HomeMy WebLinkAbout004-1061-80-200Wisconsin Department of Com ~,rce PRIVATE SEWAGE SYSTEM
Safety and Building Division ~
~ INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
'ermit Holder's Name: City Village X Township
Wilman, Eu ene & Jac ue Cad Townshi
:ST BM Elev: Insp. BM Elev: BM Description:
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic
~~ ', ~. ~s..., Co,---~~ ~
/ rJ ~~,
Dosing
~v ~
Aeration
Holding
~;,~Jr,-.Jl. ~,a - t n Cr
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD
Septic ,LAC: c.: .~ _ ~jCj j ~ ~ `'~
Dosing
~/ G c-~ ~ ~
~^- ,~C J
.'- J
Aeration
Holding
Pl1MPfSIPHON INFORMATION
Manufacturer Demand
~- ~ GPM
Model Num r
`J ~ •~ ,l ~,, ~~
TDH
7 Friction Loss System Head
" T[~H t Ft
, c~ .7 3 . z ~ / /
Forcemain Length
~. Dia2`~ Dist. to Well ~~ ~
.~
Cf111 ARS(1RPTI(1N SVSTFM
ELEVA I IUN UA I A
county: St. Croix
Sanitary Permit No .
453087 0
State Plan ID No:
Parcel Tax No:
bb - - ^~/
0~~ OY
Section/Town/Range/Map No:
26.28.15.
STATION BS HI FS ELEV.
Benchmark
t J
U•7 ~ o ~ G I ~C.. ~'v
_
n5•t Sc,r~, L_
Alt. BM
S-.7 ~'C
Bldg. Sewer ~ ~ ~' ~ q ? /~
/
SVHt 4nlet 7r 3 5 ^
~ .~
_I /
St/Ht Outlet ~_
Dt Inlet _
Dt Bottom 'P ri ~
1
~ 2 ,?
~~{
3- -
Header an.
Dist. P%
L ~ IOZ• 7~
` .wl
(, ../ ~.~
Bot. System S ~ ~ ~ ~ /O -
,J 4.. Z : i o i.
Final Grade
stCover
' ~-3~ fD2.~
t{
c:. _2
5' 7. 4 V !du_ ~tS
N ,~ ,, •~ 1.- ~.~ 7. v S
/02 -~
~ ~ ,~ ~ N~s
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of its Inside Dia. Liquid Depth
DIMENSIONS ~ ~~
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHIN anufacturer:
TI
N CHAMBER
O
INFORMA Type Of System:
/
/
~ ~~ '
~~y ~
" J t ~
1~= ~ UNIT
Model Number:
.C
0
w-L
DISTRIBUTION SYSTEM
Header/Manifold Distribution ~ x Hole Siz
e x Hote Spac
in
g Vent to Air Intake
-7 / r ~
f ~'2
? Pipe(s) C~ ' `
~
~ Di
r~,
S
i e
~~
3/ L
~
1 t .i
Dia
-
Length C
pac
ng
Length
a
7
SOIL COVER v Procm~ro Svc4nmc Only YY Mnnnrl nr At_r;rade Systems Only
Depth Over / Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center ~ Bed/Trench Edges / Topsoil ~G5 ' Yes No Yes No
~~
~, k-
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:x_/1 ~i / o.. Inspection #2: b / I t'~ / ~'
/'rz a° /
Location: 134 320th Street Wilson, WI 54027 (NE 1/4 SE 1/4 26 T28N R15W) NA Lot 2 Parcel No: 26.28.15. n
1.) Alt BM Description = .5 ~ t ~ , wy- S ~v ~ ~,,e~ ~ + `c~ e ~~ ~ ~~ J ~~
2.) Bldg sewer length = _- ~{'~ ~ ,..,-~ 3 ~ °
./~ ~fo~•~ G~~ - c~:~,~ ~ov~% o-~. ,ertCA~Pa'~~1/
-amount of cover = ,~,, 5
°lan revision Required? ' Yes i `_, No
e other side for additional informs ~ n.
~ '710 (R.3/97)
Date
__ _--
Insepctor's Signature
~~~
Cert. No
Safety and Buildings Division Coun `
~ ~
~ r ~ . 201 W. Washington Ave., P.O. Box 7162
I S~O~~I i~ . Madison, W~~Z..~-'~6~1'°"°-"~
~"~~~
° Sanitary Permit Number (to be filled in by Co.)
Department of Commerce
.
