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008-2007-01-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Franklin, Mike Eau Galle, Town of SST BM Elev: Insp. BM Elev: BM Description: 05 ~ 35 (bY/1 - GS' TANK INFORMATION TYPE MANUFACTURER , CAPACITY Septic y ~ Dosing ' S / ~5d l~erat[ort F~ ~0 1 a 5Z5 Holding TANK SETBACK INFORMATION TANK TO /L WELL BLDG. Vent to Air Intake ROAD Septic ~~ ~ ~5 / ~ / / Dosing g,~ 1 75 / z / 7i3 / Aeration Holding PI IMP/RIPH(~N INFORMATION .c I Manufacturer Demand Ou GPM Model Number n O~ `~' Z5, (o~ TDH Li ~ I t bs System Head Friction Loss . 5 (o (A • 5 b TD ~ Z • 7 ~t Forcemain Length ~ Dia. // 2 Dist. to well ~ 75 Zyp CAII ADCl1DDT1l1A1 CVCT~M County: St. Croix Sanitary Permit No: 499112 0 State Plan ID No: Parcel Tax No 008-2007-01-000 Section/Town/Range/Map No: 19.28.16.560 ELEVATION DATA STATION BS HI FS ELEV. Bench~rk /. ~5 /a~ / a 5 , 3 rJ Alt. BM F ~~ Go q . y7 g Bldg. Sewer ~ gZ.S SUHt Inlet ~s•~5 7 ! • Sf S SUHt Outlet Dt Inlet ~ ~_ Dt Bottom /8.~5 sss , ~5 Header/Man. 7.3 q5 • ~ Dist. Pipe 7.3 9~ • Bot. System ~~ .7 ~ 9 9 ~ . ~ Final Grade ~ • 3 / ~~ •~ St Cover \ L ~ ~ Q 1!6J~-`o~+,r 9.75 ?~. ZS BED/TRENCH Width / Length i No. Of Trenc PIT DIMENSIONS No. Of Pits Inside Dia. -~ Liqui epth DIMENSIONS 5 c 7b ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer ` CHAMBER OR INFORMATION Ty Of System: ~ ~ 8 I 147 / Z ~ ~ UNIT Model Number ~ ~ ~ „`, nlc~TO1~11TIAwi CVCTCAA Header/Manifold ~ /I Distribution ~~ ~ 1/ Pi e s < x Hole Size / / [ x Hole Spacing /~ 5 Vent/q Air Int ke / Length Z •s Dia ~ T' Length ~ • `~ Dia t Z Spacing ~~ 5 ~ Z , 3 CI911 !~A\/CD __ r.____..-_ c....•......, n.. ~.. .... 11A....nr7 !lr D}_(,rariu Cvctamc ()nIV Depth Over BedlTrench Center ~ ~ ~ Depth Over ~ Bed/Trench Edges \ xx Depth of Topsoil ~ ~ ~ xx Seeded/Sodded es No xx Mulched Yes No • J /.Is COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /e / z~/(l atO Inspection #2:__/__/ Location: 207 215th Street Unknown (SW 1/4 SE 1/4 19 T28N R16W) Star View Acres Lot 1 ~~)~ , S~~L, ( Parcel No: 19 ?8.16560 1.) Alt BM Description = ~• `~ C"~ `/~- G `^• ~ ~ r I o ~' U ~~ / ~t.. w5 2.) Bldg sewer length = 23 1 0 1 _ S Ova, ~ ~a ~ V(~ - amount of cover = l _ / 1~-. c.'~ 1 ~ Plan revision Required? ~ I Yes No ' lp~rJ ~~~ -. b Z - tt Use other side for additional information. ~ ` `"'~' ' - ' - ' ~_ --' Date Insepctor' Signat Cert. No. SBD-6710 (R.3/97) ~~ Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 is~onslin Madison, WI 537Q7 - 7162 Department of Commerce t~$) 266-3151 Sanitary Permit Application !n accord with Comm 83.21, Wis, Adm. Code, personal information you pro ' e may be used for secondary purposes privacy Law, s15.04(1)(m) I. Application Information -Please Print All Information ~~EIV ED Property0wner's Na me - -------- Property 97~?'~ sT County ~ S'~t~~a , Sanitary Permit Number (to be filled in by Co.) y 9 ~irz. State Plan I.A. Number ~ -'- /z~55~~Co ~'roject Address (if different than mailing address) .Ji ~ Zd ~ z l S ~'`` 1 0.200 CpUNTY Property ST. CROIX $ta:k M I ~ i ~tty, Mate Zip Code e m er ~ '~~ ''~,5~'a',5ection . `L_ ~ / f /} ~`UP. y~~J~ .,~yra~~ ~ (circle C 5~~ II. Type of Building (check a!1 that a I T t>?g N; R~6 E ~ ~ P ) o P Y er c~5 ~ ~ 5 ~ w~. , _ T ` or 2 Family Dwelling -Number of Bedrooms ~ ~~~ ~ P1 Subdivision Name CSh! Number a~ ^ Public/Commercial -Describe Use ~-._ ~T` ~ _ _~~ s~~ ~ ~~~ __ f/69 ^ State Owned -Describe Use ._ ~ ~'~ G ~ ~ ~ ~ ^ ~-~ ^ __ _ City g _ Villa e~Township of~~~~G III. Type of Permit: (Check only one box on line A. Complete line $ if applicable) d~c6 zl ~ ~ j A. -b! New System ^ Replacement System Li TreaanenUHolding Tank Replacement Only ^ Other Modification to Existing System --~. B ~ ^ Permit Renewal ^ Permit Revision List Previous Permit NunrUer and Date Issued -~ ^ Change of ^ Permit Transfer ro New f $efore Expiration Plumber Owner l IV. T pe of pOWTS System: (Check all that apply} f. t _ ~ o~ I~ ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ~ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter E ^ C onstructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Ftlter ~ ~ , ~ I L' Recirculating Synthetic Media Filter ^ Leachin Ch b ^ g am er Drip Line ^ Grave!