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HomeMy WebLinkAbout008-1009-10-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Sway and Ijauilding 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 Ostlie, Michael & Joy Eau Galle, Town of CST BM Elev: Insp. BM Elev: BM Description: a f ~~ , ~ to U ~ ~ ~c,~.~ ~.` ~i~-~ ~ ~~-E Z~ TANK INFORMATION ~vtnn,.i~S ELEVATION DATA'' TYPE MANUFACTURER CAPACITY Septic Dosing n ~ `~ (~yh (~J Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WE BLDG. V~ Air Intake ROAD Septic ~ ~~~ 7, J IJiO' / / v fr :~; Dosing /~ I w ~ Zf0 / t7~ Aeration r ~: Holding PUMP/SIPHON INFORMATION ~~ county: St. Croix Sanitary Permit No: 514905 0 State Plan ID No: Parcel Tax No: 008-1009-10-000 Section/Town/Range/Map No: 03.28.16.44 STATION " BS ~ ,. /~ /I FS OELEV. Benchmark - ,~ /~ , ~~` l Alt/BM ~v . !u Q rj D~. BI ewer '~~C ~ ~~ ~ / 3. !aS . 7 .~ SUHt Inlet ~ /G '- -b SUHt Outlet ~ Dt Inlet Dt Bottom 2 , / -f- 2. ~, s-. ~s ~ Hea er/Man. ~ ri 2 f ~ ~ I Dist. PIDe ~~ ~ ~ ~' ~ ~• ~~ Bot. System ~ ~ 9~ (i Fina_ I Grp fi ~2 i ~~ St_ -~- ~. 9P'~ z BED/TRENCH DIMENSIONS Width ~ ~ Length ~Z / No. Of Trenches P IME NS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/ BLDG WE L EAM LEACHING Manufacturer: INFORMATION MB R Ty~f~s;em: >~~/ ~!_/ ~~ ~ / , ~Ov IT Model Number: DISTRIBIJ?ION SYSTEM `d'~G, ~-~aDU.,/ ~n .o1~A~,. '" Heade anifol r Distribution _ ~~ / x Hole S'ze ~ / x Hole Spacing / Vent to Air Intake ~~ ~~ Pipe(s) [~ 2 ' ~~ /~ / ~~ 0 ~ 2 ~' Dia Length_ Dia Spacing Length ~ SOIL COVER x Pressure Systems Only xx Mound Or At- rade SVStemS OnIV Depth Over Depth Over xx Depth of xx S ee ded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges ~ ,~y ~9 f l' 7~1/ Yes ~ No ~ Yes No 7Q COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:,}~~,,U / ~ ~ /~/~ Inspection #2:~/~/~ Location: 2 50th Ave Woodville, WI 54028 (SE 1/4 NE 1/4 3 T28N R16W) NA Lot ~~~" f~ I ~~ Parcel No: 03.28.16.44 1.) Alt BM Desc 'ption =012 ~ ~ ~`""" / ~ /'~ 3d 2.) Bldg sewer length - C{~ ~ ~, 2 - amount of cover = ,~ / ~y~% -" C - - r - _ - - - - - - ~ -' Plan revision Re uired? l Yes No ~ rJ --y~ Use other side for additional information. __ _ __ -- Date Insepctor's Signa re Cert. o. SBD-6710 (R.3/97) SOIL ABSORPTION SYSTEM p8/21/t)1 ii(ON 15:28 FA% ?15 388 4886 „ . ~OOI ~~ ~ ~ ' ~ 2111 W Wash~wgcngs divi ~ 162 ~ ~~' 1, ~a c (J ~1-/ f ~~7V~~~1 ~ 1 Smitary PermitNtuabar{to He ttlkd ~ by Co.) °°' 5~ 05 Sanitar Permit A ti li s~ N"'~ y pp ca o In x conrnr. s3stR?. w;rti wam. code. subnrirsioo of thlt tixm >~ ale apprapriese gusQ)mtt~l l ~ °~ `l `(~f ~/~ = ~ 3d' s'q ~{ unN is required prim to o6tsining a seaitaty permit. Note: APplirarioa for)tu for s~-oxa>ed PO 17lbmll~d hf dIC Y]E~gE11t ~ CO~>BbtlOC. PL•masal Irrfmirl~alr yOn provide may Ze~agdaty Project Addccss {if difFermt lhan mu7it~ address) ' in accordamee whit the >~ ~. tsoat l sty. s /f-rn ~ ~ zz `l~ 1. ]nfernution-PkasePtisiAillafat~aliott Property Owndr's Name l ~- ~~ ~ ~ ~ ~ 3 200 rK a ~ ~ -~~G ~ - G ~ G G v ~, ~ ~ ~ 2 , ~ ~ p,,, ' >..pa.>T QR+MJ~9 ~la~g Al~ ~ a ~ ~ ~ G th ~ ~~ RCIX COF C~ j,OCabpa / ~~/ ' '7 ST , C I C I.ot City, Slate /~ /~ 1 r / / ~l ~ kl i Gr G t ( ~ Cotta ~ ~'LC(/2~ U / -~ S %a SOdl df ~(Y %ti (` ~ : , , UG < ` a ~ ~O f ~ ~ Il. Type ol?$a8iiag (dteck a8 tWrt slrply) o k o.d t.oc¥ T 8 N; R 6 E'6~W ~ ~or 2 C~artlily Dwelling - Nmaber of _. Subdivaiotr Naare S.rb «-: tk.~ a fact: >~ D l Pa(~icJCoasameial-DesaibeUsc (~ «,.` D ~~, ©SteteOwr d-UesaibeUx CSMNumbs D villageof ~ tli, Type of Petnri~ (Check oaiy ane box or use A. Compb:bc Gee B if sppficabk) A' D Nets System Repk~alaalt System D Trestr)lan/Hold"alg Tank. R Only D Other Modifaxlion b £xisOng System (eacplaar) B. ^ Perm# Rtm~l D Permit Revision ^ Change of Phrm6er ^ Permit Ttansi'g to New List Previol~ PPatnit Number and Date Issued 8cfore Expiration Owner IY. T of PO'4ir1'S S esllCe ieC Ckek s8 list a D Non.PresstuiZed lndimoaa D Pressurised tn-Ground D AK;rade ~ Mound> 24 w. ad'suitable soil ^ h~tormd <Z4 ia. of~rilable soil D tlala~ Took D adler Dispersal Cornpoaent (expktin~ Arwsautteat Deviee (e~tain V. D' raallftYatwrentAgvs iaforoat"wn: iksiga How {gpd) DrsBn Soil APid Rm~ n~pusat Area Roquirod (sfj Dispeaal Area Proposed (sfj System Elevation ~ y5o o . ~-c~ 5 q 7, S Yl. Tank 1'~ Capadty is Galbns Toml GalWns 8 of Units `tt~u tlarTada ExisliaBTadcs //.1~ ' ~ 1 `~ o U ~ 2 v1 u. ~ rq ~ ia V a. ~ ~ 1 . Septic or Holding Tai: J (J G ~! !! ~ 1.