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008-2000-90-056
• Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 567237 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Olson, Samuel & Nicole Eau Galle, Town of 008-2000-90-056 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: i<� / 11 / ( .,-) 1 36.28.16.541A56 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER, CAPACITY STATION BS HI FS ELEV. . -x5 4 • I Septic Z-•- 3 Benchmark W � — 6 � /ZdC S Dosing 31 Alt. BM �� Go,,,,�(� TTT goad x•11 e.45 S - AeretitIlr Bldg. Sewer //� / 9 A: 1.s"., za1�..�2 4- 100 Z•itS Holding St/Ht Inlet ..— /2.3 9/- ZS St/Ht Outlet TANK SETBACK INFORMATION stAir TANK TO P/L WELL BLDG. Intake ROAD Dt Inlet ' - ■ . 441 / Septic 7 50 7/�/ l s Dt Bottom /3 .-7 '7,g5 Dosing / 6 / �� 1 Header/Man. Aeration Dist. Pipe 313 /49, Z4 Holdin g --"''� — Bot.System ,T/. to 9q1• S s Final Grade f, s, PUMP/SIPHON INFORMATION Z•LS / O/. 3 Manufacturer 4� Demand St Cove` 4 /� I 66,1 GPM �iS .8%�7 �J .r Model Number [l^ q ( d � TDH ILifi z.45 Friction os 4 System Head 5 TD(-7, t Forcemain Len / Dia.z I'I Dist.to Well s SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length / No.91�Trenc s PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS /d /6 F/�{ �` �_ SETBACK SYSTEM TO V CJ P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: -4 INFORMATION Type tem: �` i / I CHAMBER OR .� t 6 J 11 /5— �4 ` Mo ./�+I UNIT Model Number: ` DISTRIBUTION SYSTEM `F j Header/Manifol� Distribution I i / x Hole Size s� x Hole Spacing / V t o Air I ke Pipes)!d 3 Oz, p+Length �' Dia /145 Length J D s Dia /'Z5 Spacing '3v o SOIL COVER I x Pressure Systems Only xx Mound Or At-Grade Systems Only (J1„ , Depth Over ` Depth Over xx Depth of r xx Seeded/Sodded xx Mulched Bed/Trench Center 1 1 J Bed/Trench Edges Topsoil 1 �il No No It QQQ__- ��" COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: i l / 7 1 / ] I? /2' Inspection#2: / / Location: 2626A Boston oodville WI 54028(NW 1/4 NW 1/4 36 T28N R16W) NA Lot 5 he',� to c.f \ Parcel No: 36.28.16.541A56 1.)Alt BM Description= 4.14./A �/ 5'e,,rr,,,,�S 2.)Bldg sewer length= / -amount of cover= // y2 er� a / . Plan revision Required? KV Yes No 1t rldi (3 'v/„/ 47 V S Use other side for additional information. / _ i SBD-6710(R.3/97) Date Inrcto Signature Cert.No. . J Plot Plan Page 3 of8 Property Owner SAAUP-L-...-1: ?Aims L. ot.sat 1 1 gwiez.5 : Ale-BeA) 4 ..:TEAA1N E 0 Lsod 1" = 40 ft. Legal Description Nik)A OF 7t4EAPAWLI f: IJEA oP (except where noted) ifir.Am)1/(-1 531", 7-2m) R 14.vd) TirmiAl QF EA-tk 0 =Backhoe pit- GALLE) ST, egeflit CouNTV WI5e04.51/V, 2. 17 Acias- / , 4 ------2--. _. , - • §3 c 44 ■ . --- .....,----- ,ikto wo ,/,,, , givi) $17:1750kuillo-neEt/s/xe fuo• Re.eh... 4,_.3" 1 01„2"/5a#1) Paizaittini . . OLD pLI:) 'co0 og. MA.6.- ---------,, .- ----- Ca r w we-E5re TA ivA i.T a 00 13kt.*t 2-1----aPixc. t,4 OP Z it 40 a A sova Gieo it-PO ‘cteLza —_,......— , x • • Ht -------------------rec5roAt 7--1 .- . Y W , 11-3 €1)pabeCie..D VJ15"-- • Site Location: • CO py x-5rre - bar° i: tv vl 9 ""-a.Ze... It • • N - . 796gee-57:GRotti 1Z - , vw p Safety and Buildings Division County C (~.o t 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) St Madison, WI 53707-7162 / A O 51094 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 7- Z ( ~ is required prior to obtaining a sanitary permit. Note: p>ln forms for state-owned POWTS are submitted to Prct Address (if different than mailing address) the Department of Safety and Profession i P on ormation you provide may be used for secondary ~a -1 A purposes in accordance with the Priv s. Stats. 7ca~S~ C ` a 1. Application Information - P rint.A tion k, VVDUti) Vt L- & P a~tel Property Owner's Name ~L_ M /a' 0L~ 30/ " c Property Owner's Mailing Addresspperty cation 2 o /j Govt*t City, State Zip Code Phone Number 1/,, Section 1 , 6 V,VI. l ~ ! 