Loading...
HomeMy WebLinkAbout008-1061-20-200isconsii' Department of Commerce safety acid Building Division GENERAL INFi~RMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) 'ersonal inforrr~,tion ya~~ provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 'ermit Holder's fVame: City Village X Township H Id, Matthew Eau Galle, Town of ;ST BM Elev: Insp. BM Elev: BM Description: 98. Z ~ ~ ~ Z ~-' TANK INFORMATION ~ TYPE MANUFACTURER ~ / CAPACITY Septic r~+ T,~ Dosing ~,ir..,o `'~' ~ loofa ~b Holding TANK SETBACK INFORMATION TANK TO ` J P/L !"0 ~~ WELL BLDG. Vent to Air Intake ROAD Septic 3~ / , /~, /V /23 •-, Dosing 1 A0~ / V ~ / ~ ,Z 3 '-` Aeration Holding PUMP/SIPHON INFORMATION ,,~ /_ Manufacturer Demand ~ 'e,~~.~ GPM / Model Number ~~~ TDH Lift,`', '' Friction Loss System Head 1 TDH F ,9 .~ s. T .9 ZF• 9 Forcemain Len ! Dia. ~ ~ Dist. to well ~ ~~a Z ~ SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 514866 0 State Plan ID No: Parcel Tax No: 008-1061-20-200 Section/Town/Range/Map No: 21.28.16.314A20 STATION BS HI FS ELEV. Benchmark l -7 ~, 7, 5 I$~ Z AI . B ~a ort+ o~ ~~~,~ /0.~1 91.~f ~,It , Z X7.5 Bldg. Sewer ~ 5.7 ~~ St/Ht Inlet ~, / ~. O ~ • J SUHt Outlet Dt Inlet „` ~ Dt Bottom # /3 $ ~7 Header/Man. Dist. Pipe ,1~~5 "~ ~O~r 6 ~ W ~~p . ~'( Bot. System y 7` e , ~ J 9~ • ~L 7 Final Grade ~ .~` .7 ~7 ~ St Cover ~`~ / ~ yl , ~ ~' b BED/TRENCH DIMENSIONS Width ! $' Length ! S 7 No. Of Trenc s ~(~~JC,_? PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of S stem: Z7 ! / ~~ A ,~ 1 ',/\ UNIT Model Number: DISTRIBUTION SYSTEM ALrll_ Header/Manifol ~ ~ ( Distribution !~_ / / ~ Pi e(s) x Hole Size !~ 3 x Hole Spacing' Ve to Air I ke Length~_ Dia Z p ~ Z Length Dia Spacing '~_ ' lp 2 a. w SOIL COVER Y Pracci~ra Sve4amc only YY Mnunri Or At-Grade Systems Only /)~ I Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded ulched Bed/Trench Center / B J / J Bed/Trench Edges \ 1 Topsoil ~ ~ Yes ~ No 'es ~ No 7 ~~~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 6 /Z~ / o(p Inspection #2: / / Location: 245 230th Street Baldwin, WI 54002 ( E 1/4 SW 1/4 21 T28N R16W) NA Lot 1 G~~w Parcel No: 21.28.16.314A20 j~, ~ ~ ~b gox 1.) Alt BM Description = ~a*' d~ ~ ~~ ~ ~~ P'8~ ~~ 2.) Bldg sewer length = (l!J' f'1 1_ C`~~a~~ ~1 C ~ ~ ~. -amount of cover = J ~°~- Q'~ ha+`. J I s~ 3a ~~ 3 GG~-~- ~ ~e dw - ' / ~ - ~ -J, Plan revision Required . ^ Yes I No ~ ~ ~~ ~Q - /_ ~ 7 - , Use other side for additional information. L.__.__i I__. - L_ __ __ SBD-6710 (R.3/97) Date Insep or's Si ature Cert. No. 5~~~ ~1a~~ ~a~~~ 04/22/08 TiTB 08:30 FA7I ?15 386 4686 X001 GoM1he1"OR.wI.~'V Safety ead Btu"Idiags Division Couiuy ~`` /) c 20I W. Wasdirrgtoa Ave., P.O. Box 7162 T ~ `- / 1 ~ N Madison, RR 53707-7Ib2 Sanidsy P~amit Number (to be 61ed in by Co.) Sanitary Permit Applicatio 3tateTramaaiomNnaher ~ ~~ Coda slaw oftlris fornr m tha {lirrs Comm 83 Adm 21(2) 1n acoordorce with s ~ ~ . . . . . . unit is regrrited prior to obtaining s santmy permit Nape: Applicaeion forms Projat Adrkas (if different t1pP mtiling ddras) submined ro the D~xtatent of Corraaaea. Peraoaal nafbrrrnlioa you provide may for in accardaoce wilt the Pri Law s.15.01 l m Stag. (aJ_J/~.' ~~~ ST~ ... L A Infirmstias-Place PrW A>t Ialertaatlaa Property Owner's Name VCD ~ C P.ral ! ~o g~ -~b1 ~ Property Owner'. Matlrng Ad~ess Y ~ 5 200 ~ 2 u~ (~ • 3 / ~f ~ • Al ~ 8 ~ ~ i City. state ZrpCode .. ~~ , ~.L gG ~/~ ~ ~~ ' D M. ZONING p ~UNTy ~7 eiM leo ~ T 22222 DDDDD N, R~ E ¢~ W J Type of Bttil~ (cttedc ttrat apply) `~ u tot ~- / ~/ . ~ v / SubdiviaionName t or2FamityDwdling-Nwngerof ' f }~ ~ J~ W Gw /V~!!`/ ~y"' ~ Block It , /v ~"~ Q PubliclComrneceiai - Describe ~ ~ '~ ^ City of ^ State Owned - Describe Ilse ~ CSM Number / /~~7 O Village of fown of ~v u ~c~a~K:X./ lli. T y of Penaik (Check ody st+e z oo tine A. Coaapkae Gse 6 if applic ) A' System ^ RcplaoemerN Systarr ^ Traurrent/Elolding Tank Only ^ Other Madifieation to Fxbtirrg System (explase) B. (] Permit Renewal ^ Perrrrit Revision Q ~ of Pbanber ^ Permit Transfm to Ncw List Previous Permit Number null Date Issued Before Expiration Owns f ~ Iv. r .f PowTS -e« Ckoek aB dtst ')' r C .~f ~ sa~le wd ^ Non-Prwsawized In-Ground ^ Pre~rriaod imrround o AbGr~e o Modnd >_ 24 in of wimbte so+t omwl <yt in. o f] Holderg rank ^ Othu Diapers.