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008-1017-90-400
St. Croix County Planning and Zonin Monday, December OS, 2005 at 2:10:24 PM Detail Sanitary Information Page I of I Computer #: 008-1017-90-400 Sub/Plat: NA Section: 6 Parcel #: 06.28.16.89E Lot: 4 TNIRNG: T28N R16W Municipality: Eau Galle, Town of CSM: Vol. 16 Pg. 4360 1/41/4: NE 1/4 SE 1/4 . ... .......... . . — - ....... ... I - ----------- Owner: Baker, Arch & Merle Trust 2171 55th Avenue Baldwin, WI 54002 State Permit: 420510 Issued: 10/28/2002 POWTS Dispersal: Mound Permit: Replacement County Permit: 0 Installed: 10/31/2002 POWTS Detail: NA Bedrooms: 3 W1 Fund: POWTS Pretreatment: NA Notes Inspecto As Built Plumber Other Requirements Additional Notes Money Owed Pam Quinn >4/1/00 - Not Required Bird, Byron Jr. previous parcel # and computer number were $0.00 Signed Off: Yes retired when the lot 1 of CSM vol. 912662 became Lot 4 of more recent CSM Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 10/31/2005 - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Parcel #: 008- 1017 - 90-400 12/05/2005 01:52 PM PAGE 1 OF 1 Alt. Parcel #: 06.28.16.89E 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): 0 = Current Owner, C = Current Co-Owner MAXWELL ARCO 0 - ARCO, MAXWELL 2171 55TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2171 55TH AVE SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 2.066 Plat: 4360 -CSM 16/4360 FKA 09/2662 008/02 SEC 6 T28N R1 6W PT NE SE BEING LOT 1 OF Block/Condo Bldg: LOT 04 CSM 9/2662 (17.41 AC) (EZ -U- 1113/026) NKA CSM 16/4360 LOT 4 2.006AC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 06- 28N -16W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 07/01/2005 799212 2834/591 WD 11/13/2002 698212 2044/439 WD 08/30/2002 688844 16/4360 CSM 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/12/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.066 22,600 70,900 93,500 NO Totals for 2005: General Property 2.066 22,600 70,900 93,500 Woodland 0.000 0 0 Totals for 2004: General Property 2.066 22,600 70,900 93,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch M Specials: User Special Code Category Amount 010 - GARBAGE SPECIAL ASSESSMENT 138.00 Special Assessments Special Charges Delinquent Charges Total 138.00 0.00 0.00 St. Croix County Zoning Wednesday, January 14, 2004 at 11:00:46 AM Detail Sanitary Information Page 1 of I Computer #: 008 -1017- 90-400 Sub /Plat: NA Section: 6 Parcel #: 06.28.16.89E Lot: 4 TN /RNG: T28N R16W Municipality: Eau Galle Township CSM: Vol. 16 Pg. 4360 1/41/4: NE 1/4 SE 1/4 Owner: Baker, Arch & Merle Trust 2171 55th Avenue Baldwin, WI 54002 State Permit: 420510 Issued: 10/28/2002 POWTS Dispersal: Mound Permit: Replacement County Permit: 0 installed: 10/31/2002 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: Unknown Notes Inspector As Built Plumber Other Reouirements Additional Notes Money Owed Pam Quinn NA Bird, Byron Jr. previous parcel # and computer number were $0.00 Signed Off: Yes retired when the lot 1 of CSM vol. 9/2662 became Lot 4 of more recent CSM Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 10/31/2005 - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF EAU GALLE COMPUTER NUMBER 008 - 1017 - 90-400 Parcel Number 06.28.16.89E OWNER NAME: First JOSHUA Last SCHWEITZER PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 2171 55TH AVE SECTION 6 TOWN 28N RANGE 16W '/4160 SE 1 /440 NE Line Description Line Description TOTAL ACREAGE 2.066 PLAT CSM 16/4360 FKA 09/2662 008/02 LOT04 BLK 01 SEC 6 T28N R16W PT NE SE 15 02 BEING LOT 1 OF CSM 9/2662 16 03 (17 ) "-All 0 KA CSM 6/4360 LOT 4 18 5 2.006AC 19 0 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit County: Wisconsin DdpartmentofCommerce PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420510 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Baker, Arch & Merle Trust Eau Galle Township 008 - 1017 -90 -100 CST BM Elev: Insp. BM Elev: BM Description: b af s l o� �► � a TANK INFORMATION EILEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Bench m ark Dosing , _ )� p� Alt. BM Aeration , 00 ` Bldg. Sewer Holding _ 4 SUHt Inlet qs �j 2 TANK SETBACK INFORMATION SUHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet l9 Septic , t Dt Bottom Dosing , .