HomeMy WebLinkAbout030-2051-10-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
ATTACH TO PERMI 561080 0
GENERAL INFORMATION 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:
Schroe fer, Matthew St. Joseph, Town of 030-2051-10-000
CST BM Elev: Insp. BM Elev: BM Description: ~j Sectionrrown/Range/Map No
/Oc~ I -sT 27.30.20.516A
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER .~4 CAPACITY STATION BS HI FS ELEV.
3.749/03.7
Septic Benchmark
~ es~-~. /dda Z. q3 Paz-4 /tom
Dosing
w FDa %t , Cv Alt. BM 3. Z• D .
Pa I /L Bldg. Sewer A -71
Holding J 7 xd St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. ent to it Intake ROAD Dt Inlet
Septic 74
Z4 69 Dt Bottom
Dosing
z se 3l16 L'Z Header/Man.
m
Aeration Dist. Pipe -i
Holding Bot. System
PUMP/SIPHON INFORMATION Final Grade - 1.6 Z -345 f'
Manufacturer a Demand St Cover
GPM J~ .7
Model Number 151 Ou '
TO 2.108 99.7
TDH Lift/ ~ Friction Lost Head 5 ~ TD ~
Forcemain &jI Dia.Z t it. to Well L
SOIL ABSORPTION SYSTEM A 7 BED/TRENCH IONS Width Length No. O rench IT DIMENSIONS No. Of Pits Inside Dia_Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION
Type ystem: ~ A CHAMBER OR
O J JJ4,
p6 UNIT Model Number: DISTRIBUTION SYSTEM LAL" t__
87J~ n /V
Header/Manifolry Distribution Z x H 61e Size/ x Hole Spacing to Air int
3 I'JC Pipe(s) d4 j
Length Dia Length 7~f Z' Z Dia Spacing Z` v ^---fJ
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth over xx Depth of xx Seeded/Sodded xx Mulched
Bedrrrench Center / Bed/Trench Edges Topsoil
Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 7 / Zko /1-3 Inspection
Location: 40 Cty Rd E Hou, Itgn, 154082 (Gov't Lot 2 27 T30N R20 )Village of Houlton Lot 1 BIk1 Parcel No: 27.30 20.516A
1.) Alt BM Description vy, p/o~
2.) Bldg sewer length [L-o Go ~ L
- amount of cover = T , a , I GLa~ ~ ~ L oe,~ ~/p W Q r~
7 L1z 1) d, al1LQ n~ 303`'t' O
Plan revision Required? 0 Yes No n-7SUse other side for additional information. BD-6710 (R.3/97) Date Insepctor's gnature Cert No
i Soil e✓a/u"'en bwirJq
~ EXi.S~r~.q c /t da~'crt ~
L prof0S1-4 /Y(ou 2 J-72 'A 12
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of /is~ l 7Y22'w/y~`<rri ceS5,04ecdcifz.df~' .SCa/e -5~
3/7
o D1
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d3 i / --~3EXr5Zin5 bc<, lC~i +q sec.) e/' ML Cie- nc
1 I 1 , "ASTM,303Sed.i,su./CaZCo()/z'1--Io/y.sfy,'crre
99.~~~ i p9G6 filer-owatr; Exis~in bcc,"/t✓i
i
sa i i /'0 6ea~cvrdo~W(a e-rCoWc.
APpraX/oC~~'ano{a5
i ~a~ Proposed c~tcsco,, c~r ~7pGac7(Po/,y ts~ Mark r 8v~'rl csF3.d~nG.
Qq•~ ~u/ eA(114917t __~g(f ,Qssurrlto( e.l8v`
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4.9 f
a~*"fir County
Safety and Buildings Division St. Croix
201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
a P Madison, WI 53707-7162
Sanitary Permit Application State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit 2231417
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 Services. Personal information you provide in be used for secondary
purp ores in accordance with the Privacy Law, s. 15.04 1 m , Slats. Same L
1. Application Information - Please Print All Information
Property Owner's Name rA Parcel #
Mathew Schroe fer~ MAY Z 030-2051-10-000 -10 Property Owner's Mailing Address Sr %!D~ool C Property Location / G
40 Co. H E F " ✓1~
Govt. Lot 2 & 3
City, State Zip Code Phone Number SW ^ '
NW Section 27
Ha n, WI 5 ~ 715 410-4139 (circle one)
II. Type of Building (check all that apply) Lot # T 30 N; R 20 EorW
Subdivision Name
1 or 2 Family Dwelling -Number of Bedrooms 3 1
6« Block # Na
❑ Public/Commercial - Describe Use
1 ❑ City of
D State Owned - Describe Use CSM Number El Village of
k 75 1 R' own of St. Joseph
6P Co ao, L I
III. Type of Permit: (Check only one boa on line A. Complete line B if applicable)
A. ❑ New system 91;lacement System 11 Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. 11 Permit Renewal 11 Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. Type of POWTS System/Component/Device: Check all that a ~~,,1 p
❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground El At-Grade Li'Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank D Other Dispersal Component (explain) Pretreatment Device (explain)
V. Dis ersal/Trea ent Area Information: Pol Lok PL-525effluent filter to be installed at ST outlet
Design Flow (gpd) Desi it Application Rate(gpdsf) Dispersal Area Required Dispersal Area Propose f) S I vation
