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HomeMy WebLinkAbout014-1040-70-000~ ~ ~scons~n Department of Commerce Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188-2439 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary June 20, 2002 CUST ID No.224617 LYLE J MYERS NORTHLAND PLUMBING INC E1556 ST RD 64 BOYCEVILLE WI 54725 RECEII~ED ~ ~ ~ ~ ~ ? ~, A N.• POWTS Inspector .~02~ ST. CROiX C.i. , Z NING OFFICE ZONiNV ~~;~i~~ S CROIX COUNTY SPIA 1 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/20/2004 SITE: Kurt Eggert 210TH Ave Town of Forest, 54012 St Croix County NW1/4, NE1/4, S19, T31N, R15W FOR: Description: Mound, 3 Bedroom Object Type: POWT System Regulated Object ID No.: 850633 Identification Numbers Transaction ID No. 732516 Site ID No. 644381 Please refer to both identification numbers, above, in all correspondence with the agency. 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. 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 enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N.O1/O1). • The cell of the proposed mound is not to overhang the tested area by more than 5 feet. 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. 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. 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. NOTE: The designer indicates per phone that although most of the plot plan is dimensioned, the area of the mound system is at a scale of 1 inch= 40 feet. However, the mound as drawn does not seem to be accurate per scale. Future plan submittals must contain a plot plan that is accurately to scale. LYLE J MYERS Page 2 6/20/02 A copy 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made 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, Julia ALewis-Osborne POWTS Reviewer 2 ,Integrated Services (262) 548-8638, Fax: (262) 548-8614 j lewis@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ' ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township E ert, Kent & Keith Forest Townshi CST BM Elev: Insp. BM Elev: BM Description: /mob r ~ (3w~ ~ G5°-' TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~ Dosing 'l 3 Aeration Holding TANK SETBACK INFORMATION TANK TO P/t/ WELL BLDG. Vent to Air Intake ROAD Septic ~ I Dosing ~r ~ > Aeration Holding / PUMP/SIPHON INFORMATION I/.O~LI/~.G.d, !~'/UY.t QX Manufacturer Demand GPM Model Number T Lift riction Loss System Head Ft TDH ~ ~/ - v) Forcemai~ Lent ~ Dia. ~, Dist,towell ~ d i SOIL ABSORF~TION SYSTEM ELEVATION DATA County: St. CroiX Sanitary Permit No: 463006 0 State Plan ID No: Parcel Tax No: 014-1040-70-000 Section/Town/Range/Map No: 19.31.15.294 STATION BS HI FS ELEV. Benchmark s~ Q~.~ r A . ~ . '/ V Bldg. Sewe ~ ~- - G /pz•v -~ Ia .~ SU t 3 . B S'8', SUHt Outlet Dt Inlet ~, °~ ' ~ ~ Dt Both 1 I L + Jt T ~ ~ I,I HeadHead r/ . qs io3. ss Bot. System ~ 2.7 ~r~2.8 Final Grade GC f St Cover ,~ ^ r b (e 1 /DZ` ~- ~ ~ • ~ C~.~~~ ~,, ~ ~r- ~~ ~ 3.z ~~ 99- a BEDITRENCH Width Length No. Of Trenches PI7 DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~[ SETBACK SYSTEM TO P/L BLD WE LAKE/STREAM LEAC I Manufacturer: INFORMATION CHAMB OR Typ Of System: p f t \~ ~ /1~U IT Model Number: (vV DISTRIB~61310N SYSTEM sec n U.~ (.D'~.li~ (7/t~7~/ W r Heade anif Id ~ t Distribution _ <' ~ x Hole Size x Hole Spacing ' Vent to Air Intake / ~ Pipe(s) ~ ~ i th Di S / Z[f i __// .? Length Dia ng Leng pac a y 1! SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulche Bed/Trench Center Bed/Trench Edges Topsoil Yes [~ No ~ [_, Yes [~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~ni `Z~ ! G~ Inspection #2:~/ Z?t'U Location: 2615 210th Avenue Deer Park,-Wl 54007 (NW 1/4 NW 1/4 19 T31N R15W) NA Lot i'"'~ ~ ©~~ Parcel No: 19.31.15.29 1.) Alt BM Description = ~~ w ~ U'"" ~ ~~~ 2.) Bldg sewer length = '',~ ~ ~ -amount of cover ~~ ~ ~ ~ ~~~ ~ 7~ d Plan revisioi e f d ti n I information. o ~ d ~ - _ ` I' i Use other s d o o a L~_I~~ _ ~__ SBD-6710(R.3/97) ~/_. _ ~%I Date ~ 4 ~ nsepctor's n ture -„.,` Cert~No.- rfG~(!/~t~ (N~I.C.e .~e~~~~~~/~ f)~~.'fwf„r~~/ L~Av~~ ~~~~D~ O (UU~ ,~ /~?~ `~-- ~ ' ~'~- ~ ~ 1 ~ ~' ~ `' ~-~-~ i a3. ~ y' `~ ~v ~~ ~- ~' da~5`m,~ 1~~.~s~ ~. -~ g 4%~- ~a ~o ~`~ .~ M ~c~- Z ~~ ~~ °~~ ~~ . ~ ~~ ~ ,~~5~~ ~~i~. ~~~~'J ~ t~_ II n's~-mss ~~ _ , ~~ ~ ~ c~~ ~ ~~ ,~ v ,~ ~,- ~` 1 ~,. ~.