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008-1007-80-000
St. Croix County Planning and Zoning Thursday, May 10, 200' ar 9:12:40 AM lletail Sanitary Information Page 1 oft Computer #: 008-1007-80-000 Sub/Plat: metes & bounds Section: 3 Parcel #: 03.28.16.356 Lot: TN/RNG: T28N R16W Municipality: Eau Galle, Town of CSM: 114 1/4: SW 1/4 NE 1/4 Owner: Vang, Na &Xia 540 250th Street Woodville, WI 54028 State Permit: 499106 Issued: 08/08/2006 POWTS Dispersal: Non-Pressurized In-ground Permit: Revision -Change of Plumber County Permit: 0 Installed: 08/22/2006 POWTS Detail: Infiltrator - Quick4 chambers Bedrooms: 4 WI Fund: POWTS Prelreatment: NA f~otes Issuer/Inspector As Built Plumber Other Requirements Additional Notes Money Owed Ryan Yarrington NA Ryan, Russell E. system installed without plumber or owner picking $0.00 Ryan Yarrington ~: Yes up permit - it wasn't posted in plain sight as per code! Maintenance Scheduled Punk Date Pumaed 1st Notification 2nd Notification 3rd Notification 8/22/2009 Owner: Vang, Na &Xia 540 250th Street Woodville, WI 54028 State Permit: 488037 Issued: 12/19/2005 POWTS Dispersal: Non-Pressurized In-ground County Permit: 0 Installed: POWTS Detail: Leaching Chamber POWTS Pretreatment: NA totes Issuer/Inspector As Built Plumber Other Requirements Not determined NA Bergh, Ed Ryan Yarrington : ' ~)fi': No Permit: New Bedrooms: 4 WI Fund: Additional Notes Money Owed $0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENEklAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Van , Na & Xia Eau Galle, Town of CST BM Elev: Insp. BM Elev: BM Description: ova (3 n~ t G ST TANK INFORMATION TYPE MANUFACTURER ~~~ CAPACITY I Septic ~J~v~~ ~ Z ~ Z5~ Dosing ~ , A G o lam ~~ F:1t~rc~.. - t~ ~ ~ 1"~ ~ ~'1~ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 7 Za' S~J ~ 57 ~ 5~ / ...- Dosing y Z~ ~ / ~~ / L .7 ~ J L 7 ~ J _ Aeration Holding PUMP/SIPHON INFORMATION ~ I,. Manufacturer I Demand ZOef W~+ GPM / Model Number ~ 1 b / TDH L~I ~~ Friction ;oss System Heai<i^_ N ll TT T ~0 . Ft Forcemain Length ~ 3a Dia. ,~ 2 Dist. to w el i Cnll AnCADDTIrIAI CVCTFM ELEVATION DATA c°unty: St. Croix Sanitary Permit No: 499 ~ 06 ~ State Plan ID No' Parcel Tax No: 008-1007-80-000 Section/Town/Range/Map No: 03.28.16.356 STATION BS HI FS ELEV. Benchmark ~' 9 ~ 10~ 9 ' Z~~ Alt. BM /• 5 X03 . '~+~ Bldg. Sewer 3.71 /oi, zS SUHt Inlet ~~, 33 ~3 ~ Co3 SUHt Outlet ~~ Dt Inlet ~` `~ Dt Bottom /~, ~ ~ ~~ ~ g Header/Man. Dist. Pipe • ~[ T c~g C ' Bot. System Final Grade 5• b~ q `l• ~1 Z... St Cov r / ~,` V,~, C.OJ~• 7. (~~ ,~~ ~ , ,c BED/TRENCH DIMENSIONS Width ~ ~ Length ~ ~~ No. Of Trenches /f / ~~ / ` PIT DIMENSIONS ` No. Of Pits Inside Dia. Liquid Depth ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: ; INFORMATION t S ~ ~ ~ em: ~ ys Type Of ~ ~ G ~ ~/ l1$,t3 ~ /~ UNIT Model Number: ^ . i o ~n. o~~e nlc•TQIQI ITIAAI CVCTCIIA Header/Manifold . ~~ ~ Length Dia ~ ' _ Distribution Pipe(s) \ Length ` Dia` Spacing\"` x Hole Size x Hole Spaci ~ a e~n,n i+rwro ..________ ... __._.v_ .~._~_. .... u......d n~ n._r_.~.ae c..cmm~ nnw Depth Over / Bed/Trench Center ~ ~ ~ Depth Over Bed/Trench Edges ~ xx Depth of Topsoil ~ xx Seeded/Sodded es ! No xx Mulched ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 540 250th Street WQoo v~' e~WI 54028 (SW 1/4 NE 1/4 3 T28N R16W) NA Lot Parcel No: 03.28.16.356 1.) Alt BM Description = ~ '"- ~ G ~ ` ~S ~ Z~G ~ ~ ~' 2.) Bldg sewer length = $~ -amount of cover = 5 ~ Plan revision Required? j Yes j No I ~j ^'1 .~(p Use other side for additional informati n. .!/ ~'" Date Insepctor's SBD-6710 (R.3/97) z3 -f-Z3 ~= ~~ ng Vent t Air tak~ a ~- I Cert. No. Wisconsin Department of Commerce 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)]. Permit Holder's Name: City Village X Township Van , Na & Xia Eau Galle, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOII ~RSORPTION SYSTEM ELEVATION DATA County: $t. CrOIX ~ Sanitary Permit No: /~\ 488037 (JJ State Plan ID No: Parcel Tax No: 008-1007-80-000 Section/Town/Range/Map No: 03.28.16.358 STATION I BS I HI I FS I ELEV. r~ Bldg. Sewer St/Ht Inlet Dt Inlet Dt Bottom Dist. St Cov BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: UNIT Model Number. DISTRI6UTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER v Pro~m~re Rvc40me (lniv YY Mnunrl Or ot.Grade SVStemS Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil i Jl Yes i~ `_1 No 1 Yes No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 540 250th Street Woodville, WI 54028 (SW 1/4 NE 1/4 3 T28N R16W) NA Lot Parcel No: 03.28.16.358 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ~ -~ Yes ~ °l, No r Use other side for additional information. ___ ~ ~~ _i ' _ -- ~ I - ~ - J ---- Date Insepctor's Signature Cert. No. SBD-6710 (R.3l97) T~~ad 4 ~~T~LLBSTL Lz~OT 9002-S0-T0 Counry `-" s Cro~.~ Sanimry Permte Number (to be !! od in by Ca) ~~~ Sinn Ptm I.D. Nuntbar Addraaa (if t ttton rrinilina aadrosa n ~~ P I # Lot * d oak # $! 007 . k~ -moo I'U la- 201 W. Washington Ave., P.O. Box 7162 Madison, WI S37Q7 - 7162 (608) 2G6-3151 State ~a~xtary Pearxnit Ap In accord with Comm 63.21. Wis. Adm. todo, pcrsonol init~ may be used for aeoaedety putpeees Priway Law, a I 1[. Application tof0190ta1tlss, - Plaose irtiree Alt Imo'®rrnnttnu , J'U ~4- V ~41n~ C~ (~. ~i ~' rya ~~ Zip Corte Phase Number ~..~~~/~, Section G 3 W~dt~(t i ~ ~~ ~C.~ t~. Il. Type of 13aDt1ing (check aU that apply T~.N, R~~~j 0(~ ok 46 ~f or 2 Fancily Dweiling - Number of Bedryoms p ~~ ~ Su bd iv i si ~n Name CSM Numbot D Pubtk/Comatercid - Octadte Uae 5V : ~e. aJsQ ~ Q . p ~ / v / I d State Ownal - Dosaribe Uae z A Asa ~'n t l~y~ - ~ p laves. •°~~_ amity ^Vi11a8c ~`!'ownahiP of ~ IIY. Type of Permit: (Cl+eelt only one btu on lilac A. Complete tine Yt t! appl{dtbie} `~' ~ew System -~ ^ Replacrxtkttt Syatar* ^ TrnatmartVHotding Tanlt Replnaemcttt Only Q Odtar Modifloation to Meting Syerom B. I7 Pcntrit Rterowat ~ Pannllit Revision go of ^ Permit Trenafcr to New ~ Prevfars Permit Num and Date teeued 13efara Expiration umber _"~~ Owner Qg (~ U rv PowTS ~~ c><tt~k alt that a on ~reaudmod m--Qround ^ Mound R Z4 in. of suitable aoq ^ Mound a 24 in. of auttable :ail ^ Atdkade ^ 3ingte Hass Sand FOtur ~ Constructed WGgand ^ PreRauriud indirou otding Tan1c ^ Pest Fitter ^ Aerobia tYCaatma-t Unit ~ Mating Sand Ft1ter ^ 1teCirCUtaNn S thctic Media F chin Che ^ Dri Line ^ C~avd-k-ss P' []Other ex ia ) y V. ttlrl'Peatm ent e: p . Daei ~ FIOO O) '~ Sd~ a~Rat~daQ / D ~~ tkqu rcd {s ~ ' oispctaat Arrx r ~ - f dw ( s gxtt Elevft on DY-c l~ ~S ~ l . y ~' Vii, Tank Ia[o apaoiry (n Galkma 'Cotes Oallone Nu er of Units Manufacturer ab 5 to S Fiber Pl N~ z~ w ~.~ A-sm ~~ ~ .