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HomeMy WebLinkAbout016-1046-20-175~ e h M ~O ti C n O O ni N N h ~l s Q a '~ '~ .~ 4 •AJ N .N *~i _~ 1tii • 4 V V C 3 LL M ~ f N ~ Ill ~ ~ w ' E ~ Z i = O Z ~ ' d d ° w a m N 1- Z (n N O Z d' N ~U ~ r _ • d' 3 ~ !/1 f" r ~ N ' c ~ m ' L ~ N N _N b C o a a '' "~ ~ z z o _ N ~ O M .. N ~ ~ N QI w ~ i W N U 2 ~ +° d ~ N o 0 0 a ~ a a a ;~ a ' > ~ g ' d o N F N U ~', L 0 o 0 0 0 ao 0 rn N Q ~ 'C ~ O ~ a~ ~ y VI ~ C 3 ~ CO N C p , N rMi ~ W CD M ~ I i C o ~ 3 ~' N c~ ' o ~ M N '. ~ C ' _ _ O N _ U Q O d' O a ' .: . ~ a a a n. ~ ;~ ~ a T U C C .fir ~ ~ ; co ° Ua g O v~ c v ° I ~ ° O ~ ~ m C i C_ O O U O U I ~ I m I ~ I c ~ ~ ~ N N N > N I z L O ~ C N ~ O N _ N N N t ~ d . . Z I I I C O in U w ~ Q Z ~ ~ m , ~ L ~ ~ O O ~ : I o z~ a C N ~ ~.' _3 C_ d ~ O Z ~ N ~~ I ~ ~ } o Z -a a~ ~ ~ ° o ~ CO .- ~ N d ~ n m ~ CO ~ O i ~ ~ C U ~ p ~ fn f9 ~ CtY ~ ~ ~ C ~ f0 ~ C ~ ~ ~ .,~.~ ~ .G C ~ N '~ Y ~ ~ ~ Parcel #: 016-1046-20-175 os/22/2007 08:16 AM PAGE 1 OF 1 Alt. Parcel #: 21.30.15.333D 016 -TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 11/30/2006 00 0 Tax Address' Owner(s): O =Current Owner, C =Current Co-Owner O -ANDERSON, DEAN K & MARY J DEAN K & MARY J ANDERSON PO BOX 278 GLENWOOD CITY WI 54013 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 2991 150TH AVE SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 2.000 Plat: 5322-CSM 22-5322 016-06 SEC 21 T30N R15W PT NE NE CSM 22-5322 Block/Condo Bldg: LOT 03 LOT 3 (2.00 AC) Tract(s): (Sec-Twn-Rng 40 1 /4 160 1 /4) 21-30N-15 W Notes: Parcel History: Date Doc # Vol/Page Type 01/30/2007 843516 QC 11/30/2006 839724 22/5322 CSM 07/23/1997 720/344 7f1(17 cl IInAnAeRV Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class Acres Land Improve Last Changed: 01/03/2007 Total State Reason Totals for 2007: General Property 0.000 Woodland 0.000 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 0 0 0 0 0 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 `~ 3 8.39724 VoL 22 vwr.~ 5322 CERTIFIED SURVEY MAP 11~ VOLUME 22 PAGE 5322 o~ PART OF THE NORTHEAST QUARTER OF THE NORTHEAST PAGES: QUARTER, AND PART OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 21, TOWNSHIP 30 NORTH, RANGE 15 WEST, TOWN OF GLENWOOD, ST. CROIX COUNTY, WISCONSIN f1 N ~n-r• h fi 3 S ~ =~Z ~ ~ A ro o_ -•, , v >E ~ 7 ~~ B a m ._r_ cn ro f ^ - n, ~ ~~ m = n vl d ? ~I N • o B ~ m ~ ~ ~O~ ~ o ~ o a =.w ru d ~ ~ ~ 7 r ° - - ~ rn ~ ' ~ 'o = o Z _ ~ N ' O ~ Q rp ~ 7 -~ ~~ ~ a Ip O d d N 7 O d O P1 n r N f1n o .-.s O 11 IV d O r 0 Gl +~ _rn ~ v ~-Z7 ~ ~. O ~i't = ~ Q. ~ ~ 1~'1 ~- Q v D ~ T -C ~ N ~ ~~ _ .. ~~ O I. ~~ o fl, T9~ d ~' ~ -" ~ o ~ ~ ~ m ~ -Nr o ~ ~ N d O !D 'O _ X ~ N O ^ C C N _Q ~- ~ ID ~c ~, fV ~ O ~ p ~_ d ~ ~ -Ni- ~ fD y ~ ~ -n ~ _ -« Q, ~^ ~ io ~... a ~ ~o ~ C ~ O -O.r G ~ ~C ~. ~ ~ C ~ y ~ --~ d C t/I ~~~ ~ V+ o °' ~ ~ ~. a~ ,~ ~~ ~ C O T 'O ~ O ~D N ~" ~•~~ 3 ~~ oaa n:0mewe SURVEY 1[AP 13.90 3. 89 2 R~cE~vEo JAS 1 2 2001 s3f. CROIX p0(~Iml YOR'S RECORD NI+ N.w.. . ~I . ) NOO'39'48'W 328.91' E~ 292.31' I ~ ~o (~~ Imo' ~o I ~I `~ 0 N - S i_ - __ ~O d 1 `° 1a NI of O ~ °p T ~ N ~O n j I~ I Q~ b ~ 1 N O ~ ~ Iv I I - ~ m 1 m .n N1~ ~O c __ O~ IF bl NI ` ~~ r o I ~I L O N 1 E N T . "v ~ 1~ `d o o~ e9 ~ - ~ ~ ~ ~ I I~ ~I ' £ ~ ~ ° ~ 285.23' 150 ~ I il~q I 500'39'48'E 320.00' ~ 1 (n 1 to ~~ ~ ~ ~ Y+ 01 O . N ~ °• 200.00• 1 >E ~ O NOO'39'48"W ~ 173.131 ~ I 40 lin~; I I o $ti' _ _ _ _ __ _ _ _ _ _.. _ !