-~, ,~ ~~,~ s Safety and Buildings Division `' Coanry~ ,] c ~ ( ) ~ 201 W. Washingtgn Ave~,~~: Bez ?i~2 ~ _ , r I .Madison, Vk'I 5370h`~• X162' ~ Sanitary Permit Number (to be filled in by Co.) ~~O~~ ~ (608j 266-3151 3 ~~ De artment of Commerce . .' Sanitary Permit Apphcat~on id b State Plan LD. Number (~. ios~ ~3s ^ T--le~s. rod pror e In accord with Cornet 83.21, Wis. Atlm- Code, personal irtforrna~ion yo project Address ~f different than m~i'lit~g add~ss) tray be used for seoottdary purposes Privary Iaw, s1 S.0`At1J(ut),. ~~ - t4 ~ s z f 0 . ~ , 2~ I i. A pL'cation Lrfonmation -Please Print All Information P Propraaty Owoex'a Name ,~ gs.~ ~ ~- /I - PtopeAy Owner's Mailing Address 22 ~ / Q on Property i /~~~ S ed oa City. State T.tp Code Phone Number ~1 S ~.~ T~N; 1~B r ~ II, of edc all Wat apply) ) g„bdivt3ttsrrtdura: ssM.r ~ 1 or 2 Family Dwelling - amber of B rtrs ` --------- S~ , ~ ~~ - Use Citj,_ village vntship of State - Desaibe Use III, Type Permit: (Check ody one bo:online A. Complete line B if applicstble) , D . = p - D - ~ - t9~ • 2°I A. Sys Replacement System Tteatment/Holding Tank ReplaoemartOnly Odter Modification m Existing System i ist Pervious Permit Number ate Dace Lsnted B. Penttit Renewal Pcrmit Revision Chattge of Permit Transfer to New BefoteExpitation Plntttber Owtxx ~~ ~ IV. T e of POW TS S tuns (Check all that a 1 Non -Ptasatiud ln-ciround Mound _> 24 in. of suitable soil uni < 24 in. of suitabl4 At-Grade Single Pass Sated Filter COaSt111Ued Wefland Pressutitxd Lt-Grouttd Hdding Ttutk Peat Filler Aerobic Tteatrneat Unit R Sand Fil Syarheac Medta Filtu Qtamber Dri line Gravel-less Pr Other (ex taut) ~ a O • t'p0 V. Di tmcnt Area Information: ~ Area psopo (sf1 Sy~n 131evaaion ' A~ Rogaired (sfl ~ Design Plow (gpd) Design Soil Application Rale(gpdsf) Dispersal~ J // ~ ' be sti F Pl Manafacmrer Total Number ad in Tank Info ~P tY VI r i c a Prefab Site Shed Con«ete Constsucced G~ . Gallons Gallons of Units New F.:isdng ranks Tacks - Sep6eor Hotdmg Tack Aeiotuc Tit Unit Dosing Mamba J ~, asiblli Statement- I, the and tssibtlity for fasfallation of the I'OwTS tthown oa the attached ns. t~ Busutess Phone Nutaber l~ J Ptambers S' MPlMPR t) Pl s Naate (Fru ~ ~ i Z 1 = Z . -1.~ `Plumber's Address (Street, City. State. /~/~ ~V YIIT• Use Oat - Sanitary Permit Fee f~1~ Groundwater Date issued Ag'~ Signatu ° ) • p m Ch< sarchargeFee) ~ 35'0- . D3 Reason IX. Conditions of Approval/Reasons for Disapproval 31 ~ ~. `"n~~ SYSTEM OWNER: / Q Q~S S d ~ filt _ ~ ~~ s ~ er an 1 Se tic tank, effluent "( p .t^~ G'°~ dispersal cell must all 4e serviced / maintained ~ as per management plan provided by plumber.. r.f -.l ~ 2. All setback requirements must be maintained J ~~ .,cr ~nnlirahla cnrlalnrriinanCP_s. ~.. ~ p~ R , ~ . (1 ,,....,n , . L'~a ~"r~ ](lllp _ Attach ~ pleas (lo the County ody) [oc the p 1 an 8112 x l inc a '~'iolC "~ EC7t: Keith, and Kent Eaaerl 1/4 iVV11 1/4S 19 /T 31 N/R 15 STEM ELEVATION 103.1' 1.5' sand lift O WELL sg,R,p, Same as Benchmark CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SI2,E 630 MOUND ~~ SEPTIC TANK SIZE HOLDING TANK SIZE ~•.,.......••.. ••-°-LQAD„;RATE~1.0 ABSORPTION AREA 303 # of chambers ,BENCHMARK V. . TOp Of 1/2" pipe •~ ASSUME ELEVATION 100' Filter ZabelA-100 ^ BOREHOLE 210th Ave Well is to meet Setback found in Comm. 83 Design calcs: 4 employees @ 13 gpd/employee= 52gpd 2 floor drains @ 25 gpd/floor drain = 50 gpd 1 bedroom @ 100 gpd/bedroom= 100 gpd total gpd = 202 gpd X 1.5 for peak floor = 303 gpd 250' of force main ~ -1 ~6-3 PLOT PLAN ADDRESS 2231 Ctv Rd Q Clear Lake Wi 54005 B.M. Alt. ~.....~.___....~-, , Top of 1 /2" pipe 7% Slope @ 99.8' 15 0' Ran' Pro Slaughter House 4 employees, 2 floor drains, Future 1 COUNTY ST. CROIX 3 GPD ~~, 00' -~ - ~ Huffcutt C mbo Tank ,~ ~ ~` ~~~~-~ Com ts: Slaughter house is to have animal products, cleaning products, or any waste generated by the slaught house to discharge into the sanitary system. A DNR approved holding tank is to be ~ V~r provided for this waste. q~ s - ~ ~3~ 102' ~ " ~'~ 101.6' _ -~~' 101 ~Sl'S f- 1 0' Grading is to done g _ 2 to divert run-off away from system Area 15' below System is to remain undisturbed W TOWN Forest d~ro 40 Acre Line O ' commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary August 26, 2004 OUST 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: 08/26/2006 Identification Numbers Transaction ID No. 1054835 SITE: Site ID No. 688594 Keith & Kent Eggert (Slaughter House) Please refer to both identification numbers, 210TH Ave above, in all corres ondence with the a enc Town of Forest St Croix County NW1/4, NW1/4, 519, T31N, R15W FOR: Description: Commercial (Slaughter House) Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 977098 Maintenance required; 303 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.OI/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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • The plumbing for this project discharges to a private sewage system. The approval covers only domestic/sanitary wastes directed into this system. The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes. • State and federal regulations prohibit the discharge of hazardous wastes to a private sewage system. Accidental discharge of any hazardous substance to a private sewage system must be reported to the Department of Natural Resources or the Wisconsin Division of Emergency Government. ~PPRI OF SEE • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the h•eatment and dispersal are prohibited. SHAUN R BIRD Page 2 8/26/2004 • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of SO feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection 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. Stat • Comm 83.22(7) A copv of the approved plans, specifications and this letter shall be on-site Burins construction and open to inspection by authorized representatives of the Department which may include local inspectors Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operati on. 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 scats 10(.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. to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, C.'%~Z2~ ~~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz @commerce.state.wi.us Fee Required $ 175.00 Fee Received $ ] 75.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 '~ . Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 08/18/04 Owner: Keith and Kent Eggert (Slaughter House) Location:NW1/4NW1/4 S19 T31 N,R15W Forest 210th Ave 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 C tigency plan 9-11. Soil test Shaun Bird Signature_ License nu RECEiVE~ RUG 2, ~ ~ui~~ ~~~~~' .Y ! ~;~'i,~ GNU ~~E C~ DINGS ~~NDENC SAFETY & BLDGS DI1~. • PLOT PLAN PROJECT Keith and Kent Eoaert ADDRESS 2231 Ctv Rd Q Clear Lake Wi 54005 NW 1/4 NW 1/4S 19 /T 31 N/R 15 W TOWN Forest COUNTY ST.CROIX SYSTEM ELEVATION 103.1' 1.5' sand lift GPD 3G3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK __ SEPTIC TANK .SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 MOUND XXXX HOLDING TANK SIZE LOAD RATE 1 •0 ABSORPTION AREA 303 # of chambers ,BENCHMARK V.R.P. TOp Of 1/2" pipe ASSUME ELEVATION 100' Filter ZabelA-100 ^ BOREHOLE O WELL *H,g,p, Same as Benchmark 210th Ave Well is to meet Setback found in Comm. 83 Design calcs: 4 employees @ 13 gpd/employee= 52gpd 2 floor drains @ 25 gpd/floor. drain = 50 gpd 1 bedroom @ 100 gpd/bedroom= 100 gpd total gpd = 202 gpd X 1.5 for peak floor = 303 gpd 250' of force main / B-1 B.M. 15 0' B - 3 u~` 'B.M. Alt. Top of 1 /2" pipe 7% Slope @ 99.8' 850' Pro Slaughter House 4 employees, 2 floor drains, Future 1 Huffcutt Combo Tank 300' Comments: Slaughter house is to have no animal products, cleaning products, or any waste generated by the slaught house to discharge into the sanitary system. A DNR approved holding tank is to be provided for this waste. 6sn i 102' ~- 101.6' ~~ 101 ' f_ 100' Grading is to done g _ 2 to divert run-off away from system Area 15' below System is to remain undisturbed 40 Acre Line De'signe,r. Date ;-~'' No y Non-Woven Filter Fabric 4" Observation Pipe Perforated Below Filter Fabric ASTli C-33 S c n d -\ ~, " Topsoil - J r...-.. 1 ~lov-ed LoYer ,~. ~s, ~ --~~~ f f ~ /D G H ~_~ _._. L 4;~Observotion Pipe j -------------------------------------------- a A ~~ ~ Force Moin -° ~ - ------------- --------------------- ~ From Pump ~_ W ~' ~~ ---~- - -- - -- ..._. ---- -- - - - -- _' . . 3 t I' ° Distribution Bed Of ~z - Z'2 ~ -Drain RocK Pipe I ~„ 4 C?bt-ervation Pipe-.~C'~~~c~ Permonent Morker ~5,~" ~ ~ t~ ~rr~.~ ...bv-~~>~sr i pe or Rods Plon Vitvr pt Mound Ufing A Bed For The Ab3orption Areo ,~ . `k ~ ,r ,,~, f, s F ~pistriDution Pipe i ;~ -} H=== "'-_ F ~G .._ _ _ ~""~ 7. Scope Bed Ot t~~- 2 %I Force Moin / ~ from Pump Drain Rock Cress Section Of A Mound S stem Usin A Bed For The Absorption Areo p ~ Ft. S3~ ft. I!' , ft.~ ~ - ~ Ft. . L~~ Ft. PAGE OF Pe:¢oratad pipe Detoii c Co=ated On bottom. e £gyattp SDOCea ~I~~ ttRSS t;p1.L ri>`xT re CanntG~'or .Signed: License Number: I}a to P -~ ~ Ft . ~.~-- ~ ~~ inoes ~' c~ Inches / dole Diameter ~ 4o Inch lateral ." ~ Z Inch{es) ~!an i foi d " `~ Inches_ Fgrce Main ~- Inches ~ of hoiesipipe~ Invert c'ievation of Laterals~~F't. ~. ~islr~bution PiQe Loyout ~~.w ~ r~ r' ^ `" ~- ~£PTIC `_-_ A~ A#D SP£CIF iCATxt}NS ~EA~E~PROflF == Ga rt£NT PIPE 1Z" MZ~- ABOVE "GRADE ~ Ji3NCTTflt~ SOX APPROY~D MANKOLE COvE~t w ? ~D` i+tIA1IT0~ 4R ~`1tflH D4pR. WITH CONDUIT wi P,gptocx ~ FR£~~- "ER ;~ITAiCr ~Y~ rr+.t^d ~ WARdSIIdG LABEL , /G ' v~'~ryfr" ~'~''~ ~T "•":fl GRADE ~ ~ ~ u ~4 MIN. FIi~~; ~ i " zY s. a. - 1 ., _. = s ~ `• INLET "- ~ 2I \I~gBQItEO WATER TIGHT SEALS ~ _ GHT + SEAL ; JDINT5I~ITH t 'FiLTL.R "` A ~~ ~ ~ AL?3 pPPROY£0 PIPE • " ' ON StR,~~OIt ApP~VEfl "'",~ ; + ' FiPE 3` (~ SQti,IO ~T' C ~ j flFF SOfL pt3~fP L}FE' EL£Y . ____ D -- Y ED BEDDI2~IG UNDER T ~ ~~/ J 4~ /"`a'"~NCR£TE a~ g APPRO ~, ~ ~/ SP='CZFICATIaNS ~EpTTC ,~ DOSE sAAiK 24AN'z1FAC'I'URER: SEPTIC f ~ GAi.. TANK SIZ£S : ~ C-~4L. DOSE AI1~Rn M~4~+itiFAC1VRER;- !rlODEL ~?YPE: gyiXTCH SER DOSES NU3'4 ?ER DAY = .~-- -- T3{)SE V{3~MC INCI,,fIDZNG E L fl~„18AC 1C ~~ GAL- ' J = ~ ;NCHES ~~ = ~GAL- ~ CAPACITZ£5 = A ~ GAL. 8 _ 2 INCHES _ ~j I ~ C = ~ ;xGHES IiES = ~~'~' • ~~ = ~ GA1- - pE7HF iKA~1EJFACTUR£R : D = ~ I1~C ~'' MODEL ~N~~ : 15.23 WAC Si+T2?CH ^• ~ £ ALARM ~TIRZi~G ttS PER~ILHR ~" GpM pUi'iP - 1;.-~-- FEET REQUIRED DISCHARGE RATE ~--- ~-FEET pt7tSP Oi F ANB DISTRIBUTION PIPE V£R'EICAL DIFFERENCEUpE~EpR£S. URE . Mg~pRK S £Tl1QD FT- FRZCTIDN ~AHT~AD •_' ,`1 ~ FE£T + MAN;pt"J~t pg~~AIN x r~ TflTAL pY~~~ ; 4F DTH~~ ~~ i7MP TA?tK: LENGTH I NT£ SiGKED: _ PiJ!~iP Ci#RMfi£R CRt?SS SECT}D?~ 1.IC'~I~S~ ~1i,TI'lfiFg - gA:.'~ _ :188 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING 0 s v_ z r 0 0 FLOW PPP, MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing pane's available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems, • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Owik-Box a/ailable foroutdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 152!153 Series 1521153 MODELS Control Selection Model Volts•Ph Mode_ Amps Simplex Du lex N152 115 t Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2or3 BE152 230 1 Auto 4.3 Included 2or3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2or3 O CAUTION All Installation of control, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). MODEL 152 153 Feet Meters Gal. Liters Gol. Liters 5 1.5 69 261 77 291 10 3.1 61 231 70 265 15 4.6 53 201 61 231 ZO - 6.1 44 167 52 197 25 7.6 34 129 42 159 30 9.1 23 87 33 125 ' 35 i0.7 -- --- 22 85 40 12.2 -- -- 11 42 Lock Volve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 3 27/ i I tz ~/s ~~ s ~/ -~ SELECTION GUIDE 5z 3z s sKZOea 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical ARemator E-Pak. 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 70: P.O. BOX 16347 ~ ~ Louisville, KY 4025&0347 Manufacturersof. . ~O ~ /~ e SHIP T0: 3649 Gane Run Road. a a ~~~~~~ Louisvilre, KY 40211-1951 Qvfr~irrP~Mas J/NCE ~~JJ '~`~~''PL/MP !O. (eoz) ns-2731.1(aoo~ see-PUMP http://www.zoeller.com ~ FAX (502)774-3624 p Copyright 2000 Zoeller Co. All rights reserved. 2~. D Z~ 0 `~"~" Q 80 160 240 320 PLAN t+lER'S MANUAL- 8. MANAGEMEF ~ TtoNs PONS 01tY SYSTEM SPE Nlmlber ~ ~~s Number of Comme~l Units ~,.. , ~ . ~matied flow (avefs9e~ ~s~- '~! Design ftoyv (Past4~ (E~timated x 1.5) So>! APPfaatlon ~~ trtfiuent/Efttuent Quarrty POG) Fats.. Oil ~ Grease mil Oxygen pemand (BODSy BiocheT~ Suspended golids {'I'SS) Pretnab~ went auaGty en Demand (BODs) Biochemical OxY9 dad Solids (TSS) Total Suspen metric mean) Fecal Conform (9 Maxtmum Effluent Particle Size Service Event lnsped oondttlon of tank(s) Pump out contents of tank(s) Inspect dispersal cell(s) dean effluent filter inspad p~R-P~ pump controls & alarm Flush laterals and pressure test Septic Tank GaPa~''•7 - SepbeTank Maut~~r Efftuslit Filter Maw Effluent Ffter~Model r NA ~ ~ ~ Pump~Tank CaPad(Y ..f,a~.. Pump Tank Manufacturer ~ fi L_ gaUdaY M thno lY average' . S30 mg/t. S~fl mgit. Monthly average" S30 mglt_ 530 mgn- s10' cfu/'100mt y ;nch diameter .Pump ManutacxUrer '~1 Model ~~ z Pump _ Page of al O NA r ~~ Q NA p NA ~ ~ NA ~ DNA' ^ NA P~t~trrtent uru~~ 0 Peat Fitter p SandiGrB'~ p Wetland ^ Mec~ianical Aeration O Other. ^ Disinfec~on vwr~•round (gravit)+) ^ ln-9 Q Atgrade (pressurized) La un ~.... v:lees tyPtd fO~ domest~ (~oR.~mmerda7l ~stswetar optic tank et}luent ~tewater• .• Values typal for p~t~ated $ervice Frequency -~---^"' r(S) (Maximum 3 yrs.) months At !ea-st oncse every J uals m eq one-third (1~) of ink volume Wren combined sludg e and scu ear(s) Maximum 3 yrs.) p months At least once every ^ months r(5) . At least once every p months r(s) p NA At least once every 0 months ear(s) ~ ~ At feast once every ^ months ~ year(s) ~ NA At least once every ^ months ^ year(s) ^ NA At feast once every other licenses or MAIri1'ENAN~ INSTRUCTIONS an individual cartYing one of the followinM~9 stainer, Septa9e real eeNs shall be made by r POVyT-g tnspecto~ Pd~s i~;ng oc brakes Inspedbns of tanks and drape nk s to identify any m fur any back up on of the to (y m and to check ins: Master piumbef: Masts ~ st indude~a ~e of ~ ned sludge and scu ~ ~~ the effluent levels SeMdng OPena~r• Tank mspecbo measure the vole hardware, identify any' ~~ or leaks. The dispersal cell(s) shall be visually inspecb~d ndin9 of effluent on the round surface. nding of effluent on the ground surface- The Po ulatory aufl1Of~'hr" of effluent on the g lion of the focal re9 ~~~ ~~~n pipes and to ~e'~~ndit3on and >'eQutres the Immediate not;fica or more Of the tank volume. ~NR ground Suttace tnaY indicate a failing min any tank equals one-tt-i~ (~ S~ °f fn accordan°e'"''d' ~'" e and scu rotor and dlsPo When the combined ao k sha(be removed by a Septage Servicing Ope mt~t~rnent components, and any entire contents of ~e ~ - onents, P g Maintainer. 113, Wisconsin Administrative erode. ~rtned by a certified POWT of effluent fit tars, me~anicai or pressurized POVYTS comp senrice event The ggnrigng at ~teCyats of 12 months or less shall be P~ of cemptetion of any other malntenanoe or monitoring t r ulatocy authority within 10 days A service report sha0'be P~ded to the iota e9 rodudS or other for the presence of painting P gTi4RT UP ANO OPEtZAT10N areal till(s). If high ~0entraaonS are For new oortsCrud'wn, fxior to use of the PO ASS andJo~damagt: tfiekdisp rotor prior to use. cherrtica~ that may impede the treatment Promoved by a septage servicing ope detetXed hate the contents of the tank(sT ~, -. Page of`._ ~,~ - ~' ~ " , editions are frozen at the inflltrabve surface. When power is restored the excess shalt not occur when 5p1{-o° the oeli(s} and may result in the System start up ~ ~ above normal titgtwater leve overload'+~9 dm ink removed by a . ou~9es pump tanks y teal cell(s) in one ~e dose, pu~in~ ~ltl be d"~~'9~ to the dlsPe m pr contact a Plumber or POYVTS Maintainer to e of ett{„uent. To avoid this situation have the contents of the p p or surface disd''an9 tior-tD-~'p~ng pOw~ to the effluent ~ ~P~in ~e Pump tank. e servk~rtg pperator p controls to ~0ro normal leve Seata9 ng the pump tic over, or otherwise disturb or corrtpat~. assist ~ rrtanua~+ °~ and dispersal cells. 0o not drive or pa - over tat~cs tion area- the life Oo not drnre or Pam veltid~ mourxl or at~mde soil at~sorp 1Rt rove 'the Performance and prolong the area wtEhln 15 feet down stopB ~ a"y denf3t floss: diatsers: of the follorving frem ~e wastewater stnaam'~Y P s deg~se~: Reduce ocet'unlnatton dga~~ butts: condoms: flptton swab ~ asoline, grease herblddes; meat tibto6cs; ~5"?~P~'r+rater, trait and vegetable peelings; g of the PO ~ ~tdaGon drain {sump P~PI na tuns: tampons: and water softener brine. dsirstedants: Wring products: pesfrddes: saertifiary P _ scraps: dons', oil: ggANOO1~MENT taken out of service the followinS steps shalt tae >;aken to insane that the {ails gndlor i4 permanertttY ch_ Comm 83.33, ~scpnsin Admtntstrative Code: When the POVY7'S abandoned in pompliance with Wings sealed. and safety ndoned pipe oRe a servicing Operator. system ~ properly ks and pits shat! be disconnected and the aba d;sposed of by a Septag AI( piping to tsn its shall be removed and properrY al[ ~~ and P~ Shall be excavated and removed or tl~err covers removed and tfie void space The contents of a[! tanks and P After pumping, lilted with soil, gravel or another inert solid matena . to provide a code CONTINGENCY PLAN sited !fie following measures have been, or must be taken, if the POWTS fails and cannot be rep taoement soil ~mprrant replacement system- be ufirized for the tocatron of a rep~on and should not p A suitable rePlcacement $~ has been evaluated and may lacement area should be protected from disturbance ss' com . n system. The rep sea structure, tot tines and wells. Failure to a~orptio from existing and propo be infringed upon by requtr+ed getbad~ _ meet area vrtil resort in the need for a~~ their'u1e nteffect at that time~blish a su'rta e protect the reprace ems must comprY t area is not available due to setback and/or sot! limitations- gamng advances in P01N•1" replacement area- RePra~ment cyst laces the failed POVY'TS. p A suitable replacemen be