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032-2073-80-050
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 556362 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Krie Imeier, Mark A. & Dortha Somerset, Town of 032-2073-80-050 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: / Op C,5r 13.30.20.7831320 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE~ CAPACITY STATION / BS HI FS ELEV. Septic Benchmark q (q L~j 14J I Dosing / Alt. BM < f . y Jr~ y hod- Go 93 Aeration Bldg. Sewer5keeY 7•~Co 7`>t aZ. d /a k Z H0 IZ•'MP s9 4L- Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/ WELL BLDG. Vgnt to Air Intake ROAD Dt Inlet i k, 44-- L ~ Septic 7 166 / AA- ~ 7-7 / tBottom 17.0,7 'di Dosing 7 160 / ~ L0 1 7,7 / Header/Man. 3. y7 I Aeration Dist. Pipe % b 7. Holding Bot. System PUMP/SIPHON INFORMATION Fin ade 3.61 9 tie, Manufacturer Demand St Cover•_-., dc,( GPM W'' -13. M ~ Model Number TDH Lift3 b Friction Loss System Head TDH t l 3.52. Forcemain Length Dias / Dist. to Well /V~ SOIL ABSORPTION SYSTEM , Z , z7 3 BEDITRENCH Width Length INo.OfTrenc PIT DIMENSIONS No. Of Pits Inside Dia. L h- DIMENSIONS - 63e Q e SETBACK SYSTEM TO P/L VBLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Ofkystem: UNIT ',/tI/ I Model Number: DISTRIBUTION SYSTEM Header/Manifold it Distribution / / x Hole Size I x Hole Spacing / Very[jo Air In ke / Pipe(s) /JJ Length 3 Dia Z Length 37" Dia Spacing ___3 3/1 dr Z • 5 7 v SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded/Sodded xx Mulch d Bed/Trench Center y / / Bed/Trench Edges Topsoil I U Yes No es No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:/1116 / Z' j/ /Z- Inspection #2: Location: 276 150th Ave. HOULTON, WI 54082 (SW 1/4 SE 1/4 13 T30N R20W) NA Lot 2 N -X-C Parcel No: 13.30.20.783B20 1.) Alt BM Description - ItG~ 6-00e,,- rB'i 2.) Bldg sewer length it - amount of cover P' - amount of cover Plan revision Required? ❑ Yes No - Use other side for additional information. SBD-6710 (R.3/97) Date Insepctcr's Si nature Cert. No. PLOT PLAN N Project Name: Krieglmeier 3 Bedroom Mound Legal Description: SW1/4, SE1/4, S13,T30N, R20W P_I.D: 032-2073-80-050 Subdivision Name: CSM Volume 21, Page 5270 Lot 2 Township: SOMERSET Parcel Size: 3.40 Acres SCALE: V = 50' County: ST. CROIX Contour Line Elevation: 96.30 Cell Dimensions: W X 76' 4 inch Sch 40 -ASTM D2665 System Elevation 97.60' Mound Dimensions: 32.45'X96' 2 inch Sch 40 -ASTM D1785 Slope: 18% 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' Top of 2" PVC pipe BM2 Elevation: 92.94' Top of 2" PVC pipe ■ Backhoe Pits: Deflection 2.5' % of Deflection 3.33 ffective Cell Length 75' ell Length Needed 75.66' 00""O PROPC51E t) V.)ct-L O P, Ci,q S , .?ar2c0Yv L4 (JA LIC ~4L lOa~~~C ~ ~ ~„4Ll.d hl 5 ~p.t, u% a~Lt ~ti SLS S _ tzi\ ~ INS z 1l1-~i2c rAl +IJ ofzlVE Q, 0,A - i~ CDN is X03 \ LJ Page 11 X10 L y III a y W L R R IJ A F~ C O 3 .b O W O lrr ll F c E .fl [ ~ ; ~ ENO V y d .O G~ d L 7 M C~' O 4JCM C/1 C O R r ~ ti ~ 00 i+ i I'V _ • N z .R w ~ CO U d a a R - L w N E T y L 0 •'O •C. d ~ N a~ p ` W -walk V1 aL+ C y ar E C O a~W- O •R R d d ~ V W O y 0 w C ..o i u r R 1 1 • • a i CL C O 0.0-1 as m 7 C n 3 a YO O ~ R c~ ac e.d ~ d o W A ~ Y V t d L ~ L y L T d ~ •O L T 4. F, ~ F-I i o°n a"i a e°n R ~~~yy o d u 9z NI O 4Z W W H u o Q 9z 40 C4 ~ O W a o E-~ w C2 V ~ ww a w O .3 aowz x Q County Safety and Buildings Division I 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 4,x~ QC~ 201`' ' ~(p 7i b t ermit Application State Transaction Number In accordance with S 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governme6takunit ~ tJ is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. Z 7t0 l N 1. Application Information - Please Print All Information < Property Owner's Name Parcel # 49 A-/V!q J /,--7 r/,,, 4 03Z_2073 -86-OS-0 Property per's Mailing Address Property Location ~e 3 $ 2o) • SEV ZJ f.2 io J Govt. Lot City, State Zip Code Phone Number ~W y, -SC `/4, Section 13 15-clo e 7. ucle one) u G T~ N; R Z Eor~ U. Type of Building (check all that apply) Lot # 1 or 2 Family Dwelling -Number of Bedrooms Z Subdivision Name ~ Block # ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use CS um 6r fr ❑ Village of V~ P46 I S2 7Q I(Town of J S T III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner 1 14 IV. Type of POWTS S stem/Com nent/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade N Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsaffreatment Area Information: Design Flow (gpd) Design Soil Appliaati n Rate(gpdsf) Dispersal Area Requir (sf) Dispersal ea Pro (sf) System Elevation L/.~ 1/1.141- 0. o ~ g7, 3 o VL Tank Info apacity in Total # of Manufacturer Gallons Gallons Units / r~fl U New Tanks Existing Tanks lam/ ~o l L <<- ✓ c a g m A. U rn v~ v~ w C7 a+ Septic or Holding Tarok 00 000 r t✓ S,, 1e Dosing Chamber 5-0 5'v «s62 VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' a MP/MPRS Number Business Phone Number J oifs~ 1Tr Z Z 3 74 0 0 -0 >8v~- Plumber's Address (Street, City, State, Zi Code) VI our /De artment Use On Permit Fee Date Is ued uing Agent ~ignati Approved ❑ Disapproved 7 t v 1'2, ❑ Owner Given Reason for Denial - $ ' / G~^ 1X. Condi SAW vaMasons for Disapproval 3 / / Z 2p f"2 ,QA,t.P 0~ -~ppc.tsnk,;llbl~tllbwr+ri~et % V d - 2 ~ d 6aff S-A* dAA 61-~ ®size Aftuh to wmphte plans for the system and it to Coaaty only op pa not le" than 8 in 111 hichils and l/ Y!l s SBD-6398 (R. 11/11) 9FP~TNE~ To Safety and Buildings 3824 N CREEKSIDE LA 9 HOLMEN WI 54636 3 d_ S P j Contact Through Relay www.dsps.wi.gov/sb/ S ticw www.wisconsin.gov ~o 'sSIONAl'~ Scott Walker, Governor Dave Ross, Secretary October 11, 2012 CUST ID No. 223760 ATTN: POITTS Inspector ZONING OFFICE JOHN F SCHMITT ST CROIX COUNTY SPIA 586 VALLEY VIEW TRAIL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/11/2014 SITE: Identification Numbers Mark & Dortha Krieglmeier Transaction ID No. 2156629 276 150TH Ave Site ID No. 784643 Town of Somerset Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. SW 1/4, SE 1/4, S13, T3 ON, R20W FOR: Description: Three Bedroom Mound System / 18% slope / 2.5% cell deflection Object Type: POWTS Component Manual Regulated Object ID No.: 1394853 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD-10691-P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.O1/O1); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code RO. requirements. Con dl 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: APPR DIVISION Of S SASE Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the SEE CORRE 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. • 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 SPS 384 product approval conditions. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A properly credentialed POWTS`Maintainer shall be specified in the Management Plan given to the owner of this POWTS. n • A copy of the approved laU ns 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 1, t JOHN F SCHMM Page 2 10/11/2012 Owner Responsibilities • 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. • 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. SPS 383.54(1). • 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 • This Amount Will Be Invoiced. &erard4M Swim When You Receive That Invoice, POWTS Plan Reviewer, Integrated Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WiSMART code: 7633 Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety & Buildings will be modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety & Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. f MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGIt4. 