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HomeMy WebLinkAbout018-1023-80-000~- ,nsin Department of commerce PRIVl.TE SEWAGE SYSTEM ;ty and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township Gerberdin ,John Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: 6 ~ ~ ~ a . ~u. -f u~r, I ~ r- TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~~ Dosing // `~ V Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic i ~~~ ~, >~~o~ ' ~ a ~ sa Dosing ~~ YroY~. ~ Aeration Holding - PUMP/SIPHON INFORMATION °q .~ ~i Manufacturer ~'~,~ , !~ Demand GPM Model Number /~- ~O I `~ TDH Lift . 3S'~ Friction Loss ~ , ~ 3 System Head ~. ~~ TDH Ft 1~ , 8 Forcemain Lengt~ Dia. ~ i~ Dist. to Well ~ ro~ SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 430281 0 State Plan ID No: Parcel Tax No: 018-1023-80-000 Section/Town/Range/Map No: 11.29.17.1766 STATION BS HI FS ELEV. Benchmark ~ Zf 1 S ~(,~•~ % L L` ~ ~ Alt. BM ~'° / Bldg. Sewer C{,h.~~ ~~ .8 SUHt Inlet S.So ,` St/Ht Outlet /` ~° Dt Inlet/ / / Dt Bottom ~y O ~~Q Header/Man. Q , ~ 4 Q Dist. Pipe cq~ Q Bot. System ~. 59 (~r G a ¢ _ Final I brl d p~/ ~2 ti- ~,~ rQr I Q • (J St Cover ~• ~Z y (~ ~ Y~ C-~w~u.-~ 3.3 9 ~ • ~ BE Width ~ Length ~ No. Of-frertehes Q 6> PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth ENSIGNS ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREA LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of ;ys~ ~ / ~ ; ~ '`~ UNIT Model Number: ~ ~ ~~ DISTRIBUTION SYSTEM HeaderlManifold Distribution x Hole Size t u x Hole Spacing Vent to Air Intake ~ '"7~ L ~J ~ Q ~ ~' Length _ Dia ength Dia Spacing _ Q SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil r 'Yes ~ No Yes No COMf,M~E;NTS: (Include code discrepencies, persons present, eta{.) Inspection 1:~/ ~ 7 / ~/ Loca ion: 1 82 County Road E Hammond,~,,~ Ih 54015 (~t 1 SE 1/4 11 T29N R17W) NA Lot 1 , 1.) Alt BM Description = ~ ~~ ~^~~L'~`h ~ '~ IA~y~ W~t~,Vt~o (t LpUG/ 'ir t 2J Bldg sewer length = % ~ ?( -amount of cover = Inspection #2: / / Parcel No: 11.29.17.1766 'i Plan revision Required? j_'_ Yes No ~ I I Use other side for additional information. ~ " 1 ~ ~ _ ~~.~ L_ _ ,t,~~ _ ~~_ __ __._ __ _ Date ~ In epctor's Signature ~ SBD-6710 (R.3/97) r~ "~~~ p q ~.. I ~~ ~9 ~' Cert. No. Safety and Buildings llivision County Washington Ave., P.O. Box 7162 201 W ~ ~'Y'ro . ~-„_~ . ~ • ^Q~~~~~,~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co•) ' (~8) 266-3151 2$ t)e artment of Commerce State Plan LD. Number Sanitary. Permit Application ou provide rsottai information C d Ad Wi -}''' ~~~2~ = ~ l r~s ~ ~~' y e, pe m. o s. In accord with Comm 83.21, may be used for secondary purposes Privacy Law, s15.04(i)(m) ~.._ reject Address (if different than mailing address) , I. Application Information -Please Print All Information ~~°~"' ' ~°a~Q" Property Owner's Na me Parcel r!J Lot N Block !1 - ~ ~ ~ i _ _ ,~. Lz © Property Owner's M ailing Address ~ ~ Property Location /~ / ~~.Z ~ t (~CGt- ~ i r ' / SUS ~,, SLR 16,Section ~ City, State Zip Code Phone Number l 1 ~ ~ 6 i ,~~ ~"yef /.~ e o /J (c rc T o` Q N; R~~E o~ II. Type of Building (check all that apply) Subdivision Name CSM Number ~ ~1 or 2 Family Dwelling -Number of B room ~~ ~ ' ~ ~ ~ ° a ~.,-* ^ Public/Commercial -Describe Use (Q'~ ~ ^ State Owned -Describe Use ^Ciryr^Vii]age~Township of ~,~r,.t wi D ~ .$ Z III. T ype of Peranit: (Ch x on .Complete line B if applicable} A' ^ Ntw System ~ Replacement System TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System ' H. ~ ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date issued i Before Expiration Plumber Owner rv. T of POWTS s stem: Cbeck all that a 1 ) ^ Non -Pressurized ln-Ground ~ Mound > 20. in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter Con.4tructad Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Fitter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media FUtor ^ Leaching Chamber ^ Dri Line ^ Gravel-less Pi ^ Other (exglain) V. Dls rsai/Treattnent Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation ~Qo •, ~ ~l •° ~~~ ~a~ is ~3 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Concrete Constructed Glass Gallons Gallons of Units New Existing I, ! Tanks Tanks Septic or Hoklint; Tank , , ,,,r.a I ~_ I ~o.