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HomeMy WebLinkAbout018-1094-38-000r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Runnin s, William & Anne Hammond Townshi ;ST BM Elev: Insp. BM Elev: BM Description: /OO. is ~~D . ~ ~rn~/ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~~~ ~e?$ Dosing ~ Y ~~ n _ 'l _ ~/ f- lJ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing ~ ~ r Aeration Holding PUMP/SIPHON INFORMATION ~.~JL. Manufacturer Demand GPM Model Number rni(r TDH Lit ~ ~~ Friction Loss System He ~ TDH Ft Forcemain Le ~ Dia. ~~ Dis . to Wel, ~ r SOIL ABSORPTION SYSTEM I <' -f l le -~- I"1 (Y'i..c ~ J county: St. Croix Sanitary Permit No: 420793 0 State Plan ID No: Parcel Tax No: 018-1094-38-000 Section/Town/Range/Map No: 17.29.17.773 ELEVATION DATA STATION BS HI FS ELEV. Benchmark .~ /02.7 /~•a Alt. BM ST-• ~ ~ 8~ g9•~'S / Bldg. Sewer -303 ,'L / ~~ ys SUHt Inlet /,, K/ ~ G~ ~' / SUHt Outlet ~ Dt Inlet ~ _~ Dt Bottom /0 D7 ~ 2. L Head~Man~ ~ rr a C~ ~ J ~ ,.~-Ov d ist. Pip Op o 2 S• s• -)• o L$ Bot. System •E ~ ~ • 2~ S ~ Fina Grade t W 1 ~3 .~ Cover ~~ Z•p 99• ~ v BED/TRENCH Width t Le h /1 ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 '105~ 3 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manuf er• .r^ ' INFORMATION CHAMBER O I ~-/7 Typ System: ~ _ ~~ ` ~O ~ UNI Model Number. -, y ~.5 DISTRIBUTION SYSTEM r ~ ~ S6Lt-~~t ~cl Header/Manifol i Distribution , 'f~ x Hole Size x Hole Spacing Vent to Air Intake / ~~' h Pipe(s) ~ ~~~ ti ~ " g ~ / "'J ~- j~ ~ G'1 J~1 Length~_ is ~' Length Dia pacin ~ GC SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~d Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center 2 ,~, ~ Bed/Trench Ed es g To soil p Yes 0 No [ ~ Yes r~1 No U y..... v .~. •iv • ~. i COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / Inspection #2: / / Location: 1686 99th Ave Hammond, WI 54015 (NW 1/4 NE 1/4 17 T29N R17W) Prairie Run Lot 33 Parcel No: 17.29.17.773 1.) AIt BM Description = sue' cv Y ~~ ~ ~~ ~¢ ,v ~/.~w -~o ~'~~ lJ 2.) Bldg sewer length = 1.{•~ r - amount of cover = l ! ~yf~m ~~ ~2 ~ifn'L~~~ ~ ,"°~ ~ d `~~~~' "' - >~~ a~ s~wt ..~ -r--- -, r-- -------_---- Plan revision Required? Yes [' No I ~ ~ ~ ~ ~~ ~'~ 3 Use other side for additional information. ~---~ ---~ ~..' I ~-- SBD-6710 (R.3/97) Date Insepctor's ig ature ~ Cert. No. C C i Safety alyd 13uilciings Division County ,r, ! 201 W. Washington Ave., P.Q, Tiox 7162 ~'T GYd ~~ 1( ,~~~~~'~'~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 266-3151 t~a~ / 3 Sanitary Permit Application f State Plan 1.D. Number , I In accord with Conan 83.21, Wis. Adm. Code, personal information yaa provide N may be used for secondary purposes Privacy Law, s15.04(1}(m) Project Address (if d! rent than malting address) I. Application information -Please Print All Information I VED /~ S6 ~~`~' ~'`~ ~ operty owner's Na me APR 0 4 Parcel p 9 i ~ Block rY ~ g'~~ 2003 ~~~llfa~ o~ e ~ S V/ ~,~ - Property Owner's M ailing Address ST. CROIX COUNT ~ Property Location ~ f B ~ ~ ~ ZONING OFFICE ~ ~~~ J ~ q~- Section l~ ` ' t ' ' '~•-- ~--~-• City, State + Zip Code Phone Number 7 ~ b ~~,~ 1i?