Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
008-2005-07-000
St. Croix County Planning and Zonin Detail Sanitary Information Wednesday, September 07, 2005 at 4:26:57 PM Page 1 of 1 Computer #: 008-2005-07-000 SublPlat: Birkett Addition Section: 4 Parcel #: 04.28.16.559 Lot: 7 TN/RNG: T28N R16W Municipality: Eau Galle, Town of CSM: 1/4 114: NW 1/4 SW 1/4 Owner: Holzer, Bradley 2305 55th Avenue Baldwin, WI 54002 State Permit: 479223 Issued: 06/03/2005 POWTS Dispersal: Mound less than 24" suitable s Permit: New County Permit: 0 Installed: 09/01/2005 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Requirements Additional Notes Kevin Grabau NA Schumaker, William permit paperwork w/inspector Signed Off: No Maintenance Scheduled Pump pate Pumped 1st Notification 2nd Notification 3rd Notification 9/1/2008 Monev Owed $0.00 Parcel #: 008-2005-07-000 08/29/2006 03:48 PM PAGE 1 OF 1 Alt. Parcel #: 4.28.16.559 008 -TOWN OF EAU GALLE Current ~i 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 CaOwner O - HOLZER, BRADLEY N & ALISON J BRADLEY N & ALISON J HOLZER PO BOX 386 BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description ' 2305 55TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 4.716 Plat: 0094-BIRKETT ADD'N LOTS 5/7 008/03 SEC 4 T28N R16W PT NW SW BIRKETT ADD'N Block/Condo Bldg: LOT 07 LOT 7 (4.716AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-28N-16W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 08/31 /2005 805053 2878/413 EZ-U 10/02/2003 742190 2425/618 WD 07/11 /2003 729786 9/72 PLAT 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.716 27,900 205,000 232,900 NO 05 Totals for 2006: General Property 4.716 27,900 205,000 232,900 Woodland 0.000 0 0 Totals for 2005: General Property 4.716 27,900 0 27,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 `\ r~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT * (ATTACH TO PERMIT) GENERAL INFORMATION Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township Holzer, Bradle Eau Galle, Town of CST BM Elev: f Insp. BM Elev: ' BM Description: c~o.a Csi i3~ f TANK INFORMATION TYPE MANUFACTURER /~ W ~ A--t W E~ 'd, ~~~eY CAPACITY Septic ~(~S~tz. /~ (~( Dosing Aeration ~_--- Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic r flfi ~ ~..~ 13! ____ Dosing ~ ~ p / 8 r -. Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number ~O~ 2°~ DH Lift Friction Loss System Head TDH Ft p °i3 . ~Z . ~ 20.25 Forcemain Length t Dia. ! ~ ~ Dist. to Well -•• 1 2 SOIL ABSORPTION SYSTEM U Width Length No. Of irenehes- PIT DIMENSIONS No. Of Pits Inside Dia. th ENSIGNS C / O ! ~ a-~- _ (~l SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING anu turer. INFORMATION CHAMBER OR Type Of System: ! r ~ UNIT 'ode umber: ~ ~ ~ Z3 ~ /~ DISTRIBUTION SYSTEM Header/Manifold ( rr serisution ~ ~ x Hole Size ~t x Hole Spacing rIntake Vent to Ai / c-~ z 'J" Z Pi [~ ~ ~ ~ S i Z • L ~ t ~ i I g ~t r~ - Length Dia s pac ng ength SOIL COVER Y Proecnrc c..~+om¢ n„i.. YY Mnuntl Ar 01_Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~,._~ Yes [-] No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~1__ ~r ~~Q~ Ise, Ins,~e tC ionn_#2: ~-' Location: 2305 55th Avenue Baldwin, WI 54002 (NW 1/4 S 1/4 4 T28N R16W) Birkett Addition Lot 7 Parcel No: 04.28.16.559 1.) Alt BM Description = ~O~ ~ ~~ S ! ~ ~~ S `~ ~ ~ ~ ~y. y ~~ / 2.) Bldg sewer length = Z p D~-. o -amount of cover = ~ (oo~ ~ g o ~ (C~l' Z' ~ ~ --- ~ . i' Plan revision Required . I~ Yes No ~ ~ ®'' y Use other side for additional information. J Date SBD-6710 (R.3/97) ELEVATION DATA county: St. Croix Sanitary Permit No: 479223 0 St to Plan ID No: X39 9Z =T~s • , o , #~ Parcel Tax No: 008-2005-07-000 SectionlTown/Range/Map No: 04.28.16.559 STATION BS HI FS ELEV. Benchmark 0 oS~ ~.o ' Alt. BM z. I ~ r n3.g-n Bldg. Sewer SUHt Inlet Q ~Z „Sp Cr 6S r SUHt Outlet Dt Inlet Dt Bottom l Z .~ -t- ~ ~ 6. Lo O , Header/Man. I°s•4° , 02. Dist. Pipe 3 •` S 3•~`f , n2.2 Bot. System ~ ~ ~ ~• T~t Fi al Grade ~t St Cover , l ~Jl-, ' T ` 'f Cs t- .7 •~ (~ S•d`~ . . of Insepctor's Signature i Cert. No. ' ~ ~ i Safety and Buildings Division 201 W. !~6~ht~~ngton Ave., P.O. Box 7162 ~~~ County `J ~ ~ ~ ~ X `s+rjO~s~~' <r [)sbn, WI 53707 - 7162 Permit Number (to be fttled in by Co.) Department of Commerce «) 2b ~~E ~~"`~ 2Z.3 Sanitary Permit Applicati Site an LD. Number In accord with Comm 83.21, Wis. Adm. Code, rsonal infarma ' ~ v # S • / ~ `~ ~" ~ C l~`~ I ~ Z -~'~ a __ ~. . , may be used for secondary purposes Pr cy Law, s15.f)4( ~FOject , ddress (if different than rnailirg address) I Y IXCOU I. Application Information -Please Prurt AI! Information zONING 0 ^ Z 3°S ~ ~v ' Property Owner s Na me Parcel !