_0 I 450.00 Sq. Ft. 100 75' it 12" above
450 Gpd 1.0 0.6 pd/Sq. Ft. 450.00 sq, ft.
99. 5' contour
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units g
New Tanks Existing Tanks
k, & :3 y
l .sz
Septic or Holding Tank 1,000 Na 000 1 W eser C crete X
Dosing chamber 600 Na 600 1 Combination ST/PC X
VII. Responsibility Statement- I, t e undersig ed, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's, Signature > MP/MPRS Number Business Phone Number
i
James K. Thom son
MPRS 30021 (715 248-7767
L, s
I
Plumber's Address (Street, City, State, ode)
340 Paulson Lake Lane, Osceola, Wl 54020 14
VII our /De artment Use Only
XAPproved lsapprov Permit Fee DLat Issued Issuin ent Signature
;;I ] 1 YZAA
rven Reason for Denial $ l 25 • °O 5 ZZ ~3 _2h
IX. Condi*8TgMkpA"F*Reasons for Disapproval r
1..5eptic tank, effluent fitter and 3, ~o /~'►a.~s /l,
dispersal cetl must all be servkas I maintained 11n _ I w /~L~ ter
as per tnanagerrteM plan provided dy'plumber. i P~
AIFsfeckeetnettta mttst bs.ltitiaintafndd
`s code ! ordinances; l
Attach to complete plans for the system and submit to the Coun only on paper not less than 81/2 x 11 inches in size
SBD-6398 (R 11/11)
Replacement Mound POWTS Index & Title Sheet
Project Name: Schroepfer 3 Bedroom replacement Mound
Owners Name: Mathew Schroepfer
Owner's address: 40 County Road E, Houlton, WI 54082
Site address: Same
Project Location:
Subdivision: Na
Legal Description: Gov't Lots 2 & 3, Sec. 27, T.30N., R.20W., Town of St. Joseph, St. Croix Co., WI.
Parcel ID 030-2051-10-000
Page 1 Index and Title Sheet
Page 2 State Approved Mound Design
Page 3 Treatment Tank Cross Section
Page 4 Filter Specifications
Page 5 Septic Tank Maintenance Agreement
Page 6 Parcel map
Page 7 Deed
Attachments: Soil Evaluation Report
Mater P1 er Restricts Service: James K. Thompson, Dept. of Comm, Credential #30021
Signature: Date: •23
Page 1 of 7
Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01)
~~9~enxTyF~TO DIVISION OF INDUSTRY SERVICES
3824 N CREEKSIDE LA
I 9
D HOLMEN WI 54636
3 .S P Contact Through Relay
q S www.dsps.wi.gov/sb/
www.wisconsin.gov
~4'ssio~A~-S~ Scott Walker, Governor
Dave Ross, Secretary
April 18, 2013
CUST ID No. 30021 ATTN.• POWTS Inspector
JAMES K THOMPSON ZONING OFFICE
ACE SOIL & SITE EVALUATIONS ST CROIX COUNTY SPIA
340 PAULSON LAKE LN 1101 CARMICHAEL RD
OSCEOLA WI 54020 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 04/18/2015
SITE:
Mathew Schroepfer Identification Numbers
40 County Rd E Transaction ID No. 2231417
Town of Saint Joseph Site ID No. 789923
St Croix County Please refer to both identification numbers,
Gov't lots 2 & 3, S27, T30N, R20W above, in all correspondence with the agency.
Lot: 1, Block: 1, Subdivision: Village of Houlton
FOR:
Description: Three Bedroom Mound System / 3% slope
Object Type: POWTS Component Manual Regulated Object ID No.: 1423403
Maintenance required; Replacement system; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from
original grade; System(s): EZflow Mound Component Manual, (R. 7/12), Pressure Distribution Component Manual -
Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); 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 P. 0.
requirements. Conl .1
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. APPR
The following conditions shall be met during construction or installation and prior to occupancy or use: DIVISION OF fET
Reminders -if
• A sanitary permit must be obtained from the county where this project is located in accordance with the EE 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.
