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018-1002-50-000
i I i chi m o_ vN, ~_ ~ r~ j ~- ~ ~ d CAD ~ rs (J m -• ~' ~ ~ ~ m ~ co i p ~ ~ n ~ ~ d O Q ~ ~± Z D m fC. D '~' I ~ ~ W ~ ~ ~, m N I I ° o ~ -o °NO o' ~ (~ °' ' ° m N I ~ Q ~ O_ I m O ~' 3 ~ ~ i ~ I m c w m a 3 Z m o ~ ~i ~' o~ I I a O N z O fD rn I 0 I ~ ~ o O O ~- ~v~o o m ~ ~ m m ~ v '~° 3 3 ^~ r: 0 a ~ A ~ ~ T 0 N N N C .~ tD A ~' a '~~d o ~ n 3 ~ ~ v I ~ ~ ~ ,~ = 0 0 ~ ~ N 3 cD 0 o -` a ~ N ~ in ~ D ~ O O~ 0 0 -J A N N O O N N (gyp „0' C III.. a_ O O O 3 ~ ~ ~ ~ f~q N f~A ~ v p O ~ ~ ~ ~ ~', d. ~ m ~ ~, 3 °N' ° N Cif `. 7 Z Z D D D v a m d :'. ~! L"1. O O r7 v w ni n m' y '~ i .p Z n ' A ~ ~ .. po v I ~ m N m ~ i ~_ m z 0 3 _. ~. a' ~ ~ ~ c ~ Im , p N ~ m i ~' w v ~ rn i 3 ~ m rt T C 3 a ~7 t A 4 a ~• 0 a ~~ 0 a v A 'v ~ ~ w y~y ti ~i Parcel #: 018-1002-50-000 oaiosi2oo7 04:15 PM PAGE 1 OF 1 Alt. Parcel #: 01.29.17.16A 018 -TOWN OF HAMMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - HAWKSFORD, THOMAS E & MARY B THOMAS E & MARY B HAWKSFORD 515 E COVE RD HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description '' 2084 110TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 34.960 Plat: NIA-NOT AVAILABLE SEC 01 T29N R17W PT SE SE FRL EXC S 62 Block/Condo Bldg: RDS OF E 26 RDS & INC COM SE COR SEC 1: TH S 88' W 429.03FT; TH N 00' W 250.OFT Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TO POB; TH CONT N 00 DEG W 773.08FT; TH E 88' E 4 29.03FT; TH S 00' E 400FT;TH S 01-29N-17W SE SE 48'W 572.02FT TO POB Notes: Parcel History: Date Doc # Vol/Page Type 10/22/1999 612506 1465/093 WD 09/23/1998 587541 1359/154 PR 07/23(1997 1178/081 TI 07/23/1997 464/407 ~nm ci InnnneQV Bill #: Fair Market Value: Assessed with: Valuations: Description RESIDENTIAL AGRICULTURAL UNDEVELOPED Use Value Assessment Class Acres Land Improve G1 2.500 35,800 97,700 G4 14.000 1,600 0 G5 18.460 17,100 0 Last Changed: 07/13/2004 Total State Reason 133,500 NO 1,600 NO 17,100 NO Totals for 2007: General Property 34.960 54,500 97,700 152,200 Woodland 0.000 0 0 Totals for 2006: General Property 34.960 54,500 97,700 152,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~4 percent slope, scale or dimensions, north arrow, and location and distance Iv nearest road. Parcel i.u. D~ V• f00~ , S O , ~.~ Please pNnt all Info ~tJe~a„-----,~~. Reviewed by O Dale Personal IMormation you provide maybe used /or seconds purpo (~P~ ~~fv~ ~ O4 (1) m)) rnnarrv nwn _ _ IMsconsin Department of Commerce SOIL EVALUATION REPORT tivision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach cornplete site plan on paper not less Ihan 8 1/2 x.11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM) direction and yU 3 Gv. oM,~ A~ ~~ • ~~ 7 t; six ~~ zoE~~i!v~ o~i City State Zip Code Phone um er ~yl~Soa ,w~ , ~syofG ~ (?~s) 3~l~ • ~yo3 '~D .A /jd~~~R~ ~ Property catGiot /"r /~/ w ~ .~'+,._ ~ I~~1. lot 5Ti Property Owner's Mailing Address t nr a i,,,,~ , U visage ~ Town Nearest Road ~MM oti l~ ~ ~ //C~ d~- ~Qye ^ New Construction Use: [,~ Residential / Number of bedrooms . 3 _ ,Code derived design flow rate d GPD Replacement ^ Public or conmmercial -Describe: Parent material _ /DE'S•s Ol9~ !/Fj('s~C Flood Plaln elevallon if applicable (t General comments ~!, ~,~,.~ ^„r~y~ ~+C~ ~/S and recommendations: • ~i ~~J- T~'sT~ sv;r~/3/~ ~o~ ~ ~,vv~.v/";o~c1.¢G Flo ~.vv sy Boring # K^~~ Boring~J z sss' '-------' t,~t Pit Ground surface elev. ! ~• O il. Denlh In limilinn fncMr `~ ~ ~.. Horizon bepth Domi t C l Solt Application Rale in nan o or M ll Redox Description Texture Structure Consistence Boundary Roots GPD/ft' / . o- y unse /o y/z 3/3 Qu. Sz. Cont. Color -- SG. Gr. Sz. Sh. ~.wt shk ~vfip CS . 3 !~- 'Eff#1 • S 'EH#2 . 