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NO 3s+ ~ ~ I ~ Fo ~ ~ ~ ° ~ ~ ~ ~ _4 ~ A ~ ~•' i 1 D I ~ ~ O (A ~' d T~ 17 m Z C ~ OW ''', N N ~ ~ ~ • fD ~ ~ A j' ~ tD ~ y °' n N N O 3 iv °° f0 ~ ~ a.y M Oo ~ rn w > ~ -C = m~ p 7 :~ ~ 0 O V A O I \ a 7 6 y '' ~ fl. N~ ~ ~ O N~~ A C O .n-. fD ~ ~ O ~ N N ~ o - C I ° ~ N vp N 5i ~ ~ ~ a wo i ~ , o ~ I W ~ ~ I i ~ ~ .' °° ~ a r p ° N ~ ° ~ Z o O fn w o lei ~~ W 'I ~ N O C I ~ O~ ~ 3 ~'• ? ~ O O O ' ~ ~ ~ C ~ ~ ~ C < ~ N (D 3 fA Ul N D ~ I m `~ ~ ~ ~ ~ ~ '' °w I - ~ 1 ~ ~ I m m N ~ .. ~ i ' ~ ~ d ~ .. ~ N D D O I p o 3 °' • ~ A ~ O c ~ I ~ o (D ~ H c .a ~ fR A Z ~ y ~ ~ ~ er A 7 fD (? .. I o N N ~ < < ~ ~ Q Z ._. ~ ~ A ;(1 O '~ y fCCA JC G ~ j < I v A w m I ~ a 01~o v _. ~aoo ~ 0 I -o p ~: o Z a ~ ~~~~ o ~p m ~ ~ [fir '~3 p m~ N ~ ~v~~ ~ ~ ~ 3 ~ ~v c s~ m y b m~°a'o ~ I ~yv ~ I ~ ~°,- ~ ~~~ ~ ~A~~. ti ~ ~ ~ ~ ~ ~ ~ N O m 7 ~ CI i b a ~ ~ ti I ~ ~~ ~ ti ~ O ~ ~ to O ~ ~•, O cn ~ ~ ~ ° ~ o v' a o - ti '~'"~VIERCIAL TESTING LABORATORY, INC. ' 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 ST. CROIX ZOPIII~IG 57, CRQIX COMITY COt~tTF~l15E t~Jl~l, Wi 54016 ATT~l: THOMAS C. PELSON kEFORT ice.: 19378/01 FAGS 1 f~EFORT DATE: 3/12/92 DATE RECETt~ED: 3/10/92 OWi~: Toe March LOCATIOi'1: 1130-192nd St.. Ba ldw i n COLLECTOR: M. Jenkins DATE COLLECTED: 3-04-92 TIME COLLECTED: 3:OOpe SCE ~ SAMPLE: Kitchen faucet DATE Ai~IALYZED:3~-10-92 TIME Ai~YZED:2:~~ COLIFORM: 0 /100 el Ii~ITERFRETATION: 13acter i o log i ca t ly SAFE PlITRATE-N: 4 Ppm Above 10 ppe exceeds the recomeended Public Drinking Water Standard. Coliform Bacteria/i40 et - Plitrate-Nitrogen, o~g/L LAR TECHNICIAN: Fam Gane e~ giOEPEpp~hJ WI Approved Lab No. 19 < Means "LESS THF~!" Detectable level Approved by: '~.~~ ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 ~.. ST. CROIX COUNTY ZONING OFFICE ~ / ~~ ~. St. Croix County Courthouse 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 ~~ The St. Croix County Zoning Office offers the service of septic. and water inspections to Lending Institutions, Realty Firms, and private individuals. Comp~.etion of this form is essential so that the property.can be ocate . Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. -------------------FEE: $ 25.00 v~'~d~ WATER TESTING--------- (For nitrates and coliform bacteria)FEE: $175.00 WATER TESTING (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 ~.~' GG (Determines if system is properly functioning at time of inspection) Property owner's name w~i~ ~~r~~ i Property owner's address /~,~~ ~9.~~'l~ ~-~~ ~~~~~~`~ ~/ Legal: Desc iption /~1/4 of the „~_1/4 of Section ,2 , T.r 9 N-R~ Town of ~ ~ ~~ Lo~t~Nu'~mber Subdivision Name FIRE NUMBER ~ LOCK ~BO~C~ ER ~ ~ v~~_ /~~ y~~'~~ ~~-~C~ ~ ist ~'ir~ Color of house ~f'/~/,%/~ Realty sign by house. If sue, 1 PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned 'off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual Telephone Number REPORT TO BE SENT TO: stin services : r ~~~ "~~~~~3-~~ ~ % ~~7 _ n - ~-~ ~ ~~ L-7 ..- ~ l.~ ~ ~.~~', /~.~/ Closing date Signature ~AMM4ND T.29N-R.17W. 31 SEE PAGE 45 , I AVE /i -_~ 8 E ~2+~ j~ N ti ras ~ /56 ne-.. Stater ~ ' ti y ~ ~ ~ ,u •tnrrn tar Tho t • owv h .Lean a/e// • rH /d¢ 2. yj ~ , i + `~`f i~,a !ll1TT ~ ~ ~~~ 3 HWi//iamb a a M C oa s Konen, tl 3e Goodin ~ 5 /N E Harve N' .J` Constance Georyius P ,~ ~ U C ~ ~ yn v • gone n y ~ . am 254 ~ . I fS~ar W/cy~r t ° /9ss , er E. s °,9 C/uncL ~ l~ 0 ~; : h tl ~ ® ~ ~ a OrIOW aS N ~ C~ 4 l0 /SdS °c rc I Pame h!Ni /kema o s / Lindquist tl ~ L ~3y /s7 ~' ~ Gta/ 4 ~~~ ~ ,r I ~-Q. ~ Eu ene ~ n in z Rona/d Ws , ea Stan,Ft /719 clean b J¢ ~ T /57 Caro/ of y 0 t/OG No/ansRuth 9nde Son 9 y ~y3~ c~ <S¢m P c/axz Ne/son F[tmly TUS/' ~ ~ b~~ f ~vtl° (ol sco s Farm Hon H co .,ron 5 m r ~ ~7ohnJ Somm L. s ~ " ~ ~~ C i C C~P /de from : ° M9m C 4p o~ Da/tom Mor oi- w i o i5 Ha~o/d, J. A? th ~ Fran- V ' 200 /9/ 9/ G No from 2385 C . iK //op i U3HNEL L '~ a a ac u f Johnson O ~V ~ ~ °~ ~ • C ~~ ~ ( • a ~. 7qB L o narN .~. : ° ~ (j, ~ atnck D - John J Marone y ~ • • 4O dd ~~~ ~ ~ / ~ `4 Rusmar F ` h tl ~ ~C U n'C Ka / Ka/he~~e . Stra • S R/chard 9 Esin e~ eta/ / ~ u C fo ~ ~~ 4o O1/`cn /b itK Cerra o Fran./c teo ° 4 arms, m p ~ ~ CY v U forts 60 o + • w .Co ao • 6448 !nc `~ ' p~0 ~tl • /6o -Dona/d e Nancy C 'P O ~°na /d t, era/dine C •Ta mesH {Kay a/dr Ge%t2ine Fran •~- ~aei~n~ce 6J iSO. J/ , uCln ~r ~~ M T , E/g°° ': • j Fian,E Bo Who `r ~ //rreje Ltusman L°useM McNeil Uohn K ~ef/~ a v ~ Ka-r/S The d Roxanne • Che va/ier ~~w ~ Y-~ y ~ C~k ~ Q` o~ ~ a wi C 0 • .Fogel' ' Fa ms, Sn /`'9 ~ //enno /7 L i6 3J Curie// .Qobai-tr, Ti c o ore ~/ BD 3' '^ F e k~ ye/e ~ ° ~JhN ~~ Q f ,8a/ba/ a. ~t/e/ on 5 N //o /ryas a~ r1~ 2 ~ ~ y /c~W" eb ,Fer ,U tl ~ Thompson 23/ zz8 V QB J 3/2.5 Doroth cSathe~ 4o t Bs p • 26777 ~~ r.Sandfd't~ • /°0 ~ ~° S 6o AyE. o ~ • E /o° raid Fenn u c~K B.// : ilohn ~ h Caro/ n o 4 P u/Q E/. abeth ~ 9e'' 'rah Geryd y s dTcan 7446 ~7acobron N w Farm B. 97 `n ~ ~ a r. %os. s haro ara- .d 0753 ~ l~ is a '3 Fanns I c a/dy . Veraa/co. Z Dalton' = 30Z 64- aw.~/ins L ~d u 1st ~ Vcron/cQ. ~c• •Mrnt Co- ~ °o ~` 4 7s 63 s~~4 ~/ 2 /°o /zo Kusi/r_/~ a / ,spry K 74.; Donald P ~ e ysaanrrsa U ,~ ~ S ARO uB tss • g /32.2 Na kins Du~ Naxt/ E/hoFn Bo -9B z ~ w d xMC/by Bo • v. 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Duane er^i/e.' f ~xSB ~ q" Dalton Bo C~ai/ Thompson y E etf f ~Ta~+et /s1 ~ ~ h S LoM2 Lew.~s Bo ~o roth .y Sathen Herbed T rner b ~ Q"1,•~ 0~ h //5 •R~c and 0h4 ~t ~ 6elssin re G ~ ~aY'h Thomas °bb ~ ~ O Co.~ne// c h ~ /-rB Fain/~ T ust• Q C ~ N x U ~ 5 l/nk~ e ~ /vo /zO °~ ~ • d l ~ /Barbara 1 C~ ~ pi • - vE . /42 Sy Jb ~ ~ 'Con- n // ,~/f Do/ores flnnabe/% Wiff; Tr \°~~ ~ ~~ tlt ~Ctl V Ken-Rich Brian L.j CT°an L. mbe R ~ 4~ ~^ C':~ ~7oseroh p a y ~ ; ti,3- s b ` ~~ h n F d R nson H /53 ~ Cl P Y Farm, a 9 ~ ~ h h Dohmerl ~ h a t4z.5 Pa../ s /ones D • ~ 0t ~ \ ~~ ~ h on /a7 a /3432 ~ & Snc. ~ 144.04- ~ ; a ~ tt6~`7U /as ea ``'"q ~i o V~, Y . /37 m < ~ Ford q J y, v ~ ~,~. • • o' • • • Cji//i5 F¢ m ~ec~ R~3 -y l anC/s • Russe// gc l C 0 , . C.8' N /Y \ T ~ " H O p neeber ~./ ~ N ~ W~eJI C ~ ~ 'y IJOnn- f Kennet/If me SnC , n1 e nor ,lis,1 i'~Y ~ ~ c E 1 IKI / so N es ; :' 3 i /°~ - ~r iss l ~ h tl - . . Uonn3W/ Mess Ch0/" v y ~~ ~ ` /63 ~ G/ ~J ern s X22 aW~ ~ W ~ ~3z h ~ B6 '~x ~ ' J S e f h,n/ey s ~ ~ ~ '~ 30 - ~~ OKee e f G/i//i4ir6 Jc 0 ~ .