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008-1098-95-200
Department ofComm`rce ~ PRIVATE SEWAGE SYSTEM Building Division INSPECTION REPORT ;AL INFORMATION (ATTACH TO PERMIT) formation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. ier's Name: City Village X Township Vlike Eau Galle Townshi lev: Insp. BM Elev: BM Description: ~. ~-~... a~ ~. s'~,pv~ ION ELEVATION DATA NFORMAT MANUFACTURER CAPACITY ~J~r.~1 f-- /n00 Zala.~- / >ETBACK INFORMATION P/L 7 WELL BLDG. Vent to Air Intake ROAD 7s' ~~aa' ~~a~' ~ 5' 7/Q'~' 7/C~' SIPHON INFORMATION urer ~ Demand ~l~_ GPM amber ~ ~ ) '~ ~ ~~ Z Friction Loss System Head TDH t Oj, n Length ~ Dia.~~~ Dist. to We SORPTION. SYSTEM county: St. Croix Sanitary Permit No: 463205 0 State Plan ID No: Parcel Tax No: 008-1098-95-200 SectionlTown/Range/Map No: 35.28.16.531A10 STATION BS 3• / HI FS ELEV. 99• Z. Benchmark ~ /, ! 98• l) ~~ •Z. Alt. BM Q a {~,,,,~ bF ~ Z ~Z5 • ~.o Bldg. Sewer /~ .Z //~ SUHt Inlet 1 )~ ~,' 9~, g. SUHt Outlet ~ ~ Dt Inlet . ~ ~ Dt Bottom Header/Man. 3•~ Dist. Pipe 3.3 Q I Bot. System ~ ~ Final Grade Z • 3 ~~~ St Cover ~~ l~ ~ / r 3 9~~ Gar.-o~ s ~ , ~3 4'~ • 5~/ ~• ~. l~l ~ 5 /lyt, ~ 5q. ca CH NS Width ~ Length -7 i No. O Trenc s ~ PIT DIMENSIONS No. Of Pits - Inside Dia. Liquid Depth 0 $ S ! ~~ K SYSTEM TO P/L ~ BLDG WELL LAKE/STREAM LEACHING Manufacturer: ION CHAMBER OR Type Of ystem: ~ <~ ~.J ~ ~ /~ ~ / 1 / UNIT Model Number: ~` Ov ~~ ' . 1. /l/ 7 UTION SYSTEM nifold ~/ Distribution ~~ ~ ~ x Hole Si~ ~~ x Hole Spacing Vent to Air Intake ~ `; J IJ_1 Pi e s 'I II ~ P ( ) Dia ~ Length ST Dia Z Spacing t! t0 Z a VER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Center ~ ~'7 Bed/Trench Edges Topsoil NTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~0 / ~ / ~5 ~spection #2: / / 21 250th Street((~~Woodville, WI 028 W 1/4 SW 1/4 35 T28N R16W) NA Lot 3 (~~a51/'- /da ~ Parcel No: 35.28.1,6,531A1 Description = 17r,~o~ b ~ C_.I2.G.J~. ~/~ , //dr..~ d~\ ~"~ ~~(~t ~y ,y-,`'-A wer length = / / L ~ C,~ { c~ unt of cover = 7 ~f Z i/ 1 /v~ ~ ~~ ~a~-- f ,.~ ..J p~ j-~n9~ ~P~~- r ~ r--- ---- --- --- ~ ~ ~S ion Required? ~ ~ j Yes - No I ~O ~ 2- side for additional information. ~ L____ _,._ _ _ ___ J ~_~ __~ ,,,~„ Date Insepctor's S nature Cert. No. F Safety and Build( (vision Coun~ /I t 201 W. Washington ., .Box 7162 ~y `/~~ ~0~~,~ Madison W _ Sanitary Permit Number {t be flied in by Cb ) ment of commerce ~ (~ REGIS` ~ ,~;. . ~~~ -. ~ ~.2o S Sanitary. Permit Ap C IO State Plan t.D. Nwnber ~ In accord with Conan 83.21, Wis. Aden. Code, persona( information y u provldet' ~ ~ ~g O ~S= ~-~'~ S ~ /Q maybe used for secondary purposes Privacy law, sI5.04{i ) ST. GRij~;,, jest Address f f different than m addres t~~- z ~ ~ Sa S'~ ~ ' , . ' on Information -Please Print AII Information ~ trU~ ~~~=_ ~f . s Namo ~fJ~ f P,~rQcel #~ ~ ~ tsrocr s ~s~R18 Ad/d/~ ) / ~ ' Property Location r''-. W L~ . tD c,ti,,.Y~ ~, ~ ~ ~ ~ ) Zi C d .~ w 5~r, , 3Qy SoctiOR - p o e Phone Nurser r ~1 ~~ ~,~ .. ~~,a~) TZ~N uiltling (ch that apply) S w<, ~ 3 ~~ -~-_ ~ ' y Dwelling - Number of Bedrooms ~" 8abdirisioai~be CSM Number -Describe Use ~ ~ ~ _ Desq~'be Use City_ Ydlage~Township of r of Permit: {Check only one boz on line A. Complete line B if applicable) p$ - O - S' 2Ls0 . S3/~- O System Replacement System Treatmeatlt{oiding Tank Replaoemenc Drily Other ModiScadoR to Existing System Permit Renewal Perntit Revision Ctrange of Permit Transfer to New Lzst Previous Permit Number and Date lssucd fore Farp'rration Plumber Owrrcr of POWTS S Check all that a 1 ' Pn~surized In-Ground Mound ~ 24 iR. of suitable soil ourui < 24 in. of snitable soil At-Grade Single Pass Sand Filter ed Wetland Pressurized (n-Ground Hdding Tank Filkx Aerobic Trteatment Unit Rccircutadng Sand Flter ,-~ ~,, Synthetic Modia Frlter Leaching {7tambcr Dri Iane Gravel-hxs Pi Other ex 'n) ~rsaVt'reatment Area Information: ` ® = O 22 . ow (gpd) Design S il Application Rate(gpdsf) Disposal Att;a Required (sf) .Disperse! Area Propo System 8e 'a ~ o , ( c Info Capacity in Total Number Mannfactuner Pre Site Steel Fiber Plastic Gallons Gaitoas of Units Concrete Construcoed Glass New F.:ishng Tanks Tacks oldiog Tank xtmeat Unit uot+er ~~ oasibility Statement- i, the assruue rsibility for lasWilrrtioa of the POR'1~ shown oa the attached NaRre (Print) Plumber' MP/MPRS Number Business Phone Number ., ~ !/ ~/Jr~' Z_ 'r J ~ Addrrxs (/Str~eet„ Ci ,State, ) as IDe artment Use Dal • pprove -~ Sanitary Permit Fee S } F (includes Groundwater Datc issuod Issuing t Signature (No Stamps) ri til•2`iiven Reason for enial urc rarge ee) ~.-- , ~ ~ ~ ((lions of Approval/Reasonsfcr Disapproval STEM OWNER: Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. All setback requirements must be maintained as per applicable code/ordinances. b~') w..y..