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008-1040-80-100
Wisconsin Department of Commerce Safety and Building Division GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTAr~ TO PERMIT) 'ersonal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)] permit Holder's Name: City Village X Township Cha in, Wesle Eau Galle Townshi SST BM Elev: Insp. BM Elev: BM Description: ~~~ ~~ ~ ~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic v'~- / Z~~ Dosing '~~ Aeration (~~.~~ Holding TANK SETBACK INFORMATION TANK TO PIL WELL BLDG. Vent to Air Intake ROAD Septic ..~~ ~ ~~ ~~' S ~ i Dosing ~ ~ ~ / ~~ i ~ ~ i ,~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ Demand GPM Model Number /~ ~- ~'(~ TDH Liftl ~ Friction Loss ~. 3~ System Head 3.S TDH Ft ~. b Forcemain Length ~ s Dia. / ~ 2 Dist, to well ~ L ( z o ., SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. CroiX Sanitary Permit No: 453235 0 State Plan ID No: Parcel Tax No: 008-1040-80-100 Section/Town/Range/Map No: 14.28.16.206A10 STATION BS S. z,S HI /d5. zs FS ELEV. /a o Benchmark ~!' 3 z 5 /b'~ Z5 /a ~ Alt. BMS~ ~:c, ~~ / ~•.3J ~~~~ q Bldg. Sewer 2.~ Jaz .~ SUHt Inlet ~' ~ `7~. /J ! J St/Ht Outlet \ ~ Dt Inlet Dt Bottom 1~~ ~ ~ / ~ . / Header/Man. .Z !b~• ~ Dist. Pipe y,z ~~.d~ Bot. System . 7 s5 /o~ Final Grade Cover ~ ~ 3. ion, 5 Ca~v ~ ~~5 ~ . ~ 1 m BEDITRENCH IMENSION Width ~ 1 Length ~ No. Of renc s PIT DIMENSIONS No. Of its Inside ia. L'~id Depth ~ D S ~ ~ SETBACK SYSTEM TO P/L BLDG WELL LAKEISTREAM LEACHING Manufacturer: INFORMATION ~ CHAMBER OR Type Qfj $QSUm` '~~~ ~~ 7 /~/ 7 , /~ UNIT Model Number. DISTRIBUTION SYSTEM Header/Manifold I // 7 Distribution ~ i J/ ~ ~ Pipe(s) 1 Z jJ " ~ ~ x Hole Size t ~ ' x Hole Spacing ~ ~ Vent to Air Intake T Length" _Dia i Dia Spacing Length 7 ~ , may... .~. SOIL COVER Y Praccnrp Rystems Only YY Mnund Or At.GradP Systems Only Depth Over ~ Depth Over xx Depth of ' xx Seeded/Sodded xx Mulched Bed/Trench Center / L Bed/Trench Edges Topsoil ( L Yes ~ No `'' Yes ~~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: R /30 / d~ n _ Inspection #2: / /_ Location: 397 250th St. Woodville, WI 54028 (NW 1/4 NW 1/4 14 T28N R16W) NA Lot 1 rr.~o~ %o~ Parcel No: 14.28.16.206A10 ~,,~~ 1.) Alt BM Description = `~'; ~' ~ ~' ~~a„~ ~- ~„ ~ ~, S P, p~„~1 ~K, 2.) Bldg sewer length = ~j~ -amount of cover = ~~ ~/ --1-- _---, r -- Plan revision Required? l ~_~ Yes o ~ Q ~ ~~ ~ ~~ I Use other side for additional informati n. __- __~_ -_~ L___ SBD-6710 (R.3/97) Date /. K d 1~ __ --~3~s Insepcto Sign re Cert. No. r • ~ y ~ ~ y o m a cn Z D ~n D ~' a c_ O Z O ~~ N ~ ~ a O s m m c m 3 m N D n n 0 N Z 0 m y °c ~ ~ ~ ~ ~ ~ ~ .'. ~ ~ 3 3 li o w ~ N ~ W ~ cn m N fA W ~f ~ V - a a o s ~~ N C ~ < ON O A m O O O ~ ~~~~ Ul (A V1 O ~ovo~ m ~ 3 °' .. cao~ 0 x a ~ ~ a ~ ~ 0 3 0 m C d Q (D O W ~ a O '' 3 tl! Z fD A ~ T C 3 a 3 d o ~ ~ 3 ~ a m ~ m C tV ~_ m rn m ~ o rn o D s o °o N ~ Q 3 .. o ~ D c~ N w -~ ~ to A Z C~1 A Z O •• ~ 7 < ~ A Z A ,"0 A d rt C O A~ O L7 ~1 T • 0 0 • fi ~n A A 0 N ~ O of °o a- N N O O A ti ti N Oq O A w ~ ~ ~°,, b Safety sail Buildings Division County ~ 201 W. Washington Ave., P.O. Box 7162 ~ ~> t ~ /~ / ^ sVonsin Madts°n+ Wl 53707 - 7162 (~O8) 266-3151 Sanitmy pecmi~Numbea~ (tg)be filled in by Co.) ~ De artment of Commerce ..J oC 3 Sanitary Permit Application . state Plan LD. N ~ ~ ~ ~~ !n aceord with Comm 83.21, Wis. Adm. Code, pcsaual information you maybe used for sxondary purposes Privacy Law, s15.114(lxm) iect Address ( difftrent than mailing address) 1. Application Information -Please Print All lnformati _ . , ~SC~I.r~. ~~ ~~ f (~ Property 's Name Parcel # Lot Block # S /lI - '" D - /~~D "SO - /00 property Owner's Mailing s Property Location • 2 a1~//"' ~~ '/ti ~"- '/a Section ~7 City, State Zip Code L _ /V ~ ~7'DZi 2 ~ `f 7 / ~ Dto T ~O N; R~E lor(~ ) ll. Type of Building (check all W at apply) ~1 or 2 Family Dwelling - Number of Bodrooms Subdivision Name CSM Number ~¢ro3z~g ^ Public/C~tmencial -Describe Use ^ State ownod -Describe Use M Q,~. ~ " ~~ ^City_^Village ~I'ownship of r,~,~ ~jrv[ Lll. Type of Permit: (Check only one bo: on line A. Complete line B if applicable) A' ~ News---" ^ Rephuxarcat System ^ 'Preatmmt/Holding Tank Replacement Only ^ Othcr Modifx~atitxi to Existing System B. ^ Permit Renewal ^ Parmit Revisim ^ Change of ^ Permit Transfer to New list Previous Permit Number and Date Issued Btfor+e Expiratic® Plumber Owner 1V. of POWT3 teen: Check all that a ~ ^ Nan -Pressurised hr-arotmd ~ Mound ? 24 is of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized hr-Growl ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Rceircula ' S 'c Media Filter ^ Chamber ^ Dri Line ^ Gravel-less Pi ^ Otha ( lain) V. Dis rsal/I7reatment Area Information: m Elevation 3~ ea Design Flow (gpd) ign So' Appticatien Roquired Dispersal Ar ~ (sf) Syste Q j / i " Manufacduer ab Site Steel Fiber Plastic Vl. Tank Info Capacity in Total Number ~ r Gallons ciallons of Units w D~~ ~~ Ca~nshvcted Glass New Existing • _ l~{~ Tsnlcs Talcs Actobic Trcatmcta Unit Dosing ~~~ Aso 7S ~ VU. i2esponsibW Statement- I, the nn ass nsibWty for installation of the POWTS shown on the attached Pltmrber~,)Vame (Print) ~ Pl 's MP/MPRS Number Business Phone Number /pro L Nv ~~ /39~by 7/S- ?~ Z~ Plumber's Address (Street, City, State ) V onn /De nt Use Approved ^ Disapproved 3anitaty Permit Fce (includes Growdwater Suroharge Fce) ~ ~ ~ Clv D/ate Issued 7 ~ wing ~ ~ Si~gn/~ature ) e ~ l! r!%/7 L ^ owner Given Reason for Denial r~ ~ 0 ~ - . - lIL Conditions of ApprovaUReasons for Disapproval ~~G~G^~~ ~ 'S^~~-- YSTEM OWNER: '~~GG~~i y~o 1 Septic tank, effluent filter and ~~rrwvr•, ~~.,T"?~ ~~/~ ~,e !/~ dispersal cell must all be serviced I maintained ,, - / as per management plan provided by plumber. ~ ~Q,,__~y ,~ G~-~e~:~ /S~ ~`'~„ 2. All setback requirements must be maintained ~"""'~ ~ ~/ as per applicable code/ordinances. ~%~~`'e~ ~ '~ Honer aompk& i~ (ta ere cowty oaly> for tre systam as paparbbe ka eras ayi : t t taera ~ secc 0 S, tf l~ ~~ SBD-6398 (R. 01/03) w Q. S ~ 11 ~ ~ ~ h s- `~ 1 o t~ J \ ~..~ C.Sw_s....-~~~ '-1~ 14--Z'g -l to ~..~ -1~~~i ~ ~~ ~~"~ •~r << ~~ -~ N N ~ S~a~.~ ~ t ~o~ ~s so ~ ~~ c-(Q~( LL2~~'4 `.,. ~ ~ 1 .~ S.Q-,..~.IS - ~- S~ ° ~ S~~1o~ ~ ,4 ~~w, 13 ..t C~wux .-,oo / Cv-l 01. ~~,~~ 7 i ~~ I `/ ~ ~,. ~~~ \ Z) ~t4.¢~ • ~¢~ ~.. ~ ~•wt +-t ~ ~- ~~ ~,~ ~, ~q 4, F\ i /~ . ~,/~' - S/ q~~ ~~~ SI~~Sa; 1 + b l-o r c~ ` 1~ o ~ 3 ~~s~ ~ ~~~ ~ (w0.a,z} N ~ La-: Lv ~~ S~ die d + ~.o.~.~ 2 Z S ~~~ '"" mow. ~ rt ~ GJ4 v : tQ t7 ~4.• t ~` I zi ~3a~~ ~ .'. ~ ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary July 18, 2003 CUST ID No.222774 HENRY F GROTE CERTIFIED SOIL TESTING E4366 353RD AVE MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/18/2005 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Wes Chapin 250TH St Town of Eau Galle St Croix County NW1/4, NW1/4, 514, T28N, R16W FOR: Description: Four Bedroo_ m Mo~~nd System Object Type: POWT System Regulated Object ID No.: 912143 Identification Numbers Transaction ID No. 886928 Site ID No. 662040 PIease refer to both identification numbers, above,' in all correspondence with the agency.. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • 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. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec.145.20(2)(d), Wis. Stat APP SEE • 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. HENRY F GROTE Page 2 7/18/03 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, . ~/J ~~i~%<G~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 .f Wes Chapin -Mound Transaction # . RFC ~~, F~~~ sAF ~ . ~ 0 Fj y ~~~„ ~ ~~°~s O~~ Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/Ol) Location: NW 1/4, NW 1/4, Sec. 14, T 28 N, R 16 W Town: Eau Galle County: St. Croix Date: July 25, 2003 Owner: Wes Chapin Address: 570 Summit St. `~~111~1~~~ ` ~ Baldwin, WI 54002 ~~~~~~1SIlV ~i~ ~~ ~P ~ Designer: Henry Grote ~ ~ G~ U~~ Signature: ,~ ~~~~\~...•~~ , License # ~; WI D 16 -007 ~'~~''', pE ~;G `~ X1111 Attachments: 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section tonally 5: plan view, lateral detail ~~~D 6: pump tank exit detail ~FCOMMERC 7: pump curve eY ~ D NG 8: system management SPaN~ENC page 1 of 8 r Design Criteria YD'S Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL /' Fats, oils, grease < 30 mg/L `~' Bedrooms x 100 gal/bedroom/day x 1.5 ~' `~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length Z @ Lateral elevation Lateral hole size 5~3z in. @ ~ ~ holes/lateral Lateral volume Total lateral discharge rate Network pressure compensation losses Elevation difference Friction loss Total dynamic head Pump/sip~aon ~ 4' gpm @ Manufacturer ~ pQ- 1 ~ ~ Design Calcul~.tions ~ ~ 3 5~ ~ gallons/sq. ft. per day 6 '- Z~ in. ~ 3 ~ in. ~ o~ err `t' ~5.~ Z ~~'~ o ~ ~•9 '~~.~ SZ , 13.E ~,~.o ~ 149 3 • c71 ~ t •~' to z~ Dose volume ~ ~ t.~L Lift/siphon tank ~~ wS-~~~~' ~t~~ •'kso Co~.~..~ Septic tank ~~ Effluent filter ~ ~~-~~ Measurement pump on and off Height alarm from tank bottom Reserve capacity specs.calcs.res ., , F ~ o g21- l~ 13~ (s ~ t7 1 ~.~ ~h~- g 0 ft. of Z in. ft. of Z in. gallons ft. of ~~~z- in. ft. @ bottom of lateral in. ( 3 • ~ ft.) Spacing holes total gallons ~ gallons/minute @ 3 • ~ ft. head ft. ft. ft. @ 3 y gallons/minute ft. ft. of head Model # ~ 5 Z gallons ~'~ gallons t ~~ gallons in. in. gallons Page Z of ~ .. ,- N / C J c. a,~t. , N Z i o ~ ~ ~ J 1 S 30 1 ~-(Q'~ Lt2~'~'g' '~l ~ ,- '~ S ~ L Z Y-~ 1~ Qom.. ~~ s ",~ ~~`-~ - N `~ . lae--Z'$ • t la ~ ---, G ~. `~ ~. ~~r ~..~~ ~~ ~~~o~ ~ 4 ~o (~ ~wUx f3 \ ~ \1e4o (k~~/ C..-f d1. 4"~ ~ ~, \ ' q4.~'~ • ( ~ ~ ~~~ Sw~So.1 ~ ~.,,,~ ,,s ~ a~~ S~..~ t ~.~~ ~~ ~ ~ s ~. (\ X1-0 ~ o s- c.w +q, `~ ` V .. 1 ~ o-. ~. b o-c \c. (~ "„~ ~ ~ 1 `~-~ (~- 0.a . z} ~Ir-~, Nola-t Lv~~ t~~e ~l ~wQ :Z S~~`."~' L. ~ ~ (~ - l ~ (+ i. •...~ F+~ bw. ~ v~t S a. v : to ~ w~ ~'t `Sw~S~-+-\~~ ~` Z ~ ~~~~@ :. , . _.~ S .z ~~~, c ~o s S S ~ ~. ~.= o~ . . ., .. ~ ~roc.k ~at-~ 0. 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O ~ `r o c. k b ~rX 2'~ P ~ L s ~~, 4o r...,, ~-e `~ ~~ s ®~- ~ `~IL~ PVC Sch }~,~~ ~ e~ Q ~ i~ ~C ""'~ 1a ~` v t v~ 0 1[ ¢ C ~ `r k: v 0. ~ 0.w'F 2., ` «( PvL SC_h ~ O~t~ r. e. •, 4. _- ~ ~ `~ z r 4.0~ s/ \ 1 ` 1 ~, I~ u \h o` v, o .•. 1 <~ tzX ~ e.t~... ~ ~ b o~ o ,r, \ ; ., y ~ 3 b • O " o, e..`t ~ 3 . c7 ' ' \ ~ ) a La~~_~ ~~~~;~ Ch' ~L ,'i .' ~ I.. o -WCKING~GOVfiR ---~ ic/A/t'N /NG ~ /~BE~ , QvICK Dt~C.OVVIGT--1 ~ -c 4 ~ ~, ~ '?7777 ,~~ PIPE 3~ n0 ~1NDISTUa6~p \ Sol ~ /~ r f,-A- SKC. T Jb KrJ I~C.L Dili. 4 G o -vr E C.•r i O 1+S L l.e~ ',, ~-" ~~ SEPTIC f GCSC T ^ u A~~R1~ 6'~ .. 24`' I.D. r1a~,uo~ ~} ~, A \ -- ~F~E a ~ ~ \ ~?~v h O w'Y `a.~ ~ v t 2.~n.~p r~• O ~Z2.•14 !SA D ~.~•°N Ac~RM T ON ~. .n OGF ~ ~ •~ ~, R oR~r I"~nir+ WEATNERPRG~F j .TL'HCT~~r+ h~ ,.. ~~ ~ ~~ I~ ' ;." 4 ~ ~~~ ~~ ~^ f ~~ i ~ N (,L~ ~ I ~ 1 `- 3 o-r' :. ''. ,..a..