� > Z� I / �, 7 — ' — Iv 61A-,aA Header /�an. I V Aeration 0 Dist. Pipe Q Holding Bot. System / 79 PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM Model Number / SZ_ TDH Lif Friction Loss System Hea TDH Ft • 3. 3.. I(o.tj Forcemain Length 'r Di k, Dist.toWell SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS —n •r SETBACK SYSTEM TO / P /LyjJ JWG WELL LAKE /STREAM EAC NG Manufacturer: INFORMATION CH R OR Type pf System: / 7 S-6 , �� T Model Number: DISTRIBUTION SYSTEM g / Head Manif Distribution k2 ( x Hole Size x Hole Spacing Ven Air Intake Z I' Pipe(s) Z g g� Length Dia Length Dia pacin SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed(Trench Ed es To soil / g Top �� Yes [N-] No IN Yes U No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1 / / Inspection #2: �� /�[_ Z Location: 2171 55th Avenue Baldwin, WI 54002 (NE 1/4 SE 114 6 T28N R16W) NA Lot - Parcel rlo: 06.28.16.896 0 �-+-o Low � wo 1.) Alt BM Description 2.) Bldg sewer length - amount of cover 3.) Contour Plan revision Required? Yes No Use other side for additional information. _ �� I ru reDate Insepctor's n Cert. No. SBD -6710 (R.3/97) Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 NV i sconsin Personal information you provide may be used for second purposes Madison, WI 53707 -7302 Department of commerce / Privacy Law, s. 15.04(1)(m)] � p u � (Submit completed form to county if not 6AC0_ o� � o state owned.) Attach complete plans (to the county cop6t only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ Check if revision to revious application State Plan I. D. Number I. Application Infor mation - Please Print all Informatio Location: Prop e ner Name _ Property Location�_�� r It+ 2, /6z Y 1/4 � Tw AE Prope Owner's Mailing Address Lot Number Block Num 1 F" 2 2 2002 City, State Zip Code Phone Number Subdivision Name or CSM / I . Type of Building: (check one) , ❑ City 1 or 2 Family Dwelling - No. of Bedrooms: �✓ ❑ Village `�JJ Town of ❑Public /Commercial (describe use):_ � _ � ❑ -Owned J, / / ' (�/!1d !cu tS .Z (� � .. � �T r-.-� ��� G� �� q�l Nearest Road, "e 0 ' 5 � 0 9y0 / -D 0 P T Numbe s) III. Type of Per (Ch a tLwon line A. Check box on line B if applicable) A) 1. ❑ New Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System S stem Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ❑ Non - pressurized In- ground Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: S o, W44ylvd l fqo - k/ 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Ap lication k5. Percolation Rate 6. system Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq, ft.) inc Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks Ar 05-e X Tee VIII. Responsibility Statement I, the un dersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plum 's Name (print) / Plumb e ' ature (no s �^ MP/MPRS No. Business Phone Number u� Plu is Address (Street, City, State, Zip Code) IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Da Issued ssuing nt Signa o stamps) pproved El Owner Given Initial Adverse Surcharge Fee) S I Q a u O Determination 3 a J U X. Conditions of Approval /Reasons for Disapproval: I 1-�ti Grrn. Ced vI� s-� 1 1'e n,E',i,�J Oz tWn-QA-J Z �Zf �07.v7'to's-'/� /9/ s ys4 f ` 3 /h nwr, . sef6 actP/ 4 £f 3. q3 SBD-6398 (R. 07/00) /'t►J tGt�riJ�1L'I k� dryv,..w PLOT PLAN PROJECT Arch and Merle Baker Trust ADDRESS 2171 55th Ave Baldwin Wi 54002 NE 1/4 SE 1 /4S 6 /T 28 N/R 16 W TOWN Eau Galle COUNTY ST. CROIX MPRS Byron Bird Jr. 220527 ` / DATE9 / 26/02 BEDROOM 3 CONVENTIONAL AT- E VENTIONAL LIFT HOLDING TANK MOUND XXXq SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 848 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Base of Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLIs (DWELL - H.R.P. Same as Benchmark SYSTEM ELEVATION 99.0' 55th Ave Scale = 1 /4 11 = 10' Area 15' Below 8% Grading is to be done to divert run -off 9 6 ' away from system System is to remain Slope undisturbed 97' B -3 98' 99' ❑ Existing 3 B-1 Bedroom .x House B.M. * 33 Alt. B.MB - 0 �(jp Shed 3% Slope Garage 4 >42' of cover Tanks are to be properly DT Weeks ST bedded and provided with lockdown covers with 0 approved warning labels apumpeda�nd DW m r low Trench Li 331' Property Line ? r' e � r • X a , .t ?kfi i Y b�Y Cover Page g x y Ah fii t �1. 