~~~
~~3pg
•
Sanitary Permit Apphc tion
In accord with Comm 83.21, Wis. Adm. Code, personal info tion(~tiu~`~ro~d~ 2~~~ tate Plan LD. Number
Q n L ~~f~,
~~ 1~ 1~ ~~ ~t 7~---`""~ ~~
may be used for secondary purposes Privacy Law, s .04(1)(m) Project Address (if different than mailing address)
I. Application Information -Please Print All Information ~ `,;.~--~-- ~ ~ ~ 2.> ~ `?~ ~'~ ~jrr'
Prope~Owner's Na me ~,~ Par 11 ~ Lot ~
Property Owne 's M ailing Address
I ~ ~
~ ~~i P
ro(perty ation
( ,
~V ~ rk
~ 'k
Section ~~
Ciry, State<
- Zip Code mber '
~ i S'
Phone N
u ,
,
~ ~ }-
~) ~ ~ I ( w..-ir ~~~1 p
'
Q
'1~ O - 1 R ~~Ecle~we))
T ~ N
of Building (check all that a 1) ~
PP Y ~
``~
~ °..'-°:..:~;^^ ~• M Number
5 ,
or 2 Family Dwelling - Number o Bedrooms
/ . ~SZ ~ ~ ~2
^ Public/Commercial - Describe U e ~ = ~ • ro
r t
^ State Owned -Describe Use /O M - -
^City_^Village~l'ownship of
~ _ O ,6
III, o Permit: (Check only one box on line A. Complete line if applicable)
`I" ew System ^ Replacement System ^ TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System
B. ^ Permit Recewat ^ PermitRevision ^ Change of ~ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
rv. of POWTS S stem: (Check all Was a i) /
^~Non Pressurized In-Groin ^ Mwmd > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter
^ Constructed Wetla~ ^ Pressurized In-Ground ^ Holding Tank Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter
^ Recirculating Synthetic Media Fitter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain)
V. Dis rsal/Treatment Area Information:
Design F7O~)
j Design Soil Application Rate(gpdsf) real Area Required (sf)
~ Dispersai Area Pro ed (sf)
~ System Elevation
~
`-
l r . O ~st~ ~~ .
ro ~ .
VI. Tank Info Capacity in
Gallons ,Total
Gallons Number
of Units Manufacturer
w/ Z2 p,~, • /-~- (~ ~\ Prefab
Concrete Site
Constructed Steel Fiber
Glass plastic
New Existing J~R
.~-
)
Tanks Tanks ,
/
Septic or Holding Tank ~ t4 ~
Aerobic Treatment Unit
posing Chamber i Lp
VII. Responsibility Statement- I, thc'iltiilerslgned, assume r ~'hility for installation of the POWTS shown on the attached plans.
PI ber's Na (1' ' t) Plum MPH~flaR3 Number Business Phone Number
P~Alu(fmberll's/nA~ddre sst(S~treet, Ci State, Zip Cade) ,,. _r
VIII. Count /De artment Use nl
Approved ^ Disapproved Sanitary Permit Fee (includes Grotuldwater Date Issued ' g Agent Signa o Stamps)
^ Owner Given Reason for Denial Surcharge Fee)
~ 3~_r.._
,2
IX. Conditions ppr v
SYSTEM OWNER:
1 Septic tank, efflu®nt titter and
dispersal cell must ail be serviced /maintained
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code/ordinances.
Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size
SBD-6398 (R. 01/03)
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isconsin
Department of Commerce
Safety and Buildings
4003 N KINNEY COULEE RD
LA CROSSE WI 54801-1831
TDD #: (608) 264-8777
www. commerce. state.wi. us/sb
www.wisconsin.gov
Jim Doyle, Governor
Cory L. Nettles, Secretary
November O5, 2003
CUST ID No.3412
HERB J PELKE
PELKE PLUMBING
N6298 STATE HWY 25
DURAND WI 54736
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 11/05/2005
ATTN. POWTS Inspector
ZONING OFFICE
ST CROIX COUNTY SPIA
1101 CARMICHAEL RD
HUDSON WI 54016
SITE:
Eugene & Jackie Wilman Residence
320TH St
Town of Cady, 54027
St Croix County
NE1/4, SE1/4, S26, T28N, R15W
FOR:
Description: Three Bedroom Mound System
Object Type: POWT System Regulated Object 1D No.: 928647
Identification Numbers
Transaction ID No. 937766
Site ID No. 667683
Please refer to both identification numbers,
above, in all corres ondence with the aQenc .
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Condit
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.
The following conditions shall be met during construction or installation and prior to occupancy or use: DEFARTMENTt
~1 ~N OF i
(' ~
General Approval Requirements: SEE CORRE~
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1)
and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION
2.0" SBD-10706-P (N.O1/O1).
• Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area.
Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal
are prohibited.
• The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption
area. chs. NR 811 & 812c
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the
designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. 5tat
• Comm 83.22(7) 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
~,. - HERB 1 PELKE P~~e 2 I I/i/03
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/instal l ation/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 designin; 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 $ 17.00
Balance Due $ 0.00
WiSMART code: 7633
cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544
Private On-Site Wastewater Treatment System (POWYS) '
Index and Title Sheet
Owner: _ ~uL E•dd~' '` -JAG/l /E .G~//Lr1,f~/
Project Name and System Type: ~aaer,~~ ~,%c.r.~ .~/~~.ro~ - .~-~~. ~o~~~ ~'ow rs -
Location: ~.~o ~` ~r
,:;'_ Street Address
.j
Legal Description
~au./ of ~.o.OY ~r L~oix Go
Township/County
Contents: Page 1: 1.,ioe~x ,o.ro !~ irLE' S,~~rr
Page 2: 6't o r G~i,~~
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Page 5:
.Page 6:
Page 7: DD ~/ rs O a./r•~ s ~...~w,.` ,~,o.~.vs ~irrrr .~`..~
Credential Number: ~Jro ~yi2 Date: /o -ia -0 3
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PAGE 3 •OF_~
E- %SFt.t CROS5 SECTION~-OF MOUND
j7~.I~C ,~Clrs! sue.
n- G Ft.~
. B- 7d Ft.
