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Home My WebLink About008-1034-10-000Wisconsin Department of Commerce 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)l. Permit Holder's Name: City Village X Township Jacobson, Walter Eau Galle Townshi CST BM Elev: Insp. BM Elev: BM Desc ' tion: ~(} ~~ ~J d (~.~ f fOY: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~~ /~vb Dosing / A~ Aeration ,/ Holding ELEWATION DATA " TANK SETBACK INFORMATION TANK TO P/L /Jbl~~ WELL BLDG. Vent to Air Intake ROAD Septic ' ~ ~ ^~ I ~ U/ Dosing ~ ., ~~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number ~ ~/„ TDH Lift /'] Friction L~os~ System He ~ TDH Ft (7 L ~ /~/ Forcemain Le~g~hO l Dia.Z ~, Dis . to Wel~ ~ i SOIL ABSORPTION SYSTEM / / ~- ~ I~ ~nr.~l~ o,,,~., county: St. Croix Sanitary Permit No: 420393 0 State Plan ID No: Parcel Tax No: 008-1034-10-000 _A STATION BS HI FS ELEV. Be mark Yh ~ 2. ( / 02. I /40 - d Alt. BM .p~-S'j~~ J c ~y ~ Bldg. Sew r SUHt Inlet SUHt Outlet -~ Dt Inlet Dt ottom ~ a ~ JO j Header/Man ~~ 3 -~ Dist. Pipe 3 'w ~ ~ ~f ' Bot. System ` r ~ R .b Fin ~ rade .Prk.~ a 6.23 ~ S- -'~ St Cover -l'tP.~..rl~. BED/TRENCH DIMENSIONS Width ~ 1 Length ~ 5 g No. f Tenches 3 PIT DIMENSIONS No. Of P~ ~ Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L DG WELL LAK /STREAM EACHING CHAMBER OR a r . '~ Ty e Of System: 100' >~i5' > 75 ~ ~ lDG / UNIT odel Number: DISTRIBUTION SYSTEM Header/Manifold ~ h Distribution ~ ~ Pipe(s) / N ~ ~ x Hole Size ' x Hole Spacing '_ Vent to Air Intake Lengt Dia Length 17 Dia Spacing ' SOIL COVER x Pressure Systems Only xz Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 0 Yes No ~J Yes ,I No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/~~ Inspection #2: / / Location: 491 County Road B Woodville~jWl 54028 (NW 1/4 NW 11412 T28N R16 ) NA Lot ~ ~ Parcel No: 12.28.16.174D 1.) Alt BM Description = 'sT ~ ~O~r/""~ 5~dfh5Ok C/fl~i.~ ~/ aQQ( --L ~1'~ 1 Gt~(~..~ 2.) Bldg sewer length = ~b / ~~~,9~or~r;~ ~ 1 ~'~~ (/"7lQ?,~.~ ~ ~Q~~'y~~ ~'~- - amount of cover = ` ! `~ l V _ i ---1 _ _-- _ - - ~ ~ -_ Plan revision Required? ` ~?, Yes ~ No ~ (~ r1 ~ D ~ i ~,(i''~wyL ~ ~(~ Use other side for additional mformation. ~_ _ _( _~_~ ~_ _ _ ~ _ I SBD-6710 (R.3/97) Date Insepctor's ignature Cert. No. Wisconsin ~~ ate tpntscttuga s~araa~aa 2Ul w, washurgton Avt:.. F.O. Boa 71GZ Madison, MI 53707 - T162 _ Sanitary permit Application In accord v+ith Comm $3.2l. R-is. Adm. Code, p:tmnal information you Provide __. >r .,....t r ~ ~tsnr rntrnvs Priwcr Law. sl~~..-.. I. Application infoematlon - Ytease A^int AH Wormat Property t')wner`s Nnsnc 1 0-1 ~~,n~ ~ ~ g c property t~vuer's Mailing Address Ciry, $tatc ~ Cade ado ~~, ~1~ ~~~~'~ ~ ~~~~~ k tI. Type of BttRd'iag (c3teck all that apply) (, i ar 2 I•amily DwcliittR - Iv'urolxr of Bedrooms _._ . _~~_-- .(.,1a c~y LJ public/Gomnureial - Drsc»bc use e O start; Qrrncd Th2Yc~G~-cep Whiff 3'7~~ 3 C' ~~ 3' X ~ ~' '~ one b ~on Iine A (~nrrmberit III. Type of pezznit:~.(~ck only __._ I CJ` ~~ 0 6 ZU02 ST- C~Z,.~1X LwIN L ____. ~ r . C~Orx Addracs X41 L~ ~~( ~ ~ CJoo d~ . ItF , unitary Peravt Numhcr ~j Chccl. if Revisicsn ~~ tart Plan I.D. Numker t j trot Numlxr ~rd_/03z1--i~ P Ry Location __ ~~..__.___. ~_, lot Alemtber BiaCk ltttnthCr { Subdivision Namc ~<s-h ~ ~ ~)ro3ca 1 _ ._ ~ (UCitY- s 1 U~;Q~~- Rusd ~_ (:SM Nttntlrr ~~~~v _~_~-`L~ I. ~- -- - tov~ o~ so~~ _. ,. ~ __ scheme for internal use}- Complete !we B if applicable) _`__ c... ~~....to .~ 3 ^ Reptatxmettr. of ~ 6 U Addition to €~ stew ~ '`"- Ptra~it Nnntber - -- Date Issucrl { B. U Check if Sanitary Permit Prtvtously karat ~ Q ~l ~' rS N. of Ferrnit: (Chec1: aU that applp}(nnmberitag selttmse g for intertal rise} /'! Q~ jZ~/ ~" 50 ~7 CoruavctM Wcthan! ~d d4 Non -Preswrixrd In-Gratmd 21~ Mmmd 4? U Sand Filter • ~/: 43 U Aolti'utg Tank ?Z ^ yressurizeei In-Gnxm~i d8 U 5ittgtc Pass 51 ^ Drip i ;"'• QS ~ At-Crrade .ib {,.~ Aetnbic Treatment Unit A4 E 1 Reeirarlatittp ~ ~ -` .._. ...- - ~fT ~ CiKG~-L~Pi_C- ' i y_ t Area Tnfotmatian: i a ti petvoiatiat Race - Flow (bpd} Dispersal Area Dispersal Alta ~ t'tugp~d ~~ ircd R tRt o Soil App Rate(Crats. ? fNtiu.t[nch} / L•levation (~i / ' , ¢ciu U ~ l Fiber l'la~tic 17. Tank lnfo ... Ca ..i in Torn! Pa" tY t;ailotts CralIans Nombcr afTanks Manufacturer ~~~ A~ Prefab Sitc 5tce Concrete Cututrw:teri Glass New 6aisaa8 ~-~ ...~ __ .~ Tanks Tanis _ -s- -- -° f Sep6c~ Hotein6 T~ _ i705 W6 Ctumba ~D r l~ - ~_._ [ ~{at)afipn of the P()WT5 shove oo the attacLed plaru. VII. Responsibility Stattnonent- I* tLe u. awe respormT>~7 O1 pltutlCer'S Signature hip/trtt'ItS I~iumhe* Business Phrme Numhcr l/ 7~5 F~4~ ~~a7 O 1'iumber's Narrtc (Print ~ V ~~ /~ ~ ~ ~ _ -_. __ .__ ----- _. --.. A ~. ~ sTeP~eri _ ~ ~~. ~. ,~ ~~_/ _ ~, ___ __ Z - _ _ __ Plumber's Acidness (Street, City, Smte, tP Code) ~ v , 1 ~ ~ ~% ~~.~ I1~ ~~. Y - oc~ J._~ _. __ 'VIII. otm !De Use Only --. _~-- • ~ _._ _ . _ _- Sanitary permit t°ee (includes Grourid4varer ~gDaoc isxttert Iiuun Agent Signature tNo Stamps) Approval t "~ Disapproval Suricharge Cz:t) " b ,~ i U ~7w„rr given ir»tial Adverse _ Baas. ~ _._ _ __ - })ctcrmiuation .~ . _ _ _ ... __ ,..._ ~;. C.onditiont of eapprovallReasoas for D/~ils~a~~p~~pr~ ~~~ ~ sl~ ~~~y,~s ~(GlII1pl~C~~nn,,t~ SO(~S'~•~/>flp'Yil~n..5l~,~'fd j.~.L tY ivi'~.SO'u~it+ i.u.hl~ r ,/,-,, . ,C/Qf n~'~ ~ C'~OSer ~ Ba' r( B2~ ~tiS S ~p ~rvn v~• 7f74°/I~~ rK~ j° ~ ~ i ~~r'-•l'11Q/i'r~~Y'd)'~'1/ ~ I ~~ °~/ lY~lr 20y1 ..B'YL~L~i+. ~ ~ i i-~'tlt~~~~"~~ ~-I'uG~Z~JhO.S~ 1dAd.~1 Gf 0~ ~~• _• ~~/ - ~~ ~* ~-~ tar fta'-~~° IwtS ~ i ~ ~ I~~/- - ~~~ ~ ~~ i I i ~Dp , i z ~ ~L f ~~ K ' ~ PLOT PLAN Scale 1 "_'~ 0' ~~ ,{'° ~~ ~~ ~~ ~ ~ ~. ~ ~a -~"~ ~~. '2 o~ ~~ ~ ~ ~- ~~ E~c~ST ~ r ~-q.~15 ~1`e4n.~q Z'T ~ ~ g . i - ~--~-----.... 2.5~ of y'' Pu c ~ ~ ~ , _ __ `~'_ _ i3r~ ~--- 80 ' ~o ` ~ - - 3 \3 O \'LY~1 X4"1 ~. ~kPVC Y~-f~~1C-~ ~=D ~. ' irvv` ~_ °tb'_o' x ~<<p~ ~ }~ camas 1 _ ~~~~~ ~'~vtZ~s :~ -_ ~lq 1 e.T~~ . ~ ~, _ --- ~--- _ - ~° a v Page ~ of 6 e~,a-~ ? 8.3 . ~S' o ~~ 3' ~. 3~ ~~ ~C~~-. -~s' c~~ct~1~c'c ~,~v q5. d y:~- s-~~~ '~ o , s'<~~~, ~~~c~~~ etiq~ e P°s'fivn o~ ~,.,.~,~ Sow belay ~3 / -71~~,.-~-}~.-I.SZ ~+.1G . S ~~nC 1~k 1S 1v ~~ QVr~~~.~------ $ 3~~hs -_ ___ [G1~ cYYF Y1 C1`Ty s ~ -p-~, ~ y~ D ~TZ _ LLaACN :.CI~{ fly.:f3~~°~ NOTES • ~- 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( (~ required). 