The URL can be used to link to this page

Home My WebLink About006-1074-20-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM bafety anti ~Btnlding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes IPrivacY Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Bra ,Carl C Ion, Town of CST BM Elev: Insp. BM Elev: BM escnptiop: TANK INFORMATION (/• _~ " TYPE MANUFACTURER ' t CAPACITY Septic ~ ~ y `. t~.~ Dosing /,1 , , ~ n 7, i" L "lam-Cf; i ~ ~..~ ~ Aeration Vi Y Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Ven to Air Intake ROAD Septic ~ / Dosing ~~ ~ ~ / ~ SZ\ ~ '"~- Aeration Holding ~ PUMP/SIPHON INFORMATION Manufacturer /~ Demand ~5-E~.J~,C.~U GPM Model N mbe~ ~~ / ~ Z 21 V ' `k f TDH Lift " 5 i 3 Friction Loss System ea ~ TDH t c r ~, Z.3z. , p Zd- Forcemain Lengi ~ Dia. Dist. to Well ~~ / ELEVATIVN VA I A county: St. Croix Sanitary Permit No: 515047 0 State Plan ID No: Parcel Tax No: 006-1074-20-000 Section/Town/Range/Map No: 33.31.16.503A STATION BS HI FS ELEV. Benchmark d~P~ - ~ , ~OV• Q Alt. BM ~' Y t 2•lP7 LL 97. ?+7 Bldg. Sewer SUHt Inlet St/Ht Outlet Dt Inlet Dt Bor t~qu, 9 4. ~~ /.5 ~}, z Header/Man. ~ i :i Z ~.~ C~~• ZS Dis~pe Z.b q~•25 Bot. tem Final Grade /{w~yk ~? ------ 5~ t~ s~~ - ~= Z n ~ "; , ~7 d-2C Z 9 ~ • t / - ~. ~ t~ ,Zito y~. 25 F:~ ,~,~1 ~rct -~, cnll eRCnRP InAI SYSTEM A ~ c.Y1.~ , e _ _ C.L G' C r l[' ~~ ,?ir~~Z~•f BED/TRENCH VI(idth ~ Length ~ No. Of~{enc s PIT IMENSIONS No. Of Pits side Dia. Liquid Depth •~ DIMENSIONS ~/ ~ , / ~ yv /,~ K SETBACK SYSTEM TO BLDG P/L WELL LAKE/STREAM A NG C ER OR Manufacturer: INFORMATION Type Of yste ~y~yj \ ` ! U Model Number. _1 r11RTRIR11TInIU CVSTFM /~C~-tV-C'i' i`~'L:r'TkiLi~v i !l. ~-..Lx G't/D .4 s ~"':.-~'-r-~'trt_ HeaderlManifold Distribution Z x~Hole Size ~ ~/ ' ole Sp~ g/ Vent to iir In ake \ ~ Pipe(s) h ~~' g~ Di cin \ // ~ S L g / /~ _ Dia Length pa g engt a v w cell !`fl\/CD __ n____...._ c....a......., n..~.. ..0 1111....nd nr er_r_.~.~a Cvctamc only Depth Over ~ Bed/Trench Center ~ Depth Over ~ Bed/Trench Edges ~ xx Depth of Topsoil " ~~ xx Seeded/Sodded N Y xx Mul hed Yes ~ No ~ ~ 1 ~ ~ o es ~ a, COMMENTS: (Include code discrepencies, persons present, etc.) ',Inspection #1: %J / ~~ (r~ Inspection #2: / /_ Location: 2265 Hwy 64/63 New Richmond, WI 54017 (NW 1/4 NE 1/4 33 T31N R16W) NA Lot "~ Parcel No: 3.31.16.503A I 1.)AItBMDescription=~~~~~~:%•('G2~~ ,..•-- ~, ~ /"'~~~~ "~~,~1t,~ ~>~~uj,~~~`~ ,,/„,, 2.) Bldg sewer length = ~s ~+/- /~'~ St1~2~rL°L.~. fv~ ~ ~G ~ ~`.C~L<2jT'Q'~ 7"ly'.c~~LtL~~ - amount of cover- / ~ ~'~~~~ ~~Lv'.[.,yv~ ~ ~~'~-c fE- Gy" (Uy~~~4 frt,Dy~ 0.7 dlfC (o • 5 _ I ~ _1 - F Plan revision Re wired? Yes No i 3 Use other side for additional information. ~~__ ~ I_ ___l _____. _ -_ Date Insepctor' Signat Cert. No. SBD-6710 (R.3/97) eommerce.wl.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7 ST. CROIX i s c o n s i n ~ Madison, WI 5~ ~2i Sanitary Permit Number (to be filled in by Co.) Deper~nt ~ ~~~ 5/ 5 0~ `7 Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental 1515902 unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Commerce. Personal information you prov ~econdary project Address (ifdifferent than mailing address) ~ ses in accordance with the Priv Law s. 15. 1 m , Stats. ST HWY 64 22 A i i . ~ I. l cat on Inform -Please Print All Information Property Owner's Name ~ APR ~ p Parcel # j CARL BRAY 006-1074-20-000 , Property Owner's Mailing Address ~f Property Location BOX 98 PINM~~'siZ Govt. Lot City, State Zip Code Phone Number NW '/., NE %,, Section 33 DEER PARK WI 54007 715-416441 tcne~x on.l N R T II. Type of Building (check all that apply) ~ a~ Lot # ; 31 16 ^ E Q W ^/ 1 or 2 Family Dwelling - Number of Bedroom N/A Subdivision Name ~ ~ Q N/A ^ , Block # Public/Commercial -Describe Use / d ~.1 ~ ~ " v'fV A ^ ~ ~ ~ City of ^ State Owned -Describe Use "~ 4'~'~G CSM Number ^ Village of 7r 5 ~ / Sb ~ ~'a ~ Town of CYLON III. Type of Permit: (Check only one box ou line A. Complete line B if applicable) A' ^/ New System ^ Replacement ^ Treatment/I-Iolding Tank Replacement Only ^ Other Modification to Existing System (explain) System C~ .! // ' 1 / / • l0 B. Permit ^ Permit Revision ^ Change of ^ Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Ex iration IV. T e of POWTS S stem/Com onent/Device: Check all that a 1 ^ Non-Pressurized In-Ground ^ Pressurized In-Ground / At-Grade ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ Holding Tank ^ Other Dispersal Component (explain) ^Pretreatment Device (explain) V. Dis ersaUTreatment Area Information: Design Flow d) 450 Design Soil plicaiion Rate(gpdsf) 4 ~ Dispersal Area quired (sf) 1125 ~ Dispersal Area oposed (sf) 1125 System Elevation 95 67 . , . VI. Tank Info Capacity in Total # of Manufacturer Material Gallons Gallons Units New Tanks Existing Tanks ~ ~ ~ ~ ~I Septic or Holding Tank 1000 1000 1 WEEKS Pretab Concrete Dosing Chamber 800 800 1 WEEKS Prefab Concrete VII. Responsibility Statement- I, the undersigned, assume res nsibility for installs 'on of the POWTS shown oa the attached plans. Plumber's Name /Printl Plum ~ a re MPIMPRS Number Business Phone Number ROBERT J HARDINA 824825 715-986-2508 Plumber's Address (Street, City, State, Zip Code) 477 170th AYE. TURTLE LAKE WI 54889 VIII. Coun /De artment Use Onl pproved _ Disappro Permit Fee Date I ued Issuing nt Signature _ rven Reason nial $ / ~C • ~ ~J ~j /~ DQ 7 IIX. Condition r v easons for Disapproval 1'•. Septa tank; eiflUtnt filter and dispersal cell must all ~ services /maintained ~ ~ ~ ~ ~ ` e G,~. ,,~/ ~'~, e`.~ t as per management plan provided by plumber. a ' ' ~ 2. Altsalbackfequirements must be maintained ~~ !J Jr~., ~' / ~ ~~ T Z ~`- '" - -~ r Attach tii complete plans for the system and submit telhe County only on paper n~t less than 8 rn z 1 indYes in size Chu ~ id.~l.~ , SBD-6398 (R 01/0'7) Valid thru 01/09 v~ ~/ow~r ~`,,,aQ., Q3~1~ ~,~-,~ ~yz~ ~ ,~ ~~~~ ~~ SZ~~iZ~ ~S~l~'?~~1lI ~~~~ ~~d~S ~I~I _ ' commerce.wi.gov isconsin Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary March 31, 2008 Ci.iST ID No. 824825 ROBERT J HARDINA HARDINA SEPTIC SYSTEMS 477 170TH AVE TURTLE LAKE WI 54889-9187 ATTN.• POWTSInspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/31/2010 SITE: Cazl Bray Hwy 64 Town of Cylon St Croix County NW1/4, NE1/4, S33, T31N, R16W Identification Numbers Transaction ID No. 1515092 Site ID No. 735230 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: Description: At grade system, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1173967 Maintenance required; 450 GPD Flow rate; 58 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, SBD-10570-P (R.6/99), SSWMP Pub. 9.6 ~ (~ ~.• The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes ~!1' 1? l~e,1 G and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be ~~ ~. constructed and located in accordance with the enclosed approved plans and with the component manual(s) ~ ~ " ~ `~~ referenced above. The owner as defined in cha ter 101.01 10 Wisconsin Statutes is res onsible for com liance ' t' ' p ( )~ ~ p p ~ R7MENT OF with all code requirements. 01 SAFETY No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.0 , stats. -~-"-'-' EE CORRES The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In the event this soil absorption system malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described the At Grade Component Manual aze complied • The designer proposes to install an effluent filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. • ,The revised soil test on which this approval is based shall be recorded with the original soil test. Reminder • The orientation of the at grade system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the at grade per At grade Component Manual. • Surface water drainage shall be diverted away from the system area. • Materials shall conform to the requirements of COMM 84. ROBERT J HARDINA Page 2 3/31/2008 • Maintain well and waterline set backs per COMM 83.43(8)(1). A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stars 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 