Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
008-1027-90-300
Wisconsin Department of Commercjei PRIVATE SEWAGE SYSTEM Safety and Building 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 Jones, Mike Eau Galle, Town of CST BM Elev: Insp. BM Elev: BM Description: ICS ~ ``~ t C-`~ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic / ~} ' W %t~.~x?~L..- ~LK~~ r Dosing ~- Holding ~- TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic -, ~°~®/ 4~+ z~ ~ ,~~/ .r. Dosing / 7' t) l / yG~ / ~`'~ i ~''~ --- Aeration Holding PUMP/SIPHON INFORMATION +t V~ Manufacturer ~'G~~ errand GPM Model Number ~-~' 1'S L ~~ TDH Lift) 71 ~ Friction Loss ~.~ System Head Z •~ TD Ft ~ "4~ Forcemain Len 1 ~, Dia. ,- ~ .~. Dist. to WeN `; + '/ St;)It AI~SORPTI~N SYSTEM county: St. Croix Sanitary Permit No: 488049 0 State Plan ID No: Parcel Tax No: 008-1027-90-300 Section/Town/Range/Map No: 10.28.16.1410 STATION BS HI FS ELEV. Benchmark ~~ Z /b(p•ZZ /Q~ Alt. BM ~~~ `- Bldg. Sewer St/Ht Inlet ~. ~ ~.~ ` ~ Z SUHt Outlet ~ ~ Dt Inlet .~ ~ Dt Bottom Header/Man. 7 . S~ ~~ ~ • 4'~ Dist. Pipe 7 ` ~~ ~t ~r t o Bot. System yg•o Final Grade ~ ~ ~~ ~ e' St C ver ~.~. ~:~~ 2 ~- ~ b3 ~Z Cover ~• q8• a BED/TRENCH Width / Length ~ No. Of enche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Gi /~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type OjSy~tem~ 7 ~` ~ 1 ~Z~ /~ ~ / ~ /~ UNIT Model Number: f11CTRIR11T1/lAl CVCTFM F--/ h--In:,J ~~t" CY"i:c.iSt_G Header/Manifold ~~ Distribution I t Pipe(s) CZ~ ~ + ~ x Hole Size ~~ 3~ x Hole Spacing ~ Ven[~~to Air Intake }~',./ ~ Length_ ~ Dia Z Spacing_ ~ Dia Length ~ ~~, ti ~ )k C(lll R(1\/FR .. ~...~~...e c..~se..,~ nni.. vv 11Anunrl rlr ~4_rrarlP Systems Only Depth Over ~ h C t ' d/T B Depth Over Bed/Trench Edges ~ xx Depth of Topsoil 1 ~ xx Seeded/Sodd ' xx Mulched N ~ ~ en er ' + ~~ e renc .~:,:i No Yes o es ~ , COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / ~ / y ~ Inspection #2: / / Location: 2441 50th Avenue Woodville WI 54028 NE 1i4 NW 1/4 10 T28N R16W) NA Lot 4 G~ ~~ ~ Parcel No: 10.28.16.1410 r 1 ( 1.) Alt BM Description = Lv~~ ~-~*-~~`=~ ~ ~'"~~~~~ ~a ~ J 2.) Bldg sewer length = Z`t' + Zi vr.. ,O -amount of cover = ~• r Plan revision Required? Yes ! _s; No ~ ~ ~.;~ _ ~ ~ 7 Use other side for additional information. Date Insepct s Sign ure Cert. No. SBD-6710 (R.3/97) and Buildings Division County t ~ ~ „ 1 ashington Ave. P. ~yp~ ~ ,~~~ns,~ `, 537~,p~~ !l ~,® San ry Permit Number (to be filled in by Co.) ' Department of Commerce 608) 66-31 ~Q$ O ~/q ! Sanitary Permit Ap is i DEC ~ `l 2f~0~ Stat Plan LD. Number l In accord with Comm 83.21, Wis. Adm. Code, personal form ' ou provide - N S . 1 P,'# / maybe used for secondary purposes Privacy La 15. (m) ST. CROIX COUNT •oj ct Address (if different than ailing addr ss) ~ <~1 S'0 f~v ~ #- z ` . -r I. Application Information -Please Print All Information ~ ~ , Pro ert Owner's Name P Y P ce1 # t # Block # ~ ~ !1 5 Property Owner's Mailing Address P roperty Location • 7 ~© `L~ '~ / A 1(/L~ [/ f/G /'l i S n te Ci St Zi d C ~ ~ r ., ect o ~~ ty, a p e o Phone Number ~-yo a ~ y _ y~,a r (circle one) T~ N 1~~ E (~V II. Type of Bnilding (check all that apply) S ` ; _ o p,0 1 or 2 Family Dwelling -Number of Bedrooms L , Subdivision Name CSM Numb ~ ^ Pubtic/Commercial -Describe Use 3 8/ ^ State Owned -Describe Use ^City ^Village~l'ownship of _ / ~~ ~ ~(~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 0Og'_ p2~_ O _ 3vp e{~ p A. Few S stem y ^ Re lacement S stem p y ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B • ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner i ~ IV. Tv e of POWTS S stem: Check all that a 1 X / Y' ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ~t-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation t 5v - ~ 7~'~ so 9$ ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Stee astic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank JC C`~D " r/I ~ 3 -~ ~- Aerobic Treatment Unit i A- ~e - ov i Dosing Cbamber o~ OD ~ r . ,ems J'L-. VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's ignatur -•"" _ ,_ _ _ _. _~.. YiP/MPRS Number Business Phone Number ~~. ' ~ , ~ ~ 0 9 ~~ ~~~ 3 JJ3~ Plumber's Address ( eet, Cit}', State, Ztp Co e) f / < < ~ Jc~ / '- t~ a~ ~ / VIII. Coun /De artment Use ~j F pproved l ^ Disapproved ~ Sanitary Permit Fee includes Groundwater Date Issued. S h F - Issuin Agent.S.igna e_(Na Stamps}^~ ...~ ^ urc arge ee) .~ ZS ~"-~ i ~ rven Reason r Denial .~ j ___ IX. Conditions p rova ~ .r- ~ SYSTEM OWNER: ~ 1 Septic tank, effluent filter and dispersal cell must all be serviced I maintained as per management plan provided by plumber. ~ 2. All setback requirements must be maintained i ~ as per applicable code/ordinances. f -- -- J yaacn comp[e[e puns tro [ne county omy) for the system on paper not less than SI/2 x II Inches in size SBD-6398 (R. 01/03) uc/lftK oaT lv, e.s Q,,r ~ o-.ro - (r v.7 ~ ~.~.~,,, l , ~~' a,~ s~ ~N~~ s y'^ ~ oaa ' a ~_a ~. ~ ~` ~ ~ a~~~_~ w~,S~ ~otlo~., 480 _ c.a.,, ~,~„ -- -- - z sN ffs~. ~ "i1- Srr~ ~ ~,%/ ~ '- lam' %, ~ / % ~ ~ S ~ /9-cR~1 / i f • J / ~ ~( •/ ~ ¢}, z„ ~~c .. .~~..~.: i co,o a,~~- ~ ,~Gr, d~ rod o~ i y ST~~'L ~Ei ST'}~d , ~~~a/ 99.3y' T~ m~Gsv~c 6.c~aDE ~~ T~•, TNOrngso~/ /sri- X- I f ~ X ^ 3 .