[ Component (explain) ^ ioe [explain) Y. rai/I'rata aeat Ara lafertaatior~ ~ ~ Des' flow (~ Desiga Soil Appl~ ~ Ala (st) Dot (a~ ~ System Elevatiar / ~ l~ v , ~ bl~ /35l .r YL Taak Info -ty in Total >r of Mmufa« Galbns GaNons Uoin ' a ~ ~ ~ ~ New Taakc Fsirti.a Taaas /l / /~~Q,~ ~'~ ~V ~ ' a ~ $q !r a ~ f/~ r n in i. i ~ SeptieorFbk6e~Tantc ~ Dasrws t7arnber ~, VII. Statettteat 4 toe ky for kaarffatiprr of the POWTS show... tae stlacttM Plumber's Name (Print) N u mber MP/MP RS weber Hrsirress Phone N ~l~~ J?) ~ J ' / ~L~/~ / ~~c~~OC. b Plumber's aaar~ (sweet, c;ty, sm~, zip ~~ 7 vlt arts /De .t Use Approved ^ Disapproved Permit Fee ~ ~ ~~ ,- Oats ~ 7 d ~ ~tssains! Aftmt gnat ~--~' ~~ i~ ~~~^- 0 ow,~a~ for lxa~ , 1X. Cosditiom of ApprovaURasons for Disapproval ~ ~ ~ p ~G'~(Q ~ SYSTEM OWNER: ~(,(fY+-O /yy~,,~ ,~~ryf, 0 ~Y~l 1 Septic tank, effluent filter and ..-~ ~~- ~ Q~~%t U _ dispersal cell must all be serviced /maintained ~ ^ „~ er mana rovided b ~(/ as ement lan lumber ~ g p p p . ~, y p ~-- '' C ~~-- n a praor v rot garmcsaa spa r. ua a.e.~q.~q .- rvQ w~..~,. ®.... r~, ~.o _ ...~ ~%%~-/1 as per applicable co a/or rnances. ~~~~ . ale - ~~~,~ ~o ~,cc.c~~~ a SBD-6398 (R. Ol/07) Valid tbnt 01109 ~~~~% f ~¢~i.G~.~/Lt-~21L ~- ,~y~~ L4.QlL 10/~il/r'f~ ~ ~ _ ~ c~.~ l~c~,~- • ~ ~ PLOT PLAN PROJECT Matthew Hanold ADDRESS 3916 Main St. NE Columbia Heiahts Mn 55421 NE 1/4,SW 1/as 21 /T 28 N/R 16 w TOwN EauGalle COUNTY ST.CROIX SYSTEM ELEVATION 97.9' 1.9' Sand Lift BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter BEST GF10-8 ^ BOREHOLE (~ WELL * H. R. P. Same as Benchmark B.M.#1 ~,~B.M.#2y1'6' 95' Q~~~ B- 5Acre parcel B - 1 B - 2 System is to be installed along contour of 96.0, cell and mound will be curved slightly to fit this contour 97' B-3 8% slope Grading is to be done to divert run-off away from system Well is to meet all setbacks found in Comm. 83 B- y~ Area 15' below system is to remain undisturbed t / Huffcutt Combo tank Tank is to be properly bedded and provided with lockdown covers with Q. approved warning labels C ~ ,~ Living quarters are to be removed once pro 3 edroom house is built ~ ~~~ Garage will be Scale = 1 /4" =10' converted into a ro accessory building Garage/temporary living quarters 230th St. r ' commerce,wi.gov . isconsin Department of Commerce Safety and Buildings 3824 N CREEKSIDE LA HOLMEN WI 54636 TDD #: (608) 264-8777 www. commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary May 02, 2008 CUST ID No. 226900 SHAUN R BIRD BIRD PLUMBING INC 1008 192 ND AVE NEW RICHMOND WI ATTN.• POWT,S Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/02/2010 Identification Numbers Transaction 1D No. 1533375 SITE: Site ID No. 736913 Matthew Hanold Please refer to .both identification numbers, #245 230TH Street above, in all cones ondence with the a enc . Town of Eau Galle St Croix County NE1/4, SW1/4, 521, T28N, R16W Lot: 1, Subdivision: CSM See 14/4020 FOR: Description: Mound /Three Bedroom /Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1180794 Maintenance required; 450 GPD Flow rate; 14 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, • • stats. (~Ottl~k The following conditions shall be met during constuction or installation and prior to occupancy or use: F Reminders DE RTIYIEMt • This system is to be constructed and located in accordance with the enclosed approved plans and with the $EE CORRE component manuals listed above. • The pump chosen for the design is at the limits of its capacity. If the total dynamic head is calculated to be higher, at the time of construction, a pump that meets or exceeds the system flow will need to be installed The minimum distal pressure at the end ofthe distribution lateral is to meet three feet. This amount of pressure will supply a discharge of 0.72 gallons per minute through the 3/16 inch orifice 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 SHAUN R BIRD Page 2 5/2/2008 • 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 bemade with the designated county official in accordance with the provisions ofSec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the ap rp oved plans Specifications and this letter shall be orrsite during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning. this correspondence may be made tome at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz@wisconsin.gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due _$ 0.00 VJiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. • 4 1 Y Cover Page SJNIOIl~1S'~ ~.3~dS 8002 u £ add Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 4/ 28/08 Owner: Matthew Hanold Location:NE1/4 SW1/4 S 21 T28 N,R 16 W Lot 1 230th St. 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 9-12. Soil Shaun Birc Signature License ni a~ni~~~a ~j~~~~y . ~~~ COMMERCE ~ INGS =. ~ONDENC • ~ PLOT PLAN PROJECT Matthew Hanold ADDRESS 3916 Main St. NE Columbia Heights Mn 55421 NE i/4 SW 1/4S 21 /T 28 N/R 16 W TOWN EauGalle COUNTY ST.CROIX SYSTEM ELEVATION 97.9' 1.9' Sand Lift BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter BEST GF10-8 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark B.M.