9 ~ •~ 7 5 R ,Fri pro rs SL D ~., G~ .v $ 0 /p ~ AM 3 ~ J~14 YS C L ~ ~ nn . e ~/• . N Boring # ^ Boring d ~~ C ~l ss s ~t an r;rnnnrt curr~nn ste.. 7 J V n ... .. .. ... _ - ~ t~e Horizon Oepth Dominant C l Soil AP y Rate in o or Muns ll Redox Description texture Structure Consistence Boundary Roots GP D/fl / . o• ~ e ~o yR 3/ Du. Sz. Cont. Color - S ~ Gr. Sz. Sh. ~,-~ shy .,,,t v ~ c 5 3 f 'Elf#1 . s 'ETf#2 . 9~ ~~ to • 2l0 • io y ~ •s yR y ---- ~z Mo 5~L 5~. zfshK ~ s hk ~ ~ iw+~/'i c s cs Zit -- . s . S • g 9 3 ~, s y~ yy sc. ~,~ ~ ~,• cs - y ~~ 5 33 •y3 - • ioy~e ~~~ 5 / 1R ~ ~ ~ , y ~ 7o y io ~ 3. ' EftiueM !11 . pnn ~ zn y s ~ o~n »...n ..~ rnn _ S/« , ~w, •,,r-,c I' , o . o . _ -o - -.._ ..,., - .. - ..v ,,.y,~ CST Name (Please Print) Signature --- h''t~ T- zllb~Pi'cyT onuenr s[ = ttvUs < 30 mg/L and TSS < 30 mg/L CST Number 2Z.C~3? 5 :valuation Conducted Telephone Number Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 Page / of ST cRo i ~. t 1t4/L 1J4 S / T'2'~ N R ~7 ~(or)W 1 Subd. Name or CSM# ,ayeT of ~s ,¢~ s Property Owner ~" "- ~~" _ ~~ Pa-cel ID tf Boring !! ^ Boring / 7•~ f7 pit Ground surface elev. .7 Ft. D/8• /Ot1Z •SO •0~~ i.. 3 Page of SS S Depth to Ilmiling factor Z ~ In_ Horizon Depth Dominant C l R d Shc Application Rale in or o M ll e ox bescription Texture Structure Consistence Boundary Roots GPD/ff: Z . o- ~ 6'~~ unse ~oYR 3/3 ~~yR y Qu. Sz. Cont. Color ~ s~ S/G Gr. Sz. Sh. z~wt shK z~Sb~ „~ v7~,e n~fie C s CS 3 F ~ •EFi#1 . s . S •Ef!#2 . 9 • ~' ' x•25 ~•SYR 9 / G s ~ fs ~ R ~ c r . s S a io r R Z G 5 -- ~( /D S (p 'gyp M+3 P JKOYS G ,~. .~ ! .a • b Boring # ^ 8oring ,5. s..S. Pit Ground surface r!Ic!v ~`~ ' /~ n n~..u ~,. ~:...~~:.._ .__.__ Z LO - -- -- -.........a ......., r. Horizon Depth Dominant Color Redox Descriplion Texlure 5lructure Consistence Boundary Roots In M l Soil Application Rale (`,Pp/n: . unse l Qu. Sz. Cont. Color Gr. •EH#1 •Efi#2 ~` ~' ~~ y -! L a shy •w~ ~/e. cs a ~ . s ' YR ~•s Sc[, / std. •wt•~' ' . z • 3 ~o Z s yR spy . ~ ~ ~ 8oring # ^ Boring ^ pit Ground surface elev .~ ff• Depth to limiting factor In. Horizon Depth Dominant l C R Soil A ~ Rate frt . or o MunseN edox Descriplion Texlure Structure Consistence Boundary Roots z GPD/tl . Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#t • Elf#2 .- 'Effluent #t = BODE > 30 < 220 mglC and TSS >30 < 150 mg/L • Effluent #2 =` BODs < 30 mg/L and TSS < 30 mgA. The Department of Commerce is an equal orportunity service provider and employer. if you need assistance to access services or • need .material in an alternate format, please contact the department at G08-2GG-3151 or TTY GOS-2G4-8777. sno-e~jA (rt Fmor . ~ -Pr~~ l da~~ ~,~ 5 0 3--.~... ,-- ~o~,~o sysT~~ ~ip~~ „dti s~1~v ~,ri STr~> ~i~ ~ s~~ yo• d p '~ sal 85 ~y i ~ y,,~ Q r ~(, r 1 ~ d ~~~ ~y, ~ ~~ ~a;,,~ ,~ 9~ a 9~, a M '~ Z ~Nl~~'~ flov,~v S J~ST~'~ sue- r: ~_ __, ~__ ~ _ ~ \~ ~d ~3 ,; 0 `~ ~~~~- ~o t~~ Q~~ off- ~vhifE S~-eQ~ ~il~%~ J /OD.(} ~ 9~. ~ --_. 3 z 8~ ~~ ~ . 72 _-----d ~---~ O 30 3 g~~eM S Y ~ ~~ R~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buifd+ng 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 Hawksford, Thomas Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: ~~~- ~ S TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic D Dosing /~ ~' Aeration ~ Holding TANK SE-BACK INFORMATION TANK TO P/L D - ELL ~a BLDG. ~k~. Vent to Air Intake ROAD Septic / ~ ( > ~ 3 r1 / V i ~ ~r-s ,~ n'~'. Dosing ,}-b ~2~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer / Demand `i~"V ~...j~s GPM Model Number ~o p ~" TDH Lift , `O/~- Frictio~ oss Syste ~ ead / TD~I t Forcemain L~g~ ~ Dia~H Dist; ~eUU VV J SOIL ABSORPTION SYSTEM County: $t. CrOIX Sanitary Permit No: 420450 0 State Plan ID No: ~~ Parcel Tax No: 018-1002-50-000 ELEVATION DATA STATION BS HI FS ELEV. Benchmark r ~/ h 3 3• t7(v /v~, o . lao Alt. BM S^r- ~~ i `l 3/ Bldg. Sewer i4_v q3 ob SUHt Inlet /o `q S " ~mL q.2.