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HomeMy WebLinkAbout018-1098-24-000-1Nisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMAT,~ON~ (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Johnson, Allen & Jennifer Hammond, Town of CST BM Etev: Insp. BM Elev: BM Description: /o~ p~Yv~ r GS?" TANK INFORMATION TYPE MANUFACTUR ~~-• CAPACITY Septic ~ Dosing ~ F~ ~ r,,.. Ae~+tiom ~; C.i Ho Ing TANK SETBACK INFORMATION en o it n a e ep is 7/'Q~ ' /V~- ~ 1 Zy' ~ osmg / /a ~ N~9-- ~ Z `I ~ Zy -- era ion - ___.___ __ - ~, o mg PUMP/SIPHON INFORMATION ,~ l/ anu ac urer eman ~ ~ GPM o e um er wea 7-~ Z`~. ~~ i ZZ ~ I!o ric ion -~,9 ~7 ys em a ~e •5~ . CD rc in en y'~ ia. Z ~~ ~' JVIL H6.7VISr I IVIV J i l l GIYI ELEVATION DATA county: St. Croix Sanitary Permit No: 4$8179 0 State Plan ID No: Parcel Tax No: 018-1098-24-000 SectionlTown/Range/Map No: 30.29.17.831 STATION BS ~. HI 9$'~ FS ELEV. ~~ Benchmark a . a i~ ion Alt. BM ~ ~. ~o~ ~.- ~ 3 . ~ X5.3 Bldg. Sewer Q ~11.~p c, 7 J g t t Inlet l9•~ l 7g.~9 t t u et ne ~ ~ 0 om Z3, -75`~`f ea er an. I~Z ~~• Z is . ipe /.3(v `~7 •a`~ o. yse3 ~ 1.7Z ~~~~~ ina ra e ~.Z ~'~• Z over ~.~1-cl~ Gc~J 13 ~ ~ ~f S • 3 C.aa.~u r ~. ~ ~ p d IS. ~ O DIMENSIONS ~ ~ q ~~ (~~ V ~ ~ \ INFORMATION CHAMBER OR ~ • ~ ~~ 1 ~6z N~- UNIT ~ o U1.7 1 RIGU 1 IVIY J i J 1 GIYI Ca5•t'- A 1~ .'J I _ . < t1 - Y ' Length 3 Dia L // ~ Pipe(s) ~1 Length 15 , ~ Dia I Spacing_~ l I ~ /, ? z . 5 c„) -~ J ~C rd r. G avr~ uvv ter` x rressure ays[ems vnry xa irwunu v~ na-v.auc vyaac~~.a ~~w Bed/Trench Center / ' ~ ~ Bed/Trench Edges ~ Topsoil 1 ~ es No es No COMN'~~•~ ~ discrepencies, persons present, etc.) Inspection #1: ~ / Ltd/ V \D InsOpgctfon #2: l 1. nmond, WI 54015 (NW 1/4 SW 1/4 30 T29N R17W) Emerald Acres Lot 24~i~~'`' P cel No: 30.29.17.831 ~-'.- Cow ~-- G~ ~ ~ ,..~ s ~- ~ o c~z., S v a ~.. 11I3D a~l m. ~ ---- 1-Bate-1- --~ -- nsepcto grtatnre-- ---- - --~ _ - 8e o -- --' ~r ~ 201 W, Wash' n O. Hi•~ "~ttsZ ?'' ~ g :' ~ ~ _ l $',~ Madi5an, 53 {i? DeLertment of Commerce ~~~~} 3I ~~.~ ~. , p Satrj{{ty pefmi Number to be tilted in by Co.) ~_~.~,„ ~'~ Sanitary Permit Application sou ~"'~n '°~ ~ ~-~ v' In yccord with Comnt 83.21, Wis. Adrn. Cude, personal information you pro ~ t " ~ ~ J' ~ Z!c (o `11 ~6 = "j'R,,q.AJ~ may be used for secondary puryraaes Privacy Law, s 15.04(1 xm) roject Address (if different than mailing address) -~~ I. Application Infarmarian - Pltsaae Print AI! Information ~ ? q _ ~ I~ I IS~ S~ ~ Property Owner's Name _ . ~ ~.~ c e,J,v~'~e ~a Gr.v ~d ~ ~ _ arce! t9 [ ~ .ock z~ 2 y prop erty Owner's Mailing Address Progeny Location ' g City, State Zip Code _. Phone Nunioer -' ~=- =•-• y`..5~!/ ~'~ Section .~~ w ,,~ _ s3'12,s, II.'I'yI-c of S-Qildi~i -- ~ (check alt that apply) uctea T.~ ~N: R E or~ ~~ ~r S ,qr tr` ' evil or 2 Family Dwelling - ivumber of Bedrooms ___~„_ ~ ST ~ Subdivision Name ~i:'S~1 NumL~er i ^_~ ~ Public/Commercial - Doscrrix Ilse ~ '„ ~ Q( Gt:C'Y ,~ S .