~ /~ Olasa s~t~or~ ~ ,., _~ _ f_.. ~ . . ,. VII. Res naibil Sratettunt- I, too nntlerai trJ, seean~ neibility for inatallatiwt of the 1'OWY'1 shown on the attsebed Plumber's ama Prlmj !'lumbers re MPlMPRS Number Butanes! ~APPr~od ^ Sanitary P t Fee (includne ndwaGer Dam lawin grnt Signs ^ n Rcuot- lteDeniat Suroturgc Fee) ~ ~ ' n^ $ g ~ IX. Coaditiona of ApprovttUYteaaons [or Diaapprovai ~'C_J SYSTEM C)VVNER: 3~ LCCu-~°.~ ~ (`~C~ U/~, J 1. Septic tank, effluent. finer and dispersal cell must all ¢g servit:es / maintained ~ ~ i as per management plan provided by pitrmber. D ~ ~ V e 2. All setback rttquirttmttMs must be mairttainttd I ~ per applicable code /ordinances. 5 ~ r~ ~, 5 ~ ~a a t~ tar the ew.(y e.rp) fir Mo gemm e^ osper mt tea rtue tart a 17 iae6p la else 1, 5 ssn-6398 (~. or/off) T00/T00~ ,Ll~dtl'IBABt[ A,Lt~if10~ AIAIt1Q t360b ZCZ >:TL T %V3 50~OT RHZ 9002/ti0/TO _ _ _ _ _. - - -- -- - --- - - - RO~II T~ PLtJ3AB 08/03/2006 13:28 ?159642122 PLOT P~,AN FtJI2 BIG FALLS BL~ILIaERS PR.OPE~ZTY t SW 1.14, ~ l/4, SECTION 3, T28N, R16W TOyV~1 QF EAIJ GALLIE, ST. CROTX COUNTY SCAT E ~° = 40, 1 P3~OP3~RTY t,IIdES NO'S STdUWN ARE MORE THAN 300' FROM PROPOSED SYS'3'EM ,A3tEA ~. '~' 08-03-2J06 12:28 7158773123 PAUL n~ w wE~.~. Bx SOIL BUSING ~ 30II. I"IT ~ BE~ICIIMAItIt. iS 100' GELt7UNA EI.EV AT BASE OF STA3C,E PA~E3 2 - Q111CK 4 WFlLTRATUR CELLS ~ V 23 LlN3'3'S PER CELL 3rISA RATING= !9.! PER t1MT Q~ SYS'3'Elut ELEYA'ttON 9'7.50 ~(`l BUILDING SEWER MUST COMPLY WITH COMM 82.30 WAC (11)(C) LOCATION OF WELL MUST COMPLY WITH WDNR CHS. NR 811 ~ 812 VANG PLOT PLAN ---------------- Ro--------------- LEGEND N W E SCSLE ~ BENCHMARK ELEVATION =100.0' -ground elev @ base of stake o LOCATION OF SOIL BORING(S) ® LOCATION OF SOIL PIT(S) ~k NO APPARENT COMM 83.43 SETBACKS ® DESCRIBED LOCATION OF LOT LINE ® LOCATION OF RIGHT-OF-WAY Q CENTERLINE OF DESCRIBED ROAD ALT. BENCHMARK ELEVATION =1( -ground elev @ base of stake SW-NE-03-28-16W TOWN OF EAU GALLE ST. CROUIX COUNTY, WI PARCEL DESCRIBED AS 40+ AC. (FENCELINE)-------------_ _- ~ ~ I,~c~; 0 20 40 ~ t (UNLESS SHOWN OTHERWISE) j 1 WILLIAM J. BERGH t j WISCONSIN CERTIFIED SOILTESTER e j DESIGNER OF ENGINEERING SYSTEMS ° I ~ CUSTOMER ID 227819 (7UU.t #2 ~ #5 m % j (100.7) ~ t o 1 ~ 1 rr' rn `ti, ~ ! 1 f ~ ~"- i Js ~ /7 11\ r '1 0 ~ 1 1 ~ ~1 r f l r '. r 1 r ~~r ^,,. ,~ (100.2) ~ #3 PROPOSED (2) NON-PRESSURIZED DISTRIBUTION CELLS ® #'I EACH CELL USES (14) LEACHING CHAMBERS (gg.g) (MODEL - BIO-DIFFUSER 11"STANDARD) EISA RATING = 31.1 PER CHAMBER SYSTEM ELEVATION = 97.50' -1500' to 190th Street Access to site is -1500' south of intersection of 60th Avenue 8190th Street ~..L~ a -c~~~<-~ _LL'-~I.._~l~ L L~~~°~I_ C._.. I.._.~ ~l_Lz~_LLI~ ~~4L~LC,LLI~ \~~ ~, .y 1 1 1 l ~~ i l i 1 t PAGE 3 OF 3 08!03!2806 13:28 71596A2122 ROAD DOG PLUMBING PAGE 02 s Conventional INDEX AND TITLE PAGE Owner's Name: Big Falls Builders Owner's Address: 10867 Wild Rose Lane Eau Claire, Wi. 54703 Owner's Phone No.: 715-929-1475 Legal Description: SW NE Sec. 3 T 28 N R 16 W Township: Eau t,aliie County: St. Croix Subdivision: Lat Number: Block Number N/A Parcel i. D. Number : 00$1 Qp1-8Q-000 Plan Transaction Number: N/A CSM Page 1 Index and title Page 2 Piot Plan Page 3 Tank Cross Section Page 4 Ceit Cross Section Page 5 Filter Specafactions Page 6 Pump 3pecaf8ctions Page 7 POWTS owners manual 8 management Plan Page B POVI~TS owners manual & managemenA Plan Page 8,10,'iA Soil Evaluation Report Designer: Rric Ryan License number: MP 251254 Date: Aug. 3, 2006 Phone number: 715-828-4880 Signatur~-: @8-@3-2@@6 12:28 7158773123 PAGE2 08i@3{20@6 13:28 7159642122 ROAD DOG PLUMBING HUFFCUT ~250~750 GALL,UN COMBINATICIN T,A~NK NQ SCALE DIMENSIONS: PUMP TANK )" 17.07 GALLONS A m 2$. S" l)R 486.3 GALLONS B ~ 2.0" OR 34,14 4ALLONS C ~ 7.0" pIt 119.6 GALLONS ~ ~ ~.~'~ aR 1xa aALLOxs 'TOTAL LIQUID LEVEL 45" ACTUAL DUSE: FORCE MAIN VOID VOLUME 19,6 PUMP DOSE YO1.11M1E 119.6 ACTUAI. ROSE 99.9 RYAN T!#£ILER CST/MPRS #248107 PACE 04 ELEVATIONS: VERTICAL DIFFERENCE SYSTEM T~.1rAD FRICTION LOSS 26` OF 2" FORCE MAIIV AT 1.94' OF HEADl100' OF PIPE TOTAL DYNAMIC HEAD 10.0' RO' 0.0' 10.0' 08-03-2006 12:29 7158773123 PAGE4 4" VEN? P1P1i WITH COVER 21" ritANHOLB ALARM W ATETit 1*li(JOF F"lk VJI'Cli Ir0~1C11~tCs'CQY~,R s,,,,, 4" tNSP1rCTTON'CUBE 80X WITIICQI!il)IJCI' ..''' . @8t03~2006 13:28 7159642122 RDAD DOG PLLA~IBING , CONVENTIONAL SYSTEM CROSS SECTION NO scAL~ ELEVA'I'IQN Tl: 97.5' ELEVATION T2: 97.5' EISA CALCULATxONS r----- ;_.-.,~J IN S.t~'U sore, 600 l3ALLONS PER DAY ! .7 LQ,A,pINCi RATE ~ 858 SQUARE FI' REQUIRED 8581 I9.1 RATING FOR QUICK 4 INF. a 4S UNITS ItIrQUIRED 4f [TNI1"S PROPf)SED ~ t PAGE 05 08-03-2006 12:29 7158773123 PAGES A smaller vers#on of the or~gfnal ZAI~EL°° Dfst Dam F#lter, the A9~D1300-8 Series is becomfng a popular choice for apptltaMons where rncreosed of f luent quality fs desired. A 1t8~' Series The At00.8 is ideal for single and multi-family residential applications or light commercia{ settinggs where increased flows or higher quality effluent are required. The A10D-8 fs sized to handle flow rates from t~DD to 24Q4 ggppd and is available in three different lengths. Every A100-8 is housed in ZABEL's Versa-Case to provide ease of installation with features such as a dual hub that solvent welds to either 4" or 6" SCH 40 pipe, reducer built into the bottom of the case. ~f ~B"~tratloo Awrllrb/e tonptha f8", 26" & 32" ~~-~"' Sel7eS The, finer 1 /32" level of filtration achieved with the A300-8 filter makes this the perfect effluent fitter for small grease trap npptfications, dog kennels, Laundromats and other applications where fine suspended, solids sire ppresent. F'tow rates between 1700.2400 gpd, n!l the great features of the ZABEL Versa- Case and three available lengths complete the A30D-6 Series. The A300-8 Series Patter is fled in conjunct#on~wlth Zabet's.new Advanced Treatment System the SCAT Biofitter, '!/$2~'wn~ a~arrai~te renpu~s ie ;.~s~ ~ ~~~ Accessories ~~ Standard with all Al D013D018DD Series Filters. Handle kits for A1800's may be purchased separately @8-~3-2006~~12:29~ 7158773123 Outdoor SmartFilter Alarm All Zabel Fitters accept the SmartFd#er switch ~~ Prrokw~s Easy to instaA Filter Packages avaliat~ie in alt Flter Series PAGE6 I ,~ -- i~ . ,- 08!03!2006 13:28 7159642122 ROAD DOG PLLIMBIPIG PAGE 07 ~~~~ 4/10 HP Ef~lu~ent and L~Sn Water Pwnps >~a D413~ ~~~ !71>Z!?ST 1-AB~i~ >It~ Vi >~4°JN~S ~1~iG970B=lY,fpQs Qpelaflon mud endend Yxt1riN We. 9{° l ri O a i i AO 12 10 ~ I ~ YS • ~pp ~~ d S 1~ ~# 4 s 0 P +a zo so so ao erv-~oiTr ~v-te~ F,. s !o so laa ° KS.91Y 1/,S ~A ~ p~ppp~ • 11~f ~~A PM'Mrirf,pT1~/ PtiANd in U.B.A. 4.i ' IIINC Ashland, Ohio 4~8•f869 410/89.1144 FAX; 419!289-8858, TLX: 98_7419 08-03-2006 12:30 715$773123 PAGE? • ; ,~Q.' , A~~u~ecd, wait ~ r.A - ~, are ~ 08/03/2006 13:28 ?159642122 ROAD DOG F'LUMBIt~IG PA(~ 08 POWI'S QWlU~R'S MANllA18t MANAGEMENT pIAN ~w_ of Owner Permit N - - -- OESiBN~C'AIi;AYETE1t8 . Ntttdrer o) O NA Nterther of Comrtertdel Uttits A Estitrtatad flow feel ~~ getiday Own flow {p~ki, tEitinteted x ?.5! dap geNday Sok Ap~icatian Rata ~.. gaildayf}t; kttkrans{Efftuent tjutitty ~q~y a~e• fats, Oh & Grease tfOG) ,S,3t1 ~ 8iochenticai Qaygen oanamf tB00e1 x220 mgil Total SusptseMd Sogds •(T5S) gtfi0 Pretreated Etfhtettt Ouafity Monthy a,ror~•• t3iaclternical Dxyget- Oertzend (hood 530 ~ Total Suspended Solids tTSS? 530 mgll feed Celifam fpeomeMc meter! 