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HomeMy WebLinkAbout008-1048-20-000I I ~ ~ v Q "' N c ~9 ` ~ ~ I Na su I °o ~ ~ v c ~ I v I °% I ~ I '. Z 0 o' II N ~. Z 0 I o I W I n Z ~ ~ M m a, o ~ f"D O y 9 ur z ~ cQ D o. c O f~D y W ~-~ a= ~ ~ O1 ~ C 7 O s m .~ N C N N a a o' 'm z 0 m N nv,o', C w ~ ', ~ ~ ~ ' ~ ~ ~ ~ i m g ^' ii o ~ T. N ~, o ~ ~ I N VI ~'~ p~t A N II a n' a ~7 ~ W ~, W o ~ ~ V ~ O N N d O pO < A ? ~p ~ ~ ~ ~ ~~~~, y N N ~ , ~ v _v, e~ d c~~D 91 M Q ~ a ~ n m y N 61 N A Vl C• d Q N y W ~ a M f3/1 ~ fD a A pj N I 3 m 2_ c a ~ ~ o ~ n n ~ ~ ~ # m-•o d rn o ~ ~ ~4 ~ Y ~ ~ o can c 0 ~ O N :'.' ~ 3 ;-• 0 m N j A Z N ~_ ~ e_ni, A ~ 7 m ~ ~ J ST m NN` A d ~_. m H O A'+ ~1 0 ~• ~• ~'C~ fi ~~ O 7 N Efl O O O ~- N V N O O A A w N 0'q N ~ ~ ti ti ~.°,, b ti Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTA ~H TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Kroenin ,Kevin Eau Galle Townshi CST BM EI e v: Insp . B M EIev: cription: BM D es Q L j [ p Q ~ C [ . / ~ ]/~ ~.J ~ "~ ~'r.0 t~~iC ~ ~ ~ " 1 TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic U ~r~'L r IZ / Dosing l+ / ~~ (~-~ (~ Aeration Sy- Holding TANK SETBACK INFORMATION TANK TO ~ P/L WELL BLDG. Vent_ to?~~ ~nrako ROAD Septic 7 Zv0' / ~ 2 do ~ ~~ ~ ns~• P kb Dosing ~,~ r Aeration Holding PUMP/SIPHON INFORMATION ~~ Manufacturer G and ~ Pn Model Number / ~„~ tLb ,G C TDH Lift OV Friction Los Syste read- 1 ~ TDH r~~Ft Forcemain Length / Dial ~~ y Dist. to W ell 2~~ ~ SOIL ABSOR1sTION SYSTEM ,l/ On J ~,l/.~_ ELEVATION DATA county: St. Croix sanitary Permit No: 453229 0 State Plan ID No: Parcel Tax No: 008-1048-20-000 Section/Town/Range/Map No: 16.28.16.245 STATION BS HI FS ELEV. Benchmark ~ _ ~ (D - ! 1• Alt. B~--~ (~ Q ~'h ~' p CD Z•!J Bldg. Sewer v 'Z' ~'' St/Ht Inlet SL~-I ~ ~~r--l-a g • ~a c~ SVHt Outlet Dt Inle ~ -~ Bottom zs I. ea er an. c• ~.c,~ /03. Dist. Pipe d~.7 Bot. Systerr~, I t, ~ •~ ~ ~ ~ ~~ ~ ~ • ~ Final Grade o ks s c~-- 2 ~ ('~ ~. ~ 6 St Cover ~ / -~~~ v's ~DN• 3.3 ao trt 6,.~ I S ~~ 3,~ a ~, 3 ~.zc. ~ vS. ~ ~ 8: ~ BED/TRENCH Width Length No. Of Trenches PIT IMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ / ~~~~ SETBACK SYSTEM TO P/L / BLDG WEL LAKE/STREAM LEAH Manufacturer. INFORMATION ROR Typ O~S~y~stem,:,,, ~ ~` /~~ > ~~(~~ ~ ~ -1 ~t~ ~ ~ UNI Mode N pgr:~2CRSS 1J t/~rw- V `„-' / DISTRIBUTION SYSTEM .J I ~Xd i .s~ a ~ .1T~.d Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake o Length_~ Dia~ Length~2 Dia~_ Spacing~_ 2, 1 SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Svstems Only C~'-~j S Depth Over L .., . 0~. "" Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center 1"T ~ V Bed/Trench Edges Topsoil ~~ Yes '~'i No (~~ Yes~~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 12'~ /~ Inspection #2:~/? Location: 332 Ct BB Woodville WI 54028 NE 1/4 SE 1/4 16 T28N R16W NA Lot Parcel No: 16.28.16.245 1.) Alt BM Description ~ ~-~S 2.) Bldg sewer length = ~'~Z ~ - amount of cover = .~ ~ / 3.) Contour=~ ~~~ rr! / - -i Plan revision Required? [j Yes ~ o ~ ~ Use other side for additional information. ~_ _.___ SBD-6710 (R.3/97) Date Insepctor's Sig ature I__-1_-L____L__-J Cert. No. W~•7 ~ ' J~ i Safety sad Buildings Division l//.~ 201 W. W~~ingtoa,t4ve., P.O. Box 7082 ~ Madison, WI 53707 - 7082 Sani Ptsmit Num to be Stied in by Co.) ' 8 261.b546 Z 2 ~O~S~~ ~~ , umber ~~ D. N State Play 1 Department of Commerce PPliCStiUII Sanitary Permit A q9~3 ~ = ~S ~ ~a ~~ °"`~-~="=" =-°~nPrO~dC Projcet Address (ifdiffereot [hart mailing bdras) (a accord with Cotnm 83.21. Wis. Adm. ses PnPe~ w, sS(R7CR'd ~~ { ~'~ ; ~ may be used for secoedaty pttt'po ...4 licationInformation-PleasePrintAlllnformatio ~~~ + ,q ~~ ~- Lots BlackA ' I. App ' € Percd # ` I "" . 2 `fS PropettY Owner's Name / e~ ; „ . ~ C.,'~:.. ~ ~ ~~ :~ - l'' ~, (~ ~ .._ Property Location , ~o~, (~vnrs'~ -~t~tliag Address /'~ /L i 3 3 Z ~ Phone Number l" --- Zip Code ~ i Z~-'t~N; ~ (cl or on ) City, Stale i / 1 w (/ f SYildiII (cheek all that apply) S ~ ~t ~,t._ 1Q, c o 8 . (~ QCf2 ~ rooms 1 or 2 Fatuity Dwelliaa -Number of Bed ' r ^City_cr•'Village ~Q of ^ liclComtnercial - nacribe use 1 O I, b O $ x ~ / ^ state owned - Desrnlx Use °p s , lIL Type of permit: (Cheek Daly one boz oa Ilne A. Complete line B if applics~b`t~em~t O~y D Offer Modification to Exiatiag System A, ent System Treatment/Holdiag Task Rep ^ NCw System List previous Permit Number and Date Issued [] C~yge of ^ Permit Transfer to 2Qew B. ^ Permit Renewal ^ Permit Revision Plumber Owner Before Expiration _•----- Dead <24 in. ofsui[able coil ^ At-Grade D Single Peas Sand Filter ^ IV. T e of POTS S stem: Cheek all that a 1 ttcer ~ ^ Noa-Pressurized la-Ground ~ Mound>_ 24 ia. of suitable 1 Aerobe resattent Unit ^ Recirculating /~ .r eat liter ~~ ~ajy~h r Coastruemd Vyetland ^ Pressurized !n-Ground D Holding ^ Other (explain) thetic Medu Filter ^ I.esehia Chamber ~ Drip Line ^ Gravel-less Pipe Rocircutatio Syn pzaa PropoSCd (sf) S ~~ ~po~ V. Dis ersal/TreatmentArca Information: ~ ~_ ___l pro, Reyvired (sf) Dis ~i~'j Design Soil Applitasian Rate(gp n P6`i~° /S Deli Flow (Bpd) ~ ~~ (/ Site Stool Fiber Plastic ~ Numba Maz'uOC ~~ Glass Capacity is Total Concrete ~ Constructed VL Tank Info ~po~ of Units w ~~yla1l. ~ ^'~~ ~,~, t3sllons 1Vew Fsittiag Tsnks Tsnk+ Septic oc Ho{ding Teak 2 .~ Aerobic Trsata><at Uak 1)osiag Chanrher 1' ~ for iastallarion of the pOW'rS sbawn oa the attached plans r ~ the enders assume napanaibility I g•usinecs Pho~ ~~ t , /~ VII, Rapomlbility Statement- I. MP/MPRS Number I ~~- LV Plumb gnature ~~ Plumber'sJName (Print) {°~.-C.K,i ~ r ~~~ Plumber's Address (Street, City, State, Zip n / J dJ ~~(~ ssui g Agettt Si a (No Stamps) aRmeat Use On1 Date issued VIII. Conn /D Sanitary permit Fee (includes Groundwater proved Q Disapproved Surcharge Fee) ~ ~ ,_„ SZ(~o ~ ^ Qwacr Given Reason for Denial n _ _ ~ roraUReasoas far Disapproval 3~ ~ i ~ 0~~ ~ l ~ IX. Conditions of App / S ~~ SYSTEM OWNER: ~~ Gut 1 Septic tank, effluent filter and i ~~ I i dispersal cell must all be serviced I mainta nod 1 ided b lumber. rov P nt Ian Y as per manageme p P 2. All setback requirements must be maintained as per applicable code/ordinances- sin = II lochs la »rs a OI left 1hi Attach eompkte Pees lte the Causty only) for tbt system ea paper • = ~~ C~ i.>zn_~~4R (R. 081021 ~~,.: , - '~ PLOT PLAN _.ri Kroening ADDRESS 332 Ctv Rd BB Woodville Wi 54028 ~~ E I /as 16 /T 28 N/R 16 w TOWN Eau Galle COUNTY ST. CROIX ~^ S Shaun Bird 226900 4/24/04 BEDROOM 4 ' DATE ~? ONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of 1/2" pipe , ASSUME ELEVATION 100 Filter Zabel A-100 ^ BOREHOLE O WELL "`H.R.P. Same as Benchmark SYSTEM ELEVATION 103.1' 1.5' sand lift Alt. B.M_.~\ Top of 1 /2" pipe C~ 100.0' Scale = 1 /4" = 10' , oo~ Bo ~. ' 102' B-Z n 11 % Slope Grading is to be Cty Rd BB done to divert B-1 run-off away from system Area 15' below o~ ~ ,~ ~ system is to remain undisturbed 6-3 Tank is to be properly bedded and provided with lockdown covers with approved warning labels Huffcutt Combo Tank SEE CORRESP(~IUENCE Old Tank S~~ 1 ~ Overflow i '~ z d House to be rn down and place with a ~w 4 Bedroom 1320' Property Line (40 Line) buried ~ >200' to well commerce.wi.gov ^ ^ ~sconsin 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 May 04, 2004 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI 54017 A7TN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/04/2006 Identification Numbers Transaction ID No. 994346 SITE• Site ID No. 682688 Kevin Kroening Please refer to both identification numbers, 33 Cty Road BB above, in all comes ondence with the a enc . Town of Eau Galle St Croix County NE1/4, SEI/4, 516, T28N, R16W FOR: Description: Three Bedroom Replacement Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 955526 Maintenance required; Replacement system; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/01), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O:%O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the approved plans, the "Mound Component Manual for POWTS -Version 2.0" SBD-10691-P(N.O1/O1). The pressure network is to be constructed in accordance with publication SBD-10706-P(NO1/O1) "Pressure Distribution Component Manual for POWTS - Version 2.0". • A Sanitary Permit must be obtained from the county whare 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. Stats. • The azea within 15 feet horizontally below the system shall remain undisturbed. Vehiculaz traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • The existing POWTS must be abandoned per Comm 83.33, Wis. Adm. Code. • Comm 83 22(71- A co~• o~ f the approve~lans 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. P.0.~4~.T.~. CoYiditionallj~ SHAUN R BIRD Owner Responsibilities: Page 2 5/4/04 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608}789-7892, Mon. • Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 :code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 r Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 EE. Vtii v ,r~~~ ~by~1N sq,~ A9FCF~~FO ~~q ~e~0~so~v. Date: 04/24/04 Owner: Kevin Kroening Location:NE1/4SE1/4 S16 T28 N,R16W 332 Cty Rd BB Eau Galle System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01 /31) Pressure Distribution Manual Version 2.0 (01 /31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. Soil +~~+ Shaun Birc Signature License rn ~.