~"7 SUHt Outlet ~_ ~ Dt Inlet ~ Dt Bottom ~ ~ , s n ~cL c/C r Header/Man. ~~ 9~6 Dist. Pipe 5. y~,~ Bot. System Fin ~-~ br,-L psi-. ~ , I ~' stCover 3!75 ~/`l.'l~ l.l~ f t /• jt BEDITRENCH Width Length No. Of Tren ches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ ~ ~ 1 ' i, SETBACK SYSTEM TO P/L BLDG WELL /ST AM L CH Manufacturer: INFORMATION CHA R OR Typ O System: 16U) > ~.~,r/ 1 (~ 1 > ~.~(r~/ T Model Number: DISTRIBUTION SYSTEM ~, / ~ „ ('f/~~~/ ('Jyp.o vr~ Header/ ;fold ci Z Distribution Pipe(s) ~ ~ M ~ g x Hole Size y ~ x Hol Spacing Vent to Air In ke `~ ~' - ~ Length Dia Length _ Dia Spacin ~ ~ 7 d SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems~Only ka K ~i~ D th Over y - Depth Over xx Depth of xx SeededlSodded xx Mulched ed rench Center ~ ` ' 1~,.J~-~/ ~v • Yy- Bed/Trench Edges Topsoil ;~ ~,~ Yes ~ No r- ~] Yes ~~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ ( /~/ 00 Z Inspection #2: / / Location: 2084 110th Avenue~~•.H~~am~~,,m~~ond, WI 54015 (SE 1/4MSE 1/4 1 T29N R17W) NA Lot~W V'~~~ K.Parcel No: 01.29.17.16A 1.) Alt BM Description = ST'i..OY-G~"" /,p" I ~~ ~~~'~~~"~ 3 ~a~' ~t~ 2.) Bldg sewer length =L+ V C~ ~%~i~'LCti~d+~~~'~ ~ ~O ~~ ~ ~d~ ~~~~- - amount of cover = ~ ~ N~Gf/-~,{~ ,~r~R;~L6~ i~~z~+~G~ _~ '~'1~2,-~ ~Oli~-~ Plan revision Required? I :' Yes ~ No ~ T ~ I ~ ~ ~~ ~I Use other side for additional information. ~. ~'~ ~ ~ ~ ~~ ~ _ _ ~~_~___ a- ~ _(~(~_Yt/hr ~ ~ ~ ~~~ Date ~ Insepctor's i ature Cert. No. SBD-6710 (R.3/97) ~ ~/ ~ . // ~~ ~~~~~~~ Safety and Bttildings Division County ' C ~ ~, 201 W. Washidgton Ave., P.O. Box 7162 C j - L2~1~ i~SCO~S~~ Madison, WI 53707 - 7162 Site Address , f,~ De artment of Commerce ~ - .-~ L . ,3~(0/ ~ ~ Zb8'-~ 1)b ' ~~" Sanitary Permit Application sanitary Permit Num~berj~ 2 ~ In accord with Comm 83.21, Wis. Adm. Cade, personal information you provide 1 ' `" " ^ Check if Revision ma be used for seco ses Privac Law, s15. 1 m I. Application Information -Please Print All Information State Plan I.D. Number ~ ~-S'S z Property Owner's Name Parcel Number (p ~.7 ,~l~ D / ~3 - /c~oz - o Pr rty Owner's Mailing Address S f 1~ o{pe ~'~~ a Property Location ~ ~~ // ~de %'cc~iu-~; ~ UB~ /f 'x`(03 ~13'1Ge-Cup. k~ '~ S 'k; S T N, R /7 ity , State Zip Code Phone Number Lot Number Block Number C / f W/C c..(~~j/1 /.(~ ~ Subdivision Name CSM Number II. Type of Building (check all that apply) E~~'~ E~ ^City R }®1 or 2 Family Dwelling - Number of Bedrooms _~ ^Vi]lage ^ Public/Comm ci~UIe ownshiP ~, _ y~~~'t, ~~ ,S ^ State Owne ~ Nearest Road III. Type of ermit: (Check onl one box on line (numbe ing sc 1ffln .Complete line B if applicable) A' 1 ^ New 2~Replacement System 3 ^ Replacement of 6 ^ Addition to For County use.. _ S stem Tank Onl Existin S stem B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use)-~. -/tom . 44 ^ Non -Pressurised In-Ground 21^ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other ertment Area Informat ion: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.FEJ (Min./Inch) Elevation 4~Sd ~vD l yo o , ~ --~ 9 b ~ 9 g g , 73 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank nDV _ L V V(~ ~ ~ . !f r L i X Dosing Chamber ~ / ~ 0 VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plum 's Name (Print) Plum is Signature _ MP/MPRS umber Business Phone Number l ~er ~ ~, ~. ~~ - z- 3z~ Plumber's ddress (Street, City, State, Zip Code) '3 i ~ ~ ~ ~, ~~ ~ ~t~-ln u~ s~v2 VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ^ Owner Given Initial Adverse . ~ ~~_ O J ~ 7 < Determination . Ix. Conditi°~B~of ~pproval/Rtiasons for isapproval - r ~ txli/1 '~ l - . ~ f In+uA T ~ IM t . ~ 1 ~` ~nnP~t~'h~-' C~~. (PylAdnJ ~- Tt t~ ~0 ~ Nb~i~ ~t-7~'ti91n.S, . Attach complete phuu tto the Coaaty oNy) [or the system on paper not leas than 711lZ z 11 hxhea In size ~6~ ~'.1 SBD-6398 (R. OS101) `~ J ~i, \/~,o.~. K 4^ ~'ar `-i ~.vs~ S~o~X ^ 1_ ~a~ 1~~ ~w. Sla -St -l'2ri-t~ w .gg'' ~~~~wt a1~-loot1-`Yy.oas7 _~ ~wN3 1'74.`-w0 M~ -.=<. S c.i,~ e. t `~ s ~~ `-1 ~ L o La q,c, /i/WI `t1M 'Lt7.1r'ui ~` 4" w S wr.+e ,~ ~~. G ~.~~ .,t,.~, a,..~dL~,l~ ~i.~,..