3. Septic tank to be lppu /6Sp gallon capacity manufactured by 4. $ench mark •~~ ~~UE PLOT PLAN Scale 1 "_ `~ ~~ ~~ J; ~~ ~. ~ ~w ~, 4 '2 a ~ ,+-u ~ i I > ~Dp i ,~ vi ~~T 3 ~ D \2Y~1 ~ r ~'Z-~1.Z5 ~M --~ ~8o y ~ - c~.~ co~ZnJ~ct ~ 1- X ~~` b2.w_E ~a a V -1- b' fla30U~. GtizOV~-, 1~~~ ~S :~ - ~lql e.T-~~' L3" - - -___ -__ - •f 'Page ~ of ~,a~ ? B~3 . -~5~~ ~~ 3' 6;.-.~-- _ ~~ 3 b. C~ l.. -, 5 ~ cv~1`~'c S3a'tTOj^~1 0~- ~~-~ _ ~Z. ~`U .q ~ . cJ - 17t c.a. ~ ~~ a~f e~ ~. e~R. , e~,a-~ e P05'~-vn a~ -f v 5~ ~~cu2~,~ Cd~p,~d somas b~l~J ~3 / - ~ t-~. - ~ K ~ sin +~ ~ s ~~n e ~~k is ~ ~ ~ pv~ a ~,---- --- - ____- t~ss~`pSi~L: __~ ~S;::-E~~= 3`:~ZS__:1=(~~vG==~v j~_Z~v~v~ ~r «t~ cy~_~ C i~Y s i o ~~ w yw ~ ~z LL~~ _ -c~~E-fl~..a-~~ c NOTES : -- 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( (~ required). 3. Septic tank to be lppu /EsSp gallon capacity manufactured by ~ ~ C S ~ CUYyL°..2. l-.J ~ ~ t ~ 0 O ZPr13~C. Ft C.`i~~'Q, . 4. $ench mark •_ ~31~U~ ~IKPVC r~flNl~t~1D/ i~v: ~_ qb _o , ~~~ p~ ~ irJ Gt~wca~2s ~wv• ~-- q,S•~lZ' TITLE SHEET Page_ I of b A DOSEt7 CONVENTIOIJAL IDT-Gi OUidD SYSTEt1 -----ft~~___ Thi`~ plan has been prepared in accordance with the Conventional Soil. Absorption Component=..ilanual SfiD-10567-P (R.6/g9} Located in the ~w l/4 of the Nw 1/4 of Section 1Z- Tocan o f ~pr-y G ELF T ?8 N, R 1~( W, ST. ~-~ ~ County, -I~Tisconsin. INDEX Page 1 of 6 TITLE SHEET Page Z of 6 SYSTEi1 IIAiAGEi~1ENT PLAN ' Page 3 of 6 PLOT PLAN Page 4 of 6 LEACH CHA2~IBEP. DETAIL Page 5 of 6 PUi~P CHAi~iBE3 Page 6 of 6 - PUtIP PERFORi•IAVCE CURVE PREPARED FOR w~o`~v1.LLL ~ ~l S4~J Z~_ PREPARED BY s''`jEGSEER SO ~ L . TEST S rite AND . - ~ DES ~ Ci~t S~R~J ~ CE - P•0• Pox 74 421 N.~Iain St. River Falls, jaI 54022 ~~ Phone 715-425-0165 Fax- 7I5-425-6864. JOB N0. ~ Z- Zp 3 q-Z-oZ ~~zo3~3 ., SYSTEM MANAGEMENT Page Zof 6 Management and maintenance of this system is critical to proper operation and longevity. .The system owner must be provided with a complete set of plans including this management section. GENERAL Proper functioning of any type of on-site waste disposal system is dependent on the amount of water entering the system and the quality of the water. The lower the volume of water and the lower the level of contaminants, the more efficient and longer lasting the system will be. Typical system components include a septic tank to settle out and break down solids, an effluent filter to filter out small particles and absorption cells to dispose of the water in a manner-which will protect the groundwater and public health.. RECOMMENDATIONS 1. Install water saving devices when and where possible. 2. Repair any water Leaks as soon as possible. 3. Do not pour .greases, oils or chemicals into,•the system. 4. Do not dispose any paper products other than tissue into the system. MAINTENANCE 1. The septic tank should be inspected by a licensed pumper every 3 years or less and pumped if necessary to remove solids and scum. 2. The effluent filter must be cleaned periodically_to remove any accumulated particles. It should be washed back into the tank at 6 month intervals or as per the manufacturer's recommendation. 3. Periodic inspections at the observation pipes shoul be made by the owner to determine if any ponding is taking place in the absorption cells. If consistent ponding is taking place, a licensed plumber should be contacted. CONTINGENCIES If the soil absorption cells fail to accept wastewater, replacement cells should be installed. Additional site and soil evaluations may need to be done and additional plans may need to be prepared and approved by the Safety and Buildings Division of the Department of Commerce. Questions about the operation or•maintenance of this system should be directed to: The County Zoning Office at ~11S-3$~_~68~ S`i'. CI~IX The system installer at ~1S- 69.k Z.Sa`7 I~P~~-f __ The tank manufacturer at _ X00 _ 3 ZS $-~S~ tiVt `s ~l2 -~ - -- -- - '£he efflu~eiit filter manufacturer at ~Up-ZZ~ _57~{Z Z{~~ • The Leach chamber manufacturer at 800-ZZ(_~~36 Lh.1~=1LTR,q•'N1Z S~-V.S T~1S `~ E.. ~V ~ 4~._ M: ~P`rJ U I"'`PS~~' U\~S1'2. -9'1' , _ - ~3 0 0 = `~ Z ~ - -P Uh~1 ~ ZI~~Z-~`' lL ~~, I~ I~ fHN 8 Iraq jB 8rG ,~ _= r~ G ti \/~~~~f ^1 _~~~ chamber Htgh Capacity Mode! 16' M•~~I~~ r 1 ~ r o • ~`YSTEMS ING Leading tho ~vay In septic end stormwator chamber systoms d 8us%rwss Park Road • P.p, Box 769.Old Seybrocdc„ CT 06x75 GG0.3S8.6634. 8~221-443G • Fax; G60.3t39.6810 Side Vre~v Product Features • Ligt~tareight units offer easy assembly and installation. • Fully-louvered sidevdall provides maximum infiltration. Open chamber bottom allows additional Infiltrative area. • Nigh-density Pol~TuiP" polyethylene construction guarantees strenglli and durability. Htgh Capacity Sidewinder Chamber Specifications ' Size (W x L x Storage weight 34' x 75` x 1 fi° 115 gal,l15.3 ft3 • 321bs. us r.r.n. .RIt61 S.^.q),au.S~H!11,3}]LG17. 3.•)1,r145~•LaSI.SAn,•W 5!6l ~~~. 1~ISS75.tllr.pe ~i11711. N•171 C~udan ar.,.~ 1~7•~i•Jl•1trN.S(. Cqs US,GrMU, "y l:u l•Ww.'t~i~Jrr. va SW,Wdr~ o. rrei.ri u~d•+uM vd A~ latniq ar ~•i.nwb H:r[IIYU Slrwrp M C:rJw, A4v.~r.r.MU'h'n I,a:d e.e~ra, AayhL Rw..i,lr:h b~,1 Sr 1i.:! v w>•m na." __ ~Ifll hUaw i.~u.... ~... `... ,. .... . ' - 75" End View ' }. an~ -!~ . ._ _. - Combination Sept.~c~_Tank and / PLl•MP CHAMBER CROSS SECTIOtJ AAJO SPECIFICATIOUS ' PAGE ~ OF O • .. ..~ f . . -VEU7 CAP ~ WEATHER PROOF • • JUlJCTfOfJ 90X . ti C.Z. VE1JT PIPt ~ APPROVED LOCKIkIG ''-10' FROK oooR, hlA>JHOLE covER cvt"tM '.itIJDOW OR FRESH ~ t'`~AF.l~lUG ~-p`gE~-• ua3P~lotJ PtpE AIR -uTAKE ~ colaputr I ' • G QfiD E ~ i ~-- ~- IB•Mlu. ~\\; ~ - . ~ -- - ~~~ UJLET ~" PROVIDE I - ___ ~. •, ;,`~ ~ AIRTIGHT SEAL I i I I Approved/ z>'t8~ ~~~ '~e ~ ~~I Approved joint ra/ I joint w/ PVC pipe ~-1800 a .i iN ALARJ+1 PVC pipe i t I I ou c •i I ~p.oo I CLEY. fT. __~ PUMP ~ OFF p C OAJCRETE .~ ~8q.OD' ., et.ocK ti: • ~- R15ER EXIT PERMITTED OIJLy IF TA1JK MAUUFACTURER Has SucH APPROVAL~3"Apf~QotiFp BFOt~ t rv4 SEPTIC F SPEGIFICATI~Ot~1S • DOSE TA-~KS MAt`1UFACTURCR: ~1~~ C-R-~1~ 1J11Mt3EA OF DOSES: s'~ PER OA,. _ TAJJ!