5ltle ctui100ttd Meaimum Efikunt PartieeM ~. X inch diameter S'fSTE1A S1+ttrfF1T.ATtO111S Septic T,ardt Capscity t~ DNA Septir Tank Manufacturer' {~ O NA 6tftir.nt fSter fYlenufacturer ,~ O NA Eifkaerrt F~ Model ~ DNA Pump Tank Capacity ~ gal q NA Pump Ta-k Manufacturer ~ ~~ d NA Pump Mancttacturer ~. DNA Pomp Mmle! ~~ ~ DNA Pretrutmetrt Unit i D SandlGravel Fifer p Peat f~ttw D fH~hanical Aeration O Wetland L7 tbskrfectlon D Dtlm: lNat-uiattttter Oisprrad CeNta! ~i•praund f~avity! !~ tn-prarrnd {pr~urijadt D At•grode ~ Mound O ~ •~ Q Qtlrer: • vak+~ tritest lw don'aetk iaaacosa~erdeq twatewatar awl iyNio reek etltwMt, - N vetua typtcd tar p-atwnee watewaln, MA111TE>ilAittCt3 8>VliEWIlE Smria Evest Stfrrice Fregtteney ' hrspect cettdition of terdds! Pump out cotttatts of tankts) At Mast once teary ^ months ~yeeris! {Maximum 3 ,yrs.) Whm combined sludge and scum equals ene•th~d t%1 of tank voltet>f Mapaet di;ppaal aNts! At least once everjr D months ~t year{s! {Maxtme1rn 3 yrs.i Clean effktatt fgtar At ifast arwes ovary D months ~ yearta} ttapect ptaap• {gyp contra ~ alarm At fast once every O tnonth: ^ yearts! t7 NA , Fktsh lataels and pnssttra fast At toast once ovary O months D yaarts} DNA orker: At least once every D months Q yeerts! ©NA ~' At Mast once every O tnonths ©yearts! Gl NA ' wi~ MAtNTENANCI: INSTRUCTIONS. inspections of tanks and dispersal cans shell be made by an individual carrying one at the fogowing licenses or certifications: f+Aastef Plt,rrtber Master Plutrdlar fleatricted Sewer; POWTS inspector; POWT3 Maintainer, Septaga Servicing (Tperator. Tank inspections moat include a v(auei btapect{on of the tank{s! to idertify wry missing ar broken herdwara, identify any stacks or Maker, measure the voltane of combined studge~end scum and to check for any back up a pot~'etg of effkr~tt wr the gretatd surface. The disperse eegls! shah be visuagy inspected to check the effhrortt Mvels in the observation pipes and to check tar any pand'etg o{ effluent on the ground surface. The ponding of effluent on the ground surface may indicate a tailing condition t-nd requires the irmnatHata notification of the focal r~etory +wttraity. When ttte combined actxarxttation of sludge and sctarr in any tank atptals one-thhd U5i or more of the tar-k volume, the wttira contents of tM tsnk shah De rarraved by a Septage 5ervk~ Dpaat~ and tasposed of in aceordanw with M. NR i t3, Wisconsin AdminMttaUve Coda. The servicing of affluent titters, ttiechanical or pressurized POWTS components, ptetreatement Components, and any other maintenance or rttotutoring at intervals of 12 months oe l~s s!u{I be perlatprd by : ctrti~ POWTS Ma~te+twr. . e sgrvirp rnnnrt ehwe hn nmviAwA to ttlrr Inrr~t ewn+lrtnrv nuMnrity within 1Fl AAwt n1 emm~Mninn nt wnv tarrira Runnt START UP ANO OPERATION: for rww construction, prior to use of the PQWTS check treatment tank{a} for the presence of painting, products,or other chemicals that may impede the treattt~tt proce~ andfor damegt the ~spasal cetKsl. If trigh cencatuations are detected have the contents of the tanktsi removed by a aq-tage ttttrvit~ operator prior to floe. SYStetn start up shall rWt occur what soq conditions are freten et the kftiltretive surtaee. 08-03-2006 12:31 7156773123 PACER 08f 03f 2006 13:28 7159642122 ROAD 1]t7G PLUdBIt~IG PAGE 09 Paaa ~ ~ ut . During power outages pump tanks may fill above normal highwater levels. When paver is restored ttte excess wastewater wiU be discharged to the dispersat cetf(s) in one large dose, overloading the cell(s) and may'resutt 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 trontact a Plumber ar POWTS Maintainer to assist in manually gperatirig the pump controls to restore normal levels within the pump tank. Da not drive or park vehicles av+sr tanks and dispersal cells. Do not Drive or park over, or otitierwise disturb or compact, the area within '15 feet down slaps of any mound or at-grade soN absorption area. Reduction a elimination at the fallowing from the wasUwater stream may improve the performance and prolong the life of the POWTS: ant~iatics; baby wipes; cigarette butts; canditms; cotton swabs; degreasers; defitat floss; diapers; disinfectants; fat; foundation drain {sump pumps water; frtut and vegetabht peatinga; gttsuGr grease; herbicides; meat scraps; madieations; ail, painting produets;.pesticides; Sartttary napkins; tampons; and velar softener brine. ABANOONEMENT: When the POWTS tails and)or is permanently taken out of service the following steps shall be taken to insure that the system is properly and sale Abandoned in compliance with ch. Carton $3,33, Wisconsin Administrative Code: • AN pip~g to tardcs and pits ahaa be discanrtactad and the abandoned pipe openings saa~d. • The contents of as tanks and pits shah be removed and properly disposed of by a Septage Servicing Operator. `''' * After pttmpirp, all tanks and pica shall ba excavated and removed or their covers removed and the void space tilted with soil, gravel or another inert solo! mateial. CONTtNQENCY PLAN: if the f'OWTS fails and carmot ba repaired the following measures have bean, or must be taken. to provide a code compliant replacement System; A auitobfa replacement area has bean evaluated and may be utiiired for the location of a replacement soil absorption system. The replacement arse should be © protected !rom disturbance and compaction and should not be infringed upon by required setbacks from existing end proposed structure, lot lines and wear. Failure to protect the r~lacettent area will rasidt in tl~ need for a new soil and silo evaluation to establish a suitable replacement aroa. Replatarttertt systems must cantply with the colas in effect at that lima. D A suitable replacerruent area is not available due to setback and)ar sail limitations. Barring advancer in POWTS tachnatogY a holding tank maybe installed as a last resort to replace the failed POWTS, O Tha site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soli and site evacuation must ba periortaed to locate a suitabN repiacetttartt area. It no replacement acre is avaaabla a holding tank may by mstal~d es a last resort to replace the failed PQWTS. O Mound and at-grade salt absorption svatems maybe racortstructad in place following removal of the biomat at the infiltrative surface. Recartatruttions of such syswms must comply with the rules in affect ai that tip. < <WARAgNB? > SFt'TtC, PUMP ANO OTHER TREATMtiN7 TANKS MAY CONTAIN tETHAt GASSES ANO/OR fNSt1FFtCtENT OXYGEN. OO NOT ENTER A SEPTIC, PUMP OTHER TREATMENT TANK UNDER ANY CtRCUM$TANCES. OEATR MAY RESULT. RESCUE OF A PERSON FRAM THE INTERtQR OF A YANK MAYBE DffF1CtILT OR iMPOS819EE. Y ADDITIONAL COMMENT8: POWTS ILiSTALLER Name ~~, r ~ ~~ ~' Phate c.r ~Lr Cj POWTS AAAIMTAINt:R Name ' ?bane ~ t ~. ~~ ., ~.. L~~~4S ...