--.~ .. '~ _ YII. ReBponslbUity Statement- I, the tmdersigaed, assume respoa4ibility ror auaLlOn tit tAe rV yr 1.7 s;iwwa~ vu auc nawa4u~u ~......~. Plumber's Na me (Print) Plumber's Si gnature F PRS Number Business Phone Number l~,'~~..0.1,.~ ~~h~ ~ a,~i? ` j<i.~~=- ~f.,~-J ~a 7 ~~d 4 7%s:3~~ 3~ ~l Plumber's Addre ss (Street, City, State, Zip Code) VIII. Count /De invent Use Onl Approved ^ Disapproved Sanitary Permit F (includes Groundwater Date Issued su' Agent Signature No Stamps) Surcharge Fee) ~ ~ ~ ,~- ~y '~l0 ~ ^ Owner Given Reason for Denial IX. Conditio~n~s Aof~ pproval/Reasons P Disc royal wWl.- ~ ~- we. 0~.o.4et.t,+~ ate... o-~e_f~a-ca.Q /~,~, a'~t~aw,~o~A.~u f ~y~~ .~ ~w->~ ~- s~• {.waves t. ~ ~ n>t~lua~~- diepersal cell must all be serviced /maintained es per management plan provided by plumber. aS per applicable code Or tnan 63. a county only) for tbo system on paper not less titan sin x 11 iaehea in size SBD-6398 (lt. 01/03) PLOT PLP.~~I Scale 1 "_~} p - C.~ ~T1 v rYt-~ ~~-~7_ ~-OT L1~E ~ P~sS - ~ o~ 0 a~ 'Pa4e 3 0` ~ „`;• 3z, g_ ~ / /i, ~s;~ ~ ~~lf /l s.3 ~ ~/ ~ ~ j~' o= l / ~ ~ / ~ / ~// ~ ~3o71~nM of ~L ~~_ 6 a , ~~ - __ S ..- _ 1vU.0 - - ~ ~ - 3v`~! Y'+-- ~ . UrJ JJ 'PSlC ) rJ ~ 3`' ~ w ' a/ - --- ~H ~1 ,,~- __y <<,P~~, ~ - --- . --- _ . y..- ~..1. is ._ >.-.S O ' FtZU+•'( }^')Ul~ri-~Q ~ - 7_2S ~ F''tz.tfhl '1`n'~11z , _ -. ~~'u-'~Sl'~ t~ G ~'`P~~ 1t~ ~ E z %~ ~ ~v c ~ ~_ ~ ~ l3't~N~UJJ ~ 14s Pl'~1Z BUD ~ , ~-~ ,~q G ~ to~vc y " pv c - ~` ~- ~X.~ sly ,v G s ~ ~ c T~tir y t3~2 w- ~~c _ fy N ~~ 5 -~---_~. TR.~s . o. w. Lt,r~ ~, cT~' ~ 0o r.~b'f CU}'I.PPr-~T o `Z ~ Ls`N b2~3 `Rf1 S iMM?HA ~iC~`I ~ d- P~YVl.2. = lo~~ NOTES • - -- 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be \Z~0 /f~ao gallon capacitp manufactured by w`~`S~Z eUUC~-~ tv~P ~z.ou/8v~-+~-i2 'w/f~-Boa Z~-g~Z.. F1~~sz 4 . $ench marks ; S~ t~ ove. •~. Divert surface water around system to prevent . ponding at the uphill side. ~. , r ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary June 24, 2003 CUST ID No.220254 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL E.z:PI1ZES: 06/24/2005 SITE: John Gerberding Residence 1982 County Hwy E Town of Hammond St Croix County SW1/4, SE1/4, S11, T29N, R17W FOR: Description: Four Bedroom Replacement Mound System Object Type: POWT System Regulated Object ID No.: 907971 Identification Numbers Transaction ID 1M'o. 877253 Site ID No. 660487 Please refer to both identification numbers, above, in all correspondence with the agency. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with publication SBD-10572-P(R.6/99) "Mound Component Manual for Private Onsite Wastewater Systems". • 'The pressure network is to be constructed in accordance with publications SBD-10573-P(R.6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". • 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. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). ~'a~~c~s?~`~~~~~~~~~`~ ~,, ARTHUR L WEGERER Page 2 6/24/03 Owner Responsibilities Continued: • 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 per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 ~ ~ i This plan has been Manu~.l SBD-1057 P C2. 