~t ~.~. \n.w~.~- ~..«..1. ,1.~ Cep ~ z~' ~ lH ~~ w..~~ ..1.~. ~ ~.~+o ~, s~` ~ ou i. , ~: ~.: q ~.~`.~,..K:`i .X.w ro k~ Ko SQ; iol`as~a~asq~+~.I ~N Yb p{~w R+r+- ; ~ . xs;~ w,w s~, ZJ. ~ M ~K 9'E .R ~.~ ~ // ~q 51.E ~ < ~v.~A..... /~" ~ •4~ uw.~.,~ S,o.,,ti- (~ Ct e..p) ~P ,. --~ g s ~ Z," P u C- ~~ 40 L,o ~ ~-Q. w..:, s~ e ~- So Se10 ' ° ~ j~ C9 ~.a\S yn ° y~ t ~/ ~~a4a1 i i a, ~ +a~q/ ~ / 1.1~ v 1 ap' v((~ e.1~ t(( s.~nn ~",- ..Lys C t ~•r•~ .~ O nn~ // ~. {."q.~.~ir\ ~S ~ d~.y ~/ i~{i' ~y~Hi / U (~ O ~....~.. U ~.,,; u,. t w +` S., ~t~~ A,.~,, A~Rst. ~? e ~ g r r iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary September 23, 2002 CUST ID No.226524 ROGER L TIMM TIMM EXCAVATING 3128 20TH AVE WILSON WI 54027 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/23/2004 ATTN. POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Thomas & Mary Hawksford Residence 2084 110th Avenue Town of Hammond St Croix County SE1/4, SE1/4, Sl, T29N, R17W FOR: Description: Three Bedroom Replaceme At-grade S stem Object Type: POWT System Regulated Object ID No.: 870805 Identification Numbers Transaction ID No. 788248 Site ID No. 650526 Please refer to both identf cation numbers, above, in all cones ondence with the a enc . 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: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • 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. • Comm 83.22(7) - 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. Owner Responsibilities: • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. ~-? ID,~~yl 't' ~. Conc~i~~onally --- ROGER L TIMM Page 2 9123!02 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 shat! 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 PO WTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-?892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing ~. y Thomas & Mary Hawksford - At-grade System Transaction # Construction Materials and Techniques 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: At-grade, SBD-10570-P (6/99) Pressure Distribution, SBD-10573-P (6/99) Location: SE 1/4, SE 1/4, Sec. 1, T 29 N, R 17 W Town: Hammond County: St. Croix Date: September 23, 2002 Owner: Thomas & Mary Hawksford Address: 463 Omaha Road Hudson, WI 54016 Plumber: Ro er Timm Signature: License # MPR 226524 Attachments: 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: plan view, system cross section 5: lateral detail 6: pump tank exit detail 7: pump curve 8: system management RECEIVER SAFETY & ~LDGS D1V. • °° M r ~ ~r ~ ~' i DEpAR7MfNT OF COMMERCE page 1 of 8 61VISiQN OF FETYAND BUILDINGS SEE COR ES NDENCE f .' ~ . 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 cfu/100 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 3 Lateral hole size ~tV in. @ R5~ holes/lateral Design Calculations ~ ' ~ gallons/sq. ft. per day ?, 3 ~ in. ? ~ 3 in. \~ % M. r 1. ~ ft. of Z in. N'~ ft. of in. \ S. S gallons ~ •O ft. of Z in. `~ ~'•~` ft. @ bottom of lateral Z4 • o in. ( Z • ~ ft.) Spacing S~ holes total Lateral volume \~•`~~-~• gallons Total lateral discharge rate ~'3'O gallons/minute @ ~'S~ ft. head Network pressure compensation losses ° •~"~ ft. Elevation difference ~' ~s~ ft. Friction loss 2•i Total dynamic head ~3• b Pump/sip~aon `3 ~' gpm @ ~~~ Manufacturer ~' °"'~ ~~ ~ ~~'1 Dose volume ~ ~' Z Lift/siphon tank ~" ~ ~+~ ~ ~ -ba~o ~-o~\.o • ~ •. , Septic tank ft. @ 3 3 gallons/minute ft. ft. of head Model # ~ P ~'4" gallons ~ ~' gallons ~ ~~ gallons Effluent filter } ~ ~' ~ ' ~ J"`~ Measurement pump on and off ~' g in. Height alarm from tank bottom ~3• ~ in. Reserve capacity 3~t r gallons specs.calcs.res Page Z of ;~~ow..wrC 4• Y~'av `-~ ~..s`~ Sd~or~C^ ~,.e~ ~~1~.~. Sle'-Sk"-1-2R-I~w _, 17 WV~,f 1~A~~NGM O Zo Qn /~W ~,•, ztt~-~. w yY' ~ ~I~ ) V~V =r ~~L n z~ ~ H ~~ w..~, ~t.,~, ~. `e~e ~, s~`` v ar it , ti: ~.:~ i M,~ill,{,,,ew~:V eJC.~w S~r~ rp .~.~ KO SS3 So~.