-less Pipe ^ Uther (explain) ~ ~ V, Disp~ersailTreatment Area Information: --- _ Design Flow (gpd) Design Soil Applic on st) Dis ersal Area Re uir pe po (sf) System 8levation i ~ ~ ~~ p q (sf) Dis rsal Area Pro ~'f ~ VI. Tank Info Capacity in Total~Number Manufacturer Prefab Site Steel Ft eb r Plastic Gallons Gallons ( of Units .Concrete Constructed I Glass New Existing I ~ ,Q I /a ~ ~~~ f !I Tanks Tanks I ~r 0a l ~ I E L ~ ~~ l ~ , Septic ox holdin Tank --- --{--- ~ p g ` ' 2.5 ~r ~ ~ i ~ Aerobic Treatment Unit . ~_ - - Dosing Chamber I ~ tl..~fj~_ ~ ~ir° '~~' .~~! VIL Responsibility Statement- I, the tindersfgned, asstune respotrsibitity for installation of the POWTS shown on the attached plans. ~ ' Plumber s Na me (Print) Plumber's Si gnature MPRS Number Business Phone Number l f S ~ ~ ' ~ ~~ ? ~d ~~3 3~~-311 ~ ' _ Plumber s Addre ss (street, City, State. Zip Code} _ VIII. Cotmt /De artment Use Onl pproved ^ tsappro Sanitary Permit Fee {includes Groundwater Date Iss ed Issui gent Signa re o Surcharge Fee) ~ ~ ~ $ //I O~ }- ^ rven Reason for enial I I TX_ fnraiir... ..O A.,..-.._._rir __----_ - _-- SYSTEM OWNER: 3 J\ ~jyb+-rt~l, Y I' lQ,d~,~ V-d~ pt,~ ~,,,nn,L b~' 1. Septic tank, effluent filter and (J ~ dispersal cell must au 5e stxvires /maintained ~ ~, 5 ~ a,0 /~a,^,.~ ~r'a. ~~ as per management pan provided by plumber. U 2. Ab setback requirements must be mairttairted to psr appNcable code / ord'aTSrTCes. plans (to the County only) for the system on pnper not less than $112 x 11 inches SBD-6398 (R. Q1/{?3) .. ~ / ~? /S-~F / ' Sfr'e e.~ / 6• o of l ec#i'tL fv'a.-.s!o~..-rer: ~ 0' e fed: = 97. Zs ~ ; ~ 97.0. r , r / ~ I ~ d' r ~ i t i ~ ~ r ~~ ~ ~ ~~ ~ ! ~ ~~ r ~ Sa/ e da/u~~"m-~ ~o. E • Eleda~o.-~ • !o ca~~cal /o~op. ~~ ~ rle~~bQ~~'~ Qe S~alenf~ 9B,o' /ot/, P/at o,~' Stur' d"ec~~c~e s, \\~~~ / ' SwYySCyY, mac./9 T. ,28A., ~/ Q / cJ T . of ~u ~ dal/e, C,~i~'£ _~r° i i i ~ ~ i ~ ~ .~ ~ ~ ; ; ~` i r ~ I ! ~~0 ~ ~ / , ' ~ ~~ ~ ~,.o ~ ~ ~ ~~ ~ > >~ r i ' ~2 '~.s~. ~v~~e. /'CLA'1Ctin. I Z'~d u~ttsel ~+4'e~t ccJLJd/, UGYI~GOdN1~ Coin d: ~a on ~.T~P. C. ~i t~. Po l yLo~f' ~~`S1S ~ /uen~ f /f-ri a.~ 5.T_ occb~f. s~ ~"s~. s~o P. d. C~ bu:,fo;,~ Sew: ~S-~ 3 b~d~cis~ ~ o //~~ ~ ~CeS. a~e~+° M St~ee~ ti~ 0 ~:... p,~opo3~d u~.~~ ~ a~ 1 o c.a~ o.~ ., 1 ~' ~~5~ / Sfr'e e~ . 6. o c f IQC~iLtrr.~...J!o/'wte~ ~~~ el~''97.Z~.~ r ~' 9T. o . ~ ~ ~ ~ r a ~ ~ ~r i. ^ Sa'~ e da/cca~'on p; E El¢dQ~'iDn p~ 5ca.~e.•/=yo, 96,0' /ot/, P/at o,~'S~w•d'ecJ~e~es, r SwJ'YSCf'q, See./9 7',28A., ~ >1e~116~~~~ Ke S~olenC.C ~ r, r r ~ r~ I / r r J i / eS~ r I ~ .~ ~ c rr ii r 83 r °' r r' r ~ ri ~ % !~ ; %~ 'r 0 , J// r 'r 4` i ~ r r~/~~`~tr- I y~ I ~ r ; ~}fs~ o ~ ~ ~~ ~ r Q ~ ~ ~ ri % r ~ ~ r' ,, i ~~ j-'f!a/~' Tv off' ~, Ql~ ~ i °' i~ r ~Z 1 ".Sc~• S/U Pvt. ~o/C~rrta:n, wkeser G~et~c c..)!~/, U~b~Govatl~ Coo, b:~a~,'on S,T:/,?c. ~.Jtt~. ~olyLo,E' 5t~s~i.~~d.C. bu. ~~ Sew' -E--/33'~o ProFbs[d ~s~e 3 bsdre~m St,ee~ ~s. de,zee o ~ ~ ~ropo3eof uae,ll I o cad; ors ~s 0 commerce.wi,gov ^ ^ iscons~n Department of Commerce July 25, 2006 CUST ID No. 227990 WILLIAM C SCHUMAKER SCHUMAKER PLUMBING 1070 SCOTT RD HUDSON WI .54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/25/2008 SITE: Mike Franklin 215th Street Town of Eau Galle St Croix County SW1/4, SE1/4, S19, T28N, R16W Lot: 1, Subdivision: Star View Acres A777V.