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008-1025-10-000
w'. ~onsin Department of Commerce PRIVATE SEWAGE SYSTEM S:ty and B~Iding 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 Levine, Trevor Eau Galle Townshi CST BM Elev: Insp. BM Elev: BM Description: l~v.3~ ~py.~~ a,~ /"~!G TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing ~, ~Irt t .~? ~ ~a ~ lJ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic i , Dosing Aeration - Holding PUMP/SIPHON INFORMATION n . Manufacturer Demand ~- GPM Model Number ~~~ l ~y U 7 !®~ 7 3, [ TDH Lift Friction Loss System H ea~1. TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 430266 0 State Plan ID No: Parcel Tax No: 008-1025-10-000 Section/Town/Range/Map No: 09.28.16.1276 ELEVATION DATA STATION BS HI FS ELEV. Benchmark Alt. BM ~~~;-~,-~~;~ Bldg. Sewer ~$,S7 ~ `~ St/Ht Inlet 4 • q ~ R ~. ~ 3 SUHt Outlet t"~ a I G (S ~L ~I '7 Dt Inlet /• ,- Dt Bottom 8N~ ; wa,+;-~ " ~,~a' 13'~b ~ U her/ an. ' 5,l l03•l Dist. Pipe~S~"k•1'h- ,~,peyt ~us.t- ~ ~ , f ~ V /e3 , t 3 Bot. System s 5" rc~ .~7 Final Graade {~ St Cover '~ ~, ~, .~ ro ~~ ~~~t`« ~~o' S~irYi - - -- b , e _ - ~ P' P ,S~ ~oYt~-. s.f a3,i BED/TRENCH DIMENSIONS Width rr Length -' No. Of TFCae4es ee~r / PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth 3u ' ~,~ r SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM ACHING CHAMBE Manufacturer: _ _ _ _ L~- ~ Type Of System: r ,, ~ ~ ~ i r1i G ~ O 7 l ~~ ~ ~ .~_~FT- __ _ , _ ~- DISTRIBUTION SYSTEM Header/Manifold Distribution ~ ~ x Hole Size !r x Hole Spacing ~ ~ Air Intake Vent to / r/ L th 3Q i ~ Pipe(s) q° ~ y Pi l~ ~~ ~ ~ ~ ~ ~ ~~ ~ f eng D a Length Dia Spacing v l~L SOIL COVER z Pressure Systems Onlv xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~... BedlTrench Edges,,..-= Topsoil ~ ~~ Yps ^ No ' ~ ~~ Yes rL~j No .• ~~ 7~ i COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~~/~/~y~ ~M'r` Inspection #2~Q / ~~ / ~~~~1'l Location: 452 233rd Street Glenwood City, WI 54013 (SW 1/4 NW 1/4 9 T28N R16W) NA Lot Parcel No: 09.28.16.1276 i~ , 1. AItBM Descri tion = ~~!- ~~ ` ` `~`~`~ ~~1'~~ ('t''°"~n / ~ P /""' ~ .. r ~ `"' ti ~ d~ V'G ~r~'a~ r~f4'~ 2.) Bldg sewer length = S I ~ ~''~ ~ ~ ~ ~4~(, - amount of cover =~'~ l/`r "" ` ~)-tJv yy~WwflrV j 1 I j; Plan revision Required? LJ Yes ~No 1~ 1 ~ ~ ~ tg ~ Use other side for additional information. ~!~~ 4 ~~ ~ __ - " •~~ _ _ _ ___ ~ ~~ SBD-6710 (R.3l97) Date -~~dr~ idsepctor's Signature Safety and Buildings Division County ~ ~ 201 W. Washington Ave., P.O. Box 7162 ST CROIX , ISCOOSI~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) . De artment of Commerce (~$) 266-3151 O 2. Sanitary Permit Application State Plan I.D. Number Ia accord with Comm 83.21, Wis. Adm. Code, persotut! information you provide TRANS . ID ~ 887944 may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address) ~ I. Application Information -Please Print All Information . ,,., . # ~.3 sad, 2 . . _. _.~._.. . ~` 2 Property Owner's Na me ~ ~ h .- s Parcel !/ Lot ~ Block 1 TREVOR LEVINE f '. Doi /a~~-lv_w~cl q iU,o Property Owner's M ailing Address ~- '~' ~:.+.1u~~ ~ Property Location ~ , IZ~$ 901 1ST STREET :' SW !4 NW u,Section 9 City, State Zip Code .~-.s~ ~;~'horya Nutnb4r , GLENW'OOD CITY WI 54013 (cucle o.~) T 28 N; R 16 E or~ ~ (check all that apply) e of Buildin II Ty ~ ~ g . p ~ ~ S "" Subdivision Name CSM Number ~1 or 2 Family Dwelling -Number of rooms ottS o .8b f ^ PublidCotnmercial -Describe Use ,v A ti n • ' ~ ~ - ^ State Owned -Describe Use .s BU ^Cit ^Villa a ~'I'ownshi of EAU GALLS y_ g , p - -- -- a .. O . III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' ®New System ~ ^ Replacement System ^ Treatment/Holding Tank Replacement Oniy ^ Other Modification to Existing System B. ^ Petmit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T of POWTS S stem: (Check all that a 1 ) ^ Non -Pressurized In-Ground ~ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recuculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (ex lain) V. Dis rsal/'Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (st) System Elevation 450 1.0 45U 450 102.44 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallotu of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1000 1000 1 WIESEP. CONCRETE Aerobic Treatmetu Unit dosing Chamber 600 600 1 WIESER CONCRETE X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature MP/MPRS Number Business Phone Number ~ BENNIE HELGESON ~ ~ ~'" 220292 71 77 - Plumber's Addre ss (Street, Ciry, State, Zip Code) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 VIII. Count /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Surcharge Fee) ~ Date Issued ~ ~ Issu' Agent Sigaatur (No Stamps) ^ Owner Given Reason for Denial ~~ _„ iZS /03 IX. Conditions of ApprovaUReas1ons for Disapproval ~~ (~ (~ - - - - ..Q,,, - e t1 ` _ /~ / es'-!~"~ 1Mg'tJ'^c1/ V~`~M~L ~tx.x- h2 ..