_ _ ' Z 1 ~ N I IS , ~ N CI 1 i~ ,J N f _ r~ dl J '~' -- ~'~ ~~ N N m ~ O y ^. ~ 1 I 6 ~ N °° O ~Q~ ~~ I =^ ;; o y °' ol~Nti ~~'r i `c n l ~ a~ I ~~~ 1 In °~.~ F In ~. ~l ~ Q ~~ ~ I$ O, I ~ 1 f ~ ' 1 0 ~ ~ ~ b„ 174.31''50~ '~°. i ~ ~ Iti I~ 500'39'48'E 210.00' O i b ~ 1 4 p I a` O N I Q T E G=] Z Z ~~ ~~ ~- ~ 0 0 a ~ o ~ ~ r N ~ ~' m ~rn ~` o ~ ° ~ O O o ~ ID ~ ~-r. N fl ~ ~ T T C _ r ~ ~ J ..c ~ T.~ ~ o ~CW m Gl N O f0 Z d _. nn ~ O ^ -, a a r-, -< ni o0 G1 ~ ° N ~: ~ - ~ -~ Q N ~O N ~ ~ ,~d ~G w ~o~ 7, N ~ r 1n ro _ r 1 of 2 NOO'09'43-E 294.60' 239.77 -. is ~` ~ nS O '~oI (D N N O ~ i~ N \^, 1 w o ~~ 's~i"I _ ~ 260.8t' , 50' "O ~ W~~~~ 50011'2.. _ \0' _ ~O ( ' ..s v O y O~ ~' N W y _ I ~ ,o F N ~ ~ 0 i ^a., m ~' y o. y ~ I °~ -,m O ~ I . I ~ y na .r- _.o „-. „o I1~ a~ 1 ~~ "n ~- . .,., ~. I p~ v 1 19 ;o ~ ~cna 1u IC ' ~ I f I~;~ 3 .-1_ .-f ,za ~ ~ iD I - 3 0 .J 1 i V I . 1'U N t-1- I ~ ~ ~ ~~ ~~_ 1 ~ ~ 1 Vol 22 Page 5322 Page 1 of 2 N O S Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buiit:ing Divigion .Ir 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 Anderson, AI Glenwood, Town of CST BM Elev: Insp. BM Elev: ~ BM Description: / ~ ~ ~~ ~ ' c-sT TANK INFORMATION TYPE MANUFACTURER ~ ~ CAPACITY pw a~ S~ Septic tJ~V~ /~ ~d F~ a~~~-~ 8%v~ ~~-~... Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic 7 ZS ' ~~(/~/ - 2 I ~ '2 l ~ ~^ Dosing 7 Z 5 ~ ~~ Z 1 1 z t~ _,___ Aeration Holding PUMP/SIPHON INFORMATION _ I i Manufacturer I ~ Z Demand " o °L~`!.t_, GPM Model Number /lJ ~ S Z z~ • TDH Lift9 85 Friction Loss 6 ~ ~6i5 System Head 3 • S TDH Ft /3.15 Forcemain Length / Dia. /, Dist. to wel' n I SOIL A6SORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 4992 ~ 3 ~ State Plan ID No: Parcel Tax No Section/Town/Range/PAap Ne 21.30.15. STATION BS HI /6~(, FS ELEV. /~ Benchmark s 7s ~d~ Alt. BM F,•ttti.. Ge W . a5 /6a . ~s5 Bldg. Sewer 5 . S 9~, y St/Ht Inlet ~' 1 94 • Z St/Ht Outlet Dtfnlet Dt Bottom /Z.~ 9 Z Header/Man. 3.a5 /6/. Ff 5 Dist. Pipe 3.a5 /~ /. ~sS Bot. System 3.7~ / 0 / , Z Final Grade Z •bs /6 Z ~g5 St Cover ` / , ~ eJ ~ ~ !~ ~ d ~ ~ qS Goti~o~~ 5.rs /(~ BEDITRENCH Width ' Length No. Of tench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS r 5 C~/, z,~ ~L, ~-- "~- SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ~ CHAMBER OR INFORMATION TYpe~O Jem r ~~ 1 /,/t ~_/~ _ UNIT Model Number: ~ ~ ~ I1ICTRIR11T1(11U CVCTFM 710 Header/Manifold r ,f Distribution / t/ ~I r x Hole Size , f 5 x Hole Spacing rf Vent Air Intake i...(ei~- Dia z•s Length Z Length ~~ Dia ~ ~ Spacing Z' S /3 Z // bb Goy " Cull rn\/GR . r~_...._...-., c.•..a.....~ n.. i.• ..., ne,..~.,.a n. ef_Grarlc Svctama only Depth Over I Bed/Trench Center / 6 S Depth Over I Bed/Trench Edges ` xx Depth of Topsoil \ ~~ xx Seeded/Sodded ~ No xx Mulched ~es ', No r COMMENTS: (Include code discrepencies, persons present, etc.) Location: PENDING Unkr~Dw(~ (NE 1/4 NE 1/4 21 T30N R15W) NA Lot Yr 1 l s.,~ C.o J i.`. 1.) Alt BM Description = f C(~,G,, ~,,5 2.1 Blda sewer lenath = ~ ~ ~4-• Inspection #1: 1~ / 9 / fltP Inspection #2: / / C'~'t~ Parcel No: 21.30.15. Q~o~ ~ ~~ o~ o~ ~~'S-, .7, t .'