3ft Byron Bird Jr. Byron Bird Jr. Plumbing Inc.' = 896 68th Ave Q s + AmeryWi 54001 715- 268 -7616 Date: 9/26/02 Owner: Arch and Merle Baker Trust Location: 2171 55th Ave ?a� System type: Mound System :. 9 "t+:i .,�.h . '„ ...., ; :._ � „�:. Y h� x� � + a '� ♦ a$� Manuals Used: Mound Component Manual version 2.0 (01/31) N Pressure Distribution Manual version 2.0 (01/31) ` h Page# L G 1. Cover Page 2. Mound Plot Plan 7 ) gall 3. Mound Cross Section t` 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section d5 6. Pump Curve �, ots6 x 7 -9. Maintance and Contigency plan 10 -12 Soil test T1 2q�4 t � 5 Signature` ZZ License number 22 527 -� Ff x� Sr� o- �_ "* rte' 9/26/02 y �' i is + t N., p ; z a:� o' ,i;yy •fin. 5G it^ y e PLOT PLAN PROJECT Arch and Merle Baker Trust ADDRESS 2171 55th Ave Baldwin Wi 54002 NE 1/4 SE 1/4s 6 /T 28 N/R 16 W TOWN Eau Galle COUNTY ST. CROIX MPRS Byron Bird Jr . 220527 , DATE 9 BEDROOM 3 CONVENTIONAL AT- E VENTIONAL LIFT HOLDING TANK MOUND XXXq SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 848 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none IL BENCHMARK V.R.P. Base of Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 99.0' 55th Ave Scale = 1 /4 11 = 10' Area 15' Below 8% 9 6 Grading is to be done to divert run -off System is to remain Slope away from system undisturbed 97' B -3 98' 99' ❑ Existing 3 B-1 Bedroom iK House 0 � B.M. * 1 S 33 f 4� Alt. B.MB -l 0 ,� u Shed 3% Slope Garage tl' >42' of cover 16 -74 Tanks are to be properly DT Weeks ST bedded and provided with lockdown covers with o approved warning labels pW (be sting stem has ed and is to CD pumped and Overflow Trench ried ,�.� 3- 331' Property Line Date Non -Woven Filter irabric 4" Observation Pipe Perforated Below Filter Fabric Distribuf ion r ASTlt C -33 Sand / ' q P i Topsoil 7. Slope Bed Of �a 2 2 Force Motn �Fiowed: Drain Rock from Pump L er D Cross Section Of A Mound 'System Usino 12 A Bed For The Absor do ea F 4 4 G r ( Sv A � F . k 'T t. I Ft.- ( z� Ft , ... ' w , Ft. 4 ion Pipe -- , e K N W ! o - - - -- --------------- --------------------- ! Forte Mom p Distribution Bed Of f 2 ! Z Pipe Drain RocK Observation Pipe Permonent Morker Pipe or Rods Pton View Of Mound Using A Bed For The Absorption Area i PA O E.OF__,_,„ t u V. Perforated Pips Oetaii 3 l4 W s 4 9 s�y1 E `v 3p 3 T {a? End Viaa d x «« ' PcrtorOttd PVC Papa ..r • +r yy "Met LOtaft d Ca 8010mr a ����✓✓ Art EquJI Spot d ar <<. SP 1 PVC Force Moir , PVC MOtWfofd Not �G,S•t�0�� Oistriou4on _ Not u�os Distribution pipe tayont x Ft.. R Ff. �fo� Inches . Inches. Signed: Hole Diamete Y 04 , License Num er: 22 05'Z '7 Lateral ' Z • Inch( 0" f Manifold' ". 2 Inches Date Force Main ." Inures f of holes /pipe Invert Elevation of Lateraif /� /�/((�////j 7F , f4nr 1!11MP t;MAME�iR CROS>i ![G�tOM R!►,G S![GiR #]3 YCMiT CAS L:. vt i! pipe ", T 1dtATKCR /Rt�Of f •fRROr�� LOGNituf'i d0"*. 1 { .:u%scvlo u sox : 1M&0"0t.0 *&Wt* � is sAR1+ 1s'M1�. ywOw on roNil i ORADC ! �' dL WAIN. tuq.c Y rttowat � MATIAKT UAL t f f 1 � t I ws.witK s � " APPR011EO � 1 � A~EC PIPE O 3 OLID SOIL lob Orr CO�1CRtTi iLACK RiflR *VAT slRAIM QUi y W 8 MUK AMWASTUSTA Mg 4MMI ArrILOVILl. tV19R ,RPEL' t�01t ' SaYf1 MANiiRACT1dRllli �P WPW OF Ooib: 1•tR � TAWK Wit. et►u�ls 4069 VOLURC � �w�Ct�eRsR: � s s > < t�..o tttilf.WOiN�r tlA sK�i.w: � AI►tiLMy AOOtfr wYMKR� �- ✓ "FAC174P A = A�. M wcl Olt S� 2 OMB M 1'tMLi i • lug >iti OR ' Mt.1.Mli 1'�►MWIKT11RtR! C • dim "M y►LSNi� �+o0s� *WMI<tR: 2 - 0•..�..�wCwi60R ' AwlNluM OtsCtMl►Rlli RAm O ►M iW"1690 OU at�A co �GIR4tl" VMMAU DIPP& S M "Twagal Pwqp er rwo GWOWTSou � . ..492. vFs0'r`i °/ * Alulnum 61CTwelt !- /', tt iLl#!�O 'lttilliRt ........... ttlT !°�� 0 res? oe sages PAI01 x- -3 -:., .. t�,ow eu q►s*� m '� ?'+s*s►t. ossww�c Mtge •. 1►s< tiTMAL QErEt ys Qf TLlt;,liR: Jt ,..,�......