( SIZC : -_ ~ \~ D O ~ ~ S O GALLO-JS DCSE VOLUME r - ALAR1+1 MAIJUFACTURLR: S•S • CLN~(tZQ S~'LS1-~^'iS IAICL~UDiIviG 6AtKtLDW: ~ ~O Z GALLOh15 1'IODEL 1.1UMSER: L~1 l`+~ CAPACITIES: Ac lg 3Q IuCHCS OR ~. GALLOlJg IIWITCH T~PC: ~1~ZC'_U~'LC{' g c_Z IRICHES'OR _ / ~ G~LLO1~l5 PUMP MAI.tUFACTURLR: _ Z~ ~ ~--LF1Z C= b IUCHES OR l~ ~' GALLOIIS MODEL 1\1UMHER: S~' - 0= ~~~~/ 1~' IAICHES OR -L GALLOlJS SWITCH TYPE: - I~~~-°I..I~ZLJr IJOTE: PUMP A1JD ALARM AR TO DC~ ~' Ml-JIMUM DISCHARGE RATE 31p GpK INSTALLED OIJ SEPARAT't: CIRCUITS VERTiCaL DtFFEREIJCE DETWLEIJ PUMP OFF AUO..DISTRiHUT101J PtPE.. 6`dOFEET ~- Kit~ftMUM 1~ETWORK SUPPLY PRESSURE , N•~`• FEET + ~ ~~ FEET OF FORCE MAtIJ X Z'~ZF~oFLFRICTIOU FACTOR. Z-°Z9 FEET ' TOTAL Oy1JAMIC tHE:AO V~ FEET t! As per manufacturer ~~.p gal/in. Liquid depth ~ 3$ ~~ 6L ~ ot= b HEAD CAPACITY CURVE "53 - 57" - "55 - 59" SERIES 6 0 v 15 z 4 N O F 10 ° 8- a q 5 3(~, o I I U.S. GALLONS 10 20 30 a0 I 50 LITERS 1 0 80 160 FLOW PER MINUTE siaas to 1 1/Z -11 1f2 NPT 3 15/16 '~^~ 4 1/16 '32 sK•se CONSULT FACTORY FOR SPECIAL APPLICATIONS • Variable level Float Switches available. • Available with special cord lengths of • Variable level long cycle systems available. 15', 25', 35' and 50'. • Alarm systems available. • Duplex systems available. Standard cord length -automatic 9 ft. ~tanriarrt rnrrl Icnnth _ nnn_~n4nmelin ~~ A M5 /55 and 57159 Series Control Selection Model Volts Ph Mode Am s Sim lex ~ Du lex M53/55 8 M57/59 115 1 Auto 8.0 1 or 1 8 7 I N 3/ /5 1 1 n 8.0 or 86 I r485 7/5 30 4 1 r 18.7 E53/55 8 E57/59 230 1 Nan 4.0 2 or 2 8 6 ~ 3 or 4 8 5 53 Series -YVt 221bs. 57 Series - WL 27 lbs. 55 Series - VVt 24 lbs. 59 Series - VVL 30 lbs. SELECTION GUIDE 1. Integral float operated mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0447. 3. Mechanical aftemator "M-Pak" 10-0072 or 10.0075. 4. See FM0712 for correct model of Electrical Alternator, E-Pak. 5. Variable level control switch 10-0225 used as a control activator, with E-Pak (3) or (4) float system. 6. Four (4) hole J-Pak, junction box, for watertight connection orwired-in simplex or 2 pump operation, PM 10-0002. 7. Two (2) hole J-Pak, junction box for watertight connection or splice, PM 10.0003. CAUTION For information on additional Zoeller products refer to catabg on Combinatan starter, FM0514; All installation of controls, protection devices and wiring should be done by a qualiE+ed Piggyback Variable Level Float Switches, FM0477; Electrical Alternator, FM0486; •Mechanical licensed electrician. All electrical and safety codes should be followed including the most Alternator, FM0495; SumplSewage Basins, FM0487; andSinglePhaseSimplexPumpControUAlartn recent National Electric Code (NEC) and the Occupational Safety and Heakh Act (OSHA). Systems, FM0732. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -^~ ~. ` _ ~ ,r ~ MAIL T0: P.O.80X 16347 ~/ i Louisville, KY 40256.0347 Manufacturers of. . `/+ r SNIP T0: 3649 Cane Run Road sa wA Louisvr7k, KY 40?1 fA961 Q,,r,~,rY PU,ros SNCE /.9~.9 ® PVMP ~Q. (501)778.2731 • t (800) 928-PUMP , FAX(502)774-3624 .. ~ 3 15/16---6 5/32 --J a s/e I TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING 50 SERIES FL Meters Gal. Ltrs. 5 7.52 a} 163 70 3.05 3a 129 i5 a,9 t9 72 lock Valve: 19.25' Wisconsin Department of -ndustry, SOIL AND SITE EVALUATION R E P O R T Latxt ariii Human Relations ' Division of Safety 8, Buildings ,,.a ,.,;ati ~ i u ~ oo nc ur:., n.~.., n..,a,. r~~ SOIL DESCRIPTION REPORT ~, Boring # ~~ ~ ~< -. ~~c,-\S Ground elev. qz.S ft. Depth to limiting factor > ~ S'. .....,,..,,, .. x ........ ..... . ..........,..., but Attach complete site plan on paper not less than 81 ~ ta .ties iri s, ~ ust include COUNTY (~ ~ ~/ , . ~ ~Yl~; directiq~nd % o scale or not limited to vertical and horizontal reference poip PARCEL LD. # dimensioned, north arrow, and location and dist~rfica,to near''rvq~,~ ~ f~ O 8 - 1 ~ 3 ~ - ~ ~ APPLICANT INFORMATION-PLEASE PR°I~1T~ALL~..I~FARMAT~ON N ~i I BY DATES ~ PROPERTY OWNER: $ ,.. w ~ `-~Z ~ ~ C4 8 S ~ '',' '~+k.K.l P LOCATION tV W 114 N W t/4,S ~Z T Z $ ,N,R ~~ E (a~ PROPERTY OWNER':S MAILING ADDRESS ~ ~" ~ --~UMfNQ ~ # BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHO CITY ^VILLAGE ,MOWN NEAREST ROAD Woo~vt~\.~`, wl S~(oi~ (~ts~ ~ Gn-t-L co~,~, ' a° [)New Construction Use [JCJ Residential / Number of bedrooms 3 [ ]Addition to existing building Q~ Replacement [) Public or commeraal desaibe Code der'IVed daily flow y, S~ gpd Recommended design loading rate - bed, gpd/ft2 0 -y trench, gpolft2 ~~in~*.vOLp Absorption area required _ - bed, ft2 _ t ~ Z S trench, ft2 Mapmum design leading rate _o . 5 bed, gpd/ft2 0.6 _trench, gpd/ft2 Rewmmended infiltration surface elevation(s) °- S ~ O ~ ft (as referred to site plan benchmark) Additional design /site considerations ~~~4-'t)")~U 3 Doses `C1Z~iuCt#t~S- ~e.tE S ~ ~ ~ s' LOS G , PBrent teri S t. ~ . _ S~tn~'~ off.. 5 ~ Gf" -Flood plain elevation, if applicable 1'V • I~ , ft S =Suitable for system U=Unsuitablefors stem CONVENTIONAL ~S ^U MOUND ®S ^U IN-GROUND PRESSURE CAS ^U AT-GRADE ®S ^U SYSTEM IN FILL ^S ®U HOLDING TANK ^S ~U Boring # ~ ~~-=:: ~~~~ ~~,:.. Page ~ of 3 7Y H i n Depth Dominant Color Mottles Texture Structure Consistence Badl Roots GPD/ft zo or in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. y Bed rerrtl I o - °I 1 v`'~~Z Z( _ s t ( Zr--t S bk wL~~- q. S - o.S o. Z -~/ b tZ 3~ _ s~ ( Z~3bk m'F}- cS 0, s o. (. 3 ~l y ~8 ~ , s `-1 tZ ~l6 S d Gtr d s ~ -n 1 - o-~ ~: 8 S.~ ~ h ~ J / -~ l r~ Vic. ~ ., I/ice; j t~ ~ , / ~~.'~fc7~ , / `:~.°-- ~' a ~. ~ ~. j/'i` ~'~~ ' C.K~{~'-~~`~-1 /gin. Remarks: ~ o-~ lo~t.~z. zlZ -- 51~ Zmsblz Yh,~~- a,S _ o• S o, b Z - 0 10`-12 31 ` s 1 I Z'~ gb1R vvt.`~4• L` S - o. S o• 6 3 ~ 3o-ss ~.s~c~ 3~y -- s 1 1 e-Sb~C ~ ~4- cS ~ o• ~ o-S SS-~,O '~S`tR y~L - 1S $6~. D sg -'"1 1 - p.~l ~ o.E3 5• -~ ~ /~ ~~ Ground elev. ~`l. g ft Depth to limiting facto T 80`' Remarks: Name:-Please Print rer Soi Arthur L.v Wegerer Phone. 715-425-0165 Testing & Design Service-P.O. Box 74 River Fal1s,WI 54022 ~ _ p`5._z~s Date: ~`~S`~S CSTNumMOO576 PROPERTY OWNER ~PC~`3SO~y SOIL DESCRIPTION REPORT Page?'of .3 PARCEL I.D. #! OCR ~-- 1b3~/-1D Boring # }":h 3 ~v^.{4{:i44hh Ground elev. a1. Z ft. Depth to limiting fao~ S ~~ Boring # • `~ . ~ ~.,,, Ground elev. ft. Depth to limiting factor Boring # -n~.,~,; Ground elev. ft. Depth to limiting factor Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiaty Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends ~ 0-9 loKtZz.lz - stl Z-nsbk mom, a.s - a•s o.