510 Z V / (circle ony}, Ut/ G T ~ Q N; R~ f~?- E o(~/J II. Type of Building (check all that apply) Lot # cr- 1 or 2 Family Dwelling -Number of Bedrooms r4-~ Subdivision Name 6k 04 (_660i Block # ❑ Public/Commercial - Describe Use tK V o f, Pa. 1 S ❑ City of ❑ State Owned - Describe Use CSM Numbe ❑ Village of Town of tc-AQ ILL Xa7& III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. y New S ste El Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) B. ❑ Permit Renewal- _ Q. Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S stem/Com onent/Device: Check all that apply) C~12 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At Grade ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersaLTreatmentArea Information: th Z P yr Design Flow (gpd) Design Soil p i on Rate(gpdsf) Dispersal Area Required f) Dispersal Ar a Proposed (s System Elevation e_Dl V1. Tank Info C acity in Total Hof Manufacturer Gallons Gallons Units a New Tanks Existing Tanks , ,rIA/y k k SL _ a~~ y a Septic or Holding Tank Dosing Chamber L Mm / l VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's a (Print) Plumber's Sign a MP/I4#ff5Number Business Phone Number d 4~! e Z Z ~~S Z73 Plumber's A ess (Street, City, State, Zip Code) L& 3,w d)1~ I S ©1 c VI . Coun epartment Use Only Approved ❑ Disapproved Permit Fee Date sued Issuing A nt Si e "Owner Given Reason for Denial $ 2 t/7, li 3 GG I`~ IX. CoitiupS gvval/Reasons for Disappioyal 3 /1 r 5 TEM OL4 A4 OA 1. Septic tank, effluent filter and dispersal cell must be serviced / maintained l% M~lI TGWrm 5 Goo T~ as per management plan provided by plumber.. 2. All setback requirements must be maintained tl as por Attach to comp ete pans for the system and submit to the unty only on paper not less than W LS z 11 inches in size SBD-6398 (R. 11/11) ~w~ xiar DIVISION OF INDUSTRY SERVICES \s n 10541 N RANCH ROAD 9 o HAYWARD WI 54843 3 Sly / j; ,b 7y J Contact Through Relay S www.dsps.wi.gov/sb/ iy w www.wisconsin.gov n ~SS(pV A~•5~~ Scott Walker, Governor VED Dave Ross, Secretary July 15, 2013 JUL 18 20113 ST CROIX COUNTY CUST ID No. 224832 ATTN: POWTS Inspector MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/15/2015 Identification Numbers Transaction ID No. 2271056 SITE: Site ID No. 792781 Samuel & Nicole Olson Please refer to both identification numbers, Boston Rd` /A/E -o 2-6,0& above, in all correspondence with the agency. Town of Eau G lle St Croix County NEIA, NW1/4, S36, T28N, R16W FOR: Description: Mound, 4 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1437310 CONDI Maintenance required; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s) : APP Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter DEPT OF PROFESSIO The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative C~ION OF IN and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be cons e 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 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: Key Item(s) • 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 the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Care must be taken to preserve the bench mark during construction or establish a new bench mark with the elevation set to relate to the original bench mark. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. f MARY JO HUPPERT Page 2 7/15/2013 • Materials shall conform to the requirements of SPS 384.10. No fixture, appliance, appurtenance, material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system, unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. 