� -mummumummum,,,, o o Llawo DCP'PM lov rVE G: � t. ►Ct: iJ:F �.N.itr►i3E R �._..11 �� . �. TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE tFFLUENT AND DEWATERING 9X MODEL 1.52/153 � W MODEL 152 153 M 50 Feet Meters Gal. Liters Gat. Liters 153 5 .1.5 69 261 77 291 12 40 152 10 3.1 61 231 70 265 15 4.6 53 201 61 231 _ 20 6.1 44 167 52 197 30 25 7.6 34 129 42 159 0 30 9.1 23 87 33 125 C 20 1 35 10.7 -- -- 22 85 ° 40 1 12.2 -- -- 11 42 4 Lock Valve: 38.0 Ft. (11.6m) 44.0 R. (13.4m) 1 D 014 0 20 40 60 86 100 GALLONS LITERS 0 80 160 240 320 8 1/4 3 27/32 4 5/8 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 Timed dosing panels available. Electrical alternators, for duplex systems, are available and supplied with 3 27/32 an alarm. • Variable level control switches are available for controlling single phase systems. l I • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed OA -Box available foroutdoor installations. See FM1420. t Over 130 °F. (54 °C.) special quotation required. , I 1SX153 Series" 12 1/8 ISVIC MODELS control Selection Modal Vo -P h Mo SI ex N152 115 1 Non 8.5 2or3 5 1/8 8N152 115 1 Auto _ 115 Included 2or3 E152 230 1 Non 4.3 1 2or3 BE152 230 1 Auto 4.3 hwiuded 2or3 N163 115 1 Non 10.5 1 2or3 BN1631 115 1 Auto 10.5 included 2or3 SELECTION GUIDE E153 1 230 1 Non 1 5.3 1 1 2o,3 1. Single piggyback variable level float switch or double piggyback varl" level Net SE1631 230 1 1 Auto 1 0 1 Included I 2or3 switch. Refer to FMD477. FA 2. See FW712 for cared model of Electrical Altemator E -Pak. AN Installetion of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a Control acttvaior, specify dupbx (3) licensed electrician. All electrical and safety codes should be followed Including the most recent National Electric Code (NEC) and the Occupational Safety and Health Ad (OSHA). or (4) flat system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. UK TO. P.O. BOX 183 47 SNIP TO 366C&"RrxtRoad 1Hanrdacit►arsa.. Ai couisvl6e «v4o2 1 tassl , /99" • PUMP !O. (5n �- 2731.1(80 928~ htfpJAvww.zoeller com FAX (5M 774 0 Copyright 2000 Zoeller Co. All rights reserved. -• , fry Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the mound is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegitation are not be planted on system. The `system is not be driven over. 10. Effluent Quality is not to excede the requirements found in Comm. 83 Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump without float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and calla electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer, rock, retill soil, install new mound system. 3. Replace any other failing components as needed. °rv' Important Phone Numbers Plumber: Byron Bird Jr. 715 - 268 -7616 Pumper: Tom. Mondor 715 -246 -5148 Y± iS St. Croix County Zoning 715- 386 -4680` Byron Bird Jr. 715- 268 -7616 - 9/26/02 j Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 ,V honsin www.commerce.state.wi.us/sb www.wisconsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary October 18, 2002 CUST ID No.220527 ATTN.• POWTS Inspector ZONING OFFICE BYRON BIRD JR ST CROIX COUNTY SPIA 896 68TH AVE 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/18/2004 Identification Numbers Transaction ID No. 794774 SITE: Site ID No. 651523 Arch & Merle Baker Trust Please refer to both identification numbers, 2171 55TH Ave above, in all correspondence with the a' enc . Town of Eau Galle, 54002 St Croix County NE1 /4, SE1 /4, S6, T28N, R16W FOR: Replacement mound, 450 GPD Object Type: POWT System Regulated Object ID No.: 874046 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. Coll The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: PP _. SAFE ,tn F • This system is to be constructed and located in accordance with the enclosed approved plans and with the �- "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P ( N.01 101) and the 'Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10706 -P (N.01 101). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • 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. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Note • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • If the force main is to be installed in the downslope area (see plot plan). The trench for the force main may not be wider than 12 inches per Mound Component Manual. BYRON BIRD JR Page 2 10/18/02 • The bottom of the distribution cell shall be level per the Mound Component Manual. • The maximum finished slope of the mound surface shall be equal to or less than 3:1 per the Mound Component Manual. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Abandon failing system per COMM 83.33. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state 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 addresse a -pra. 'de a copy of this letter to the owner and any others who are responsible for the installation, operation r maintenanc o f the POWTS. Sincere Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L Shan POWTS Plan Reviewer, Intl ed Services WiSMART Cade . 635 (715) 634 -7810, Fax: (715) 634-5150, M -F 7:45 am - 4:30 pm pshandorf@commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 i I 1585 Wisconsin Department of Commerce SOIL EVALUATION REPORT p age 1 of 4 Division of Safety and Buildings `r �j 4 -� fwd Z A.C.E. Soil &Site Evaluations in acc ance wlt Comm 85, Wis. Adm. Code Attach complete site Ian on paper not less than 8'% x 11 inches in size. Plan must county P P PaP St. Croix include, but not limited to. vertical and horizontal reference point (BM), direction and pares I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 008 - 1017- 90-400 Please print all information. R Date Personal information you provide may be used for secon (m)). I Z? Property Owner Pr Location Arch & Merle Baker Trust C/O Joyce Fo Govt. of NE 1/4 SE 1/4 S 6 T 28 N R 16 W Property Owner's Mailing Address , r Block # Subd. Name or CS M# 2171 55th Ave. CSM Vol. 16, Pg. 4360 City State Zip C P"Number ity _( Village td Town Nearest Road Baldwin W I 540 ,�.5- 2da24W Eau Galle 55Th Ave. J New Construction Use: j6 Residential / Number of bedrooms 2 Code derived design flow rate 300 GPD 16 Replacement J Public or commercial - Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Install 21' X 94" mound system at elev. 99.00' at 12" above 98.00' contour. Existing system elevation = 91.71'. Boring # j Boring 1 6 Pit Ground Surface slay. 96.75 ft. Depth to limiting factor 40° in• Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft *Eff#1 *Eff#2 1 0 -7 10yr2 /1 none sil 2fsbk mvfr cw 2fm 0.5 0.8 2 7 -19 10yr4 /3 none sl 2fsbk mvfr cw 2f,1m 0.5 0.8 3 19 -26 7.5yr4/6 none scl 1msbk mvff cw 1f 0.2 0.3 4 26-40 7.5yr4/4 none cols 1msbk mvfr cw 1f 0.5 0.9 5 40- 1 7.5yr4/6 f2f 7.5yr5/8 cols 1 msbk mvfr - - 0.5 0.9 Horizons # 4, & 5 contain a hgh clay content as caly skins that are observable on indvidual coarse fragernents. Loading rate reduced to reflect paermiability restriction associated with high clay content. ❑ Boring # Boring Pit Ground Surface elev. 98.40 ft. Depth to limiting factor 24 in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlftz *EfF#'I *Eff#2 1 0 10yr3/3 none sil 2fsbk mvfr cw 2fm 0.5 0.8 2 8 -24 10yr5/4 none Sid 2fsbk mvfr cw 2f,lm 0.4 0.6 3 2 28 10yr5 /4 m2d 7.5yr5/8 sicl 2fsbk mvff cw 1 f 0.4 0.6 4 28-40 7.5yr4/4 f2f 7.5yr5/8 cols 1 msbk mvfr cw 1 f 0.5 0.9 5 4 3 10yr5/8 m3d 5yr5 /8 sc Om mfi - - 0.0 0.0 Horizon # 4 contains a hgh clay content as clay skins are on individual coarse fragernents. Loading rate reduced to reflect paermiability restriction ocied with high clay content. * Effluent #1 = BOD ? 30 < 220 mg/L and TSS f3O < 150 mg/L * t #2 = D <30 mg/L and TSS <-30 mg/L CST Name (Please Print) Sig ure: CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations Date valuation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 0 9/13/02 715- 248 -7767 Property Owner Arch & Merle Baker Trust C/O Parcel ID # 008 - 1017 - 90-400 page 2 of 4 F 3j Borjng # - I Bering SM Pit Ground Surface slay. 97.77 ft. Depth to limiting factor 32 " in. r Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -5 10yr2/1 none #Sil 2fsbk m vfr cw 2fm,lc 0.5 0.8 2 5 -18 10yr4/3 none 2fsbk mvfr cw 2f,1mc 0.5 0.8 3 18 -23 7.5yr4/6 none 1 msbk mvff cw 1 fm 0.2 0.3 4 -56 7.5yr4/4 none cols Imsbk mvfr cw 1f 0.5 0.9 7.5yr4/6 f2f7.5yr5 /8 cols 1msbk mvfr - 1f 0.5 0.9 Horizons # 4, & 5 contain a hgh clay content as caly skins that are observable on individual coarse fragements. Loading rate reduced to reflect paermiability restriction associated with high clay content. 