~ a ~ as" , (circle one) ~ ~ a~ N E or W ~ R ~ ' ; _,,, ,_ II. Type of Boil g (check aU that apply p~~-j~-,~y~, l ~ CSM Numbe bdi i i N S g ~~~-~~ ^ ! or 2 Family Dwelling -Number of Bedroo v r s on ame u ^ PubliclCommercial •- Describe Use ~~ •~,d1.(.~it- ` ~•~ ~Lu ^ State Owned -Describe Use 3 _~~,d'tti'a~2Y W ~ ~ Ito ^City_^Village~i ownship of f/t 1L1AAL~ ~~'~ / D.S-~~ III, Type of Permit: (Check only ane box an Ilne A. Complete ine 13 if app[icablej ''`~' New S stem ~_ Y _ ^ Re lacement S stem P Y ^ Treatment/Holdin Tank Re lacement Onl 8 P Y ^ Other Modification to Existin S stem 8 Y ~ B. ^ Permit Renewal ~ Before Expiration ^ Permii Revision ^ Change of ^ Permit "Crarsfer to New Plutnber Owner List Previous Permit Number and Date Issued N. T of POWTS S stem: {Check all that a 1 } ~ Non -Pressurized in-Gr ^ Mound > 24 in. of suitable soil ^ Mound ~ 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Corstructetl V1~etlartd ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^! Aerohic Treatment Unit L Recirculating Sand Filter ^ Recircula ' Sytuhetic Media Filter eaching Chamber ^ Dri Line ^ avel- Pipe ^ Other (explain) V. Dis /Treatment Area Info on: s~.3 . /2 I Design Flaw (gpd) Design Soil Application Rate(gpdsf)~ Dispersal Area Roquired /,., upersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Gallons Total i Gal]ons ~ Numlxr h2anufacturer r ,/ _ of Units G Prefab Concrete Site Constructed i Steel Fiher I Glass Plastic New Existin 8 ~ I, ~ W f("~ ~i~ ~ Tanks ' Tanks ~~ ~ 1 Septic or Holding Tank ~js-Q 1 ~- ,'esev /\ ,~,,,.~ Aerobic Treatment Unit B„QlC~ I c~t° ~ i Dosing Chamber { I VII. Responsibility Statement- I, ate rtttderslgned, assume responsibility for ilatiun aP the POWTS shown on the attached plans. lu mber's Na me (Print ) Plumber's Si gnamre Number P/ PR S *nber Business Phone N u f/ / l !y ~ lied rK J~C ~'! ~G +'/ra//-®Y '~ ~ 7 ~vS ~ ~ r l Jam' 3 Q~s" ~/~2 ~ Plumber's Addre ss {Street, City, State, Zip Code} / V II. Count /De artment Use Onl I , ,, ~ Approved ^ Disapproved Satvtary Permit Fce (includes Groundwater dv Surcharge Fee) ~ ''~ '1 D to Issued ~~ suingA nt Sig~nature ( tamps) ^ Owner Given Reason for Denial ~o -S • l ~ Q ,, AG IX.~ ditions of~ Rfgr Disappra~ ~lc~e_ U~ .~~. / 2 i'.Zh~i~~~~II b~ !vT ~~ P - ` rLi~,GC•z ~ ~p~~ ' ~l ~I , / Z ~~ ~~ ~ .. L<. r ~~~ ~/1~j/(o~G~'.C?~~++.~/La/L~.~c-fit' tl-a~' ~ , /~ L / '''"~ , ` Uh-~ ~LX~ S~~"` ~ OSO ~~~~ ..t?eaue. -t tB /Lorrri- ~-~ ~M-o~ ~,~- ~ ctxn et (to Counl~ only) fot{jh em on paper not 1 than 811 1 inches in siz sBn-~~~~ ~Ro~' ~ r -f ~ ~~d ~/~ii~1 4' ~A/wJP_ Kim ,~Jw/i~ ~~' . ---- ~ ~~ X~ ~~ .~~ ~)~ ~~ ~ S ~ ~ ,~ M ~~ \~* b } ,~m1 ~~ ~ s~a~~ / ec~ Yo' ~ _ ,~ ~~bD 1a~ 5~ ~~ 6 a gb~,~ ~, ~/o~s~~B~- ~~ ~~~ ~~ J ~.~~~-~~,~~~ i~1f'' ~a 2 Pia' y/ %~~'3 r, q !) r. ~ l I ~w d ~a^'i.~.i~ t'~ G .'~ ~„~ ~ ~ 4 '. I i~ M i~r 1. ~ r~. t`~ ^ ~ '~;,) 1, "r' 1 ~ +• 1 t.° i7 ~.~. r.. j ~ .. r,, n ~ ..•....~..., ..~...~„P,r„ --_......_,.._....._.._.. - __~--,.~. _ -..-..--` ~ `_.....~~~._.y ~. G :v _ ADD :. ~.. y r ~ wA . T C I4 :; 4" CI VENT IPE 1?" t'2iN, ABQVE G:~,ADE ~ ;~EATNERPRQOF ~ 45' :~ROI~! DOUR, W$ItiDQ~J OR JUIr'C~'I0N BCx APPROVED FRESH AIR INTAKE ----~~--~-~--..~..~._. WITH CONDUIT `U~..