~ S / 3 d ~ ~ ~ '- ,~, ppaGA~ Ti~E ~~ , / ~ C k = (3o,¢rNG ..,. S a . S ~ ~ e. NorF: ~ 80' OF~ Fo,~c~ nrA~sN F,cow, SSE, To ixvuw~ ~'-~ 3 a~ ~ " commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary December 06, 2005 CUST ID No. 225094 MICHAEL P ROGERS ROGERS PLUMBING E4457 HWY 12 MENOMONIE WI 54751 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON Wl 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/06/2007 SITE: Mike Jones 50th Avenue Town of Eau Galle St Croix County NE1/4, NW1/4, 510, T28N, R16W Identification Numbers Transaction ID No. 1220486 Site ID No. 708056 Please refer to both identification numbers, above,.in all corres ondence with the,a enc . FOR: ------~- Description: Proposed Three Bedroom t- rade S ste .Object Type: POWTS Component Manual Regulated Object ID No.: 1054354 Maintenance required; 600 GPD Flow rate; 37 in Soil minimum depth to limiting factor from original grade System(s): At-grade Component Manual, SBD-10570-P (R.6/99), Pressure Distribution Component Manual, SBD-10573-P (R.6/99); 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: • This system is to be constructed and located in accordance with the approved plans, and with publication SBD- 10570-P (R. 6/99) "At-grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems". • The pressure network is to be constructed in accordance with publications SBD-10573-P(R. 6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22 7 - A co of the a roved lans s ecifications and this letter shall be on-site durin ~ ~Iab~aal .rJ. construction and open to inspection by authorized representatives of the Department which may i ~~_ rectors. Cv~2ditlUnally ~pR®VED ..rn~otMFNT OF COMMERCE MICHAEL P ROGERS Owner Responsibilities: Page 2 12/6/2005 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -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. 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. • 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. 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. Asper 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, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@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 Henry F Grote ,Certified Soil Testing ~, , Mike Jones - At-grade System Construction Materials and Techniques ..~......d.w.......-.,.,.,-,~, All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: At-grade, SBD-10570-P (6/99) Pressure Distribution, SBD-10573-P (6/99) Location: NE '/a, NW '/a, Sec. 10, T 28 N, R 16 W Town: Eau Galle County: St. Croix Date: December 6, 2005 Owner: Mike Jones Address: 2447 50~' Ave. Woodville, WI 54028 Plumber: Mike Roger Signature: License: MP 225094 Attachments: SBD-10577 -Plan Approval Application SBD-8330 ~~-~u-NOs pF SpFETy AND Page 1: cover pw~staN pENG~ 2: design criteria & calculations ORREg N 3: plot plan Sir G 4: plan view, system cross section 5: lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 ~ECEIVEa DEC ~ 5 2005 ~.7f~F E.a p ~X ~i~~i.~Jnl4lt~V ~- . ~ , Design Criteria ~~'~ 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 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~ S"O gallons/day hydraulic load Design Calculations In situ designed loading rate o ~ b gallons/sq. ft. per day Depth to estimated high ground water ~~ ~ ~' in. Depth to bedrock ~ 4 ~ in. Cross slope at system ~ ` Z Force main length ~ ~~ ft. of ~ in. Manifold/header length ~'~ ft. of 1 in. Drain-back ~ 3 • a ~ gallons Lateral length z' @ ~'~ ` ~ ft. of ~'~~ L in. Lateral elevation `~ g - S~ ft. @ bottom of lateral Lateral hole size ~~~ b in. @ ~4. ~ in. ( 2 ~ ~ ft.) Spacing 2~ holes/lateral Sb holes total Lateral volume ~- ~` b gallons Total lateral discharge rate 3 3 ~ ~ gallons/minute @ ~- ` s' ft. head Network pressure compensation losses o~~-S~ ft. Elevation difference 1 ~ ~ s~ ft. Friction loss ~ '~ `~ ft. @ 3 ~ gallons/minute Total dynamic head 2 ~ • S 4 ft. Pump/si~yon 3~' gpm @ zs~ ft. of head Manufacturer ~ ° ~~ l ~'"' Model # ~ ~ Z Dose volume ~ 3• ~ gallons Lift/si~fon tank ~ ~ ~ °^~ ~ ~ ~ ~ ~-o ~ ~o ~ ~"° gallons Septic tank '' '' '' 1 ~ gallons Effluent filter ~~~ ~'~ ~ ~i ~Y ~^~ F~' ~gZZ• ~4'(~ -a Measurement pump on and off ~~ ~ in. Height alarm from tank bottom ~ ~ ~ ° in. Reserve capacity 3 ~ ~ ~ gallons specs.calcs.res Page ~ of g x tip' aa~ ~~~ ~~ s 5~ ~ o0.s ~ ~r r a . ~ _ _ / Z / fN ourK /{sue. ~ ~ ~- f~ Srr~ ~,~ ' '" ~ x 9 / ~- lv~ e.52v 5~.-v: ~.r 1 ~~ f~ i ,-uo _ (~ cry} / ~ w.~ ~ ` / S c.~GF / " yo ~. ,~ / ~~' .% ~ _~/, VM-( = /3~sr/ lo~ •F /~i ~ STFcG i 4}' z" n l9 ~, r Pte' F sr~-,~~ / F~^~'= n S c.Q.~ ~ ~o ~ ~Q.- x_~ /CDrO a#~- ° rtGT dM Tod o~ /ly'' /V D rF_ : -~ $D ' 0~ Pow nrA•sN F,co.r~ STa'EC /~Ei S'rr,~-d , ire. To n+oawv ~G.~u~'a ~ 9 9. 3 y , T~ m/~-6sN~L ~,cr~~~' I,~~ ~ T~'r, r/lon.~so~ !gym X- l ~° k ^ 3 sS / 34 ~ ~ = ~pliGith Ti~E ,... 5( a. S~ ~~. k - 6oiuNG 3 ~~ ~ q' k l i9-t~' ~ ~~ r h o ~c11 ~-, ~o E l o,.,, R 8. o ~ o~~~o~ ~ -- ~ ._ ~, '. _....--- -+--r--' O:~h ~ ' ~ Q.. w~ 4 ' J~~' a v.~ ~ ~ ~ti ~~as:'1~! off-- •----___.-------• ---- t -•------ ~ I '-;' -- ~ .... ~ ~ _ _ ~L I _ ' ~ ~ ~ - x..15 ' y i R `QJ ~ .~. ~ -_ ~ .. _ .. i i S' ~. , w l'}i I - .....~ l ~1 1 0 ~ ~.- ~ ~ _ •._.. - __ _-_ ~ M,~~ i 1 I 1 ~ ~ ~~ l b .. '~ ' t ~, t. s. ~. ~~ "si; -.`- ;; .: :_ ~~ ~ 112 ~ ~ v c Sa9., 6-0 ~ ~z P v~ s.St, ..~ ~~~~~ ~~ T~~9 -.. ~. ~ ...-~-n,r.S~ ~ f ~ ~~ 12„x' It, o' t~d I Z.fl' I ~CB,o' .~ ~O ~` ((~~( itrr~a~C GN. 4 ~Y-O Wl v t ~001~ J-~ ~i{ v~..n ~r Q.w.~ ~~~1b ` h.d1 ~ O "~ 1 M~A~1r ~ C.0.wT B!r Rio I 1 O w \ :yJ.., ~ '~`t •Q„ yti,~- ~~.C~ \ L ~~ ~~ ~ (' --~ ~ n~ ~ Jig, ., .' UJCKING~COVfiR Qv~cK o~~co.~~~cT--~ 92,E Grade, elev. --~-~ 4" PVC sch 40, 3' onto solid ground 6" 4~ 2C" 2.~. MA~1 N OLD ~~ T ~ aW.2.wtD ~GSKF.T 30NT"J r;t.~ PiK c~wrEC.T~or+.S ~e~, g2,.D E~~~, A \ C D ~'F~E }: \~ Q/v h ~ w T 1. a. 1 c~ ~ ~ v- e v. ~ .o f=~=c~~ZZ-14-~3A I / it i • 1 n ~10~ D 1. QIO.RM T-- ON S1 (~ ~I ~~ ~ 9 ~, ~- ii poR~r - F"1 A ~ rv WEATNERPRC.)F ~ JvN `T'l. 1. H F~ _T `~~ ~ I ~~% '~ 4" PVC i` Bch 40 ~ vent g I K `.~~1~\ 1 _ _ ~ ~~ ~~~ N~ ~/~ / 4" PVC sch 40, 3' onto solid ground 3 (," P wyP C OMLR F7"c b~oCK g~,0 . SEPr~c ~ _ SPEGIFI•CAT , IOFJS ~b ~~O ~~'~ oCSf ~. ~~ Tr.uK: M,~uu~~CTU0.CR: ~ per day (JLlMBCR OF OO~CS: ~~~ 'T'~~K SIZC ~ °y}" -~L~ti GALl.O-JS _ • DOSC VOWMC A~~Rr~ I1/JIUFACTLJiZ,CQ; S `~ `~~ `K-~'~~ . IIJCLUOIIJO 6ACKFfOW~ ~ ~' ~ gallons MODCL -uuN•DfR: ~ ~ ° ~ ~~ ``' CAPI,CITIES~ A= 2o`O wCHtS CR 3~~'Z" 1 SWITCH TyPC; ~~~` "`b gallons Z ~3.5Z allons 9 = P ~ ~ `~ iuCHES oa 8 PUM r1~uUFACTURCR: O C a Si0_iuCS~ES OR ~~~~ gallons Moofu uuMD[R', ~s 2' ~ ISp,~~ allons D' ~ INSNES o~ ~WiTCN TyPC; ~Q.