• The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or
soil compaction is prohibited in this area.
• The existing POWTS shall be properly abandoned per SPS 383.33, Wis. Adm. Code.
• A cony 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 inspectors
s
JAMES K THOMPSON Page 2 4/18/2013
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 Industry Services 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
Fee Received $ 250.00
Balance Due $ 0.00
era4M2(6
POWTS Plan Reviewer, Integrated Services
(608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633
jeny.swim@wisconsin.gov
Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly
Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with
"SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to
the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered
and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed
by SPS Chapters 360-366.
JAMES K THOMPSON Page 2 4/18/2013
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 Industry Services 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
i Fee Received $ 250.00
f c Balance Due $ 0.00
4erard M wim
POWTS Plan Reviewer, Integrated Services
(608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633
jerTy.swim@wisconsin.gov
Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly
Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with
"SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to
the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered
and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed
by SPS Chapters 360-366.
EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: Mathew Schroepfer 3 bedroom replacement mound RECEIVED
Owner's Name: Mathew Schroepfer APR 15 2013
Owner's Address: 40 County Road E, Houlton, WI 54082 INDUSTRY SERVICES
Property Address: 40 County Road E, Houlton, WI 54082
Legal Description: Gov't lots 2 & 3, Sec. 27, T.29N., R.19W.
Township: St. Joseph
County: St. Croix
Subdivision Name: Plat of Village of Hudson
Lot Number: 1 Block Number: 1 ~llally
)VEM
Parcel I.D. Number: 030-2051-10-000 U
Plan Transaction No.: (AND BUILDINGS
~
Page 1 Index and title P DENCE~
Page 2 Data entry
Page 3 EZflow mound drawings
Page 4 Lateral and dose tank
Page 5 Distribution media
Page 6 System maintenance specifications
Page 7 Management and contingency plan
Page 8 Pump curve and specifications
Page 9 Site Plan
Designer: . Thompson License Number: 30021
Date: 04/11/1 Phone Number: (715) 248-7767
Signature: s^_
Designed Pursuant to the
EZflow Mound Component Manual Ver. August 20, 2007,
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and
Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12)
EZflow Mound Version 3.0 (R. 3/1/12) Page 1 of 9
t r
Mound and Pressure Distribution Component Design
Design Worksheet
Site Information
(r or c) r Residential or Commercial Design
300.00 Estimated Wastewater Flow (gpd)
1.50 Peaking Factor (e.g. 1.5 = 150%)
450.00 Design Flow (gpd)
_ 3.00 Site Slope
98.75 Installation Contour Line Elevation (ft) _ 95.00 Contour Length Available (ft)
_ 24.00 Depth to Limiting Factor (in)
0.50
In- -situ
n-situ Soil Application Rate (gpd/ft2)
Distribution Cell Information
6.00 Cell Width (ft) 3, 4. 5, 6, 7. 8, 9 or 10 Only 75.00 = Dispersal Cell Length (ft)
L--J'00 Dispersal Cell Design Loading Rate (gpd/ft2)
Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the distribution E
Pressure Disribution Information network? Enter Y or N
(c or e) a Center or End Manifold
3 Lateral Spacing (ft) If N above, enter the elevation ft
2 Number of Laterals of the highest point.
0.125 Orifice Diameter (in) (e.g. 0.25)
2.00 Estimated Orifice Spacing (ft) = 6.08 ft2/orifice
2.00 Forcemain Diameter (in)
75.00 Forcemain Length (ft) Does the forcemain drain back? ~Y
90.50 Inside Pump Tank Elevation (ft) Enter Y or N
i 0.00 Forcemain Filter Loss (ft)
6.50 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal)
9.75 Vertical Lift (ft) 67.38 5x Void Volume (gal)
1.50 Friction Loss (ft) 79.62 Minimum Dose Volume (gal)
17.75 Total Dynamic Head (ft) 30.48 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25 x
1.00 1.50 x x
1.25 2.00
1.50 x x 3.00
2.00 x i
3.00 x _1 Gallons/Inch Calculator (optional)
Treatment Tank Information _602.82 Total Tank Capacity (gal)
1000.00 Septic Tank Capacity (gal) 51.00 Total Working Liquid Depth (in)
Weiser Concrete Manufacturer 11.82 gaVin (enter result in cell B49)
Dose Tank Information Effluent Filter Information
602.82 Dose Tank Capacity (gal) (PolLok ~Filter Manufacturer
f 11.82 Dose Tank Volume (gal/in) PL525 Filter Model Number
rWeiser Concrete Manufacturer
Project: Mathew Schroepfer 3 bedroom replacement mound Page 2 of 9
Mound Plan View
T
1/10 B . . . . s J
. Observation ..P. •
. . • -
A
5
W B I.:
1
L
Mound Component Dimensions
ft K 9.27 ft
A 6.00 ft E 14,16 in H E Ift
B 75.00 ft F 12.00 in 1 ft L 93.54 ft
D 12.00 in G ft J ft W 21.72 450.00 (ft2) Dispersal Cell Area 1112.64 (ft2) Basal Area Available
6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
EZflow Dispersal Area
Finished Grade 102.75 (ft) ►
G 1
V/1 2 1 F Dispersal Cell 101.25 (ft) Lateral
100.75 (ft)-►• Invert Elevation
Dispersal Cell 3
D
Elevation : Q • - - -
99.75 (ft) Contour Elevation
3.0 % Site Slope
Typical Dispersal Cell
Shading Key See Page 5
Topsoil Cap > a I
ii Approved Geotextile Fabric Cover
Subsoil Cap C
2 ASTM C33 Sand 2.0 ft 1
4 Tilled Layer 75 :5
F
5 EZflow Media ~ . ~ ;~~.:•.:•.:~:i
0 0.5 ft
See details on page 4 for number, size, and spacing of laterals.
Laterals are located in the 4" gravity distribution pipes as shown on page 5.
Project: Mathew Schroepfer 3 bedroom replacement mound Page 3 of 9
End Connection Lateral Layout Diagram
Place Appropriate Lateral Diagram From Right Below
4 P Turn-upvdballvahre oroloanoutplu9
- 11
Z 4 1st orifice located of Z 1*x-+l Orifices point up except every 5th S
one points down for drainage.
Force main connection aria tee or cross to manifold at ang pant. t.aterals & force we ain of PVC Sch 40
All laterals identical with orifices equally spaced. per SPS Table 384.306
Number of Laterals 2 Orifice Diameter 0.125 in
Lateral Diameter 1.50 in Orifice Spacing (X) 2.04 ft
Lateral Length (P) 74.22 ft Orifices per Lateral 37
Lateral End (Z) 0.78 ft Orifice Density 6.08 ft2/orifice
Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft
Lateral Flow Rate 15.24 gpm Manifold Diameter 1.50 in
System Flow Rate 30.48 gpm Forcemain Velocity 3.11 fVsec
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 E-- Alternate outlet
location
Forcemain diameter
Weiser Concrete Manufacturer 2 in.
Capacity 602.82 Gallons -T
Volume 11.82 gal/inch A
1Weep hole or anti-
Dimension Inches Gallons B siphon device
A 30.26 357.72
B 2.00 23.64 C P= ump off elevation (ft)
C 6.74 79.62 ~ 91.50
D 12.00, 141.84 D
Total 51.00 602.82
Dom se tank elevation (ft)
Bedding And Backfll As Per Manufacturer 90.50
Alarm Manufacturer SJ Rhombus Alarm Model Number SJE 1011421
Pump Manufacturer Zoeller _
Pump Model Number BN151
Pump Must Deliver 30.48 gpm at 7-71-7777 ft T D H
Note: Switches containing mercury may not be used in this system.
Project: Mathew Schroepfer 3 bedroom replacement mound Page 4 of 9
Uf/owo Distribution Cell Media Layout
6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
6 ft Wide
Component Legend
® SR1-7A Bundle - 5 ft or 10 ft lengths
SR1-12A or EZ 1201A in 5 ft or 10 ft lengths
SR3-12H or EZ 1201 P or @X&O SR3-12H in 5 ft or 10 ft lengths
O 4" Perforated Distribution Pipe With Pressure Lateral Inside
• Turnup Enclosure - - - - - Pressure Lateral
Bundles are covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
6.00 Cell Width - A (ft) 75.00 Cell Length - B (ft)
Center Connection Lateral Layout Diagram
Force Main --`y
6ftWide
End
Manifold
-
Project: Mathew Schroepfer 3 bedroom replacement mound Page 5 of 9
Mound System Maintenance and Operation Specifications
Service Provider's Name Jmaes K. Thompson Phone R7248-77671
POWTS Regulator's Name St. Croix County Zoning Dept Phone (715) 386-4680
System Flow and Load Parameters
Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L
Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL
Service Freguency
Septic and Pump Tank Inspect and/or service once eve 3 ears
Effluent Filter Inspect and clean as necessary at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test periodically
Pressure System Laterals should be flushed and pressure tested eve 3 ears
Mound Inspect for onding and seepage once every 3 years
Other e I~JI
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 EZflow Mound Component Manual Ver. August 20, 2007.
