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018-1018-80-000
Parcel #: 018-1018-80-050 10/19/2007 04:01 PM PAGE 1 OF 1 Alt. Parcel #: 09.29.17.139A-10 018 -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 - RONDI BONTE LLC RONDI BONTE LLC 1011 170TH ST HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 0.000 Plat: 09-059-PHEASANT RIDGE 1ST 33/54 2 003 SEC 09 T29N R17W PT SW SW EXC W 320 FT Block/Condo Bldg: ' OF N 400 FT OF S 1000 FT(ADD L HIST 726/511 EXC PT TO PHEASANT RIDGE 1ST Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 09-29N-17W SW SW Notes: Parcel History: Date Doc # Vol/Page Type 07/05/2007 855070 TD 07/05/2007 855069 QC 05/06/2003 720313 9/59 PLAT 01/26/1999 596516 1398/596 WD more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 21.060 83,200 170,300 253,500 NO AGRICULTURAL G4 14.000 1,600 0 1,600 NO UNDEVELOPED G5 1.500 100 0 100 NO Totals for 2007: General Property 36.560 84,900 170,300 255,200 Woodland 0.000 0 0 Totals for 2006: General Property 36.560 84,900 170,300 255,200 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 Tota I 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and~uilding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Ulferts Famil Trust Hammond Townshi SST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic / Z1or~ Dosing ~ ~ ~~ Aeration ~ / ~. Holding TANK SETBACK INFORMATION TANK TO /L W~L BLDG. Vent to Air Intake ROAD Septic /~ > r > / 1 KS Dosing ~ V ~ y ~~ ` Aeration Holding PUMP/SIPHON INFORMATION Manufactu er GPM Model Number TDH Lift Friction Loss Sys ad TDH Ft Forcemain Dia. Dist. to Well SOIL ABSORPTION SYSTEM 2 5 C.~~i..P~t~ r>,~ ELEVATION DATA County: St. CrDIX Sanitary Permit No: 453301 0 State Plan ID No: Parcel Tax No: 018-1018-80-000 Section/Town/Range/Map No: nn~n ne ~e oae STATION 2 BS HI FS ELEV. /o~- ~ Benchmark ~ Z •'3 /a~~ D Alt. I -~- ~ ~ y. s I. l 3. l Bldg. Sewer ~ ~.v ,s SUHt Inlet 5 . ~ ode. 6 b~ SUHt Outlet s~ ~ . 15 /b~. 3 Dt Inlet T `, 'k/ Dt Bottom ~ ~i ST, ~ p . O Header/Man. o g• /OD` Dist. Pipe D-~ /~ L ~ trv~- o b~ > Bot. System r.~~-- ~' -~ Z ' Final Grad ~D/ , Z /OD•/ o. y / .G St Cover ~ C3 n trs • ~/ / "3 . s 3 q~ , . S s S a8. t BED/TRENCH Width ~ "~ Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 ~~ / ~D / J' SETBACK SYSTEM TO P/L BLDG ELL LAKE/STREAM LEACHING fact r: INFORMATION CHA R ~ Type Of System: ~ ~ I(~ / ~ ~O t UNIT Model Number: 7 DISTRIBUTION SYSTEM O~{-E-~1,Lt, ~ ,a-r~ ri ~it$ ni~„A h1 r'o UO_ c Header//i ~nifo~_ may, ~ F~ ~ Distribution r Pi r x Hole Size -- x Hole Spacing -. Ven Air In ke , Length Dia pe(s) N ' ~ Length Dia Spacing ~,.~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only -f~ l.~i/fT,r.~.t- Depth Over Depth Over xx Depth of xx Seeded/Sodded xx M Iched Bed/Trench Center Bed/Trench Edges Topsoil 0 Yes ~~ No n Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ /~' Inspection #2: / / Location: 1025 170th Street Hammond WI 54015 SW 1l4 SW 1l4 9 T29N R17W Pheasant Rid 1st of Parcel No: 09.02.91.7139A 1.) Alt BM Description = ( ~~~XS (~'YL,(_ 'I~S~{~1~~. `~~~(.lis-spy 2.) Bldg sewer length ~ 7l~pp~~ /, ~ ~~ ~~~ ~ ~~-,~~j{1 ~(~'~ ~ 0 1CVy~ - amount of cover = ; ' _°~ -" " ~'l~Q.~i~,~ ~ S.Ys~-~iw~ ~XJ/~ ~ (7~~ ~1c...~.?.~ „G4LG~-~i" l/ Plan revision Required? [] Yes °:;_ No // ~~ ~ ~ ' Use other side for additional information. ,(mil-- -~_-- ~~ _~ _ - -- -_-.-~" /~t~r~- -~ ~ ~ 1 ~ __-~ SBD-6710 (R.3/97) Date Insepctor's Si nature Cert. No. Safoty and Buildings Division Cwmty ~ 201 W. Washington Ave., P.O. Boz 7162 7 ~~~~ ~~ Madison, WI 53707 - 7162 (~) 266-3151 Sanitary P t Numbeslto~ rDed in by Co) De artment of Commerce Sanitary Permit Application :; ~°`° ~°'~~ N"~`r ~~ ``'`''t T""` )n aocosd with Comm 83.21, WL. Adm. Code, petsanal.i {~ 04 b d f d Pri L 2Z2" S .~ t Add (if diit' nt th en ili dd ) F i may e use af saoon ary purposes vacy aw, cc nes~ ere ma ng a ress ro y / ~ ~iQ~ - j~ I A lk ti i f ti Pl P i t All I tb f t at -' ~4 . ' _ T S f..t ~ V . pp a on n orma on - ease r n arms n n 7 ~~ ,iUN ~ 2004 ~~~ ms's N~ u t et^ ~ ~ `'~( 'RO~XCUUNi'i Patce111 >.~# Bloek# k ~ J O ~ _ Property Owner's Mailing Address `"' Proptity Location 3 'i' 9 sw/5~ o l l ! D ~ t~ ~~~~ ~ ~~ Ci State 2dp Code Phone Number ' - ~' (circle ) A~ ~,N~.iM.o L al,~ ~t.