6lgq~ LOCATED IN THE >~ TOWid 0"F 1~`N1'N1~ TITLE SHEET iiOUND SYSTEM FOR A LI BEDROOM RESIDENCE Page ~ of ~ prepared in accordance with the Mound Component and the Pressure Distribution Planual SBD-10573-P C tz_ b 1g4~ 1 /4 OF THE Ste, 1 /4 OF SECTION ~~ , T Z q N, R 17 [1, '~~~ SY"• CC'~.U1.X COUNTY, WISCOPdSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEII i°I~,idAGE'~fENT PL:AIv' PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIE[1-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHA2•IBER CROSS SECTION PAGE 7 of 7 PUriP PERFORI•IANCE CURVE PREPARED FOR RECEIVED ;~~ ~, ~ ~~ ~z~ ~ ~, JUN 1 R 1(l(~'~ 1 R 0 Z ~`T`~ lZ D" ~}-~ ul ~t p ~. ~ ,.w ~ S ~~ o t S SAFETY & BLDGS Dl~i. ' PREPARED BY WEGEFZER SOIL - TEST S NG AND . - D ES = GN SERVICE P.O. Box 74 421 I1.I1ain St. ~N'0" River Falls, [dI 54022 ~~~'~.~~bJs~ Phone 715 - 4 2 5 - 016 5 ~ ,.•••"'""'••~ ~ Fax 715-425-68b4 ~".~' `ti ~ S RRYNItq ~ • NtFGL-ftLA 2 A515 r ELLS W JR7'h, X71 ~ '~I.v»....ovM''' V GEPARTMEMT OF CClr!;,F,"!'RCE DIVISIO~y OF ~~i111N FETYI~tdL I~iJtii~i~€~S ~ S _ 3 l -Q 3 '~_ ~ ~ : ~ ~ F ~, ~~ ~ ~ ~~__ JOB NO . 0 3 -Sa Mound System Management Plan Page 2 of 7 Pursuant to Comm 83.54, Wis. Adm. Code - Septic Tank ' The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made fo retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank; If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. _Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. AI( switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral~be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shalt be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Ge-Herat . This system shat( be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R.-6/99)] arid local or state rules pertaining to system maintenance and maintenance reporting. ._. .. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches to diameter shall be secured, by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contin enc Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: ;:The County Zoning -Office at ~ },S-~ g.6=; ~ belD "JT- C~U~,~C ::::The systea nstaller at .BLS - 3~' - 3!z) SetfU 1~1~-1-~~ ' -The tank manufacturer at _ ~~ ? ~'Z,S_ 'g~S ~1 ~~~ ' The effluent filter manufacturer at ~t)~- ZZ-cl - S~~Z Z-nCl3~Z - The pump manufacturer at C~ 30-~',~- l~ ~t~tQ Gout_p g PLOT PLA~~1 Scale 1"=~}p ~T __L07' LIh1E G SASS - I ~v CU~'ro~rz ~.. °t S lit . a 6 33' ~. V C7 Ut.J pJ Y`t§t. ) rJ _ ` 3ti `r ~ w ~ _ __ -- c~ l v.i ~.,~ is >..: S o ' FtZ.U-•'~ iMUv~`-~ t~tivp ~"SC.~ST~ ~ G ~.i1-c..1U ~ E F~ l3'P`N~oN ~ -~ Pt3tz ~o ~ , t~ I ~q U/ /~ 'Page 3 of ~ a~ ^y~ _ ~~ 3Zi g. ~ / ~ /~/ ~5, / /~ ~~ B.3 / ~/ ~ / ~~ ar / / /~ / ~ ~/ ~ . ,~ ~ Dn r.~b7' CUM,pR-e'T o ~Z-- O LS`N bZ$ ~.~ Z ~~ »v' o~ ~G~ 20`0 y"rvC _ I ~ ,~ c, .~3U2~ ~~c - ~ ~ ~ ~~ N n Z . d . i.`,7 _ L L f~1~_ NOTES : ~ ~- 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be \Z~0 J~oo gallon capacity. manufactured by ~`~-s~y-Z. e.UUe~ y..~~P ~zvo/8ao-wit 'w/f~-~So~ ZPc~l3Z Fic.~Z 4 . $ench marks ; S~ ~ ova ~. Divert surface water around system to prevent ponding at the uphill side. Page ~-~ OT 1 P_pprove= c1i 1~.hetic Cove~inc~ ~STi~i C33 .I Medium Sand Topsoil -~-" c - .~ ~ ~1-- 3 _ istribution Fipe ~,,.. ( s ~J_,r E1ev . q' 6 .3 3 ;,. I o ~ - °a dope Distribution CeII of ~ ~ Force Main Flowed 2" to 2 2" ~ggreSate From Pump Layer 0 1,~3 Ft. EZ.t"1Ft. CROSS SECTION Or A MOUND SYSTEM F p,~ Ft. - ~ G ~.5 Ft. A ~ Ft. ~ F 1. ~ Ft. Linear Loadinc Rate= q.o GPD/Iu'~ FT 6 6~ Ft. Desicn Loading Rate=~O.y CpD~cQ gT ~ I _~ Ft. J ~ Ft. K 1Z Ft. ..L C.i. n ~~ ~ L °1 1 Ft. -F~-{~.n..~ ~! 3 z . Ft. .. ~ ' I ~ -Observation Pipe E ~ -- K •~ -- --N -- --- - --- - '---_ - -- ,~ A °--~-----X6.8--- --------- -------------- ------ W ~ ~ - ----- ------ ------------------ ----~--a Force Moin t----~ -- - --= - -= - - ! ~ t~cc~ Elv-i~S ~,T - ~ . - -- - ~o :~ o~ p u Sl`f~ . .Distribution ~ ~ ~ „ ~ ~~ ~~ Pipe Cell of ~ to 2 s 2~gregate Observation. Pipe Utac~br secnrelyt -- f _.: . _._ _._ .._---- PLAcT PIETA Or" A MOUND SYSTEI4 Distribution Pipe Layout Page S of ~ Place the holes at the bottom of the distribution pipes at equal spacing, Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of loner turn or 4~ ° fitting to a point within six inches of the final grade, Ternunate the ends of the laterals with a valve,:threaded cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded I P~ ~ ~~, cc`ss aox_ - FVC ` Lateral Manifold PVC i-- Lateral a- _ ~ P r~v~w~ o-- -- o-_ . C- r~cLa~s soX - -o PVC r=vQ~ t~~ ---o LQ 1 C ~~~ P 33 Ft. ~ `. Nole Diameter ~/S Inch -- - S -3 Ft. - Lateral ) • Inches) X ~_ Inches Manifold Z• Inches - Force Main " ~ Inches • ~ of holes/pipe 17 - " Invert Elevation of.LateralsQ6~S3/Ft. - ~ ~`lx~.