I-~/4 Ft.
J-_~Ft.
K- // Ft.
L:-~Ft:
H-~~Ft.
.. 'S~CPITI~TIC COVERING ~ DISTRIBIITION, T~ATERAI.
• ~ ,~ir.~r. t-ss •
MEDIUM SAND - H G ~~
TOP SOII+ ~ 1 FrI,EV •.. °i. •8 ~ e,~
• S/ 3 D /OO..S' ~t•.d ro~~.
]"s
CELL OY ~-2~" aggicegat ~ FORCE MAIN PT~OWED LAYER
3 ~6 Slope •. 6 x yg'' °~ ~Y•BvG •
L. ~ ~
J _ ~ FORCE MAIti-.? ~/~~c
$ R •
A MAHZFOLA -.? ~~
H ~ x ''X Observation
. _ - Pipe
Observation Pier.. ~O~t~ibution Pippes = /Ji ~l~d`cu
p Gtu of ~-2~S a8$re8ate
G jr78~
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a X s u.~lN•~N~a L,~ rr~cES s
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PLAt1 VIEp OF HOUND
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Page S Of 9
SEPTIC TANK E'PUI~tP CHAMBER CROSS SECTION AND SPECIFICATIONS
..t Scx. f o.
4" CI VENT PIPE 12" MIN. A80VE GRADE &
?' /p~ FROM DOOR, WINDOW OR
FRESH AIR INTAKE
/C/N~-fN d+~
. G ~q~~
18" MIN.
IN
~e /s ~-.~ ~i a ~
WATER TIGHT SEALS Z.oar~
f'i c rr~.
• /g .. Joo
APPROVED
PIPE 3`
Ott70 SOLID
SOIL' PUMP OFF ELEV . 9y. y FT.
A
8
~~
C
D
I~
WEATHERPROOF
JUNCTYON BOX
WITH CONDUIT
;, ,
~~
i~
I'
1
GAS• ~
`
TIGHT i ~,
SEAL ~
ALM
~
~ ~ ON
.
I ~
i .
DOFF
3" APPROVED BEDDING UNDER TANK
APPROVED
MANHOLE COVERS
W/ PADLOCK E
WARNING LABEL
' ~ -4" MIN.
~~
/APPROVED
JOINTS WITH
APPROVED PIPE
3' ONTO
SOLID SOIL
~~~ RISER EXIT
PERMITTED ONLY
IF TANK
MANUFACTURER
HAS AFPROVAL
CONCRETE .PAD
SPECIFICATIONS
SEPTIC / DOSE
TANK MANUFACTURER: ~/E-s~"•t lo.r«~rr' NUMBER DOSES PER DAY: S,2 C/R2%~
' _ ~ DOSE VOLUME INCLUDING 8~.7 rs 7=
' TANK SIZES: .SEPTIC /ooo GAL. .
DOSE G°o GAL.. ~ FLOW$ACK: 9,T y .GAL.
ALARM MANUFACTURER: E"«°r,,o ~ CAPACITIES: A = ,gyp INCHES = 33L ~ GAL.
~~ MODEL NUMBER: ,~,,,NC t`~r ~-
SWITCH TYPE: E-z~.,~ ~ ~B = 2 INCHES = 3.~ ~ GAL.
PUMP MANUFACTURER: /D'1,O~tov,~tic ~^'cN C = s;.s~ INCHES = GAL.
MODEL NUMBER : ,sr/ a3 '
SWITCH TYPE: iy~-;~~,,,,y D = 8.r INCHES = /,~,~8 GAL.