-S ~~s Z`FD T ~` L N; x` ' E o~ ii. Type of Building (check all that apply) ^ 1 a 2 Family Dwelling - Number of Bedrooms Subdivision Name ! CSM Number ~PublicJCommmcial-DescribeUae lF J~Cr ' ^ Stste Chvned-Describe use ~ ~7 $T. C EZZ.S ZS /'~~i ~tY ^V~ ~o~P ~ 111. T ype of Permit: (Check only one boz on line A. Complete line B it applicable) A' ~, Now System ^ Replacemmrt System ^ 'lhatmont/Hdding Tank Replacomant Only ^ 09~ar Modificatim to Existing System B. ^ Permit Renewal ^ Fetmit Revisim ^ Ghange of ^ Pernrit Transfer to New List Previous Pemrit Number and Date Issued Before Expinrtian Plumber Owner iV. of POWT3 tem: Check all that a / Nm -Pnswciaed hr-Ciramd ^ Maimd > 24 in. of srrjtisbk soil ^ Mamd < 24 in. of suitabb soil ^ At~.Cisade ^ Single Pass Sand Filtis ^ Constructed Wetland ^ Pressurized ^ Holding Tank ^ Peat Filter ^ Aerobic'fYeahoart Ugh ^ Reciroulatiag Sand Fiher ^ Reeitcida ' S Media Fihrt C~tatrrber Dri Line ^ vel-kss PI ^ Other laic) V. Db nal/lYeatment A.t~ rmation: h Q rPJC o Design Flow (gpd) Design So' Application Dispersal Area aired (sf) Dispersal Area Proposed (sf) System Elevation VL Tank info Capacity in Total Number Manrrfacdanr Prefab to Steel Fiber Plastic Clallam CiaUaos of Units Conatnrcrod Chase Now 8xi,tiap Tedu Tanks ~~ !'~' ~.. ~~ st 1'GN i Aerobic Tn~cat Uait Cam/ Ikaiag Chamber Vii. Ices mibW Sbtensent- I, tha ass nsibitt for i~tallatlon of the POWTS shown on the attached phtos. . Plumber's Name (Print) MP/MPRS Number Business Phone Numbs' Teo Z w Z IK~ 9 lumber's Address (Street, city, state, b0 0 ~ ~' ~JC. Era b r--t~vl rL wf S ~ ~ ViiL C / De nt Use ved ^ Disapproved Ptnnit Fee (' lodes Clround ~ ~ 3 ~0 - Date hs ~ Agent goature ) ^ Owner Ciiv~ Reason for Denial iX. Conditions of ApprovaUReasons for Disapproval ~~~~ /~~ _ ~ ~ bv~~~~~ ~ " Y OWNER: ~w QQ S ,/,_ ¢R, ~P~x a~ ~ ~ . ~. Septic tan , e uen filter and _~v e~'Yi " "/~""'U dispersal cell must all be serviced /maintained d S~-{a~'~ i~u~.~ • C~~~~/~ D as per management plan provided by .plumber. ~ ~ . /, ` ' _ ~/ 2. All setback requirements must be maintained `t'viR~i" ~ ~- '"~~ ~~ as per applicable code/ordinances. U AttoeR esarplsh plats (ts the Coarty oaq~) for the syabem o. paper ant than 81/I s f l hxhes is ahx ~~ h ~3 ~: SBD-6398 (R. 01/03) 1~-0..` ~~ o ~'~-~_ ~~~ o~ ~~ a•.• Ste,- Sv.~ -q-Z9- l~~((''~~ weld `~ ~- o za ¢.~, I~t ,+.-t~ C,..~ 1.b oo U --.._ ~~~ S~ S~.D.. ~ a S `Qa.vts buy' ~" o .~ ~ o~ (\ o t, ,~~ t~ \ 1 ~~s ~ \ Uv ; /(+w-i e~ ~d~0 a~ aws.s ~w~ ~~~ ~ ~.ow... `32,~~ ~= ~. 4, J •~ ~_ ~ , ~~ e-c.., z zz ~ ~.F+ ~A Y b ~ H Y `~- ~ '~^{ ~ ` ~-e'M.G. t~ :~ " ~ ~~~~ acs ASS r` :vim C..~o~ L~/¢~u C`'`am •,~ ~ C Cw~~..~ ~ ~f~ ~`~ \ ~~ .'49:65 ~~~~\ /~~' z~,-fig. ~+=.~ r ~ s,o4'` ~ `~ ~:1 c ~,,~ i /~ow. S* +f3 ~3 -4 ~ c~4 d _~l Qt ~~ ®i. f) PP ~..b,Sl ~- ~,..te, t. o~ `~ ~ 4° 5~..~:.e `~~ ¢'~ ~~ ~t.b5 +-~ a -~ _ ,._ t tea, ~ `~~_ _.. `~ `~+ ~ u~t, . a ~ C ~` `c 2~ f DYE _-___. '~~ __ __ - W`~'~ `~, ~~~` ~~~ ~~~ __` ~_,~ (~4 q5` ~` 3 a~ ~ 0 C.0. ~... ~ ~ j.4W Jun 02 04 09 : 1€3a /pwncrBuyer ~` ~~r~ Mailing Address Propocty Address c~ a Honte Excavating [715)796-2519 ST CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREEMENT ANT) OWNBRSHIP CERT'iFT~ATION FORM p. i j ~ ~u~,~. to ~`~ S ) .~~~ ~`- 5~ ~~rs ~ ;~t.~ -a°c,~2-e% ~ .. (Verification trquired fi-om Ptaaaiiug Department for new coast Gtity/State ~1 ~-'~` ~O ~ , w ~ Parcel Identification Ntunber G) ~d -1 cv ~ `r~ ~' ~~~ So I/EGAL DESCRIPTION ll ~~/SGJ -~~ ~' , ~ _ ~~ W Town of ~0.1~'~C'~'~ Proper ~la t~io /,, /., Sec. . T~ N ~___:_ ~ , ,, ) Lot # 3~-0 (p /`~~~ Subdivision . Certified Survey Map # ~ ,Volume ,Page # ~~4~~YvDe~edC# ~/~ ,~ j ~~' ~ Volume ~ ~~-~'~ _ , Page # `~'~~ ~Y --~,~-~N `~ ~~ y ~ ~ ~-~~ ~l ~ ~3 9~' ~ Ito Spot house ^ yes ~- no Lot tints identifiable O yes (~" ao SXSTEM MAINTIrN.AI~~ Improper use and auintenaareof your septic system could result is its ptrematttrc failure to handle wastes. Proper rnaintcnancr consists of Pumping out the septic tank avery t}treo yeas or sooner, if ncoded by a Iiar~sed Pte- What you put into the rystem an affect the fisactioa of the aeptio tattle as a treatmant soage in the waste disposal system. Tbc property owner agtua to submit to SL. Croix Zoning Department a cetti8canon form, signori by the owner and by a mastcrPiatnber, jotaney~aP that I theon-site wastewatcrdisposal system ltsatber,zzstrietodplumberoraliceaaedpumP~ve~Yi~ ~ ~ }tic tank is less than 1!3 full of sludge. is in proper opetatistg coaditioa andlor (2) aRer iaspoction and pumping (if noceasa:y), sep Uvti, the undcni,pnod have Bead the above toquinemenis sad agme to maitttain the private sewage disTosal eystam. with the standards set forth, herein, as set by the Department of Cocnmerrc and the Department of Nstursi Rcaourxa, State of Wisconsin- C~erdficacioo ctsting that your septic system has been maintained must be compleGCd and returned to the St. C:roiac County Zoning Office within 30 of the year exp. n da ~ /~` /©~ J SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we} certify that all atatemcats on this forth arc true to the best of my (our} lmowlcdgc. I (we) am (arc) the ovvo,cKs) of propc cri-bed a c of a warranty deed recorded in Register of Daods Off cc. r31 ~ C?