• POWTS Inspector ZONING OFFICE ST CRO]X COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Safety and Buildings: 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary Identification Numbers . Transaction ID No. 1295466 Site ID No. 715952 Please refer to both identification n~unbers; above; in all cones ondence with the a enc ._ FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 108$157 Maintenance required; 450 GPD Flow rate; 15 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/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, eon, stats. ~~ The following conditions shall be met during construction or installation and prior to occupancy or use: EP RTMf Reminders ~ nF s • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE component manuals listed above. • 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 POWTS installation is required: Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat WILLIAM C SCHUMAKER Page 2 7/25/2006 • Comm 83.22( A copy of the approved plans, specifications and this letter shall be on-site during construction and ouen 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, operatiomor maintenance of the POWTS. Sincerely, Charles L Bi•atz POWTS Reviewer II ,Integrated Services (608}789=7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin.gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Septic Systems & Soil Testing Inc Schumaker Plumbing RF~Ei~F~ MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGJ~,~~ Residential Application SAr~ 1 9 2006 INDEX AND TITLE PAGE ~°"~ ~~/C~/` ties Project Name: Mike Franklin 3-bedroom residential mound Owner's Name: Mike Franklin Owner's Address: N8235 975th Street River Falls, WI 54022 Site Address: XXX 215th Street Legal Description: SW1/4SE1/4, Sec.19, T.28N., R.16W. Township: Eau Galle County: St. Croix Subdivision Name: Star View Acres Lot Number: 1 Block Number: Parcel I.D. Number: 008-2007-01-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Bill Schumaker License Number: Date: 07/11/06 Phone Number: Signature: 227990 :%~~^=idly ~. ~ ~~~ OF COW-AlERCf~ EY S~y;INGS =SPONDENC 715-386-3121 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01101) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R; Residential or Commercial Design 300.00' Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 6.00 Site Slope (%) 97.50 Contour Line Elevation (ft) 15.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) a Center or End Manifold 2.50 Lateral Spacing (ft) 2 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 120.00 5b ' Forcemain Length (ft) ~~ 88.00 ; Pump Tank Elevation (ft) ~` 6.50 System Head (ft) x 1.3 Z ,2~ 10.75 Vertical Lift (ft) ~~b 2.28 Friction Loss (ft) 19.53 Total Dynamic Head (ft) 12 Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest point in the distribution Y network? Enter Y or N If N above, enter the elevation (ft) of the highest point. 6.25 ft2/orifice Does the forcemain drain back? Y Enter Y or N 19.57 Forcemain Drainback (gal) 81.25 5x Void Volume (gal) 100.82 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information 646.00 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 38.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 17.00 gal/in (enter result in cell B49) Dose Tank Information 646.00 Dose Tank Capacity (gal) 17.00 Dose Tank Volume (gal/in) Wieser Concrete Manufacturer Effluent Fitter Information Polyl_ok Filter Manufacturer PL-525 Filter Model Number Project: Mike Franklin 3-bedroom residential mound Page 2 of 9 Mound Plan View 1 .•. 1/1 0 6 •...,...•...•.•...•.•.•.•... . . . . ~ 3 •. y _ Observation Pipe .T~. .'. K • 5 ~,: `~Qr ~'r ~':' ':'••'r ~' •`~'c ~': :~;: :F. ,. B _~' ~- Mound Component Dimensions A 5.00 ft E 24.60 in B 90.00 ft F 9.50 in D 21.00 in G 0.50 ft 450.00 (ft2) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rate H 1.00 ft I 12.23 ft J 7.73 ft -1 _l K 11.08 ft L 112.15 ft W 24.96 ft 1550.30 (ft2) Basal Area Available 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.04 (ft) .,..,,: F 99.25 (ft) ~ Dispersal Cell ; :: 3[] ~ : ; ::: ~ :: Elevation ~I H Dispersal Cell 99.75 ~--•.~-- D .~ ~ 6.0 % Site Slope Shadin Ke '~ $ -r g y . 