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004-1082-60-000
Q c °� °• I p °ua M p 0 4 ul C C O I C N O p U Z eN �o3oc C N� N rTc Q (D0E �. a� a�om- Q) CL .- @ I mEo7p CO c 3 � oN 7 N vii o o� E O C O C Z 7 m C E E 3 LL C N N _ t7i1 O N N C - N Q N E Q z.0 co cn 0 Co q aci U') z E °o Z £ C'4 w a m n� f— Z O z u N ins E 2 4) a) I N c *i t 0 o 0 0 N �L N N 7 O o cq Z Z z Z C) N E d I CL N a i DILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT# /ia Ila —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. `f —See,reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES NO PROPERTY OWNER PROPERTY LOCATION t/a '/4, S3 Y T , N, R PROPERTY OWNER'S MAILIN ADDR LOT NUMBER BLOCK NUMBER SUBDIVISION NAME 30 CITY,STATE ZIP CODE PHONE NUMBER NEAREST ROAD,LAKE OR LANDMARK 6 f/ II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): Ill. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. ❑ New b. 5d Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit# Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. PgConventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e.,.Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. Xseepage Bed b. ❑seepage Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 6 Feet rivate ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holdin Tank -Z.S Lift Pump Tank/Si hon Chamber 0.66 1 — l ❑ ❑ ❑ 1 Lj ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): PI rr's Signature:(No Sta ps MP/�S: Business Phone Number: U G� all- C� PI u b ear s Address(Street,City,State,Zip Code): Nam f Designer: �E�' t VIII. SOIL TEST INFORMATION' Certif' Soil Tester(CST)Name L CST# C2 3 f CST's ADDRESS) treat,City,State,Zip Code) Phone Number: ) / IX. COU TY/DEPARTMENT USE ONLY ❑ Disapproved Sa itary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial �o S haarrgee Fee Adverse Determination 7iza. w Z� '.2— X. COMMENTS/REASONS FOR DISAPPROVAL: R0.41 49rdQ hi SBD-6398(formerly Plb-67)(R.03186) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 3399) to be submitted to the county prior to installation; _ . -- 5. Private sewage systems must tae properly maintained.-The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; Il. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable, VIII. Soil test information: Certified soil teste'r's' name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8%z x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or,other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. - ----------------------------------------------------------------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE On May 4, 1984,-1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground at9C�- included the creation of surcharges (fees) for a number of regulated practices which Wisco ih S can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried re�S41CB! is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. i a The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS ON I LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMB DIVISING P.O.BOX 7969 MADISON,WI 53707 El CONVENTIONAL ❑ALTERNATIVE State Plan I.D.Number: (11 assigned) ❑Holding Tank El in-Ground Pressure ❑Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. Name of Plumber: imp/MPRSW No.'. County: Sanitary Permit Number: SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY'. TANK INLET ELEV.. TANK OUTLET ELEV]PP�Rff ING LAB L LOCKING COVER DED' PRO VIDEDYES ❑NO DYES ONO BEDDING. VENT DIA.. VENT MATL: HIGH WATER NUMBER OF ROAD. PR OPERTV WELL'. BUILDING. VENT TO FRESH ALARM FEET FROM LINE' AIR INLET DYES ONO OYES ONO INEARESTTL DOSING CHAMBER: MANUFACTURER BEDDING- LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ❑NO ❑YES ONO [-]YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VH (DIFFERENCE BETWEEN FEET FROM LINE AIR wLEr PUMP ON AND OFF) OYES ONO NEAREST SOIL ABSORPTION SYSTEM.Check thesoil moisture at the depth ofplowing LENGTH DIAMETER IMATIRIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH IND OF D ISTR.PIPE SPACING. COVER JINSIDE DIA aPITS LIQUID BED/TRENCH TRENCHES MATERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR P IPE DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV INLET ELEV.END' PIPES FEET FROM LINE AIR INLET NEAREST Bpi MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES NO SOIL COVER ITEXTURE PERMANENT MARKERS JOIISEHVATION WE LL DYES ONO ❑YES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER. EDGES DYES ONO DYES ONO OYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLPCATEL.TPIPES NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.. ELEV.. DIA. ELEV.. DIA.'