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018-1086-43-000
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)1. ermit Holder's Name: City Village X Township Kelch, Barb & John Hammond Townshi ST BM Elev: Insp. BM Elev: BM Description: ~ • ' ep t ~ - c S i gM•~ 1 r, r\/AT,A\I 1'\ATA F-rvr~ rrvrvr~rvrra r rvr~ TYPE MANUFACTURER CAPACITY Septic i1 ~ brra Dosing ~ A . t ~ Aeration Holding TANK SETBACK INFORMATION q TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ' ~ / ~ ~~ t ~~ Dosing ~ ~ r ~~ tt Aeration .~ Holding PUMP/SIPHON INFORMATION Manufacturer Demand ~D~L~JC-~ GPM Model Number ~~S ~1A'~ a ` DH Lift Friction Loss System Head TDH Ft • 53 ~ wg.o ~.~ ~B•3g Forcemain Length ( te Dia. ~ tt Dist. to Well ~~` J e. SOIL ABSORPTION SYSTEM BED/TRENCH Width ' Length / No. Of T hes DIMENSIONS ~ '.~-S ee ,~t/`MS SETBACK SYSTEM TO P/L BLDG WELL RMATION INFO Type Of System: / i ~ DISTRIBUT ION SYSTEM ~"~ T Q.,\,(c ~d , """"`'~ St. Croix Sanitary Permit No: 405195 0 State Plan ID No:_ ~S'So 3 = t •~. 1~. 't~ reel Tax No: 018-1086-43-000 aO . a. R. 17, ~~ 3 STATION BS HI FS ELEV. Benchmark ~.2L I~~. O O • J r i Alt. BM . Bldg. Sewer ~/~ l b9, ~}t SUHt Inlet `Z • 3 ~ gg • ~~r SUHt Outlet Dt Inlet Dt Bottom ~~~ ~ ~ '~ r S•'} ~, t""~ i g~•q0 Header/Ma . Dist. Pipe L •Y3 ~,\~ l~- ~9 / I Bot. System •I ~ ~. ~ r • t2 9 . mss' Final Grade St Cover • 93•`fo / yam(' i -r„ ~• S3' ~' 3•rn s' ~ ~ ~~~ PIT DIMENSIONS No. Of Pits Inside Dia. h C , UN Number: HeaderlManifold `~ Length Dia ~ Distribution j \~ I r r L n gth ' 3~ Dia ~ I~ Spacing ~ • d S x Hole Size \~ ' g x Hole Spacing t 2 • ~ 3 Vent to Air Intake ~~ SOIL COVER ~=Y Pro~enrc Svctame Anly YY Mnund (1r At.Grade Systems Only Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil i' i Yes C i No ~ ~ r i Yes ~ 1 No -~ ~_, ~ _ ! _ 1/r ~ ~ CO_~,MnMENTS: (Inclu_~dn~g_c/Q~de discrepen es, pe(~rsons present, etc.) Inspection #1: M'~ i~/~~~ Inspection #2: mot---f-- Location: 1611 89th Ave Hammond, WI540~1"5 (NW 1%4 NW 1/4 20 T29N R17W) Hammond Oaks Lot 43 Parcel No: 20.29.17.663 1.) Alt BM Description = lx~ S,~ M~„\,~2. te~,F,- 2.) Bldg sewer length = • - amount of ver = 3J Contour = ~; • 3Z r ~) ~ = rrry~,rs')c, C.ow-~ ~~-°^`lall-Co_ ter es+u~+•//,~ ~°"' • l __ - - -- -- - r Plan revision Required? ', Yes No ~ ~ ,u 200 '~~~"" ~ -T S ~ ` __ _ _- -- Use other side for additional information. ~ ) Z., T~ - -~ ~ ~---i ~ - at~ \ Insepctor's Signature Cert. No. SBD-6710 (R.3/97) I .. ~~ C\~ .~ Sanitary Permit Application safety ~ Build;ngs Division ~~ ~ ~ `~ In accord with Comm 83.21, Wis. Adm. Code See reverse side for instructions for completing this application 201 W. Washington Ave. PO Box 7302 seonsin Madison WI 53707-7302 Department of Commerce Personal information you provide ma be used for second u oses y ~ p ~ [Privacy Law, s. 15.04(1)(m)] ` , (Submit completed form to county if not S?1- 7 -03 --O Z .3 S state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. CountyS ~ ~ State nary Pe~i~umber ^ Check if revision to previous application StaJy P1~5 . N~ ~r L T I. Application Information -Please Print all Information ocation: /(~/ Property Owner ame Property Location ' ~ i~D + 114. 14, S ~ ,N, I{ZE (or) W Property ner's Maili ddress Lot Number Block Number / / 2 „~ y,~ ,--- City, State Zip Code Phone Number - Subdivision Name o CSM Number ~ A ~ ~ld .Sa '~ ~ ~rar ~~ ~ ~t . II. Type of Building: (check one) ~ ~ City Villa e , . 1 or 2 Family Dwelling - No. of Bedrooms : g ^ Public/Commercial (describe use):_ ~ ~ ~ ~~~~ Town of ^ State-Owned jV1tTUNA (Ni Dtar, .5 X fD6 /,v~t~NII~F~ ~,a Nearest Road ~ ~ ~~ colu`T~~- ~Lia/• Q1 •Y~• S/1-n/,~ FlGC.. ~4-r- -. S -fa i-~te`(- ~ / O , 3 d-er~s>•t ~ ~'rx,/ed..sav`!,S Parcel Tax Number(s) c~18'- l~yy- Ski-ao III. Type of ermit: (Check only one box on line A. Check box on line B if applicable) 3 -~ A) 1. ~ New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to System System Tank Only Existing System B) Permit Number Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ^ Non-pressurized In-ground Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade ~ Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) ~~ ~ Elevation g5! 