10 _ Topsoil Cap ~ = 1.5 ft © ""' Subsoil Cap ~ • ASTM C33 Sand ~ t -';"; -:' Tilled Layer ~ ~ Q5 0 Aggregate ~ o 0.5 ft ~-~, Dispersal Cell :'Typical Lateral .;•t;•i" . . ~.l'•' (ft) Lateral Invert 50 (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). Project: Mike Franklin 3-bedroom residential mound Page 3 of 9 07/25/2006 la:aa FA% 715 248 7764 .A C E SOIL•& SITE EVAL. End Connection Lateral tryout Diagram Lateraisorntered over the en n ~ ~ Turn-up w~'6ell valve or cleanoutptup I E P Ap luera(s an identioat ~• X""~~ HOlei dfNed on thelsottbm bf the Lateral ' stluallg spaovA S Fatoa nt~u1 oonnacuon v(a taQ of cross tomanlrald at any pant. laterals r4fores mah~ of PYC Schap (per COMM TaDfe 8i.30.6j Number of Laterals 2 Orifice piameter Lateral Diameter .1.50 in Orifice Spacing (X} Lateral Length (P} 88.55 ft Orifices per LaEeral Lateral Spacing (S) 2.50 ft Orifrce D~nsihr LaEeral Flow Rate 14.88 gpm Manifold Length System Flaw Rate 29.66 gpm Manifold Diameter Total Dynamic Head 24.35 ft Forcemain Velocity Dose Tank I nformation ~oclcir+g cover with warnmq ~ label snd fock(ng device arfd ~ Sealed watertight E-ectrical as per NEC 300 and -•- Comm 18.28 WAC . ~ 4 in: min. D(sconnec! ~^~ Tank Cpmponen! f6 properly Vt'rlt@d ~• E- Alternate outlet ~ location Wieser Concrete Manufacturer Fonoema(n diameter 2 In. Ca ci 64ti.00 ~ Gallons Volume 17.00 gal/inch A Weep hole or anti- ,. Dimension Inches GaNons B siphon device A 19.00 322.93 B C 2.00 6.00 34.00 102.07 C ~ 1.wwww.... P~ebvatton 88 92 D 11.00 187.04 D . Total 38:00 646.b0 I tank efevatipn (ft) 88.00 Alarm Manuafacturer LevelArm Alarm Mode) Number DLV Pump Manufacturer Gou T~ Pump Model Number 3871 EPO `/ ~ +S Pump Must Deliver 29.66 gpm at 24.35 TDH ~ ~! ~ D Project. Mike Franklin 3-bedroom residential mound 2 Page 4 of 9 • ~] 0 O 1 Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker Phone 715-386-3721 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System 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 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Ins ect and/or service once eve 3 ears Should ins ect 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 Inspect for ponding and seepage once every 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. Adm. 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 ~~ j • ' ' ' ' ' :::: ' ' 6-8" Diameter Lawn . ~ ~ ~ . ~ ~ ~ Threaded Cleanout Sprinkler Valve Box ~ Plug or Ball Valve Distribution ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Mike Franklin 3-bedroom residential mound Page 5 of 9 GOULDS PUMPS n` -~-- ~ ,..,; 'Sr c ~ _t,,, APPLICATIONS Soecifically designed for the foNosving uses: • Effluent systems • Homes • Farms • Heavy duty sump • :Hater transfer • Dewatenng SPECIFICATIONS • Solids handling capability. = maximum. • Capacities. up to 60 GPM. • Total Heads: up to 31 feet • Discharge size: 1'~~° NPT. • Mechanical seal, carbon- rotory;ceram~c stationary, giJhA-N elastomers. erperature '.04 F,40 C1 continuous ~0 F !60 C? intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. • Fully submerged in high grade turbine oll for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. Submersible Effluent Pump ~~ 3871 EP05 ^ EP05 Impeller: Thermoplas- ticenclosed design for Improved performance, ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper anti lor:e~ heavy duty ball bearing construction. AGENCY LISTING SP Canadian Standards Association. Goulds Pumps is 1S0 9001 Reyistemr. Motor: • EP04 Single phase: 0.4 HP,. 