~.~ pu.a.>>w we waas7 vmyr wr me s}~srem On Paper not ItSS than;Ill x It lncbes ra size • PLOT PLAN - ` ill ~ ADDRESS W1656 Meadow Lane SorinaVallev Wi 54767 1/4S 35 /T 2$ N/R 16 W TOWN EauGalle COUNTY ST.CROIX TEM ELEVATION 98.5' 1.9' sand lift BEDROOM 3 TIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 G TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none HMARK V.R.P. Top of Spike in 12" elm tree ASSUME ELEVATION I00' Filter Zabel A-100 EHOLE O WELL *g,R•p• Same as Benchmark - ale = 1 /4" Grading is to be divert run-offs system 97' 96.6' 9 6' B.M. Alt. top of 1.5" vc pipe @99.2' 9 10' 650' Property Line to Huffcutt combo tank from B -1 Tank is to be properly bedded and provided with lockdown covers with approved warning labels p B.M. * 150` 6% -3 Slope Area 15' below Well is to meet system is to all setbacks remain found in Comm. undisturbed 8 3 320' COQ 250th St. commerce.wi.gov scons•in epartment of Commerce Safety and Buildings 4003 N KlNNEY COULEE Rb LA CROSSE WI 54601-1831 TDD #: (608} 264-8777 www.commerce.wi.govlsb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 11, 2004 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/11/2006 Identification Numbers Transaction ID No. 1081055 SITE: Site ID No. 692353 Mike Gill Please refer to both identification numbers, 250th Street above, in all cones ondence with the a enc . Town of Eau Galle St Croix County SW1/4, SW1/4, 535, T28N, R16W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 992538 Maintenance required; 450 GPD Flow rate; 14 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.01/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. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for POWTS -Version 2.0" SBD-10691-P(N.O1/O1). • The pressure network is to be constructed in accordance with publication SBD-10706-P(NO1/O1) "Pressure Distribution Component Manual for POWTS -Version 2.0". • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2}(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copv of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local rectors. P.0.1N.T.S. Conditionally ~~RROVEo DEPARTMENT Or; CQMMERCE SHAUN R BIRD Owner Responsibilities: Page 2 11/11/2004 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence 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, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-?892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 ~C~ Cover Page ~~~ Noy,, ~~F ~~ !a ~! °o~ Shaun Bird O~cr ~~~ Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 11 /6/04 Owner:Mike Gill Location:SW1 /4 SW1 /4 S35"T28 N,R16W Lot 3 250th 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 Co ti ency plan 9-11. Soil test ~~ Shaun Bird Signature License nu er 226900 p1VIS±oN ~ f ~Y ANU esu ;~ut~~ua SEE GOR >pONDENCE . PLOT PLAN CT~ Mike Gill ~ ADDRESS W1656 Meadow Lane SorinaVallev Wi 54767 1 /4 SW 1/45 35 /T 28 N/R 16 W TOWN Eau Galle COUNTY ST. CROIX YSTEM ELEVATION 98.5' 1.9' sand lift 3 BEDROOM ENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK D XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 ING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none NCHMARK V.R.P. Top of Spike in 12" elm tree ASSUME ELEVATION 100' Filter Zabel A-100 REHOLE O WELL *H.R.P. Same as Benchmark 650' Pro 3 Property oom Line House Scale = 1 /4" = 10' Gradi is to be done to Huffcutt combo tank div r n-off away from sys m B -1 a k is to be properly ^ edded and provided 97' with lockdown 9 .6' 96, covers with approved warning labels B.M. Alt. is top of 1.5" d ^ ^ B.M. * 150' pvc pipe @ 99.2' 9 5' 6% B - 3 B-2 Slope Area 15' below Well is to meet system is to all setbacks remain found in Comm. undisturbed 8 3 320' 250th St. -,._.--_ /• No r Non-Woven Filter Fabric 4" Observation Pipe Perforated Below Filter Fabric ASTli 0-33 sand ``.~, ~' Topsoil ____..~ ~ DislriDvlion Pipe 0 e r ~_,_ o '~ \ ~v '• S~op° fled Of !j~- 2 %2 Force No-n Drain Rock From Fump Section Qt A lrtovnd S sitm Usin Cress A Btd For s The Absor lion Arle ~,. ~ ~~l,~ P t? il,,tto S A ~ ft• ~- Ft. s ~~' I ~Ft.~ J~ Ft. .. K.~ Ft. ~ ~~ Ft. _ k~,y~i~Ft- Howe d Lover ~ .>, ! ~ ~ ~ s F ~J~ c 1~ h S , r'~~ __..--- L ,. 40bservotion ~Ae-`~ `K ~ A l ~ ~ Force Moin ° ~ ------------.:..------------ -------- From Pump ~- - -- - - - „_,_ r..... -- - 3 ~ ~^ o Distribution Bed Of /Z~- ~ i2 ~ Pipt ~ Drain RocK I \ 4 Obcervotion Pipt=-:~C..~~.~ Permonent 14torker r ~,...- ~ ~ ..~ ~~ '` yai^=~-' bc~yr~~ ~ P C or Rod s ~S~ ~ G Y ~.../ is Pion View Of Mound Ut1n A Bed For The Absorption Areo PAGE-~ F--- ~QLnis4 a~+ 8o~~om. ~4uolty Saa=se ry,'( fem.,/ (~ 'T'i-~ r-... , ..-~.,~._.~, .IC°.