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008-1039-20-100
I I ~ `° ~ ~ ~ ~ ~ M K _ ~ rt w T~ Z m 2 0? L7 I ~ '~ :U Z m Z O v ~ c M j C D y ~ n , Cu 3 °-I• 0o Q ~ d ~ ~ c~ ~ w 3 'fl ~ A C>D ~. , , ~ N ~ ?• CA N ~ N (A ~ ~ ~ ~ N C ~ ~ S ~ C A O N n+ f D a o m l 3 o = . a o 7 w c ~ c w w ~ I ~° w m ~ rn a D y m D N a ' c C ^~ ~ C. » ~ ~ a o ~ o I ~ ~ a W o o h O .-. rn I ~ O \o .+ ~ ~ ~ I ~ ~ o cNO =° - Z `N 'D 0 ~ ~ C O O C O 4 CJ1 y O O CSI CSI 5. ~ ~ ~ ~ N ~ ~ ~ ~ ~ ~ ~ O ? 3 ~ ~ I ~ Og ~' 'O Q ~ ~ •~ ~ LS ~ D v N C D p w ~ ~* 'p N 7 O ~ "•' C9 ~ O 3 m I N 3 .°= ~. ~ °• .. Z .. o O D D I D D =y o O ~ ~ O ~ S C1 ~ ~ ~ d ~ ~ s ~ (D O O O 3 CD ~ W ('p 0 ~ m I a ~ 7 C ~ N C N I Cp 0) CD O, j O, ~ A A A ~ I 0 I Q : c " - o H Z p! ~ N ~ ~ W W y CD 1 a ~ I a ~ s m ooi c I d c ~ o a ~ o ~' ~ O N N I I ~ O I I O A N C D 0 I o 0 0 °o~. I °o~ d ~ ~1. :,: 3 m o ~ ~ m m ~ o ~ w o G~°N°q° ~_ ~ W 01 N ~ ~ ~ O D o 0 0 y O c :'! C .. w c N D N O CO 0 V A Z n .a ~ M A ~ ~ ~ ~ w J Z A ~ ~ ~C A O O ~• O ~• O ~• R A O C CT N rV N O O Q A h. d ~'' i O o 'r N b r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Build~ig Divi n . , ~ .~:; INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Cam bell, Ben Eau Gaffe, Town of :ST BM Elev: Insp. BM Elev: BM Description: /al5 ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic y , . '~ Q ~J ~ s Dosing 11 tiw1~0~ Ft~ Holding TANK S ETBACK IN FORMATI ON TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Septic ~ t / A/ ^~ t G G Dosing ~ ~~ t ~ ~ 7.~' 7'-7 ~ PUMP/SIPHON INFORMATION Manufacturer '"' IJ~~ ~ Demand ~ ~ GPM ` Model Number ~~ 1 TDH Lif~g ~ Fricti Loss System ZS T 25 a~ D • ~.J , Forcemain Len~t~~ ~ Dia. Z~~ Dist. to Well ~~ SAII ~RSORPTION SYSTEM ELEVATION DATA county: St. Crpix Sanitary Permit No: (p 479 0 State Plan ID No: ', Parcel Tax No: 008-1 p39-20-000 SectionlTown/Range/Map No: 13. 8.16.199A STATION BS l~S HI /D(o ' O FS ELEV. dO Benchmark ±° ,115 %O(o ,15 I/od BM ~o~ Sa~,~ 9' .~9 S~3 ~"~e.gS Bldy. Sewer ~ ~• ~~ ~ , 5 StJHtlnlet ~~. ~ ~ .~ ~ SUHt Outlet .,,` Dtlnlet `~ ~ Dt Bottom Header/Man. ~ ~ii ~' I Dist. Pipe ~' ~ , Bot. System ~ ~ ~~ Final Grade ~ ~ ~I St Cover ~` 3 O ~^~ J ~,iv;1 . /~ /~ ~ BEDITRENCH Width ~ Length / No. Of nches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid De th DIMENSIONS //'7 y G SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. „~ O CHAMBER OR INFORMATI N TypeOfS tem: ~.,/ ~~~ ~~ ~~ UNIT Model Number: ~~ av / 5 DISTRIBUTION SYSTEM 5,..,1a.. Header/Manifgld Length Z J ~~ Dia ~ Distribution Length ~~ ~ 5 y, 1 t ! Dia , ~ Spacing ~ ~ x Hole Size 1 ~ ~ ~ x Hole Spacing ~ 5~ V~to Air ake SAII CC)VER v Drmm~ro Cv~4omc Only YY Mrn~nrl [)r ~t_(;rarle Systems Only r /,2~ O Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ) / G l ~ ~0 J Bedfirench Edges "~ Topsoil 1 ~ -, es ~_~ No _ es ~ No ~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ ~V/ O~ Inspection #2: / ~~ / C~ -'S+x~ Parcel No: 13.28.1 199A `~ Location: 313 265th Street Woodville, WI 5,4(.0.28 (SW 1/4 SE 1/4 13 T28N R16W) N(A Lot a~~ ~-~• 1.) Alt BM Description = ~~',~ Utz ` ~~i A,S ~' `~,~~'_` ~IV~ ~ t \ ~~,1~-• 2.) Bld sewer len th = p ~ wul 9 9 L~, Cj d ~. 66 c~. S S ~ CAA /!~ 0 ' J /I 7D" - amount of cover = ~~ ! I ~ V'~ rOl'~ Plan revision Required? i ]Yes ~o I~ V ~ ~ Use other side for additional information. 1-~ ~' ~ ' ___-. ____i Date ert. No. SBD-6710 (R.3/97) ~, ~u ,~..,.~. ~.~ ~E ~5 t~ St~Nn~siMle ~~p~1~ 3885 ~pY1N0E MMKMt! SON NHIalIIItAL NMlIC11T1Y1K. ~GOU~AS PUMPS ~! s~ealery dellplleO w Ul0 sdloa1110 YINY: • FkaYK • FMAYI eeYbG ~Ii p16s~IeIa11M ~5oYk nYndNlgap1417pas: • o~adwa. rlea t' aFr. aPeeNiex aP b 1A96PM, • TOW Ib1adS IQb 17D Irl Tdl. . ;a,npa`raM!!a~ lalAWlboua 1~F (~ YeerlNaN. lleaalae! 1YYa~a all •ollaebbM~IiP-r9 MC-'t'rllEf _ -- r IlnrNar. det km ~ aopd• ms~meq eal~yr~l Iowlru bnpeNer abaNapil s N oplOn. ^ Ce/ll~ I:rl kan bdYbe lypu ur bllnNaO1M oY:tlenCb• r1lvTdtsan.rq.. ^ sleetnlakai ax: slucon CAR~ieHlNgfida 91lnWll e1YSlaleelC ~~ eoulds Pumps _ ~7' 11'Tlnduseries 7b . ~,,~~~+P~~ir ~ F'a>r~s!~.fi'.~'~•t~~Mw.'`.~u~~i~:°~W~..+~F.<~.q'i~.~~A.~.i~~+,~i ~. . T9d r swa ca~e~ian d !Mw+: advdMl ! Ie l f~l1m sled llaaede dydyq.ladYYe on Yllaa o O N IlldonlWe 1~1{I. OMiM Ylodele b p1eW • Ill sNg1eA10~M I ~ ~pgdMnW r n 7 nbYY~ Illasobi bI l rFaerlalla:8o0aelns g ~ a •g~d3t11P-16p&1'~WF alielNpaled wiM11b.>70IIrd>COYaM IrvAla~Neollaae~ ~ r"a'~/rree~Igg~p~~~~uuyy IMM $TaM pIN • ~ ~ ~en~nYOrs w ~ ~ p4~ai lx l iAr a oYee4pn Orelklon must luOlgOlpYd. OaO b O4llar YM. ~~M1 51I7WbYIM1 "~` rF~yYY4llrpedMhkh• Y~ 1 d a l O .Ilee4wlwcwrwwn pp~p,~ue i r QQf~ M ol aI 1 eAYn 0l/ma~e mrY6dlY~ta IllYlgld allidan! hM 1a{Y~Itltlrl M1sdY0 ~. Ualeder ca10e aparatea ObeW1a11dY ^c~aewlYlawM. wleell rlµe ~~~*Mr ~ ~aeAlyY.lM1a Ond eeM eeailla r Poll/e- COMIC Sabre d+dy clad, all YlM vdP~• Ib!/~IiM. axll on Hasa end ~el{~r M ~ a~alan Maart aqM~ Mrodr IMYfbII. !I oillw niOlas amM111 wNny agelalt allgtinllwdY end <M IaMlga• /wrrnrwal~c ~~lP_" Mw~rl~ d~~4Y I41~ aeaAl /Mp hMIMI Olraae~ rc /~:...~. 1_... ,.:.1 •. r':~': :"`. 70ele file: ...:..:..,.t...... .....1.~:~::= ....; .:..; ';.. ~ .l' ~'~ t. • ;..,.~ ..,. ~.• .:- ... ..t .~. ... :. . .. . .~ I 1e1~ . ' •....... ~ y ..1: • .:. . :. .:... .. .. .... ~•. ~j ::.: . ~•~ .I __. ~ ~.. an ..~ .. ,....~,... _. ~ _y......,. ' U' ~'1000~11 a •.../e-..Ya.....iW b •Ia as Tl •YII ,.b f1A IIO rM 130 1nb 710 s.`..L.. 1 ..... ,aru..l~. ' .....Iw.--~r a....~~~'rn. ~ .L~~111M! ! QMMCRY =QI tee: i. Safety and Buildings Division County ® ~ ~ , ~ 201 W. Washington Ave., P.O. Box 7162 . !`rv ,~~O~~I~ Madison, W1 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266-3151 ~~-~ a~ ,~ ~ Sanitary Permit Application S to Plan LD. Nu ber ~^"'^S ~~~~ 6~~$ 5 = s:~ ~n~ In accord with Comm 83.2], Wis. Adm. Code, personal information you provide 5 (~ may be used for secondary purposes Privacy Law, s15.04(1)(m) roject Address (if different than mailing address) I. Application Information -Please Print All Info atio~l~~^ 3 1 L6S ~~' Sf wd„~!le Property Owner's Name 200G JUL 2 9 J ~ arcpl # ~' , Lot # Z Block # V2M ? ~ dell ~.Q .~ s y-~~-a~~ vv -lv3y~ Property Owner's ailing Address ~-t=. ~~~ar~ c~~aNTY Property Locatio P ~ 1` 213 .5. /I/t~-;•n 5 / ~f / ~C~NIN~ ®~~IOE Sl,i ya SE/< Section ~ 3 City, State Zip one Number , , ~, ~/.L r~ Lc/,~ SY ~ ?