~A~t1K.t.(O/ / ~ ~,My~q,l~~, : ~,o.'~.r, -[-~ j ~ t JJ ~ ~ ~ 1 Ad ' ~~lttach complete plans (to the County ody) foie system on paper not less than 81/2 x 11 inches in size SBD-6398 (R. O1/03) C ~ l..~o p~arN = ~~ C~ "-•'~ I 2~3 ~~u• i q9.4 3 ~ 90 S ~ ~~ es }' ~ro~er~ ~~~.-c e ~ O ~~lofg 4~ o ~ Proposea.Q 1000f ~OV G0.1 Sapp+'~~~jo5~ Ta~.k ~ I ,,. i "~ a Y" PuC ^-~ :/ _ a~ ~ _ _ ~ I .. I ~ o~~e.. ~ I ~ Elc~, 107.3 T3•M. boy, 3 s Tod o~ i~i~ ~ ~ P.~~ ~, ~''~ ~~ 5~~..(~ ~ ~~- yo' ~xc ~e~f ~s S h owc.~ ~~ ~~ a~ ~/ ~ ~e.~ ~~L~, . ! U 1 ~~, ~Jrul° ' fiU't/ ~___ ~_ -- ,..~ . ~ t 2 • a~ `- /G ~ ~d"~7 ~+/ l C~ ~ Sec~~ ~~G Rj' Ex~s~;h9 ~ ~~~~~~ ro ~ a 3 3 r~ S•~r~ a.~- ~ol~ S h < ~- • ~~CH C t q, n cP ~M. , 9~ s r~ of I"RIa~lc Pie ~~CJ ~ 03•~ ,~r' Trc Vor Levin e • ~~ V. /Qb~ ~`~r 1 5~ .' •' r isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce. state.wi.us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary July 18, 2003 CUST ID No.220292 BENNIE W HELGESON HELGESON EXCAVATING W1229 770TH AVE SPRING VALLEY WI 54767 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/18/2005 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Trevor Levine 233RD Street Town of Eau Galle St Croix County SW1/4, NWI/4, S9, T28N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 912672 Identification Numbers Transaction ID No. 887944 Site ID No. 662264 Please refer toboth-'identification numbers, above, in all correspondence'with the agency.. 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 Requirements: • 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-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • 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 similaz activities that impact the treatment and dispersal are prohibited. Cone • 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 ARTMEN' • A Sanitary Permit must be obtained from the county where this project is located in accordance with the ~ N 0 SAF requirements of Sec. 145.135 and 145.19, Wis. Stats. ~ SEE CORRI • 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. BENNIE W HELGESON Page 2 7/18/03 ., r Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • -Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS, All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or 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, ~~G~ 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 ;i r PROPERTY OWNER: PROJECT NAME INDEX SHEET TREVOR LEVINE 910 1ST STREET GLENWOOD CITY, WI 54013 TREVOR LEVINE PROJECT LOCATION: SW 1/4, NW 1/4 , S 9, T 28 N, R 16 W MUNICIPALITY: TOWN OF EAU GALLE COUNTY: ST. CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL SBD-10573-P(R/99) MOUND COMPONENT MANUAL SBD-10572-P (R 6/99) CONTENTS: Page 1: Page 2: Page 3: ~E~E) l1 E® Page 4: Page 5 JUI.. ®9 ~~_~~~. SAFETY & BLD GS DIV. Page 6 Page 7 Page 8 Plot Plan Cross Section and Plan View of Mound Distribution Pipe Layout Septic Tank & Pump Chamber Cross Section & Specifications WLP1000/600-MR Zable Tank Specifications Pump Specifications POWTS Owner's Manual & Management Plan - Pg. 1 POWTS Owner's Manual & Management Plan - Pg. 2 Name: Bennie Helgeson Address: W 1229 770th Avenue Spring Valley, WI 54767 Credential Number: 220292 Sign d y ~~~® OF COMMERCE BUILD- G Date: July 7, 2003 =SPONDE E i y r ~~ ., 2~3 u ~ qq.4 {~3 6 90 S~~P~ ~k~. ~~ o ~. ~ ----*-- es{' f'~oper ~i.~-c Oc.vncr' Trc Vor Levin e ~le~ , ~ D3.SS e ~ O `~~ l o f 8 4~ Pro~lo~eo:Q (OOO~IobU ~Tc~(, Sad ~c~AoS-e 'i"aK(C. u~~ o... i I._ ~1 ~ - ~ _ I ~ I ~OJ~- TS'.M. loy.3 s Tod o-E ~~h EPUL P-~~ ~~ ~ .E'X c -Q~O~ /~s S l- owcti J~rN c ~ Q ~^ --~,~M, yi. s rop at (~~Qi~~~ P,pa P~o~d 3 BQ~ ovh ~ E1~~, (07.3 G ro..t.,n c~ ~ w~~~ l {~o 5 3~4 ~fo ~L- of L n ~/ \ OZ ~ 3 r ~ S }/` < car ~P~,~~ e `~c~ ri~~ °~' Ex~s~~N9 y rv e L~-~/ a" to"~j {'o a s3~d Skr..f- a 3 3 ~-~ S-~'r~ I~ I~ h< d! _ h ~ ~- ~ s, .l . Synthetic Covering ~srM ~ 3.3 Medium Sand Topso(I --J ~ E 3 6 % Slope C F_ L~.0 f 2~- 2 i Aggregafe '" Page ~ Of o° isiribution Pipe F/e~. ~o1~•aV G El lDa. D _. ~ ~~~/ . ioi• 9 Force Main From Pump Cross Section Of A Mound Signed: License Number: Date: ~- q ~l,S Ft . g Lb~~ Ft. K '7,g Ft. L ~ (s,~ Ft. ~ _~- F t . T /~ Ft. W ~7, S Ft. Plowed Layer ~~~7 D .~ Ft . = ~'`'~ E ,~-/ Ft . , y'y F .80 Ft. G ,, S Ft . H ~_ Ft. Observation Pipe ~ K Ir_ _ ------------------------ --- I I ~ a A ~ _~ ------------------------- Distribution ~`I'~ Of 2 - 2'2 ' Pipe ~g~ Aggregate Observation Pipe Plan View Of Mound G'LUY1P.r' ' ~ I r~yvr L.~ll ~ In P ~ 1 C: )eo-~~o`- t n G~rsC IEttNO~-~~ • ~ ~ I~~ ~,o. PerforoteA Plp• Oeloll / / End Vlew PerloroleE ~ „ ~ ~ 1 Distribution Pipe Layout 'P~~ Holes Located on Bottom are Equally Spaced ~~ ~~ P .~ -_~~ ~. . . R ~ S ~ brf x 3~ y ~r Y 3~ -y" l Inch Hole Diameter _~ Signed : ~ ~ ~~ Lateral _!.