installation, op Sincerely, a copy of this letter to the owner and any others who are responsible for the of the POWTS. Patricia L an orf POWTS Plan Reviewer ,Integra ' d S ices (715) 634-7810, Fax: (715) 634- 0 , M-f 7:45 am - 4:30 pm pat. shandorf@wisconsin.gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. RESIDENTIAL AT-GRADE RESIGN Pressurized -Sloping Site INDEX AND TITLE SHEET Project BRAY Owner CARL W BRAY Address BOX 98 DEER PARK , WI 54007 Legal Description NW,NE,S.33,T31N-R16W Township CYLON County ST. CROIX Subdivision Name N/A Lot No. N/A Parcel ID Number 006-1074-20-000 ^'~~~~ Plan Transaction Number •:,~ ~ ~; f ';~ Index sheet Page 1 c~Mr~tR~ Calculations ~`~"° B At-grade drawings Laterals and dose tank Specifications Management & contingency plan Pump curve & specifications Plot Plan Soil Data (A,B,C) Designer ROBERT HARDINA License Number Signature ~~~~7y~ `~ ~ Phone Number Date 03/06/08 Page 2 Page 3 ~_~~ Page 4 ,~,~~pEN Page 5 Page 6 Page 7 / ~ ~ ~ ~} c, ~_ Page 8 Page 9 824825 715-986-2508 Designed pursuant to: At-grade Component Manual for POWTS SBD-10570-P (R.6/99), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) version a.o (aaios~ Page 1 of 9 . PRESSURIZED AT-GRADE DESIGN At-grade Design Worksheet -Sloping Site Flows and Site Data Entry. (r or c) r Residential or commercial? 300,0 Estimated wastewater flow (gpd) 450.0 Design wastewater flow (gpd) 2.00 % Site slope 95.67 Contour elev. below lateral (ft) 45.00 Depth to limiting factor (in) 0.40 In-situ soil application rate (gpd/ft^2) Distribution Cell Information (1 or 2) 1 Influent wastewater quality 4.50 Linear loading rate gpd/ft 7.50 Effective absorption width (ft) 10.00 Max. effective width permitted (ft) 150.00 Aggregate length (ft) Pressure Distribution Data Entry (c or e) c Center or end lateral connection 2 Number of laterals 0.125 Orifice diameter (in) e.g. 0.188 Not a final Calculation 2.00 Estimated orifices acin ft p g ( ) 2.00 Forcemain diameter (in) 3.21 Forcemain flow velocity (ft/sec) 110.00 Forcemain length (ft) 88.00 Pump tank elevation (ft) 6.5 System head (ft) x 1.3 7.50 Vertical lift (ft) 2.32 Friction loss (ft) 16.32 Total dynamic head (ft) Lateral Diameter Selection Designer must select one lateral diameter Pipe diameter Design options Design choice 1 in 1.25 in X 1.5 in X X 2 in X 3 in X Gallons/Inch Calculator (optional) 800 Total Tank Capacity (gal) 37 Total Working Liquid Depth (in) 21.6 Gal/in (enter result in cell G46) Treatment Tank Information 1000 Se tic tank capacity (gal) WEEKS -]Manufacturer Effluent Filter Information Dose Tank Information BEST Filter manufacturer 800.0 Dose tank capacity (ga{} GF10-8 Fitter model number 37.0 Dose tank volume (gal/in) WEEKS Manufacturer Project: BRAY Transaction Number: Page 2 of 9 y or n Does forcemain drain back? y or n Are laterals at highest point? NA 17.9 Forcemain drainback (gal) 68.0 5x Lateral void volume (gal) 85.9 Minimum dose volume (gal) 31.4 System demand (gpm) ~~~~~ ~~2,r~~~ ~ ZZ -d~ AT-GRADE PLAN VIEW D -# D ~ 1/6 B Observation pipes (2 typical) g 150.00 ft 1 /6 B 25.00 ft --i-- .......................................................................... C 9.50 ft W _ _ ~ ft D 5 00 ~~ ~ E 2.OOft ......... '. L 160.00 ft ~ B W 19.50 ft A x B 1125.00 ft^2 L ~~ Cap Typical obs. pipe. = Total aggregate cell A x B Slotted in the lower =Plowed area L x W 6", and anchored securely. 6" AT-GRADE CROSS SECTION Synthetic fabric cover 97.46 ft Finished grade elevation ~ Observation pipe at aggregate toe :~~~ A~-r..