%~-t P ~ ~ 1. l ~i~ 'e,f.' f ~ ~Y')~ ~~ < 5~, : F ^,~, S ~' ~~ ` ~ii,f "J +K _ l ,J ~'.. i ~~ +~ { ~~ ~~ tt , ~ ~ , `, t , ~`s ~~. ~ , . , , • ~. ~ ~;~Safoty apd Bwlc~ags Division, ~ ;, ~ 201 Wr}yae~jugton Avo'; F 011io~ ]162,, `~ Comity < A, ^~ ~ ~~, ; ~- `i ~` l , r ~ , 1• ~~~a/~~~~ ; , ~ ~ ' MadisoA, Wl 53707 - 71 62 ~' 8 - 66 51 3 Lary P (to be filled m by CoJ r a ' ~ ' Com D" ) 2 - 1 ~ ; (60 } . ~;~~ merce a artment'o 'Sanitary Permit Application : ~ P1an LD. Nor _: ~ ~4 = ~ Ti~r4~ts " m accord w1Us Cows gs.2l, wts. ;~dm. eoaa, pecsenal Infotmatlon v• . . . ~ S5 3 way be used for sevondary Puspwts Privacy Law, s1S.04(1 jxt Addtass (if different than mailing address) t, APPUcatioa laformatloa -Please Print A111n1orma a , _ ' ~~. Property Owner's Name ' S~j ~ loos ~ / ~ /~a ~ P -B~ocYfY' ~.2~ ~5~~~` , c ~ / r~~s~ r Property Ownct's Mailing Address ST. CROIX COUNTY ti0 Pr~Y - City, Sta te ; Zip Code jJumber Phone / p ~ ~G r.~"! ,~(.~Q~ ~ / Y~ / ~~ ~"~V ~ ro T ~jt N, R /~E le o ` Type of Building (check sll that ap y) 11 ~ ~ ~ $ ~ , ., e = r m ~ Nu ber of $edrooms 2 FamUy Dw lling o ^ PublldCommaolal-Describe Use L' ^ State Owned- Describe Uu` ~ ^City_^Village~I'owtulup of ~~~ ill. T ype of Permit: (Check only one boi oa line A. Complete line B it applicable) ... " - ~"~ New System : ~ ~ Replacennnt 3ystaw ^ TreatmenUHolding Tank Replacawottt Only ^ Other Modification to Existing System B ~ ' ^ Permit Renewal ^ Paruilt Revision ^ Change of ^ Permit Transfer to Now List Previous Permit Number and Date issued Before F-xpusttao ; A:, Pl Owner ` i (' ~ a 1V, of POWI'3 s tem: Check all that a 1 S ~ O At-C3:ade ' O.3ingla Pass 5a~ Filter `. ^ ^ Nco -Pressurised }n-Gsound~Mound>_ 24 ln. of iultab a oil ^ Mo~rod <24 in. ofaultable loll t?: i . Prassutised !n-Ground ^ Hoki[ng Tank ^ Peat Filter ^ Aaroble Treatmattt Unit ' ^ Recirculating Sand Filter ^ , Coashucted Wetland ; ^ ,f Reclrcula . • S tbetlc Media Flltar" ` ` ^ ]~achla Chamber ^ Dr! 11ne ^ Gravcl•leas PI ^ Othor lain ' ~ ' VrDts rsal/17reatmentA.rea information: ~ ,- v. +~ -00.0 Design Flo (gpd) -~~ P Dpttgn So App cation Ra ~ e ,' f/l/ ~O Dispars Area Req ' (at) , SOD D spessal Arcs Pro ( "~~~~ ,,~Sb System Elevation. ~f~~y .Z, , Vl. Tank info , ;Capacity in a Gallons Total C~ailons Number of Units Man ~ ~ ~ O tf.~ntA 9 i8 i«x+t~ ab ncrete ite t Constnu~ted Steel Fiber; Glass Plastic . Now . 8xistia~ TsNu Teaks scpck or 7ipWit~Feelc ~B Q 0 ~[i!f ~ ~ ~ , Aerobia Ticat:r~ou Uait4 it , , DwiayChamber l ~, ' i a_ ~~ . Vll, lies nsibAi Statement-'!, the antic awtune r aslbp[ for [nstailatloa of the PON'I'3 shown on the attached Plumber's Name (Print) Pl s 'MP/MPRS Number ~ Business Phone Number D ~ ~--' ~I'.~9~' Z 2 .J'"--' 236'"~~ZL Sr Plumber's Address (Street, City, State, 71p ) ,. Vlll. Conn / Do artmeat Use Oal Approved ' . ^ D' mved .'%~~ ~ Sanitary Permit Fee ' lodes Groundwater . Date Issued nine ent Si (No Stamps) ^ ~ ven or Denial Surcharge Fa) ~ `-- ~'`~o ~~o . 1?L Conditions Appro val ~ 31~-rf ~ ~ ~Q,. ; ~ ; ~ dos ,;,,[L, _ : ,, , _ . , _ ., l1 ~ SYSTEM OW NER ~ ~~ ~~ ` ~ ~' ~"S 9 Septic tank effluent filter and - di~persal cell must all be servlc~d /maintained ~- ~ ~1- - /'+ ` Z .; rQS~~t~. ~ ' - "~ as per mana ement plan r vid ~°~ d b l b ~ g p o t3 y p um er 2. All' setback requirements must b~ maintained, a.c~t~~C's~C ~~~ ,~ ~. tea K Q s_' k ti / l "~^ pe a app cab e:code ordinances: ~ ~ . ~ --.,5,. Q- 0.,h ~ k f7'"'~-i.