~ z q-lS to~cZ31G - si 1 Zmgbh m ~4- c..~.~, - o. S o. ~ 3 $ -33 ~ u ~ Q 3~~ ~- Gr L Z `~' s bk w-.`~- C w - o, s o • l~ y .33-S3 ~.5`12.y I~ -- S K 6h a s ~ ~ C,S _ Q-~ o, ~ 5 S3 $ '~.S k2 Sly ~ 6h a ~ owe w~'~. _ o _ 3 u. y Remarks: /~~z~ ~Q 1 _ t~ ~ ~~ ~ f,• ~ ~ G S oti ~-, ss~ uc s 1 ~ ~, 3~ 8 Remarks: E Boring # Ground elev. ft. Depth to limiting factor Remarks: Remarks: SBD-8330(8.05/92) PLOT PLAN SCALE 1"= ~~p' ta~t~ 1up, o~$- lb34-10 ~, n ~ e~,~, ~j ,-~,. ~a~ ~ ?'Y'` i„ ~, .ten ~ ~ '~~ ~~ w~~ U3 ~ e Rc V ~~{ u 3 8~~ ~~,~ ~~{qy x ~~ - ~1. loo.o oiJ Bu1'Tpwi o~ sr. ptNG ~•6' ~a~v~ Grtuv~p, Page 3 of 3 tit. q1 z 13.. ~1 ~.ol`lS \~o~ S~ ~ t S-l,' otiS.O ..~ ~- b' s ~_ ~ q5.~ ~, 5 ~ ~ qg.o X00` ~ ~~~t!~~ ~ ~ e ~~ U ,~° l sum ~~ BZ~ 8•Z ~.q, ,,~, C~~ ~ ~-ZS~°L5 (715 ) 425-n1 h as_2gs 5 T~00576 CST Signature Date Signed Telephone No. CST # ~ \ _ 01999 C7nW Carragmphk+. Inc. Sc Cbr4 Mn ~aful + SEE PeUE 38 7(1.4 • IM RR Daniel •• DeY ~ ° • Lormt: B M rvu' • 6° • • . ALDW i N Charles ~ M~ ~„ 9a 9.7 77 Petenon~ ~ e' s ~ a a0 saran G,,,e, Carey • Anderson Fete,swr J•"e~ k ~'"" Arthur Donald w.4 • 7 W Q V ~ LE Ken ~ . 7illrrler Widiker • yg LkL 35 ` Jon Tlrrzothy b Jen~l dt Judith • Wadg o wi8'1 k AniO 120 0.. n*...a ' ~ 76.4 140 Moulton 90 k Pamela 100 k~nan BB rust ROdeel~ ~ Dawn ee , Dennis & ~' 1 ice" ,r. ,'i ~ ':~ ~ , • , • • Stave D°bral+ • • • 3 • Anderson • C}LTISt1Tle ~l,ry, • aa"""efna .'ir ,~ ar 10 aili"IIr • ~" w..ewa x y~'.°. o • G&D 21 • 151.8 Caolstad IS• Da1R1++ i TL Hillstead % s~snaa VanRiper Harvey • ~A 30.5 Blrkei • k Barbara ~~ MG 66.2 Halderson 54 o oaeeim 210.5 137.3 „ 7.z 94 ~ un.7 • >a • cloak ~ Donald & Judith 21 n ; ~°° ~~ ~+~ Arthur Trapp a.2 ,~ Roben k Richard Michael & Joy ~ IkH Mieke 1~: David & Trudy sa...n 68.5 RDdel 1,~ «i. zo Torgerson Ostlie 94 • 'at.m.z • Rehlsch 87.7 ~ • „ '1 133s °~ s3 e~ ez 1 z I la.rr RmaM Richard Eu Roiuid • anal • • ' a PkM aswler~ - •eab:.4 • klo+a gene cedlr • ksha.a^ Glenda J , ac 33 kDebml SM i are yL~la • Laurence &M 59 uz bob ~ {~~"] k Olive • Yandien• ~ ry ~ ~ • mtl 14ebird: ~ Heebink ~ Terpstra P` ~ 3fi.7 • ~ v: y~~ Lund 1Xmv J ~ • Larson ambson ~All~ 39 etal 46 • 30 & Nan J • • Hd • ^~~a r e • Harv dt David • • Maloy Jr 60 • Donald • z Jar$Dn Walter 4 ~ M•aa+ • eY 4`A 120.5 Pere,soa Mdackm Olson Chns ~ Arlene • count4' • k kP°< 4BS &Marvell rka ~ Wangen khldith •• 74. 159.5 Iero~OT Eatabes 266.9 ~L w tevmem • ' 58b 78 Rodel ~ r~l- Yw~ ' Series 133.5 Randy & Sandra S Archer JuOe R ~ wood & re ~^I"a°° • • Dona rxwa James 6r Elin s. Lelah 8 Carroll C6rC Harry tan vz Wilma !a Margaret ~~ • na Nelson .°~a Johnson Roquette ~ • '10 kKevin Tz.S Serier Schwab 3~ KB Hageseth ~ 4.7 Zlgrleg° t ao c~ 158.7 F., ing Fam 60 oo.Rm: 9.a B B ~ :• ` St1 ra aM.ry 154.8 lzo Trust kcyna~a 61.2 117 90 •j • 150 •~ ~ sa.•- Sh wean 60 • 38 ~ ~ a ~ 19.7 • ~ • RM • • ~ • 100 a • • a+ • • Q'n N • • RdrD Lee s e • 70 Roland • u k IBetry k 1K+1Yn &~~~ V1CtOT Bt ""'idY 50 19 20 Kevin 47 ~• Janet Lllnd Lee 40 40 ~ ;76 No~ W Matiwn . sandng 73 Elizabeth • .; 144.2 Everso ~ 55 ~ g Jon aMp Mkr 102.6 Mary a; William & a Lee r~ 572 Amer arwle• TrinkO Are l+a 103 Leon 36 pi Jean Peavey 152 •JOhn C7 142 • 98 4 ,ar BM k 0.bra ]9 MLaC 10 Rasmusen SkJ 19 • o • 1 • Serier • Moue. 3z ive.san 20 DR z fr r • • p.• • P~JJips • J~ ~ B • _~7o co.cs Jon ymyk Gloria Raru17 Glen&Helma B++Y ~l0 62 t+e etal teon+rd • 140.5 DM Zignego De Fa,m •,war C,yN k`'•~ Herl.9le Johnson Dennis Duckworth PealOuaas r•a 9 N us •~41 P ~ seb • 9 Rau°~ 3:= • 230.4 • Lavern way.•k 42s • 3 • k LYIe Bran • & Allce I~RE11G KaR & Rebecca ev I.ty Donald ~ 7,aa lOp E.mns•^~ 77.s ~ Earl ~ Mary 40 ~ 4 ~ 69 J~r[elson ~ ~eu°" ~~ 7as • Hai LatSOn Hlsenpeter • 116 • a Giezendanner 76 • ~ z T+I+e 79 ~ 35.1 40 40 • • z ~ . + ~ • Eldon S • Bruce • • k 40 • Town Marvin 18 i ~ BreMk • Ijtiala,d Rkv w N •1 s 10 80 of Esu k B Ann ta.6 102.7 Ll'"° • ~ 1-eslie 6r ICa1'en Raml.erg LE „ k )aae Peter • ~ Paul k • - • ~. Neleal ~ 345 Gedataa Ge k1 loos kcyndoa ~ Erirkaon Duane Gave lent • 3 a ao 3a D ~ • Larson .w Stene • 36.s 4o eaaww ~B;,,,, 3z.7 • Gazlend ~ 40 x • rr"' R8°'~`g ~ & Lucinda George Peraanas c.ry C+ 'r ~ ~ ~ & Gra Davie ooa.w k Irk ~ dr Sharon • ABnigtsaa Tang Lee • 9Q y 6 Tamara iESik~c LE~a Tk 60 • 425 100.6 Lokken Hansen ~,~a n.s eodwm : Fr~e 40 • etal 81.5 2~ ~ ~7 ~ g Ren`M~, Ramee.s 8K ly n • • 1'" t ~ ernes & Loraytse i.`~ sc Thomas ~ ~ Verlyn dr Patriaa 4 •103.1 •baa<uon • M~ • .s ~~~ • • ]ohnson Clazk Batho & ]on ~ • Falde ~ ~ D+y°`tl1s 110 74.8 JaTrLes & a 131 1 ~ • ~ %.75 75 Ellefson ~' • • 60 • w zoo wa k ~ < e ~ 80 Walter & Thomas & loner Marilyn ~Diarula lam: oo mY ~ ~rs~on J°:Johnson Locnkneaylce i~ Stu~i<ev ant I~Pllu1e . :~~JCF Sandra RkERlO ~~ JdCObsOII p his ~~ 'ttwn 80 • ,yor X34 z • 80 Atbngtson gp e • ¢ a Penst<a • N 4 ~ 5 ~n1OId • • 5 Orville RC 132 ~ Ik1P 1k)r. ° • Tracy k ,0 • $CVH k decree Dalald kDazlale • • • ~ wz lot ~ study Ktisthle ~,yn, tasw+ °WI~~ z Gerald Larson L;a„ 80 M~ • ~ xel~ Kermeth pe],,,ar dr lean 120 xielmeyer • 30.7 ~ • • Rev Living 90 Robert Inc Kevin & 1'~Yn ~ seu m • • sz.s Dewitt ~ • g i aq Dardet ,s_, TtLSt k Kay 59.43 Barbara Paldea 120 • S~"az3 • Brian ~e Mazy ao ~~ ~~ J1Ta kJ- Donald& Hovde 10.6 Larson &Peggy;• 2~a~1905 Fugate twkMan5di1e~ls 3 i$ ckN m 29 William .Lucille ~f 7 Douglas Lynum . Orin „ N;d,as• Quam L • Werrlei ~ ~ prvilie • • Ted , 115 Scorn 74 kyle & Sonja Mavin 246 & Elena tiL" • ~~ : gr Dazlene ~~l 25 a Gunderson oleos DaSrzer 306.2 279.1 erer k she an k ~ e= Lien wa 10 k Paul • C'D's sDl is • 2es `^• 172.6 • John & Gerald k E Starwos ao,eow • J~Pw"e k I+~ neaPb & Shirley ro to J Webe~ ~~ Rabntk Sd. Manna • ~ •~ 2 99.6 Mk gkK • ° y Albrigbmt Nelaoa kRutl. • Roche ok 9 ~~ BL CealPbeB ~ 40 9i • FkC l6b H.4 p~ge~ • Woltrnan~ 'tSS3 ~ 2 l2 • 40 - • ~y ^o BDS i'21 • ~ 40 40 ,0 to g 60 e r PkD lemnkPatrk+a • r 3e 150.2 • 40 ° ~F R2e1 • ~1'n 29 M,rF',r+a..e • ~ 52 d0 115 • 16Q Wald ~ ~ Reuben • wkl kRuth °""s ~ Friedgas Ixk E to Jon ~• Je Pax 60 '< W k~ z J~ i Clazk • • Ross & 'a i • Dane k H k Rebrnra • 50 Lavelle Llckness Don & • 98.5 k Arlene• Beth m a 60 $ • Deere Ra,mueee^ Rasmussen so Bnutkow Wildwood • Anderson • R ~ John & JoAml 7U 170 ohs Bernice [Mane Hazdwood View Inc .80 vaana~ ~ Kee PksM a ~eeDe` ~.