~3H4LE CGVFR '~ FINIS~}E~ ~aIZAIsE WI PAI7LOC?~ ~ ~ "' C i RISER ~--•+~ ~-----~' WAR N S N G ~.A B E D ~, Gtr S- ~ ; ~ ~~~, T.7.'GHT ~ ~~ ~ ''•~A~PR4~Ea~ LPPRflV~O A SiAI, i' JOINTS WI~`i~ 'IPA 3' ~ ~ ~ ; `ALM ~ aPPR©VEO FyP~ ~''I J4Y'TO 5,~i ID ~ ~'--~-` ~ " ~ SON I SOLODT'40I ' S ~. igll. ~ C i ~'UMP iQI"F I:LEV . FT. i--~--~ ---+~..~''UF~i ~ {~ peer pIS1:R E:~IT D AERMITTED OI3LY IF TAhi~ I~ANUFAC?'JRER 3" A~FRO~'ED $£DDiNG UNDER TA?wiK HAS AFFRq~'A? ~4h"CRETE PAD ,_...'..~'ECIF TCATi vN5 ~'i $EI'T7C ~ DOSE ~~~ TANK M~aN~J~'ACTtJRER: ,~,~~,~.~~ iv'"~MBER DOSES ?ER DAY: ___w.r~__, 'I.~,IV~! S.I2ESW SEFaIC ~' GAL. DOSL" VCi.U!~E IA'C;~~iDING ~~• DOSE. CA•I.;. F~,C~tniBACK: t,w GAL. ALAnI~ PtANUFACTURER: }~/~^•*^ ~ i?vC~:E5 » ,,,~ Gp,~„ ,.~~~ a ~AY .:'7L 1. i~ ~ ~ ~ : A 7c M €~D E L NUMBER : ~ p<, (r` . ~-~ ~WITCF~ TYPE: •...,...~'~trc ~S - r, 2 , INCHES - .,.~~ AL. ~',~~' I~ANt~'I"A,CTURER :c'"~'~u.~:~s' MODEL NtJMHER : ,~' ~ . G = „~,,, INCHES » IGAL. SWITCH TYPE: '~" ~"~ "" D ~ INCHES * ..~~ GAL. ....,._ I' REQUIRED DiSCHA,'r~GE R,A:T O GP:~ P'J'MP ~ A ~ ~ r , ~.,., ~,..,. LAR.. W,rR.~ivG AS r~,R Il~f~ct If.23' ~,'AO VEfRq~T~ary+CAI. :~,fyvF/F~WE~,~R~{gE/,'~CE yyB.•P~~V;T:.~ °' }}Py~OF ~' ,A.'VD ^'?'STPIBUTTpN PIPE ~!,2 ~~£yET d•~11 r.M~I~ 41E ~O P•VIJ11~ ~v+• M~ p~£~~yRF • • P • ^ • 4 • 1 . P • • • FILET ~' ,,,,,,~,d ~ ~'EE`~ I` ORCEMAiN X :~ ~'~ FT/ 3J 0 F T . FRICTION FACTflh • • / ? FEET" T.^T,fila D~'NAM?C HEAD r"EMm .iI°dTEFiNAI~ D2M~'A'aI~?tiS LF P~`M? ^,'~+.Iti°}~; LE"4'Gi~I ~~----; WIDTH ---' ; DI ;.~'.^,'ER °`_'-~ Y.,IQ 1 zD ,~"~" ,~n~~, ., ~ A..~,~,,/~,~-e'er ' " d "",~ r~Ale.~.. ....~.~..... r Nv 1"f ~.+.Cr~ : -~.L..wT~._ ;i.~ a ~ ~ `~ ,. ~- - _-„+ ,,,,.... v./~~ auamersiaie Effluent Pump r~, u 3871 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/: maximum. .-, • Capacities: up to 55 GPM. ,~ . • Total heads: up to 24 feet. • Discharge size: l'/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: ~Y' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'rz' NPT. • Mechanigl 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. 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 io 9 30 8 2s o ~ a w U 6 20 z 5 0 15 J 4 -- H 0 ~" 3 10 2 o~ 00 10 20 30 1401 5U urm ~ ~ ~ i ~ i ~ 0 2 4 6 8 10 12 m~/h CAPACITY • 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- plastic enclosed 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 switch 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 Assoaa6on (CSA listed mode! numbers end in "F" or "AC°.) ,. ~ 7 ~ ~- i ~ ~ i i ' '~ - ; ~ ~ ~ ~ i - EP05'- ~ } ; . i i i ~ I i ~ I O 1995 Goulds Purnps, tnc. Effective May. 1995 63871 ~ ~ ~ . wisoonsinDepartmentof(:ommerce SOIL EVALUATION REPORT ,,/,~ page j of~, Diviswn of safety and Buildings ~ L, ~ /s 9`/' " A~,~2 m accoraance wnn t,omm aa, wis. rwm. wue County ~ Attach complete site plan on paper not less than 81/2 x 11 inches in size Plan must ~` . include, but not limited to: vertical and horizontal reference point (BM), direction and p~ I.p, ~ ~3 D ~ ~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~~ - I ~ - O Please print ail information. R by Date Personal iMormation you provide may be used for secondary p es (Priv y Law, s. 15.04 (1) (m)). ~(~(/!ili~...- ~d Q3 Property Owner c Property Locatio /~., B J ~ ~ ~~< %? yn • ~"' " Govt. Lct ~/ 1 /9~/L_ 1l4 S ~ ~ T ~ N R E (or) ~l Properly Owner's Mailing Address Lot # Block # Subd. Name or CSM# Q ~ ~ I'd 'r~t~ ~- U /~ City State Code Phone Number ^ City ^ village [Town Nearest Road nod G/ ( 5` (`7/ ) YVL ~.-~aQ ~ '~ ® New Construction Use: ®Residentiai /Number of bedrooms ~=~ Code derived design flow rate ~-~~ ~~6 tT GPD ^ Replacement ^ Public or c~mmerclal -Describe: ~~ _ Parent material ~~ r ~~ ~/ ' / d /' / Flood Plain elevation if applipble~~ ft. General conxneMs ~'/ST` i~'~ ~-( ~°(~ r ~j~ T J , (~ ~ ~-~/ S'i'r`` ~.¢~ ca G~fo''t~ ' /O~; / and rerxxnmendations: ® Pit Ground surface elev. ~d..s~ ft. Depth to limiting factor ~_ in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 I ~-~ ~~ - 5(~~ ~- s 1v i~ Z r' ( yl 8 ~ ~ S rnC ~ r ~- ~ -' ' ` e ~ a - .S - L ~ ~ c S . 9 Zo°~ (~ ~ ~ ~3. a Boring # ^ Boring ® Pit Ground surface elev. ~ ~~ ft. Depth to limiting factor _ s y in. ~i ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsetl Qu. Sz. CoM. Color Gr. Sz. Sh. •EtT#1 'Eff#2 1 a-~~ v~ ~ 313 -- ~,' l a c s sy a~ ~ C' .S ~ ,~ - , ~ ,. ,~ ,a • Effluent #1 = BODS > 30 < 220 ntglL and TSS >30 < 150 mglL • Effluent #2 = BODS < 30 mglL and TSS < 30 mglL CST Name (Please Prirrt) - - ignature ~ CST Nu INS ~ r/W. --' ~ Date Evaluation Conducted Telephone Ntxnbe~ Z_!/ ~~ ~ ~/ -~n~-~~, t~1. S'ya~ .s' 3 -- z 9- ~ 3 7~s-aye-y~~' .~ Properly Owner ~~ c~ L ~ r ~ S _ Parcel ID # Page ~ of _~ ® # ^ Boring Pit Ground surface elev. 9 ~, sa ft. De~h to limiting factor ~ in. ~I Rate Horizon Depth Dominant Color Redox Description Texture Sinrcture Consistence Boundary Roots GP D/iP Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 ~ a~ - s,~ i ~ r^ c ~ ~ . ~Z- o yr - ~~ z ~ - !d- ~ ors/ -- S L '~-- C _ ~~ . 9 - 5 c , s, day ~ .' - 6 DIED ~. ~ ' -~ ~6 . " e~ ^ # ^ Bonng ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horimn Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft' in. Munsefl Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Etfii`2 ^ ~~ # Ground surface eMeV. ft. Depth to limiting factor in. ° ~'~ ^ Pit - Soil icadon Rate Horizon Depth Dominant Redox Description. Texture Stnx~ure Consistence Boundary Roots GP DJfI: in. Munsell Qu. Sz Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =BODE > 30 <_ 220 rngll, and TSS >30 < 150 mglL `Effluent #2 =GODS < 30 mglL and TSS < 30 mgll The Department of Commerce is an equal opportunity service provider acrd employer. If you need assistance to access services or need material in an alternate fimmat, please contact the department at 608-266-3151 or TTY 608-264-8777. sec-sew cR.broo~ x5,3 ~c ~ ,S~ a~ g~ l~-2 ~- ~J ~ ~i~ ~ ' '~ U ~ ~~i i ~ I~ e t ~ `'~_ . ,~ ,~.° S~ ~~~. t~ g-3 g„~ 1 ~Z ~oa~ ~~r z - ~~'- 9d 7~p U~' ~z n ~v~ ,~;~ ~ ~. __*-~~I 4,~,.u:! Mt-N 1~,n t'AI. "~" roc a~°id S7' ~i:.~. i:u zr;~~IxG ~..... ' P~W7t~ OsNN~R'#E MANUAL & MAAIIAG~M~1"d' Pt.~N ~w• _~,.. •+.~ ~' NtvlN anntt fY o~0 ~" ~~~~~ 1~ ~ ~ ~~ ~ _ ©NA ~ Alttte-aat +~ lubtiri Y tinita !dA ~~ W taYad~~ ~ ~~~ faAipn flat" Z ~ iF.