<S 6~~-37 v t (circleo T 2~ N; R~i ~'o> e of Bui ding (check all that apply) IL Ty , ~~ _ ~ p +- CSM Numb 1 or 2 Family Dwelling - Number of Bedrooms S • V , 2 0 ~ ~ ^ Public/Commercial -Describe Use ~O/Z ` ~ 5o Z~ ^ State Owned- Describe Use ^City_^Village I~Township of F4., ~ ~/~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' ^ New System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ermit Transfer to New ist PPr/eviGous Permit Number an D Zte Issued T~ ( ~(~ J~• ' S Before Expiration Plumber Owner tr / u IV. T e of POWTS S stem: Check all that a I K / • S"a -' • ~ ^ Non -Pressurized In-Ground (~ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/TreatmentRrea Information: - ~ •~ Desi n Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Re uired (sf) Dispersal Area Proposed (sf) System Elevation 1.o s ~sa~ ~~ o.o' VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units W /7 A _ n ~V/~ 1 ~~ Concrete Constructed Glass New Existing ~ 1 ~ Tanks Tanks Septic or Holding Tank / 1 ~!U j~ t ~ ~'Q 5 (!~ Aerobic Treatment Unit Dosing Chamber ua.c.~~ ~ ,~ Y e~i VII. Responsibility Statement- I, the undersig d, ass responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) ~-~ e s~ Plumber' Signa re ..A4P11G~PRS Number ~~ 3 c j ~s'- Business Phone Number 7~~'~C~~ ~/~ ~' Plumber's Address (Stree , it/y, State, Zifp~CoJ~ ) / G c 3G ~ ~ ` ~ `~~-' G fJ Cr v' r 4/`~ lit../ ~, JZ~ ©rL' VIII. Coun /De artment Use Onl ~jApproved ^ Disapproved Sanitary Permit Fee (includes Groundwater F S h Date Issued Issuin Agent Si nature (No Stamps) O en a enial arge urc ee) / t~©~ ~ q z / ~p IX. Conditions o Approva easons for Disapproval Q _ I _ _ ~ r ` 3) ~~e(~ "~' ~ SYSTEM OWNER: " ~ ' `- , '~ ~ . 1 Septic tank, effluent filter and ~,Q~ ~ ~ S , dispersal cell must all b~ serviced /maintained '"~"'"~ - ~~ `"` T n / as per management plan provided by plumber. c f ~ CSC,, ~p~ ~ ire i`~d/ L ~ ~~~ 2. All setback requirements must be maintained ^- n ~ r ~ ~ ~1~~ d~ ~ S ~. ~J°-x"S- licable code/ordinances C as er a ~4~ , . . . ~ p pp . - Attach complete plans (to the County only) for the system on paper not ress man aria x i i ua:nes m size ~ fi- ~ry I ~l U~ ~1 tibl.2 SBD-6398 (R. 01/03) ~i ~ d' M 0~1 r oW z a `"' Z Q y ~ W F- k g J 'w V/ • r' O `.. z ~ 0 W a ~~ ~ ~ 0 y ~~~, ~ o ~~ ~. ~~ o ~ o~ ~ . _ ~ > ~ .- ~ o ~'x ~ fi _$ " " ~~ Yn € ~ $ ~ ~_~ o~. gEg3'g E ~~¢ .~'' ~ e~Z'av ~ ~x &~~ ~ ~~ r; ~ ~~wx ~ ~~~ ~ ~~ ~m a m ~~~~ ~~~ s ~ ~~ $ ~ ~° ~ ,~ a 's :~ s ~ ~ m ,~ W y W Z O M N ~- J 5 ~I h W m J a IL O Z O I-- ~Y V I~ O m Z D m w y Z ~~~ N ~; ~~~ O~ J ~ ~~ O~ UZ e ~Q~ t~ h FW- G V O Z w N s Q 0 a m W W Z W a w W a W Z Q J z F- (A O a Z O H V ~~ V J z U C~ Z D H _..1 W ~- c~ z Z 0 11. O O I..f~ W F- O J m S A r ' mf w w ~~a.. po.lDox ~t . ~~f ,v ` ~- z~~ pe tme~t of Commeros 5-steitary Permit Ap . X005 , f l Y©3~2,- I'~~D- ~ ~~~ s s ` !4) in ooead r~th coax 13.21, WIe.'Adln. CodR p«~ ~ r ~ ~~11 Y' ahr be need ror eneanduy 1nMPoeei Piliveay ft~ - . d ~ = a ~ ~~~ C~ ~~ll d ~ ~ >~~~ - ~ . A' o - O 9 2 ~g ~ ~ ~ ~-~ ~~, . /~~/ /~,v ~~ ( ~a J sW ~ J~ 16 ~~r Save ~~ phoneN~paUer / ~ l «2nwe~hs- 3 ~ ~ i'oulidC~eawnas;id -D~wibe lJee ~1'owniip orL`' /~ ~ 4 4 e. D Swe owned - omat6e the D ~ 0 'reea~e«erNdaiws Teak Reot~oaeewt Qn~' ~- Ogar '° ~s . Neu„ S~ Pamh and s. 0 ~rmie Rs~ewd D i Rarhbn ~ O paeq~h Tang ~r ,1 et wllas ~~ ~ ,~ p AKw.ae 0 p~h.u O . )d wm~-PM~Snriaea tsoiarnd l~orn4>_a~ ~. cr~i~bto sa NMer O ~1e~'n'n` u~` w~a ^ pied In~Qana O BehWes ^ artier hMdie iRNer O Clwmber 0 >~ tam A ~ -~ J o she Ieetic ~' T ~ ~ QeNoes (IMlons of lJnia r I ~ . o -r lnNteerNeMF~s'+~ !/ pav wig-~v~ YQ. New I:fie fMrlrMnNMMerK ~"w ~ - //~ Plaenber'e : ~c v5 ~ ~ 5 ~~ ~,'~' ~ ~ b vw, ~ a nc. c~.iiti..n 3) S ;.~e y I~s..e ' o..Q cam{ ~' SYSTEM O 1 ~0 ~ 1 Septic tank ffluent filter and b2 5 '~jaj}f- dispersal II must all be serviced /maintained r~~ ~ "~ as per nagement plan provided by plumber. Q`~- \ , ~= 2. All se ack requirements must be maintained l as per applicable code/ordinances. w~ew~e~pwr{wM Debi +M+~•wl~'~ a ltNi.i~ SBD-6398 (R. O1N03) J'-r„~ It ~'G= ~'~.~ ~ ~ 3 ~ ~ P" N , ~ ~ 4 ~_ G t~ l'I G ~ ~,' <l k G' G, ~j UG1 ~l £~ . l v'G ~. i Y} `~- a ~. ~. ~~_~ ~n~ 4. n lay 1"~ ~ S~ R ~~ ~'" 1 ~~ ^ U Ste. ~. ~~ •, .'° $, ~~ ~ ="'""-^~~ -~ /fib, ~~,, ,~g~ ~: _. ~v ~ ~~ g~ ~~~' '~~ ~ ~ .a ~^ ~!/ k~"e'"' lUbp ~ ~' ~pv .~ . s ~~z ~ > f ~~ •~ 1 ~' ~ ~~- ~p~ G~'° ~,-~ ..._ u......,.~M.._.._.,.,----....,.......... __.._. _._..,.. _..~_ .~ ~ ~ g o -~ ~ ~~~ ~~ ' 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. com me rce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary May 25, 2005 CUST ID No.223475 ATTN.• POWTS Inspector JOE STANG ZONING OFFICE STANG PLUMBING & ELECTRIC ST CROIX COUNTY SPIA PO BOX 263 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/25/2007 Identification Numbers Transaction ID No. 1140392 SITE• Site ID No. 698855 Ben Campbell ~ Please refer to both identification numbers, 256TH Street above, in all. cones ondence with the a enc . Town of Eau Galle St Croix County SW1/4, SE1/4, 513, T28N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1019429 Maintenance required; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1lO1); 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: Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST_SAS (01/81) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Co~rd~ ~QEFARTMENI ~NOF F ~~~ SEE CORRI • Inspection of the private sewage system, installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(4), Wis. Stat JOE STANG Page 2 ~ 5/25/2005 • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs. in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAQE Project Name: Ben Campbell 3 bedroom mound Owner's Name: Ben Campbell Owner's Address: 309 Hazelnut Dr. Woodville, Wisc. 54028 Legal Description: SW 1/4 SE 1/4 S 13 T 28 N R 18 W Township: Eau Galle County: St. Criox Subdivision Name: Pending Lot Number: Block Number: Parcel i.D. Number: ~ 4 acre CSM Pending Plan Transaction No.: Page 1 index and title Page 2 Page 3 Data entry Mound drawings ~E~ENE~ Page 4 Pa e 5 Lateral and dose tank ecifications S stem maintenance s g 2005 g p y MpY 1 Page 8 Management and contingency plan S ING Page 7 Pump curve and specifications & gU11.D AFEN Page 8 Plot Plan $ Page 9 Soil Evauation Report Designer: Jae Stang License Number: 223475 Date: 05/14/ 5 Phone Number: (715) 684-5168 Signature: ~ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SD&10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 4.01 (R. 09/04) Page 1 of 9 ~~,,-~~,~rry ~- ~~~® OF COM,IAERCE SPpNCENCE Mound and Pressure Distribution Cofmpon®nt Design Design Worksheet sib Information (r or c) R Residential or Commercial Design Node: Sand fiN (D) c~lculadons assume a 300.00 Estimated Wastewater Flow (gpd) Tae~e l3 in-situ eoii treatment For fecal oolltorm of ~= 84 inches. 