~ Lavelle • 32 Davis• ~ Berger Gavic . Corp 80 • 627 99.7 z s 7s.s 3 Raady Steven & Jon wnnur l,m.+ Irvin E3 ernes ' ~ • & Doreen Brooke woBe zo 60 Anderson i,~ ~ ~•'. 100 • • Vanessa Bar ~ • B~Bames ~ 81.5 J 66'4 Leonazd ry Kent k Ann Merth Marjorie ~ skl L us Keck ~ a0 Family 120 t • Peggy Rode 80 b ~ i ~ B a 40.2 & JVJary Rudesill Gibbs ~ k perence Harry & Audrey S ~ ~ b ~ v~ : st M r~ • 40 ° Anderson so ~ ~ Richard ~ ~ 's g°* BB k Harley erne • ~ p • o °`P' x i 20 ~S 139.2 Terry 40 Swenson A' • kT 110.5 Marsh F " CC 3 z ~ 1P e+erce n • 3~ 40. • Ir ~ Lansing • 40 80 •a; ~z ~ $ 7 ,.,.n . ~ nn 2 00 PIERCE C.OUM'Y 2 00 2600 271 .. ~, _ JACOBSON INC. 1860 10th Avenue Baldwin, WI 54002 (715) 684-4600 Walter & Greg Jacobson Stampings • Subassembly Phone: (715) 698-2471 Fax: (715) 698-?335 ®~~ SONS TOOL INCORPORATED 460 THOMPSON ROAD WOODVILLE, WISCONSIN 54028 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ~ of ?i FlI.E INFORMATION owner L S6 Permit ~ Gtr DESIGN PARAMETERS Number of Bedrooms ^ NA Number of Public Facility Units A Estimated flow (average) 3~ al/da Design flow Ipeak-, (Estimated x 1.5) al/da Soil Application Rate (~ al/da /ft~ Standard Influent/Effluent Quality Month y average" Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand {RODS) 5220 mglL ^ NA Total Suspended Solids (TSS) <_150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (8005) 530 mg/L Total Suspended Solids (TSS) 530 mg/L ^ NA Fecal Coliform {geometric mean) 510` c u/100m1 Maximum Effluent Particle Size Y8 in die. ^ NA Other. ^ NA "Values typical for domestic wastewater and septic tank effluent. svsri~lul SPECIFlCATIONS Septic Tank Capacity ~QQ al ^ NA Septic Tank M~ufacturer /E~~~L ^ NA Effluent Filter Manufacturer e2 ^ NA Effluent Filter Model ~} ~ba ^ NA Pump Tank Capacity ~ ~ al ^ NA Pump Tank Manufacturer ~~ ^ NA Pump Manufacturer ~~~: Z,(-~"J~ ^ NA Pump Model ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Peat Filter ^ Mechancca! Aeration ^ Wetland ^ Disinfection ^ Other: OVA Dispe i ceu{s- 7 n-Ground {gravity) ^ At-Grade ^ Orip-Line •. ~AGl~IiN~ CN~~ ^ ln-Ground (pressurized) - ^ Mound ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA Mlilrv 1 CnF1r11liC ~a.n~uv~~ Service Event Service Frequency Inspect condition of tankls) At least once every: 2 - 3 ^ m (s) (Maximum 3 years) arts) ^ NA Pump out contents of tankls) When combined stud a and scum equals one-third IY3) of tank volume ~ ^ NA inspect dispersal cell{s) At least once every: 2~3 ^ m arts){s) aximum 3 years) NA Clean effluent filter ~}S /~~>/~ At least once every: 2 , "'~ ^ m this) earls) ^ NA Inspect pump, pump controls & alarm At least once every: ^ month(s) Cg-year(s- ^ NA ' ^ month(s) A Flush laterals and pressure test At Least once every: ^ yearls) Other: At least once every: ^ month(s) ^ year(s) O NA Other: ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shalt be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tanks) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third IY3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. Afl other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. ` Page ~i of ~/ i` START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may Impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the celllsl 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; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and ca of be repaired the following measures ha~een, or: ust be taken, to provide a code compliant replacement system: ^ A suitable replacem area has been evalua and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > _ SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name ~ A d Phone j S a POWTS MAINTAINER Name Phone ~r~~u wTA~V AIITIJAQITV SEPTAGE SERVICING OPERATOR (PUMPER) Name 5~ ~-OC.A'L- ~ S?7 lv'~fS Phone Name 5'T • G~([/~ 0/~/ D~~ Phone j~ This document was drafted in compliance with chapter Comm 83.221211b11111dlEllfl and 83.54111, 121 & 131, Wisconsin Administratnra wae. • A~A~a.~~ L 16/ R,"2.t'63: ~.. 3T.hA aaaw a~yw~~.y. .... ....._ - • J Yt x+~+ pC pp yg pyyy,++{yy`Tr T}-i~//~g (+1 ~ ~~u~8' ~'roperty ~ddress (~'eri rcatian required from Flannizxg Departmcilt tar mew construcuenfi - ,{ <_ ~..~L1.!.~.-- L.~- , ______ Parcel Id.entificat€on ~um~er coo ~~ ~ "-.-~--n _ . ~,L ~ t~ a _ ~ ~3-~ f ~ 't~4i, `i CliVl't f3i rCi•~_~ G ~ ~ C~ LOt, 't~ __~___-'._ Yl~VV7SlOT~-] _ ~.1e>rt€fle{i Sttrv~~ 1YIap ~ '~~~£'fi•8I1'~.Y ~@L'~ Lot lines i~.ert~~tabic ~ y~~ ~ txc~ ~_~ ixouse C~ ~.res ~z~ :xtx SYS'JCEM 119[X3IN`ICEN ~~~~ Imprapnruseandmainteuanee4 cve~s33u~ec cars;nor saaner,sfju e~c3ed~~ Iiceti~scdpEi~ et~ t~',wt you gro~~Tn~~t~a~zt=:; c;cttasists cif ;~u~~?~i~~ ~sut the scptac ~ r5' Y ~reu affe~az tta;: functican of titre scgtic tz:al: as ~ tzeatxucnt stage isi tlac we,~tc disaoszl s}•stezr. The propczty ogrner agrees tea s~sbrcait to St. tv:roix T.+oniztg Depart~nc s cartificatio~: form, signed by the owner and ray =v an tvmber, restrictcdgturnt+sroraliccnsedgusugereeri~sing tint, t} ih_ ari-sit;: ~vastearaterdisl~osal syst~=rr: ruastcrnlsatnher, j~'~ p is iu }arataer QFeratirag condition ancl/vr (2} air ~acitaIl and gumeing ~zf ~e~esraT_y}, tt~e set iii,; tarzl: i~ tess thzzt lt3 full of s2uCg~. unitersie~ Iaave rcati t a2acav~M re~uitc~ttxts and sgzee ta, iaa[ain tti ~put~rat t~,eso ~ce ; S t~ cif ~ is ons'm. ~Ccctificati~ zit forth„ hercia~„ as set b}• the I3eparzz tonz s~f Coznmrrce arzd the I~eparm1ent caz to tlxc St. t~"rai.~ County ?,or~Yng Office within ~ C ~~iing that your septic s}^stem lags keen maintainedmust be cox~xptcted aad rctarta°d ~~ys caf the three }rear e~iration datr.. ~ ~ 7 0 ' / -- DATE x~A~ a~'FLTf'.ANI' ~YhtER C~~'i"YF'`iCx~.'I~'31 I ewe; ccrtii3r that all si2ternemt: an this fa=-•_ are true tea ttte: test of m}' ~~+ti~ } i:.::'`~~Ic~~~. i ~;1~=- ; zrs date} t'tie a~vnerts~ ~f tp~v P~Pcrt7' rtesc "}xx:d abeac, hz' v~ri•a:c of a ;u3~nt-~ deed rcc~rded in Register t•f I3eca` ~~ice. __.._...'~--- ' o ~ Au iafam'sation that is znis-rapresent:attray result in the sanitar;• tser~a':st hciug revoked ray the ~onita~ penartmcat, ~~ tndude i~,-ith this appiiea.tintt: a statr~ed warrarzty deed from the K~gistcr of >~eccis of£xca '` y ~; a copy of the certi8cd survry r.