__.r ~ t ^ State Uwned -Describe Use __„ ~City'[]ViilaBe ,~'ou~tsittp of ~s rr. ac.i. Gr! __~_._ t . III, Type of Prrmit: (Check only one box on IiAS A. Complete line B if appFicab6e) p - Z _ ~ , ~ 3, 1 - A . _ VJ~~i[W System ~ Rep{acemont System l~ TraatnranVFiolding'rank Reptacemont Unly /~ _ _ O Usher Modification to Exis[ur S •stem. i R-Y B• ~ I IV. T t.~ perr.;;t Renewal Before Expiration e of PO1VT5 S s ^ Permit Revision ' tem: Check aA tAai aAP d Chan a of & Plumber lY) ,i-~ x ^ Permit. Transfer tc New Ouster 9n r'Vin.r 1.~ ~r -± List previous Permit Number aa3 Daco lssueai r -- I ~ i c-o . ,... , - .•.. .i Non --Pressurized In•Ground ^ Mound > 24 in. of suitable soil Mound r 24 in. of suitable soil ^ At-Grade ^ Single Pass Sarxi Filter ~', Cansttucte6 Wetland [~ Prtsssurirxd In-Ground ~ Fiiotdrng Tank ~ Peat Filter O Aerobic Treatment Uart ^ Reciroutating Sand Filter Recirculating Synthetic Media Filter ~ [.eachite Chamber ^ Drr Line ^ Grave! •tess Prpe ~ Urher (exolainl / ~ i r~ n.__-----..... _ _ ----._--~.---_.~_.._ p -- --ti~.r r .~.,,,a,. , pow tgtx+J uesratt suu Application Rale(gpdsi) rJispersoi Area Requirod (sf) Dispersal Area Proposed (s~.~y ~ em Elevation ~ ~~ " u ~~w `-~ ~ J s ~~'~J ~ cS'D Q ~ <~~ `T~ j YI. Tank Info Capacity in Total Number Manuf~ecurer -7~Ptefab Galtans C3aiions f U i Site Stcel Fiber ; pl"~'p-o ~ ~ o n ts w~ lQ P~ S ZS' Concrete Constrocted t',lass - v" y" ~` New Existing ^i-yl i ~ /~ ~ E~~ I~ rarrtcc Tasks U te.~Q..•~ h - Sepelo or Holding rank - dd ~i `~S~ Y ~I j _ } a-------i Aarobrc Trcamenr Uait _ Daeing Chwnbex ~ ~Q '~"~' `e~.se y i ~~ VII. Responsibility Statement- I, the undersigned, asse;me rtaponsibiiity far ins atlon of the PQWTS shown an th Pdumber's Namc (Print) Pl ' b St e attached plea,. um er s gnature PRS Number 9usitteas Pl:one Number ' Plumber's Address (Street, Ctt y , Stat , ZJp Code) - e ~ r ' ~ IU. Caun (Department Use Only, - Approved [ i Drs vt~_st / Sanitary Permit Fea (nciudes Groundwater Dato Issued }ppra rz°` Surcharge Pee) i.~ owr ~ Gi ff s~' ~' Issuing gent Sigrat~ a (No Scamps) ~ ~ r gr n Re Drniai 1 j~j J ~ IX. C'nnditinna efl......,...~r ~..d___ r-_ na__.__... -.a..r_~-___ _~. ~.o..~.t.. ~,. r. SYSTEM OWNER; 1 Septic tank, effluent filter and dispersal cell must all be serviced i maintained as per management plan provided by plumber, 2. All setback requirements must be maintained as per applicable code/ordinances. plane \/ ~ 3> ~' ° ~~ P~_ ~ S s~ Cam. h,-~ W l ~~ ~ j .~(4-~1~V~~ 1 ^ ~ h ~~~ ~ . ~ for the rydan on paper not ie» than 81J2 : 11 inchu in Ua~ /D, SBD-6398 !K. 01,'0:3} S 3~ ~FI _,, .._...,,~ ~ ' gent.!, rYl4['fl: ~ a:l in 20"E'/rrrv"ce- ~ ~ ' e.d ~/e~' : /vo. ~o ' 30 3?3 rlo~e. ~4J~. d.~• ~ ca.~~. . ~' ~ ~ .\ ~ So;/ a/a/cca.6~-, ~•'~ .~ 1 ' I ; a ~ ~ (~~ io~ i~~eJ \ \ 1 ~ `I 1 ~ r~ ~ ~ \ + ~ !b ~~ ` ` J .D ~ ~ ~ ~ ~ 1~ \ \ ` s /a0e , ~~ \ ~~~, \ \` 9~ v' eorbou.r _ ~ \ 9,:.. \~~' • \ 9v ~' P~oPoscd 3 b.ednro~, ReSicle/~CC, P~o~s~a werl /oca&c~ ~"sclti. ~o P, d, C ~o~ce Min. i ~;~~ 5° ~ '0 f 'r~ \~ ~~ Pi-o p o a.e.d ~,J; e,l[ ~ ~o,-,crcfC~ i,JC.A ~, Leo/!. so i-1 ~? eom bi i+a~i a+-, b out /G~i. .