~...tiv ~,. g U`OTE; PUMP A1J0 AI.ARi~ AFE Tp Oc P111JIh1UN'~ DISCNARCsf RAT'C 33'O GIh1 INSTALUEO Ou SEP~Fn3E circuits VLRriC^L DiFFERC-JCf ~CTWCCU PUMP OF- AUO OIJTRIDUTIOAJ PIPE,. ~Ic`Sf FEET t ..,ii.lihluM -JETWORK SUPPI.y PRfttUllE . 1~ 2'S~ FCCT1-d'~S~ . ~~~ + i" C E T O F F O R C C MA I IJ X Z,_„ 5 g F T/,/ /ipo rtFRICTIOU 3'~c i FACTOII. ` ~ FEET ~ 3~ _ ~ TOTAL Dy-JAMIC NERD Z'3's~' FEET IUTER-,1A1. DIME1.16101JL 'Or TA1JK: LE1.lC,7N /1 //11 ~`1'T ' 3~„ I ;WiDTN ~~ ,LIQUID DEPT H t~aGC 6 0~ g ,~. ~~ , .~ 0 w a z r 0 a 0 4 HEAD CAPACITY CURVE MODEL 152/153 w~ ~- ~, W ~~ 50 153 12 40 152 30 8 /~: 20 10 0 20 40 60 80 10 GALLONS LITERS 0 80 160 240 320 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS 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 Owik-Box available for'outdoor installations. See FM1420. Over 130°F. (54°C.) special quotation required, 1521153 Series __ __ 1521153 MODELS T Control Selection I Model Volts•Ph Mode Am s Sim lex Du lex N 152 t 15 1 Non 8.5 1 2 a 3 BN t 52 t t 5 1 Auto 8.5 Included 2 or 3 E 152 ~ 230 t Non 4.3 1 2 a 3 _B_E 152 ' 230 1 Auto 4.3 Included 2 a 3 N 153 115 1 Non 10.5 t 2 or 3 BNt53 tt5 t Auto 105 Included 2 3 TOTAL DYNAMIC HEA6/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL t52 153 Feet Meters Gol. Liters G01. Liters 5 1.5 69 26t 77 I 291 ~. 10 3.1 61 I 231 'i 70 ! 265 15 4,6 53 201 61 231 20 6.1 44 I 167 52 ' 97 ' 25 7.6 34 ~ 129 -_ I 42 ' S5 30 35 9.1 10.7 23 , -~ 87 33 ' 25 --~ 22^-_so_. 40 12.2 -- -- ' t 42 Lock Voive: 38.0 Ft. (1:6m;jec.p Ft (~?.c~.;' 3 27/ o~.soe t- ~- j 'i '~I ~....~ . --- --_ -___ tz t/e I - _ ~ ; -L sxzobe , _ _ __ or SELECTION GUIDE Et53 23o t Non 5.3 1 2 a 3 1. Sin le I back variable level float switch or double piggyback variable level float BE 153 ' 230 1 Auto 5.3 Included 2 or 3 g p 99Y switch, Refer to FM0477. o caurloN 2. See FM0712 for correct model of Electrical Allemator E-Pak. All installation of controls, protection devlcea and wiring should be done by a qualified 3. Variable level Control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed Ineludlny the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). Or (4) float System. M O ~ Z`^S RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 18347 [~'~ ~' ~ Louisville, KY 40256-0347 L° SHIP T0: 3649 Cane Run Road Manufacturers of . ,:,-', o Louisvtlle, KY 40211.1961 Quaurr PUMPS SNCE /9~9 http://www.zoellei.com ~~ PUMP ~O (~?) 228'2131 ~ 1(800) 918•PUMP FAX (502)174.3614 © Copyright 2000 Zoeller Co. All rights reserved. 9 y' System Management V 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, 715-235- 1 132, or the St. Croix County Zoning Office, 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. 10. If 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 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. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows 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. ] 0. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 ] . 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 monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (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 .' *-i4 include. but not fr~rtiied ta: f arm punt slope. wale or+dvn~sians. iK Please p~ri nersa~l iawmroSon You Piomde era~tie e ~ Address w_ ~ by Date '/ any ~- ~5.oa t~i~* ~~~~°S ~P~Y E.o sT. caa~a~,cau~-~~ tAt .t'~E .uavw ut ~~e T .. ~ R~6 E (aka it~t # 8fot~c ~ Subd. t~tatne ar t - C Phone ! Q Citjr ^ iliaiage 1'T~ tvearest ~ ~t~ter Cron i1~ ~''(i ! of be~'optts ~- Cade dera~d desigt 6onr rate ~~9' ~C o ~p n Ptd~ccir~- - PareM material ~lL - t~ Pitt ~ ~ ~/'¢ 35~.a~ ~ ~ ~ and lXluAl,~ - Scr6~S7'E~ Co~vroc+'!~ ~y.D ~ ~-~( . -- ~s~- ~., ~' arw ~~ --. Pu4,N _ ~6 ~c `mss I d$ w c ~~~ - P~ C serrtace ete~t., 91 y ~ R Depth fo ~ 'ss. ~ ~ ~ ~~ ~ tiorimrt D~'Ih ~ Redooc ." - Texhue SUucture C 8ourtary hoots t~DfttQ ;n_ t~ttttse• 4R Sz Cant. C.alar C~ Sz Sit. 'Etaaxt 'EtfA{2 L-II Z ~ ~ P~ t~aatd surface eiet~ 9F, / tat m ~'' '~' so~,~ppi~on Ree ~0O$ timiron pattinaat ~Cdsx t Uesrctip~tt Tetctare Stttt~tre _ EtfJx1 •EtT#Z at_ thNstsell ~ Sz Cart. Cotar tir_ Sz Sh. f .S 3 ~ - SL at c t L ~ -- s~ c F 3 _ ~ ~, w - ~ ~ - .7 6 s c ~ _ z s c L _- ._ L /fl _ , ye c d6~- ~ <:~ m91~ and i'S5 < 3Q ~' " ~ a~ = BtiD • ~ 30 . EtaAuatt ~ = ads ~ 2ZD and TSS >30 < 1 _ - s 5am~t- CST t~ltattba t Atidrass Fogerty Ptuf'ebing ~& Perk 28288 i~kKe:tzie Rd 71s-~s_--96 NOV 0 2100 -^-~ t~MInEY i~r-~9ti' ~~ES p~°ai~* ~k~-X0.27' 7~L~G ~' {~ pit „{ S1~ pop~foe t3dsMi f~orizon pep, Dom ~ Sze Gr. Sz. Sh. G iAunseM ~ O~ - 3 i - _ SL ~ c i. .. S/»ytit ~ !~~ ~~~ ~ ~ ~ ~ '~M1 ~. O ._.- . ~ Bori~9 * [] Bam9 ~- -___ ~ pgprl b i~in9 f~'~ n' o ~ ~~ Te~~e tlotm~ per ppainas~t ~ Gr. Sz. Sh. (~ ~( b im~n9 iaclor -' n- S°i L.___-j pig ~s C°~is~ '0~7 Teo~ue Horizon ~ t ~ Qr. Sz. ~. irt. .~ >30 _< 150 ~- ~ Eiflus~ ~ =.BODS < 30 rr~IL and TSS _< 30 mgtt_ E(tluant f11 = BOD, > 30 <_ 220 nxilL and TSS to er. [f you need assistance to access services or 9 p rtunity service provider and emat 608731!1 a,1.~,~ ~&28777, The Department of Commerce is an c ual o po tact the ~ need material in an alternate format. please con seoaswcs~~ .,,, • Fogerty rwmo~ng ' X221180 282^g ~,1cKenzie Rd. Spcer~vs', WI ~5y4801. (715} x85'7609 . _ ~~~_ ~ ~/N~1~ .1 ~~~5~ r a r ~' c~r~ or ,v o rF : ~- 80 ' o~ Foy n„asN F,co.r }{SE, To Iyrpw/vA ti~ `~~ ~~~ ~~ ~5 5 ~ o ~ - ~~ -~ ~ ~ 6' " Z ~ ~~ ~ ~ z ln~' ~i% ~--_ /P~G~f L/r /`~ = c~p/ jn~ sf / ~i ? S T'~L ~T~~~ iFc~~~~ ~"~ /QOrO ~ Q~yEx. = r'}tT ,dt.M1~ Ta'r' O~ ~ y ST~'~L ~®~~ S'Tif~iL'•E'D ~ ~t~~ 99. 3Y ~1 = ~-r~r~ r/!®ra+~:ate/ I3 m ~GfpccG~f/~ Ti~E ~ .. /31A,erNG c p ~ f) FF'r~CF Lx~, ~ POWTS OWNER'S MANUAL MANAGEMENT PLAN ~`II.