-.,~.4 ~^'J ~ ~ P urlP C o~rCRFT~ 6~oCK ~~11 SPEG~FI~CATIOI.JS ~~~ M~uuF,~cruacR: u TN-JK SIZ C : I Z~~ ' ~'~ GALLOIJ S %u!r.r MAIJUFAGTURCR:. ~~'e- "Q'~' MODEL IJUMDCR; ~rZ ~WIT~ ~MQ~~Y w UMBER OF DO~CS .'_r ~,,_ Dosc voC.uME IIJC.LUOIIJG dACKfI.OW~ l°z.4Z J,,,;. CAPACITIES: A= 2'~~O IUCHCS Ott ~-~~:a ~._-~- 6= Z' lucks oa 34~~Q ,,_ _ D ^ ~ INS NES GR \~S'b3 ,; .. _ _ _ _ _ N TtipE, ,_ IJgTE: PUMP A/JO ALA0.l+, o,RC To eC PIIIJIMUf'1 DISCHARGC RATE '~~~~ G-M INpSTAILEO 0-J SEP~RATC C,K._ '.; VCRTi:~.t_ DIFFCRCIJCf pCTWCCU PUMP OFf A-JO OISTRI~UTIOAJ PIPE..1~• \ FEET + r, >,;Ih1uM -JETWORK SUPPI.y PiICCiU1lC ~ ~ ~ ~'~ FCCTy ~•°1 + ~~~ FCET OF PORCC MAIN X ~.,...g~-F~ 3~p ~ 3 ~ loo ftFRICTIO-J FACTOR. f EE T ~ ~„ ..--. '"- TOTAL Oy1.1AMIC HEI~p ZZ~4b FEET '~ IIJTER-JA~ DIMEIJ510-JL Of TA1JK~ LEtilG7H ~~~ _;W;DTH ~~ '-~-'~ Llqulo pC PT H PAu~ 6 ~a g --~ -- t' ~~ 0 a w x cv a z r 0 a O ~- FLOW PER MINUTE TOTAL DYNAMIC HEAa/CAPACITY • ~ PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gcl. ~ Lfters Gal. Liters 5 1.5 69 261 77 291 ; 10 3.1 61 231 ~ 70 265 15 4.6 53 ~ 201 61 231 20 6.1 44 167 52 197 25 7.6 34 129 ! 42 ~ 159 30 9.1 i 23 87 33 ',25 ;i 35 10.7 I -- ' -- 22 85 ', 40 12.2 -- -- I 42 Lock Vclve: I, 38.0 FL (11.6ro), as 0 F: (' 3 ~^~i', 0 ~- o I/4 +~ 3 27/32-~-- - - a sia oiasos z~ CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Owik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1521153 Series _ __ 157)153 MODELS Control Selection _ Model _ Volts•Ph Mode Am s Sim lex Du lex N152~ 115 t Non 8.5 1 2w3 BN 152 t 15 1 Auto 8.5 Included 2 or 3 E 152 ~ 230 1 Non 4.3 1 2 or 3 _ B_E 152 ~ 230 1 Auto 4.3 Included 2 or 3 N153 t15 1 Non 10.5 1 2or3 BN 153' t 15 1 Auto 10.5 Included 2 or 3 _E 153 230 1 Non 5.3 1 2 or 3 ' BE t 53 230 1 Auto 5.3 Included 2 or 3 A CAUTION All installation of controls, protection devices and wiring should be done by a quatlfled licensed electrician. All electrical and safety codes should be followed Including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 7 j~i'~ --__n.-___.. '/F I I ! ~ _r ~i ~~ _ ~__ - I ~_ sKZOw SELECTION GUIDE 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. 80X 16347 Z ~ Louisville, KY 40256.0347 ~' ~ ~ ~ ~ Manufacturers ol. . ~ • ri` ~" _ SHlP T0: 3649 Cane Run Road Louisville, KY 40211.1961 /7 ~ /p~7p ® QUAL/TY PUMPS SNCE /~/~/~/ ~~ (50?) 778-2731 ~ 1(800) 928-PUMP http:/IWWw.zoeller.com PUMP CO FdY/Fn9177d_?R7a © Copyright 2000 Zoeller Co. All rights reserved `~ ~ `~ ~ ~' 0 80 160 240 320 tr ORIGtI~lAL' SOIL EVALUATION REPORT Wisconsin Department of Commerce • Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Code 1379 Page 1 of 3 Certified Soil Testing ounty Attach complete site plan on paper not less than 8'/= x 11 inches in size. Plan must St. Croix include, but not limited to: vertical rence point (BM), direction and D Parcel I percent slope, scale or dime o w ap tion and distance to nearest road . . . ARM pPn~ P nt all in o ti .. P=i R iewe Date Personal information ~ptoy$e may e~ p~ ndary purposes rivacy Law, s. 15.04 (1) (m)). -j ~ d ropey caner ropey oca ion Peavey, Bill ~ ~ Govt. Lot NW 1/4 NW 1!4 S 14 28 N R 16 W Property wner's ai i g;~Addres G :,: ~ X ; ~ Lot # Block # Subd. Name or CSM ~ 2530 CTHW N , ~~,:~, S' ~~ ~4,~ CSM Pending ~ 32' ~ er City ~ tat , Cit Village Town Nearest Road ~ Woodville 54028 - 8-2361 Eau Galle 250Th St. L I I l n\ ~ New Construction Use: Number of bedrooms o e enve esign ow ra e !, Replacement Public or commercial -Describe: _ Parent material till Flood plain elevation, if applicable NA General comments and recommendations : install 