~e f Chr~S/i¢p 5 • 73 66 ,g ~. //cT / Ke~_,P:ch Fanm, r c. s - ~ ~ ~ /4G.S6 /44.24 vi h U ~ ht//¢ Nc/e C F` ° CCg fl d ey e EV¢n N2n On 5 Hans n ~ . 1 .: N ~ n n ~ L / W/N ~~~.p PORT ~ n ~ `; ~Tarrre.sH s 'L f/Rw S o ~ x /~ C~~'` F ~ o ( F ms S rus s ~/ D e r FO s ° Leve scan ~~ .ins •s~' ~ 7/ '~~ ~ B oy e//¢/ ' n pb ~ da2 57 ~ B ~ Le trUde C n S e a% BO 4 son ~ ` A^ ~ N OTN A • q • • ~ ,,, ~~ 7 R Q3 • e... SO cE / p erss~//~ '+• Too eo:%e Poore/a yyN l • 9 0 _ • P . m ras ~ ~ ~ .,s ° ~trw O ,BobLve Shr.Qe y~ \ !f' Bo Cneor crT 9 t ,Betf Gad- ner 40 Kun 3 40 •Ron- in n ~ fa v l V h l % Ken-. ich Farm Snc. ' • AS:Q9 /546/ To BR• ~ 0 y Bo y Gandnen Cj/en S ~ ~l BO C 0 ~ ~ rBO a n -flo, . . n De FQJY77 //3 /iz ~ ' Bo tl l~ ~6 C • /N IC ~n E.D e1/ ~b° Mohr/ Bo Tohn ~ .ToF7nn ~ 0 _ ~ U `°lL Inc. 97BJ SnC~ buck Ronnt~e 8crnard L 4Y/e s R th J i/a Lo y Ec/9ene bn Ve M.y/~o a //9.79 oanrt unn. 23457 u, ~ ~ n°• Bree,3e H~7/ • Lawis P <Tune E ~cn E.n C KerSter/ u Peterson Q„c.,f: , J t ueno ~ t y om ao T 4p U ~~ I C. Z Form, fix. '^~ ~~ , , i /ss • .g e a w o y~ C ~ ° ° 4 .. ~ Kt uk sRenn /SB 73 • ~ mac Fa /zo /,SS L/~s ~ ~ Y ~~~ /772 ; .. ~ R~Sh o~ ~ c a ste /tin- . nm R ~ ~nni qv !~ ` ~ W~ u~ ~ ¢o ar Mc Enroe v '97• 6 TN //4 B6 • 5 anS 7 . / . 3' N u ~ /04.2 A O 0/99/ Ro o d Mato Fub/s,I c. SEE AGE /9 . Cro:xCo<.nry, w:a. ~ 1500 1600 1700 1800 1900 2000 2100 Arctic Glass & Window Outlet FACTORY OUTLET WINDOWS DOORS -PATIO DOORS ~+~-'~ SUNROOM GLASS ~ ~ I-94 at County Road T Hammond, Wisconsin 54015 (715) 796-2292 or (800) 657-4656 HNt~EZSOPI EXCFiVFiTING Bulldozing -Grading - Backhoe Work Dump Truck Service -Snow Removal Estimates Given -Site Work ~~ 684-2124 g OR CALL 684-2510 ~~ HIGHWAY 12 EAST - BALDWIN ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Mar. 11, 1992 Lucy Gearhart Century 21 - Bertelsen-Cudd 706 19th Street South Hudson, WI 54016 Dear Ms. Gearhart: An inspection of the septic system on the property of Tom March, located at 1130 192nd Street, Baldwin, WI was conducted on Mar. 9, 1992. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. ,, ' cerely, ~ Mary Jenkins Assistant Zoning Administrator js °`C01VPMfRCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 ~i~~o~ ST. CROiX 20i'lIi~ REPORT Nti.: 03037/01 PAGE 1 ST. CROIX COtAVTY REPORT DATE: 3127/91 COt~THCN~E DATE fiECEIVEDi 3/2b191 HUDSOPl, WI 5401b ATTN: THOI~S C. I~LSON ~~~~ ,.,. l~/~'`- /~~~ OWi~R: Jerry b Karen Smith LOCATIQi~I: 1130 192nd St., Hammond COLLECTOR: hi. Jenkins SOL~tCE ~ SAi~'LE: Outside faucet COLIFORi'~: 0 i 104 m l Ii~lTERFRETATION: Bacteriologically SAFE -tITRATE-i~t: 4 Ppm Above 10 ppm exceeds the recommended Public Drinking slater Standard. Coliform Bacterial100 mt ~litrate--Plitrogen, mg/L LAB TECHi+lICIAN: Fam Gane WI Approved Lab Flo. i9 oF.~NDEDFNOpN ~ T, 02 ~P u s g ~° a,~ ®r r`~ ~'~ < t4eans "LESS TNT!" I~etec+able Levet Approved-by: PROFESSIONAL LABORATORY SERVICES SINCE 1952 ~~ `~- ~ / ._ ,,~ 1 ~~ U ~~~IL )~ U' ~ aa-~T 3T. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix County Zoning Office offers the service of septic and. water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee, made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING----------------------------FEE: $ 25.00 X (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 X (Determines if system is properly functioning at time of inspection) Property owner's name__ Jerrv & Karen Smith Property owner's address 1130 192nd St., Hanxnond Ttasp Legal Descriptionprt ~ ;~;~4 of the SW 1/4 of Section 2 , T29 N-R17 Town of Hammond Lot Number Subdivision Name FIRE NUMBER 1130 LOCK BOX NUMBER Color of house brn/gold Realty sign by house?no If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Jerrv Smith (Realty World-st. Croix Telephone Number__ 386-9855 C/11,~ REPORT TO BE SENT T0: Realty World St. 509 2nd St., Hudson,Wi. 54016 Closing date April 11, 1991 Signature ~HAMM4ND T.29N:--R.I~W. • SEf PACE 45 ~_ _ ~ ~~ // ~,A„rl~ s s /5L Wi/AQ / ~ c" y 1 ~C a Sq' OF ~ h ~ a ~ ~", ~= a _ ~ f'o.sr~ /9ss ~CT//ncL ~(7 ti \0^ .fit 0~ ® ~y~ W h a ~ ~ ~,jy ~ Lri~dyrnst V ~ Q ~ ~ ~ /sue ~ `~~ x ~ ~ Nei vey ~' C cSu,~7Ynna Rcna/d W r //7g ri Rr• ~ ~ ---- Jo hr~ `•<•" ~, _ , , k,rh +~i da • d"' s C/a. ~;~ ~ V1 Honpr~ 'C 9 Le,:•ron i•tzu/ ~l >_ Nreikema clean l ;~; Ne/son pp ~ H de V 7 S7rl/ton varr~ yo /s-a s ~ ~ d ~ 5` ~ 0.' 45a. 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Cyt r 5 Lew/s z'r`w,~, ^ a y .may r 7s s I)a/ton Bo c/a/ 9o..r s E-n.netf /57 ~ go .noro/hy V1°'/ _W N ~ Jars<t V ~ Gr,:rs n, <r OG'o.,.,<// ~ M /sL.a varsr. b o p,~1, a //s <' •~~ ~'fr'` ~/ ~;ty`J: Trio nay (p ~., ~ ~ ~ /sB /S,f • p C -ai ,, skx~c~ ~a ~~ H:abb J 3v h ~ I F~ti~ 2~V ~^'t o/nK ,°, ° /in J 6N !zo ~~ ~ zs„r// Da/ores Hnrla6eJ/e c E/.na ~(1~ ~ ~tl Up • Um ,~ f ~ c p ~ ' ~' ~ ~ p,e~ r. Za Tu nCr• 0 Cl ~ Vy~ `~~ Rambrr ~ vi r Jo.~~ 6 C h rsz.5 Pau/ c ~ Ford /;6nsan ~ ~.~ ~ i ~ ` ~ DohmM ` ~i ~ v ~' ~ o~d ssi q ~ y ~ h rs7 a /4e•a9 4~U v~c ~'n s ~ ~ tl v W. C (/os,f-ur/ ~ ~ rsr. a.a ~ h~ p v ~~ 0 • T T ~ is • • • N. f U Jl. a/' ~L r _ w fir/is Fa./-m, Fins c,.~ ,qo 6 o w r ~ r' .f-3<-~',< d " • .. C. 2nC. e/ Rer se// .:` 0 N i +, m is C U \d ': //7 qn j'lq K' 'ti: a HA {W ~ r. r z-eTr I~ i,/ t y,,,.~ ./ {~~~ i •r .~~ Nof iPahv hin ~: /SS n ~ 9 tl /96 ~~ rrh ry ' / ~ I 9/ {• s \ .~~ /IR °r'2~P , Prase ya 3'b, r/ay s J./ zc ~ d.e 9 ~ S/ Q• /~S OK<rfe W//l0r7: e .,., ... H R R. ~ kr ._ s s-ei ~ : rgLSL ~ y hf-//¢ o ~ ti o'~c y /fanscn F ms • ~ - :. .,~,/ ,~ r~a r--,= 7 l 0 f/"c~ yC,~+~ nc j~ YZ~<fNSO ~ L WIN ~~,, Goa Hawwrfis ~ ^ /LO ~ ND : c5vr 6v - /er„ / PORT -w~Qa . 4 y ob ~bbry ~ ~ o tf e~ ~. ,. F,~> I E, g/ a~IN' ~ /44. ~~f- ~ • • ~ R s .'C•~ /c' ~ ,S/ ~C /.;. .z c' scut ;L•'. S ,~ ,no ~ I ... .. / 2e hU ~ `n. G,:rn, yr t rzir.• a r.: • l~ K'•-/~.E'i,rf •~v.. ik ra-: '~ ~; J V y f .def/y o~rr 'Ya ~I_\~ ~a ~ _.tnC. •• '1 ,5 ~/ w ~' p BO ' CiQrdnE`c 60 ~ .S15:~79 •~ ~ B~ ~ C//en s ~ C:a; 9 .Ton /i¢ Bo 6 C t ,ton O ~ /BO or..,_No Dec¢rrr, ' lL • 1(J ~-ZJ C/ ,-<m .eo Mohn .Tohn~ ~ 0 u1li I c t <,nE~ch -- 80 .,'oF7nn Gw.. p SnC ~ernar-d Lres Ames M%and C- ,rs Fon//ir~ ~ 97BJ • a ~tii .Y „/ Hl Lory Eugrnr .Kerslen Ruth t/a w.E„~s /veucn.k ,-. y 1/oyd !/979 -urro.. w l(i:i ~ ~i ~. • /,c-t .