. ELEVATION AND 1 DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY ERIAL PLANS LIFT CORRESPONDS TO APPROVED ❑YES ONO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING'. FEET FROM LINE: ❑YES F-1 NO ❑YES ❑NO NEAREST txtl Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE DILHR SBD 6710(R.01/82) i STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERi ROUTE/BOX NUMBER_ _ l��a/ �.�r4 e� �j _ y®//� FIRE NO. CITY/STATE �n�nc 1.r�.Z ZIP , //n PROPERTY LOCATION: kL_1 14 1A) 1/4, Section 3 2/ , T -;LY N, R_L�' W, Town of , St. Croix County,. Subdivision , Lot No. 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 SEPTIC TANK PAMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address " APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------------------- Owner of property L&Tau 1�e�& Location of property k r- _1/4 _ 1/4, Section - , T c;?,? N-R W Township CL�L Mailing address Address of site Subdivision name Lot number Previous owner of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)? Yes No Volume A 7,3 and Page Number S.)lz as recorded with the Register of Deeds. ------------------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. ------------------------------------------------------------------------------- PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the C94jnty Regi ter of Deeds, as Document No. ) . CL si nature -oi Owner Signature of Co-Owner (If Applicable) Date of Signatuure Date of Signature State of Wisconsin \ Department of Industry, Labor and Human Relations SAFETY&BUILDINGS DIVISION u U 2 l 66 ------. 201 E.Washington Avenue y P.O.Box 7969 Madison,Wisconsin 53707 �ell Loren Keller 1361 Coulee ;'Road cP �o�Fic� llue sori, lwd J40I ti on Akio. Sub-UL71 S-P Dear Ills. Keller: lie: Lortaei i filer - llesidence: Gnsi to Sewage Systelr i=at, at ,34,��i ,i b•! Town of Lacy, St. Croix County, WI Section i ) , Iaisconsin Statutes, and s. ILiln sj.b, , (2) (b) , tAisconsin Adri i ni strati ve Core, ai i uw tile; owner to petition the acpartrient tor, a variance to the instal lcition for a onsite sewage systeri to replace an existing onsite sL,wage syste;'ri at a site which is not in tui 1 coii1pi larice with trier` Sitir719 standards i n ti-<e adwA ri strati ve rule. The systeii desi Syr; proposed Should protect the waters of trie state f r'or i contal,ii riati fort, i f tili s system becorr{es a fai l i n system or, contarii hates tiie eaters of the state, this variance shall be resci rlded. The petition for a variance requested to S. Itrik 63.23 ( l ) (d) of the Wis. Awi . Code was consi6ered on July 14, 1�86. Tile petition has been conditional iy approveu. The corwi-t;ion being tl;ut in the event of failure, the riound systelsl shall ue replaced t,,i th a hol iii nU tank or other off-'lot system. The ru i e requi rev t. tat a i,ound systelt have;,, a ud nirwi.i of Z4 i nches of sui tai.>>I e natural soil . Tiie variance requesteu, Maus to i nstal i a r,epl acer;rtnt r our u systerii on a si ce wi tl; l 3 inches of suitable natural soil . A i of the d&yta aria stateiients subrJ ate c on ucnal f Of tre petitioner were considered. liiis variance is specific to the subject petition aril; cannot be used for any adoitional wodificaLions. Sincerely, kic"," ro keye;r°, Arciti tect Director, Office of Division Cones anu Application 6l✓�j �usi—„�UiaG lr'1:J4:014 i cc: Leroy Jansky, Private Sewage Consultant - Lis ri ct 6, Chipperaa Falls Thomas Fiel son, Loni n Croix Ccurlty� r ta Paul C. J. Steiner SBD-6928(R.10/87) 4 i i - State Of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY&BUILDINGS DIVISION PRIVATE SCWFl(3E PLAN APPROUFlL.. i office of Division Codes and Application 201 Cant; Washy r"I P;on Avt'et"o MO. Box 7969 STI.INE R PLUMBING ELECTRIC FMC Okw,1c,r i_?':E Ekl ROUTE I. 1301 ,COULUq RqPD AY C TT.Y, WT 547?3 � 1 54i1iti , RE: Plan Number: S88--02719 Date ;1prr'oved; July 21 , 1988 (:Gallons Per Day ; COQ Date Received: July 14, 1908 Project Name: K LL..ER, L.Oi.I°'ial Location:at,ron: NE,RM?,5U1TTTON 34, 28, 15W Town of C ADY County : S 01 OIX Fees Received (Priority linview) : 260,00 The plumbing plans and specifications for this project ~t c been reviewed i for compliance with applicable code requirements . This approval is based on C:hcapter. f145, Wisconsin Statutes ,:arid the Wisconsin Administrat:ivo Code , The plans are stamped 'conditionally approved' . This ,:apprnwal is c:ontarr<jont: rlpon compliance with any stipulations shown on the plans . All l.t= that are Mod dust be corrected, All permits required by the city, village, Mnship or t;i7unt'y '.ilial.l, be obtained prior to construction. The licensed plumber responsible for this installation shall. keep one 3et of plans with the department' s +iapp)row 4 I it;..amp at the construction site. The installer ;.hall notify the appropriate inspector when inspections can he mace. This i':approval will expire two years from the date ;5pprDwed or if a sanitary pert it: is obtia•'i.nod, it will expire t:ho clay; t'hn initial s tnii ar •/ permit: vxpir?s, The Section of Private Pri v atr cww_e .ha i rpu en pd L l" so plans for p ;i vot o sewage system Colo. ltu i nmant ; only, 1( so p l.,:ans have not t i:lot'n" i`'J 1.!'