4] Boring # -I Boring Pit Ground Surface elev. 94.58 ft. Depth to limiting factor 29" in. Soil Application Rate Horizon Depth I Dominant Color Redox Description Texture Structure Consistence Boundary Roots P *Eff#1 *Eff#2 1 0 - C none sill 2fsbk mvfr cw 2fm,1c 0.5 0.8 2 10 - none sicl 2fsbk mvfr cw 2f,1mc 0.4 0.6 3 21 - none sicl 2fsbk muff cw 1f 0.4 0.6 4 29 .5yr5/8 cols 1 msbk mvfr cw 1 f 0.5 0.9 5 44 - 5yr5/8 cols 1 msbk mvfr - - 0.5 0.9 Pit evaluated for Wisconsin fund purposes. Horizons # 4 & 5 contain a hgh clay content as clay skins that are observable on individuai coarse fragements. Loading rate reduced to reflect paermiability restriction associated with high clay content. F -51 Boring # _j Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GpDM *Eff#1 *Eff#2 Several evaluations conducted throughout property that were similar to or less suitable for POWTS than those reported. * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD S mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. l AU2 ■ So,'/ Ober d��r� , 33/.8 Cev4- -60-�l RAO 0 83 A55w.tcd eleLh 13 4 U !� S 51oP� / 01 8� 6-y 0 Z. b ed,-,v ►" ,y residcice" �$, eXiS•�;n1 Well ■62 qo t EXiS6 " � � ?99 SeoE,c 6z b e ✓v. �'^� Ex�:Sf7 �_lftkSt Cc1 e re COr] ?eG� o' rt cc. /;P(6 -,7d S S /o,�e S;d,•„�, Elea- � �'Rr�s.' � 9SS Fx,3 kc. cc /, F not G "n � un��cla,mc °� Q�andOn QS /.trCOde. ra ✓e l p, ��e-- �r Q m 331, 8 ' • w ' Im Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 7DD #: (608) 264 -8777 www.commerce.state.wi.us /sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary V hsconsin Department of Commerce October 18, 2002 CUST No Inspector — :: — E2UN1[Nu OFFICE BYR _ - - 896 68TH AMERY - 54061 Identi is ria on I um ers Transaction o. T4 - Site IDS o. 23 Plea ie er t both iden num ers, a ca ve, in all correspondence with the agency. CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/18/2004 SITE: Arch & Merle Baker Trust 2171 55TH Ave Town of Eau Galle, 54002 St Croix County NEIA, SE1 /4, S6, T28N, R16W FOR: Replacement mound, 450 GPD Object Type: POWT System Regulated Object ID No.: 874046 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P ( N.01 101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10706 -P (N.01 /O1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this ti information must be given to the owner upon completion of the project. • 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. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Note • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • If the force main is to be installed in the downslope area (see plot plan). The trench for the force main may not be wider than 12 inches per Mound Component Manual. • The bottom of the distribution cell shall be level per the Mound Component Manual. • The maximum finished slope of the mound surface shall be equal to or less than 3:1 per the Mound Component Manual. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Abandon failing system per COMM 83.33. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state 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, rricia an or an eviewer ; In tegrate ervices - , ax: (715) 634 -5156 ,_M-_F - 7:45 am - pm ps an or cominerce.state.wi.us ee equire�c ��73�� Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMBNT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address �� 7/ Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number 40— LEGAL DESCRIPTION Property Location V,, Sec. _, T N R, ,W, Town of Subdivision . Lot # Certified Survey Map # 4 4L Volume . Page # Warranty Deed # Volume I vZ d Page # Spec house ❑ yes no Lot lines identifiableO�Yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof 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 part into the system can affect the function of the septic tank as a treatment stage in the waste disposal system- The property owner agrees to submit to St. Croix Zoning Department a certification form, signed b&jhe owner and by:, a masterplumber, journeymanplumber, restrictedplumber or a licensedpumperv6dbing that (1) the on -site vas � ' is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less thsa =f ol`aittdg� Ilwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with ffie set forth, herein, as set by the Department of Commerce and the�Department of Natural Resources, State of Wises , ffi stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning OCerwlthitt 30 days of a three year expiration date.' A 0 k V1 SI OF APP DATE .; O R CERTIFICATION the oarner(s) of. 1(we) certify that all