~: INFORMATION {owner / ' ` ~ I'ern~ it # p -~E~GN P~~ItAMETERS I Number of Bedrooms 100gpd/bedroom ^ NA s :Number of Commercial Units NA Estimated flow {average)* ~ gaUday Design flow (peak), estimated x 1.5* ~ gaUday Soil Application Rate gal/~y lnfluent/Effluent Quality (NA^) Monthly Average** ! Fats. Oil & Grease OG ~ 30 mg/L Biochemical Oxygen Demand (BODs) ? Total Suspended Solids {TSS) ~ 220 mg/L i S 250 mg/L Pretreated Effluent Quality ^ Monthly Average*** :Biochemical Oxygen Demand (BODs) < 30 mg/L Total Suspended Solids (TSS) Fecal Coliform (geometric mean) 5 30 mg/L 51 O+cfu/100m1 Maximum Effluent Particle Size 118 inch diameter * Wastewater Flow Verification on and calculations: { (Other than bedroom based) I * * Values typical for domestic (non-commercial wastewater ~ a~~d septic tank effluent. * * *~ slues typical far pretreated wastewat~:r. SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer ~ . ^ NA Effluent Filter Manufacturer Z / ^ NA Effluent Filter Model ,q_/ov ^ NA Pump Tank Capacity ~~ gal ^ NA Pump Tank Manufacturer , ~ ,~ ^ NA Pump Manufacturer ,~_ ^ NA Pump Model ~ - ~ ~ a ^ NA Pretreatment Unit ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) t-grade ^ Mound ^ Drip-line ^ Other: ice-Leaching Chamber Manufacturer - Z ~~ Model EF//Z~~3 Approval Stipulation Soil Application Rate_,gpd/ftz Area Req. ~ Absorption Area Credit per unit ft2 Minimum Number of Chambers ^ Aggregate Design Flow/Loading Rate= min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ ."Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 SBD -10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -10567-P (8.6/99) "In Ground Absorption Component Manual" ^SBD -10705-P (N.O1/Oi) "In Ground Soil Absorption Component Manual" Version 2.0 13 S$D-1062$-P (N.6199) "Recirculating Sand Filter System Component ManuaY' C7 SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" C7 SBD -10572 P (8.6/99) "Mound Component Manual" ^ SBD -10691 P (N.Ol/Ol) "Mound Component Manual" Version 2.0 ^ SBD - 10595 P (8.6/99) "Single Pass Saud Filter Component Manual" ^ SBD - 10657 P (8.6/99} "Drip-line Effluent Disposal Component Manual" .SBD - 105,73-P (R 6199) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 D Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency .Inspect condition of tank(s) At least once every ^ months ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge an scum equals one- ird {1/3) of tank volume Inspect dispersal cell(s) At least once every ^ months year(s) (Maximum 3 yrs.) Clean effluent filter Atleast once every ^ months yeaz(s) Inspect pump, pump controls & alarm At least once every ^ months year(s) ^ NA Flush laterals and pressure test At least once every ^ months year(s) ^ NA Valves At least once every- O months ^ year(s) NA Other: At least once every ^ months ^ year(s) ANA Page~_of~_ S'1'AIZT lUP 1{or 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 seppage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity auxd duality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWT5 and contaminate your drinking water supply. ilrlaintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. p valves Valves shall be operated in the following manner: Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWT~, Tiiere is normally a i day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). ~eptic Tanks Component Tank inspections must include a visual inspection of the tank 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 backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (113) 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 NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. p In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page Z of 3 Mound, At-Grade, In-Ground Pressure 1/ - The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or dischazge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Pondiag greater than 7S% of the Height of the component may indicate averloadir~g or impending hydraulic €ai~ure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) yeazs. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings seated. - 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, gavel or other 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 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 azea. 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 azea is available a holding tank maybe 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 CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CII2CUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM TIIF. INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS PUWTS INSTALLER POWTS MAINTAINER Name -!J ~~ ~„~,y ,r[ Name o Phone 5- - / / Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency ~ y~ t ~ Phone Phone ~S - 3 ~6 ' i'6 Sc~ K:\WPDATA\EH\POWTS OWNER'S MANUAL.doc Page 3 of 3 12/16/2005 11:$0 2330867 ROGERS PLUMBING, INC PRGE 02 S~'. CROIX COUNTX SEF'I'ZC 'WANK. MAINTENANCE AGREEMENT AND OWNERSHIP CERTI.k~CATION FORM OwnerlBuyer ~ l ~ ,~ ,U~ Mailing Address Property Address (Verification required fro,naa Planning c~ Zoning Departtttettt for xxew construction.) City/State Gc~n~v,/~E , GJ .~ ~ Farcea Identa~xcation Number - ~.--~ o o g - I az~ - yo - 3oa ~ I~lo) f.EGAL DESCR-TPT~UN Property Location /,~~ t/a , lSL_ S/ ,Sec, NCO `, T' ~N R ~ (o W, Tawn of ~.