`~ S1t3NA'1`(JRS OF APPLICANT DATE t bein revoked b the Zonis Department. ' • •"' •••••• Any iafocmadoa that is tztis-represented may result in the sanitary permi 8 Y g •• Lnclude vrtth this apptiutlon: a staatpod warranty dcod from the ILegister of Daeds office a copy of the certifzod survey map if rcfererace is made in the warranry decd commerce.wi.gov i ^ ~scons~n Department of Commerce JUN 0 7 2004 ;,. ~ i . +.,r:uiX C;O;.ily iY TUNING OFFI~;E 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 Jim Doyle, Governor Cory L. Nettles, Secretary June O1, 2004 CUST ID No.222774 HENRY F GROTE CERTIFIED SOIL TESTING E4366 353RD AVE MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/01/2006 SITE: / ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1004475 Site ID No. 684222 Bonte Pheasant Ridge Clubhouse Please refer to both identification numbers, 170th Street above, in all comes ondence with the a enc . Town of Hammond St Croix County SWi/4, SW1/4, S9, T29N, R17W FOR: Description: Proposed Commercial Non-pressurized In-ground POWTS Object Type: POWTS Component Manual Regulated Object ID No.: 960755 Maintenance required; 1,126 GPD Flow rate; 80 in Soil minimum depth to limiting factor from original grade System(s): Conventional POWTS Component Manual, SBD-10705-P (N.O1/O1); Commercial System, 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: This system is to be constructed and located in accordance with the enclosed approved plans and with publication SBD-10705-P(N.O1/O1) "In-ground Soil Absorption Component Manual for POWTS -Version 2.0". • The leaching chambers must be installed in accordance with the manufacturer's printed instructions, the plan approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • 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. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83 22(7) - A copy of the approved Mans specifications and this letter shall be on-site durinc construction and open to inspection by authorized representatives of the Department which may include local inspectors. p~.~,r~ Conditionally ~ .,s _ .~ HENRY F GROTE Page 2 6/1/04 Owner Responsibilities: • The .current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and 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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (60$)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us Fee Required $ 225.00 Fee Received $ 225.00 Balance Due $ 0.00 WiSMART code; 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Certified Soil Testing LLC w ~, ,.. u System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, T. L. Sinz Plumbing, 715-235-2644, or the St. Croix County Zoning Office should be contacted at 715-386-4680 for their 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. 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 pump tanks are no longer used, they must be properly abandoned. ] 1. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance ] . 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. The septic tank outlet contains a filter which must be periodically cleaned; the filter should be inspected every six months until a minimum frequency is determined at which the filter needs service. 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, and 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. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 7. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 8. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 9. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 10. 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 non-high strength wastewater 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 5 of 5 r 4 Borate, Pheasant Ridge Clubhouse -Conventional System 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 Manual: In-ground Absorption (v. 2.0) -SBD-10705-P Location: S W'/a, S W'/a, Sec. 9, T 29 N, R 17 W Town: Hammond County: St. Croix Date: May 31, 2004 Owner: Ron Borate Address: 1011 170`h St. `~~~ ~ ~ S ~ ~~~i~~ Hammond, WI 54015 ~~~ ~~ • • " "' N '% Designer: e Grote ~ ~: `~` GP 60,0 ~~~ ~ _ ~>• :. > Signature: ~' ~;~•., ~ ~ : ~, .•~ .