-:ag if rcf~~serue is ntti:t° iu. zhc tivsc:ac•.t}-~ ctce~! W in Department oflndustry, SOIL AND SITE EVALUATION REPORT b~~l.~and Human Relations r$;Ylswn of Safety 8 Butldngs ~~ ~r.r.nrrr with II L.IR Arl n~ We Arun r'nrle. Page 1 of • 3 - - - - - - - COUNTY ~~- C~lX Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include but , not limited to vertical and horizontal reference point (BM), direction and ~o of sbpe, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. b ~ 8 - l d 3 ~ - t d APPLICANT INFORMATION-PLEASE PRINT ALL INFOAMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION w Ac L-`C'~~ ~ ~ ~ O 0 S 01J G61~f-t6T ^1 W 114 N ~ 1/4,S ~Z T ~ ~ ,N,R 16 E (or~ PROPERT Y OWNER':S M A I LI NG ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # ~ ` ~ ~ ~ ~1 p 1. ~.dJ~~/u ~ p V - - ~ CfTY, STATE ZIP CODE PHONE NUMBER DClTY []VILLAGE MOWN NEAREST ROAD waoDVtLtr't lvl S~oZB (~tS) 64~. ~63~ Gn-~-L ~~~ " n" (]New Construction Use [JCj Residential I Number of bedrooms 3 [ J Addition to existing building j~ Replacement [ J Public or commeraal desaibe Code derived daily flow y. SD gpd Recommended design loading rate bed, gpolft2 0 - y trench, gpolft2 ~~r1~~LP Absorption area required bed, ft2 t 1 Z S trench, ft2 Mabmum design foaling rate o ~ 5 bed, gpolft2 0.6 trench, gpolft2 Recommended infiltration surface elevation{s) q S , Q ` ft (as referred to site plan benchmark} Additional design /site considerations ~~0~" t r'1~~ 3 ~ g9 ~ `~kuC#~p.$ - ~t`c~t~ $ ~ ~ 1 S' L4~ G . Parent material S lt_`(y S~D1>!t~ ~ o~ 5 ~ Gf- Flood plain elevation, if applicable 1U • I~ , ft S =Suitable for system U=Unsuitable for s stem CONVENilONAL ~ S ^ U MOUND ~ S ^ U IN-GROUND PRESSURE Lei S D u AT-GRADE fl S D U SYSTEM IN FILL ^ S ®U HOLDING TANK D S ~U SOIL DESCRIPTION REPORT Boring # °~-~=~A< >~~;.-MH .::< ~ .- Ground elev. aZ-s ft Depth to limiting factor ~ ~ S •. Boring # Grotxtd elev. a,• s fL Depth to h~ti~ ,ate ~ 80" Horizon Depth Dominant Color ~ Mottles Texture Structure Consistence Bour>c~+ Roots GPD/ft in. Munsell , Qu. Sz. Cont Color Gr. Sz. Sh. ~ g~ rends I o - °I 1 v`~~z- z-[ s i I Z--+1 s bk m`~-- a. s - o.s o- z q-~ ~( » y tz 3/ s; I Z~ s b l~ m ~s- c s 6. s o. (. 3 y ~/-7 7• s `1 tZ yJ S d G~ o s g -~t 1 - 0-1 0.8 Remarks: O-co l0`-1.~i ZCZ 511 Zm3b~ `M.'~F- Q,S _ O• S ~ or ~ Z $-30 l0~[2 31` ~ s~ I Z`F9blrt 1n'1.`~~. c-S o.S ' o• 6 3 3o-SS 7.s~sfz 3!y -- s 1 1 ~sbk M `~~- cg ~ o• ~ ~-S ss-~o ~s`tR Y~` - ~s ~6l- o s3 -~ ~ - o.~ ~ n.~ Remarks: STName:-Please Print Phone: • ~ Arthur L. Wegerer 725-425-0165 ~egerer Soi Testing & Design Service-P.O. Box 74 River FalIs,WI 54022 iignahue: ~Z~/ _ . q' S- Z8 5 Date CST Number: PROPEFtT'YOWNER ~t'~CAt3SON SOIL DESCRIPTION REPORT Page? o. PARCEL I.D.# OC) ~- 1~3y-1U Boring # >~ 3 Ground elev. q~_Z ft. Depth to limiting ta~o, a„ Boring # A. ,~....h Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Horizon Depth In Dominant Color Munsell Mottles Qu S C t C l Texture Structure Consistence Boundery Roots GPDtft . . z. on o or Gr. Sz. Sh. Bed Trer~ ~ 0-9 10'-t2.ZLZ ~ sll Zh,sbk ~'~ a.s - a•S o.~ Z q-l~ lo`iR-31L - Si 1 Zmgb~ m'~1- c~w _' o. S o. b 3 I $ -33 l l3 `7 2. 3 ~ re - Gr L Z `F s bk Vw.~ C tN - o , s o • l~ y ~3-53 ~•S`124~~(, S~6h os~ ~,•> > CS o.~o,~ 5 s3 ~g -~.S ~2 ~~y ~~. ~t o..~:, ~.~~. - o.~o.y i o., .~.. ~ ZZ ~~ ~ o• ~ ~ G S ow ~-, ss~ u ~ s I Z3 G ~.. 3` s i Remarks: Remarks: Remarks: S8D-8330(R.05/92) PLAT PLAN SCALE 1"= ~.`p' ~v~~.''C~Z. ~-o8.gorv rn~t> JuO. ov8- (b34-l0 ~n ~ X ~~ B 1~ ~ 3 ~~~ ~tvv S~ ~-- boo ~*- ~ l{ at X~~` 41~ ~R.aU~~ U ~r'~ _ ~1_ l0o.p aJ Bo~'~-pth o~ St Ot~vG t.b ` ~18ov~ G~v,~p, Page 3 of 3 ~ q~ Z ,~5~ a. ~ ~. °I~ S ~ S 0 ~- qS-~ ~a'~' 1S ~o 0 (/ g.Z kTL ~~ ~ ~~~~~~ ~ ~ - Zs - ~ 5 (715 ~ 47.5-n7 ~5 q s - Z g 5 1400576 CST Signature Date Signed Telephone No. CST # TUWrvSTATEFOFNJISCONSIN Sequence Na. UG336~r~V + MARY JEAN LIVERMORE Reat Estate PROPERTY TAX 81LLFOR 2001 Bill No. 0020038 ' 5T CROIk CTY TREASURER ST, CROI>: COUNTY c.nwv.t~a~~..row.N.,rorx,,,.,r.,. 11131 CARMICHAEL ROAD s»~w«»MararroW~r+wp.rwe:~.,~;~ ' HUDSON WI 54016 COPSp cater i1 00 -30-000 = 715-386-4645 PARp12.28.i 4F ~, A.x,wdvawtA.d A..•d.vau.xnpr.w~wa TarA.nw.dva.. Aw.Awa.Rab Ea.Ferl.Y.trra ExnFe-saetnp~enwtwr rarFa.rrlea lnwararew a 2.0.400 4.700 25.100 94,17% 5EE REVERSE, U5E VALUE ASSESSMENT """"°` D s m ~.. ~ 2UGU 200 1 %Tm NN PropMy Tax ~ ~ Eat. stet. Aks Eat. Staa Aks D TaxMp Juristliclbn AxoceMe Tax 04L ANOnNe Tax DW. !let Ta^ ...pat Tai ~ CnanOe STATE 4.94 5.32 7.7% COUNTY 321fr•7 30856 90.48 103.19 14.1 % ~ ~ ~ 3 TOWN OF EAU GALLE 111505 115732 75.91 78.45 3,3% BALDWIN-WOODVILLE A 1041554 1034836 193.26 236.61 22.4% ~ WITC 14250 12772 34.38 34.58 G. b' °' ' r r ... ~ r . D Z ° z 1199456 .1194196 398.97 458.15 14.8% ~ Tote{ Lottery 8 Gaming Credit • ~ FOR FULL PAYMENT Net Property Tax 398.97 458.15 14.8% PAY BY ~AptxAaras .2002 n Sdtod ,~,~ by Net Aaaesaed Valve Rw 458.15 n ttdaollevytaAaedt 33.71 Ww.latwanaa.na.•s ~• $ m wPORTANT: a tRa. tna deaergtlon wvre your proPanr. TRN 0 , t~ 18253518 warlwla a as wa ty eW asps. ~.~. opuoa is BILL NO. 20038 e"iRd1pt11u•'•"s"~"aM"a""d• attLyl~ra~t.>~t'ntT.nd,nsy"otweax~t~aa~twn. (?08-1034-30-000 'oWk'°~°.aa"'b.~sa°'.tatset 11.3t)OA or P.ytatAausnxara AtwvayaktRatrn.m 12-28N-ibW SEC 12 T28N RibW 11.30A PRT WALTER R 8 DORENE $ 224,08 $ 229.07 "_ NW NW EXC P174B' C. D. & E JACDBSON JApuAnvet 2062 ,~uLYat 2002 d~ 8 E>.C S 584' (E~-U-!107/567) 491 CTY RD B sP"t't WOODY I LLE W I 54028 p"`°e P.a Tax Pak Spedal Total Amount . Assesamera Pak Pak lls4tla Tax Pa pee Pak M Raetl A' OaN 1st -or Fu11•`Payrnen t~ ~~f o s ` _--- -- -~ ~-- ~ WAL7ER R b DORENE 'JACCIDSC)N TOWN 54~TEFo~~i~~NF _ Sequence No. 00335 MARY JEAN LIVERMORE Reat Estate PROPERTY TAX BILL FOR Dill No, OU2U037 2001 ST CROI)C• CTY TREASURER ST. CROI)< COUNTY corn«PonaMC.enoaarea.touxeumear. .•i 101 CARMICHAEL ROAD ••e~"'Npm~""p°"M""roR^~•o" HUDSON WI 54016 - Gompcater ~ G 4-1G-U00 715-386-4645 pAR#12.28,1 = ANanM Vaua lent Add. Yaw ToW AAwwd Vau, Aw. Awn!. Rain Fa. Fr Ma.laM IA4 ise Ma. p~por•nwY Tea Ea. Fee Mla. w son xaee unNp y 17,bU0 119x700 137,3;00 94.17% 18,700 127,1UU 19.`.x,80 'e1h"` y .... ... 3 L t pel Properly Tax m Est. sue Ake Ea. state Ake 2000 2001.. xrax ~ n Tuxp JwiWiclion Aaocetad Tex Olsl. 