~eos`okr-s~av ` 0+4 l _ 4~.~w'1-oY ~~ ~~ S~~ s•. i.K M ~o ~a ~w 9'd .~t ~.-~~ C°lts.;L~~ \~ `pt of ~~°'"\ « / -~+ OO `S • d~-.y s / •i ~.r4°'t w~j , u v~.~ws ~4- r _ qs ~ 2•~ Pvc. g --(- (~'' ~r~p r s.Q w.rti s~ o U dL~.ovy 1....k ~e10 +e Y (9 ~o.a\S .n ° Y~ •"S J/ ~~g4a1 ~ ~ a, h °'~4 +~C d_ ~'~.~.: ~. ~ L\~ r \ etp r a c.1~ c.a_~~ ~i ?~ ~ w.ht.r ~C • ~ts W.W S,p «e w 't ls•~i ca.. ~.sy ~.J 5.0 t~ ~.~' 5~ 5' i u~. c7 , r_Z~ _ I iJ-r--__-1______~ LI-----------J fib' obso~..~~.~,~h ~ W ~ l 1 ~~ a, ~-...; -,. ,~ b,~ /4 x ' ~4- ~ ~- ~ '~~~~-M~~ Fabric - Observation Well ,,.~~'~ i.o ~~ ~~ ~a ~ ~~ ~~: ~ ( (~ O; 0bl~va~tpw w, 21' ~ 1.sc.~ ~~<« 2 ~~ ~ ~~~~~~ie~ ~ L1 a~..g ~~~ S~~' R.~~ Distribution Lateral 2~~ \ ~~V ~~~ S•~' ~ ~ ~ ~~ v Soil Cover ~~,.~, g,~•4, B ~b -~~ ~ ..~ ~,.Q 1'~' Qom' ~ . , J 2 ~i- ~ 1 z.a~ ~ ~.o' ~ -.d' ~ Z.~, ~~•o' l , 3l 4, ~ i 1 • ~ b {-S o -. \ ~ ~ ate, csi....~ oa. ~ n ~. ~', ..~y ~ ~.~ •o .+} ~. o \\ ~m JJ ~~ ~,~- ~a~~ ~ ~ o.. ~-~.a..Q •, S-b ~~~ ~ s,.Q ~ o~ ~ 1 1.~ ~- Y l `(' `J L' ~' (~ ~ L LO.CKIUG~GOVfiR --~ L~/A/t'N iNG ~( /~BE~ . ~ ~~ b`~ PIPE 3' np NplgTuat3E0 SOIL 24" I.D, t~axuoLE 4 `~ zN r I~ t-ofr,c~ ~'~,{JtW WE~TNERPROUF ,J1J N CT I O N . , ~,~~ /~ r ~p~R.Ovi.D A SXE.T 3bNr'J _~ t, P tlG. p w+ELTIOr+S C L LCv ~9.2~ D ~ ~~ ~FL.E• T ~ , h O ~..-'t 1. a, T CONCRFT'c b~oCK Y j 11~7T';,7 P .sc ~cl. ~ ~~ ~ o ~!~ G h` J »~' ==_~~ A %~ I S.. ~ 4c I~ ~ I ~w~..o i i i ~g•1 ~~e~~b // ~ SEPTIC t _ SPEC.~FI•CATIOIJS `~h. 005E ~9 , ~~~ ~ ~•J T~~.,i~.S MA-JUFACTURCR: (JUM6ER OF DOSCS: PE:k 0~~ T A 1J K S I Z C: I ~tYV ~ ~+ ~'° _ +GALL01J5 OOSC VOLUME ~~ Z S J \T~~c.Yvs IIJCLU ALARl1 /'11WUFACTU~CR; OIAJG OACKfGOW: G~..C~:S MODCL 1JUN•+bCR~ • `° ~ 1~ ~ CAPAC ITIES A= ~t'L I-JCHCS OK 3}z't ;,~ _:.~: SWITCH TyPC: ~ ~~~~ 4'l~ ` B c Z' IIJCHCS Oa ~~•S2. v ~~MP /1AIJUFACTURCR: ~•°"`~ A,. ..: C• sag IUC H y~'Z C CA` v`_ N S O MoOtL 1JUMDCR', tPd 4" D^ ~ INCHES GR 1~'S~' ;,~..~•__ JWITCN TdPC: ~~~`v "' IJOTE: PUMP AWD ALARM ARC TO 8C P1IUIMUI'1 DISCHARGE RATC 3~.~ G-M WSTALLEO 01.1 SEP~R~TC CIKC.. "~ CRTiCAL D FFCI ~ $ ,~ I V ICIJCf CCTW[CU PUMP OF- AUO OISTRI~UTIOIJ PIPE.. ' ~ FECT + r~~ul~ UM -JfTWORK SUPPLY PRCiiUR E . 2'~ FLCT;O'~~~ T, ~ + ~S FCET OF FORCC MAIfJ X ~ZZ F/ IoorcFRlCTIO-J FACTOR.-- Z'?'° ~ 33 FEET _~ ~~~ _ TOTAL Dy-JAMIG NEAP ~~'~° FE.Er (~.~i`~ • ~~~ ~, ~, ~ 3~ IIJTER1JAl. DIMEIJb10AJfi Of TAAJK~ LE-JC.7H ;WIDTH ~ _,~LIgUID DEPTH a ~d ~ 6 P ~ A . ,~ ^'1 I rc~ ~~wc..c Zt,•2" N U:r a~ Z~~ ON ~., 3 ~„ 0~ PutlP ~„ • • ~GOULDS PUMPS Submersible Effluent Pump .. 3 Q ~ 1 EP04 o . EP05 I!" ~ i~h~. ui ~~ ~~ APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPEtIFICAT10N5 • Solids handling capability: 3/a" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/i" NPT. • Mechanical seal: carbon- rotary/cera mic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C} continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 SJ70W with three prong grounding plug. Optionai 20 foot length, 16/3 S1TW with three prong grounding plug (standard on EP05). © 2000 Goulds Pumps Effective February, 2000 838J1 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. METERS FEET to~ 9 s x V 6 ~ s 0 ~ a 0 ~ 3 z i 0 ^ EP05 Impeller: Thermoplas- ticenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. 0 2 4 6 8 caaPa,clTv ~'a~-g ~~ __„ ^ Bearings: Upper and lower heavy duty bail bearing construction. AGENCY LISTING ~' Canadian Standards Assodation (CSA listed model numbers end in "F" or "C".) Goulds Pumps is ISO 9001 Registered. 70 12 m3/h Goulds Pumps ITT Industries t~ 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 homeowner, and the homeowner 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, Timm Excavating, 715-772-3214, 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 pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal residential use begins to ensure adherence to contaminant load design criteria. Install water-saving appliances whenever and wherever possible. Repair even small water leaks as soon as possible, Never pour grease or oil down any drain or stool. Garbage disposals are not recommended; if you must have one, use it sparingly. No paper products other than tissue should go into the system. 