~ ~' ~ 2 ~ ~ ./ ~~ Vli. ~ Statemetit-1, Urc of tic WVl~1S sfawvn as the at~dtei Plunttles's Nmae (Print! ~G ~ ~Cf ~~ Plumber' igtrsgrre d~ PR$ Nth ~~ ~~ J) liusine~ _ Nextdfer57GC ~ ~ S Ph)n)t>er's Address(Street. City, Stare, zip code) I V1IL Cann #itw ~/~ Droved Pr'rrnit Fee Date burring ~t~~ }~ ~ • 0° ~ ~ to Z3 0$ D Owra:c Gi,~ca Rctson f iai o ,.~. coadi'eN~~ ~* ~ 3 oI 5 y s?~•t,-- il-a a, 1 1. Septic tank, effluent fiB~ and V ~ sal cell must all her servk:es~/maintained di G,q , sper a.~ ~ ss ~ management plan provided by plumber. cc II II - n ~~/ ` 2, Aq tlalback talq~+elhenta most be maiMaihed '`~) ~~. ~ron5 / ~t. J~C ~ ~+~'~- 6~-- °'~~ -- ~-- -'"'Atta~i 4 r Plais~i tRe iysfaa and anbsii le t~ Ca~°h' eaY tea Wm a )k t I ~ n j ~ ,, r .,~» ~:;~. ~~: tt i/t37) vita dlru o lms 5~ (~(/ /k t~ ~~. .. N~ $ ~ z S~~-b~S ~ ~tivti-~l ~- ~a~5 88-2T-9? 17:35 TO: FROM:?15 3$:Iw „__: ~// o w ~ c-.~ ~ ~ y ~ ~ lC•~ Cr oat ry ~' Gt ~' ~' .~'~' . ~ ~t o ,~ Y ~ o ~ ~ ~ ~~~Q~Z ~ 7~ t3 ~ .+~4 CaO~ ! 4b~ tG p~ v f~ ~ ~ ~~~ ~ ~. ,~ ~ a ~ ~ ~~ -~ l -- la~.~~ f a-f ~`~~ 7 ~( ~ ~•- ~ )~ ~"~. ~`3r9 i - BM- ~F c C c.,a,~~e.i~e. ~ 7, v : z f ~1~~ f3 ~' 1 B M'~ i z. ~ ~ ~- ~~ -„~~ NA.4 s H til ~ .(g ~' '' ; _ ; ___ CCCCCC t plc/ f-~vk~G.1~ ~~.~ f~ ~'~ ~ ~~ :j~'{ /~' ,~ k ' r ~ ~ % y-- - -- <•, p~ i <I~ ! moo` 1 ~~ .. i ~:1 b~5 i±' i 4 .' f Cti ,: ~ ~ / J ~... to Q~~1~'Y ~ r ~~~~ ~U~~ ~~~~ ~n ~ w ~ ~ ~aQ~ 17~ ~ ~ ~Q ta~~ l oaf ~~ ov ~~ 4 14~~ ~ ~,~~ 4~ ~ '~ ~~~ ~~~ ~w,~~` 1~~~ S'' ~. 1, [~ 1 Ct ~vk $ G.1~ ~.I'4 ~ !f J~ G j~,~.5~ 2~~ ~ al L"1 C1 C ct~" ~ j~~4 ~ ~ •f ~ 04 ~ ~~' `~~G~ p ~ '~ ~tt t ~~ 1 ,~„ for r ~ , __ .~ Q " q 7. ? ~ ~~^ N~1~ P 1~ zn~e. . ;~ / o'~t,; ti ~ ~, :. .. y $ ?i `~ ~ M ~~- 'Tea Q o~ S1r A~3 t az. ~ ~ ~- ~a~~ •'` •" Z'Aty K i ~ j^o i ~ I ~1 a~.s ~" r ~ ~~~ G ~ ~ ~~~•w~~~ ~ ~~ ~~. ~ ~ ~ ~~ ~ ~ :~ ~ r, .. . ~a4§~' I Gwl~ t commerce.wi.gov isconsin Department of Commerce Safety and Buildings 3824 N CREEKSIDE lA HOLMEN WI 54636 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary June 16, 2008 CUST ID No. 223475 JOE STANG STANG PLUMBING & ELECTRIC PO BOX 263 WOODVILLE WI 54028 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/16/2010 SITE: Michael W & Joy Ostlie 2246 50TH Ave Town of Eau Galle, 54028 St Croix County SE1/4, NE1/4, S3, T28N, R16W Identification Numbers Transaction ID No. 1544401 Site ID No. 738599 Please refer toboth identification numbers, above, it all corres ondence with the a enc . FOR: Description: Mound /Three Bedroom /Concave Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1186391 Maintenance required; Replacement system; 450 GPD Flow rate; 34 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual- Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual- Version 2.0, SBD-10706-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during con3ruction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the /component manuals listed above. • /The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. If the pipe that leads from the existing septic tank and is located under the proposed mound system is also used as a drain field this plan must resubmitted with appropriate documentation. County will inspect the pipe at time of abandonment Con~1~t1 I~P~' D~PA1R-1~ SEE CORRE • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component arm. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall bemade with the designated county official in accordance with the provisions ofSec. 145.20(2)(d), Wis. Stat JOE STANG Page 2 6/16/2008 • Comm 83.22(7) A copy of the approved Mans, specifications and this letter shall be on-site durine construction and omen to inspection by authorizedrepresentatives of the DeRartment, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additirns should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~~~~~ ~~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz@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. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Ostiie Mound tS',,~~~ ~~~ ~~li ~r ®s FO owners Name: Mich W. ~ Joy c~lie ~~ ~p° Gy ~' owners address: 244s 5oth ave. l®~~L Wc~odv~le, y~ec. 54028 ~d' Legs( Description: SE1/4, NE1/4, S3, T28N, R16w~ Township: Eau Gape County: St Croix Subdivision Name: Lot Number: Block Number:. Pane! I.D. Number. 