~ License # WI D-1 9-007 ,~~~~~~~~ DE;`G~~~ Attachments: 6748 Plan Approval Application SBD-8330 Page 1: cover 2: design criteria~and sizing 3: plot plan 4: plan view/system cross section 5: maintenance RECEIwED MAY 2 5 2004 DE~AFiTMENT OF COMIJIEF:GE DIVISMON ~F AFE7Y AND BUILDINGS SEE GURRE ONDENCE Page 1 of 5 SAFETI(& BLDGS DtV. ~L'~S Wastewater Contaminant Load: Anticipated septic tank effluent 800 sq ft bar area 400 sq ft retail 3 floor drains 2 FTE Estimated Daily flow Design load Design Criteria 30 mg/L < BODS < 220 mg/L 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils grease < 30 mg/L = 640 gpd = 9.3 " = 75 " = 26 " = 750.3 gallons/day 1126 gallons/day Design Ca 0,~9 ~ }~ o ~ $o ~- ~ ~ In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system System Elevation Final Grade Elevation Septic tank `~ ~ ~~ ~ y~ Effluent filter ~ r ~ `~ >, Iculations _ gallons/sq. ft. per day _ in. _ in. q9,~1 Qa ,'~ ~q lfoq I ~ $.~ ~ a ~,i ~ 4 ~.~ ~~'0 ° gallons ~~ii-14'Qfa Septic Tank Sizing For 3 year service frequency a minimum tank volume of 2351 gallons is required: use Huffcutt 2600 gallon septic tank with Orenco FT 0822-14BA filter in outlet. Adsorption Cell Sizing Use B-1 - B-5 - B-6 - B7 area and install six trenches of 100 running feet each using 25 Quick 4 chambers per run, 150 chambers to .System elevations must be below nine inches and above twenty inches below nominal surface contour lines as trench center lines; set system elevations eighteen inches below contours. At this depth the system will be in 0.6 gpd/sq ft loading soils; oversize to at least 0.4 gpd/sq ft to account for massive sandy loam soils below twenty inches in places. Use Zabel GDS-DB-7L, 7-Hole Level box with six GDS-SL-4.0, 4" Speed Leveler outlets to distribute flow evenly to all six trenches. Total system EISA will be 2899.8 sq ft for a system loading rate of 0.39 gallons per day per square foot. S~ Specs.calcs.gravity Page 2- Of ~2n,., L2j a ~~..- tit o~ ('l ~w o Za 4--0 w~~~ Sw_ g.a-~i-Zq-taw ~._ _ ,-~ ~...,,.....o~-J ~ ~?j h{C\u~ ,O~ .-~t,Q ~S `..vie o ~1~~.~~ 5~ ~ s~~ U a 1\lo g3 sQ~~,v.~. ~o~~~ l l Ll Ls ~ 1 Uv y ~e+~ e~ ~~ ~ o-er~ ~ ,~ ~-•. z ii ~ ~.~+- ~-s~ v. ~ ~w~ ~~~ ~ ~~ ~, ~,. c~w~ ~z,3a i~ w~~~~ Z.b oo U ----._ r. ~'Lf ~ 4' ~ ~ Qirxz~~~b l~o...l~z O ~ ~.~ ~ ~ ~ ~ VC. sue. Cs ~ s1 oa,,,t,, '",~---~ G.c(~t PJSS ~ O~rt~nAQ rrdG 11T l 01, ,~.~ ~~io~,zj/~~b ~~ ~~ , (lJ+o.d) ,,, '44.65 `!. (... `49.21 .` \ .. acs ASS w :v+4 to ~...;-~ ~ v ~... ~~ ° ~~~ _°~- ~- ~~ a el~p i3 -~ _- ~~ z.o~~g. ~+=.~ i-~. ~/8 ~ „~ i f ~.~~ y~ St +~1] 13 ~q ~ ~ ~ ~4~ t (181~1~~ ~, 3-~ o bey 4~ SQJVVt.Q / ~/ ¢'"Vc ~` l ro.~~ C ~~oz~ ___._ ________~ ^~ r.. . „~°~.~. o.. ~- ~ 1•; ..~ ~,``,-_ z. 5s' ~~z' ~_ _ ~L~ Z" $~ SL.IS' ~ t~ I zx: ~.~, ~. ti, -_ ~ ~. ...Y......~. ~_~..., .~.._.._ a._._.___ ._._._._.. I ~ ~ ~ ~ __ C~ ~g S ~ ~.~ d~ ___.. __ .^_ _._____ .. ____ ~ M ~ /~ Mi.f o ~--~~ ~O ~-G K ~ V of fi----_~~ ~ ____. __ .__ . _ _ o ~:~_ s " ~~,~ yr •~s,. ~ C~ (~ ____. i o-p ~ ~ ~l ~-o _ a) ~ ~ ~ ~ ~ -~ / ~ S8 " ~ ~ a .-~ -, $ , ~ ., (q 4.;> ~ Cq ~ •~~ (q~.~~ ~4 9. iJ rr--~ nn ~ ~., ~~ ,~ U o i ..~ ~' Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm A5 Wis. Adm Code 2034 Page 1 of S Certified Soil Testing County Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must i l d b t li t it ti l d h d t i t l f i B St. Croix nc u no e, u o: ver an or m e ca zon re erence po nt ( a M), direction and percent slope, scale or dimemsions, north arr rlictanr.. to n rest road. parcel I.D. b ~ ~ O S ~ ~ ~Q + ~~~ O P/easeprinta/l forrli ~~~~~' Reviewed By Date Personal information you provide ~ us secondary purposes (Privacy Law, s. 15.04 (1 (m)). Property Owner ~ Prop rty Location Bonte, Ron Govt. of SW 1/4 SW 1/4 S 9 T 29 N R 17 W Property Owner's Mailing Address 5 i . ~R ~IX CO'JIJ-(' Lot # Block # Subd. Name or CSM# 1011 170th St. ZONING OFFICE:. City State Zip Code Phone Number ~ City _~ Village }~/ Town Nearest Road Hammond ~ WI 54015 715-796-5240 Hammond 170Th St. New Construction Use: Residential /Number of bedrooms Code derived design flow rate 1126 GPD __' Replacement /; Public or commercial - Describegolf course Clubhouse Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: install shallow in-ground trench system w/ system elevations 18" below surface contours @ 0.4 gpd/sq ft loading (61-5-6-7 area) w/ extra backfill to give >1' final cover Boring #_~'i Boring ' Pit Ground Surface elev. 100.0 ft. Depth to limiting factor ~ 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DHt' in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 10YR 