~~ - • PLOT PLAN PROJECT Kevin Kroening ADDRESS 332 Ctv Rd BB Woodville Wi 54028 NE 1/4 SE 1/4S 16 /T 28 N/R 16 W TOWN EauGalle COUNTY ST.CROIX 4/24/04 BEDROOM 4 MPRS Shaun Bird 226900 DATE CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 MOUND XXX SEPTIC TANK SIZE ---- HOLDING TANK SIZE LOAD RATE 1 •0 ABSORPTION AREA 600 # of chambers none ,BENCHMARK V.R.P. TOp Of 1/2" Pipe ASSUME ELEVATION 100' Filter ZabelA-100 ^ BOREHOLE O WELL *g,R,p, Same as Benchmark ~ SYSTEM ELEVATION 103.1' 1.5' sand lift Alt. B.M.I~ Top of 1 /2" pipe @ 100.0' Scale = 1 /4" = 10' B-2 ;ty Rd BB L~B.M. 100'101~f'102' B-3 Grading is to be B -1 done to divert run-off away from system Tank is to be properly bedded and provided with lockdown covers with approved warning labels Huffcutt Combo Tank SEE CORRESPr~NUtNCE Old Tank is to be pumped and buried >200' to well Overflow ~ Old House to be torn down and replace with a new 4 Bedroom House 11 % Slope Area 15' below system is to remain undisturbed 1320' Property Line (40 Line) ---... ,~~~ r Designer No Date Non-Woven Filter Fabric 4" Observation Pipe Perforated Below Filter Fabric A.S~ C-33 5ond~ ~O "Topsoil --- __-...~ ~ ~ ,; s ~~l~w~~ 0 flowed foyer ;n ~, S ~ 'E. ~~ i F G ,~~~ hl~~- _ _ ..~ . _. -- L 4~Observation Pipe-~ ~_ K j ------------------ ----------------------- - a A ~ ~ Force Moin -° ~---- ------------- --------------------- From Pump c ~ ~ ~ ~, ° Distribution Bed Of /2 ~- 2'2 ~ ~ Drcin RocK Pipe I ',, ~~ 4nOb>cervatic~n Pipe ~-:~'c~;~ Permonent Morker ~~5~'- % /~ ~ 't~i~~-~ fiv~~~~ ~ Pe or Rods Pion View Ot Mound acing A Bed For The Absorption Areo Distribution Pipe j' 7. SIOPe fled Of {f~- 2 %2 Force Moin I ~ ~ From Pump Drain Rock Cress Section O1 A Mound ~S stem Usin A Bed For The Absorption Area p ~_ Ft. g ~Ft. I Ft.~ . - ~ ~~~ ~~Ft. . ~ ~ Ft. k'J~ . Ft. PAGE_ ~F /~tt t tOLOted Qn f30ttOm, e Eq~+at}y Saocea FER53 1+id.L 1~lEKT TO CannsG~"Of '~ ~ Il- 7isiribution Pipe Layout u. r 2 ~' LL.~~ ~~~ P /' ~ Ft . R ~ F#. X ~-7. Ynches Signed: License Number: Gate: ~° ~ 7.~ Inches ,~j Rote Diameter `~/~~-Inch Lateral .u ~- 'Inch{es) Manifold `~ Inches _..,~._ Force Main ~ Inches # of holes/pipe 3 ~ Invert Elevation of i.aterals~Ft. Perforated piD~ fle10tt ANg SQEL~iICA?IOKS C$QSS SECT~G~ pTZC T~K ~ Pt3Mr~ C~,~p,~8£.R SE uEyt~RPROOf RpFRQV ED }Z.. ABpYE ~g1gDE ~ Ji3NCTI4N' 80X Mprftf4LE COY Eft KYH - WT;TK COh:DU;T WI gp~lACx 5 4„ £;~ VENT D4flR. i,tlNDaw 4R WARIiIIi6 tABE.. ~~ £`ROIS ~ ~„ yI1~ - FAES~ ~tA ;KI'Al~'F ~ ~~~r~Q ~ r. s•R'' ~$uMiM- i~'~ Its • ~ ` ~ . IKLET .. -- ~ SIGHT = •; . ~Otii'tS NIPIFE i„iATER TI6 H'T 5 ~~ sFa L APPROY~ ~--- BLit _ ,~ ~ T FF APPiIAV~ PI~'E SID flPP ELEV - ~---- T- D ONi~ ~bEP SOIL K ~ ~ c ~~gETE pAt) BEDFING Vi+tDEg. 'TAN ~ 3 n AppROY ~ ~ / ,,.. SPr~CATTONS - 3+iLIHBE~ oOSES P ~ / DOSE ~~£ y;a~ME ~NC~K~--~ G.-b;~i,. ~~ GAL. _ ~. /Z3~1CttE5 = SEPTIC ~ 6AL • ~y_ 2211iK SI ES % DpSE GAPltCITi£5" S ,--~ - ZI+~HEg = ,, s S ~- MODEL ~~SER": / C = _~, ,~;NCHES - ~--- SUiZ'1'C8 TYPE = ~ Q Z~1;£S =~.cs~~~-~~. ~ - 1-- i5.23 wI-c pyl4P MA~RJ~'~~R~ = _ ~s.~ , _ ~ - ' ~,c PF.R 11.H8 ~~~ • _,~c"~"' PtI3°fP t: ' AL-.ARK i~TZAZi~G . K~;TCii TYPE _ J f EET ~[~ FPM ,f.ipN P~ZPE - J' -L'EE? REQ~IRF1) D;SCt~~E BATE put~FP fli #' AI+[I3 DZS'~IBU - - `7 FEES C'E ~~TUi£EPi _ FEE? FR;CTI Ott FACTOR v8R'!'ZGL DZFF ©Ax SiJPPLY PRE~SURPTI~DD•fT`• NAI"~~C ~~ ~ ~ MZNIMtTIi N~'1'W ~ ?flgAL g`f~ DIAnET£A --~~ { FEET FORG~I~ X ~„""" l , ,3 w~pT~t ..SG--~- LENG?H~ ~~. TpT£~tHAL ~IMEN . DA-r£' :188 W W g ii 50~ 12 40 °a w S U Z r 0 J 0 4 U I tfzs ~ 80 160. 240. 320 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. ~" • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box avtailable forioutdoor installations. See FM1420.- • Over 130°F. (54°C.) special quotation required. 1521163 Series 15y153 MODELS Control Selection Model Voha•Ph Mode Am s Sim lex Du lex N 152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E 152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N753 115 1 Non 105 1 2or3 - TOTAL DYNAMIC HEAD/CAPACITY PER. MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gol. Liters Gol. 