~ll=6.q~u 6 . ~I.sz 6a~ PL'E~N V\~ _-- .- _ •• - ~ - Combination Sept~c~•Tank and - ' PL1~MP CHAMBER CROSS SECTIOIJ ARID SPECIFICATIOIUS ~ PAGE ~ OF 7 ._,. •VEaJ7 CAP ~ • WEATHER PROOF • JIJIJCTI01.! 80X . ti C.I. VEi,1T PIPC ~ APPROVED LOCKWG ~1Q' FROM DOOR, ~MA7JMOLE [OVER wl'IIi :JiA100W OR FRESH ~ u-'ARWIIJG LABEL, u.~ 3P ~Ra>J (~ IPf` '~/-~.2rsttTr.~-p ~ A~_IyT/lKE -i r .. ~ ... .. `~,.~ W . • F~ N ls~ ~ q.S ~ - G ~sv E I Is•nrN. j~ IAILET •I APProved~ Z~~- ~~Y joint w/ ~-1$OU PVC pipe CLEY ~~•$ 3 FT. LSl..~ ; ~Bv,Op 1 .- i• ..• •. ~~ COAICRETE DIOGK Y' Mlu, ~~ r8'Mw. ~' ~ III II ~~I Approved I joint w/ I+! ALARM PVC pipe OIJ OFF - 1 3" ApPf2otiFD •~ RlSCR EXIT PERMITTED OI.JLy IF TA-JK MA-JUFACTURI`R HAS SUCH APPROVAL ~BFp0tN4 . scPTIC F - SPECIFICATIOf~1S DOSE TAIJK MAtJUFACTURCR: ~1~~ CU~C\Z..~'~- ! 1JUMEiER OF DOSES: S' Z _PER DA. TA1JK :,IZC:~\-P \ZW IBUO 1"1RGALLO-JS DOSE VOLUME r • ALARM MAUUFACTURCR: __S•S- \rL.~''c.~f1Z() S~.S`~ S IAlCLt1D1A1G OACKFLOW: - 133 `y GALtonls MODEL -.lUMBER: ~~ I ~Iti CAPAC1TlES: A= ~ -yCHES OR uUCI.3 SWITCH TAP[; 1~1L1Ze-c.~-~l ~ GALLOys GCJ UL 8 = _ Z IucHES'oR ~ ~' S Gpc.LOUs PUMP MAIJUFACTURCR: QS 133• MDDEL f;1UMBER: 1;-P ~~ C =~~ -IUCHES OR c~ GALLOUS D= \~ IRiCHES OR Zu`7 GALLOA75 SWITCH TYPE: ~LZ.~ ~ b 'TU1~ $Op_ 1JOTE: pU1'1P AR1p ALARM ARC TO 6L MIUIMUM DISCHARGE RATE L • cg Z Gp!„t INSTALLED OIJ SEPARATE CIRCUITS VERriCAL DIFFEREIJCE DETWCEU PUMP OFF AUO..DISTRlBUT101J PIPE., ~'~~ FEET /' f Kr-.IIMUM -~-ETWORK SUPPLY PRESSURE . ; ~ ,~.SO ( _u~ t, 31 + 1 , O ... .. FCET \ s J FEET OF FORCE MAIfJ X 3.Sq FT. 3 •Q1S ~o FzFRICT1o1J FACTOR.. FEET TOTAL Oyt'•1AMIC HEAD ;: _ ~ g__~ -FE£T As per lzanufacturer ZZ_ ZS,I gal/in. Liquid depth 3 6 ~' ~ coraDu~r ~ i I .I • ~-- ~ ~~ ~~~, AIRTIGHT SEAL I . I I . I', I .~ . I PUMP ~ --~ -. A 6 C 0 .. ~~ . ~~' ~ ~,. Goulds Submersible Effluent Pump ~E ~ o~ ~ MODEL 3871 EP05 APPLtCATtONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/a° maximum. • Capacities: up to 55 GPM. .~ ° Total heads: up to 24 feet. • Discharge size: f'/z"NPT. • Mechanical seal: carbon- .. rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners` 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3/a' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'fi' NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. J • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz,1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). METERS ++ FEET 10F 0 a w r U a z 0 J ha- 0 9 8 s 5 4 3 2 1 0 - 3l 2~ 2( i; if 00 10 20 3O 40 50 ' .GPM 0 2 4 8 8 10 12 rtr'/tt CAPACrrY • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 impeller: Thermo- plastic Semi-open design with pump-out vanes for mechanical seal protection. ^ EP05 Impeller: Thermo- plasticenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover Thermoplas- ticcover with integral handle and float switctl attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP• Canadian Standards Association (CSA listed model numbers end in "P' or "AC°.) ~ i ( - .: ', ~ . ~ ~ ( i ~ '~ a ~ ~ .} I ~ ;:;5 ~ . _ Ff i - _ ~ ~ ~ ~ ~ j I '~ 1 ~ ~ :~ I' . t { ? ( ~ ~- . ( .. 