212 - sil 2 f-m sbk mvfr cs 1f/m .6 .8 2 10-32 10YR 4/4 - sil 2 m sbk mvfr gs 1 m .6 .8 3 i 32-46 7.5YR 414 - sl 0 m mfr cs - .2 .6 4 ~ 46-72 10YR 4/6 - s 0 sg ml cs - .7 1.6 5 72-96 10YR 6/4,6/6 - s 0 sg dl - - .7 1.6 oversize shallow system to account for 0.2 gpd/sq ft loading in massive sl Bormg # Boring /I Pit Ground Surface elev. 101.0 ft. Depth to limiting factor 76 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIR' in. Munsell -- Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-12 10YR 2/2 - sil 2 f-m sbk mvfr cs 1f/m .6 ~ .8 2 3 12-33 -53 10YR 4/4 5YR 4/4 - - sil sl 2 m sbk _ 0 m mvfr mfr gs ~ clnf 1f - .6 .2 .8 .6 4 53-76 7.5YR 4/6 - s 0 sg ml cs - .7 ~ 1.6 5 76-80 ~ 7.5YR 4/6 fad 7.5YR 5/3 fs 0 sg ml - - .5 i 1.0 oversize shallow system to account for 0.2 gpd/sq ft loading in massive sl; horizon 3-4 boundary varies between 53-60" Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = BOD < 30 mg/L and TSS _< 30 mgt'_ CST Name (Please Print) Signatu e: CST Number Henry F. Grote ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 4/3/2004 715-233-0398 Property Owner BOr1tN_, ROn Parcel ID # ., ~ _. ,_„ .~ . Page 2 of 5 , ~ Boring # -~ Boring /; Pit Ground Surface elev. 102.6 ft. Depth to limiting factor 60 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 1 0-21 10YR 2/2 - sil 2 f-m sbk mvfr gw 1f/m .6 .8 2 21-53 10YR 4/4 - sl 0 m mfr cs - .2 .6 3 53-60 10YR 4/6 - s 0 sg ml cs - .7 1.6 4 60-78 10YR 4/6 fad 7.5YR 4/6,5/3 s 0 sg ml cs - .7 I 1.6 5 78-90 7.5YR 4/4 fad 7.5YR 5/8 s 0 sg ml cs - .7 1.6 6 90-94 iOYR 514 f2f 7.5YR 4/6 scl 0 m mfr - - 0 0 use this area for possible phase 2 system a Boring # _ Boring /! Pit Ground Surtace elev. 102.5 ft. Depth to limiting factor 42 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 1 0-42 10YR 2/2 - sil 2 f sbk mvfr ~ - ~ cs ---- 1f/m .6 .8 2 42-80 10YR 4/4 cap 7.5YR 5/3 s 0 sg ml - 1f .7 ~ 1.6 I I ~ ~ i use this area for possible phase 2; some mix sl in horizon 1; horizon 2 has irregular, discontinuous, stratified 5YR 4/4 sl (0, m, mfi) bands rj !Boring # _.I Boring Pit Ground Surface elev. 99.8 ft. Depth to limiting factor > 86 in. Soil Applicafan Rate Ho ' on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Sh. 'Eff#1 'Eff#2 1 0-5 10YR 2/2 - sil ~ 2 f pl mvfr cs ~ 1f/m 0 .2 2 5-9 ~ 10YR 3/3 - sil ~ 2 m pl mvfr ~ cs 1f 0 , .2 3 9-30 10YR 4/4 - sil 2 m sbk mfr cs 1 m ! .6 .8 4 30-34 7.5YR 4/4 - sl 0 m mfr gs - .2 ~ .6 5 , 34-50 7.5YR 4/4 _ Is 1 m sbk mvfr cs - .7 1.6 6 50-86 7.5YR 4/6 - s 0 sg ml - - I .7 ~ 1.6 occasional gr/cob/st 5-36" * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. tf 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) C2rtifl2d Soil Testing f ~ Prop Owner BOnte, ROn Parcel ID # Page 3 of 5 6 Boring # __W' Boring /; Pit Ground Surface elev. 99.5 ft. Depth to limiting factor > 84 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 1 0-6 10YR 2/2 _ sil 2 f pl mvfr cs 1f/m 0 .2 2 6-18 10YR 3/3 - sit 2 f-m sbk mvfr gs 1f .6 .8 3 18-25 10YR 4/4 - sil 2 m sbk mfr cs 1 m .6 .8 4 25-84 7.5YR 4/4 _ sl 0 m mfr - - .2 .6 horizon 4 has occaisonal pockets 10YR 4/4 s (0, sg, ml), very occasional inclusions 10YR 4/3 sl (0, m, mvfr); and occasional irregular, thin (1/4-1" discontinuous 5YR 4/4 sl (0, m, mfr) bands 7 Boring # -~ Boring /i Pit Ground Surface elev. 101.0 ft. Depth to limiting factor > $0 in. Soil Application Rate orizon 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 10YR 2/2 _ sil 2 f pl mvfr cs 1f/m 0 .2 2 4-8 10YR 3/3 _ sil 2 m sbk mvfr cs 1 m .6 .8 3 8-20 10YR 4/4 _ sil 2 m sbk mfr cs 1 m .6 .8 4 20-68 7.5YR 4/4 _ st 0 m mfr gs - .2 .6 5 68-80 5YR 4/4 _ sl 0 m I mfr - - .2 .6 ---~ occasional loose pockets s (0, sg, ml) below 20" Boring # _.i Boring 1„/~ Pit Ground Surface elev. X99.5 ft. Depth to limiting factor 59 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 1 0-5 7.5YR 2.5/1 _ I 2 m gr mvfr gs 1f/m .6 .8 2 5-24 7.5YR 2.5/1 - I 2 m sbk mvfr cs 1 m .6 .8 3 24-44 10YR 3/4 _ sil 2 m sbk mvfr cs - .6 , .8 4 44-59 7.5YR 4/4 _ Is 0 sg ml cs j - .7 ~ 1.6 5 ~ 59-72 7.5YR 4/4 f3p 7.5YR 5/8,5/3 sl 0 m mfr - -t --- .2 ~ .6 I I * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS <30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Certified Sal Testing Property Owner BOnte, ROn Parcel ID # .~ ,~ Page 4 of 5 Boring # Boring f,/; Pit Ground Surface elev. 105.2 ft. Depth to limiting factor 52 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 1 0-10 10YR 2/2 - sit 2 f-m sbk mvfr gs 1f/m .6 ~ .8 2 10-28 10YR 4/4 - sil 2 m sbk mvfr gs 1f .6 .8 3 28-48 5YR 4/4 - sl 0 m mfr cw - .2 .6 4 48-52 7.5YR 4/6 - s 0 sg ml cs - .7 1.6 5 52-72 7.5YR 4/6 fad 7.5YR 5/3 fs 0 sg ml - - .5 1.0 I Boring # .