2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component
Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric.
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
Lateral Ends at Last Orifice Where
Variable Length Cleanout Begins
Long Sweep 90 or Two
45 Degree Bends Same
EZflow S nthetic Media Diameter as Lateral
2.06 Feet
Distribution Lateral Lateral Cleanout
Project: Mathew Schroepfer 3 bedroom replacement mound Page 6 of 9
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 [EZflowMound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and
SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting.
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 as to
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 Wisconsin Department of Commerce.
Pump Tank
The dosing (pump) 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. If the force main has a weep hole, it
should be noted if it is functional during pump operation, and if not, it should be cleaned.
No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.
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
specked 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 3 years. 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in
proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately
repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or
replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal
media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: Mathew Schroepfer 3 bedroom replacement mound Page 7 of 9
• PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEADIFLOW
MODEL 151/152)153 PER MINUTE
50 14- EFFLUENT AND DEWATERING
45 153
12 40 MODEL 151 152 153
S 35 152 ♦ Feet Meters Gal. Uters Gal. tilers Gal. tilers
10 5 1.5 50 189 69 261 77 291
10 3.0 45 170 61 231 70 265
v 6 25 151 15 4.6 144 53 201 61 231
B.1 110 44 167 52 197
. 75 7 ° s 20 25 7.6 18 61 4 129 42 159
30 23 87 33 125
15 35 10.7 - 22 85
4 - - -
40 12.2 11 42
'0
Shut-off Head: 30 fl. (9.tm) 38 (L (11 Bm) 44 R (13.4m)
2
5
0145088
G
10 20 40 50 60 70 BO 90 100
GALLONS
LITERS 0 40 80 1 0 160 200 240 280 320 3
ROW PER MINUTE 0145W Model 151 Models 1521153
d.
34.40,900 en M,;I m uM -11W y /V-4
G
CONSULT FACTORY FOR
SPECIAL APPLICATIONS 67132 1114
Ti 37l8 45re 327rJ2 1S8
• med dosing panels available.
Electrical alternators, for duplex systems, are available and 371e 327x2
supplied with an alarm. J I
• Variable level control switches are available for controlling ® $ 74 3 271
single phase systems.
Double piggyback variable level float switches are available
for variable level long and short cycle controls.
• Sealed Qwik-Box available for outdoor installations. See
FM1420.
Over 130•F. (54•C.) special quotation required.
l l
151/1521153 Series + ,6 12118
151/1521153 YODELS Control Selection
Yodel Vults-Ph Mode Am Sim ox Duplex s Ire
43A
N151 115 1 Non 6.0 1 2 or 3
BN151 115 1 Auto 6.0 Included 2 or 3
E151 230 1 Non 3.2 1 2 or 3
BE151 230 1 Auto 3.2 Included 2 or 3 5x2444 SK2oe4
N152 115 1 Non 8.5 1 2 or 3
BN152 115 1 Auto 8.5 Included 2 or 3
E152 230 1 Nan 4.3 1 2 or 3
62521 230 1 Auto 4.3 Included 2 or 3
N115 1 Non 10.5 1 2 or 3
BN153 115 1 Auto 10.5 Included 2 or 3
E1531230 1 Non 5.3 1 2x3 SELECTION GUIDE
6E153 i 30 1 Auto 5.3 Included 2 of 3
1. Single piggyback variable level float switch or double piggyback variable level float
o CAUTION switch. Refer to FM0477.
instai:znon of controls, protection devices and wiring should be done by a qualified 2. See FM0712for correct model of Electrical Alternator E-Pak.
r_ensee a(e_mcian. All electrical and safety codes should be followed including the most
ru=nt National Electnc Code (NEC) and the Occupational Safety and Health Act (OSHA), 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3)
or (4) float system.
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
MAIL TO, P0. BOX 16347
Louisville, KY 40256-0347 Manufacturer; of..
O SNIP T0: 3649 Cane Run Road
Louisville, hY 40211-1961 Ql4fL/Ty~UMP6 SNCE /L/d~✓ I
PUMP
® Q~~~ ~O (502) 778-2731 - 1 4-3624
ht'tpJ/www.zoellercom (502) 77
® Copyright 2004 Zoeller Co. All rights reserved.