~;;~~; ® = 12 in. topsoil and subsoil over aggregate and tapered to toes. = 6 in. aggregate below pipe(s), and 2 in. above pipe. Project: BRAY Transaction Number: 2 % Slope ~- D --+ ~. Plowed layer belowLxW Page 3 of 9 PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram -Center Connection I~ R I (~' 3i Last hole drilled next to end cap Holes drilled an t he bottom of the lateral, equallg spaced xl23, Laterals & farce main of PVC Sch 40 (per CQMM Table 84.30-5) • =Turn-upv~ball valve orcleanoutplug Latera{ Specifications 0.125 Orifice diameter (in) X 1.97 Orifice spacing (ft} 38 Orifices/lateral 15.7 Lat. discharge rate (gpm) 31.4 Sys. discharge rate (gpm) 16.32 TDH (ft) Center Lateral connection point 2 Number laterals P 73.88 Lateral length (ft) 1.50 Lateral diameter (in) 2.00 Forcemain diameter (in) 110.00 Forcemain Length (ft) Typical Pump Chamber Layout o p ~ B ~ C o D Totals Final grade ~-~ Weather-proof junction box Tank component is properly vented Electrigi as per NEC 300 and Comm 16.28 WAC Inches Gallons 9.3 344.1 2.0 74.0 2.3 85.9 i 8.0 296.0 21.6 800.0 Tank full A Alarm on Pump on ~B 88.67 ft I `' Pump off D Approved manhole cover with warning label and locking device 4" Alternate ? ~~ outlet I ^location 18" min. ,1~ 'Approved outlet ~ joint Provide 1/4" weep hole or antisiphon device. ~__ 88.00 ft ZOELLER / Pump manufacturer BN 152 Pump model number Project: BRAY Transaction Number: SJE-RHOMBUS Alarm manufacturer 101 Alarm model number Page 4 of 9 '~c~~lsc--~ ~i~~d`~~~ 3-zz-~~ At-ctrade System Maintenance and Operation Specifications Service Provider's Name ROBERT J HARDINA Phone 715-986-2508 POWTS Regulator's Name ST. CROIX CO. Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 1125.0 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ndin and see a e once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the at-grade component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The at-grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 6. Areas within 15 feet of the downslope toe will be protected from compaction. 7. All other construction details are as per the at-grade component manual SBD-10570-P (R. 6/99). Lateral Turn-up Detail Finished ............ • • ......... ............... Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral ~ ~ Long Sweep 90 or Two 96.17 ft 45 Degree Bends Same Diameter as Lateral Project: BRAY Transaction Number: Page 5 of 9 At-grade System Management Plan Pursuant to Gomm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBO-10570.P (R. 06/99) and SSWMP Pub. 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic qr pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. F~cposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet finer shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent finer alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. AN switches, alarms, and pumps shah be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. At-grade and Pressure Distribution Svstem No trees or shrubs should be planted on the at-grade. Plantings may be made around the at-grade's perimeter, and the at-grade shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the at~rade is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the at- grade be heavily mulched as protection from freezing. Influent quality into the at-grade system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mglL FOG for septic tank effluent or 30 mg/L BOD5 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shalt be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contintrencv Plan If the septic tank or any of its components become defective the tank or component shalt be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the at-grade component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by renovating the biologically clogged absorption and dispersal media, installing new piping, and replacing other components as deemed necessary to bring fhe system into proper operating condition. See Page 5 of this plan for the name and telephone number of your loca- POWTS regulator and service provider. Project: BRAY Transaction Number: Page 6 of 9 Page 1 of 1 vs~ w W PUMP PERFORMANCE CURVE ~~~ MODEL 151!152!153 ~o i 14 A5 `53 __ _ 1 --. r 35 ~ ~ _ 1Q i5z ~ ~ ~~ ( l ,.. ._ Q ~ , ___. a g _ 25 f 51 _ _ _ d~, ~~ ' i ~~ 15 _ _. - _.._ _.,~.~ ~4 ~ ~. _~ ~_ 1 ... _ . ,: ~ _ . ~_ -_. 5 4 --- -_ i4 20 3~J a0 54 60 70 8C g0 100 GALLONS t.fTERS 4 ::4 8fl 124 160 240 240 280 ~'-32 60 33 FLOW PEa MINUTE 014508A f~j ~D~ / http://zoeller.thomasnet.com/imageresizer?image=http://zoeller.thomasnet.com/Asset/a0001... 