installed as a Last resort to ep technology a holding tatnK may a suitabre replacement area Upon failure of the POWTS a sorl.an _ to identify nt area is available a. The site has not been evaluated ~ locate a' suitable repracement area_ If no reptaceme site evaluation must be Peed removal of the biomat at otding tank may be installed as a last resort tv repl~a ~n trusted iUn place fo[tawing stems may t yy~ the cures in effect at that tune. Mound and at~tade soli at~sotPt>on ~ of such systems must come Y the tnfiftirat}ve surface- Reconstrocbo <NYARNING» WANKS MAY CONTAIN LtTHAL ~SCIRC MSOANCES~D TH MAYGEx. SEPTlC, PUMP AND OTHER TREATMENT DO NOT EPfTER A SEPTIC, PUMP OR OTHER TRE~4TMEN'T TANK UNDER ANY ESULT.. RESCUE OF A Pl RSON FROM 'rHF iNTERtOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. R ADD(TiOrYAL COMMENTS . • POVIfT"S MAINTAINER P01KTS INSTALLER Name ~~.~- Name ~ ~ ` Phone 1,j - Z`~ Phone ~/ :.- ~ ~ ~ ! ytCING OPERATOR PUMPER LOCAL REGULATORY AUTHORfTY SEPTAGE SER ,,/~ Agency ,~-, - ~~ Name ~ ~,r,.., /i d ~~ ~ .. Phone ~- Phone ~/. f -- ~ ~- "'"~•~ i 'this doarment meets ~~ Greer t~lke, Marquette and Waushar' County Zoning and Su! ~e~g~tl+is d~,ment does not This aocu~tt was dratted trl!!he staffs t d. and 83.54(1). (2) d: (3). Wisconsin AOrnrntstta~ GMyy (IJOt the minimum roqui,sments of dL Comm 83.22(Z)(5X )t'd1 ~~ guarantee the performartoe of the ppYYTS_ Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page of m accoraance wnr~r~~gati~gr~-s~vrrr. ~, Z°''~ell~~i a County /~ ~~~ lete site lan on Plan must Attach com aper not less than 8 172 x 11 inches in size C rt7Y p p p . indude, but not limited to: vertical and horizontal reference point (BM), direction and Panel I.D. percent slope, scale or dimensions, north arrow, and locati~~lld di~a~¢)~rest r ad. Please print all info anon. Re ewed by Date Personal irHorrnation ou ovide ma be used for setonda Y Pr Y PurpoBes'(Frv2byLaW,id, 15.04 (1) ( - )). \ Property Owner - •m--~-y- ~ lion 4 S T3 N R~SE ~ ( Govt. Lot 1/4 / (o Prope Owner's Mailing Address Lot # lock # Subd. Name or CSM# I ~ ~~~ City Stat -Zip Code Phone Number ~ City ^ Village Town Nearest Ro C~ ) ~~ c ~ z - ~>r-~~ ~I New Construction Us ~ Residential / Number of bedrooms C~oQde~derived design~Aow~rate~ GPD ^ Replacement P i r commerdal -Describe: $~~1~GT _~~~-~~~'- / 1~ - ~.~ ,~ Parent material / Flood Plain elevation if applicable /// /7 ft. ' General cortxnents ~< 4+~`GJ~~/p~ i ~ /v lv~.x/ ~L~ 3 l 1 and recommendation . ~/ ~~~/ / ~ ~~e~ Boring # BOnng ~.d n - pit Ground surface elev~ ~ ft. Depth to limiting factor ~ in. Soil lication Rate Horizon Depth Dominant Cdor Redox Desaiptron Texture SWcture Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2 Z , ~ ,s ~.------- s~ r.J ~ pit c~rouna surrace eiev.~ i ~ / n. uepm ro emmng racror i `~ u,. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 C 0'~I Z ~ ~ 3/z. ~ ~.T"' 2 z iy ~ c~~ --- / ~ LJ 7` ~/ ~41X ~ / ~ r ~ ~ 'Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mglL 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST 1Vame (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address ate Evaluation Con cted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715-246-4516 ~~ Property Owner_ Parcel ID # Page of Boring # Boring ) ~ pit Ground surface elev ft. Depth to limiting factor ~ U~ in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~~1 0 ~ ~1 ~- s,' ~ .~ U 1 rt, i . J . ~ S ~ f - i/ e/1 Bori # ~ Boring ~ n9 pit Ground surface elev. . b ft. Depth to limiting factor! in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIf1? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff# 1 'Eff#2 1 p/ i /! L f r J"~ / / ~/ ~ ~ - ~ ~.~ ~~ s ~ y ~~ u~ - ~ ~ 3 ~, ~z s ~- ~~~ a ~ un. O <s- ve ~~ # O Bonng Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Descxiption. Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 'Effluent #1 = BODE > 30 < 220 mglL and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. sao-aa~o (te.a~oo~ Project Name Soil Test Plot Plan Keith and Kent Eggert Shaun Address 2231 Cty Rd Q Clear Lake Wi 54005 - Lot °--- Subdivision ------- Date i%~I #226900 4/30/04 N W 1/4 N W 1/4S 19 T 31 N/R15 W Township Forest Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1 /2" Pipe . ~~'~ I System Elevation 103.1' *HRpSameasBenchmark ternate Benchmar Top of 1/2" pipe @ 99.8' Scale is 1" = 40' unless otherwise noted • ST CROIX COUNT'S - . ENANCE AGREEMENT 'SEPTIC ~ ~' . "~ p~iJERSHIP CERTIFICATION FORM i OwnerBuYer C ~i s~ ~ Andress ~ ~'' 3 ~ Mailing ~ _ - ~ ..