+T MOLL tyrxT +t0 GarttltC}~G Ft. Ft. Signed:- License Number: Gate: X~ inches , / 0~ ~° InChl'S,., Hole Diameter-~ Inch Lateral ." ~ Inch{es~ ~anifo3d Inches Force Main ''7""" Inches of hates/AiPe..~~_ Invert tievation of laterats/I~ Ft... I Perfara!tG o~Ct Detail ~ Pc3!"4P~~~'RMB S CR flS S_~ 5,,, E~.r= ,~ rti'R • aBOv~ ~gAD£ ~ ~. ~ ~ u ~N'r PIpE ~~tI NI3D~ 4K -~~} fR4M t34flR , 'Iii ° ~ '`%fl GR~E "7 if ~,.~ ~. - 13` ATER 'L`ZtY HT 5 ~~ ..~--- ~iLT£~ "~- 8 ",~'_ C. ~~ C7 FT. i3 f- A~E3 SgEC~r ICATIDT+c ~rEk~RP~f APggp~ED Ji33~CTCflNDUflT M:AirHt}LE CDvER ~t ITM ~i / pp,~ 1,flEK ~ NpR~li;~[G iABE:. t_~ ~4" MS1#- S. a• ` {S~MSN• ' ~ s, : s 1 • ~ ~ ~p5- ~ ~ E TIGHT s ; ~ST'~ ~DI gEpsL , A'L~"t p-PP3t0YED PtP£ ' CR 1 SOtt 5tR t + ___ . B~DII+t6 UNDER '~AAI3C /~pNCR~TE PAU I } SP£CZFZfiA':ItlNS 1 DOSE NU t+f BER PTZC ~ f AC'371REI~L : 13535E ~,~ ~ ~t'tE F~ydy pCiK~s !~____J --- GAL - Ai~C MAI+tUU C,p;, , ~,~ ~ ,6AL 1iK S Z 2E5 ~ SEPT;C ..~ 6AL • ~~; ,~'Il~CHEg ~.•~---- .,~-••-~--"- DOSE CRFRCITZ£5= A GAL- ~ ~~it1fACT[3~~1 f, ~ GRL• MODEL l~JM ~ C/ C ~,~''~NCRES = 6~ ~LY•CK 'f`YF£ ~ ~~' ~~ .> GAL - D x % I~tCHES ~--- ~ p t'lpRtTFACTiJRCR s~ G/G%~ f--`_' I LTiR 1b.23 ~iAC xSteTI3"CH ?Y~: • ~ .JG=' i~f WZRZISG AS PER ~ ~flli p~i!!P £ A1.~+R FEET agSttil,BGE BATE ~.--- ~~TZgPt FSP£ ~ ~~ FEET I3t~ AHD DZSTg _ ,.~- i~~~ C£ H£THEEH ~ ~ ~ fRICTIf~N Fp,CTC?R -~--•- gEET ER'lICAL 1fiFFER£N, F'R£55URE pt;N23~~ R~TW~RK ~~FtY ~ FT/ lII Q FT - ;C H~ _~'----~'...` ~~~ FEET ~ ~~~ : W T~~; glAr'1~"f~ --.---"' LENGTH ° ~ ,. NSIflNS i~~ BUMP TANK= ~.~Q~3ID ~'~'~~.---c~"'° 1~T'~~A~ fl L~tE 11 f4 T L ~ /".r'~~"""~'~ 'rtes NEAQ .CAPACITY C~Jf~VE MODEL 152153 53 o~ 20 10 - TOTAL DYNAh11C HEAD/CArAC!TY pFR !,~iNUTE EFFLUENT AND DEWATERINO 2,0 ~0 60 $O 1 DD ± LONS LITERS 0 80 1 fi0 ' 240 ; .i?0 ., - FLOW PER -MINUTE SULT FACTORY FOR!SPECIAL APPLlCATlONS i dosing panels available. '° " ical alternators, for duplex systems, ire available and supplied with arm. ble level control switches are available for controlling single phase :ms. le piggyback variable level float switches are available for variable long and short cycle controls. ;d Qwik-Box available foroutdoor installations. See FM1420. 130°F. (54°C.) special quotation required. MOD AL ~ ? 52 t 5 .. rr"eet Meters Gai. Lifers Gol. ---i L~_~~s i ! ~ 5 1.5 ! 69 ~ 261 77 _'y1 10 3.1 6 t ! 23? 70 ~ E-S--~ 15 4.6 I 53 201 i 61 ! 23'~ I 20 6.1 44 t o7 52 ' `+' 25 7.6 34 ~ 129 i 42 ' `•i~ _ 'l _" 30 ~ 9.? 'L3 ~ 87 33 , ~ ~..5 ! 7 ! -- l --- 2c :--`l :5 ~~ 35 1 U. 40 12.2 -- ~ -- -~ t 1 '~ cck L VCIv2. ?8.0 FE. (1?.6.m) ~44.0 Ft. , , (..i&m) _____ I j Ji450 a 3 27/ i tz ~/e I 1 .._1 2 :? 3 sK2ow SELECTION GUIDE D CAUTION allation of controls, protection devices and lwiring should be done by a qualified . d electrician. All electrical and safety codes Should be foUowod including the most Vadonal Electric Coda tNEC) and the OccupationaLSafety and Heakh Act 1OSHA). 1. Single piggyback variable level float switch or double piggybac~ variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical ARernator E-Pak. 3. Variable level control switch 10-0225 used as a control activato .specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety fiactor is engineered into the design of every Zoeller pump. MAfI Ti7. R.O. BOX t6347 - Louisville, KY 40256.0347 Manufacturersof.. Z SHIP T0: 3649 Cane Run Road Q Louisville, KY 402it-1961 Qr~aurrPayas S,vc~- /~9v''~~ ~. w ,/ (5021778.2731 ~) (800) 928-PUMP ;p:J/www.ZOe((er.com ~~/e''/~ ~~' FAX (502)774-3624 © Copyright 2000 Zoeller Co. All rights reserved. 15?J153 'Series ENT PLAN . , L ,~~ER'S Mp,NUA~ 8~ MANAGEM ppw'CS Q SYSTEM SPECIE{CAS Septic?~ Capes ufactursr AT[OP1 ~ ~ ~ ~pbc Tank ~ ...-- ~,.---- -" E~uettt Filter Ma~Ctcsrer Bed Cc~mm~f__ ~n- is Rste ueM QuafdY Fats,. off 6 Grease mical OxY9~ Demand Total S++~P~nded Sotird Effluent QuaCdY Moat Oxygen Demand Total SusQended Solid: Fecal Colifom1(9eOmetric F.,fftueM Partide;_ x Monthhl ~erage= (?~G~ 530 mg !1_ 5220 mg (BODs? {tSS) 5150 m n- "' ~NA Manthty $Yera9e 800s) ( ~..~~~ s S30 mg1~ 530171g2 _ _ Y inchdiameter Effluent Flter Modal 1 Tank CaPa~ ~ PumF~, ptymp Tank Man~~urer r ' .Pump Man~~r : Pump Mode! O ~nF~tter ` ~ Mect~anlcat Aeration ^ Disinfes~on a q~.grade (graVnY Page of O t~A ~ taw a~ _.....- O t+lA D 1VA T] 1VA Q AIA t7 Peat Filter ~ Wetland ~ O>rier. I7 -9mund (pressured) Fund D Other_ f_„=_-_ ~ pn ine ~on~oom~*~rdaA 4$sterrater and Values typtc~ for dort+es~ ~ s>~ ~kicaf for 0~~~ a~aste~ter. Se v ci a Frsquency ,.,,,_.,~---~.