---.i 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 Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I i - ~ I I Boring #~'i Boring ,/,Jj 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 I ~ j 'Effluent #1 = BODS> 30 < 220 mgiL and 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. [f 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) C2rflfiEd 5011 Testing r . ~~~ ~~ p ~'~'~~. ~~~ o~ ~~a«. Sw- Sva ~Q-Zq-{eta 4 ~ p .._ -~ ~. -M wa~-!1 5~~~ ~~~= 4-0 o Za a~ w~~~ z~4~ ~~~ ~ ~~..~ e dal o ... c.a,.c~.s~ u mm ~~ fl~~~~ ~~ C~~ ~a c.s~ S~ S~a l"/~ 7 ~ tYtj S 11~e+i 0~ ad~0 i- ae+.~.a3 ~ ~ , ~~ ~~ ~.zz~z4 Y ~O ~ d1 a0~ ~ `.t. ~ w.-t t ~.SM GM (.:,R, I o c.a ~ ~,,, S ~ z~ ~ a ~~~ .__~ /:~o ~.,. S~ -~/r ; v a \~~ os. Z> +(~ ~3 ,~ ~_Z ~~~ oz,41 \ C ~ ~ ~4 6~z ~3 }C~ ~~, o~ ~3,s ~ LQ4.85 13-t~ ~+ ~a4.s ~~qo~~n ~~ -~ _~ _~~`-- ~~,,__ (~~95`,_ __--~ 5 e ~ S~ ~~ 0.Ct Q.S§ ~C.. Pheasant Ridge Golf Clubhouse Sizing Information 800 sq ft bar area meals served v 400 sq ft retail space 3 floor drains 2 FTE Estimated Daily Load Design Flow _ (800/10) x 8 gpd ~/ all paper service _ (.7 x 400/30 x lgpd = 3 x 25 gpd = 2 x 13 gpd = 1.5 x 750.3 640 gallons/day 9.3 " 75 " 26 " 750.3 gpd 1125.5 gallons/day (1126) Minimum septic tank sizing for 3 year service frequency is 2351 gallons Use Huffcutt 2600 gallon tank Adsorption cell sizing: A shallow trench. system in B-1 - B-5 - B-6 - B-7 area with system elevations nominally 18" below grade contour lines as trench center lines, below 9" and above 20", will be in 0.6 gpd/sq ft loading soils. Due to massive sandy loams o~ 20" inklaces. the system should be sized for 0.4 gallons/day loading. At 0.4 gpd/sq ft loading 1126 gallons/day requires2815 EISA using chamber trenches. Using Infiltrator Quick-4 chambers a minimum of 148 chambers is required not counting end cap EISA. This is a minimum of 592 running feet of trench. Use 6 runs of 100 feet, 25 chambers per run, for a chamber EISA of 2865 sq ft plus 6 pair of end caps at 5.8 sq EISA per pair gives a total EISA of 2899.8 sq ft for a loading rate of 0.38 gallons per day per square foot at full design flow. MHR.2e.EUU4 11~~~JHI'1 UBC MENUf'IUNIE ._....__ ;_-- •-•-~._ N0.711 P.1~~(I ~- ~. :1n v~~ ~~~ n,,a° sF+~ -- FI,Op1! ,D \ BRAIN ~ ~ ~ ~ 1 ~~ ;- - o, ,o *~ ` ~j~ ® o ter- ~ 4 ~ 1'i~ ! ~ WoM~NS h k ~ ~ ~-- FLOOrt ~ ~i alAIP( c ,o U .. e~ J71N. GI. 'R G ~ , ~~// '~, l~ ,~`~ a r ~ ~ ~ 4 n ~ ~-0~I ~,J 1 _ ~ 9 ..... ~' ~~ LW~41' t- ~ ---~. ..,---~ ~ ~ ~,~;, .~ t L ~ x ~ ,. ~, o ~. w ~ ~ > w i '" ' t''"IE1~! ~~~ _. ~ o~,,l>~ r ~ o .. _91~n ~.. „` ,, . I~.Y' ` T~pN. Cil.NeAl~t a 'e, ~ ' ~ 4 Y .o ~, . t, -~. h rill. L d ll~~n 1'0, SIB, ~~.oo ~~~ ~~.a ~~ ~fi R "}~ Jam" `\ Bonte, Pheasant Ridge Clubhouse -Conventional System 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 Manual: In-ground Absorption (v. 2.0) -SBD-10705-P Location: SW '/a, SW ''/a, Sec. 9, T 29 N, R 17 W Town: Hammond County: St. Croix Date: May 31, 2004 Owner: Ron Bonte Address: 1011 170`" St. ~`~~``S C ~ ~~i~~ Hammond, WI 5401 ~` ~~••"""•~/s' HEN Y R F ~ •!ji ~ *' • p RAT E Designer: Henry. Grote t - ~f~" :;'~'1ENpM9g ' 7~; : y" ~NI E Signature: \ _ • -i t•.. WIS ~ _--S-C-, ~ FS •......• ' ~. ~ License # WI D-1 -007 ~~~~~~ GNER`~~~ Attachments: 6748 Plan Approval Application SBD-8330 Page 1: cover 2: design criteria"and sizing 3: plot plan 4: plan view/system cross section 5: maintenance Page 1 of 5 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER 0,~-1018-80-000 Parcel Number 09.29.17.139A OWNER NAME: First RETIE ~' Last ULFER PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 9 TOWN 29N RANGE 17W '/4160 SW '/<40 SW Line Description Line Description TOTAL ACREAGE 3~.oso PLAT LOT BLK 01 SEC 09 T29N R17W S (~~~- 15 02 (37.060AC) EXC W 320 TF OF 16 ' /~ /~,u r~~ ,, lJ c ~b 03 04 N 400 FT OF S 1000 FT(ADD L 17 HIST 726/511 18 ~ • l ~/ „G~~,~~ ~pr~ !~ 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit Yoe 139~PacE~9f~ Cos rtl~V-Q 59~51~ KATHLEEN H. WALSH RE1iISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR.RECORIl. 01-26-f999 2:40 PM uARRAMTY jQEED EXEMPT I« CERT COPY FEE: COPY FEE: d.00 TRRNSFER FEE: RECORDING FEE: 12.00 PAGES: 2 ' /2- Aecordiag wrea Nanp~~ Address ,~u~( ~?ash ~- . ©-lB--- la-fig ~ ~o- -o-a~- Puce[ IdentiScation Number (PII~ p ! $ - !018 - 34 - cao0 Org -1o i g - yo -Doo Orb - /o r g -- 50 --oao org-- tong -~o -coo rJ 18 ~ !O ! 