008-100x-10-x00 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and does tank Page 5 System maintenance specifications Page 8 Management and oontingencyr plan ta, ~ ~~~` y Page 7 Pump curve and spacifica~ions ~® Page 8 Rlt~t F'I~ _ _ $„~ Page 9 Sod Evakration Report ~F cor~~t:~cr± s~ ur~crr~ Designar: Joa Sta~g~~_ Licamse Number. Version 4.01 (R. 0&/04) SPONDE(U Date: Ptxx>• Number: X716) 684-6166 Sigrrattr~t: D~ Dr;iy~d Pwswn~ to the kktawQ Corry~orNrrt M~ !O+' P't>WTS Verwcrn 2,0 $pB-101-P (N. 01A1), and SSVI~IP ~ >ia D~pn of l~r ~ tar St-SA~i (OtlBt) Paps t of 9 Mound and Pressure ~?istribution Component Design Design Worksheet Site Inform ation (r ar c) R Residential or Commercial Design 3p0.00 Estimated Wastewater Flaw (gpd) 1.sp Peaking Factor (e.g. 1.5 = 150%} 450.00 Design f=low (gpd) 6.00 Site Slope (°~) 97Ap 34.p0 Contour Line Elevation (ft} t~epth to Limiting Factor (in) p.40 In-situ Soil Application Rate (gpolft2) Qi$ ti n Cell i!nfarmat#on 92.0 .p0 Dispersal Ceif Length Along Contour (ft) _ Dispersal Cetl Design Loading F2ate (gpd/ftz) ~ Influent Wastewater Quality (1 ar 2) Pressure f 3isritaution tnformation (c qr e) c Center or end Manifold 2.45 Lateral Spacing (ft) 4 0.125 Number of Laterals Orifice Diameter (in) (e.g. 0.25) 3.00 .Qp Estimated Orifice Spacing (ft) _ Forcemain Diameter (in) r ~,) 87.00 87.00 Forcemain Length (ft} Pump Tank l=levation (ft) Pump Tank Elevati 6.50 System Head (ft) x 1.3 ~1 ~/ 10 17 Vertical Lift (ft) 0.2 riction Loss (ft) ~ 76.94 Total t0ynamie Mead (ft) Lateral Diameter Selection in. die. o lions choice 0.75 1.00 x 1.25 x x 1.50 x 2.00 x 3.00 x Nate: Sand flit (D) calculations assume a Fable 834-3 in-situ soil treatment for fecal colifortn of ~= 36 incttes- Po: I! Width {ft) Are the laterals the highest aint in the distribution Y network? Enter Y or N if N above, enter the elevation ft of the highest point. 7.57 ft~lorifice Does the forcemain drain back? Y Enter Y or N 3.26 Foroemain t7rainbeck (gal) 57.65 5x Void Volume (gal) 60.91 Minimum Dose Volume (gal) 24.72 System Demand (gpm) Manifold Diameter Selection in. dia~. o tons choice x 1.50 x x 3.00 GallonsNnch Calculator (optional) Treatment Tank Information 600.00 Total Tank Capacity (gab) 7000.00 Se tic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Manufacturer 76.&7 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter information 600A0 Dose Tank Capacity (gal) $est Filter Manufacturer 16.76 Dose Tank Volume (gallin} GF70-810x18 Filter Madet Number Wieser Manufacturer Project: Ostlie Mound Page 2 of 9 ~0d =QI Lt~:l Mound Plan wew i- 1_ _ '11,,,t,~ ~~ "- •observarwn P(pe 'Q _ 'K+ ,~•y::'~:~.:.aS='t_:`r'•:••ti:'•t.^::•."s.= ~~%%~r:r_«.j:=;~; ;wti`•- .- •~~ •v "~V~ _ Jl T A L lKdilnd COEItpOn~nt Di3t1@nSfO1~S A ~~oo. ft E q. 6 a in ~ 91., ors ft F °I :~. 5: in D ~.ao- in G o:5a ft Y! ~:t3b. (ft~) Dispersal Call Area S . a a ~ (gpd/tt) Linear Loading Rate ~ t, oa ft K ~.~6 ft r '7.57 R L ra~..;s~ ft J ~r.s0~ ft W t~:o8 ft l e S 6: ~+ v (fEa) Basal Area Available a . z o (ft)1l1p ~ Obs. Pipe Placement Nlaund Crass Section Vi~vlr Aggregate alspersaf Area Finished Grade (~) G ~H ~~ F eispeisat Ce8 •'. ~>~(1t) Lateral Dispersal cell _ ~ E : - • • • ~ ~ lrlevatian - _ _ G ' - ~ i~ - ._ _, _. , __ .~s_ _.. _ _ _ ... ~ 97.40 (ft) Gantaur Qevaban Shading Key Q Topsoil cap rrrrr Stli]soll Cap ASTM C33 Sand '~"'k T"ill~y~p~L~ayer ~. 1.5 tt ~ ~ ~a 0 5 ft ° . ~ Geotextile Fabric Goner See laterrel details orr Rage 4 far number, size, and spacing of laterals. laterals are equaNy spaced from the distn"bubon Ce1Ps Centerl'sne in the distributlart Cell (Axl3). Page 3 of t3 - _._ t~0d =QI L~:Oi 8. % Site 51ape Cenibac Gannection li..a.tf~t'ai iayaut Daigralm Faros main aoru~eotioo ~uiatee or cross ea nnanifoid at ( P •=TuYlwpuWiaarNvalreoY IF alwanoutplug holes tlrillod on the bnteorn of ehe lateral Iraetrafs ara~ ktenticai '~ - - _ Sk Laeeraas ~ lama rr>aln aE PYC Soh 40 per COFANI Table 84.30.5 Number of Laterals Lateral Diameter Latest Length (P) Lateral Spacing (S) Lateral Plow Rate System flaw Rate Total DyRarnic Head Orifice Diameter Ori~iCe Spacing (X) Orifices per latera[ Orifice Density Manifatd Length Manifold Diameter Farcemain Velogty aoswa Tank information Elul as pel' NEG 300 and ~~~ _ Gamin i~.28 WAG ~,_, ~ [iisconned Tank oomporrertt is prt7perlY verrted Wieser ca ~• s00.0o Volume 16.76 ManuFacturer t;a[tons gat~nch Dimension Inches Gallons A 20.17 337.97 B 2.00 33.52 C 3.63 00.91 D 10.00 167.60 Total 35.80 600.00 A C~ D 0.1251in l 7.51 l Locking cover w~ warning label and EoCking tfa~+fce and seated watertight 4 in. min_ .