!ialod for F,ho E:r=/-o requirements set: forth in Section MIT 82 for general plumbing or in Chapter 50 -64 of the Wisc.onAn Administrative c:crdo. This approval is for the following components only : REPL AC EMf'MT PM.1'.1.:10ial — REPLACEMENT MOUND Inquiries concerning this a.pproval may be made by calling (6nR) 766-1937. t SBD0423 1R MST Stte Of WISCOIiSIiI ` Department of_,lndustry, Labor and Human Relations SAFETY&BUILDINGS DIVISION .3riz1111-f? Pf..Urlrzr.Nl, & E:I I:�:�I�rc; zl1•.IC; Page, si.I.1c::vroly, ,frlmrS QuI tiL.lIN �,(?CI 1oIt of 1^1v&att? E?wcl(4 Division of S afoty and t3' 7.Id:i ncf f>ri.vato s:.eawage Consultant CoutIty UGI `;bJPSf' Plumbing Corlsul.t:ant C?w)'or !,1 Lc I rnb I- I::rlvi.r �rimc iltr�l. Ilc�,a:l.lr 1 I SBD-6423(R.10187) ST. CROIX COUNTY WISCONSIN 41" % n' , '�, ZONING OFFICE ST. CROIX COUNTY COURTHOUSE ~ �` = 911 FOURTH STREET • HUDSON,WI 54016 (715) 386-4680 June 30, 1988 Division of Safety and Buildings Bureau of Plumbing P. O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Loren Keller property located in the NE 1/4 of the NW 1/4 of Section 34 , T28N-R15W, Town of Cady, revealed suitable soils at a depth of 13 inches, below which high groundwater was noted. This site should be suitable for a mound system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator rc ' ��=�� �� m�m�� mm Wisconsin Department OfIOdUStry. Labor and Human Relations � SAFETY m BUILDINGS DIVISION PRIVATE SEWAGE PLAN APPROVAL Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 5TEINER PLUMBING & ELECTRIC INC Owner: UORBU KELLER ROUTE 1 1301 COULEE ROAD BAY CITY, WI 54723 HUDSON, WI 64016 RE: Plan Number: Date Approved: July 21, 1988 Gallons Per Day: 603 Date Received: July 14, 1988 Project Name: NELLER, bDREN Location: NE,NW,SECTION 34,38'15W Town of CAOY County: ST CR0IX Fees Received (Priority Review) : 260.00 The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved' . This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city' village' township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department' s approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two yearn from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. 'These plans have not been reviewed for the code requirements � set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the � Wisconsin Administrative node. � This approval is for the following components only: � � - REPLACEMENT PETITION - REPLACEMENT MOUND � Inquiries concerning this approval may be made by calling (608) 266-3937. svo-642 (R.,omn | | / ~ State�9t��Ke N� Wisconsin Department OfIOdUStrV. Labor and ��U�O@OF�8l2tiOOS � SAFETY m BUILDINGS DIVISION STEINER PLUMBING & ELECTRIC INC P 2 ��e Sincerely, � "JAMES QUINLA0 Section of Private Sewage Division of Safety and Buildings PPP012/0009n/24 cc: LOREN NELLER _Private Sewage Consultant ___County ___UW—SSWMP ___Plumbing Consultant -Owner ___Plumber __Environmental Health sxo*423(R.10m7) Date: T Division of Safety, and' Buildings Office of Division Codes and Application 201 E. Washington Ave:., Rm. 141 P.O. Box 7969 Madison, WI 53707 In Person M_ Q u-r Mail In Telephone No. Cl),E Sgq- 303 a RE: Priority P•la-n Review Appointment - Private Sewage Project or Owner's Name: ru� pQk� ry` City, Village or Town: JuL 141988 County: •A , kr- X Sq� Ty& ELp� S, Olt/ Type of plan: Mound Petition included with pl-ans In Ground: Pressure Petition. only Holding Tank Other Dosed or Gravity Soil Ab-so=rption System An appointment has been made for you to have your plan(s) reviewed on S q a at 10 '.3D A M. P.M. by c If you must cancel or reschedule please cal'1 (608) 266-9375. Please review the back of this notification for those items that are required. for plan review submittal. ` , Thank you RECEIVED JUL 141988 ' OFFICE OF DIVISION �� SBD-7778(R. 1087) OFFICE AND APPLICATI 0306v t Private Sewage System Plan Submittal Requirements 1) Review s. ILHR 83.07, Wisconsin Administrative Code to make sure that your plan is required to be submitted to the Department. 