--°---°--•°----• ---....---.... ---- pr.i.ng..](a.ll.ey._.S~JI ............... ~~ mar bn (9lxnapveR authenticated or oeknowled Red. Both No4ry Pubt(c _County, Wis. M ............. ....... ..._.-.._. Oommiaaion is permanent. (If not, state Y expiration :. nre not ncceasaryJ ! date : ................ ............................. ........... 19.........) 'N~ww nr yr~anr rlewlne In . miq ripylA M trDed er Orlnya DNo~ larfr rienNarw. .ICMMMrO.we.r aTA TI. DAn Or wl'CONRtN ~'-"~' .-..... -~.. ® eoasr Na o. n _ ~ -^____-~ S/ock No. 13003 ~ fig. ~k2 ~<~ P,,,.~Q ~ / - H CADY PLAT T-28-N • R-15-W " "` (Landowners) See Pace 112 For Additloeal Names. ~ SPRINGFIELD PAGE 42 2700 2800 2900 60th AVE 3000 3100 3200 33pp Termite- Glori, $ ST s xa~ Clifford g ~ Evelyn I(Kl Daniel g ' Mark hers BuoneR ~ tom ABce lltrke Ar313e E ~ 40 40 ~° 3B Lund &S Trust Lee 8c ~- OMeaza Mueller Gary g ~ 33 1]4 ~- Norma q ~i f 5 8 F- Pauline N 80 84 Leonard 0 6 n~ io~vna ~ o$COn~nnae Harold a o ~ Tr~i9t ~ ~1'O aD N ~ Sthutts ~~ ~an a ~ ,$ KaSP~ SI N ~ ,~t,> ~ ~ Hal ~ N 0~ >'~ ~ 56th Ro 3 ° m Ruerd E 4o nor 20 _ "y .a M Family ~ ~ C q + ~ 140 iw.~r ~a 5 AVE Johnyynn& u S ]00 ~ ° AVE B 5~,~g crust yr ~° ..pp~ .+e ~ ~ Bernard ~~ "m Makuch KIIdaW 70 WaBesverd 82 O~C 1mbodm etal t~ uH 150 ay ~ I ~ ~ ® 116 Faxr I m~ ~~~ shaP 40 ,~ a I C s9 112 sr utnersnie 4t 117 194 ~ 53rd VE 39 53rdA E of C ° lesue a CBfford a W ~ "3~ 3"° t~3 Guy a Wl.a~ ar3iW Maq ABCe Kuckkr Ebenezer , semen r gay. Gbm Melaek Q 3s 60 33 33 ~ an Lund 65 3Z ~N`~32 50 Oaks Iae 88 3.~, ~ 24 xs'eei ze is G~'a~ 35 S3 _ - 30 P~~38 ~ G r73 CJj~ord ~ O Troya 50th en3 s rhomuBanaaB carv ^ g Alice •• eo iw"~ute George Farms USA y ~ a rates ~ ` ' B~ a Mary g I.o s ~ Lund 120 ,8 q .~ n J9 40 g Doris 72 Shawna tl P ys = 40 ~Y gp Goss 80 c.sam a ary vku z 'd ~ ~ ~ B 7ru~ st on ) asks a ~ M G raldine '~.-' J`NieY w Hecker James ~~~ Roltaldg ~~~ a'°'E'n Rex Gmn- 0 nn- ~ er co Klatt em ,~ gDebra Brenda °Sx°' ]20 160 Stockman war 4o i 107 „ptla e ~ 78 ~ 40 (`45th VE PovolnY I r ° 1`B &) t9 Arthur Rie c s3 s Mary Gegmy JoAnn xamark a Brapdt FamOy Aoad~rh g w cur a ns;~. Tra 133 atee`"° 4t Gm ~ c.~ Johnson Darin a F Prmrs ~ Menhryr Tor, u J Io PP DaNel g Kiln 153 20 w )olliff 120 Ronald leffreY 128 dt Diane Ofstle G 40 Lek Kavitz 9U Bee gWp~ g tdie nu Mee~a Louts Ted g Jae e 120 40th VE 305 40 °ivp w 79 383 w° 1 110 39 Ficken 79 BaJckus 70 "ao ~ b adca40 ~dersoa80l -- - ---~_-_-_ _~- -3 Greo __-_I -_- i3 ise rat w ~u ~~ ~ Mary ~ °a Bknua Geo*ee B rY o~ws roo,ua 3 a sands & Doris 8t Taza • 3wem s~mn 10 rer t9 a to ~ I Lion t,ms Lny Peterson -~ Or1et1 rom~ sdoum- rev3o a Hoenca a Tinder 80 w 40 Trust 120 ~1Q 77 Brom M e 47 ~ 40 Morrison Ronald Mlehad E8R . N sowers "°"°` s, tt.ss~3 sil~ g Brenda OCo ell N High laus e.,m`~.ou w 8 Bowe $ Jo a °33mae I3 ~ , Nld- s' Rlek gp ^ cada Cappenel 115 Cn3t3t 45 Wheeler 39 10 4s~ F- M er 58 8 un to _~ sen 1191 ~~ t~nnertl Carta q= t a e6 ~ _ _o _~ N ~ y. ~n )oan Mdenon Fa ^nc m aoo James g ~ a v3 •• o O m°,- ~3 120 Ander- `~+ : yyy ~Cn V e n6 loans N 3q ~ V Johnson 119 c ~ N3 l 40 ~ ~ ~ o u 'tf £ q ~` b t- e.ee~3a ~ e3 ` 4 sam.aa CRald ~~~.'