~-- Alterrratie outlet locatlon Fon~maln dierneter ~ 2 IR, Weep hple or ariti- siphon device cif elevation ft 87.83 ~elevatlan (ft) 87.00 Alarm Manuafacturer S.IE Rhombus Controls Alarm Model Number Tank Alert ! Puf>~p Manufacturer Cap Pump Modc~f Number 38 EPgS Pump rillust deliver 24.x'2 gptn at 16.94 ft TDH Project: Ostiie Mound Page 4 of 9 sea =ar L~:s Mound ~ stem Main'kenance and O eration S eaifiica 'ons Service Provider's Name Jae Stan Phone 715-G84,51 f>6 . POWT~ Regulator's Name St Croix Coun Zonin Phone 715-386-4680 Svstenn Fiovv arld Load Param e~ Design Flow -Peak 45Q gpd Maximum Influent Particle Size 1/8 in Estima#ed Flow -Average 300 gpd Maximum BOD5 22Q m9n- SepticTank Capacity 10QQ gal Maximum TSS 150 mg/L Soil Absorption Component Size 450.8 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Golifarm ~10E4 cfu/1Q0 mL Septic and Pur Efflue pump and Pressure Misceilaneaus +~-nstructiorrl and Materials Stand s 1 _ C3bservation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight aap, and are secured in as shown in ~ mound component manual. 2. Dispersal cell aggregate conforms to Comm 84-30 (B}(i}, Wis. Adm. Cade. 3. All gravity and pressure piping materials conform to the requirements in Gamm 84, Wis. Adm. Code. 4. Tillage of the basal area is acxomplished with a mold board ar chisel plow. 5. The mound sbucture and other disturt~ed areas will be Seeded and mulched to prevent sail erosion and help reduce frost penetration. Lateral Turn-up Detail Finished .,..~.......... ,.~., ............... Grade ~ - 6-8" Diameter I*awn ~ Threaded Cleanaut ~"~ Plug or Ball Valve Sprinkler Valve Box Distribution lateral ~'~-,~, ., .: Lang Sweep 9Q or Two 45 Degree Bends Same Diameter as Lateral Project: Clstlie Mound Page 5 of 9 90d =QI 8tr:0T 80-9i-90 ~ rvice Fre uenc Ntound System Management Plan Pursuant to Carom 85.54, Wis. Adm. Code ,general. This system shall be operated in axordance with Lamm 82-54 Wis. Adm. Codeand lloca~ omstatelruies pertaining osystem' component manuals [SSQ-10697-4y (N_01/ot) and SSWMP Publ"rcatian >3.6 (01181)3 maintenance and maintenance reporting. fKo one Should ever enter a septic or primp tank shoe dangerous gases maybe present that Could cause death. Septic and pump tank abandonrnant shah be in accordance with Gomm 83.33, Wis. Adm. Code when the tanks are no longer used as PaWTS components. Septic or Pump tank manhole risers, access rigs and covers shaukf be inspected for water tightness and soundness. Amass openlntls used for service ,and assessment steal! be sealed watertight upon the completion of rervioe. Any opening deemed unsound, defective, or subied to failure must. be replaced. t_xpased access openings greater than 8-inches in diameter steal! b4 sfleured by an effective toelcing devils to ptbvent atCideMat or unauthOr¢ed entry into a tank ar component. Ser:tic Tank 'The Septic tank shall t1e maintained t3y an iedividual certified to BerVice septic tanks under s. 251.4$, Stets. The contents Of the septic tank shall tie disposed of in aot~rdance with NR 113, Wis. Adm. Code. ?he operating condition of the septic tank end vutiet filter shall be assesse0 at least once every 3 years by inspection. The outlet filter shall be leaned as necessary tQ ensure proper operation. Tt+e fitter re~rtrldge shautd net be removed unless provisions era made td ielaln solids in fire tank that may slough off the filter when removed from its enclosure. ff the ftttar is equipped with an alarm, the Piker shall be senrio0d if the alarm is activated can6nuausiy. InEermittent filter alarms may indicate surge. flows ar an impending contlnuaus glamt. The septic tank shalt have its contents removed when the volume of sludge and scum in the tank exoBedS 113 the liquid volume of the tank If the Contents of the tank are not removed at the ame of a triennial assessment, maintenance personnel shalt advise the owner of when the next service needs ti4 be performed M maintain less than maximum scum gnd skrdge accumulation in the tank. The addition of bfdogical or Chett9ica) additives M enhance septic tanK performance is generally not required. However, if such praduCts ate used they shall be approved for septic tank use by the papartment of Commerce. 