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 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. l Sincerely, Fee Required $ 250.00 , This Amount Will Be Invoiced. When You Receive That Invoice, Patricia L Shandorf Please Include a Copy With Your POWTS Plan Reviewer, Integrated Services Payment Submittal. (715) 634-7810, Fax: (715) 634-5150, M - F 8:00 a.m. - 4:45 p.m. WiSMART code: 7633 pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm 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 "SE'S" 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 b SPS Chapters 360-366. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: SAMUEL J. & NICOLE L. OLSON Owner's Name: (same) Owner's Address: 2626 Boston Road Woodville, WI 54028 Legal Description: NW1/4 of the NW1/4 & NE1/4 of the NW1/4, S36,T28N,R16W Township: Eau Galle County: St. Croix Subdivision Name: NA Lot Number. 5 Block Number: NA Parcel I.D. Number: 008 - 2000 - 90 - 055 IONALLY :OVE.D Plan Transaction No.: iAEE-TY AND Page 1 Index and title SAL SERVICES segVICES A ~ A Page 2 Data entry )U- Page 3 Mound drawings 0MMY JO . Page 4 Lateral and dose tank Page 5 System maintenance specification / INUPPERT Page 6 Management and contingency pla Sn-r P D =59 = Page 7 Pump curve and specifications Page 8 Plot plan ; Wit Designer: Mary Jo Huppert License Number: 1859 - 007 Date: 06/22/13 Phone Number: 715 - 426 -1775 Signature: ~ 1we Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDI3-10691-P (N. 01101), and both 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) Version 7.0 (R. 03/2012) Page 1 'of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 400.00 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of 36 inches. 600.00 Design Flow (gpd) 8.00 Site Slope 98.00 Contour Line Elevation (ft) ! ~v18.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 60.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) v 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressur_e_ Disribution Information network? Enter Y or N (C or E) a Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevationAftL 3 Number of Laterals of the highest point. [ v j _ 0156 Orifice Diameter (in) 3.33 Estimated Orifice Spacing (ft) = 11.11 ft2/orifice I 2.00 Forcemain Diameter (in) _ _ 30.00 Forcemain Length (ft) Does the forcemain drain back? 90.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 9.09 Vertical Lift (ft) 55.89 5x Void Volume (gal) 0.55 Friction Loss (ft) 60.79 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 29.08 System Demand (gpm) 14.19 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x I 1.25 x ? x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 4^ Total Tank Capacity (gal) 1 1200.001 Septic Tank Capacity (gal) i ° Total Working Liquid Depth (in) Wieser Manufacturer gal/in (enter result in cell 1349) ..,._-d......~......_..-_....-._..._.....k Dose Tank Information Effluent Filter Information _800.0_0 Dose Tank Capacity (gal) O Pol Lok Filter Manufacturer 22.241 Dose Tank Volume (gal/in) 525 Filter Model Number Weiser Wanufacturer Project: SAMUEL J. & NICOLE L. OLSON Page 2 of 8 Mound Plan and Cross Section Views T 1/10 B Observation Pipe J FK' • l+r.r.r.:•JoJ• 1. r.r.r.r.r.r.j.p: pe . .p.p.1.1..•.r.r:p.:.f.:.p.r:l.r.r.r.:.J.; :.p.r.: 4.1.1.YL•1+•.••.+Lv1.1•L•1.1••.•1•Lv 1.1.11••n1.1.1.4.1.1•°.•^..1.4•'.+•.•4.1.1.1• 1••.•L•1• •l•:.r.p•,~• :.p•p•p•p•r•J..•.,•.••.p___~ rrr} pep.r.p.J.p.r.p•.r.r.r.r•p.p.r. p.r•p.r. A L•1.1•'4.•n•1.1.1•'L•°..1.4.L.1.1.L.1.'. L„L„L,L.•.•L.L•L•1.4.1.4.1•L• 4.1.4.4. ' tirtiNJ•N r•r•r,r•r•: •:•:•:•r•: M•r+: vr:l'•: .:.r•: .:.r•r•r.r•:•:•:•:, :•A:•: T•J:r.•.•`:.°.r:r1•J~%J~J:r+•r:r~r:::~l':f.r.: :J: J4.~"s ,eJ1.J1r:J~r::1rrr~r~p:r~r1r:r:.~'~r..~"4l~dy'1f ~f • S•Y4•L•1.4.1.4.1.1•"+•".•1+1.1.4.1.4.'L.1•'L.1.1:1.1.1.•.^L.1.1.•,.1.1.1.1.•,.1.•,.1.Lo1••..