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HomeMy WebLinkAbout008-1086-40-000S't. Croix County Planning and Zoning Detail Sanitary Information Friday, February 08, 2008 at 12:15:25 PM Page 1 ~f 1 Computer #: 008-1086-40-025 Sub/Plat: NA Section: 30 Parcel #: 30.28.16.456A Lot: 1 TN/RNG: T28N R16W Municipality: Eau Galle, Town of CSM: Vol. 20 Pg. 5036 1/4 1l4: SW 1/4 SW 1/4 Owner: Weber, John & Linda 123 Highway 63 Baldwin, WI 54002 State Permit: 487930 Issued: 10/07/2005 POWTS Dispersal: Mound less than 24" suitable s Permit: Replacement County Permit: 0 Installed: 10/26/2005 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA t~cstes Issuer/Inspector As Built Plumber Other Requirements Pam Quinn >4/1/00 -Not Required Stang, Joe Pam Quinn ~iur~ed (atf; Yes Maintenar}cc Scheduled Pumo Date Pumped 10/26/2008 Additional Notes Money Owed CSM completed to create a new lot 2 adjacent to $0.00 this one. Parcel #: 008-1086-40-025 02/08/2008 12:14 PM PAGE10F1 Alt. Parcel #: 30.28.16.456A 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 08/02/2005 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -WEBER, JOHN M & LINDA JOHN M & LINDA WEBER 123 HWY 63 BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ` 123 HWY 63 SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 7.110 Plat: 5032-CSM 20-5032 008-05 SEC 30 T28N R16W PT S1/2 OF FRL SW 1/4 Block/Condo Bldg: LOT 01 CSM 20-5032 LOT 1 (7.11 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 01 /30/2006 817453 EZ-U 08/02/2005 802045 20/5032 CSM 07/23/1997 1046/362 WD 07/23/1997 436/211 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class RESIDENTIAL G1 UNDEVELOPED G5 PRODUCTIVE FORST LANDS G6 Totals for 2008: General Property Woodland Totals for 2007: General Property Woodland Last Changed: 07/06/2006 Acres Land Improve Total State Reason 2.000 22,500 75,700 98,200 NO 3.110 1,400 0 1,400 NO 2.000 2,500 0 2,500 NO 7.110 26,400 75,700 102,100 0.000 0 0 7.110 26,400 75,700 102,100 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 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division _r INSPECTION REPORT GENERQid IN~'t~RMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Weber, John & Linda Eau Galle, Town of CST BM Elev: Insp. BM Elev: BM Description: ~~b,~ op ~c~ ~~~ s~ -~ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic - /fib ~ Dosing Aeration ~ Holding TANK SETBAC INFO TI Ip TANK TO P/L ~ ELL LD Vent to Air Intake ~_ ~ ROAD Septic > 3 ' S o' ~N/ ~yQ Dosing ~ > ~- ~ Aeration Holding PUMP/SIPHON INFORMATION ,,/~ Manufacturer Demand GPM Model Number m ~~. .~ s f ~// S %' TDH Lift Friction Los System Head Ft TDH Forcemain Length Dia. ~~ Dist. to well / ~ 95 2 SOIL ABSORPTION SYSTEM County: St. Cf OIX Sanitary Permit No: 487930 0 State Plan ID No: Parcel Tax No: 008-1086-40-000 Sedionlt'own/Range/Map No: 30.29.16.456 STATION BS HI FS ELEV. O ,,II Alt. BM Bldg. Sewer St/ t Inlet ~d / SUHt Outlet ~- Dtlnlet Ca ~-- Dt-B' ~ 1 ~ 5 Head an.~ 3 y 9~' ~/ Dist. ipe Bot~mg5,g~ ~ 5i' S~of~ . 6S ~~0.~ Final Grade, Stir ~ 3 y Z~ ~,~. ~Z ~ yS b~ b ~~ O~ `~'o ~~~ )/C ~i BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ 8~ V SETBACK SYSTEM TO P/L BLD WE L LA TREAM CHI Manufacturer. INFORMATION CHA OR T e f S tem: YP Ys ( ~ UNI , 25 ~ , ~ ~ r ~ ~ 7"1 w Model Number. i Depth Over ,~. Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center / ( Bed/Trench Edges Topsoil ~'; i Yes ~] No ~ <,~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /~/ nspection #2: ~~ /Z~ ~~~(S~/j W 1/4 SW 1/4 30 T29N R16W 40 acres Lo~~ ///• "" Parcel No: 30.29.16.456- Location: 123 Highway 63 Bal//d~~w,,in, WI 54002 (S ) 1.) Alt BM Description = ~ I W~'~ ( ~ > S~~ ~""" c-~'LIA~ ~2.) Bldg sewer length = -~ UP~t'0~ I'7j~s(,~{~j/(/n-~ - G~~~2®®e~~~'~'~ " ,/ ~`~ / -amount of cover = ~(/dtfl/ ~ Gtr' ~ dh ~ U ~~~5 Plan revision Required? 'Yes j.}~No / Use other side for additional information. ,.