/ Lot N Block q ~ Property Owner's M ailing Address _~ ~/ Property Location City, State Zip Code Phone Number '`~~ ~k•.SC.~ 'a,Section ~~^ Gt ~~Grl•'.tf ~ ~ ! ~' __•• tr .JJ (f~' (circle } j T ~~ N; R l~E I II. Type of Bailding (check all that apply) -~~ `~ ~1 of 2 Family Dwelling -Number of Bedrooms ~ // ~ s t Subdivision Name CShI Number ~~ ~~ ' ^ Public/Commercial -Describe Use t ^ State Owned -Describe Use __ ~~ _~_ _ ~ .~ - ^City ^Vitlage~T'ownship of~ ~~// ~ ~:___ ~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) $' - ~ O ~p A. -~- --- ~..__~..~. ~-_~ . S.S~I ~, New System ^ Replacement 5ysrem ^ Trearment/Holding Tank keplacement Only ~ ^ Other Modification 26~Etcisting Sysrera ~ I ~_~ B• ^ Permit. Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New Ltst Previous Fer~nit Number and Date Issued Before 13xpiration Plumber Owner N. T' t 1 ri ype of PUWTS System: (Check all that apply) x p ~ i~ Non -Pressurized ln-Ground ~~ Mound > 24 in. of suitable so' (~ Mound < 2'i in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ F ressurized In-Ground ^ Holding Tank ^ Peat Fiher ^ Aerabic Treatment Unit ~? Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ~ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) Z~_.' V. Dis rsal/Treatment Area Information: ~ D - (~ esi n Flow • g (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (st) Dispersal Area Proposed (sf) ~ System Elevation ~_ ,5~ , ~ . o S~ ys"~ ~~S' o ,fig'' 1 VI. Tank Info Ca acit i p y n Total umber Manufacturer Prefab Site Steel Fiber PlaStiC f t:,allons Gallons of Uruts Concrete I Constructed Glass New Existing "ranks Tanks Septic or Holding Tank r ` ~~~ ~ J'' r --- !/L' ~ G'„$'~ Ae robic Treatment Unit '-----~1- Dosing Chamber ., Ct~~ ` 1 ~`,5 ~ _1 GcJ s ~ ~~e Y ~` VII. Responsibility Statement- I, thp ilttdersigned, assume responsibility for ' Uation of the POW'TS shown on the attached plans. Flumher's Na me {Print) ' Plumber s $i gnature FRS Number Business Phone Number III Plumber's Addre ss (Street, City, State, Zip Code) I 1 ~ `?G~ ..mac- w °2=~~c~ >~1~~~~'Q.t~' ~ J~ ~dl ._ i VIII. Cotutt !De artment Use Onl Approved ^ D' ppr _ Satiltary Permit Fee (i udes Groundwater Date Issued I sui gent Signature (N Stamps) Surcharge Fee) i /nc ~: ^ Owner n ea or Denial '~[,[ J ~ Q ~ '~ I 1X. Cnnditinnc A..n-.. ..v SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. fto the County only) Por the system on paper nut less than 8112 x 11 inches in ._-~" ~ So;/ e~ki.lua-~;o~ ~0 %f ~~ ~ p Scale: / = S/O' 0'~j .'~ b~ Q~ S~ ~/e. (~i~epes~( c,Je.(.( /oc~.~w, ~'d e 3 ~- s p~ae~~~c 3Q~S;d°~' ~_ ~L "Sc~. S~0 Q d. C, ~ ~ 43 .~ .o~ ~.. ~ \a;~~ 6~ :. ~ a ~. ,, ~(TY'CC r-'lGlll~ PrOpOSC.~ t,J i escr Con Gf ~e we A/, c~/6cX~ -~r,P Co,•, b, ~~'o-, ou ~o ~. i ~ ~Q T ~_. 3enc.l, n1a.rK ~ Tod a f 3/s/" A. /. C ~Orpe. Ass u.med ~ ~ e~ _ /~. cfl: _ ~ 6` N . ~ E lei/: c /U~. 90: \~ ~ ~ °~° S \ ~`\~ \. cam` ~b - 99~ ~~' A''opos~.dmour,d Q.~ ~. ~z //D. 3c~ ' u~/ s'x 90' orspcrs~/ee /~ Fou.~ (Y~ di~i1'i 1,K~'On /a~cra/,S Qf / ,~-~ yyz~'' w/ %~ "Q~,',~;' ce~S S/oa a t.ol a.,t~ .2 . S3 " COPY ,'// 8d~9 commerce.wi.gov ' isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD to CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin:gov Jim Ooyle, Governor Mary P. Burke, Secretary May 23, 2005 CUST ID No.227990 WILLIAM C SCHUMAKER SCHUMAKER PLUMBING 1070 SCOTT RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/23/2007 A7TN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON W[ 54016 Identification Numbers Transaction ID No. 1139492 SITE• Site ID No. 698661 Bradley & Alison Holzer Please refer to both identification numbers, Town of Eau Galle above, in all comes ondence with the aQenc . St Croix County NW1/4, SW1/4, S4, T28N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1018755 Maintenance required; 450 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-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 erson ma en a e in or work at lumbin to the state unless licensed to do sob the De artment er s.145.06 COill~llflo P Y gg P g~ Y P P stats. ~p~~ The following conditions shall be met during