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HomeMy WebLinkAbout008-1024-30-150- _ _ Wiscionsin f9apartment of Commerce PRIVATE SEWAGE SYSTEM 1 afdty and.Buitding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Schoeller, Dou Eau Galle, Town of CST BM Elev: Insp. BM Elev: BM Description: bOi g1M, 1 GS TANK INFORMATION ~ _ _~ ELEVATION DATA TYPE MANUFACTURER ~ CAPACITY Yh Septic r , ' F' W f S~C~.. to `~ Dosing Ovw~ NN gW Aeration y ~ f~ , ~~ .C / -- Holding I I -_._._~ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 75~ Sy ~ 7s ~S -- Dosing 7 ~a sy ~5 ~ ~ s ~ .~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer + Demand Zde,~~ GPM Model Number ~~ ~ SZ.. Z„~. ` TDH Lift Friction Loss J System Head TD Ft /O.ZB /,7S 3.S X5.53 Forcemain Lenc~tho ' Diaz ' / Dist. to well yy SOIL ABSORPTION SYSTEM County: $t. CroIX Sanitary Permit No: 506288 0 State Plan ID No: Parcel Tax No: 008-1024-30-150 Section/Town/Range/Map No: 09.28.16.1226 STATION BS HI FS ELEV. Benchmark 3 ~ o'er ~n3, a /ad Alt. 1`~ i Bld a er l3.`fS qG . off„ St/Ht Inlet g ~~ 9~ ~ 3 SUHt Outlet Dt Inlet ~ Dt Bottom 11. lZ 5b.93 Header/Man. S •7~ /09.97 /, /~~ • Z ~ Dist. Pipe 1• B8 /cV . ~ -~ Bot. System , ~ /~ I s Final Grade C6 ~~~ ~ ~. 3 4'9 -~ ~ BED/TRENCH Width / Length / No. Of Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liyuid Depth DIMENSIONS g ~~ ~ ~~ ~--- ~' ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHA OR _ Ty f System: ~ ! yy 3a ( ~ ~ ~- UN T Model Number: ` e~~ > ~ DISTRIBUTION SYSTEM /_ IPS.F- Header/Manifol~ Length ~ ~/ Dia ~ ~ J Distribution / Pipe(s) Length ~ 5 / ~ Dia ~ `~' Spacing i ~ x Hole Size / ~ ? ~ J Z x Hole Spacing ~ Ve tr~Air 1 tak .~../~. ~e.~ SOIL COVER x PrP_AAllre Svctems Only YY Mound Or At-Grade Systems Only f~. _ ..A e Depth Over Bed/Trench Center Depth Over Bed/Trench Ed es xx Depth of soil To ~ xx Seeded/Sodded xx Mulche ' ~ ~~ g ` ~ p --.` Yes [] No ~'es ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~~ / ~ /~ Location: 2373 50th Ave Woo ville, W1 ,54028 (NW 1/4 NE 1/4 9 T28N R16W) NA Lot ~~~~ Pao 1.) AIt BM Description = ~` ~ / ~~ ~~~1 ""~ ~ ~ l~ 2.) Bldg sewer length = ~~ i~rSG~j, ~ ~'~. ~~~~ ~" - amount of cover = 7 • l a ~ ~ ('t _ ____ Plan revision Required? ~ Yes No D ' o ~ ~' ~ Use other side for additional information. _ _ _ ___ ___ _.i _ _ _ _._. Date SBD-6710 (R.3/97) Inspection #2: / /_ Parcel No: 09.28. 122B ~, ~ ~ Ok ~, oz. 1 l .g Ufc _. __ _ ~ _ to$3 ~ 7~ ___ _~ Cert. No. -/ ~L CdI11fi1@I'C@.W~.~CV Safety an Division County ~ ~ ~ 201 W. Washington Ave., P. 162 f ~ ~ ~~ ~ ~ ~ ~ Madison, WI 5 3 707-7 1 62 Sanitazy Permit Number (to be filled in by Co.) Departrnertt of Commerce 5tS ZS$• Sanitary Permit Application State Transaction Number ~ y~ ~ 3 6 7 In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS aze Project Address (if different thanjnailing address) submitted to the Depaztment of Commerce. Personal information you provide ma be use ~ z 3 73 ores in accordance with the Privac Law, s. 15.04 1 m , Stats. ~ L / q I. A lication Information -Please Print All Informaflo w .