~ ~.1~ Subdivision. Lot # ~ Certified Survey Map # ~. _~v f ~~ ~-I co , Volume /' ,Page # 3~ !S 113 3`~~ Warraagty Reed # Lc-~"f~, „S2 ~ $b Z ~ VQiome ~ Page # Spec house yes ttb Lot litres identifiable yc no SXS'f'EM MAINTENA~iC~ ,ANI~ OWNER CERTI)~C,A,~ON Improper use and rttaitttenance of your septic systetxt could result in its premature failure to beadle wastes, Proper maintenance cpnsists of putlrtping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the syste;nrt can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm, 83,52(1) and in Chapter l2 - St. Croix County Sanitary Ordinauce. The property ow;CAer agrees to submit to St. Croix Cou;pty Planning ~ Zoning Department a certification form, signed by the owner and by a master plumber, jputneynaatt plumber, restricted plumber Or a licensed pumper verifying that (l) the on-site wastewater dispasal system is in proper operating cpnditiott atlidlor (2) after inspection aad putxtping (if necessary), the septic taalc is less than 1/3 full of sludge. l/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, ktereitt, as act by the Departrttent of Corntnerce and the Departrrtettt of Natural Resources, State of Wisconsin. Certificatio» stating that your septic systeraa has been maintained must be corttpletcd and returned to the St. Croix County Planning & Zoning Department witltitl 30 days of the three yeas expiration date. Uwe certify that all statetncnts on this forth are true to the best of mylour laaowledgc. Uwe am/are the owger(s) of the property described above, by viz'tue of a warranty deed recorded itt ltegistcr of Deeds Office. Nu,raber of bedrooms SIGNA E OF AFFLZCAN'Z'(S) l02 ll9'IOS DATE ~*'~Any information that is misrepresented may result ita the sanitary permit being revoked by the Planning & 7orti~g Department. ''""" include with this application a recorded warranty deed from rho ltcgister of Deeds Office and a copy of the certified survey map if reference is .made in the warranty deed. (REV. 08J05) X01. 1501 PAi;E 4 49 Michael -" yes, a/Wa Michael L. Jones and Debra Jones, a/Wa Dr,;i.:~ A. Jones, husband and wife, conveys and warrants to Wade E. Labecki, a single person, the following described real estate in St. Croix County, State of Wisconsin: ,~ ~el L. Jef -r; "/ Debra A. Jonas 6.209S~t3 IEATHLEfN H. t3ALSti REGISTER OF DEED5 ST_ CROIX CO_, WI RECEIVED FOR RECORD 04-10-2000 t:30 PM NARRANTY DEED EXEMPT N CERT COPY FEE: COPY .FEE: TRANSFER FEE: 30.00 PRAING- FEE: 10.00 Thomas A, AAcCormaek 1020 10"' Ave. Baks<Mn, WI 54002 oos-1 oz~-eo; oos-1 o2~-so-100 (Parcel Identificaiton Number) Part of the Northeast Quarter of the Northwest Quarter (NE '/, of NW Y,) of Section Ten (10), Township Twenty-eight. (28) North, Range Sixteen (16) West.,. Town of Eau Galle, St_ Croix Cou9~t-y, Wisconsin, including Lot One (1), more particularly described as Lot Two (2) of Certified Survey Map fried February 25, 2000, in Volume 14 of Certified Survey Maps, Page 3815, as Document No. 618846, office of the Register of Deeds for St. Croix County, Wisconsin, TOGETHER WITH AND SUBJECT TO anon-exclusive 66' wide private road easement over and across the above-described property as shown on said Certified Survey Map, in common with the owner of Lot Four (4) of said Certified Survey Map, which easement is shown on said Map as 66' Private Road Easement, as described in that certain Joint Driveway Easement Agreement between the parties of even date. AND FURTHER SUBJECT TO the Terms and Conditions of the Protective Covenants for said Certified Survey Map of even date.. Exception to warranties: all easements and- restrictions of record. This is not homestead property. Dated this .~ day of ~~~, 2000. AUTHENTICATION Signature(s) authenticated thla day of , signature type or print name TITLE: MEMBER STATE BAR OF WISCONSIN (Ii not. 9Uth<>r¢ed by §708.08, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Baldwin, WI 54002 ACKNO1NtE0(3MENT STATE OF WISCONSIN ST. CROIX COUNTY ~~~ Personally came before me this r tom` day 2000, the above named Michael Jones, aAJ Michael L~ Jones and Debra Jones, aAc/a Debrs A. Jones, to me known to be the rson(s) who execut the foregoing instrument and ac wte a the same. )) , 1 ure v •= . or print Hams ~ ~ r• _ Notary Public St. Croix County, V~~tjo~p. •' ~, My mm! aion is permanent. (H nat'r',atpte ~c~praMir~.dnTe~: •lvames of peraone algning to any capacity ahouirf be'ijriied or primed below fhelr signatures. Inrann.tlon P,WwfslM~ls CompWny Fong du e_m[;. N~laoom4n DOO.A55.2121 /C .. ~, ~~' ~ ~ ~~~ ~ ~ }~ ~' ~,~i~ @5CT1ptiUA~ ~ , ~ S ~ i' I p ` el p~;land IpcaXed~in the N,artheast quarter of the Northwest quarter of Section 10, Township 28 ... . ;~1ort~,12ange 16 West; Town of Eau Galle, (containing and being a replat of that Certified Survey Map 'rtco~d~d in Volume .8, page 2209), St. Croix County, Wisconsin, described as follows: ~~ BEGINNING at the North quarter corner of Section 10; thence South 02 degrees S 1 minutes 07 sec- onds East 1321.47 feet along the North- -South quarter section line to the South line of the Northeast 'quarter of the Northwest quarter; tfierice South 89 degrees 58 minutes 19 seconds West 1320.74 feet .along said South line to the West line of said Northeast quarter of the Northwest quarter; thence North 02 degi~ges 55 minutes 33 seconds West 1322.21 feet along said West line to the North line of the Northwest u , er ,' f Sectibn 10; thence South 90 degrees East 1322.48 feet along said North line to the Point of ~~ ~e g containing 1,744,756 square feet (40.054 acres) more or less, and being subject to all ease- "~' ~4nents, restrictions and'covenants of record. b' 1,IHarve}, G. Johnson; registered Wisconsin Land Surveyor, hereby certify that under direction of Mike and Debbie Jones, owners; I have surveyed and snapped the above described property; that such ' map is'a true and correct representation of the exterior boundaries of the land surveyed, and that I have fully complied with the provisions of Section 236.34 of the Wisconsin Statutes, the St. Croix County Subdivision Ordinance, and the Town of Eau Galle Subdivision Ordinances to the best of my profes- sional knowledge, understanding' and lielief. t~~~~Nt~t a ,~i ~ ', 6 !''I y?' son~S-1899 ~ I, ~ }~a;'.,,,,~.Y G. ~} ~~,,' ,A, ~ onlr urv~3'r `g, I~t ,~. ,~ .. 3 ~r ~°,r ~ - e itr c ~. ~ ~ ~16 ~ eadow Drive North' ~ ~ ~ ~ : ~ N ~ .. ud~on, Wisconsin- 54016-1128 "~ ~ _. ~+~, +., : s~ rf :~ Revised~January 19, 2000. 