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 23 87 33 125 35 10.7 --- --- 22 85 40 12.2 -- -- 11 42 Lock Vaive~ 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 3 27/ i 32 32 3 sKZOe~ BN153 115 1 Auto 10.5 Included 2 or 3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Included 2 or 3 FM0477 t f R . er o switch. e o CnurlON 2. See FM0712 for correct model of Electrical Alternator E-Pak. All installation of conUols, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All electripl and safety modes should be followed including the most or 4 float Stem. O ~ recent National Electric Code,{NEC) and the Occupational Safety and Health Act{OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. rfaa ro: Po. eox 1x347 Louisvi8e, KY 40256-0347 Manufacturersof. . L7 SHIP T0: 3649 Cane Run Road ~lO ~L,,~~ . ® Louisville, KY 40211-1961 Q~TYPUMPS ~NCE ~3e%! y r. PUMP !O. f502) 77F~ 31.1(800) 928-PUMP httpJ/www.zoeller.com (502) 774-3624 © Copyright 2000 Zoeller Co. All rights reserved. _ ENT Pl•AN Page ot- • Pow,cs owNER'S MANUAL 8~ MANAGE1Vt SYSTEM SPECiFICATfO,NS • • ~~ ,SS•.~" al DNA FORMATION ~ SeP~c Tank tAp~y ~ F[LE IN ~ l,~o ~'`~~ $eptic Tank Mant~~cer Pemt~ ~. Efffuerrt Facer M~rpr .mac- ~ NA .MOd~ •-- ~~ p f+lA OESItiN PARAM~ . d Nq EPlluent Ftitet al ^ NA Number of Bedrooms Pump-Tank CapacnY NA Number of Comm~l Units pump Tank ManufadrJrer aVd DNA' Est (low ~~~ • ~ ~ al/d .` .Pump Manuladurer ~,~- ~ ^ NA • (t3timatsd x 75) ..•.. pump Model ~ t3ost9n t~ Rstie ~ , ~ aVda ~ pro~trnent Unit O Peat Fater NA So>! APP~°r' Monthly average p SandlOrBvel ~~ '+ yyetland trrfluertt/E~tient Qum' Sap mgn. ^ Mechanical Aer'~n ^ Other. Fatsr Oil b ~3rease BOO ? 8217 mgt O Disinfection Biochemcal Oxy~ pemand ( ss s~ 50 m /L Manufacturer • Totai Susp®nded Sotrds {T ) cBal Cell(s) Monthly average Dispe ^~.g round {pnassur¢ed) Pry Effluent Quality O in.~round {gravity) rand gOD,) 530 m9n- ~ gtgrade ~~^''O`~~dyer_ Biochemical Oxygen Demand ( 530 mglt- ^ pri aria . Total S~pended Solids (TSS) s,f0. d~400m1 ~ ..,e pl fcr doh (noaeamnYn~a9 rrasts~~ Fecal Conform (geometric mean) Vaues tyP~ Y inchdiameter ~,~~uent .~ Values types for pret~~'"~~°tar. Maximum Effluent Particle Size . MAINTENANCE SCHEDULE Service Fre4ugn~ Maximum 3 yrs.) p months ar(s) Servtee Event of tank volume At Least once every uals one third (K) Inspect Dpnd'rtlon of Lsnk(s) when combined sludge and scum eq r(s) (Maximum 3 yrs.) Pump out contents of tank(s) ^ months At least once every ~ months . ar(s) Inspect dtspersai Dell(s) At teas( once every ^ months s) O NA Clean effluent biter At (east once every inspod Pump pump oontro[s 8 atann ^ months r(s) ^ NA At least once every a s O NA Flush laterals and pn~sure test At least once every D months D ye K ) oa+e~ ^ monff+s fl yasr{s) O NA At least once every other. n one of the foslowing 60enses or MAINTENANCE INSTRUCTIONS an indivlduat catTyi 9 dx~n POwTS Mamtafier. SePrage Inspedbns of tantcs and ~er+sai tails shall be mRad~e t: ed Sewer: PCVIri•S fnspe ~ identifjr arty missfig or brotoen moons:. Master Plumber, Master Plumber on of the tank{s) for any bade uP ns must Include a visuai inspecti a and scum and to check S9 pl~erator. Tank inspeDtio asure the volume of combined sludg !t lnspe~ ~ d'1edc (fie effluent levels hardware, tdent~ any paw or leaks. me The disperse( cell(s) shalt be visas y riding of effluent Dn the or ponding of effluent on the ground surface- riding of effluent on the ground surface. '~ po autl'-odty. plPe~ and to check for any Po ulres the Immediate noti}Icattion of the local regulatory in the observatlce or mdre of the tank Volume, the ground SttAdCe may indicate a faTng condition and req uals one-third (~ ~ ~ fi accordance +~ ~• NR 1Nhen the combined acwR+ulation of sludge acid scum in any tank eq nffi of the tank shall be removed by a SePtage Servidng Operator and disP~ entire oon~ re~t~ent components; and any 113, WiSCOnstn Administrative Code. orients, p POWTS Maintainer. of effluent filters, ~hanicai or pressurized POW'rS comp rfoRned by a certifted The nQ at intervals of 12 months or.iess shall be A~ o f compienon of any service event other mafntenan~ or monito ~~ ~ the Iocat regulatory authority within 10 days A services repot-t shall ~be pnril roducts or other START UP ANO OPERI4T10N treatment tank(s) ~ ~e P~~~ °f painting P pOV1('fS chedc• areal cell(s). if high conoentrabons are. For new coon, Prior bo use of the mss anQlor damage the clasp riot to use. cfiemicafs that may impede the treatment p o rator p dBteCied have the contents of the tank(s) removed by a septage servicing pe _ _..._ Page ~~ of~~ '^~~'-? fi-ozen at the inf+ttradve su~~• t conditions are IS ~sbDred th8 e7CC7PSS System start uP malt not occur when ~ at~~ nonnat htghvYater levels. When ~r surd may result in the es Pump tanks may ~ cart(s) in one large dose, overloading the oe~[s} During P~ °~g • m the dtspe~ have the contents of ttte pcuttp ta3nk remov®d~talner t4 vras~t~ Mn~l tae dtsc~8ed ~ -rp avoid his sitxiation m ~ contad a Piumher or POWTS digchasge of efft~! to the effluent pu P amp mnl badalP t0-~ is within the p . °r ~~ O trot P~• Serge Servidng t~ to restore normal rave ~ over. ar ot~ietwise disbiub or ootnpaCt, assist In manually oPe~ng tt~e Pump 0°n~ ~. 