~_ Incn (es) License Number Manifold " a Inches Dace: Force Main " - Inches ~ 7 .y,l. VE~* ~~i~ev. ioa. 9~ .. /~ l~ ~~ e r o '~ ~a?Q~ X ._---- 70 /a/ /-dolts ~ ~~ ©Wr~P~^ ' ~ ~VVY' ~.~V i h ~ Page ~ Of$, ~' ~ ~ SEPTIC, TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4 .PUL. VENT PIPE 12" MIN. ABOVE GRADE E ~~ 2 S' FROM DOOR , WINDOW OR FRESH AIR INTAKE FINISHED GRADE ~~ b N~n• 18" IN. y,/~UL. abiSERW+T~on! riPE INLET WATER TIGHT SEALS -1- F~LTER A APPROVED ta,.x 1(~" -~- PIPE 3' ONTO SOLID C SOIL PUMP OFF ELEV . S~SFT D NEATHERPROOF JUNCTION BOX WITH CONDUIT APPROVED MANHOLE COVER W/ PADLOCK E WARNING LABEL 3" APPROVED BEDDING UNDER TANK -4" MIN. • u 18 MIN• VAPPROYEO JOINTS NITN LM APPROYEO PIPE N 3' ONTO SOLID SOIL OFF 2yn S. D. :• .i ~, I' GAS- ~ ,' TIGHTS SEAL i rr~ I ' CONCRETE PAD SPECIFICATIONS + ~~ SEPTIC / DOSE /R x ~. ~ _~_ GPI TANK MANUFACTURER: ~C)~-es«' - TANK SIZES: SEPTIC /OOo 6AL• DOSE VOLUME INCLUDING 7 ~-~ t FLOWBACK: 5 GAL. ~ . DOSE . ~U GAL. = /~ /. btYGAL. ~ INCHES = D ALARM MANUFACTURER: S.Q; _r.r~a_ _s_~L5~~+.s CAPACITIES: A , _ MODEL NUMBER: O/ Gv g = 2 INCHES = 33,5.? GAL. SWITCH TYPE: /-'I ~ C = (, INCHES = /pqS'~ GAL. PUMP MANUFACTURER: (~ou.~~S MODEL NUMBER: '~~`)1 E1~Q.ti~l~ D = /b INCHES = ~~.~-~L• SWITCH TYPE: cwr ~ to GPM PUMP E ALARM WIRING AS PER. ILHR 16.23 W RATE 'J I REQUIRED DISCHARGE r -~ ~ FEET ~.~f3 VERTICA L DIFFERENCE BETWEEN PUMP-OFF AND DISTRIBUTION PIPE• J, y • ~ FEET ~~~ + MINIMUM NETWORK SUPPLY PRESSURE ~FT/100 FT• 2 T FORCEMAIN X A R I A FEET . FEET • • + FEE ~- , _ HEAD DYNAMIC t . T TO _ _ ~, `1Z / y~ ET R INTERNAL DIMENSIONS WIDTH DIAM OF PUMP TANK: LIQU/IlD b~I`-/F~r ! " . ~1JC ~ ~' ` 8 K.~ ~1 Y ~ n/ ' / 'Pa-s- Q,~ ~?V' L rl C /~ ~~ ~ 7~j G C C, e 7 LICENSE NUMBER: DATE: SIGNED: 1/88 Tq~~Sn~f~~ T/'111 \Iif 1lI ~- OUT ET i~ .n i 01 M ~.~ ~.ic n~rc SIDE VIEW SCALE: 1 /4' t' 4" VENTS NLET R N WLP1000/600-MR' ZABLE TANK SPECIFlCATIONS DIMENSIONS: WALL: 3' BOTTOM: 3' COVER• 5" MANHOLE: 24" I.D. HDGHT: 56" O.D. LENGTH: 750' O.D. WIDTH: 84' 0.0. BELOW INLET: 42' O.D. UQUIO LEVEL: 36' WEIGHT: 14,795 LBS. INLET ANO OUTLET: 4' BORE WITH STOP FOR QUIK-TITE, FERNCO GASKET, CAST-A-SEAL 800T OP. ErJUAL INLET AND OUTLET BAFFLES: WISCONSIN, SEE DETAIL X10 (OTHER STATES SEE CHART) LIQUID CAPAGTY: 27.88 GAL/IN (SEPTIC) 16.76 GAl/IN (PUMP) LOADING DESIGN: 7' 0' UNSATURATED SOIL ~~~ ~Oa~DC~~~ W3716 US HWY 10. MAIDEN ROCK. YN 54730 .800-325-8456 MODEL WI.P1000/600-MR ZABLE SEPTIC/SEPTIC. SEPTIC/PUMP OR SEPTIC/SIPHON JANUARY, 2000 FlLE wtPltltH1 Snr,_uR h...=.. T.-..~„v Lr,r Submersible Effluent Purnp METERS FEET 8f ~~~~~~~ . MODEL: 3871 ~~-~=~~:~~` SIZE: 3/4" SOLIDS. ~ --~~~ RPM: 1550 . : ~.:~.. H P' 0 4 .~ , ~. .,; ..•.N'~ ..Nr. 25 7 O = g 20 V ~ 5 a 1 oa~~~~ o g 10 t- 2 11 0' 5 ;': 0 40 50 GPM'.~`~~~: 0 ~ 0 20 30 3~,~~ ::• ... 4 6 8 10 12 m'/h :r;.w~.. 0 2 CAPACITY ~GOULD~S~P~MPS~IN,~B~; „y1v 4'i. ~:y. ~. ,. ~ ~y%f++ ",'x, °; ..~zi:. K:;• ,N.+`:. • .~ .; .: . i..., . ..{y,.y. :.fjc.~~.~ .. .~+ _ .. - SPECIFlCATIONS ARE SUBJECT TO CHANGE WRHOUT NOTICE ;.jt" ,.~~.. ~. Effective October, ifa88 PRWTED W U.SA.' •.sef.~.... . POWTS OWNER'S MANUAL 8~ MANAGEMENT PLAN Page1_ot_$_ -' FILE INFORMATION Owner TREVOR LEVINE Permit # e~rc~~r-~1 owDeIUFTFRS vww~.. ~...r~..._.. _ Number of Bedrooms 3 ^ NA Number of Commercial Units [~ NA Estmated flow (average) 300 aVda Design flow (peak), (Estimated x 1.5) 450 aVda Soil Application Rate 0.5 aUda /ftz Influent/Effluent Duality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L Biochem(cal Oxygen Demand (GODS) 5220 mg/L Total Suspended Solids (TSS) 5150 m /L Pretreated Effluent Quality .• ®NA Monthly average" Biochemical Oxygen Demand (GODS) S;iO mg/L Total Suspended Solids, (TSS) 530 mg/L Fecal Coliform (geometric mean) 510' cfu/100m1 Maximum Effluent Particle Size Y, inch diameter sYSTEM SPECIFICATIONS Septic Tank Capacity al O NA Septic Tank Manufacturer WIESER CONCRETE^ NA Effluent Filter Manufacturer ZABEL ^ NA Effluent Filter Model A-100 12" x 20"^ NA Pump Tank Capacity 600 al ^ NA Pump Tank Manufacturer WIESER CONCRETED NA .Pump Manufacturer GOULDS PUMPS INS NA Pump Model 3871 - EP0411F ^ NA Pretreatment Unit ~ NA ^ Sand/C~ravel Filter ^ Peat Filter O Mechanical Aeration ^ Wetland ^ Disinfection ^ Other. Manufacturer Dispersal Cell(s) ^ In-ground (gravity) ^ fn-ground ( pressurized) ^ At-grade ~ Mound ^ Dri -line ^ Other: • Values typical for domestic (norrcorrvnerclaq wastewater and septic tank effluent. ' •• Values typical for pretreated wastewater. MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or ceftiflcations: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servidng 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 cot'nbined 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 ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components; and any other maintenance or monitoring at intervals of 12 months or less 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. START UP AND