statements on this form are true to tha hest of my (our) knowledge. I (we) am the p rty described ahoy by virtue of a warranty deed recorded in Register bf Deeds Of p OF AP DATE * * * « ** * «s « «« Any information that is mis- represented may result is the sanitary pe rmit being revoked by the Zoning Department. «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of Z FILE INFORMATION SYSTEM SPECIFICATIONS Owner /-,� Septic Tank.Capacity ai 0 NA G c Permit # Septic Tank Manufacturer e e 0 NA DESIGN PARAMETERS Effluent Filter Manufacturer 2a 13 NA Number of Bedrooms ❑ NA Effluent Filter Model O NA Number of Public Facility Units A Pump Tank Capacity , i. Z n a ( ❑ NA Estimated flow (average) 4 1 !; al /da Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) 3e eq g al/day Pump Manufacturer 11,e v ❑ NA, Soil Applicalion Rate al /da /ft2 Pump Model 0 NA Standard Influent /Effluent QUA Monthly average* Pretreatment Unit 0 NA s,, it &Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection 0 Other: Pretreated Effluent Quality Monthly average Dispersal Cell(sl ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L 13 ❑ At -Grade 9 Mound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip - Line 0 Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: 0 NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ Month(s) (Maximum ❑ NA 12 ears) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ❑ year(s) Clean effluent filter At least once every: i ❑ h(s) ❑ NA 2 ear(s) Inspect pump, pump controls & alarm At least once every: 13 earl(s) s ❑ NA ) Flush laterals and pressure test At least once every: E3 mo ❑ year (s) ) ❑ NA ls) ❑ month(s) Other: At least once every: ❑ year(s) ❑ NA Other: 0 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications; Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) START UP AND OPERATION Paite 2 of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other, chelni r that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are d'eteCtBd fiave" lte c tints of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater Will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or Akface`disoharge 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 contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs;. degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the.following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83,33, Wisconsin Administrative Code; • All piping to tanks and pits shall be. disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another- inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure,, lot lines and wells. Failure to protect the replacement 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. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ; Name Phone _ Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name do 6 y Name r � 1 4 LO Phone / �� 5 / Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin AdmlAstrative Code. !. fe :'yr'U''� /:.if d `::i6 a . Y... & "�`i �s1: .,�� Y�ai16� s ':'.4►:�': �' C .'.Y� G.��t �fr'�N'Yr °'�: "c�wb�..�' `�3 #_1':��1 you VOL 1207PaA06 ,., c.� • s 551895 (. oa 4, i �c a a D oeumem Number t) ent Tide RGG!S T LA'S CFriCC ST cROIx CtY., WI t�aea.�a N01/, T, 1996 a t 9:30 --SSA-. M Reooedi a Area Name and Rahn Address tSon I *u ses �r0o� r � I Mc -id all S/df sre 3oo F iv t. tovv'q, yK. Aut_ w.sr u I u`r N U $A 96 Pand Ideoc6eatim M =W MM FEE X ° THIS PAGE IS PART OF THIS LEGAL. DOCUMM — DO NOT REMOVE" Mus wfwm bou mug compkW b7 mbmiaea: docoeay dr4_ m we A nave addrem, and L!N N-qu&-% Oder iVorwadow "A aw rtie jrmu+wp claa<ret, kjad de-W&.. taa may be placcd - dHrA page of d e doaoncw or may be placed an addidand Met of 4e dxrawa.t A We. Use oJAit cover pa jc adds owe paec to your docsgnart aid $100 W dk ncor+�wt fu. 1 bcomin &.maw. 3P.5I7 WMA I/M �_.�..: -.n �: =.s..:: : :.�:4.�r_; rt:+:.rA:,"F ..:.:- ;:��'®"_..,�.s'] GTE:,,' i�. a._:...; I�: I�:.t.. s... as" M: 1Yt- QMl tl ta��wcr•!'_ r..*. L9.&• FlIJ '.