6' x 76' rock unit mound on 99.4 con tour as upslope edge of rock w/ 1' sand fill for 3 br ~~ ^ Boring # i Boring 101 3 ft 24 in ~; P . it Ground Surface elev. • . Depth to limiting factor Soil A pplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-3 10YR 3/3 - sl 2 m gr ds cs 2f1 m .5 ~ 9 ^2 ' 3-10 10YR 3/3 - sl 2 f sbk ds cs 1 m .5 9 3 10-24 10YR 4/4 - sl 2 f-m sbk mvfr cw 1 m .5 9 4 I' 24-30 10YR 4/4 fad 10YR 6/2 sl 2 m sbk mvfr cs - i .5 l~ 9 5 ~ 30-36 10YR 5/4 cap 7.5YR 5/8,5/3 scl 0 m mvfr - - 0 0 i __ ---- ~- I Boring # _' Boring ~; Pit Ground Surface elev. 98.7 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ', 0-4 1 10YR 3/3 - sl 2 m r 9 ds cs 2f1 m 9 5 ~ -- _ 2 ~ 4-9 10YR 3/3 - sl 2 f sbk ds cs 1 m .5 it 9 3 ~' 9-18 10YR 4/4 - sl 2 f-m sbk mvfr cs 1 m .5 i .9 4 ~, 18-28 7.5YR 4/4 - s 0 sg ml cs - 7 1.2 5• 28-33 7.5YR 4/4 fad 10YR 6/2 s 0 sg mi - - .7 1.2 -- -- - - some me usions sc m or¢on r 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' E lu #2 = B DS < 30 mg/L and T55 < 30 mgiL ame ( lease rant) na ur ~ um er Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 547 1 8/11/2001 715-233-0398 t. .~. . Property Owner Peavey, Bill Parcel ID # CSM Pending Page 2 of 3 yam. Boring # Boring Pit Ground Surface elev. 99.4 ft• Depth to limiting factor 33 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P I : ~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 j 0-5 10YR 3/3 - sl 2 f sbk ds cs 1f/m .5 .9 2 5-24 10YR 3/3 - sl 2 m sbk mvfr cs 1 m .5 .9 3 24-28 10YR 4/4 - sl 2 m sbk mvfr cs 1 m .5 ~ .9 4 28-33 10YR 4/6 - sl 2 m sbk mvfr cs - .5 .9 5 - 33-38 ~ 10YR 4/Ei f2f 7.5YR 5/8,5/3 sl 2 m sbk mvfr - - .5 ~ .9 a Boring # ~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in• Soil Application Rate Depth Horizon ~ Dominant Color Redox Description Texture Structure Consistence Boundary Roots ~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i I _- i ^ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. - -- ~~ -- I --- --- ~~ i 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mglL 'Effluent #2 = BOD < 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. sau-s~~o (a o~ioo) Certified Soil Testing r ~ .- 3 e `~ ~ .s ; g r ~ oo ~ S+ '~. ~ J .~- a J,a c s J n ~ j/^ Z fi 3 3 ~ 1 ~ ~ o ~ e ~ ~. o ~ /~ ~ d ~~ ~~ f ~ ~~ a l~ t ..b 0 1 ~J r L/~ f 3 J .. . .~ Y i ~ a y~ _j O L.' x~ ~~ v v V ~~ U s Z ~ `ja J ~/~ ~6 d a ~ ..i ~3 °~ ~ ~ 0 N ~Y U I J d~- \ a 6A "'~ ~~~ ~ ~; o w v o ~ .mob ..! ~ ~ ~~~ i d ~ t~ ~~ ~~ r ,,,~. ~ ~ J ' ~~ `/ ..a y 1 ~ p3 J i J~ .~ o d ?~ N M1 0 N~ POWTS OWNER'S MANUAL & MANAVtmtN ~ rlJ~lV Page _L of FILE INFORMATION owner E ~~ l~l Pertnh ~ ~ a 3 nF~reru aeaeru~as Number of Bedrooms ^ NA Number of Public Facility Units ^ NA Estimated fbw (average) L~ al/da Design fbw (peak), (Estimated x 1.5) (fv al/d Soy Application Rate / Q . 3S al/da /ft~ Standard Mfluent/Effluent Quality Monthly average• Fats, Oil & Grease (FOG) S;iO mg/L Biochemical Oxygen Demand (BOD51 5220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent fluai'tty Monthly average Biochemical Oxygen Demand (BODE) 530 mg/L Total Suspended Solids (TSS) 530 mg/L NA Fecal Colifomt 19eometric mean) 51 Maximum Effkrent Particle Size Ys in dia. O NA Other: ^ NA •Values typical for domestic wastewater and septic tank effluent. cvctcu sar-CrFrCeT1ANS Septic Tank Capacity ~ ~ .