1.50 Peaking f=actor (e.g. 1.5 - 150%} 450.00 Design Flow (gpd) 8,60 Site Slope (%) 1.00.00 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell information 4.00 Cell Width (ft) 112.50 Dispersal Cell Length Along Contour (ft) 1.00 Disperse{ Gell Design Loading Rate (gpolftz) 1 influent Wastewater Quality (1 or 2) Are the laterals the highest int in the distribution Y Pressure Oisribution Information network? Enter Y or N (core) c Center or End Manifold 2.00 Lateral Spacing {ft) (f N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.1 i18 Orifice Diameter (in) (e.g. 0.28) 5.50 Es ' ated Orifice Spacing (ft).= 7.03 ft2/orifice 2.00 Forcemain Diameter (in) 85.00 Forcemain Length (ft) Does the forcemain drain back? ~Y~ 80.40 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft} x 1.3 10.10 Vertical Lift (ft) `:06 Friction Loss (ft) ,~ ~ 16.41 Total Dynamic Head (fE) 3i o~ ~~. t,ateral Diameter Selection in. dia, o nS choice 0.75 1.00 1.25 x x 1.50 x 2.00 x 3.00 x 'rreahnent Tank Information 1000.00 Se is Tank Capacity (gat) Wieser Manufacturer Oose Tank Information 650.00 Dose Tank Capacity (gal) 17.00 Dose Tank Volume (gaUin) Weser Manufacturer Project: e®nCampbell 3 bedroom mound 13.86 Forcemain Drainback (gal) 70.71 5x Void Volume (gad 84.58 Minimum Dose Volume (gat) 41.94 System Demand (gpm) Manifold ©iarneter Selection in. di8. o ions choice 1.25 x 1,50 x x 2.00 x 3.00 Gallons/lnch Calculator (optional) 646.00 Total Tank Capacty (gat) 38.00 Total Working Liquid Depth (in) 17.0(1 gal/in (enter result in cell 649) Effiuetrt Fitter Inforrr-ation Zabel Filter Manufacturer A100 Fitter Model Number Page 2 of q Z0d =QI OT:iI SO-SZ-SO Mound Pian View 1_ 1 /jam _ ~ 0_ B Observation Pipe Q r. •.r.r.r. •.r. r s r ••'f. • ••. r•r• j• • •• •....r.r.' •r•• •• •• .• •• •• •~•~.r.• • ~•• •.:~ • • .r•• . . B - - .~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~-~• A 4.00 ft B 112.50 ft D 12.00 in 1 L --- -- Mound Component Dimensions E 16.08 in F 9.25 in G 0.50 ft H 1.OOft K 8.82ft z 10.51 ft L 130.15 ft J 5.43 ft W 19.94 ft 450.00 (ft2) Dispersal Cell Area 4.00 (gpd/ft) Linear Loading Rate 1632.76 (ft2) Basal Area Available 11.25 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.77 (ft) .,,..,. 101.00 (ft)-- F Dispersal Cell ;~; Elevation Shading Key Topsoil Cap r.:E.f Subsoil Cap • = • = • ASTM C33 Sand Tilled Layer 'j:r~r: Aggregate -•-_ .,•~~ • H rfii~if 2 .~,~..:~fr ~ G ~~.. . pispersa~~Celi 101.50 (ft} Lateral --~-~-~-': Invert :D ~; : t ,.... ....• .. ...• .. ... ... .. . . ... ... ..... . ..... ... ... . . . . . 8.5 % Site Slope c = 1.5 ft a o Z ~ 0-~- a 100.00 (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). -T _} _~ -I Project: Ben Campbell 3 bedroom mound Page 3 of 9 Center.Connectlvn l.aterai i..ayatrt Daigram Face main arnnectioo via tee or GfOSf 9o manifold at i P • e 7prn-up wlbrl!! vat hrg~ or f E X~ dssnaat plug Moles drlpd exe tha bottom of the batatal. Laterals arc id0rldc al ~. Laterals ~ Force maln of P+1C Bch 40 par CCIMFA 7abk x4.30.6 Humber of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Ftow Rate Total Dynamic Head 4 Orifice Diameter 1.25 in Orifice Spacing (~ 55.48 ft Orifices per Lateral 2.00 ft Orifice Density. 10.49 gpm Manifold Length 41.94 gpm Manifold Diameter 16.41 ft Forcemain Velocity Dose lank information F_lecttlcal as per AlEC 3Q0 and ---~--W-~- Garnn 16.28 WAC Tank eornpontent as properly vented Wieser Ca acit ~ 650.00 Volume 17.00 Dimension inches GaH_ons A ..19.28 327'.42 e a.oo 3a_oo C 4.98 84.58 D 1.2.00 204.00 Total 38.24 650.00 Manufacturor Gallons gal/inch A g C D 3" Bedding un er tank. Alarm Manuafacturer SJE-Rhombus Controls Alarm Model Number Tank Alert 1, ~- Pump Manufacturer Goulds _~ ~T~ Pump Model Number 3887 EPOa Pump Must Deliver 41.94 gpm at 16,41 ft TDH Projec;~t.: t3enCampbell 3 bedroom mound 188{in 18 7.03 t't~lotifice 2.00 ft ~ i 1 In Z 4.28 ft/sec LocMng oovar vdth vYaminp label and locking device and sealed watertight 4 in. min. E-'---- Altemste oratlet location porcerltdin dlarna0ar ~{ 2 in. Weep hole or anG- siphon device ~k elevat[an ft 90.40 Page 4 of ~1 >r0d =QI OT:TT SO-SZ-SO ` ~ Mound System Maintenance a~, d (peration Saeciflcations Service Provider's Name Joe Stang ~ Phone 715-684-5156 POWTS Regulator's Name St. Criox Cou Zonin Phone 715-386-4680 stem Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft~ Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ct and/or service once eve 3 ears Should ins d and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins for ondin and see a e once eve 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adrn. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished •~~~~~~~~~~~~• •~~~~~~~~~~~~~• Grade 6-8" Diameter Lawn `T~ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Ben Campbell 3 bedroom mound Page 5 of 9 Mound System Management Plan • Pursuant to Comm 83.54, Wis. Adm. Code [ This system shall be operand in accordance wNh Comm 82-84 Wn. Adm. Code, and shah maintained in accor'darxx with Ns' component manuals [SBD-106'91-P (N.01101) and SSWMP Publication 9.8 (0181)] and kx,al or state rules pertaining b system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance wNh Comm 83.33. Wis. Adm. Code when the tanks are no kmger used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openir~ used for service and asment shall be sealed watertight upon the r;ompiaion of service. Arty opening deemed unsourxf, defective, or subject b faNure must be replaced. access openings greater than 8-inches in diameter shall be secured by an effec~hne bddng