•,[1�b7.,- .d�i� +�rrc�.r - - -- ,.. w 1207wfin7 DOCUMENT NO. State 3ar of Wisconsin - Form 2 WARRANTY DEED This space for recording data 1 Return to: ARCH J. BARER AND MERLE H. BARER, husband and wife, as Joint Tenants with the Right of Survivorship, convey and warrant to ARCH J. BAKER AND MERLE H. BARER, as Co- Trustees for THE BAKER FAMILY TRUST, DATED SEpaMgE2 2a, 199 _L, the following described real estate in St. Croix County, State of Wisconsin: Tax Rey No. See back for complete description. This is homestead property. Exceptions to warranties: i Dated this dap of 199. Arch a. Baker Merle�H. Baker • ACKNOWLEDGEMENT � STATE OF ) COUNTY OF Personally came before me, this day of , 199(4, the above named Arch J. Baker and Merle H. Baker, husband and wife, to me known to be the persons who executed the foregoing instrument and acknowledge the same. �a�+.aha �C! n oLFQ.t� Notary Public This instrument was drafted by: Andrew R. Larson LARSON, HUSEBY & BRODIN, LTD. �� F'.,� 5 Worth 4th Avenue West O TA R Y 9 G'� Suite 300 Palladio Building ? Duluth, Minnesota 55802 PUB LlC,,: Nmry �������� 1Vh• -State d Wiscw,, # #.....,x i FxP 88 OeC Z0. t 9S® � !.. ';i� :? L' Tn ���� +�fi.'�!.�' "�>�i�'��,r'�a.�' +etc ?�'f��6 "�' '� _..t.a:r way:.-. rxs-. v�r .�":''a*e�tifll�s.F.i's�"•+K��f �•'.&"a.S'� �i'S;D�t.x�.- "LM'Y �.',•<: 17�' 11 �:,. , 7` 9�"�".:.;+vnnSrl�t�::a�'.s�s' earrs.:•:..y „saau --..rc YOL 1207PAa6O8 North East Quarter of South East Quarter (NE 1/4 of SE 1/4) of Section Number Six (6), Township Number Twenty -eight (28) "` North of Range Number Sixteen (16) West. -.5 y R t' S Y 7 s +s — ____ - _ . _ ...,.. .w , n , �r - �^sa�2•:�'.�7C •��. Y '.:�N�.r -��� ash !'L�tC�:�a�'���r�'�•3'_'��i ::4�'.�t`SniC` # :;. ,t Y;. M = Gp ` 0. o LL CERTIFIED SURVEY MAP SURVEYOR: .a w c.) �e w O m DOUGLAS J. ZAHLER U S & N LAND SURVEYING, INC. = A a w Q BEING LOT 1 OF CERTIMD SURVEY MAP RECORDED IN VOLUME 9, PAGE 2662 LOCATED O -+ w�� w ? � 2920 ENLOE STREET � o o aoi w ::I w IN PART OF THE NEl /4 OF THE SEl /4 OF SECTION 6, T28N, R16W, TOWN OF EAU GALLE, ST HUDSON, WI 54016 CD w x a as N cs'" w � 2 CROIX COUNTY, WISCONSIN. w w o a Q 1- 5 acnv a tV t� •• ¢ w CS ( dQ4 9 -- --- -- a• ao., �•+ � ►.�ww Q 3 Q M[�]PdG144CaD dG°1G`. I I d04 9 M.N. �GJ � w --- - - - - -- — 0 1 <wE w c+� �c� �' OO 'WHIED @v o4[n1 m I - �I©C�o 4 PC�o 9994 _ I F- �yIOOf�o 9� Pao _ _ _ ae acn w 6 t- a• O z a — — — — NG — S88 °1 4'26 "E 4002.93 I MMPRAUMD � oe aD x t0. 960 Oa EXISTING DRIVE I � I --- - - - - -- -- -- I— — � ° a�� r WEST 1/4 (s87 ° 5s'42"E) o �ac°� W CD CAR. _ 2905.47 _ - _ _ 55T 8 81 ° 14'26 "E 70 -- — AVENUE WK '�- �°�4Gi1C G°3 &EAST-WEST 1/4 LINE 2 Q �_ _ - �p o > SEC. 6 0 �3/ rn T — 310.47 �, o EAST 1/4 2.066 ACRES (90,003SQ. FT.) INCLUDING RAN � 3 0 230.11' A 225,11 m COR. SEC. 6 OWNER 1.931 ACRES (84,097SQ. FT.) EXCLUDING R/W T USE _ _ -S87 °55'47 "E -1097. m o 't ........... E3 ......v N 0. (S87 °42'15 "E) N 58- a N ARCH & MERLE BAKER TRUST aQQ 001 (�Jo�JoG%ll �G`� '� SHED Lb ' "' . • • • • • • • • • • • • • • • ......... . 2171 55TH AVENUE - - - - - -- - - - -- D WELL IN IXISTING DRIVE 100 SET BACK• • • • • ........ BALDWIN, WI. 54002 _ d&do 0 M. 2 @@2 _ - n ' N _ E a N O SOIL BORINGS M al m W %JOYCE FOX I LOT 4 � T m '- `� c CAUTION. HIGHWAY SETBACK RESTRICTIONS e, � �? r < I L9 = 0 (n cn N8 47 � � � sD r �I [�I PROHIBIT IMPROVEMENTS, SEE SHEET2. — — _ n ^ 5 .89 N � ' o • • _ 0° DOT NO. 55 -94 -3554 -2002 �W m 3 LOT 6 - N LOT 7 0� �I >I � �o 'N= un • �U) o� ^ o "o p a LEGEND • - �i �I fa � LOT 5 ® o 3. ACRES 0 o p � � cy i Q 8.658 ACRES (152,163SQ. FT.) , 3.252 ACRES s m o I I H FOUND ALUMINUM COUNTY °i Ali o Q O (141,651 SQ. FT.) O v a W O SECTION CORNER MONUMENT �� of ? ° (377,155SQ. FT.) 00 INCLUDING RM/ to INCLUDING R/W Q �Y §3 W > i Q INCLUDING RAN Q 3.382 ACRES 00 3.137 ACRES 1 N al �I = FOUND OUTSIDE DIAMETER IRON PIPE �i ° i O (136,644SQ. FT. � " Z Lo 8.519 ACRES (147,329SQ. FT.) EXCLUDING RAN m FOUND 3/4 " IRON RE -BAR i (371,089SQ• FT.) EXCLUDING RM/ EXCLUDING R/W .......... RON PIPE WEIGHING 3 LBS. P ' ER NG Qi 9i H (SETBACK PER T� 233 , ... • • •'''' C3 C2 LINEAR FOOT =91 644.9 157. 4+ C1 v 0 w — EXISTING FENCE — — S82 o55'36 "W 502.1 I w ( )00000000c ) PREVIOUSLY RECORDED DATA (S83 09' —NC ACC � - = n SHEEN 2 OF 2) v l O PROPOSED DRIVE (SEE !�4 Q I Z z IN_TERSTAR SCALE IN FEET IN= 200 — l CJG p C. C y I a" v � c3 ° cZOp THIS INSTRUMENT DRAFTED BY: WES ANDERSON CL 0 200 JOB NO. 6113 -01 DATE: 7/3/2002 CENTERLINE EA S T BOU ND _4,N E Q Q REVISED: 8/22/02 _ - s � a a "10