2 ~-6 INDEX AND TITLE PAGE ~q; 2o1Z Project Name: Krieglmeier Mound GS Owners Name: Mark & Dortha Krieglmeier Owner's Address 1508 23rd Street Houlton, WI 54082 Legal Description: SW1/4, SE1/4, S13, T30N, R20W Township Somerset lOnall.7 County: St. Croix E13 Subdivision Name: CSM Vol. 21 Pg 5270 gU1lD►N61< y AND Lot Number: 2 Block Number Parcel I.D. Number 032-2073-80-050 ;p0NDENCE 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 Septic & Dose tank specifications Page 8 Effluent filter information Page 9 & 10 Pump specifications and curve Page 11 Plot plan Page 12 Septic tank maintenance agreement Page 13 Warranty deed Page 14 CSM Page 15 - 18 Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 9/25/2012 Phone Number: 715-760-0486 Signature: 'yZ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01) and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 of 18 ~I Mound and Pressure Distribution Component Design Design A'orksheet Site Information (R or C) { R Residential or Commercial Design Note: Sand fill (D) calculations assume a ' 304.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for ' 1.60 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of 36 inches. 456.00 Design Flow (gpd) 18.00 Site Slope 96.30 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) ) L_ 0.60 In-situ Soil Application Rate (gpd/ft2 Distribution Cell Information 76.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fe) 1 a Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y- Pressure Disribution Information network? Enter Y or N {u or E C Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. p 0.188 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 7.60 fe/orifice 2.00 Forcemain Diameter (in) 140.00 Forcemain Length (ft) Does the forcemain drain back? I Y 86.30 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 22.84 Forcemain Drainback (gal) 10.59 Vertical Lift (ft) 68.38 5x Void Volume (gal) 4.48 Friction Loss (ft) 91.22 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 39.32 System Demand (gpm) 18.32 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. o bons choice in. dia. options choice 0.75 1.25 1.00 I 1.50 x - 1.25 x 2.00 x x 1.50 x a x 3.00 2.00 x 3.00 x Gallonslinch Calculator ogtionaii Treatment Tank Information ' Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser I Manufacturer gaVin (enter result in cell B49) Dose Tank Information Effluent Filter Information 650.00 Dose Tank Capacity (gal) i PolyLok Commercial Filter Manufacturer 17.00 Dose Tank Volume (gal/in) I 625 Filter Model Number Weiser Manufacturer Project: Krieglmeier Mound Page 2 Mound Plan and Cross Section Views T 1/10 6 ' J Observation Pipe O A I" I W _ B I 3 - • L Mound Component Dimensions A Eaft ft E 24.96 in H Aft ft K 10.00 ft B F 9.50 in 1 ft L 95.99 ft D in G 0.50 ft J W 32.45 ft 456.00 (ft2) Dispersal Cell Area 2127.17 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.60 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.09 (ft) t H g G 97.80 (ft) Lateral F Dispersal Cell 97.30 (ft)--► Invert Dispersal Cell y = Elevation A., E . D 3 . . . 4 96.30 (ft) Contour Elevation 18.0 % Site Slope Geotextile Fabric Cover Shading Key m Q.