device to prevent acciderrtal or unauthorized entry into a tank or component. ~~ The septic tank shall be rralintained by an individual certified b service septic tanks under s. 281.48, Stets. The contents of the septic tank shah be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of tire septic tank and outlet filter small be assessed at least orxx3 every 3 years by inspection. The outlnt fter shall be leaned as necessary b erasure proper operation. The fNter cartridge should not be removed unle~ provisions are mach to retain sails in the tank tt~t may skxigh off the filter when removed from its enclosure. if the fNer n equipped with an alarm, the flnr staiN be eervkx3d ff the alarm is activated continuously. Intem~ittent film alarms may indicate surge fkx+vs or an impending continuous alarm. The septic tank shah have its Contents removed when the vaume of sludge and scum in the tank exceeds 1/3 the Nquid volume of the tank. ff the contents of the tank are oat rem~red at the time of a triennial assessment, maintenance personnel shall advise tite owner of when the next service reds to be perfomred b maintain less than ma~dmum scum and sludge accumuntbn in the tank. The addition of biological ar cFremieal additives to enharxe septic tank perforrrrarx:e is generally not required. However, ff such products are used they shah be approved for septic tank use by the Department of Commerce. ~i~r p Tank The pump (dosing) tank shall be inspected at least once every 3 years. AN switches, alarms, and pumps shah be tested b verify proper operation. If an effluent flier n installed within the tank it shall be inspected and serviced as necessary. Mound~nd Pressure Distribution Svstem No trees or shrubs should be pnrrted on the mound. Plantings may be made around the mound's perimeter, arxt the mourxl shah be seeded and muk~ed as necessary to prevent erosion and b provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since sal compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter wNl promote frost penetration. Cold vr~ther installations (October-February) dictate that the mound be heavily muk~ed ~ protection from freezing. Influent quaiNy into the mound system may not exceed 220 mgll. BODS,150 nrg/L TSS, and 30 mglL FOG for septic tank effluent or 30 mg/L BODs, 30 mgtL TSS,10 mg/l. FOG, and 104 cfu/100 mL for highly treated effluent. Inttuent fkwv may not exceed maximum design flaw specified in the permit for tnia installation. The pressure distribution system is provided with a flushing pant at the end of each lateral, and it n recornnrended that each lateral be flushed of accumutnted sofMs at I once every 18 months. WtMm a pressure test is performed it should be compered b the initial test when the system was installed to determine ff orifice clogging has ocxuurred and ff orifice cleaning i$ required b rrrairrtafn equal distribution within the dispersal cell. Observation pipes within the dispersal ceN shah be checked for efftuerrt pooling. Pooling nv~s shah be reported b the owner, and any levels above 8 inches cornered as an impending hydrauNc failure requiring additional, more frequent monfloring. Cotrtinaencv Plan If the septic tank or any of its comporv~ts become defective the tank ~ component shall be repaired or replaced to keep the system in prop opaatn9 condition. if the dosing tank, pump, pump controls, alarm or related wiring becwmea detective the defective canponent(s) shah be immediatey repaired or repnc~ct with a component of the sarrre or equal performance. If the rrxxrnd componerrt faik to accept wastewater or begins to discharge wastewater to the ground surface, it wiN be repaired or repned in its' presets location by increasing basal area if toe leakage occurs or by removing biologically ckrgg¢d absorption and dispersal media, and related piping, and replacing sak! canponents as deemed necessary b bring the system into prc~er operating cxlrrMitia~. See Page 5 of tttn plan for the name and telephone number of your local POWTS regulator and service provider. Project: Ben Campbell 3 bedroom mound Page 6 of 9 T@d 0T9trT8SSTL:r4O23.3 :OZ 60: LT S0-8Z-tr@ ~~~c~u~~s ~un~~s ~ ~ubmersibl~ Effluent Fumy 3 ~ - 11 J - EP~4 ,;. ~~ . APPLLI;ATIQNS • Fully submeryed in high grade turbine oil far lubrication and etficiertt heat transfer. ^ i~P05 [ml~eller: Therma- plas~tic enclosed design for improved performance. ~ Casfng and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ~ Mator Housing: Cast iron for efficient heat transfer, strength, and durability. r Motnr Cower: Thermoplastic cover with irr~grdi handle and float switch attachment poirns. ^ Pnwer Cattle: Severe dory rated oil and water resistant. r Bearings: Upper and lower heavy duty trail bearing construction. Specifically designed forthe following uses: • Effluent systems -Homes • Farms -Heavy duty sump • Water transfer • t?ev~raterirrq SPECIfiCATIQt~S • Solids handling capability- 3/~' maximum • Gapacities: up to 60 GPM. • Total heads= up to 31 feet. i • ;discharge size-l'~z" NPT, • Mechanical seat: carban- rotarylcerarriic-stationary, BCINA-(~ elasta~r~ers_ • Temperature: 104°I= (4a°C) continuous 14a°F (60°C} intermittent. • Fasteners. 3QQ series stainless steel. • Capable of running dry vaithout damage to CampQnentS. IVlatur: • EP04 5inrgle phase: 0.4 HP, 115 or 23011, 60 Hz, 1550 RPM, built in overload with automatic reset • EF'05 Single phase: 0.6 HP, 115 V, 6a Hz, 155a RP~1, built in avertnad with automatic reset. Poever cord: 10 #oot standard length, ii?I3 S,TfOVy with three prong grounding plug, Optional 2p foot length, t 613 SJ7W with three prong grounding plug (standard on EPoS)- Available farautatlTatic acrd manual operation- Automatic models include Mechanical Floak Switch assembled and preset at the factory. FEATURES ^ EP04 rmpeller: Thermr~- plastic Semi-open design with pump out vanes for mechanical seal protection. AGENCY LISYiNG Canadian Standards Awaelalirp~ (CSA listed model numbers end in `F" or "C".) Goulds Pamps IS ISa 9001 ReOaltlrod. .....,. - f f..._ rk B .. I j ?5F'T 4 ~'- .-- a ~ ~~ ~ _., i v e ' } s t ~ ~ ...r .- ~ .i --... i ., n 5~ ....- ....... d--- ~ ----- ... ..._~-..... ,..---- ----... .._. . 4 ~ ~ i , _ , ;... . . i ~ 2 ~..., { .. ~ ~ , P04 5 l 1 ' ' S 4 6L. __...i ._-.