•~.4.1. L Mound Component Dimensions Down slop a toe extension made. ft A 10.00 ft E 27.60 in H 1.00 ft K Eflft B 60.00 ft F 9.25 in z 15.00 ft L ft D 18.00 in G 0.50 ft J E 6.70 ft W 600.00 (ft) Dispersal Cell Area 1500.00 (ft) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.27 (ft) + H I F 100.00 (ft) Lateral Dispersal Cell 99.50 (ft)--► - Invert Dispersal Cell Elevation D Q: 4 4 ' 98.00 (ft) Contour Elevation 8.0 % Site Slope Geotextile Fabric Cover Shading Key m -T Dispersal Cell See lateral details on 1 Topsoil Cap ~ 20 ~ 1.5 ft Page 4 for number, size, r•J•r.r+r•r.r+r•r•:•:•••r r 4 11.1.1.1.1 4.1.•,.4.1.1.:4.4. ❑ Subsoil Cap a o rLr.r+rtip.ar.r•r•r•r•rsrtirtir and spacing of laterals. 4.1?gr ti~1r 1 .4 1:1r• ~ ASTM C33 Sand 1`T J r.:.: • :.:::r Laterals are equally ~'¢~q,~°~,' I L.1.L.1+1.•..1. 1.4e4.4.4.ti.4.4.4. spaced from the Typical Lateral ,~:rtir,r Tilted Layer 0.5 ft lii.J ® I •r•r•:•r•r-:-f ?=r:f':-f~"j•r•: •r F L•1•'. 1Ks•+•1 YL•1o1.1•L distribution cell's ® gg r.. ...r.r.r.r":.r J.:.J.r.. 1.1.1.1 1.1.4.1.1 4.1.1 • •.+1+", Lf4~1:4r A regate Q %r{f ~f'~j{fvrir'•5~4r'•r"•'.r'~r', •r^r•r•r•r.:•: • r• .r•r+r+ •r centerline in the A distribution cell (AxB). Project: SAMUEL J. & NICOLE L. OLSON Page 3 of 8 End Connection Lateral Layout Diagram Center thelaterais*war theA&6 dimension 40.®Tura-upvdballvalvooralwanoutpluq P 4 AU laterals are ddenticai IE X - l #4W as Oilled on the bottom of the lateral erpaally spaced ~ Q.axerals ,S1 brcemain Sch 40 PVC per SPS Tablo 384.30$ g Force main connection We We Cr Cross to manifold at any point. Number of Laterals 3 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.44 ft Lateral Length (P) 58.48 ft Orifices per Lateral 18 Lateral Spacing (S) 3.33 ft Orifice Density 11.11 fe/orifice Lateral Flow Rate 9.69 gpm Manifold Length 6.67 ft System Flow Rate 29.08 gpm Manifold Diameter 1.25 in Total Dynamic Head 14.19 ft Forcemain Velocity 2.97 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented F--- Akemate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacityl 800.00 Gallons T Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.34 452.32 B 2.00 44.48 C Pump off elevation (ft) C 2.73 60.79 90.91 D 10.90 242.42 D Total 35.97 800.00 Dose tank elevation (ft) 3" Bedding un er tank. 90.00 Alarm Manuafacturer sJE Rhombus Note: Switches Alarm Model Number iAB Tank Alert containing mercury may not be used in Pump Manufacturer [Gould this system. Pump Model Number PE41 Pump Must Deliver 29.08 gpm at 14.19 ft TDH Project: SAMUEL J. & NICOLE L. OLSON Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name 4 Ron's Sewer Service Phone (715)749-0153 POWTS Regulator's Name I St. Croix County Zoning Office Phone (715)386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 f:2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding,and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. i I Lateral Turn-up Detail Finished Grade vl 6-8" Diameter Lawn Threaded Cteanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: SAMUEL J. & NICOLE L. OLSON Page 5 of 8 ITT GOULDS PUMPS Residential Water Systems APPUCATKM MOTOR Specially designed for the following uses: General: • Mound Systems . Single phase • Effluent/Dosing Systems • 60 Hertz • Low Pressure Pipe Systems • 115 and 230 volts • Basement Draining • Built-in thermal overload protection with automatic reset. • Heavy Duty Sump/ • Class B insulation. Dewatering • Oil-filled design. High strength carbon steel shaft. SPECIFICATIONS PE31 Motor. Pump - General • 33 HP 3000 RPM • Discharge:1 W NPr • 115 volts • Temperature:104OF (4000 maximum, continuous when • Shaded pole design fully submerged. PE41 Motor. • Solids handling: W maximum sphere. • .40 HP 3400 RPM • Automatic models include a float switch. • 115 and 230 volts • Manual models available. • PSC design • Pumping range: see performance chart or curve. PE51 Motor. PE31 Pump: • .50 HP 3400 RPM • Maximum capacity: 53 GPM • 115 and 230 volts • Maximum head: 25' TDH • PSC design PE41 Pump: • Maximum capacity: 61 GPM AGENCY USTINGS • Maximum head: 29' TDH PES1 Pump: • Maximum capacity: 70 GPM • Maximum head: 37' TDH ~cus Tested to UL 778 and CSA 22.2 108 Standards METERS FEET hay canacwn Standards Assodation 40 File #l138549 PE 1- - r <3t, that. 35 W. 33. A0.50 10 L4 s F ~ t 30 f 2 GPM Goulds Pumps Is ISO 9007 Registered. ( s~ 1 }7 3_•__i s D ' 25 20 E F a 3 F € _ i s_ s ..~'f SS F J.w 10 s s s_ _ _ 1 5 E 0 00 10 20 0 : 40 s0 60 70 GPM 80 0 5 10 15 .11h CAPAMY 7 nF S Plot Plan Page 8 ofd Property Owner S4AU ie AICO M L, M504 &AYE4.5 ; AKoe,u 4 - i PAwE oGSON 1 » = 40, ft. Legal Description new of -rye mw /y i, AM A of (except where noted} -rr W 3U. T29A) TbWAI a= EAR El = Backhoe pit s~-, cROIX cou~~ w~~caas►N~~ Ml ~2&S L~ ~ i .so' Aciov~ ~k ~ orA t=tech of4.D t7a(Z TNkt TAB ~ _ w w/tom t Od ~zBAI Z= 4op r IN Trz ~ NP ~ /!rt►'A8~ X20 qb bs' Site Location: x -5► z ~ N ?/~-ST ouC R ~ Wisconsin Department of Commerce I SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings "'1fi'accordance with Com Wis. Adm. Code D County ST. CROIX ft m Attach complete site plan on paper no less than 8 1/2 x 11 inches in size. Pla include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel )008 - 2000 - 90 - QP percent slope, scale or dimensions, north arrow, and location and ViNna4 7 nq~fst road. -60 `i ~ ~W 1, w b DateQ Please print all information. U L/ L J R Personal information you provide may be used for secondary purposes (Priifaby ~ 60w)). - G Property Owner + Property Location SAMUEL J. & NICOLE L. OLSON of NW 1/4 NW 1/4 S 36 T 28 N R 16 ©r)❑W Property Owner's Mailing Address Lot # Block # Subd. Name or - -Oki 2626 Boston Road 5 I? CSM Vol 19, Pg 918 City State Zip Code Phone Number rlVillage ■ Town oad ?6 3z)`, Woodville, WI 54028 ( ) Boston Road 0 New Construction UseE] Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement El Public or commercial - Describe: Parent material loess over till Flood Plain elevation if applicable }.I ft General comments Mound System --1.50 ft. sand fill 0.4 loading rate and recommendations: CS ~ J L~_ I Ira~Q~ e~61'L 2©OS/~Q~. - ftW- laf- vim' sys w~ i,4 Mua f FT] Boring # Boring a Pit Ground surface elev. 98.60 ft. Depth to limiting factor 21 in. [Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I 0-10 10YR2/2 sil 3fabk&gr mvfr cs 3vf-co 0.6 0.8 2 10-14 10YR4/3 sicl 2fabk&gr mfr cs 2vf-co 0.4 0.6 3 14-21 10YR3/6 cl 2fabk mfr es lvf-m 0.4 0.6 21-lsbr F21 Boring # Boring 96.30 22 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/fl= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 7.5YR2.5/1 sil 3fabk mvfr cs 3vf-co 0.6 0.8 2 9-15 7.5YR3/3 - sil 3fabk mfr cs 2vf-co 0.6 0.8 3 15-22 10YR3/6 c 3fabk mfr cs lvf-m 0.2 0.3 22-lsbr * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Mary Jo Hu ert Hollister's Soil Testing & Design) 224832 Address Date Evaluat Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 06 - 05 - 13 (715) 426 - 1775 Property Owner OLSON, Samuel J. & Nicole L. Parcel ID # 008 - 2000 - 90 - 055 Page 2 of 3 3 Boring # 11 Boring g Q Pit Ground surface elev. 95.60 ft Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 7.5YR2.5/1 sil 3fabk mvfr cs 3vf-co 0.6 0.8 2 10-14 7.5YR3/3 sil 3fabk mfr cs 2vf-co 0.6 0.8 3 14-18 7.5YR3/3 c 3fabk mfi cs 2vf-m 0.2 0.3 18-Isbr ❑ Boring # H Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # 9 Boring Ground Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/- 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-8330Test (R07/00) Plot Plan for Site and Soil Evaluation Page 3 of 3 Property Owner SAMup-~ e Acme L. OL-5W gmYer,s : Axbem 4 "A(E oz-sod I" = 40 ft j Legal De Lion AtW lq of -me yw " N~ /y of (except where noted fl -AW`Ay S3V R! uJ - 6-Au- o = Backhoe pit Y7 ACR&5 sT Cp#IK CouwT*k/_ D t5ebAtS►N- L r~l 9y~ , b ~SP/KS Iv T12~E,?)NE ` j. _o l.SD' 1460M / e ~ _ y ~~uM~ loo, oo' 9560' 9.F..3,o , ?r OLD FIELD lZoAt? OR Tf I bD I4 8R✓~ ~ NP ~ qb 65 3 PRI• ~Od 7d w Site Location: N X -sue pm h N PrcRCe-s: an R ~ o Cl) 3 ° C f o h' ID C n a rr I X ~ p 0 0) 3 3 0 ° 00 3 c rn °o 7b • -4 (D N h•• N W C" S= E 0 O G) go N C N N N C- CD to 3 3 0 N 1 O O O m 0 N fD ! l0 r p 25 D COn m O 7 O rL N (On O y (n N W W ~O m . C D a W CD c~ fn a O N W N 7 W n O 3 o o N N O j CD =3z ! 