#1 ~ B.M.#2 g6' 95' B- 5Acre parcel B - 1 B - 2 System is to be installed along contour of 96.0, cell and mound will be curved slightly to fit this contour 97' B-3 " 8% slope Grading is to be done to divert run-off away from system Well is to meet all setbacks found in Comm. 83 Huffcutt Combo tank / B _ 5 Tank is to be properly bedded and provided with lockdown covers with Area 15' below approved warning labels system is to remain undisturbed "-~ Living quarters are to be removed once pro 3 ~iedroom house is built I I Garage will be L__,_J ~ converted into a Pro accessory building Garage/temporary living quarters r Scale = 1 /4" =10' 230th St. • ~;-r--- _ ~ ...•. ~ M-. Date ga~1'owe~a ~'i'~ter gabric ~~ Ubservat?aa Pfpe perforated ~ ~pistr~bvts'on, Pipe Be_ 3.a~ I~iitar Fabric ~ ~ C-33 Soad ~ K. ° ~tiQiOlj ss:sas_ as 1 i E ~= a j 'X Siopa ~ r ~ Fa:cc ~oiA f~i~wstf . ~ Be c4 Of f~ 2 Z - Ld~sr 1}rain Rack frame pWesp • ,~ ~ . D ~ :v:ti: q •~.-- Crass Section Ot A Moaod ' si::R tIs' ~ ~ . ~'•~ •u ~"~j S / A Sed For T~se Apsar tiara 0-re4 &• i.. , S ` ~~ ~rc r~ u-~'°'~ . fl H z . ~ 0 6 a,' '! .~ i • ~; Ft.. ;.. _. ..._ W~ :. ".rt: . L -._.---_ • w~-- • d Observation Pip~i ' ~~~~ .Sad t3~ ~~- 2;t • Oistrib~~ia~ PiQe ~ • Draiur RocI~i ~ .• ~ t3hzsrva Lion Pipe ~ Per~no~~s~= i~a~ker ~s~,- %~ f3 ~~~!~'~~a~i ~Pa °'' Roo: ~ . .. ~a V'~w O~.~touot~ ~ft~ni A $ed 'For ~h~ Ahtor K ".'__ ~~• • Fars Nl~itt Ftdm PvmA #a. n Areo, ~ . pAG~,,,...:~F....-- . , '~. 1 PKtora#s~ was Os#a~ ;,eee~~s as is~~a0. eoosss sass L~%a ,~ ~xrs *ts+e*.rs eanw.c~mx, Ft. ~ I/ ~ ~ `~~~ X I ;,~':. . ~to3s D~a®attr~~-~ €~~ ~icecsse ice: Msnlfo3d ~ Z Istziies . !3P#te r ~ FQ#"C8 lltiR ." Z S . ~ of hoes/p~~e 2. 2nvert E~ev~tfan of tatera~~~ft:.. / ~ J:~ Y. .l~ ~ ' err. rf~Yr. r. ~ ~ , ~ .. ;. ~Ri~SS ; S~pTI~ '~Ai~ ZR ~ 3t~~ • ~~~~ ~~~ ~ '~ ~ ~g~ ~~E ~~ to ~~ tiles ~ v i ,~~£~ ~: - _„__,_ ~ ~~T ~~ ~~ y f ~~~ ~ .~S~i16 uBE~: ..,~ ~~x. ~. ,.. C. - . ~ . '~ --~- ~ ~ ~ . S . Sp~';CIFICA'i'I~ '' .. ~ Dl-Y " . ~..~.-ma'r'". . ..: Tlt~ SIZES : ~g ~ !iG . 8 0 =..-• ;~ -~ ~j,_ - t~ ~` t~ . _ ~c ~-~ s~3~ ~ ~~ I~ .. DYE i ORRESPONDENCE ~~ ~ ~~~~~8 ~'~ . :~~8 ~ 12 U_ 8 0 0 ~- 4 I FLOW .PER • MINUTE TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 t53 nnc :. CONSULT FACTORY FOR :SPECIAL APPLICATlOA1S • Timed dosing panels available. .". ' ` • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level cortuol switches are avail~lle for controlling single phase systems. • pouble piggyback yartable.level float switches are available for variable level long ae+d short cycle corrtrpls. • Sealed Qwik-Box avaaable fornutdoor installations. See FM1420. • Over 130°F, (54°CJ. special quotation required. 15T1153.Sepei• feet Meters Gal. Liters Gar. Liters 5 1.5 69 261 77 291 t0 3.t ~ 61 23t 70 265 ~75' 4:6 53 201 61 23t 20 6.t ~ 44 167 52 197 25 7.6 34 129 ~42 t39 30 9.t 23 87 33 t'~5 35 10.7 -- -- 22 55 40 t2.2 -- -- 1t a2 Lock Voive: 38.0 ft. (tt.6m) aa.0 Ft. (t3am) ousos 3 27 2 . :2 ~` i 12 t/8 -~- i 5 t/ ~~•_---- is SELECTION GUIdE 1. Single piggyltack variable level float switch or double Ai99Y~ variable level float switch. Refer to FM0477. 2. Sea FM0712 for correct model of Electrical Alternator E-Pak. 0 ~ ;~,d~ or controls, prot.cHon an,;ca..na widno .hould b. don. by:a yualin.d 3. variat~le Ievei oontrd swildt 10.0225 used as a control ac~vata: spepfy duplex (3) li~ensed.lec4ician. Au d.culeat and safty eod...houid be fouow.d inctudlnp the mad or (4) float System recent Natlonal Elechic Code {NEC) andthe pccupational Safety and Health AG {0$HA). . RESERVE POWERED DESIGN For unusual conditions a reserve safety #actor is engineered into the design of every Zoeller pump. .~ NAr1 Tar 1?0. BOX 16347 - Louisvlde. KY 402560347 Alanrdacturarsof.. ` SFllP 70: 3649 Cane RunRoad • t Q Louisvdte, KY 402ft•196t ~IL//Y/~lIVP9 SNC£ ~i~r ~ ~L//Y/~ L~, o (6o7J FAxf501) ~92s-PUMA hi~p:/lwwwsoelrev:corn ® Copyright 2000 Zoeller Co. All rights reserved. . ~ pflWTS triN3N~'~ u~"'$` M~G~(Ei~IT P€.Ai~! r.,~sr Qn~CAT1~tS Pte- ~ t? i~u ~~~ t~umb~tat`t~a~t~ Ut~s x fl~torsthi!- ~- Moc~ritY ~~~ . ssa m~1t,. sso:~ K Taelic ~' tt rtw ~ ~/ - ~ DNA PT~C ~ DNA puittp Tfu>~ M~~ i _ _ ~ DNA t N l~ 3 w- PtustP - ~ -- .... ~ D Paat ~6er ~~~. II ~ D Other: u~~ ~---.