2) All submittals must include a completed plan approval application form SBD-6748(R. 8/85) and two complete sets of properly signed plans and specifications. Plans shall include: A. Plot plan showing lot size and all lateral distances from the system to building, wells, water service piping, lot lines, watercourses, etc. Show permanent horizontal and vertical reference points (benchmark) . Indicate direction and percent of slope or two foot contours extending 25 feet on all sides of initial and replacement systems. Provide system elevation and show area for replacement for new conventional construction. Include all-weather service road within ten feet of the service port on holding tank installation. B. Plan view of soil absorption system showing all dimensions, pipe lateral layout, pipe lengths, spacing, etc. Also show observation pipes and permanent markers when required. C. Cross section of soil absorption system showing system elevation; aggregate, cover material, depths, etc. D. Construction detail of septic tank, if site constructed, or manufacturer if prefabricated. Holding tank profile must show vent, manhole, alarm, and manufacturer, and multiple tanks with connections. E. Detail of lift pump tank or automatic siphon, tank size, gpm, gallons per cycle, vertical lift, friction loss, pump or siphon model and performance curve. F. Photocopy of soil test report by CST. G. Provide a county on-site verifying the site conditions for mounds and in-ground pressure systems designed for any site that is not suitable for a soil absorption system (less than 5611 to limiting factor) . 3) All plans that will be reviewed as a priority require an appointment time and date. These appointments can be made by contacting Vicki Smith at (608) 266-9375. 4) Plans that are mailed for a priority appointment in Madison also must have a scheduled appointment time and date. 5) If you are going to mail the plans to Madison, it would help us process them if they were received 3 days before the scheduled appointment date. SBD-7778(R.10/87) 0306v a MOUND SYSTEM FOR L n ren kEllei- 13 p % Cc-/cc Rd u.,/ <nn Uj-r ycal 4 INDEX Page1 of 7 . . . . . . . . . . . . . . . . . . . . . . Index Page 2 of 7. . . . . . . . . . . . . . . . . . . . . . Calculations Page 3 of 7 . . . . . . . . . . . . . . . . . . . . . . Plot Plan Page 4 of 7 . . . . . . . . . . . . . . . . . . . . . .Lateral Layout Page 5 of 7 . . . . . . . . . . . . . . . . . . . . . . Cross Section Page 5 of 7 . . . . . . . . . . . . . . . . . . . . . . Plan View Page 6 of 7 . . . . . . . . . . . . . . . . . . . . . . Pump Chamber Page 7 of 7 . . . . . . . . . . . . . . . . . . . . Pump Curve Located in the A� 4 of the Aiw-4, Section2y_, T�N, Rf�W, Town of Cndv t. Cr0 v County, Wisconsin. Prepared by Paul C .J . Steiner Steiner Plumbing & Electric , Inc Route 1 Bay City, Wisconsin 54723 Master Plumber '-6780 Date :— 7�/2 Ing 8 88m 02 719 CALCULATIONS STEP 1 : Absorption area : 150 gpd/bedroom X _ _ _gpd . Table 4: 4 60 _1z _ X00 square feet required . Use y ft X �.� ft bed Use trenches , ft wide X ft lang Y— laterals , each 30ft long, 46 manifold, spacing between laterals . STEP 2 : Table 5 : ��" diameter laterals , diameter holes at 7Z spacing between holes . STEP 3 : Table 6 : _holes/lateral , 7 gpm discharge rate per lateral . _ 7 gpm X -V = ojbl _gpm total discharge. STEP 4 : Table 7: z diam. manifold, inlet at Ce'ntce of S.Z", foot long manifold . STEP 5 : Design dose volume is gal/dose at a rate of times per day. Min. dose volume must be at least 10 X distribution pipe volume. Table 10 : /� diam. pipe= •09z gal/ft XZ_=//. OyX 10=, �ga.: STEP 6 : Table 8 : Dosing rate = gpm. STEP 7 : Table 9 : Friction loss in 02 diam. force main, 3S- long; gpm= /, `// in 100 feet . ELEVATION DIFFERENCE 10. .2 FRICTION LOSS cc HEAD Y6 7, 7 TDH 06" 7 page 'Z of 7 ta"Z T` 84,x' i� g.r�t � �3►, g'.I L f GNP i Z�� rvcc� Me.��J ----- Dp w�w"`d omiTE SEWAGE SYjTEh cam APPPaw VEPARIMENT OF INDUSTRY, IABO ENO Lo RFIAT�Di�IS DIVISION Of SAFETY A= BU LDI �- SEE COARE D C Plum P i -. . J Page Perforated Pipe Detail End View )Perforated End Cap PVC Pipe Holes Located On Bottom, S Are Equally Spaced x � PVC Force Main * From Pump PVC Manifold Pipe Distribution Pipe - Last Hole Should Be Next To End Cap Distribution Pipe Layout P 3of R Sj ,14f X y 3 / Hole Diameter Inch A Lateral Inch(es) re I i r� �µ a Manifold Inches DEPARTMEi.,vi ci :�4ous1RY, U+eja oNA�1 iiRLATIQNS Force Main ,� Inches ��r'±S�'7� Qr S,4tt7�_ i�D E`JLLGINGS -L GOR ESPONDENGL .. - Stra ads H .Or .. . Synthetic " Covering Distribution Pipe Medium Sand _ Topsoil -- -- F -� � 3 E p b % Slope Bed Of '2-*— 2 %2 Force Main Plowed Aggregate From Pump Layer D a_ - - - Cross Section Of A Mound System Using 'E A Bed For The Absorption Area F --�— G / A �_ F t. H 115 7, K Ft./3, 66 Alternate Position L � Ft.