` I • 8S5/~'~ :~: insc~/aftd QS Pu- Cmm M 82.3o(u~ -~ 696' 7 ~~~~ s 07~~~ bPy commerce.wi.gov i ~ ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce. wi. g ov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary May 04, 2006 CUST ID No. 227990 WILLIAM C SCHUMAKER 1070 SCOTT RD HUDSON WI 54016 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/04/2008 SITE: Dick Stout 749 154th Street Town of Hammond St Croix County NW1/4, SWl/4,30, T29N, R17W Lot: 24, Subdivision: Emerald Acres Identification Numbers Transaction ID No. 1266976 Site ID No. 712264 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1073484 Maintenance required; 750 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The foitowing conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited above, 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. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. ~/l!'d {r ~~~ a~=l'a~Rr~ ci= ~- SEE GOi • Inspection of the POWTS 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. Stat WILLIAM C SCHUMAKER Page 2 5/4/2006 • Comm 83.22(71 A copy of the approved plans specifications and this letter shall be on-site during construction. and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. 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. • Comm.83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All pemuts required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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, ~~~z~1 ~ ~~~~,,~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin.gov Fee Required $ .175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Septic Systems & Soil Testing Inc Schumaker Plumbing (Plans Mailed To) MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Dick Stout 3-bedroom residential mound Owner's Name: Dick Stout Owner's Address: 1353 Awatukee Trail Hudson, WI. 54016 Site Address: 749 154th Street Legal Description: Township: County: Subdivision Name: Lot Number: Parcel I.D. Number: Plan Transaction No.: NW1/4SW1/4, Sec.30, T.29N., R.17W. Hammond St. Croix Emerald Acres 24 Block Number: 018-1098-24-000 Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Designer: Bill Schumaker Date: 04/11 /06 Signature: /~<~~~-' License Number: Phone Number: s ~ '~=Q~, 1,~°F caP,~~~~~,c~ ~N DINGS 227990 =SPn-„ `~~~" 715-386-3121 OENC Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications Management and contingency plan Pump curve and specifications ppR ~ 5 Zp06 &BU~~OINGS s~F~ Site Plan °F~ Soil Evaluation Report ~ ~ ~ °~'~y Version 3.0 (03/01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Z~ Site Inform ation (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 3.00 Site Slope (%) 94.98 Contour Line Elevation (ft) 17.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) c Center or End Manifold 2.50 Lateral Spacing (ft) L6 .J~ 4 Number of Laterals ~ 0.125 Orifice Diameter (in) (e.g. 0.25) ~~ 2.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 440.00 Forcemain Length (ft) 75.