41.8 2I EP 05,; -! r ~ , _! l -. i ®1995 Goulds Purtips. Inc. Effective May. 1995 coo-• SOIL EVALUATION REPORT Page ~ of _~ '~ waoa,sin Deparbnent of Comrrrerce Division of Safety and Bindings in ~~~ wirFr Comm 85, Wes. Adm. Code -~ Courtly ~~ C ro ~ it Attadr comp~ee si6e ptam on paper not less than 81/2 X 11 indres ar size. Pion must urdude, but not Hmited to: vertical ark horizorrtai reference pokrt (BMj, direction and ParoN LD. percent sbpe, state or dimensions, north arrow, and bc~tiort and distance to nearest road. ~ Date Please print ail Information. ~ Personar intoimaNw~ you proNde may be used Wr secondary paposes R'me~Y ~-~'• s. 75.04 (1) (m)). ~~ ~e f Property Latation l Govt L~ ~ 1/4 .114 S T N R E (or ProPertll Owners Mer~rg __A((ddress Lot # Biodc # Subd. Name or CS11A# ~ C-~` ~ T Nearest Road City g Zip Code Phone NWnber ^ City ^ ~e ® ovm ~ f r /tGf W1 O /l ~ (>tl 5~0 ~ ~ ) h7 i» 0/l. ~L New Construction Use: ® Residential i Number of bedrooms ~y Code derived lbw rate ~=-~ ~~ ~ Q G1'D ~ plat T- ~ /' [( Pubitc or canmerciat - t?ascribe: ft. Parent material _ / ~ ~" Food Plain elevat+on ~7 a ~1C-~- Generaloarunerrts>lysf-er-'~ e%t~'/• 9lY,y~- ~~~a.~~'~,,'°~ and recommendations: ~' ~~ is - 200 I ~~ ~ ~ U e~ v ~ `;NC Urf ~' ' Bo # ©. Pit Ground surface elev. g'3 ~ R: Depth to ~rnNir-g lector _ -.,...s,,_qq, C-a Sod Rate Horizon pepth in. Dominant Color M~seN Redox Descri~ion tlu. Sz. ,Cont. Color Texbxe Sbudure Gr. Sz. Sh. Consistence Boundary Roots GP •EfHl1 D/ft~ 'Eff02 Z 3 $- W ICI - 3c~ ~ r 5~ I r 3~co - C F ~ ~5 3/ $ j r. I S c 1 kbk 3 m5 YYl ~r ,` c -- . `-f , t;n a~g# ~ring ® Pit Ground sruface elev. °J' ~~ ~. Depth to J y in. soi! ~, Rate Horizors; Deptl- DominantCobr RedoxDescxiption Textwe Stnrdure Consistence Boundary .Roots .E~GPD 'EfFl12 in. MrnseN Qu. Sz. Cant. Color ` Gr. Sz. Sh. ~r c 5 2 I v-~ • 5 ,~ I C7-q' I (~ r ~'~ 1 5 ~ m J J~{- IU 3/~ CiF `~• S ~ ~ i ,3msbk c~-,~', ~ ~-( 220 mgll and TSS >30 < 150 mgfL E1Hrrerrt #F'1= BOU,> 30 ~ • Etikrerrt 02 = BOD < 30 mgll.anrf TSS <_ 30 mgll. _ CST Name (Please Print) a CST Nurr~er 3a Sc Date Evakration Con~rctEd ~ Telephone l~trrrrber ~~ o- ~ ~ ~ o ~ .w ,~„< < ~ ...... ,,,... ,...,-. ~.... 1 s rr ~- 2~3 Pat cel tD # ~ ~ ~ ,,JJ ^ ~ Ground surface elev. ~ 7' ~ R Pit Depth b ~9 tacbr l ~. ~ ~ Horinat Depth DaminaMCobr RedoxDe~iplbn t]u. Sz Cmt Color Murtseti Texdme SWchne Coneislenoe tar. Sz Sh. 8ourtdarp Roots GPDIIf 'EfNf1 'Efllf2 in. 4 ~-~ 10 r313 - S='I 2mo.b I ~ . 5 - ~5 2 ~-1 r s - 5,~~~ 2 ~' ~S ~ ~ ~l 3 ~~_~ rU e,l {~ 7,5 Sal ~m5 I< ~ i , `l . to Booms # ^ Plc iGrouna.swface ete~-. R Depth to timing factor .n. sor Ra ^ Florraon Depth Oaminant Color Redox Desaiptinn Texture Sbut~tue Cor~ence Bawrdary Roots C~DtiP a. ~..~ flu. Sz CoM. Color _ _ Gr. Sz Sh. 'E'IIpN 'EtT!!2 B~ ~ U Borg ^ Pit Ground surlaoe efev. R Depffi to factor in. Soil Rate ture T Sizudure Car+sis>aanoe Bourrllary RoaAs GP D Hariaon Depth in. Dominant Color MurtseN Redox Description Qu. Sz Coat Cobr ex Gr. Sz Sh. •Eff#1 'Efkl2 * F_~uerrt #1 =BODE > 30 < 220 mgA. oral TSS >30 <_ 150 ngtL ` Elikxtnt #2 = BODS <_ 30 mgfL and TSS <_ ~ mglt. The Depattinent of t;omtrtec'ce is an equal opportunity service provrder and employer. If you need assistance to access services or need material in an alternate forttiat, Please contact the deperhrtettt at 608"266-3151 or TTY 608-264=87?7. SBD-BJ30/R.U010~ PAGES OF 3 NAME: (~er~}je~c~ .'r~LOT# LEGAL DESCRIPTION:~I/4 1/4,S T_,N,R, E(or)W SCALE: 1"- yC~ ~ ~~"~ ELEVATION: / C)• ~% ~, BM 1 DESCRIPTION: rlGt; ( ~ n [~ Dt`t~- BM 2 ELEVATION: 10U `~ BM 2 DESCRIPTION: r1Ct ~~ ( •' n '~ ~ ~~'f-~- SYSTEM ELEVATION: Il?~ / ~ SYSTEM TYPE: /~(Oc) (1 ~r~~ n c~'~°'1` ~.~te5 ~ ~' t~ ~ ~ SIGNATURE: ~ DATE. ~~ C~~ ~.~ ~ F ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ~ ~~ ~~~ Property Address ~~~ C (Verification r+equi're`d from Planning Department for new construction) City/State ~~1~ ~.1 i tJ w~-- Parcel Identification Ntunber g " ~~3" ~ '~ ~3' ~ ~~ LEGAL DESCRII'_TION ° t g`' b2q - `lm - °~ ~Z.26 ~ O.e-,,,` Properly Location -5 ~' '/.,.~~ '/., Sec. ~l .. T `1~_N-R 7 Town of ~t~ r.~ l~c.,~ Subdivision _ ~.