------- onths ar(s) (Mazimum~ 3` ~ ~_= grytce Event condition of tank(s) pant®nts of tank(s) ~sF,g~al cell{s) affluent filter PumP~ p~np cantro-s & alarm ~~ and pnsssure test pm e uats one-third (~i) of tank ~ o1u--~- Atfeast once eves'Y and scum q uvnen combined sludge onths r(s) (Maximum~_ Y~•1 At least once every pm Q rr-onths r(s) At Feast once every o ~ months r(s) l7 taA At Feast once every t7 month Ks) O ~ At feast once every p months D year(s) O NA pt least once every p months II year(s) ~ ~ At Least once every '"- licenses or ~tpATCE INSTRUCTIONS an fndividuat cartYing one of the follawiMngaintainer; Se~9e and dlsP's~l ~tss shall be Re~~ ~wer• PpyyTS [nsPe~on ~ any rrilsstng or broken tons of tsnics r Ptumb~er on of the tank(s) ~ m and to checK for any back uP stklns:, Master Plumber: Marie 9tudge and fo check the effluent levels nQ Operator, Tanfc inspecr~+ns m~~ureuthe volume of oombtned cxtaCks Qr teaks, The disper~ calf{s) shall be vlsuatly ins .~ Pondin9 of effluent on the ire, ldentlfy tiny round surfac$_ ding of effluent on the ground surface. author,ty. ding of effluent on the 9 for any P~ lion of the focal fegutatory fume, tfte ~bse~t~on pipes and to ~~QOnd"rtion and roquires the immediate notif+ca- er more of the tank vo I surface may indicate a faifinp min any tank equals one-this ~K) of in ac~~an~'"''~' ~'• NR mufation',ef sludge 8nd scu a Se~+n9 Operator and disposed the combined ~ Dyed by a Sepfag .. ~nte~ of ~e tank shaft be; rem fe~t~ment cDmponents~, and any y19COnsin gdmincstratrve Code tessurized POWTS components, p a certified POViITS Ma;ntainer. me~anicai or p rformed by event. lnc~in9 of effluent alters, at inter~ais of 12 months or less shall be ~ of completion of any service rtaUtenanoe or menitorin9 t r utatory authority within 1 ~ days ~ roport shalt be pn~d~ tO ~e Iota e9 roducts Dr other ~ the presence of painting trgbons are tJP ~HlD OPERAnor td use ~f the PD~S check treatment tank(s) et'~ cell(s). tf high COi1Cen w oons~ucaan, P~ mcess and/or damage the drspD rator prior to use. Otis that may impede the treatmes t emoved by a septage servicing Pe hatfe the contents of the 'tan ( } Page ~,~,,, °~-,.r- I l•opnditions are'~~n at the infitttadve surface- ~ ~rBd ~ tZXCesS r when s~ ~ f„rrater levels. V1lh-en i ~ef~~ts} ~d may result in the ~~ up snail not occu ,~ above normal ~ dose, ~ef{oading ~n!< removed by a . outages pump ~~ ~d'cape~ ceiS($) In ene large aE the P~Q Maintainer to id this sctuatia- have the conter~~ a PWrr-ber ac POYIIT'S '~ r~ die of eft~en'~ T~ ~Arer t4 the effluent pump or c~- urrr ta~- surfaoe Ope~~ pdpf.td 7n ~~5 to t^estote normal ie~+e~'^~'in the P . F disturb Or contp2Ct, gQperabng ~ pimp .. IS Da not drive or park over, cr other over tactics and disperse °~ ~ tion area. ' e or park veh of at+7/ or ai~r'ade soli abscrP a the ~tfcrmanoe and prolong the Gfe moutxi ~,~ 17'a feet down slopB the ~erirater stream may impr>~ ~ .dental floss; diapers floe of the folloWth9 ~iDn' but3s; condoms: flottan swabs; deg asotitte; gr~,ase; herbiades, meal OIA(TS: ~ : ~"~~` t~ mR water, tntit and Ye9etabte peefn g and watef steer brine. . ~ ~ndett'pn drain {~ ¢ p~ddes- sanitary' nap[ans; tempo.. rotas; o0. t~~ng p ~ ~ ~ to insure that the shat) the taken five Code: ~M[e1~fT taken out of senrioe the fottowing steps Sin AdminLtra e ~~g {orris andtor is pefm~e~ dance with ch. Comm 83.33. 1A/iscon and Safe1Y aband~eed in oorY~ nrtecxed and the abandoned Pipe ogenings cealed. is pmpeflY ke disco Seri of by a SePta9e Servidng Operator. Aii Piping ~ tanks and P~ sh~l ~ Il~be removed and properly dispo Tne= ocntents of a(I tanksR>~ ~ she![ be exca,rated and removed er their aovsrs removed and the vo7d space After Pumping, art tsinics fined with soil, gr7ave! or anotfaer inert solid material ~ rnvide a code G~CY P[.AM mired th$ foliowln~J measures have been, or must be taken, P y~g faits acid cannot be'.r+eP tion of a replacement soil nt reptaoerr+ent sys~ lie utiiszed for the loco coon and should not iyas ir~een evaluated and rotected from d"+s[vrban'ce and compa A suitable repiacement'area~~ent area should be p tot ['-nes and we!(s_ Failure to absorPbon system- The 7'rwp from existing and ProPOSed s~G3ure, a salable u n by feQuirod setbadts be infringed ~ ment aroma ~ +iesuit in the need for a new soft and s"cte°evat at that rim tab Protect the repi~ tams must comp-Y ~~' the roles in effect n advances in POWTS reptaaernent ~- Replacement sys re tacement area is not ava~a~ as a cast resort o ep arcethe 1`8i1ed P~11VTS- ~ A su~bie 8 t,oidin9 tank may ae insratt n falute of the POWTS a ~a and technology to identify a suitable replacement area. UP'oo rep7a~ent area is available a. The site has not been e,raruated ~ locate a' suitable replacement area_ . siUe evaluation must be Pew ~ Est ~rt ~ reptaoe tt'-e faired PQ~S- remove) of the >,iomat at ho[dinQ tank may be irlf~tdl$ n systems may tie reconsin~cted i f pt~ ~st~gn cried at that time. Mound and gt~rade soil at~sorP'~ . s of such systems must comp Y -the infiiiratiYe sutfaoB. Ra~aonstruoh°n ~rN©~ 171XEi1iT TANKS MAY CONTAIN LETHAL GASSES ANDlDR tNSUFFICiENT i?XYGEN. ~, PUMP AND O'Pt~ER T~ CIRCUMSTANCES. Dt.ATH tiftAY PUrtRP OR O'n'I~ TJiF_ATMENT TANK UNDER ANY UE OF A PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR tMPGSStB ~T ESdT'ER A 81tp'PiC, .T. , f2ESC tNAt coMMENTS . POWTS fylgiNTAIlY1=R INSTALLER Marne .. LOCAL REGULATORY AUTHt?R17Y E SERViClN~3 OPERATOR Pt1MPER }~ '~ • _ Agency ~ '~ ' / r.