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 21.06 Vertical Lift (ft) 8.35 Friction Loss (ft) 35.91 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 x x 1.25 x 1.50 x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 6.25 ft2/orifice Does the forcemain drain back? Y Enter Y or N 71.77 Forcemain Drainback (gal) 36.11 5x Void Volume (gal) 107.88 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information 646.00 Total Tank Capacity (gal) 1000.00 Se tic Tank Capacity (gal) 38.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 17.00 gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 646.00 Dose Tank Capacity (gal) Pol Lok Filter Manufacturer 17.00 Dose Tank Volume (gal/in) PL-525 Filter Model Number Wieser Concrete Manufacturer Project: Dick Stout 3-bedroom residential mound Page 2 of 9 Mound Plan View 1_ 1/10 B • 'Observation Pipe '~' . .~~' K z e4., .. .•. ..~.~.., ,.,0.,~r ., p. •.., a~,. .r., ... .r., . ~} f.,•..•.; :r, •1~ •'B'• • E: ~. .. .~ -T _+ _~ -I ,~- Mound Component Dimensions A 5.00 ft E 20.80 in H 1.p0 ft K 10.23 ft B 90.00 ft F 9.00 in z 9.84 ft L 110.45 ft D 19.00 in G 0.50 ft J 7.80 ft W 22.63 ft 450.00 (ft2) Dispersal Cell Area 1335.16 (ftz) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 98.31 (ft) .{{...: F 96.56 (ft) --- Dispersal Cell :~ Elevation ~I H Dispersal Cell ~ 97.06 (ft) Lateral --:-r,- Invert D ;~~~ t 94.98 (ft) Contour Elevation Shading Key 1~ _ Topsoil Cap © •~{~~• Subsoil Cap • ASTM C33 Sand Tilled Layer 5Q :':r:f: Aggregate 3.0 % Site Slope Geotextile Fabric Cover ~ ~. ~ Dispersal Cell See lateral details on •°~ Vl O 1.5 ft .,,~„ 5 ~ : ~ r•r•r ~ Page 4 for number, size, and spacing of ~ ~ ~ :~q~~.~-`~:'~' - •'~='•~° e. • •°•' '" F laterals. Laterals are m ~ °, ~ c 0.5 ft ~ • Typical Lateral ..,..-..;.,-,m-.. ~•• • . •e: ~ equally spaced from the distribution cell's *----- q --* centerline in the distribution cell (AxB). Project: Dick Stout 3-bedroom residential mound Page 3 of 9 MAY-04-2006 03:36 PM A.C.E. Soil & Site E~al 715 248 7764 Center Connection Lateral Layout Daigram from rnaln ootrreoNa+ Via tN or Dross to manifold at coy pofM. Latasils arr War>ebal (~,.~_ P .a{L •«TurrwuprfF~rNwhrror ~.X=-~~Ex12 xl2~l LatArais~f~mainofPVCSoh~O olsanoutpiup par COMM TaM~ 84.30.5 Worts drtllb on tik bot+•arn of tha lalaa6 -- Number of Laterals Lateral piameter Lateral Length (P} Lateral Spacing (~} Lateral Flow Rate System Flow Rate Total Dynamic Head Orifice Diameter Orifice Spacln0 (X} Orl~ices per Lateral OrificQ Density Manifold Length Manifold Diameter Forcemaln Velocity Dose lank Infomnation ~pecMcal ae per NEC 300 end -~~^~ cemm1e.28waC ~,,,,_._ p~ Tank aamponerd Is Properllr vented Wieser Co ncrete Ca dt 648.00 Yolume 17.46 Dimensio Inches Gallons A 18.04 304.03 B c 2.00 s.0o 34.00 13b.ey p 10.00 170.00 Total 38.00 645.00 Manufacturer Gallons ga~nch A F3 C D ~~ Alarm Manuftfecturor LevelAtiri ~,_„ AIafTTI Model Number DLV _ __. Pump Manufacturer Goulds Pump Modei Number WE07H Pump Must Deliver 29.66 gpm at 36.08 ft 7DH Project: Dick Stout 3-bedroom residential mound Locking cover vMth wamin8 label srai krcldnp devlaa and sealed weNrtlpht 41n. rnln. .