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. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 11. 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. Maintenance 1. The 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 pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended, and 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. If 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. 1 I . Warning: Do not enter septic, pump 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 residential systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (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 ;~RIGIf~~ Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85 Wis. ~a~ "--"- Attach complete site plan on paper not less than SY~ x 11 inches in size. Plan m st L ~-' include, but not limited to: vertical and horizontal reference point (BM), direction nd percent slope, scale or dimemsions, north arrow, and location and distance ton rest roo~•~ ~ 1 9 I I.D. ~~!ll~ Please print all information. Reviewed Personal information you provide may be used for secondary purposes (Privacy Law, s. .04 (1) ~n~j), CROIX C Uf~T~' Property Owner rope y 1599 Page 1 of 3 Certified Soil Testing St. Croix 018-1002-50-000 ^ Date ` ~o~,ti Dc~- . o `~ ~ uM Hawksford, Thomas & Mary Govt. Lot SE 1/4 SE 1/4 S 1 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 463 W. Omaha Rd. City State Zip Code Phone Number ;City ~ Village ~ Town Nearest Road Hudson ~ WI 54016 715-386-7403 Hammond 2084 110Th Ave. New Construction Use: ~ Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD / Replacement Public or commercial -Describe: Parent material l oess over till Flood plain elevation, if applicable NA General comments and recommendati ons. install 9' x 100' effective (11' x 100' overall) rock at-grade system w/ laterals following 96.9 contour ^ Boring # .. w Boring i / Pit Ground Surface elev. 97.1 ft . Depth to limiting factor -~_~in . Soil Applicat ion 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 ~ 0-7 7.5YR 2.5/2 - sl 2 f sbk mvfr cs 1 f/m .5 .9 2 ~~ 7-17 10YR 4/4 - sl 2 f sbk ds cs 1f .5 .9 +- 3 i 17-23 7.5YR 4/4 - sl 1 m gr mvfr gs 1f .4 .6 -- -F- 4 ~ 23-43 5YR 4/4 - sl 0 m mvfr cw 1f .3 .5 5 43-53 10YR 4/4 f2d 10YR 6/2 sl 0 m mvfr cs - .3 .5 6 _~ 53-65 10YR 4/4 f2d 7.5YR 4/6,5/3 s 0 sg ml - - .7 ~ 1.2 ^ Boring # Boring Pit Ground Surface elev. 94.6 ft. Depth to limiting factor 38 in. Soil Application 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 ~ 0-5 -.. - 7.5YR 2.5/2 - sl 2 f sbk mvfr cs 1f/m .5 .9 2 5-12 ~ 7.5YR 2.5/2 - sl 2 m sbk dsh cs 1f .5 j 9 3 'i 12-17 -----~-- 4 I~ 17-38 10YR 4/4 7.5YR 4/4 - - sl sl 2 m sbk 2 f sbk dsh mvfr cw cs 1f 1 m .5 i .5 .g .9 5 j 38- 10YR 4/4 f2d 1 OYR 6/2 sl 0 m mvfr - - .3 .5 mottling grades to m2p 7.5YR 4/6 - 10YR 6/2 below 56" ~muenc ~ i = esvus ~ sv ~ zzu mgiu and i s~ >sv < ~ 5u mgrL 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mgr CST Name (Please Print) Sig a re: ~ CST Number Henry F. Grote ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 7/28/2002 715-233-0398 Property Owner Hawksford, Thomas & Mary Parcel ID # 018-1002-50-000 Page 2 of 3 Boring # ~~ Boring tj Pit Ground Surface elev. 96.9 ft. Depth to limiting factor 41 'n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 7.5YR 2.5/2 - sl 2 f sbk mvfr cs 1 f/m .5 .9 2 4-10 7.5YR 2.5/2 - sl 2 m sbk dsh cw 1f .5 .9 3 10-24 10YR 4/4 - sl 2 m sbk dsh cw 1f .5 .9 4 ~ 24-31 10YR 4/4 - sl 1 m sbk mvfr gs 1 m .4 .6 5 31-41 10YR 4/6 - Is 0 sg ml as 1m .7 1.2 6 ~ 41-53 10YR 4/4 f2d 10YR 6/2 sl 0 m mvfr - - .3 ~ .5 Boring # ~- s Boring j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ~ Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = in. Munsell pu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 i I ~ ~I --.