'Aaocetad Tax Dkl. - NM Tax ~ .. ~ - pel Tot - (.'hanaa D STATE 26.90 29.11 8.2% GARDAGE 138.0 z COUNTY 321x47 3A856 492.98 564.53 14.5% ~ ° TOWN OF EAU GALLE 111505 11,57?2 413.61 429.12- 3.?'!. 3 BALDWIN-WOODVILLE A 1041554 1034836 SU52.94 1294.26 22.9% X WITC 14250 12772 187.30 184.18 1.U% .m n z ° z 1149456 -1194196 2173.73 2506.20 15.3'/, TOTAL 138,0 ° .Total Lottery & Gaming Credit a: ., • ~ FOR FULL PAYMENT Net Pro rt Tax' ., .J7.60 ' '7 . ~0 34.OY. ~ a Sdad teAes rtadtttzd try Pe Y Nat Aaatsaaad VaWe Rw - PAY er .tANtun 2567?aG2 m adlod levy lax txetfil 184.38 , : loex. rar rawa atwre•ee ~ $ m wvoRTANr: a. otr. ttaa e«odpuoo coots row toP.tar. TMa 0.0 1 82535 1 8 't•a"'t"a a na wk br tiw ems. epllal b y ux wn Doty ana maY Ra a a rWt te•d aeaalpttw. DILL NO . 20037 , bst eea mni to b dewvera suWea r ataa xta w . ~~ H UU8-1034-iG-OUO '0"""ro°°1°Y°1ft 445 t l 1 b U . 980A a vay to tRemsoer• Ana wy ak wtwulwra 12-28N-ibW ,. .,. _ ; , SEC 12 T28N R16W COM 594' N WALTER R 8 DORENE $ 1313,9U`'" OF SW COR OF NW NW T'E E JACODSON ~uwAnres 2002 $ 1253; 12002 as 166 N 208 NWLY 20A_ 6" TO A PT ON HW 308' FROM POB 5 491 CTY RD B S0"1i1 308' TO POB WOODY i LLE W I 54U28 ~~ ~° rax Pak , SpecYl .. . ~ Tag! AmaaN . ' Aaaaxmara Pak Pak propeRy Bahrloe Tax Pak pue ' Pak try ner:a by - Da» .~` ~. ~ - ~' - ,... r t 1 - . r == = =~ '~ • And the said....-Bernard_,M..__Iverson-..and E.dna_,L.. Iverson-,..husband .and.w~.fe-, as.-joint ,tenants, and said Edna L. Iverson in her individual ri~ht1-......... art...ies ...of the first part, their themselves / for ...........................a.....-.....heirs executory and administi.ators, do............-__....covenant, grant, bargain, and agree to and with the said parties of the second part, and to and with the survivor of them, his or her heirs and assigns, that at the time of the ensealing anal delivery of these presents_._.--they are._- --- _ .-..well seized of the premises above described, as of a good, sure, perfect, absolute and in<lefeasihle estate of inheritance in the law, in fee. simple, and that the same are free and clear from ali inc:umbrances whatever,._ . ............ and that the above bargained premises in the quiet and peaceable possession of the said parties of the second part, as joint tenants, his or tier heirs and assigns, against all and every person or persons lawfully claiming the whole or any 1J part thereof,-.-_._.....theY------~;;ill forever ~'~~ARRAN'I' AND DEFEND. In Witness Whereo#, the said Part.'-ie_s-;of the first part have:-..-_hereunto set.--..-the-~.r...-._..--_-.hand..S--and seal. S._this ---------------~-Qth-- --- -------day of..-. ------November-----......--------- .-., A. D., 19_..72.. ,- ... Signed, Sealed and Delivered in Presence of .....~~..~.~%'-''L.--._!`"//~~', -,---• .-•-(sEAL) 1 .................. I - ___--~-------------------------------------=-~----c~~:~------ _-- Hamold D. Olson • Bernard M.• Iverson .._ _.... (SEAL) Edna L. Iverson -------------•-•-----•--------- --•-----•---._... -•-------•---{SEAL) . (SEAL) - - - _ . ~ - _ , ._ _ STATE OF ~VISCONSINt ~ c , . -- c~ _. , ss. ~ ~ ,- . -------- - --S.~-. ~_.C.]Cl7S7.~4.......------:County. ~ c ~ a `. c Personally came be#ore inQ, 'this_.._.__:_30~h________________________day of.._..:;.__.__:~`.a`.overttber --------------•-•--.....-------.~,,A. D., 19...72._, - c _ _ the above 11 - anied.__.-Bernard, M._ Iverson. and.-Edna L. , Iverson.,-._husband_. and. w~e,as;.1oint~. .-- C ~ ~ _ tenants, and said Edna. L Iverson in her s.ndividual r~,ght1--~_----_.__-- to te`'kngwr~ to be'ti'ie`~ersonS...who executed the foregoing instrument and acknowledged the same. `..•-~ v- .• L • . ~.. i ~. _ ,. U~ -'~ t •~tl.! , ~~~,` ~ Harold D. Olson - ,- , ,. -,- Y'~ - L ` 'O V~~ ~' ~~~ o r~~:l Y`~ ' ~. Notary Public,-Sis Croix -------County, ~'~~is. tI ~ b ~~Hd csld D. Olson Attorne permanent j ..~ - Dra My Commission/~xtm~es------------------------, }~9=--------- na ' _ .. me~of theg raritoref the Wisconsin Statutes provides that ail instrusnenta to be recorded shall bare pislnly printed or Typewritten thereon the R grantees, witnesses and notary) ~, C_ D .. ---•-- - -• -r- D x~YL.~i~ ~+Q~ -- ----- ~ ~. Pearl -Gr_otenhu-as ~ - `+~. ~. O z ~~ n i i ~ W ~ 3~ ~ rC ~ N Fa ; 3. Q ~ p o >'+ cd .ti N C`; '~ ~ ..d ~` i ~~ '~ ~ ; Q ; '~ • '~ w W U Z ) V ` '~; ~ ~ u ~? ~ cu ~ ~ ~ ~ i i ~ R7 ~ ,(jr v ~ ; N' A 'b ~ CS W~ ~ l ~~ p [A! A W ~ ~ ~ FUj,, "" ~ ~ C aJ f ~ . ~ ,~ ~ ~ I ~ ~ .~ ~ .U ' ' ~ ! o ~ ~ ~ ~ W U R: ~ ; ~ o ~ Q; ; i ~t ! ~~ ~+ i ~ u Rf ~ ~ ~ • o "' o. ~~ QI; .1 `~ ~ U m~ __._ ~ ~ y i. o. i A i O I) O ~A ~~ I~ :~~ i ~ ~.} jx second part, thei~eirs and assigns, against all and every person or persons, lawfully claiming the whole or any part thereof, he will forever WARRANT and DEFEND. $lt tttliftnt~~ ~~PPPAL, the said part Y of the first part ha $ hereunto set his band and seal this ll.~.th day of August , A. D., 19 68 . -3ig~ed and Se in Presence of ~ 1 ~~ .. I Robert R. Gav_ic _ o I ~~~ '.~~~=-L~ °` ~",'-~ (Seal) Nels P. Ne~son ...._.(Seal) ...._.....(Seal) Matt of il~t~con~in, ss. Cou~y. Personally came before me, this ].la.th day of August , A. D., 19 68 , the above named Nels P. Nelson, a widowed-_~\ ~~ to me known to be the person who executed t f egoi instr ent and~ckn ledged same. Robert R. Gavic Drafted by Notary Public, pierce County, Wisc„~ia >. My commission is r,~V;~ an~3 Richardson. Attorneys at Va eranNtew ~tnaseea and no~tarsD.lovidas that all lnetrnanenta to be noorded shall have Dlninb Drtntd or tsD thereon the :w xA~ ,) • ,:.. E O ~ 'w eti b ~ ~ 4 {{ "'' ~p r -~ ° `~ A A tG Q W p ~ '~ '~' a ' ° ~ M q w v q o ti °o V M o ~ c ~ C~ ~ O~ ,.~ ~ v °' 0. ~ A v~ ~"' , ~ U ~ a a H 'd ~w ~ , , ~ `• E ~ o H ~ P ~ ~ ~ .V ~~ x t .z ~ ~ ~ ~ w ~ ~ a ~ o ~ `` .. 3 a ~ '~~ .sconsin ~ * "' Y Y ; , ~ ~" 1 . a ~ . J ~J ;fir f~ ,' ~ f P ~- II BOOK ~4~ PAGE~.1 wl~Yy YO1.Y~"Y,uwWUU •'V..u ~.,•A•i VI .. ~.VN~4.) a.a su.u. wt., atacuu.. Hr. xw 1 tasn.e.e es sa ca.n. sat a aaue.ws eM. -293436 p~u~ .: -~, .;,~«..