~ ~ ~ V ! ("~. ~ ~ `~'~-~~~ Pro erty Owner's Name Parcel # aN ~ ~ ~' ~c-~t~c.ct~~. I~UG 0 9 2007 aog.. /~Z~f -3v - sSz~ Property er's Mailing Address Property Location 2 V ~~Q ~(, f ~ /~- ~ ?. ~ ST. CROIX COUNTY C - i~ ~ Govt. Lot City, State 7 ! ~ ~~ Zip Code '`1/ Phon ~ /SJ~ y,, Section y (circle one ~~~ W,~ W ~ p L S ! T~N; R~ Eoi~W II. Type of Building (check all that apply) p~, pi'a Lot # _ ~ 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name ~~. ~ Block # ~ ^ Public/Commercial -Describe Use ^ City of ^ State Owned -De tribe Use ~/ '~ CSM Number ^ Village of ~ ~ ~ ~ `~ ~~ 19'Yd `/J~'Cl~,. Town of ~ III. Type of Permit: (Check only one box online A. Complete line B if applicable) A' New S stem y ^ Replacement System ^ Treatment/IIolding Tank Replacement Only ^ Other Modification to Existing System (explain) B. ^ Permit Renewal ^ Permit Revision ^ Change of Plumber ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner ~ IV. T e of POWTS S stem/Com onent/Device: Check all that a l O O Pressurized In-Ground ^ At-Grade ~'jMound > 24 in. of suitable soil ^ Mound < 24 in of suitable soil ^ Non-Pressurized In-Ground fl - , st ^ Holding Tank ^ Other Dispersal Component (explain) ^ Pretreatment Device (explain) V. Dis ersal/I'reatment Area Information: Design Flow (gpd) ~ esign Soil Application Rate(gpdsfJ - ,/ Dispersal Area Requv~ (sf) ~ ~ ~ Dispersal Area Proposed (sfJ/ ~ System Elevation / ~v t 6~~ . 3~ . ~ i ~ ~~ , o. ~ VI. Tank Info Capacity in Total # of Manufacturer o 'd Gallons Gallons Units ~ ~ o New Tanks Existing Tanks /~ ~ - ~ / ~ y c ` U d a r tt ~ v y ~ k `~ W ~ a . n ~ . C7 Sep[icorHoldingTank ~ZQQ ,LCd Q,(SQ.,~. Dosing Chamber t~ ®~ f? . d ~~ 5~~~ / VII. Responsibility Statement- I, the undersigned, assume responsibility for installation ofthe POWYS shown on the attached plans. Plumber's Name (Print) Plumber's Signatu MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) VIII. Conn /De artment Use Onl Approved tsa Per mit Fee Date ssued ~ Issuing nt Signature ^ Given Reason Denial / ~ m+~' ' ~ 7 ~ ~~ / IX. Condieasons for Disapproval ,p Ga ~, ~ (' ~ , 1Z Z ~ effluent filter and 3~ ra.Cc.~Q nk ti t 1 `Se ~ _, , a c . p { ~ dispersal cell must all tae services / Inaintafned ~ ~ , e ~~,~~ sG~ ~ ~ ~, r~o c ~no Jam-- tUC~-~~ mDer ~`1 k l n r vided b t . „ a p p ss per rrtanagemen o y p l ~ / z3 ~ ~ ` ~ ~ S o J. ~ Oc rte t ee mtd c t em M b , . . ~ >$ tnw e 2. as set ac t S ~ ~ .. P a ~ Dods l~ls. 1 Attach to complete plans for the system and submit to the~o~ ty o'fily on Sper nOt less than S 1/2 x I I inches in size a~ ~~. ~~ ll l ('~~ac.~.~'~`syl SBD-6398 (R. 01/07) Valid thru 01/09 ~~, y~,D~ ~ ~J ~ W' ou ~~ ~ ~G~ti ~~ J ~ d . __J- ~ ~ ~s ~ a ~ , ~ s ~ ~ ~~ ~ ~ ~ ~~ ,, ~ ~ s a ~ ~ ~~~ ~ ~ ~ 0 v ~ o }} „ ..-- y r^ ` .~ r/~ ~ J .~ ~ ~ ~ ~~ 0 ~ y ~ O ~ a cn r- :~ s ~ ~ U ~ ~ ~ ~ ~~ ~ ~ l _- ~ s cra .o ~o ~- ~ 1 S ~ 0 o j ~ ~ ~ ,~; ~ -=r ~ ,;~ .~ ~ ~ ~ ~, ~; '• ~ 's ~ ~ ~ ~' ~J . ~~ 9 ~ ~l i g'° -~ ~ N 9 ~ ~ a © ~- ~ ~ ~ ~~s a ~ ~~ ~ ~ ~_ _ _ 0 0 ~ -~ s ~, s ~~ ~d ~ ,~ __ 3 p ~'.~ ~ ~~ 1 ` ~ Y i. d~ -Q ~~~. ~ - Y u ~ s~~ ~ --r .~ s 3 O v~ Q- 1'L 2 \ \ ~ C~ O Q,1 \ Qtr - ~ l o t ~ J(, ~ ~ C` ~' N ~. ~ ~ - Z. ~'- - ~ ~ ~7 ~---~ `` t z ~~~- o~ sz ~.~ s;~~ 1,~~ ~..tSu,~ u1CKZ.tZ '~-'~-~I ~aG,3~ ~~S~l~ \ R ~ ~ ~ 1~~~~ o ~ ~ ~.~ ~zr,_-~m tt Q o~.~ ~~-:~~~ ~ ~~ a ~~ \ ~ o' ~'' \'' ~ c Ala ~~ti ~5 o ~ ~c .~ ~~~ ~ ~~.~ l V ~ ~ 3 Sa..~.~..~1~ ~ob~ __ _ _ ~"`S ~~. t~Z~ Imo.+l ~-/t~g> ~ 6~0 S ~~ ac.Q. S~~c SEE CORRESPOND NCE S,qc~ b (, ( I n sl o ~ ~ ~ ~c+ l l o ,.-t 1 e~v , u c-u.., ~ o,.•. C 4 g5 ~~~ ~ ~~ g commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA GROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July 19, 2007 CUST ID No. 222774 HENRY F GROTE CERTIFIED SOIL TESTING E4366 353RD AVE MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/19/2009 SITE: Doug & Kelly Schoeller 50TH Avenue Town of Eau Galle St Croix County SW1/4, NE1/4, S9, T28N, R16W ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1416367 Site ID No. 727798 Please refer to both.. identification numbers, above; in all comes ondence with