~-- AlEemria oWet kK~hon Foroemab~ dlan+atar ~ 21n. weep Hole or ann- siphon devk;e aofr elevarion 7a.s~ Ooee tank eNVatlon ~~ 76.E Page 4 of 9 P. 02 Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker -] Phone 715-386-3721 POWTS Regulator's Name St. Croix Coun Zonin Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for pondin and see a e once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. Alt 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 ~1- Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Dick Stout 3-bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Aaess openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. F~cposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with Nl2 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain 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 tf the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents 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 shall 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. Pump Tank 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. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred 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 shalt be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Dick Stout 3-bedroom residential mound Page 6 of 9 MAY-04-2006 03:36 PM A.C.E. Soil & Site Eval 715 248 7764 P. 03 ~GOULDS PUMPS MOTORS 3885 PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ^ Shaft; Gorrosion•resistant , stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ~ Fasteners: 300 series stainless steel. ^ Capable of running dry without damage to Components. M Designed for Continuous operation when fully submerged. Single phase: ~ Built•In overload with automatic reset. • All single phase models feature capacitor start motors for maximum starting torque. •'h and'k HP-16/3 S1TOW with 115,.208 and 230 Volt three prong plug. •'/~-z HP •~ 14/3 STOW with bare leads. Three phase: • Overload protection must be provided in starter unit. •'~•Z HP'-1414 STOW with bare leads. ^ Designed far Continuous pperation: Pump ratings are within the motor manufacturer rernmmended working limits, can be operated continuously without damage when fully submerged. ^ Bearings; Upper and lower heavy duty ball bearing construction. ^ Power Cab{e: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is ZO'. Optional lengths are available. M 0-ring: Assures positive sealing against contaminants and oil leakage. Spedfically designed for the following uses: • Homes • Farms • Ti-ailercourts • Motels • Schools • Hospitals • Industry •, Effluent systems SPECIFICATIONS Pump • Solids handling capabilities: %a' maximum. • bistharge size: 2" NPT. • Capacities: up to 140 GPM. • Total heads; up to 1 ZS feet TDH. • Temperature' 104°F {40°C}continuous t40°F {60°Cl Intermittent. • See order numbers on reverse side for specific HP, voltage, phase and RPM's available. FEATURES ^ Impeller: Cast iron, seml- open, nomdog with pump•out vanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as ~ an option. ^ Casing: Cast iron volute ty for maximum efficiency. 2" NPT discharge. ^ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces, Stainless steel metal parts, BUNA•N elastomers. ?.