`,/301 � of i Force Main W R2. y/ L J Observation Pipe--,,,,,, 8 — K — A W I•--------------------- ----------------------.I Force Main ° _ ----_-- From Pump Distribution Bed Of 2~— 2 Pipe Aggregate I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS Vent Cap Weathtr Proof Approved Locking Junction Box Manhole Cover 0 4" C. I .--y- 12" Min Vent Pipe ALI Final ' 4" Min Grade _ 18" Min Conduit' 18" Min ` ----=--------- Approved Inlet �,; . � Joints w/ C . I . Pipe ` Approved "' Extending � � Joint w/ � . 1 '�; 3 ' Onto C. I . Pipe Solid Ground 1 ��� . extending A 3 ' Onto Solid ['. ;.�: ;. Alarm Ground r ► , 1 ' '� B v On Of f Concrete Block ' D SPECIFICATIONS TANK PUMP , Manufacturer : ee kS Manufacturer : M r il-QS �� Tank Material : �pnc re-l'e Model Number : SISMY Tank Size : 1x)90 Gallons Switch Type f/iQt Total Dynamic Head : 1-1. 7 FT CAPACITIES Pump Discharge Rate : _GPM . Total Daily Effluent : Dd Gallons A a].y�" or boo ob Gallons Number of Doses : Per Day B - " or y 10 Gallons Dose Volume : c:� ,4 Gallons C - 91,5- or a �-8 . Gallons Notes : 1 . See pump curve f or D or /09, 2.5' Gallons additional performance Total Tank information . Capacity Required - /Q// Gallons 2 . Pump and alarm are to be Installed on separate circuits ALARM rs . . 'ate p;e r IL11R 16 . 19 WAC . / , tlanuencturer : e- A_1`ey 1 U►-- _ SIGNED_ Model Number : LICY'NS1: N11K111:)t : Switch Type QQ f DATE: �- 500146 Features' ' Pump Impeller is recessed Powerful 4/10 HP Motor is Rotary Shaft Seal has carbon Mercury Switch 20 AMP rating, "Tornado"type-operates oil filled for good insulation and and ceramic faces for positive 3"cylinder,wide angle 120° oper- completely out-of volute passage lubrication of bearings and seal. seal. Body is stationary, prevents ation,polypropylene material. giving full opening for flow of Overload protection built-in, has string or trash from winding Minimum recommended Tether liquids and solids. no starting switch or relay on seal. length is 31h"from cord clip to Motor Housing is heavy cast mechanism. Switch Housing(SSM4A) is switch case(Pump Down 7-8"). iron, epoxy coated. Stator is Thrust Washers and Sleeve completely sealed from sump 'Pump Down'can be increased pressed in for perfect alignment, Bearings are oil lubricated for liquid,easily removed for by Increasing the Tether length. best heat transfer. smooth operation, long pump life. replacement if needed. Dimensions SSM4M SSM4A Mn 11 h" 11'h" 292.1 mm 292.1 mm _-- t_2419.3mm- "'93%,171M-------- Performance Curve CAPACITY LITERS PER MINUTE - 0 20 40 60 80 100 120 140 160 180 200 220 240 t 26 6 � 24 t j- - T ¢ z 20 - ME CAP' - — { - — 6 40 _ 18 — c 1s ACrT r - . 5 ? a la _- o = 12 t ---- 4 a 10 -3 8 3 F 6 4 -- t- 2 i j ! r - I i -+--- -- 1 0 5 10 15 20 25 30 35 40 45 50 55 60 0 CAPACITY GALLONS PER MINUTE Accessories Myers offers a wide selection of accessory items for use with Performance Table the SSM4 pumps:adjustable level controls,wet sump controls, feet 2 4 6 8 10 12 H 16 18 20 22 alarm controls,electrical control boxes and switches,heavy Total duty check valves,polyethlene and fiberglass basins,etc. Head Meters 61 122 183 2.44 3.05 3 66 4.21 488 5.49 6.10 6,71 Gallons Per Hour 3.600 3.600 3.450 3.300 310 2 900 2.550 2.250 1.800 1.300 660 C] Liters Per our 13,625 13,625 13.058 12.490 11.9.3 10.916 9 65, 8 516 6.813 4.921 21498 °© o Performance Capabilities ❑ ❑ Capacities to 60 GPM 221 LPM Heads to 24 feet 1.32 meters Pump Down Range* 7 to 14 inches 177.8 to 355.6 mm Automatic controls Control boxes Solid Handling Capability 3/ c i Ijds 19.1 mm dia. solids _- — -- Liquids alikit 4sttNraMage effluent waste water Intermitt ll emp. 150°F 66°C 1 ' Motor Yio HP - e Electrical 1151230 V., 12.0 A'6.0 A, 1 (u, 60 Hertz Discharge V/ inch 38.1 mm 'A I ', utom.mc Model,(manual pump variable with switch). DIVISION OF \ Check valves F. E. MYERS CO. McNEIL 400 ORANGE STREET CORPORATION ASHLAND, OHIO 44805 2285 419 289-1144 TELEX 981443 0 0 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 MADISON,HUMAN RELATIONS SON,WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: pp TOWNSHIP/�: LOT NO.:BLK.NO.: SUBDIVISION NAME: NE'/n1w1/ 34 /T28 N/R/�(or)W C_- /qaY �— �• COUNTY: OWN ER'S/B✓:*&RW NAME: MAILING ADDRESS: ST.CRoIX L0RE•N KEL LIE.R /30/ cove-FC Ro. Hv40sow, V11, 540/6 