the a~enc . FOR: Description: Mound /Four Bedroom /Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1141723 Maintenance required; 600 GPD Flow rate; 33 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • The bench mark as located is in an area that will be disturbed during the construction of the component. A new bench mark is needed that is located outside of the disturbance area and still accessible for the construction of Condit the system ~~~) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. ENT D Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and ~ dispersal are prohibited. ~~z SEE CORRE: • 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 & 8I2c • 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. HENRY F GROTE Page 2 7/19/2007 • Inspection of the POWTS 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(71 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 DeQartment, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chaptex and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. A11 pernuts 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 maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz@wisconsin. gov Fee Required $ 175,00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. Michael P Rogers (Plans Mailed To} Z ~ ti W °~ c~ m Doug & Kelly Schoeller -Mound dS ~ ~ Construction Materials and Techniques --> A~iaterials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Pressure Distribution, SBD-10706-P (01/O1) Mound, SBD-10691-P (01 /01) Location: SW '/4, NE '/a, Sec. 9, T 28 N, R 16 W Town: Eau Galle County: St. Croix Date: July 23, 2007 Owner: Doug & Kelly Schoeller Address: 624 Birchwood Ave. ~~~`~`,O'IV,,~~~~i S G /~ ~~ ....... Birchwood, MN 55110 ~~ .,~?•• . 'a • ~ AY F =~ : H N E •~ * Designer: Henry Grote _ GR~~ ; _ • E pMDN~~ • ~ ~ Signature: W~S• ~ ~ .~Q ~~ ~~`~ ~ESIGN '~~~i License: ` ~~ WI D - 16 -007 11~ Attachments: SBD-10577 -Plan Approval Application SBD-8330 Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section ~'y~rrlly 5: plan view, lateral detail ~ 6: pump tank exit detail ~~ 7: 8: pump curve system management ~ CoM~tER~ Y page 1 of 8 'PONDEN ._. Design Criteria ~~s Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L ~` Bedrooms x 100 gaUbedroom/day x 1.5 ~ c~-o gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length ~ @ Lateral elevation Lateral hole size ~~ 3 Z in. @ ~~ holes/lateral Lateral volume Total lateral discharge rate Network pressure compensation losses Elevation difference Friction loss Total dynamic head Pump/s~fon ~ ~ gpm @ Manufacturer ~ ~ ~~ ~~ Dose volume Liftlsi~i'on tank ~'~ -~ ~., ~ ~-~`'~ - ~ S-~ Septic tank ~' ~' Effluent filter ~ ~-~ ~. f~ - ~ o-o Measurement pump on and off Height alarm from tank bottom Reserve capacity specs.calcs.res Design Calculations ~ .3 ~ gallons/sq. ft. per day x.33 in. ~ ~ b in. l 0 . ~ % vr...,1. ~ ~ ft. of ~ in. 3 • Z ~ ~ ~4~ gallons `~S ~ ~ ft. of ~~~4 in. l 'O ~ ~ ~ ft. @ bottom of lateral 3 b ~ o in. ( 3 ~ ° ft.) Spacing S 2. holes total 9 ~ b allons 28~©g 1~oS~ ~,~ c~,3~ \3,yq- 1~ ~~~b Lo W-~o g gallons/minute @ ~- ~ ft. head ft. ft. ft. @ 3 ° gallons/minute ft. ft. of head Model # `~ ~ gallons ~~ gallons ~ ~~ gallons S ~ o in. ~' ~ in. 4 ~G } gallons Page ~ of ~~ ~ .. ' ~. Y' D s' s J e, Q.. ~- ~ Ova ~~.. ~~ .. , ~~ • „ ( l Z„ 1 ~ ale o v t `~"..~ s.. ~ c.. ,, .., ..SZ "7 .,, ~, ~' ` Ct9 ~ tZ ~ as ', ~ a.,,, . ~ o ~, 0 3 o ~~,. vb ~ ~' ~ fYt,-n 1 X01 ~ t o,p t ~t 1 s ~~s ~ "~ n 1 ~o~lcc11 ` \ ~Co~1 S~wK 1 0 ,... ;...