'i~,.~,y ••.,.~_«~p~,,.•r pF` .,~ Revised January 27, 2000. `~i~ ~~ S ~ R.1 ~~ ~-f~ ~ Each pazcel shown on this map is subject to state, county and township laws, rules and regulations (i.e. ~..i etland; minimum lot size, access to parcel,. etc.). Before purchasing. or develops-ng any parcel contact ~ ilk ,1. yle S~ ~rQix ~o~inty Zoning Office and appropriate town board for advice. !i; ~G ~ . ,i ~l r; , ~; ; i ~ , ' ~ CURVE DATA TABLE Curve Lot Radius Central Angle Arc •length Chord 1 3 161.88' 38°00'40" 107.39' N 19°00'20"E ~~~ - 2 , ~~ 3 77.14' ~~ ~~ ~ ;~ 2` 143.14' ~ ~ ~ . `~ ~ ~~~ 143,11 I'f~3.4i' ; l - ~ 143.14' ,~ r .. ' , . . 5 4 95.88' 84°59'44" 114.43' N04°29' 12"W 34°32'10" 86.28' N29°42'59"W 50°27';4" 126.06' N12°46'53"E 84°59'44" 212.34' N04°29' 12"W 38°00`40'~~ v 63.61' N19°00'20"E ~~~ ~, .. ~ . a ; - ~ I ;' ~ . ,, is Chord length Tangents 105.44' 104.23' 84.98' 122,03' 193.40' 62.45' N38°00'40"E N00°00'00"E N46°59'04"W N38 00'40"E N46°59'04"W N 12°26' S4"W N 12°26'54"W N38°00'40"E N46°59'04"W N38 00'40"E N38°00'40"E N00°00'00"E J_.29'~3P~:;y~6 STATE BAR OF WISCONSIN FORM 2- 2000 WARRANTY DEED THIS DEED, made between Michael L. Jones and Debra A. Jones, husband and wife, Grantor, and Robert W. Alf and Heidi R. Alf, husband and wife, as Survivorship Marital Property, Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: SEE ATTACHED EXHIBIT A Recording Area Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. 8 1 4249 KATHLEEN H. IiALSH REGISTER OF DEEDS ST. CROIX CO. ~ IiI RECEIVED FOR RECORD 12/14/2005 01:35P!! IIARRAHTY DEED EXEMPT # REC FEE: 13.00 TRANS FEE: 990.00 COPY FEE: CC FEE: PAGES: 2 Name and Retu gN jp= Edina Real tle, In9V1ElRO LEGAL ~, 400 S. 2nd t. -Suite $~ SOUTH 2NU J4(E3Ppl:, $UITE 150 x~tas , WI 54016 MtNN~US. ~~ 55012217 AQ 1C 008-1027-90-000 ..... Parcel Identification Number (PiN) This is homestead property. Dated this 1st day of December, 2005. * Michael L. Jone AUTHENTICATION Signature(s) authenticated this 1 st day of December, 2005 * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Peterson, Fram & Bergman -Steven H. Bruns 50 East Fifth Street, St. Paul, MN 55101 :Metro Legal Services EDIl2ET 484515 A 5~44?~ VVD 39472? i * Debra A. Jones ACKNOWLEDGMENT STATE OF WISCONSIN ) ST. CROIX COUNTY. ) ss. Personally came before me this December 1, 2005 the above named Michael L. Jones and Debra A. Jones, husband and wife to me Irnown to be the person(s) who executed the foregoing instrument and aclatowledged the same. Pamela J. Goulat N Public Pamela J. Goulet o Iscot>sm Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: 10/11/2009 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) •Names oPpersons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 i1.;2943t' X447 EXHIBIT A Lot 1 of Certified Survey Map filed November 28, 2005 in Vol. 20 of Certified Survey Maps, page 5115, as Document No. 813087, located in part of the Northeast '/, of the Northwest '/ of Section 10, Township 28 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin; Being a part of Lot 1 and 4 Certified Survey Map Volume 14, page 3815. File No.: 484515 wisconsinDepartmentofCommerce SOIL AND SITE EVALUATION Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 A.C.E. Soil & Site Evaluations r~nxn comp~ele s¢e plan on paper not Bess than si: x 17 inches in size. Plan must include, but nd limited to: vertical and horizontal reference point (BM) direction and County , percent slope scale or dimemsions north arrow and lo ationand distance t n r t d St. CroiX , , , ~ o ea es roa . P l LD APPLICANT INFORMATION - p/e R~~ all informatipn arce .# __ prt of 008-1027-90-000 . Personal information you provide maybe used fo sesq ary purposes (Privacy Law; g. 15.04 (1) (m)). Revi ed By Date ~ ` ~ Property Owner r `~'` ' ~ ~ ~ ,~ Property Location - -~ f ~ Michael L. & Debra A. Jones ~`W? -- -- --- -- Govt. Lot NE 1/4 NW 1/4 S 10 T 28 N,R 16 W _ _ _ ~~ --- g - Pro Owner's Mailm Address ~ ~ . Fn~4 , --- ~1 r ~~ ,., - 2447 50th Ave. L --- --- - - - - - ----- ---- _ .------- --- clt~ ~ Block # Subd. Name or CS ~~ d CSM tltt'-" /~1 ~' - __ --- City StateCode PhQ~dgPr~er L] City ~ Village Town Nearest Road Woodville WI $ kt~0 , Eau Galle 50Th Ave. New Construction Use: ~ R ~ er~al'1 umb;~ be ~ ~ ms 3 ^Addition to existing building ~ [] Replacement [~ Public o Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpd/ftz .6 trench, gpolftz Basal area required 900 bed, ftz 750 trench, ftz Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpolft2 Recommended infiltration surface elevation(s) 99.0' at 12" above 98.0' contour. ft (as referred to site plan benchmark) Additional design /site considerations Parent material Glacial drift Flood lain elevation, if a licable NA 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 ,VIL Ut,IL;KIF' 1 IUN KtF'UR ~ Boring# 1 Ground elev 96.44' ft Depth to limiting factor >70" 2 Ground elev oa ~~~ e Depth to limiting factor 35" Horizon Depth Dominant Color Mottles Texture Structure Consisten Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench t 0-7 10yr4/2 None sl 2fsbk mfr cs 2f 0.5 0.6 2 7-20 10yr4/4 None gr.sl 2msbk dh cs 1 f 0.5 ~ 0.6 3 20-70 10yr5/4 None gr.cosl Om dh - - 0.3 0.4 KemafKS: nvrvuu n~ wnsv~u v[ suaimea oanas of fir. cost ~ 1COS with high clay content. Soil is very hard in~lace, breaking to Osg when disturbed -- 1 0-7 10yr4/2 None sl 2fsbk mfr cs 2f 0.5 0.6 2 7-14 10yr4/4 None sil 2msbk ds cs if 0.5 0.6 3 14-24 10yr5/4 None sl 2msbk dsh cw 1 f 0.5 0.6 4 24-35 7.Syr5/4 None sl 2msbk dh cw - 0.5 0.6 5 35-72 7.Syr4/6 m3d5yr5/8 strat.sl Om dh aw - N.P. 0.2 KemarKS: nu,rcuu n~ wusuu ui ~ralmea oanoy OI gr. COS10"L ICOS foil is very hard in place, breaking to Osg when CST Name (Please Print) Signature: Telephone No. __ _ James K. Thompson _ ____ _ _ ___ _ '~--~- 7_15-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 54020 11/3/99 3602 1124 PROPl;RTY OWNER; Michael L. & I)etrra A. Jones SOIL DESCRIPTION REPORT PARCEL LD.