0 00 Ln CL o co to n w CC) r- co to 0 c 0 O C 0 o 0 3 < d O O O " H• I m 3 N y 0 D ~y v O O Ay ! N O O N O O 00 W y 44 I ~ W N D D 0 p CD M O g s a N fD y Z 3 ? 01 Oro 0 m r, O = 3 N CA A N (D in c n ip N A Z O 7 o N CD c u) CD c W 'U < oNO O) ID fD ' Z C? 00 W 3 z rn y z A W - =r R a f2 N fD 'C1•' d a c ZO?in3 m n . N C Qo o Z p C fD fD CL CD 0 3 D N =r O 7 fD O Q Q it C 'D 0) w O n N ~G N O• O o N n < 3• ti W p O w li Q 0 b A I m Dro a 0 0 o ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND d OWNERSHIP CERTIFICATION FORM I Owner/Buyer s19 a e 1 CD L F DL 5 v Mailing Address 2 (0 2 (0 0X-~o /Q {Z t O.0 0 V (.iE ~ ( 5- tKO Z I? Property Address Z Z r s-,, (Verification required from Planning & Zoning Department for new construction.) City/State ~000b Vt 4.YC W.f Parcel Identification Number 69of' 2-0Q7- 10 Aa&j LEGAL DESCRIPTION Property Location M LJ 1/4 , AJ lJ 1/4 , Sec. 3L_, T Z'9N R_&W, Town of .A~-t !3A L L Subdivision , Lot # . S . Certified Survey Map # 7 Zt z,C-2 , Volume G , Page # Warranty Deed #~7~ 9 , Volume , Page # Spec house yes Lot lines identifiable <~rs no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into. the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe 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 C~ la /ice l 3 SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) ~,~1►1111 , NEIIIIIIIIIIIIIIIIIII C or 1 9~ 977045 BETH PABST REGISTER OF DEEDS N01°20'49' UNPLATTED LANDS ,,cn ST. CROIX CO., WI 1984.67' -000 1%% _ m RECEIVED FOR RECORD mow, N01°2049"W 661.53' a, 04/17/2013 3:22 PM, z EXEMPT m 33,,33 w N01"17'21"W 3587E59T- N00°28'39"E 302.49' rn REC FEE: 30.00 0 a Q o = WEST LINE OF THE NW1/4 0 COPY FEE: 3.00 z ~ PAGES: 2 W, m O > n -ozm (A d7 ' lO L S ,q O4 q?'W I 0 ~ I C ! 0 n ° O m 70 C p rn ~ cOc zN I X52=q, 1_ ly oN- ~'00 =z 0mn 6 Oz nr`Oj-+°rn Z N2 ~N6u; i~ i~'n Z a z m< m 0 Z Al CD I I~ X00820" CO ''~rv z° c a !v ai 1T~ g z o I 7S ~E I I le a j ° -z! liO 6j3 \ IIV ;~z D O n n g ~ ~ Q cb, yOy m 0 0 I 1~ I Co \ N C m < n°i o t7 -DTi w p ~cp o I,NV /m a T m r z [n !T ID v G'~w m m y IV O' pp Z a) b 0< IC ~ Q n C7 r ! I'O m M. rT' mC7 I'ZO I~ I /c'j Nm m O l2 zj~!O OcAO(= 07 r z?i 0m OZ /'k ~IO Ia zw~~ m O O 1m Z I~ a mc7 mc') Q1 v! mm T N ~d a~i°~ Icai I N /ryj V Z l~ in O W 0 X O N n O a N ~4 N O m !O Ic) ➢ 'O T L2 (D r m c o? w m va O Pik r 0 m N v / /c oo m i~ -4 C oz z I I\ o ° 0 1 c / 0 y ° ~n _a m i° m ° NZZ < rn I SyspG~O \ / 'aw I m 01 m a I \ \O v, \ 0 a to d Z m c2 cc N I \~v g \ p c cL -n w r IN m m A I \ Z \ai3 a Iv ICI' v W ~ i M 0? 00 0 03 I~~ vQ nmp Iol I \ I IVI~I w is 0 CO~® I j ss.oo ss ~ I m y m II S02°11'50"W Hou°,Q ? I ~ O z < OT m 106.33 C Z ' N 2 N _z I o9 S~4 I+ n . w" Cn C ~m Z n CF az O ~r S01 °08'00"E 9\Fq N o ~ = c) (n n C3 > p I° 19 Iq%I 220.38' O 0- 5; 0 m c' I rn x m n r z ro \ n O x m m m ~~Im m l 6 i mz~~~ = OJD 0 m 0 m N C mm~r23 T 171 O (J) ~ lo m Do l4r.~ so m cA n~ormc Q A m 2 AI cam~ y O A 1 m z: IZ ~p z I I I C B\ \ E 7 c n l ! O=w ~ -m< 0 31 0 m w ! T m n 0 m -a l/J < O Z1 Ac'o I' rn°~ ~N 'I ;p oomig ° o z )C ? ty cn r Y /~I $746 C s , r x 3 Z M m A \ W O ■ • O ~-?Om I!~IG 'r \ rncri+acr.