REQUIRED DISCHARGE RATE ,~~ PM PUMP E ALARM WIRING AS PER ILHR 16:23 WAC
S • 3~
iAL~IF.F~RENCE $ET PUMP OFF AND DIS RIBUTION IPE 8. FEET
. + MINIMUM NETWORK SUPPLY PRESSURE . ~: s X t.' ~ ~~ 3/1 ~. ~ :''~~- . ._3:z ~ . 3 FEET
+ ~s FEET FORCEMAIN X,/,~.~ FT/100 FT. FRICTION FACTOR ~ ;, FEET
TATAL DYNAMIC HEAD = j~ i FEET
i/ 7 s-
INTERNAL DIMENSIONS OF PUMP TANK: LENGTH s.~" ; WIDTH 78 " ; DIAMETER -
LIQUID ISD~TH- ,~` "
O`. ~0<9
T ical Application` Sump/Effluent pump
Capacities SW/SDNS25 • to 44 GPM (2.8 I/s)
Heads SW/SDNS25 • to 24 h (7.3 m)
Electrical SW/SDNS25. 11 SV,1 e, B.OFIA, 60Hz
Motor SW/SDNS25. 1/4 HP shaded pole w/thermal overload
1550 RPM
Minimum Recommended SDNS25 =12" (304.8mm)
Sump Diameter SW25 =18" (457 mm)
Automatic Operotion SW =Wide angle float
(manual ovaikble) SD =Diaphragm pressure switches
VS =Vertical float switch
Materiah of (onstruction Cast iron and engineered thermoplastic
Impeller Thermo lasiic vortex
Dixhar a Size 1-1/2" NPT138.1mm)
Solids Handlin 1/2" (12.8 mm)
Power (ord 10' , SJTW, (20' optional)
Superior Features • Corbon/Ceramic mechonical seal
• Oil filled motor w/outomatic reset thermal overload
• Uses single row ball bearing construction
• Piggy-back plug ovailable for easy maintenance and
replacement
30
6 ~ 20
~ ~
a
~_ Q
3 ° 10
OL 0
Capacity-U.S. G.P.M. i
Ty 'cal Application` Sump/Effluent pum
_
Eapacites SW/SDNS33 - to 48 GPM (3.0 I/s)
Heads SW/SDNS33 - to 26 h (7.9 m)
gectricol SW/SD/VS33 - 115V, le, IO.OFIA, 60Hz
Matar SW/SDNS33 - 1/3 HP shaded pole w/thermal
overload 1550 RPM
Minimum Recommended SDNS33 =12" (304.Bmm)
Sump Diameter SW33 =18"1451 mm)
Automatic Operation SW =Wide angle fbat switch
(manual available) SD =Diaphragm preswre switch
YS =Vertical float switch
Materials of Construction Cast iron and en ineered thermoplastic
Impeller Thermoplastic vortex
Dischar a Size 1-1/2" NPT(38.1mm)
Sol'xk Handlin 1/2" (12.6 mm)
Power (ord 10' , S11W, (20' optional)
_
Superior Features • (arbon/Ceramic mechanical seal
• 01 filled motor w/automatic reset
thermal overload
• Uses single row ball bearing construction
• Piggy-back plug availabkr for easy
maintenance and replacement
S D3 , SW 3 V533
SD2 5, SW25, VS25
D 10 20 30 4 0 5
Q`~~~back Sw~t~hA
/`
.-;~ a
Liters/Second 0
' POWTS OWNER'S MANUAL AND MANAGEMENT PLAN
FILE INFORMATION
Owner ,• `~ ~ie, ~/ic ,r
Permit # S3 O ~-
DESIGN PARAMETERS
Number of Bedrooms 100 d/bedroom 3 ^ NA
Number of Commercial Units - NA
Estimated flow (average)* moo aUda
Design flow (peak), estimated x 1.5* qs~ aUda
Soil Application Rate / p al/da ft
Influent/Effluent Quality (NA^) Monthly Average**
Fats. Oil & Grease (FOG) < 30 mg/L
Biochemical Oxygen Demand (HODS)
Total Suspended Solids (TSS) < 220 mg/L
_< 130 m
Pretreated Effluent Quality ^ Monthty Average***
Biochemical Oxygen Demand (HODS) < 30 mg/L
Total Suspended Solids (TSS)
Fecal Coliform (geometric mean) < 30 mg/L
<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.
SYSTEM SPECIFICATIONS
Se tic Tank Ca acit o0o al ^ NA
Se tic Tank Manufacturer ~s~.~ ^ NA
Effluent Filter Manufacturer Z,its~c ^ NA
Effluent Filter Model /p o ^ NA
Pum Tank Ca acit oo al ^ NA
Pum Tank Manufacturer L/i~s~.c ^ NA
Pum Manufacturer JSOAp,•/s.r/G ^ NA
Pum Model s~ 3 ^ NA
Pretreatment Unit P$'NA
^ Sand/Gravel Filter O Peat Filter
^ Mechanical Aeration ^ Wetland
^ Disinfection ^ Other:
Manufacturer: Model:
Dispersal Cell(s)
^ In-ground (gravity) ^ In-ground (pressurized)
^ At-grade ~ Mound
^ Dri -line ^ Other:
^ Leaching Chamber Manufacturer
Model Laying Length/Chamber_
~
Soil Application Rate_gpd/ft2 Area Req.
Infiltrative Surface/Chamber-ESIA Rating ft2
Minimum Number of Chambers
^ A e ate Desi n Flow/Loadin Rate= ft min
Materials: all materials must comply with WI Adm. Code
COMM84 and be installed per manufacturers specifications
and a royal letters.
^ "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 (R.6/99) "At-Grade Component Manual Using Pressure Distribution"
^SBD -.10567 P (R.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"
^ SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual"
^ SBD - 10572-P (R6/99) "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 (R.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
MAINTENANCE AND MANAGEMENT
MAINTENANCE MONITORING SCHEDULE
Service Event Service Fre uenc
Ins ect condition of tank s At least once eve ^ months 3 eaz s aximum 3 s.