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PL-525 EFFLUENT FILTER (COMMERCIAL)
Polylok, Inc is pleased to add its
new commercial filter to its existing
line of quality effluent filters.The
PL-525 is rated for over 10,000 GPD Alarm
(gallons per day) making it one of accessibility t---._ Accepts PVC
the largest commercial filters in its extension handle
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 , a^
PL-525 Maintenance:
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 4y
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 filter
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. PL 525 Installation: 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.
P5-~W7
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8156231
State Bar of Wisconsin Form 5-2003 Tx:4127498
PERSONAL REPRESENTATIVE'S DEED 978964
BETH PABST
Document Number Document Name REGISTER OF DEEDS
ST. CROIX CO., WI
05/20/2013 4:24 PM
THIS DEED, made between Beth K. Teed EXEMPT#: NA
REC FEE: 30.00
as Personal Representative of the estate of Ernest H. 'reed TRANS FEE: 261.00
("Decedent"), PAGES: 2
("Grantor," whether one or more), and Matthew S. Schroepfer, a single man -
("Grantee," whether one or more).
Grantor conveys to Grantee, without warranty, the following described real estate, Recording Area
together with the rents, profits, fixtures and other appurtenant interests, in Name and Return Address
St. Croix County, State of Wisconsin ("Property") (if more space is Land Title, Inc.
needed, please attach addendum): 2200 west County Road C
Suite 2205
See Exhibit "A" Attached Roseville, MN 55113
LTI # 396626
030-2051-10-000
Parcel Identification Number (PIN)
This is homestead property.
(is) (is not)
Personal Representative by this Deed does convey to Grantee all of the estate and interest in the Property which Decedent had
immediately prior to Decedent's death, and all of the estate and interest in the Property which the Personal Representative has since
acquired.
Dated March 22, 2013
si!:RE EN IVE:
(SEAL) (SEAL)
* Beth K. Teed
AUTHENTICATI Y d' fV~ ACKNOWLEDGMENT
Signature(s)
j. STATE OF WISCONSIN )
ss
authenticated on ) .
' ST. CROIX COUNTY )
N~• '0(1 \G •r?
* a Personally came before me on C
TITLE: MEMBER S"{'A'r{= BAR OF the above-named Beth K. Teed, Personal Representative of
(I the Estate of Ernest 1-1. Teed
f not,
authorized by Wis. Stat. § 706.06) to me known to be th i(s) who executed the foregoing
insn-nment and ackn k same.
THIS INSTRUMENT DRAPTED BY:
* Kelly .I. Nelson
Larry S. Mountain - Attorney At Law LAVA Title.7►nc .
Ito W Cc. Rel. G,#aa cS (Zpsgvjl(F ltit~V S$113 Notary Public, State of Wi consin
F ' My Commission (is perman e. res: 04/13/2014 )
(Signatures may be aulheulicatetl or acknowledged. Both are not necess:tryJ
NO'T'E: TI IIS IS A STANDARD FORiYI. ANY i\IODII:1CA IONS TO THIS FORA SHOULD BE CL ::\RLY IDENTIFIED.
I'E.RSONAL RLPRESENTATIVI.:'S DIED (0 2003 STATE, BAR OF WISCONSIN PORNI NO. 5-2003
40PIlamc below si_natures.
I
File No.: 396626
EXHIBIT A
A parcel of land located in Government Lot 2 and in Lot 1, Block 1, Plat of the Village of Houlton (in Government
Lot 3), all in Section 27, Township 30N, Range 20W, St. Croix County, Wisconsin, described as follows: Beginning
at the iron pipe at a point on the South line of Government Lot 2, Section 27, Township 30N, Range 20W, which
point is 113 feet West of the East line of said Government Lot 2; thence South 56.5 feet to an iron pipe on the
Northerly boundary of County Trunk Highway "E"; thence Southwesterly along the Northerly boundary of said
Highway 141 feet to a fence post; thence Northwesterly 76 feet to a fence post; thence North 11 ° 36' West 79.1 feet
to an iron pipe on the South line of Government Lot 2; thence North 0° 39' West 75 feet to an iron pipe; thence East
180.3 feet to an iron pipe; thence South 75 feet to a point of beginning.
2 of 2
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERS/HIP CERTIFICATION FORM
Owner/Buyer P-u> SCh.rd e~o~~
Mailing Address V-6) ~7W / ss~a~'Z
Property Address
(Verification required from Planning & Zoning Department for new construction.)