-T I -- ~ ^ Boring # __. Boring v Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I I ---- i i * 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-8130 (RA7/00) Certified Soil Testing ~-, V~.ow w~C 4- ~'av ~~ °-~w~~ Sb~eM~(, ^ ~~~e~ ~~~ r,.. Slc-S1~ ~l-Zk-1~ w ~.~$~' ~~~~~vt '~1tiT-IvCZ'bro-vano ~~ t7 wv-: 1-}A.i..w0 MJ I~ S ~.~<< t °' : ~' o to ~ ~..~J KTM 'Ltt'1r'W v A 13M G ea.o~ ..~.~r.. :,...t~.Q~,a *~ z~ ~ K ~, ~.~, ..1.~ ~ `own ~., lZ v~.ek.~C -~ • ~.a~1,,o.,,a~ .Q..,, ~ a.,z~..~,.S..Y. ~q`.q~ Ko SQ3 lolLrc~oJE+.~a~+~r 44 i-~-k ~ w'wY ri~t~ w•w S 31.` < ~...~.~.. O M ~ ZJ. ~ a • Rw~~w•o) ~ 4~,. ,~ ~~ ~ ~4i+1~+`-1$ ~r /`yQlril.5 a.~ yr ~q i.q / ``~'~ $ / ~~~• L ~w q ~ .q ~.~/ `y~ `t4•w ~ . ~. y~ ~~~` ~` rt ~/ ~s . ~.~ ~~ 6 1. ~.,..q.~.. ~ U ~.+.. w 3 0~3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT ANh OWNERSHIP CERTIFICATION FORM OwnerBu er / f1 f~"s'j'[l -J Mailing Address ~(~ ,3 ~!'yl4 Lt~G. ~o( ~`~lJ72 ~~ Property Address Gi' d ~~ / l d '~ h ,~~~,~~~~ry in ill ~' (Verification required from Planning Department for new construction) City/State Parcel Identification Number ~/CX~2 -~C, - Town of w~-~~- . LEGAL DESCRIPTION Property Location .~ ~ 1/4, ~ '/4, Sec. ~_, T Z`' N-R~~W, Subdivision _ 3 `~. ~~ a o~.c.~ - Lot # ~~ Certified Survey Map # ~'--~ ,Volume ~- ,Page # Warranty Deed # ~ ~ ~~ ~~ '` ~a ~ l Sy ~ ,Volume ~ 3 ~~ Pa e # ~5~ g Spec house ^ yes ~ no Lot lines identifiable dyes ^ no SYSTEM MAIlVTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumperverifyingthat (1) the on-site wastewaterdisposal 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 Zoning Office within 30 days of the three p' tion date. t~fi / O L SIG ATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope described above, y virtue of a warranty deed recorded in Register of Deeds Office. _1~/ d 2_ SI A OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ~o ~~ 58'7541' YOL ~.~J9PACf154 PERSONAL >~T; CRO1X CO,. WI William Nawrocki and Judy Helgeson, as Personal Representatives of Road for rt.oard the estate of Raymond Nawrocki, a/k/a. Raymond W. Nawrocki, fora SEP 2 3 1998 valuable consideration conveys without warranty to Thomas E. Hawksford and Mary B. Hawksford, husband and wife Grantee, the ~, 30 /~-. following described real estate in St. Croix County, State of Wisconsin .,Y~~ ~~ (hereinafter called the "Property"): 'l R., f,s .f Recordin Area Name and Retum Address Thomas A. McCormack 740 Mein Street Baldwin, WI 54002 (Parcel Identification Number) East One-Half of Southeast Quarter {E'/~ of SE'/.} of Section One (1), Township Twenty-Nine North (T29N), Range Seventeen West (R17W), except the South Sixty-Two (S62r) rods of the East Twenty-Six (E2fir) Rods thereof. TRA~SF~R ~~~~' Personal Representative by this deed does convey to Grantee all of the estate and interest in the Property which the Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property which the Personal Representative has since acquired. Dated this 17thday of September , 1998. AUTHENTICATION 'William Nawrocki Personal Representative " udy Helg on Personal Representative ACKNOWLEDGMENT Signature(s) authenticated this _ day of signature type or print name TITLE: MEMBER STATE BAR OF W (If not, authorized by' 706.06, Wis. THIS INSTRUMENT WAS DRAFTE Thomas A. McCormack Baldwin, WI 54002 STATE OF WISCONSIN ST. CROIX COUNTY Personally came before me this ~ day of SCp'f; , 1998, the above named William Nawrocki and Judy Helgeson, as Personal Representatives of the Estate of Raymond. Nawrocki,.to me known to be the person(s), who executed the foregoing instrument and acknowledge the Isame. , nature type or print name Marlene R. Schmidt ~otary Public St. Croix, County, Wisconsin v commission,is