-.. i__........_:. ~ ._-_.... o ,o ~a --~o D F d 6 8 CAPACITN aFM ._~.... , .... j'.~-._. ,. ~i i .- EP05~ 1. ---r -_ . . .. ~1~ ~ f~ .. _ ' 40 SD CsPM 0 rt2 m}!h Gaufds Pumps ~aDp Goulds E'umpg EffeClive F~~'Llaty, 2DD0 ese~t T=i:d 6ZSdSS~.St~SJSZLTd6:~71 ITT Industl-ees ~ b ->~ Sti96ti~8SZZ SOZIHHZI3~:lJ0~Jd Zb:£V] SaLZ-Bc-~dH ~ ue.,~~ u ~ ~`~~ G-~ fie CG~n~y ° _.. ~ ~ ~.s ~ ~ ~ ~ ! ~ ~' ~:~ S~t~4 Irk, ~a v , ~_ ~, ~,. ~a~ ti of ~ . ~c ,n~d~~p~Q ~', ~~? 0. ,` f a . ~~, ~s~ to ``it ~ ~1 ~~ ~'~-w. ~~ /,rte.cun lay ~~•~. ~~~`~ ~ ~~~ ~°`°~ I ~" - v y~ .~ . ~- S. ~' ~' ,S/a~~ ~, r r~ lr~.R~'~ ~'~' /Gd~~ .~._.____"~ nnz ~ ~~3~~'`~ .~i "~ . ice' `S ~ ~ ~ m ~ k IUaa " t' ~~ ~ ,. tov ~ ~_~,~~ ~ "~ ,~ g~ q9•#~ ~. `'~ ,,.. ~$,R ~. e~_~ ,~gr ~Y~ _. ~v fir' ~Ui _. .....w_.._.,..._..._....._ ._..___..., .__... _~ e 8 0 ~ ~ ~g Ct'~ ~ a..: ~ !! - ' e~•+-• ~~ .SOIL EVALUATION REPORT #2234 Department of Commerce in accorda ' h .Code Page 1 of 3 Division of Safetv and Buildings ,~„, { , ) ~,/` ~ Certified Soil Testing, LLC . ti.,~. i in ' County must size. lar r'~ x 11 inches Attach complete site plan on paper not less than 8 St. Croix include, but not limited to: vertlca! and horizontal reference point (BM), direction and north arrow, and location and distance to nearest road scale or dimensions percent slope Parcel I.D. , , 4 acre CSM Pending Please prirrt all information. Reviewed By Date Personal information you provide may He used for secondary purposes {Privacy Law, s. 15.04 (1) {m)). Property Owner Property Location Gedatus, Richard Govt. Lot SW1/4, SE1/4, 513, T28N, R16W Property Owner's Mailing Address Lot # 81odc # Subd. Name or CSM# 298 270th St. Pending ' ' City -- State Zip Code Phone Number ~ City [~ village ®Towm Nearest Road Wilson WI 54027 715-698-2516 Eau Galle 265Th St. ~_ New Construction tJse: ®Residential I Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ^ Public or commercial • Describe: Parent material loess over limestone Flood plain elevation, if applicable NA R. General comments and recommendations: install 4' x 112.5' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.0' sand fill 1 I Boring Boring # Pit Ground surface elev. 90.7 ft. !~ Depth to limits factor 33 in. ng Application Rate Soil Horizon Depth Dominant CoCor: Redox Description Texture St-iicturie ': GonsisFe Boundary Roots GP D/ft~ in. MunseA Qu. Sz:-Cant. Dolor Gr. $z. S.n. •Efti1 •ER#2 i 0-7 lOYR 3/2 - sil 2 f sbk mvfr cs if/m .6 .8 2 y 7-18 7.5YR 4/3 - sicl 1 m sbk mfr gs im .2 .3 3 18-33 7.5YR 4/4 - sd 1 m sbk mfr cs lm .2 .3 4 33-63 7.5YR 4/4 f2d 7.5YR 5/8,5/3 sd 0 m mfr - lm 0 ~ 0 alternating bands 10YR 4/4,4/6 s + stratified sf bands below 18"; avdd this area Boring # Boring ~; Pit Ground surface elev. 93.0 ft. Oepth to limiting factor 26 in. Soil Application Rate Horizon Dispth~. .--Dominant_Cnlor~.. z Redox.Descriptian '~extun3. : Struature> Gonsisten :8ourtdary Roots _ GPD/fN in. MunseN Qu: Sz. Cont. Dolor Gr. Sz. Sh. *EffS1 •EffJl2 1 0-6 7.5YR 3/1 - sil 2 f sbk mvfr cs im .6 .8 2 6-10 10YR 4/3 - sil 2 f sbk mvfr gs im .6 .8 3 10-26 7.5YR 4/4 - sl 2 m sbk mvfr cw lm .6 1.0 4 26-36 7.5YR 3/4 - sl 2 m gr mvfr - 1m 0 0 horizon 4 has greater than 50°k LS frags; effective LSBR Effluent #1 = BODs> 30 < 220 mglL and T S >30 < 150 mglL * Effluent #2 = $ODs _< 30 mg/L and TSS < 30 mgC CST Name (Please Print} Signatu CST Number Henry F. Grote - 222774 Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E. 4366 353rd Ave. Menomonie, WI 54751 4/30/2005 715-233-0398 egn_a~nn is nvnm Property Owner Gedatus, Richard Parcel ID # ^' 4 acre CSM Pending __ Page 2 of 3^`~ I__l Baring # -_, Boring ' Pit Ground surface elev. 97'•5 ft. Depth to limiting factor 33 in. oit Application Rat Horizon Depth Dominant Cobr Redox Description Textur¢` ~ Structure nsistence Boundary Roots GPD/ft2 in_ Munsell Qu. Sz. Cant. Cola Gr. Sz. Sh. •Eff#t •Effrt2 1 ~ 0-7 10YR 3/2 - sil 2 f sbk mvfr cs lm .6 .8 -- - 2 i 7-15 10YR 4/3 - sil 2 f sbk mvfr cs im .6 .8 15-28 4 28-33 7.SYR 4j4 7.5YR 4/6 - - sl sd 2 m sbk 0 m mvfr mfr gs cs lm - i .6 1.0 ~ 0 0 .___ 5 ~ 33+ LSBR . i I LSBR by > 50% frogs Borng # . , Boring _,_~ pit Ground strface elev. 98.9 -- tt DeRth.to limiting factor 30 in,---. Soi! Application-Rat Horizon Depth Dominant Cobr Redox Description Texture Structure onsistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E~t •ENS2 1 ~ 0-7 SOYR 3J2 - sil Z f sbk mvfr cs 1m .6 ~ .8 2 7-24 7.5YR 4/4 - sl 2 f-m sbk mvfr cs lm ~ .6 1.0 3 ~ 24-30 ~ lOYR 3/4 - scl 0 m mfr cs ` lm ~ 0 0 4 30+ LSBR l i LSBR by > 50% frogs; same LS frogs in horizon 3: recommend conservative site limit of 24" due to massive sc1 @ 24" a Boring # ~ Boring ~, pit Ground surface elev. 100.$ fl. Depth to limiting factor 26 in. Soil Application Rat Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz.~'Sh. •Effg1 •Errirz 1 ~ 0-7 lOYR 3/2 - sil 2 m gr mvfr a if/m .6 .8 - . _--- 2 ~ 7-11 7.5YP. 4/3 - si!- 2 m sbk - mvf:- gs im i .6 ,', .8 3 11-24 7.SYR 4/4 - sl 2 m sbk mvfr cs lm ! i .6 1.0 4 24-26 10YR 5/4 - scl 0 m mfr cs im ! 0 0 __ 5 __i__ 26+ LSBR I ___ ~ i "Effluent #1 = BODS> 30 < 220 rrx3lL. and TSS >30 < 150 mg/L `Effluent #2 =BODE < 30 mg/L and TSS < 30 mg/l "T'he Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. can.uazn ra mmn~ rnnifioA a,~i rwnnn ~ i ~ J ~' 0 4^ (~"~ ~ ~ ~ ~v~ ~ Z ~~ P 3 ~'~ ~-- N ~'" . G ~ ~~ .,i ~ ~, 1 0 .A v'~ ~ V ~i ~ ~~ ~ G cU 1,,, ~ -o > ;o t ~ ~ f S C r 0 o ~ ~ / ... ~ ~, o ~, v"", ~ ~~ ~~ r S^ ,~' ~ _ _ V ~; ~ r" 0 ~ ~r 06 ~ (~ :~ ~ ~ ~, . $ ~ Tf'" ~ ~ ~ .. 6"~` ~, '^ v .--~ ~-_, ~ ~~ ~^ v ~a ~ ~ ~ r p ~ ~ ~ ~..~, ~ ~ n .a ~ d ~ I ~ f a ~ o F 1. ,G .. ~ t A ¢' (F A G v _, g S~ p ~''"' ~J Cj ,t~- /` s t A r~ J ~ ~ G rr~ f s v' ~ r, ~ s r ~.y' ~ ~' (~ G f --- P _,~~-~,. .,,~..