1Jo not drive or pa . ~~ ~nfcs and dispersal tion area- Do not dtTMe or ~~ veh~sb cf any mound or at-grade soil abscrp ~ e ttie perfi~rtnanoe and prolong the Gte the ar,sa rvttt-in 15 f®et dawn ~ f>bm the wastewater stream may imp ~ . dent~a! }loss; diaper suction or.etimination of the ~g ~~~ butts condoms ratton swabs s g~ g~~ herbidd~; meat entiblo6c~. ~ ump~ water, trait and vegetable pee 9~end ~~, ~~~ brine. of the POWTS: n drlsfn {suurtP P. disktfectan~: ~ ~~~. roducts~ p~tiddes: san~rY napkins: tamp ~~ moons, o0. painting P stroll tyg taken ro tnsurs that the ggANOONMM~T ~tttly.taken outer ch. Comm 8333 ~scortsin gdrntnistrative Code: When the POWrs faits andloa~ dotted In oompl'rance ~ openings aeai®d. system is propedY ~d.~~~ needed and the abandoned P Pe a Servicing Operator. lts sh ~ sh i ~ removed and property disposed Of by a Septa9 Ad piping to tantw snd p ~ ~~~.~ the void space .. The contents of alt tanks and p' umPtn9, a1[ tanks and pits shaft be excavated and removed or their cove After p or another inert solid material. fined with soli, grave! measures have been, or must be taken, b0 provide a code CONTINGENCY Pi,~-N aired the foHowtn9 If tl,e POWTS fails and Cannot be rep tocation'of a replacement soil comprrant replacement system. has been evaluated and may be utilized for the coon and should not p A suitable replacement lea from disturbance ar~ cam v~ve(Is. Failure to .~ r+ePiacement area should be protected sec! sere, tot tines and absorption systen • required setback from e7Q~n oaa new soil and site=evaluation'to establish a surtabte be infringed upo by uit in the need prated the replacement area wig res ms must comply ~~' the roles in effect at mat time' advances in POWTS replacement area- Replacement syste le re laoement area is not avaitabl as a last re ort tto Place'We failed POWTSng POWTS a soH.and p A su>tab . P ~~ may be installed n failure of the technotogY a holding a seirtabte replacement area. uPo nt area is ava'slable a. not been evaluated ti° identify If no repiaceme e site has to mate a su"tffible replacement area. site evaluation must be Petform~ last resort to CePiaoe the failed POVYTS• fo[Iowin~ removal ~ the btomat at oldng tank rosy be ~~°d ~ terns may be reconstructed in place nd and at~rad~ Re~~~~ of such sYstams must comply with the rules ~n e~ at that time. i~~~ a swfia the infitttativ ~~yyARNINCs'» ~~ TANI(S MAY CONTAIN LETHAL GASSES ANDlOR INSUFFICtJrNT OXYGEN• C[ttCUMSTANCES. DEATH MAY SEPTIC, PUMP AND OTHER Tt~EA p0 N07 EN'T'ER A SEpTiC, PUMP OR OTNt=R TREATMENT T~K UNDER OP A P~pri PROM THE ttyTEtZIOR OF A TANK MAY BE DIPFtCULT OR IMPOSStBt.E. RESULT. , REt3CUE ADDITIONAL COMMENT S POtKTS INSTALLER Name ~ < < L~ ~ ~'" POWTS MAIM'AINtJZ Name ~~ ~-1~~1~/~; Phone ~JJ'~-- Z~ (,~' .~ Phone i /,1"'-'G- OR PUMP>rR LOCAL REGULATORY Ai~ORRY SEPTAGE SERVICING OPERAT agency `~T ~ ' '~ '~ Name ~~v,~~ Phone ~~ '' J j~ fsnCies. This do~~ meets Phone /~~`~ Q Sanitation' ~ t does not of the C;roen tsice. Marquette and Waushara Courtly ZonJn ~ Code. Use of this Qoeumen Tn;s document was dialled bY. the stalls 1 a ,r,e E3.54(t }. (2) !t (3). w,sopnsin AdrnintsV~1° GM`~r (1Jt)t) the minimum nrouiremants of dL Comm 83.22C1J(~+X X~ {~ guarantee the periorrnanoe of the ppVYTS. Wisconsin Department of Commerce SOIL, EVALUATION REPORT Page of Division of Safety and Buildings rn accoroance wnm ~,omm a~, vvis. ram. ~,oae Coun H ~ ~' ~ T p 1 Plan must Attach cem lete site er not less than 8 1/2 x 11 inches in size lan on a p p p . p inducts, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ~ -' °"~ - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. D ~ Please print all information. Personal information oses (Privac Lsw 15 04 (1) (m)) o r id m d f r seconda ur s b R ewed by Date J ZQ ~ y , . ov ry p p y . . u p e ay e use o Property Owner ~.~,~l~~~ ~~ ~ ~ ~ rty Location 11 ~ N R~1 E (o W ~ 1/4~~/4 S T , . ~ d Go Lot o Props Owners Mailing Address ~ f Lot Block # ~-- Subd. Name or CSM# .~ l ~ ~ ~ ~ 200 ~ ,el ity Zip C S tat Code Phone Number ~ tiY ^ Village T Nearest Road / ~ d ~ `~ ^ New Construction Use: Residential /Number of bedrooms Code derived design flow rate GPD Replacement ublic or commerdal -Describe: _ ___. _ __- Parent material ~, Flood Plain elevatioriif applicable ~ / ~ ft. General oommerlts ~~ ~ ~~~~~'~_ "v and recommendations: -y.