- Dispersal Cell See lateral details on Fil =Topsoil Cap o a 1.5 ft Page 4 for number, size, Subsoil Cap a o Q 0 and spacing of laterals. ~ (TT © ASTM C33 Sand 1° Laterals are equally ® [ Tilled Layer H0.5 ft Typical Lateral F spaced from the Q5 Aggregate It c distribution cell's centerline in the A + distribution cell (AxB). Project: Krieglmeier Mound Page 3 „ Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identical p S 30 0=Turn-up mtbsll valve or I<- x---> I+x12 + xt2+l Laterals Morcemain Sch 40 PVC cleanoutplug per SPS Tape 384"30-6 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.57 ft Lateral Length (P) 37.27 ft Orifices per Lateral 15 Lateral Spacing (S) 3.00 ft Orifice Density 7.60 ft2/orifice Lateral Flow Rate 9.83 gpm Manifold Length 3.00 ft System Flow Rate 39.32 gpm Manifold Diameter 2.00 in Total Dynamic Head 18.32 ft Forcemain Velocity 4.02 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented F- Alternate outlet location Forcemain diameter Weiser _ Manufacturer 2 in. Capacityl 650.00 Gallons Volume 17.00 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.97 339.48 C B 2.00 34.00 Pump off elevation, C 5.37 91.22 87.21 D 10.90 185.30 D Total 38.24 650.00 Dose tank elevation (ft) 3" Bedding un er tank. 86.30 Alarm Manuafacturer Septronics "vote: Switches Alarm Model Number TM-1 containing rnerUiry m iav not be used in Pump Manufacturer (Zoeller this system. Pump Model Number (152 Pump Must Deliver 39.32 gpm at 18.32 ft TDH Project: Krieglmeier Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 456 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 304 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 456 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for pondin and seepage once eve 3 ears Other l Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Krieglmeier Mound Page 5 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)] 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 SPS 383.33, 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 be 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. Pump 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 be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 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. Continnency 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 541" 43" 84" z r m 11 n 11 3" 46 I 5" Do A~- m r --i m m To ~s i O ° < it < m m / D II ° ~o z J A 11 41 - u (n m D O Z ~ C , m ~ m D C -I z N C m 0 D r. C Zm m (A ° > ° n -1 Z 0 Z o O z 9 C ~m m Z 10 (A m mN ;a M z z Z O n O~z DZ mpmOZLn>oo> C7 m _-1 CO ° rcn m -0 Sn° ono 2002022m ~r7 Z O c (A Ff \ m D V7 n r"00 m>O ir`" 2-tOAK~N V~ O Dm 0i<jlr*1 A~mN4i m o m \ O m 2 m z m n X N ° O O co --4 N (n 1 1 r 1 O n m Y < < z N Vp~ mm Do --I (n O \ = "T ° Z N m m m O O (nmy I m g Cw A. 1 ° n Z \ -1 m - oN (nom DD aoz 0 0 N °z v o z z D; mM, m mDo o °v n 0 D m<-- N➢ r C7DD >0 oA D m D n z< C z Z D l° n O N -4 A A M Ak DDO m > (A 0 T ~J D 0 00 (n Z N N (mil (n Z m C m m C7 m ° m O O C-) O 2 O m v D C) 0 z m 4 m r A m O r m CC z m Q m m A O D r m m r 'V M z m l7 N z (n r m \ O m WLP1000 650-MR MIENER COnC~`TL SCALE:1/4" REV NO. DATE: SEPTIC MANUAL DRAWN BY:SWT O o V W3716 US HWY10. MAIDEN ROCK, WI 54750 DATE: JANUARY 2008 REV, JAN, 2008 800-325-8456 FILE: WLP1000 650-MR Paae 7 Ile rs PL-525 EFFLUENT FILTER (COMMERCIAL) Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent fiiters.The PL-525 is rated for over 10,000 GPD Alarm ft l ' Accepts PVC (gallons per day) making it one of accessibility extension handle extension the largest commercial filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the new Polylok PL-525 has an automatic shut off ball installed 525 linear feet with every filter. When the filter is of 1/16" removed for cleaning, the ball will filtration slots Rated for over float up and temporarily shut off 10,000 GPD the system so the effluent won't leave the tank. No other filter on the market can make that claim! Accepts 4° & 6° SCHD. 40 Pipe do:_ 'i wn,- z Dew The PL-525 Effluent Filter should operate efficiently for several years under normal conditions before requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If the. installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be Gas deflector done by a certified septic tank Automatic shut-off pumper or installer. ball