~a ~.F. n,.. ~.,~... ~. Z~ ~~$~'~~ ,~ ~ SOIL VA~~~N REPO Department of Commerce ~. ~ ac rd ce with Comm 85,11~~.Adm. C de Division of Safetv and Buildings ~ ~ -1 AY o 5 '- UU~~ #2234 Page 1 of 3 Certified Soil Testing, LLC ~... - Attach complete site plan on paper not less than 8'/z x in size. ~ OAT ~' ~~ l t it i d b li d t i l d h l f ~ E Co my St. Croix not nc u e, u m e o: vert ca an re orizonta erence poi (BM$ l+ tC percent slope, scale or dimensions, north arrow, and location a d dista>~ arcel I.D. 4 acre CSM Pending Please print all information. a 'wed By Date ~ Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). lA./`R~~Z Property Owner Property Location Gedatus, Richard Govt. Lot SW1/4, SE1/4, S13, T28N, R16W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 298 270th St. Pending City -- State Zip Code Phone Number ~ City ^ Village ®Town Nearest Road Wilson WI 54027 715-698-2516 Eau Galle 265Th St. I~ New Construction Use: ®Residential /Number of bedrooms 3 Code derived design flow rate 450 Replacement ^ Public or commercial -Describe: Parent material loess over limestone Flood plain elevation, if applicable NA General comments and recommendations: install 4' x 112.5' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.0' sand fill GPD R. ^ Boring # ~ Boring ® Pit Ground surface elev. 90.7 ft. Depth to limiting factor 3,'i~- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture 5tru~tare Cansisten Boundary Roots GPDIft in. Munsell Qu. Sz: Cont. Color Gr. Sz. Sh. `Eff#t `Effirl 1 0-7 lOYR 3/2 - sil 2 f sbk mvfr cs if/m .6 .8 2 7-18 7.5YR 4/3 - sicl 1 m sbk mfr gs im .2 .3 3 18-33 7.5YR 4/4 - scl 1 m sbk mfr cs 1m .2 .3 4 33-63 7.5YR 4/4 f2d 7.5YR 5/8,5/3 scl 0 m mfr - im 0 0 ~-- -- alternating bands lOYR 4/4,4/6 5 + stratified sl bands below 18"; avoid this area Boring # ~ Boring ® Pit Ground surface elev. 93.0 ft. Depth to limiting factor 26 in. Soil Application Rate 'Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color' Gr. Sz. Sh: `EfftFt 'Eff#2 1 0-6 7.5YR 3/1 - sil 2 f sbk mvfr cs lm .6 .8 2 6-10 10YR 4/3 - sil 2 f sbk mvfr gs lm .6 .8 3 10-26 7.5YR 4/4 - sl 2 m sbk mvfr cw lm .6 1.0 4 26-36 7.5YR 3/4 - sl 2 m gr mvfr - lm 0 0 horizon 4 has greater than 50% LS frags; effective LSBR Etfluent #1 = BODS> 30 < 220 mg/L and T S >30 < 150 mg/L • Effluent #2 = BODs < 30 mg/Land TSS < 30 mgt! CST Name (Please Print) Signatu CST Number Henry F. Grote 222774 Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E. 4366 353rd Ave. Menomonie, WI 54751 4/30/2005 715-233-0398 ~S_ SBD-8330 (8.07/00) if Property Owner Gedatus, Richard Parcel ID # ^' 4 acre CSM Pendin Page 2 of 3 ~ ~ ^ Boring # ~~ Boring ~ . pit Ground surface elev. 97.5 ft. Depth to•limiting factor~33 in. Soil Application Rat Horizon Depth Dominant Color Redox Description Texture Str~ctbrl~ .. ~~ C'o'psis#~1ice Bo dary Ro(its rPD/ft~ in. Munsell Qu. Sz. Cont. Cotes Gr. S~'.'SH,a i `Eff#1 'Eff#2 1 j 0-7 lOYR 3/2 - sil 2 f sbk mvfr cs 1m .6 .8 2 7-15 10YR 4/3 - sil 2 f sbk mvfr cs im .6 .8 3 15-28 7.5YR 4/4 - sl 2 m sbk mvfr gs lm .6 ~ 1.0 4 ~ 28-33 7.5YR 4/6 - scl 0 m mfr cs - 0 ; 0 5 33+ LSBR j LSBR by > 50% frags a Boring # Boring '~ pit Ground surface elev. 98.9 ft. Depth to limiting factor 30 in. Soil Application Rat Horizon Depth Dominant Color Redox Description `Texture Structure- Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Cola Gr. Sz. Sh. 'Etl#t 'Eff#2 1 0-7 lOYR 3/2 - sil 2 f sbk mvfr cs 1m .6 I .8 2 7-24 7.5YR 4/4 - sl 2 f-m sbk mvfr cs lm .6 1.0 3 24-30 lOYR 3/4 - scl 0 m mfr cs im 0 0 4 ~ 30+ LSBR ~~ i LSBR by > 50% frags; some LS frags in horizon 3: recommend conservative site limit of 24" due to massive scl @ 24" Boring # ,' Boring ~I Pit Ground surface elev. 100.8 ft. Depth to limiting factor 26 Soil Application Rat Horizon Depth Dominant Color Redox Description Texture Structure Consistence B undary Roots GPDlftZ in. Munsell Qu. Sz. Cont. Cola Gr. Sz. Sh. 'Eff#4 'Eff#2 1 0-7 10YR 3/2 - sil 2 m gr mvfr cs 1f/m .6 .8 2 7-il 7.5YR 4/3 - sil 2 m sbk mvfr gs lm .6 j .8 3 11-24 7.5YR 4/4 - sl 2 m sbk mvfr cs lm .6 1.0 4 24-26 lOYR 5/4 - scl 0 m mfr cs lm 0 0 5 26+ LSBR '~ ~I * Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mg/L 'Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) CeRlfied Soil Testing, LLC F d ~ ~ ~~~ `~ ' ~ s s ~ 3 ~f ~ °~ 3 f V 'nn ~ V/ s!, ~~ .,i~ 0 hhd ~J C~ 1' D r _ fl ~ n - ~: I a g` ~~ ~,; ' ~ .!1 a ~. ' ~ ' ~ ~1 ~. ~' m ~ --~ ~ ~ '~ y o ~' V ~~ ~ ~ ~ ~ ~ ,r / ~ ~ ~ ~ ~ ~ \ .o y b ~ ~ ~~ ~p. ~ ~ ~ ~ ~ O J ~-% ~ b ~ ~ ti ~ ~" ~ - ~~ f .1 \ '~ `~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ U ~~ ~~ ~ ~.n Oo 0 ~l ~ '' I '" ~ ~ d l \1 ~ ~. ~: n ,r ~ . ~+ ~ ~ .~( ~. N 3 3 .~ ~n D ~/~1 ~ g _.,. _ , ~ ~ ~ ~ ~ t J _J J s M~ 0 ~J i _ i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~,~~~nd ~~ d~~~s = Mailing Address ~f ~ ~~ Property Address ~ ~ 1 ~ oZ ~ 5 ~~ (Verification required from Planning Department for new construction) '~ ~-B City/State w"" `~y ~ ~ r ~~ ~~ Parcel Identification Number G ~' ~ ' l ~ S ~ ' S O LEGAL DESCRIPTION Property Location ~` ~ '/s, ~ ~ '/s, Sec. ~, T ~ ~N-R l ~ W, Town of L~ ~ ~ ~ ~ j / ~' Subdivision ,Lot # Certified Survey Map # f ~ ~~ .Volume _ .Page # Warranty Deed # ~ ~ `~.~ ? [> .Volume ~ `~ ~ Page # Sr Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAIINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mast~rplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposalsystern is is pmper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 ys of ~e thre:, year expiration date. S i31 i c~S IGNATURE OF PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~~ I i y~ SIGNATURE O ~ APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** = a~~ ~4 ~~~~1 el`~.~ ~~ L/G~d~ ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Houseplans.com ~ Plan 70-267 Summary .. ~, Ht~~~~ Livo Your Drpnm HOME ~ ADVANCED PLAN SEARCH Traditional house Ian 70-267 ~um~~ry Main Level Sc}uare Footage:: 1556 ~ .Widtk~;. Bedrooms: 3 Depth: Bathrooms: 2'/s Height: Levels: 2 Garage Stalls: 2 Available Foun~ Main. Floor Acea.:. 4'126k• Upper Floor Area: 430 More_t~ this designer Basement Crawispace, If your foundatio not available, ple 1-888-T05-1300°~ ~Send..._U's_a (Vote (Chat_Online .'~ ~~ Page 1 of 3 Buy dnline or Call 1-888-705-1300 CPl Answ_ e_ r Center- PLAN SHOWCASE I FREE Sign In[Registe_ r Your_Account SPECIAL OFFERS I DESIGP Printer- http://www.houseplans.com/plan_details.asp?id=9828&st=42 4/14/2005 Reverse.Elevaton. Rear Elevation. ~5~~ ti Houseplans.com ~ Plan 70-267 Summary ~~ Mew,~1 dr (,~n/ Page 2 of 3 Upper Level __ http://www.houseplans.com/plan_details.asp?id=9828&st=42 4/14/2005 ~~ ~~. ~'1 Houseplans.com ~ Plan 70-267 Summary 9 i e9 i i a s ~ r ~ a ~........4..~-s a a 3 e ~..a..,.,. Wy...