OPERATION. For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. , ,.,OWNER : TREVOR LEVINE •' System start up shall not occur when soil conditions are frozen at the Infiltrative surface. Page, of During pawer 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 surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or 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; herbiddes; meat scraps; medications; oil; painting products;' pestiddes; sanitary napkins; tampons; and water softener brine. ABANDONMIVIENT • 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 ch. Comm 83:33, Wisconsin Adminlstrative 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 tie 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 t(me. O 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. Q Mound and at-grade soil absorption systems may be reconstructed in place following removal of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules In effect at that time. c<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 IMPOSS113LE. ADDITIONAL COMMENTS 'OWTS INSTALLER Name HELGESON EXCAVATI N INC Phone 715/772-3278 POWTS MAINTAINER Name •' •Phone 71,5/73-5811 ~EPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY ' ' ~~ Name JOIiNSON ANITAT Agency • Phone 715/273-5811 Phone 715/386-4680 ~ This document was drafted Dy the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies. This document meets the minimum requirements of ch. Comm 83.22(2)(b)(1)(d)&(t) and 83.54(1), (2) & (3), V1r~sconsin Administrative Code. Use of this document does not ~,ranlee fhe performance of the POWTS. ~~~~r nM~~ V'1~;~SCOnsin:_l~epartment of Commerce ,-~$~ D SITE EVALUATION Division of Safety and Buildings ~~~ •. T ~ ;~ , Page of Bureau of Integrated Services ~~,irf.~c~c#rdance wi . tLHR 83.09, Wis. Adm. Code ' ..' 'i! % ' ~`~ ; ~~ ~ ~, r Attach complete site plan on paper not less,~n~ 1/2 x i~f~i; d~size '~Ip~~nust ~ County _ include, but not limited to: vertical and hori¢ont~l reference poinf (BXA), direc~ioh and ~~, , G , percent slope, scale or dimensions, north grow, anrf,~gr~tiogand distance to riea est road. 7' .. • :. f ~Q~~ ,__..:, Parcel LD. # APPLICANT INFORMATION - Ple se'grin>* adcinlE~Fination~C• - •~ Reviewed by Date Personal information you provide may be used fors rydary,p r~po~sr'(~vFa'~.aw; 's,.^:i*. (1) (m)). ~, R'~ ~ SI ~/$ Property Owner ~ yi Property Location ~^ Y' p ~ ~ i , ^~'~~___ _,,,~,~,~--/ Govt. Lot S~ 1/4/(J~1/4,S _l T~g ,N,R /~, ~ (or) Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# ~~y ~f , ~~, ~ N~ City State Zip Code Phone Number ' ^ City ^ Village ~ Town Nearest Road 3a 1 n~~~~y., I ~.~. ~ s~o~z I c 7ij )ley Z~l S L ~ u ~a ric- - Z~3 -- s~. ,® New Construction Use: ,Residential /Number of bedroomsCl -.r t,r r.,Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow gpd Recommended design loading rate bed, gpdfft2 trench, gpd/ft2 Absorption area required 'gybed, ft2 -trench, ft2 Maximum design loading rate ~d, gpd/fl2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ~ft (as referred to site plan benchmark) Additional design/site considerations ~ ~ mac. ~.- Parent material / Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ^ S U ~ S ^ U ^ S ,®U ^ S ~ U ^ S ,~ U ^ S U SOIL DESCRIPTION REPORT ~ ~ T ~,'~° Horizon Depth Dominant Color Mottles T t Structure Consisten e Bounda Roots GPD/ft2 in. Munsell z. Cont. Color Qu. S ex ure Gr. Sz. Sh. c ry Bed ,Trench `` ~~ 2 6- ~' • ~Yi~ G /~/an e Si s !~? /~r- c t~ ,2 • Z , '.s' ~3 ~5 '7.5Y,Pg~ s/ Z~s mv~r 'S ~ •~ Remarks: ~1 .Z •2 ,S .z ,2 •5 ~ /y 3Z .~ `~' o S ZmS~X f'rJ /-~ G i Z ° 5 ~ ~ (~ ~, Remarks: C ame (Please Print) Signature Telephone No. Address Date CST Number PROPERTY OWNER PARCEL I.D.# Boring # 3 Ground elev. 99 •`~aft Depth to limiting factor fib! Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft Depth to limiting factor in. Boring # Ground elev. ft. Deptl~to limiting SOIL DESCRIPTION REPORT •~ Y• Page ~ of -. Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. S z. Cont Color Gr. Sz. Sh. ry Bed ,Trench ~' "6 1, ~ Z_ ) /(~on e ~'~ ~ ~~s ~~ ~ V~f R 5 Z • Z , . ~ Remarks: Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench Remarks: .2 2 factor in. Remarks: SBD-8330 (R. 07/96) svw~Er; t1r~ ~roCn+~~ I L3alo~ 7/S-~ ~8. B3- g4.9o' r~a~k~.al yr4ww- ~y l-.~a-~- ~'• ~U~c~yv~-~-' M s ~...