construction or installation and prior to occupancy or use: OE ARTMENT OF i Approval Requirements: N OF EYI • .This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRESP~ "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST_SAS (01/81) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. W[LLIAM C SCHUMAKER Owner Responsibilities: Page 2 5/23/2005 Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operatio ,,... maintenance of the POWTS occurs in accordance with this chapter and the approved management plan der 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 ffte county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the oe~npon~ent(s) utilized in the POWTS. '}~" All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in Shin review shall relieve the designer of the responsibility for designing a safe building, structure, or component.ti '~ u. f Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at thti address on this letterhead. - The above left addressee shall provide a copy of this letter to the owner and any others whoasre responsible for the installation, operation or maintenance of the POWTS. Sincerely, !J .~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state. wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 ~, MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Bradley N. & Alison J. Holzer 3 bedroom residential mound Owner's Name: Bradley N. & Alison J. Holzer Owner's Address: 1528 4th Ave. Parcel Address: 2305 55th Ave. Legal Description: NW1l4 SW1/4, Sec. 4' , T.28N., R. 16 W. Township: Eau Galle County: St.Croix Subdivision Name: Birkett Addition Lot Number: 7 Biock Number: Parcel I.D. Number: 008-2005-07-000 Plan Transaction No.: Baldwin, WI 54002 Page 1 Index and title m _c _~ ~, L7 C/3 m '"` m oa -. N ~ o "cl ~°s, Page 2 Data entry :~~jJ~y Page 3 Mound drawings ~ ~~ Page 4 Lateral and dose tank ~` ~ Page 5 System maintenance specifications " 'O~MERCE Page 6 Management and contingency plan k Page 7 Pump curve and specifications s ~~~~~,L Page 8 Site Plan ~~f7ENCE Page 9 Soil Evaluation Report Designer: Bill Schumaker License Number: Date: 04/25/05 Phone Number: Signature: ~/' ° ~ c,~„~~~~.-- 227990 (715) 386-3121 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 4.01 (R. 09/04) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information ............................ (r or c) R Residential or Commercial Design 300.00! Estimated Wastewater Flow (gpd) 1.501 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 2.00'; Site Slope (%) 100.27! Contour Line Elevation (ft) 17.00' Depth to Limiting Factor (in) _ -___: 0.50! In-situ Soil Application Rate (gpd/ft2) Note: Sand fill (D) calculations assume a Table 83-44-3 in-sku soil treatment for fecal coliform of <= 3g inches. Distribution Cell Information . 90.00; Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 ~ Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c ore) c! Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) -~- - 4! Number of Laterals of the highest point. _._ 0 125' Orifice Diameter (in) (e.g. 0.25) 2 50 Estimated Orifice Spacing (ft) = 6.25 ft2/orifice 2.00! Forcemain Diameter (in) ____-; _ 185 00; Forcemain Length (ft) Does the forcemain drain back? ! Y 89.00'. Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 12.35 Vertical Lift (ft) 3.51 Friction Loss (ft) 22.36 Total Dynamic Head (ft) 30.18 Forcemain Drainback (gal) 36.11 5x Void Volume (gal) 66.29 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Lateral Diameter Selection in. dia. o tions choice 0.75 _ 1.00 x x _ 1.25 x _ _ _ . 1.50 __ . x 2.00 x 3.00 x Manifold Diameter Selection in. dia. o tions choice 1.25 x _ _ _ _ __. 1.50 x x 2.00 _ __ ; _.._ _ 3.00 _- ._ _ ,, Gallons/Inch Calculator (options!) Tr1000 00 Septic Tank Ca acit 603 361 Total Tank Capacity (gal) p y (gal) 36 00~ Total Working Liquid Depth (in) Wieser Concrete 'Manufacturer 16.76 gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 603.361 Dose Tank Capacity (gal) ;Zabel Filter Manufacturer .._.__ . 16.76'. Dose Tank Volume (gallin) A100 ',Filter Model Number Wieser Concrete 'Manufacturer Project: Bradley N. & Alison J. Holzer 3 bedroom residential mound Page 2 of 9 Mound Plan View . ..•. 1/1 0 B •'•'•'•'•'•'•'•'•'-~-••~•~' Observation Pipe.•.:. .:. ;;;~:.:. K • '.' .5, .~.• . . . . . '. . . •F.. L Mound Component Dimensions A 5.00 ft E 20.20 in B 90.00 ft F 9.00 in D 19.00 in G 0.50 ft 450.00 (ft2) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rate H 1.OOft K 10.15ft I 9.36 ft L 110.30 ft J 8.02 ft W 22.38 ft 1292.55 (ft2) Basal Area Available 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.60 (ft) ,,, ~I H teral F . • ::::: ~ ~ Dispersal Cell 102.35 (ft) La 101.85 (ft)--- - Invert Dis ersal Cell s :;:;:::::. :~~:::~~ ::~~::::~:~:::;:, ~ Elevation ~ • .'.'• 2.0 % Site Slope Shading Key 1^ {~~~~ Topsoil Cap ©Subsoil Cap ©0 ASTM C33 Sand ® Tilled Layer 0 Aggregate '~ ~. ~ Dispersal Cell .. . ~ Y`e ' m 0.5 ft Typical Lateral :° :•;• ~ ~ c '~: ~--- q 100.27 (ft) Contour Elevation /~ Geotextile Fabric Cover ~/ See lateral details on Page 4 for number, size, and spacing of laterals. F Laterals are equally spaced from the distribution cell's centerline in the ~ distribution cell (AxB). -T -~ -t _l Project: Bradley N. & Alison J. Holzer 3 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. ~ p ~ J •=Turn-upwlball valve or IFX-~IExl2; cleanoutplug Holes drilled on the bottom of the lateral. Manufacturer Gallons gal/inch S Number of Laterals 4 Lateral Diameter 1.00 in Lateral Length (P) 44.28 ft Lateral Spacing (S) 2.50 ft Lateral Flow Rate 7.41 gpm System Flow Rate 29.66 gpm Total Dynamic Head 22.36 ft Laterals are identic al Laterals & force main of PVC Sch 40 per COMM Table 8+.30.5 Orifice Diameter Orifice Spacing (~ Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity 0.125 in 2.53 ft 18 6.25 ftz/orifice 2.50 ft 1.50 in 3.03 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 31)0 and -~ Comm 16.28 WAC ~ 4 in. min. Dis~ect i_ Tank component is properly vented Wieser Concrete Ca acit 603.36 Volume 16.76 Dimension Inches Gallons A 18.04 302.43 B 2.00 33.52 C D Total 3.96 12.00 36.00 66.29 201.12 603.36 A B C D 3" Bedding under tank. Alarm Manuafacturer LevelArm Alarm Model Number'DLV Pump Manufacturer 'Goulds Pump Model Number 3887 EP05 Pump Must Deliver 29.66 gpm at 22.36 ft TDH ~- Aftemate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P, ump off elevation (ft) ~--" 90.00 D• ose tank elevation (ft) 89.00 Project: Bradley N. & Alison J. Holzer 3 bedroom residential mound Page 4 of 9 Mound Svstem flAaintenance and~Operation Specifications __ Service Provider's Name Bill Schumaker Phone, (715) 386-3121' POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ttz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ... ......... ............... Grade v j ~ . 6-8" Diameter Lawn . ~ ~ . . . . Threaded Cleanout Sprinkler Valve Box ~ ~ Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Bradley N. & Alison J. Holzer 3 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall tie operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall lie cleaned as necessary to ensure proper operation. The fitter cartridge should not tie removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge fk>ws or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1 /3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be pertormed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall toe approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shatl be inspected at least once every 3 years. All switches, alarms, and pumps shall tie tested to verify proper operation. If an effluent fitter is installed within the tank tt shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs shoukt be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surtace within the mound and snow compaction in the winter will promote frost penetration. Cdd weather installations (October-February) dictate that the mound be heavily muk;hed as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10~ cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided wtth a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is pertormed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surtace, it will be repaired or replaced in its' present location by increasing basal area if tce leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Bradley N. & Alison J. Holzer 3 bedroom residential mound Page 6 of 9 ~~ GOULDS PUMPS Submersible ._ Effluent Pump EP04 '~ ~ V~ ~ EP05 APPLICATIONS S,rc,t~cally cesiyned for the _~~.,,:,no uses • ~t?ioe~~t systems • comes ,."arfilS • ~~ary dcty sump • '.'rater transfer • De:vatering SPECIFICATIONS • Solos handling capability: ~raximum. • Capauties up to 60 GPM, • ';,~~~~~ Heads up to 31 feet • D~scnarye size: 1'/:" NPT. • ^nechanical seal: carbon- rotary; ceramic-stationary, ~~ ANA N elastomers. • -e'~rperature ~~ ~~ ~ F ',40 C) continuous :0 F i60 C) intermittent. • ~~asteners. 300 series st~e~~iess steel. ~~apable of running dre ~^~ithout damage to co~'~~ponents. • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. ^ EP05 Impeller: Thermoplas- tic enclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oll and water resistant. ^ Bearings: Upper and !o~;e' heavy duty baU bearing construction. AGENCY LISTING $P Canadian Standards Association Goulds Pumps is ISO 9001 Registerea Motor; ' • ~~P04 Srnyle phase: 0.4 HP, ' 1 ~ or 230 V, 60 Hz, 1550 dFPv~ Quilt in overload with automatic reset. • E?05 Single phase; 05 HP, 1 ~ V' or 230V, 60 Hz, 1550 RP^~l, built in overload with automatic reset. • ?o~.ti~er cord: 10 foot standard length, 16/3 ~!"0~^; with three prong orounaing plug. Optional 20 toot length, 16/3 S1TW with Three prong grounding plug standard on EP05). ~~ ___~ ~~.;~Pt~r„ns ~'/ ITTIn ustries s-~~_~~~,,~~; aoo~ ~,~= ~~ ~ w ~ ~ 6~Fq nnrTroc ccr=T .29.lala ~ P•in • /-'~i nlmcun A~/y r~ /~~p d, OGOUIdS Pumps ----`' ---~ ~`~ /~/e. ~ +~oi/ e~kilua.~;oY, p~"~ ' be Q~ 0 z5/D'* Qt ~o,,,peud c,Je.F.( /OC4•~iGYj e 3 ~ S 3b ,dam Q~,S ~_~"s~. s~o,~d.c, ~{7Y'CCY-'l~i I~ pfOPO~ !~ i GSA ~Sn Gf csC ~ kJL p ~ [fro/bad -~nQ Co,., b,:,~'o~, •6'~ ~l~'r ~ ~ ~/ ~.6~1,¢-iw ems'/u~•,~ y ~ ` ~ ~ ~ ~; /~cr Q~ S.T.' oc.-~/~,t . b \~ •O ~ ~ ~ ~ 43 s ~ ~ ~~ ~` ~ \ ~~ ~~~ \ `~ :'Top o{ ~'s/` ~/. e. /o.p~. 6,~ :. ` ~ ~ \ E led:. ic~o. 90: ~~~~ ' .\`` .~, ;, \~a~. , ~/ ~ ~- 99~ (3ene,l, -ryla.rK ~ Tod ~ f 3/~" P, /. C. ~- A''opa.s~e.d/r~ou ~d a.~ 22. ~x //D• 3~ ' ,o rp e. Ass «..~ ed e ~ e~: _ ~c8. ~fl: ~.v/ s'X 90' ~.'SPU'•Sa./e t // F ~.~.~ CY~ w/ %~ "' o~,',~;• ceps s/oa a e.ol a.f .~ . s3 " ""/~ 8d~9 Ho%er LdrM..r,nd. Wisconsin Department of Commerce • Division of Safety and Buildings n.~.,..~ ,. ..i_•_ _ SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code County Page 1 of 3 C ~-' h --- --•••r•~•- ~.•~ r.~~~ ~~~ NaN~~ ~~~~ ~cas u~arta iii x ~ i mcnes in size. Plan must - - "'" ~7`~ i include, but not limited to: vertical and horizontal reference point (BM), direction and P l I D 7! "~ G ~L '~ 1~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. arce . . . . . Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location G ~~ ~~C ~t Q-~~ ~ Gave-6ep- NW 1/4SW 1/4 S l I I '( T Z~ N R~ b E (cr W Property Owner's Mailing Address 2Z~3 SS`ri~- p~J~~ Lot # Block # Subd. Name or CSM# - . 7 - ~1zvPa S~ CSr`-~1 City State Zip Code Phone Number ^ City ^ Village Town Nearest Road B~LDI~v[sv wI S~~D Z (~~S) 68~ z°ilI ~~ C~~L.L-C. ~ SS`n-~ ~vL. ffi New Construction Use: [~ Residential /Number of bedrooms ~ Code derived design flow rate 6 40 GPD _ ^ Replacement ^ Public or commercial -Describe: Parent material _ Cjl._PT~' 1,[~ L, ~ LL Flood Plain elevation if applicable N ~ • ft. General comments and recommendations: t`'l OVI~-~ ~~~'x ~ ~ ` ~\S`f1Zl $ V~pY~ C~u LL ~}`r(UUZ ~Z~'V LUG . ` Boring # ^ Boring Pit Ground surface elev ~ ~ • S fr ne..~ti r., r...tr~.,., F.,,.~,.. ~.~ r - y _- - ~ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 a -8 ~~~ IZ 3 L Z-- - S 1 ~ Z `~ S b ~ m ~`Q'r CS Z~{-' .- S . ~ Z ~-t.~ ~~~tesl~ - Si - Z`rsb~ m`~ ei,v ~~ -s -~ ? l7 -3 ~ - S y 2 ~l C L I ~ S `Z 2 51 ~s L 0'M 1^rl V'Ph - - 3 -S ~ I Boring # ^ Boring \ r' '^ -J X~ ptt Ground surfarp etPV l 00 •) H ne.,µ. ,., n...;+~.,.. c.,,.~... l T~ - ~ - Soil Appliption Rate Horizon Depth Dom[nant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Effi#2 o -8 lo`~rz~ !z - s i ~ Z~sbk m u `~r CS Z'~ - 5 - 8 Z ~-~8 10`i2Sl~ s)•~ Z- sbf~ m.~~ Ckj ~ -5 •~ ~~~~~~~~.,~ ~ - ovus ~ ov ~ ~u mgrs and t 55 >30 _< 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) i natu - CST Number Arthur. L. tdegerer oZ=ZZ+~7- ~7 220254 Address [~ e g e r e r S o i l Testing & Design S e r V 1 C e Date Evaluation Conducted Telephone Number 421 i1. Iiain St. River calls, [dI 54022 1Q_ 3_p7 715-~-25-0165 (Pro~pert'~y Owner ~~- ~ ~~-~--L j'`j- Parcei ID # ' ~~) ~ 6 '~ I Boring # ^ Boring ( ~ J ~X Pit Ground surface elev. 1 ~~ • Z. tr no„rh r., u,,,~u.,,, r~..e,,. ~~ ~.. Page Z of 3 ~~ Horizon Deplh Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft1 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 O ~ ~ 1 p`~ 2 3 / ~ ~- s 1 ~ z-`f S bl2 YYl V'P ~^ C S Z '~ • S • ~ ~- Q -1q )(7`>2 S~ - S! ~ Z~ S k m'f't- ~k1 1 ~ • S 3 tq-3z ~-SY2~~ cta-~.s~R sip L o mv`P~ - •3 • ~ l Boring # ^ Boring J n Pif Ground surface elav_ fr no.,rti r., r.,,~~,..,, s.,,.~,.. ~_ Horizon Depth Dominant Color Redox Description Texture Structure v Consistence ~~~~ Boundary Roots Soil Application Rate GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I Boring # ^ Boring J (, Pir Ground surface elev. ft. Death to limiting factor in Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = GODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY G08-264-8777. SB0.8330 (R.6/00) PLOT PLAiI Page 3 of 3 • ~ Scale 1'=y'0 ' ~~~ ~2. __~ C~, S S `CbF- F-U~, S~ s sic.. y o.z3w,i ~ ~ Z33 ~ gi I ,~ moo- 6 Loy' ~ ti -- ---- - - _ - ~1 ~~~.~L. loo.l eo TR~~ o~-~'C. ~~t, lpl.7 ~SV2v~tu~z~ eve n~~-- o~Nr ~w~,c d L~'~> \ ~ 8.3 3~ ~ ~~o 8g, ~ \ ts' ~ ~ ~ „ ~ ~~; ~0 NOT C~7)"1 Pi~2`r' ~j'` D ~~~zC3 ~S ~~ 99 s 2I ~3W)#-l -__.~-._10.0: p' o~J g"~~, 3/Yu.D~A:~V~=P__~l~E_1~_/U~` _.Qwl_~ m tio~.q' ~ _ ~ .___ --- -- v` k .1 . . n h K t ~'~~1, ~0-3-oZ 715-425-0165 220254 'OZ-ZZ7- ~ CST Signature Date Telephone ITo. CST A1o. Job PZO. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 C+!trision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County S 1 - ~1~.-U Lx Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must inGude, but not limited to: vertical and horizontal reference point (BM), direction and Pajcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. -- ... ~~~~ ~ p ~ ~ _ p Z 3~1~ ~P/ease print all information. Reviewed b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~ "~./ Property Owner RECE~v Prop dY Locati 1Jw 1/4 1/4 T N R (or W Property Owner's Mailing Address 0 ~ T 1 ~ 200 Lot Block # Subd. Nam City State Zip Code Pone ~~~OIX COUNT ^ .ty ^ Village 'Town Nearest Road ~ (~[--DLu l i~J ~LJ I J~'~ ~~ Z.. ( I E C~'Prl.,(_,G cJ S `T~} ~~1L , ~[ New Construction Use: [~ Residential / Number of bedrooms _~ Code derived design flow rate ~ 00 GPD ^ Replacement ^ Public or commercial -Describe: Parent material _ c~L-P`~_~ [~r~ ~ l.L Flood Plain elevation if appligble lU ~ • ft. General comments ~ and reccmrrendations: r"L OUr~~ ~f ~ X ~ 1 ~i~ ~~~i Z.l $ V`T~ UYv C.~L~ , C-U~`[~UUR- ~Z~1 , LUG , 1. Boring # ^ Boring ; 1 ®pit Ground surface elev. ~ ~ • S ft. Depth to limiting factor ~~ in. Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 a-8 ~~~IZ-3Lz-- - ~F 1 2~`s~~ ~ v`Ph ~S Z~ .-S ~~ Z ~-~~ ~D~eSt~F - Si I G~~sh~ m`~ ew l~ -S -~ 3 r~ 3 ~.s~2~1 c~ ~•S ~2sI~ L ovh mv~'r - - 3 -s Boring # ^ Boring ^ pit Ground surface elev. ~ ~~ • I ft. Depth to limiting factor 1 ~ in. - - Soil Appligtion Rate Horizon Depth Domjnant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#Z I o -~ Lo~rz3 lZ - s i ~ z~sb~z m u ~r ~S z~ _ S - ~ Z $-t8 1p`t2 5L Si~ i Z s lz --vl.`~~.- Ct.~ ~ -S • $ - emuent ~~ = esvus > 3a < zzo mgrs and T5S >30 _< 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) i natu CST Number Arthur. L, tdegerer d`Z Z~-`7--7 220254 Address [~ e g e r e r S o i l Testing & Design S e r v i c e Date Evaluation Conducted Telephone Number 421 i~. P~iain St. River calls, [JI 54022 1p_ 3_p~ .715-~-25-0165 ~y Property Owner. ~ ~ ~.-~--L~`r Parcel ID # ~ ~~1 N 6 Page Z of 3 Boring # ^ Boring t Pit Ground surface elev. 00 - Z ft. Depth to limiting factor ~-1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. , 'Eff#1 •Eff#2 o-~t 10~-Z 3~z s1•~ ~-`~sbk rnv~'~ c.s z~ •s •~ Z- Q -~9 )vy2 s~ - si ~ Z s k m`Fh Cw 1 ~ • s ' 3 ~a 3z ~s~~.~1 c La.-~,s~R sis L o rnv`P~- - •3 • s ^ Boring # ^ Boring ` ^ pi( Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Boring # ^ Boring - ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 =BODE < 30 rrlg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SB0.8330 (R.N00) PLOT PLAid Page 3 of 3 • Scale 1'=y'p ' `l~ CU1Z . S ~t S Ste. y O- Z. 3 ~-t I~ ~ Z 3 3 ~-e2` g ~. ! oT ~ LpT ~ Q7 --^-^- - - "" - V) .- ~ ~~1•tuu~.~. goo .I - a ~~ l~l 7 ~svctv~lu~zs eve n~~- o~~vr J ~ ~ ~.3 30 ~ ~ ~~o 8g, ~ \ ~ `S ' ~ ~ ~ • B.1 ~ /so. \~o ~ Gs ~, o \; Do NnT cnr~~er n~ D ~~~v`ZC3 `~ls ~~1 g9 s 2I gw)~1--1 -_..~--.-1DD_ O' orb S"~;C; 3-~yu.Dl~.._~VC-_-P1t~_ ~/_L}~ _-- ~'fYwK,e~. I~GG ~~0-3-oZ 715-425-0165 J~ CST Signature Date Telephone Ito. 220254 'OZ-ZZ7- 7 CST P1o . Job P10. 06/15/2004 05:40 17156844630 ALWIN O*raerBuyer MaiWta ABdrea ST CROIX COUNTY SBpTIC TANK MAIN1'BNANCE AC3REEMENt' AND OWNBRSHQ (~;'ripiCATiON FORM ~ 5 ''~ 1 ~ Id l ,Z' s- vo (Varisoatioo ttgrritad liaa~ iMaaoYt D tar °~" ors ,~, ~ ~r Paroel Ldaetific~tion Number _sw~o .