Pum out contents of tank s When combined slud a and scum a uals one-third 1/3 of tank volume
Ins ect dis ersal cells At least once eve ^ months 3 C~' eaz s aximum 3 s.
Clean effluent filter At least once eve p'months ^ ear s
Ins ect um , um controls & alarm At least once ever ^ months 3 ear s) ^ NA
Flush laterals and ressure test At least once eve ^ months 3 ears ^ NA
Valves At least once ever ^ months ^ ears ^ NA
Other: At least once ever ^ months ^ eaz s ^ NA
Page_Zof y
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 start up 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 dischazged 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.
O Valves
Valves shall be operated in the following manner:
Alarms
Alarms should be tested on a regular basis by the home owner. If an alazm 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 hazdwaze, identifyany 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 iri 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 aze to be made to retain solids in the tank. Filter cleaning maybe 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 8 of `T
' ; ~~'Mound, At-Grade, In-Ground Pressure
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 dischazge. 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 shall. be removed and properly disposed of by a Septage Servicing Operator.
- Afrer 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 azea 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 azea. 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.
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 maybe 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 ASEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES.
DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR
IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER
Name ~o-.~t l/~~~e~ r!P-„p yiz
Phone 7i~ ~ 7.~ --sass
SEPTAGE SERVICING OPERATOR um er -~1.~.rvea,.r
Name
Phone
K:\WPDATA\EH\POWTS OWNER'S MANUAL.doc
POWTS MAINTAINER
Name Ro ~6L.r!-~~crY.r ~a.,,o,,is
Phone it ~ >.~ -say
LOCAL REGULATORY AUTHORITY
A enc ~~ L~oi Zo.vi,/~ DFf/G~
Phone 7/s X86 - yl8o
Page 9 of `~
'~
ZabelAl00Residentialand
Commercial EffluentF~ter
SPECIFICATIONS
APPLICATIONS: The A 100 Is used in residential and commercial optic systems. It
is effective in multifamilyhousing, tental proixrty, schools, officts
d
h
h
. an
everyw
ere wastewater
as high suspended solids content.
FLOW RATE: 3,OOO,gpd perfllter. Install two or more filters in a PVCorconcrete
d
manir(oll
to achieve flows of 6,000 gpd o;more. Check with~Zabel
for details.
FILTRATION: ~e 26 Disc Dams ~ 1!16 :nth provide 198 lineal feet of
ltntion.
INSTALLATION: The lifter may be installed inside the tank or i:utalled m a Zabel
Container Assembly outside the septic tank.
SERVICE: Service ruidcnt:al irstallations whcncver you pump the tank.
8'O,D. ~1-tr2' I.D.
13116'--I
'~'_'
~-en6•
.~.
Cases, Lids, Reducers ~ Rtgid Vinyl PVC 87371
Disc High Impact Polyscyrcne
Rod, Nuts High Dcruity Polyethylene
U.S. Patent No. 4,710,295
fall 1-800-221-5742 or Fax (SOZ) Z67-8801 for further information
°---11318• DIA. -----
Matxrlal Spec3flcationa
~., .rr , :'Y .
J
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 pum 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 tiller should only be done by a certified septic tank pumper or installer.
Locate the
outlet of the
septic tank.
:,
Remove the tanl
and pump the
necessary to F
any sollc
escaping to tl
when the
rat
While holding it
the access ope~
cartridge with fr
careful to rinse all
'Note: It !s not Hate
'spotless'. The biom
ales in the prefreatn
be left on the h'Ifer. (If
maybe disa:
., '1i:1 ~i~'
+' t :~t
.:.
Firmly pull the filter handle
and slide the cartrldgA out
of the c.~13~;
'Note: A tee handle may lf9t"+a
ro be used rr the rrrer Is ~ /lt+
below ground level fo ,
Contact Zabel for info
handles
. 'I. ..;•
Insert the
back in the
sure the fit
completely
Replace
~~~ ~
/,.Vi
u~DE W UU
The product(s) shown are covered by one or more of the lollowing 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, 5,362,357, 5,482,621
U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007, Australia: 134440; Canada; 2,135,937; Israel: 111574; Flew Zealand: 264824,
Other Patents Pending
Cal! for a tree ZABEL ZONE An Onsite Wastewater Magazine 1-800-221-5742 • Website http://www.zabel.com
A i 00!900• I• M.6 f a 49
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of~
Division of Safety and Buikiings
~~~ aware a~a~~~c mud VUntni UO, YYIS. I1u111. ~rWC
COUnIy
Attach complete site plan on paper not less than 81/2 x 11 inches in size
Plan must ~ ~ o ~ X
.
inGude, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D.
percent slope, scale or dimensions, north arrow, and k>cation and distance to nearest road.
Please print all information. R awed by Date
Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ j~
Property Owner Property Location
L/GE./E'~ AGK/E L sn/ Govt Lot E 1/4,5' 1/4 SSG T ,,ig N R /S'- ~ (or~N
Property Owner's Mailing Address Lot # Block # Stib~Plarne ar CSM#
l / /.7// Lois Sr, `- -
City State Zip Code Phone Number ~]-6ik~r ~AHage ®Town Nearest Road
,~~ tt~Y ~l.Z- L7 ( /S) 78-.Say ~iq,OY .f,?o ~'~ 'Sr.