9 ' © o. .s Z VII. Tank Capac' Total of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks S' ~ _~ /dod J~o o ^ ^ ^ ^ ,~ ~ VIII. sponsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on th ttached plans. Plumber's Name (print) Pl 'Signature (no stamps): /NI RS Business Phone Number a ~,' 2~ ~~I ~ ~i.r ~ ~ ~6 3.7 Plumber's Address (Street, City, State, Zip Cade) ~~ / ~ s~r ~.~ ~v~ s`yQo IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued ssutn gent Si (No stamps) [lYApproved ^ Owner Given Initial Adverse Surcharge Fee) ~, ZS ~ 3 O' /a S ~ ~ 0 ~G~ti Determination . X. Conditions of Approval/Reasons for Disapproval: se ~r~,y, ~- ~ ( ~ v~'c~ s f/ ~-~-- ~<~in- /il G~ - ,~.~2,p P~~~k~Za~ ~rR~rra.~ ~r6m /nCLvHd R,~dva! °~ ve~.etA.fi'an.- ~s-f~6tsla~d U~1cov~r ate- r~-vhd As~~. - a ayCoo~•~ LoT 1-fas ~2A-sNACr-~ ~ Era~J~' ~ ©~f1NM~1 ~" 10{3.90 - sys-r~m w~ci/ n+~xTS~'f861~" R~~ar~ 5l~ttsu~-J w/ ~c.ov- P rnl~=iQ.6I~L ~~ TD c v ~Um~ - 5 rrl !s 6tiJ ale Gu~~t~ uNg l! ~ r't-tfrYl ~(~z,vl~1 ~ M~~T (,c.~Po~ /~NSP~r'Sysr~/~ ~Fi~r~7z- P~ ~r . Pc-~ ~ m~~ sPs~ ,BD-6398 (R. 07/00) ~ ~w• • ww. ~" -~ ~ far 1 & 2 Family Dwelling Constructio :F~r t~'r ~': ~.~ :., tzS,. ~; ~x~~' ~iw4w ¢..: ~ ~ ~ informs 3a+~rtg to Chapters it HR 20~ 2t of the Vlfisoonsin Uniform Dwelling Code, soU ero~fott Oo~ttd i needs to be included on the plot plan which is submittal and approved prior to the Issuance of bts~n8 emits for 1 & 2 fatuity dwetGng units in those jurisdictions whore tho soil erosion .control provisions of the iform iJweliing Code are enforced. This Standard Erosion Control Plan is provided to assist in meeting requirement. actions: mptete this plan by Cdling in requested information, completing the site diagram and marking ~/j appropriate boxes the inside of this form. ~'impteling the site diagram. give consideration to potential erosion that may occur before. during, and after grading.• eter nrnotf patterns can change signiC~canUy as a site is reshaped. omit this plan at the time of twilling pemnit application. ' Site Dia ram scare: i ~ ~ feet EROSION CONTROL PLAN CHECKLIST ,~ .~ ~' `oro Check (~/) appropriate boxes below, and complete the site diagram with necessary intormatlon. QQ Q =o. Site Characteristics /~NoRh arrow, scale. and site boundary. Indicate and name adjacent streets or roadways. Q l.oeation of existing drainageways, streams, rivers, lakes, wetlands or wells. t1' lion of stomt sewer iniets. Location of existing and proposed buildings and paved areas. ~'he disturbed area on the tot. Approximate gradient and direction of slopes before grading operations. .Approximate gradient anti direction of slopes after final grading operations. O ()vertand runoff (sheet fitow) Doming onto the site from adjacent areas. Erosion Contro{ Rraetices / © Location of temporary soil storage piles. Note: 5oi! storage piles should be aced behind a sediment fence, a t 0 toot wide vegetative strip, or should be covered with a tarp or more an 251eet from any downslope road or drainageway. t.ocatian of access drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least T feet wide and 6 inc~Fres thick. Drives should extend Irom the roadway 50 feet or to the house foundation (whichever is less). i 0 t-ovation of sediment controls (titter fabric fence, straw bale fence or t 0-toot wide vegetative strips) that will pre- f vent eroded soil from leaving the site. !