115 or 230 V, 60 Hz, 1550 ' RPM, built in overload with automatic reset. •EP05 Single phase: 0.5 HP, 1 15 V or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 SJT01ti' with three prong grounding plug, Optional 2C foot length, 16i3 S1TW with three prong grounding plug .standard on EP05). ~/ICTC DC CC CT 2002 Goulds Pwnps ~' / ITT Industries ~ 9 GG~~o. M. ~,-, ; ~ ;,,-, u M s~.,o~a// ~a.Ee G o u l d s Pumps. - sT. cRU>lx cauN"r~r SEPTIC TANK MAINTEI~.ANC~ AGREEMENT A1+1D OWNERSHIP CERTIFICATION FORM Owner/F3uyer _ ~ -~y~,~~ ~,~ ,~~, ~ • Mailing Address ~ ~a23~ ~~~~ ~'~,`v~e y ~-~ll~ _._, Property Address ~~ i~2~~7'1~ S~ _ __ (Verification required from f'lar~hing ~c 7ort%ng Denartrnent for new- construction.) CitylState LEGAL DESC PTiON Farcel Identification Ntatmber _DaS - Z«~7_ ~,/~ Property L~ocation,ScJ %, , ~'~' '%a ,Sec. / P , T ~ ~ N ~ l~ V6', Tov~rn of ~! ~ .~~~ _ Subdivision ~,~'~ Y /~~ ~aJ ~_ ~' ___ _~, Lot # ~__. Certified Survey l~iap # - - --____- ,Volume _.____--, Page # _` __ Warranty heed # _~D~'3.~G' _-- - _._~ Volume ____._`-__~ Page # Spec house yes ttu Lat iirtes identifiable yes no SYSTEM MAIiYTEIV`ANCE AND OWNF~t CERTI~~,,CAT,,,~,~3N improper use and maintenance of your septic system could result in its premature failure to h,anndle u antes. Proper maintenance consists of pumping out the septic tank cvtry thr~c yegrs or sooner, if needed, by a licensed pumper. What you put inw t}te system can affect the function of tha septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Counn. 83.52{1) and ir. Chapter 12 - ~[. Croix County Sanitary Ordinance. The property owrrer agrees to submit to St. Croix County Manning &. ?.oning 17epartmAnt a certitication tone, signed by the owner and by a master plumber, journeyman plumber, restricted plumber ar a licensed pumper verifying that (])the nn-site wastewater disposal system is in proper operating condition and/or (2) after iutspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I;we, the undersigned have read fire above requirements and agree to tttaintairr the private sewage disposal system with the standards set forth, heroin, as set by the Department of Cummerec and the Department of Natural Resources, Stare of 1h'isconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning Zoning Department within 30 days of the three year expiration date. LUe certify that a13 statements on this farn, are true to the best of my/cur knowledge. Ilwe am/are the o~vner(sl of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 ~ rc ~~ SIGNATURE OF APPLIC"ANT(S) A _~/ ~'!~' DATE ***Any information that is misrepresented may result in the sanitary permit being revoked b}' the Planning & 7.oning Department. *** include with this application a recorded warranty deed ftom the Iegister of Deeds Office and a copy of the certified sur~~ey map if reference is made in the warranty deed. Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01l01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to 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 with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall t>e assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pumo Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound t>e heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. ContinAencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Mike Franklin 3-bedroom residential mound Page 6 of 9 -- '~sconsin Department of Commerce ~ivisionofSafeh'andBuildings RECEIVED = in accordance Comm 85 Wr"s-. Adm. Code r Attach complete site plan on paper not less than 8 1/2 x 1 inche yq ze~ P(~n t~ include, but not limited to: vertical and horizontal referen point l~~~dirkct~n~~L percent slope, scale or dimensions, north arrow, and Iota on and distance to nearest road. PI@8S@ print ell InfOrmab p, ST. CROIX COUNTY ZONING OFFICE Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Locatic `~. C~'r~Z.IS 1-cvSIL~IT SORT Page ~ of 3 ~County_ S-t-- C ~.~ 1 Parcel I.D. Ppv~ I Rewew~oy , ~ ~~ Date / ~~~~ IP Property Ownefs.~M,'ailinug Address ~~~ S w 1/4 ~ 1/4 S ~~ T ~S N R ~ 6 E (or W ~ `l ` ` 1'^' L 3 S Lot # Block,. I Subd. Name or CSM# rzto~ ~5~ wi i s~o zZl ~ ~~~ uZb-t~~~ - ~iPOSED9T-A'fz vt~w ASS ^ City ^ Village ®Town Nearest Road E~PAV G PrLI.