8 - SO --DOD o~g-~o1s-90-coo org-to~9-vo --ooo 0o a --iQa~,--80-©©© 0o a -- , o as- yo -.oc~, "THIS PAGE IS PART OF THIS LEGAL DOCUMENT-DO NOT REMOVE" 'lbis inforiaetioa must bo complatod by mibmitter. doewnertt tide. tame & retuJ'r address. acrd ~N ({Jregtdred). Other L{formotion such ar rlu lranring elauru, legal drreriptiow, ere, may be plated on this first pole oJthe doc!(lltLllt or nary be placed on additiottalpatcr oJ~ doeranertr. otc: llie of'drer ew++er page adds one pace ro yaws daetanent artd ~.Q7 to the re . rdinr feato the re~rdinr fea. Wrseoicrln Srarater, S9.S17. WRDA 2/A6 ~~.:. ~~ "DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2-7982 WARRANTY DEED s3~±~2 a;.3 vi.~~. 1~~~.?AGE ~: ~~ THIS SPACE RESERV EO FOR RE COROINO DATA Theodore Ulferts unl '4.^~~~na~~~{,~~-. conveys and warrants to Sctr tJ't VOf'~' ~'I ~ 1'YtGA_I(`~I, taz ~ r,f;J REGISTER'S OFFICE ST. CROIX CO., WI R~t'd for Record s~P z 7 z~ao Flt 9:00 A. ~ Rtagittar of Deeds . R TURN TO a-na C~ f:~-L~c._ the following described real estate In Gt _ C't-oi x County, 1 ~-~[~! h ~Tlr3)--, ~ t[.)[ ~~ tf/'.~•y State o/ Wisconsin: Tax Parcel No: The Grantor's 1/2 interest in the following two parcels: 1) W~ of Section 9-29-17 EXCEPT commencing at~SE corner of said W~ of Section 9; thence N on ~ section line 34"r"$- ee a ce W 340.0 feet; thence S52°W 170.0 feet; thence S39°W 170.0 feet; thence 556°W 263.7 feet to section line; thence E on section line 798.78 feet to Place of Beginning. 2) IVW4 of NW~ of Section 13-29-16, Also S~ of Sw4 of SW~ of Section 12-29-16 ~'4~i.~S`~~yk , Please Re-record due to the exception for an old ,,, ~,+yJ ate' railroad bed that was erroneously listed. ~ ~L------"'~" ~~ This iS not homestead property. {is) (is not3 Exception to Warranties: Dated this ~ ~7 ~ day of `~P.pt'plttl~ ~" , 19~~. Theodore Ulferts EAL) AUTHENTICATION Signature(s1 authenticated this day of 19 TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by ~ 706.06, Wis. Stats.3 THIS INSTRUMENT WAS DRA FTEO BY SEAL) (SEAL) ACKNOWLEDGMENT ..Z'L~ .,/O iJ STATE OF•ih~- ss. _~Gi~//J,tJ~QR~' .-,.County. ,~, Personally came before me this ~ 9 day of - ~~ ('+ t9~~theabovenamed to me known to be the person whp executed the foregoing instrument and acknav011;~)~A(?t~SlMll+oooeoooo• - ,' J~~ i Y }/1Gf~TARY PII,$F.IC, STAT GF ILLiNOJ ~C~-~ (\ ~ ~~~ ~ ,.-~~ -7 n i~pQtl~Y• QIS.SSGIA(-&XRSABS?~24/96 1~I~ Notary Public •~.~!"~~oo~~t>otiAtlytMA~•a-r'+~ (Signatures may be authenticatetl or acknowledged. Both My Comm ssion Is permanent. (If not, state expir~atio~n/ are not necessary.) date: ~ ~ r: ~ ~~ ~ . t 9 -[~~' Names of persons sign,ng ~n any capacity Shoul^ be Iy~eO or pr,ntetl below their egg natures $B2 NTF 0021 W ARRANTY DEED STA Tff BAR OF WISCONSIN Nelco Tax Forms, P.O. Box 70206, Careen eay, WI 64307-0206 Form Na 2 - 1962 Jun 02 04 09:18a Borate Exaava~ting [7151796-2519 p.2 Docurlsar xo. _ov;a' et1-Tx arse Rasa M. tllfsrts and Ratlisrlna G. Oltssts, s/k/a ltathssloa d. Ultecta, a/k/a Rathesirta Olt+sta,'s/k/; tt;te tiltest;, a/k/s ICathaztoa ul[srta, huaL~nd and wits :widin9 as eus~ivorep~p aasital property, quit•elaiwa co iar3 N. Oltesta sad xatksslaa O, vltesea -assl.y trust; Dins M. Borate, TsuPtss, Ronald C. eonte, let Altssnativ* Trustos, having Cull pones co sell and encumber, the lollowing dsocribed teal estate in St. Croix and Pupin Couney, State of Niaconaint Ses attached Exhibit ~A^ toz real estate deacriprion. The purpose o[ this (lua Clara ,peed le 'O terminals that occupancy 1 i t 11• f~~``~~~ "R'E~TST~"'~"Z5~'~'1'CE..._~ ST. RCRO~,(~CO , W! J AUG 18 1998 ~ I 3:30 P~ ..,. Rs alq el CeaJa r+3ic as or g na / rea~rvad by Chs Grantors by deed as originally -dated Sspteaber 1, 1995, cecordsd in St. Croix County Register of Deeds' :.n November i, 1995, at 10:00 a.a. in Vplualf lli7 01 Reeotdo, Pages 22- 11, ra e•oeu:nent Nus;oer 535f79 and se^.gcdsd an Pepin Couney Regiatee rt Desch on eta:•embes 11, 1995, at l:Oli a.m. In Volu4e lOf n! Records, Frgaa 39i•294, as DocumenC 1lumber 09•l1oS: N111•!9 Av0' RBI'URN ADDRlSSS ~ . ~, Leo-A. Beaker. Attorney EXDMPT PER WISCONSIN STA?UT~.77.21(i) AADLI, BESiCAR, BOLES 6 KRUBGER, S.C. 219 North Main Strettt, 1', 0. Bvx 138 ~ River Falls. Wt 54022 i Pepin county 010-484-000Ot 010-S10-000Oi 010-507-0000 5t. Croix County. 002-1026-80t 002-15125-401.:018-1018-20t 018-1018-30t 018-1018-40t O1E-1018-6oF 018-1018-70 .:.018-1018-8ot 1 a ant resat oa . u r i ole-loll-9p ols-loin-~~, Die-loll-7or. o - = o, ola=loll-90: 018-1019-00 , '~~ This is homaa.tead~psopsrty. ~ Dated this T~ day of Auguse,-1998. - -_ ~~ .. r lt. V arras .. fSRALI ~5.