~ -~ ~ ®~ t Y /v sC K E~ ~~~~ L ~ ~~ r -C. ow ~- ~ ~~ # DQ n~ ~ ~~ ~'~ ~~' Pit Ground surface elev. ~ ft. Depth to limiting factor m. Soil ication Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP O/fF in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 •Eff#2 .~ z ,.~~ s~ A ~ C r ~,,,.. . .~ - a -~. ~~ ;~~a -~ s/ ~- ~ ~ N ~~ , a , ~ ~ Boring Bori # ~ pit Ground surface elev. ft. Deptt1 to limiting factor Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDr'ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 / (~ ~' b ~ ~ M-Q- b ~ ~ I d ~ F ..~ ~- L a.~,~ 16 rl l 3 Sl r- Yri - ./f2 ~t/l j r R: • Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 1 'Effluent #2 = BoD < ;iU mg/L ono i ~ < 3u mgft_ CST Name (Please Print) lure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 d~-~r/~~ 715-246-4516 ~. Property Owner Parcel ID # Page of Boring # ^ Boring 3 pit Ground surface elev. t ft. Depth to IimiGng factor ~ in. Soil licatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlff r in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 b .s ~ ~ ~ ~ t-- ~ , a , a ring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIf~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Ong # ~ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Cdor Redox Description. Texture Structure Consistence Boundary Roots GP Dfff in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODE > 30 < TLO mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 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. SaD-8330 (8.6/00) - - ~ Soil Test Plot Plan Project Name Kevin Kroening ~ Sha Address 332 Cty Rd BB Woodville Wi 54022 M #226900 Lot ----- Subdivision ------- Date 4/24/04 NE 1/4 SE 1/4S 16 T 28 N/R16 W Township EauGalle Boring ~ Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1 /2" Pipe System Elevation 103.1' *HRpSameasBenchmark 1 75' Alt. B.~.~ Top of 1 /2" pipe C~ 100.0' , * Scale = 1 /4" = 10' , oo~ Bo :.~' 102' >200' to well ~_ ~ (lvarfln~ni i sc~~ rroperty une (4U Line) .~, ST. CROIX COUNTY WISCONSIN ZON=NG OFF=CF ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 Page ~[_ of COUNTY ON-SITE VERIFICATION FORM Inspector: /~ J~..l Date: Y'^~. ~ ~ 200 `~ ParcelIDNumber ~o?-~o~(Q -20-ago .2~) roperty vrner ~~ o~ e ! ~ Props ovation (or N~,J~ sE,Jd ~ ~6 TLg N R «O i tiJ .~ ,~n - ~ ta~.~t Progert9rOa-nar'sMailingAdcMess ~- 332 CTtF - ~~ lAt~ Block# .v 4tr¢. c dY ~,,~~~.ll~ Slate p ode s Num er wT s'Eo2Q c ~ ^ Cdy ^ VGlage n Nearest ~ U+4~L~ C~ctl- - 6g '~^ NswConstnrction llse•,gl tiesidsntiaiJNumberofbedroorns_._. __. Replacement ^ Pubiicoroommeraal-Describe: __......__...... ParerA material _~ ,._ Y...,_._--_.-._~ _ _-_,,_, _ ._._......_ _._._. _ andd rec;on~imnendations: ,(1~ ~ S l-'~ C~1 o-r ass ; s ~ _._._ Codedsmreddesignfbwrate_.___t'2~__.~_._--___GPD ._......_.__.._............_......_...__...._.._..._.._......_......_...__....._.._.._._.____.---._.......____._______~. Flood Plain elevation if applicable ____ _ ___ ,._.. V . _. _._~_~_._- ft• t. ,~.~~ {-- ~ S ~'~ S 14+6 y .xr~ ~e~ S'~• Pik Baring SJ ^ Being - ~ Q~ ( rr Pit Ground surtacs elev. _----ft. Depth to limiting factor _ ~2 -- in. Soil licatiai Rate Horimn Depth DaminantCobr Rr;do~cDesuiption Texture Struc4ure Cmsistence Boundary Rods GPQ+1~ in. Munsrtl Qu. Sz Cant. Color Gr. Sz. Sh. 'Etf#1 'Effa2 - 2 N `iii` 3~ - S i ( 2 ~.. ~ N~ ~r C S 2r.. • (o 1 ~- -S 0~'t2 ~~3 Z cQ ~- rb S ~ ~" S-f a YrL.b f C Z~ SYa 6~(o S %( r ~' t / s. Conditions: /V fl ~' 'f" 7" ('~( _.----~ Soil Survey description: Notes: r. f~ C~.. +d4 ~~~~ FEE: _~.~'" ST. CROIX COUNTY.ON-SITE VERIFICATION FORM PmpertyOvmer_~~~~~G- ParcellD~_~!Q_..^ ~~~~ ZO~~ ~ Page -- ----n C ` Boring ~ ^ 8oring~ ~d~ u ~PIt Ground SUriaCta ele __........ _.._ _. ft. Depth to limiting facbr _.._._z~ ............... in. Z~_ ~ Rill Ann inat~in r~aEa Horizon Depth DomirtantCobr RedoxDescription Texture Structure Cansi~tence Boundary Roos GP DitY h MurrseU Cu. sz. Cari. Cdor Gr. Sz. Sh. 'Effitl 'Efi'tx2 ^ Boring ~ ^ Boring ^ Pit Ground surface elev. _T_«_ft. Depth to limiting facbr._____ n. 5dl MGf~atbn e Horizon Depth Domirrani Cobr IZedao< Description Texture Structure Casi~ters;e Boundary Rods GP Dfi in. MunseU (1r. Sz. Cont. Cdor Gr. 5z. Sh. 'Etitl9 "Eff#2 Notes: ^ Boring # ^ Boring ^ pit Ground surface elev. _._....._.._.._._ft. Depth to limiting factor ___ _..