~ I Zp `ill- ~9-lJ ~ , ~l ~•_~ ~~~~~~~~~~~~ use:gl fzesidential / Number of bedrooms ' y Code derived design flow rate ~j Q~ ^ Replacement GPD ^ Public or commercial -Describe: Parent material G L.'('cL°.t `F}(, -n L ~ Flood Plain elevation if applicable General commer,'ti and recommendations: i~f't JU)v~ ;,v l' ~ ~ ~ 6~ ' D L31~T~1 {~~111-~~.I ~.~.. L • w'1 )NL~v~ Z1 ` o>_ Step 1-~L.L_ ~ -V `loves ~V , q, `1. S I Boring # ^ Boring / !~] Pit Ground surface elev. 48 > Z ft. Depth to Limiting factor 1 ~ in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont.- Color Gr. Sz. Sh. ~ Z O- L$ )D`~{L3L ~ / _ Sj ~ Z~bk ~n`f~- LS _ $ - LD Lf2_~ 6 - si I Z`FSbtZ Yfl`F1~ C~ 3 i~ -~0 ~ s~ rZ ply CLL. Z •S~ e. S /8 s ic1 l csbl~ m`Ft- - Boring # ^ Boring ® Pit Ground surface elev. ~ 8.9 fL Depth to limiting factor 1 S ~, Horizon Depth Dominant Color R d D e ox escription Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ ~ - Lb`l it-3L Z - S! J Z`Fsb t~ in`~h e S Z ~S ~ - f~~ 3l6 - si I Z`Fsbk m~k - c ~ 1 ' ~S-39 ~-s~2y16 ~ t~ ~.SKR S~8 slcj Lcs6k r,,,~ 'Eff#1 'Eff#2 •S •$ - S - ~3 . Z. - 3 GPD/ftz 'Eff#1 'Eff#2 .S ~$ -s .$ Z. • 3 • Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L ST Name (Please Print) 'gnature - Arthur L. Sdegerer ~~ ~_ ~ CST Number ddress ~, g 2 2 0 2 5 4 1 e e r e r S o i 1 Testing & D e s i g n S e r v i C e Da a Evaluation Conducted Telephone Number 421 Ld. Iiain S t . River r ails, [•II 54022 3- 6- ~Z 715-425-0165 t~1 rS i '` r ' 'i Property Owner ~'U S~ L E ~ - Parcel ID # a Boring # ^ Boring ® pit Ground surface elev. ~,' S. S ' ft. PL~.~1 ~ G Depth to Iimilina (actor ~ ~ i., Page Z of 3 Horizon Depth i Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil ApplipUon Rate GPD/ft~ n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'E(f#2 o -4 toy ~ .31 Z - ~ ~ 1 2,`Fs ~k w)fi- ~ s - , S . g z. 9-l'1 lo`i 2 3l~ - S lc Z`F sbk h~`F~- ~~, - . y -6 3 l-1 37 ~ S`12 S~/6 C l~ ~ ,S ~i2 5~8 s ie ! 1 csb-~c h~'~I- = • Z - 3 ^ Boring # ^ Boring ~ ^ Pit Ground surface elev. rt. t~a~o, e., m,ar.,., r.,,..,.. __~_. °..........n ......... n~. ' Soil Application Rale Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Coto( Gr. Sz. Sh• •Eff#1 •Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. fL Depth to I1m1Ung factor In. ortzon Depth Dominant Color Redox Description Texture ln. Munsell Qu. Sz. Cont. Color .,...~ .~NNuwuw~ rtdre Structure Consistence Boundary Roots GPD/ft~ Gr. Sz. Sh. •Eff#1 'Eff#2 Eftiuent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Eftiuent #2 =BODE < 30 mg/L and TSS < 30 mg/L Tate Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material ift an alternate format, please contact the department at G08-2GG-3151 or TTY G08-2G4-8777. S00.8J30 (86/00) PLOT PLAId Scale 1'= ~)0' Page 3 of ' 3 ' ~~ ~Q~ ~`r'ro -^~ o~ ~~LL v gr~y~-Z 3r'1 ~ 1 -_ .~Z.l 00. Q ~. Olv.. I3~~l.Cj_3/~j ~~'pl(a _ jZ~$P~Z-- ~~=L~- _.. _ _ __ - -- -- ^. 3-6-0 Z 715-425-0165 220254 C~ 1- Z~- ) CST Signature Date Telephone Ito. CST Ado. Job id0. Wisconsin Department of Commerce SOIL EVALUATION RtPORT . (Division of Safety and Buildings _ Page ~ of in accordance with Comm 85, Wis. Adm. Code s Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ~ 'County. include, but not limited to: vertical and horizontal reference point (BM), direction and ~ S~"' C 2O 1 X percent slope, sple or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Pf~~) i~,! 6 Please prinf all information. Reviewed by , Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1 j (m)). Properly Owner Property Location ~ ~. C~'f2lS 1-~uStLLIT _ .. _ 5~/J1/4~1/4 S ~~ T ~g N R ~6 E(or W Property Ovme~s Mailing Address Lot # Block # Subd. Name or CSM# ~ l`l1 ~C 3 s ~ -I~1P0SED3T~ Ul W~r~~S City State Zip Code Phone Number ~ ' "-+~.. S R'1 V ~Z ~~5 ~ ~ S ~ ~ ZZ(11 ~1 ~LZ Ej _ ~, ~ 7 ^ City ~ Village ®Town Nearest Road (~ New Construction Use: ~ Residential / Number of bedrooms_~ Code derived design flow rate ^ Replacement ~ ~ ~ GPD ^ Public or commercial -Describe: Parent material G L.'f'~°.