`t/'crson a. /.tea. z. ~a,rr y < 1, w ~ 1, /lLvman r_ • Lc ...-v's f J ...c rc I yo~ .C /`~ _ ., G~.e..E,r..r~ 6S w-., • • rzo '~ ~ s„ T U Wy l ,t. U C ~o/s .ss e/•- r east Ka /i , c.r, t .Deki s a ' a " a . b n '/S/P ///- /59/3 ll,.». ('„c ~ ,J4, lAx~ V W `! ~ M1 (~. ~ ~ v/d ~ ,'~~,ilQ/Q• S KL. 97. a aN /q s •, q R Eq ~ ~'+ I ti Y ~ t l 2, o, o ~ o uc.nrt2 • m/.9d9 ,Poo o d/"/aF Pub/s,7rc. S££ PAGE l9 °`l(" ,1,-t~C'rnl se~Q ~ `4~? _ HN~E~SON EXCHVRTING Bulldozino -Grading - Backhoe Work Dump Truck Service -Snow Removal Estimates Given -Site Work ~.~ *~,.:~ 5l~~-1.24 t :. ~; I. ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Mar. 25, 1991 Croix of the septic system on the property Smith, located at 1130 192nd St., Hammond, WI March 25, 1991. At the same time a water sample testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. Jerry Smith Realty Worlde-St. 509 2nd St. Hudson, WI 54016 Dear Mr. Smith: An inspection of Jerry & Karen was conducted on was obtained for maintenance of the system. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper Sin erely, .; Ma~LrJ ~J~nk%ris .Assistant Zoning Administrator cj Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM safety and Building='Oivision • INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township Bodelson, Brenda Hammond, Town of CST BM Elev: Insp. BM Elev: BM Description: ~.6 /GYI'O TANK INFORMATION TYPE MANUFACTURER t~ C `AC4T /~m ~'~ I yy Septic Dosing ~~ Aeration Holding TANK SETB CA K INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ ~ ~ ~ I Dosing ~~ ~ Aeration Holding PIIMP/SIPHON INFORMATION Manufacturer Demand ~E>~ GPM Model Number , r ~I TDH Lift Friction Loss System Head TD Ft ~. l~~ ~/ , s~ /~- (off Forcemain Lengt I ti ia.~ n Dist. to Well /~ ~ Cull ARC~IDDTI(1N CYCTFM Nnn n//i. ~_ ELEVATION DATA county: St. Croix Sanitary Permit No: 488290 0 State Plan ID No: Parcel Tax No: 018-1004-60-100 Section/Town/Range/Map No: 02.29.17.270 STATION BS HI FS ELEV. Benchmark . 3 ~- ~.'~ 00 . D Alt. BM Bldg. Sewer ~ Dr ~ ~ 2 / J5 ~• ~ 2 SVHt Inlet S~ O GIV/G 2 / ! G St/Ht Outlet ~ Dt Inlet Dt Bottom 12.3•D x15.07 Header an. •~~1 ~D/~ ~~ Dist. Pipe r • ~ ~ Sot. System ,rt) / ~,J11-~ (p .3 b /D/ Final Grade t Cover ~ ~ i./~ /~ p,,~~,r ~•3~ . 3 ioD o BED/TRENCH Width .~ ,. Length o. Of Trenches PIT DIMENSIONS No. Of Pi Inside Dia. Liquid De th DIMENSIONS / ~ ~ -~-" SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHIN M cturer: CHAMBER OR INFORMATION Typ~ f Sys ~ ~ ~ ~ ~/n UNIT el Number: ~b ~ ~ n~cT~l~l ITIA61 CVCTCIIA _ /Jr L. l A EU0 1 [^ n 1r .~wnu ra _ _!N .n/aoJ .Ln r// / Hea r/Manifold^ Length Dia ~~ Distr ution Pipe(s) / ~ Length ~ `~ r ri (~ Dia! Spacing ~ x Hole Size S ~ ~ x Hole Spacing r f Vent to it Intake c•/'111 /~A\/CD __ '..________ e.___•_.Y_ ~_~.. / ..., ~~........I h. n~_r_.~.~e c.,~romn nr,i~ Depth Over Depth Over xx Dept Q / xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges ~ ~~ f ay Yes No Yes No Go~111~ENT$:/~ncl code discrepencies, persons present, etc.) Inspection #1:'~/r (~~ Inspection #2: ~'~ ocation: 10130 192nd reet Hammond, WI 54015 (NW 1/4 SW 1/4 0 Unknown) A Lo ~ Parcel No: .17.27 1.) Alt BM Description - 1 2.) Bldg sewer length = ~ 9 ~ 2 D ~ ~ '~,~ i -amount of cover = ~- ` to Ch. J Plan revision Required? ' 'Yes ~ '~No ~ G.~ ~~~yr/ \~~~' Use other side for additional information. J_ v0 ~ ~~ ,~1// - - Date Insepctor' nature SBD-6710 (R.3/97) / (/ ~ I. ._ Cert. No. .j ~ Safety and Buildin vision ' ~ ' 201 W. Washington Av . O 7162 County - ~ . . ~~~~~~,~ Madison, ~W 53707 - Sanitary Pit Numb t ~ f ll d _ Department of Commerce (608)'6 - 1 er ( + e i e in by Co.) ~$$z ~ b Sanitary Permit Application State Plan T.D. Number I in accord with Comm t;3.21, Wis. Adm. Code, persona] information you provide tra h d f d ' /Z ' o0 j y e use or secon ary put poses Privacy Law s15. Project Address {if different than mailing address) ~ 1. Application Information -Please Priut Ail Information ~ ~/30 ! Property Owner's Name J B Parcel ~ Lot # Block g ' ~ n _ ' ' ~~~ i~~ o Ga ~ 1 ropcrty Owner s Mailing Address S %~ ' ~ ~ ~ ~ P r o perty Locati on ~ , ~ / " e ~ } Zip Code Phone RTUmber / " '/,, .s w '/, Section I_ //Gur {!i W~ ~~G~~~ ~~~ ~~tF1 ~5~~.~ circle l~ L / ~. N 1~ lI. Type of Building (check all that apply) ~ ~~ ~ ; R_ F ~ '~ e ~_ d~T or 2 Family Dwelling -Number of Bcdrot,ms ~ Subdivision Name C M umber ^ 1'ubliclCommercial -Describe Use ~__ f 3 7g8 ^ State Owned -Describe Ilse i~~ ~ y ~ ~ ,~~ ^City_^Viilage ~I'ownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) i A, t ^ New System Replacement System ^ Treatment,'[Tolding Tank Repiace,neni Only ^ Other Modification to ixisting System I5• ^ Permit Renewal ^ Pern,it Revision ^ Change of ^ Permit'I'ransfer to New List Previous Permit Number at,d Date Issued Before Expiration Plumber Owner _aV. T e of POWTS S stem: Check aA that a I v I ~ Mon -.Pressurized ln-Crt~ound ~ Adound >_ 2~t rn. of suitable soil ^ M oared ~' 2']rn. of suitable sail ^ At-Grade ^ Sirsglc Pass Sand Fi ttet• ^ I i:orstructed Wetland ^ Pressurized ht-Cnound ^ Holding Tank ^ Peat Pilfer ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other {explain) Sa,,..~ ~ ~ ~ Z,~~ V. Dis ersaVTreaiment Area Information: Design Flow (gpd} Design Soii Application Rate(gpdsf) Dispersal Area Requir si) Dispersal Area Proposed System Elevation ~~ ~ ./ ire y Sp° ~~ ~• o . ~,~ ~ 3 ~®/P © 3 ~ VLTanklnfo Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plas[ic !!!!!!~ Gallons Gallons of T~nits Concrete Constructed Glass New Existing Ta,ilcs Tanks Septic m Bolding Tank ~ ~~ - l B ~~ / 1 9 ~ (~ ; Aerobia TreatmentUnii ~ -~ .-.-~ ~~ Dosing CUamber ~pv d~ •. ~ VII. Responsibility Statement- T, the undersigned, assume responsibility for installation f th POWTS h o e s own ou the attached plans. Plurber's Name (Print) Plu er' , 'gnatu ivlP/MPRS Number usiness Phone Number t ~ ~J ~JS- ~/ ,~~ ~ o g ' Plumber s Address (Str t, City, State, Zip Code) 'y~1~S`7 ~'~, ~ /~ ~~o ~ .,~ -~'s~ ~ VIII. Conn !De arttnent Use Onl , proved ^ ap Sanitary Pem,it Fee (includes Groundwater Date ssue Issuing t Signatu (No tampsi Surcharge Fee) ~ ~~ ~ O~ ~ g~~~ ^ iven Rea a-tor Denial !` IY. Conditions of ~~,,~~yy r ~g easons for Disapproval f SYSTENIlg1~1~~ER: 3~ OL Q 5 ~ o r t~ o a one, t 1. Septic tank, effluent filter and ~ 5 u dispersal cell must all be servibes /maintained / GOd~ • as per management plan provided by plumber. 2. AN setback requirements must be maintained ~~~« ~) Qo~~ ~-o~ 5l ~Q >~,~~- lam, 5 ~~ ~ ~,~... ~a of t. , e.r.,..,. ~.......ie.- _,__ ~ - --- -•-.- - ...» ,.,. w~ u„ vu yapcr nun ,eA~ ~nau ouryx a mCn86 ltl Sl'Ze SBD-6398 (R.. Ol/03) ,~... -: ua~.~.x,~~.._... :.;. ~~~ Brenda Bodc~son NW 1/4,SV/1/4,S2,T29N,R17W Town of ~Iattttzzond, St. Croix Co. CSM Legend N i" = 40' ~ =Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ~ ~,~,' ~} " S ~-,. ~: ~ D =Borings >, 4Z'` 1~~..,,5~ Boring Elevations o{ U~ Bl= 99.40ft ` ~ B2 = 99.40 ft B3 = /~•`~ft 84 = 0.00 ft ~ w~.~u.., ~ a-~o _~ t ~~ rn. _ l '~ ~ ..' ~ Cb h,~ ~~' z~~ f~~~ w. a: k ~c ~~~1 b d " !d ~~k a~ `'~ .<~ ~ ~ ~ ~~__ ~ o~ L ~ /' ~ . o ~~_ ~~ ~ mod-- G.; ro-- ~~ .s ,~ LL ~. G f ` ~.~5(o ~ ~~ ~ l o~ ~ O ~ L~ Brenda Bodc~son NW 1 /4,SGV 1/4,S2,T29N,R17W 'town of Hannztzond, St. Croix Co. CSM Legend 1"=40' ~ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • =Alt Benchmark Ele. 100.00 ft Top of 314" pvc pipe .-, ~ ~,-~,' 4 S ~. ~; ~ ^ =Borings >, 4i'` ~¢Qo.,,, gg~~• Boring Elevations o~ U~ Bl a 99.40 ft ~' ~ B2 = 99.40 ft 134 = 0.00 ft r ~-z-- ~~, rn. N ~ ~. ~- --~_ ~ /c7~~ a` n ,~~ j ~~~~ e ~ d ©Id ~~~ e~ .~,.. _.. ~n~ w~,~~ ~ 0-,9.0 _~ ~,-o I ~~. ~ -~ z~ ~ ~.. h C~ ~O,J~ \ ~ ~ ~~ ~' b ~I i e,~.o~ ~s~L ~. G r Co`„.~ ~~ ` ~~ ~ ~ X ~ c7 roc \c. commerce.wi.gov i ^ isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. co m m e rce . wi. g ov/s b/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July 12, 2006 CUST ID No. 225094 MICHAEL P ROGERS ROGERS PLUMBING E4457 HWY 12 MENOMONIE WI 54751 A7TN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPII2ES: 07/12/2008 SITE: Brenda Bodelson 1130 192°d Street Town of Hammond, St Croix County NW1/4, SW1/4, S2, T29N, R17W Identification Nambers Transaction ID No. 1289008 Site ID No. 715424 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: • Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1085957 Maintenance required; Replacement system; 450 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has. been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements:: No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. ~'0i Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and ~~ dispersal are prohibited. D PARTi • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. ON OF ~/ • A Sanitary Permit must be obtained from the county where this project is located in accordance with the SEE COI 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. Stat MICHAEL P ROGERS Page 2 7/12/2006 • Comm 83.22(71 A coQY of the approved~lans 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 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence 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, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin.gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 763:3' cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing i Brenda Bodelson -Mound 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: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) Location: NW 1/a, SW '/a, Sec. 2, T 29 N, R 17 W Town: Hammond County: St. Croix Date: July 13, 2006 Owner: Brenda Bodelson Address: 1130 192"d St. Baldwin, WI 54002 Plumber: Mike ers Ro g Signature: ~ ~ ~ /~~ /G~~~'`r"''~i ''r` 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 RECEIVED JUN - 7 2006 SAFETY & BUILDINGS ~'f%~1.~~,~r~~P'~ 1 ~ ~~~ '~ n ~~ ?~ OF COME"ERC,F page 1 of 8 rEY xcs ~SPpN ~ ~~ DENCE r Design Criteria YD'S Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 1 SOmg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L ~ 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 2~ Manifold/header length 3 Drain-back ~ ~Z~ Lateral length ~ @ ~ b ~ c~ Lateral elevation ` 01, ~' Lateral hole size s~~ Z in. @ ~- ~ ~~ Z ~ holes/lateral ~ Lateral volume ~.~ zg Total lateral discharge rate ~ ~ ~ ~ Network pressure compensation losses ~ ~ "' S~ Elevation difference ~ ~ o Friction loss o.2 8 Total dynamic head ~ ~ ~ ~ 3 Pump/sij~aon `~~ gpm @ ~ 'Z - Manufacturer 1~ ~"' ° ~^^ ~-~ Dose volume ~ 3 - g Lift/si~ion tank ~ ~ -~ ~ ~ ~~ - ~ ~ ~-ow-~o Septic tank ~~ " `' Effluent filter ~ a~ ~ ~ ` ~ Measurement pump on and off S ~ o Height alarm from tank bottom ~ ~ ~ ~ Reserve capacity ~ 3 ~ ~ Z specs.calcs.res Design Calculations o - 3 ~ gallons/sq. ft. per day ?- Z S in. ~- Z `~ in. ~` ft. of Z in. 4, a g ft. of ~L/4 in. ~ ~~ ~ gallons ft. of ~~~ ¢ in. ft. @ bottom of lateral in. ( 4 ~ n ft.) Spacing holes total gallons i gallons/minute @ ~ ~ s ft. head ft. ft. ft. @ z-Z gallons/minute ft. ft. of head Model # S ~" ~'1` ~ o gallons ~ ""° gallons ~ ~ gallons in. in. gallons Page Z of g , ...~.._ .._., .. .. ;c~.o sus 5 ~~. ~-; ~, , - ; ,. _ ;,; ,~ ~,; , i ., .. ,~ << i•~+ L n (~ w ~., ~ Z~~.~(1 ~ •vil ~ s ~ ~ e~~ `~ '' ~S'h~. .~ ~ ~r, b.~.10..., ~ Zu . ~ ~ ~` C ~tiZr ~a.a ., ., ~. t~.~w..Q ~-.~sovt ~~ 1 1.~~ l,~Z, c..~j w..S~ ~ h 1 b s~-bco:1 ` i~»SZ ~z Av ~.` ~ a-O r O LL ~p N ,~~~, ... e~~ ~.~ a~ k~, ~ ~ o" o. s~ 3' 1y~~; ~ ~1 ~S~ ~o s~~ ~ w~ ~~~- ~~-~ -` i` ,, . ~ :...: ~ , ~~ i` ~ , ~~ ,, ~, `~ 0~3~ ~~1~~z ~, ~ ~; ! ` ~. . , I - ' tf .. .. , ~,{` ~~ if ~~ : , _ , , i ~. a >. ~. :~ ~` ah ~ ~a..~. O ~,, 3.0 ,~, I<- 13' -~I ,~ ~3 0 ~- 11.3 ~ 10~Z' ~~~d ~~o Z` leo~4' O ', 4~ ~ v C. c ~ a.c~- O~ 1 a.v` v o i~t ~ .- ~... a ~ l L ~ • ~ ~ ~ o •+. ~ t . ~ k. `~ ' ~ o `Ft ; , VT t~lr v.\~~ ~,tV ~r1 bA.~ 2~~.,~` ~r0 r C.~{ • ~ 4~~i.~ ~W~ '~~~ ~Q v L s c_~ 4o r•.•.: ~-e WSJ. /V\ l 4~ ~'~ I 4' °~ l ~KVhy\qJ1 ~~ •• Q.t ~~ ~~ QVL Lc.`~ ~ e~<< ~s'~~ \ ~ `~q' ~P v c s ~, 40 / \d~.~...~1 r 3.0 ' ~~ I ~1-~ o' L ~ , o' ~~,~, JJJ ~ ~ o~ ISZ~ u ~ ~` ~ O ..~ 1 t~ j2J~' uC Q~.y~ ?t ~ O \ 1 p r `~ `~ f~ ~ ~'" ~' A 6.-~ ~ \ ~ zo \ a~ . s ~~ ~~ _ ,. -r ' ~~ ;. ~ Mn,H ~}. ~' WEATNERPROJ~ LOCKING COVfiR JuN~T"~ WAn'n~ ANC ,c ~BE~ . &xc I Q~~GK Di~C.D~V~CT--1 Grade, elev.v`~`~'~ (," 4~ 1~„ 4" PVC sch ~ ~ t7~~ 40, 3' onto ~ ~, ~~4 PVC solid ground . 20~ 2.~ I~ ~~ ~Ch 40 ~' ~ vent MgIJ t14LE .... I ~ µ ~. S i ~~ ~~ r -- - - ^ 4 GW ROvi.D A ! Lo. p ` ~ NOLF / 4" PVC ~ISY,ET 30N'r,~ ~ ~ sch 40, gAFFI.E ~,E, p~~ p Al 3' onto n solid c~ w+ E ~T ~ o -+S ~- "^/ ~ ~ ~ .