permangttt,,,(If not, state expiration date: 'Names of parsons signing in any capacity should be typed or printed below their signatures. Iniormazion Professionals Comparry rand au ~x Wiawn,in 8 " 207.7 t Yoe 1465PAGE 9~ STATE $AR OF WISCONSIN FORM 2.1998 This Deed, made between Sandra Walker and Douglas Walker husbaud and wife Grantot, conveys and warrants to _Thomas E. Hawksford and Marv B Hawksford husband and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Gran[ee the following described real estate in St. Croix County, State of Wisconsin (The "Property"); Name 612SOEa KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10-22-1999 9:30 AM WRRRRNTY DEED EXEMPT N CERT COPY FEE: COPY FEE: TRANSFER FEE' 75.00 RECORDING FEE: 12.00 PAGES: 2 ~Cr't`i~'rI`~~ OGLAND La17, Estrecn c$ 4~t8nd i• • t?. Box 359 1lndson, Wl 54016 Pt ols-loon-6o Parcel ldentiftcation Number (PIN) This is not homestead property. (See Attached Exhibit "A") The parcel shown on this document is being added to the parcel shown on the document recorded in Vol. 1359, page 154, Doc. No. 587541, St. Croix County Register of Deeds Office to create one parcel, and this transaction is thereby exempt from Ch. 18 of the St. Croix County Land Use Regulations pursuant to Sec. 18.05(A)(3). Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any Dated this ~_ ei -1-t~ day of September, 1999. AUTHENTICATION Signature(s) authenticate4 this -day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. S[a[s.) THIS INSTRUMENT WAS ARAFTED BY Attorney Kristine Oglaad Hudson, WI 54016 (Signatures may be authen[ica[ed or acknowledged. Both are not necessary.) K'<2~--_ ' ouglas er ~~ " Sandra Walker ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ~~.K"O C5F Coun[y ) Personally came before me this ~'~ day of September, 1999, the above named Douttlas Walker and . Sandra Walker. husband and wife. to me known to be the person(s) who executed.llie;.A'CdQoing instrument and acknowledge the sarne.~~'~r '~ '• ~ Notary Public, State o Wt cousin 'S: ~•;r~'•- ... 0 l`J :~ My ommiss'on is permanent. (Tf nbt, s)at>~~¢fr'atiol(,Qa~: ~~.) ..J1''...~`'` c' 'Names of persons signing in any capacity should lx typed or printed below [heir signamrrs WARRANTY DEED STATE BAR OF WLSCONSIN FORM Na. r - 1998 INFORMATION PROFESSIONALS COMPANY FOND DV IJ1C, Wf Bnn-655-7n21 ~v VOL 1465PIlGE 94 EXHIBIT "A" A parcel of land located in the Southeast Quarter of the Southeast Quarter of Section 1, Township 29 North, Range 17 West, being part of that property described in a Land Contract recorded in Volume 637, page 338 in the Register of Deeds Office is said County, described as follows: Commencing at the southeast corner of said Section 1; thence, on an assumed bearing along the south line of the Southeast Quarter of the Southeast Quarter of said Section 1, South 88 degrees 54 minutes 21 seconds West a distance of 429.03 feet (deed call in said Land Contract of 26 Rods); thence, parallel with the east line of the Southeast Quarter of the Southeast Quarter of said Section 1 along the most westerly line of said property in said Land Contract, North 00 degrees 23 minutes 13 seconds West a distance of 250.00 feet to the point of beginning of the parcel to be described, this being in the back water of Pine Lake; thence, coatinuing along last said westerly line, North 00 degrees 23 minutes 13 seconds West a distance of 773.08 feet to the most northerly line of last said property; thence, along last said northerly line, North 88 degrees 54 minutes 21 seconds East a distance of 429.03 feet to the easterly line of the Southeast Quarter of the Southeast Quarter of said Section 1; thence, along last said easterly line, South 00 degrees 23 minutes 13 seconds Easi a distance of 400 feet, this being in last said back water, thence South 48 degrees 12 minutes 03 seconds West a distance of 572.02 feet to the point of beginning.