~ °eetpet an~ 4 ~ oa +~~.~ Lawrence ikea 9 6 ~~ If aramy c Steven Simona d c .r. a /oyu a yg M ~ Aaw ~ w ,"3 r~ Wie d rion u iL ~ ~ .~ U ~+ 1h-a• ;n a Lisa M>.too O r ,y5~ swv w to_o Briaon 60 t ~ ~ ~ ~ d d _ _80_ _ w _ 6o r x 3s 238 0.~. ~ 78 H ckS 80 ~G v3 RBIO (~ O> a sif rn33 wr~+3 B°w W rOa 4o Z ~CBf e'S rssea '" Olsoaa 20 n 1 ,^s ^ 30t AVE 2 r g Christerpher rom ~~ w3o O 2' t9 rnm3e Robert ertan ~ mice IOei°aka a'Wa asns.ee ^3 A ~T¢ Dona 8: Pahicia semmsa ~ a ~ ~ ~ K g Dauo terra- ee.ro ~ n 7£~ s~ 7th AVEO sZ~ "" sheBy_ PInksWn ~~ „ ^' Walter 8: 16 Maz ' J 80 swaaww so w w ~1 ~ ~ ~ b Hassan s Taw, ~ C ^ Miraael lames mm ` 4P~ u g$q Fiber s' Gabriel g MBler ohs a Dean Delmaz g ~~ u t a DoseB° 68 ten 0 'S,~ C LE Therasa I Timm Mazlme y ~"~ `o PeOVtap '3 ~ ~ Romo 78 119 : 78 T 20 do ~ r a ~ 4D 70 NN ro 25t AVE ~ a Ellingboe 80 HoBdod ~ o Ronald 4 TM a Norm 8: B°~K TaR zz ` o E ens =' h ~ ~+ Olson Brtan LM a FM a N Mazleen aoter~- Chad<s a \00 Gerald a g~udith sx`~° Scott 8e 80 wa"S 40 )F 4o it ~ t Truesdell 80 220 0°OB jg ~y a Bo g\^ Roger a GI me a 75 5 Bauer p ~ _- ~ ~n~ Hampton Bernard N Lyle Brian Gregory p ,~ BO°°3e Sc~t_ Dennis Trltst g Rita Christop- g Kay g Laura u ,. lamps ii~ g Barbaza Q _ 170_ _ _ _ _80 Hm°PtAn 190 haz~n 79 1'VanB 80 53 80 Buchal gp >F" _\ 80 _ _ _ _80 80 Blegen 90 ~`'i ¢ T&A 23 20t AVE Ann ~ ~' t,1~~~a~ DrviOe 4 ~ ~", 7 4 Howe JdGObs ~ ~ ,~ 9F Mille s vem s v~iddr Travis oyes ~". ~~ ¢ H ~a 40 Trust 138 lam $ `9 F~ T off eo `~~39 nm 37 n 80 S F azold Robert Thomas Faber a c~ara ~ rvesmao ~mmsra_ Alan 8t rYe S 2 g Joy Moldenhauer can voetiser n"'°eb ~ ~~od9~ `~~ 112 208 89 Hol 78 208 Timm ~ 40 40 ~"` io w BazsnesS 80 lames ro Thomas g Judith Rex Stringer .V & wa Dale r~ oo ~ ea3 a®,e ro ~ JGenz~ Genz~ 1, Ring Trust ~e~97 ~i6 Rau38 Acres ~ 40 ~~ u ~ ~:o ggttl q~ ~ a,~ ~6 o a ames Gordon -Inc ET 1 ~'~ ~~ ~ ~~ ~! u~ Bann ~ Ultsc~kht stn3sger Brah. ~ rmlm a ~ ,~ 5 3 Alan aY z '3~ ~ rnat mer Timm o. x m 16 go 40 120 4o bb 1 110 39 38 as ~ 39 29 53 t ~ ; sr~2 SPRi G LLE S 10th AVE H~.rd ~~, ~ N , ym3a a et ya gg Kenneth B tt "" ~' Her ~ M+Meek W.l "e g 4 ` 1a°m3a C~ g Carla 40 75 Mary ~, $ u ~tC I ~ u 38 be s3 ~ $Chmttt F1d1 s~eya ° Greiber I Riehazdson o u~ u o e a t ~eaa Dora ~ C'g ~> ~ U ~ $ t Frands Richazd 4 :-RO.:: Oiy ~ 16 I4J ratmR ~' Stacy 111 Vrlft% O~ I ~a 5~ Schultz 773 ~ 229 Weber PP "° Rode a 6 ~ O JOHN 3zr~.~C / ~~ 30 Dtall ~~~ aum 8 oannrye wea33 ^ r LAKE q Eva 33 4m 128 Timm n 2 Zimmerman 33 80 114 ,a 3 a GEORGE p$~~p Amundson ~ 29 Bradley ~ 50 r o2 a, wad Stephen Joseph ~pa $ w G ~ ^_~ x _ _ 160 '~ 9 N H~e77 ° so 1nA ~ t5 160 80 ~ dl ~ s a°ewr3< 87 ° ~ ~PPthB ~ men ~ ..y r orco~v .~.~ FREIBERG RD i PIERCE/ST CROIX RD ~/e~ "SPECIALISTS IN FLAVORED NAT!lRAL CHEESES" UPS SERVICE WEEKDAYS Over 90 Varieties of Cheese (7,s~ "2-a2,s ~~ ~ Fax: (715) 772-4224 GIFT ITEMS -COOKWARE OPEN 9-5 EVERY DAY FACTORY & CHEESE GIFT BOXES 126 Highway 128 SHOPPE, '~~• BCheese Mailed AOywhereR AnytlmeY wiison, Wisconsin 54027