~nri~ r O x G m cmn (0 0 mm~ n;colp zcnzzcnz r m °J J m D m ZzvrT I iNi~icn `dm$ 62 v main Iv ~cnn z m" 700 ° m C) mZZ O m e N Iw ,~t m m rr1 nJ Iw Pn m m 9 m z c Z co Z X7 'ii: gy~< o Im p c7 -z , m ~ Q W D Z w m W m a z z m T m rnrnao G7 Z [!'tm p O c S~z~ O m So m c 47 p m z O N 2 z0 o m = r n N? z O Dpm m p ~O -u m BEARINGS ARE REFERENCED TO THE n G7 Z WEST LINE OF THE NW1/4 OF SECTION 36 z O = D 0 r BEARING N01'20'49"W (ST. CROIX COUNTY rn m ~ m m COORDINATE SYSTEM). m SHEET 1 OF 2 SHEETS 1 of2 Vol 26 Page 5919 State Bar of Wisconsin Form 1-2003 8 0 3 5 5 9 1 WARRANTY DEED Tx:4025793 940769 Document Number Document Name BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between Eric A. Joncas and Colette R. Joncas, husband and 08/29/2011 4:23 PM wife EXEMPT*: NA REC FEE: 30.00 ("Grantor," whether one or more), and Samuel J. Olson and Nicole L. Olson, TRANS FEE: 867.00 husband and wife PAGES: 1 ("Grantee," whether one or more). Grantor for a valuable consideration, conveys to Grantee the following described real Recording Area estate, 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 David J. Estreen needed, please attach addendum): 304 Locust St. Hudson, WI 54016 That part of the Northwest Quarter of the Northwest Quarter (NW'/. of the WI-19783FA NW'/4) in Section 36, Township 28 North, Range 16 West described as follows: Lots 1 and 2 of Certified Survey Map recorded in Volume 19 of Certified Survey Maps, page 4913 as Document No. 785195. 008-2000-90-055; 008-2000-90-030 Parcel Identification Number (PIN) St. Croix County, Wisconsin This IS homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances except: Easements, restrictions and right-of-way of record, if any. Dated August f, 2011 INA it 0- A (SEAL) ".6" (SEAL) E=W Jat. *-Eric A. Joncas *Colette R. Joncas (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF Wisconsin ) ) ss. authenticated on St. Croix COUNTY) Personally came before me on August.g QAt, 11 * the above-named Eric A. Joncas a%ld_j0oIFtrd1kAnsas, A. _ TITLE: MEMBER STATE BAR OF WISCONSIN hu d and wife ti - 1., 114 (If not, t known to be the persglf~ ao execuWd ••the foregoing authorized by Wis. Stat. § 706.06) ment and acknowledged thb Aam . ; 9 THIS INSTRUMENT DRAFTED BY: * David J. Estreen ~b • Attorney David J. Estreen Notary Public, State of Wisconsik s 3 tr 304 Locust St. Hudson, WI 54016 My commission (is permanent) (expires7' ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 1-2003 *Type name below signatures. INFO-PRO"' Legal Forms • (800)655.2021 • infopfdorms.com 1 of 1 ,,,rtllttl ~ EDYYtfII C ~ ! Y I`/ ' RAWN ~f" 8-$487 AMFJW N01'20'49" w UNPLATTED LANDS 1984.67' - - - - - - - C. T. H. e o I w 4801°20'49"W 661.53' cmy) QQ- W - - - - - - O z 1 c"'n Iv N01'1721 "W 358.5 9~9T■- N00°28'39"E 302.49' ca 0) Do n A Z:t 33'13 ow 0 WEST LINE OF THE NW1/4 N =1 v 00 w 5 W Z Co 48 0) m 2 ~cd o c-~ oo m DmZm Ivcn OS lO~ L_S`S"04 rn lOl~ fp fr X000 ~ ~rn D O o 0 cow I \c,~ ~44\'w2S IplJi0 m. C 0 mg4. no 0 O~ \~w~ X2`4 ini~l~ morn ~pz vz7 ~/~2 ~N6co I~I~IQ Dp ~~zrrT- F~zM C ~~QB, ~O cnIAI• cnlvdy on m_oC o I'lA 2p„ 6e w co I to m Z v W a' cn z Z o m ID 1S6~~F \,50\ I00 Iv r- A °o c- C O Or 11 3 IN ICI ~ D <O cn ~ < ~ ~ p D y -X - C m p~-- r~r o pf- D I IIzI m K m O Z 0D p mm Ica Oti~O° o N p C ~z DmD z W I IIOI1 co rn D ~ It r° D 'n O D~ mm c°nzOi O / ~Jr -D-+mdm D I~ I 1I °Q 0Z ~V I mEl zw-,10 c 03 r <30 D m00 Jm i~ V Iw /W ~~O ~O A ~IVI~ OTO 2/11 (n 0 m In1 cam,'I N m co /gym I rl01(~ z W o 0 > ~'n D o ~ m10,tn DDUO < Q(D f'm..