- 4 C Lot # ~. Certltied Snwey M~tp # ~ ~` .Volume ~ .Page # Wttlrrstnty Deed # '~ 3 2 ~ ~ .Volume 2~ S g .Page # ~ ~ Z Spec house ^ yes ~ no Lot lines identifiable ^ yes ~ no SYSTEM MAINTENANCE Improper use and maintenance of your:eptic system could result is its premature ~fiiture to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the fnnctioa of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by s masterplumber, journeymsapiumber, restrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping {if necessary), the septic tank is teas than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the pm~ate sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin Certification stating that y septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the year a lion date. / ~ / ~ S. A F LIC D ~ OWNER CERTIFICATION I (w) certify that all statements on this form era true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property ~escribed above, by virtue of a warranty deed recorded in Register of Deeds Office. D TE • Any information that is mis-represented mrry result in the sarutary pernrit being revoked by the Zoning Department. "`«" ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed DOGUMtNT NO. ~ ~ t 34~ I Abp ~ ' ~ voi 55~ :.,;a53~ __- THlS 1NDE,YIURE, Alade this....... 3 _ day of.. A~St........., A.-D. 19•~... between Bruce, Espersez~ and Cieorgia.A~ _ Espersen„_„ .,_.~._ -~•-._» - .-r. ~ ................_-....._. -._._..~,.part_iss.. of We first part, and ._.~.w:..:::..~axatd~.~..~.Mabia..~ut~~k~tt~a.A.. l'fa~h~,....ti~au~t~~a~t...an.3....... _.._. ~, ..._......_......1..».._.._....._ ...P..._....:.....-...„_.._._..parL•-i-es. of the second part, , Witnesaeth, That the said art.iBS... of the first part. for and in consideration of the sum of one dollar. and other valuable considerations ivAnn~simr ntaaru -, oT~rs or wa,cowuN-Iona t swu arnos waaawvaa+ row waoowa«w a~-va REGISTERS OFFKE ST. CROIX CO., WIS. Recd. for Record thi:,~}~ ay of _ Autust a D. ~ 977 t__ A : 3t? . _ M. . . ' RptNat at • i al:TYww 70 . ~ .. ta. _theQ1_., in hand paid by the•said art.i•.e8... of th-•~.-~•••.~.••~w~~ ~~- ~ ~1 a ~ ' ' .' p e second part, the receipt _ whereof is hereby confessed and acknowledged, ha.y$..„ given. granted, bargained,~sold, remised, released, aliened, Conveyed and confirmul, aced by these presents do......._, give rant, bargain, sell, remise ;alien, convey, and confirru unto the said part _i @8.. of the second part,........._.the~r ~,•,_,_„_•• he' assigns foreF•er, the following described real estate, situated in the County of»._St: • Croix _ and Str.te of Wisconsin, to•wit: That certain parcel of land located in the NE '~- of the NE ~4 of Sec. 14 and the SE ~C of I'~ the SE 34 of See. 11 all in Township 29 North, Range 17 West, Town of Hammond, St. Croix ff Wisconeain, more fully described as follows; Cotmnencing at the NE corner of said Sec. 14 i thence go N 90 degrees 00'00" W (assumed bearing) along the North line of said ~ K of t~ Sec. 14 a distance of 808.00 feet to the Point ofBeginning of the parcel to be herein f described; thence N 00 degrees 00'00" E 201.75 feet; thence N 90 degrees 00'00" W 279.73' feet; thence S 00 degrees 00't,.)" E 201.75 feet; thence N 90 degrees 00'00" W 231.77 feet;. thence S 00 degrt;es 00'00" E 160.10 feet; thence N 90 degrees 00'00" E 511.50 feet; f thence N 00 degrees 00'00" E 160.10 feet; thence to point of beginning, the above j described parcel containing 3.18 acres, including highway right of way and being sub-~ 3act:ed to easement for highway purposes over that portion of the. above described parcel ~ presently used for roadway purposes. NOTES Farther description on reverse side !' t tl/ NRCEaaARi, CONTINU^ DlaCRI PION OM RtYSRaR a1DR1 t • w ,~. Together with all and singular the hcreditaments and appurtenances thereunto belonging or in any w' appertaining; and all the estate, ~•ight, title, interest, claim or demand whatsoever, of the said part_i88.. of the first part, either in law or equity, either in possession oc expectancy of, is and to the above bargained premise; and ~ E their hereditamrnts and appurtenances. ~} To Have and to Mold the said premises as abot~~~~,ribed with the hcreditaments and appurtenances, unto +± the said part..