~~ This Indenture, ~:ae rbi, l~.th any of auaus t between Nels P. ~Ielsorl, a widower A. D., 19 68 party of the first part, and • Walter R. Jacobson and Aorene I. Jacobson, husband and wife, as joint tenants • • Parries of the second part ~Ilittrit#stt~j: That the said party of the first part, for and in consideration of the sum of Twenty Thousand and no/100 ($20,000.00) Dollars to him in hand paid by the said parties of the second part, the receipt whereof is hereby confessed and acknowledged, has given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents does give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said parties of the second part, their heirs and assigns forever, the following described real estate, situated in the county of St. Croix and State of Wisconsin, to-wit: Commencing Five Hundred Ninety-four feet North (594'N) of the Southwest (SW) Corner of the Northwest Quarter of the Northwest Quarter (NWY~ of NWl~), Section Twelve (12), Township Twenty-eight (28), Range Six- teen (16); thence East One Hundred Sixty-six feet (E166'); thence North Two Hundred Eight feet (N208'); thence Northwesterly Two Hundred Two Feet Six inches (NWly 202'6") to a point on the Highway Three Hundred Eight feet (308') from the point of beginning;~thence South Three Hundred Eight feet (5308") to point of beginning; being a parcel of the Northwest Quarter of the Northwest Quarter (NW'~+ of NWy4), Section Twelve (12), Township Twenty- eight (28), Range Si.~teen (16). ~~4D ~GLa¢'tt$8x with all and singular the hereditaments and appurtenances thereunto belonging or in anywise appertaining; and all the estate, right, title, interest, claim, or demand whatsoever, of the said party of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises and their hereditaments and appurtenances. ~o babe crib to Kolb, the said premises as above described with the hereditaments and appurtenances, unto the said part ies of the second part, and to their heirs and assigns FOREVER. drib tit ~~tb Nels P. Nelson for himself and his bears, executors and administrators, do es covenant, grant, bargain and agree to and with the said part ies of the second part, their heirs and assigns, that at the time of the ensealing and delivery of these presents t;heyi~ A R Ewell seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear irG:~l! .sal iaiL`u~u;ra~C@$K'1sSiL''rCr, - - and that the above bargained premises in -the quiet and peaceable possession of the said part ies of the WARRANTY DEED.-To Husband and Wife ae Joint Tenants FORbf 399 (Revised) 11. C. KIIUER CO.. MiIWAV%EE -3139'9 This Indenturef Made this ..................30th__ _ - -_-_-._day of,....-November----_------------------_----..--, in the year of our Lord, one thousand nine hundred and.seventy-two----------------between..-Bernard-M-.--- Iverson,--and-----.---.- Edna L. Iverson husband-and-wife-_as•-,j-oinf-tenants~__and--said-.Edna--L-.---Iverson--in ..her---individual_ right,---------------------------•-------•---...-------------------------------------------------------------Parties----of the first part, and------Walter•-R'---Jacobson -and---Dorene--I-'---Jacobson~----------------------------------------------------------•-- _....---------------•---- ----------------------------------------------- of--------------~-----------.Woodville--Wisconsin_.... husband and wife, as joint tenants, parties of the second part. Witnesseth, That the said part-ies _ .of the first part, for and in consideration of the sum of Four Thousand ($4, 000.00 ----------------------------------------------_--_-_.Dollars, them ..in hand paid by the said parties of the second part, the receipt whereof is hereby confessed and to-------------------- acknowledged, ha. Ve.....given, granted, bargained, sold, remised, released, aliened, conveyed and confirined, and by these presents do.....-.....-give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said parties of the second part, as joint tenants, the following described real estate, situated in the County of......st. Croix .............................._-...._...._..__-_ ..and State of Wisconsin, to-wit: Commencing 584 feet North- of the Southwest corner of the.Northwest Quarter of Northwest Quarter (NWw of NW u) of Section Twelve (12), Township Twenty-eight (28) North, of Range.Sixteen (16}-_West, St. Croix County, Wisconsin; thence Forth to the Northwest corner of said Northwest Quarter of Northwest Quarter (NWµ of NW u) of Section Twelve (12), Township Twenty-eight (28} North, of Range S~.xteen (16} West; thence East 80 rods, more or less to the Northeast corner of said Northwest Quarter of Northwest Quarter (NW4 of NW~) of Section Twelve (12) ; thence South to a point directly East of the place of beginning; thence West 80 rods, more or less, to the point of beginning, except the following: Commencing at the Northwest cor- ner of Northwest Quarter of Northwest Quarter (NWu of NW u) of Section Twelve (12), Township Twenty-eight (28) North, of Range Sixteen (16) West; thence East 80 rods, more or less, to the Northeast corner of said Northwest Quarter of Northwest Quar- ter (NWµ of NW µ) of Section Twelve (12); thence South 25 rods; thence West 28 rods; thence Northwesterly 53 rods to a point llz rods South of the point of beginning; thence North along the section line 112 rods to the point of beginning; and also except the following: Commencing 594 feet North of the Southwest corner of the Northwest Quarter of Northwest Quarrter (NW4 of NW) of Section Twelve (12), Town- ship Twenty-eight (28) North, of Range Sixteen (16) West; thence East 166 feet; thence North 208 feet; thence Northwesterly 202 feet 6 inches to a point on the Highway 308 feet from the point of beginning; thence -South 308 feet to point of be- ginning, be:u~g a parcel of the Northwest Quarter of Northwest Quarter (NWu of NW µ) of Section Twelve (12) , Township Twenty-eight (28) North, of Range Sixteen (16) West, St. Croix County, Wisconsin. ~. The real estate is subject to all easements of record. The p~;rties of the first part to pay all real estate taxes for the year 1972. QTSFER • ~ ~ .~. FEF Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise apper- taining; and all the estate; right, title, interest, claim or demand whatsoever, of the said part..~.eS...of the first part, either in law or equity, either in possession or~espectancy of, in and to the above bargained premises, and their heredita- ments and appurtenances.. To have and to hold the said premises as above described, ~vith~the hereditaments and appurtenances, unto the said parties of the second part, as joint tenants. ,_ .,..