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence ,� ❑New Replace I _ 27 — 0 4 — 2 8' RATING:S=Site suitable for system U=Site unsuitable for system O CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDINGTANK: RECOMMENDED SYSTEM:(optional) ❑S csu NS ❑U ❑S ©U DS NU ❑S NU M0QN1) - Z' OF SAND If Percolation Tests are NOT re uired DESIGN RATE: 4 N A If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: N. A. PROFILE DESCRIPTIONS 0A/S1TE It O O (0- 28- 8$ BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- ► 26 " 96, '79 NONE, MA *i3's p_ �j „ X31 I -raPsol� • 9 B- 13-21." LIGHT gh S w /nrl►Y►ol GOLD M0+_ 13- 2 sy" 95 /F NONc� AT 15- 0- 10 " B1 1 -ropsclL-• 10- 14" 13►, si I • B- 14°_-y9 "1_ IG4HT 5n Si 1 W/mmo( G0&_0 mo-t 3 30�� MO'rTLES „ , , B- l�. 6� A/ON A 13 0 7 BI l To�°soit_, 9-/3 � L-3n � /' B- 1.3-30 " L/qHT BM 5;kVJ/rnnnC1 COLD MO-� PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD3 PERIOD PER INCH P- I 2Z" NONE. So N\IN, '7/, " I3/4 " I I� Ito f. l8 P- P- Z ZZ" NOWG 30 MIN , a " I ., I � 8„ Ito P- P- ZZb' 30 MIN , 2" L' � „ I '3 Ifs " I (o P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. QOT7,o," oX' BED SYSTEM ELEVATION EtEV,- /00. 20 E i 3 _ r E ; 3 3 _- - . r. tN E 3 2 x P2 e o S29 r ` _... 5 rA[3L o4* ( _ _ F 2 __ . s nr� o bR MpuNo ( E O z 31- -_ -r ❑ ❑8 I _ W F�/VCEf►os7 , va R,&o R/ ►�+1 i LOCA`I'ION SK'ETC.11 : r D I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print): TESTS WERE COMPLETED ON: P45RRY LE6 DAHL_ (o _ 2$_ gg ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): R7, / SOX /4 Z A BELL€NV/LLE, W), -5'400-? 3430 (7/5)2'13;3621 CST GNATURE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395(R. 10/83) —OVER — / 10�TR ��|C��� �O� �0KAp��T|��� ��RK41�5 ' ��D - 6�9� � To boa comv|ocrandaoou.m�cmoi| m�'yvu, mpou mu� inc|ode� 7 Comu|otoieAa| �sc,iption� 2 T vmo in ,iuun!vvMeihmr�h}� ioo nmidnnm�m unmmu,oia| mm�o � 3 �AXP0UM num�� of�"monmoroomm��a! usop|an��� 4 !o�hioansworre�acmmentrym*m� 6Comp��othouu�a�|irymt�ngno mm. A 1SSU1TABLE Yj] 4LL OTHE� �Y�TE�3ABERULED 0UTBASEDO@ SOIL, ("'UWO|T|)NS� S, PLE�8E ���he mbbrovioriona�hw�n hn/o fur',vi hng pro onmp|eting1� n� 7, "VIAKE A LEGIBLE diagram |omatin; you' too |ocmionm. p, ,fe md A oaparo�oah�nnnav bc u�� ifdesircd; � �okeouravourbeom�murh wnu v*,tire\ o|nvatiun /of*ron;e no�n�m,00�aor|y ohoeo.andam narmmnena: 8 Cnmoiote a8 oppruvriete bome ay xwmp' don. ifoppmnriot�� �O |fthe info mu �on �uohas �ood n|ain'o|ae�ion}dmmnocn�dy. �mm N°4intheanpn�p imebmx� fo d u neruaddre�ondyourmati�uoinnnvm�y 1l Bgn ��o rmmo p/u��yo ,ou ' 12, �ake |��bJe oo�eo and dis�ibue ao nx��ed, ALL SG|L TES7S k4UST BE FlLED VV|TH 1"HE LOCALA�THU�JTYVV{7H|N38DAYS OFCDMPLET>ON. ABBREVIATIONS FOR CERTIFIED SOIL TESTE-RS Sai\ Gnpam�-en and Tomtury� DdMmrSyn bnUx � - Gxono <ove, �O^} �R - 8vdpock �obb|e (3 1O''} 8S - �ondu�onu (unde, @^) LS ne High &ouncvvotor oo - Coa,oeSond Paru - Puroo|a�ion Ra^a nned o - K8edium 8anu VV f� - FineSond B|d@ - B".|di^g |o - LoamySonu - �eo�orThon °s| - S�n�vLoam � - LeeThan si - 53(c Gy - �,uv °d - C1m/ bem � - YoUmw dc| - SUrvQoy Loam mc* - K�o�|es y °u - C1av co - common' mmso p - Peau mm - �onv' medium diodn/� y,ominonL HVVL - High �nne, |eve}' ° 8isumnem| woi| exmre� oud�cm�o�o, - VRp - Ve�ioa| ���renrn �oint ' '- - - ' _ _ TO THE OWNER: This soil test report is the first step in securing a sanitary mrmh. The moumVur1heDnAa0ment may enueu verification of this soil test in the field prior to permit issuance. Auznop|ete se't of p|ans for the private xmwago system and a permit application mum bo �,ubm|itedtp the eppropr|ote |nua| amhonty in ordorto obtain a permit. The sanitary permit munz be, oblainod and posted phnrto the�urt ofany oon�ruution i DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION PERCOLATION TESTS((115 LABOR AND 1 P.O. BOX 7969 HUMAN RELATIONS 1 J MADISON,WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOTNO.:BLK-N0 SUBDI VISION NAME: NEV/Nw�/4 34 /T28N/R/�'(or)W C_— A-DY -- -- i COUNTY: OWNER'S BU*E NAME: MAILING ADDRESS: ST.CR01X LOI F-W KF_L.LERR /30/ couI6 R.D. HUDSON, VJ1, S40 16 USE DATES OBSERVATIONS MADE NO.BE.D.RMS.: OMM R IAL DESCRIPTION: T ONS:rERCOLATION TESTS: LxResidence ❑ 2'-1 _ I RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUNDPRESSU1 E: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) i ❑S ®U NS ❑U ❑S NU EIS NU ❑$ ©� M0UNp - 2' Ol Sn.raD If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: N, A• PROFILE DESCRIPTIONS O/V S l7`4L 11 I C) P 6- 28- FS$ BORING TOTAL ELEVATION D PTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN, OBSERVED EST-.HIGHEST- TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- ► 2G " 9G, •79 NONE N`A-r 13'%' p- �j X31 I -rops50IL. q .