~, 3 ~° S a 7d ~~. ~~ a. .. z~,o; ~ ~~~ . . . ,. .... A i i i ~~ . .. .. ... . ~ ~ g ~ ~ -----, o __-, ~~ 19~ ~; ~_ ~a~ x..._.13' ~ 5 ~ ~ i y 4 ' ~' ~ 2,u' ~ I~--13' --~ 14 . l' K11t _ w X11 5,~' ~gln' ~<~' . q ~. b' 1 v o~F~, ` <~ ~ ~L Tom' `i`^~~ ~.~.a TQ. ~.~ 's w ,M `r.^w"S 0 ~ `r ~C\c. l.~ ~,: Q', 4° ~- a ~ ap ..~ ~ v C o ~ S d-r v ~.+: o ., .,.. a l ~ t ~-o b e ~ ~ o ,., c~ ~ r o c. K b n ~C.~ Mp1 '11tO \~R~~I ~`1' l~lq- Qvc S~ 40 nn~ s(~~ ~ ` ( /~ - r ~ ~ Q, ~ } ~ `"r( U ~.` v t y a ~( i, C O `r w : v at, ~ Q+~.'4 1~ 1 P U L S L ~1 ~ o `~ t~ h ate', ~n _ ~ (~ S/3 i ~, o\ ~ o .. 1 ~~ ~. ~ Qom... ~ ~- ~ o~ o w 1; _ ~ ~ 3 e . o" A ~.-~ 3 . o ~ ~~. ~ ~ ~ ~ ~ a~ ~ S ~~ g ~P~ v ~r ~---~ C'lc.,,. l-~n 4" ~v~ 5~~ ~ P~o~ 3, oKib NoISTuRO~D ~~~~ r- i~ r ~ QP~' Qovt.D :IiSKET 3badT'J a~. P->.~ (,Q-~tH E CT I O Kb El.ev, ~~~~ C ~ G~ ~FLE ~I,o AEt-.W1 .~-- ON S~p,l CtF ~ ~, z ;; Fo2~~ Mn,r, WEA'r1~ERPQOJF JUNCTION 6onc 12~ r~"wccv H O:r C~-s1. ~) ~~~ Pcx~lP GoNuE-rF BcoC~C ~~~~i~i T ~~I Sc.~ C" ~- o Y E 1.1T ~4' 4~~ ~~~- z~~ ~ 3' rr~o ti•ctxsnxr~. ~QOUKo SEPTIC i SpE G I F I~CATI o j~~, 4N S ~~ ~ TAUKS MA-JUFACTURER: (JUMDEFI OF DOSES: PER DAB TAUK SIZC : `~~~ ~' ~'~~ .GI~I.~OWS DOSC VOLUME Sa' F`....Lro ALARh1 /''4MiUFACTURGR: IIJCLUOING OAGK/I.OW; ~o'b G~~~o>JS MODCL -JUMDCR: 1 C ~ ~``' CAPACITIES A . ~\~ ° I~JCNES Oft ~ R'~ GA~l.0u5 SWITCH Ty1[• W6''"''"r~ "\l' --~~-~ 1t. 8 e Z I -~ C M E S O R 2' C.A L L 0 u S 11 PUMP t1A1JUFAGTURCR: ~°'Q-``¢'~' , C ^ S,O iUCMES OR ~0` b L~~~OuS MOOEI -JUMpCK; ~~\ D ^ 9,~ IuCHES oR 145''o g CA~..o~;; JWITCH TyPE; -r"`OJi°'"'"'~ ~'"~~ IJOTE; PUKP AUO !~t-ARM ARC TO pC MIWIMUM DISCHARCsC RATC Z~'~ GIN INSTALLED OIJ SEPARATE CIRCUITS VERTICAL ~IFfCRCrJCf ~ETWCCU Puf~- oFir ~+uo oI3TRIeuTlou PIPE.. ~' S FEET l + MI-.llh1UM IJETWORK SUPPLE tRCiLURE ~' ~ FCCT~'\~OS + ~`~ fEET OF FORCC MAIM X \y~~ F/pp~zlrRICTVOCy GALTOR..~-•~~ FEET, ~~~ ~-ti TOTAL D~IJAI~l10 NE/-D = «~~ FEET IUTER-JAI. pIME-.16-OIJi 01 TAIJK: LEIJC.TH \Z?' - ;WIDTH ~~ ~ ;LIgUID DEPTH -~ l1JCKl-JG~COVER '-'\ tvA~n~ ~~ ~ ~18E~ . tZ1-ICK DNC.OM~iGT--'~ -- _ ~ ~~~ • M • •~ t 1 ~' . •w ,~ ,~~;` g x W:.. Y s 0 0 ~~ivSULT ~i~G1`UC~Y I=OI~ ~PE~I~L APPLIC~ITI~NS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik•Box available for outdoor installations. See FM 1420. • Over 130°F. (54°C.) special quotation required. 15i/1 ~~2/153 Series 151/15211 53 MODELS Control Selection Model " Volta-Ph Mode Am a Slm lex Du lex N151 115 1 Non 6.0 1 or3 BN151 115 1 Auto 8.0 Included 2 or 3 E 151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 N152 115 1 tJon 8.5 1 2 or 3 BN 152 115 1 Auto 8.5 Irlcluded 2 or 3 Et 52 230 1 Non 4.3 1 2 or 3 BE 152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN 153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BEt53 230 1 Auto 5.3 Included 2or3 TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 Feel Meters Gal. Liters Gal. Uters Gal. liters 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 15 4.8 38 144 53 201 61 231 20 8.1 29 110 44 167 52 197 25 7.8 18 81 34 129 42 t59 30 9.1 - 23 87 33 125 35 10.7 -- 22 85 40 12.2 - - 11 42 Shut-o8 Head: 3011. 9.tm) 38 ft. (11.6mj 44 ft. (13.4m) I o.aSuas Model 151 ~+- s 7/32 3 7/8 ~~--.-}-F a 5/8 j 3 7/a e ®, , 3 7/8 Models 152 / 153 3 27/ I , it t t/t6 t2 t/8 -~ I _I a 3/8 1 ,_ tsr SELECT-ION GUIDE A CAUTION ikU installation of controls, protection devices and wiring should be dons by a qualified licansed elaclrician. All electrical and safety codes should be followed including the most scent National Electric Code (NL•C) and the Occupational Safety and Health Act (OSHA). sxsos+ 1. Single piggyback variable level float switch or double piggyback variable Level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10.0225 used as a control activator, specify dupieX 1.3 i ar (4) float system. RESERVE POVIJEREf~ DIrSI~GN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. 