~X, ~ - \ V`O -r- ON ground s, o'' 3 ~„ Cie... ~ ~~ ~-e~„ : ~ o~,~•~~-~' ~ ~ 4,~ o~ P urlP D 9 ~, G O Artie FT"c FL~~., b~oCK SCPTiC ~ _ SPEC,IFI•GATIOIJS Q ~ oos~ ~, ~~ 7nuK5 MAUUFACTURCR: IJUMQCR OF OOS[S: ~`~' _ per day T^-JK SIZ C ; ~ ~' -~~ GAl.L01JS • .DOSC VOLUME A~ARr1 /1M4UiACTUi~CR; S `\ ~~~'K-~~~ IAJCLU01-JG OACKF~.O~J: ~~' ~ gallons P'~ODCL -UUy^.~fR; • \ ° I ~'~' ~ CAPACITIES: A. 2o'O IuCNES CR 335'Z SwiTCN TyPC; `"`Q'~`'`` Z gallons 8 = ~ucNES oa ~3.SZ gallons PUMP hA1JUFALTURCR; ~ ~ """~- ~L C a ~~ ON IMCNE S OR ~~' g_ gallons MODEL 1JUMDfR: ~~~ r ~d N ~ ISO,g D ~ iNt MES oa ~ gallons IJOTE' PUMP AIJD ALARM AtiE TO DE P'\i-JIMUf'~ DISCHARGE RATe 2l'I° INSTALLED Ou S€PnRA~E CiTCUits crM ~ ~•fo 6 VcRTicAL DiFFCIIC-JCf DCTW[CU PUf"1P OF- AUO OIJTRI~UTIOIJ PIPE.. ~~~ FECT + ~,~ulhuM -JETWORK SUPPLY PREttURE ~'S FCCT i\'os ~ _ ~ ~ + ~~ FCET OF FORC[ MAIIJ X ~'I~ F~p~tFRICTIOU F/~CTOR. o.Z$ FEET ~ 2Z ,~,~ - -~ ' - TOTAL Dyt.IAMIC HEAP ~1'~~ FEET Y. ItJTER-JAC. DIME1Jb101Jt •0/ TAIJK: LE-.lC,7H ~~T ;WIDTH ~~ ,Llqulo pCPTH ~y S' ~ ~ n r_ Y_ b _ C Zl ~.. '.. '~ t • Pumfn Ch4~racteristics ~ Meta UrAH Se~ttna>->rl+ Adottr,trtk AteJd, SNtF]OA) NotseFewer .JO Fell lestd Anury ti.0 IMIa ShotW hlel4 ) R.~.ld. I SSO -Itasfe A 1 VaN lls Nat: 60 Tetgpaetwo 140'F Atlttda+t NEMtA DetiSa A hseietloe Gees A tltiscba She 1-I /1' NF7 lJtiewel SoMds Nett S/4' {19tnN Us~h Welglt Jtl 6s. hover Cerd 11/A, S1'fW, TO' s~. Materials of Constru4ction Nedle SblsMss Steel ~ a Dieieshk a Motor Nea Ceet ka t.es k Mlesle+tkd Stich Sod Seet Fens: CstrMe/Caaeic Sed ttetFjs Aeesli:et{ Steel S~ieg Steltriess fts>,I lefewss beee-M F Gst key Sleew lower Rrw I+IN Nfhet t'Nfe tk ~ Est~eeaeti 1~~feelk iesitHat Sttttitnless Steel poe~tt+t-t/is~rlcslZ De1'e 1 ~ 71 ~ ~~ • :~~ta I ~ t to to w a ~ u,tis«er e t t ~ Total MN~ hit 4 ti 12 1t ZO 4~1 a'M ro,sa u si ~~ s= ~: o Dim4snsi4~nal Data 1. A Wrrior~ h indrs It~a ~ rwai~l ~. ~ (,.eo~ett ~ rrrY : In ed •.,~ l Mr k t,nGUa4n pie ,>rt ,.INt ~ ~ ~~.~ ~u`"utt p~ndnao s. sr,lotl Iwr ~~ 4, ~ rrbim Arf r jM o ~rk~ m+dow a ar prYun sd tM~ p~dtmae.ttlout Mtka ~,, .,~ f !t. `. / „~,n cao~t s•y~ s~T~~e~ lfe) ruw arr ~~ HYDRQMATIC 840 Baer Rwd ~Ithlanl, dto 44105 iel: 419•It9•5042 Ax• 419-~Yt a0t1 ' Wrb SHe: www.anldrlunPCOm SALES CrFFKES IN All NiAJOA CRIES ANO COUNTRIES ~trtm w: W-U~.6350 t20e 6M ~ I i ... __1....~.. , i ,. .. .,... __ _. I ~.... __.. I ti 1999 H~dnomotic' iurnDl. Ashlaroa, CShio. AI! 0.g - Ywi AuthonY~d lord CauribNor - '•Fj.•n ,,i. a Yp~ '' ~ ~ ^~~ ~41 r v 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. [f problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235- 1132, 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. 10. If septic or dose 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. 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 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 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. 5. 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. 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 83.54 (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 r 1 . ~~s~~i Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code #1909 Page 1 of 3 Steel's Soil Service County Attach complete site plan on paper not less than 8'/: x 1 e siz Ian must St. Croix include, but not limited to: vertical and horizontal reference po ecti nd ~ percent slope, scale or dimensions, north arrow, and I n and dis rest road. Parcel I.D. Please print Personal information rovide ma o be use C'`, for sec f La oCAE ~c i 04 (1) (m)) s Revi ed By Dat y u p y y w v ~ . . Property Owner Pr perty Location Brenda Bodelson N 2 9 2006 G .Lot na NW1/4 S 1/4, S2, T29N, R17W Property Owner's Mailing Address Lo # Block # Subd. Name or CSM# 1130 192 St ST. CROIX COUNTY na City State Zip ode Phone Numb r City ~ Village ~ Town Nearest Road Baldwin WI 54002 715-796-5535 Hammond 192Nd St ^ New Construction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ^ Public or commercial -Describe: na Parent material Silty Sediment and underlying heavy loam or clay loam till Flood plain elevation, if applicable na ft. General comments Mound design, system elevation 1 .Oft based on contour line 10~ft. and recommendations: ~Q/ /DO Boring # ~ Ground surface elev. 99.40 ft. Depth to limiting factor 28 / in. Soil A lication Rate ^ PP~ Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t *Eff#2 1 0-6 10yr3/1 none sil 2msbk mfr cs is .6 .8 2 6-14 10yr3/1 none sil impl mfr cs lc .4 .6 3 14-28 10yr4/4 none scl 2msbk mfr gw 2f .4 .6 4 28-48 10yr8/2 c2d 7.5yr5/6 andston~ residuum na cs na .7 1.6 -----~ Boring # ~ Ground surtace elev. 99.40 ft. Depth to limiting factor 37 / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *EfNl1 *Eff#2 1 0-6 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 6-26 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 26-37 7.5yr4/4 none scl 2msbk mfr gw na .4 .6 4 37-40 10yr7/4 c2d 7.5yr5/6 scl om na na na .0 .0 * Fffluan} #1 = Rnf) > 30 < 990 mn/I and TSS >30 < 150 mall * Effluent #2 = BOD_ < 30 ma/L and TSS < 30 mo/L _...__.._... ---5 -- --- ~---- -- -- - ..- o- - - - CST Name (Please Print) Signature: ~ CST Number David J. Steel ~~--~~' 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 8/28/2006 715-760-0347 gnu-a~w ~n.v iivv/ . • Property owner Brenda Bodelson ParcellD # Page 2 of 3 Boring # ^ /GQj e , (7 De th to limitin factor '~ ^ Ground surface elev. _ ~ ft. p 9 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff/!2 1 0-6 10yr3/1 none sil 2msbk mfr cs lc .6 .8 2 6-25 10yr4/4 none sicl 2msbk mfr cs 1c .4 .6 3 25-44 5yr4/4 cid 7.5yr5/6 scl om mfr gw 2f .0 .0 4 44-50 10yr8/2 c2d 7.5yr5/6 andston residuum na cs na .0 .0 ^ Boring # ^ Ground surface elev. ft. Depth to limiting factor in. ^ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ ^ Boring # Ground surface elev. ft. Depth to limiting factor in. ^ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 <150 mg/L * Effluent #2 = BODS < 30 mg/Land 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) Steel'S SOiI Service David J. Steel CST-POWTSM Lic. #248956 I ,~~~ •~ 4,r ~ STEEL'S SOIL SERVICE Brenda Bodelson NW 1/4,SW 1/4,S2,T29N,R17W Town of Hammond, St. Croix Co. CSM 994 200' St. Baldwin, WI 54002 Direct 715-760-0347 Fax 715-684-3449 Legend 1" = 40' • =Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • =Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe C1 =Borings Boring Elevations B 1 = 99.40 ft B2 = 99.40 ft B3 = i~~s~~ft B4 = 0.00 ft ,, 3 of 3 N POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE WFORMATION Owner ~ _ Permit # DESIGN PARAMETERS stiTumber of Bedrooms 100gpd/bedroom ^ NA Number of CommercialUnits NA Estimated flow (average)* Op gaUday Design flow. (peak), estimated x 1.5* v gaUday Soil Application Rate b •gaUday Influent/EffluentQuality(NAC1} Monthly Average** Fats. OiI ~& Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) 't'otal Suspended Solids {TSS} ~ 220 mgiL rPretreated Effluent Quality ^ 250 mgt Monthly Average*** ~ Biochemical Oxygen Demand (BODs} ~ 30 mg/L. i Total Suspended Solids (TSS) 1 Fecal Colifann {geometric mean} 5 30 mglL + <_IO cfu/100m1 Maximum Effluent Particle Size lf$ inch diameter * Wastewater Flow Verification on and calculations: (Other than bedroom based) ** Values typical for domestic {non-commercial wastewater and septic tank effluen#. ***Values typical for pretreated wastewater. 1)Ti`CTt_N Cr2T'TTAiA C} "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ ."Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". R.J. Otis - ASAE Publications 5-77 and "Design Manual - Cmsite Wastewater Treatment and Disposal Systems". EPA 62511-80-012 October 1980 D SBD --10570-P (R.b/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -105b7-P {R.6/99) "In Ground Absorption Component Manual" ^ SBD -10705-P (Id.01/O1) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD - l Ob28-P (N.b/99) "Recirculating Sand Filter System Component Manual" ^ SBD - I Ob5b--P (N.b/99) "Split Bed Recirculating Sand Filter System Component Manual" ^ SBD =10572 ~' {R:b/99) "Mound Component Manual" ct~SBD - 10691-P (N,Oi/Ol) "Mound Component Manual" Version 2.0 ^ SBD -1OS95-P (Rb/99) "Single Pass Sand Filter Component Manual" ^ SBD - 10657-P (R..b/99) "Drip-line Effluent Disposal Component Manual" ^ SBD -10573 P {R b/99) "Pressure Distribution Component Manual" ^ SBD -1070b-P {N.Ol/Ol) "Pressure Disiribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treabnent Units lYlaQlLtV'i'L+'1VAtV(;E MONiTnRTN[:.rf`XTF.T1TTr.TC Service Event Service Frequency Inspect condition of tank(s) Pump out contents of tank(s) At least once every ^ months year(s) (Maximum 3 yrs.) When combined sludge and scum equals one-thin (1/3) of tank volume Inspect dispexsa( cell{s} j At least once every ^ months q4~ year(s) (Maximum 3 yrs.) Clean effluent filter ~ At least. once every ^ months year(s) inspect pum ,pump controls & alarm 3 At east once every ^ months (~ year(s) ^ NA Flush laterals and pressure test At feast once every ^ months layear(s ^ NA Valves Other: At least once every p months ^ year(s) ^ NA At least once every ^ months ^ year(s) ^ NA Yage of SYSTEM SPECIFICATIONS . S'I`AItT UI' Far new construction, prior to use of the POWTS check treatment tanks} for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell{s}. If high concentrations are detected have the contents of the tank{s) removed by a septage servicing operator prior to use. System. stazt up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports, The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, anh'bioties, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flaw by spreading laundry washing throughout the weal:. Avoid vehicle traffic over all system components. Compaction: of snow over the dispersal unit may cause it to freeze up. d Valves Valves shall be operated in the following manner: ®,A.Iarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 clay reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall ba mach; by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardwaze, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access .openings used for service or assessment shall be seated and/or locked upon completion of service. Any defects shad be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (113} or more of ~e tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NRl 13, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufachurer's specifications. Provisions are to be made to retain solids in the tank. Fitter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. ,Pump ChamberlTreahneni Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and tlxe condition of the filter. Any service needs or repairs shall be promptly taken care of. p In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Parading at depths greater than 75°1o of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of Mound, At-Grade, ln-Ground Pressure The inspection shall include recording the levels of panding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 95% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing, The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of ellluent is occurring to promote the longevity of the system. REPORTS Deports for maintenance, inspection, and monitoring shalt be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned incompliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks aad pits shall be discormected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After' PumP9ng, all tanks and pits shall be shcavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: d A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the .need for a now soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. Ll A suitable replacement area is not available due to setback and/or soil Iimitataons. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. C] The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no xeplacement area is available a holding tank maybe installed as a last resort to replace the failed POWTS, .ia~ Mound and at-grade soil absorption systems maybe reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. r<WARI'~IING» SEPTIC, PjJNIP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN.. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATIYIENT TANK UNDER ANY CIRCUMSTANCES. DEATII MAY RESULT„ RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IIYIPOSSIBLE, ADDTTIONAL COMMENTS PO'VVTS INST ~ POWTS MAINT R Name ,~ ' 1 I Name o ,~ Phone / ~. Phone SEPTAGE SERVICING OPE TOR (Pumper) LOCAL REGULATO~2Y AUTHORITY Name Agency t d/1 td Phone Phone K:\WPDATA\EH\1'OWTS OWNER'S MANUAL.doe Page of SEP TIC TANK MAII~dTENANCE AiVD RECEIVED JUL 2 R 2006 ®WNERSHIP CERTIFICATION FORM P~ ~ ~. ; So ST. CROIX COUNTY .i'tw~liitll~ i=~.UC~TrGSS _ -_ I I c/ ~ ~ [ ~ -) 'I verification required from Planning Department for new construction) --`-~r'~tat~:: ~~~ ~~'~~ C~~_ Parcel Identification Number ~TU ~~~ ~'F~Q~-/6d _~=~~vrrj .ocation lV ~ i/,,~ (.t~ '/4, Sec. 2- , T~--/ N-R~W, Town of ~( h~f'I'I ~h ~- ... a~~.i~ si:~n. v.