'The pump (dosing) tank shag be inspected ak IBast ones every 3 yew ors. Ail swkches, alarms, and pumps shall be tasted to wsrify pro{7~ operation. If an effluen! filter is installed within the tank it shall be inspected and serviced as necessary. n na n S No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimatey and the mound shall be sa®cted and mulched as necessary to prevent erosion and to provide some protection from frost penetration. TrafTic (other than for vegetative maintenance) an the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction fn the winter Nn71 pramate frost Pr¢rretrgtion. Cakt weather inste}tations (Pdxrber-February) dictate that the mound t,e heavily mukhad as Protettian from fiae=ing- lnfluerrt qualky into the mound system may not exceed 220 mglL 8t]D5,150 mglt. T'SS, and 3<y mglt FQG for septic tank effuent or 30 mg/(. GODS, 30 rtrylt. tsS,1o mgtL FOG, and iQ" chi/10d mL far highly frosted effluent. Influent flaw may not exceed marcimum dasipn flow speciRed In #h+a Permit far this instatlatlon. Tha Pressure distribution system Is Provided with a flushing point. at the end of each lateral, and it is recommended that each lateral ire flushed of accumulated solids at least once every i5 momhs. When a pressure test is performed It should ire Compared to the indict test when the system was installed to detemtiine if orifice dogging has actumad and if orifice cleaning is required to maintain equal distribution within the dispersal c~lf- Observation pipes within the dispersal call shall be Checked far afquent pooling. Panditrg teMals shah be rr3poRed to the owner, and any Ievpls above 6 inches oonsidenxi as an impending hydraulic facture requiring addkianal, mono frequent monitoring. Conltes~e _i?lar><s if the septic tank ar any of ks Components became defective the tank or component shall be repaired or replaced ~ keep the system in proper operating tantlition. If the dosing tank. Pump. pump cor-trols, alarm ar related wiring becomes defective the defective Componarit(s) shall be immediately repaired ar neplacad with a oomparteM of the same or squat perfannance. If the mound component fails to accept wastewater or tregins to discharge wastewater to the ground sulfate, it wiq be repaired or n9placed in its' present location by Increasing basal area if toe leakage occurs or by ri3mov-ng binlogicalty bagged absorption and dispersal media, and related piping, and replacing said aomponerns as deemed necessary to bring the system info proper operating oandition. See Page 5 of this plan for the name and telephone number of your local POVtfTS regulator gnd Service ptavider. Project: Ostlie Nlaund Page t"s of 9 Lod =QI 8i~:0T 8@-9T-96 0 2 ~ ~ 5 0 39 1~ ... l ~~ q av.,~ P~ ~ou~~s ~un~~~ Vllastewater PERPORIVIAN~ RATINGS CQrilAP011iE(11T5 'Fatal Head (~ f water) ~~~ Per Mip . p EA04 tF05 5 53 70 46 fit 15 36 55 z0 24 46 25 0 33 30 - t4 kern Na. p~p>xgn t Impeller z use 3 Pump Easing 4 Mechdnitdl Scal 5 Ba11$ebrings 6 d-Rings 7 Power Cord 8 Od ~i8ed Motor 9 Motor Hausingl StatgrASSemhlX i4 M~arCOVer to B 6 4 9 4 3 t _ ... - METERS F~'1' =--..,._ .~_. ___.r---_....,....----~~... j ._., - . ~_ i 10 ~ _ •___ -- _..~... -..._~ __ ._... __....- --s~ -- 1 ~~'. '~ .-.. -- ~5GPM '- 1 ~ .;.......i g E ~ _ ...... zs=- _. ~. a ~ r~ ,._ . o ' ` z ,- ~ _~ 5, -- -- ,~ 1 80d =QI 8i~:6T 80-9I-90 W~consint)epartmentott:orrxnerce SC~t~ ~tlf~LUATt~~! R~PCIRT ~ I ~ 4 . ~. s.~ivisi~? c: safety ~t~~ ~taia<~F~g& In acxoroance w1U7 ~,omm o~, YVIS. AOITI. VWC County St. Croix Attach com lete site lan on er not less than 8 1 /2 x 11 inches in size Plan must a p p p p . include, but not limited to: vertical and horizontal reference point (BM}, direction and pares I,p. 008-1009-10-000 percent slope, scale or dimensions, north areow, and location and distance to nearest road. Please print all ia~formation. Reviewed by Date Persona! information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Property Owner Property Location ^ Michael W. & Joy Ostlie Govt. Lot SE 1/4 SW 1/4 S 3 T 28 N R 16 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2446 50th Ave. City State Zip Code Phone Number ity ~Vllage own Nearest Road Woodville Wisc. 54028 ( 7~5-684-3951 50th Ave. ',© New