~'(~-L Tj, L Flood Plain elevation if applicable i~l Y~ General commer,'w ~_ and recommendations: 1"-^t ~v1~~ ;,~ ~' ~ ~~ 6~ ~ L~t~-1,~( {~JTLCYU ~C~L. µ'1 ~ ti L ~u ~ Z 1 ~` 01= S ~h~D 1= ~ L~ _ Boring # ^ Boring pit Ground surface elev. 48 > Z ft, Horizon Depth Dominant Color Redox Description in• Munsell Qu. Sz. Corit. Color } o--~ !D~ IZ.3 l .. _. Te Depth to limiting facfor ~ a ;n cture Structure Consistence Boundary Roots Soil Application Rate GPD/ftz I Gr. Sz. Sh. Z~s b ~ ~ tm`f1~ - 'Eft#1 'EffR2 i ~ _ . S . ~ I Z`FSb~c m,~y. cc J _ ..S . g =1 l cSbk rn`Ft- - . Z . - 3 Z $-l$ ~D~12~6 _ S. s~ 3 ~-~o ~s~2~~y ct.~. ~.s~e. s~8 s! I Boring # ^ Boring p ® pit Ground surface elev. ~ 8 • _1 ft, Honzon Depth Dominant Color Redox Description in• Munsell Qu. Sz. Cont. Color Depth to limiting `actor 1 S in. Text I sou apprcation Rate rre Structure Consistence Boundary Roots GPD/ft= Gr. Sz. Sh. 'Eff#1 'Eff#2 Z`Fsbk mkt- ~ c . s .g . I t ~s 61~ ~ ' Z . 3 si Z ~-~.S ion 3l6 - si 3 1.S-39 ~S'~2y16 ~l~ ~.SK2 5~8 sic 'Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 _< 150 mg/L ST Name (Please Print) 'gnature Arthur L. Wagerer ,ddress Wagerer Soil Testing & Design Service 421 Lt. I~iain S t . diver rails, tlI 54022 ~~~~~_~~~+~~ = ovus ~ ao m g/L and TSS < 30 mg/L , ~1 ' y~ _ ~ -~+O CST Number 22t~254 Evaluation Conducted Telephone Number 3- 6- ~Z 715-425-0165 Property Owner ~'U S ~ L ~ ~ - Parcel ID # ~`1u~1 ~ G Page Z of Boring # ^ Boring ® pit Ground surface elev. ~ s • S (t. Depth to limiting rarrnr ~ 7 ~., s Horizon Depth i Dominant Color Redox Description Texture Structure Consistence Boundary Roots Sotl Application Rale GPD/ft2 n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 I o -~ tio~ ci: ~ 1 Z - ~ t 1 ~,`(=s bk w,-Fi- ~s - , S - $ ~. 9-~~ lot ~z s!6 - sic Z~ sbk m~F~- c~ - . y -6 3 l~ 37 ~ S`72 4~/6 Cl~ `7 .S X12 S~$ S Le- I _ ~, CS~c h~ ~!- • Z _ 3 ^ Boring # ^ Boring ~ '-- n PIt Ground surface elev. ft_ r~ann, ~., r~,,,~r.,., r.,..l,.. or zon Oeplh Dominant Color Redox Description in. Munsell Qu. Sz. Cont. Color . I".,I~JII{iOUVII Rtlltl Texture Structure Consistence Boundary Roots GPD/ft~ Gr. Sz. Sh• •Eff#1 •Eff#2 Boring # ^ Boring ^ Pit Ground surface elev. iL Depth to limiting factor in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 ln. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 1 •Eff#2 'Effluent #1 =BODE > 30 < 220 mg/Land TSS >30 < 150 mg/L Effluent #2 =BODE < 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 at an alternate format, please contact the. department at G08-2GG-3151 or TTY G08-2G4-8777. suo.s~aotrt.aroo~ ..• ,. PLOT PLAN Scale 1'= ~)0' Page 3 of 3 ~ <Q~ ~`T'1~ w~ O~ ~Z L ~ $ir~ tF Z ~wi..~}=1..-----~Z~..1.00 0`=.-Ati-I3K~1~C~11".jV3~$%r1l.q._IZk~~jZ~_~1=C1°C~7`~ ']~- - - ._~_ .._ _. __.._ _ __... __ N K _.____._..-_2-.._.~. ^~ 3-6-OZ 715-425-0165 CST Signature 220254 ~ 1- Z~- Date Telephone r1o. CST Ato. Job No. 1~ $OUT}i LINE OF THE SE1/4~ ~ M --~_ ~~ ~~. DOT# SS-63-5443-2002 ~O4 ~ ~~ ~o~o~o UTILITY EASEMENTS ND PALE ^R BURIED CABLES ARE TD BE PLACED DISTURB ANY SURVEY STAKE, OR OBSTRUCT VIS THE DISTURBANCE OF A SURVEY• STAKE BY ANYC OF WISCONSIN STATUTES. U.TILI~Y EASEMENTS A: PUBLIC BODIES AND PRIVATE PI~BLIC UTILITIES i tl 28?3P y81 STATE BAR OF WISCONSIN FORM 3 - 2000 t N„~ QUIT CLAIM DEED This Deed, made between Susan L. Franklin. a single Gersou, Grantor, and Michael A. Franklin. a single Gerson, Grantee. Grantor quit claims to Grantee the following described real estate in St. Cmiz County, State of Wisconsin: Lot 1, Star View Acres, Taw~n of Eau Gaile, St. Croix County, Wisconsin. This deed is given pursuant to a judgment of divorce dated August 16, 2005 in Pierce County Case No. OS FA 31. Together with all appurtenant rights, title and interests. Dated this L ~ day of Au us 2005. s * AUTHENTICATION Signature(s) authenticated this day of 80436 KATNLEEII H. WALSH REGISTER OF DEEDS ST. CROIX CO.. WI RECEIVED FUR RECORD 08/24/2005 10:15AM QUIT CLAI?1 DEED c%~!