~ ~''+- Phone /~/J°"- ~'~ l1= ~ , ~ •~ ninu~s of rite t~ t.aice Msrquotte and Waushaa County Zoning and Sanitat,oa agettdes. ~~°~~does not r~tt was dnttlted d1' ~ ~ t ~ and 83 5411). (2) & (3j. 7ye~nsin Rdmittlst'ta~ Code. Use of this ,m ~quirs~lents of ~ comet 83.~(bl( l(d1~ Grp' (11Qt } ~ performanx of the POWr'S. RECEIVED consin0epartmentofCommerce SOIL EVALUATION R POf~~~ j Q ZOOZr page ~ of --3 ision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code CdH~ityCRO NT t P lan mus ttach complete site plan on paper not less than 8 1/2 x 11 inches in size. but not limited to: vertical and horizontal reference point (BM), direction and elude p , , ercent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all informafion. ~ ~~~ J~ R `" ~DJat /- Z Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). / pe Owner ~~~ I~ ~ ~ ~ Property Location Govt. Lot ~~~ 1/45 1/4 S3ST ~ ~ N R (f~ -~•(er) W ~ ~ perty Owner's Mailing Addres ~uc S ~ ' Lot # 3 Block # ,v~- Subd. Name or CSM# ~ f~:~~~K , ~ t ~ S ~o~ State Zip Code Phone Number l)~ ~ c 7~S ~778-5`7~ '~c 1 ~ ^ City ^ Yllage own Nearest Road ~~.~.- Cpl/~ ~ ~~~`~. SfI.Y~ t t . New Construction Use: L7 tzesidential / Number of bedroom ~ Durk a Code derived design flow rate ~ E" .; ~^ Replacement ^ Public or commeraal -Describe: rent material ~: ~ ~" 6v er !!~1 Flood Plain elevation ff applicable ,/1~ ~ natal comments Si~ , d recommendations: plc'f c ~ c:.~-~D f'~~" P °®~ "~ a ~~ M e `-~ "~ ~ ~~- (~ O 1~ ~ ~`( Ot~v~ to s~5~~ c~.~~. y~;y.~_ -- Boring . is ~•~~,7 ~~ ~ it Ground surface elev,: ~ ~ 7 ft. Depth to limiting factor ~ Soil lication Rate ti i D xture T Structure Consistence Boundary Roots P D/ft= orizon Depth in. Dominant Color Munsell on escr p Redox Qu. Sz. Cont. Color e Gr. Sz. Sh. 'Eff#1 `Ef(#2 6 ~a ~~ ~ ~ ~ -~ tv (ir~~ z ~/ O -- ~ W t i / 3 -~ 0`[12 y ,~ s- ~ t~= f~ . S f b R ~` 3dLo ~ ~~ J~f e ~ ~ ~ •-~ _ . n Bgytng vv~ ~~,y '~ ~ i( Ground surface elev. V~ ft. Depth to limiting factor ~ in. Soft lication Rate l D i t C tion Redox Descri Texture Structure Consistence Boundary Roots GP DIff Horizon Depth in. o or nan om Munsell p Qu. Sz. Cont. Color Gr. Sz. S h. 'Eff#1 •Eff#2 {` ~ -~ o ~ ~ a vris ~ tt S ~ ~ `~ °~ ~ S a ' ~ ~- • Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mg/L ' tmuenr ~~ = rsw 5 ov rrryr~ wru ~ ~ : ~~ ~ ~ ~~ CST Na, Please Print) Signature ` ~~9~Number r•F ~Q e Address ~ (( ate Evaluation Conducted Telephone Number LU/~?y `770 ~~~ ~~e_ ~~~~~~ l~~ 1 5~~ ~~ - ~'' a ~~i ~ >J~ ~7~ lr ffQQ Property Owner ~ tAY ~~c rn ~a td~~2 _ Parcel ID # Page ~ of Boring # U ~ng o L5' Pit Ground surface elev.1~.~_ ft. Depth to limiting factor ~~ Y_ In. Soil lication Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GP 'Eff#1 D/ff 'E 1 _i 3- D ~- -- ~ ~ ~ a ~ ~ It .~ 3 - ~~ - _ ~ LJ Boring Boring # ^ pit Ground surface elev. ~ ft. Depth to IimiGng factor in. Soil lication Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlftt in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff# U Boring Boring # Ground surface elev. ft. Depth to {imiting factor in. ^ Pit Soil lication Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz: Sh. 'Eff#1 'E ' Effluent #1 = BODS > 30 < 220 mg/L and TS5 >30 < 150 mg/L 'Effluent #2 =BODE < 30 mglL and TSS <_ 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-2648777. SBD-8330 (R.6/00) . '~ ^~ 4 C.~ ~ ~~~~ ~` l' a W ~~ `~r ~~ d ~ ~~ i ~° E~ \ ~ t n~ V ~~ ~_• ~ ~ ~ '~ ~ a ~ --{ !--~ - -~s n ~ `~ ~' ~ ~/ ~ ~} ~ G =~ r ~ ~~ w c.C~ .~ ~ ~ t L'' ~. J ~ ~ _ ~t ~~ `n ~~ _ ~ _,... ~, ~ ~ i ~ ca ~- ~ .sl ST CROIX CpUN't'~ .I~ti4INTENANCE A~g~E1viENT SEP'j'~~ ~T~ .ANA ,yyNERSHIP CERTIFICATION FORM O ._ „ n w ~ -- Address ~ - ~ ~ ~-~' _ _~ Address °~ ~ ed tom planaiag Drp~tcneat for aew co~~ {yerificatioa requu Parcel Ideatificatson Number e .p~ PTION 5~,,, ~L~ 'i., sec. Z,ocatioa ~-- ~~ D~~ 109 _ ~~-, ~o ~• s~/ ~ - to) Town of,~~~a~/ . Lot # `-' ~• ~... .n ~ e Page # .~~-s..~--3 -". ~' / ~ ~ ~ - . Volum Survey MAP # ~ 2~,~3 Page # 3Zo ~ Deed # tifiabl%es D no no Lot lanes tden house D y ee i Temature failure to haadlces• Pu Piano the sys CE What you g tem „~.-.r ~~.