� sh _Sl I . B- 13-2- � LIGHT eh Si I w /mr+nd C7 OL-D ino-t 3 B- 2 A TI S' C')- 10 BI I TOPSOIL' I O- 14�t Qh 5� B- 14-:5-9 1-1 Ct 1-i T $►, �,i ( v✓�m ry,c( G o c-t� �o't 3O�� M OT'r L E S B' %ln, �� AIF A-r 13,. 0--7 l -Top-5014-j B- /3-34 /-/G KT Bii 3;/'IAI/rn md GOLD MO+ i PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER.INCHES AFTER SWELLING INTERVAL-MIN. PER= 1 PERIOD 2 p R PER INCH P- 1 ZZ" NONE, 30 MIN- � 1 3/4 �� 1 II Ib�• I $ P- P- 2 22" NoWG 30 MIN . P- P- Z�." 1\1 d h1 E 0 N\I tJ 2�� 1 o I 3A G 1 (o P_ j PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. 60r-rom 0A E,EL) SYSTEM ELEVATION /00, 20 T! "29 , i f 05 f 0 Pi ! IN Sr H 's9" I ! 23- I su% �a��� Fb&;MOU cA EA � Vol , WELL 4 { i I bP3 � PI t zl i C , Oel � i F4:A/ oST W'17441 0 _ y M 40CAT IAn1 SKF-7c 11 ( eo 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print): TESTS WERE COMPLETED ON: P /cRY LEE Taal HL ADDRESS: (o - 218' 8g RT, / SOX /4ZA SELAEA/t��L�C �/�, S4oc� CERTIFICATION=BE HONE NUMBER(optional): .34.30 '��s)2��`..?b�l CST GNATURE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395(R. 10/83) -OVER - Nomm offla J... tly�agis........................................ ........... I� � . f .. .......... ......... ......... ..... .......................................---- ;! A� a.for are0ld Mlb ..................................... ............................•- s...,........Mwey-AMAJ OUrdison.... dr of .............. ... ........••........-..a.... .. .. ..... ......... .............. '....r...........a...... .... ....... ........ Vii.. MN..f•+. ............... ........ ........ ......-.........a............ ................ . [yi �weriar rysi artab is St.---CroiZ..................Contttlr, RLT L'RY TO r, Tax Parcel No: .............................. i See Appeodis "A" attached hereto and sade a part hereof in four (4) pages. t j lag 7. s not This i homestead property. �- (is) (is not) i. listed thin lot day of September 1s 83. ?` (SEAL) I SEAL I b rt J. Richardson iSFA1.► rSEAL) ` AOTHSNTICATION ; ACKNOWLEDGMENT t" Signature(s) STATE OF WISCONSIN . Pierce County. authenticated this day of 19 came h.for`' roe r this 1st.. day of, �T Se tember = p i9 83. the ahoa•e name `�-:% Robert J Richardson 9 X7 #:A1VER STr1TE R:tEt 1+4' 1t'►.�t rrN�9.N � �� _„�a",1��`, atfthohm(i by 79R,06. N'rs, Stats ► � �<. .;� t„ nu• kn, n rt f.r 1.,� �r, � r .,rt aa•�u eae crtted ti$�$� # �.n.•�q�ni rn>!nnnt fit .r.,l ackr owledr;e 0v �apx r ''fNi$ gttTAli`wAt:bN4�-^�T1 rr � � � J� rd a :x+terr {trt �1 1u �k1Et? ( irtit t=xtt#y+ 4�' N Tapp- 1 A VOL 673 402 518 yo A APPENDIX "A" 4. y` Quit Clain Deed: Paste One Robert J. Richardson to Mary Ain Richardson PARCEL a Rest Half o! the NOrthWest Quarter (R} of NW}) of Section ' `� lbirtp-four (34) T=M8hip Twenty-eight (28) North Ruige Fifteen (15) Rest 17f the following: 4 1ZQt NO. 1: Ca�miencing 2 rods from NW corner Of Of ee. 34-26-15 running S 12 3 rods; thence E 13 rotas; theooe N 121 rods; thence W 13 rods to place of commencement, being 1 acres. El�TIQQ ND. 2: Commencing at ?VIP corner stake of ee. ; thence 15 rods 2 feet Fast; thence 14 rods South; thence 15 rods 2 feet West ; thence 12} rods North to place of beginning. EBCEPTIM NO. 3: U=mencing at a point on hest botia 7 o tge NN* of NM} in Sec, 34-28-15, 8,32.27' � South of 1W corner thereof, and extending thence NDrtheOst8rly on a 818.6' radius cunme to the right 644.5' said curve being tangent at its point of � beginning to the Rest boundary line of ttx, atx►tr mentioned 40 acre tract; thence on ling, ix,;Lring N 40 deg. 42' , 89.31' thence on a 716.25' radius curve to the right, 563.59' said 'curve N--ing tan- j Rent at its point of beginning to the F describM line. It is intended hereby to convey for Highway purposes all lands lying and being in NWJ of WW} of Sec. 34-28-15 lying between the East and South boundaries of the present S.T.H. #29 and a :ine 33' East and South of and parallel to the -dx-wv described center line excepting the Cemetery M)p- erty in the NW corner of said 40 acre trait. Said Piece or parcel of land contains in all 2.:5 acres, tmre or less. EKEMON ND. 4 : East 8 feet of W 41 feet ,,f N2006 lest of W1 of NM} of Section 34-28-1ti �> being 0.368 acres more or less. i I • .sz r. ,� _ �s x '� Pik. VOL 673 PACE 50.