when fitter is removed 1. Locate the outlet of the U.S. Patent No# 6,015,488 septic tank. 5,871,640 2. Remove tank cover and pump tank if necessary. t1S a G! ; 1. Locate the outlet of the 3. Do not use plumbing when septic tank. filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL-525 out of the housing. mercial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the tank. Make sure all solids fall 4 or 6 outlet pipe. If the filter is not centered under the back into septic tank. access opening use a Polylok 6. Insert the filter cartridge back Extend & Lok or piece of pipe into the housing making sure to center filter. the filter is properly aligned and 4. Insert the PL-525 filter into completely inserted. its housing. 7. Replace septic tank cover. 5. Replace the septic tank cover. w Page 8 SECTION: 2.20.047 4114L/TY111URS~iYCE lff p FM1919 0110 Product information presented ® L" Supersedes here reflects conditions at time ® 1108 of publication. Consult factory PU/IilP L"L7_ regarding discrepancies or inconsistencies. MAIL TD.' P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web site: SHIP TO. 3649 Cane Run Road • Louisville, KY 40211-1961 www.zoeller. com (502) 778-2731. 1(800) 928-PUMP • FAX (502) 774-3624 COMPARE THESE FEATURES • Durable cast iron construction 151/1521153 EFFLUENT SERIES • Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix Identfrcation see News & Views W52) • Corrosion resistant powder coated epoxy finish • Stainless steel lifting handle "DOSE=MATE" • Assembled with stainless steel bolts • Non-clogging engineered thermoplastic vortex FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS • Model 151 -1/3 HP passes W spherical solids ti + 1 EFFLUENT • Model 152 -.4 HP passes V4" spherical solids SUBMERSIBLE • Model 153 -1/2 HP passes :/4" spherical solids 1'/Z' NPT DISCHARGE • Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected Model N152/N153 - • Carbon/Ceramic seals ® High Head c, US Effluent • Upper sleeve bearing and lower ball bearing running Tested roUL StaWardUL778 in bath of oil and certified W CSA surd cSA22.2 No. 108 • 20 ft. UL Listed power cord with molded 3-wire plug • 1 t/2" NPT vertical discharge MODELS AVAILABLE BN and BE standard models include a 20 ft. variable N1511N152/N153 & E151/E1521E153 nonautomatic level float switch BN151/BN152/BN153 & BE151/BE152/BE153 • Operates at temperatures to 130°F (54 °C) in effluent Pa3cka~ ~P 1P 5Variable Level Float Switch applications • All models include a 1 W x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. POWDER COATED TOUGH, Model BN152/BN153 MAIL TO. P.O. BOX 16347 High Head Louisville, KY 40256.0347 Effluent SHIP TO.• 3649 Cane Run Road Louisville, KY 40211-1961 (502) 778-2731.1(800) 928-PUMP FAX (502) 774-3624 Manufacturers of... O® `QL/4L/TY PUMPS SNCE ,7 © Copyright 2010 Zoeller Co. All rights reserved. Page 9 TOTAL DYNAMIC HEADIFLOW w PUMP PERFORMANCE CURVE PER MINUTE MODEL 151/152/153 EFFLUENT AND DEWATERING w 14 45 153 MODEL 151 152 153 12 40 Feet Meters Gal. Liters GeL Liters Gal. Liters 0 35 5 1.5 50 189 69 261 77 291 10 152 10 3.0 45 170 61 231 70 255 v 30 15 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 e 25 t5t 25 7.6 16 61 34 129 42 159 pj 9.1 - - 125 6 20 10.7 22 85 12.2 11 42 4 Head: 30x. (9.1 m) 38 R (t t.6m) 44 t (t3.4m) 10 0145088 I 2 5 Model 151 Models 1521153 0 10 20 30 40 50 70 80 90 100 - GALLONS 67!32 67!32 - UTERS 0 40 a0 120 160 200 240 280 320 360 3718 4518 3718 45x8 FLOW PER MINUTE 014508A } 3718 371 CONSULT FACTORY FOR SPECIAL APPLICATIONS ® j 371 371 • Timed dosing panels available a ± 11rr WT • Electrical alternators, for duplex systems, are available and I I supplied with an alarm j j • Variable level control switches are available for controlling - j single phase systems • Double piggyback variable level float switches are available I for variable level long and short cycle controls =f- j • Sealed Qwik-Box available for outdoor installations - See It „n6 j 1211 FM1420 j • Over 130°F (54°C) special quotation required 151(152/153 Series - I SK24u SK2064 15111521153 MODELS Cwttrol Selection Dupl- 115 1 Non 6.0 1 2 w 3 115 1 6.0 I2 w 3 JBE1 Volts-Ph Mode Simplex 230 1 Non 3.2 1 2 w 3 230 7 Auto 32 Intlctded 2 w 3 ++EaSy assembly" 115 1 Non 85 1 2 w 3 (pump & discharge pipe 715 7 Auto 8.5 Included 2 or 3 rat incN,ded.) 230 1 Non 4.3 1 230 1 Auto 43 In killed 2 w 3 15 1 Non 105 1 2 w 3 115 1 Auto 10.5 Included 2 w 3 230 1 Non 5.3 t 2 w 3 230 1 Auto 5.3 Fnduded 2 w 3 SELECTION GUIDE OPTIONAL PUMP STAND P/N 10-2421 1. Single piggyback variable level float switch or double piggyback variable level Reduces potential clogging by debris float switch. Refer to FMO477. Replaces rocks or bricks under the pump 2. See FM0712 for correct model of Electrical Alternator E-Pak. Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control activator, specify duplex Raises pump 2" off bottom of basin (3) or (4) float system. Provides the ability to raise intake by adding sections of 1 W or 2" PVC piping o cAtrnoN Attaches securely to pump All installation of controls, protection devices and wiring should be done by a qualified Accommodates sump, dewate ring and effluent applications licensed electrician. All electrical and safety codes should be followed including the NOTE: Make sure float is free from obstruction. most recent National Electrical 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. © Copyright 2010 Zoeller Co. All rights reserved. Page 10 PLOT PLAN N Project Name: Krieglmeier 3 Bedroom Mound Legal Description: SW114, SE114, S13,T30N, R20W P. 1. D: 032-2073-80-050 Subdivision Name: CSM Volume 21, Page 5270 Lot 2 Township: SOMERSET Parcel Size: 3.40 Acres SCALE: V = 50' County: ST. CROIX Contour Line Elevation: 96.30 Cell Dimensions: W X 76' 4 inch Sch 40 -ASTM D2665 System Elevation 97.60' Mound Dimensions: 32.45'X 96' 2 inch Sch 40 -ASTM D1785 Slope: 1$°/u 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' To of 2" PVC pipe A BM2 Elevation: 92.94' To of 2" PVC pipe ■ Backhoe Pits: Deflection 2.5 ' % of Deflection 3.33 ffective Cell Length 75' ell Length Needed 75.66' 1>R0 PCs e 1) V~LL o PeeK95- 313-_J2ceti~ i1'~SLI~ !©Oc~~G ~ C G~ r1tLa ~ 5 T / i~.l , aJ7 K 1'J12C~yNA I11iJ .w1 -7 \ I to ~ ~ -cat P► `$3 t?) °le SLOP Q#IL D ~ 1 \ y y~ 98 Page 11 C 2 y A i L Department of EVALUATION REPORT #169$ P Safety and in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Professional Services Schmitt Soil Testing, Inc. nn((~ my Attach complete site plan on paper not I ' han 8%s x 11 inches in size. 1616 must St. Croix include, but not limited to: vertical andPho'zon l-refttCt]66W,(BM), direction and percent slope, scale or dimensions, no cation and distance to nearest road. Parcel I.D. Please print all information. 3 200 050 0eviewe Da e Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). I Property Owner Property Location Krieglmeier, Mark Govt. Lot SW1/4, SE1/4, S13, T30N, R20W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1508 23rd St 2) CSM 21-5270-032-2006 City State Zip Code Phone Number City ❑ Village ❑ Town Nearest Road Houlton WI 54082 Somerset ~j 150Th Ave New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Glacial till Jewett Silt Loam Flood plain elevation, if applicable NA ft. General comments Area is suitable for a mound system. System elevation is 97.30 based off a contour line established at 96.30'. Slope of area is and recommendations: 18%. Depth to limiting factor is 24". Boring # Boring F-11 Pit Ground surface elev. 98.40 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/3 