• ~TTF~NAN; tic system could result is d b a lied p~Per ~~~ ~ outt the~septt mot ~ ~° Y°~ or e ~ ~ avast ciisPo al system. ~ og P~,psag ~ a treatsneat stag s ~ by th,e owner and by a ~~ the ~ction.of the septic tank D~~eat a mortification form, ~ ewaterdisposal ~m submit to St. Croix ZoniaS that {i) the on-site vast of sludgy. The Proi~~ o_~ lum er nstrictedPlutnc~a,~a and PumP~~onecessar}'~ the septic tank is loss than 1!3 full ~P~ opem~ ooaditioa sadlor (2? a~ ~'o sal system with the standards P ~ ~~ the private sewage dispo cation ents and agree to main geSOUrces, State of WisconsO ~ ~ 30 ~ u~igned havc read the above re4~~crce and the D~artment of Natural Zoning ~~ ~~, s,s set by °f ~ ust be complied ~ returned to the St. Croix Co>~` tem hsa been myya~.ed ~ tic sys / ag that your seP cep a,~. / ~~~ ~ of t#~e threC Y~ ~F ~~// ~ DATB ~. J- N~ ~~ pF ppPLICANT the owner(s) of VNER ~ICATI,~N_ to the best of my {o~i ~o"``lcdge. ~'E form are try meter of Deeds office. --- I (we) ccrtifY that all statements oa thts deed recorded in Reg groperts' described above, y virtue of a warranty /~ -' ' 1~ ~` I (we) am (arc? /~,~,,~ DATg /._ , _ ~ > ;:...._ ,. ~- - cat. sssE•• #NATiJRE OF ApPLICA~ ennit being revoked by the Zoning DePaatra rats inforrrmation that is mis-rePnsonteda'-ay result is the sanitary P Any deed fmm the Register of Deeds o ce de in the warrants' deed this apptication: s stamped watran~ if reference is ma Include with a copy of the certified survey maP ~~~=~~ \ ~~ A A c R ti E _ i~ ~_x~he___ ____ ~, - --- ~ , ~ -- ~.. d ~ b~ 4 ~ 6 x ~ Z d woos 1~0 ~ ` b~ ~ 1 3 , ~ ~r D m o ~------------.. ~~ i ~~ 1 4 + ~ '' # ~ ,... d ~ - - r r.• .w __w.G: - __ ___________ ~ 3,_~. 3 -10' ~ • - 1 STATE BAR OI: WISCONSIN FORM ] - 2000 DOCttmcnt Number WARRANTY DEED This Deed, made between Randy O. Nveetten and Kathleen F. gyn. huchand Aerl .warp And each in their own risht Grantor, and Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin {the "Property") (if mor needed, please attach addendum): of Three (3) Certified Survey Map recorded in Volume 16 of Certified Survey aps, on Page 4313, as Document No. 681925, being a part of Lot 1 of Certified Survey Map recor ed in VoI.13 of Certified Survey Maps, on Page 3708, and part of the Southwest Quarter of the Southwest Quarter (SW 1/4 of SW i/4) of Section Thirty-five (35), Township Twenty-eight (28) North, Range Sixteen (16) West, Town of Eau Galle. x'7'2549 KATHLEE!{ i{. M1kLSH REGISTER OF OEEOS ST. CROIX CQ, , MI RECEIVED FOR RECORD 08l2SlZ004 09:30A1i itARRAIKTY OE60 EXElPT Ie RfiC FEE: 11.00 TRANS Flifi : 180, 00 COPY FEB: CC FEB: PAGES: 1 Recording Area peg - ~098~- 4S-2o9 ~• ~~ Name and Return Adiress Robert J. Richardson Bakke Norman, SC 5233 McKay Ave., P.O. Box 399 Spring Valley, WI 54767 'I'ngether with alt appurtenant rights, title and interests, Hart of 008-1098-95-000 Parcel Identification Number (PIN) This is not homestead property (is) (is not} Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, highways, utility rights and reservations of record, and will warrant and defend the same. Dated this ~~ day of Autiust, 2004. ~, ', '~. * Randy O. ye gen " K teen F. NyegQen AUTHENTICATION Sitwnature(s) Randy O. Nvett^en and Kathleen F. NYeeeen Z ~~-- r J- TITLE: ly(EMBER STATE BAR OF WISCONSIN by §706.06, Wis. Slats.) . 2004 INSTRUMENT WAS DRAFTED BY (Signatures may be authenticated or acknowledged. Both are no9enessary.) ACKNOWLEDGMENT STATE OF WISCONSIN } } ss. County ) Personally came before me this day of .2004 _ the above named tome known to be the person(s) who executed the foreaoine instrument and acknowledeed the same. Notary Public. State of My Commission is permanent. (If not, state expiration date: .) 1~ of persons signing in any capacity must be typed or printed below their signature. INFO-PRO (8i)O~SS-2021 www.infoyrofonns.con6'rATF: 8AR OF WtSCO WARRANTY DEED FORI11 No. 1 - 2000 1.~~~JIC l~.f~W OFf lL~f:~` „~ *, ~: r'a~ ~ r~ Pil;:ir~W; ~~°1~ w ~i;°d'Kt~+~;}~Y,P~itlEYr uu~ ~ s zooz N__ D _T~ t 6F~t2 rNCS ARe Rff£RE'NCEp TO 7~ SW1tf ! IkE Of TftF' Sw 1~4. (sT. Crrolx co, C40ROINATF BrsTEM), tt rtat eew+aeo NnU:in 3fJ ~Y6 at ~fla_ov.t date apnre~t slap w C E R T[ F I E D SURVEY MAP pApgs ~~ i 3; sis~NmxiwtC PY FBSs ~,OCATED iN THE s4Y (i4 pF THE $W ti4 OF SECT1pN 3s. T28N, R18W, YOwT! OF EAU ~ bALL E;, 61', ruR01 X CO~IlNTy, w~ BOONB I (~, gE rN6 LOT OtP£ OF 7'NF cERr1F I ED 9uRVEr tiG¢P RFOOflOID !tJ VO(,U(~ t3 OF CERT(F (ED SURVEY va~Deor_ __ pT~: NARt.AN fiC.DE h4APS. PA(3l; 3708, S3/ RA~RpQp SpSKf fAtlND FtTT1r~ f/ES), ~ cat. stwsW :b : Gq j i~1 ~~ ~ ~. ~) :-v ;A ~ :;r# ~~ 'v ~ wj ~ ml ~~ ~, ~ . ~~?~~..AT~fSP.. ~ANp~ ^~ APPROX. 4' S. ~, so ~' t°-w f ~Iw ~j s~ sary~a~ p,F•e ~z. e~~ 33.08` ll/g.8g . S ~ LOT 3 +~~ ~ : OG- ACR i ~P• S0. FT. ~~~8y S4 ACRES EXC. Riw f y : srF, rs7a so. FT. ~ , : ~. ~ ' .4,G2T...1 ~,,~~ . 38~''39'3~•~ ~S1.6t' 3s. da` ~r~, s• Na?rN ~ (NE aw~-sw .....-• ~ ...............!w!s-~w ~ r~~-sw \ S~BIY ~ ---.~ . " 3F-sw F-W Rrt. A1JD AI'PRQX. !