~( New Construction User Residential 1 Number of bedrooms ~~_ Code derived design flow rate y,s"d GPD
^ Replacement ^ Public or commercial - Descri
Parent material LILAC,lot ou r's/Asn/ Flood Plain elevation iFapplicable ir/i9 ft.
General comments i
and recommendations: /~oy..~o trod rS~ /..3 .sn~o .c i<r a0~,/ pgsl'-4•cr A2~iI ~,//Na1rolsors suefoe!
ACS ou~,p~a s, w SGA rrtni,0 ,ti'..~,rNls, ~!-i, ,fyr, Et. - /Q/. B ~ e..r /ae. s co./ r.u,~
a Boring # r^~ Boring ~
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®Boring # ^ Boring ~
pit Ground surface elev. do. / ft. Depth to limiting factor .?G in.
SoB ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/Ftz
in. Mansell Qu. Sz. Cont Cobr Gr. Sz. Sh. •Eff#1 •Eff#2
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`Effluent #1 = BOD > 30 _< 220 mglL and TSS >3 _ • Effluent #2 = BOD < 30 mglL and TSS < 30 mglL
CST N~me (Please Print) . / ~~ _ CST Number
i i Div c ~ 3 s r! o~a~/
~~ /Date Evaluation Conducted Telephone Number
~So3 FiA~/vr _~r_ .fe,~ /s,ir //~ ftiz /C/ / iw _ s ~s b.... ., ~.
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Boring # r^~Boring ~ ~~
u pit Ground surface elev. o% O ft. Depth to limiting factor .?/ in
. ~~ lication Rate
Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GPDffP
In. Mansell Qu. Sz. Cont Cobr Gr. Sz. Sh. •Eff#f •Eff#2
O- oY2 d~ - s r /~
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^ Boring # ^ Boring
^ pit Ground surface elev. ft. Depth to limiting factor in
. gpd ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP
in. Mansell Qu. Sz. Cont Cobr Gr. Sz. Sh. 'Eff#1 •Eff#2
^ Boring
Boring # Ground surtace elev. ft. Depth to limiting factor in.
^ Pit
Sod ication Rate
Horizon Depth Dominant Color Redox Descriptbn Texture Structure Consistence Boundary Roots GP D/tt=
in. Mansell Qu. Sz. Cont Cobr Gr. Sz. Sh. •Eff#1 •Etf#2
'Effluent #1 = BODS > 30 _< 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS _< 30 mg/L and TSS < 30 mglL
Y~
The Department of Commerce is an equal opportunity service provider ~d`ts~nployer. If you need assistance to access services or
need material in an alternate format, please contact the fdep~ttrpent at 608-266-3151 or TTY 608-264-8777.
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PLOT PLAN
PROJECT NAME: ~US~..iE ~ ~c~i! C//.c~.o./
PROJECT~L.OCATION : E S 8.J /St/
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CST LICENSE 0:.?.?y97 - AEA ss rr
SIGNATURE: •
DATE: ~ -~-D3
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ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer °~~~~- '~ ~O~CgU ~- ~ ~ (~"'~~~
Mailing Address ~ (~- ~ ~ ~ ~ ~~~
Property Address 13
~,..r..
(Verification required from Planning Department for new
City/State W-~ arcel Identification Numbe ~~ `C- II~v ~ -~"~~
\L "'~ ~,
LEGAL DESCRIPTION ~ ~~ i~ ' Q ~ ~~ ~ • o a.~ ~-`~'
Property Location ~ ~ '/e, SE '/4, Sec. ~ ~ ,Tag N-R~Town of L~"~'
Subdivision .Lot # ~
Certified Survey Map # ~a" ( Volume ~ ~ .Page # `ts~
~_
Warranty Deed # S ~ ~~ Volum Page #
Spec house ^ y s `~, no , _, -~ ~ Lot lines identifiable yes ~no
SYSTEM MAINTENANCE
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 a licensed pumper. What you put into the. system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
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 wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
se: forth, herein, as set by the Department of Cor..-rerce and the Deparu-nent of Natural Reso-srces, State of ~,TJiscorsi:.. Certi..ication
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date. ~
,/~ -u/,~ 3 ~ l o
SIGNA OF APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the property described above, by virtue of a warranty deed recorded in Register of Dee2~s Office.
SIGNA OF APPLICANT ~~% DATE
****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ******
** 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
MAR-24-2004 12:05 FRQM:LINK HOME SALES 17156652014
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SOI EVAIUATI L ~ U
Wisconsin Department of Commerce ~ ~. ~~ S,~ ~ ~ ~~; Vu~i~- ~ ~-l~ 3
Division of Safety and Buildings in accordance with Comm 85, Wis. ode A.C.E. Sal & Site E uva s3
Q ~
Attach complete site plan on paper not less than 8'/: x 11 inc~-es in size. Plan mus ti=p \`~ ,~ ~ St. Croix
include, but not limited to: vertical and horizontal refererrce.pant (BM), direction an '~:.,
percent slope, scale or dimemsions, north arroxr, and location and distance to nea ~
Please print all information. -, ~ ~~~
c5 ~ Date .
Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 ( (Ifi)),;'.~ ~NGO
Property Owner Pr •• , .._ ~
Duane Wilman Gant. Lot , Nt` 1Ya- 5 1/4 S 26 T 2g N R IS W
Property Owner's Mailing Address Lot # Block #'~ . Nanre or CSM~
,~
104 320th Street
Cjiyr State Zip Code. Phone,>dmrr+ber City J village ~ To~nm Nearest Road
Wilson ~ W I 54027 - - Cady 320Th Street
~ New Construction Use: ~ Residential / Number of bedrooms 4
Replacernent ~ Public or commercial -Describe:
Parent material Glacial drift over weathered sandstone bedrock
General comm~rts
and recommendations: System elev. = 101.67' at 20" above 100.00' contour. Code derived design now rate
Flood plain elevation, if applicable 4~v ~r-~
na
^
~ Boring # _~ Boring
~ Pit Ground Surface elev. 99.96 ft
. Depth to
limiting factor
20" in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E~~GP DIf ~
1 0-6 10yr4/2 none sl 2fsbk mvfr as 2f 0.5 0.6
2 6-15 10yr5/4 none sl 2msbk mfr cs 1f 0.5 0.6
3 15-20 7.5yr4/4 none sl 2msbk mfr cw 1f 0.5 0.6
4 20-24 7.5yr5/4 f2d 7.5yr5/8 sl 2csbk mfr aw - 0.5 0.6
5 24-30 10yr6/2 f1 d 10yr5/8 Ifs 1 msbk ~ mvfr gw - 0.7 1.2
6 30-44 10yr6/2 f1d 10yr5/8 SSBR na na - - 0.0 0.0
Boring # ~ ~~ ~~
Pit Ground Surface elev. 100.00 ft. Depth to limiting factor 21 in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 P D/tt*E
1 0-5 10yr4/2 none sl 2fsbk mvfr as 2f 0.5 0.6
2 5-16 10yr5/4 none sl 2msbk mfr cs 1 f 0.5 0.6
3 16-21 7.5yr4/4 none sl 2msbk mfr cw 1 f 0.5 0.6
4 21-25 7.5yr5/4 f2d 7.5yr5/8 sl 2csbk mfr aw - 0.5 0.6
5 250 10yr6/2 f1 d 10yr5/8 Ifs 1 msbk mvfr gw - 0.7 1.2
6 40-51 10yr8/2 f1 d 1 /8 SSBR na na - - 0.0 0.0
' Effluent #1 = BOD ~ 30 <_ 220 mg1L and TSS >30 < 1 ffluerrt #2 = BODS < 30 mg/L and TSS <~ mg/~
CST Name (Please Print) ignature~ CST Number
James K. Thompson 3602
Address A.C.E. Sal 8~ Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceda, 154020 3/26/01 715-248-7767
Property p,,,,ner Duane Wilman
Parcel ID #
Page 2 of 3
^
3 Bori # --~ ~"~
~ ~ Pit Ground Surface elev. 98.51 ft. Depth to limiting factor 16" in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots :
*EfF#1 *Eff#2
1 0-6 10yr4/2 none sl 2fsbk mvfr as 2f 0.5 0.6
2 6-16 10yr5/4 none Is 1msbk mfr cs 1f 0.7 1.2
3 16-22 10yr5/4 f2d 7.5yr5/8 Is 1 msbk mfr cw 1 f 0.7 1.2
4 22-30 7.5yr4/4 f2d 7.5yr5/8 sl 2msbk mft aw - 0.5 0.6
5 30-41 10yrti/2 f1d 10yr5/8 Ifs 1msbk mvfr gw - 0.7 1.2
6 41-56 10yr6/2 f1d 10yr5/8 SSBR na na - - 0.0 0.0
^ Boring # - ~ Borng
_j P8 Ground Surface elev. ft. Depth to limiting factor in. Soil Appl'~catia~ Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Raots :
*Eff#1 *Eff#2
^ Ong # _~ Boring
~ Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 Eff#2
* Effluent #1 = BOD 5> 30 < 220 mg1L and TSS >30 < 150 mglt_ * Effluent #2 = BODS < 30 mg/L and TSS <30 mglL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format. please contact the department at 608-266-3151 or TTY 608-264-8777.