~~..,..x..w.,....«....~..a.~.....b...a....r.~.~.,.....~~.~....,....,,__....-_~___... t (~ C y~ +d •xa~ ~~ ~ ~~~" Advice and Ordering - To(I Free 1-8$$-705-1300 Page 3 of 3 Search by plan number House Plans,Ho.me ~ Contact ~ Srte..._Map ~ legal/Privacy ~ FAQs ~S..ugges...ton Box (Partn.erng (For Designers ©2005 Houseplans, Inc. All rights reserved. http://vvww.houseplans.com/plan_details.asp?id=9828&st=42 4/14/2005 .~ 2y~3P 3~? Document Number STATE BAR OF WISCONSIN FORM 3 - 2000 QUIT CLAIM DEED This Deed, made between and wife Gedatus and Lucille Gedatus, husband Grantor, and Richard Gedatus, a single person Grantee. '~ Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): See Exhibit A attached and made a part hereof. This deed is given solely to corl conveyed as described in that t recorded May 11, 1992, in Vole in that certain Warranty Deed Volume 1442, Page 156, as Dot the description of the premises to be in Land Contract between the parties 949, Page 595. as Docu~ent No. 483163, and en the parties record July 15, 1999, in ~n o. 606873. _ =. \~•. Together with all appurtenant rights, title and interests. k- Dated this ~ 3 ,ci'ay of NUi/Pt:>• (~ t° __ ~~ * , - -----_ --- r~-- ----- -- - ---- -- - / AUTHENTICATION 74767tZ3 i~ KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO., NI RECEIVED FOR RECORD 11/26/2003 09:30A1t AUIT CLAIK DEED EXE1~? 11 3 REC FEE • 13.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 2 ~.,) w _ `~ ~p ,p ~ ~~ ~~ _ , Recordin ea <~ Name d Rehm Address Tho s.A: McCormack t'~S POd ~ x 2120 % ~ rp fig' Bal win, W154002 (~ r~ rwr~ ; o-irnn-w G p ~~y ~ arcel Ident eation umb (PIN) ~ 3,~+P +_ _ . This is hom stead property. (is) (aa~ot) `~ ~ ~ Z . 33 0 ~o t 2003 ~ v~.o rQ S, eQ . ~ Y w ~.~- ~ 'Virgil Gedatus \`~ ~- ~- * L'~cille Gedatus ~~~' II n ~ /J STATE ( Signatur~(s} ~ UI tot l ~°XlyGl7-t 2v~lL ~~ St. Croix G~~~~:. ~,r?d~1 ACKNOWLEDGMENT WISCONSIN ) ss. County ) auth~enticahts ~~`r ay of N'~ , ~~ Personally ` ' Virgil Gedatus and Lucille Gedatus TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by ~ 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Notary Public, State of WISCONSIN Baldwin, WI 54002 My Commission is permanent. (Ifnot, state expiration date: (Signatures may be authenticated or acknowledged. Both aze not necessary.) .) • Names of persons signing in any capacity must be typed or printed below their signature. QUIT CLAIM DEED STATE BAR OF WISCONSIN FORM No. 3 - 2000 before me this _ day of 2003 the above named INFO-PRO (800)655-2021 www.infoprofortns.com .1 ~y63P 358 EXHIBIT A AS TO THE F1~LIAWING DESCRIBID REAL ESTATE 1N ST. GROIX COiIN'1.'Y, WISOONSIN: All that part of W'~ of SEA of Section 13-28-16 lying Wly and Sly of Wly bank of Eau Galle River EXCEPT Iot 1 of Certified Survey Map in Vol. "2", page 328. / Also part of S'~ of SF}, of Section 13-28-16 described as follows: Cam~ericing ~6 links W and 97 links S of NSF corner of SW4 of SEA; thence S 30 E 11.67 chains; th~nce.S 59~ W 7 chains; thence N 39~ W 4.07 chains; thence N 8~ W 11 chains; thence"S 84~ E 4.43 chains to place of beginning, Except cannencing 66 links W and 97 links S of NE corner of Sala of SEa; thence S 6 rods 10 feet; thence W 20 :rods; thence N 8 ods 8 feet E 18 rods to place of beginning and cept commencing at SE corner of last described parcel; thence W 2b. rods; thence S 18'~ rods; thence E 24~ rods to centerline of highway; thence Nally on centerline to place of beginning. N~ of NE~,of Section 24 EXCEPT 2,.acres in NW corner thereof, in 28-16. ~, Vendor is res~s~ving a life estate in the house located on the NE's of the NEB witli',means of ingress and egress to the same, plus gar- den space. . . Said real estate subgect to all easements, right of ways, and privileges. of rew~`d. \, Also, any interest of Grari'tor in the balance of the South Half of the Southeast Quarter (S~ of SEA'--) of said Section Thirteen (13), TownsY~ip Twenty-eight (28) North, Range Sixteen (16) West. ,, f i // ,~ ~~ ~. -: . RECE EVI D MAY 2 4 2005 sr, cao,xcourvrY 7blau.... _ CERTIFIED SURVEY MAP N0. ~Tl1T TT1~,tT: V L lJ iti S..J A(rTi' ~ P l a ~..~ L _ . LOCATED IN THE SOUTHWEST i/4 OF THE SOUTHEAST 1/4, SECTION 13, TOWNSHIP 28 NORTH, RANGE 18 WEST, TOWN OF EAU GALLE, ST. CROIX COUNTY, WISCONSIN NORTH 1/4 CORNER OUNO~ ALUMINUM6000NTY MONUMENT LEGEND j ~ ~ GOVERNMENT CORNER (AS NOTED) ""~ RICH ARO~cEOATUS ` • SET, 3/4"X24" REBAR I I ~' vul9 Boni vn 5ao27 ~" i WEIGHING 1.502 LBS. PER LINEAL F00T. I ~ I ; I ~~ SOIL BORINGS I i ~t I G d ~ ~ I ~~ I e s ~ I 6~6' I I ~ ~ ~ W o O1 OD N G,YA ~~~ ~~s 3~ W I~ M O N O O Z atsy ~y 13 t St~Z.3Z" 3.00 349.32' I I I I I I ~ 33' ( ~, I I z I~OT 2 I J I 171,157 SQUARE FEET ' I a ~ 3.93 ACRES ~ I ~ ~ I (INCLUDING R/W) , ~ I ~ v~ 156,386 SQUARE FEET I '~ I ~ z ~ 3.59 ACRES I o (EXCLUDING R/W) J I I mi . =W _ Oi e I^ "~ r ~ to I :~ ~ < . i I Z PROPOSED HOUSE LOCATION ~ I ~ ~ I ~ ~ ~ r~ ~ ~ i i 3.00 349.44' ~.: . 1 NtSy-Jy Z3 W 3ti1.44 Z U J r ~ ~ U Q W 3 O_ W ~ ~ = Z U F- ~ O ~ Q ~ W W a z '~ ~ W W N N w p D N~Z z N z ~ Q W Q I m H m t G,IA~ n ~ ~~d S \O aooa' sf ~~ __ ~~~~ J ~ O O O p ~ I ~ ~ ~J' b aD ~ ~ ~ ~ ` i ~S ~9 ~' /~ I ~. ° ~-- ° .d N ~ ~ ~ ~ ~ ° ~i + ~~ I ~ ~ s I ,~ ~ ~ ~'' ~ ' ~'~, ' -~ I \~ z ~ ~ ~'`~ . ~~ ~~ ~ ~ it LL o I 3 Q I i I i i 3 ro ~ ~ z H I ' w ~ ~ CS" .~ ~~ 1 z € m M ~ ~ ~ N O ZZ 'a , ~ ~ ~ ~ /1 / d Z~ i N ~ J L.~V~ (~ O ~ °' ~ `~Y E ~ ~ ~ _ \ O N d\ ~ ~ ~ I ~ L I \V Q I ~ z z o ~ w I L~ N I c .. m .~ ~a ~ I -~ ~ ~..; ~ Q ~ ° ~ ~ Nona` ~ ~, •N :.: 3aaa N R y I ~a a -o ~ I to J V ~ O O / N Z i d O _ ~ ` ~ O ~_ 'O N O I N~ m Q z cn O C M N C Q ~ o~~ I °~ co N O m ~ W p~ O ~ ~ _O U~ • ~ p~ f00 N~ O C N I ~i ~ ~ ~ ~ a N ~ ~ c I Q o W ~ U v o Z Y ~ i I .. V ~ ~ ~ ib a m ~ r~• '~ a m ,~ A d a A c°~a~ 'io~u~ici ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ~ ~~ S. lylu.;.n s~ fr~~ /3 ~o~ol~~1~, Gv~ SH~z~ Property Address z65'}`' S~ (Verification required from Planning Department for new construction.) / n ~ ~~ City/State PnJao e~~,''lie ; wl Parcel Identiftcati ~ Number C~`9g - (U3~f 7v °t'`~~ Drag -~)!>39-Zv LEGAL DESCRIPTION ~"T ~ ~~ ll~ ~ G~ ~~Zg/ ~.~ / ~~~\ J 0 Property Location S~.- '/a , ~'/4 ,Sec. (.