$v - al O NA Septic Tank Manufacturer (/~~~ O NA Effluent Filter Manufacturer O NA Effluent Filter Modal ' J t) ~ O NA Pump Tank Capacity v al O NA Pump Tank Manufacturer NU~~G(_J"f7r- O NA Pump Manufacturer i~L O NA Pump Model ~ ~ .5~7~ O NA Pretreatment Unit ^ Sand/Gravel Fiker ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: A Dispersal Cell(s) ^ In-Ground (gravity) ^ At-Grade O Drip-Une ^ NA O lnln-Ground (pressurized) /~ound ~ Other: Other: ^ NA Other: ^ NA Other: O NA MAINTENANCE SCHEDULE Service Evetrt Service Frequency Inspect condition of tank(s) At least once every: ^ month(s) (Maximum 3 years) ~ 3 ^ ear(s) ^ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Ya1 of tank volume O NA Inspect dispersal cell(s) At least once every: month(s- (Maximum 3 years) ~(~ ^ year(s) ^ NA onth(sl ^ NA Clean effkrent fiher At least once every: year(s) Q~ nth(s1 O NA Inspect pump, pump controls & alarm At least once every: I 0 ear(s) onthlsl ^ NA Flush laterals and pressure test At least once every: ~ ^ year(s) , ^ month(s) ^ NA Off At least once every: ^ year(s) Other. O NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall 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 vrsual inspection of the tank(s) 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 pending of effkrertt on the ground surface. The pending of effluent on the ground surface mfly 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 lY,- 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, WisoonsM Administrative Code. Ap other services, including but not (united to the servicing of effluent fillers, mechanical or pressurized components, pretreatment units, and any servicMg at intervals of 512 mottd~s, shop be perfom-ed by a certified POWTS Maintainer. A service report shag be provided to the local regulatory authority within 10 days of completion of any service event. Page Z of ?~ START UP AND OPERATION Far 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 cell(s). 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 cellls) in one large dose, overloading the cellls) 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. Oo not drive or park vehicles over tanks and dispersal cells. Oo 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 cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soft absorption system. The replacement area shoukf 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 resuh 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. ~~ alua ' o ing tank e ai ~fZDi-11817F~ ~D~ /~/ CO/VS`TRcI~?tOr! 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 7HE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name fib D A S//~ "Z- Phone i s- z 3 ~' Z !~ Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Phone Name S _ f/ ~~~ Phone ~!S- 3gCp- (o !7 This doaxnent was drafted to compliance with chapter Comm 83.221211b11111d1&(f1 and 83.114111. 12) & 131, Wisconsin Adminisuetive Code. 05~`07:I2oo4 11:24 F.9X 715252592 T L SINZ PLUMBING INC sx cROrx coax SEPTIC TAl'ZIC hiA.IN'1'ENANCE A4RSEMEiNT ;AND t)~VNBR,S~(P CERTII~ICATIt~IJ POR3~i ~~ . ~R.S ~ i ~~0.n ' ''~ (hvoer(BuycT ~~.rd ' ,>'`~ ~'/ ~ h 0.l clt,J t 'rl w `~- J~`f O O Z Mailing Address Progeny egddrGSs 25D~ ~' ~~Jt~o (Ycrificat;on Teciuit^ed from Plaaniug Dcpartrneut for uew b2 [~ ooa City/State Wa et'~V' ~ ~~~ ~-~- Pazeel Identification I~Ttunber 1 tit W %., Sec. I~., T~N-~-.