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HomeMy WebLinkAbout018-1086-01-000isconsin Department of Commerce May 09, 2002 CUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/09/2004 SITE: Moritz Elbert - 80TH Ave Town of Hammond St Croix County NW1/4, NW1/4, 520, T29N, R17W Subdivision: Hammond Oaks -lot 1 RECEIVED MAY 0 9 2002 ST. CROIX COUNTY ZONING OFFICE ATTN.• POWTS Inspector Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.com merce. state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 732815 Site ID No. 644438 Please refer to both identification numbers, above, in all canes ondence with the a enc . FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 850790 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R 6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R 6/99). • 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). ~ ARTHUR L WEGERER Page 2 5/9/02 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. • 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 j swim@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 ~ ~ ~scons~n Department of Commerce RECEI EV p MAY 0 9 2002 ST, CROrX COUNTY ZON~-- I.~~FFICE May 09, 2002 OUST ID No.267341 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 EXPIRES: 05/09/2004 SITE: Moritz Elbert - 80TH Ave Town of Hammond St Croix County NW1/4, NW1/4, 520, T29N, R17W Subdivision: Hammond Oaks -lot 1 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary `Identification Numbers Transaction ID No. 732815 Site ID No. 644438 Please refer to both identification numbers, above, in all correspondence with the agency. FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 850790 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R 6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R 6/99). • 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). ' - ARTHUR L WEGERER Page 2 5/9/02 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. • 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 acommerce.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 v r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety 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)]. Permit Holder's Name: City Village X Township Elbert, Moritz Hammond Townshi CST BM Elev: t Insp. BM Elev: r BM Description: ~ a~.O tip, o CST Cw- ~ ~itmr TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic bt S ~ 1 az~~b., a Dosing ~ ~ t ~ Aeration Holding TANK SETBACK INFORMAT~F TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ ~ ~ , ~ ~ Dosing ,~ ~~ u ~_ Aeration Holding PUMP/SIPHON INFORMATION Model Number ~t`o TDH Lift Friction Loss System Head TDH Ft main Lengtfy~ Dia. t. Dist. to Weil SOIL ABSORPTION SYSTEM ELEVATION DATA ~"ti~ St. Croix Sanitary Permit No: 408232 0 State Plan ID No: Parcel Tax No: 018.1086-01-000 STATION BS HI FS ELEV. Benchmark ~~ 105, cm •~ Alt. BM Bldg. Sewer ~ ~~~~ ~ .9, Cy • 9~ t StlHt Inlet /,, ` EL~J ~ ~D ~ • Zs,r St/Ht Outlet Dt Inlet Dt Bottom •Q, 1Z. IZ ~Z~~''3 • Header/Man. Yo ,g-;o r Dist. Pipe to • yb ~ . ~D Bot. System ; ~ 9 ~- ~ r Fin rade t~ ~t i _ .{„ r+~, ~Z ~ • St Cover VD Pr, `~•~ 4.0 BEDITRENCH DIMENSIONS Width ~ Length t No. Of Tienehes / PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth TS u 1~ ~~..JJ SETBACK SYSTEM TO PIL BLDG WELL LAKE/STREAM LEACHI a acturer: INFORMATION CHAMBE Type Of System: I 1 ~ ~ Mo tuber `D + ~ 1 ,.. . DISTRIBUTION SYSTEM HeaderlManifold ~ u " Distributi2on t 4 ~ L ~ ~ ~ b x Hole Siz~^ ~t ~ x Hole Spacin 2~~' Vent to Air Intake r~ Dia Length ~ ength 7~"~" Dia Spacing 7 ~ O SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bedfrrench Edges Topsoil ~ Yes ~ No [] Yes ~ No OM•M,,~NT Includ code discr pencies, persons present, etc.) Inspection #1:~ ~Z" C-~ V+~C~. ~ ~ ~ ~~N9~L . Location: 1602 89th Ave Ham ond, WI 54015 (NW//'1_i4 NWr 114 20 T29N R17w) Hammond Oak Lot 1 1.) Alt BM Description = ~~- ~ •T• «'r k.~t~ l`Atsor ^'` ~~,~ I 2.) Bldg sewer length = Z( - amount of cover = I /~~ ~ q.p t ~ ~,~ ~ pS.~bt 3.) Contour = q` •~-0 ~ SN1'~ --- . ---- PI n revision Required? jj Yes No ~ I j I ~ Use other side for additional information. I ~ ~ 2G' LOZ'! L _ ~,~±~!K,__ J__~!~,.__ SBD-6710 (R.3/97) Date Insepctor's Signature Inspection #2: `'~ >r--~---- .Parcel~No: 20.29.17.621 ~4a-,/ ~~ ~ ~r~~ ~2.~ Cert. No. C Safety and Buildings Division Cam' ~~ ~-~' t ~ 201 W. Washington Ave., P.O. Box 71 b2 ~~ ~SCO~$ f ~ Madison, WI 53707 - 7162 Site Address oe artmeftt of Commerce 7-z-Y -D Z- s 5309 /(0 0 y ~ ~_ ~ . ~ Sanitary Permrt Application Sanitsry Permit Number ~ Ia accord wish Comm 83.23. Wis. Adm. Code, personal information you provide fD~,.132 ^ Check if Revision ma be usal for sea Privac Law si5. 1 m I. AppWzttion Informatlan -Please Print All Ltformation Sate Plan I.D. Number Property Owoer'a Name Pane! Number ' orP-~o~io - of-oz~o z ;-•, ~ r Property Owner's Mat7ing Address t'~rtY Ltx;anon . (~~ ~D S~` ~t T. C~;~GIX COU;~~~`% ~ y~1/ !4 !.J !t: S :10 T N. R City, Stan Zip Code Phi3~ Lot Number ~ Hlock Nuember Subdivision Name CSM Number YI'7 e Y ~ .~'y6D` ~ ~ ^City ~ II. Type o wilding (clrecic aU that apply) 2 ~ ~ ~~ ~ ~ ^ 1 or 2 Fatxdly Dwelling - Number of Hetlrooms c~ ^village ^ publidCommercial -Describe Use To ~ X ~ 5' ~ .~~- au'eac Road f • ~i`s ^ ~ ~ 'L( d ~ State o+aned~!/ a~wn / , /~q . , ~d~~ .X C.C.C/' t? 0 '~, ~. ~ ' > y SlvriAl ~ ~'f III. Type of Permit: (Check only one boa ~ line A (ntunbering scheme for lnternai use) • Complete line B if applicable) `,' 1 New 2 ^ Repiatxment System 3 ^ Replacemem of 6 ^ Addition to For Cotmty ttse S stem Taal[ Od E S stem ~'~ Number Date Issued $. ^ Clteck if Sanitary Pbnait Praviously Issued N. Type of Permit: {Check all that apply)(numberittgschsme is for Interns! use) 44 ^ Non Pressurized Ia-Ground 21 IKouM 47 ^ Sand Filter 50 ^ Constructed Wetiaud ~ ^ pn Ia-0tnund 41 ^ Holding Tank 48 ^ Single Pass Sl ^ Drip Line 45 ^ At-Grade 46 ^ AembiC Treatment Utut 49 ^ Rec' 30 ^ Other V. Dfis t Area Iuformat3oa: ~~ Plow (gpd} Dispersal Angt Disparsai Area Sots Application Percolation Rate 3ystam Elevation ~ as ~ Retluited Propoacd Gals./Days/~,Ft~ . (1-~• l3e7lDIh 0'F n ~ so~ ~z'SO `'ls~ ~ ~~ 2 !~ t ~`~ ~' y ~Q ~~~ ~ ~ .~ VI. Tack Info Capacity is .Total Number (}aUons Gallons of Tanks Manufacturer Prefab Site Steel Fiber Plastic Z,_ / . p ~,^` ~i~ ~.j ~f~/ Mete Cot~stntctad Glass Nea P.sisds= ' ~l T seFeic or Holdit~ Tams - ~~OV ' ~ t d ~ ~. VII, tudbill Statement- I, the tmderdpted, assttme responslbWty for of the POWTS shown on the attached Lana. Phunber's Ntuae {Frio[) Phtasber's 5ignatun RS Number Business Phone Number Plumber's Addcesa (Street, City, Smote, Zip Code) J~,/ ~ ) •! V ~ l i21 ~+ G~/ r C Jam' ! ~ De ent Use O roved Sanitary Permit Fee (includes Grouttdwatez Date Issued I ent Signature (No Stamps) ^ Disa App~ pp Stucharge Fee) ~ ^ Owner Gives Initial Adverse ~ ~ r1~j- • ~ 1 Z~ Qji'y~1~,..~ G'~•~"-~ o~- Deoerminadon ~ ~.~; ~,~, ~3 . y3 -/ . IX, Conditions of A provat/Reasons or Disapproval " ~~ " ~~w,,.~,-`_aal /~"'f p-~. Yt+~- ~ Sit , / ~~rnti, sue` /r~u~d ~-f-y c.~ 52~6~~ ~ , , / ( / - ~ar~. (i(/ 2~ /~LS~zt..~:e~c.+ ~ ~.. M.Gc.a~" GIN ~p~:~.y u~'//l~/e. ~!/ - ~!`~L ~ Z 5 ~ ~YIYV~ GfiYL aC.~ ~ ~c~ ~- Z ~n . _ ~ ~ ,/ G~~~M/,.~. ///,. _ ~n /_ n i/.. Qe 0 ../..t_ / /~ e i~~a /~.f~/ i d,.~' ~4, D~P/1) Y Aetach t~s Ito the t; Daly) for We sptetn pt+per uat !w than aln 11 m siae~/, ~~"~z}2`'r~r ~ SBD-639$ (R. OSlOI) isconsin Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary May 09, 2002 GUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS W[ 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/09/2004 SITE: Moritz Elbert - 80TH Ave Town of Hammond St Croix County N W l /4, N W l /4, 520, T29N, R 17 W Subdivision: Hammond Oaks -lot t FOR: Description: Proposed Thre„_ a Bedroom Mound System Object "type: PO WT System Regulated Object ID No 850790 Safety and (3uildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb ~ www.wisconsin.gov RECEIVED MAY 2 2 2002 ST. CROIX COUNTY ZONING OFFICE Identification Nutnbers Transaction [D No. 732815 Site ID No. 644438 Please refer to both identification numbers, above, in all corres ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter I O 1.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the v'`Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R 6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R 6/99). • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and !45..19, Wis. Stats. • lnspcction 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. I4~.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 ofthe 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). A7TN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPI 1 101 CARM[CHAEL RD HUDSON W[ 54016 P.O.VN.T.S. Conditionally ARTHUR L WEGERER Page 2 519/02 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. • 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 POW"fS. 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: I S 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, (71 S) 726-2544 `~ TITLE SHEET Page \ of 1 ROUND SYSTEM FOR A 3 BEDROOr1 RESIDENCE This plan has been prepared in accordance with the Mound Component Planual SBD-1057 P and the Pressure Distribution Manual SBD-10573-P CCZ. blg9.~ C2. 6L~g~ LOCATED Ii~1 THE NI~J 1/4 OF THE NW 1/4 OF SECTION Z~ ,T ~-~I N,R --1 6•,T, TOWid OF 1~W)WIOiVp , S`r'. CI~LX COUNTY, WISCONSIIJ. __ _ _ LoT_-1 of ~ w~ c~v~ ~ ~~-s - _ _------ INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEii rIAI~TAGEi~ENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEtJ-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI.IPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORi•4ANCE CURVE PREPARED FOR M. 0 CZ- l T Z ~-ti3~ZT _ _ --- aRF~RW:4 , ; x-9.15:4 -;~ ~w p1i,Tk„ } ~- .-~~ ~z~ , w~ S ~~a - _ SAFETY & BLDGS D11~. PREPARED BY WEGEE~ER SL7 I L .TESTING AND . . DES I G~V SEF?il = CE P.0. Box- 74 421 Id.~fain St. River Falls, WI 54022 Phone 715-425-0165 Fax 715-425-6864 ~~~~~~C~ OEPARTMEMT OF COMMERCE SION NO BUILgji~iGs SEE GORRE ONDENC& ~'^ s REGEIUED MAY - g 2002 $.'~-OZ JOB NO., t~Z-~ $ Mound System Management Plan page Z of ~ 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 ensur The fitter cartrid a should not be removed unless provisions are made to ret / _ av slough off the filter w en removed from its enclosure. the i er is ' ,~1t1~ the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impenhdingtcont nluous alarm dThe ~~~ septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of \,jnthe tank If re not removed at the time of a triennia assessment, maintenance personne s a a vise ~" e owner of when the next service needs to be a orm P s an mum scum an s u ge accumu a ion rn the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required, 3 n/14 ~ However, if such products are used they shall be approved for septic tank use by the Depan`ment of Commerce, Safety and ~'1/_ Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at -~ once every 3 vgars. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is inst~le~within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S stem 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 ateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compare a mi al test when the sys a if orifice clo m has occurred and if orifice cleanin is required to maintain equal distribution within the dispersal cell. gg g g Observation pipes within the dispersal cell shall be checked far 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. Genera! - `y`~This system shall 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 in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency 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 orreplaced 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 his system should be directed to: The County Zoning Office a t ~ L S - ~ ~'6 - ~ 600 ST'- C°_1~-UUC The system installer at The tank manufacturer at -llS = 3&6 _ 312.1 8~eo = 3 zs - ~~is 6 ~1 LPS r*'R The effluent filter manufacturer at $~0- Z-~l~ S~~Z ~./~'Q~ __ __ The pump manufacturer at --- - - (030- ~Z~}= ~g _ . _ ~ -Gc~uLpS _ I ~I J PLOT PLAN Scale 1 "_ ~ Q' •Page 3 of 7 13-"1 Fk2 pw1 ~-I ,~~' ~~ a.3 v~ ~.q6.o a3 ~ ~ ~ ~~, - ., ~ z3 ~~ Q6 a.~ ~~, ~1`~5` -- ~~ ''' 130' of Z~ P V ~' F. iy- fi- /S;~!RS O~Z 1~15TVR1~ ~' r~ t0 `oF 3 Bb}Zvy ~ 4''~ l ~ ~ E G r3tZ J s o J k SvGG`~~.~ W~tC. ~ . ~ ~hUh1 ~ I AI _- - -- NOTES: -- 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation~ipes with approved caps. ( Z .required). 3. Septic tank to be ~Oop 6Spgallon capacity manufactured by L~ ~t~ ~ elj ~ cR-~'~T~~ ~.J~ R - l~, a o ~,~-t~ ~z.. ~t ~7t1~ 4. $ench mark S -_ S ~ 1°~U U ~ 5. Divert surface water around system to prevent ponding at the uphill side. • • Page ~ Of ~7 Approved Synthetic Covering AST~i C33 Medium. Sand t// ~~,~ Distribution Fipe ~~~ `~ Topsoil - - _ -'"'•' ~ =_=-- F Elev. ~' _li Cam,-9 3 E ~~ p i ~ • .. p. ~~ Distribution Cell of Force Main Flowed ~~ z to 2 Z" A;gregate From Pump Layer S(o~ E ~ • ~ Ft. CROSS SECTION OF A MOUND SYSTEM F 0•S Ft.Ia"(~"P~i • G ~ . S Ft. "~ A ~, Ft. H 1.O Ft. Linear Loading Rate= (~ - O GpD/LN FT ~ ~ B ~ S Ft • " Design Loading Rate=p-.35GPD/SQ FT,/ I 11 Ft. J C~ Ft. . K~_Ft. on ~ q 3 Ft. " W Z3 Ft. .. t_ I ~} ~ -Observation Pipe i---- s -- ----- -- ~ R~~~s o--~-•--------------------- --------------- ------ ~ ~ Box A ~-`i6 ~ - ° - _ - W •~-__~_ --- ------ --------------------- ~ Force Main - -- - ~---.------ ~ ~,[~S ~ Distribution ~-. Ce ~ ~~ ~ „ p - " 11 of z to 2 2 QP USl ~ ~ Pipe aggregate . Observation•{Pipe (aachbr sec~rxly) PLAN VIEi,;I OF A MOUND SYSTE;:4 Distribution Pipe Layout Page 5 of 7 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 late.•zi up with the use of IonQ turn or 4f' fitrnQ to a point within six ~~ inches of the foal a*~ade. Te.~inate the ends of the late.-aIs with a vaIve,:threaded can or . threaded pIu~. Provide access from final g~de far the valve; threaded eaa or threaded pIuQ. ~ ~ r ~ cr L Lis s .s~'~g 1v FVC rr~J~.. PVC Latera! Maniiotd Lateral X ~ x ~ x x!Z ~ x!Z x x ~ s x • Lateral Length -`~ ~ Lateral Length - P P --~+ ~- - ~ ~~~~~~ F.. _ ~CC;}.s snx ~~ ~ ~N P 3_7 Ft. S 3 Ft. X Z~ inchps . . --~ ~Zs~~) Hole Diameter ~g Inch ~~"• Lateral ~ ) Inches) `~ Manifold ~• Inches Force Main " Z- Inches ~ of holes/pipe lq Invert Elevation of.Lateralsc'1~~ ~ Ft. :la k0.~tl = x.74 x ~- 3 t.16 ~P~ " . .. _. ~ ~ - Combination Septc~.Tank and . PLt-MP CHAMBER CRO55 SECTIOIJ AAJO SPECIFICATI0~J5 ~ PAGE G OF ? ., . _ ~ - -VEUT CAP ~• WEATHER PROOF JU1JCTlO1J 80X . ti C.Z. VE1JT PIPC ~ .lPPROVED LOCKIilG ~ lO' FROM DOOR. M~IIJHOLE COYER wl'M :itAIDOW OR FRESH ~ wA(itJ11JG Lt~6EC.. ~'3P~G1o-J PIPE A!R IIJTIIKE S cor.~cu~r • w ~PrtRr s ttT- arrP ~ s , G ~~ E ~ ~ 18' !"IIIJ. i ~-- ~~ _.. _ ~~, WLET ~'P PROVIDE 1 -- -- . '' ~('" AIRTIGHT SEAL ~ I' • ~ :^. I ~$A~~E ~ Approved z1~8~ P•t~.~ -.e i i~( APProved joint w/ ~_\400 I ICI joint w/ PVC pipe AL~,RM PVC pipe - !s I ! I • I i • I I ou c •I I . Z.oo I - LLEY.~ FT PUKP ~ -'~ _ ` OFF D - COUCRETE - ~~ ~ .~~ ~ ~ BLOLK S. RISER EXIT PERMITTED 01JLy IF TAUK MAIJUFACTURER HAS SUCH APPROVAL~3"ApPQatp BFDO t tv4 SEPTIC F - SPECIFICAT101~1S DOSE TAI.IKS MA-1UFACTURCR: w~~~ ~~e~~~ f`lUMBEA OF DOSES: 3 `~ pER p,;~ - TA1JK 5lZC: 1~U0 !6 Sy GALLOAIS DOSE VOLUME r • ALARM MAUUFACTURCR; S •S ~ ~~~~ S~ S~tl^'1 ~ IAICLUDIAIG 6AGKrLOW: - ~ 3 6 GAttONS MODEL 1JUM8ER: `~ ~ ~w CAPACITIES: A= ~8 lA1CHC5 OR 30 ~ GALLOlJS SWITCH T~PC: _ ~~Z.eUIZ~-( ~ 'Z 8 = _ IIJCHES'OR 3 T G~llOUS PUMP MAIJUFACTURCR: __ GOUL~ S C= ~ IIJCHES OR ~~~ WtLLOIlS MODEL NUMBER: , ~~~~ 0= 10- INCHES OR 1 ~~ GALLOIJS SWITCH TYPE: ~ ~Z~~~- II -JOTE: PUMP AUD ALARFI~ RE TO 6C MIIJIMUM DlSCKARfaE RAT -3t•~b pM INSTALLED ON SEpARATC CIRCUITS VERTICAL DtFFEREIJCE DETWCEIJ PUMP o ._D157RtBUT10-.1 PIPE..1S'~~ FEET + Klull'~UM NETWORK SUPPLY PRESSURE . , , ~ , 6.50 FEET l S_qk 1, 3~ + 1~d FEET OF FORCE MAIN X ~' ~~ F~c fzFRICTtou FALTOR_. Z.~ ZFEET TOTAL OyWAMIC HE:AO = Z~' ~? F ET _ \ As per manufacturer 1~.0 gal/in. Liquid depth 3 ~ y Goulds Submersible Effluent Pump APPLICATIONS 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: 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: 3/4 maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'rz' 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. 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 10 9 30 s 25 o ~ a w x U 6 20 } 5 0 15 '~ 4 H 0 3 10 2 o~ 00 0 1l) 20 30 2 4 6 8 CAPACfTY 3871 EP05 • 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 Gover: 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 Association (CSA listed model numbers end in "F" or "AC".) i '~ FT _ ~.. ~~ ~ i Z~. z ~ i I ~ ' 1 ~ I j ~ ! _ ; ~ r ~_ EPO i - - ~ S i ~. ~ ;EP04 ~ ~ - .~ I ~ i ~ 1 40 50 GPM 10 12 m~/h ®1995 Goulds Pumps, Inc. Effective May. 1995 63871 ©5/03; 200? 07: '1'3 • 17156844- ~ ~0 fiLWIhJ EYC INC P~Gc 02 ~...»~«~ «~,.,,, llO~L MND 8ne ~vALUATlDN. i ~ . L w.. Arr ~nrn ~A.~r ~4v-._..~ d - -- .r ewy reeaAAy. YI aCwbance WiN i. Il>Ifi ti1,ae, w~.. ~+enMrM ~ p1n a A•A at aM n.. ~ rn ~ f 1 ir+w h ~+w o~ wat ~' $'"- IeI1W1~,YMnM~dhl10 wAW ~iAnMastiM+~MN7.MwiW1.MWanu~a ;cam IWSMf roM, ~+MA e-AAMMIiO. ~ ~NiMr ~tqw Oy rr1M rV'1w,rw~>o nwr.tx nM. y~ i. ^ y 7 7 ~~'~^_ . •rh,te~ ue~t~o ~ • r~ fklnt A~tI M~IIprnNlOn arl ~ ~ a.Y'd+' ~ s~~o rw _ ~+nWywrrrl~wrlrwl.r~4t,r1Me e~ ~ ~i ~ ~ ~.dW ~ ~wwN 4~ t ~ O.A. i,w ~w w ~M/NA 3~ T 2~ .NA / ~ E!c G- ~ ,1 Ki~wrs~ rr. ~~sr t+{eK ~ E ,~ ~ +,., ~ ~ V~ ~ ~ ~'~,',,,, ~'• Mme, ~~i1Lo1 rl~,s/ 3::k ~.'R'!'+,j Qaru ~iu~+ii~.J t(ic ~'Mr+dn~Arr~u IYA: w~Arf-asieAeNb~Ma~, ~ ._..+~wur+r~bNr~t~ArMq ~J ~~- Ar ~~ • f~AllAt . ~pO1 ~ ~~Ii1, AA. ~ f A A ~~IAd MMP' ~M~^I Mr ~'~~ ~biQ. AiQ~ I~Ancn, fOQ(I~ IAifwMyM 111NrAeM 91UfA ~ W WAAp~ ~~ Ol ~~ ~~ b~^f ~w `-MA kM~~YNd~, Md~IA t~ArAr -T'1 f 1 iw ntNrM tO +M qR Mnwr~Nl M~MIwM sn- _- ___ orrr~w,lMd ~~- QL~d~t~s'. ~ ~'~/~_ t~M~+A~++dan.Aapptiub.,~•J~ • • ~~MI~ Ifr - u IA~~,e Mrs p s~ ra C U C} ! O e tr?'U° CJ a ft?~ Q e°• u ~• Aen~.re ~r~ De~F M A.~ hvy ~~ woven onn , .er+,.r sloe M- -Oaw ws, oesc~eA µAnr q~- /Y• CaY. CoeN •nvw ffi Te+rr 1DNT b,~~y ~, CarM~.w rwnwi~ Awr f e• ~' ~ • ~ ..... ._ v ~ ~ s it s d to :s . yet ~ •~ 1 -~p ly L / . ~• ~~ .T...,... 1 5s-.fin, ! ~ ~ a --- L ~ i - ~ . _.T..-t t '~' ~- c ~ ~ S , ~t ~~ _~ ~..! _ yr• 3~~ ~~~T~ S ,~. iylA. e~1e11 4 ~/ f~ I E t Wisconsin Department of Industry, Labor and Human Relations Division pf Safety and t3uildings SOIL AND SITE EVALUATION. in accordance with s. ILHR 83.09, V11is. ~~.. r ~ Page ~ of Z Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. P4aq; must ~ 5'~r• ~•~PU/ include, but not limited to: vertical and horizontal reference point (BM), di cttorvand ' ~• percent slope, scale or dimensions, north arrow, and location and distan~o,nearest ~?!::°11 parcel l,. # O ~U~»'t-~v aa-~ 1 a~o ~ Mo~.ti-~ ~ca~7e~- ~~-. r.,.. - _: ` == ,.._ ~ b~ • io • So • oa APPLICANT I q'RM TION -Please print all informa "pn, ~ ~ `~ ~ ' iQ e y ~ Date Personal information you provide may be used for secondary purposes (Privacy La~v; s. 15.04 (1) (q-)j.:; iC;i;~. ~Z Property Owner ~ V H Q ~ QD L.~N Q ~ b '.. Pr ' l! ~ ~d N•l~ ~i~ 1 ~ ~OA~ • ~ Govt. Lot ,. 1j4 ~., N1/4,S 2~ T ~~ ,N,R ~, E (o W Property Owner's Mailing Address t r ~ ~loc~#~ .Name or CSM# 33Z M i UN~'S oTA ST'. E~1S T I yo ~ `' ~F,yyowD o~9'•,~-r City State Zip Code Phone Number ~ Nearest Road k! ~ Z sr. P~u~ I hN. 15sio I , c~Sl )z2Z •5555 ^ ~i~'}~ ~ "~~~,r~-' '~~' I ~ -ta [+]'(Jew Construction Use: L7tiesidential /Number of bedrooms ~ Addition to existing building ^ Replacement ^ Public or commercial -Describe: (.~ Code derived daily flow ~~_ gpd C Recommended design loading rate~%` .bed, gpd/fl2 S trench, gpd/ft2 Absorption area required ~_bed, ft2 ~1J trench, ft2 Maximum design loading rate "l bed, gpd/tl2~trench, gpd/ft2 Recommended infiltration surface elevation(s) SLL 'Pa 3 ft (as refer~erf to site I n benchmark) Additional design/site considerations / Parent material ~OEtS ~Gr~ Q~N.s~' T/I~f Flood plain levation, if appli a ~,T ft S = Suitable for system Convent~io.,na/l ,Mound In-Ground ,P-res/syce AT-Grad~e, / System in Fill , Holding T~.a~nk U = Unsuitable for system ^ S LK U U ~ ^ U ^ S L!T U ^ S i~'U ^ S •L-~,'U/ ^ S ~ ~ SOIL DESCRIPTION REPORT Boring # ~- I Ground elev. ~s,~ft. Depth to li .icing fact in. Boring # ~~ 2 ~. ~, Ground elev. ~s. ~ft. Depth to limiting Horizon Depth Dominant Color M ttles Structure i C d B R ts GPD/ft2 in. Munsell Qu Sz ont. Color Texture Gr. Sz. Sh. stence ons oun ary oo Bed ,Trench o • g ~vYR 3/3 - ~ /fsb~' a~slti G~J zf . ~ ~ • sY - - ~ . ~ .S f I f Hots' ~L /7~ ,S - - • ~(~ . S~ Remarks: / io 3 3 - ~ / Ski S w 2fi ,• s. s fI f MOTS SL ~,,,. ' . s / Remarks: ST Name (Please Print) Ro13~RT' ZILt7~C ICI1T' Signature ~~lln _ r ~/s. ~~~o~~ j •b Address ~/ / ~f D~jate~j ~ 24 3 7 5 r I Ilhrleht R ASSOCiateS 1 ~ 0~ ~ ~/ • S Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54018 _ ~ v~/~R~ ~ SOIL DESCRIPTION REPORT Z,. 3 PROPERTY OWNER /~ .v C Page of _ PARCEL I.D.# `~ T ~ / / ~~IMD ~~ ~~/~ J Boring # 3 Ground G elev. / ~ ~ft. Depth to limiting f or in. L Boring # Ground elev. n. Depth to limiting factor in. Boring # Ground elev. ft Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.. ry Bed , Tr h / 0 •~~ /oY~3/3 G /fcS~J~ ~fi~ w ~ ~ `. i ~y_ iaY~3/ _ SQL z fsh .,M~i' cs . s ~ . 3 Si C.. 2~ ~ ~ ~i ~S -- • S ; • ~ 7•S 2 c~ r,orf SGL / ~ ~/ • -- - • z ~ • 3 Remarks: Remarks: Horizon Depth Dominant Color Mottles T t Structure nsistence C Bou da R ots GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. o n ry o Bed ,Trench Depth to limiting factor in. Boring # Ground elev. n. Remarks: Depth to limiting factor in. Remarks: SBDW-8330 (R. 08!95) ~ ~ ~ w ~ - , , ~ ~ ~ ~ • ~ J ~ p p oc~, _ - ~~ ~~, ° o ~~ ~' i ~~ _ l w Fs T- L v 7- 0 L- 1 V- ' .~ .~ .C s ;~ ~ J Q °~ \ 1 I Q U V /~ ~ ~- s ~_ ~ ~ O ~~ d 0 ~~ -v `~ 1 ~, w d T, rn 6 Q v~ N ~~ Cn c. _~~ ~ ~~~ ~. 0 o ~y ~~ ~~ FTOM Schumakcr Plumbing FWt N0. 7153863121 Jun. 03 2002 06:29PM P2 .~~_ ST C.~20[X COUNTY SEP'T'IC TANK Ivi,4INTi~NANCE AQREEMENT AND aWNEitSHIP CERTIk~ICATION FORM ownerlBuyer '~1©t~~~ ~. ~.1 ~,-~, `~_ Mailing Addsags ~ t' Property Address CitylState ~~~~ ~?~~~c, ~r~orr Parch Identification Number Property Location ~~ '/<, ~ `/., Sec, d T~~N-R~W, Town of ,~.~~ Subdivision ~~~-~ ti ~ s ,Lot # Certified Survey Map # _.._. - __-~ Volume Page # Wsrraaty Reed # ~.,(~ZY.,~~G J .... .Volume Page # i~,,,~.._.. Spat hc~uss ~as D no Lot lines identifiable D yes Q no ~vS~M MAIN~CE Imrpmper use and maituonaaccof your septic system could result in its premature falitue to handle wastes. Proper maiatenaace ootssists of ~sttpiag out the septic tank awry three years Qr Sooner, if needed by a licensed purzzper. Whet you put rata the system can ai~bct the function of ~ septic 4attk as s treat>xtatit stage in the waste disposal system. The property awsYer agrees to submit m St. Croix Zoaing Deparb:aezat a certifseation form, signed by tba owner sad by a mastarptumber, )osirntymanphnstber, rostnattdpiumbor or a lscensedpumper veafyuig that (I) the on-site wastewater disposal system is .