__ ~ ~~ ~~ .~ ~~___ ____- _ - ~ ~ ---- ~--' Date Insepctor's Sign re Cert. No. SBD-6710 (R.3/97) Safety and Bu din vision County O 1~ ~. 201 W. Washington ve. .O. Box 7162 I~~On~~~ Madison, WI 537 16 p-y ~ ~w ~ r umb (to be filled in by Co.) Department of Commerce (608) 2 6-31 1 F Sanitary Permit Applicatio state ~- l D ~wG~ In accord with Comm 83.21, Wis. Adm. Code, personal information ou p may be used for secondary purposes Privacy Law, s15.04(I m) 1?rPJ ct: ~.41f dill ent than mailing address) ~FFiCE ' L Application Information -Please Print All Information P .r.~r; ~ .--- _ c.~Yst~-' Property Owner's Name Parcel # Lot # Property Owner's Mailing Address Property Location ~/ _ 1 ~~3 ~4,c G r C~J ~' v Section ~ ~~ /a ~. City, State Zip Code Phone Number J , , ~~/~ ` Q 4: ~'s-t ~-c~ 1' ,~ Gr ~G ~ ?1 S'-G~~ _ ~S ~b ~ r ~rcle T ~N; R [ ~ or II. Type of Building (check all that app{y) ~, / t ~~^~ ~~la-ems or 2 Famil Dwellin - Number of Bedrooms ~ / Subdivision Name CSM Nutpb r ` . y g ~ A ^ Public/Commercial -Describe Use ^ State Owned -Describe Use ^City_^Village ownship of ~ f~4 G % ~/ t III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) `t' ^ New System eplacement System ~~ ^ Treatment/Holdin Tank Re lacement Onl g p Y ^ Other Modification to Existin S stem g Y B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner ~ / IV. T e of POWTS S stem: Check all that a 1 ~ ^ Non -Pressurized In-Ground ound > 24 in. of suitable soil and < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter Aerobic Treatment Unit ^ Recirculating Sand Filter ^ q ' / ` ~ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel- ss Pipe Other (exp a n) / V. Dis ersal/TreatmentRrea Information: !L S Design Flow (gpd) Design Soil Applicati Rate(gpdsf) Dispersal Area Requ ed (s~ Dispersal Area P posed (s~ System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~ W i` C S ~ Aerobic Treatment Uni[ ~ . 1 _ / W t r Dosing Chamber V(`J . ~ '~ / VII. Responsibility Statement- I, the under ned, assume r p sibility for installation of the POWTS shown on the attached plans. Plumber's Name (Pr t) ~ Plum 's Signature PRS Number Bysiness Phone Numbei ~/~ =~~ y ~ e, t/~-~ ~ ~~ ~ ~ / S Plu er's Address (Street, City, tale, Zip C de) ~UI,~O aL ~ovC~vatl~e ~t" VIII. oun /De artment Use Onl pproved ^ Disapproved Sanitary Permit Fee (inclu es Ground ~tgr Surcharge Fee) ~} ~~ C'^~ UU~ Date sued ~~ 7 1s mg Agen igna a (No ps) ^ Owner Given Reason for Denial ~! J ~~ IX. Conditions of ApprovaUReasons for Disapproval 3 ~~ d'1:~r/YLQJtJ ~' ~~r YSTEM OWNER: ~ ~~'~---~„~r,.~ Y3. 5~-- 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained /_~/ ~ G~ 7`~ ~ ~~~ as per management plan provided by plumber. ~ D ~wn~Ti Q/lt ~~ _ _ 2. All setback requirements mus e ~~,ir,,t . X3.33. ~~ ~-Qd'~"'' as per applicable code/ordinances.. Attach complete plans (to the l:ounty ont~ tnC system on paper nor Bess man olio as m sac . t//I~t ,'/Y 32~ ,tD., ~._.. ?~ SBD-6398 (R. 01/03) us ~~~~3 S"~~GA`d~ ~- T ~, ~-~ ~~rv~ ~~ . ~~e ~ ~ a) ~-~~~- lad ~3~tt~~, o~ S ,'~ i n /~-1 ~~ 9~, ~~ ~ ~ ~~ ~~l• 32. Se~~~ ~ „ _ ~G , ~ ~ ----~ ~ _ ~ ~- ~ ~~~ J~ 6 wf G ~~Vw~ r 1 vt ~ ~'~ ~~ gv ~P~ r ~~~~ ~ s ~~ ~ ~~ 1/J ,) ~A, L~ U ~ r -V, ~ ,~ r ' ft`G _. ~,, py~ ~- ~~ ~. ~ ~ ti ~ , ~ ~~ ~~ C ~~~ $- t F -- - r _~..~. .~ ~ /03 • ~~ C~~ta4R ~L q~•3~ ' _ f _a3 1 ~..~ _~j `` ~ ®lr~ S'e~, f,~ t ~ G ~„ i_j ~b~h~ohc~ ! -- ~-~ P~ ~ a -~ ~ 5 commerce.wi.gov isconsin Department of Commerce October 04, 2005 CUST ID No. 223475 ATTN.