~_ ~QU ~all~ -~"~Ks~~. i sw/y NW'/y ' TzSN R I6LJ 3y5 9101" St. #18 Glenwood City, WI 54013 (715)265-7048 btlevine@yahoo.com August 22, 2003 Saint Croix County Zoning Office Steve Fisher, Director Rod Eslinger, Zoning Specialist Jon Sonnentag, Zoning Technician 1101 Carmichael Road Hudson, WI 54016 Dear Gentlemen, This letter is in regard to a recent zoning office request to have a certified survey map done of our property before issuing a sanitary permit. When the land was purchased in 1998, we had it rezoned to Ag/residential. The issue of a survey was brought up and our bank (Westconsin Credit Union), the drafting attorney (Thomas A. McCormack), and town board members said it was not needed because the land had been its own standing 20 acre parcel since 1945. As a result, the legal metes and bounds met all requirements. The town board and county granted the rezoning request based on this information. We feel at this time the same legal metes and bounds description also meets the requirements for the issuance of a sanitation permit. Thank you for your consideration on this matter. S'nc ly, :~ ~nd.a~. 0~ . c~, e~ri.,.~ Trevor and Brenda Levine Landowners ~o Bill Peavey Eau Galle Town Clerk Computer #: 008-1025-10-000 Parcel #: 09.28.16.1276 Municipality: Eau Galle Township Address: 452 233rd Street Glenwood City, W 154013 08/19/2003 Unknown, Jon Sonnentag Steve and I discussed how this parcel was created. Typically, we would expect that all contiguous land in AG zoning is one parcel. However, there was a deed that created this 20 acres in 1945 before the Town adopted Ag zoning. This 20 acres was rezoned to Ag-residential in the 1990's, but a CSM was never recorded to map the !ot lines - it was assumed that the 20 acres already existed. There is enough information to support these claims and therefore we will recognize that a 20 acre parcel already existed. 9lr'22:~2Nt33 1e: 46' 71524672''.7 HALLS EsUILIiEr'S INC PAtaE 02 ~T CROTX C~L~'I'Y ' SEP7CXG TANK MAIIVTE~iAN~ ACrRB~SMffi1'T AN17 OWNERSI'IIP CEIt'iII'IF,tCAT'iQN P't7>:iM ~wuer/Bayer _ /,~~. VD l~ `~" ~ P.'~ oy b ~} ,L_. f fl r~s ~ -- Mailing Address Properly ,Address CitylState Ala ~~~ ~~ GEGA.L D~SG~k''x'1<Oly far new constntction)-___--_ ~. Parcel Tdentiftt:ation Nturtb~t' b U Ff - /o ~, S -/o ... two I2~-6~ Property Location ~'l,, ~ 4~ %, Sec. ~ . TAN-R~..,W; 'Tr~wn of ~ ~c~ll ~e Subdivision CLtSL.- e.X,i~ u~+"al oor~ ~ Cer#ified Survey MaQ # ~~ 'Watnran#y A # '~' ~ ~ a `~ Sparc hat~ae ^ yes ~ no ~~ Lot # ~- __.__ Vaitame ~~ ., page # Vulture /3~3 _~ Page #~ ~3 9 Lot lines identiixabie ~ yes Cl Ana SYSTEM M61~[ANt' :~N Itnpxopax use and maintenance of your septic system could result in its premature Failure to beadle wastes, Pra~ex tnaiatcnance ennsists o£ puatping nut the septic tanfr every tlue:e years or sooner, if needed by a licensed pumix:r. What you pui into tl-e system can a~'cCt the fuuctien of the septic teak as a t['eatmtut stage iu the waste disposal system. '[be ptopaxty awnt:r a~r_es to submit to St. C~aix ~ottiag I7iepartmcnt a ceriifoation form, sig~:ai by the owaar xad by a mastorplum6er, jouiueyu~plnmb~. fiest#icted plumlxr ar a liceasedpu~pcrvetifying that (1) the on-sitewasbCwaterdisposal system is is proper operating coaditiiam auidlar (?) lttitcr inspection and Pining (if necessary), the sortie tar3c is kss tbau 1l3 full of sludge. Lrvvc, the vntletsigaad have road rho above tequieamants and agree to ttwaiYStaia the privaoc sewage disposal systrm with the standards set Earth, ~ti, as sat by the Iepartment of Commerce and the Department of Natural Resctteccs, State of Wisconsin. CxrtiftcatioQ sbrts~g tlsat your c system bas beta maintained rxzust bn tosmpletcd and returned to the St C~'oix C.ri:tnty Zoning pfftcc within 30 days of the tbzee year' expits '~ date. ~ ~" ~_ ~I~ffNN~'1'C.JR13 OF APPLICANT' ~AT~' UWNER ~RT'~FICATION I (wo) certify that all statcgacuts on this form are sz+se to tha best of my (our) fr~aa~~ledge. I (we) ata {are) the ownet{s) of tlu property tlcscribad aba fry virtue of a warranty deed rcec~ded in Ftaglster of Doed9 t:?f'dce, 5 SlC2QA'i'URB of AP~~.lCA2~'1 D~~~J~- anwswsw zrztitbciagrevokedb the CaC*+wrw• Any infomtiatioa that is xpis-xcpreseoted may result in rho satutary pc Y ~S ~ •w inr.iude with this appCcation; a stau~ped warranty deed from rile Register o£ Deeds o~cc a copy of the ccrtit'ied satvey rasp if rsfercncc is made in the warty decd ~~i, s2raea3 1e: a~ 71524b722r HALLS BL'ILUERS ING F=~Tt~R~t TD: Thames A. LxcCorxnack 740 Main Street Saldwa.r~, WI 54002 GERTI~=CATICH ^_ ~ r. :. ~;, subscribe`d?,and swarm to before me 'Y'thir~~~~~ '.`day of '~---` 1.995. ~~ o.~e-~ ,}.;~ .,'ti , Notary Public 5~; .Croi~c'Cdu~nty, Wiseans N1y commission expires S ~~r~l T1dIS INSTRVMEN^ ARAF'~'EL SY Thomas fi. McCormack Attorney at Law 740 Maita 5t . Ua,ldwixt, ill 54002 (715) 684-2644 State Bar Na. Q101i~iB4 STAVE O~ WzSCQ2TSIT~ } COUNTY QF ST. CROZX } SS Thomas A. N1cCormar_k, b~:ing first duly sworn, on oath deposes and states that he is the attorney for the Arthur C. Kroening revocable yruot, and is fully familiar with its terms; that said Trust, dated N1a,ir 34, 2997, is a non-court ach'~inistez-ed Trust; that said Trust gives to h.rthur G. Kroening, as Trustee, full power to convey ya~,d; that it is currently i:~ effects azd that the present Trustee is Arthur C.' ~r.oening, Arid that he as the only trustee z'equi~~~ to so ~Gt. ~~ . bated this ~ __ day of 1998. PAGE Jd r, r 07x`2212©03 10:48 715~A67227 ~8i~~~$0 HALLS BUILDERS INC COL ~~~~~ACE~~~~ t`TG Gre T1G'L~1R Arthur C. Konenin8 , as Truatee of the Arthur C. Kroening Rovocable Trust, urith furl power to convey, for a valuable consideration eanv.ys w'rfhout warranty to Trevor J. Levine end Or®nda A. Levine, husband and wife, Grantee, the fel'owinp described reef estate in St. GrciX Goutity, state of WgconaPm P+~GE 0? / ~ UU /yJ ~T: ~~ RQwX~CO~, WI ~r.