-• p ~ • V~~~..ras~rana ... ~fitv~lerA,ss~.traras:armr. ~e~tclt: st~tEt3ttt.E 5ervtee 1Fe+es7tesesas3r Ses:'+r:s~ Evaat p sy (1f{taxireurm 3~Im-t ins oor>d~ of faritcts3 P~ t-t feast once every erne-tad t~ ~ ~ volume Whers combined stodge attQ scum +ai~ Pump artcanbsmts °'t>atnk{s) © s) tMaxlmuru 3 yrs.; J\t Least Once ewiry €nspeat ~s At least atreoe e~rY ` t3 rs~+s ~ >~~ Rt feast orsoe ~rY s} D tna~s O Mitt ~ ~,~, Pip srossT~ ~ afarsn II rr ~ Q DfA Ffusts aq~d leaf At feast mast tsrwry f3 rncertFts II mss) f71W1 Rt Least vr~oe every od+~ .... __ At feast t~nce every p morstta II yeer~(si~ DNA ~~CE IIyS~RtICTtO~MB assNs st~.bs m~ ~ ect iacrdis+tdami aeu:yie'~ etas o~ fitie ffo~owtr~ Oosrlse~s or trs~tre6oenr tsslis~ asad Q~ R Satwisrr: PMTS hsspes~: PCIW'[S f161t;ld~fet: TT yi ~ ~d° a vlsuai iesspecQat o! ttm mss? 1sa I~esl~-aets-a+i~ a tseeoiar° ttse votuszle of aotrlWned sttidIIe sssnd ~' fb ctreotc the ~ tardwsrrs, tdarrBly ~ aacJrs err isaics, - ar porsd~t sii sxt the grOtand - The drspessa~ ~{e) att~ be ~~ of alltueM ~, ~ wort pipes and ~ cisecJc fcr any P~'n8 of efiuent asz t~ grr~nd of ~ locst rY ans'~o~ groliltd aiet~as ~Y ss and ~ sire irnrsted"sa~et ~ ~ ~d sassn in 9riy, tznk e~emis ~ ax mpr,s of;lt+e tic val. ~° +carlt>~ed ~ ~s ~ ~ disposed af'~s sow ~ ~ ~ t3= ~N 1~d1rt~-a Code- ~poiseets; altd ~7f ~ P©IArTS cpmponee~s, ~~ of ~ ~.~y r a.~ss sh~i be ~ ~ a im 4~1 days of a~ ~~'s~ :~ sei;,~e,nepa,dai>a~Y,e:pr,orJd~ ~o t#~e mc~sr nx~uta~ry sti~'~y ~ ~ EIP~ ~ cr~e c>~the POwt'S ciiacdc.n~ tartk{s3 fori6a P+ o~p ~ °t~ . !fret main harpeide shs anct/ar doge #ha d ~_~ ~ ~ ~ ha~na ~ ovnber~s of the letlic(s) rerrso~red hY $ septl:ge ~seMatng Opera~o~ p-'~ to tiset • 1 ' i ~^ti ,. • ~`F~.~~Of '' S3'~n Slar't uP ~~ not ~ when ~-CptlditYOnS are ti'eZen at'ihe rnl'iitratnre Seit'EdCE'. .. ~~ power P~ ~~ ~l {~ above normal l~ngtmraiQl ievets. When Paw'er is t~estat+ed tfle elaoess wlt tie dls~ged m the Dell(s) En one serge dose. ovet'(oadrr~ the aeEl(s} and may nit in the or atcfaos drsd:arQ~e of alt To avoid this s'ris~tiort hays the cortbeu'tts ~'~ P~ faNc t~eraOVed by a Seaieing Of~"~' ptfot'.~0 a Ate' to the etticrerrt pump or ootitad a Prtrmbac at POWtS ~Ertta><ier m € assist sl t718ru7a~y ~ Ste P~ O0 ~ rest7x+e tiorM fevets wr~hin the pump lank.. ` . oo rwt drive of parK overt or a~txrise distti~b to comps tkl not drive ~ petit vt~»das o~ ~ or a soil absarptron area- Gee a~ 15 feet doves sbpe ~ ~ ~,~~~ and piro(ong Sie f6tr Rori or-eretiirtafiovi odlhe ~ ~ ~e wasteyvat~et'str~eam may improsre pe of lire POVYT'~ aci~bto6Cs: ~bab~-~~~ buft~; condoms, cotton swabs< dt~grie~els; de7tl'at floss; diapers cTr tat foeeciifa~on dta~Ct {sr~rsp P~F) vliaf~t; fruit and vegetable pt~9~ S' ham; ~t ~~ ~ c~ A~'a~% ~ san~ry lrap[drFs: Fa7npons:'and watrr sol6erier . A8~4N00[~ENT taken M ~ service the fi7IIovwing steps shah ~R taken tb ~t7ne ti,at fie ~ . When ttie POM1IYt'S taIIs ~ ~,~~~~ wifJ'r ch_ Comm 83.33, lArrsoot>s€n Adminssira6vie C.od~ ~ "~ ~~' . X11{ plptng 6o tanks a~ PEts shall ~be drscani;ected and the abandoned Pipe openings sealed. .. ~t,« oonberals afi ae tanks srld pEts sf>all be rerrsov+ed and propetfy dEsposed Of by a Se~'Q Ot~~ ,. Ptt'bet QESft~g, alC t`.arrtCS e'Itld ~ ~a~ ~%` e~vatled aril ferTt01I8d Or 17'181!• Co^ver+ tertfO~wd•er3d ills ~+Dirf spx~e w~h SOt~ g~ Or Melt SoTrd I1f3t9r>al. . CONTINGENCY Pt.Al1s ~ tot[c+~rlrig measures have been, of must t>e iaicer4 Zn Prrn+ids a Dods If ltle P01tV75 fads and Cannot be °Dm~t ~ tr~ized fns the location of a tisplaoerttent sod fl A suitable nent'ac+ta has been evaluated and may tse absflrp>ron ~~- Ttie nit area should be pcoLeCted from drsLcsrbarice and cortipmu;tiori arm should not t5e irtfritlged upon tyy requMed s from e~dsbing and proposed s~ructirre, lot Trues. arxi _ Failure to pro0ec* the r+eplaeameM at'aa yrt7i r+estrit in the neEd for a new soil and 'site ~evaluaciart m ~~ a ~~ replacement aflea. Replaoement s must oompty vsrith the rutes in etfied at it~at Tune. ~ A scrifable nepraoernent ar~aa Zs not evadable' due Lo setback arlcUor soil lirriitariorts_ s3atrlrlg advanaP,s ih POYYTS gyf g ltotd7rtg ta9nlc.may be iristailleC as a fast resort so reptaoe the faded PO1IYi'S_ site eras nM been, earakYdl4md ao identify a suitable replacenterlt area_ Upon failure of 137e POVVTS a SoB.and st6e evaluation must t7s perfior'=~ in locate a sulLable replacement ans~ ff no rap7aoalssent anaas avaoable a. tenk r:iay be d ss a fast resos to ~p~ngoonestruc~ed O place fallowing r~n~oval of the nrarrat ai ~MOUnd and atoms aoEf ab ~ ~ the ~ surfaee~, Z;teaonsns cf such systems must oompy vvittl ttiC Mss ir1' dtfeGt at chat time.. «ttlf/t,Ri+itNC~~ SI=tPTtC, PL1fdP AND OTHER TREATMENT TANKS N(AY COht7A7N LETHAL CAS sES AND10R iNSt7FFEGtEMT OXYI~E. QO HfJT HH714R A SEF"Iitr trMlllilP OR OTHER TREATME'NT' TANK UNDER ANtY C![ZCUArCS7/tNGES. DF.hTK MAY t2ESt7LT_ RE5CUE OF A Pal FRt?iSlC THE 1NZ'EW072 OF A TANK iKAY 6E DtFFICiJLT QR ldEPOS`Slt3t_E_ AQOi'TtONRL Cx~ ~ ' POttYt5 tNSTAL3.ER POW2'S MAENT Name a.,w~,/ ~ Name Phone Ptlone %pZ "' J 7i~.r= ~ SFPT/tG~ SERVICING OP~ATOR LOCAL K;EGUtATORY AU~HORf fY c ~(/~" ntame ~ yy~ a9~~ <S' . C ! u rt 71us aoa+mmet+oas Qcrrttied 15y. td: stadfs of ells ~ tatre, ti+rarque77e and Wuslrara Corrrrry Zorrtrrg grid Sarutatiolt . Ti>rs d m0°u use ~ of cst Coenra ~(6)ltXd}b{!J arld 8~5k1). (?a b r3). W'soonslrt Adr=rMlstr~6~e Code [Jsf of ride doarr~t does o0t . ~, guarardae tlit perlorlilacloe of tits POSRf ts, paW j7~Ot) OwnerBuyer Mailing Address Property Address ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNE~R/SHIP /CE/~RTIFICATION FORM ~~ ~~7 (Verification required from Planning & Zoning Department for new construction.) ~ ~' ~. o og-~ n ~i.ao- a6b City/State ~~~"~ ~ ~ ~ Parcel Identification Number ~. 