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DOCUMENT NO. WARRANTY DEED
This Deed, made between Duane F. Wilman, a single person,
Grantor, and Eugene J. Wilman and Jacquelynn J. Wilman, husband
and wife, and James Wilman, a single person, as tenants in
common ,Grantee,
WITNESSETH, That the said Grantor, for a valuable consideration
conveys to Grantee the following described real estate in St. Croix
County, State of Wisconsin:
l{ATNLEEN H. i~A1~SH
REB:iSTER trrF DEEDS
ST. CRQI~ CC1. , WI
RECE3YEU FG>~ RECC11!D
~ 2/ 1712PJ~i3 08- : i~67A19
WAb'RANTY DEEi)
I^XEhtGT #
REO FEE: IL. ra~7
TRANS FEE; 6Q-. fD0
f~OPY FEE:
CC FEE:
PAGE: 1
RETURN TO:
Loberg Law Office
359 West Main St.
Ellsworth. W 154011
Tax Parcel No:
004-1061-80-000
~ot T~w~o (2 Certified Survey Map, recorded in Vol. 17 of C.S.M., pg. 4520, as Doc. No. 721972,
beings o e Northeast Quarter of the Southeast Quarter
(NE/./SE/4) of Section Twenty Six (26),
Township Twenty Eight (28) North, Range Fifteen (15) West.
DOT Approval No. 55-29-3687-2003
This i5 homestead property.
Together with all and singular the hereditaments and appurtenances thereunto belonging;
P,nd Granters warrants that the title is good, inder'easible in flee simple and free and clear of
encumbrances except and will warrant and defend the same.
Dated this ~ day of +sf• ,~`I~~ , 2003.
(SEAL) ~ - EAL)
Duane F. Wilman
(SEAL)
AUTHENTICATION
Signature(s)
authenticated this !day of
20
~'iTLE: MEi~1BER STATE BAR OF V1,'ISCONSIN
(If not,
authorized by §706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
LOBERG LAW OFFICE
Robert L Loberg
(Signatures may be authenticated or
acknowledged. Both are not necessary) kh/jb
(SEAL)
ACKNOWLEDGMENT
STATE OF WISCONSIN }
} ss.
COUNTY OF PIERCE }
Personally came before me this ~ day
of f~trnast.Sc.;r~°~ , 20 03 the above
named Duane F. Wilman
to me known to be the persons who executed
the foregoing instrument and kn wledge the
same.
`__-.--
Notary~Public ~~~County, Wis. My
,Commission is permanent. (If not, state
expiration date:- fC~ ~- ~ , 20c_i'~
iT ~~
SG`.~illo~ ~
A
CERTIFIED SURVEY M~
V~L UME 17 PA GE 4520
L OCA TED IN THE NE1 /4 OF
THE SE1 /4 OF SECTION 26,
T28N, R 15W, TOWN OF CA D Y,
ST. CROIX COUNTY, WISCONSIN.
PREPARED FOR: Duane Wilman. t
PREPARED B Y.' Lee Villeneuve, R. L . S . t~~.,,,,1
NORTH IS REFERENCED TO ,mod' ~ ~
THE EA T LINE OF TH E1 4
F~~OR~~M~~NO----.~~9t75•A
HV~ifler
o... ~..~..:....:..
Stock No. 26273
72 1'372
VOL ~ 7 PAGE 4520
KATHL~EEA H_ rfli"LU-
vv/ 17/ L101e3 IDG:4fr1!'B
CERTIFIED SURVEY IiAP
REC FEE: 13.00
COPY FEE'
PAGES: 2
..~r~
S E S /
OF SECTION 26, T28N, R15W. .? ~~-~ ~ :~
~ Vl
~
ASSUMED TO BEAR SOO '32 ' 35 "W.
~ ~ l1 E^lFU~
;,
~
~
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,
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•
WISCONSIN D.O. T APPROVAL ,~.~.' ~:°
NUMBER 55-29-3687-2003 /~, ~ _..~-~ ~.a.
4246.04'
89'20'315" ,,
W
a
~I ~ ca
ml
~, °' °~
~) o ~r
990. 99 '
759. 79 '
'20 ' 35 "W 792.
N89 '20 ' 35 "W
198. 20 '
~.: ~,;~
unplatted land t" DIAMETER SURVEY MARKER w/
- - _ NAIL FOUND A T EAST 1/4 CORNER
OF SECTION 26 T28N R15
E / IY i/4 LINE-26-TOTAL - 5237.03'
X89 °20 ' 35 "E 990. 99 ' ~ 1 ~ I
99'
435, 600 SF/ 10. 00 ACRES w/ ROAD R/W.
LET 1
421, 095 SF/ 9. 67 ACRES w/o ROAD R/W
~U
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N89 °20 ' 35 "W 792.
LEGEND ~n~atte~~and_
~ 3/4" x 24" IRON REROD SET.. !' DIAMETER SURVEY M
MIN. WT. = 1.502 LBS. / L.F. MAIL FouND Ar sE coti
PUBLIC LAND SURVEY CORNER AS NOTED, sECrzoN z6-2a-~5.
~ a SOIL TEST HOLE.
-~. ~~\
APPROVED
ST. CROfX COUNTY
Pfenninq 2oninn and Parka Committee
MAY 1 9 2003
If not recorded within 30 days of
approval date approval shall be
null anrJ void
GRAPHIC SCALE 1"=200'
0 200 400 600
Page 1 of 2 sheets.
Vof.17 Page 4520
33. 00
~~I
~;
~~I
33. 00 ~-+
-- - ___
348, 480 SF ~ DO ACRt`S w/ O R/W.
LQT 2
333. 975 SF ~ROAO R/W