~ Zo02 Goulds Pumps Effective October, 2002 83885 ^ Fu11y submerged 'in high- grade turbine oil for lubrication and efficient heat transfer. ^ Class B insulation. Mil 4Q FEET 130 1zo 35 110 30 104 90 zs ao V ~fl 20 6U 0 ~ 15 50 10 30 5 za 10 Submersible EfNuent Pump , GPM AGENCY LISTINGS ® Ted a ul. ns and csa u.z,oasande~ By Canadian Standards A$odation C U5 File #1.838549 Goulds Pumps is ISO 9001 Reglstereci. 0 i-.,.-r... ~._ ,~...~,~~_....~......r~...... 0 to 20 0 40 50.64 7o BO 90 100 110 120 130 140. 1S0 160 GPM ~ ~ ~ ~ 0 5 10 15 20 25 •30 35 m;/hr ACrrY a.~i:4~P.~ ~.n,•~,u~s~p~ Goulds Pumps ITT Industries www.9o~,lds.com Q (~l~ 9 Q• / /;' 8enc,l, -~'larf1: o.; I ~ n Zo " E/~, ~J'c 1. edelev! . /dD.~o' 3.23.30 ~ rl D~ e : ,4 /~,. d.,.l. ~ ca~<d• ~, ~, .\ ~ \ z2 ~ ~ .' ~ ~•.~ (/~ i v ~ • 6EiYi.SL7 /7~ /~~ ~'Q C~f e ~E ~' 1 ~ ~ 8 ~' ~ ~~ /D •C ~ 7e~ \ ~ ~~ ~ J i \ -~.~ . ! 3 ~° ~`. 9 ~ ,~- ~ :~ ` ~ o ~ ~ ~ ~ ,~. 9s. o' \ ,,\ ``` \ \ 9y U' Co~ow~' 9-~~: \ ~"sue. ~Fo R d. c . ?. \ {oI'CC Ma:n• (~~ ~ 07 ~' 8B 7b~ 90• ~' \ ~;,,~\ \ a~~~i pn 5° ~~, • of d{A 4~~ ProPosc,d 3 6edretor„ \ Qesialegct., .QL InSa/a.~d Q~S \ p1.r Cmm m 81. lo(u P~opos cd o. we r/ /o etch \ B~ 96' ~.oPo,~d ~;~.se~ ~~1 1 wc.A r,WO~GSOM~QC'an+b~i+a~%ari ~ :;~ ip~, / ~ re%y%ar r'~'~ Bsro' c~F/u~ ~'/~"~~at s b out ~[~. .` I .1hi~Consin Department of Commerce SOIL EVALUATION REPORT Divrslon of Safety and Buildings in nnmrr~~nro ..riiti !`n...... nc yen., n.+... i+..a.. ~cy ~o~ Page ~ of County -~ C y Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ro inGude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D percent slope, sale or dimensions, north arrow, and locatlon and distance to nearest road. , Please print all information. Reviewed by Date Personal information you provide may GB used for secondary purposes (Privacy Law, s. 15.04 (7) (m)). Property Owner Property location R, ~ Govt. Lot t. 1/4 1/4 S 3a T z ~ N R / ~ E (or) Property Owner's Mailing Address I~ S3 ~ee T. Lot # Z~ Block # Subd. Name or CSM# ~ir)a-a~cl es City State Zip Code Phone Number ^ Ciry ^ Village [~ Town Nearest Road [~ New Construction Use: [~ Residential / Number of bedrooms 3 _ y Code derived design flow rate _ ^ Replacement ^ Public or commercial -Describe: ~ Parent material 1 Flood Plain elevation if applicable General comments S Y Cj -Cr-1 -G ~C r~r C~~ , ~ Q ~ and recommendations: ~,, G a' _ GPD ft. ~'~ aft-. ~. 2 b ~~~~ Borin # ^ Boring ~ ~ gS G ~-r( { " g ~ CJ~G ~~~GE _,~~ ® pit Ground surface elev. !~ r'. Depth to limiting factor O ~• ,~lfil Soil;~tpp cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence B n a Roots PD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ ` ff#1 'Eff#2 l 0 i5 /d ~ 3I2 - s• ~ Zirabk r ~s I v~' . 5 2/-28 / ~ ~ C2P ~.5 r ~l3 s~.l Z,~k - _ y _ ~ Boring # ^ Boring Z ®pit Ground surface elev. ~ ~0 ft, Depth to limiting factor ~ in. Soil Appligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 / o-c~ 2 --1 S~~ ~ s I ~' . S . g 3 i7-Z$" y~3 C2P ~. ~} 13 5 ~~ 2t~t~ m~)r - - . ~{ ~O cnwcr~a rrt = avus ~ au < <zv mgiL ano i s5 >3u < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print S' lure CST Number clq maker 2 s33a9 Address Date Evaluation Conducted Telephone Number 213 ~'~. ~me Se->~- Cc_)/ ~OZS /Z-/7-o/ ('~,s)Zy~-yoo~ Property Owner S-~U v-~ Parcel ID # Page 2 of 3 3 Boring # ^ Boring ~ Pit Ground surface elev. ~~ '¢. Depth to limiting factor 20 in. Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 'Eff#2 ~ 0- l0 ~ 2 ~ 2 ~5 ~~ . J` . ~S 7- 20 i ~~ - 5 i c.1 Z ~ c -- 3 20- /0 CZP~• ~~ SGI Zm5 k - - - y . ^ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil Appiigtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munseil Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/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. SBD-8730 (R.07/00) ~ ` f' - ' PAGE 3 OF~ NAME S?t?tJ ~ LOT# ~~ LEGAT DESCRIPTION ~ ~Sw `a aS .fir T Z R ,ICI, R, L ~ E(Qt~ SCALE:l"= 70 BM I ELEVATION l00 ~ U BM 1 DESCRIPTIONS u ; ~ ,' ~ ZO ~ ~ e /rr~ {~' e 2 BM 2 ELEVATION ~e , 7 U BM 2 DESCRIPTION TQp ~ / ~ Svc SYSTEM ELEVATION ~~, (~ ~ SYSTEM TYPE 9S. O U CONTOUR ELEVATION ~y 30 ' ~S, O 0 9'~ ° ° ~S_ o0 B SIGNATURE ~,~ _~ ~~ DATE S'/~'G;~- ~~ ~~ ,,lAf'~scbnsin Department of Commerce SOIL EVALUATION REPORT - Page ~ of Division of Safety and Buildings County ~ C Attach complete site plan'on paper not less than 8 1/2 x 11 inches in size. Plan must _ r0 ~ include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Revjewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~'/ 16 2vo Property Owner Property Location R1C~~ '~ Govt. Lot ,(~G 1/4 1/4 S 3a T z ~ N R / ~ E (or) ~r1 Property Owner's Mailing Address Lot # ~ Block # Subd. Name or CSM# 1~ S3 ~ee ~~ ~ Mme-~~~ es City State Zip Code Phone Number ~ ~3~ ~ 1 ^ City ^ Village [~ Town Nearest Road =" i 0 ~ c 15) 519-Cfl ~, „,,.o~ ~ ~,Sa s~~ [~ New Construction Use: [~ Residential / Number of bedrooms 3 _ y Code derived design flow rate ^ Replacement // ^ Public or commercial -Describe: Parent material ~7 l! Flood Plain elevation if applicable '~ ,General comments c~ Y ~T-~~'-'~ -GTE ~~ ~~ , <p p r'rl , 'and recommendations: ~ '~~.-' c~r~{,vr e(-e ~, qy! 3O ~ q,Sa ~ yob d ~ GPD ~~~ '~ ~ ft. Y n ~~`~~ / ^ Boring _ ~' ~ . Boring # ' s~ ~5 ~~ ~ ~ ~tc;E ® pit Ground surface elev. !-~ `d ;. Depth to limiting factor Z ~'n~ tgaV i \ Z~'' Soit;~lppltcation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence B n a Roots PD/ft2 in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. ~- ' ff#1 'Eff#2 l 0 ~5 /d ~ 3~2 ~; ~ Zrr~tbJC r~r ~s ! v~' '`~ . 5 2 1 ~ -Zl lQ (' `-fl ~} __" 5; ~/ Zms r c5 . ~ . ~ 2/-28 / r ~ C2P ~.5 r ~l3 s~.l ZrY15bk - ~ ~ `-~ - to Boring # ^ Boring ^ pit Ground surface elev. ~y ~~ ft. Depth to limiting factor ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 Z 1p-1~ ~~ ~ -- s;~ 2m5ir~ m~,r c-S - 3 /7-z~" ~J3 C2P 1. 13 5~~ Z.tr-~b~ m~)r - - . ~! . to ~mueni ~ ~ = rsvu5 > su ~ uu mgiL ana i ss >so _< i 5u mgiL * Effluent #Z =GODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print S' ture CST Number r-a f~d4m ~ umCkke~" ~ ~ Zs33a9 Address ~ Date Evaluation Conducted ~ Telephone Number 213 ~-'~. -~bYhe 5e~- Cc)! "`~OZS /Z-/7-o/ ~~,5)zy~-yoo~ r~ .