~ ~~ Name and Return Addrt Thanes A. WIr.Cormack 740 r1elrt stmel Saldwln, WI$g0pQ 008-10251 D (Parch IdsnSficatian NumBer) South Half 4f Southwest Quarter of Northwest Quarttzr, (t3 "r~ of SVY °/. of NW '.~.) in Sectltm Nice {9}, Tovurtship Twenty Eight (2$) North Range Sixteen (ifi) West. ~r Det®dthlsl7 day Of~, t888. At1T}tEMTtCATPOfJ Slanaturn(s} ____ ttuthonHcated this ._ tley of ~ _T„ sipnahxe type or punt name __. ,~ TITLE: MEMBER STATE BAR CF WISCpNSlN (If not, authdtixsd by' 706.06, W's. 5t>3tes.) THIS INSTRUMENT WAS ORAFTEO BY Thames A. McCormack Beldwln, WI 54Q02 i~ / ~C ~~~/ ~~ ~ 23 ~t: (~ L ~°}}I 'Arthur C, Kraenirtp, T~ustue Trustee Truatee ACKNOWLEdGhAENT STATE OF WISCONSIN ST. CRt?IX CQUtdT'! ~ Personally came before rna tnis ~ Bay of 198if the above named Aftaur C'. Kroening, as Tr ate2 of the Arthur C. Kroening Reuocabls: Tnts tc me known to be the person(s) who executed th ore ing Instrument and acknowl ge the same. ~L...--_..--~__ si9rraturo typearanMnamp~i~s d, JM1kterl~P.e7t!st,~ .~ NotaryPubllc St. CrdixCounty, Wiscch9in My commission is p®rmanent (!i net, state expiration dato, ~_ •) 'Names al persons siQnmg In any apecfly should 6e typed w printed below ih0ir signatures. 3 S' ig '~ ,~,(8) N" s~l~`~"~ W~~,(q~ e~ IniormaSpn PMaeelmela Gen•ppnY FveE GU LTG. Vu'b.unsln AIWLeS C: S. M. 13 /3681 °n " " I I LOT 5 n I~ ~ 125A-50 126 ~ 1.3'!1 M ~ ,~~I;,,,laoz.sa' NE 1 M4-NW 1 4 NW 1/4-NW 1 4 419.291 LET 2 ~,o ~~~.,,~: q0 / ~ ~~ 126 125A-20 , " I ti~„«_~,vrrv,,n ~a 728/,35 ah ~l~-:,_ ~~~ l ~ ~~ ~ ,~\,, ~' ,~t ~ ~ LOT 3 ~ ` J` '~` 'S" u1 ~ ~ 'I 5A-30 zb ~ ~ ~~ 1A' ~ r ,~~ ~~ g~ A I ~ ` ~ ~~ ~~1,~- ~~-~ o ~ ~ ~ ~ ~ \~ ~ ~~~ ~~ ~ 8' ~ ~~ ~ ~ ~ ~ 127A ~`y, ~ ~ ~ ~ w ~ jn( ~ ~~ ~~ ~ ~ ~~: '~ ~ V i» I 1 SW 1/4-NW 1/4 ~ I ~ I SE 1/4-NW 1/4 SW 1~ ~ `~, I Zp j~ere5 1 ~ NI 1288 1276 I rwsia2o 208' 1246/003 ° I iii l~ ~- - - - - - - w }rya coR. Z (~ SEC.9 ~` 4_ ~rertd~ ~eu t (~ ~s) 505 - X05 - ~~~,.~ ~,,,~,tiso~~ ~ll~'~3 128A 1047/117 1238 1047/117 I n ~~ ~, ~~ 5• 105.61' ,, 0 n NW 1/4-i 122 fq ~ ~~ 0 3 ~ ~. '•, ~' EAU GALLS PLAT T- 28-N • R-16-W Fi ~' SL G1tOlR C;dUNTY, WISCONSIN q C ,R~~ ~,. "~• ;- (Landowners) See Pace 1 ]2 For Addltlonal Names. 2700 2200 BALDWIN PAGE 40 Q ffi -_ ~ 2300 0th AVE 2400 ~O 2500 r Charles o ia,.., a ss,~. iM ~ 2600 to n 60th AVE 2700 BALDWIN t Anderson °` w~mkR C L I ~ ~ ~ M v ~ m ~ .a ., y Dona~~d tk o s s w~ v r ~ Z~ )on ~ C lu w weak 3 3 xkoa ~ PaW R Carey N ~ o,md u Timoth & Q 140 Moulton C ~ Y .i,e t• R 1 rsee„vn ~ 3p elson Kerr N 3 fl 3 Sf AVE q6 ~ C)m P~ela z a`m "~sO s° Dennis& ''aw•" 120 M°ar~ ' a ze 100 tr Batrr Lavelle minWa Ra MC _Gee,rea ~' ~ n u C5 15 o=.u+.a ~ cn 1z : °ot m 5 A~Ib~ t ~ Kristine Hilktead O x~ so r ee~w, z "' D ILLS _ un 1 & roY u 9 137 o rn°„•'°s xe r 67 cw"o-ue ~ € / 136 30~`~ MP 7 x ldeis H ~.~ Donald & Judith sa l 1 „^~r g R d on a 54 $ o e E V aw _ e r_72 ~ 20 - _ 148 «& m° ss Michael loY Mkav Ha~d•a J °m ~j~ - _ ~.,as ~ 3.. m ~ ~e n Ostlie ~ 94 ~~ s ~ l / D 11 30I g I ~ ~ ~ ~ avid & Trudy ` µ' Reinsch 70 ` xraw '"`r i.... TA ppr ~.d~vo ~ ~ °qt ` i / ~ a' " 3" n ,Y-~ 3 s I u ib sz 'a " u ~S anet ai v w a e 6 .: ' '°° 53 a " „ e g m GISp z 4 th AV ~ a5f C ~ D ~ W ' 1 ~., v~, W~ wr "mart ~~ 9 ~ 50th AVE Gre & G5 a corm"• Laurence & ryg W f yy,~ 0 l ~ N M~ e ~r,o. ve 3o v mree.e a ~'~ a S ' Marv& Ol vi a taxa •s , a o ~ ° aaAo or y Chriss& ' d V n Jacobson °~ s. xogm 1 ' ~ • str , Donald & ~ = d1l t Serier Terps a ~ e g zo ckeo 6{t 40 Arlene udith Wangen 9 ~ ° Trust Walter & 6 [•~r '. a s & 80 odel 75 1 aP+l .- ~ s Roquette Sandra o D<nrts' ~ " "~s ~ _ . ]60 JDacob en ~~ N Icon 1 ~'°- Aga 38 ~ ~r:~- ~ sands SB 22 Wilma 1 I 1 y `, t ~ 3 av MoOy Hageseth CnaH a ~ ~, ~ L Cr °°d \ eR Donald & Margaret °+•u a °~; ? { 12 kl LN ny ae olwn was N~ <v ,n ]~ ru~s~ 159 ]55 N ~~ " o ~ 9 ~<su ]]4 p ¢ David zt 267 Benck $ ~ N 2 L1a1 g3 ~ ra s ~ ~ ' ` 42nd VE a a m 11~~~~ s r - IUO S ~ 6 It a 7 4 0 ur ~ - _ a 38 z~ 4 u eaos N Q ~ _ _ Randy 50 19 0 2 Kevi s ~ Oland _s _ _ _ 170 uuo a pp 18 ~ y g3 100 Evttson ~ e ~ Krce n 55 26 ~ and Lee r a e<a3, • ~ rim,lny 40th AVE ~ 91 1 ~ $erier t,n,,,ma sm,s,!,nx' BM 4 60 asu M MaryO 40 ra C 0 103 m 'B 1 Willis Norvo~ - w a ,,,,dv~ ]o Vidur& s a a r EBabeth ! ~ Leon 33rd ~ 144 e $ I zoo ~ 5 & I Y9 na z ~~ I g ~ean Alin Wv saa,s s 7 c~ 142 ' AVE ~ Huthe r !; Z Glorla aamys t1ertO° 30 y N ~ son W S PECAN ( 1 ~ Glen & o ^ p )a„M z er x ~ y Chapin smara 40 Hernia 1 2 s { O Yh1~Bl ~ LN Ps 1 N 39 ~ n ;= o m Lund Denzds ~ so lmwE Hens ey ~~ s D craiaa rv ~ l ~F q~ 40 Duckwort}z 62 a°a,sa o0y C~ ~ . Donald h°ya ~ 5tehr ~ aeke<s Ronda i,,, O ,a. w nom- br.ty Larson Baum- u a t MS Y 141 L ~,t- k 5 m~"M OC $ 0 1~ 39 Hd w Earl&MarY ~~ 16 sa*m 40 I `-1 aG aC Giezendanner :~ ~' 4 Richard 30th AVE Eldon &~ ~ 1 Bruce a u " 306 i1~ ~ o i S r "~ ~, ~` ~ " 0 J ~ & oan ~ c tbla Ian a°^ ~" cs roaa Larson amberg eriekmn 66?: 8 oe r.