3/6/2008 lNsconsinDepartrnentofCommerce SOIL EVALUATION REPORT page 1 of? Division of Safety and Buildings rn acwroance wrm ~.omm aa, vvis. r-am. i.oue County ST. CROIX Plan must lete site er not less than 81/2 x 11 inches in size Attach com lan on a p p p p . indude, but nat limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 006-1074-20-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all infam-ation. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Lew, s. 15.04 (1) {m)). Property Owner Property Location 0 ® CARL W BRAY Govt. Lot NW 1/4 NE 1/4 S 33 ~ T 31 N R 16 Property Owners Mailing Address Lot # Block # Subd. Name or CSM# BOX 98 N/A N/A City State Zip Code Phone Number ity ~Vllage own Nearest Road DEER PARK WI 54007 ( 7)15-416-3441 ST. HWY. 64 New Construction Use Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ~ Public or commercial -Describe: Parent material GLACIAL OUTWASH Flood Plain elevation if applicable ~ n ft. General comments ~~~CO N(N1C-,pit ~E ~ S~s . Y~ ~ Q A JG a ~. i`~O it nl !~ and recommendations 1~ Boring # ~ Boring pit Ground surface elev. 95.67 ft Depth to limiting factor 58 in. Soil ligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dfff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-6 10YR3/3 -o- SIL 1MSBK MVFR GW 2M .4 .6 2 6-32 10YR5l4 -a SB- 2MSBK MVFR CW 2F .6 .8 3 26_Sg SYRS/6 -o- SL 2MSBK MFR CW IF .6 1.0 4 58_80 SYRS/6 C2DSYR4/4 SL 2MSBK MFR N/A N/A .6 1.0 2 Boring # ~--~ Boring 95.67 >75 prt Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-7 10YR3/3 -o- SIL 1MSBK MVFR GW 2M .4 .6 2 7-32 10YR5/4 -~- SIL 2MSBK MVFR: CW 2F .6 .8 3 32-75 SYRS/6 -o- SL 2MSBK MFR CW lF .6 1.0 'Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number ROBERT J HARDINA 824825 Address Date Evaluation Conduded Telephone Nurr~er 477 170th AVE. TURTLE LAKE WI.54889 11-06-07 715-986-2508 ~~~5E-~ ~~~G~ ,~ ZZ ~ ~ Property Owner BRAY Parcel ID # 006-1074-20-0000 page 2 of? 3 Borin # ~ Boring g ~ pit Ground surface elev. 95.67 ft. Depth to limiting factor 60 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-8 10YR3/3 -0- SIL 1MSBK MVFR GW 2M .4 .6 2 8-36 10YR5/4 -0- SIL 2MSBK MVFR CW 2F .6 .8 3 36-60 7.SYR4/6 -0- LS OSG L CW 1F .7 1.6 4 60-80 7.SYR5/6 C2DSYR4/4 LS OSG L N/A N/A .7 1.6 Boring # !._J Boring 95.67 45 pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/IF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0_g 10YR3/3 -0- SIL 1MSBK MVFR GW 2M .4 .6 2 8-32 10 4 SIL 2MSBK MVFR CW 2F .6 .8 3 32-45 7.SYR4/6 -0- LS OSG L CW IF .7 1.6 4 45-75 7.SYR4/6 C2DSYR4/4 LS OSG L N/A N/A ,7 1.6 Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DJft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 * Effluent #1 = BODS > 30 < 220 mg1L and TSS >30 < 150 mg/L * 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. SBD-6330Tcs[ (R07l00) ~1~~ ~~~~~~ ~ ~~~~ 4 ~ ~ PAID ' Wisconsin Department of Commerce SOIL EVALUATION REPOR 1 of 2 Division of Safety and Buildings ~ m awv~unruxs w~u~ t,~mm vim, vv~s. faam. c..cwe County ST. CROIX Attach complete site plan on paper not less than 81 /2 x 11 inches in size Plan must . include, but not limited to: vertical and hor¢ontal reference point (BM), direction and parcel I.D. 006-1074-20-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Per onal i for ati o id b d f d P ~~ ~ /I) d s n m on y u prov e may e use or secon ary purposes ( ri , s. 15.04 (1) (m)). ~j~ Property Owner ~ Property Location ^ ~ ~ CARL W BRAY Govt. Lot NW 1l4 NE 1l4 S 33 T 31 N R 16 r) W Property Owner's Mailing Address t,pR H~~ Lot # Blodc # Subd. Name or CSM# ` BOX 98 A N/A ~Z !~ C%1.~UJ-~ 2 -,~ City State Zip Code Phone Ng{p ;ty ~ Village own Nearest Road ~/ DEER PARK WI 54007 ( ~'-441 ST. HWY. {~ New Construction Use Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ~ Public or commercial -Describe: Parent material GLACIAL OUTWASH Flood Plain elevation if applicable _~T p~ ft. General comments ~.,/ C,~ /,,~ ,~ ~,~~ and recommendations: G C ~ ~ ~ 7 ~f ,lJ .