90X 16347 ~ r' ~' +a Louisville, KY 40256-0347 ~ y„, ~ ~ ~' ` 4 SHIP T0: 3649 Cane Run Road ® `h rr Y ~ (502) 778 2731K 1(600) 928•PUMP httpJ/wwwzoelletcom ~`~ PVMP L"O. fAX (502) 774-3624 ® Copyright 2003 Zoeller Co. All rights reserved. ~~ t Manufacturers of . . Q/L1L?Y PUMPS SNCE /~JJi/ M `{~ 0 ~- FLOW PER MINUTE orasoen v. 1 System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-23~- 1 132, or the St. Croix County Zoning Department, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. ] 0. [f septic or dose tanks are no longer used, they must be properly abandoned. 1 1. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. [f the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system alloy{ s reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitorin~~ may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83. ~-! (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing. and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ` ' ' ' ORiGiNAL1 ~~~`~~~'~~ S01L EVALUATION REPORT Department of Commerce in accordance with Comm 85, Wis. Adm. code Division of Safety and Buildings County Attach complete site plan on paper not less than 8'/x x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Re ewed Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner /'~ Property Location Schoeller, Doug & Kelly -~R l.~'7P.~1~~ ~°{~`L Govt. Lot ~/ Z° W1/4, N Property Owner's Mailing Address (,QOtuh4~d/ Lot # Block # Subd. Name) "or CSM# 624 Birchwood Ave. if ' lvr Vllc. . City State Zip Code Phone Number ` ~ City [] Village ~ Town Neared (-- Birchwood i MN 155110 ~ 612-366-1589 Eau Galle 50Th Ave. ~3"~~ ~__ New Construction Use: ®Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ^ public or commercial -Describe: Flood plain elevation, if applicable NA Parent material loess over pitted till General comments install 8' x 78' rock cell mound on 100.0 contour as upslope edge of rock w/ 0.5' sand fill @ 0.4 gpd/sq ft and recommendations: basal loading on sand toe -~- ft. 1 l Boring Boring # '-~ pit Ground surface elev. 101.1 ft. Depth to limiting factor > 66 in. Soil Application Rate th Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GP Dlft' Horizon Dep in. Munsell Qu. Sz. Cont. Color Gr: Sz. Sh. •Eff#1 'Eff#2 1 0-8 lOYR 3/3 - sil 2 f-m sbk dsh gs if/m .6 ~, .8 2 8-19 10YR 3/4 - sl 1 m sbk dh gs lm .4 .7 3 19-28 7.5YR 4/4 - Is 1 m sbk dh gs lm .7 I. 1.6 4 28-43 10YR 4/4 - Is 1 m sbk dh gs if .7 ~ 1.6 5 43-56 lOYR 4/4,4/6 - s 0 sg dl as if .7 1.6 6 56-66 2.5Y 5/3 - scl 0 m dvh - - 0 0 I ~f'h~fi 2 ~' Boring Boring # '-' pit Ground surface elev. 98.4 ft. Depth to limiting factor 48 in. Soil Application Rate th Dominant Color Redox Description Texture Structure Consistenc Boundary.. Roots GPD/ft' Horizon Dep in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Effk1 'Eff#2 1 0-4 10YR 3/3 - sil 2 f sbk ds gs if/m .6 _8_ 2 4-12 lOYR 3/4 - sil 1 f sbk ds gs lm ~ .4 'I .6 3 12-33 10YR 4/4 - sil 1 m sbk dsh gs 1m .4 ~ .6 4 33-41 7.5YR 4/4 - sl 1 m sbk mvfr gs im .4 ~ .7 5 6 41-48 48-55 7.5YR 5/6,4/6 7.5YR 5/6 - c2d 7.5YR 5/3,5/8 Is fs} ~ 0 sg 0 m ml mvfr as gs lm - .7 1.6 -{ -- --- - .2 .5 7 55-60 7.SYR 4/4 c2p 7.5YR 5/8 fsl 0 m mfr - - •2 ' ~5 'Effluent #1 = BODS> 30 < 220 mg/L and T >30 < 150 mg/L * Efflu nt #2 =GODS < 30 mg/L and T55 < 3o mg/L CST Name (Please Print) g ture: CST Number Henry F. Grote ` 222774 ___ Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E. 4366 353rd Ave. Menomonie, WI 54751 7/2/2007 715-233-0398 $BD-8330 (R.07100) #2590 age 1 of 3 eiY~~ing, LLC st. IVED ?