~Ce$.., of the seoond part, and to .............._.........._.. _.._. d assi ns FOREVER. ' And `~ „._.. heirs an g i e said .Aru:t~.~a..si,.t...iih~at.Sisk..~s~z'~.....__......_ .............._.._.._._.._.._.....~»_._._._.._.__..... ....._._ .................._.._......_...._ _..._.._.w........i....._.._.....»_.._.................._.._.._..........__..........__......_.._......_.............._... for..._._.._....theix............_.._......_.......,. heirs, executors and administrators, do..._...„ covenant, grant, bargain, and ~ agree to and with the said part...i8s. of the second part, ..,..their __,_ heirs and assigns, that at the time of the i • enscsling and delivery of these presents._...._...~..81?'e....-.~._,., well seized of the premises above described, as of a I good, sure, pecfect, absolute and indefeasible estate of inheritance in the law, in fee simple, :nd that the ume are free and clear from all iacumbrances whatever, _._,._._..~_.,-..,,,•.,_.._..~.,•„_.•_,,,,,„___,,_•„•_,,,,,,,,,,,,,, __,_,- ........ and that the above bargained premises in the quiet and peaceable possession of the said part..e8., of the second part, „..._...ihl;3,r„ Lars and assigns, against rll and every person or persons lawfully claiming the whole or any part thereof, ......._......_.._.., will forever WARRANT AND DEFEND. In Vi/itness Whereof, the said part~t::~.... ~E the first part ha.y8...._ ~{eunto set „....their band. 8 sad seal...... this„_....3_....._. _._.. day of........„u~ ,._..,..._„_„_.,.. A. D 19......._.. p3Ni:D AND aCALED IN PR>ZaLNC^ O/ ~'~~J-~-. ~, ._.. Bruce Espers ."."'". (SEAL) this J. Deringer /~~,~ ~ Georgia A. Espersen _.. ' ~•-~sL..._~.~....~~~i/ -~-,sir.:-l..e..fSEAL) ...._.._.~.....Y..__.....__.._....._ _.._.-_......_._...._...~..~.(SEAL j `:^te of Wisconsin, _..-Sx.....QL'Q1X.......... Corm 1'ersortsUy came before me this....'s....,_... day af.....,Au~ttat 77 ... ._..„.._.._..., A. D., 19_._.., the above named .. ~iruce_, er$en ,end_GeQrg~a, A . Espersen to me known to be the p_rson.e, w•lld• executed the •~ore o' in trum,~ ~ ~~~~~~•~~~~~~ ~' i 8 cnt a~ cki w dg~d the~same.~ TNI• INfT11UM[NY wA~ D11A/TIZ0 rb`~:;'!'r~ ~~ •~ ~ %~;y DenAlrt T i:in$et_ ..•••_••~.•«......»;........ • ..a ~ s•. era n: 'r ". .St~ + - _ . ~ si:wL , ~;. Hotary Public...._.. Croix _ .. County, Wis. TIATnIfi .T Tlon;nnnw _S!`•11 r. ~ 1 ~~ _ ._ _ ~~ r' ~, ~- ~-~ t _. ~ -~, _z P F ~_ ~ ~"~`, ~ q T - _ _ - i.- -~ ==~._. ~~- . _ ~ ~.- ti. ._~ - - _ _ r,: _ ~~ ~ ; z- ~ fjj .. • 4 ' . -.. .. .: . ~' T .~ - ..... .-. ~. .... ~' w. y.e t ~... .. ~.. ~ "`'`That cartain parcel of land located in the ~ of the SE<X of ego. 21, Township ` 29 N orth, Range 17 hest, Town of Haam~ond, St Croix County, ' itisao~sa, moare fully ~ `~'~-~.~de$cribed as follows; Commencing at the SE corner of said Sea. ll~:_tZteacs go N ',-• 90 degrees 00'00" W along the 8 line of said SF,< of Sec. ll (anaumsd bearing} a ;, distance of 1087.73 feet to the Point of Beginning of the parcel to be herein convened; thence continue N 9Q degreec~ 00'00" k 231.?7 feet; thence N 00 degrees 00'00" 8 26 3 feet thence N de ees 00'00" E 11. feet thence 8 Of) de sea 00.00" 5 3 ; 9o gr 5 50 i g=' '~~, E 63.58 feet;thence N 90 degrees 00'00" W 279.73 feet; thence 8 00`degrees 00'00'• .. $201.75 feet to the Point o.~ Beginning, the above described percrl Containing 1.82 acres . x~ ~,.M ~ ~ .. . ;~~ ° s . . . ' ~;~~~ ~. -- •,, ~ .. ~ +~ r . ~ ~ r - ~ . - . ~ ,.-, ~ i a-r q' F • ~ _ ~ •.~~- . ~..;.. ~, ' .:. .. - G}. ~'- '-. - '~YY' ° • .~ 4~ ~ ~ i~ ~ ~` ~~ i ^1: ~~ ,. Y' . ~ „~~~~ ti.~ '~ ri ~~ y ~.. .~ _ ..~ w4.