~ prapor operative condition sstidlar (a) after inspection and pumping (if aeccssaty), the sapde tank is less than 1J3 fuii o£ sksdge. I(we, the undersigned have read the above xequisemen:s and agrte to maintaia the private sewaPe disposal system with the staadat~s set forth, herein, as set by tho Depstimeuf of Comtrierce and the pepatmtient Qf Natural Resaur~xs, State of Wfsaonso~~c ~~h U stating That your septic syatccu Iiaa hero znaiataitLed must he eom Ietad and returned to rho St Cxoix County Zonit~ days of the three ,yea: expiration debt. ~/ NAT DF APPLICANT DATE p'W1~ ~t,~~R7'IFYCATI~ I (we) eestify that ail atstcmrsits an ttus ferm am true to the bast of my (our} kuowledgd. i (we) am (tee) the ewaar{s) of the p rty described above, by virtue of a warraary deed recorded rn $tjister of Deeds Office. ~~ ~ ~, ,~ F ApPL.IGANT DA'I'S Any information that is mis-repx+eseated ntay result it+ the sanitary permit beiag zevpked by ehc Zoning Dcpartr~iet~t. `~'*`"~` r~~iiW a ~~' ~,~~=~-~- l~f. s (Verification reciuired fiQm PlanuiAg Dapararrent far new ~'- Include vrilh this ~pplioatiaa: a stamped wttzraaty dead from the Ragistor of Deeds a~[ce a cagy of the certified survey map if reference is made in the warranty deed llocument Number STATE BAR OF WISCONSIN FORM 2 - 1998 WARRANTY VELD This Deed, made between Hammond Land,_LLC, a Minnesota Limited Liability Company _, _ __ Grantor, and Moritz Elbert and Cecilia A. Elbert Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix _ __ ___ County, State of Wisconsin: ~6~s~..3 N.ATMLEEN N. WALSH riEGI51'EFt OF DEEDS ET. CROIX CO., WI RECEIVED FOR RECDRD O1-28-204 10:00 AM WARRANTY DEED EXEMPT # CERT CDPY FEE: COPY FEE: TRANSFER FEE: 62.70 RECORDING FEE: 11.00 PAGES: 1 Area Name and Return Address Lot 1 ammond Oaks Subdivision,Town of Hammond, St. Croix County, Wi nsin .©~` 018-1086-01-000 Parcel Identification Number (PIN) Tltis is not homestead property. (is) (is not) Exceptions to warranties: Subject to notes, easements,reslrictions,covenants and rights of way of record, if any, including but not lunited to those for drainage,water retentiou,pondiug,and or utilities as may be shown on the plat of Hammond Oaks Subdivision recorded in Vol. 8 of Plats, page 2, St. Croix County, Wisconsin. The warranties of tlus deed. either expressed or implied are limited by the grantor to the grantee, or anyone in the chain of title, to the consideration expressed herein, that being the sum of $ 20,)00.00. Dated this 17th day of January _, 2002 . Hammond Land, LLC AUTHENTICATION Signature(s) authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN it c ..,.. * by resident . Austin J. Baillon ACKNOWLEDGMENT S1'A"I'L OI' WISCONSIN ) ss. Ramsey County. ) Personally came before me this 17th day of January __ __ , 20112 the above named Austin J. Baillon to me known to be the person(s) who executed the foregoing