City/State Z/EU4664i, C.c7~• Parcel Identification Number
LEGAL DESCRIPTION
(00 9) /0 6S ,2_~ 13
Property Location 5W 1/4 , J 1/4 , Sec. T 30N R .ZO W. Town of J6. Subdivision Plat: w /e/, Lot # /
Certified Survey Map # 2n•4 , Volume , Page #
Warranty Deed # ~r (before 2007)Volume , Page #
Spec house C5Sw Lot lines identifiable es(
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 §SPS. 383.52(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 Safety And Professional Services 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 3
LI /,1/ 13
_Utkw.4~ SIG A 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. 04/12)
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Wisconsin Department of Cornmercep 11 EVALUATION REPORT 2317
Page I of 3
Division of Safety and Buildings accordance n Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations
Attach complete site an on County
plan paper not less than 8%: x 11 inches in size. Plan must St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
0-2o51-laooo
Please print all information. R i Date
Perswal intomiation you provide may be used acy Law, s.15.04 (1) (m)).
Property Owner Property Location
Ernest H. & Yvonne Teed Estate MAY 6 2 13 Govt. Lot 2 & 3 SW 1/4 NW 1/4 S 27 T 30 N R 20 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
40 Co. Rd. E 1 1 Village Of Houlton
City State Zip Fog==r _j City _j Village a Town Nearest Road
Saint Joseph WI 54082 St.Joseph Co. Rd. E
J New Construction Use: W1 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
01 Replacement I Public or commercial - Describe:
Parent material Flood plain elevation, if applicable na
General comments
and recommendations; Site suitable for mound system with 6" of ASTM-C33 sand. Contour to be determined. Maximum
available contour length = 75'._ _ iS abliry~~
Boring # _I Boring
1J Pit Ground Surface elev. 99.02 ft. Depth to limiting factor 31" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PDIfN
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *E
1 0-9 10yr3/2 none sil 2fgr ds as 2fmlc 0.6 0.8
2 9-19 10yr4/3 none sil 2fsbk ds cw 1fmc 0.6 0.8
3 19-27 10yr5/4 none sil 1 fsbk ds cw 1 fm 0.4 0.6
4 27-31 10yr4/4 none scl 2msbk mfi cw 1vf 0.4 0.6
5 31-58 7.5yr4/4 m2d 7.5yr5/8 scl lmsbk mfi cw 1vf 0.2 0.3
F 6,01 2 Boring # J Boring
Pit Ground Surface elev. 99.78 ft. Depth to limiting factor 41 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 2
1 0-9 10yr3/2 none sil 2fgr ds as 2fmc 0.6 0.8
2 9-18 1oyr4/3 none sil 2fsbk ds cw 1fmc 0.6 0.8
3 18-28 10yr5/4 none sil lfsbk ds aw 1fm 0.4 0.6
4 28-41 7.5Yr4/4 none scl 3msbk mfr cw 1vf,f 0.4 0.6
5 41-58 7.5yr4/6 f2f 7.5yr5/8 Ifs cemented Osg dh cw 1vf,f 0.4 0.6
6 58-82 1 oyr4/6 m 1 p 7.5yr4/6 Ivfs Osg dl - 1 vf,f 0.4 0.6
* Effluent #1 = BOO 5> 30 < 220 mg/L a d TSS >30 < 15 mg/L * Effluent #2 = BOD 130 mg/L and TSS S30 mg/L
CST Name (Please Print) ignature CST Number
James K. Thompson 3602
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceola, WI 54020 3/13/2013 715-248.7767
Property Owner Emest H. & Yvonne Teed Estate Parcel ID* 030-2051-10-000 Page 2 of 3
3 ty I Boring # Boring
Lt ~ 11 J Pit Ground Surface elev. 99.92 ft. Depth to limiting factor >30" in.
Soil Application Rate
Horizon Depth Dominant Color f edox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-9 10yr3/2 none sit 2fgr ds as 2fm1c 0.6 0.8
2 9-17 10yr4/3 none sit 2fsbk ds cw Ifmo 0.6 0.8
3 17-25 10yr5/4 none sit Ifsbk ds cw 1fm 0.4 0.6
4 25-30 10yr4/4 none scl 2msbk mfi Cw 1vf 0.4 0.6
- _77-
❑ Boring # J Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Mile
In. Munsudl Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
Boring # J Boring
F-1 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&
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BODe 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 (R.07/00) A.C.E. Soil & Site EvaluBUms
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DOCUMENT NO. STATZ 13AR OF WISCONSIN-FORZM Z `
wApnnNrv cam.