~~ . ~ `~ -~ ~ - A ~ ~i ~HY _ ~ ~ ~' .._a._._,.' ~~ - ~# f _ y. 4 :~. ,. . ~ ~ ~ -, 1. .. .. ~ -.-~ ~ ~ .. .. <. ~ ..+ ~ 1; ' .~ I...Q j, '.. ^,~ w.^. ~ - - ~ - ~ _ 2088f' 092 STATE BAR OF WISCONS[N FORIvt l - 2000 Document Number WARRANTY DEED This Deed, made between Howard F. Mabis and Martha A. Mabis, husband and wife. Grantor, and John H. Gerberding, a single person, Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property") (if more space is needed, please attach addendttm): Part of SE-1/4 of SE-1/4 of Section 11 and Part of NE-1/4 of NE-1/4 of Section 14, All in Township 29 North, Range 17 West, St. Croix County, 'bed as follows: Certified Survey Map filed July 25,1977 in ~1.2zpa a 418 oc. No. 341794. art of SE-1/4 of S ~ -1 of ection 11, Township 29 North, Range 17 West, St. Croix County, Wisconsin described as follows: Commencing at the SE corner of said Section 11; thence W 1087.73 feet to place of beginning; thence W 231.77 feet; thence N 265.33 feet; thence E 511.5 feet; P L thence S 63.58 feet; thence W 279.73 feet; thence S 201.75 feet to place of 0~ beginning. -~2 7032 1 7 KATHLEEN H. YALSH REGISTER OF DEEDS ST. CROIX CO. , YI RECEIVED FOR RECORD 22/23/2002 08:00AI! EXEIPT # REC FEE: 11. @@ TRANS FEE: 462.00 COPY FEE: CERT COPY FEE: PAGES: 1 Recording Area Name and Return Address Bakke Norman, S.C. 900 Main Street PO Box 54 Baldwin, WI 54002 Together with all appurtenant rights, title and interests. 1018-1023-80;~p18-1023-90; 018-1029-40 Parcel Identificatim 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, highways, utility rights and reservations of record, and will warrant and defend the same. Dated' this ~ day of December, 2002. * Howard F. Mabis * Mar ha A. Mabis AUTHENTICATION Signature(s) Howard F. Mabis and Martha A. Mabis ACKNOWLEDGMENT STATE OF Wisconsin ) ss. St. Croix Counri 1 authenticated this day of December , 2002 Personally came before me this -{--'~--- day of December .2002 the above named Howard F. Mabis and Martha A. Mabis TITLE: MEMBER STATE BAR OF WISCONSIN (lf not, to me known to be the person(s) who~~ . ~`t[ie Y ~.~.~.~ ~ authorized by S706.06, Wis. Stats.i instrument and acknowledged the s~m~;' ~ T A •+~ r fey: THIS INSTRUMENT WAS DRAFTED BY 's ~"' Thomas R. Schumacher * ~- G w '• B ~ Bakke Norman, S.C., Baldwin. Wisconsin Notary Public, State of Wisconsi s ••. .• My Commission is pe anent. (lf not, !~ _d~~~~' (Signatures may be authenticatedor aclmowledged. Both are not necessary) ~ ~~ ~~*r y ~~~!~j * Names of persons signing in any capacitymust be typed or printed below their signature. fNFO-PRO (800Ki55-2021 www.infoprofonns.comSTATE BAR OF ~VISCO WARRANTY DEED FORM No. 1- 2000 1r v ~I '~ ~ ~~~~ ~JJ ~ ~ ~' t ~I r ~ot~ .oo P V ~, `~ p ~ i 4 m ~ J ~ • ~ ~ ~~'.~~ ~. N ,SZ•~Z 0, p ~~ ~ ti 01~ td ~ ~ .00 .00 oO0 ~ ~ ~~ ~~ £E ~,'` e0 o z~ G I I M .OUVIr ~ .z v N ,?~ 0~ m ~, cnH~r- I ~ O ~ +; ~~ 1 .(~ ~ ~ ~ ~., ~ ° ~ X : ~ ~ , N m a p ~'~~ ~X i, ~ c C ` ~ m ~~a r i ~ o ~ ~" ' ~ '. .~ ~ W ~J~ ~ V ~ i ~ ~ ~ W f0+ p H a ? ~ ~ j m r+ 2 ~W~~o , „ a f • £fi ti~0 i. ~' w ~ ~ ~H •~oZ =x..00,000005 S~ f a .3• I . - ~ ~ N ~ i ~ ~ ~ ~ I i ~ f.~ y z~ 0 m ~ pp OOoQ61V 4"3 W R55'd ~ M O ~, N 1,1 ~ ~ ~ 1 O ~ .. ~ ' ~ •7aS q ~ ~y N ~'f'll ~H 1 ~! ol~t O / ~ z Z r ~i+ ~ of . '~~b S9n1?J`o'~g ~ ~ rp~~,~ ~ cdN 4 ~.~~~ w~ • :.J Cat O = ~ ~ Q ~~ ~ ( ._ ~ s s^ NE 1~/4-SE 1/4 1517 / 617 ,' '/138 465.12' ~ c ~S~ 7~G~7 N (O d' N M 267.98 ~ o any ~ s~~ 176C N W . 173. Boa/o~ w ~ ~~~. ~'''~ SE 7/4 - SE 7/4 ~ ~~ ~(. ~ . (~- 176A-10 0 a 708/01 `" ~' ~ Q ~,e~ ~ ~~.~ ~r~b~ ~ ~~ ~ Q~t r r ®~e ~ * ~ 279.7 e~~ 76B o U~~ ~- Sd ;~;. ~ ~~~ s nrnTirirr~ c^~ ins ir~i ~ a n n cn -~ .-. W 7/4 1 r ,ti.., 1.~ ~j I V ~C Isr'i~~i~i ~G aoa ~~~ -sw ~/4 NW 1/4-SE 1/4 174 815/631 _1~''_.~-_ __ ~ S VI/ 7/4 - SE 7/4 175A-10 815/631 4 1517/617 12F ~~ 72A ~a/o1 1728 ~ 792/552 f M I ~ 1 ~ LOT 1 G-- 175B-10 N CERTIFIED SURVEY MAPS VOLUME 4, PAGE 1026 ~'