+vr,Ya ~ r - _ e~ 60 tsz o - I n 3_°, ~ ~~„~~ ~~ 7 - i9 i ~ R Peter s e'• IL u" cslk eada+a ] 5 zoo 6 D a 3 ° arw a , x 2 - ~ { sxiz 7 m 0 uane & ~ O @ rtoa,s; ~y a LLLdnda Stene , a 3J lae. 4U o ~ R b ^ rxaoa .~ « ;S '~ N q I I ~ ' ~ 5 } 06 6 ~ _ am erg lama[ ('~ L`_~ mar Bauer eo'n' David '^ ~ xa°se° '"., 3 9 Berkseth 19 iii a ~ ~~ ~ x °c °o ~ 5 a e0 '° ~ = ~ ~c " G ~ ~ a" 35 38 3 i Ten $ 6 1 Kennet[ io ~2 ~ 60 Ramberg 0 lama ° i 143 1 as 40 40~ ' - t!'"u =, A Ib w YP d6t- "~ S ~~ 40 ° g la y Vang ~ s O Lorayne 1Lomas ~ E C c 131 x,a ~ ~ Johnson 97 12 ~ Arthur Ion = VttlJm & u.wa • 'v u'3 P t d f ~ ~ 3 Z 257 AVE Lee 82 3 g a rt ¢¢ a saaaa ~ aj •g o Ratho Ellefson Chris & ' ~ 38 10] s3 Falde Keith Q a^a<^° 3U ao Steven scho<- F )ames L ,~~°Y a .r)'lJ~.,~,1 $ ~~ Diamv o 80 U 3 Knsil et 200 ~~e~r o ~ ~ ID.arson Jon Ricky & Linda ne & Wa h D ~ 1 4 4 ~ ~ ~ stS p °R 4o a u ~ yV „ & Casey 75 laeoYs.n ' ~ , y Jo nson onna " ad!. Sturtevant 80 Lee 60 of 5 " H l r 8 a ey ~ ~~ az & 20th AVE gp ta+ ~*~ Donald 0 '°,g. Alb gtson 80 m omuea emde RC a Fenstra 8 ` 3 ~a ~BefsOn ~ 13 ~ ax s a y Larson a ~ m~ o _ ]SO - 80 2 3t 60 Gerald ^ um t ved 7`t tat n ~ at g ~ ~ r 10 ' ~• Tracy~` Ames sat ^ dy - - ~Imar & . o lawCe Lazson F- `° Berk- D a t u~ «4l ~ u rardda ~ r a4 ~ Trust L 1'hommes & •o ~ o ~ th ealae °Li' :o F- fi elan xg Invest- = s3 ment 34 ~ r.l uebart E ~~~ = 41 ~ m l 48 g~ m Land CI ~ ~ S Kevin ~ 6o Douglas Wem a 59 x a a c g ~ k N F Core ~9 LLC "' Mary ~ u ate H~ Fu ~ ~ Barbara ~ ° so ~h20 S ig 7< 160 ~ Larson 2 p ~ ` ~ I 119 ~ g 119 ~; ~ ~ E 75th AVE ~ p Melvin ~ u ~ ic~ Gunderson 3 9 in ad. z 35 .; ]ohn & John & 60 g g 28 a 46 3 ~ O ~ p BB a a s a c +z Da lens mis g ^' 8 ~r lsc~hl a ! da Marlene ,wetR zs N ~= um,a` O"g°n'& awasoa = Lien 101 S r a 90 121 ~ O~, $ _ 60 Woltman as a tams 30 d & eao ~ x w N Rer = 7R ~ 3 266 ~ Peter & Sheron _ ~ i ~ a ~ 99 gag ,. w"OV ° ma ~-" PaW & 2th AV lams la Rebccra r o rMC ",a,,,Pa°~ ohn) a John 30 40 279 ae a, s S tis 1 a s aynd z i g • Nelu t Ik t° c _ Rasmussen Kent& n w 50 ~` ene 70th AVE uck- Donald a °g p 40 115 - - - - - ^ udesBl 50 52 " John 1 & ss D " ss +o Don & Diane Par 60 i s _ va n ^ 40 °~ I ~ a oAnn ~ N 20 ll < Gavic ° 40 se : o v ~ Clark BOSTON '1 n g ' ~ ~ 5th V ve e 7y F 70 ° ^ ,° rn Harwood 3 ' u Mderson RD ~ .: si 3 ~ a a`°" sz F•s S r s 275 Corp 80 80 o ; a u ~ 3> a ]50 Ross & 0 3 Elizabeth asM A Kent & z N &J ~ °,t] s ° Leovrd .n.oa s ooreen Jeffrey & ~~ a ~v Di Steven & - `T ; ° w „ WBdwood Keehr ~ amxa owa I Atzrt u a &lL Rudesill INa etrth c wiwa Kerk ane Brooke W lfeo ,o JAn , M; ~ 30 a Q~ ~ new lames o m m ~ S 3^ 111 'G'G tad[. Kkhard o aM ao ~ ~r dttson gp a e 9 °> ^ 100 140 $ : s to oMaar 80 .~ r V saa~d Marsh yk"` x T< a Hark[ Harry & „°, cg ~ losep ga ry !k ao a ao 40 " 6 ~ ys tanning so 120 s...,vo„ 40 e Audrey o Blue 80 ° g W r. '" ~ ~ ~ " ,•nad r a "~"m°°- a~ oss M jo myn Mdttson f x z a: -, , a sz w 40 ° i 139 PIERCE CO. PIE Roche Weber z Kristine = RCE/ST CROIX RD Stampings • Subassembly ~1D ~ Phone: (715) 698-2471 Fax.• (7i5) 698-2335 CHEVROID OIDRMORRE ao°rriac JACOBSON INC. S®'NS 186010th Avenue SONS TOOL INCORPORATED Baldwin, WI 54002 460 THOMPSON ROAD (715) 684-4600 WOODVILLE, WISCONSIN 54028 oocuMeNT No: I STATE BAR OF WISCONSIN FORM 3-1988 ~ pUiT~CLAIM ,DEED 5162'75 j~ irthur C. Kroening and Lora Ann Rroening~ ,--- husbanci...and~~w3. fe_.. ........................................................ quit-claims to .....prthur-•C ..--Kroening---and--Lora-•Ann•-_.----_„-- .---_--Kroening,--.husband--and wife, hoidin~ as .. .---,_.-survivorship..marital-.property ............. . .... ............ t . C. oix-------------- County, the following described real estate in ............$......... ~ ...... State of Wisconsin: f IACt R[ft11VtD •Ofl RLCOROINO DATA a R~a.wisd'~ 4~fF'~C~» MAY 4 1994 ~ 1:00 _ ._-. P,~ ~~~ R[TURN TO Taz Parcel No:.......--• .................... See Exhibit A attached hereto and made a part hereof. ~~ __ f 1 ++•.r ,This ............i9........-.. homestead property. (is) 4t~lC~ Dated this s? 4? ................... day of .. ~/~~' ~............-...-.................----...---........, 19...94. u --.... • ~•.• 22 .... (SEAL) -- --------•---•-•--.....---•------• .................(SEAL) ---G~~~~~~~~~ ~/rJL~"y~"~ • --------------- ------------ ------------------------------------- • ._Arthux...C.....Krnsr+in9....----------------- ---.....