__ in. Sill AooGcation Rai Horizon Depth Domirxant Cobr IZedox Description Texture Structure Gars~rx:e Boundary Rails GP DJff kt. Mansell GL. Sz. Garrt. Cdor Gr. Sz. Sh. 'E~1 Notes: Notes: f' • I" Scale: Page ~ of 3 ST. CROIX COUNTY ON-SITE PLOT PLAN ~ s~~ r = - Owner Name: i ~u c~ lLe.~EalN(~ Parcel ID Number: on - (o~$- Zo-cx~~~S Inspector: Q.~~~ ~W~'i~. ~ ~,,,~, t,~ - s ~~9 e„cz` 5.~• Q`~ sB~ 3 • •~ ~ l S~ P~ ~` ro ~ ( ~5 ,~ r , t ~! s- ~, ~'~ e `~°`~"` 5~ ~ Y t ke.., ~ ms's Q ~~ ~` - s ~~ lC~,,,: ~'1 e ~~ ~' z `~ d~ i i ~~ U~ tl~ ~~~ = 6 ~y ~~~~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ~ OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address 3. Property Address ~~~- ~ ~ b o-y-~-~ °Ui' (Verification required from Planning Department for new construction.) City/State Parcel Identification Number ~~~~~ 7~ ~~ r~7 LEGAL DESCRIPTION L J Property Location~~/4 , ~~ '/4 , Se~L~ , T~ © N R e'W, Town of ~ ifs Subdivision Certified Survey Map # Volume ,Page # Lot # "'- Warranty Deed # ~2.~~ ,Volume 2 ~ / ,Page # /O 3 Spec house yes no Lot lines identifiable 'yes no SYSTEM MAINTENANCE Improper use and maintenance of your septic system coul.~i 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. Owner maintenance responsibilities are specified in § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. 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. 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 Department wi 30 days of the three year expiration date. /~ G ATURE OF APPLICANT D TE~ OWNER CERTIFICATION U certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the prope escribe ve, by virtue of a warranty deed recorded in Register of Deeds Office /~ IGNATURE OF APPLICANT ATE ****** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. ****** fit,/`~./ 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. ~ nn nn U ~s~a~a8 STATE BAR OF ~ISCO,NSIN Ft7RM 3 _ z o00 ~ REGISTER OF DEEDS QUIT CLAIM DEED oT. CROIX CD. , NI Document Number RECEIVED FDR RECOR6 This Deed, made between Kevin Kroening afWa Kevin A. Kroening and E. Kroening, his wife ~ 01 / 27!2004 02: 30PM _____ ~ OUIT CLAItf DEED . El(E~lRt # bhl Grantor, and Kevin A. Kroening and Jody E. Kroening, husband and wife, REC FEE: 11.00 holding as survivorship marital property TRANS FEE: -- CDPY FEE: -- GC FEE PAGES: 1 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): 1. NW 1/4 of NW I/4 EXCEPT S acres on the North side of highway and N I/2 of SW 1/4 of NW 1/4, of Section 16, except Lot 2 of Certified Survey M1lap filed August 7, 2000, in Vol. 14 Kecording Area of Certified Survey Map, at Page 3926, as Doc. No. 627741. I/2 of'SE I/4 oCSection 16. 3. S 1/2 of N U2 of NE l!4 of Section l7. 4. Part of NE l/4 of NE 1/4 of Section 17, more particularly described as Lot 2 of Certified Survey Map recorded in Volume 4 of Certified Survey Maps, Page 1148, office of the Register of Deeds for St. Croix County, Wisconsin. S. See Exhibit A attached hereto and made a part hereof. All of the above described premises being located in Township Twenty-eight North (T28N), Range Sixteen West (R16W). Together with all appurtenant rights, title and interests. Dated this _ ~S day of ~aw~ar 2004 ~-- - ' - AUTHENTICATION Signature(s) authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06. Wis. Stats.) I~HIS [NSTRtJMENT WAS DRAFTED BY Thomas A. McCormack Baldwin, W 154002 (Signatures may be authenticated or acknowledged. Both are not necessary.) Thomas A. McCormack PO Box 2120 Baldwin WI54002 008-1048-60,-20;008-1046-95;008-1049-30,-40; 008-1023-60,-50,-80;008-1025-50,-80;008-1046-90 Parcel Identification Number (PIN} This is homestead property. (is) (is not) * Kevin A. Kroening ~, *Jody oening , ACKNOWLEDGMENT STATE OF WISCONSIN St. Croix } ss. County ) Personally came before me this ~ day of .S G~nUprw , 2004 the above named Kevin Kroen g, alWa Kevin A. Kroening and Jody E. Kroening to me known to be the persons} w o e~ uted the foregoing instrument and ac !edged th s e. * 'Thomas A. McCormack ___ _ _ Notary Public, State of WISC NSIN -_ My Commission is permanent. (If not, state expiration date: , .) * Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF W 1SCONSIN QUIT CLAIM DEED FORM No. 3 - 2000 INFO-PRO (800)655-2021 www.infoproforms.com C EAU GALLS PLAT T-28-N • R-16-W t G _ ~ ,,.. ~ x a.,~ (Landowners) • See Pa`e 112 For Additlonal Names. ` G BALDWIN PAGE 40 2100 - ~~ 2300 - - - thAVE 2400 ~O 2500 BALDWIN ' `~ a Irs°° ~ `~ °m°°° ° ~ ~ j- ~~ r v Do & ~ ~*.~ ~ ss ww. r ~ ~ - ~O '~ ~ 60Th AVE 2700 ~ Paine Gos.a C C _ ~ )u~ ' Jon te 888 F„ Ro ~ s Zt~ 140 Moulton ' ~ Pamelay lk ` ~ ; t AVE Z / ~ °~ _ - Dom ~ 1~ ~~~ ;o ~ Hdwn N °Oea t ~ - r 96 I a Stave s, ""^ '0 ` 120 ~ S ~ eu•" r to loo ,_ ~ ~,~ ar M2 _ .