• POWTS Inspector 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 JOE STANG ZONING OFFICE STANG PLUMBING & ELECTRIC ST CROIX COUNTY SPIA POBOX 263 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 10/04/2007 Transaction ID No. 1200293 SITE• Site ID No. 705408 John & Linda Weber Please refer to both identification numbers, 123 Hwy 63 above, in all corres ondence with the a enc . Town of Eau Galle, 54002 St Croix County SW1/4, SW1/4, 530, T29N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1042749 Maintenance required; Replacement system; 450 GPD Flow rate; 21 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-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, C03Zdl stats. The following conditions shall be met during construction or installation and prior to occupancy or use: DE RTMENT OF Reminders ~ ~ ~ • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORK "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) . and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81) • 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 ofthe 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 JOE STANG Page 2 10/4/2005 • Comm 83 22(7) A copy of the approved plans specifications and this letter shall be on-site durins? construction and open to inspection by authorized representatives of the Department which maYinclude local inspectors. • The changes made to this plan on 10/04/05 by this reviewer were acknowledged and approved by the system designer. 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 pemvts required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of.the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely,,. ~~~~~ ~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Weber 3 bedroom replacement Mound Owner's Name: John & Linda Weber Owner's Address: 123 US Hwy 63 Baldwin, Wisc. 54002 Legal Description: Township: County: Subdivision Name: SW1/4, Sw1/4, S30, T28N, R16W Eau Galle St. Criox Lot Number. Block Number: Parcel I.D. Number: 008-108&40-000 Plan Transaction No.: ~~~.,~~~I~O . W, ~ 2005 ~~ ~ ~' ~ i;. ,~~11.~iNGS Sr, ,,a 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 Soil Evaluation Report Page 9 Plot Plan Fpyr~,~, y ~,p OF co..+tE~c cYgN . ~ E SP pNO~NC~I F Designer: Joe Stang License Number: 223475 Date: 09/17 05 Phone Number: (715) 684-5166 Signature: Designed P ant 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 4.01 (R. 09/04) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (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) 4.00 Site Slope (%) 94.32 Contour Line Elevation (ft) 21.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Note: Sand fill (D) calculations assume a ?at~le 83-44-3 in-situ sal tr~rsmrt for feca{ coliform of <~ 36 inches. Distribution Cell Information 85.00 Dispersal Cell Length Along Contour (ft) = 5.30 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c ore) c Center or End Manifold 2.65 Lateral Spacing (ft) If N above, enter the elevation (ft 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft} = 6.63 ft~/orifice 2.00 Forcemain Diameter (in) ~~ ` 60.00 Forcemain Length (ft) Does the forcemain drain bads? Y 85.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 10.32 Vertical Lift (ft) 2.42 Friction Loss (ft) 15.99 Total Dynamic Head (ft) 9.79 Forcemain Drainbadc (gal) 76.60 5x Void Volume (gal) 86.39 Minimum Dose Volume (gad 44.57 System Demand (gpm) Manifold Diameter Selection in. dia. o ions choice 1.25 1.50 x 2.00 x x 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information 600.00 Total Tank Capadty (gal) 1000.00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth Vin) Wieser Manufacturer 16.67 gaUn (enter result in cell B49j Lateral Diarra3ter Selection in. dia. o ions choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Dose Tank Information Effluent Filter Information 61)0.00 Dose Tank Capadty (gaq Zabel Filter Manufacturer 16.67 Dose Tank Volume (gal~n) A100 Filter Model Number Wieser Manufacturer Project: Weber 3 bedroom replacement Mound Page 2 of 9 Mound Plan View i- 1 ---------------------------------------- Observation Pipe . Lf _~ 450.50 (ft2) Dispersal Cell Area 5.29 (gpd/ft) Linear Loading Rate A 5.30 ft E 17.54 in B 85.00 ft F 9.50 in i /.Z~ D 15.00 in G 0.50 ft L Mound Component Dimensions H 1.00 ft K 9.44 ft z 9.39 ft L 103.89 ft J 6.81 ft W 21.50 ft 1248.44 (ft2) Basal Area Available 8.