none sl 2fsbk dl cs 2m,2f 0.6 1.0 2 10-25 10yr4/4 none sl 2msbk ds gw 1m,2f 0.6 1.0 3 25-37 7.5yr4/6 c2d 7.5yr6/8 scl imsbk dsh gw if lvf 0.2 0.3 7.5yr6/2 m2p 6/8 sl Om dh 0.2 0.6 4 37-64 5yr4/4 10yr6/2r6/2 ❑ Boring 2 ] F Boring # Pit Ground surface elev. 98.40 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-13 10yr3/3 none sl 2mgr dl cs 2m,2f 0.6 1.0 2 13-24 10yr4/3 none sl 2msbk ds gw lm,2f 0.6 1.0 3 24-31 7.5yr4/4 c2d 7.5yr6/8 sd lmsbk dsh gw lf,lvf 0.2 0.3 7.5yr6/2 4 31-62 5yr4/4 m2p 7.5yr5/6 sl Om dh 0.2 0.6 10yr6/2 * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 <_30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 9/24/2012 715-760-1978 SBD-8330 (R.07/00) Property Owner Krieglmeier, Mark Parcel ID # 032-200080-050 Page 2 of 3 F3 ] Boring # ❑ Boring E] Pit Ground surface elev. 90.97 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-16 10yr3/3 none sl 2mgr dl as 2m,2f 0.6 1.0 2 16-30 10yr4/4 none si 2msbk ds gw lm,2f 0.6 1.0 3 30-38 10yr4/6 c2d 10yr6/6 sl lmsbk dsh g w ivf 0.4 0.7 10yr6/2 4 38-55 7.5 r4 4 c2d 10yr6/6 sl Om dh Y / 10yr6/2 gw ivf 0.2 0.6 5 55-82 5yr4/4 m2d 10 r6/6 scl lmsbk dh 0.2 0.3 Boring F-1 Boring # D Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t *Eff#2 Boring F-1 F-1 Boring # Ph Ground surface elev. ft. Depth to limiting factor in. Soil Application 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 * Effluent #1 = BODS> 30 < 220 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. SBD-8330 (R07/00) Scmmflt Sol Testing, Inc. Conducted by: Conducted For: Page 3 of 3 Schmitt Soil Testing, Inc. Name: Mark Krieglmeier Thomas J. Schmitt, CST 227429 Address: 1508 23rd St. 1595 72nd St. City, State, Zip: Houlton, WI 54082 New Richmond, WI 54017 Phone: 71§-ZOO-1978 PID: 032-2073-80-050 signature ` Lot No. Lot 2 CSM 21-5270 Date ~!Zf v2~/-Z Legal Description: SWI/4 SE1/4 S13 T30N R20W ■ Backhoe Pit Township, County: Somerset, St. Croix County A Bench Mark 1 El. 100.00' Top of 2' pvc pipe. A Bench Mark 2 El. 92.94' Top of 2" pvc pipe. Slope= 18% 1" = 40' Contour line El. 96.30' Pit Elevations 131: 98.40' B2: 98.40' B3: 90.97' 53 k ©t a I C- 'T flat C0tV 70u2 -7`1/ ~©r~r7o u ~ \ \ ~ 42 /V 11!~- 96,30., a~ 9~ a y ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer WA-e-k- 447a~T Mailing Address 114-0 Z 3 r,e O 5%- Property Address a176 / j O T H 14 yE (Verification required from Planning & Zoning Department for new construction.) City/State I)Y Parcel Identification Number 103 Z ` ZO 7.? ouc. ToN lfl LEGAL DESCRIPTION Property LocatiorL5'"/~ 1/4 , S 4 '/4 , Sec. 13 , T c3O N R ZO W, Town of JD Subdivision Plat: , Lot # Certified Survey Map # J `1 3 35 , Volume 21 , Page # S~Z7 Warranty Deed # F3 7 3 S2 (before 2007)Volume , Page # Spec house ❑ yes [Koo Lot lines identifiable Vyes ❑ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. 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 Planning & 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms -Mig I IF SIGN 'T OF 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 deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 09/07) 1 837382 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 10/25/2006 10:15AN i THIS DEED, made between Mark A. Krieghneier and Dortha R. WARRANTY DEED EXEMPT # 8 Krieglmeier, husband and wife, as survivorship marital property, Grantors, and Ryan Krieglmeier, Grantee. TREC RAHSEE: : 11.00 Grantors, for a valuable consideration, conveys to Grantee the COPY FEE: following described real estate in St. Croix County, State of Wisconsin: CC FEE: Parcel 1: Lot One (1) of Certified Survey Map filed Certified Survey Map PAGES: 1 filed September 12, 2006, in Vol. 21 of C.S.M., pg. 5270, as Doc. No. 834339, located in part of the SW'IA of the SEK of Section 13, Township 30 North, Range 20 West, Town of Somerset, St. Croix County, Wisconsin. Parcel 2: A non-exclusive, appurtenant easement for ingress, egress and utilities as shown on said Certified Survey Map. Recording Area Name and Return Address: S&C BANK P.O. BOX 10, BALSAM LAKE, WI. 54810 Together with all and singular the hereditaments and appurtenances thereunto t. belonging; And Grantor(s) warrants that the title is good, indefeasible in fee simple OJoZ ? 