~Y /' a Property Owner Sct~eller, Doug & Kelly parcel ID # } Y SFS~4 `~ x ` i ,~, Page 2 of _3 ._ , •' 3 Boring # ^Bo~g.-.,~. a Ground surface elev. 99.0 ft. Depth to limiting factor 33 ~ . ~..,,,,,,, Soil Application Rat Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 t 0-4 10YR 3/3 - sil ~ f sbk ds gs if/m .6 ' .8 2 4-10 lOYR 3/4 - sil 2 f sbk dsh cs lm .6 .8 3 10-20 10YR 4/4 - sil 2 f sbk dsh gs lm .6 .8 4 20-25 10YR 4/4 - sl 1 m sbk mvfr gs im .4 .7 5 ~ 25-33 5YR 4/3 - scl 1 m-c sbk mfi cs if .2 ~, .3 6 33-44 5YR 4/3 fad 7.5YR 5/3 fld 7.5YR 5/8 scl 0 m mfi - - - _ - - 0 I 0 li 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/Land 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 608-266-3 151 or TTY 608-264-8777. SBD-8330 (R.07/00) Certified Soil Testing, LLC ..•~ J `-'l; ~ S ~ d ~ - ~ ~ ~ ~ o ^~ d ~, ,y s S.o Z ~ l_ 3 ~ ~ M `-- S ~- 0 ~~I ~'' d ~q( V ~ ~ ~~ ~ ~ y f- ~ ` d J ~--~.~ ~ ~ ~ ~ ~ ~~ s ~ 3 s t ~1 J /^Q ~ If_-~ ~~ ~- =1 c~; f -~s -~ d -~' ~/, ~ i j~ 6 / /i u O ~ J Y1- . ~ . ~. ~ I w ~ ~ " ~ d o ~~ . ~ ~. fi ~ , ,, _ ,~ o ~ o ~I ~ ~ ~n_, ~ ~ ~ ~ ~ ~ ~~ _I._ /~ sd.JS y 0 0 eo ~ 0 --~ ~ 0 .- li I j s '; _ c, . i ~ M _~' '_ Cl _:, __ Y ~ ~' p ~ \J i ~I ~. ' ~ ~ s~.'.~...I .. O _:.. _ i ~ ~ ~' _. - -- s.; _. s i ~.~ ``~ ~ _ __;_. ~o S Q- r ~ =' ~ ~ ~ 0 v t~- r^~ ~ ~~ ~~ S..o x o- y ~;~ 2 i ArcIMS Viewer _s Page 1 of 1 http://72.21.230.178/website/LRPortal/ARCIMS/MapFrame.asp'?PIN= 8/ 10/2007 State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Number ~~ Document Name THIS DEED, made between Glenda M. Wertz, a single person ("Grantor," whether one or more), and Douglas Schoellar and Kellv Schoellar, husband and wife _ ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): NW 1/4 NE 1/4 Sec. 9-T28N-R16W except Lot 1 of Certified Survey Map recorded in Vol. 8 of Certified Survey Maps, page 2200, also except the West 99 feet of the NW 1/4 NE 1/4 Sec. 9-T28N-R16W. E 1/2 SW 1/4 NE 1/4 Sec. 9-T28N-R16W St. Croix County, Wisconsin 82 ~gtS6 KATHLEEN H. wALSH REGISTER OF DEEDS sr. cROIx Co. , wr RECEIVED FOR RECORD 06/20/2006 02:25Ptt WARRANTY DEED EXEFipT ~ REC FEE: 11.00 TRANS FEE: 525.00 COPY FEE: CC FEE: PAGES: 1 Recording Area l/ p„~- Estreen & Qgland {-~ : 304 Locust Street Hudson, WI 54016 w4 l ~~f ~f 008-1024-30-000;008-1024-40-000 Parcel Identification Number (PM) This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of en/cumbran~ce~s except: easements, restrictions and reservations, if any, of record. Dated W ~ (' (d ~~ ~ ~ AUTHENTICATION Signature(s) Glenda M. Wertz, a single person authentic ted o ~ S *Kristina O land TITLE: MEMBER STATE BAR OF WISCONSIN ([f not, authorized by Wis. Stat. § 706.06) M. Wertz ACKNOWLEDGMENT STATE OF ) ss. COUNTY ) Personally came before me on , the above-named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Kristina Oeland, Estreen & Ogland 304 Locust Street, Hudson, WI 54016 Notary Public, State of My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS 1S A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY 1DENT1FIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 * Type name below signatures. INFO-PROTM Legal Forms 800-855-2021 www.infoproforms.com 1of1 is ~LRIVENER'S AFFIDAVIT Document Number: Return Address: Ibuglas and Kelly Schoeller 624 BirchF~od Avenue Birchwood, MLV 55110 Parce11.D. Number: 008-1024-30-000; 008-1024-40-000 STATE OF WISCONSIN ) ss ST. CROIX COUNTY ) 8 3 9 9 6 7 KATHLEEM H. MALSH REGISTER OF DEEDS ST. CROIx CO., MI RECEIVED FOR RECORD 12/04/2006 11:00A?1 AFFIDAVIT EXElW1 1< REC FEE: 13.