~ ~~, ~ z A ~twa ~tLeerroqy ~S ~. ,~ ~ ~ n, ° KrLstine HBl~tead 137 m O D ILLS ~ „ " • ;,, ~ Stoney d7 Hessen o / 136 3 ~ a N I MP Wrvey ti W ~ Donald & Juditls & n.mo ss J r..a. Rodel RW ~ I ~ vson a >z ~ S4 ~ ~ C tp 20 . ~ _ ~ _ -` _ 14g~"•lmth y u ~ ~~*.~"°- n Ostlle~ Joy 94 ~ma. 11 xnr•• Fg I zo t N I '^ - N avW & Trudy • r a ~ ur t°`sn,~q:-:; R Reinsth 70 , I.~coe.o~ PP u~_ S •z ^ ~ 80 s= ~ D Glenda Lund y - T i~ s a R~i'u z4 AV ~~ '~ ~ w ~ 31 a F„ A were 39 x» ~ n ~ SOth AVE Laurence & G ~ cs • c ~s a M w ?; smao 0 8 ~ ~ C s aairvveeyy uugg "• ao 6~ OIIve e & s o ° N kra • ~ _ ~ x ~ M ~ ~ C6ris & d Larson JacobSOn Holm 1 can s~ u arve o ia d & s Serier Terns~a r zo Moolcken do 40 Arlrne ~odit~t Trust Walter /fr 6 ~ C s Randy 8 Sandra g~ Ir 59 5t AVE WdOBrn 80 ~'' Julie ba odd 75 R t 160 Dorrne Jacobson Nelson s I C I oquet e ~ N ~ Redn F ~ ,~ ~ ~8 ar a $:z wBma \Hageseth ~ o ~ 1 DMwald $ ar t D..u• 12 W D1O LN ~ O0d ae ol son •~ ~ ~~ N N ~- o der , go 9 e m.n. 114 ~ David E '-.,, Days 159 155 N N 240 fT~77 N ekil z ~g9 TB 5 0 ~ , 42nd VE r m Brock 6 S G 267 E J 8 100 N ~ zo s _ _ ~ oo1Gx _ I~_ 60 117 4_0 _ - J _38 _ _ 170 " 18 ~ O ry 'Ft 00 Rana 50 190 ~ ; 26 s,,, a ~ d f OD 1 e8uo~rdy • nom qOm AVE ^ ro ~~ e.•°movda. • ` Sz BM 47 40 40 91 s 60 sezs M 103 ~ Sed wne.,a s• ~ , p~ ~ °t°OH - • s>~ Vletor do asiOd~ y0 T-EBrabeth ~ m ei ~ m lm n sal sag 33M a 144 ~~ ~ s a: J » '~ I " it"f0p ~ ~eav ~ a~ Aece y~_ s 3 ~ 142 I AVE HeatMr Gbda er S S: ~ Chapin s.ee..a S ~ Glen $ a n Janet z N 1 u~ `°° Z loh° N ~NC~ Philli O 40 39 ~ as Herma d Dennis la m 3 Hensley ~ 40 Duckworth 62 r~ `a°°°° ' g ' 1 ps _ M5 141 s ~ ~~ s tea Wald ~ G V Seehr t•~^ ~ m ~ 9 i A andu- tl r ~ °~ w ]00 116 sarm~ Giezmdama ~~ X ~ B ~ z 306 eQ Richard 30th A ©don F ~~~ ~~ J~ g~ ~ p ~ 76 f~ ao a _ ~ ~ R b 8 I "C a 6p mss: 3~a& ~,~~8 ~l- r; I y ~ am arson crB Erickson a wM^a IS ro ~ r : bo Duane & ~ ~ ~ ~ A 7 ~1i0e o ly 'O P ", B g en.a x 2 - M I i . , g2 ~ rt ~ wr a ~ ~ Bauer Store g ~r u 9 0 sz ~ ~' ~ 8 ~ ^ ~ @ ~ i ~+ ~ ~ ~d~ R pavW Tam a.a q ~s Elansm n ~ OC 63 eerkseth 1 9 ~ ~ 35 1St S 3 6 Ton a x G S B - elt 60 ltmn xambae e< ~ 143 er a a a ~ g - A $ Ia y Vang ` ~ ° ^ 1 46 40 .}p ama ~ ~ n son 40 4 25 AVE nson 97 12 ~ Anlun ~e~s a a Verlyn & ~ ~'~'~ tyt w,. '~ 00 loh eaeho FLefsoo i Patrlda o°°'u • ~q $ mdse ~a ° 38 ;;~ Falde ~ ~ S2 9 ~ m Stem 3 Thomas a imeSdt e q s~soo- ••~~ Keith tot , •s CJC7 Ewn< $ ° Donald on Ricky & t3 Linda 80 ~~ ° ~ ~SOn ; ] `~ ~ ~ sf .~ = ,may °Off ao Casey 75 Jawksn I 81 , 200 ~ K ~, $ Johnson Donna „~ Sturtevant Wayne & 8U 80 Lee by o 20th AVE 80 Nb~~n eaadea Donald trO J u n ~~oo Walter & Thomas R p~~ yreast au4 0~• 80 ~ a •x RC 13 ° 8 03 3 ~G' EBefson t ~t Larson a ~ o~ s s a 80 ~ - - - 2 [ 60 31 Gerald "° ~ Vedyn i io e~o g ~ ' s ~ ~ rya _ - Delmar 8[ ~ "l q J ~ T Larson r .o ° Berk- ` u•~ ~ ~ sam,- Trust h Thommes & ~ ~ seth e~ sm- » l- ii to 53 can ~ r. Invest- 34 ~ebart m x " n 4f ~ I 48 ~~ (] S Thomas ~° Y Y Inc _ ~ Denclas ' 9 ~ N Lind CI 59 "i-` wemer k 8 Y C $ N r0 L g b S NY ~ ~ Corp Mary ~~ LLC Fugate H aZ ~ s r Bar arl lase end-wna p ~ Meiviv a 160 ~ C ~ ` 15th AVE tuson 2 ~ Q ~ 'w' df .~i` I 119 B 119 35 t ~ gg om° ~ ~ ~ tl 3 Orville & 7 ~ r x ohn dr ohn &e 60 i e~8v v 46 a 331] G~~ a BB r•a~~' 2 ~mG°e ~hla~ Shhi « ~ ~ WET 60 Woltman iry~1 : gr4ane ~ = Peter& g $ ~~ 101 w 127 ~ O l w 78 266 q d~ Sheron tJ°a ro~ad~ g ran ~,ar~,, s 40 279 m>. x $ ti ohn aJ s x ~ sac ogg ~ 1~` 12th AV - lkl f n 1 ~. so sar,.~s ~ pebeara - ~~ ~ Kent& ~ t~irat 10th AVE Donald R °, son s cE m -'b _ _ IIS_ s• S o)m J ~ 50 sx n o~ w Don Qc Diane Pax 60 s r~ o.~ 40 ss : N D 20 Gavi s~ oAnn ~ 40 $ A « I l k g 1 ~ c velle .. Bnmkow ~ I C ar BOSTON ~ Anderson D ~ d~ m 7Y ~ 70 rf 275 COa~o gp s.rss e .5~ s S G ~ ~ ~ 150 ~El hbgetfi 3 i W 80 ~ 2 S teoosre o~ t & N d6 ..~ •°•O ' Kerr Diane ~ n~-1te ~~,,, Stevrn & u ARernt ^ r> " 2O ~ •m.• ~ Wlldw°od 1 ~ ~ I aamm t ~ g ~„ 113udesW Jvler«dz o~ ~ • aMCJhard Roeer Brooke wea~° so Jon Anderson 80 D•t zo ~~, ~ ss•a.oo '" m~vy A A o new 100 @~e ~ r _ c~rm« $ ~ o•n 80 ~xV s~kaa a0 ^ ~~ 75 Tlaoslog 5wmwn Audrey so 120 « .g ~ ao 140 a•Ka '°°'•` °'~ ti Mary g ~ " 40 w Blue 80 ~„ W -°`' ~ ~ Anderson oers«s sz w ~ PIERCE CO. 40 3 139 r. PIERCE/ST CROIX RD " Stampings • Subassembly ® ® Phone: (715) 698-2471 Fax.• (715) 698-2335 CKEYKUiFf INDBMOIIE ponlr,AC .; ~ ~ ~ ~ ~ JACOBSON INC. 1, ~1l~ 1860 Both Avenue SONS TOOL INCORPORATED Baldwin, WI 54002 460 THOMPSON ROAD (715) x84-4x00 WOODVILLE, WISCONSIN 54028