3 -~8d Ob0t and free and clear of encumbrances except easements, covenants, and conditions of record, and will warrant and defend the same. Parcel Identification Number (PIN) Part of 032-2073-80-000 This is not homestead property. Dated this 1 S day of St 6*- , 2006. * Mark 'e eier * Dortha R. Krieghneier AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) COUNTY. ) ss. authenticated this Personally came before me this 13±N day of * y~}tMbtc Q 00~- the above named Mark A. Krieghneier and Dortha R. Krieghneier to me known to be the TITLE: MEMBER STATE BAR OF WISCONSIN person(s) who executed the foregoing instrument and (If not, acknowled a same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY * Robert L. Loberg Notat blic, State of Wisconsin Loberg Law Office M~pq~p}~sion is p rman e t. (If not, state expiration date: (Signatures maybe authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signs tu(~ . Q RY Z v i= pV6" ~C ) WARRANTY DEED STATE BAt~1 iVISEONSIN FORM No.2-2000 1 of 2 ~6)ATE `0*~0 3 8 3 4 3 3 9 VOL 21 PAGE 5270 KATRLTM H. WALSH REGISTER OF DEEDS ST. CROIX CO., MI P RECEIVED FOR RECORD m 09/12/20" 04:30Ptt w CERTIFIED SURVEY MAP REC FEE: 13.00 I 000 COPY FEE: 3.00 y PAGES: 2 r ~ \ 0 Ox v m 'n cc m n"1 O g ~ mg -g 1 m~ '0-- ~ z BEARINGS ARE i m m D n 2 C2 00 m e Z k SOUTH LINE OF THE SE I/4 OF SECTION _r m = y O 0 c 13, ASSUMED TO BEAR S89.38'28-W 2 \ \ n Zv 1 zi ;s z m Cc pC? ~C O ZC m \ c< z Z Z r I r O Z a' O m \ r z 1 gA 1 \ nO m rn _ 1 y~ ~ I \Z L p I .00i, /'I \ \ ` ~W, a jlll~rrr ZO O \ ty~ 0 QQ__jj Inc cai ~-3d~i Qp~ z £z rn v' c' ~O O 26, g'9EE3.9~SE.SO ~tiF -n O l~ na ~C%"\ O a s" A r" m m $ Z m a m \o m mn yn -i` ymr ~ nri N _ \ \ Cn T Z ~ -4'~w~.a•`5A0•r°~S die' Q O m ~S mV ,ZyO\ `n m N N ~ O ` 'sAAa r - gi1 C A Z n x ~y>- 0 \ T W 0--1 00m a ;a q 03 co m Q Z rt~ 990.01' Z p v EAST LINE OF SWt14 OF SE1/4 300 22*46OW 1020.74• Z w ~ O 6 Z M[~PdQ44C~D_L~,G1G+1D~ OT lot A ca u nm me O O Co z -4 -0 x N ~n v (n x zm ~°ZG).Z7 v ? ° m ~ CA rrI ro °mm~^ +p g rn m • °m m O Z N m O SHEET 1 OF 2 SHEETS 1 of 2 Vol 21 Page 5270 Parcel 032-2073-80-050 01/25/2012 PM PAGE E 1 1 OF 1 Alt. Parcel M 13.30.20.7836-20 032 - TOWN OF SOMERSET Current 191 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 09/12/2006 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner MARK A & DORTHA R KRIEGLMEIER O - KRIEGLMEIER, MARK A & DORTHA R 1508 23RD ST HOULTON WI 54082 Districts: SC = School SP = Special Prope Address(es): Primary Type Dist # Description 150TH AVE SC 5432 SCH DIST OF SOMERSET - SP 1700 WITC v` -S Legal Description: Acres: 3.400 Plat: 5270-CSM 21-5270 032-2006 SEC 13 T30N R20W PT SW SE CSM 21-5270 Block/Condo Bldg: LOT 02 LOT 2 (3.40 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-30N-20W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 11/13/2006 838653 EZ-U 09/12/2006 834339 21/5270 CSM 06/25/2004 766962 2603/327 WD 08/08/2001 653269 1695/555 WD more... 2011 SUMMARY Bill M Fair Market Value: Assessed with: 135253 15,700 Valuations: Last Changed: 10/12/2010 e Total State Reason Description Class Acres Land !2,:300 RESIDENTIAL G1 3.400 13,600 15, 900 NO 1 Totals for 2011: V General Property 3.400 13,600 2,300 15,900 Woodland 0.000 0 0 Totals for 2010: General Property 3.400 13,600 2,300 15,900 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 Total 0.00 0.00 0.00