~ SEPTAt3E $ERYICING OPERATOR (PUMPER) tOCA~ REBU'IATORY AUTHORITY Name Agcy ~. Gfo:,! GoV . Phone Phone 7/$ ' ~(e " Tnn;s eotrrMnt wp anhtd e, tla suns of ~ sr~, tea t±trrqurttr an0 weu:horo coumy zo~dna aid 5tnkrtion . tnn documem ~t thr r.priranrnls a cn. Ca~-as.rm~+t t>Aeiat rid a3.54t t>. t?i ~ {~. Wiuvnsin Admingtrotiw Code- Use of chit doeunwm Sop nol euutntrr ~hr prrrrrmtnce rt thr t'OWTS. tiiAYV 12t'C ~ 08-03-2006 12:32 7158773123 PAGES afety anu Buildings Division County ~ ~ 201 W. Washington A T CROIX ~sfieons~n adison, WI 5 707 -I~~tn`E~V ~antt Permit Number (to be filled in by Co.) Department of Commerce 08) 266 3151 i/$~o 3 Sanitary Permi lica p~~° g ~ ~O ~~ate P I.D. Number In accord with Comm 83.21, Wis. Adm. Code, persona t ion y provide ' may be used for secondary purposes Privacy Law, s15. 1)( ) ST. CROIX CO U Ijroject ddress (if different than mailing address) I. Application Information -Please Print All Information ~ ~/1/~ ~ey~ ~, S Property Owner's Name Parcel # L Block # NA VANG BI ALLS BUILDERS 0081007-80-0 - NA Property Owner's Maili ddress e y Loc S~ j t/4' S 03 T 28 R 16 W ~ City, State Zip Code Phone Number \ ~• 35 ~ J II. Type of Butldmg (check all that ly) Ol= ~A 5~,~,,,,; lE / 1 or 2 Family Dwelling -Number of B ooms 4L~ N ~ Subdivision Name CSM Number ~ ~^ A (~ owe ~ µs q o Public/Commercial -Describe Use ~ ~ N , , MG Q O City O Village ~ Township of EAU 6ALLE ~t-~~' o State Owned -Describe Use Z ~ 1'{f) G~a,nni~K~ , III. Type of Permit: (Check only one box on lin .Complete line B if applica e) A. / New System o Replacement Treatment/Holding Tan eplacement Only o Other Modification to Existing System System B o Permit o Permit Revision o ge of Permit Transfer to List Previous Permit Number and Date Issued Renewal Plu er New Owner Before Ex iration IV. T ype of PO stem: (Check all that apply) - Mound > 24 in. of suitable soil ou < 24 in. of suitable soil o At-Grade O Single Pass Sand Filter O Constructed Wetland O Pressurized In-Ground O Holding T O Pea filter oAerobic Treatment Unit O Recirculating Sand F' ter O Recirculating Synthetic Media Filte leaching Chamber ri Line O ravel-less Pipe O Other (explain) ~ V. Dis ersal/Treatment Area In ormatlon: ` Desi Flow (gpd) Design Soil pplication Rate(gpdsf) ispersal Area R uir (sf) ~ Dispersal Area Proposed (~f) Sy tem Elevation ~ QG/d~ 0,! 7 900 g5 7 9~6 $ Z c~ ' 94. 0 3 VI. Tan Info Capacity in Total tuber Manufactu Prefab Site Steel Fiber plastic Gallons Gallons Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1250 1250 1 SKAW X Aerobic Treatment Unit Dosing Chamber 750 7 1 SKAW X VII. Responsibility Statement- I, the and igned, assume responsibility for installation of the POW hown on the attached plans. Plumber's Name (Print) Plu 's Si afore MP/MPRS Number Business Phone Number EDWARD BERGH 221889 715-834-6194 OR CELL 577-8205 Plumber's Address (Street, City, State, Zip ode) 1422 PRAIRIE LANE -EAU AIRE, WI 547 VIII. unt /De artment Use On pproved isapproved Sanitary Permit Fee (includes Groundwater Date Issued ssu~ Agent Sig ur tamps) Surchazge Fee) ?~/~ `~ ' ~ ~Z ~9 ~5 O teen on for ~J~ - IX. Conditions of Approval/R sons for Disapproval SYSTEM OWNER: 1. Septic tank, iNter and dispst~sal t.aN m all be services / mfilttairlad ~ P~ ~M P~ P by P• 2. -#M sNback rsquinrrNnts must bs r-wkdaii>»d sa per appNcabM cods / ordrwrtces. 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) BUILDING SEWER MUST COMPLY WITH COMM 82.30 WAC (11)(C) LOCATION OF WELL MUST COMPLY WITH WDNR CHS. NR 8118 812 VANG SITE PLAN Nw-NE SW-NE LEGEND N W E SCSA`LE t9 BENCHMARK ELEVATION =100.0' - ground elev @ base of stake a LOCATION OF SOIL BORING(S) i~l LOCATION OF SOIL PIT(S) * NO APPARENT COMM 83.43 SETBACKS ® DESCRIBED LOCATION OF LOT LINE ® LOCATION OF RIGHT-OF-WAY Q CENTERLINE OF DESCRIBED ROAD ALT. BENCHMARK ELEVATION =103 -ground elev @ base of stake 0 20 40 (UNLESS SHOWN OTHERWISE) WILLIAM J. BERGH t WISCONSIN CERTIFIED SOIL TESTER o DESIGNER OF ENGINEERING SYSTEMS N CUSTOMER ID 227819 r 0 -~ m SW-NE-03-28-16W TOWN OF EAU GALLE ST. CROUIX COUNTY, WI PARCEL DESCRIBED AS 40+AC. i?U~ 1 J f ii (FENCELINE)----------..------ -85 - 4" ASTM PVC BUILDING SEWER LIN l \ t -~ ~ I=i #5 ° i (100.0 0 ! ~ m I rr ~ J .~ 1 ;ur. r 1 A 1 I r r i -1500'to 190th Street -' Access to site is ^1500' south of intersection of 60th Avenue 8190th Street ~~ ~\ -,..- ~`1_ t ~, .~-I•~~~~~ kL~L~ ol_~L_~ ~`~ )._._ L_ i ~ ~ ~ E ~LL~~~L~L~ ~~iL.~lL-LLL-i~ ~~~-~- y y t t ~, ' ,~ 1 ` t 5 \` t ' SKAW MODEL 12501750 SEPTICIPUMP TANK - ~ (wlapproved outlet filter) (100.2) I_.I #3 120' - 2" SCH 40 PVC FORCEMAIN (must drain back to pump tank) .. -----' (2)NON-PRESSURIZED DISTRIBUTION CELLS EACH CELL USES (14) LEACHING CHAMBERS CI #1 (MODEL - BIO-DIFFUSER 11"STANDARD) (99.9) EISA RATING = 31.1 PER CHAMBER SYSTEM ELEVATION = 97.50' ~ ,~ ., «~ PAGE 2 OF 8 (100.6) ______ #2 ~::~ BUILDING SEWER MUST COMPLY WITH COMM 82.30 WAC (11)(C) LOCATION OF WELL MUST COMPLY WITH WDNR CHS. NR 811 8 812 VANG SITE PLAN NW-NE -_----------_----~-_-----SW-NE ------ LEGEND ~ BENCHMARK ELEVATION =100.0' -ground elev @ base of stake o LOCATION OF SOIL BORING(S) I:.a LOCATION OF SOIL PIT(S) * NO APPARENT COMM 83.43 SETBACKS ® DESCRIBED LOCATION OF LOT LINE ® LOCATION OF RIGHT-OF-WAY Q CENTERLINE OF DESCRIBED ROAD ALT. BENCHMARK ELEVATION =103.0' ~~' N -ground elev @ base of stake ~' i f W E ~i I S ~ SCALE j J ?~U3 0 20 40 Jr (UNLESS SHOWN OTHERWISE) JJ WILLIAM J. BERGH 1 J WISCONSIN CERTIFIED SOIL TESTER o J DESIGNER OF ENGINEERING SYSTEMS ° I CUSTOMER ID 227819 r0 /J I_I #5 m fJ (100.7) 1 ~ 1 i ti~ j j ~ 1 ;tU'j ,11 r1 ;i ~ fl J1 ~' \ 1 i ~.\ ~\ - /f ~~ t r oM r o f ~ ~ a ' (100.6) ~~~`` -_____ - #2 !_I y (100.2) ~I#3 SW-NE-03-28-16W TOWN OF EAU GALLE ST. CROUIX COUNTY, WI PARCEL DESCRIBED AS 40+ AC. (FENCELINE)---------~------ -85' - 4" ASTM PVC BUILDING SEWER LINE 1 1 ~, t t SKAW MODEL 1250/750 SEPTIC/PUMP TANK (wlapproved outlet finer) 120' - 2" SCH 40 PVC FORCEMAIN (must drain back to pump tank) ~` (2) NON-PRESSURIZED DISTRIBUTION CELLS EACH CELL USES (14) LEACHING CHAMBERS ..I #1 (MODEL - BIO-DIFFUSER 11"STANDARD) (gg.g) EISA RATING = 31.1 PER CHAMBER SYSTEM ELEVATION = 97.50' -1500'to 190th Street Access to site is -1500' south of intersection of 60th Avenue B 190th Street ,.- t-~ ~a ...