~' ~~' V~ - ~ 1 o T U \ a ~-. ~ L ' ~ L. - ~ ` ~ C7 ~ , ~ V,7 ' ~ `U \ (9 - l O ~- ~ -1 O - c9 t9 ~ ~o ~-- ~.. ~, `r \ o..., .,._ o o cX ~°(~ a, S~ ~-v F~L ~`l~ /'^ ~ C\ ~ , o~ ,ti 4-c~~ q ~~ ~~~ ~.~ ~ Q .~ J ., 13.5°/„ , '` n z. o ~ `-~ n ~a~<<~,o~ ~: ~ N ~ ~ s S ~~~ ~~I~ ,~,~ ~~ ~ S~ ~ K Gl i .2,~ l`re c.~ C..(2~, 6"! ~ ~ q,~ a1.-AWL - `+~ Sl o n ~ ~~03~ .¢.~ ~clo..~ ~lud~~ ~-6-r.~.+.r ~:/t 1 ~ o~ y~x G ,uv.Z~C „w(~ ~J e / ~o.. s. ~ '`~ ..., , d' ~ ~, S S ~.,: ~e /~ ~ 9-.ro - (~ o-o ~, y,;..l-t.o -~-~- z V,,, ~t sw~ so,t S '~ 3 o S. g L ~ ~ commerce.wi.gov ^ ^ isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary October 11, 2006 CUST ID No. 139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPII2ES: 10/11/2008 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1329553 SITE: Site ID No. 719279 Al Anderson Please refer to both. identification numbers, 150th Street above, in all dories ondence with the a enc Town of Glenwood • St Croix County NE1/4, NE1/4, 521, T30N, R15W FOR: Description: New Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1101880 Maintenance required; 450 GPD Flow rate; 22 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P IN.01/01) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be located and constructed in accordance with the enclosed approved•plans and with the component manual(s) referenced above. • 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 POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 1 S feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the tanWfilter for maintenance purposes must be provided per Comm 84.25(7), Wis. Adm. Code. • Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on-site durin>; construction and open to inspection by authorized representatives of the Department which may include local inspectors. A -a- ~, e ~ pia p9e, ~ ~' a 1~'"'~ x 5 s ~ ~ e~ ` ~~ y TODD L SINZ Page 2 10/11/2006 , 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 andlor owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and mavntenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, f,/ l!%l~ c erard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon -Fri, 7:15 am - 4:00 pm j eny. swim@wisconsin. gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 r x Al Anderson -Mound AF~F~V OAT , ~~ S'~F~r ~ ?cos Mfr Construction Materials and Techniques d U/`0//~/(~+s All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Pressure Distribution, SBD-10706-P (Ol/O1) Mound, SBD-10691-P (01 /01) Location: NE'/4, NE'/4, Sec. 21, T 30 N, R 15 W Town: Glenwood County: St. Croix Date: October 6, 2006 Owner: Al Anderson Address: 2955 150t" Ave. Glenwood City, WI 54013 Plumber: Todd Sinz Signature: License: MP 139462 Attachments: SBD-10577 -Plan Approval Application SBD-8330 Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 ~~ SEA GORRE~SP:JI~lDENCr Design Criteria Y ~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu1100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length ~ @ Lateral elevation Lateral hole size ~~3 z in. @ ~ ~ holes/lateral Lateral volume Total lateral discharge rate Network pressure: compensation losses Elevation difference Friction loss Total dynamic head Design Calculations ~~z--Z gallons/sq. ft. per day ~~ 2-"2- in. ~ 4" ~ in. `Z~~ ~ 5 g ft. of 2 in. zs ,~-s' 2's ft. of ~ ~4 in. ~.