Construction Replacement Parent material General comments and recommendations: Code derived design flow rate GPD Fbod Plain elevation if applicable ~ e ft. Mound System Contour @ 97.0 90XSBed Old House & Old Septic System to be destroyed 1~ Boring # ~ Boring Q pit Ground surface elev. 97.7 ft. Depth to limiting factor 42 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/IP- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "'Eff#1 "Eft#2 1 0-7 l0Ylt2/2 --- 1 2msbk mfr as 2f 0,6 0.8 2 7-21 10YR3/6 --- scl 2msbk ~' cw 1 f 0.4 0.6 3 21132 7.SYR4/6 --- st lfgr ml cw -- 0.4 0.7 4 42-60 7.SYR5/4 flfl.5YR5/8 spots scl 2mgr mfi cw -- 0.4 0.6 Boring # ~ Boring 95.1 34 • 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. Cobr Gr. Sz. Sh. 'Eft#1 *Eft#2 1 0-9 10YR2/2 -- 1 2msbk mfr as 2f 0.6 0.8 2 9-24 l0Ylt3/6 --- scl 2msbk mfr cam' if 0.4 0.6 3 24-34 7.SYR4/6 --- sl lfgr ml cw _ 0.4 0.7 4 34-60 7.SYR5/4 flfl.5YR5/8 spots scl 2mgr mfi cw -- 0.4 0.6 Emuent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ffluent #2 = BOD 30 mg/L and TSS < 30 mgll CST Name (Please Print) Signature/ ~ CST Nurrtber Thomas W. Gedatus ~/i 962178 Address Date Eva nation Conducted Telephone Number Stang Plumbing & Electric P.O. Box 263 Woodville, Wisc. 54028 5/30/2008 1-715-684-5166 Use Residential / Number of bedrooms Public or commercial -Describe: Glacial Drift ,, ,. Property Owner Michael W. & Joy Ostlie parcel ID # 008-1009-10-000 2 4 Page of_ ^ 3 Boring Borng # Q pit Ground surface elev. 97'5 ft. Depth to limiting factor 38 in• Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Stnx~ure Consistence Boundary Roots GP DlIt? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *EtT#1 *Eft#2 1 0-9 10YR2/2 - 1 2msbk mfr as 2f 0.6 0.8 2 9-20 10YR3l6 - scl 2msbk mfr cw if 0.4 0.6 3 20-38 7.SYR4/6 -- sl lfgr ml cw _ 0.4 0.7 4 38-60 7.SYR5/4 flf7.5YR5/8 spots scl 2mgr mfi cw -- 0.4 0.6 ^ Boring # Q Boring pit Ground surtace elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Golor Redox Descniption Texture Structure Consistence Boundary Roots GP DfPF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ~ Boring Pit Ground surtace elev. ft. Depth to limiting factor in. Soil ligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/t~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef#l1 *Eff#2 * Etfwent #1 = BODg > ~ < 2X? mgl! surd TSS >~ < t58 mgl! * Etliu~t #Z = ~, < 30 mglL sold TSS < ~ mgfL T(tc Dcp:3rttttc;ttt ~~f C-ontttter4e is an equal opportunity service provider and ctnployer. (f you need assistance to access services or ;,;_._~# cc.~fcxi~l ±st :ttt alternate, t~?rtnat, ple2sr. rontac,K the department at 6021-266-3151 or "l"1'Y 60$-264-8777. ' W O Oe~. v: \t e1 w: s c. +~ ZP v ~ P _. p.n. ~ S ~ ~ C C` c6.'(' v! .S 5-E ~~4, Sw`l4, s 3, Y 2 ~ N1 t'~ ~b ~ Tamer n .~ ~4~ G~~- ~ ~ C s 7- -~ abzt ~ $ CO u.. !-f o ~ S~'. L°rarc Z is ~t vC~'$ - t n o~, - [ n - o o ~~-yn,avl ~' S c+r11 e ~M~i- 102.do ~~ ~L- l0~..5 D 6 _- - q?• 7 B_Z - its. 1 B-3- 9~- s' r7 ,zr t~ Rp~-cat rfu Q x -~~ q~. ~ 9~5 q~ ~~~ ar~~x ! 1°~ , Nn~L _,~ ~.F ~ ! 02: b E Z- •___ _ __ .~._._.__ _..__.____._a___.~ ~. ~~ x n ~~ ~.: ~ _ Z <~~_ ~°`~ .~;, ~~ ~~ ~° .-y ~ a l[ r '~ l pGD i rsN K ~~ i f . t ,~ ~.* C ~ nkc~ ~, i. € ~^' ~,,-~ ~.x {~/~n -- r -~ ' c~ , ?~ Ll5` -+= e n~ ~ to ~ o~ SL ~ ~3 toa.s ~~ nl b T ~ OLa NOwSt d- ~ ~-o ba c~.~S~tcW ~~. N g w $ QG d ~ooM tit o•.~s c •F~s b t bM. t-4 ~ ~ 3 a ~~ z- ~ -t ~ .;,~ a :m ., V ~ _ . ./V V Wisconsin Department of Corrrnerce SOIL EVALUATION REPORT page 1 of 4 Division of Sand ~nld~ vst- m accoraance wrtn ~,omm aa, vvis. rwm. t,oae ~uMy St. Croix Plan must Attach com lete site lan on er not less than 81/2 x 11 inches in size a p p p p . inGude, b horizontal reference point (BM), direction and parcel I.D. 008-1009-10-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. ~~ b r Date Personal information you provide may be used for , s. 15 (1) (m)). Property Owner Pro rty Location ~ ^ Michael W. & Joy Ost a Govt. Lot SE 114 SW 1/4 S 3 7 28 N R 16 (or E Property OwnePs Mailing Address Lot # Block # Subd. Name or Z 3~ ~ ~ 2446 50th Ave. G 2 City State Zip Code one ING OFFIC ' ~lllage own Nearest Woodville Wisc. 54028 50th Ave. New Construction Replacement Parent material General comments and recemmendations: Mound System Contour @ 97.0 90 X 5 Bed Old House & Old Septic System to be destroyed Boring # ^ Boring f •~ pit Ground surface elev. 97.7 ft. Depth to limiting factor 42 in. Soi! tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fr? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EtT#1 *Eff#2 1 Q7 10YR2/2 -- 1 2msbk mfr as 2f 0.6 0.8 2 7-21 10YR3/6 __ scl 2msbk mfi' cw if 0.4 0.6 3 21-42 7.SYR4/6 -- sl lfgr ml cw -- 0.4 0.7 4 42-60 7.SYR5/4 t1t7.5YR5/s spots scl 2mgr mfi cw -- 0.4 0.6 2 Boring # ^ Boring 95.1 34 Q Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 'Eff#2 1 0-9 10YR2/2 --- 1 2msbk mfr as 2f 0.6 0.8 2 9-24 10YR3/6 --- scl 2msbk mfr cam' if 0.4 0.6 3 24-34 7.SYR4/6 --- sl lfgr ml cw _ 0.4 0.7 4 34-60 7.SYR5/4 t7t~.5Yx5/g its scl 2mgr ~ cw -- 0.4 0.6 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mglL and TSS < 30 rrxyL CST Name (Please Print) ignature CST Number Thomas W. Gedatus ~ 962178 Address Date valuation Conducted Telephone Number Stang Plumbing & Electric P.O. Box 263 Woodville, Wisc. 54028 5/30/2008 1-715-684-5166 Use Residential ! Number of bedrooms Public orcommercial -Describe: , Glacial Drift Code derived design flow rate GPD Flood Plain elevation if applicable ~ ~ ft. 1 Property Owner Michael W. & Joy Ostlie parcel ID # cos-loo9-10-000 / Page 2 ~ 4 3 Boring # ~"~ Boring 97.5 38 ~ 0 Pit Ground surface elev. ft. Depth to limiting factor ~"~ Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Ei~1 '~ 1 0-9 10YR2/2 --- 1 2msbk mfr as 2f 0.6 0.8 2 9-20 l0Ylt3/6 -- scl 2msbk mfr cw if 0.4 0.6 3 20-38 7.SYR4/6 -_ sl lfgr ml cw - 0.4 0.7 4 38-60 7.SYR5/4 flf7.5Y1t5/8 spots scl 2mgr mfi cw -- 0.4 0.6 ~~ # ~ Borng pit Ground surface elev. ft. Depth to limiting factor rn• Soil ication Rate Descri tion d R Texture Structure Consistence Boundary Roots GP D/tt= Horizon Depth in. Dominant Color Munsell p ox e Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef~1 ~ Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil liration Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '~ft#t ~ * l=ffluent #1 =GODS > 30 _< 220 mgA. and TSS >30 < 150 mgA_ 'Effluent #2 = BOD, ~ 30 mgll. acrd TSS ~ 30 mglL The Department of Commerce is an equal opportunity service provider and employea. If you need assistance to access services or need material in an alternate format, please c~Mact the departrneat at 60&263151 or TTY 6t}8-26t-8TP/. SBD-8330Test (R07AD0) S-t= 'j4, S w~6er! S 3, 7 2 d N 1 1~ J6 ~ CC u ~ t-y d -~ S ~ , ~ r o rC . Zts ~ t~b~- /oo~r - .[o -o 0 S c~ l e ~ t ; .,. t3Mt* t- t02.oo ~m ~k2- !O~•50 6-~ - R7.7 B_Z - as. f 8- 3 w 9 .~, ~~ ~~-~ jjrc~i sr ~, ~t ~ _~~- ,{ ,. ~. :. p.N~ 0.S ~ - ~>~ C a..~ Vt s C,ST ~' gbZt ~~ LJ~ G~ Q q~.-r 9~ ~ ~~~ Q" ~ Qn,~l . ~ MAIL SiJ .~ ~+'~ Pant h ~ l02:b Ea- ~ ~~ ~ i ~ r ~ ..., iJ"'~ ~~ ~ a ~-•--- pGD r/+N K ~~~ l ~, € ~~ f '~ ~' #. ~j -- . (~- 3 t~ i i.~ t y~".~y. B tv- l~ y Toy a~ 1 s«~ to~.~ ~~ ~bOL, N b T' ~ d c. o N oast P S S~-c ~ ~G~n~~ ~ Sc +:c. `I f ~-o ba dast~~ t~ N ~ w 3 Qed~noM ::- ~ ~- ~. .~- V Parcel #: 008-1009-10-000 osilzi2oos 02:51 PM PAGE10F1 Alt. Parcel #: 03.28.16.44 008 -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 - OSTLIE, MICHAEL W & JOY MICHAEL W & JOY OSTLIE 2446 50TH AVE WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 2446 50TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 32.000 Plat: N/A-NOT AVAILABLE SEC 3 T28N R16W 32A SE SW EXC STRIP 2 Block/Condo Bldg: RDS WD W SD S OF INT HWY 94 &EXC COM 16.5FT E OF NW COR THEREOF;THE S TO HWY; Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) THE 16.5FT; TH N TO N LN; TH W 16.5FT 03-28N-16W SE SW TO POB Notes: Parcel History: Date Doc # Vol/Page Type 09/06/2001 656095 1715/270 W D 07/23/1997 1160/559 LC 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 29.000 2,700 0 2,700 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 2.000 21,600 153,900 175,500 NO Totals for 2008: General Property 32.000 24,400 153,900 178,300 Woodland 0.000 0 0 Totals for 2007: General Property 32.000 24,400 153,900 178,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 513 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~l 05/27/08 TUE 09:32 FA% 715 388 4686 sT. C~oYx cooNTY SEPTIC TANK MAINTENANCE AGREEIMIENT AND OV~~i~fERSHIP CERTfFICATION FARM Owner/Buyer y~ ~ i . ~~~G ~, ~ /, !