~, ~ ~7 ~!~ `a° _ • ss~ y Looadon NW yh ~IJ '/.. Sec. _,~. T~~N-R~_W. Town of Snbdiredon ~ ~ Lot 11.,,,,~. e sonaq Map ~ ~6 -Volume =_. Page ~ yz_ w•~•a neea r ~ ~f ~ 1R~ . vota~ ~1 z ti p,~ ~ . !$ spec b~ o ~ a o'o I,oc Ima id~atdfisbte ®ya C] no b~par.ae asd eorirar ae~ic aynmt arWd ta+n{t is ita pttaature tafiate 1a handle yea. i'raPer Boa ca.aaa of ptaatpia~ am ~e septk ~ok.wa7- +I~.e y.av ar aeaer, i~ needed by • iioaaad pvmpa. ~ 1~ Pm i~ dte m°dm oat sOltet the timctioa ~ are aeptle tilt a a a..e~ tatp !i tba wtpa dieMoaa! ayreem. 11e ptapatty owner apeea m enbdot to St. gait I~t I)apasRmmt a ceetlSatb»t form. a+~d by the o~ attd by a ~*P~. i~Ya~ P~ a: a lfoeneed pumper vRitl'~ f tLat (I) f>se oo-t~ atdiepoeal Meem is is proper epemtia!~ ooaaiiioa aadlet (Zj abet Iwpaelfoa aua paoepioE (if nooamrr~ are eepbic tank ie leas than U3 llsll aii alw~. I/wa, ~ u~dadjaed sore mad the abare >hega6amob sad ~ b >saatnesin the private aewade dapoal •~ the tfi°as~ae set teeth. hsain. as rat by tlse Depat~ of Ceotmwoe and the Depaemteat e[ Natural Raovroa. Stan of wisooeai~ Ce~ieatiat at+t+at that >~ +~'~ hm boa mart ba eoetpleeed sad ten~taed to the St. taroit Caantr Zonlot Oboe rridm 30 dara~~the 7aar DATE I (we) oath} llwt a~ etaieoteab m dNa toeta as ttae m the beet of aiy (our) lruowlodge. I (we) sax (ere) the owra(a) of the p btq d ~icribed ab - b7i of a ~raeaety deed facade/ ae Ret~ o! Daedt Office. ~- .~ ~ DATE •••••• Aqy ia[amaMon tha a tsiFtapeaeeaodapy ttaWt is the woitary Pamir beu~ revotoed by the Zonios Dspstnoeert- •••••• •• Ifaeiude wilt. atde s~Meatiea: • wmp~e vanaetp ied !iota the RePit~s of Daeds oPttce a caPgr of ~o aariiMd wtrap asap if cetaceans is rands io the wamnty decd U 2y25P 618 STATE BAR OF W ISCONS[N FORM 2 - 2000 Document Number WARRANTY DEED This Deed, made between George Birkett, a/k/a George L. Birkett and Doris Birkett, husband and wife Grantor, and Bradley N. Holzer and Alison J. Holzer, 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 adde Birkett Addition in the Town of Eau Galle. Located in part of the Northeast Quarter of the Southeast Quarter (NE I/4 of SE 1/4) of Section Five (5~ and in part of the Northwest Quarter of the Southwest Quarter (NW 1/4 of SW I/4) of Section Four (4), All in Township Twenty-eight (28) North, Range Sixteen (16) West. Exceptions to warranties: Easements and restrictions of record. 742 1 9~ KATHLEEN H. MALSH REGISTER OF DEEDS sT. cROIx co. , MI RECEIVED FOR RECORD 10/02/2003 09:95A~ MARRA?1TY DEED EXEMPT ~ TRAItSEFEE: 128000 COPY FEE: CC FEE: PAGES: 1 THOMAS A. MCCORMACK PO BOX 2120 BALDWIN, WI 59002 008-1015-10,-20 Parcel Identification Number (PIN) This is not homestead property. (~ (is not) Dated this ~~ ~ 1'1 day of ~ ( , 2003 i * * Geor a L. Birkett < ~ C~C~' s * Doris Birkett AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss. - St. Croix County ) authenticated this day of --- --- Pet sonally came before me this day of 2003 the above named George Birkett, a/kla George L. Birkett aad Doris Birkett * ,. . TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Baldwin, WI 54002 (Signatures may be authenticated or acknowledged. Both are not necessary.) Notary Public, State of WISCONSIN' ~'•.; ;?' ~_..~ ~ My Commission is permanent. (If not,atat~;~' , cite: ~~ * Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN INFO-PRO (800)655-2021 www.infoproforrns.com FORM No. 2 - 2000 ._ ~ o+w~v~r e a ------ -----------------__~ _~ u~i,-- -----------------~ s e N ti LOT 5 W a MM M 0 130, 786 SQ. FT. OR 3.002 AC. S 85°Og~40~~ W 255.35' 0 e LOT 6 O 225,388 SQ. FT. OR 5.174 AC. s~-E a~.u ~_ n, --~----~-------- 8 LOT 7 e 'r~-, ~I W s ~- N O 71; e o 205,437 SQ. FT. OR 4.716 AC. W s M N O N ba s line. ~ c 3 E~ CK ~gtRICROHs ~s ept sys ~sttiction is for the M µ~{~µWAY S pip g-t ttAPROVEMEH'~g~ ~ be enforceable by of Transportation " M cr ~ ___ TY AND STATE HIGHWAY_~ _ g~g,4CK~INE~?