3 ~ c~~26 LEGAL DESCRIPTYON > ~~ Q ~ ~ ~4~/~' Q_ _ . pro rty Location ~~ 1/a , ~~ t~4 ~ S~• ~-1 > T " ~. N R~W, Town of ,~ LX,v Lot # Subdivision i ,1 e Ma # ,~~ ~ ,.Volume ~ , ~ , Page,# -1 b ~ ~ Cert~fiei Swrv y ! ,_,,, tl ~ ~ ~ ~ ,Volume _, Page 'Vyarranty Deed # Spec house yes no Lot lines identifiabl yes no SYSTEM MA~TTENANCE AND OWNER CERTTFYCATION Improper use and maintenance of your septic system could result in its premature failure to handpe ~+~ S'What~u ut into maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed um Y P the system can affect the function of the septic tank as a treatment stage in the waste disposal sys~~e ~ maintenance responsibilities are specified in §Comm. 83.52(1) and in Cha ter 12 - St. Croix County Sanitary owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the The property owner and by a master plumber, journeyman plumber, restricted plumber or a lice uo ~ Fer venfY f n~ (~~~nseptic tank is wastewater disposal system is in proper operating condition and/or (2) after insp PAP g ( 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 Resoturces, State of Wisconsin. 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. Uwe rtify that stn errs on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property d ed abov , by f a warranty deed recorded in Register. of Deeds Office. / /~ SIG A F APPLICANT(S) DATE #~* Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department*** Include with this application a recorded warranty decd from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (;~v. as/os~ N S °\ C 1 ,%/ , :. ~X ~1 .~~- _ Q ~~~ ~~~ >~..._. ~ r _ _ __ .._ ~~ /I ' !~ II C ~, ~ 3°~~'~ J ` ~ __ (~ ~'\ a~ [~ r ' ws~!gsin Department of Commerce SOIL EVALUATION REPORT Page l of 3 Division o! Safety and Buildings • z in accordance with Comm 85, Wis. Adm. Code Attach corriplete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ~,uuri~y S~-. ~,~~11>C inGtlde, but not limited to: vertical and horizontal reference point (BM), direction and ercent slo e scale or dim i th d l Parcel I.D. ~'~'- ~6 p p , ens ons, nor arrow, an ocation and distance to nearest road. ~~ d~ Please print all information. Revi ed by Date Personal information you provide m be sed for. s dary purposes (P 'vary Law, s. 15.04 (1) (m)). t ~ ,.. ,,, .. l'~'~ „~ ti ' 3 3 Q Property Owner J Property Location ~ S '" ~ ^^~er- NW 1/4 bt)1/4 S ZI T Z~ N R l~ E (or W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# ~~, w ~ s19 -330 ~-c+ ,~ v t- , l -- / ~ es ~- City State Zip Code Phone Number ^ City ^ Village ®Town Nearest Road P~~^'l C~~{ w ~ 5~,~ 6t (~ t.s) 6 ~~ - 306 ~ ~v G ~L. ~ ~~ Z 3 0 `R4- ST. [~ New Construction Use: ~ Residential / Number of bedrooms ~ Code derived design flow rate L~ S 0 GPD ^ Replacement ^ Public or commercial -Describe: Parent material C~l_~Lps'~- Tl~Lt Flood Plain elevation if applicable N ~ ft. General comments and recommendations: ~p~j ~/ 4 rx SO ~ UlST2L131.i`Rl1-J C°~L.(_ , M Jn.~ • l •4 r 0~ S A~~ Fl L(_ Boring # tt^~~ Boring t31 pit .Ground surface elev. Q.-): O ft. Depth to limiting factor ~ 3 S in. ' Soil Appligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 b -- ~~ 10`1 R 3 ! z - 51 ~ Z`FSh k wL`C-~, ~S - . S . ~ Z lp-Z.~3 )D`2fZ 3~b - S11 Zm 5bk S~ ew _ .S ,8 3 zg 3s , s ~ li ~1,; s 1 e~bl~ n~ v ~,-- _ . -~ ~_ z / 1 *\ <<: ,~,K Lai Bonin # t ", ,, ~fi ~~+~~ ~ .,- t g t^~~ Boring 'R'-i-~ ~ ~ CO~NT'r EU pit Ground surface elev. of ~- S ft Depth to limiting factor ~ ~ to~~~ -;, ,pNl ~~ ~E aoii Appiication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda -Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ •, ~ ~'~ 'Eff#2 0 - °I ~ i) `~ 1'i 312 S!) Z `~Sb}Z~ S ~L S ~ S : '~ ~: -l1 LO'71Z 31b _ St's Z'FSb h oQSh _ eS - • S • ~ ~ 11-3S 'L-S 72 y~ ~'' Z~ S~1231 y L ~`~ wL'Fl~ -- - 3 • S 'Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig tune O O !