--•-•------------•--• ..............•-----•----•-•-••------ -(SEAL) AUTHENTICATION authenticated this ..__._..day of ........................... 19...... 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 nec^ssary.) •--• ....................•------.......--•-•-----.....--------....... (SEAL) • Lora Ann Rroening ACSNOWLSDCiMENT STATE OF WISCONSIN as. St.--Croix .................Connty. r~- personally came before me this ~8---.-----day of -Q~"-~------------------ ----------- 1994.-- th ' ,,,,,,`~ Arthur C. Kroening -and~~A~~'.- _....-Ann- Kroening ............... "•-- - ~ -- ~----y - ~ - to me mown to the person .. S ' `~ 'T .tie ~ n foregoing inst nt a ackno A~ $un ~ : ~ ! Notary Public ...STAB..~.----------•----•----~ai9. Wie. My Commission is permanent. (If not, state ezpiration date : ..................................................•---.., 19.........) ,:• ~' QUIT CIA[M DEED :3T.4TF, nAR OF WI9CON31N wifennwin L'tal Blfnk Co. Ins. l9RE Milwaukee u .~..<.. ..r4~-~ .y ,.:.y~., «J ~a„s i FO ~~Ne-'~~~ 'a Yx ,i':.. ~ c'~ ~ ~ , . - +. t EXHIBIT ~o, Ol ~Q~ ItAGE1~,~ 1. Part of the Northeast Quarter (NE 1/4) of the Northeast Quarter (NE 1/4) of Section Seventeen (17), Township Twenty-eight North (T28N), Range Sixteen West (R16W) described as follows: Lot 2 of Certified Survey Map filed February 22, 1982, in Volume "4", page 1148. 2. South Half of North Half of Northeast Quarter (S 1/2 of N 1/2 of NE 1/4) of Section Seventeen (17}, Township t R16W) 3. Twenty-eight North (T28N), Range Sixteen Wes ( ~a.~s~ The Northeast Quarter of the Southeast Quarter (NE 1/4 of SE 1/4}, Section Eight (8); the South Onc:-half of the ~w Southwest Quarter of the Northwest Quarter (S 1/2 of SW I/4 `(~ 3 of NW 1/4) of Section Nine (9); and the Northwest Quarter of S~~ the Southwest Quarter (NW 1/4 of SW 1/4} of Section Nine (9), excepting therefrom the East Three Hundred Nineteen (319') feet of the North Three Hundred Ten (310') feet, all ~ in Township Twenty-eight North (T28N), Range Sixteen West (R16W). q 4. Southwest Quarter of Southwest Quarter (SW 1/4 of SW 1/4) of Section Nine (9); Northwest Quarter of Southeast Quarter (NW 1/4 of SE 1/4) and Southeast Quarter of Southeast Quarter (SE 1/4 of SE 1/4) of Section Eight (8), all in Township Twenty-eight North ~`t28N), Range Sixteen West (R16W). 4 ~.° ~~ ~; ''~, ' E ~, .. ~C 4 7.ljCr`~1 l ~~ -: 5~-.ts ~~ s _~ ~, - _ That part of the Northwest Quarter of the Northwest ~uar~~i ,a (NW 1/4 of NW 1/4) of Section Sixteen (16), Township Twenty- eight North (T28N), Range Sixteen West (R16W), St. Croix County, Wisconsin, lying Northerly and Easterly of the said forty and known as County ~ ' public highway running across Trunk Highway "N". ~ , 5. East One-half (E 1/2) of the Southeast Quarter (SE 1/4), the f 4 ,, ) o South One-half (S 1/2) of the Northwest Quarter (NW 1/ 4 a t the Southeast Quarter (SE 1/4), the Southwes ~. eX e t the West (SW 1/4) of the Southeast Quarter (SE 1/4), P Section Fifteen i n 67 rods of the South 47 rods thereof, all (15), Township Twenty-eight North (T28N), Range Sixteen West , ~ ~ (R16W); . EXCEPT, Part of the Southeast Quarter (SE 1/4) of the Township Fifteen (15) ` '- , Southeast Quarter (SE 1/4j of Section Twenty-eight North (T28N), Range Sixteen West (R16W), Town , , ~, _ of Eau Galle, St. Croix County, Wisconsin, more particularly of described as follows: Beginning at the Southeast corner 275.00 h 87 22'44" W , said Section Fifteen (15); thence Nort thence North 634.26 feet; thence South 87 22'44" E, feet ; 275.00 feet; thence South 634.26 feet to the point of .,t, ..~ beginning. ~ ~ 6. Part of the Northeast Quarter of the Nor*_heast Quarter Township 2 ~~ ' ), (NE 1/4 of NE 1/4) of Section Twenty-two (2 ~ ` Twenty-eight North (T28N), Range Sixteen West (R16W) as r of said Section . =~ follows: Commencing at the Northeast corne N 87 22'44" W (recorded Hearing on ~s ; d ~ Twenty-two (22), thence the North line of the Northeast Quarter (NE 1/4) of said r ~°rt . Section Twenty-tv~o (22)) a d?stance of 545.10' to the point :: of beginning of the parcel to be herein described; thence Y - - continue N 87 22'44" W 504.26 feet on said line; thence 22 feet; '44" W 285 ~ ' . S 00 17'44" E 200.26 feet; thence N 87 22 thence S 00 12'51" E 912.20 feet; thence N 54 59'16" E ~ .,,, 4 ' 748.79 feet; thence N 14 48'16" E 668.94 feet to the Point. . of Beginning. The above parcels being more particulary described in the ~• a ~,, . ! following documents: y ~; +' ,' Parcel Vo Page Doc. Parcel Vol. Paue Doc. 354 311640 .. 1. 645 34 376965 4. 487 750 427 415748 5 ~ . 2. 548 6 2968~~ 6. 816 426 439397 ~ ° . , ` w _. r- __-'- -- ~` ` ,, •• ~ , __ t. ~ #-1 .~ - ~- ~ ;mss ~~".-.~ s s RR. lk~a'ti -{ ,1/,: 1"tq, ^~%4 ..it w~_Y jj: 'MfN Rw L1F. .l ~l ~ i. ~.,,: _ _ 'i ~. ~n ~, .,t . ~• y~ ~' 4 ~ ~ ~r ' ~ ~ •t ~ ~" 1.. t t~P I ~ ~ ~ ~ .~ .~ .~ . 1~ a (' ~ •d ~' ^Lr '~ ~'.