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 2 KRISTINA OGLAND, being first duly sworn, on oath, deposes and says as follows: 1. That I am an Attorney at Law duly licensed and qualified to practice in the State of Wisconsin; 2. That I drafted a Warranty Deed from Glenda M. Wertz, a single person to Douglas Schoellar and Kelly Schoellar, husband and wife dated June 15, 2006, recorded June 20, 2006, as Doc. No. 827866, covering the following described property: NW 1/4 NE l/4 Sec. 9-28N-R16W except Lot 1 of Certified Survey Map recorded in Vol. 8 of Certified Survey Maps, page 2200, also except the West 99 feet of the NW 1/4 NE 1/4 Sec. 9-T28N-R16W. E lh SW 1/4 NE 1/4 Sec. 9-T28N-R16W. St. Croix County, Wisconsin. ;. That the Grantees last named was spelled incorrectly and the correct spelling is as follows: Douglas Schoeller and Kelly Schoeller, husband and wife 4. That this Affidavit is made for the purpose of correcting the spelling of the Grantees last names on the Warranty Deed referenced in Paragraph No. 2 herein. 1 of 2 r liated his l st day of December, 2006 t Kristina Ogland Subscribed and sworn to before me this 15t day of December, 2006 ,~~y p~ t7G~l ~~r1- ~ ~o.•~ ~ s RHONDA M, Rhonda M. Benjami , otary Public € { BENJAMfN St. Croix County, Wisconsin ~ ~ My commission expires 08(16/09. ~`~'1~..,,..,.,,..~`,~¢ This instrument drafted by: Attorney Krishna Ogland ESTREEN & OGLAND Hudson, WI 54016 2 of 2 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~ Q /~~ ~~ ~~ f~~ r- Mailing Address y~(~ ~~~~~ ~S ¢-- -~~~T~(~-~;,~~~~ ~.,~ S~CX~ Property Address ~~~ 7~ ~~ ~j~ ~ ,~ (Verification required from Planning & Zoning Department for new construction.) CitylState ~ J~ ~~ ~. ~ J~ Parcel Identification Number ~Z~( 10~ (~ ~ -Z'~~j LEGAL DESCRIPTION ~~' `~~ ~ ~~ ~~~ Property Location ~Z'/4 , ~~'/~ ,Sec. ~ , T ~~~N RAW, Town of ~~~ ~~, `/~ Subdivision - Lot # Certified Survey Map # •-- ,Volume ,Page # Warranty Deed # ~"~~(~~_ ,Volume ,Page # Spec house yes 'no Lot lines identifiable yew no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage m the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ,/ - GNATURE O APPLICANT(S) ~' (~$1~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) JIA~'12-2007 10:29 From:WICK SALES 715 387 2931 al'~Cr~~~ by ~~ suad~ sysr~, ~. f'0 Bolt 33Q 23Q7 E FBtIRTH STREET To:17156652018 P.9~10 Production No. 49912 PACyE: 1 OF 2 O~G Q _ - w w ~ a ~ ~ Yy O W 1 1 .1 . . . . 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J 1 1 1 1 1 1 x.1:1:1 ~ -.t 1 1 Y v .i i 3 1 1.1. I./., , 1 , i t l ~t:l't i t C] 1.1 1.1 1.1.1.1.1.1 1 1 1 ,','i , , \'t'1'I'1'1't't'1'I '1'1 1 1 1 1 1 1 1 1 1 1 1 ' ~ Q ~ Q ~ Z ~n V ~ 1 t i ~f:l:' -~) 1 1 1 I,1 1 1 1 I p ' ~~ ~ ~ ~ W ~ 1 1 1 7 1 1 l 1 1 i t ~ O ~1' 1' 1 ~~$ I I 1 1 1 1 ~' V / ~ r i Y~ -.I.1gCl I.i.1.1.1. 1_ 1 1 Q1 1, Q I ,. i 1 i 1~ 1~ 1 i{ 1 1 1 1 1 t 1 t 1 1 1 1 1 T a Z U i ~ . ~ ' ~ ~~~ W o a l:l i:i:i:l.i i.i i.l t s t:l t- 1 +f, l-'l.j f . t 1.1.1.1 py, ~ 1'1't'i'~1't i'I'1 _-~ ._If~it 1 A L_1 'l ~ N r~ ~ a ~"~ a g1 y 4a' ~ ~~~-~ ~ 7( `~ 1. 1'1,1!1111 ~ ~=-ad~ ~ VI ~ W Q ~ u~i ~n¢~ac.