-I/t~~~~ ALL I,~ L_L~ '~L~~~~~~~~~ /\~ I f J- i t t t 9t ~s PAGE 2 OF 8 t Cover Sheet NA VANG NON-PRESSURIZED IN-GROUND SOIL ABSORPTION COMPONENT Reference SBD-10567-P (.6/99) "In-ground Absorption Component Manual" Location: 190T" STREET SW'/4, NE'/<, Sec. 03, T 28 N, R 16 W Town: EAU GALLE County: ST. CROIX Designer's name and license #: William J. Bergh (License No. 1577-007) 1 the undersigned state that these plans were designed and submittQd under my aut orify. Designer's signature: Designer's address: 2667113m~Str~et Chippewa all , WI 54729 Designer's phone number: 715-723-555~Jvoice 715-723-7535 fax 715-577-6838 cellular www.gettingdirty.com Contents Page 1-cover sheet Page 2-site plan Page 3- leaching chamber x-section Page 4-leaching chamber manufacturer specifications Page 5- septiclpumpchamber x-section Page 6-pump curve Page 7-management and contingency plan Page 8-management and contingency plan Page 1 of 8 GRAVE~LASS LEACHING CHAMBER CROSS SERCTION (typical) installations may vary ~ require additional cells (not shown here) "DRAWING NOT TO SCALE" OBSERVATION PIPE SOIL TO PROMOTE 14 NUMBER OF LEACHING CHAMBERS (per cell) 2 NUMBER OF CELLS 28 TOTAL NUMBER OF LEACHING CHAMBERS (all cells) A MINIMUM OF 12" OF SUITABLE SOIL IS REQUIRED OVER THE CHAMBERS 11" BIO-DIFFUSER STANDARD CHAMBER -OPEN BOTTOM AREA =15.5 SQFT INFILTRATIVE SURFACE PER CHAMBER BASED ON EISA RATING = 31.2 SQFT ALL MATERIAL AND PIPING SPECIFICATIONS AS PER THE CONVENTIONAL SOIL ABSORPTION COMPONENT MANUAL PAGE 3 OF 8 SYSTEM ELEVATION = 97.50' BioDiffuserTM Standard & High Capacity Chamber Specifications t Chamber Height All three BioDiffuser sizes can withstand H-10 loads when installed with properly graded and compacted soils. A mini- mum of 12" of cover is required for H-10 loads. The 14" High Capacity BioDiffuser is designed for H-20 loads. A minimum of 18" of cover is required for H-20 loads. ~~ ~ Chamber Height End I 34 ~-~ i4" Knockout Universal End Cap 11" Chambers Standard H-10 14" High 16" High Capacity Capacity H-20 H-10 ADS Prod # 1100BD 1400BD 1600BD Length 76" 76" 76" Width 34" 34" 34" Invert 6.5" 9" 11.3" Units /Pallet 51 38 45 Units / TL 1071 798 945 y g 7 ADS / PSA BioDiffuser Chambers can be ordered in pallet quantities. Contact your ADS Customer Service for ordering details - 1-800-821-6710 ~~ ~6., _1 ' COMBINATION SEPTIC TANK/PUMP CHAMBER X-SECTION (DRAWING NOT TO SCALE) FINAL GRADE MANHOLE RISER & COVER {per COMM 84.25 (7) & (8)} (slope ground surface away from manhole(s) for proper drainage) 4'VENT PIPE ELECTRICAL & ALARM SUPPLY (electric & alarm wiling must be BUILDING SEWER installed on separate circuits) {per COMM 82.30 (11)} ELECTRICAL / JUNCTI~ OX FORCIMAIN MANHOLE MANHOLE I MANHOLE 18" min. . , . _, ~. properly sealed BOTTOM OF INLET (invert elevation) ~ 3„ , " when not used ....._ ....................... ............... ........ € "i _ (wastewater level)----- --- l ? ~~ •. -- ¢¢tt ;RESERVE INLET l cAaAGrr" I I ... a. ... C 4" INLET PIPE FILTERED B ~ ' (tee or baffle) APPROVED EFFLUENT FILTER EFFLUENT REQUIRED ON OUTLET ; = ~.:'~. A a. .4' MINIMUM OF 3" OF SUITABLE BEDDING BENEATH TANK PUMP PAD EFFLUENT FILTER ZABEL A-100 ** ** OR EQUIVALENT COMPONENT Tank Manufacturer SKAW SepticlPump tank model 12501750 Alarm manufacturer S.J. ELECTRO ** Alarm model number HW 101 ** Type of float switch MERCURY ** Effluent pump manufacturer LITTLE GIANT Effluent pump model number 9EH Minimum pump discharge rate (GPM) NA Vertical lift (pump off to distribution lateral) ~7.5' system head (distal pressure X 1.3 feet) NA Friction loss in the forcemain <1.0 Total dynamic head (TDH) <8.5 DWF (daily wastewater flow) 600 GPD Number of daily doses ~8.0 (DWF /actual dose volume) Forcemain volume ~ 19.6 Actual dose volume (gallons) ~ 76.7 (total dose volume -volume of forcemain) PUMP TANK CAPACITIES Reserve above alarm 25 inches = 401.25 gallons Alarm float above on float 2 inches = 32.10 gallons (C) OnlOff float measurement 6 inches = 96.30 gallons (B) Off above bottom of tank 14 inches = 224.70 gallons (A) PUMP CHAMBER DIMENSIONS Length 54.0" Width 68.50" Liquid depth 47.0" Gallons per inch 16.05 4LARM FLOAT ON FLOAT OFF FLOAT elev = -90.00' PAGE 5 OF 8 9EH SERIES SUMP/EFFLUENT PUMP Specifications .~.~en~~r _~ ~._.. ~. ~,., -~~ .a~ ~~~ MODEL CAT SOIJDS SIZE RUNNING PERFORMANCE ~6PM @ NERD) SNUfOFF PNA. CRD. WEISNT DIYENSIDNS N0. . N0. IlS11N6 NP VOETS (Dia. la.~ AMPSIFIATiS 5' 10' 15' 20' k.- P.S.I• (~) (lys.) (N s L ~ WI 9EH-CIM 509330 UUCSA 4/10 115 3/4 13.0 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIM 509340 UUCSA 4/10 230 3/4 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 z 8.94 9EH-CIA-RFS 509350 UUCSA 4/1 D 115 3/4 13.D 100D 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIA-RFS 50936D UUCSA 4/10 230 3/4 6,5 100D 71 68 fi0 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 3 w ~z A a = 1 0 20 40 60 80 FLgW- GALLONS/MINUTE PUMP PERFORMANCE CURVE 115V 60HZ to 7.5 w W s A a z.s 0 Construction Motor Housing Impeller Material - --_ - -- - Impellcr Type Volute - - - --_ - Power Cord Mechanical Shaft Seal Epoxy Coated Cast Iron Poly Carbonate - -- - ---- Closed Vane --._ ~__ ABS _ _ _ _ _- - SJTW-A __ Nitrile with carbon and ceramic faces Fasteners Stainless Steel Shaft ~ Stainless Steel Bearings Upper Sleeve and Lower Ball Bearings 4_RJi l ~l[ ^ - a•1er4a /~ ~~ ~~- v s~~ ISO 9001 CERTIFIED Little C><iant Pump Co. PO Box 12010 `Phone: 405.947.2511 Okla. City, OK 73157 Fax: 405.951.5674 W1VW.I..1.tt~t'.~..]~Ela i1~Puillp-.CUm ~:~ Form 995235 - Ol /00 ~f, FLUW- LITERS/HOUR 0 1000 2000 3000 POWTS OWNER'S MANUAL MANAGEMENT PLAN PERMIT NUMBER: OwnerlAgent: POWTS Maintainer: Local Regulatory Authority: POWTS Installer: Septage Servicing Operator NA VANG -190T" STREET Geo Tech Soil & Site Evaluation -Chippewa Falls, WI 715-723-5555 St. Croix County Zoning Department -Hudson, WI 715-386.4680 Edward Bergh -Bergh Contractors Inc. -Eau Claire, WI 715-834-6194 DESIGN PARAMETERS Influent/Effluentqualfty (values typical for domestic (non-commercial wastewater and septic tank effluent) Fats, Oil and greases (FOG) <30 mglL, Biochemical Oxygen Demand (BOD) <220 mg/L, Total Suspended Solids (TSS) <150 mg/L Soil Loading Rate (SLR) = 0.7 SYSTEM SPECIFICATIONS The components of this septic system are intended to serve afour-bedroom (600-GPD) single-family residence. The components include a Skaw 12501750 gallon septiclpump tank with Little Giant effluent pump alarm and controls, an approved outlet filter and (2) non-pressurized distribution cells using gravelless leaching chambers. A minimum of 28 Bio-Diffuser 11" Standard leaching chambers are required when applying an EISA rating of 31.1 as specified by DCOMM. All parts of the components must comply with WI Adm. Code COMM 84 and be installed per manufacturer specifications and approval letters. DESIGN CRITERIA o "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 62511-80-012 October 1980 / SBD -10567-P (R.6/99) "In ground Absorption component Manual" o SBD -10705-P (N.01I01) "In ground Soil Absorption component Manual" Version 2.0 MAINTENANCE & MANAGEMENT Inspect the condition of the treatment tank(s) and dispersal cell(s) a minimum of every three years. The septic tank contents must be removed in accordance with Chapter NR 113, WI Adm. Code when the combined sludge and scum equals one-third (1/3) the tank volume. The effluent filter should be inspected annually to ensure maximum performance. STARTUP For new construction prior to use of the POWTS check treatment tank(s) for presence of painting products or other chemicals that may impede the treatment process andlor 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. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of wastewater will affect the performance and longevity of your POWTS. The installation of water-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, and 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. The 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 be a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins, condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics (medications), solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain regular steady flow by spreading the laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the unit may cause it to freeze up. / Alarms Alarms should be tested on a regular basis by the homeowner. If an alarm sounds, contact an individual licensed to serve POWTS. There is normally a one day reserve capacity 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 surface. Page 7 of 8 INSPECTIONS Inspections shall be made by a person 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 Tank Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks of leaks, measure the volume of combined sludge and scum and to check for any backup or surface discharge of effluent. Access openings used for service of assessment shall be sealed andlor locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental of unauthorized entry into the tank. The outlet(effluent) filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturers specifications. Provisions are to be made to retain solids in the tank during cleaning. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating properly. / Pump ChamberlTreatment Tank(s) Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must me made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. 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 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. o Divertor Valve The divertor valve shall be switched to serve the opposing distribution component every three years (when the septic tank is due for it regular maintenance). However, if ponding is observed in the observationlvent pipe of any cell, the divertor valve shall be switch to the opposing component. Furthermore, ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails andlor is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned incompliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe opening sealed. - The contents of all tanks and pits shall be removed and properly disposed of be a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system. / A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure(s), lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. o A suitable replacement area is not available due to setback andlor soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. o The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. o 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 CONTAIN LETHAL GASES ANDlOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OF OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. Page 8 of 8 13ec 07 05~12:29p Michael Rubeck 715-835-7967 p.2 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ~/ OWNERSHIP CERTIFICATION FORM OwnerlBuyer i 1~ ; (~. Mailing Address Property Address ~`~' ~ ~ ~ (Verification required from Planning & Zoning Department for new constntction.} CitylState Parcel Identification Number _~~b ' /CD'7 _ $p~~~~ LEGAL DESCRIPTION Property Location ~ t/a , ~! t/ ,Sec. ~, 'r ~N R~W, Town of ~GL~ Subdivision Lot # Certir~eed Survey Map # ,Volume ,Page # Warranty Deed # ~ `~ `, Volume - ,Page # Spec house yes no 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 specifted in §Cornm. 83.52(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 i/3 fuil 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. I/we am/are the owners} of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ~_ '/e~u SIGNAT E O (S) ~S 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. (REV. 08/OS) / J~ Document Number U 2598P 598 STATE BAR OF WISCONSIN FORM 2 - 2000 WARRANTY DEED 766296 This Deed, made between Dawn DeLong, f/k!a Dawn M. Anderson, a single person KATHLEEIi H. 1fALSH REGISTER OF REEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 06/18/2004 11:30AM MARRA~HT~YT # EED Grantor, and Na Vang and Xia X. Vang, husband and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum:) See Exhibit A attached hereto and made a part hereof. REC FEE: 1.00 TRANS FEE: 33000.00 COPY FEE: CC FEE: PAGES: a.. Recording Area N _ THOMAS A. McCORMACK ATTORNEY AT LAW 102010TH AVENUE BALDWIN, WI 54002 _oos-I OOH-so-ooo, -90-000; oos-IOO9-20-oso, .3o-oso Parcel Identification Number (PIN) This is not homestead property. f?irJ (is not} Exceptions to warranties: Easements and restrictions of record. Dated this ~ day of ~y ~i , 2004 * AUTHENTICATION Signature(s) _ authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Tfiomas A. McCormack Baldwin, WI54002 _,_ (Signatures may be authenticated or acknowledged. Both are not necessary.) * Dawn DeLong s ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County ) Personally came before me this ~~ day of T~ ~C. 2004 the above named Dawn DeLong, f/k/a Dawn M. Anderson ,>...----' ~~. --,+~-- to me known to be the person(s) o e cutett'the fq~t'.~+0 g instrument and knowledged t sat . ' i'~a'"'.'