~' fY, Of' EXD Pt~ST ~ C . ~ ~+, ~- ~ PErROLt:Z1,N t, rNF ,es ~ ~ rso ~r avKEr . . £H By ~ N ~ / CY ,. 33B ~ ~~ ar, c~arx ccu>yrY d R~vISrFR aF DEFOs P .._,.~,,_t ; _ _ f,. ~I~; ~'~~P q~ D~S~~ ~~'6 . r ~t;r}~Y D.n MT x~E~.Yir&3~ ~ R8C0$D 06-1?-.29c~2 :.tea, 2 B: t:~ ~ ~ ~r ~ ~ ~ . ~ _ ~ . !0.88 ACRfS ~ Q~' ~~~,. ` ~ j m ae~, log sa, FTC Z ~'~• ~, r ,a ~ ~~/ ~ ~ ~ .~ , 481 SD. FT. -~ ° ~ ~ :ch ~ ro : ri ~~ ~¢ ~ ~ • _ ~ ~ rQ0"~ I ~, DRrV$ ~°~' ~• y ~ ~ .... s~'re~cK t, rrrr ~ . w a ~ ~ t ............~ .,,...... a! ~1 s r~r r ~ ~ S~oR. -- - .... --._ 'W CA4NER OF BdCtIAW 38. ~ MBTe$ Dg•w acv~iNrvu ~U~Hr .. PlRR~~';;~T, cRO~X RoA~ 1933. ~,• oL7ND J. ~~~•" S ti< CORNER OF 5ECT10N 3D. (P. k. NA 1 L FOUND ~{~f'.~. T fITTrNe Tres. A7 ~R..t,a~v,Q.s. 1 ~'v9L+irn, ti~titi~ ~°~~ ~~ ~yL~~~ _.~`a.4~~_,..~,.+,*.~:.~ `.`ate,. r„- I ! ~ ~-,~';~ ! ~ tt~ i 'i6: =. t` ^;os~y Y;, }~>,~.-+.n .yp~~~ ;~f.awa~~._ L o~r.8~:~ :ce:.3 C:-AV : C L_i ~!~! [JF~ ~: r ,{ ec ; PF iC1iyE N~ ;!. '71 `:~ ,' :rya .~` 7u ~~'~. - ~i:5~~, ,i -- ; s s IP lRt.~i PIA' FCRJfJl7, S $pRlNC ...:~-. Z l ~'..S. t P` ~ ti~ ~ e e o- ;'"~ ~! ~ t ,,~ _ ~ J _~ 1 ®•t! r,r Cl~Y~6s r~ ~ ~'•"~'rs ~ 1 f~~"` e;~ ~ Pa~t'hf~',f'~ ~ st, r~,ry~, ~ . . ~~u°,~ ~f~rr rHr~,~ua~-ar vR,~~~v ~>r ~r~o { ~ ~ k„ 1 .r~:c~... :aFiUl:' L.F~i,1 Lrr`i.°IC,C P1i("]NE r, 3, °:.,`, 7~fI ~' :iul. Pia ~~I~r`~ [~1:;'~>FM P4 '.' ... rxu ...ice, t:.. ns4... .: _ ;St':s~:$3ffi1`:~,.._..C ~.. .. ','t +''° ~';', (;~pl~: G;{,~IPCi"~ ~`~f9f~'1r~f;. ~ ~'.f. J U N 6 2002 _~ it Not ~aa;t w„n~ Ai~~rV A~ ~nr@pprovrndvaf t1haR !so CERTiF It:D SUR~lEY MAA LOCATED 1 N THE SW f i4 OF '~E gy/ 1 ~4 OF' gEC7 t ON 33, Y26N, R tPW, 'ft?iIYN of EAU GALLS, 57~ CRaIX COUNTY, Wi3CON5lN, BE1Nt3 LOT GNE OF TNT CE'RTtFIED 8iJRV~Y MfIP RECORDEt) IN Va1.Ui1dE i~ QF CERTIFIED 3UR1/EY MAPS, PACi>~ 3TC8. AES~R~PTXQN A, parcel of Land located in the Soutl~st =/~ a£ the Southw~ast '/< of Section 3S, Township 28 North, Inge 16 West, Town ofJ~au Gr$Ils~ St. Croix County, Wisconsin, being Lot 1 of the Certzi;ied Surety Map recotaed in Volume 13 of Corti>fied Survey Maps, Page 37©S, more fatly descrzbad as follows: 13eginttircg at the Southwest Carver of Bald Section 3s; thence, ~Iortla 41°45'21" !Vest, along the west tine of said Southwest '~, I318, ~ 9 feet to the northwest corner of said Southwest y~ of the Southwest x14; thence, South 87°40'04" East, along tho north tine of said Southwest ~i of tlxZ SW 1/4, 452,14 few; thence, South O I°42'2Q" East, x319,66 feet to a point vn tfra South line ofthe Sotltiswcst ~fc Of Said StCitOt2 3S; fltalce, North $7°31'53" West, along the south limo ofsaid Southwest'/~, 651.09 text to the pouch of begittni~ng. CoittaiAB 14.68 SCt'C9 or 857,200 square feet, 5ubjcct to right of way far 25n°' Street ar2d Pierec-St. Croix toad as shown..A1so stab}cct to blanket casement fox pe;tcole~um line as recorded in Volum® 336 Page ZOS St. Croix Coetnty rECO:ds..Also subject 3o ar,y and all additional easemenist right of ways or cortveyanices of reccxd, SURV~'YO~',S C_ E ~Y~~~A~ ~, 3anne$ Ivf. Webor, registartd land srsrvcyor, h8reby certify: That i>a fitlI camptiatlce with the provisions of Chapter 236.34 o£the Wisconffiin Statutes and the provisions of tl'at St, Croix County Subdiviaioa 4rdinazrce, acid under the dlrectiotz o£~at'taa Falde, C Isisve surveyed, divided and mapped the above described parcel ofland and ~~t~~~ppis a connect representation ofthe boundary theseo4:~~lc~C:C)f~t~ ~~,,~~~ Rated this ~~ day of r~.c~2~-~.5. .2402 ~ '• ~ .lara~s ct. ~ ~ S • 1C+pa _.~.-"`~~.a..a~~.`~~-. --- e-- ~ SISRINd VaLI,.~' ~ ~ Janes M. Wabcr S-I80d wts. :~ Lattclxt~ark surveying, >wI~ ~9 ^ ~~ ~;~ ~~r ~ ~ ~ ~^ ~~ Sy~1 tQl~~i S;;Oa~t 3 Note: ?lie parce4 sltowrr on this map is subject to Scale, Cotsztty, and Town ~~~s, rules and regulatio>rts (i.e. wetlands, mi>uirnum lot slza, access to parcel ate.), ~~e£'oz's purchasing or developing a„~y pare, contact th8 St. Croix Caurtty .goniag Off ce and tho approprtsto Town Board £o>• advice. Parcel #: 008-1098-95-100 Category Alt. Parcel #: 35.28.16.531 B 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 -NYEGGEN, RANDY O RANDY O NYEGGEN 2514 PIERCE ST CROIX RD SPRING VALLEY WI 54767 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 19.700 Plat: 3708-CSM 1313708 SEC 35 T28N R16W PT SW SW BEING LOT 2 CSM 13/3708 EZ UT 1503/334 Block/Condo Bldg: LOT 2 - - Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 08/26/2002 688259 1959/106 EZ 09/30/1998 588122 1361/446 WD 9f1f1C 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 27,000 223,000 250,000 NO AGRICULTURAL G4 8.000 700 0 700 NO AGRICULTURAL FOREST G5M 9.700 6,500 0 6,500 NO Totals for 2006: General Property 19.700 34,200 223,000 257,200 Woodland 0.000 0 0 Totals for 2005: General Property 19.700 34,200 223,000 257,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code 06/28/2006 01:24 PM PAGE 1 OF 1 Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f`~parcmentofCommer~ SOIL AND SITE EVALUATION f Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 Environmental 13y Deli~n mplete site plan on paper not less than 8'h x 11 inches in size. Plan must County ut rwt limited to: vertical and horiaontal reference point (BM}, direction and St. CiOix lope, scale or dimemsions, north arrow, and location and distance to nearest road. ~T"`_ , TM_ Paroel I.D.