�6 Quit Claim Deed APPENDIX "A" Page Three Robert J. Richardson to Nary Ann Richardson PARCEL TWO: The East Half of the Northwest Quarter (Ek of NWk) of motion Thirty-four (34) Township Twenty-eight (28) North Range Fifteen (15) West, excepting therefrom the following described parcels: Exception No. 1: A parcel of land in Section 34-28-15, in the oF NWk thereof. Said parcel includes all land of the owner contained in the following described traverse: Beginning at the Nk corner of said Section 34; thence S1 34' 58" E (grid) 33 feet; ghence S88 46' 08" W (grid) 774.79 felt; thence S82 23' 08"W (grid) 402.21 felt; thence S88 23' 23"W (grid) 147.36 feet ; thence NO 57'51'W (grid) 78.69 feet to a point on the I line of said Section 34; thence along said N line N88 46' 08"E (grid) 1321.30 feet to the Nk corner of said Section 34 and the point of beginning, containing 0.37 acres, excluding lands heretofore released for highway right of way. Exception No. 2: Part of the Northeast Quarter of the Northwest uarter -k of NWk) of Section Thirty-four (34) Townshi Twenty-eight (28) North Range Fifteen (15) West describe as follows : Commencing at the Northwest corner o9 Secti n 34-28-15 thence on an assumed bearing of South 89 51' 2;" East alongg the North line of the Northwest Quarter of said Section 3f{, a distance of 1494. 74 feet to the p oint of beginning; thence continuing South 89 51' 20" East along the North line 1140.00 feet to the North quarter corner of said Section 34; thence South along the East line of } the Northwest Quarter of said Section 34, a gistance of 768.00 feet to an iron pipe; thence North 89 51' 20" West 1140.00 feet to an iron pipe; thence North 768.00 feet to the point of beginning, containing 20. 1 acres. All the above parcels subject to all easements , restrictions and rights of way of record in the Town of Cady, St . Croix County, Wisconsin. i VOL , Quit Claim Deed Page Four Mary Ann Richardson APPENDIX "A" PARCEL THREE: I ots Ctne (1), Thm** ('i), Four (4), and Nine (9) Tiffany Creek Addition to the Citv of Glenvwx)d St. Croix County, Wisconsin. The West 66 feet of lots Eight (8) , "itic (9) and PARCEL FOUR: Ten (10) Block One (1) Simonds and `li l 1;crd' Addition to the Village r)f Star 1'rairia•. St . Croix County, Wiscon Sin. ' PARCEL FIVE: Li,t Thin}-two (';2) ('cnattry Acres in the Village of &xxtvil le, St. Croix County, Wisc (rosin. :1 part of they Northeast Quarter o,f the Southwest (garter (VF} of SW}) of Section Twenty-two (22) PARCEL SIX: Tounship TNenty-nine (29) Forth Range Eighteen ( 18) West, Village of Roberts. St. Croix County ,rx)re particularly described as foll(YAq: Ckmrencing at the Northwest Corner of The 1'E} )f the SW} (A said Section 22; the,n(•(• F:u4l '3 3.(X) ft4et , to, the Fast right of wa�- of I>ivision Street ; Thence South 253.5 feet, along the FKst right of way of Division Street; thence East ;40.00 feet %'to the point of beginning; thonce •ontinning Fast 150.00 feet to the West right ()f aa,. Park Street; thence North 253.5 fe,e,t alonr the West right of way of Park Street ; th*�nvu Hest 150.00 feet; thence South 253.5 feet, toy the p,int of beginning. Said parcel contains 38,025 square feet more or less. All of the above subject to re-;ervat ions. ,•:isement s and restrictions of record. i E' I f � F�a MAa �p.3r Page Two '§ x �. wimim at 90W cn l 081,E (f�� • 20'50-aid o ti m 34; thence contin- � 1 . r Use 48'08'I& (grid) 1064'92 I�i1 11s 'S1•'8 (W'id) 78.6® feet; thencez Eel) .80 442 feet thence N8�31 13" r u alaag the arc of a can VF.74 Iset; thence and whoc�e whol .: .. e radius is 1085.92 feet Y9 ffi7. X18'7 (grid) 3W.14 feet; thence g' ,VW (grid) 318.42 feet; thence 315003'35W . ���a,� along the arc of a curve, C id) �y� e'radius is 883.51 feet; and whose 4- Beata �a�0112"E (grid) 419.47 feet; thence d q' thence Slti°O<y148"W X1'48.7 (grid) then feet' the arc of a curve, : (Wrid) 79.42 feet; thence along gly, �peB radius is ?63.52 feet a NOW 53"w (grid) 253.75 feet thence rs cbe �060•4ly-w (grid) 115.47 feet; thence Sf52'SR"W (aid) 33 feet to a point on W line of said Section ' tZ1e11ee Nlo(g 02"w ( id) 1496-52 feet, cxig thence :W446'08"E (gr Y< laid w line; measured in the field); thence (W7.50 feet g•0W"w (grid) 28.83 f ;51thence i 212 h ndS 34 feet; thence Nl %d).77 feet as measured in the field)tc' x�nint�f on the N line of said Section 14 and the I lu)f CMty�ing 4.03 acres excluding b y released for hilOMY frIrP0 •itp ND 6: The South Half of ttW Scxrtfr« -st a Northwest Quarter (SA- (;f S1'; (,f ht}1 ' four (34) ZbNm ,hip 'Awnty-('if t of 9setion Thirty- t, subject to (78) North Range Fifteen (15) West, ;rat all sweements, restrictions and re� rsooa'd• { f� } n ,:t c ��:..�fia aYu��:' ' - €• ......e..�` 27 n�irk.frz... .d. . ..,w <_.... ,. r:,.�...e,>,�r,..