~ - P Address Department for new construction) Pro erty (Verification required from Planr~g Dl~- / p ~ _ ~ _ ~ (. 29`x) parcel Identification Number _____r-- City/State LEGAL DESr"~PTION r~e~~ . q T~ I N-R~-.w~ T°wn of Property Locatio~Y~-- ~ # ~' Subdivision .-- ,page # ,~- Volume Certified Survey NiaP # ~ . 2 `~~3 Page # ~ ~ ~' ,{,~ g~ ~ Volume Warranty Deed # es O no Lot lines identifiab e g ec house ~ Y nO P its rsmature failure to beadle wastes. Proper maiatonaaae SYS""'~~" '~~ ~ 71~I'1'ENAN~ of your septic system could result is P RThat you put into the system improper use sea asain three Years or sooner, if needed by a licensed Pumper. tic teak every osa! system. consists of p~Pmg °~ .the sep tic teak ~ a treatment stage is the waste disp ction. of the sep ~ s cd by the owner sad by a can affect the fun a °°rtification foam. ii;n oral system - owner grew to submit to St. Croix Zoasag DO en~g that {!)the on-site wastewaterdisp The property a lumber or a licensed pumpe the septic tank is less than !!'3 fu11 of sludge. ber, jouraeYa~aPlumber, restrictedp ection and pumP'ag (ff necessary), mastarplum crating condition aadlor (2) after iasp ~ system with the standards ~ za Proper ~ e to maintain the Private sewage dispo cation eats and afire eat of Natural Resources, State of WisconsO ffivrithia 30 Uwe, the undersigned have read the above ra4u'remerce and the cP to the St. Croix County Zoning as set by the Department of Comm Dined sad returned set forth, herein taiaed must be comp stating that Your septic system has bees main ~ ~~l ~ days of th a year c~cPsrstioa dace. DATE SiC3~NE: r[TRE OF pLICANT 1moavledge. I (we) am (arc) the owner(s) of "'~'~ r~ER'~iCATIQN on this form are tau to the best of my {our, t iw~~rla~ I (we) certify that all staof a warranty deed recorded in Register of Deeds O ce. ~ gropertY described above, by ~ ~ ~D DATE '~~ g PLICAN'T De arorncnt. ~"`"`« SIGNATURE ertnit being revoked by the Zoning P *t„~*a Any information that is ~-npnseatedmaY result is the sanitary P warranty deed from the Register of Deeds office deed t• Ipelude Witt! this application: a stamped if reference is made in the warranty a copy of ~° certified survey map ' U Z'~ `~ 3 P 3 y 3 ~4t,.~~.~ {I STATE BAR OF WISCONSIN FORM 1 - 1998 ii WARRANTY DEED '~ REGISTER cRiF DEEDS ST. CROIX CO. , WI ,; Document Number . .....i! _ --°,_ ._.. - _ -_ ...._. ..... ..-._. - _;,,,-. _;; RECEIVED FOR RECORD made between Robert This Deed D. Fitter and June A.____` ~~ , 1012?/2003 ®9:30Ati , Fitter, husband and wife , __ _^ WARRANTY DEED ~! cxEr~c~r # Grantor. R£C FEE: 11.00 i' TRAHS FEE: 300.00 COPY FEE: i i CC FEE: PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following '!;j described real estate in $t • Cr01 XT __._ County, State of Wisconsin 'i •• (the "Property ): - (igr~rriirq Am t '' * marl tai property; tenants i n common between the i Name and Return Address ~ ~ interests James A. Krupa ~ !', Attorney at Law ~ P.O. Sox 168 '; Amery, Wisconsin 54001 ', 014-1040-70-000 Parcel Identification Number (PIN) ' This ~ S nOt homestead property. ~i~ (is not) i; i! The NWT of the NWT of Section 19, Township 31 North, Range 15 West, St. Croix County, Wisconsin, except part to St. Croix County, Wisconsin in Volume 377, I' Page 38, Document No. 265361. ~' I~ i ~~ Together with aft appurtenant righu, title and interests. Grantor warrants that the title to the Property Ls good, indefeasible in fee simple and free and clear of encumbrances except municipal ordinances, zoning, easements, reservations and restrictions of record, Dated this 24th day of October 2003 (SEAL) _^ ` `~-~Z- (SEAL) Robert D. Fitter (SEAL) ___~S4 • ~l~Q~'t~ -- -- (SEAL) ,. .~ ~ une A. Fitter AUTHENTICATION Signature(s) authenticated this day of *- _ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) ACKNOWLEDGMENT State of Wisconsin, ss. POLK ,County. Personally came before me this 24th day of October 2003 ,the above named Robert D Fitter and June A Fitter husband and wife 40 me known to be the person; ~-~~-~.vgto,~ile~yZt~1~ chc foregoing instrumer~,and acknowled~a.Q't'ic~~jrftie'~~~ ~ t'r - ' r /" 1 a ~/"~ .c: THIS INSTRUMENT WAS DRAFTED BY _~__. ~ ~ ~ ~ ' ~! James A. Krupa, Attorney at Law J s A. Krup -_~ ~~,.