~,ntiFr: ~trrvey 1~a~Ia =g'~~~'~ and- i~e~ti # I.ot # Volttrne ,Page # 'Volume Page # <~~~ ~~~~ ^ yes~r~o L.ot lines identifiable J~J yes ^ no S °~ ST~I~~ 1V~A.'Q~ITENAIVC~ Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance :~.c;~n;,,ists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system :;-are affect the function of the sepric tank as a treaunent stage in the waste disposal system. 'I'lte property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a :nasc~rplamber, journeymanpiumber, restrictedplumber or alicensed pumper verifying that { 1) the on-site wastewaterdisposal system ~s iu proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 1 ~.`> tie undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards st forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certificaticrl sang #la.aat your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office witt> iP. ~ Q c ~ o "the tlu~ee year expiraiioa date. / 0~ GI~IATUP.E OF APPLICANT DATE ~~~~ ~~iZ`I`~~,ICA.`I'IO.IV i (we) certify that all statements on this form are tra.; to the best of my (our) knowledge. I (we) am (are) the owner(s) of ~e property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SI~::TNA i'U'f..E OF APPLICANT DATE """°"'~* Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ;+~"' ~`"~ ~t1L`lild:r wltll th1S appliC3t19II: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is trade in the watranty deed RECE ED ~u` ~ R 2006 gT. CROIX COONTY State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Name THIS DEED, made between Thomas F. March and Diedra G. March. husband and wife as survivorship marital property _ ("Grantor," whether one or more), and Brenda J. Bodelson. a single person ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Part of the West Half of the Southwest Qua:~er (Wl/2SW1/4) of Section Two (2), Township Twenty Nine (29) North, Range Seventeen (17) West, Town of Hammond, St. Croix County, Wisconsin, described as follows: Lot Two (2) of Certified Survey Map filed Apri130, 1979 in Vol. 3 of C.S.M. pg. 788, as Doc. No. 356524 828462 // KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 06/29/2006 12:30P11 WARRANTY DEED EXERT IR REC FEE: 11.00 TRANS FEE: 560.70 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address FIRST NATIONAL 6ANif 8F HURON 916 Davis St PO BOX 28 ~{a~rlrRTtortd, WI 540150028 018-1004-60-100;018-1004-40-100 Parcel identification Number (PIN) 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 reservations, if any, of record. (SEAL) (SEAL) * * AUTHENTICATION Signature(s) Thomas F. March and Diedra G. March husband and wife as survivorshiu marital aroaerty authenticated ~i'~D~o *Kristina O land TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: ACKNOWLEDGMENT STATE OF ) ss. COUNTY ) Personally came before me on , the above-named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Kristina Deland. Estreen & Deland Notary Public, State of 304 Locust Street. Hudson. WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS [S A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM NO.1-2003 • Type name below signatures. INFO-PROTM Legal Forms 600.655-2021 www.infoproforms.com 1of1 *Thomas F. March *Diedra G. March ~'S~t.C'.`.ti'~ CERTIFIED SURVEY N0. 7tsS Part of the West .I/2 of the Southwest 1/4 of Section 2, Town 29 N, Range 17 West, Town of Hammond, County of St. t;roix, State of Wisconsin, described in Volume ? of Certified Survey Map, page i~~ as Certified Survey Number 7~ UNPLATTED LANDS s LOV.GU~ B~ N =a o 0 6 ~. z :m ` ~~• o •v G• N ~ Q GATE 4-IT- ~ WATER El. 100. N cn /N ~ ~G, sy £ 2~ ~ p `~ ~ ~n U o .Z = m ° 01 U a ~~ 1017. LOT ~ 9.58 ACRES } INCLUDING LAKE 8.23 ACRES t EXCLUDING LAKE ROAD AREA.05ACRES* F~~'ED APR 3O 1979 ~c '~~`°""~ 124.52 !t~ - 575.1E ~ wesT uNE _UNPLATTED LANDS . 3W f/4 w BEARING REFERENCE S° TO THE WEST LINE SW 1/4, SEC 2 ASSUMED BEARING N 00° 2251"W sw coR. f SEG. 2 72liN, A ITW SOUTH LINE NW 1/4 51/~ z tW W O SET 3/4X30' ROUND IRON ROD WE1Gt11NG 1.502 LB/LF SCALE I"=150' ~~ O 50 150 300 ~° 3i S 89° 40'42"E 317.30 LOT 2 5 ACRES t INCLUDING ROAD 4.50 ACRES f EXCLUDING ROAD an' Y~~ I ~. p ~ E%T'G BU1l~WG3 N cn B Q~ Qom. WEST 264.00' l =c :Z :~ ~~ =0 ~~ :z o IJ -EAST LINE N NW IM (O- f,l sw IM A ~ :~ :~ ~ I, Thomas G. Kuester, Registered Land Surveyor, hereby certify that I have surveyed, divided, mapped a part of the West 1/2 of the Southwest 1/4 Section 2, Town 29 North, Range 17 West, Town of Hammond, County of St. Croix, State of Wisconsin, more particularly described as follows: Commencing at the Southwest corner of said section; Thence N. 000 22' S1" W., 1,906.55 feet; q+>MN~ ~~ Thence S. 89° 40' 48 E., 260.22 feet, to the point of beginning;A~~yGO~S Thence continuing S. 890 40' 48" E., 1,050.00 feet; ~ 11~ Q. Thence S. 00° 12' 29" E., 727.43 feet; _ ~ c • Thence W. 264 feet; Thence N. 00° 12' 29" W., 165 feet; ~ ~O C~'Rv Thence W. 661.48 feet, to a Meander Corner on the East shore of Bushnell Lake which is East 124.52 feet of the Southwest corner of the parcel herein surveyed. Said corner is S. 00° 12' 29" E., 415.88 feet to a Meander Corner on the North shore of Bushnell Lake. Vc1 ,..r•!c~ "~-€;c= 7~8 PAGE 1 of 2 ~\ ~:35fi~;~'.~~ CERTIFIED SORVEY N0. 71 Part of the West 1/2 of the Southwest 1/4 of Section 2, Town 29 N, Range 17 West, Town of Hammond, County of St. Croix, State of Wisconsin, described in volume 3 of Certified Survey Map, page 7~S as Certified Survey Number 7uB Thence from said North Meander Corner; N OOo 12' 29" W., 152.40 feet to the point of beginning. This description includes all lands to the high water mark of Bushnell Lake; Said parcel contains 12.73 acres, more or less. That I have made such survey, land division and plat by the direction of h9ai Voelman. That this plat is a correct representation of all the exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provision of Chapter 236 of the Wisconsin Statutes and the subdivision regulations of the Town of Hammond, and the County of St. Croix, in surveying, dividing and mapping the same. DATED THIS /d DAY OF ,~, 1979 APPROVED 2 2 6 1979 ST. CROIY. ~~ COMPREHENSIVE P::,:' ANO ZONING CG ~ .