~ ~ 25'•~t~ gallons ~ o ` d ft. of ~ `/ q• in. 1 ° 1 ~ ~• ft. @ bottom of lateral ~ "~ ~ in. ( S ` ~ ft.) Spacing ~ ~ holes total ~ ~~~ Z gallons 2 0'~'~ Z gallons/minute @ 3 ~ ~~ ft. head 1, os~ ft. 14,E ft. L , b Z.1 ft. @ gallons/minute ft. ft. of head Model # ~ S ~ gallons ~ "''O gallons t ~" gallons Pump/si~ion 2-~ ,4- gpm @ Manufacturer ~ ~~-~lQ-~• 2o,45S~ ~~ Dose volume ~9 ~ ~ Lift/sin tank ~-~ ~-~ ~ ~ ` "'`~ - ~ ~-o Co ~~ ,, ~, ., Septic tank Effluent filter ~ ro.~.~o ~~ °`~ -ti- ~4 4'A Measurement pump on and off Height alarm from tank bottom Reserve capacity specs.calcs.res ~ ~ ~ in. 1~• d in. S~z.S~ gallons Page z- of ~ c 10 ~~ 13.Sy„ , j~w~~ 1` - ~'~ ~ zo ~ `,,. ~T t-~ zZ2 ~~g- es 'SS K ~ ~, , o~ ~ a J~2. ~ ~ .-~ 2 o~ ~~~~ b S~~ s~~~--r fZ ~0.~1cho~ ~; ©~ 2.~+ ~ , S. ~~ S~ k 6 ~ ~ Z` Y-o c. C.21 i ~ z, Q. ~-oll0~{1~~wo~~ 1 ~-CM~F-o~+.r dL~. ; ~J t ~, °~ o~ i ,~ ~ ~~ 3 (~ S. 1t S~ ~~~ .~,~~ ~~, S ~.,: ~e 1-~ ~~-4 ~. ~~ ~~-~~ ~,f,w,,.L.,..p -~-e-~ 7 \ ~ ~ - S `~ TLS'/4( r a~C..o k ~.,' "+^ r.. ~ o ~.r 2r... ~l sw~SO-\S 3 o~g ', ~ ;C: ~n s~ S .-,•\ ! ~'~,i Ova ti ~,; J ~I j ~ ..... ~ 1, ,1 i~ yi•.~~~L 4..-z~,,~ ~ ~,.~A ~ V'OC~ `~ C)~ ~ ^ Owl `~~ ~ ~ c ~ ~ ,~ ~~. ~ ~ .~ ; Z I,Z.' 1, ~c. M yy i~~~ z ~_1 - a, ~ 1~i o~t~, ~ sc~ `w~ ate! k~a~l ~0,~ - O.~ 3~ .. ~\~ ~_ M~~ ~' a ~, -z,, , li4-Z' ~ ~~ b'6~- t Z~- ~ T S"~°~ 2~i,~' z,s ' ~. I ,~~ i~.s' °', Q`" C., 4 ~ ~' •-~. ~' u c o ~O S ~r ~ ~+: o ., ... a l ` ~ }-o ~o . Y .~ a .., v ~ r o ~`c b ~, ~ 11 (` (', ~`1 ~~ ~'~4~Pvc s~, 4-0 \ ~~ .,..~1 ~ 2 , 5 ' ~/ S o' I S,D~ ~, O' ~ ye xeC OM w.:vs~<G.wt ~~-_ JJ 1( ~ ~ ~ " A x-14 l ~_ ~ ~ ` 1 ~ ,, ~~ -~ J a~ ~ C~~s ~; ~ QUL Sc_~ 40 ~o~<< lr.e.',.~ --- (~ \ ~- . _ . ~~ l"Iw. ~~ 4" Ptic ~~~ 4m DIP6 3' nu NOIsTuRe~o S41L ~r1ALf T 4 P1' it GV L..C~, o-asl\41- S O 1 \J T'S ~~~ h1~~ L~ iVh1lT~1oIN Cie.,. ~Z.o t,El.Fv. ~, ~ SEPTIC f DOSE 24" Z.'D, MA~1 t14LE > 4-,~ _..,,,. 'T A ~FLE IL a ~ ~ \ ~~ ; h Ow~~a.~ 0 SPECIFI~CATIOf..1S ~ ~.~ ~ l~ 250" Alm .T-- ON l~ o „ oc.~ 9„ ~~ b1 FoR~~i MAiN WEATNERPRO~F 11I Ih~ ~ '/•WC.:P N (r:L 1 4z° PwyP co~E-rte bcoG~C I.' y7/i~i~'7 Pv~ w. C" 4 0 _ YEhT, J ~~,~ - - - - / , ~~ ~ L 4c 3' o~ o so~,~ (7RDU-.o I Tnu. S MA-JUFACTUiIER; " ~'" (DUMBER QF DOSCS: ~` 1 TA-.JK SIZC : ~ ~~ - VQ"L~ GALU01J5 pEk C~~ ~ .OOSf VOLUMC ALARh1 M~l11UiACTUiZCR; S `~ ~7<<c.Y1'` IIJCLUDIN6 6AGKPLOW: ~~~~ vA~ ~Nj .. /hOC)CL fJUlhtifR: . 1 e 1 1-~ ~ ~ ZS,o 3~2,5~ , CAPACITIES: ^ _ I~ICHCS Ok SWITCH TyPf; ~'~`"~` "'`b .,Af.LOkS Z' Z~'~ {'UMP h1A/JUFACTURCR~ ~°'e- ~r 8 = IucHES oa Gquous ~~ ~ ~ O IS 1 MOOEL 1JUMDCR; iUL nC 5 OK f,NL~OUf C ° S'~ ~3 4 1 JWITCH TbPC; ~~`"v w . O~ I N>r >1 E 5 G R ~eR L t. 0 yy S MI-JIMUP'1 OISCHARGF RATE 20'~ G-ht 1JOTE' PUMP AUO ALARM ARC TJ 8C INSTALLED 0-J SEPnRATC CIaLu~~Tg VCRTICAL DtFFERCIJCE DfTWCCIJ PULP OFf AUO pIJTRI~UT ly~~ I OAJ PIPE.. FEET + r1~~.IIKUM -JETWORK SUPPLY PRE>;zURE ' 3~5~ ~l,oS FCCT g ~ ..-.__.. lS + FCET OF FORCC MAIN X I._..01 ~/oo/tFRICTIOU FACTOR. i~b FEET ~ ~I ` r~ -' TOTAL D~-JAMIC WEAp z.o.BS C_` G -r._.. FEE T IIJTER1,lAt^ pIME1.J610Nt; Of TA-JK~ L.E-.1C.TH 2 ;WIDTH iLIgUIC) DEPTH 1'au~ 6 ~ a g ---. ~.. 1~ ~,~ ..: ~x . ~- 1 -WCKIIJG~GOV~R "'~ lvA.~'N iuc ,t ABED . 4vIcK D14GGVytGT-1 ' ^ai • •. ,r• • `Nr , ;~•r ,• ,j ~ LL PUMP PERFORMANCE CURVE . MODEL 151/1521153 ~ ~ 14 45 t53 i2 40 ,.•.