`~, -- - t-- - ~~ P.O. Box 168, Amer Wisconsin 54001 Notaty Publ[c, State of W ' i~l:•., . .:_;~ ,d j _ Y, _. My commission is perm ~ ~ff'_.'rrot:, ~tatel'e~iration date: '. (Signatures may be authenticated or acknowledged. Both are not ~' ~~ jl necessary.) _ _ r,7CS•rn-+-----_, ~) ji 'Names of persons signing in any capa<Ity must be typed or printed below their slgna(ure. STATE BAR OF WISCONSIN Wisconsin legal stank Co., tnc. WARRANTY DEED FORM Na. 1 - 199E MYwaukee, Wis. ! '' i ~~ FOREST PLAT T-31-N • R-15-W E1 ~ ~ I1$~ '~ ~.~ ... .... a ~~ X See Page 112 For Additional Norma. (Landol~vners) POLK CO. X00 2900 3000 310 0 2600 POLK / ST CROIX RD 2700 2800 N m a Paul a $ N g ~ r,~~y ~~ ~ KrlsHe G a '~` Grmdabl Harold 8: Delores ahid: P C ~ ~, u ~ Sande Cp~crn Carol 51rdf 7 9 ~ ~ N $ ~ K AC ~, va.rr, Roan 69 68 Levrndoski 8[ Janet I ~~ .g~ tlZ +t1 , r 102 g Reed •~ r ~ I Roe `~ Priebe ~ y g yynn Zurcher 137 ~E Krek V '~ ~ Tnut p, V V ~ Sa~nd~ra g ~ x a , ~s y G ^ 167 day 80 GREEN 43 133 i Cormian u 224 g Gm~ 83 ]61 ma< ? s,.e... 62 83 Dorothy r p ~ DHa-Ol t er o ~ Iarerne a e d ~~ pOss" Cad ~" Aaron ~- t ° Gorda ~ :' W ' / In +~ ~ Laursen yo ms Fa 70 'x ° ~ a r ~~ 8: W & N Biskupsld gp ~ ~ I ze as °tC 40 °Q 40 v 40 ~" +o Gerald & Helrn C- a d o ueian ~ Todd 3 ~ L za aobert F"Ok .5 ~ David 8: ll St Fred IB emas mama ! s4 e~m r :: ~ ~ Flam® I g 8 P °i 80 68 Piett ~ ~ y `' ~ °eioi ~ Fuld 60 ~ m~ 260 e P a 80 Blomberg a & Nitchey 80 39 40 156 ,, ,e. s, 3 160 3 SO ,~ r $ ~? ° T ° ~ ;7 Neil & 230TH VE $ ama& Sandra a~ S I~ o o m r I Ls ivd SUr ~ Crean um X 25 ~° ~ ~.p C .d ~x e0 ~ ao Proper6 a 80 ,,, "~ •' 40 o d6 1? 'O Illrlch Rou, Wayne 8: Beverly I 10 u Bndley p Harold 8: Shirlee Shhiee Brooks PyWp Andeo- 40 w- 40 g I.~rWrdo ~ ~~ O ~„ ~g,e~~ Alverman 120 Cress 60 Brooks 120 160 so n 60 N 88 2 'w 80 ~ C7wS~ ~~ ~ Michael ^ Helgaon ^ Ridulyd g ~ Leon 8c ~ F'~ Michael k a s~~ Ne8 & Walana ~ t; ~m g Pete a PhylBs s J Rhonda m 8 Eileen y~, 3 dith < o ~ ~[pmoss 60 ~~ 160 147 Sawn Patrida 40 `" .. Nflasrn 19 160 ~ Bergmann siz M 40 eun p,.~ w.+a a ~~ clarm« Richter Ri~~ ~ Hall ~y a4 Trade g0 ~ o shy r ~ ~ Gale -- 40 GREEK 79 ~,w H~ 80 ~ 80 195 g E68~ 96 rBer 160 ,~ a S D Tay ~ Dav1d s O ~j s ~ r 220th AVE ~ Ne8 & Deborah LOS ~ ~1Oler rout: ~ ~ I t Glennis .~7 Nor ~ NRges ~ 4o 0 Sam & 39 ~ 0 ~ l ~o 97 ~ s Sanftuers ~ n Lgg ~ Ahles a~ Mary Wt ma Cress David a N ~ Kreftr G ~ ~3 d3 & xis 80 h i le~m lu ~ ~ SAnderson ~ ~~ .-. ~~ 74 ~ ti 140 20 160 p m Sc dt O ~~ o 0 1 ,~~ ~ i 158 z 1 u ~,; ~ ~,;~; 270 '~ ~, ~ Funs Ku[t ,~+tl Inc a ® 160 N ROlsert ~ ~ Fltrer ~~ a FSBert Kristle R~ 51 90 qp B ~ Lucille EB evoold Mo8112 Tnsst g0 155 Eric $ NeR a McBssa wj,'IiOiy Moll 49 ~ 4p ~ rw 168 ,~ ~~ 160 Temnte F ~~' 1Reeat- ~nsu-ll~ 6: Law[rnce oun ~ Rhq Ba~lle 76 a0 C ama 8 ~~ ~ 80 p ~`~~ I ~~ Kuhn SeOtt ~~ w a `.~ W at xa R 201 z Diamond ~ K Farms Inc @ ~c ~ ~~~ 155 'w y D ~' Sheldon S ~ X ~ drn BcRuth 19 m ys s~ Simonson ~ s3 I Warner 255 '~ Sac wdtQ ~ 158 EMERALD PAGE 54 p >: r ~ o 00 Ed Lu gar de ella u ^ °° 8S ro Place Inc eo ~ PZx \ ~ ^.~ +~ E: ~ q g ; ~3 i De boer I ~ ~ ~ ~ o Q ~~ S _ _ ~ E,~ ~ ~ °q.~ >-_ I ~ M ~- 6dl ~ ~tl a8m OddF o ~di ° 48 $ 8 ia ~C HEPk Re nee 0 A6M zo la s 120 40 s - , f 22U Edwards - w 210th A VE $ g a rras a Scott ~ H lua a l - ed - o c 2401 ~ ' x 40 40 r / David& Lorel & Rita eon ~ ' N r S staRa srtauao s~ ~~ ee s u +d ~ ..r. ao e~ A O D i DavidR ~ S ~ ~~ BOLEN ~ ~ <~ ~ s.r. ~ ~ $ 01 l enn s a t Laurie , Twnm 120 '/ 160 , , 40 160 ~ 40 ~ a i0 Rosen ~- e ~ 208th VE N o ~ ao rew ea o V-a g 0 QD u .". s m ]98 2 'J8 N ~ Tellt azry r£ e0 ~' ~F- 'w C ~s3 aidF ~~, o ~ ~ $ ~ u ~ r F " 40 ~~amag ~ urn ao PaulR FIOIrnCe p C S 0' of m [nc 116 ~ ti if w Duvall S Ulrich 8= 1 ~ 78 200th AVE toes a o0o wx 1 swao<- 0 m _ _ ? eDa6oc a'd Wua g ~ gp I1WCrnCG 160 4o p V oeltz ~ ~~ gt McNamara Storm rettloira plfred& a L a~ ~D> ' m ° 10 ~ '4f ' 11'iar9 lackelen i ~ Krlg 200 233 u-a.-s • a 75 160 Ill ,~ ~ o"r~ ~ o a~ roans Ca~vis- o tram 40 OtW Bormet Robert dr ~~ l~aurern ' as ~ Dacia Ted Betlull ° ° ~,~ 00 a ~ I Hill °° dS ~ a G ~~ itoR W 'J'yJ C7~ A 229 asaama &Frances Heinbuch 160 131 °a sm- aaat eo ~ a2:: gdl~ R Orn~ 8 0 120 120 0 0 , ~ Do rot n r a ^ ~ ~ ~ Dale A ~ & Ar me HiIl 80 ~~ Shelley ,q I Eudres 60 8 ~ ~ s5a p_, C q ~ ~ a ~ ~ 34 ~ ^ ~~ s ~ ~ z f A IS7'a ~ m ~ ~ 4 "' 8o so ~ z2o o ,28 s z o oo Melvin & Norm 5 San an de Forest u ~ ~ C f g ~& °o° Garr a Sande g f l ~ ~ ~ l ~, ;: Lorton Simonson Michie ]00 Hunt b ~° ti ~' ~ "' ~ ~ s Haz ~d o ~n p ~ C ~ +o ti Ca e ru ,~ +J S m Kenneth Schmidt ~in (7 v, s xs B: Ida Abbott 121 . ~j;a 40 lam 40 ,120 , -, 16 0 80 160 craata 79 m S t GLENWOOD PAGE 56 ~IgRv ~, _ ~ ~ C~ GLENWOOD CITY, WI 54013 (715) 265-4429 (715) 265-4384 (715) 265-7255 FAX (715) 265-7604 7~