~ 71 cz cmo -4 C4 0 m -n 0 w _0 o i 0 g l /o ~`O m y t co I0 F : o Zj -11 0 10 -4 2~ o M if") (D z) crl cm I IW Nd)','O \ = Irn c~ Q~ DwD0 Zt- I \ \ODn \ Z 0) $ N o N 1------- m co g, ° a NNO~ 03 -n 2 \J if IW m m ~j I f ' a' cn m "1 02 z ~ ~0 nm01o m I I~ I C~ \°6= m wI nrCOIN S No ~CAZ~ m TI f, co w -A I I I \ I icnla,In 0~ i° I00I°I~ u, 0m0 IW I~ I \ I INl~li~ o o.) C 0 55 0 v I 66.00' 66' 2 sv 3 N Z u S02°11'50°W c"I c ~tiA W A I CD m c -i N 106.33' "O~sE \'A> D N W o Z m 0 2 N o z I ~o9s~„1 I+ ~ mmU) 010 I ag4TF S01 °08'00"E _ -b (D U) rcn n Q) I I I I I ~FC~9r F ~ 220.38' -,1 0 1) > ~ w o m I N I '-j m rn yOQ-~_-IM,om o o m r z Icn m Z I mz~Zj-n 1 o CD 0 m 0 f\3 m I I~ 4r~~~\ o N (D lid z=G)0md ~m_q > O r = 41' A - O I~ c -IZmc 0 ~ygs rn (n u~J l I~ w o c (mn CT< Q Q O I I I S \~.w~ ON N 0 Mom OK W Z 0'TI > ED: / ~~\I s?8o? oo woo`' S~~ ~I iZ omz-nD = O 0 0 m U) 9 I~ > Z C ~jl \ \ 6"If ~oooo I c z M < U) I \ W I o m 44 ~-ZnOm I IpI` \ rnu co nm z x t0 ~C O IpI 0 m c plcr G Z m I Ic) I~ I'I \ d Ip IQ w 13 m Dram I- r I~ N W CZ77zU~tOZO D IQ~ m I O r ~rI w w r Q > ` ^ / N = ICI I~ 1 r w I+ ~}t / D m I 0) I-A I~ O A .p m A .~p D I~ co ~G X A m L/ O m z Z U I N I I co 07 OJ 00 D I ~I I- (7 w Q m f- _O m O off' vI~ 00 o 03 o0000o W INI~I~ oaf Z ~1 O m L/ m Z 17- ~ u G) cf) I INIw!S rnmRl- m ilviwl~ 6° I CA c -n ~ o C m Lo 01 tea' vu, IV j1ro m m0 m z m z ? 0 D cD < I cva coo 5z w rrl r z m z U7 v < 0 W V z o zcaQ N~vrnrn m Cm SD.~ v Q 7D0Zm< ao -cirnGo 00 rn-11 z r- Zm m 03 O b O m D O O D O D Zi m m N z z zmDO cnz z O~ a d m Dpmpm r"A O m p m r- ° BEARINGS ARE REFERENCED TO THE o+ O z z D d WEST LINE OF THE NW1/4 OF SECTION 36 OZ O = o m G) W Z BEARING NO1°20'49"W (ST. CROI.X COUNTY co m ~ 7 m COORDINATE SYSTEM). 70 SHEET 1 OF 2 SHEETS Y F , Parcel 008-2000-90-055 07/01/2013 11:08 AM PAGE 1 OF 1 Alt. Parcel M 36.28.16.541A-25 008 - TOWN OF EAU GALLE Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 01/18/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - OLSON, SAMUEL J & NICOLE L SAMUEL J & NICOLE L OLSON 2626 BOSTON RD WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 2626 BOSTON RD SC 0231 SCH D BALDWIN-WDVILLE SP 1700 WITC Legal Description: Acres: 9.250 Plat: 4913-CSM 19-4913 008-2005 S T W NW & PT NE NW FKA Block/Condo Bldg: LOT 02 SM 19-4853 LOT 2 9.8N3 AC) CSM 19-4913 OT 2 (9.25 AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 36-28N-16W NW NW 5 t U'o 36-28N-16W NE NW Notes: Parcel History: Date Doc # Vol/Page Type 08/29/2011 940769 WD 07/05/2005 799291 2835/457 EZ-U 03/28/2005 790660 2772/249 WD 01/18/2005 785194 19/4913 CSM more... 2013 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/13/2013 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 36,300 314,400 350,700 NO 05 UNDEVELOPED G5 1.500 3,300 0 3,300 NO PRODUCTIVE FORST LANDS G6 4.750 14,300 0 14,300 NO Totals for 2013: General Property 9.250 53,900 314,400 368,300 Woodland 0.000 0 0 Totals for 2012: General Property 9.250 53,900 314,000 367,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 008-2000-90-030 10/22/2013 10:59 AM PAGE 1 OF 1 Alt. Parcel M 36.28.16.541A-15 008 - TOWN OF EAU GALLE Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 01/18/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - OLSON, SAMUEL J & NICOLE L SAMUEL J & NICOLE L OLSON 2626 BOSTON RD WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 2610 BOSTON RD SC 0231 SCH D BALDWIN-WDVILLE SP 1700 WITC Legal Description: Acres: 15.070 Plat: 4913-CSM 19-4913 008-2005 SEC 36 T28N R16W PT NW NW FKA CSM Block/Condo Bldg: LOT 01 19-4853 LOT 1 (15.23 AC) CSM 19-4913 LOT 1 (15.07 AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 36-28N-16W NW NW 36-28N-16W NE NW Notes: Parcel History: Date Doc # Vol/Page Type 08/29/2011 940769 WD 07/05/2005 799291 2835/457 EZ-U 03/28/2005 790660 2772/249 WD 01/18/2005 785194 19/4913 CSM more... 2013 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/07/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 29,700 0 29,700 NO UNDEVELOPED G5 11.070 18,100 0 18,100 NO PRODUCTIVE FORST LANDS G6 2.000 9,000 0 9,000 NO Totals for 2013: General Property 15.070 56,800 0 56,800 Woodland 0.000 0 0 Totals for 2012: General Property 15.070 56,800 0 56,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~a- ~A1N 4 R1 r Ll •M- 1 O ~ p Z