~ '~ ~~~~ ir`t" ~`."" ~ Cam. °'°'l G~, l~ Boring # ~ Boring Pit Ground surface elev. 95.67 ft. Depth to limiting factor 58 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10YR3/3 -o- SIL 1MSBK MVFR GW 2M .4 .6 2 6-32 10YR5/4 -o- SIL 2MSBK MVFR CW 2F .6 .8 3 26_gg SYRS/6 -o- SL 2MSBK MFR CW 1F .6 1.0 4 58_80 SYRS/6 C2DSYR4/4 SL 2MSBK MFR N/A N/A .6 1.0 2 Boring # U Boring ~ >75 95.67 a pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ffl? in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0-7 10YR3/3 -o- SIL 1MSBK MVFR GW 2M .4 .6 2 7-32 10YR5/4 -o- SIL 2MSBK MVFR CW 2F •6 .8 3 32'75 SYRS/6 -o- SL 2MSBK MFR CW lF .6 1.0 _ * Effluent #1 = BODS > 30 < 220 mg1L and TSS >30 < 150 mglL * Effluent #2 = BODS < 30 rnglL and TSS < 30 mglL CST Name (Please Print) Signature CST Number ROBERT J HARDINA 824825 Address Date Eva anon Conducted Telephone Number 477 170th AVE. TURTLE LAKE WL 54889 11-06-07 715-986-2508 err ~~~~ m~~M~ iY Property Owner BRAY ParceIID# 006-1074-20-0000 page ~ of ~ 3 Borin # ~"~ ~n9 g ~ pit Ground surface elev. 95.67 ft Depth to limiting factor 60 in. Soil liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-8 10YR3/3 -0- SIL 1MSBK MVFR GW 2M .4 .6 2 8-36 10YR5/4 -0- 5IL 2MSBK MVFR CW 2F .6 .8 3 36-60 7.SYR4/6 -0- LS OSG L CW 1F .7 1.6 4 60-80 7.SYR5/b C2DSYR4/4 LS OSG L N/A N/A .7 1.6 a Boring # ~ Boring 95.67 ^ Ground surface elev. ft, 45 Pit Depth to limiting factor in. Soil liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Ef(#2 1 p_g 10YR3/3 -0- SIL 1MSBK MVFR GW 2M .4 .6 2 8-32 1 4 SIL 2MSBK MVFR CW 2F .6 .8 3 32-45 7.SYR4/6 -0- LS OSG L CW 1F .7 1.6 4 45-75 7.SYR416 C2DSYR4/4 LS OSG L N/A N/A ,7 1.6 Boring # ~ Boring 95.5 55 ,~ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0_g IOYR3/3 -a SIL 1MSBK MVFR GW 2M .4 .6 2 8-31 IOYR /4 -0- SIL 2MSBK MVFR GW 2F .6 .8 3 31-55 7.SYR4/6 -0- LS OSG L CW 1F .7 1.6 4 55-80 7.SYR4/6 -0- LS OSG L N/A N/A .7 1.6 * Effluent #1 = BODS > 30 < 220 mgll_ and TSS >30 < 150 mgJL * Effluent #2 = BODS < 30 mg1L and TSS < 30 mgJL 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 pr TTY 608-264-8777. SBD-8330Test (RO')!00) -r ',~. ~LDIN~i. SEI''I'IC ~~~~'~It~S ~'.'I~~/~~~' 82482 . J G - i . r ' '~ Wisconsin Department of Commerce L EVALUATION REPORT Page 1 of 2 Division of Safety and Buildings ~` ui auvrasp~ wnn wrnm ate, vv~. r+u~n. ~.vuc~ a `..,,` County ST. CROIX Attach complete site plan on pa er not less than 81/2 x 11 inches in size Plan must p . inGude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 006-1074-20-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed Date j~ Personal information you provide may be used for second u ses 5.04 (1) (mp. ~ ~ ~ ~~ j~~ ~J '3/Q d Property Owner Pr perty Location a ~ CARL W BRA 0 G .tot NW 1/4 NE 1/a S 33 T 31 N R 16 Property Owner's Mailing Address Lo # Block # Subd. Name or CSM# BOX 98 /A N/A 2 ~ ~ti~~~ I nc~c; ~° ~/ U4~ !~ ~ Y City State Zip Code Phortg'rlfX COUNT ity Village own Nearest Road ~ ~ - S DEER PARK WI 54007 l~E ST. HWY. 64 ~U /~ New Construction Use Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD ^ Replacement ~ Public or commercial -Describe: Parent material GLACIAL OUTWASH Flood Plain elevation if applicable ~,A ft. General comments L~n'~2 ZZ~. ~~ ~ (v 7 b~F~CO ~^'~ MGij .7E ~ 5 y$ . +~T ~ Q p. JL p 2 MO ~I nr and recommendabons: ~~~~ / ~~ ~ ,~w ~ Boring # ^ Boring v ' - J ~, pit Ground surface elev. 95.67 ft. Depth to limiting factor 58 in. Soil lication Rate Horizon Depth Dominant Golor Redox Description Texture Structure Consistence Boundary Roots GP Dtit? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10YR3/3 -~- SIL 1MSBK MVFR GW 2M .4 .6 2 6-32 10YR5/4 -a- SIL 2MSBK MVFR CW 2F .6 .8 3 26_Sg SYRSl6 -a- SL 2MSBK MFR CW 1F .6 1.0 4 Sg_gp SYRS/6 C2DSYR4/4 SL 2MSBK MFR N/A N/A .6 1.0 2 Boring # U Boring ~'~95.67 >75 pit Ground surface elev. ft. Depth to limiting factor in. '~-'^` Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0-7 10YR3/3 -o- SIL 1MSBK MVFR GW 2M .4 .6 2 7-32 10YR5/4 -~- SIL 2MSBK MVFR CW 2F •6 .8 3 32-75 SYRS/6 -o- SL 2MSBK MFR CW 1F .6 1.0 " Efluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ~ Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number ROBERT J HARDINA 824825 Address Date Evaluation Conducted Telephone Number 477 170th AVE. TURTLE LAKE WI. 54889 11-06-07 715-986-2508 L Property Owner BRAY ParceIID# 006-1074-20-0000 page 2 of? 3 Borin # V Boring g ~ Pit Ground surface e ±~ 1. 95.67 ft. Depth to iimiting factor 60 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f1? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10YR3/3 -0- 5IL 1MSBK MVFR GW 2M .4 .6 2 8-36 10YR5/4 -0- SIL 2MSBK MVFR CW 2F .6 .8 3 36-60 7.5 416 -0- LS OSG L CW 1F .7 1.6 4 60-80 7.SYR5/6 C2DSYR4/4 LS OSG L N/A N/A .7 1.6 Boring # ~~ Boring !J pit Ground surtace elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DlfP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # ~ Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Test (R07/00) a.-_ r ---3 ~~ . ~'" Parcel #: 006-1074-20-000 03/03/2008 03:14 PM PAGE10F1 Alt. Parcel #: 33.31.16.503A 006 -TOWN OF CYLON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -BRAY, CARL WILE) CARL WILE) BRAY C -BRAY, RONALD E RONALD E BRAY BOX 98 DEER PARK WI 54007 Districts: SC =School SP =Special Pr p y Address(es): ' =Primary Type Dist # Description 295 WY 63164 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 W1TC ?j7i'~ Legal Description: Acres: 29.900 Plat: N/A-NOT AVAILABLE SEC 33 T31N R16W NW NE EXC N 237' OF S 610'OFW350'&INCE584FTOFS373FT Block/Condo Bldg: OF NW NE(006-1074-30-100) (503D) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 33-31 N-16W Notes: Parcel History: Date Doc # Vol/Page Type 08/12/2004 771450 2636/482 WD 09/18/1998 587342 1358/157 QC 07/23!1997 1130/395 WD 07/23/1997 830/536 more... 2(lOR Sl1MMLl-RY Bill #: Fair Market Value: Assessed with: Valuations: Description Class AGRICULTURAL G4 AGRICULTURAL FOREST G5M OTHER G7 Totals for 2008: General Property Woodland Totals for 2007: General Property Woodland Use Value Assessment Last Changed: 09/07/2007 Acres Land Improve Total State Reason 14.000 900 ~. ' 900 NO 13.900 21,000 0 ` 21,000 NO 2.000 8,000 29,600 ~ 37,600 NO 29.900 29,900 29,600 59,500 0.000 0 0 29.900 29,900 29,600 59,500 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 512 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i ~~o~,~~~ .~ °~ g ,~ ~A ~~-Js Attention ail CiryorCountyRecyclingCoordinators on a tight budget... Special Promotion (March-June tour dates being planned now) ~mnaed~ac~e response required - ,Restziaions apply ~`~'k ~. ., "Here's news! I can n.ow give some Cities and Counries 2 shows for free!" -- Tunothy Week, Arnerica's Goodwill Ambassador of Recyrilt~g' ~O~ and crEator of `t'he Magic ofRerycling.~' show. ~,,,~.~ Iiow to get more details on this limited-tune special romotion: P Just send an emaiX to this special email address; i=REE~PromoteRecyclingNow.eom and we will unmecliately send you an email about how you may be able to get 2 shows for free! (all shows to be performed as assembly programs in your local elementary schools) r~ Nore_ 71u's offer is fog a Limited 4aoe end mey 6e ®nceied at ~J' die without notice. Get thousands of local families excited and enthusiQatic about recycling! ,fls you know, the award-Winning `~Vl~gic of Recyclit~gl" show has been used successfully by hundreds of Recycling Cootr~ina[ors in 38 states. Sincie 1992 `The Magic ofRecycliragl" showhas been seen, l'.IVE, by over 2,000,000 students all across Arme~ca. See dvsiens o_f rave reviews from overjoyed clients: www.Promore,Recy+rlir~gNow:com I~ you do not want to receive further faxes from us, please send an email to no£ax@Ne~tt>!lationwideTour:com and we will immed.i.ately rempv'e your fax number froze our fax-notifiCat,ioz~ list. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ,~... - - v Property Address ~ GUy riD .3 ~O (Verification required fro Planning & Zoning Department for new construction.) City/State ~ Parcel Identification Number ~7~Z(o - I p 7 - c~ c~ = cx~ ~ ~ LEGAL DESCRIPTION Property Location /~~J '/4 , N ~' '/4 ,Sec. ~_, T , ~ I N R~~W, Town of ~~ ~~,~ / Subdivision Certified Survey Map # Warranty Deed # ~ f7/ yS~ Spec house yes no. Volume ,Page # Lot # Volume G~~o ~3~ ,Page # ~~ Z Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. $3.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedarooms ,/,~~' 7 ,..~'~ ~"~ SIG TUBE OF APPLICANT(S) ~/L/~~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. a~ a-~( (REV. 08/05) U 2636P y82 WARRANTY DEED Document No. RETURN TO: Jost aw Office 3~SE.1~.Sa~l 2.. chetek, wt 54728 Yrprt ~ ~= 5~$i Z Tax Rev Nos. 006-1074-20-000 006-1074-30-000 RONALD E. BRAY and CARL W. BRAY, father and son, and each to the extent of their respective interests, convey and warrant to RONALD E. BRAY and CARL W. BRAY, father and son as joint tenants, for a valuable consideration, the following described real estate in St. Croix County, State of Wisconsin: 7 7 1 4 5 0 KATHLEEN H. MALSH REGISYER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 88/12/2804 09:45A1[ MARRANTY DEED EXEMPT i 8 REC FEE: 13.00 TRAtiS FEE: COPY FEE: CC FEE: PAGES: 2 The Northwest Quarter of the Northeast Quarter of Section 33, Township 31 North, Range 16 West (in the Township of Cylonj, St. Croix County, Wisconsin, except the South 373 feet thereof and except the North 237 feet of the South 610 feet of the West 350 feet thereof. AND The East 584 feet of the South 3 the Northeast Quarter, Section West, St. Croix County, Wiscons This is not homestead property. 73 feet of the Northwest Quarter of 33, Township 31 North, Range 16 in. Exception to warranties: Easements, licenses, zoning ordinances, and restrictions of record. Dated on ~~~ ~_, 2004. o ~. ,~~~ R NALD E. BRAY A W. B \~ U 2636 P `183 ACKNOWLEDGMENT STATE OF WISCONSIN) SS. .(~Q(~26/J COUNTY) urn Personally came before me on 7 , 2004, the above-named RONALD E. BRAY and CARL W. BRAY, to me known to be the persons who executed the foregoing instrument and acknowledged the same. -~ ~.c.~~ Notary Public State of Wisconsin My Commission Expires: .S~/3'~~7 .~pAN E. TURNER Notary Public State of Wisconsin Drafted By: Kenneth Wm. Jost, Jost Law Office P.O. Box 54, Chetek, WI 54728 ~.~7`c~~ ~~~~ "~ EpE ¢QQ¢~~~v9~i : : tl1~ a~~€ ~ ~' z a ® ~ ~ d ' ~ ~ ~ ~ ~ ~ ~ ~ ~ Q ° ~ ° o ~ ~ o ~ ® ~ ~ w ~ ~ ~ a --- --- p ~ ~ z N m ,~ g ~~~~ i', ~ g S ~ ~ ~ ___--__ ~ ~ 3 U r > __.. b ip ~ X ~ ~ X x J d ~ ~ LL ya J" ~ ~ < ~ Q ~ m d rc d z ~ ~ ---- 0 z o ~ ~ x s ,~ a ~ ~~~t o " 0 ~ ~ 6~ ~ ~ ~ ---;t--; Q ' , I I I I z I~-- u, I I I I I I O ~ I I I I I I O .. ~~~~ 1 ~ ~ 1 _dd 1 1 ~ I I I I I I I I Q w F a _._. ~~~~ I t I I I I I I J W !(~ A Q I I I I I I I I a .j ~ a ~ N I I LJ I I ~ LL ~ ii ~~ i ~ W ~ ~ ~ r- cA N ~ Q _ _ _ u _ _ I I I I ~~ '-"----ii }- O ,.n II I I ~.~ ^~ ('{~ I I i~-{ ^I ~ ..J M~ O r I ., ~ ~ .>«,. . .S4L-.B k.0 R.b ~ o I I I I I ~ ~ -~ o a ~ m.d.. u..~~ w...p Q31LLL'IMfI NOLL7f1E~19N07 'TJOIJV2LLN07 lVLl~l~ ......,...... ,~..~,~..,_.,~.. .,.....~ ~ ~ AD'a9 lLIV7 O tM ioavs~im 'moods ~ vac .,,easae ensia & ~ ~ e ~ ~ O .a '~~"~""' '~' "~ oa aenor+oninoa oooi ~ ~ ~ m ~'-~~ goad~:1~~~; ~ t« .ado r~d-rd -voi~b~vno~ ° k ~ N 'oni saavx sla3dwv, a ~ ~ ~ .o-sz ~I Q i y U I ~ ~ ~ ~ ~ ~ ~~ --------1 ~ 1 a I ~ ii~ii, ~ a f~ ~ li 1 ~~ ; I i {~ . t ~ 3 ¢ ~ O ' E : § a ~~ .~~ ~_. I `~ ~ ' L ~. a I] i i _§ : I Z , i Ii _ ~,a ~.a~ ~~ ^~ ~e•~"~• 10944 'Ifll 'a3NOOd8 .n .'~ « °"'y"' `~` ~'. .P,. oa a9noNanlnoa oooi ~•aru saav~. la3dwen 'ONI SoaV,l 41a3dWVl auu.uian rwu~naieNOO ~aoaaraiNOO nvaera~0 .1V2i91a'0'O ~ g g ~ •aoa ~1'JIG34 Al'PVYAdG er+vna ~ ~ ~ ~ ; p 9 S ~ O ~-~a~~o ~ z« lao Ntr~d atoo~~ ~ ~ ~ ~ ` M A,BZ 3S 39 m M:n,. :« tt 0 a § H 5 ~ O ~ -------- 4 . ,o-a .as - --- ----- ----- ~ m y Ip ~ x 2 ~ ~ ® O O c 'x K ~ w ~ O ~ a - Z >_ ~ ~ . O = Y 9 i --___.--_. ~ § § OO ~ ` ~ 00 __= K § & h w ~ m Q ti ~ - ~ ~ ~ : ~ ao ~ 4 J6 ~ ov Y 0 ~ N a ~ 4 ~ 9 ~ W Q~ + _ a iy (~ m K b 4 o . U W W .P5 A.f AA hd .trA .R~Bt k