# :ANT INFORMATION - P~ jbrint ll #r~t n p t ti . a i ~ a o nd 15 04 (1 b d~"Fb n ~ P ` f ) f ti id ' R ie By Date . ) (m e maY e use K.`` A~ s w ary ( r Y, ~w, s. )• urrrra on You prov Nac, T y O ti Property Location Owner '-~' . " ~'~ a - _ Harlan Go Lot SW 1/4 SW 1/4 S 35 T 28 N,R 16 W Owners Mailing Address ~ ~ ~ ~ ~~..! i~~~ ? ~~,'> of # , Block # Subd. Name or CSM# ~ ~' 7~ -, r k 2 ~ Fahlde S "te . `Zip Code~;~g~fV,Umber i`'- ^ Village ®Town Nearest Road in ' ~400~INGOFFbCir 'O°i Eau Gaile i County Lime Ro~i uu Construction ~~. ~ #,~ Brooms 3 ^Addition to existing building placement ~ Pub al describe erived daily flow 450 gpd Recommended design loading rate 1.2 bed, gpoltP 1.2 trench, gpolfP bon area required 375 bed, ftz 375 trench, fP Maximum design loading rate 1.2 bed, gpd/ft~ 1.2 trench, gpd/fl? Wended infiltration surface elevation{s} 111' ft (as referred ~ site plan benchm~ lal design I site considerations material loess Flood lain elevation, if liable na ft ble fOr system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank itable for sys~m ^ s ®u ®S ^ u ^ S ®u ^ S ®u ^ S ®u ^ S ® u SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure onsisten Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. B~ :Trench 1 0-8 10yr3/3 - sil 2msbk mfr cvv 2f .5 .6 2 8-32 7.Syr4/6 - sl lmsbk mvfr cw If .6 3 32-50 7,Syr4l4 c2d5yr5/8 sil lmsbk mvfi - - .4 ~ .5 Remarks: 1 0-12 1 Oyr313 - sil 2msbk mfr cw 2f .5 ~ .6 2 12-46 7.Syr4l6 - sl lmsbk mvfr cw if .5 .b 3 46-60 7.Syr4/4 c2d5yr5f8 sl lmsbk mvfi - - .4 ! .3 (Please Print) Signature: 7 ~,' Telephone No. C. Nelson 715-246-2454 viromnental By Design Date CST Number Ref # 1432 120th Street, New Richmond, WI 54017 11/10/98 227387 165 ~~ TC~ Y OWNER: Fanlde, ~~ SOIL DESCRIPTION REPORT D.# ~~ Page 2 of 3 Environmental BY Desittn H i Depth Dominant Color Mottles T t Structure onsistence Boundar Roots GPD/fP zon or in. Munsell Qu. Sz. Cont Color ex ure Gr. Sz. Sh. y Bed :Trench 1 0-11 IOyt3/3 - sil 2msbk mfr cw 2f .5 i .6 2 11-29 7.Syr4/6 - sl lmsbk mvfr cw if .5 i .6 3 29-60 7.Syr4/4 -c2d5yr5/8 sl lmsbk mvfi - - .4 .5 Remarks: f~ ENViRONMENTA~ BY DESIGN 1432120`" STREET NEW RICHMOND, WISCONSIN (715) 246-2454 Harlan Fahlde Lot 2 SW'/4 SW '/4, SECTION 35 T 28 N, R 16 W Eau Galle Township, St. Croiz County, Wisconsin Page 3 W d 0 Tin ~~~~ ,LE 1" =40 Thomas C. Nelson 1. Top of nail in tree W/ yellow ribbon ELEV 100' Certified Soil Tester #227387 2. Top of nail in tree w/ Yellow Ribbon ELEV 99.32 I~ a0rx lo-~' n Cn ~- ~d~ ?-~ 5 ~~ ~ d ~. PREPARED FOR: HARLAN FALDE NW COR. sw-Sw :C :~ :D -~ 'v ~r :D ;Z :C7 :~ W li4 CORNER OF SECTION 35. (RAILROAD SPIKE FOUND FITTING TlES). ~~~ , UNPL,ATTED,. LANDS ~~ N I ~ APPROX. 4' S. NORTH LINE SW-S :•~0.~ OF E-W FiL ''` 1 S8T°40' 04"E !304.28' ---}-.~ I271.2a' :N ~ ;~ 3 :O I ._ :~ ~ '-1 . n ~1 AI V~ ~ '~I --i '~ ~I m --I ~ w ~ °° I ~ _ ~ `°-I NQTE•' BEARINGS ARE REFERENCED TO THE SOUTH LINE OF THE SW l i4. (ST. CROI X CO, COORDINATE SYSTEM). `}-33, 08' 6 i9, 06' rvrv-sw 33' 652. l4' 652• J 4' SW-SW 1 APPROX. 2' O ' E-W FiL AN APPROX. 14' W. OF NDG ' APPROX. 3' N. AND APPROX. 8' W. OF OLD FiL NE-SW SE-SW~ I LOT l z I ~ t9. 68 ACRES cn PETROLEUM L iNE ~ 857, 201 $0. FT. ~ AS LOCATED. BLANKET ~ 'c ' ' l8. 22 ACRES EXC. Ri ~ ~ 'Z iv EASEMENT RECORDED I ~ 793, 658 SQ. FT, ro IN VOL. 336 PG. 208 w ;r ni ST, CROI X COUNTY c0 :D, p ____„_._ p N o REG 1 STER OF DEEDS ,- ;_.,,~ ~ A ,~ .m ~ x ~ :v I~ n t,~ ~ ~ w ~/- r N :-~ ~~ W LOT 2 ~WnD Z c y w : ~ BUILDING ~, l9. 70 ACR N .~, .N ~ I ~ o rn 8 O.FT, _ r- Z l9. 23 ACRES EXC. RiW ~ a = I ~ ~ DRIVE 83T, 775 S0. FT. y y !00` v ~ ~ 11 ~ ~ ~ I I ............SETBACK......... ..... ! ........ L. ~NE ............... . N _... ._.., C~-- - N86 /86t O9rW . g ~ o SE COR. 1269.30' co SW-SW --- _..._ _..._ 651,, !9' w "' "_) --- -- .._.. _, ~ _ -- r`"` 1302. l8. 65 /.O9'/V87°3/'53"W J302, l8' 651.09' 'ww`-" S87°3!'S3'E 4NER OF SECT ION 35. PIERCE-ST. CRO INIUM MONUMENT "' .. .lX ROAD )• S li4 CORNER OF SECTION 35. ! P. K. NA lL FOUND F/7TJNG TIES), /, 1 uNP..~.AT.T~P..I.AN,4.S CERTIFIED SURVEY MAP LOCATED AND BEING THE SW li4 OF THE SW li4 OF SECTION 35. T28N, R16W, TOWN OF EAU GALLE, ST,CROIX COUNTY, WISCONSIN.