-j :'~ V r ,. ... ~. * Thomas A. McCormack - ~ ''~ Notary Public, State of WISCONSIN ~ My Commission is permanent. (If not, state expirtfitiofi d eateat ~. * Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN INFO-PRO FORM No. 2 - 2000 (800)85&2027 www.infoproforms.com u Zssa~ sss EXHIBIT A That part of the SW '/+ of NE '/.lying Ely of Railroad; SE %. of NE '/. and E s/. of N '/2 of SE '/:, All in Section 3, Township 28 North, Range 16 West, St. Croix County, Wisconsin EXCEPT Lot 1 of Certified Survey Map filed in Vol. 8, Page 2221, Doc. No. 459607 and EXCEPT the North 200 feet of South 620 feet of East 240 feet of the SE'/. of NE'/ of Section 3-28-16. Also EXCEPTING therefrom, Lot 2 of Certified Survey Map filed in Vol. 11, Page 3152, Doc. No. 548752. Also EXCEPTING therefrom, a parcel of land located in part of the SE '/. of NE '/,, the SW '/. of NE %4 and fractional NE %. of NE'/<; All in Section 3, Township 28 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin described as follows: Commencing at the E '/e corner of said Section 3; thence on an assumed bearing along the East line of said NE '/., N00°52'08"W a distance of 996.78 feet to the point of beginning; thence N89°46'10"W a distance of .6.36.78 feet; thence S04°21'51"E a distance of 545.43 feet; thence N87°01'37"W a distance of 1256.59 feet to a one inch iron pipe; thence continuing N87°01'37"W a distance of 50 feet more or less to the Ely right-of-way of the former Chicago, St. Paut, Minneapolis and Omaha Railroad, said right-of-way being 100 feet distant as measured at right angles to and SEIy of the centerline of said Railroad; thence NEIy along said right-of-way to the South line of said Fractional NE %+ of NE '/.; thence along last said line, N88°23'42'W to a point 50 feet distant as measured at right angles to and SEIy of said centerline; thence NEIy along said right-of-way to the North line of the South 25 rods of said Fractional NE %, of NE '/.; thence along last said line, S88°23'42"E a distance of 84 feet more or less to a one inch iron pipe; thence continuing along last said line, 588°23'42"E a distance of 891.71 feet to said East line of the NE %; thence along last said line, S00°52'08'E a distance of 767.63 feet to the point of beginning. Also EXCEPTING therefrom, Lot 1 of Certified Survey Map filed in Vol. 15, Page 4237, Doc. No. 667966. __ _ _ hIOU~-07-2105 0848 FROM River valley abstract TO x.6123160208 - ~ CI~i~CAGO TITLE INSURANG`E COIUIPANY 9855 West 78th Street, Suhe 350, Eden Pralrle, MN 55344 (952) 826~~3000 Fax: (952) 826-304F 001383 -DOp r.~a1 ORDER NUMBER: 2685674 ORIGINAL INVOICE: 11 /07/05 INVOICE AS OF: 11 /07/05 Mart; Saddler Wells Fargo Bank, N.A. 3030 Nicdlet Avenue, SuRe 100 Minneapolis, Minnesotg 55408 POLICY(S) APPLIED FOR: LOAN POLICY $280,000.00 YOUR REFERENCE: vang - X)OC 250th Street CODE pESCRIP710N TP1 Title IAeuxai~Ce BR Recording CF Closa,ng Fee DEL service/Et+1ai1/DOePrep CF 4 drawB ® $75.00 BALANCE DiyE AMOUNT 840.00 70,00 aso,o4 50,00 3 00 , 00 $1,520.00 NOTE: If this fN®is not closed at a Chka9o Tide ofNce, work-done charges must StNI tae paid tv Chicago Tide. Please send remittance to: Chlcag0 Thle Insurance Company AtterRbn: Accounting Department 9955 West 7Bth Street Eden Prairie, MN 55344 InNOICE2 ~o/se hIOU-07-200.5 08 ~ 49 _ _ _____ FROM Rluer Ualley Abstract __. TO 161231602 aMEl-,~~N IAND TITLIc' AS50ClATJON COMn.....~;hlEN7` ?685674 CHICAGO ~'ITI.E YNSURANCE COMPANY COMMITMENT FOR ~ ~iSURANCE CHICAGO TiTI.,E INSURANCE COMPATYY, a corporation of Missouri, herein called the Company, for a valuable consideration, hereby comiernits to issue ita policy or polieiea of fade insurance, as identified in Schedule A, is favor o[ rho proposed Insured named in Schedule A, as owner or mortgagee of the estate or iuaterCSl covered hereby in the land described or referred to in Schedule A, upon payment of the pretniunas a~td charges therefor; all subject to the provisions of Schedules A end B aqd to the CoAditions and Stipulations hereof. This Commitment shall be effective only when the idtntity of the proposed Insured and the amwoat of the policy or policies committed far have been inserted in Schedule A hcXCOf by the Company, either at the time of the issttanee of this Commitment or by subsequent cndorscmcnt. This Commitment is prelieniaary to the issuance of such polity or polices of title insurance cad all liability and obligations hereunder shall cea,Re and terminate six months after the effective date hereof or when the policy or polities committed fpr shall issue, whichever First occurs, provided that the failure to inset such policy or policies is not the fault of the Company. IN WITNESS WHEREOF, Ghicago'Iitle Iaasurance Company has caused this Comroirnaent [o be signed and sealed as of the effective date of Comrrpitment shown in Schedule A, the Comiratitment to become valid when countersigned by an authorized signatory. CONDITIONS AND STIPirI.~17'IONS 1. The term "mortgage ,when used herein, shall include deed of trust, trust deed, or other security instrumCnt. Z. If the proposed Insured has ar acquires actual knowledge of any defect, lien, cncumbrarace, adverse claim or other matter affecting the estate or interes[ or mortgage thereon covered by this Commitment other than those shown it! Schedule .8 hereof, and shall faits to disclose such knowledge to the Company ins writing, the Company shall be relieved from liability for any loss or damage resulting from nay act of reliance hereon to the extent the Company is prejudiced by failure to so disclose such knowledge. If the proposed lnswcd shall disclose such knowledge to the Conapa~y , er if the Company otherwise acquires actual knowledge of any such defect, lien, encuAabraiaee, adversE claim or other matter, the Company at its option may amend Schedule B of this comrnita~ent accordingly, but such anacndmcnt shall cot relieve the Company from l.iabiliry previously incurred pursuant to paragraph 3 of these Conditions and Stipulations. 3- Liability of the Company under this Commitment shall be only to the named proposed Insured and turh Qarties included under the defnsitiott of insured is the forte of policy or policies committed for and only For actual loss incurred in reliance hereon in undertaking in good faith (a) to comply with rho requirements hereof, or (b) to eliminate cxteptions shown in Schedule B, m (c) to acquire or create the estate or interest or mortgage therCOn covered by this Commitment. Ia- tto evet[t such Lability exceed that amount Stated in Schedule A for flat policy or policies Committed for and such liability is subject to insuring provisions, the EKClusion from Coverage and the Conditions and Stipulations of the form of polity or polices committed for in favor of the proposed Insured which are hereby incorporated by xefercncc and are made a part of this Commitment except as expressly apodified herein. 4, Any action or actions ar rights of action that the proposed l~aswed may have or may bring against the Company arising out of the status of the title to the estate or interest or tht status of the mortgage thereo[t covered by this Commitment must be bagcd on cad are subject to the provisions of this Commitment. Issued by; C1•I1CAG0 TITLE INSURANCIr COMPANY 9855 WEST 78T1~I STREET MINNEAPOLIS, Nt1IVNFSOTA SS344 Authorize story CHICAGO "TITLE INSURANCE COMPANY eY + J ' C_..~ - +++ PtCddent. wTrBSr: ~S~'CR~. F' . b2 AITA CPnnnhMUrN -Form 9~1~ A4t~OYER 3/Rt _ _____ _ NOV--07-2005 0849 FROM Riuer Ua11ey Abstract tU 1b1~.51b~ts r.es ~.~~CAC3~Q'I'I'1'I.E IN3U~ZAN~..~.~`c~M~'ANY ........_ .....,...._:_._....__._._ .._~_~.._.~.~.~.. ..~.. .... ..,.,. .<. .:x r •... » ....,.,:._ . .:,:ace,. .. ~ ~ .. .. ., ~ ~3':~#~"!