~f location of sediment barriers around or--site storm sewer inlets. J t~Location ofi diversions. Note: Although Trot specif~atly required by code, it is recommended that concentrated flow (drainageways) be diverted (re-directed) around disturbed areas. Overland runoN (sheet flow) from adjacent areas greater than 10,000 sq. !i. should also be diverted around disturbed areas. t:l Location of practices that will be applied /o control erosion on steep siopes (greater than 12go grade). Note: Suct+ practices include maintaining existing vegetation, placement of additional sediment fences, diversions. and re-vegetation by sodding or by seeding with use of erosion control mats. ' O Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected Irom .erosion through use of such practicaes as in-channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip-rap. When used, a given in-channel barrier should not receive drainage Irom more than two acres of unpaved area, or one acre of paved area. ln-channel practices should not tie instaNed in perennial streams (streams with year-round lbw.) O t-ovation of other planned practices not already noted. ~_ ~~~ • ®v1_....._ ........ ........ ~. ....._ lPP ~? ~~..~. --- ....__ _ _.~ _ r q~~1 .~_ _,. al'Z. e ~c~®GS~~ 0 3 6R Novo/bov C~p4. RtoP. isconsin Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary June 11, 2002 CUST ID No.221471 DENN[S J GILLS GILLS TRUCKING & EXCAVATING, INC. 372 140TH ST AMERY WI 54001 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: Ob/11/2004 SITE: John & Barb Kelch 80TH Ave Town of Hammond St Croix County N W l I4, N W 1 /4, S20, T29N, R 17 W A7TN.• POW751nspector ZONING OFFICE ST CRO[X COUNTY SPIA 1101 CARMICHAEL ItD HUDSON W[ 5401b ~'~D517S Identification Numbers Transaction ID No. 755073 Site [D No. b455b9 Please refer to both identification numbers, above, in all cones ondence with the a enc . FOR: Description: Proposed Three Bedroom Mound Svstem_...'~ Object Type:~POWT System Regulated Object [D No.: 8544b6 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 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, the "Mound Component Manua! for Private Onsite Wastewater Systems VERSION 2.0" SBD-lOb9l-P (N.OI/O1) and the "SSWMP Publication 9.b Design of Pressure Distribution Networks for ST-SAS (0/81)". • 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. Slats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designate county o ~cial in accordance wit t e provisions ec. 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. Note: The pump chamber gals/in. unit of measure is inaccurate. The correct unit of measure for the pump chamber is 14.93 gals/in. with a 42" liquid level. The revised units cause a slight variation in the capacities as shown on page 4 of 7, but they are not significant enough to require a plan revision. Owner Responsibilities: ~.--- Comm 83.52(1)(a) -The owner of a POWTS shalt 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). P.O.W.T.S. Conditionally A~PR~VED DENN[S J GILLE Page 2 6/1 I/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. [n 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, !~ ~ erard M. Swim POWTS Plan Reviewer -Integrated Services (608}789-7892, Mon. -Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Commercial Application INDEK AND TITLE PAGE Project Name: JOHN BARB KELCH Owner's Name: JOHN BARB KELCH Owner's Address: 112 CIMASSON PARK LAKE ELMO MN. 55042 Legal Description: NW NW 520 T 29 NR 17 W Township: HAMMOND County: ST. CROIX Subdivision Name: HAMMOND OAKS ADD. 1 Lot Number: 0.43 Block Number: Parcel I.D. Number: 018-1044110-00 Plan Transaction Na.: RECEIVED MAY 2 9 2002 SAFETY & BLDGS D1V. Page 1 index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve d specifications ~ a o % ~H y-A •rl Designer: DENNIS GILLE License Number: 221471 Date: 05/27/ Phone Number: - 68-6637 Signature: Designed Pursuant to the Mound Component Manual for POW'rS Version 2.0 SDB-10691-P (N. 01101), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) Version 3.11 (R. 06!01) Dlvtstoet OF E Y ~-~ - Page 1 of 7 SEE GOR ENCE Mound and Pressure Distribution Component Design Design Worksheet (r or c) _ r. Residential or Commercial Design 300,00 Estimated Wastewater Flow (gpd) 1,54 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 4,00 Site Stope (%) 92.40 Contour Line Elevation (ft} _ 27,00 Depth to Limiting Factor (in) 0.24 !n-situ Soil Application Rate (gpd/ftz) Distribution Cell Information _ 100.00 Dispersal Cell Length Along Contour (#t} _ _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality {1 or 2) Pressure Disribution Information (c or e) C Center or End Manifold 2.25 Lateral Spacing (ft) 4 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) 2.00 Forcemain Diameter (in) w... 120.00 Forcemain Length (ft) 84.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 8.65 Vertical Lift (ft) 2.77 Friction Loss (ft) 17.92 Total Dynamic Head (ft} Lateral Diiameter Selection in. dia. o tions choice 0.75 1.00 x 1.25 x X 1.50 x _ 2.00 x 3.00 x Treatment Tank Information 1000.00 Se tic Tank Capacity (gal) HU FFCUTT~y~~ Manufacturer {Vote: Sand fiA (D) calculations assume a Table 83-443 in-situ soil treatment for fecal conform of <= 36 inches. 4.50 Cell Width (ft) Are the laterals the highest int in the distribution Y network? Enter Y or N if N above, enter the efev_atien ft of the highest point. 5.63 ftz/orifice Does the forcemain drain back? ~ Y~ Enter Y or N 19.57 Forcemain Drainback (ga!) 62.87 5x Void Volume (gal) 82.44 Minimum Dose Volume (gal) 32.95 System Demand (gpm) Manifold Diameter Selection in. dia. o ions choice 1.25 x X 1.50 x 2.00 3.00 GailonsAnch Calculator (optional) 600.00 Total Tank Capacity (gat) Total Working Liquid Depth (in) +.y31~.Q0 gal/!n (enter result in cel! ti49) ~ Dose Tank Infom~tation Effluent 1=filter Information SeOND~NCE I , 601 QO Dose Tank Volume (gatlin) A100_ ~ Filter Model Number I~ C~RRE Manufacturer ~~E HuFFCUT-r_ Project: JOHN BARB KELCH Page 2 of 7 Mound Plan View 1 /L ~ ~ ~ _ Obsarvation Pipe L_l ~ _ ~ •.'.'. . ~µ„war;~~ra,r~~",r«~r~~°~~°1~°~~'t..~`"~'"a"A~'°~'n?"~'t~^~°"~°~v°~?n~'u~'°~'~~'ara""«~",~` •. I .1J - ... L - _~ Mound Component Dimensions Down slo a toe extension made. A 4.50ft E 11.16 in H 1.OOft K 7.83ft 00.00 F 9.25 in T 18.00 ft L 115.67 ft D 0 in G 0.50 ft J 5.41 ft W 27.91 ft 450.00 (ftz} Dispersal Cell Area 2250.00 (ft2} Basal Area Available 4.50 {gpd/ft) linear Loading Rate 10.00 (ft)1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 94.92 {ft) (} . . 93.15 ft ---_ • F Dispersal Cell : ~~ Elevation ..... .. ............... . ... .......... Shading Key `~ ~, 1^ Topsoil Cap o = ?n. .~:,~'~ Subsoil Cap ~ .,°,~ ©~ ASTM C33 Sand :~ ~ ®~ Tilted Layer c ~ ^ "~"~ ~ Aggregate ~' o Project: JOHN BARB KELCH Dispersal Cell E D ~~..... __~.t_~..~ ~ ~I I~ `'~"`'; 93.65 (ft) Lateral Invert .... .. .... . .. __. _.. ,, ............. .. ___ . 92.40 (ft) Co tour Elevation 4.0 °lo Site Slope Geotextiie Fabric Cover ~- Dispersal Cel! See lateral details an 1 5 ft " Page 4 for number, size, " " ~b~"~"°~"'~" d"nr";~~'4 ~': "" and spacing of laterals. '"a~J'.L~n ,~~,r" ""~~ ~"" Laterals are equally Q rJ ~ w „~~«,' Typical Lateral ~w~wa F spaced from tfte ~«w«~«°« ~m „°" '~•~"ti«°~«°~~, tl ~ distribution cell's ""°°°~• ""~"°a'~" n«~«"""~"" centerline in the ~ -- A ----~ distribution cell (AxB). Page 3 of 7 Force mai n oonneatian via tee or cross Eo manifold at any point. 1 P ~= Turn-up riibsll valve or ~F oteanout.plug moles drifted nn the bottom of the lateral. Laterals are idantioal Laterals & foroe main of R1~C Sch 40 par COMN! Tahta 84.30.8 S . ~k.. Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flaw Rate Total Dynamic Head 4 Orrice Diameter 1.25 in Orifice Spacing (K) 9.34 ft Orifices per Lateral 2.25 ft Orifice Density $.2 pm Manifold Length 2, pm Manifold Diameter . 2 Forcemain Velocity ose Tanic Information Electrical as per NEC 30D and ---~ Comm 16.28 WAC Tank component is properly vented HUFFCUTT Capacit 600.00 Volume 15.00 Manufacturer Gallons gal/inch Dimension Inches Gallons A 20.50 307.56 B 2.00 3o.oa C 5.50 82.44 D _ 12.00 180.00 Total 40.00 600.00 _~ A B C D ng gisconnect Alarm Manuafacuurer LEVEL ALARM_ ~_ Alarm Model Number DVL_ __ 0.125 in 2.53 ft 20 5.63 ft' 1.251 in Locking cover with waming label and locking device and sealed watertight 4 in. min. F- Alternate Duffel location Forcemain diameter ~ 2 in. Weep hole or antl- siphon device p~ ump off elevation ft r~ 85.00 p~nk elevation (ft) 84.00 ,_ -. _._..,~,.,w -_. _.._,.u._... Pump Manufacturer ZOELLER _ ~, Pump Model Number 98 S-e~-~-_ _ /}Gl h~~R--' Pump Must Deliver w32.95 pm at 17.92 ft TDH iM~ 0,112-JE 7 Project: JOHN BARB KELCH Page 4 of Mound Svstem Maintenance and aeration SaeciiFications Service Provider's Name DENNIS GILLE Phone 268-6637 - -- - ~-- --------M....... POWTS Regulator's Name ST_CROIX CTY._______- Phone 715-386-4680 Svstem Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1!S in Estimated Flow -Average 300 gpd Maximum BODS 220 mg/L Septic Tank Capacity 10DD gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cful100 mt. Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound tither Ins ect andlor service once ev Should ins ect and clean at least ce eve 3 ea Test once ever 3 ears Should test monthl Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ondin and see~ag® once every 3 years __ Miscellaneous Construction and Materials Standards N~~ Gua~'~r~(.r 1. Observation pipes are slotted and materials conform to Table Cornm 84.3D-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (5)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ••...••......., ...........•... Grade 6-8" Diameter Lawn _~ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution • Lateral _~~'~-~- , ; Long Sweep 90 or Two Mound System Management Plan Pursuant to Comm 83,54 Wis. Adm. Code Genoral This system shall be operated in accordance with Comm 82-$4 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [5HD-10691-P (N.01/01) and SSWMP Publication 9.6 (01!81}]and local or state rules pertairUng to system ma'u~tenanoe 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. Coda when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for watertightness and soundness. Access openings used for service and assessment shalt 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 shag be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. SeBpc Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Scats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wls. 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 fitter shall be cleaned as necessary to ensure proper operation. The fUter cartridge should not be removed unless provisions are made to retakr solids in the tank that may slough off the filter when removed from its enclosure. if the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contenrts removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shaA advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma lank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. !f an effluent filter {s installed wdhin the tank it shall be inspected and serviced as necessary. Mound and Pnas ure pistributwn $vstern No trees or shrubs should be planted on the mound. Plantings maybe rnade around the mound's perimeter, and the mormd shag be seeded and mulched as necessary to prevent erosion and to provide some protection from fonst penetration. Traffic (other than for vegethtive maintenance) on the mound is not recommended since sat! 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 as protection from freeztng. influent quality into the mound system may oat exceed 220 mgiL BODS, 150 mglL TSS, and 30 mglL FOG for septic tank etfluent or 30 mglL BODS, 30 mglL TSS,10 mglL FOG, and 104 cfu1100 mL fnr highly treated effluent. influent flow may net 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 latera{ be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be oampared to the initial test when the system was installed to determine if orifice clogging has occurced and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic faiNre requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shag 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(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component faits 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 biologlcafly clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system Into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. f'raject: JOHN BARB KELCH Page 6 of 7 F~B~29~aQ '~[.f~ 03 ~ Q'T PM JH ~.ARSO~# rncu tuatttaRS r~ru.a +`'m* ~ 1.r; r3 x~a t,o aoa et r~~ !d iSi ~!'~ an ago .s _!s.. tic 3 X46 r..a... a ~ /n .r ,~ r 1~•f 1 '' •~ ._~~~ ~,M•°L ,, _s•, 4~ 1` ~~'°'~ 1 j) ! 1 I f ~, A1'' i .1 ~~,~~ , ...a~ . -, ~ ~. 1 f ~~ t. ' • " • '~~ ~,~ r P. o~ R 3 '.+/ "• i ! C tit ., T ~~ ~ ,1/tG I tif':1 r^: ~. ~;+~3NSUtT FACTaRY FCR ~PECfAL APPi~l~;•a+~ TfQNS f~ItslCtriCel 111ttafrna~orfl, for dupl~s~c systtm,~, are av~ft>~Dle end Vanabsa St~E!1 Ft7AI ~:•.. ~s art; .~ve•taaWa far rolflrc~ilir'1[~ tatR~t+~ suppsird with >wrt al+~rm. and ihraa cshaerw syt;lt~• •• • ~yyeehxnlcei alMrnersar:. for afupdex a~rtama, ara avalfabie with ~ DaupiA ~rg4Yback ~,,•, ,• t~,a•+ te,rt:i flaa: 8wit[sitd& es'o firAiirdbte: or wfff~ovt slisttn swilGhsa. for asrisbir: s~vai tort :.. ;~Ita controls ~.r~i~~,a .a Mr~l~ _ 1dw~Lad~M "!O Ilfaa ~ 9/i f~l_ra ~!~!e e= -~5-'~ -j ,...r..~. 0, 1 _... ~~ X10 1 Non ~,! ?m~>~b ~ 3ord~,~~ ~or, Citill~t, t InteQr,flPnf+oparnuutl~ r ,,.,srroettwttcl..noo+tiernetcQtltrotregit?rgR 7 Artrq!T P,~yW[k YIarIIIA-tt n•t rJ11w~St:h Af d~:WAle pSGpy[t<~r~4 vA1~Ob~1rJt,+e1, Aont fwltcn taeq+ tta FMCa 3 N.irt:hu+lM:a!r,utGmart" t;~ •:: °; flt)/:. ~ 8M FHIQ7'r~ 'u• uN•ucr r•:,.. _ ~~aac , caa Alt+, nRAtr, G«PapK. 5 Crmtwt 4wrtah +r: o2;tf+ •. r;.. • .•. a c•nkn enthOUtir, upoelfy dirplers (sy rsr t,ti iSo*t ~y+Mm A P'oMr (4} no+n .! t'sA, !. ~ ~ +p, wetertrgi~ ;c+mtxc[cpn or Wlrpr!-pt eirtlpdflr or duplex Q!t!erph+. ":+; ? 1 1 yws (2y tr ale .:,Pax rot fi.a•. '. r mna4 t+an or ~+fiwa (:AUS14N /airrbr'rMllftlartl+wltpMi>~ofllerpreuuat~tnel,,~•bne+kMOpeaG+^t0.~awntWte!.EflrQStR,AaySi>taR h!rinatsRnrr,,,„t~.,,tur4.p.. o4ritloen0+rl:ngtYnOUtAInRMtelr fRv#Itntll VfMbM6a~lBr!hhtH.CidO;~';ENcMlatllAllssmM[,It~IOfK,l~efllrnef'ltfi~llrfto+,fM01i~.8uarrpf tlwetedetna[,t.;.r,: brtorrcta ~ • ,suety,;c+dot.sha.RlOr-rarfawlodlnalun~ggNNrmrtft 8erfepedetlntr,FMQat/1;end#M~PMN4NPtarrpRPuTpCeRln+tr~ilr[n3y!gemsfhL`?~1 rocnntMFlirano!F•+•,!•r.,~cAcr~. ••r:tt++lMc•sntl+t~+aS9sf4[yfMHp7riSltACI(OEtt~?. RESERVE Pt~WFRED D~31GN FOt unf~siz:af can~~lt,#r;~rfe a reserve sarfety factor to srtgtne+!»rea i~sv me r~r ,• ref every 1.c pellet ~r.r~•;p. ~~~~~ r,maltP:trA, K+' ~r~.ssa C r•+' , e~,r :fAC~J~ :!r!. au alflT fC: 3frtg €r1+te H„n R~,,n /~ ~l+ I.oarfawl~n,q'YItL~rt rat r ,~• ~u~~I ~~ (Sdi~ !IB•P/Jr ~ r Ib;Y! 9?6•nt;rc • ~i'y/r.rr, 7~,p,~r JMSGx' ,~.%Ka++ to°A~ n'aYAN;t:1~~17~t.a1WPR(IMtN~t'A ~..^rf a~r,uekYAMIOEw~tf,IftuA _~~... __ ~r. ~~ .,~''~\, 1522 SOIL EVALUATION RE~RT k' ~ -- Wisconsin Department of Commerce ~ ~ ~~~~~>a - G 1 of 3 e.: SePti Division of Safety and Buildings ,n ~,.,..,.,a~n..o ,.ri». r.,mm RF wry grim c: _ ~ m c Service County ,~ ~ :.> -- Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must ~ , ~ St. CrOtx include, lwt not limited to: vertical and horizontal reference pant (BM), direction and and bcetion and distance to nearest road. north arrow scale or dimemsbns percent slope _- _ ~- -Parcel .. .` , , , ~~ Please print all information. •}~ ` ~ y~ 6 Date Personal information you provide may be used far secondary purposes (Privacy l aw, s.15.04 tt) (m))• /,, ~1 ~ t(( d :~ _ Property Owner ~ . r Property Location ~,, / Ketch, Barbara Govt. tot ~ n/a NW 1f4 'N5AL~14 -g---2b T 29 N R 17 W Properly Owner's Mailing Address lot Block # Subd. Name or CSM# 112 Cimarron Park 43 n/a Hammond Oaks Addition #1 City State Zip Code Phone Number City ~ Village y_J Town Nearest Road /~I~ir Lake Elmo ~ MN 55042 651-436-7505 Hammond 80Th Ave. ~' ~~ ,Z~~ 7s. New Construction lJse: 1~' Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD :~J Replacement ~ Public or commerdal -Describe: Parent material loess Flood plain elevation, if applicable n/a General comments and recommendations: Part of 2.19 acres. Recommend mound system along 9~R+^~ r~ `.,- ~~~11 ~~ N Ir`M~Ti`rl, ~tJr M Boring # ~ Boring 3 In Pit Ground Surface elev. 92.7 ft Depth to limiting factor 35 in. Sal Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 1 0-15 10yr2/2 none sit 2msbk mvrf as 2f,1m 0.5 0.8 2 15-29 10yr4/4 none sit 2msbk mvfr cw 1f 0.5 0.8 3 29-35 7.5yr4/4 none sit 2msbk mfr cw - 0.5 0.8 4 35-45 7.5yr4/6 c ~ Syr gr. scl 2msbk mfr - - 0.4 0.6 Boring # J Boring V" Pit Ground Surface elev. 92.1 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP D in. Munsell (]u. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `E 2 1 0-13 10yr3/2 none sit 2msbk mvrf as 1f,1m 0.5 0.8 2 13-19 10yr4/4 none sit 2msbk mvfr cw 1f 0.5 0.8 3 19-30 10yr4/6 non e sit 2msbk mfr cw - 0.5 0.8 4 30-36 7.5yr4/6 pp ~~,rr c2 7 SyrS/87/2 gr. scl 2msbk mfr - - 0.4 0.6 ` Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 <_ 150 mg/L • Effluent #2 = BOD < 30 mgn_ ano r ~ < ~ mgrr. CST Name (Please Print) Signatu ~ CST Number Tom Gustum 227618 Address Gustum Septic Service Date Evaluation Conducted Telephone Number N13450 937th St., New Auburn, WI 54757 12/12/01 715-658-1344 Property Owner . Kek~tt, Ba~bard __ Parcel lD # 018-1044-40-00_ _ Page 2 of 3 ,- Boring # J Boring ~/ Pit Ground Surface elev. 92.7 ft. Depth to limfing factor 27 in. Soil ~~~ ~~ Horizon Depth Dominant Coiw Redox Desaiption Texture Strudure Consistence Boundary Roots • in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 1 'Eff#2 1 0-12 10yr2/2 none I lfsbk mvfr as 1f 0.4 0.5 2 12-19 10yr2/3 none sil 1fsbk mfr cvu - 0.2 0.3 3 19-27 10yr3/4 none sil 2msbk mfi Cvv - 0.5 0.6 4 27-49 10yr4/4 c 7 5 /6 vfsl lfgr mfi - - 0.4 0.5 This boring is from soil test submitted 10-31-1999 by Robert Ultxicht. Boring # ~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil A{~liption Rate Horizon Depth Dominant Cobr Redox Desaiption Texture Structure Consistence Boundary Roots in. Mures Qu. St. Cont. Cobr Gr. Sz. Sh. *Eff#1 'Eff#2 ^ Boring # J Boring _] Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Shudure Consistence Boundary Roots in. Munsep (~u. Sz Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODS> 30 < 220 mglL and TSS >30 < 150 mglL • Effluent #2 = BOD < 30 The artment of Commerce is an a ual o s _ mgA-and TSS <30 mg/L llep q pportunity 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. LEGEND ^ =SOIL BORINGS WITH BACKHOE Barbara Kelch Plot Map BM1 ~=ELEV. 100.0' -Top of phone pedestal- also HRP 112 Ciman'on Park BM2 ~=ELEV. 97.0` Top of Property line comer marker Lake E{mo, MN 55042 Town of Hammond = Construcfion Setback Sec 20 T29NR17W Parcel I D# 01 & 1044-40-00 SCALE =1" : 60' Page3of3 BH~I2 RfOht of V~Hy 89th Ave isconsin Department of Commerce June 11, 2002 GUST ID No.221471 DENNIS J GILLE GILLE TRUCKING & EXCAVATING, INC. 372 140TH ST AMERY WI 54001 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/11/2004 SITE: John & Barb Kelch 80TH Ave Town of Hammond St Croix County NW1/4, NW1/4, 520, T29N, R17W R C VEC~ JUN 1 1 2002 ST. CROI7< COUNTY ZONING d~~IC ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 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. 755073 Site ID No. 645569 Please refer to both identification numbers, above, in all comes ondence with the a enc . FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 854466 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, the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (0/81)". • 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. Note: The pump chamber gals/in. unit of measure is inaccurate. The correct unit of measure for the pump chamber is 14.93 gals/in. with a 42" liquid level. The revised units cause a slight variation in the capacities as shown on page 4 of 7, but they are not significant enough to require a plan revision. 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). DENNIS 7 GILLE Page 2 6/11/02 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 maybe 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 r~ ST CROIX COUN'T'Y ` SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIPCATION FORM OwnerBuyer ~ ~ ~ ~ ~ ~ ` `~ ~ L Mailing Address 112 ~, vti C.,, from ~`.~.