~ ~? w~ Tawn of - W T ' Let # Subdivision Certttied Sat'vey Map # ~2,~~~~' ~ Voluzae g J "3 ~ 5~ Z ~ Vvltune~~ ~ Page # ~ 9 J ~4'atrauty Deed # _ ~, -- _~ Spec house Q yes ~o >;,ot Iisze~ identafi~ble (~ Y~ ©no S'O'S M MMTI~'~`ENANG'~ Ituproper use sad maintet~auccoP your septic s'ystan could resuIt in fts pretnntttrc failure to handic wastes. I'tvpcr tnaiarcnanu Out c11G 8tptfC tT4tik CVCS}' ti1~CC yeazs or SootaeT, i£ naadCd by a ]laensed pumFcr• What you put into the system cooaists of puuspi~eg sai ttm. can affect the fi,tnc~on of the septic tank as a ttcat2tlCCt atzge iu the svastc dispo ~ to atxbmit to St. Croix ~Sn3ng Dtpaxcuront a ceTtzficativu fottn, sipacd by tho vwacz and by a 7iic property owner agrcos tv that (1} tho an-alto wssoawatesdisposaf system mustorplttxnbor,]~cy~plttAabar,~strictedplambaroralicenscdptxaspe c~Ym$ tla~a s tic tank is less than 1/3 full of sludge. u Ta pmpsr z"'~ =~'ndidon and/or (2) aRcr inspxrian tild pumping (if nac~ssaT7}, of sal systotti with the staadaids t1+uc~ the au~Clerri~cd havo read the above rzquitromerits and agttie to maintain tSse pxiv,•Tta sewngc dispo cation heroin, as set by the pcpartmuit of Cotuttust;a and tho Dcpa~mcnt of Natural Rasatrrccs, State of'Wiscvnsia. C~fl set forth, ZAaing Officcwithin 3~ cutitsR that your septic system tsas been tunintaiuui must ~ couipicicd and rctut'aod to rho St C~vix County days of tht; ibz'CC~~~ ~xPtxativa date. I--~J/,,,, S l '7 ! b l/1 pAT~ 8I A OF A'I'L CANT' t R ~~+ Ix'I~ N Qur Lpowiedgc. l (wc} stn (arc) the owa~t(s) of T (we} certify that ail statements oa this fom1 are tzuc to thG best of zny ( ) the prgpccty d above, by vittuo of t; wstrsnty dcGd rccssrd+cd in Rogistar of Deeds Qt'Tice. Jam!?!~ ~,~ DA't'k? A QF AFPI;.ICAN7" ,..f.. t being rcvobcd bX the Zoning Dcp~ncnt. ..... ~ p,,ny inS4TlltatiPa tltat is mis-rcptt:setttad may result i.4 the szttitary Pc~ .• lict+tioa: n stampc+d wattanry decd Scm the Aagistor of hoods afI•ice I,:ctude wtih this app a copy of the certified stn vaY ~P ~ ~er6~ ~ p°aac in the ~atY dce MR'Y-7-2004 FRI 11:22RM ID: PR~E:3 STATE BAI~OF ~SCON~IN FOfLM i - T998 WARRANTY DEED This Deed, made between William E. Peavey and Jean L. Peavey, husband and wife Grantor, and Wesley D. Chapin and Tiffany J. Chapin, husband and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Crolz County, State of Wisconsin (The "Property"): Part of the Northwest Quarter of the Northwest Quarter (NW 1/4 of NW 1/4) of Section Fourteen (14), Township Twenty-eight (28) North, Range Sixteen (16) West, St. Croiz County, Wisconsin, more particularly described as follOt4'S: 7 1 3952 /~ KATHLEEN H. YALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED F'OR RECORD 03/20/2003 09:10AK MARRANTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE : 139.50 COPY FEE: CC FEE: PAGES: 1 •din¢ Area Name and Return Address Thomas A. McCormack 1020 10th Ave. Baldwin, WI 54002 Lot Oue (1) of Certified Survey Map dated November 21 2001 and recorded I November , ' o erh a Survey Maps, at Page 4213, as Document No. 663278, office of the Register of Deeds for St. Croix County, X8-1040-80-100 Wisconsin. Parcel Identification Number (PIN) This is not homestead property. Together with all appurtenant rights, title and interests. (~ (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and cleaz of encumbrances except municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants, general taxes levied in the yeaz of closing. Dated this f s+~ day of ~/~~~~~ 2003 AUTHENTICATION Signature(s) authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Attorney at Law (Signatures may be authenticated or acknowledged. Both aze not necessary.) * William E. Peavey a * Je L. Peavey ACKNOWLEDGMENT STATE OF Wisconsin ) ss. St. Croix COTJNTY) /7 ~tr• ~ Pe Wally came before me this ~ day of 2003 ,the above named William E. Peavey and Jean L. Peavey, husband and wife to me known to be the person(s) h executed the foregoing ' ent and ackno ge the same. * Thomas A. McCormack Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: •Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED SEAT ORM No. WI 9C90gNSIN To order this form call INFO-PRO at 800.655-2021 KRTHLEEhF H. WAt,$H ~lEGISTER OF D£EL1S ST. e~Qlx Co. wI RE(~Iti~ FOR REC~ ii-E7-R401 3:30 DM 3.40 fE£: 13.04 CERTIFIED SURVEY N!