~ rlty Highway Department. COUN Z ---- -' o NO 117.82 ~ x--X_- __--- ~- _ ~ -x S 85°09'40" W 162.37' _.._ ~ -------------------------- AC~ESS O 266.64' _~x-~ x -x-~- Q a4'14" W 3.46 D ~~ v~ ~ 2 r m Y "94" _ _ .. STA_T__E. H~GHWA=--_ _ _ --- !N__T__ER-----_ _ _ . _ - _-- - ___- ___- __-- ~-- UNPLATTED LANDS (OWNED BY OTHERS ~/~ 10~05I2002 09:31 17154256864 WEGERER SOIL TESTING PAGE 08 ' WlsCansinQepartrnantofCorrurserce SOIL`EVALUATIQN REPGRT Di i 1 v sion of Safety and Buildings Papa of in accordance with Comm lj3, tMs. Adm. Coda Attach Complete ;site plan 4n paper not leas than.8 Tf2 x 11 inches in stxe_ Plan must County ~ 1 - C.fi7..U ~[ indude• hart root limited to: verdsal and tsorizontat reference point (6M), dlrecUOn and Pen3ent slope. scale ar dimensions, norYts arrow, and tocatian and distenc;~ b nearest road. PstFcei l.D. ~~~! ~ G Please p~iirtt all Information. Perannes tntormation You provide ms Oe us d r ~,(b~y ~~ e B /yln~,( ~ ~~ ' y e a secondary P~yPOSee (Pmracy Law, a 15.04 (1) (m)), 1~' w c ~^'r~1 / ~J ~~~ ~~ Property Location U ~ r• -t- ~~~-~7~ ~~'~.~T" l 6e+~{ei- 1a1.t..) 1/4~1~1~ 1/4 ~ r Z~ N R ~p Ei W Property C-wnel'9 MaiSng Addre3a ~- ~ ~ ~ ~'Tl. Lot ~ BEadc # Subd. Name o ~ City State Zip ode one Numtser [] C1ty ~ Ylltage'Town Nearest RCad ~3~1~~1Nij~ 3+v1 ~~4D ~. ("'?!.3) (~ - 4°1ll ~~ria C l ~S'T1~ tic-: , ffi New Con tructi s on Use: (~ Restdanflal / Number of t>adrooms =~ Gads derived design flow rate Replacement -- [~ Pte61iC or conimerdal - Describe: D Parent rrratsrlal ~ 1...~~~ ~}(` '~ 1.,k ... ~„ Fioad Plalrt elevation N appUcable X1 . ~ rond8~: ~ov>~ ~q ~~.6 ~ ' ~~sr~ ~~,`noy..~ c~-~. DEC 1 12~®~ , ~ - n~ t >~ v ~ X014 b ~ s ~rr..~ ~ tv~ ~-L1~1`('l~vtzr. ~ EU , Ltjcy , ~ ' sT. c~~l~c ~~ly~~ zoNtr~ ~~9~€ ` [~ Boring t ~ ~ ~ Pn Ground ssrrtaoe erev. g q . ~ n l~ ~_ Depth to 9rnidnp factor in. Horizon Depth DonUnant Odor Redox DescAption Texture Strucqusa Conalstenae Botm dory Roots Soil Application Rdte CaPCVfN In. MunseU Qu_ SZ Cont. Color tu, Sz. Sh. `EM1h •Etfff2 l a--8 1~~~~tz -- ~- I z ~sb rn ti~~ ~~ ~ ..~ .~ ~ ~-~-~ ~o~ e ~~ i ~ ~~sbk m ^--w 1~ • s - $ 3 ~ ~ ~-s~t~y! c~ ~-S~r~sl~ L o~ mv~- ~- - ~ ~s t--~ ~-, Boring f! tJ aor,np . ®Pit Ground taafaCa elev. ~ d C~ • ~ yi. Depth to limi !dGtOr i 1ri• ~ ____- Horizon Depth Dtx;Mrlant Cobr Redox Desdiption Texture ~"""- StntCttxe Constslenpd 8oursdary $OiI AppR~tion f~tt Roots C,PDV}~ hs. MurlBell t7u. St. Corsi Color Gr. Sz. Sh. 'E(flkl - 'Etf1fZ a ~8 town-~ l ~ ~ s i i L~Sbjz. vn v `~i~ G~ zr~ • 8 ~ -•1.8 1aK2s1 ~•~ ~ sblz m`f~ t^h1 -.S •~ 3 ~-~l ~~~~~~ ~ ~-s~r~s~s ~ ~>~ rn ~, - .3 ~5 " Eflluertt irtt m gppa ~ ~ T 22Q ~- and 733 X30 t 130 mglL • Eftlsurtt #2 ~ t3Op < 30 ~ _ mglL and T33 ~ 30 melt. G3T Name (Plesse prhlt} 1 tU - NUrt9ber grthur• L. Wagerer ' d`~ ~~-7--7 220254 • '~ We g~e r e r Soil Testing & D e s i g n 421 :1 S e r v i c Q ~'~' ~ Talephene Nunsber . Bain St. River Falls, WI 54022 ~~_ 3_p~ .J15-425-0165 '.002 09:31 1~15425b864 WEGERER SOIL TESTING PAGE 09 Property owner _ ~ L V2,_.I~... ~ `r Parcel ID >R ~ ~~! N ~ Page _ ~ ° f ^ 9oring B i -~-' I l oring # ~ pit (around 8urfaoe also, na . ~ fi. Depth to Ilmltlnp farxor~I in. , sar icaavn Rate Haizon pepih Dominant Dolor Redflx DescrlpUOn Texture Shudurs Canslstsnce Boundary Roots taPOrR: in. Munsall Qu. Sz. Gortt. Caor Gr. S=. Sh. "EfMFt "Eff#2 ~ _...~ ~ t~ sZ ~~ z --- s i b z`f s b rn v~P h c S ~'#~ - s • 8 Boring !~ ^ goring . ^ pit Grou nd surtaCe elev. ft. Depth to tlmiUnQ faCta _ In. sal Appacation Rate Horizon ,Depth Domnant Cola Redox Desrriptlon Texture Stnrcture Consistence tBoundary Roots QPD/tt' In, MUn9ell t]u. Sz. Carl. Cda Gr, 5z. Sh. 'EfI~k1 'Eff#2 .~ eorlnp # ^ Baring ^ pit Ground surface elev. ~ tt. Depth to limnnp factor _^„_ . „_ in. Soil tlon Rai Horizon Depth Dominant Cdvr Redox pestxiption Texture Structure Consistence B oundary Roots PDMt* in. Mansell QtJ. Sx. Cont. Color _ Gr. Sz. t3h. •E f{~ ~ ~ff#2 ` Etlkisn! #1 = Bt]De } 30 ~ 220 mg/L and T53 ~-30 ~ 150 mplL • Eiftuent rf2 ~ BOD, < 3tT mp/L and TSS < 30 n1L111. The Department of Commerce is an equal opporntgity service; provider and employer. If you need assistance to access sf~-icea or Head material in an altetytate fota>gt, please contact the department at608-266-3151 ar TTY 608-264-8777. 99D1380 (R-Q/DO) t F. f D7r~2©~2 09: 6~ 17154256864 I~EGERER SOIL TESTIhJG 1 • PLOT PLAP~ • Scale 1' ='gy'p ' ~ f~ ~R S ~^C S SAC L•{ p. 4 3 ~•~ i 't'0 ~ ~1 .D'T v L•Ol- ---~-. I . PAGE D1 Fage ~ of ~ al o~~-~L. lrao-t ° ~'z-, X01.7 =, C`Ur+7 'T'~~-oL. ~. - $-3 ~'i'~~ ~ a , ; ~0 f _ M1 J~,rn t~l-J ~ ~ , ~ v ,~ ~~,, -- ~.. ~~ r~aT aor~cx~r c~~ - - J + ~9 s ~I "$.~M~i-1 - . ~. )o.t~_ a' ark F,"`T~P~LL ; 3~c~N~A~~vC_.P_I.}~"_k:+./.~.~_._._, +~t„«(, ~0-3--0~ 715-X25-O1b5 220254 'C~Z-X2.7-7