-~ APPROVAL OF THIS MINOR SU8D1VISfOPi DOES NIOT MEAN APPROVAL FOR BUILDING SiTc OR SEPTIC SY„TEM. REFER TO H62.~0. Thomas G. Kuester, Registered Land Surveyor Volurle 3 ~;e ?.`.8 ' >wawie 4 ~ ~ r ro:f :~ M ~ x~ ~'; ~'sy ~.~~ ~-~.. S U Rv.~~~~~' F~[ED A~ so i97ry ~~ pr ~yD"~ ~~~~~ PAGE 2 of 2 Parcel #: 018-1004-60-100 o7/2si2oos 02:59 PM ` PAGE 1 OF 1 Alt. Parcel #: 02.29.17.270 018 -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 THOMAS F & DIEDRA G MARCH O -MARCH, THOMAS F & DIEDRA G 1130 192ND ST BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 1130 192ND ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 0.880 Plat: N/A-NOT AVAILABLE SEC 2 T29N R17W PT SW SW PRT OF LOT 2 Block/Condo Bldg: CSM 3/788 INCLUDES 018-1004-40 P26C Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 10/22/2001 659741 1743/43 EZ-U 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 ,~ Valuations: Last Changed: 07/13/2004 Description ~. Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 38,500 72,900 111,400 NO Totals for 2006: General Property 5.000 38,500 72,900 111,400 Woodland 0.000 0 0 Totals for 2005: General Property 5.000 38,500 72,900 111,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 122 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 018-1004-60-100 ~2i2oi2oo5 03:57 PM PAGE 1 OF 1 Alt. Parcel #: 02.29.17.270 018 -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 CaOwner O -MARCH, THOMAS F & DIEDRA G THOMAS F & DIEDRA G MARCH 1130 192ND ST BALDWIN WI 54002 Districts: SC =School SP =Special T e Dist # Descri tion Property Address(es): ' =Primary ~ " 1130 192ND ST ~ ( ~~ ~ yp p SC 0231 BALDWIN-WOODVILLE AREA _ ~ 1 ~ ~- ~,"~__/ ,~ SP 1700 WITC ~~~ ~ i ~ ~ `'J"" " Legal Description: Acres: 0.880 Plat: N/A-NOT AVAILABLE SEC 2 T29N R17W PT SW SW PRT OF LOT 2 Block/Condo Bldg: CSM 3/788 INCLUDES 018-1004-40 P26C Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 10/22/2001 659741 1743/43 EZ-U 7nn~ CI IMMeRV Bill #: Fair Market Value: Assessed with: ---- --------- ---- 89986 134,800 Valuations: Last Changed: 07/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 38,500 72,900 111,400 NO ~ ~^~ ---- ~ J nf~r ~~~ ? cs~ ~~b ~~~~ Totals for 2005: General Property 5.000 38,500 72,900 111,400 Woodland 0.000 0 0 Totals for 2004: General Property 5.000 38,500 72,900 111,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 122 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 60.00 Special Assessments Special Charges Delinquent Charges Total 60.00 0.00 0.00 Parcel #: 018-1004-40-000 12/20/2005 03:57 PM PAGE 1 OF 1 Alt. Parcel #: 02.29.17.260 018 -TOWN OF HAMMOND Current LX' 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 -MARCH, THOMAS F & DIEDRA G THOMAS F & DIEDRA G MARCH 1130 192ND ST BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 4.120 Plat: N/A-NOT AVAILABLE SEC 02 T29N R17W 4.120 AC NW SW PRT OF LOT 2 CSM 3/ Block/Condo Bidg: 788 (ASSESSED ON P27C) 698/546 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 10/22/2001 659741 1743/43 EZ-U 07/23/1997 905/160 07/23/1997 7 07/23/1997 698/546 9AA~ CI IMMARV Bill #: Fair Market Value: Assesse Valuations: Description Totals for 2005: 0 Last Changed: 04/23/1992 Class Acres Land Improve Total State Reason General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: o Certification Date: Baton #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 018-1004-30-000 o7i1oi2oo7 09:17 AM PAGE 1 OF 1 Alt. Parcel #: 02.29.17.26B 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 - KASINSKAS, TOM J &RITA K TOM J & RITA K KASINSKAS 1134 192ND ST BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ' 1134 192ND ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 9.580 Plat: N/A-NOT AVAILABLE SEC 02 T29N R17W 9.58A NW SW LOT 1 OF Block/Condo Bldg: CERT SURVEY MAP IN VOL III PAGE 788 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Change d: 07/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.500 28,900 107,200 136,100 NO UNDEVELOPED G5 2.000 1,800 0 1,800 NO PRODUCTIVE FORST LANDS G6 5.080 12,200 0 12,200 NO Totals for 2007: General Property 9.580 42,900 107,200 150,100 Woodland 0.000 0 0 Totals for 2006: General Property 9.580 42,900 107,200 150,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 132 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • • ~J~~~2`~ CERTIFIED SURVEY N0. 788 Part of the West .T/~ of the Southwest 1/4 of Section 2, Town 29 N, Range 17 West, Town of Hammond, County of St. Croix, State of Wisconsin, described in Volume ~_ of Certified Survey Map, page 753 as Certified Survey Number 783 ,UNPL.ATTED .LANDS . S 89°4046" S 0~ 48"E 1050.00 260.22 ~ BS° I O 17.00 c ~' 41 ~ m o ;Z °D ~, /9~' ~ S 89° 40'42'~E :~ :I~- N O ~ ~ 317.30 ~ ;r :~ o o ~ I~ ;O .~ b :O G ~~ ~ ~ .Z :C o ~ ZO ~ DATE 4-I7- ® GOJ~~ ~ ` ~ 3 •' WATER EL.100. 1 N ~,~ ~~ ~ G~~ ~ LUDING LASKE z (T N N ~/ S'~~J~c.. 8.23 ACRES t ~ ~ siy S~ EXCLUDING LAKE 8 '1i~ ROAD AREA .05ACRESt ~? c~'c N W t0 t-1 _n ~ '~ ~ o .d .N Z ~ FI[ED a ~ ;~ o 01979 '~ ~~ ~~ ~ ~ 6~ w~ 9 0 124.52' ,,, ~~' 575.18 8 ~+ o a -o ~ ----~ ---~-- ~--WEST LINE „U,NP~ATTED LANDS SOUTH LINE ............ ..... NW I/4 S I/4 SW I/4 ~' BEARING REFERENCE t0 TO THE WEST LINE SW I/4, SEC 2 O SET ~/4~x 30~~ ROUND IRON ROD ASSUMED BEARING WEIGHING 1.502 L.B/LF sw coR. N 00° 22 51 W SCALE I"=150' SEC. 2 ~l_ r29N,Rt7W 0 50 ISO 300 LOT 2 0 g 5 ACRES ro _~T INCLUDING ROAD LINE 4.50ACRESf m ~ NWI/~ EXCLUDING ROAD .°-' m sw I/~ ti~~ ~~ .w~,~° ~ Z I ~. EXT'G BUILDINGS 01 ~ ~ ~ ~'~- 23.00 ~~"" WEST I, Thomas G. Kuester, Registered Land Surveyor, hereby certify that I have surveyed, divided, mapped a part of the West 1/2 of the Southwest 1/4 Section 2, Town 29 North, Range 17 West, Town of Hammond, County of St. Croix, State of Wisconsin, more particularly described as follows: Commencing at the Southwest corner of said section; Thence N. 00° 22' 51" W., 1,906.55 feet; ~~ Thence S. 890 40' 48 E., 260.22 feet, to the point of beginning; Thence continuing S. 890 40' 48" E., 1,050.00 feet; Thence S. 00° 12' 29" E., 727.43 feet; Thence W. 264 feet; ~~ iD "~'. N ~. :~ ~a • :O :cn iv ~~ 1O~c