~ke+aad x 1, b ) l~otl ~~~ ~ ~ y -d tnf~rnlluurt Cwdhv Manthly evar~e• It#1M, Oil f~ deaaea ifs} s3O rnp/l. ~,~ aa>4~.ra ca+~oa~ szzo mg~~ c N~ 1'aw~li ~ #odaa rr~era s#'~a n~L Praaaapel taaz ttv Morr[hir AVdr'alid ~~ o oat,and tf~ot~,I s~0 ~~it ~ ~aaa s cry xao ~rl. >Na ~ #~eornabio marnl d 9 C?• W y its~lt ldn ~uarit Natter ~ ~, fet dta. 0 NA t [3 !ua •Ye~ 1Y01ad /er wMtawttANrt ind ttt+~+ h+tik •t'!<t+At~R. .,..~wa~ an_tTi~ BlAda TiR1[ Capa~dtY l~ S-D G AiA ~aRttR Ttnk ~ARelc~hotutAt ~j~ ~ e,/ ~ NA fffktant lgltr fdfia'lufao#~ar .Zs,(~<i G ~ NA !llfulmrrt }41tar Mudd C3 IVA PutnP 'S`orrtc CapsaftY ~'~(J ~ ~ t4~ P{1tRp ?#i'1is MerklleCNlar ~jert~~ Q RtA 1rUte~p AAatAUfiasUlK ~ C~ i~lA Caro f-~eea ~ o fV/1 Prapriftmattt Knit G9 9anAKiravef 8~itor a fKaei'urticd ~4ets4ior- o i~irineotlar- O ~ tYttar 0 w.eiat~a o oti~r: ~ o~oand ~aate! o h1A ~ krtinwax! rw•vtcr+ ~trrt3rw-r+d taras+r~artaad} 0 t~tip~t.inh Q tYlha¢; • Q N{i • Q itA c~ee fJ t'~LA T tR1PfaM1l ~ fl~alvfaa i+> ~ a ~t+~ci Ae Nus anon ~vuY: ~ tM+ _ ~rN t~ lea or~c ~ of tankta? ~w oornblt+ad aiudga onti atwm atwnttr an.~h@+d tY,l ar tynk vakwrrw C1 >R-t~NOI diap~i natal At laaat orfw aveeY: d a~ t - ,,,~1a Chan e~ hair s t~ ar tRtrat anra ;rvenr: 1 d ~ wA --- _-- trnt~e~at . testa e+rntrofa a- darm At la~art ea+os evarYs .._- p ~ CJ ltlk ~ ia1111d p+~aww'a last tt faeal ent~a ,rvart-; ~ f~ Mr4 ~ ~kL taws tt+reaa srar~: ~ NA ' Q IMF MAitt1'!"al1l~NttNL ilia~4tfiGtlOlti~ lbea at tanks and ~ arils rhafi bm rnada fir an k~dirtdual cot~Yi~ sae of fl!N faimwMea Keaheaa at aart~aattorss: fllfastar Pk~nkar, fi+tte~atet f 1ta++l~ar Metrictaa Saw+ut t~i?W'i'S Inapector~ PpWT~~ f4+tdenteinu: ~aptapa ~nvfdnti Oparakar. lent ht~ rts~ultR ~ a t+huaf lnian bf the tanktal ca ident}ty any trtfasfnR ar broiwn haaiwerq, idaaMtY enY orrroka or tesfor, ~ the. vola~a of aat~raq +~4dpa and seam and to cheek foe arrr heck uP or pon0irt~ o!~ ailtuant an don ttnaurtd ajrt~. The tltrpartf~i oaWsi shall fka vkrt-diy irhpaatad to of-aoM tl'W offtuKtt hreti in 1tN ~arwalia'+ IdRN end to a4~e0k tot a~ pondMq aP wfi}htottt an ~ m awtaw. 1?~a pandin4 ad affk+ani on the vraund wrfsaa rnaY ladicata a faiftn0 ,oot:dff9an and req~Alt thR ie+~a~atla ~ a! liar ban! regrdataAr a~usl~arhts. lrt ~a ~ aoatcnwiattiess of akdtte sad aoum M am tank wudo ona^thlyd 1Yr2 ar aloes v! that ttttr-N vok~r++a, the antir+o t-,artarrttyt o! ti1+1 tank ahm! ~ rwr~oved f)y a fieptape $arviCltl~ Dpsretor aeb diislrwad of In aaeo~taaroae w~ +e ~t 11 ~, V~teooewkn A4efylafrtiatredMd- . Aft od.~ aaevto~rrd, YrOkadhtg ft+ut rws NiNYed to the ~esr,afotnp pt •ffiv.~t titan, rnaet-anfa+~t or praaaurit~t fyo+lw-ts, pe~atrt+ant uedn, and any aarvtakra ~ krDanrats of ~1~ ~ shall fre paelttrma~t br a eartffbd ~4YVT$ Msintainw. A aarvk~r rapratt sitslt l~r ~robidad '~ faM hcat taQt~latwy cutfrorlty witHiR ~ 0 tiRyR of earr~htim Cf rrlr+y aarvi~ea avant. . _ •t},7r ~1~~03 DiDR ~.~:25 f:~ 7~s 3$8 aBS9 S'Y` t:RL r.•C~ L~':'~; - iTAMT #tP JNMD q>rMAT101Y ~l'tId'fY CptM~, Dtifsr to ua 0f 1llf P'OWT3 chpsk ttlNt~tritwt t;>~t}ictal far tM ptee#nce at ~ ~ a~ vier ahemioatx d'Nlt n1a<yr r tMe SrE•etf±}1011t prooets and~or 11~1oa 11we ~peraal oNiti}~ If high oanee+ntrs ors dstsoted tzava the sar~tenH et the t r~nlovad h~v s +~~ ~ ~srstes prtior to rsa, up z+lfAd riot rxsaur rates snil eortdis}ora are !capon et tha irrft}~stMre aurtsaa t pavwr a taws RIMY flN ebOVa eKttmai t~y}ir~ratsr Mvsia. VtJMMt~ povwr ie rattored s},e r~ssaa wgtaweter w141 be dt~ lo'th+e dtapta-wi iralttsl th eas tares ea.. orarioadif-p ehe otllts! eex: msy result ih tha bsokap ar aunaca 0tsa~r~t+a of e• Tp eratd tMa irutatiar+ harrR #~ oentar+ta ct the isan~ tank rsrnOVSp !ht o S+pcepe Asr~e}np t3parater prior tc+ rsstarnp power fao else o t>~ a- sentiist a ~lurnber or f~OtIVTS Wlainsainar to asalst to rnsrn+sgY eperatirta sha aorst+vls so Metpra Awxrai lent~iU W}tl4irt tote t tMf1k. t~ ~rZ drhre ~ ~ vahlelda oMwr sa+ka and d~psnsr pall*. Cho nos dries or f~ pear, ar otha~rWkle distuGrb ar oWnpeet, the W-aa Y'~ ~ 6 tl11 daMln etDpe ar ef,y tltsuetd ar st•I~sd+ poet s~lorptien M'oi. Rsdnot}arr elr sgminst}an at 9lNi 't~QWt+4II !corn the waatswEfla* ttra~IM nnnY improva the psrtOnranas end If1 tha Ilfs of tho P'Q1NTY~t Wit, t>gby wttiN; ot~entit t3kti»~ pondami; caKon iwibi; dspreefai; don'trtl tioe4: s#aP~'+; di~+ftCtants: rat; ftulfldattOn dram lfu-llp (snnsp} water: f'r11it irfd vaq+tabls paalinpis; psaollne; drsair, hltrbieidflt; MN'r tea; rtiedicat}ptsi; die; P peedYOm; psstiaselaR: MllitfuY r~kina; tsmponi; end water lof~asnsr brha. A##ANO~t~ItYl~lT 1AIh*A ~ 1rq~l'!'"l fa~+r sndlor 3a prnnartwadY taken out o1 asrviGa the tplt~nrlt~ atips ohoi! bs tskan to incurs that the ayatam sa pni0rktq ~ qhw strand~-ad in aomptitrnea rMth d+nptsr Comm ll3.3~, iA-~I~r+ Ad~nlatrsti+ra Ceels: AU p~fpttlq to t+intCo pltfi ehe~ bs dtsronrseac+ed and the absn4oMd pipe +1p~Mt- . w Th# aelr~a of ep tanks end tNM shell bs rarrwvad and psaparty dislac-asd a! thr s 8aeviaMp Opsrstar. + At`s,r q, eu taniis aced t~ aha~l be ~cavated end rernovstl ar their coven remav+at e~ the void epaae ltitsd vulth . ~rewd dr rt+pE}}wr irtsrt iNid tttstsri+J. ACN't'tICY t~l.Ak! tt the WaMIT* "Pwlt end asntiot bs tspek~sd tIN Mgetrirt@ anssaurem have bearw or atuet be sakes, teo grryvWs s cads campksnt ~A etritr~ falo~eaefnwtt area has been svehated end rrtey bo trtitasd t"ar d-s Ioea~rrrt of a reNtasemsnt sftu ibse~on eyusnt. '~M retmteaetnMt arw et~,ld bs pro~taaxtwd tro+n diteu~oa and awertpsedsr+ amt Id r+a be tMringod +.asor+ by ee~Yihll ~ hern ate end pnopetrrd e~Yeturs, }et i~tse aAel wNle. the ~ prep~aat tM rrpiaerrr~rtt eoa will result kR teat rietli for a hehn- see pad site eva~stiert tQ satstriist+ s sulesbta nplao~irei~t sros. tiisspisgrfautt ~yatsms trwat e~hr with the rulii tin M1'toot et dwtt tttta. D A st~irpltf t~rdtomrrarat mss ha teat evdMbN tees to ssttrscdr andlor ~ limKStletts. 6arrMp advtndae in -AWT'!j s !' t~tk fi~9r M in*taNtid M e teat rllssrt to n~scs the t~sft ppWf'~. tank ~~ © ~ d tllOauMt irtsf gads eeN etaeer~terl aYitertts tttiA- bs nconur~+t++tsd h atte~ toiwowinp r+ltmsvsi of ~ t~~ wt ehs t~ve surfsos. Rsaottitriloti~arta aT aueh syNants mtdlt eeRtpty with the cedes ~ elreet st thss thns. e tWAINIwAlrw ~ tilltilME AIIIC Q"t'FtttdR 'C~ATtIAt}ltT =Atte(~i NAV COtYTAIN kETMAk OAitiEB ANG11'alK ~>t~ ®%YQIt'IU. M} t~Ot tlK'!71 A ttdilR~C, ti{,IIY~ IpR QT'FaifA TI~iA'TlllitNiT TAaUt Wtl~li ANY OtRi~AAtTANCa, DiAT3# MAY J'kT. tM1~CiiE Op R lrifRitiN A117M T1fN Md1liJlMDR f~ A TAiWR MAY ~ plhplCtikT OR t1AltlNtitll~. - _ _ _ _ III ~~11In~ nl~r ^ ~.~.~..~ .~.....Ywn.rw•++- ~~~y~~y, ~I1~ IW~flt ~ ~~ 1~ ~Iw.~IMW.. t~OrA ~'r~' ,~ P#~OnR Ol# k k RY /- 1tl7"V slsRts ~~ tthpns Mtons 7 l ThE4 ts~ dt111ted ks oornptliar~et MrW++~l+apsw Cot~!n i$.e?l~}tblt'.}t0iettrl #nd t}~.i4t11, iZl Ik f9~i, tartenarrrrn J~dn+~lriM!'rsRhuf Cada• FAX 71S38BS2d2 t:R Bt'R:Vt3'C H(CiSCrti ~jfi01 ST G`ItO~X COUNTY ' Sl?PTIG TANK.. MADSI'~NA.NCB AGFtEEMLNT • ,~.Ni:~ O~~vNEi;SF~YI' CL'iLTlfrtCATlUN FORM ,> ,~..~ .... ~ G1/LU a ~u f' ~` ~S 2 S !iailittg Atfdress ~_ ~ ~~~? ~~~,.._...~~ ____ "ropociy Addrass rv`_ _ (Vcciticatron`r~cyttired frort+ I'laaning Y7cparerttrut for mew consUuetioa) "itylStata U" `' ___.__ ('~'cel Edenti~ication Ntuti~cr ~lr~ _~0`19~ 33 ~~} ~~ ~~, n~sc~lr~oN ~~ 3 ,,~ ~d /J t'ro~etty Location ,~lJ .rl.,,~~ Y., Sw. ~ ? . Z'_~..11-R~ Town of Q/ ~~(/ Subdivision ~4 i l/~' .p ~.~/ ____~_.__ -..._ ,Lot # ~1 Gart~titvd Survey Niap # _. ---______-----~ Vc~)une .._. _~ - r+tge # 33 Wit-raaty Dsccl # ~D S~~ _ ~, V otutrte ~ ~ __.~.., Pabe # 3 Spoa ht,a~ C! ycs ~no kit lives idettti~iable~yes d na ~~~M~~.~E`iAIYCE Imlxop~twa aai! ntraintcaaacaof your acpt:~ bY~'s° wa3u acsuit ire its yrcmature faiJssrc to Dnndiawa:ttx. Proper msiuknaute coasista of pttra+pia~ ant tLe aepHo tsalc every tltrer years or rooster, if accded uy a licettscd pumtaer, what yott put into the ttyrtea3t ran allhet the lStatrtioa of the ae+ptic tsttic ss a tr+tatrrsc~r:t rugs in Use wssta dispcsat aysteut. 2'ise properly own+ar agrees to auLrzsit to St: Ctaix Zoait,g Dsparstsaustt is ce>:titi~atiou forty, t~tsd by tha owner and by a ntyasterpttassbmr~ jatuaaNaan phtmbcr~ s~es5ricteC pWmbar or a ltce:+acd Pusstpervess"fyin$ tksat (I) tka as-arse wsalervaterd[spoasI systaat is in proper opCratia~ condition andlor (T) a ficr u~rpee!lott end pu+stpistg (if steccssa+ry), ttte rapdc tata~ is less tbas 1!3 !Wi o! rtud~es. Uwe. tha nndatsigaed hsva read tlta abovo requart:saer-ts and agree ttr xrtaiauia tI-c pt'.vate seaa~e dtapoaal system with tits atsoduds cct forth. Z~q es attt tsy Wa Doputuessu of Canunarc~e and tiro 1>eisrtu+eot of Nattsrat Rerourees. State of Wiscottsia. C.erti~wttotz ttatirt$ that yottt sepiia aysteta has bcco rrsriatained ttu+xt tae eotr+pleted sad rctucaoct to tits SL Ctvix County ~e+oisag OLTiee ~~ ~ tilays of du ttsros r expiration data. 3 ~ 3l ~3 SIGNAT~JItE OP APPi.ICRNT DATE 12.~~s~..~I(RTT~IC~TO N I (we) eeatily that all statements an tLis fos-s~+ hrc ts1:c to tlat lsest of t:ty (our) L-etowledge, I (x•c) ans {ate) she o~~s) of Ilse ropEtty 8 above. by virtue of s warranty dacd recarcled in Reytstsr of Ueads Office. 3 ~.~<, ~3 sitsNa~ or arrL~c DwT'>~ '•"•• Any lnforrnrtion chat is mis-resnesentut may res~~:; lei :'ue as-+aitsry pcan+it baing revoketf by tare Zooirtg Deparunw+t• ••••`• •~ include wttL tfr[s eppticatiou: a sttmped wariar:ty deed frsss- tSra !