~;'~.. ~ tU 3 152 ~ ~ 8 26 157 ~ 8 20 15 a 10 2 . TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 Feel Meters Gal. Liters Gal. Liters Gal. liters 5 1.5 50 169 89 281 77 291 10 3.0 45 170 61 231 70 265 15 4.8 38 144 53 207 61 231 20 8.1 29 110 44 187 52 197 25 7.8 18 81 34 129 42 ~ 159 _ 30 9.1 -• - 23 87 33 125 35 10.7 •• - - 22 BS 40. 12.2 - - •• - 11 42 Shut-off Nead: 30 h. (9.tm) 38 h. (11.6m) 44 h. (13.4m) Ot 45Jd6 GnLLUNS FLOW PER MINUTE ~fl~~~ULT ~i~G`~`(~R~l FOR ~~~=~1AL APpLICATI~NS 0145oeA • Timed dosing panels 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 available for outdoor installations. See FM 1420. • Over 130°F. (54°C.) special quotation required. 151/1 c~21153 Series 151/15211 53 MODELS Control Selection Model ' Volts-Ph Mode Am s 31m kx Du lex N151 115 1 Non B.0 1 2 or 3 8N 151 115 1 Auto 6.0 Included 2 or 3 E 151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 N152 115 1 IJon 8.5 1 2or3 BN152 115 1 Auto 8.5 Included 2 or 3 E t 52 230 1 Non 4.3 1 2 or 3 BE 152 230 1 Auto 4.3 Included 2 or 3 N 153 115 1 Non 10.5 1 2 or 3 BN 153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 t 2 or 3 BE 153 230 1 Auto 5.3 Included 2 or 3 Model 151 j-.-- 6 7/32 3 7/6 .~~ a 5/8 ~ 3 7/e e ® 3 7/e i n !i/15 i i ~- I 1 tst Models 152 / 153 3 z7/ t2 l/8 ~- SELECTION GUIDE A CAUTION .+~~ ,n~iailakion or controls, protection devices and wiring should be done by a qualified iic,;nsed electrician. All electrical and safety codes should be followed including the most rzrenl National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 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 Alternator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify dupiex 13( or (4) float system. RESERVE P(~~1~EREl~ DESi~N For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 L' ~ "'~ ~: Louisville, KY 40256.0347 O ~• SHIP T0: 3649 Cane Run Road ® e ~± " 4 , ; ® Louisville, KY 40211.1961 http//wwwzoeller.com PUMP !O. (502) 778.2731 ~ 1(800) 928-PUMP FAX (502) 774.3624 ® Copyright 2003 Zoeller Co. All rights reserved. Manufacturers of . . QL/AL?Y PUMPS SNCE ~9,./d u ,~ ' System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, TL Sinz Plumbing, 715-23~- 2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as , water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. ] 0. If septic or dose tanks are no longer used, they must be properly abandoned. ] 1. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance I . "T'he septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. ~. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. (f the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. I I . Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.4 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Department of Commerce Division of Safety and Buildings #2477 Page 1 of 3 Certified Soil Testing, LLC County Attach complete site plan on paper not less than 8%s 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 a ' tance to nearest road. parcel I.D. 016-1046-10-000 Please print all Information. a 'wed By Date Personal information you provide may 'va y Law, s. D GT. Property Owner Pro cation Anderson, Dean Govt. Lot NE1/4, NE1/4, S21, T30N, R15W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2955 150th Ave. City Stat Zip 83d~ um er ^ City [] Village ®Town Nearest Road Glenwood City WI - - 1 Glenwood 150Th Ave. New Construction Use: ®Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ^ Replacement ^ Public or commercial -Describe: Parent material loess over till Flood plain elevation, if applicable NA ft. General comments install 5' x 91.2' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.2' sand fill and recommendations: ^ Boring 1 Boring # ® Pit Ground surface elev. 97.5 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth DominantCoio~ Redox Description Texture Structure Consisten Boundary. Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff1F'I `Eft#2 1 0-9 7.5YR 3/2 - sil 2 m gr ds gs im .6 .8 2 9-18 lOYR 4/4 - sil 1 m sbk dsh gs lm .4 .6 3 18-30 lOYR 4/4 - sil 2 m sbk dsh gs im .6 .8 4 30-40 7.5YR 4/4 f2f 7.5YR 5/3 sl 1 m sbk mfi - im .4 .7 ~---- Boring # ! -~ Boring ® Pit Ground surface elev. 100.7 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure. Consisten Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Golor Gr. Sz. Sh. `Eff#1 `Eti#2 1 0-8 7.5YR 3/2 - sil 2 f sbk ds cs 1m .6 .8 2 8-16 lOYR 4/4 - sil 1 m sbk dsh gs im .4 .6 3 16-25 lOYR 4/4 - sil 2 m sbk dsh gs 1m .6 ! .8 4 25-36 7.5YR 4/4 f2d 7.5YR 5/3 flf 5YR 4/6 sl 0 m mfi - 1f .2 .6 •----~-~ - tmuent i<t~ = BoUS> 30 < 220 mg/L and TSS 30 < 150 uent 2 = BODS < g/L and TSS < 30 mg/L CST Name (Please Print) Sign tur : CST Number Henry F. Grote ~ 222774 Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E. 4366 353rd Ave. Menomonie, WI 54751 7/26/2006 715-233-0398 SBD-8330 (8.07/00) flRIGf~ S EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code I~ r s..- .:. *~~~y M Property Owner Anderson, Dean Parcel ID # 016-1046-10-OO~,r~.~;~.,~,„_.r , „ ~ <, Page 2 of 3 ~, 3 ^ Boring Boring # pit Ground surface elev. 97.6 ft. Depth to limiting factor 22 ® Soil Application Rat Horizon ' Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t *Eff#2 1 0-9 7.5YR 3/2 - sil ~ bk ds cw 1m .6 .8 2 9-22 10YR 4/4 - < siF~`"' 2 f-m bk dsh cs lm .6 I' 8 3 22-36 10YR 4/4 c2d 7.5YR 4/6 lOYR 6/3 v - ~ sii"'~ 1 m sbk mfr cs lm .4 .6 4 36-46 7.5YR 4/4 -^ sl 0 m mfi - - .2 ! .6 I ~~ H 2 has occasional gy si coats on peds which occasionally part to 1 f pl * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =GODS < 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) Certified Soil Testlnq, LLC ~ ' • ~~Q.h \Vl'V_`r~Jl7h_0 ~O ~\0.h `\.`~1\~ \J ~.~V~1Jw 1 ~ " ` O 4- ~c ' \ O - C9' C9 .V ~O ~-" ~n ~~ \J ` Qr. lw. O O~ ~- ~ so S ~ . C1 ~ , o~ ,,, q-c~, C q 4~ \~~ ~ ~z,o~ K ~ ~ ~o~~ ~,~t ~~U ~ - z ,~ ~2, S-yam ' i ~IS,O`~b C~~S~ \ • \ ~'~ ~o ~ / ~~0 ~ O'7~o ~ ~ ~~ Ss~ <<~ 1 n Zo ~1! N 't,22 '~~4 o ~ ~~ ~~~ 5~ ~Q 5~~~~ n ~ a<<<~a~ ~; ~ e ~ ~~+ ~ ~ S; 4-C~ No ~ ~ S ~.~~ ~l~ ~~~~ ~ ~g ~-~~-~ C„, w o e.` o."~ 2~.. ~~ StibSo'\S ~ ~c~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address Property Address City/State LEGAL DESCRIPTION Property Location l~~ 1/4 , ~'/4 ,Sec. Z~ , T .l0 N R /~W, Town of ~ ~~ W~ Subdivision _ ,Lot # Certified Survey Map # ,Volume ~_, Page # 3~y 3 ~S Warranty Deed # ~Q S ~ y g ,Volume ~ ,Page # ~+' ,. Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What. you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe 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 3 C~ ,~ .ate Q.~+~l ~,uaa,~ S~ ~ °~c SIGNATURE OF APPLICANT(S) -/ ~- DATE ***Any information that is rnisrepresented 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) OO~UMENT NO. STATE BA$ Oh' WISCONSIN FO$1i 1-!!M ~ TM~e srwce asseevse Fos aewae~wa sATA 4~~+048 wAR~-a~rr ono (~ 1~ _- ~~~~ ~~~ ~ This Deed, made between .