~ , T ~N R 16 W, Town of 5-f . Cry i X Subdivision ,Lot # 2- . Certified Survey Map # O ~ ~ 2-~ ~" ,Volume 20 ,Page # 2 Warranty Deed # ~ U t ~ 1 ~ ,Volume ~ S 3 ,Page # 2 O~ Spec house a yes ~Q`no Lot lines identifiable ryes i7 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 1/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department within 30 days of the three year expiration date. SI NATURE OF APPLICANT '7 /29 / ~s DATE OWNER CERTIFICATION I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the properly described above, by virtue of a warranty deed recorded in Register of Deeds Office. ,~ ~r S NATURE OF APPLICANT ~/~/ u S DATE ****** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. ****** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. ... ~ 201 V~Wa~boA Mi+a» p O. Boot 71 ~~ l••Qs i rrr--~- ;:. Sanitar'y' Permit 2pp5 o L ~fs-s s r-~ ~. I1 Yo 3 tZ- M oocad wtaa conam:s.~l, w~a.~Adara. coda r~ ~ .. ^° 1 .~ aaay be used toreea~adu9 Pwi~ ~-. . IS:1 uN-~Y 1. App~Nlaiwita-rlwoiPsiiac ~ ZON,NGOFF ~ 3!3 2(0~•+ ~'• B d ~ d ~ ~~ ~ b~lf P.noet r teat- _--• ~g ~0 9-20- 9 ~ ,~ ~ ~ ~ ~ ,~. ~-~ . ,2~p ~,~ ~-~ s-~. ~ :, > _ . ~ . s~ ~, s~ sew ___~ ~~:_ .. ~-1 ~ i ~ ~a-, I tSG~ Nwabet 7~~' L ~ ~~~D a 1 ~( ~ ~ d 14-~ crW t . . t ~ ~ , L ,~T-jr~e ~l' (draelc sN flat air) «~+ B ~ 5 ~ S ~z 1,c~. ~ ~ , , 1~ 1 orll~nib' -1~Aroba .. tcY . ~~ /~t+uw ~~ ~ lwblidC;e~a~a~i ~- lTae ~C 4 4 ~. 11tiNaats ~towaaalaP ofd` 1' [ (~ gweOwaaed-Daea:r~lae _. , . ' , Tj,~ ( alas boat oa A. ~a ~ '~' tkwSya~ra !~ 9p~eem ^ TeeelmwavFlddiusTaok D Ogaa• ' . iNee+eam oaad Dee Uamed s. Q varmit Reuewol Q tbteab D Clranbsot O Perna eo Hew gwaaet ~ tt / 1 BeAateCation tfia~ber ~ r ` ~~ J etPO ~ ~ D Noar-prised M•Otawl Mouad>_~ aahoiaslbto~ Ll 24 iaa. a ~ l3onMtaded wat~d O PMmotrlsed taavrceaact 71~1a ~ F~oer C] Aeeabie _ ~ - , , i(7 Ospens d ~ ~. Ar ~ _ .~ ~ 1 i:J ~ c~ ~ ~" VIL b"balaaoatN i, trte ~ ~ ~ val. ~ v satdiw~F~e) 2S~- J-' oz o ~ n ix. C.uaad'itlsuoaa 3~ ~' ~~ ~ ~.aQ ~ 0~ SYSTEM 0 ER: 1 Septi nk, effluent filter and ~,z. y ~~-r- dis sal cell must a!I be serviced / rtaaln fined a er management plan provided by plumber. (~~~~ ` 2. Ail setback requirements must be maintained as per applicable code/ordinances. ~etsa~t~r-(er~ •Na9 +~~•wMw~ : ttKMri. SBD-6398 (R. 01/03) -G ti 2853P 208 State Bar of Wisconsin Form 11-2003 LAND CONTRACT (TO BE USED FOR NON-CONSUMER ACT TRANSACTIONS) Document Number ~ ~ Document Name CONTRACT, by and between Richard Gedatus, a single person ("Vendor," whether one or more), and Benjamin W. Campbell and I{ari Ann S. Campbell, husband and wife ("Purchaser," whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance of this Contract by Purchaser, the following real estate, together with the rents, profits, fixtures and other appurtenant interests ("Property"), in St. Croix County, State of Wisconsin: Part of the Southwest Quarter of the Southeast Quarter (SW 1/4 of SE 1/4), of Section Thirteen (13), Township Twenty-eight (28) North, Range Sixteen (1G) West, Town of Eau Galle, St. Croix County, Wisconsin, more particularly described as follows: L Two 2 f Certified Survey Map filed July 22, 2005, in lame 20 of Certified Survey aps, at Page 5027, a Doc ment No. 801204, office of the Register of Deeds for St. Croix County, Wisconsin. Vendor hereby subordinates his interest in this Contract to the lien of a mortgage from purchasers to WESTconsin Credit Union in the amount of $200,000.00. Purchaser agrees to purchase the Property and to pay to Vendor at a place designated by Vendor the sum of $ 30,000.00 in the following manner: (a) $ 5,000.00 (b) the balance of $ 25,000.00 ~~~~~~ KATHLEEN H. NALSH REGISTER of DEEDS sr. cROIx co. , MI RECEIVED FOR RECORD ®7l29l200S 10:15A1t LAND CONTRACT EXERT # REC FEE: 17.0® TRANS FEE : ~. rte GOPY FEE: CC FEE: PAGES: 4 Recording Area Name and Return Address Thomas A. McCormack PO Box 2120 Baldwin WI 54002 008-1034-70-000,008-1039-20 Parcel Identification Number (PIN) This is not homestead property. (ds) (is not) This is a purchase money mortgage. (is) (mot) at the execution of this Contract; and outstanding from time to time at the rate of together with interest from the date hereof on the balance 5 % per annum until paid in full as follows: One payment of the entire balance of principal and interest shall be paid on December 1, 2005. provided the entire outstanding balance shall be paid in full on or before December 1, 2005 ("Maturity Date"). Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. CHOOSE ONE OF THE FOLLOWING OPTIONS: IF NO OPTION IS CHOSEN OPTION A SHALL APPLY: ® A. Any amount may be prepaid without premium or fee upon principal at any time. ^ B. Any amount may be prepaid without premium or fee upon principal at any time after ^ C. There may be no prepayment of principal without written permission of Vendor. ~I State Bar Form 11-Page 1 a3 8 t¢iI 1 210 4 VOL 20 PAGE 5027 KATALE~ H. REGISTER OF DEEDS ST.-CROIH CO, kI RECEIVED FOR ~tECORD ®7/22i2,~~ 0+l~ta0lpM CERTIFIED SUR1ifiY MAP REG F>tit±. 13. Ag - COPY FEE: PAGES: 2 CERTIFIED SURVEY MAP NO. so27 L~ii a.~v i:~E 20 ~~ ~. ~' 5027 s _ LOCATED IN THE SOUTHWEST i/4 OF THE SOUTHEAST 1/4, SECTION 13, TOWNSHIP 28 NORTH, RANGE 16 WEST, TOWN OF EAU GALLS, ST. CROIX COUNTY, WISCONSIN NORTH 1/4 CORNER SEC.13, T28N, RtBW i FOUND ALUMINUM COUNTY MONUMENT G,Y A~ ~O \O s i i ...~ -'~ i I '* I ~~ 1 ~ ~ I 6~6~ I i I I I 01 I DI Ir> I r I ~ I I 33' 33` i I W I I -I i io I ~o o ~ 1~ ~ v Iv 8 I I IW I~ I I to I Z !) I I 1 I I I I 6i6' 33' ~ 33' ~~ o+ ~ CV N OWNER: RICHARD GEOATUS s9a z7oTH sT. WILSON WI 54027 G~ .O! ~~ 349.32' LEGEND GOVERNMENT CORNER (AS NOTED), • SET, 3/4"X24" REBAR 1MEIGHING 1.502 LBS. PER LINEAL FOOT. "~.~ SOIL 80RINGS \~ N S I 3' ~ ~ 171,157 A RE FEET SW 3.93 ACRES i (INCLUDING R/W) ~ ' 156,386 SQUARE FEET co ~ 3.59 ACRES I (EXCLUDING R/W) ~f gj PROPOSED HOUSE LOCATION ' (/ ~..i .. I 349.44' ~, N89'39'23"W 382.44' G tiA~~~o ~°s SCALE: 1 "=100' O' SO' 100' 200' n v ~ ~ 2 U r V W 3 O_ W ~ ~ F= O ~ v O r W Z .'~- M ~ C) O ~ ~ ~QvZ N ~ - Z H Z W ~ m ~ m v G~Ay \d N \~ S 3~`~ ~~° a * pETCsEi .1. •(~p'T'N~4NN sKTiAPFI SOUTH t/4 CORNER This instrument was droned by P. Gortmonn SEC.13, T28N, R16W ,FOUND ALUMINUM COUNTY MONUMENT CEDAR CORPORATION 804 W~SON AVENUE MENOMONIE. W1 34751 (715) 233-9081 SHEET / OF ~ Vol 20 Page 5027 k