~ 001 Mailing Address ~o? Y ~ ,~~ -~'h ~Y ~- ~ Property Address fi+an PlamtiHg ~ Zoning Department for new ooHStrtretion_) CitylStatt: ~©a ~ ~ , ~1 ~ c, ~+./ ~S, -~ 4'~2 g Parcel Identification Ntamber d 0 $ - l ~ O 9 - ~ b - 0 0 b LEGAL DFSCRIPTION Property Location S ~ 'l~ , N ~ '!, _ Sec. .3 , T o~ g N R %6 W, Town of ~G ~ Subdivision Plat: Lot # CertiRed Survey Map # ,Volume ,Page # Warranty Deed # L~ ~ ` U ~ 5~ (before 200?}Volume ~ ~~ ,Page # 2 ? U Spec house ':yes ._~ no Lot ticks identifiable 3~yes ~:) no SYSTEM MAliiwITFNANCB AN~V~R CERTIFICATION improper use and maintenance of your septic system could tesnlt iH its prrunatut~e failure to handle wastes. Proper tnaintenanee consists of purrrpit~ out the septic tank every !!tree years or , if Hooded, by a ticenacd pumper. What yot, put into the system put a the fimctian of the septic lank as a trr~mart stage is the waste disposal sysaan. Owner maintrxtanoe ilitiGS acs specified is gt„otttm. s3sZ{ l) and iu { 12 - St car~c Cotmty sanitary Orditwnce. The property owner agrees iD submit to St. Croix Gotutty Planning & Zoning Department a certification form. signed by the owner and by a master ptttmbcr. journeyman plumber, restricted plumber or a licensed pumper verifying that (i) the on-site wastewater dispose! system is iH proper operating condition and/or (2) after inspection and pumping (if necessary), the septic rani: is kss than 113 ftttl of sludge. Ilwe, the undersigned havs read the above requirements and agree to maiHtsin the private aevvage disposal system with the standards set forth, hetcin, as set by the Depermdatt of Caarmuoc and the Departzrieat of Nature! Resoru~ces, State of Wisoonsirc. Certification stating Htat y~ septic system has bead wed must be oomldleted ~d returned to the St. tic County PlanHing & Zoning U~uent within 30 clays of the three year e~atioH date. Uwe certify that ati statements on this form are true to the best of my/our krwwte~e. Uwe am/are the owHer(s} of the nropertv described above, by virtue of a watrardty deed r~ecorc~d in Register of Dceds Office. N ter of bedrooms R r :~ SIGNA'T`URE OF PI,I (S) l~ ~~~ ®g DATE v**any;nfo~Oa tli~.;ss m~ ttta-y trsal# in fire saaitaty pt~ttgt being ttvoWad by the Planuit~ dt Zonit~ fit. *"'' Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of fire cptified survey map if rerec-ce is made. in the warranty deed. lREV. flSIO~, X5-2?-88 11:48 T4: t°'RUM:?15 386 4686 P81 -, ~~ `•~4AGE ~ i .. ~~ ~ ~~ 6.S6~9S STATE BAR OF WISCONSIN FORM 2 - 1999 <.'fi ,-E~~Ca•I N. WHL.SIi WARRANTY DEED Rl_til:~4Efd ON UE_E.US Document Number ;:; i „ '.; F; ?;;'_; ::ia. , Wi 'T'his Deed, made between John B. Mielke, rr.%Ei~lii6 F(lk .*.•ECQFD ill-i76-?001 3:45 i'FI iJi7EttiRh?Y DEED X+~l4F' f # I .' Grantor, and Michael W. Ostlie and Joy Ostlie, husband and wife i,EKT l:tir''i :=EE: ::0~'r -Ec ~.RkS:= E4 ~r EE: =~DRDiNG FEE: 11.00 s`:1GE5: ? Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area SW'/aSW`/,, Name and Return Address SW'/+SE'/., except that part East of the Railroad Right of Way, Farm Credit Services SB'/+S W'/., except W. 1 rods thereof, also except commencing 16'h feet E. 186 County Road U of NW corner thereof; thence S. to Highway; thence E. l6`/z feet; thence N River Falls, WI 54022 to N line to said SE'/. of SW'/<; thence W 16%Z feet on said N line to Place of ATTN: Mary Betlt Williams Beginning. _ All in Sec. 3-T28N-R16W. r)o8-~i:~oS-~5 ot~~r-/cxa9-G Parcel Identification Number (PIN) This ~ IS NC7I 2 homestead property. tiv i~ Exceptions to warranties: Easements, restrictions and rights of way of record, if any. ~ ~ 2001 Dated this 3l day of , s AUTHENTICATION Signature(s) authenticated this_ _day of TITLE: MEMBER STATE BAR OF WISCONSIN (If noi, authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS pRAFTED BY Attorney David J. Estreen 304 Locust Street, Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) ff// /~ 7 ~r ~t `~ - ,~~/ /John B. Mielke r ACKNOWLEDGMENT STATE OF WISCONSIN } ss. St. Croix County ) Personally came before me this ~ day of ~(..uAuo~'-_ , 2001 the above named John B. Mi e r„may ~~ J Ask ~ E~ c to me known to be the person(s) whb: ~{'p~e~she forQgQmg • a. ins[ nt and knowledge the serf[ + .y ~ ; Notary P lic, State of Wisconsin ~'~~~~s~ s •' My Commission is permanent. (If not, state'~>~~~on dhte: r~ of persons signing in any capacity must be typed or printed below their signature. ~nPo.matwn arotessbnMS comns~y. Fcna as lac. Vy1 eoo~ss-zozt WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999