<verist~r of Dtcds o[fice a copy of ttrc cectitiod [t+frey nutr of rafarcace is made in etu ,rrarra+oty deed ~"-~e 33 U 2133P . . DOCUMENT NUMBER WARRANTY DEED 638 Midwest Equities, LLC, Grantor, conveys and warrants to William Runnings and Anne M. Runnings, husband and wife as survivorship marital property, Grantee, the following described real estate in St. Croix County, State of Wisconsin: Lot 33, Prairie Run, St. Croix County, Wisconsin. Midwest quities,/LLC: •~ ~,/ ' (SEAL) /; NAME AND ETURN ADD E S ~ I ~(~/11 N Parcel Identification Number This is not homestead property. Exception to warranties: All easements, restrictions and rights-of-way of record, if any. Dated this ~~ day of January, 2003. (SEAL) (SEAL) AUTHE~~~/I. Barron Signature(s) Notary Public St3tG O~ ~/isconSin authenticated this day of 2003 (Signature) (Name Printed or TYPed) TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by X706.06, Wis. Stats.) THIS INSTRUMENT WA3 DRAFTED BY: Joseph D. Boles Rodli, Beskar, Boles & Krueger, S.C. P.O. Box 138 River Falls, WI 54022 By': 7 0 8 6 1 1 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIR CO. , M1I REC ~ 'BR-RECORD 02/06!2003 11:45AM Ez REC FEE: 11.00 TRANS FEE: 95.70 COPY FEE: CERT COPY FEE: PAGES: 1 ACKNOWLEDGMENT (SEAL) STATE OF WISCONSIN ) 1 ) ss. ~j-^~ COUNTY ) Personally came bef,~rle me this ~~ da}' of J~nyy}r,~y~(~~ 0,3~~ the above named .~ltr~^!~1 W~ II-~ f1) I t~ ~~1 Q G ( to me known to be the per ons(s) who executed the foregoing instrument and acknowledge the same. ~ Si nature * (Name Printed or Typed) Notar~lic ~~ • 4'~+~ ~ County, Wis. My commission is permanent. (If not, expiration date:) ©~ 3 .,~ S ' '~~~~~~~LOT 31 ~~ 1.50 ACRES $ 65.502 S0. FT. I I > LOT 32 W ~ 8 1.69 ACRES T3, 598 S0. FT. i ~- ~I ....~~.... v .......... N LOT 30 Z 1.50 ACRES $ g 65, 502. S0. FT. w co ~ 245. 34' N89° 04' 14" E T36. 00' U Vpp O _ ........................ N .............. LOT 29 1.50 ACRES $ Z 65, 502 S0. FT. e w co w 245. 33' U Of V O O LOT 33 W LOT 34 1.69 ACRES 8 !. 69 ACRES 73, 598 S0. FT. g T3, 598 S0. FT. 1034.00 HWE 1036 LFE N00° 39' 03' W 50. 00' N89° 04' 14" E - 184_00_ ............. ........ .. r-- - - - -- -- ® 1062. 30' ® DRAINAGE AREA 245.33' W m W O O O O N89° 2 8 e W tp w w oO O ~~--- ~•33'---------- -------• 245.34 --------- 81.33 ~ --------- w N89° 04' 14" E - 1421.60' ~ PUBL_ 1 C o __ _ _ _ _ . - - _ - - - ---- ~~ , - ~ w ® S89° 04' 14° W 507. 95' `" -----253. 97=-------~ eI s' r cA ------ 263. 35'® ------- -------253.98' --------- -- ~ ~ 488.3 _ o ® ' o ® ~ ........................................: _0 ~IC ~ ........, ............... o . ...............~.......... Z e W o~ ~ w .~ m ~ LOT 21 W LOT 22 °° °' ° ~-' ' m LOT 26 ~ ~~ 1.61 ACRES ~ 1.55 ACRES ~ 33' 133' , l . T2 ACRES 70, 009 SO. FT. 6T, 53! S0. FT. i ®~ Q '` 50' ~• T5, 009 S0. FT. b ;~ ~ .. i _ ~ I U ~ I `` o~ i r- • ~ ~ © I © ~~ ~ ~ I ~ ~ ~ 253.98' 208.3 ~ ~ N89° 04' 14' E 462. 29' ~ ~ 2 18. 68' I ®~~ ~ N89° 04' I W NS 1 ° 5S' 44' E~ : ~ tw i 58.24' '~ ~~ , SS 1 ° SS' 44' W ~~ ®:. N I ._ ! ' Q ~ _44.69 ~ a ~ ~ {3•. cr LOT 23 ,' o ,,, , LOT 20 "~'° ..®....- LOT Mlrp ' u~ N 1.77 ACRES : ' ~" ~' s 1.45 ACRES ~~ ~ ~,,, 7T, 1 19 S0. FT. ~~ ~ ~,~: m ~~, ~ . T 4 ~ 63, 348 S0. FT. 'gyp Z; ~/y ~~ r'~,~ 75, 944 i~ ~' , I ~ F N ~ ° kr ~