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 97.36 (ft) F 95.57 (ft)-- - _ ~ :~ Dispersal Cell •3[~ Elevation ... .. .. ... .... _~ tint ~I H Dispersal ceii 96.07 (ft) Lateral Invert E: :D ~:: ~ Shading Key Q _ Topsoil Cap © ff{{f Subsoil Cap © ~ : = : ~ : ASTM C33 Sand ®®Tilled Layer 05 f:r: Aggregate 4.0 % Site Slope ~ ~. c °- . c ~ 0 ~~ 1.5 ft 1 T a o 0.5 ft 32 (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 (Ax6). -T _} _I -I Project: Weber 3 bedroom replacement Mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main aomectian via tee of cross to martifold at an9 point. ~~~ are ~~ I P ~ ~=Turn-upvw~bsllvaNeor ~~~IEx12 xf2~ LaReralstsForcemainofPYCSch~Q cleanoutplug per COMM Table 81.30-5 Holes draed on the bottom of the IateraL Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X} 2.53 ft ~ Lateral Length (P) 41.75 ft Orifices per Lateral 17 Lateral Spaang (S) 2.65 ft Orifice Density 6.63 ftzlorifice Lateral Flow Rate 11.14 gpm Manifold Length 2.65 ft ~ System Flow Rate 44.57 gpm Manifold Diameter 2.00 in Total Dynamic Head 15.99 ft Forcemain Velocity 4.55 ff/sec Dose Tank Information ~ cover vvitlt warning label and k~cldng device and sealed watertight Electrical as per NEC 300 and --~ Comm 1 fi.28 WAC ~ 4 in. min. D' ect --!!-- Project: isconn ~` Tank component is properly vented F- Alternate outlet location Wieser Ca ci 600.00 Volume 16.67 Manufacturer ~_ Gallons galrnch A Dimension Inches Gallons A 19.81 330.24 B 2.00 33.34 C 5.18 86.39 D 9.00 150.03 Total 35.99 600.00 B C D 3" Bedding under tank. Alarm Manuafadurer SJE-Rhombus Controls Alarm Model Number Tank Alert 1 Pump Manufacturer Goulds Pump Model Number 3885 WE05H Pump Must Deliver 44.57 gpm at 15.99 ft TDH Weber 3 bedroom replacement Mound Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ umP off elevation (ft) 85.75 ~I~ose tic ek~watan (ft) 85.00 Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Joe Stang ~ Phone 1-715-684-5166 POWTS Regulator's Name St. Croix County Zoning Phone 1-715-386-4680 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 mglL Soil Absorption Component Size 450.5 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins and/or service once eve 3 ears Should in d and Gean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and essure 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 cetl 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 \ 6-8" Diameter ~ ~/_ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Weber 3 bedroom replacement Mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54. Wis. Adm. Code This system shall be operated in akx~rdarxx, with Comm 82-84 Ws:. Adm. Code, and steal maintained in accordance witin its' oorriponent manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (O1P81)] and kxal or state rules pertaining to system maintenar~e and rrnai>herwrnce reporting- No aneshould ever enter a septic or poop tank since dangerous gases may be present that cocAd cause death. Septic and pump tank abandonment shah be in accordance wtth Comm 83.33, Wis. Adm. Code when the tanks are no kx~er used as POWTS caripanerrts. Septic or prnnp tank ma>tnole risers. access risers and covers stwuld be inspected for wader tigt and sou~ss. Access openings used for senr~e and assessment shag be seak>d watertight upon the completion d service. Any opening deemed unsound, defective, or subject !n fattkrre rrxrst be replaced. Exposed access openings gnaaber than 8-irxhes ~ diamhter shah be secured by an effedrye bclang device to prevent accidental or urYauthor¢ed entry into a tank or component. S~fc Tank The septic tank shall tx3 rrieir~ried by ~ individual cxrtified to service septic tanks undar s. 281.48. Sfiafs. The con~errts d the septic tonic shaA be disposed d in ack~rdance wtth NR 