# _prt of 008_1027-90-000 -3 Ground elev 98.88' ft Depth to limiting factor 30" ~t2a page 2 of 3 w n r o_a n Horizon Depth Dominant Color Mottles Texture Structure sistence Boundary Roots A GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ~ Trench 1 0-7 10yr4/2 None sl 2fsbk mfr cs 2f 0.5 0.6 2 7-16 10yr5/6 None s 2msbk dh cs if 0.5 ~ 0.6 3 16-30 IOyrS/4 None cost Om dh cw - 0.3 0.4 4 30-41 7.Syr4/6 m3d5yr5/8 gr.cosl Om dh - - 0.3 0.4 RCI Ilpl RJ. _ ~'J 1p1u ui Y~aa.c, Ground elev Depth to limiting factor Ground elev Depth to limiting factor Ground elev to Osg when disturbed - I j ~t I ~i i1 a.~~ r Depth to limiting factor r P~. 3 0 ~'3 . :lop o<' S/ "cc~o~Qn mace ~oosE . EIeJ.' = IB.80. ~ ~- Sc~e : / = s~o b~ ^ ^ 5e,;1 ©bstrda~or~ W GY~ ~f c~a~C ~. ~ D~b~a ,~ P~E ~ ~~8l~~ion ~ ~ ~~~ ~ 9~0 zyy7 sv{` ~~- ~ ^ ~~y Hof C " o<'~roposco~ a3 ~ ~ GSM, .~E~+~w'~, ~ ^ .fee. io TzS.r; ~ \ ~ az Q./6cv, T,c. off' ~ 9A.o~~ X98 ~aa6'a.~¢, 5~.~'iolr 15Su 'ee cd Yj / ~ ~ . f c~,o m r / 2 4 n E/e~ = ~rA c0, ^ n_ . ~a,.000C~.~ ,r~ 9 . ~ LCOr (.(.~Ci~ o~S ~c.[d a~creSS -----~ -E-~--~38. zs U ~ ~ h b oe ~ 342 ~= ~_' moron ~o:pe ~a~1ti:"~?q /1.cJ, C'o~ntr- ` off' /c f/. V rsNnsm DeparMtentof Commerce SOIL AND SITE EVALUATION Page 1 of 3 of ' ~ g01~'~ in accord with Comm 83.05, W is. Adm. Code AC.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/a x 11 inches in size. Plan must County include, but rrot NriMert ta: vertical acid horizontal refen~ce point (Bi110, direction and St. Croix percent slope, scale or dimemsiaFS, north arrow, and ante to nearest road. Parcel I.D.# ~`' prt of 008-1027-90-000 APPLICANT INFORMATION - p all ir-fo Re • gy Date Persona! Information yDD provide may be used fo~. Pu privacy Laws. 15.04 (1) (m))• / 7 Property Qwnef a' ,9 Petty ~dCatfOrt Michael L. & Debra A. 3ones E~~~ar ~~ 60 .Lot NE 1!4 NW if4 S 10 T 28 N,R 16 W Property Owne-'s Mailing Address e ` ", ; ` ~ j9 .Cii # Bkx3c # Subd. Name or CSM# 2447 50th Ave. ~ ,.,.-F, ~ r cR ~~ ~, Proposed CSM City State ip'~4d r ; '~] City ~ wllage Town Nearest Road Woodville WI ,.715- ~~4 ~ Eau Gape 50Th Ave. New Construction ~~: ~ Res' ! rr' f ~` 3 ^Additbrt to existing building Replacement ~ Public or com describe Code Derived daily fkwv 450 gpd Recommended design loading rate •5 bed, gpolft~ .6 trench, gpdiftz Basal area required 900 bed, ftz 750 trench, ~ Maximum design baling rate .~ bed, gpd/ft~ .6 trench, gpolf~ Recarnmended infsftratbn surface elevation(s) 99.0' at 12" above 98.0' contour. ft (as referred to site plan benchmark) Additbrlal design I site considerations Parent material Glacial drift Food elevation, if icable NA it 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 ®tt ^ S ®u D S® u Boring# Z Ground elev 86.44' ft Depth to limiting factor ,~n• Ground elev c~n~e Depth to limiting facer ~~~ Depth Dominant Cobr Mottles Structure i t C B d Roots ~~ Horizon in. Mansell Qu. Sz. Cont. Golor Texture Gr. Sz. Sh. en ons s oun ary ~ ;Trench 1 0-7 14yr4l2 None sl 2fsbk. mfr cs 2f 0.5 i 0.6 Z 7-20 10yr4/4 None grsl 2msbk dh cs if 0.5 ~ 0.6 3 20-70 10yr5/4 None gr.cosl Om dh - - 0.3 ~ 0.4 Remarks: Horizon #3 censists of stratitted bands of ~ cosl ez 1COS wnn ntpn clay conu;nr. ~vu u very naru w pi~tz u,~,~ .., .,~ ..,,~... 1 0-7 10yr4/2 None sl 2fsbk mfr cs 2f 0.5 0.6 2 7-14 10yr4/4 None sil 2msbk ds cs if 0.5 ~ 0.6 3 14-24 10yr5/4 None sl 2msbk dsh cw if 0.5 0.6 4 24-35 7.Syr5/4 None sl 2msbk dh cw - 0.5 0.6 5 35-72 7.Syr4/6 m3d5yr5/8 stratsl Oru dh aw - N.P. 0.2 Remarks: Horizon #3 consists of str~tiTied bands c~f gr. cost d't Icos with JOL >S verV nary m pl'dcz, DI~ARI[1}~' W VJt, wt~ll CST Name (Please Print) Signatu : Telephone No. 3ames K. 'Thompson 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake lar-e, Osceola, 54020 11/3/99 3602 1124 PROPERTY OYY1~ Michael L. & Debta A. Jones PI1RCElI.D.a1 urtof008-1027-90-000 3' Ground elev 98.88' ft Depth to limiting factor 3Q" SOIL DESCRIPTION REPORT 1124 [~ 2 Ot 3 A [` F Cml Rr Cile F.vah~atioas Depth Dominant Color Mottles Structure i t d B Roots GPD/ft2 Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. s ence s oun ary Bed ~ Trench 1 0-7 IOyr4/2 None sl 2fsbk mfr cs 2f 0.5 0.6 2 7-16 10yr5/6 None s ~ 2msbk dh cs if 0.5 ~ 0.6 3 16-30 10yr5/4 None cosl Om dh cw - 0.3 0.4 4 30-41 7.Syr4/6 m3d5yr5/8 gr.cost Om dh - - 0.3 0.4 Remarks: r-orizon ~4 rs very nam m pnlc;e, oreaicmg w vsg wncci uu~.urucu _ Ground elev depth to -- _ limiting _ _ factor Ground eiev Depth to limiting factor Ground eiev Depth to limiting factor J~~. 3 0 ~'3 Top o<' s/ "u.>coo%n ~nCe ~oosE . EIeJ, = 9gdD, Scp.Qe: / ~ gyp, 6- ^ ~,;1 46serda~or~ ^ _ w cry P~ ~ ~Tor~ es ^ ~~~~ .Lof C " o/'~roPos~o( b3 ~ ~ CSM, /lE~~W~4; .gee. io TZSi(; \ ~ ~ ^ Q? Q./GW, T,~. off' 98.0-~ X98 ~acc 6'a.~¢, ~.4' oiX ~qo%lree. }assumed ~. Elea' = /~ G0 ~ .-. n .~Q~.~ocJ ,d~..~;G(d ll.~C.t~ o~S -F--~-~38. zs U ~ ~ ti oe ~t.Cd a~ccGss --` ~ 3D2 ~= ~- Sron ~o:p~ nZar11:"ny /?.W. G'o~ntr- ~Ilj- _ _.._ i _ oocuMENT rvo. WARRANTY DEED STA E BAR OF WISCONSIN FORM 2-1984 ,~ `5265©2 ~, ~~, ~~~~~~~~~---___ Robert .Torgersont. a..single..person,......-. .................................. conveys and warrants to . ~C~E'~+- I!~-.~C~~--~••~~a--~•- ~Q~~r•- hus~and..arld..wife..as..stlruivorship. -marital.property..-......... the following described real estate in ........... $t....CLQ~X .................County, State of Wisconsin: _. TNI! YRAGf RESERV[O IOR RCGORO~NG DATA ~ISTHi'S 0. ;; '. I ST. CROIX C~., ~• Recd for Rocc:,~ RETURN MAR 6 1995 11~1~: 45 A. n. Regl~tsr of Deeds Ta: Parcel No :.............................. NEB of NW's, Section 10-28-16, EXCEPT Lot 1 of C.S.M. recorded with the Office of Register of Deeds, St. Croix County, Wisconsin, on 5-17-90, in Vol. S, Pg. 2209, No. 458651, subject to easerents, right of Frays and privileges of record. The Grantees assume liability for the real estate taxes cannerlcing Frith the .date of 1-1-95. This ......iS..I10t...._.... homestead property. (is) (is not) Exception to warranties: ~ ~d U Dated this ................................................ day of ...... - •~~'~ .........(SEAL) • .1~0172.1.k.7,blgeJCSATI ...._.....--•--• ............... AIITSSNTICATION Signatare(e) .Qf..-`~??'~?Y-~1--•----- authenticated is ~: /.day ot_...Eebnlarir.._., 19.95. ~, •_.sohn__G_.Nestingen._....---•--•--.•--.- TITLE: MEMBER STATE BAR OF WISCONSIN (If not . ............................................................ authorized by ~ 708A6, 'Ais. Stets.) THIS INSTRUMENT WAS DRAFTED BY ..Jahn..G...Plestxngerli,._. AJtts~xz>ey.. #l0A~S24----- ..P. x(2~__Ana(:..14Z,~..Aalsila~n~..~l~scor~sira. S.~kOQ2. (Signatures may be authenticated or acknowledged. Both ars not necesaary.j .... FebrudzY .. ..... •Sn~~~o ~~ . - , 19.95. li ii (SEAL) ,: ,~ - - ----- - -- - - -- ._.- ..-.._ --- -(SEAL/ ACSNOWLEDOMENT STATE OF WISCONSIN ss. -----------------•--------- • ...--•----County. Personally came before me tllia ................day of -•------° ......................•-•-•---.., 19-•--•--- the above namtvl to me known to be the person _........... who executed the foregoing instrument and acknowledge the same. Notary Public .----.....-•-•-------.~----•-••----------County, Wis. My Commission is .permanent. (If not, state expiration date: -------• .....................•-••---•-•--•-•---........ 19.........) •NtRts or penoas dsRm. in [nr eaDaeit>/ [houid b[ typed or printed below their aianatuzes. WARRANT! DEED STATE HAR OF WISCONSIN FORM No. f - 198E Wisconsin Legal Blank Co.. InC. Milwaukee. Wisconsin ~3 29 1 308'7 VOL~p~PAGE 5115 REGITASLT R OF DEEDS ECEIV~F.DIxF R~I?ECORD 11/28/20G5 83:00PM CERTIFIED SURVEY MAP CQPY FEE: PAGES: 2 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NORTHEAST 1/4 OF THE NORTHWEST 1/4 OF SECTION 10, TOWNSHIP 28 NORTH, RANGE 16 WEST, TOWN OF EAU GALLE, ST. CROIX COUNTY, WISCONSIN: BEING PART OF LOT 1 AND 4 CERTIFIED SURVEY MAP VOLUME 14, PAGE 3815. NOTE: BEARINGS ARE REFERENCED TO THE NORTH-SOUTH 1/4 SECTION LINE OF SECTION 10, ASSUMED TO BEAR 802'81'07"E ~~ll~~,.l!~~F SURVEY CONDUCTED AT THE REQUEST OF THE OWNERS: MIKE & DEBBIE JONES 2447 50TH STREET WOODVILLE, WI' 54028 ------- ~'j'$~QE- ---N 1/4 CORNER ~___ - I r ~_ ~_ _ SEC. IO FOUND COUNTY SURVEY NAIL ~ ' _I I _ ~- / 6:i' ROAC ~ Eat Eb1Eh+T F'EE•: i..S.Pd. R: vOL. e Ia r/•s. zzo~ ~ to / L,QT .3.. Cs..R1. I ~• ' ~ PO (;E 13815 I~ \ ~ ~ ~ r 1 I.OT ~CCM VOI. la PAC L_, 3CfI6,. ~ C~Al ( ~ t i 3H1,5,., i I o Z ` Vf ~ 1 I ~ Q ' ~ ` i~ ~" I ^' I ~ ~ ~~ L- ------- ~ -~ J ~ m~~-~ LOT 1 ~' 352039 S.F. N 8.08 Ac. LEGEND: • FOUND 1" IRON PIPE ~ SET 3/4" BY 18" IRON PIN WT. 1.50 LBS./FT. -~ COUNTY SECTION MONUMENT (FOUND AS NOTED) co~r a_c~n1 vo L. 1 a PAGP 381.5 THIS INSTRUMENT DRAFTED BY JASON PAUKNER Vol 20 Page 5115 N p Q N CJ~ N iY J ~ f ~s ~ Z Z m C S 89'58'19" W 377.90' '" SOUTH LINE OF THE NE-NW i$~ UNf~1..ATCFa) (.AN_nS ~~ S 1 /4 ,CORNER SEC. 10 FOUND 1" IRON PIPE SHEET 1 OF 2 SEC. -,o ~-~ ,~..~ / 1 ~l ED S UA VE Y MA !~ ALUM/NVM c.ov Fouroo Located in the NE 1 /4 of the NW 1 /4 of Section 10, T28N, R 16W , Town T of Eau Galley, St.Croix County, Wisconsin, including Lot 1 ~ soo°oo'oo"E Owners: Mike & Debbie Jones of that CSM recorded in /322+a' s o 2447 50th Avenue Vo1.8, . 2209• Woodville, WI 54028 Bearings referenced to the North line of the NW 1 /4 of DET4/L o Nor ro scoL Containing (and being a replat) Section 10, assumed to be z of that Certified Survey Map S 0°00'00"E. recorded in Vol. 8, page 2209. _ UNPLATTED L.4NOS _ \ 50TH ~-~'~'Oa5"E 132'-48' AVENUE ~+ a~s . ~. -~ sr3et3T - - ... - S 90~0~0.' 00'E 13~22.e~4'- - _~-~ +--~ _ _ ~ J 3.03 ~ 10,068 -i 1 NORTH LJNE OF THE NW//4 .6 v ~ ~.. O°DO~~Lf78• J • .-.~. ~ /~' ~, !' NI/~ CORNEA s •^ v~ N38°00'<0"E .71l:~ .00' ~ SEC. /O-2B-/B -. .,. .....-... 1Q0' SETBACK... L/NE ........ ... ......... ~~~ m`' •.67./7.....-`.~ /4a~- ~ ... COUNTY Note: this private road ease- ~ -n ~, Afbh~~;' 36°00'<O"E Q suRVer ment will service Lots 2 and 4.~ ?,~ >~ ~ ~,~' 677 ~' N FOUND. dod' ~ 2 y ®7T 3 ~ tai s ~ 50.37 ,68.3 ,,,s 66 s~ o~ ~ ••56.17' ~ . j '°''J O' 00 • 0 " ...~ ~ ®~ ~ ~ • • .`....r 00.00'... - • ' 82.3/ _ ~ 3 I 96.7J' - 20825~~'• .- t:V ? 1,256, 178 Sq.ft.(2 ,84 Ac.) -b 111 ~ N 2 includ -of-way. tyt N ~ ~ 1 ~o,ss, s¢ Fr. { W'v ~ N 1,222,799 Sq.ft.(28.07 Ac.) _ u Ils~oo caesT 3.0o acRES• inp (~! .~-~ °+ excluding right-of-way. ~ ~ ai N I ~ a ~ m r r~ ~~.~ ~ N1~N ~~I 3 A n O ~ ~~ lD ~~ 1 r '" - Note: Easement recorded ~ ~ _ ~ / I ~ R1 lJJ Z ~ ~ m b on CSM in Volume 8, page ° ~ " l N O Q I ~ h 2209. 't'his will be a ~ I ~+ ,~®7T 1 ~ i ~ joint driveway easement for j t` j ~ ;n i Lots 1 and 3. I o .. .00'1•.••••••• o = APPROVED ~ ~-z _ •~~•~ ~ o-oo•o " ~~ o Q' ti ST. CROSX COUNTY o v W I Z t~ Plonnin~ - --- "°B t` W N (/~ ~ 1 O N ~ Q! i F E 13 2 4 2000 .313.94' ~ ~ Q~ '' S 90'00'00"E zl ~ i ~ It not recorded within 30 days of LOT 3 ACREAGE ° ~ I i W approval dace approval shall be 1 0 , 0 9 7 Sq . ft . (3 2 A ° ''`~ ~ 3 null and void ~^ in luding rig -of -way' ~; 12 , 835 S t (2.98 A)~ ~I Note: Rock pile at SW ex lu in right-of-wa °` jl corner, witness corner I found S02°55'33"W 8.55' ~I from corner. ~' UI SOUTH L/NE OF THE N -NW 502°53`!3"w S 89' 58' 19"W 1320 .74' e.55' UNPLATTED LANDS 1_.EGEND 3 ~ v 0 ST CROIX COUNTY SECTION CORNER (AS NOTEOJ. ~ pj O /'X24" IRON P/PE WEIGHING /68 LBS. /L/N. FT. SET. H ~ 2 M • /"IRON P/PE FOUND. (RJ PREV/OUSLY~ RECORDED /NFORMq T/ON. S,/~ CORNER O CURVE NUMBER. SECTION /0-28-IB (I" IRON PIPE F04N0J. -. -. - OLO LOT / LOT L• /NE (C.S.M. V.B, P. 2?.09J. This instrument drafted by'.` [~ Vol. 74 Page 3875 FIl,.ED ~a FEB 2 5 2000 - StCtoucCo.,Nll `~ ~ ~ ~~~ J SCALE /N FEET / "= 200' O 200 400 600 4992656