~ 2 - , CST Number _ Arthur L. tde~erer 220254 Address W e g e n e r S o i l T e s t i n g & Design S e r v i c e Date Evaluation Conducted Telephone Number 4.21 ~d. Bain St. diver Falls, E1I 54022 ~J'-~Z--UC7 715-425-O1b5 Property Owner ~~(~`~~ Parcel ID # Boring # ^ Boring © Pit Ground surface elev. _~t6- ~ ft. n~,~1~G 'Pt't~ S ~~ DEOth to limifinn fartnr ~ V ~.. ,~ Page Z- of 3.. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soft Application Rate GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 I o-9 l,p`ifZjtZ - Sl ~ Z`~~b~z S~ 0.,S- - , S .8 2, q-lY t o7fz~!6 - si i Z`F.sb eS - . 5 .~ 3 e~! Z6 ~s~r2Yl6 ~ s~tz ~!y ~ L ~esbk m~i - .~ .6 Boring # ^ Boring S~`-rQ-t~ `' ® Pit Ground surface elev. Cl b•5 ft. DAnth fn limifinn fartnr LC.7 ~., Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 ~- ~ lO`'11Z ~f 2 - ~ si 1 z ~'s b w,.'Ft- C-S - - S . ~ Z 8-lg to~IZ 3!~ - s~'~ Zrnshk sl, ~S _ .s ,g 3 18 ~-l -zsY2 ~~6 ~lQ s~2 ~~y L o~ m`Fi • 3 . s ^ Boring i9-'t- S " .Boring # Ground surface elev. as _ 0 1 y in. © pit ft. Depth to Umiting factor Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ~ Q-9 16`~F? 3L~ iii Z'~b1Z rSi:S~ ~ - -S -~ 2- q-t /!J`2/L 3.f [, -- gl/ ~t S~k dl~ ~~ _ ,;5 - 3 i~~ ~.Skiz_ y~6 'Fi Selz ~ L 1~s~k nn.~i - -~L -~ Effluent #1 = BODs > 30 < 220 mg/L and 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 in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD~8330 (86/00) ' '~ • PLOT PLAPd Page -3 of ~ Scale 1' _ ~{p ' ~~~v~ ~. ~~ - gl,•1 tt Z ~7 #-f ~U1~2-3T' DoT Uiu~ • ~q.6 5 BO`fTpW1 OF CL-*LL ~ ~ C'Z 9 ( mold $. . ~. 5 ~a 4 ~ "£ ,\ 8, Z ~ ez.a~~ ~ ~ _ ~ $•I . ~ ~ ~. N O ~.S `. ~ 33"' ~ 9S o 8~ ' ~ Et.gb-° \ s `~ ~~ ~ ~ 00 >.luT C-OriPH~2T OAR NI I .. J J ..U ~, ~1. ~~ t'~-1-_LrL,10 ~ N ~l Ntt16L1-.:3~~ ~D~ ~9 PUC_ 1?I {P~--hll_LE~.J . Y 1Z on 715-425-0165 ~ _ 220254 ~O- ~Z - 1 v CST Signature Date Telephone Ito. CST I~1o. Job P10. .~ Department of Commerce Date of Inspection: October 31, 2001 INSPECTION REPORT Project Name: Batho Property Use: New Residential Legal Description: NW, SW, 21, 28, 16W Site Number: Subdivision: Lot 1, CSM Vol. 14, Page 4020 Municipality: Eau Galle County: St. Croix Plan Transaction Number: NA Sanitary Permit Number: NA Wastewater Flow: 450 gpd Persons Present: A. Wegerer SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Street Chippewa Falls, WI 54729 www.commerce.state.wi. us Scott McCallum, Governor Philip Edw. Albert, Acting Secretary Plumber Name and Address: NA Certified Soil Tester Name and Address: Arthur Wegerer, CST 220254 421 N. Main St. River Falls, WI 54022 (715) 425-0165 Owner Name and Address: Arthur Batho W 1579 330th Ave Plum City, WI 54761 (715) 647-3066 An onsite soils verification was conducted at the request of the Certified Soil Tester to help ensure or better validate that suitable soil conditions exist. One soil boring was evaluated within the area tested for a mound system. Atypical soil pedon for this area would be as follows: 00-08" 10YR 3/3 sil, 2csbk, mfr, aw 08-14" 10YR 4/4 sil 2mpl parting to sbk, mfr, cw 14-19" 7.5YR 4/4 sl, 1 m-csbk, mfr, cs 19-21" 7.5YR 4/4 sl, 1 m-csbk, mfr, w/f3f 7.5YR 5/6 & 5/4 redox concentrations and depletions This site is very high in the landscape and appears to be suitable for mound system installation using additional sand fill to overcome a seasonal soil saturation limitation at 19 inches. Note that the CST did report redox features at 14 inches and normally we would use the shallowest depth to a limitation for design purposes. If there are any questions regarding this report, please contact me. CST BM #2 ~ N L oy G. nsky, Prof sional oil Scientist Wastewater Specialist Ljansky@commerce.state.wi.us E-mail 715/726-2549 Fax 715/726-2544 Voice 715/828-5902 Cell E- 30 ft • Not to scale. cc: County ^ Plumber ,~] CST ®Owner 45 ft • Distances are approximate only. T-1 ^ Other 'Parcel #: 008-1061-20-200 03/30/2007 03:19 PM PAGE 1 OF 1 • Alt. Parcel #: 21.28.16.314A-20 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 0 Valuations: Last Changed: 05/13/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.764 26,600 0 26,600 NO Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - POMROY, JASEN S & KELLY L JASEN S & KELLY L POMROY 241 230TH ST BALDWIN WI 54002 Districts: SC =School SP =Special Prop Address(es): * =Primary Type Dist # Description 230TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC 2,~~ Le escription: Acres: 4.764 lat: 4020-CSM 14/4020 008/01 EC 21 T28N R16W PT NW SW BEING CSM lock/Condo Bldg: LOT 1 14/4020 LOT 1 4.764AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-28N-16W NW SW Notes: Parcel History: Date Doc # VollPage Type 06/18/2003 726434 2281/13 WD 04/30/2003 719510 2225/213 QC 08/17/2001 654197 1702/285 WD 09/16/1999 610465 1456/632 OC more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Totals for 2007: General Property 4.764 26,600 0 26,600 Woodland 0.000 0 0 Totals for 2006: General Property 4.764 26,600 0 26,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 x cn r-r CAA3 a a ~° NJW ~ a _ ~ .v N3A • W O ~!LL [.