TH18 SPADE RESERVED POR R6COR Ai`A
5O7 "APFI.5(,l',. . o~m,o
13Y THIS r>a>3n. Benjamin $ Jewell ila X,oaraiile Js:G1iSTERB OR'RICB
+ A. Jewell his wife *TCROIX Co.. WIS.
Rec'd for Record this, M.
St I A.D 19.E
to rnelst -
cuantor des veys warrants ,aewarrants Need. Yvonne U. day ot
'eed , his wit a as JQ tint enaaate __IWA J34-A.a, M.-
fir6ata- I ^ f O
for a valuable aonslderation Twenty-Seven Thou an a{t lc M/,& i RE•runnl TO
De:L jar S (S2 00 OO)
the following d6sOoPed real estate in St . Croix county, state orwisconsim
A parcel of land ioeated.in Government Lot 2 and
in lot 1, block 1, Plat of the Village of 8oulton Tax Xey
(in Government Lot 8), all in Section 27, T30N, This I. homostiad property.
,R20W, described as follams: Beginning at the iron pipe at a point on the
S line of Gov. Lot 2, See. 27-30-20, which point Is 113 ft. W of the T line
of said Govt,. Lot 2; thence S 86.5 ft. to an Iron pipe on the Ntly..boundary►.
of Co. Trunk Hwy. 1r811; thence SW t 1y along the N' l.y boundary of said Highway,
141 ft. to a fence post; thence NW'lg 76 ft. to a fence post; thence
NIA036-W 79.1 ft. to an iron pipe on the 8 line of Govt. Lot 2; thence
NO a9'W 75 ft. to an iron pipe; thence 8 180.3 ft. to an iron pipe; thence
S 75 ft. to &,point of beginning.
TRANSFER
FEE
Exception to warrantiast
Executed at dso ,Wisoons wi. 14tJ3 day or 022] bnr
SIG SEAL PRVMUNCM OF ,_.r_~ aL)
Benjamin S Jewell
(SRAL)
A Loraine A _ ell
cr_
(SffiAL)
Signatures o
authenticated this ay o
Titlat Member State nor' of Wisconsin or Other Party
Authorlsed under Sao. 706.06 vls.
Minnesota
PTATE OF iramewwo
Wash3at Mon -County. ea ~fa
Personally Coma bsfees me, this 1 th d of December , 19 t z.
the above gamed Sen~temin .i®well and Lora*Ine A. Jewell, is wife +
t
to me known to be the person. 9 who executed the foregoing Instrument and ackri Witte e
i
This Instrument was drafted by
lU1tl~teA L
i Hugh F. Gw3.n j in gt on ~ county, J~• an.
t~
Tha use of witnesses Is optional. my Commi$616; (~xpises) (Is)
Nantes of persons signing in any capacity should be typed or printed below their signatures-
a.
WA.RRA1gTv DzwP-6 `A'rw $A* oS wtscowsm, VORM No. 1 - 1971
Jim Thompson
From: Ryan Yarrington [Ryan.Yarrington@co.saint-croix.wi.us]
Sent: Wednesday, March 13, 2013 10:21 AM
To: acesoil@frontiemetnet
Subject: Deed
Attachments: 20130313101118810.pdf
Houlton deed
Ryan
No virus found in this message:
Checked by AVG - www.avg.com
Version: 2013.0.2904 /,'Vi,rus Database; 2641/6166 Release Date: 03/12/13
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Parcel 030-2051-10-000 05/06/2013 10:03 AM
PAGE 1 OF 1
Alt. Parcel 27.30.20.516A 030 - TOWN OF SAINT JOSEPH
Current XX ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - TEED, ERNEST H & YVONNE
ERNEST H & YVONNE TEED
40 CTY RD E
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 40 CTY RD E
SC 2611 SCH DIST OF HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 27 T30N R20W PT LOT 1 BLK 1 VH COM Block/Condo Bldg:
113 FT W OF SE COR GL 2, TH S 56.5 FT TO
HWY, SWLY ON HWY 141', NWLY 76 FT, N 11 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
DEG W 79.1 FT TO S LN GL 2, TH E 180.3 27-30N-20W
FT S 75 FT TO POB
Notes: Parcel History:
2-1-06 LETTER TO ERNEST-NEED NEW DEED TO Date Doc # Vol/Page Type
DELETE YVONNE FROM OWNERSHIP.JK
2013 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/11/2011
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 37,500 91,400 128,900 NO
Totals for 2013:
General Property 0.000 37,500 91,400 128,900
Woodland 0.000 0 0
Totals for 2012:
General Property 0.000 37,500 91,400 128,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 133
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00