~9 4 ~ tl ' at arms O. tsrta_ riVTNiNTTCAIIQM 11CR110YtLiaG7aliT Signacursa' R rl N. [s t S?ATT OP NISCONSTN er. a O. COVN: Y 1 authsntle a da of l-ugwt, 1!!t. Pezsanally cams helot! me this ' day of 19 C~iR-above. mantel. to ms known tv,be the pereonta) who executed the _ o J1. s f-r Coztgoing inatrvmertt and acknowledge the aaaue, TTTLBe M£N9RR STJ-TR 9118 OP MISCONSIN . ITC not. - autnozisc3~`M e. ti e. • TYTf ZNlTRONiNt MAJ a1J-P?ia 9ri Notary ?ublia County, N11. -Leo 1-. seaku, attosasy My eommlaeiort ie perawnent. noe, exp ration date: RODGI, 9PSK11R, 90LES i K1tU80eR, $.C. 219 North Nalo Street. P, 0y Box 718 1 River Pella, MII la02I 1 • `'~!' ; '~.'. '~ :~~~~~'kt :•~. ~. ~5~rry ,'i " ,~sry~;~„~~t..F.,4...:~~ ,'1'1. 41-; ;r ~f' r.an"r''v1CN«+r itY e~-zy. ~• o .' t~ .. ~ r~ ~ -}. ~ '~..~ ~ ti L ~ ~. .•~ 1 ~ . •' T K.; ~~~~.. ~.11~+k ~~4'S iii. ,r - ~ yf Jun 02 04 09:19a Honte Excavatins [715)796-2519 I ~I ~~iLY~ • w~w Real Estate (St. Croix County, Wisconsin) Northeast Quarter (;1E 1/4) of Sectia~ Eight (8} , Township Twenty Nine (29) tlorth, Range Seventeen (17) West. ANO; ~ West Half (W 1/2) of Section Nine (9), Township Twenty Nine (29} North, Range Seventeen (17) West, EXCEPT Commencing at the Southeast corner of said WesC Half o! Ssction°3; thence North on ~, quaoter section line 341.8 oeet; thence N82°W 340.0 o eet; thence 552 W 170.0 feet; thence S39 W 170.0 [eet; thence S56 W 263.7 feet to section line; thence East on section line 798.78 feet to Place of Beginning, 4 AND; i South Half of South:~est Quarter of Southwest Quarter (S 1/2 of 5W 1/4 of SW 1/4) of erection Twelve (12); And Northwest Quarter of Northwest Quarter (NWT 1/4 of NW 1/4) of Section Thirteen (13); All it Township Twenty Nine (29) North, Range Szxteen (16j West, Real Estate (Pepin County, Wisconsin) i Lot Five (5), Block ?wo (2}, Klampe Subdivision to Town of Pepin, Pepin County, Wisconsin. AND: i Lot 4, Block 4 of the Klampe Subdivision inithe Town of Pepin,. Pepin County, Wisconsin; ~ Part of Lot 1, Block 5, First Addition to .Klampe Subdivision, described as follows: I Commencing at the Southwest corner of said Lot' which is the Point of Beginning; thence North 46°8 • East, 135 feet, thence South 43°52' East, 91.40 feet; thence South 80°ii' .West, 1163.03 feet to the Point of Beginning. ~ Located in Government Iot 2 of Section TwentyI One (Z1}, Township,. Twenty-three (23} North, Range Fifteen (iS) Weest, all in TOWN OF PEPZN, Pepin County, Wisconsin. p.3 1 GENERAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR01 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER 018 - 1018-90-000 Parcel Number 09.29.17.1398 Claimed 1 Date Re-certified / / Relate Number: OWNER NAME: First KARL M & KATHARINA G Last ULFERTS FAMILY TRUST ~C~/ / CO-OWNER , ~,.~J ~ ~r'WL~ Mailing Address 1n11 170TH SZ ~ S ~ /yA'u-"~ jv\ City HAMMOND State WI Zip 54015 - Type Vol Page Doc # Rec.Date Type Vol Page Doc # Rec.Date HISTORY WD 1398/ 596 596516 01/26/1999 QC 1349/ 401 585304 08/18/1998 PROPERTY ADDRESS: Hse # 1/2 PD --Street Name- Type SD Apartment Post Office School District: 2422 - ST CROIX CENTRAL Special District: (1) 1700 - (2) - (3) - WITC Plat Code: Last Changed on: 08/16/1999 Book Number: 1 SECTION 9 TOWN 29N RANGE 17W'/160 '/40 Map Number: 00 - Sales Area: Parcel Control 0 TAXABLE Number of Units: ZONING: Permit Number: Type: Bank Numbers F4-Prev, F5-Next, F6-Legal, F7-Value, F8-History, F10-Exit, F12-More ~ , j ~ ~ ~ ~S~o~ ~ a~~~ r~~, LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE ~N MMOND COMPUTER NUMBE 018-1018-90-000 Parcel Number 09.29.17.1396 OWNER NAME: First KARL M & INA G Last ULFERTS FAMILY TRUST PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 9 TOWN 29N RANGE 17W '/<160 '/440 Line Description Line_ PARCEL VOLUME & PAGE HISTORY Description TYPE VOLUME PAGE DOC# NOTES .-.WD 1398/ 596 59_ 6516_CORRECTIVE ULFERTS THEODORE TO KARL & KATHERINE ..QC 1349/ 401 585304 ..QC 1147/ 22& 0 ..WD 1141(438 0 ..QC 1105/ 436 0 .. 766/ 146 0 Use Arrow Keys to Select, F7-ROD, F10-Exit LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER 018-1018-90-000 Parcel Number 09.29.17.139B OWNER NAME: First KARL M & KATHARINA as ST PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 9 TOWN 29N RANGE 17W '/4160 '/<40 Line Description Line_ TOTAL ACREAGE 2.940 PLAT 01 SEC 09 T29N R 7W 2~ 94A 15 02 SVILSW W X20' OF N 400' OF S 16 03 1000' OF SW SW (ADD'L HIST 17 04 7261511) 18 05 ~'-" 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 LOT _Description BLK F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit