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HomeMy WebLinkAbout018-1086-20-000~ ~ n y m j ~ ~ fD c a n o ~ m 3 61 c I~ I o ~. d 0 7 N i ~ Z o i v 0 7 W Q Z O ~i O~ ' _ Z ~ f%1 ~p 07 > > ~ ~ N O ~ d ~ < d c'D ~ Z ~~ ~,a°=.N o ~ o x m ~ ~ G < .p ~. ~' f0 to N n.-{Fmo~~~p yc td~ F p_O.G f' N o ~ o"QO °'~m m p Q C 0 v t~ t0 ,f0) n 7 ~ 0 0 3 C O O N~ a ~ ~ II C N ~ ~ O ~ CO's O~ N~ O~< w x C ~ ~ ~ ~ ~ N = y fD a 0 ~ ~' c, ~o ~ ~ ~ _ ~ 0 m ~ O o~ °o ~ N O m ~ n N A o cn 2 w a D W coo N W I~ a (c ~ ~ ~ ~ tv c O (D G fD (D c u w II m c~~ ~ ~cn~ D U1~N~ 7 ~ A ~~ ~- ~ t7 07 nv,o ~~~ d tj ~ n ° o ~ ° 3 1 ~ "'~' '~ ~ ~ ~ ~ a • A~ .. ~ W m ~ ~ .. ~ O ~ w c m c ~ ~ ~• ~ ~ 3 ~ a ~ ~> _ ~ V ~ C ~ ~ a -1 o C 0 A~ O ~ o ~ ~ N N 7 O ~1 ~ e Y1 C C T ! G ~ -" lr P a ~ CO7 1 N < \ ~p O ~ O V (~ ~ fD V oo~ w 3 nrvi N ~ a 0 3 ~ ~ ~ 'o n °: tr ~ c c c c -i 1 i ~ N = ~d mmvr ~ 3 v W o :: b'i 'yo t ~ o c a ~ y O 7 .. i ~ H N ~ o D a c cn n tr. A ~ O O O W y ~ ~ ~ c 5i p Z ~ ~ ~ ~- A Z ~ f D (, y to O_ .. A c O < N W o ( p -. z , ~ °o °' z `I~ y C i c Z W C c i C 7 a a y A p. I ~ I N N ° o ~ ~ d0 a A ~ ~ ~ ~ ~ ~ ~ 3rtment of Commerce PRIVATE SEWAGE SYSTEM ing Division E ~ INSPECTION REPORT NFORMATION (ATTACH TO PERMIT) _. „~rormation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Sullivan, Jared Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ b /~DD Dosing ~J ~ m~ a>~ ~~'.~ Aeration ,J Holding TANK SETBACK INFORMATION TANK TO P/L ~12-~ WE L BLDG. Vent to Air Intake ROAD Septic 2 D i ~ ~ 1 ~ i In ~ ,~2 Dosing ~ ~ 2 } /-~, ~ Aeration ~ /„~{. '~f Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number ~ _„ / `~~ ~ J TDH Li~ n • I Friction Los ~ -~ S ystem ad 3 TDH Ft z ~ Forcemain LengttlQ , ~Tjj Dia. 2 ~ Dist. to Well f ~ f ELEVATION DATA County: $t. t:.roiX Sanitary Permit No: 430585 0 State Plan ID No: Parcel Tax No: 018-1086-20-000 SectionlTown/Range/Map No: 20.29.17.640 STATION BS HI FS ELEV. Benchmark 0 df I IV 0t1 Alt. BM ~ rn.~r p~ ~ /• U 6 Bldg. Sewer 0 ~D to / !) S S Ht Inlet ~~ ~o D .d G ~ 3- 1 SUHt Outlet ~; ~ Dt Inlet ~ ~ Ih S J h Header/Man. 2 ~ ~ p/ ~ ~ ~ ist. Pipe a t r Z. ~ ~,1 - ~, Bot. System 3• ~-3~ Fi a Grad C~~~~ s/ 1 ~~ ~ 2 $ ~, S St Cover / S r~set~ Z7 ~, ~~v . Z 0.0 S~ ~ T cU /'. ~ ~~ ~. ~ a -~ ~'9- ~ ~ewzr ~ ~ a y s 9 ~!~ SOIL ABSORPTION SYSTEM 1,~~j~ ~~ ~-~ ,,~ ~~ ~ BED/TRENCH Width t Lengthy ~ r No. Of T~ nches , / l DIMENSIONS L PIT DI IONS No. Of Pits Insid Dia. L'+quid Depth ~ b~.~d SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM EAC ING Manufacturer. INFORMATION C ER OR Type Of System: d ~3~ ~ ~~yo > i vu' IT Model Number: DISTRIBUTION SYSTEM ~,~Q,Ij ~~ ~ f,~,~ Q ,y1.~ ~° -~`t Header/Manifold / Length ] Dia 2-. ~ Distribution Prpe(s) / ~~ f Length Dia 2 Spacing -7 x Hole Siz 3~ ] k' x Hole Spacing t 2~ ent to Air Intak `-~ -" - SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~ X,n~ Depth Over xx Depth of xx Seeded/Sodded S Bed/Trench Center I U ~ ed/Trench Edges Topsoil ~] Yes 0 No [] Yes ;, No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ ~ ~ /~ / ~I~yl~ection #2: J'r! ~~~' Location: 1625 86th Avenue Hammond, WI 54015 (SW 1/4 N 1/4 20 T29N R17W) Hammo'nId aks Lot 2~ Parcel No: 20. 9.~ . ~(~,l f Q 1.) Alt BM Description =J ~ W/t~ ~~~~/~ Q~Q~G GL'/~~~(1eC/ ~ • -] ~ 't't'ol"`LG~~~(~1~ 2.) Bldg sewer length = ~ ~ ~G~1 ~ ~„ /~~.~ /~ U "~~ ~~~.,~ - amount of cover = !_ ~ ~ J ~ ~ ~ ~ ~ ~~°i0_~C / -f'~'D"Y~^- tP 4'v"UC.~~ ~V~6 (wed Q/~p1~--. T-~ ~ - - S ----- - l/L~~ Plan revision Re uired . Yes o ~ ~ ~'I Use other side for additional rnformation. ~ J " / I ' __ _ SBD-6710 (R.3/97) Date Insepctor's Sign re Cert. No. 303 ~~ -~ ~ce-~~ xx Mulched •r ~ SafetyandB ilding~~~vED ox 8 to Ave hi W W ~,1 {,,91~~ ~~ ., as ag . 201 ~ Madison, 53707 - 7082 ns~n ~ Sani try Permit Number (to be filled in b Co.) ~~~s~~ (~8) 61~5~ o l zoo sco Department of Commerce Sanitary Permit Applicati n ST.. ROIX COUNT ~ sra PIan1D.Number ~'~ ~p3 / ~ING OFFICE in accord with Comm 83.21, Wis. Adm. Code, personal mfortnatio You prr> es Privacy Law, sl5.ll4( tray be used for secondary pttrpos t Address (if different than mailing address) /- ~ S" ~ ~~ ! I. Applicstioa Information -Please Print All Information v~~ _ ~f, r~i ,- ~ - (~ v ° c lot # Block # Parcel # property Owner's Name ~_ - ~~~ ~ . ~ Propetty Owner's Mailing Addr ~r Property Location ~ ~~ ~` ~~ ~/ i S D tat on /., ., City, State ~~ Zip Code Phone Ntunber ~N; f~/ E rW ~ ~~ / i1 II ype of BtWding (c k all that apply) ~j ~ Subdivi ' n Name CSM umber or 2 Family Dwelling - Ntuabet of Bedrooms _ - ^ pubiidCortunercial - lkscribe Use Ciry ^Village~3`~wnship of ^ State Owned - Describe Use IIL Type of Permit: (Cheek only one box on Uae A. Complete line B if s plicable) `+' System ^ Replacement System ^ Treatment/iiolding Tank Replacement Otily ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Ntrmber and Dau Issued Before Expiration Plumber Owner IV. T e of POWT'S S stem: Check aU that a 1 ^ Non -Pressurized ln-Ground > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand FDter ^ Constructed Wetland ^ Pressurized !n-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis eraallCrtatment Area Information: sed s Sysum evasion Deli Flow (gpd) Desigp Soil Appli ion Rate(gpds Dispersal Area Req 'red (sf) Dispersal Area po (f) s,~. y r ' i~ ~ ~ r~~~ /i~s~ ~ v v /~ ~ . ~ .. ~ ~ _ Fiber Plastic VL Tank Info Capacity in o Numbs Man Prefab Concreu Conutructed Glass it f U s ~// _ n Capons Gallons o ~~ . New Fxiuing Tanks Tanks Septic or Holding Tack Aerobic Treatatent Unit Dosing Chamber VII. Responsibility Statement- I, the undersign some responsibility for installation of the POWTS shown on the attached plans. Number Business Pho , ~ / / ~ /Print) ~ Plumber' re MPlMPRS Number Pl 2`2~GG /~ = Y 6 /~ ~ ~ ~ . Plumber's Addre~Street, Ciry, Stan, Z' e) (:~ ~ n J ~ U VIII. Dun /D artmeat Use Onl roved Sanitary Permit Fee (includes Grotmdwater Date sued ssuing A t Si re (No s) d ^ I?isa ~ pp pptove O Surcharge Fee) ~ ~~ (Jj~ / //// ^ Owner Given Reason for Denial ~p~ll~ittl~tpprovaVReasons ~,P~r-yDvIswap~pr at ~f,C! ~_.~ d~~ 7 Septic tank, effluent filter and C; ~ d. s Z } ~ ~ i I S in~ ll must all be serviced ! ma a e l ce dispersa as per management plan provided by plumber. ~~ d S 5-~4.1~r•, • ~ « k requirements must be maintained tb ~ ac 2. All se G~ er applicable codelordinances.~,,ltyy, ~3,c f'3-/ as ~ p > ~ s r w-t,~,.,r,.-,. d ak.rz~ //~- ~~(y~~ (~~yt,p~ `~J t~^~- ..~".~ -F / ~ ~ "- -- - Attach eompkte pleas (to ouaty Daly) for the system oa paper not kss than 81/2 s: 11 loches In siu SBD-b398 (R. 08102 A- PLOT PLAN PROJECT Jered Sullivan ADDRESS 3170 Meadowbrook Dr. Woodbury Mn 55125 SW 1/4 NW 1/4S 20 /T 29 N/R 17 W TOWN Hammond COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE 11 /18/03 BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDIlVG TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ~ ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE WELL *H.R.P. Same as Benchmark ~(~~ fie, ~ SYSTEM ELEVATION SCale = 1 /4" = 10' Town Road t 160th 88 0, ~ Grading is to be Area 15' ~ done to divert below system ® run-off away 5% is to remain from system Slope undisturbed B~.._ B-5 A 86' u 3 ~ 8 7' 8 8' ~ya~ -°o~ 8 9' B-2 L-°T ~`\ An~r~.Way rs..~ B-3 ~ r,.' ~~ B-1 Pro 3 Bedroom House Well is t meet all setbacks and in Tank is to be properly bedded and provided with lockdown covers with approved warning labels B.M. #1 Y~ Property Line B.M. #2 '~ @ 90.82' ~2 s~ p;~ 0 -~ m m isconsin 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 November 26, 2003 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI 54017 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/26/2005 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 ~~3a s ~, Identification Numbers SITE: Jered Sullivan t Fnr~~c+~ /!v 2 ~ ~~~~, Town of Hammond St Croix County SWI/4, NW1/4, S20, T29N, R17W Subdivision: Hammond Oaks; lot 20 FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 932750 Transaction ID No. 947031 Site ID No. 668826 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 the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.OI/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. ~• A state approved effluent filter is required. Maintenance information ^•~~~* ~° ^~~~°^ *^ rh° nwnPr of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 8 pro uc ditions. • 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 durin construction and open to inspection by authorized representatives of the Department which may include local inspectors. Cr~~ZC~~tPO,~2~~~ Jl~ ,~, .s _ SHAUN R BIRD Owner Responsibilities: Page 2 11/26/03 • Comm 83.52(I)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report 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 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 11 /18/03 Owner:Jered Sullivan Location: SW1/4 NW1/4 S 20 T29 N,R 17W Lot 20 Hammond Oaks Hammond System type: Mound System Manuals Used: Mound Component Manual version 2.0 (01/31) Pressure Distribution Manual version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-9. Maintance and Contigency plan 10-14 Soil test Signature License nl .ECEIV ED NO~i 2 "i 2003 CERART~JlfNT OF COrlfERCE DIVISIGN OF SAFETY AND BUILDINGS SEE CORRES NDENCE ~ & BLDGS DIV. _. PLOT PLAN PROJECT Jered Sullivan ADDRESS 3170 Meadowbrook Dr. Woodbury Mn 55125 SW i / a NW i /a s 20 /T 29 N/R 17 w TowN Hammond couNTY ST. CROIX MPRS Shaun Bird 226900 DATE11/18/03 BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ~ ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE ~ WELL *g,R,p, Same as Benchmark ~(~~ ~, -s .o . ~i Scale = 1 /4" = 10' Grading is to be done to divert run-off away 5% from system Slope B-4 B 5 Town Road to 160th St. Area 15' below system is to remain undisturbed 86' ^ ^ - ~A n,~.Wajo 8 7' ~ s~ B-3 88' 89' B-2 B-1 ~' Pro 3 ~ Bedroom ~` House Well is to meet all ~ setbacks found in S' Comm. 83 Tank is to be properly bedded and provided with lockdown covers with approved warning labels SYSTEM ELEVATION 88.0 B.M. #2 ~ z'S~ @ 90.82 ~ ~~~ v 0 m r m B.M. #1 ~ Property Line ~~ ~ I i~p~, __ . ice. ' No Designer Date %„_J ~ Non-Woven Filter Fabric Topsoli 4" Observation Pipe Perforated Below Filter Fabric AS1?t C-33 $ c"d ~~ ~•. Scope ~pistribution Fipt ~~ 4H _ ` o bed Of i~~- 2't Drain Rock Flowed Lover D •E t~ f ` `~i ~~ r ~~ Force MQIn From Fump Cress ~tion Se Ot A Mound Sy st_m Us~n A ~r ged Fot ---~' The AbsorPt~on Areo r. ! ~~l~ ~~~ 6 I J ~ ~e -------- j•--------------------- ~ A ~ ~ a. ~ Force Mpin cn ~~ _.~_~_._~._~_.---_-_!_-_---- From Pump ,,... r L ~ ~ . /^ ° Distribution Bed Of /Z - 2 2 ~ Drcin RocK Pipt I 4~Obrervotion Pipe =-~c~~..~ Permonent Mocker ~S~.r~ ~ L~ ~ .~'rv,,,,., t,~,~~~~.,~ P i p e or Rod s Plon Yiew Oi Mound Uein A Bed For Tie Absorption Areo q ~ Ft. h 6 Ft. I ~~2~ ~ ~~ Ft. ~~ ~ ~ Ft. ~y 1 >"~~?~ 1 Ft. ~~ L 4-~Observotion Pipe-- ~ K PAGE OF ~l~ Losa~ed On $otsom. ;R~a~!y SPOCeo RST NIp1.L 1JL.x'+~ re CanneC}'o~ Ft. Signed: .icense Num~er: Oate: X~ inC~e5 ~` : nche5 3/ Hole Diameter f Inch Lateral ~" ~ Inchtes) Manifold 2__, Inches ~- Force Main ~ Inches ~ of holes/nzpe 2 Invert Eievatio~ of Laterals ~ J Ft,. Per4`4raleG Vipt De14ii • 5£~T+~N hND Sp£CiFICATIO~S SEPTIC TANK ~ P~3MP CtiAMSER CRASS „ i~ZN . ABOVE .GRADE ~ u~ATNERPROOF JUHCTICN $flX ApFROV ED Mp~iNdLE COvEA y,~ C; ~tEt~T PIPE I~dINDOw 4R D44k WITS Ct~~;DUiT wI ~pDL~x ~ > g~~ , FRflH AIR I1rtTAiCE 1r1ARtiIl4G LABEL FRESH ~ _,,,~~,,,...4" MI1~ . FINISHED GR~E b K • 4 ~.x. Z~f Z. a. u ~~ t1d5~ER~ - ~ ~ : MIM- ~S i,t C•=• • , INLET GAS- ~ `, VAPPf~EO ~ 1~-ATER TIGHT SEA O '~ A TIGHT - SEAi- ; ~pjiiTS 1i2Tti ~p giPE ~ ~ ~3LTFcF- _ ~ ~ /j~ ~ B '_ "" ' ON ` ' SQIL SQL APPROYEt; Y ~ C t ¢I~ ~` // J T OFF p~ Sp~.IO gOiL . , F ~#3~iP OFF ELEY - ~_~___ D -~"""'~- TAAI IC sE~~~r~~ u~~ 3" APPRO~~ SP£CIFICATIaNS co~CRETE ~~ PER i~AY = ~~---•- SEC / DdSE iA13K I'~AI'1F1F'ACTURER: ROSE it{3~ME INCy~DIHG °P ~ ~ GAL- ,/ • GAi, . F I.aLiSAC K : .J~j.,_.: ..._~~ ~ J GAL TAtiK SIZES: SEPTIC =J~~_ CAL. `~•~IPfCHES = _.,.,--=- flOS£ " G CAPACITIES: A ~---- _ ~j (~ GAL- ALARM MA~FACTURER,: g ,,,_~ Ii~iCHES - r-~---- MODEL ~1~SER = ~ 9 7, ~ ~~'. :--•~ ~'~' C = ~ INCHES _.r-.- SyiZTCH 3'YFE = 1 2, R£R : D I1~ICIdES = 1 ~ ~ GAL p[?KP MAN~FAC'1'O -~-~- ' KODEL NtT!'FBER = " t I LHR 15.23 wAi SNI?CH TYPE= .2 (~ ~ iJIRZNG AS PER {',PM PUriP £ AI+AR FEET DISCHARGE RATE „~,~~ ?IP£ RbQU;RED DZSTRZBUTIC3N ~ -~.~, FEET pUMp of F ANB ' FEET VERTICAL DIFFERENCE $E~EpRESSURE ~£~. •gR;C'TIOi3 FACTQR ~ M IMU~'i NE~OAK St~PPI~ X ~., `?AFT/1Q{3 T,fl`IAL DYN~IC ~i~P+D ~ 1---~"_FEi. j '~~~I DT~'i Vim.....-' DIAMETER ._.--- S ~~ ,ptJMP TAi~iK = I.ZQU ~ ~ ~L~.-----~ FNT£RNAL DIMENSION LSC'E1~SF- NUMBFg SIGNED= _ NUMBER dOSES !1&8 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERirJG °a w U z r Q O FLOW PER MINUTE 10 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. "' • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1521153 Series 1521153 MOOELS Control Selection Model h Volts•P Mode_ Amy Simplex ,~ Du lex N152 _ 115 ^ 1 Non 8.5 ? 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 Q CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). L-~ MODEL I 152 t53 Feet Meters I Gol. j Lifers Goi. Liters 5 1.5 69 ~ 261 77 291 I 10 I 3.1 ~ 61 ( 23? i 70 265 15 4.6 ~ 53 201 61 231 20 - 6.1 44 ?~~ 52 197 25 7.6 34 ! 129 42 159 3C 9.1 23 ; 87 I 33 125 35 ' 0.7 I -- ~ 22 85 40 12.2 -- __ ;1 42 Lode X380 'l {11_6m) 144_G _ ~1,,.4m~ Ft. ! i s ~/a 3 27/32 ~ 5/8-' iA~~ tz ~/s _._}-.- SELECTION GUIDE 3 sKZOS4 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex {3) or {4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. 80X 16347 --a,~-~f7 ~ Louisville, KY 40256-0347 Manufacturersof.. E SHIP T0: 3649 Cane Run Road r~ , '„J~/ /, !,, ~~ Louisville, KY 40211-1961 Q/~gUTYPUMPS ~NCE ~9J~9~ ,, ~~~~ ~~ (502J 778-2731.1(800) 928-PUMP hftp://www.zoeller. com FAX (502) 774-3624 © Copyright 2000 Zoeller Co. All rights reserved. 3 27/32 I 3 27/32 ~, ~ ~„~ 0 80 16U z4u ~~u ' NOV ~ ~ 2003 Wisconsin Department of Commerce ST. CROIX CU~~ E ALUATION REPORT Page ~ of Division of Safety and Buildings ZONING OFFICE ccor ante omm 85, Wis. Adm. Code County ` Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ~~ '~ D 1 indude, but not limited to: vertical and horizontal reference point (BMj, direction and parcel I.D. e l percent slope, scale or dimensions, north arrow, and location and distance to nearest road. D~J ~ /O~ "~ dv-G~l(~ Please print all information. R ewes b Date Persdnel information you provide may be used for secondary purposes (Privacy l.aw, s. 15.04 (1) (m)). ~ 3 Property Owner - Property Location ~~(' ~ ~ QjvJ Govt. Lot~(,L~ 1/4 /4 S 2~T N R ~ E ( r) W Pro rty Owner's Mailing Addre Lot # Block # S .Name or CS City ~ , State Zip Code Phone umber ^ City ~ ^ Village wn Nearest Rt~d , New Construction Us~esidential P Number of bedrooms ~_ Code derived design flow rate?'-~ y GPD ^ Replacement ublic or commerdal -Describe: ___-____ __- Parent material ^ Flood Plain elevation if applicable ~~~ ft. General txxnrnents ~~ ~ G(i~~~~ ~ ~ / . and recommendations: S ~ ~ ~ 1/ /1 l1 !1 ~-' `, l / ~J ( . ~ ~ I ,. _ 1 ~~ ~ Jd'~c~ef I ~ ~. Boring # Y ~n~ U ~ ~ ~~ ~/~e'~G~l " ^ pit Ground surface elev. ~~ ft. Depth to limiting factor ~_ in. Soil ication Rate Horizon Depth Dominant Cdor Redox Desription Texture Structure Consistence Boundary Roots GP O/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 O'' ~ 3~z ~- .1" - J `-1 ~ ~ ~ '~j Boring # ®Boring ~( C- `~ ~/~~ v Pit Ground surface elev. (/ J ~ U ft. Depth to limiting fadk~~!-C~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z o ~---- ~ ( ~ ~ 3 ~__ /~ ~ r - / > 'Effluent #1 = BOD > 30 < 220 mglL and TSS >30 50 'Effluent #2 = BOD < 30 mg/L antl T ~ < :iU rrlg/I_ CST Nerds (Please Print) Signature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~/ - ~~`~U ~ 715-246-4516 Property Owner Parcel ID # Page of ^ ~~ # ^ Boring ^ pit Ground surface elev. ft. Depth to IimiGng factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIfF in. Munseil Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 •Eff#2 ^ Boring # ^ ~~ ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftt in. Munsell Qu. Sz. ContColor Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Stn~dure Consistence Boundary Roots GP DIff in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Etf#2 'Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 rng/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. seo•e3w pe.~oo> 3~3 .i Project Name Jered Sullivan Sha ~ d Address 3170 Meadowbrook Dr. Woodbury Mn 55125 CS #226900 Lot 20 Subdivision Hammond Oaks Date 1 /15/03 S W y /4 N W 1 /4S 20 T 29 N/R17 W Township Hammond Boring 0 Well PL Property Line County ST. CROIX Scale = 1 /4" = 10' 86' 8 7' B-3 88' 89' B-2 B-1 B.M. #2~ Qa 90.82' ~- _ a:~1S~? 1 ~2 ~~ s~.ee(~~.=-e m-~ ~,v" ~~ ~ ~ ~~` 0 -~ r m Soil Test Plot Plan L Top of Survey Iron @ 100.0' H.R.P. B.M. #1 _---~ f i ,+~ Wisconsin Department of Industry, Labor and Human Relations Division of Safety and Buildings SOIL AND SITE'EVALUATION ~ ~. _ in accordanc r it~,~'~-~R $~:~~ Wis. . ~ '- Page / of Z Attach complete site plan on paper not less than 8 1/2 x 11 inches ' ,s'Ize: ~ Plan!itwst include, but not limited to: vertical and horizontal reference point Ad),?dlrectior~ and :..; percent slope, scale or dimensions, north arrow, and location an distSnce q nearest road. parcel I.D. # O '~ • APPLICANT INFORMATION -Please print all info~y~g~jon. "e ~ievi, wed by Date Personal information you provide may be used for secondary purposes (Privy law;, s. f?LAAi t,13~(t^)?{^; ~;~ j' nr... Property owner ~ V M t3 l 2D L•At 119 D C b D` ` Property Loea~ioh '' Q (,~ ~ ~ d ~~ ~7~ 1 !'~ 11.E •,, :. Gw1i obi ~ 1/4 ~W 1/4,S ~~ T 2 ( ,N.R ~ ~ fir) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 332- H ii uN~SoTA ST: E~15 T I yo ~ ~•0 hMMO~VD oi9-,~s• City Staute Zip Code Phone/Number ~~~ Nearest Road kJ ~ Z. sT VL /-~ ~. 5s~~ I ~I~DSI )2ZZ. •S~5•s ^ City ^ Village L"J lown q~ ~~/t~ L+~'New Construction Use: ~tesidential / Number of bedrooms 3 Addition to existing building ^ Replacement ^ Public or commercial -Describe: ~/ 2 ~ d/ft2 -trench, gp bed, gpd/fl 1 -•~ Recommended design loading rate • gpd Code derived daily flow ~ _ ^ Absorption area required ~_bed, ft2 3 I ~ trench, ft 2 '' / Maximum design loading rate bed, gpd/fly ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) su ~ tt (as referred to site plan benchmark) Additional design/s/ite considerations / D Ess ~ G~ O~NS~ T~ ~~f ~ ~ tt Flood plain elevation, if applicable Parent material S = Suitable for system Conventional Mo~u In-Ground Pressur AT-Grade System i~n.,Fill/ Holding Tank ^ S L!~ ^ S ~ ^ S l ~ U u ° ^ U t ^ S ^ S em . U = Unsuitable for sys SOIL DESCRIPTION REPORT Structure GPD/ft2 BOflrtg # Horizon De th p in Dominant Color Munsell Mottles ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench ~ ~ . o•~ /oY~ 3!3 - L ifs ~ ~G~- w ~ •y ~ .s Ground 3 , L i og ~ ~ ~ 5,~,~ c ~ .Z., • 3 , 3 el~tt. 1 1• S ~ fl MOTS $GL ~ S~J/~ - • L; • • Depth to limiting factor ' .~ ~,~in. • Q~m~r4~+• Boring # Ground (~G elev. O 7 , ~-~.•--ft. Depth to limiting factor ,~,? in. Remarks: CST Name (Please Print) Rp13~RT' til`t7~~C,~~' Signature 1 tlItlIJ1IV1IV 19 V. ~~s• 3gG • ~~ ~ s Address -- s ~ z ~a~I2-313 ~p ~ G• SG /fsl~ 1 f w w ~r~ - •Y;. , ;. S. ~OY~ ~~ , $, AQSOCIa[eSi n _.......e /`nnmlltAntA Date ua 1 rvurnutli ~irJt? • l - l~i~' J~ ~Z4375 ~~ V~'1 Q I ~2D L ~'~~ SOIL DESCRIPTION REPORT PROPERTY OWNER n ~•- PARCEL I.D.# !~ ! ~ ~~MMoAJt7 ~~ ~-s S ~g~ Boring # 3 Ground Q elev. O ? ~ft. Depth to limiting factor ~in. . , ,~ Page 2• of th D inant Color D Mottles Structure d R t 2 Horizon ep in. om Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boun ary oo s Bed ,Trench ~ •~o X0!/2 3~3 - ~ ~~ s~ ~S ~~ . ~ . s 1 ~ flip l{ / 2 ~~ Y/z / Remarks: Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. l Mottles Structure R t GPD/ft2 Horizon Depth in. or Dominant Co Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary oo s Bed ,Trench Remarks: Depth to limiting factor 'n' Remarks: SBDW-8330 (R. 08/95) Ulbricht 8 Ass ecCa~$uitants Private Sewa9 655 O,NBWisd•54016 Hudson, ,-.~ s ~ST2~-~e3 z 3 g~133 n, . ~° ~~ U C ~ J ~~ b~ ~ , Z ~ti~~~ ~~f~ G~'-vc ~.~, ~ , 1, Lor ~ 20 LOT ~~ ~ ~5 3 0~~ ~~ ov 3 ~ •- ~~ ~ ~ 5~~ ~~ S~,eQ ~ ~%-~,~~o,g~ ~. l~v. 5~~~~ ~ ~~ . sv , . ~ ~,9.~,r~ ~,'rS I~~ Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the mound is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegitation are not be planted on system. The system is not be driven over. 10. Effluent Quality is not to excede the requirements found in Comm. 83 Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump with out float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, retill soil, install new mound system. 3. Replace any other failing components as needed. Important Phone Numbers Plumber: Shaun Bird 715-246-4516 Pumper: Tom Mondor 715-246-5148 St. Croix County Zoning 715-386-4680 ST CROIX COUNTY SEPTICTANK MAINTENANCE AGREEMENT` .AND OWNERSHIP CERTIFICATION FORM 1~ OwnerBuyer J e ~ Mailing Address31 Properly Address ~~~~. (Verification required from Planning Department for new City/State Parcel Identification Number ~,~- ~ Qo ~o ' ~a - ate' LEGAL DESCRIPTION ~ ~ ) ~ ~ ~ , ~ (`~ Property Location~~ 1/.,N`t/ 1/., Sec.~~ . T~N-F~-~'_W, TIoWn of (~ ~' Lot # Z y Subdivision ~' ~' __ ~ Volunne ~- . Page # Certified Survey Map # ~/- ~~`~/ ~ Volume ~ ~~ Page #~ `-J Warranty Deed # Spec house ^ yes o Lot lines identifiable/C~'yes ^ no ,~SIZs' SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure 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 function 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 a masterplumber, journeymaaplumber, restrictedplumber or a licensedpumperverifyingthat (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private 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 your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o the three year expiration date. ~ ~j~~ -~_~~ _ _ . ___ _~ . _ ..... DATE VWi`IL'IC l.L'Ltlaraa.c~aavi~ I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pr perry described above, by virtue of a warranty deed recorded in Register of Deeds Office. /~ NATURE F APPLICANT DATE ******. Any information that is mis-represeatedmay result in the sanitary permit 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 d-ti ns are frozen at the infiltrative surface_ Page of System startup shalt not occur when soft con ~ o wer is restored the excess er outages Pump tanks fnaY fi[j ab°ve normal highwater levels. When Po During pow .. rsal cell s) in one (ar a dose, overfoadin the cell(s) and may result in the ~ g 9 v+rastewater wfii be discharged to the dispe um tank removed a backup or surface d'fscharge of effluent To avoid to th effluent pump orncontact a Plumber or POVYTS Maintainer to Septage Servicing Operator prior.bo restoring pow assist in manually operating the pump contrnis to restore normal levels within the pump tank t?o not drive or park vehides over tanks and dispersal ceralfde col cobs mho r paroa over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or ate ~ rfosmance and rolon the life Reduction or elimination of the following from the wastewater stream may improve the pe P 9 of the POWTS: antiblotycs; baby wipes; dganette butts; condoms; cotton swabs; degreasers; denfal fuss; diapers; disinfectants; fat; foundation diain (sump Pump) water; fruit and vegetable peelings; gasoline; grease; herbiades; meat scraps; medications; oii; painting products; pesfiades; sanitary napkins; tampons; and water softener brine. AgANDONMMENT shall 4ze taken to Insure that the VYhen the pOWTS fails and/or is permanently takl~ance with ~ Comm 833 n ~~ sin Administrative Code: system is properly and safely abandoned in comp ~ nin s sealed. • Alt piping to tanks and pits shall be disconnected and the abandoned Pipe ope g The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits Shoff be eXCavated and removed or their covers removed -and the void space filled with soil, grave! or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a e compliant replacement system: D A suitable replacemernhte ~ laeem nt area(shou d be prot ted f om d st rbanceband compalction and should not absorption system P tie infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Facture o protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area_ Replacement systems must comply with the rules in effect at that time. O A suitable replacement area is not available due to setback and/or soil (imitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed P~OWT~ -the POWTS a soli and e as of been evaluated to identify a suitable replacement area. Upo i men is a 'able site I a o must dorm o locate a~tttable r to ment rea: If n p OWTS. of g nk ma instal s a la t res to r the Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at ~itrats`ve su ce. ~ ns o uch systems must comply with the rules in effect at that 6me. «WARNING» SEPTIC, PUMP AND OTHER TRF~ITMENT TANKS MAY CONTAIN LETHAL GASSES ANDlOR INSUFFICIENT O . DO NOT ENTECUE O A PERSONOROM THE NTERIO OF A TANK MAY EB D FIFICULIT OR MPOSS BLL. MAY RESULT. RE ADDITIONAL COMMENTS POWTS INSTALLER Name ~ Phone ~ f-"r - -~ 9 POVYTS MAINTAINER Name - ~% ~' Phone f--._ Z `" J SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY RUTH ~ Name pis ~ Agency. ~j~ ~^ / 1 Phone ~ ~ ~ -- < Phone J"-- ~ ~ ender. This doprment meets rnis document was drafted try the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation a9 the minunum requin;ments of ch. Comm 83.22j2)(b)(1}(d)8(f) and 83.54(i}, (2) 8 (3), Wisconsin Administrative Code. Use of this document does Gr~tw rZroti guarantee the pecforrnanoe of the POWTS_ MAINTENANCE SCHEDULE Values typical for domestic (non-commerclaq wastewater ana septic tank efl9uenL Values typical for Pretreated vrastewater_ MgI~NANCE INSTRUCTIONS n one of the following licenses or Inspections of tanks and dispersal cells shah be made by an individual carryi 9 ctor POVYT5 Maintainer, Septage POVYTS Inspe certifications: Master Plumber, Master Plumber Restricted Sewer, to identify any missing or broken r an rator. Tank inspections must include a visual inspection of the tank(s) backup Servidng Ope ed to check the effluent levels hardware, identify any cracks or leaks, measuThe disol rsal cell(s) shal~belvisu a y inspect and to or ponding of effluent on the ground surface. ndin of effluent on the ground surface. The ponding of effluent on the in the observation pipes and to check for any Po g wires the Immediate notification of the local regulatory authority. ground surface may indicate a failing condition and req or more of the tank volume, the When the combined accumulation of sludge and scum in any tank equaemtor atnd d(sposed of in accordance with ch. tJR entire contents of the tank shall tie removed by a Septage Servicing Op 113, wsconsin Administrative Code. retreat ment components, and any rforrned by a certified POWTS Maintainer- The servicing of effluent fitters, mechanics! or pressurized POWTS components, p other maintenance or monitoring at intervals of 12 months or less shalt be Pe of completion of any service event A service report shall be provided to the local regulatory authority within 10 days ~ for the presence of painting products or other STARTUP AND OPERATION For new construction, prior to use of the pOWTS check treatment tanks, if hi h concentrations are e the treatment process andlor damage the dispel cell(s). g chemicals that may impact p 9 9 rator rior to use_ detef~ed have the contents of the tank(s) removed by a se to a servicin ope p - . " Page ~ of • - pOWTS OWNER'S MANUAL 8~ MANAGEMENr_ePto s STATE BAR l7F WISCONSIN FORM 2~ 1998 WARRANTY DEED This Deed, made between Hammond Land, LLC, a Miaaesota Limited Lurbility Company Grantor, aDd Jared Sullivan and Pa Houa Yang Sullivan, husband and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croiz Coanty, State of Wisconsin: Lot 20 Hammorcl Oaks Subdivision,Town of Hattunond, St. Croix County, Wisconsin K~AGTH~LEE H4MAGLSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 10-09-2002 2:00 Ph IlNRRANTY DEED EkEMPT g REC FEE: 11.00 TRANS FEE: 86.70 CAPY FEE: CERT COPY FEE: PAGES: 1 Name and Return Addrcaa 018.1086-20-000 Parcel Idrnt~cation Number (PIN) This ~ rot homestead property. (is) (is not) Exceptions to warranties: Subject to rotes, easements,restrictions,covenants and rights of way of record, if arty, including but rot limited to those for drainage,water retentionporuiing,and or utilities as may be shown on the plat of Hammond Oaks Subdivision recorded in Vol. 8 of Plats, page 2, SL Croix County, Wisconsin. The warranties of this deed, either expressed or implied are limited by the grantor to the grantee, os anyone in the chain of titlq to the consideration expressed herein, that being the sum of 528,900.00. Dated this 1st day of October 2002 Hammond Laad, LLC AUTHENTICATION Signature(s) authenticated this _ day of . TITLE: MEMBER STATE BAR OF WISCONSIN (If Dot, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED HY Paul A. Baillon, Attorney at Law (Signatures may be authenticated or acknowledged. Both are not necessary.) . by ~taexwr, SJ , ~~ President .Austin J. Baillon ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Ramsey County. ) Personally came before me this 1st day of October , 2002 the above named Austin 3. Bailloa to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. Paul A. Baillon PAULA. BAILLON Notary Public, State of v+coa9mis'CN ¢ My Commission is If January 31 ' 2005 ) ~\ •Namee of persons signing in any capuity should be typed a printed below their signatures WARRANTY DLLD STATL ttAR OF WISCONSIN FORSr No. S - 1995 INFORMATION PROFESSIONALS COMPANY FOND DULAC, W] BOP455.2021 D '~ ~ ~ -~ ~ I~ d i U~ I ~ (./) ..-~ Obi OIL -J I I I i L~ ~ __ (/L. ~-.~ ~ I "_ _ --- I -- 77_19') L~-- N89'45'23"E 290.00' - __~ _ - - - N89'45'23"E 290.00' o ~ - -762.93'--~ ~ I ------- 71 53 - 218.47' -- ~ I I I I ~ _ __ __ __ _ I O O I N N . w W . ~ ~ N_ N i _ W I m l m I I L a O co ~ N ' W W ' 6'• ~ ~ifl W . D r ~ o N W -~ r ' O O N O N ' ~ ~"~ ~. ~ O ~ N o D N C7 !~ S ~ W ~ W j't f D ( O~~ ~z f Tl -,-~ N -~ ~'' O N i ~ ~ N~ ` I I I I ~ Q ~l .fl. ~ ` f'l N ~ ' - 290.01' - - 162.93' I I 66. 0' ~ ~ 217.55' 72.46' ST-WEST 1 /4 LINE OF SEC. 20 ~~ ~~ 7 ~. C ~. r. r~ ow~~ D ~ ~ N ;`Y ~ ~ O ~ ~ Z A' z ~ ~ o ~ z ~ ~ z Z ~ m ~ ~ v N89'45'08"E 3931.21'