~~ ~ M ~ W W Z~F`' sa o° u9aaaiu z ~wNC~~ ~ N ~-. oW~--. ~-, n ri..-+ ~ ca u. cs JCJ~f l ti l-=H>- ~W S H ~ 1 {~{yYy~~ W ~pp~,yy~~~~ 8. C~ [J ~C7 ~ C' O UWC~C~.~MOWC B. i 1Wx r~ri I "~ ~~~~ ~ ~. D d~'~:~ CI E 6 sr. c~~a;n coitwvrv .tlrt~~X~"?~R££f~fiPr------- ------------------------- ----------------- ~~l~f~f0 lrl~~~ ~ ~ --- ~ ~ located in the NW ~/4 of the SW ~/4 of Semon i~, T t8 N, R ~6 W, Town of Eau 6alle, St. frofz county, Wisconsin. ~ FjL~'D 2~ ~ SAN 1 7 2001 - 3 ~~IN W \~ S~Crobc Cow / Prepared for Arthur Batho APPROVED v ~, EAST //4 COR. SEC T/ON 2/ ST. CROtX COUNTY Planning Zoninn Ana ~~.~,,. ~..~„m;+t ~e O O v JAN 1 7 2001 BEAR/NGS REFERENCED TO ~ THE WEST L/NE OF THE ~ SW l/4 OF SECT/ON 2/ ~ ~ / f ASSUMED AS NOO°00'00"E P 0v~fl ~' ''' /~ ' d8~8p~iovall h I I s a be 1«.. (.. rv... ~TY~~r..~~/ I..~ ~~ ~~ ~ ;~I ° ~~ o" o 1 CTI O N _ ~ I I ~ o ~ lL~"G~N® ,~, ~ ~ : - ~ \ ~ I W ~ O I"X 24" /RON P/PE SET WE/ GH/NG e ~ ~ ~, ~ I ~~ 1. /3 LBS. /LINEAL FOOT I ~ Q W ~ I ~ ~: ~~ ~ ~" ``~.' i ; I ~ • FOUND l" IRON P/PE W I ` I ~ FOUND COUNTY MONUMENT O ~f'~ v % %~ : ~ • SO1L BOR/NG Sl TE .~ O ~ y I ~' ~ i .. ~. W ~ ~ I .1I N ~ I ? ~1` O Q ~ . 1 O ~ -SOO°00'00"W - - 944.63 ~~ o ~ - '~~ ^ ~ ~ 3/4.88' 101. 83' 233. 24' Z94. d!J /' 1 ~) I ~; y ~ ~ 334.87' t ~ ;` 1 ~ I 534 SOF 207 T 207, 534 SO. FT. 207 534 S q 0. FT. ~ ~> . , OR OR OR N m I ~I ` I ~ t 1 4.764 Ac. - O 4.764 AC. iNCL. RiW O 4.764 AC. b O INCL. R/W ~ /NCL . R/W O ' b ~ 0 O v p 0 e m LOT l " LOT 2 LOT 3 ~ ~ l~il ~o W o ''' H 14/ S0. FT. /9T 197, 9 S0. FT ~ 196, 5/4 S0. FT. ~ ~`. I y~ ~ , OR ~ ~ OR a ~ OR M b `~ 66 t~ 4. 526 AG. ~ M N 4.540 AC. ~ ~ a 4. 5// AC. W R ~ 3 ~ r. N p EXCL. R/W N EXCL. R/W M / ~ EXCL. I p 0 ~ o o N <. N ~ n ~ ~ ~ 00 ~~I O _ I /00' ~ 2 h SETBACK ? H L/NE o a o • • ~ 1 • ~ SW COR WEST //d O ^ _ _ NOO q 00 '00"E 9 4. 63 '1 ~-~... ~_ ? SEC. 2/ G. BOBfAT INffffRl AND AIIOI/AIfI, /N~. , ~q o BBDAD 1 TiPffT, ND9TN ' oAfIIOTT, ///IIONI/N sgor~ ,1~1 1 L7o~a,ted in the Northwest 1/4 of the Southwest ~.~ of S~ ~ on 21, Township 28 North, Range 16 W ~"" Town' Eau Galle, St. Croix County, Wiscon RI"c~Iv~~ -~,.w, ~' ~ Prepared for Art Batho ~ ~' ~ ~ 2000 ~; .~~-. ~. l:. 1 ~., . ST GRpiX ,Lr~` s s~ COUN!Y r~•~ ZONINGO~FICE ~~ ^' r'`~. .~ ~ ~ /~ ~`f j ~ Ct~~ EAST QUARTER CORNER, SEC T/ON 2/, T. 28 N., R. /6W. .r ~ ~ V Sip 2 z ~1 200p s ,' ;, t ,,,._ . J/ ~ J/_ /_~l/..' /~ I N h ' S 00° 00'00"W ;'~ ~ ~ ~ 4/6.5/' ~~ I 3 O I C ® ~ ~~ ~ ~ i 0 W ~ W 230, 552 S0. FZ ~ ~ ~Q ~W ~ W ~ I ~ W 5. 29 ACRES 3 ~; ~ O J ~ 02 '~ : I v W~ ~ ~ M ~ N ~ . I ~~ ~ ~ ~ ~' - ~F ~ c~ ~, ? ~ O I ~ c- ~ ~ - Uj v Ql ~ O ~ ~ ~ Q . ~ ; ~ ' k M J J ~: ^ '~ ~O~h ~ tl l~l h - ~ ~~ ~ v -~ ~ ~ 0 ~ `,I l m O , ca I ~) I ~ v1 Q M 00°00100°E 4/6.5/1 - _ p- . _ _ _ .p ~ 101. 63' 3/4. 88' ~ - I ~ 1 ~ ~ b/ I I I I I O I OI I h ~ I ~ ~~. . ~ I I ~ ~~ I _ t I' I/ I ~~ I ~ 1 ' ^ / ' ' O L r/1~ I b ~ / I ~o / I I I II o I o ~ ~ I LVFST !Jf/,~RT,r.O M i I I ` 'Parcel #: 008-1061-10-000 03/30/2007 03:12 PM PAGE10F1 •Alt. Parcel #: 21.28.16.313A 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 - 8ATH0, ARTHUR H ARTHUR H BATHO W1579 330TH AVE PLUM CITY WI 54761 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 37.340 Plat: N/A-NOT AVAILABL E SEC 21 T28N R16W 38A NE SW EXCEPT THAT Block/Condo Bldg: PART OF C.S.M. 7/2037 & EXC AS DESC IN 831/103 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 09/16/1999 610465 1456/632 QC 07/23/1997 831 /103 07/23/1997 828/200 07/23/1997 812/263 7(1(17 CI IMMARV Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Description Class Acres Land AGRICULTURAL G4 25.340 2,900 UNDEVELOPED G5 8.000 4,000 AGRICULTURAL FOREST G5M 4.000 2,100 Totals for 2007: General Property 37.340 9,000 Woodland 0.000 0 Totals for 2006: General Property 37.340 9,000 Woodland 0.000 0 Last Changed: 08/04/2005 Improve Total State Reason 0 2,900 NO 0 4,000 NO 0 2,100 NO 0 9,000 0 0 9,000 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number Document Name THIS DEED, made between Jasen S Pomrov and Kelly L. Pomrov. husband and wife ("Grantor," whether one or more), and Matthew G Harrold and Rebekah M. Harrold, husband and wife ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): That; part of SWl/4NW1/4 Seca 21-T28N-R16W described as follows: Lot 1 of Certified Survey Map recorded in Vo1.14 of Certified Survey Maps, page 40.20 as Doc. No. 636955. St. Croix County, Wisconsin. !11111 !1111 1111111111 1!111 11111 Ills 1!1!11 !ill ill! $s~s~s~ ~~ ~~ KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR REGARD 04j17j2007 0$:OOAt~ WARRANTY DEED EIEMPi 0 REC FEE: 11.00 TRANS FEE: 119.70 PAGES: 1 Recording Area ~" Estreen ~ Qg~eftd ~ ~ " ~: 3Q~4 t-~oc~ast Street 1 ~'~ (v~R Htldson,lN~ 54t?