~?? SCI~DULE A File Nunhber: ?185674 EEtecxive Date October ?l, xA05 at 7:00 AM RE: Vaag - X~L ZSQth Street 1. Owner's Policy to be issued: Amount Proposed Insured; Loan Policy to be issued: LOAN POLICY Amount 5280,000.00 Proposed I~osured: Wells Fargo Bank. N.A., its successors and/or assigns 2. The estate or interest in the land described or referred to in this Commitment and covered herein is a fee simple and title thercty is at the effective date hereto vested in: Na Vang and Xia X. Vang, husband and wife 3. The land referred to in tb~e Commitment is described as follows: See attached Legal Description. Inquiries Should be Directed to: River Valley Abstract dt Title, Inc., at 1200 Hos~ford Street, Suite 201, I;Iudson, WI 54016. Phone: (715)386-7772 Fax: (7],5)386-7664. ~+~ne NOU-04-26105 08:49 FR~''I Riuer Ualley Abstract TO 1612ri1602E18 P.04 L.~IICAC~O TI~'i.E INSURAN~~OMPANX Sel-edule A Legal Deccripraon Condaaed File Number: 2685674 That art of the SW 1/4 of NE 1/4 lying Ely of Railroad; SE 1/4 of NE 1/4 and E 3 j4 of N 1/2 of SE 1~4; All in Section 3, Township 28 North, Range l.6 West, St. Croix County, Wisconsin EXCEPT Lot 1 of Certified Sur<+ey Mgp filed in Vol. 8, Page 2221, Doc. No, 459607 and EXCEPT the North 200 feet of South 620 feet of East 240 feet of the SE 1/4 of NE 1/4 of Section 3-2$-16. Also Excepting therefrom, Lot 2 of Certified Survey Map filed in Vol. 11, Page 3152, Dac. No. 548752. Also Excepting therefrom, a arcel of land located in part of the SE 1/4 of NE 1/4, the SW 1/4 of NE 1/4 and fractional NE 1~ of NE 1 4; ,All in Section 3, Township 213 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin d~enbed as follows: Commencing at the E 1/4 corner of said Section 3; thence on an assumed beariag along tlxe East line of said NE 1/4, North 00 degrees 52 nrtinutes OS seconds West a distance of 946.7$ feet to the point of beginnin ;thence North $9 degrees 46 minutes 10 seconds West a distance of 636.78 feet; thence South degrees 21 minutes 51 seconds East a distance of 545.43 feet; thence North 87 degrees 07, minutes 37 seconds West a distance of 1256.59 feet to a one inch iron pipe; thence continuing North 87 degrees 01 minutes 37 seconds West a distance of 50 feet more or less to the Ely right of way of the former Chicago, St. Paul, Minneapolis axed Omaha Railroad, said ri t of way beuig 100 feet distant as measured at right an~jes to and SEIy of the centerline of said Raikoad; thence NE1y along said z~'ght of way to tl~e Sauth line of said Eracttonal NE 1 4 of NE 1./4; thence along last said line, North 88 degrees 23 rninutcs 42 seconds Wcst to a paint 50 feet dists~nt as measured at right angles to axed SE]y of said centerline; thence NEIy along said right of wad to the North line of the South 25 rods of said Fractional NE 1/4 of NE 1/4; thence along last said lute, South SSdegrees 23 minutes 42 seconds East a di.stanee of 84 feet more or less to a one inch iron pi e; thence oontinuin~g along last said line, South 88 degrees 23 minutes 42 seconds East a distance of 891.71 Feet to said East line of the NE 1/4; thence along last said line, South 00 degrees S2 minutes OS seconds East a distance of 767.63 feet to the point of beginning. Also Excepting therefrom, Lot 1 of Certified Survey Map filed in Vol. 15, Page 4237, Doc. No. 667966. Abstract. ~~ ~~ NOU~67-2605 ~~50 FP.OM Ri-~er Ualley Abstract TO 161231602 ~• m . l_~IICAGQ 1'I'~.-E INSURANC~_~O1NiPANY SC>~XBDULE B F51e Number: ?hftS67a GENERAL EXCEPTIONS Upon payment of the full consideration to, or for the account of, the grantors or mortgagors, and recording of the deeds and/or mortgages, the form and execution of which is satisfactory to the Company, the policy or policies will be issued corrtai~xung exceptions in Schedule B thereof to the following matters (unless the same are disposed of to the satisfaction of the Cornpamy): 1. If an owner's policy is to be issued, the mortgage encumbrance, if any, created as part of the purchase transacrion. 2, Defects, liens, ezacvmbrances, adverse claims or other matters, if any created, first appearing in the ublic records ox attaching subsequent to the effective date hereof but prior to the date the proposed insured acquires for value of record the estate or interest or mortgage thereon covered by this commitment. 3. Rights or claims of parties in possession not shown by the public records. 4. Encroachments, overlaps, boundary line disputes, and any other matters which would be disclosed by an accurate survey and inspection of the pretruses. 5. Easements or claims of easements not shown by the public records. b. Any lien, or right to $ Lien, for services, labor, or material heretofore or hereafter furnished, imposed bylaw and not shown by public records, 7. 'T'axes or special assessments which are not shown as existing liens by the public records. 8. We require Mortgage in the original principal amount of 5280,000.00 namaingg Na Yong and Xia X. Yang, husband and wurfe as mortgagors and naming Wells fiargo Bank, N.A. as mortgagee. 9. General taxes for the year 2005 (due and payable January 1200b)(not yet due aid payable). PIN 008-1007-80-000; OD8-1007-90-000; 008-1(K?9-20-050; 008-1009-30-OSO Taxes for the year 2004 are assessed in the amount of X193,49, which are paid. 10. Rights of public in that portion of subject premises lying within limits of the public roads. 11, Easement to St. Croix County Electric Cooperative recorded July 10,1939 in Vol. 251, Page 327 in or upon all streets, roads or highways abutting subject premises. J2. Right of Way Grant to Wisconsin Telephone Company recorded No~-ezrjber 13, ].971 in V'ol. 479, Page 306, Doc. No. 38182. 13. Transmission Line Easement to Northern States Power Company recorded January 13, 1978 in Vol. 568, Page 91, Doi No. 346007. rxu~e a/9e TOTAL P.05 Dec 0~' 05 12:29p Michael Rubeck 715-835-7967 p.3 ~''v o gg ~ ~1 Parcel #: 008-'~p07-80-000 12/19/2005 02:58 PM PAGE t OF 1 41~Parcel #: 3.28.16.356 008 -TOWN OF EAU GALLE 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 -VANG, NA &XIA X NA & XIA X VANG 1502 WILSON AVE ST PAUL MN 55106 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres; 6.000 Plat: N/A-NOT AVAILABLE SEC 3 T28N R16W 6 AC SW NE E OF RR EXC PT DESC WD 2 ' Block/Condo Bldg: IN - 001/526 (ADD L HISTORY - 423/289 836/492 874/154, LC-1023/46) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 03-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 06/18/2004 766296 2598/598 WD 04/29/2002 677591 1880/291 QC 07/23/1997 2001 /526 WD 07/23/1997 2001/524 mo(~C 2005 SUMMARY Biil #: Fair Market Value: Assessed with: 138191 Use Value Assessment Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 6.000 700 0 700 NO Totals for 2005: General Property 6.000 700 0 700 Woodland 0.000 0 0 Totals for 2004: General Property 6.000 700 0 700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00