-..Myrtle R, Carlson, ~. C~OIX C4~ W!S ............. a.. s-ingle_- wo>nan-:.................:_.... ..................................... R~c'd kr R~axd M-1: 9th _........---•-- - ------------------_. ----................. ............------....-...-- -- ----- -- ~~ day ofsept. 5 ................................................................................ .•--- --------... Grantor, i. _---_A.D. 1~ ' a„d -.-.Ellison.•W,_-.Anderson--and--Susan__.~.__.Anderson_,._ :I L;15 P husband.--auri.-wif.e-,.-.as..3uint._ten.an_ts...- --------- ------------ ~~ ~,n, ~ Grantee, ' -`- `- Witnesseth, That the said Grantor, for a valaable eonsidention....__ ' Conveys to Grantee the following described real estate in _-..-_.St-._--CIO~X.----_ g.iiiSOn ~ Susan p-ilderson County, State of Wisconsin: 1019 Syme -~ £lenwood Cit 3 The Northwest Quarter (NWT) of the Tax Parcel No:. ........ {~Q..cTtl~~~' . Northeast Quarter (NEB) and the Northeast ~ `Zg y9 Quarter (NEB) of the Northeast Quarter ~ t6 ~ !o „~~ (NEB), Section Twenty-one (21), To*:.zlship Thirty (30) North, Range Fifteen (15) West. p~(o,. 1°K(o- ZO - ~9aU ~ti, A) y ,~ -~---~.y .AAp ra+a''K*~'. (This deed is given in satisfaction and fulfillment o a Landff Contract between the parties dated 03/15/lb, recorded e office of the Register of Deeds for fit. Croix County on 03/24/76, at 8:30 a.m., in Volume 535, pages 158-159, as Doc. No. 332100.) ~ ' ~~JF~~ - - n~1 J This _i3 nOt ..-_ _- homestead property. ~ (ia not) Together with sll snd singular the hereditaments and appurtenances thereunto belonging; Ana. --- Myrtle. R.... Carlson .............................. warrants that the title is good, indefeasible in fee simple a~ .free and clear of encumbrances except municipal and zoning ordinances, easements for public utilities, and building restric- tions, if any, and will warrant and defend the same. Dated this -- .... ......... _. day or ....... --Septe . .e.. ... 18.8 .. mb r... -~- - ..... __ _... _ _.._..._..... ..(SEAL) _ -..!"'~!L~...'. `~ ~ - ..-_....(SEAL) -.. -- .. -..._- - ------ - ----- ----- --- -- - - rtle R.. Carlson --- MY- -.-_.......- - _ .--- ..._......... AIITHgNTICATION authenticated this .-.....-day of ........................... 18. TITLE: MEMBER STATE BAR OF W[SCONSiIi (If not. ----•-------•----------------....--• --- ------------------ authorised by § 706.06, Wia. Stats.) TH!$ i;,ISTRUMENT WA$ DRAFTED pY .Stuart_- J-,__-Krueger,_-Attorney .............. 710 North Main Street,. Box 167 -River-Fat}s-~ --t~Fiszorrsfn. . 54fl22- - ------ (Sigrlatures may be authenticated or acknowledged. Bnth are not necessary.) ACHNOWLSDOM$NT STATE OF WISCONSIN c~ ss. ---1d L---~~.1~--------•--..County. Personally came before me this ................day of _-_---September--------------- 1985.... the above named ------------ Myrtle---R-...Carl-son .......................... ~- .. „ to me own be•t15e _.:.....`. who executed the foregoin htertl• ~,: edge the slime. 1 a; . } - --- ~~.--.-may.-~.~; . .. ~c--_.. • . ~---t t~~-~i ..... ~" ............. . Nola-v Public .- ~'r~f'fl ~_ _County. Wis. Ny Commission ~a pt~~awe9t.~(~ ndt, stnte expiration date: .... - ._;. c- ----..__..._., •--........ 19..___.) ArcIMS Viewer Page 1 of 1 \~ e~ ~°~`~1~~ k ~,•e~ w'`~~ http://72.21.230.178/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 10/16/2006