~'+ # Bbl REC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retain Address Stephen A. Kola Attorney at Law 113 E. Elm Street River Fella, WI 54022 008-1057-10-000 Paroel Ideatificafion Number (PII~ This is not homestead property. (is) (is rat) *Sasan L Fran ' ACKNOWLEDGMENT STATE OF Wisconsin ) ss. County ) Persaanally came before me this ~ day of Autnat ,20052005 Yee named * TTTLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) authorized by ¢706.06, Wis. Stets.) iustrturlAnt and aclatowledged the THIS 1NSTRiJMENT WAS DRAFTED BY ~,~~ /~ea~~~~ W15 Law ORice of Stephen A. Kola *~ 1 ~ s ¢as ~+~, 113 E. Elm Street. River Falls, WI 54022 Notary Public, State of Wiaoonaip My C ssion is permanent. (If not, state expiration date: (Signatures may be authedicatad ar aclcnovvledged. Both are not necessary.) r', 1 ( a 00 -) Names of persons signing in any opacity resat be typed of printed blow their si~aUare. rNFO-PRO (80055-2021 www.miapo6orms.com SLATS SAROF WiSCONSQI QUIT CLAIM DEID FORM No. 3 - 2000 1~ Parcel #: 008-2007-01-000 08/11/2006 11:20 AM PAGE 1 OF 1 Alt. Parcel #: 19.28.16.560 008 -TOWN OF EAU GALLE Current _X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-owner O -FRANKLIN, MICHAEL A MICHAEL A FRANKLIN N8235 975TH ST #3 RIVER FALLS WI 54022 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 2151 20TH AVE OR SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 3.348 Plat: 2504-STAR VIEW ACRES 1/8 008/03 SEC 19 T28N R16W PT SW SE STAR VIEW Block/Condo Bldg: LOT 001 ACRES LOT 1 (3.348AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-28N-16W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 08/24/2005 804326 2873/481 QC 09/30/2004 775773 2666/267 WD 02/26/2003 711301 9/50 PLAT 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.348 25,200 0 25,200 NO Totals for 2006: General Property 3.348 25,200 0 25,200 Woodland 0.000 0 0 Totals for 2005: General Property 3.348 25,200 0 25,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: Specials: User Speciai Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ' _ ' • ,}~ Y B , ~ fs~l s F --- - "~~_ ~~~ ~ .„_~ ~~ o .$ ~Z o ~, N~~ ~o~ v~~ a~Q U O~ ~~ Q ~~ N ~~ T(TY F ~ 5 om a ~¢ ~ N~(y ~ ~ F tl LLa O Zi a zw Wo V~ o~ ®e ~~ o I I i`J% - 1 9 g T ~~ ~' ~ ~ 7~ ~~8 ~ ~ ~ ~ ~ ~ ~a~~ ; ®® a a k" 9~b~~~a~ ~~g~~~~°~~'~~- ~~~'~~e -fir a'~p~ P,{ ~~~ t ~y6~C~~~Fr~:ksC Y~~++~~BFA ~~~~ ~°cg'p 8 ~g ~Y'y" }~~" ~ 8g 8 E LRb ~~°Zi iti dLi6 N~~G S e^R7~Y.'Ea8s - T yE'=Yasa& s g~~s~~?~~sr ~ F:~~~~~~?zs 's~;~kk~'se~k ..~$e~~~R'~6~ ~ 8 888868888 ~~3e~a~~i3=~~~? 3~~~~~~e~~§G~~~~ ~ ~~~~~~s ~~~~~~~ ~~~s~ «~ If31 I ~~ Ij~ I I ~, I i)I I !j I ~ li I Fi~ , 1 I SI 1 1 I ' I~ .~ I ~~~ ~ C e e j ~i g~ ~_ = a e ~r T C ~ ~~ ~ 'p'er Yt N0110~OM1MMl~OMIWIM ~ u ' WOtaJl~YILYOMN~ i B ~ ~ . I 33' ZZ~ ss' ~o d I ~~ Z I ~ ~ _. . 3 S86°28'12"E 373.94' N8 ~ ~ ~~6'42' 'VII _ _ _ - 8°2812"IA/ 699.02' 2S _ _ .72 ~ - - ~ - _ . - ____ _ .... .. / ~ ~9 ~ / ~ 4 •. . . LOT 6 . • / ~~ ' 3.592 ACRES ~ i / ~ (156,449 SO. FT.) / • 2205 3 • • • 5yy ~O ~2205~ . ~,0~ . 01 09 ~y5 / • . . / / S86°28'12"E 365.97' / LO1 N 3.061 A cp - ~ _ _ ••• / ~ / ~ ~Ao (133,358 • -~-~_ N86°28'12_~ 12. s5' -" - _ _~ _ 2 _ / .~ ~~ } 340.10' --~'_ iri 1 6 6' ~ ~~ 30' DRAINAGE NT. ^ - - -' 33' ~~~, EASEME 33' 1 • ~ LOT 7 3.528 ACRES ~ I ` 153 7 s s s. Fr ~ L T ~ o O 1 r ' ) I N ~ 3.348 ACRES . ~ ~ I (145,821 SO. FT.) I N • ~ ~ I M.F.F.E = 1196.5 • b ~ ,- ~ ~j tfi • ......• ~ I ~W~ •• • I Z ~ N~ I •...... I ~ • • .;- .; . o ~ r 33' 133 H.W.E. = 1194.5 ~ ~~~/ j Z -31.49'- -,_ ' ' '_~ -~ i I "~ -~ 6I6' ~~ I 20TH AVENUE ~~- ~_ ~6°Z9'24"E 713 L _ m I '--~ (N~ 4_9'27"W 71~ ~ ~ SOUTH LINE m ~ -~ - - I --.__ ~ HE SE1/4 I Mapd a -'- --- O y~~ Q~~~ ~[~Dp ~ S8s°29'24"E 2635.2 I _ _ _ CD _~ 0~ 4a~G~~ ~_ _ _ ' ~- -~~ S~°06'14"E 340 ~~~ -