~ n ~~ ~+ V ~ . ~.r~ RETAIL CUSTOMER and BUILDER This is a CUSTOM DEStt,N PRINT with nominal dirrlensi4n5. This plan is subjcd to addfional englneering review and may require changes as a result. locall buildt-g codes may require some alteratiams to th;s plan. ThC' addition of opti~ls may also require akeratiorls. Thus plan cannot be confirmed a' Dui[t unll~ this copy Is retumad with the signature of troth ihre customer and the bufider. Signature carrfa~ms acoeplar-oe of this plan ~S presented. Cnenges to this plan may require additional changes. JUG-12-2007 10:29 From:WICK SALES 715 3S7 2931 To:17156652018 P.10r10 r ~~~~ ~ ~ ~ 1 (~ 11 II 11 Q r 0 v 0 a~ 0 1) 11 II 11 1 It It 11 II 11 1 11 11 11 11 II 1 11 II 11 II 1 11 1 11 Artcraft~ by wick Building Systems, Inc, ~ RO Sax 53D 23D1 E FbURTM STREET Nl~ 1~ I• G f 61.H GS !~\ ~I ~1 ~I 11 Production No. 41912 PAG~~ 2 Op 2 Y r r ~ +. 3.J I TTT--111 ~ i Q d Q F--1 C~ ~~. y~r'T 1.1..1 [f7 J ~ d' a S ~ 4-~ J J ~ W D C~ ~ Q ~ Z ~ ~ Ca 'd" 4 Z d Qoozo ~z"'~~. ~ N ~ ~ `" ~ "~ w~~°~ ~ w Q~~a~ ~ ~ cna~ac~ O N RETAIL CUSTOMER and BUILDER Thls is a CUSTOM D~StGN PRINT with nominal dimensions. This plan is subject to addlUonal engineering rovivw and may rcquirc changes as a result, Local building codes may require some alterations to this plan. The addition of options may etso require alterations. This plan cannot bo confirmed or built until this copy Is returned with thr~ signature of both the customer and the builder, Signature confirms acceptance of this plan as presented. Changes to this plan may require additional changes. o a ~~ r ~, e ___-- y ~ -, L ~ 5s7~ 5a ~....~_T ~ A Lb'd O,/ ~ ~'~" `r 0 m M 4 ~ ~ .r ' ~3 ~+ -~. e fy~5a ~ ~ ~~ r -. ~y, .~ -, O/ O a • • ~` c~ ~~ a j 1 5 ~ ~ ~ ~ V o ~ ~ V ~ J ~ M ~' ~ ~~ ~ ~ ~ ~ ~ ~ ~ v ~ s ~z~°` ~`'/ ~--K~l~y sc~cael~~.cl ~1 ~ ' ~illo- jS `~`~ ~~°L9~ e S 1 - z$S-_ a~ S 3 ~,~~r~ ~ X73 ~~ ~` ~, . • ~ Parcel #: 008-1024-40-000 08/1012007 08:32 AM PAGE 1 OF 1 Alt. Parcel #: 9.28.16.123A 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - SCHOELLER, DOUGLAS & KELLY DOUGLAS & KELLY SCHOELLER 624 BIRCHWOOD AVE ST PAUL MN 55110 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 9 T28N R16W 20A E1/2 SW NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 09-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 12/04/2006 839967 SCAF 06/20/2006 827866 WD 06/14/2005 797624 2822/363 WD 07/23/1997 1131 /342 LC more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Description Class AGRICULTURAL G4 AGRICULTURAL FOREST G5M Last Changed: 08/04/2005 Acres Land Improve Total State Reason 14.000 1,600 0 1,600 NO 6.000 1,500 0 1,500 NO Totals for 2007: General Property 20.000 3,100 0 3,100 Woodland 0.000 0 0 Totals for 2006: General Property 20.000 3,100 0 3,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • Parcel #: 008-1024-30-150 08/10/2007 08:31 AM PAGE 1 OF 1 Alt. Parcel #: 9.28.16.1228 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 07/01 /2005 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - SCHOELLER, DOUGLAS & KELLY DOUGLAS & KELLY SCHOELLER 624 BIRCHWOOD AVE ST PAUL MN 55110 Districts: SC = Schoo! SP =Special Property Address(es): ' =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 9 T28N R16W 35A NW NE EXCEPT CSM Block/Condo Bldg: H 8!2200 & EXC T EW 99 FT Tract(s): (Sec-Twn-Rng 401/4 1601/4) 09-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 12/04/2006 839967 SCAF 06/20/2006 827866 WD 07/01/2005 799153 2834/380 AFF 07/01/2005 799152 2834/379 WD more... 7f1M CI IMMARV Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 3.000 300 0 300 NO UNDEVELOPED G5 3.000 1,500 0 1,500 NO MFL BEFORE '05 CLOSED W8 26.000 10,700 0 10,700 NO Totals for 2007: General Property 6.000 1,800 0 1,800 Woodland 26.000 10,700 10,700 Totals for 2006: General Property 6.000 1,800 0 1,800 Woodland 26.000 10,700 10,700 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00