- Property Address ,~ ~'n~'~'4' (Verification required from Planning Department for new construction) City/State Parcel Identification Number - D - n v 0/ ~ O8(v '~ 3 -(X~ LEGAL DESCRIPTION Property Location %, '/<, Sec. ~ ® . T~ 9 N-R~_W, Town of Subdivision ~ al~dC~lu~cn ~ Lot # ~_. Certified Survey Map # Volume ,Page # Warranty Deed # ~ 6 ~ ~ ~ C) ,Volume .J Page # ~~ Spec house ^ yes ~ no Lot lines identifiable ~ yes ^ no 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 mastCr plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal 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 of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION 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 property described above, by vi of a warran deed record~edQin Register of Deeds Office. f r l~ SIGNATURE O APPLICANT DATE ««•««« Any information that is mis-represented may 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 "' r y~r ~ l~gPa~~ : ~'~ 7 • • St.~TE BAR OF WISCONSIN FORM 2 - 1998 WARRANTY DEED Document This Deed, made between Humbird Land Corporation, a Minnesota Corporation Grantor, and JOHN D. KELCH AND BARBARA A. KELCH, HUSBAND AND WIFE Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described teat estate in St. Croix County, Sta/te of Wisconsin: J Lot 43 Hammond Oaks SubdivisiogTowa of Hammond, St Croix County, Wisco 6G. z ~.so Kf=iTHLEEN H, WALSH REGISTER OF DEEDS 5T, CROIX CO., WI kECEIVED FOR RECORD ii-o9-zoos io:oo A!I YARRANTY DfED f X1:11PT A CERT C~'Y FEE: CDRY FEE: TRAI~FER FEE: 74.70 RECtNIDIH6 FEE: 13.00 PN6ES: 1 Name and Return~~/jddress f? D ~ ~opc 2 8' 018-1086-43-000 cel Identification umber (P1N) This ~ homestead property. (is) (is not) Exceptions to wanandes: Subject to notes, easements,restrictions,covenants and rights of way of record, if any, including but not limited to those for drainage,water retention,ponding,and or utilities as may be shown on the plat of Hammond Oaks. Subdivision rec:onded in Vol. 8 of Plats, page 2, St. Croix County, Wisconsin. The warranties of this 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 $24,90U.UU. Dated this 22nd day of OCTOBER , 2001 Humbird Land Corporation * by ~,,~~ '~' resident AUTHENTICATION s Anstin J. Baittnn ACKNOWLEDGMENT STATE OF WISCONSIN } } ss. /I ~_ _ _ - _ UNPLATTED_ILANDS r . ._ --- _ _ w NORTH LINE OF THE NW 1 /4 OF SECtION 2~ _ _ __._ . -,~s~ti~z - -- ~ ~- w --4 -- -- -- U_S HIGHWAY "12"! N89'41'48"E 11 9N u! 26 .32' - - ~~4 ~ ~-78.88 170.0 - - - - --• -170.00' _ - - ~ 168.30 "''• - ESS RESTRICT[' `~66 ' ~ N9~R~PNG~'E ° ti O ~ O1 DOT HICHWAY~' ...!- ~~.p4V M .6 - -" O ~ r- r°- _ o UWi r ~ CO ~ r 4-~i COUNTY HIGHWA N ~~ ~ - Opp ~' - o - ~ p-- -~ - Q-~a p-- -'" ~ ~ o O ~~ w ~ ~ O O ~ ~ 0 N ~ ~ ~ ~"~ o ~ O ~ -r N --1 oo ~ o~ m ~, c~ • u+ m 100' ~ n cn ~ o ~ ~ `~ -a p ~ '--ri°- -----~~'- --- ---- ~-. sec ~c•~ -- ~t mot' ~ 89th AVE. N 89'41'47" E 757.72' Q~`. ~--- - --- - - - - - w ~i ~~ ~ - - - N89'41'47" E 757.59' w - - - ~ -~ © ,~~~, 105.46' - - -- -- -- -- 202.63' - -- -- 406 38' -- -- --~- ~ 43.12' ~ -.~~ ~ / `. ' -- - - - - - - . - ~ - `~-~+~' ~ ` 100 ~ - rd- ~ - - - - ~ o `ti .J (n O ` ~ b ~ / ' ~ '~. i I ` CP -1 n N ~, b~/ ~ [`j,~ /~~~j. ~ /w ~ ~ Q W ~ / /~ V Q~ p Y M7 ~ ~ jv N I v r ~~ ~ w r ~ '' i '' Mgr ~• D C D p tD . + N 0 ~ 0 0 ~ >. 6~ 6` % ~`8gZ r*1 m r D ~ ) ~ ~ INS w O cr ~, ~ (nom c~ O ~ , ~~ ~~i ~ o ~ ~-~m m -< ~ N I Ni,! to ~ ~ -1 , ~ ~ D ~ O ~ Z ~ ~ 257.94, $9'20'39"E . ~ J S ' m °_ Z ~ ~ _ _ - ".' S89'41'48'W 241.94' ~. -- - - - - - ~ o ~ ~ `~ / 6'~ ~LS co A ~ .9S'£OZ . a+ 90 S.r. Z / / 6 N N O °. 218.76' ~ 196.94' Ze Zg i 1, ~ o ~ S89'41'48'W 415.70' / •`~ / O~ o~ ~' A 0 N s `~ I Gr / / .~ N ~ ~>. N ~ v ~ /f*1 -1 m ,96 gO l ~ ~ r .--~ m ~ ~ 89'45'23'W 290.0 v .Lt'6l£ _ _ _ . - - - _ ~£.195 ' Et ~ r ~ < --- ~ Qi ~ t~'Z8 ~ ~ ~ ~ .. . •~•ptS M. - ~ o v~ ~ ~ ~ ~ ~wr- ~ y ~ ` p 01 -1 1 co c0 r- w v cD w w ~ ~ -I N -r O ~ a'• U ~ p O ~ . tea,, ?.9 b (~ Q A ~: N ~ ~ 00 ~ N I N ~ N orn . I tea`, a ~ °• +~' m~ cn -~ ~ n N~ !~ ~ S89'45'23"W 290.01 ~ ~,~, m N I ~ 0 00 p / ~ ~ ~'° ~~~ ~ i r o0 °' ~ D v -a I ~ ~ v / /~ - m ~ / ~ ~ ~'~ ~ ..d°~~~ N I ~ o .A ~ ~ O