113, Wis. Adm. Code. The operating conddon o(the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet tther shop be cleaned as necessay to ensure proper operation. The f~er cartridge should not be rerrwved unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. ff the filter is equipped with an alarm. the filter shaft be serviced if the edam is activated car-tintroushr. Inberinnlbait fiber slams may indicate surge flows or an oontirnciorrs a{arrrr. The septic tarn shah trove its contents removed vfien the vokune d akidge and stun th the tank enrceeds 1/3 fine ~ vohrrrne d the tank. tf the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner d when fire next service needs th be perborrrned th rr~in less than ntaxirnun stun and sludge acccrrx~ation to fine ferric. The addttion d biological or d,emica~ additives to er>hanoe septic tank perfom>arice is getxsapf- not nequired. However. if such products are used they steal tx? approved for septic tank use by the Department of Commerce. Pu11o Tank The pump {dosing} tank str~ be inspected at lariat once every 3 years. Aft switches, afarrns, and pumps steal be tested to verify proper operation, ff an effluent filter is installed wtthin the tank tt shah be inspected and serviced as necessary. Maurrl and Pressure DisUrBrut~ Svs~ No trees or siuubs should be p on the mound. Plantings maybe made around the nnotnds perirater, and file nnound shah be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other flan for vegetative ~) on the mood is oat recomnnended sake sot oorrnpaction may hinder aeration d lfne aNltraitive suface within the nnouxt and snow oorrgraction ar file wintier wli promote frost penetration. Cold weather inst~ations (October-Febnruy) dicthte that fire mound be h~vfir rrnAd~ed as protection from freezing. Influent qualtty into the mend system may not exceed 220 mg/L t30D~,150 mg/L TSS, and 30 mg/L FOG for septic tank effluent ar 30 mgll_ BODE, 30 mglL TSS,10 mg/L FOG, and 104 cfu/100 ml for hi~y tr~fied ettkrent. Infhient flow may not exceed maomrium design flaw specified in tFie permit for this instalation. The pressure c'~trrbution system is provided wlh a 9 point ad the end d each Naberal, and tt ~ recatrrnended that each lanferai be tkrslned d axuncdabed sands at kit once every 18 months. When a pressue test is performed it stnouki be compared to the ia"tiaf test when the system was installed to determine ti orifice clogging has occurred and if orifice cleaning ~ required to maintain equal dnstribution wtttrin the ~. Otx~ervation pipes within the cel shy be checked for etlkrent ponding. Ponding levels steal be reported th the owner, and arty levels above 6 inches wed as an impending hydraulic failure requiring adddional, more frequent rrnonrloring. Corrdrraettcv Plan fi the septic tarn or any d tts ~ became defective fire tar>Ic or component stool be repaied or replaced to keep the system in proper operating condition. If fire dosing tonic. poop, pump oordrols, alarm ar related wiring becomes defective the defective component(s) shat be irrrnedr~ely repaired a replaced wtth a componend d the same or equal pertom>ence. If the mound component fats to accept wastewater or begins to discharge wastewater to the ground surtace, tt will be repaired or replaced in tts' Present location by inkxeasing tarsal arce fi toe leakage occus or by retrnoving bioio ~99~ ~fi~ arnd media. and rued piping, and replaicing said carrpnonerrts ~ deemed riecessanr to bring the system into proper opening condition. See Page 5 of the plan for the name and telephone number d your kx~l POWfS regulator and service provider. Project: Weber 3 bedroom replacement Mound Page 6 of 9 C~7~ou~us PuMPs Submersible Effluent Pump EP04 & EP05 Series •s AOP!lC~TltIMK desigoedfordre • .~ - • 9 5lF~1CATIOIK '~91r 3/1'rxaodmurr. • capao~ upto 6o c;plYt •Tataibead~upte3l feet • Discbaige sme: t~' NP[ • Nledra~cal seal: carbon- BUNArN eiastomers. •: 104• F (4Q° q eontimrous 1aiM' F ~0' Q i~m~nR. •fasterrax 300sesies stainless steel. .~ dry~araslawrageto Minor: • l3?04 Single phase: as lu; 115 or 230V, 60 Ht,1550 ~ bulk in oserload wkb arr6orrwlit reset • EP05 Side phases 0.5 HP, 115Vor230V.60Ik 1550 ~A. built iu oaedoad r~ au6orrratic reset • P~owpr oxd: l0 foot stasuland leagd~,16/3 SJiW ~ dupe prong grarndug phg. Optional 20 ~ lesrgllr,l6/3 SiTY11 wAh dose p~9 9 Pw9 (starrdand on ~. •g~sadetureii ~ hrbrica6on and elfident IYaim6le for aMloneallc aid aoMUal ap~rion. AN1oa~c goat SwO~ asse~6led aai ~~ ^ iE!'O~t Mr4e~et: Tberaeo-_ r~ l~Poutran~ seal protea~iorr. wrErees , r~r V 0 r ^ f3*OS lrrpeNd: Tlrerrrro- superiorsirrorg~h and aortosion res~arrae. ^ Motor Hoeerie~ Gast iron for eiilideot ieati and ^ Motor C~ree Thearwp~tic rnrixwOb irrtegralbandieard float sudldr altadrrrrent poids. ^ l?buurx Gaii~ SeYere duq- rated land aeaoerRSi~tarrt ^ Yeasiegs+tipperand lamer ~~ ~- usn~ caws .~ w.~ta~ 6o,~rr.~.:eon 4:wa 50 GPM yy.S~ U Pm o zoos ar wresraror~c r~ EeJ~w.~ bos e~, Pa~~- ~ o~ g Got~ds Ptunps ITT Industries o z a s s w u m'/h Wisconsin Department of Commerce SOIL EVALUATION REPORT p~ 1 ~ 3 nivicinn ~f Safety and Buildings in accordance with Comm s5, wrs. Agm. Doge ~tY St. Criox Attach complete site plan on paper not less titan 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and pares I.p. ~6 l ~~ ' ~ ~ D ' scale ~ dimensions, north arrow, and location and distance to nearest road. percent slope Q p ~ b , Please print all information. R /I Date { ~ ~ /~/O Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). GZ ,, ~ ~ ~ r ~'Y~"i l~ " property Owner Property Location John & Linda Weber Govt Lot SW 1/4 SW 1l4 S 30 T 28 N R 16 E (or) W property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ,, Z ' ' 123 US Hwy 63 G ~i La /Y City State Zip Code Phone Number ity ~ Vrllage • . own Nearest Road Baldwin Wi. 54002 ( 7~5-684-4588 US Hwy b3 lJse~ Residential / Number of bedrooms 4 Code derived design flow rate 650 GPD Replacement ~ Public or comrr~rcial -Describe: Glac~at T;tl Flood Plain elevation if applicable fl• ~ Contour at 94.32 System Elevation at . 9 v'- S 7 ~ ~ ~ , ,~ ~/-~ s rte' 13 ~l Ong # ~ Boring pit Ground surtace elev. 94.82 fl. Depth to limiting factor 54 in• Sofl ication Rate l i t C D Descri tion R d Texture Structure Consistence Boundary Roots GPDIff~ Horizon Depth in. or om nan o Mansell p ox e Qu. Sz. Cont Cobr Gr. Sz. Sh. *Efr#1 *Eff#2 1 0-16 IOYR 3/2 none 1 21bk dl cs 3m 0.6 0,$ 2 16-24 lOYR 316 none sl 2fbk dsh cs l f 0.6 0.8 3 24-54 l OYR 4/5 none S Omgr ml ----- ----- 0.7 1.6 2 Boring # ~ BOnng 93.97 53 Pit Ground surface elev. ft. Depth to limiting factor in. Soi ication Rate H i th De Dominant Color Redox Description Texttue Structure Consistence Boundary Roots GPDItt? or zon p in. Mansell Qu. Sz. Cont Cobr Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-20 lOYR 3/2 none 1 2fbk dl Cs 3m 0.6 .0$ 2 20-31 IOYR 4/4 none sl 21bk dl cs if 0.6 1.0 3 31-53 lOYR 4/6 none s Omgr ml ---- ---- 0.7 1.6 ' Effluent #1 = 80D > 30 < 220 mglL and TSS >30 < 15U mglL - tmuenr ~c = ovv ~ ov n yn. a ti ~ ~~ _ .,., ~ ~y~~ CST Name (Please Print) Signature CST Number Thomas W, Gedatus ~~ V 962178 A~~ Date Evaluation Cgnducted Telephone Number Stang Plumbing & Eleatic P.O. Box 263 Woodville, Wi. 54028 9/10/2005 1-715-684-5166 ~ uS ~+~~ ,~ r, ......~.........,n.,,,..... ,....~:..,....._....._..x.~......,_ ~V ~'` `f ~' ~' ~'` S W 1y s ~t 1, Gv, ..~~..~- ~. ~~~ ~~ tUU' g.~ q3.5 ~ ~' ,,~ ~ ~l w ~l t ~i _ ~ U .. U' ~~ ~ "" ~ CUntLk ~ ~~.3z a~' r q2~3~. ~ _ ` r ~ gold ~S~-~~~ L;-~~ tv ' ~b~ ~ C'~D~'Gd C. ~~~~ use a -~ ~ ~ ~~~~~;~ ~ sin K ~~ ~~ 1 ~~ y ~ a r ~ b ` Zvi l~D ~~ f t 0 9a ~ ~ -_~ ~'. 1' ~~ ;~ `~ 1 i,' ~2 i '- t ~ -~ 6- 3 G~. s , .~`~ ~`_.G. S" ~~ G Q ~• _~~~'~ t4 t t~~ C'C I"C~ S ~ ~~~~ ~~~" ~ ~~ ~ ~~ ~ ~~ ~- ~~_ c~5' ~' ~ ~' d~ l~GttGn't O~ s ~~' ~~ ~ J ~ ~ ~ ~• 3 ~-. ~--~~ 5~~~ ~ ~ ,,, ~G, i~ J ~~ .