~ g 00&1061-20.200 Parcel Idernification Number (PIN) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Jasen S. Pomrov and Kellv L. Pomrov. husband and wife STATE OF ) authentica o ) ss. COUNTY ) ~`Kristina .Personally came before me on , TITLE: ME ER STATE BAR OF WISCONSIN the above-named (If not, to me known to be the persons} who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Attorney Kristine Oeland ~ Notary Public, State of Hudson, WI 54016 My Commission his permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: TIDS IS A STANDARD FORM. ANY MODIFICATIONS TO'THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRAN'T'Y DEED p 2003 STATE BAR OF WISCONSIN FORM NO.2-2003 " Type name below signatures. INFO-PROTM Legaf Forms 800-855-2021 www.infoproforms.eom 1 of 1 This is not homestead property. (is) (is not) Exceptionsto yvarranties:Easements, restrictions and rights-of way of record, if any. xl ~ .. 4( 3! 31 3< 3. 3 T 2 v 2 2 0 2 0 '' 2 1 1 1 1 13 MODEL 48 53/55 57159 72 7 6 98 137 1139 1 4140 151 15 1 191 Feet Meters Gal. Liters Gal. Liters Gal. liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters 326 Gal. Liters 50 189 5 1 5 29 110 43 163 38 144 50 189 72 273 93 352 66 t2 10 . 3.1 22 83 34 129 30 114 40 151 61 231 79 299 80 73 303 276 45 38 170 144 61 15 4 6 10 38 19 72 14 53 30 114 45 170 64 242 12 20 . 6.1 - - - - 17 64 25 95 36 136 66 250 29 110 44 4186 25 7.6 - -- - 8 ~ 16 61 i t 30 9.1 • - - -- _ - - - _ _ _ 49 85 - 40 12.2 - - - - - - - - - - - 28 106 - - 11 50 15.2 - - - -- - - - - - - - - - 60 16.3 - -- - - - - - - - - - - - - - 10 70 21.3 - - - - - - - - - - - - - - - - 60 24.4 - - - - - - - - - - - - - 1 90 27.4 - -- - - - - - - - - - - - - 100 30.5 - - - - - -- - - 9`' 110 33.5 - - -- - - - -- - - - - - - - - - - 120 3 6.6 - -- - - - - - - - 90 130 3 9.6 - - - - - -- - - - - - - 0 ft -- 15 2 - 30 fl - 1 9 - 3B IG Shu to ff H ead: 18 ft. S.S m 19.2 5 ft. 5. 9m 18 ft. 5.5m 25 ft. 7.6m 23 ft. .Om 26 ft. 7.9m . 5 m . . m . 85 80 165 4165 7 ~ 16514165 18514185 186/4186 188/4188 1881 70 16114161 16314 163 163 4163 Gal. L9ers Gal. L4ers Gal. L'ders Gal. L'ders Gal. L4ers Gal. Litera GfL 65 100 379 61 231 61 231 - - 58 220 145 549 145 93 352 61 231 61 231 - - 56 220. 140 530 110 60 189 85 322 60 227 61 231 - - 58 22(1 134 507 13S 4161 4189 79 299 59 223 60 227 -- - 58 220 128 484 131 5 70 265 57 246 59 223 - - 58 220 122 482 125 414 62 235 55 206 58 220 85 322 58 220 116 439 120 55 206 70 285 58 220 104 394 109 186 45 170 46 172 1 4188 20 76 33 125 50 189 51 193 58 220 90 341 97 45 _ 15 57 39 148 32 121 58 ZZO 71 269 d5 23 87 9 34 52 197 51 193 ~ 2 40 - - - - 10 3B - - 45 170 28 106 51 152 153 -- - - - - 31 117 2 8 34 35 - - - 16 80 - - 17 - - - - - - 4 15 - - - 3 151 185 _ _ - - - - - - - - - - 4185 _ - - - - - - - 8 2 56 ft.(17.1m) 66 ft. 20.1m) 89 8.(26.4m) 73 ft.(22.3m) 114 ft.( 34.7m 9114 7.7m 110 t 98 ~ 0099228 1 4 1 A CAUTION Model 185/4185 should not be subjected 2 to less than 30 feet TDH 5 . ~ 7 i ss 76 i39 NOTE: For Pump Performance on Model 112, Industrial col- d ,n 20 3o so so 70 6o so 1 00 1 10 1 20 1 30 1 ao 1 50 umn ex losion roof um ,see FM0219. P P u,a~LUrv~ LITERS 0 80 160 240 320 400 460 560 FLOW PER MINUTE 009922A 24 8C 7` 22 7( 20 6c 18 6( 5`. v 16 5( z p 14 4• p 12 41 3' 10 3~ 8 2 6 2 1' 4 1i S EWA G E A N D MOD Feet EL Melers 21 Col. 1 titers 26 Cal. 4 Lden 26 Gal. 6 film 26 Cal. 7 liter 268 Gal. Liter 270/ Cal 4270 Liter 282/4282 Cd. Ulen 284/4284 Cd. liter 292/4292 Col. filers 140 530 293/4: Cd. L D EWA TE RI N G 5 10 15 20 25 M i.5 3.0 4.6 6.1 7.6 9.I 82 53 32 -- __ 310 201 121 -- _ 90 60 23 -- __ 341 227 85 -- __ 126 89 50 10 - __ __ 464 337 189 18 -' __ __ 12B 69 50 IO -- __ __ 484 337 169 ]8 -' __ __ 126 89 50 10 -- __ __ 461 337 189 3B -- __ __ ,}2 101 77 56 29 __ __ 500 362 291 212 110 __ __ 127 96 64 34 6 __ __ 461 363 242 129 23 __ __ 179 157 133 106 73 42 __ 678 594 503 101 276 159 _ 124 108 91 IS 58 33 469 409 344 284 212 125 =_ 116 108 % B2 65 }5 W 10.7 11.2 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ 10 >8 N - 50 75.2 __ __ _ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ 60 /B.} __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ 70 Shin-oH 21.3 Heod: 19.5 It. 5.9m _ 18 IL S.Sm 11.5 H __ . 6.6m __ 27.5 ri __ 6.6m __ 2L5 R __ . 6.6m __ 29 It. __ 8.8m __ 26 H. __ 7.9m __ 35 R __ 10.7m __ 42 H. __ 12.dn __ 50 15 293 PUMP PERFORMA SEWAGE- Mt 2" SOLIDS PASSIN 266, I 267, 282 270 i