~!P W/LLIAA~t AND JEAN PEA YEY Part of the 1Vorthweat i!4 ~ the Natttwest 7/4 of Section, 14, Township 26 tVath, Range 16 West, Town of E~tu GaXe, St. Croix County, Wisconsi<r, Leg~td; !txlFcaies ~" 01/tSUdB a0aamster tU~fnd ttbn b~' 2-~" ~ t:avlrt~ 8 miltin7t,~.'!t t ~ i.?3 tbs/br1. !k Set. ~ !lldiGate~s SOI! tJC~b7~ hX sa~fic system. (7wtters Address: "Revised this 15th daq of 'RoM1r~mh~C, 2001.•• 2530 C T.H. '7V' Woodville, Wl 54028 This instrr~ment drafted by caw+ence W. Murphy Nt,~e y f,/RNER SEt'TIDN/+R NORTHWEST CORNER SECTION J4 ! I J/4 "OUTS/QE OJAMETER JRQN !I J/4"D~ItS/,OE Q/AAdETER IRDN BAR f'p[INDI . PIP FOUNQ! ~ f~~r 'Q r tc~ ` IQ A~O.r N L INE Nib Ji4 4 4 ! i f. r' 7 !~ r S 8T•4T'39"E aB~LJO' ~. ` `I '~ ~~ x' a W ~o Q 2 t3' ~~ w~ Ma h~ O ~ ~- V~ . ~ ~f Q ~ 33' ~f,BT~ r~ r }}o L~ ~~ ~. s.. y q 4-43.2T' a a ~~~ G ,~ ~~ alsx83~ J~ ~ \ $~ ~ ~ z a ~.~~ Q W` V~~~ O.~ ~ ~- !- ~~ ~ oa 3 s i. ~ a~ ~- u~ +L ~~ ~ ~, 4 ~ v ;~ Q~~ _ ~ o 4 ~~ 6s. 1 4'. DJF QCRF'S ~ lTit, T5 t Sf?URR£ FEET 3. T" E ~QfRES. /83. ii3E S0~4REFEET FxCLtltJJJV(i RDgp RJ6HT - OF- bYQY N 8T ° dT'39"DF 558.68' U~PL~4 ~T~'D ~~~ ~vV ~ST JI4 1^. VI'i ~~ER Jam. {~ ~JBf IY ~d7 't~~ q Cd'q!j 6i g~~ ~ A9AM ppf~dq p'Y~ ~ a"~m~e v~i'~ spa r'~~ der S ~~ ~3xs's eJsaU:~G~.s (? y~q 1:~~ .ag n .. a ~~~ :~ - - P _y~n S~Y~rz, LEGAL ST. CROIX COUNTY, W ISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF EAU GALLE COMPUTER NUMBER 008-1040-80-075 Parcel Number 14.28.16.206A-05 OWNER NAME: First WILLIAM E & JEAN L Last PEAVEY PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 14 TOWN 28N RANGE 16W '/4160 NW '/440 NW Line Dgscri~tb Line Description TOTAL ACREAG~32.938~P e4T LOT BLK 01 SEC 14 T28N R't6tl~PT NW NW 15 02 EXC RR R/W EXC CSM 15/4213 16 03 &EXC PT TO CSM 15/4212 17 ~(i(/~- 04 FKA 008-1040-80-050 (206A) 18 ~ 05 19 ~ J 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit ~ _ OD8 - !v~-(D~-gU -o7S~ dob~•~g 66527'8 N.A'THLEEN H. WALSH (~ kEGISTEk OF DEEDS ~Cp~©~ 8 - ~a~0 - ~D -' (~ o`ZO(c~d ~-1 p S REC IVEDIFDRCRECdRDW I ~~-~` ~ e-S ~ ~~ l ~{o~l 3 11-27-2041 3:30 PM CGPY FEE: 3.00 kECORDING FEE: 13.00 CERTIFIED SURVEY MAP WILLIAM AND JEAN PEAVEY Part of the Northwest 1/4 of the Northwest 1/4 of Section 1,4. Township 28 North, Range 16 West, Town of Eau Gal/e, sr. Croix County, Wisconsin. Legend: ~ Indicates 3/4"outside diameter round iron bar 24"long having a minimum weight of 1.131bs.Ain. ft. set. a Indicates soil boring for proposed septic system. Owner's Addn3ss: "Revised this 15th day of November, 2001." 2530 C.T.H. "N" WOOdville, WI 54028 This instrument drafted by Laurence W. Murphy DoRTH 0%40b ORAIE~SECT/ON/4 NORTHWEST CORNER SECT/ON /4 / / //4 "OUTS/DE O/AMETEK /RON ////4"OUTS/DE D/AMETEK /RON BAR FOUNOI I P/P FOUND! U~ yPL A T TEp LAND S N L /NE NW //4 S 87.07'39 "E 263/. /O ' ~ I ' 3 i ' ? 2 I ~ O I W J {~ Z 3 ~ co I , ~ o ~ H ~ I ~ o ~ 2 b ~l J ~ ti a 3 ~ ~ M ~ im QI b ~ - p ~I ~ ~ 0 ~I ~ N f~ 33' 33' QOM ~ ~ 3/.87" ~ 4/0.27' 4x3.27' ~ V a.o 6 A-- ~ b LOT / 4.0/2 ACRES, /74, T5/ SOUARE FEET 3.752 ACRES, /63, 436 SOUARE FEET EXCLUD/NG ROAD R/GHT - OF- WAY 526.8/' 6 6' O + N 87 ° 07'39"W 558.68' a h I UNPLA TTED LANDS N N WEST //4 CORNER SECT/ON'/4 ///4" ObTS/DED/AMETEK /RON P/PE FOUNOI ~;a ~' j~~,,,°, , SCALE / "= /00' - . O 50' /00' /50' 200' 300' ~~ ,\ 66 2/87.83' ~ N\ i O\ ~ ~\ O Z \ _W Z ~\Z o ~~ ~Q', .o ~__ a ~~ ,~ ~\ ~ N ~ ~ Q ~ \ ..~ O w ~ ~ Q\ Z ~ ~ ac\ ~ \Q _\ V\ Q W ~\ ~ p ~ Q\ O \ ~`SCOHa,~ . 1 OI ~A~AI --