~ _~ '3 ~~~ ~-~0 ~~~ ~ v ~ ~. ~~` ~ r ~ gv P d if~ U~ ~~~ ~~ ~~ ~ ~ ,, ~~~ ~ ~ v~ ~. ~ ~./' ! ~'O ~,~ o ~.~P ~~ / ~ ~' ,t tl < ' ~'1 a G ~"'` 6- t C~ntG4,~ y~.~~ ~., ~L q~~3 ~ ~,s; d ~ ---~" w k to; , ~ ~ ,~~ ..,~ ~ P~S~ __ ~ ~G ~~ r3-~ G a ~' ~ r Wisconsin rt~c Division of V and Buildings 11 SOIL EVALUATION REPORT p~ 1 ~ 3 m rx~e wlm tsa, Wis. r~arn. was s' s .:T ~ ~ n must 8 1/2 th 1 ' l a :~ b Co~Y St. Criox e. r an x an on p pt t , Attach to site p inGude, t rxrt,hmited to: vertical and 1 reference poin percent `s~sle~iG3~l~rorth ,and Iocati nd distance road. ' Parcel I.D. O O g- l0 ~~ - `/0 ~~ ~ v0~11~1(_; F~i~F_ ~°, . 11 /nfofmatlon. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). <O u~~~ property Owner Property Location ^ John & Linda Weber Gov(, Lot SW 1/4 SW 1/4 S 30 T 28 N R 16 ®1 W Property Ownet's Mailing Address Lot # Block # sand. Name or CSMrY / A,~ 123 US Hwy 63 / ('i 'C City State Zp Code Phone Number 'ty ©Village ^ own Nearest Road Baldwin Wi. 54002 1 7~5-b84-4588 US Hwy 63 t/Se~^ Residential / Number Of bedrooms ~_ Code derived design flow rate ~ G ~ - 650 GPD 1'i Replacement ©Public Or commercial - Desdibe: P~B~+tmatedal-~ [} 'al 1';11 Food Plain elevation iF applicable ft. Ge"eral O01n"1en~ ~ Q u ~ ~ - Contour at 94.32 System Elevation at ~) rJ, 5 7 and reconrmertdatiorts: Oyt O7i-'k 7"~ ~ItiGJGkc 7'~ ~~ # ~ Bonng Q Pit Ground surface elev. 94.82 ft. Depth to limiting factor 54 in. SoN ication Rate Horizon Depth Dominant Color Redox Descrption Texture Structure Consistence Boundary Roots GP D1fP in. Munseq Qu. Sz. Copt Color Gr. Sz. Sh. 'Ef#t1 'Eff#2 1 0-16 lOYR 3/2 none 1 21bk dl cs 3m 0.6 0.8 2 16-24 lOYR 3/6 none sl 21bk dsh cs if 0,6 0.8 3 24-54 lOYR 415 none s Omgr ml ----- ----- 0.7 1.6 2 Boring # ~ ~~ 93.97 53 Pit Grotxtd surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Ctxtsistence Boundary Roots GP Dflt? in. Mansell Qu. Sz. Cant Cobr Gr. Sz. Sh. 'Eft#1 'Eff#2 1 0-20 lOYR 3/2 none 1 21bk dl cs 3m 0.6 .08 2 20-31 10YR4/4 Wane sl 21bk dl cs if 0.6 1.0 3 31-53 lOYR 4/6 none s Omgr ml ---- 0.7 1.6 ' Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mglL ' Etlllfent #2 = BO < 30 rrtg~L and TSS < 30 ntglL CST Name (Please Print) - - Signattue ~ T Number Thomas W Gedatus ~ 962178 Address Date Evak~ation Corxk~cted Telephone Number Stang Plumbing & Elecrtic P.O. Box 263 Woodville, Wi. 54028 9/10/2005 1-715-6845166 P~rtY ~~ John & Linda Weber Parcel ID # 2 3 Page of _ 3 Boring B~n9 # ~ Pit Ground surface elev. 94.9 R Depth to IirruGng factor 56 in. Sod ication Rate Horizon Depth Dominant Color Redox Description Textun: Structure Consistence Boundary Roots • GP D/fP in. Mansell Qu. Sz. Cant Color Gr. Sz. Sh. 'EffAt1 `Eff#2 1 0-18 IOYR 3/3 none 1 2tbbk mfi cs 3m 0.6 0.8 2 18-28 lOYR 3/4 none sl 21bk mfi cs if 0.6 0.8 3 28-56 10 4/4 vane s Omgr ml ---- ---- 0.7 1.6 Boring # 1.~! ~9 94.32 21 Pit Ground ~~ ~~• tt• Depth m limiting factor in. Sod lion Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP DIFP in. Mansell 11u. Sz. Cont Cobr Gr. Sz. Sh. 'Eff#1 'Efi#2 1 0-10 lOYR 3/2 none 1 2tbk ml cs 3m 06. 0.8 2 10-21 10 14 is 2fbk ml cs 2f 0.6 0.8 3 21-53 lOYR 414 fld7YR 4/6 is Om ml __-- ---- 0.7 1.6 Boring # Bonng Pit Ground surface elev. ft Depth to limiting facb~r in. Sod ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fl= in. Mansell Qu. Sz. Cunt Color Gr. Sz. Sh. 'Eff#f 'Eff#2 'Effluent #1 =BODE > 30 < 220 mglL and TSS >30 a 150 mglL 'Effluent #2 = BODS <_ 30 mgll. and TSS _< 30 mglL 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 fom~at, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Tcat (R07A70) ~v~1 ~ ~ ~ ~' nl~~ ~~ h e, ~ `~~~' ~ S~ ~~y S ~O Tz8 ~~-bW ~ ., S W ~y ~~ Gr,~ . ~~~~~...~' `'t~c~. '~,, ~~ 1~U~ g.~ y3,ti~ R,3 Gtr ~ ~N. ~/G ~ i _T b, \~ -' _ _ ~ CU~~Lti ~ ~q~3z a~ r ~°C y -:...... f ,~ r ~~~~ use ~-~~ ~ ~ 9a ' ~ „--~'~~) - _, ~- i ~~~~~~ S ~~ `K ~ ~~ ~~ 1 ~~, ~ ~ ( ~ b Zvi loo ~, r B- 3 S `r ~~ ~, 8' `~ , ~2 ~ -~ f ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHII' CERTIFICATION FORM Owner/Buyer ~j ~' ,~,; n ~q ~i(f ~ 6 r /-- Mailing Address /a 3 U ~ ~ w ~ ~ 3 Property Address ~~''YN.~- ~i~/ ~~~, (Verification required from Planning & Zoning Department for new construction.) City/State ,6C1 ~pc tv i~~ Parcel Identification Number C~ ~ g - ~ ~ g 6 ~'Yd " (7 0 l~ ~ LEGAL DESCRIPTION Property Location ~W 1/a , ~ /a ,Sec. ~ C~, T oZg N R~W, Town of ~ ~ ~ ~ ~ ~- Subdivision ~D ('/~ /~ ,Lot # ~~ Certified Survey Map # Volume ,Page # Warranty Deed # ~ ~ ~ ~~ / ,Volume ~D ~~ ,Page # 3 a"' Spec house yes no Lot lines identifiable ye 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. I/we 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 _~_ SIGNATURE 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. 08/05) ~t DOCUMENT NO. II WARRAN?Y DEED ,, COQw~Q ;iTTATE BAB OF WISCONSIN FOR,Dt 2-198s Margaret I. Wesson, a single person conveys and warrants to ...,TObri..M_-.Weher...and..I.inda ................. .......Webaz-....husband..aad..wife-.-•-hcsid3-ng•--as ...................... .......~.uxvi,vox;3.hip...max.i.~a ]...D.rapextY-..-• ................................ the following described zeal estate in .......$t.....Cx.Q3X ...................County, State of Wisconsin; TNI[ 31AC[ R[[{RV[D ION R[CORD/N0 DATA ~~~~ o~~ ~s. a~oix co., w~ Recd for R.cord NOV 0 41993 a t:3o P.M a ~ ' ~~d0~~t R[TURN TO Ta: Parcel No: ---_-.---.• ................... South Half of~ Southwest Fractional Quarter (S'~ of S•A Frac. '~) and West Haif of Southwest Quarter of Southeast Quarter (W'~ of SW's of SE'~)t Aii in Section Thirty (30), Township Twenty-eight (28) North, Range Sixteen (16) West. ~~~~~o D.~.ss+ F~+'B i3 riOt --_ homestead property. This ----------------------•-• 7f(Xa~ (is not) Exception to warranties: Easements and restrictions of record. Dated this ....- ~.~--------• ................... day of .O4a1~t."?!Fl~------...--------•._........-......-......-...., i9.. 93 . - •--•--•-----------------------•-----•--.......---(SEAL) --...-----• .............•-----••----. °•--•------•-• •- (SEAL) AIITMH~SNTICAT/I'O~N Signatnre(a) ~!:.'9~~A~!!!!~.~O.riJ---..•---..... authenti this Q~~day ol.p _.. ..._.__., 19 ~ G, _ TITLE: MEMBER 9TATE BAR OF WISCONSIN (If not, . .................... authorized by ~ 708.08. Wis. Stets.) THt3 INSTRUMENT WAS DRA/T!D sY Thomas A• McCormack _ ~~ - ~-~Ll~Q.!~?iJ. (SEAL) Marga~E~~~I. Wesson ........................ (SEAL) ACHNOWLSD(iMSNT STATE OF WISCONSIN I as. $t ~_ _~~0~,~-----------°--..County. Personally came before me this ________________day of -•---•------------------------------------+ 1993-._ the abovo named _--_. Margaret_ .I . Wesson to me known to be the person ._........._ who ezecuted tho foregoing instrument and acknowledge the acme. Parcel #: 008-1086-40-000 10/07/2005 02:16 PM PAGE 1 OF 1 ,Alt. 13arcel #: 30.28.16.456 008 -TOWN OF EAU GALLE Current I X_l, 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 -WEBER, JOHN M & LINDA JOHN M & LINDA WEBER 123 HWY 63 BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 123 HWY 63 SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 30 T28N R16W 40A S1/2 SW FRL 1/4 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1046/362 WD 07/23/1997 436/211 9f1(1~ CI IMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/04/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 22,500 75,700 98,200 NO AGRICULTURAL G4 16.000 1,500 0 1,500 NO UNDEVELOPED G5 2.500 900 0 900 NO AGRICULTURAL FOREST G5M 19.500 12,000 0 12,000 NO Totals for 2005: General Property 40.000 36,900 75,700 112,600 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 48,900 75,700 124,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 513 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00