~ Property Owner S-~~~~ Parcel ID # Page Z of 3 3 ^ Boring Boring # Pit Ground surface elev. ~~~ ~. Depth to limiting factor _~ in. Soil Application Rate on H ri De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 o z p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 7- 20 f ~`~ - S i ~l Z ~ r ~ - 3 2D- lD CZP~. '-~` SG/ ZmS k - - . ~( _------ ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 a Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =GODS < 30 mg/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. SBD-8330 (R.07/00) s ,r~ I~ PAGE~OF~ NAME .S7acJT LOT#~~ T EGAL DESCRIPTION ~ ~Sw/ ,SSG T ZR ,N,R. L ~E(or~T ~- SCALE: I"= / O BM T ELEVATION /DO ~ d BM 1 DESCRIPTION YI c;~ : ~ ~ ~ ~ ~O ~ ~ ~ ~r-'t 7~i' Q e BM 2 ELEVATION 9/s , 7 U BM 2 DESCRIPTION lop ~ ~ ~~ ®~C SYSTEM ELEVATION p~, (~ o SYSTEM TYPE 9S, O G coNTC-vR ELEVATION ~y. 3a ' %S, 0 0 N _$ ec, 3a ~- - I 1 9~ n o 9S °e ~"" ..I ' II. B~^ ~_ ~-- ~~ Q~~" ~°C~B+'~S QCCt.~J'~4 SCE-rQQC - ~ --_..._ SIGNATURE ~ ~___-----~~ DATE S _/~j~' G}~ ST. CRCIIX COUNTY SEPTIC TANK MAINTENTANCE AGREEMENT AND bWNEI2SHIP CERTIFICATION DORM 4wner.Buyer Mailing Address ~' .J~1v1t~-f ~C'S~'r~~~v'1 ~S ~~;~rs-e.Q Property Address (5'af ~~ ~"t; "''! `~'~ ,/ (Verrification required from Pla~uii.ng & Zoning Ueparpnient for new cons City/State ~^ GU~_____.__ Parcel Identification Number 0_ I_ ~ -1 o LEGAL DESCRIPTION ~ ~~c~ l- Zy- D~ 1• g3~ Property Location ~~ '/a , ~_'/4 , Sec.. 3 0 , T ~N R_~W, Town of _ ~ _~~.i~_ Subdivision _ ~~c::, ~ , ~~.r`~~ 5 .~.~..~.____.....+ ,Lot ~' c~~ Certified Survey Map # Warranty Deed # _._ ~ ~ Z ~ S 2 ~ Spec house yes` na .-- _ __ _.___~ Volume _, Page # __~ _ ~~ , ti'olume _ ____, Page # ._ Lot lines identifiable ~ "yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION lxnproper use and nxa.intenarxce of your septic systenx could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years ar 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 w~xste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52{ 1) and iii Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Ct~oix (:ounty Planning & Zoning l~epartrnent a ct;rtification 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 conditioir and/or (2) after inspection and pumping (.if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above rec{~cirenrcnts and agree to maintain the private sewage disposal system with the standards sPt forth, herein, as set by the Department of C,o:rurterce 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 Planning & Zoning llepartment within 30 days of the three year expiration date I/we certify that all statements on this form are true to thk best of my/our knowledge. Iiwe arrv`are the owner{s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Numb bedroom __ _~~ '- SIG OF APPLICANT{S) ~'d~~'d ~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Plarming & Z;,ning Department. *** Include with this application a recorded warranty deed frorri the Register of Deeds Office grid a copy of'the certified survey map if reference is made in the warranty deed. ~ ~ j ~ ? ~ ~... ~ (REV. osros) ~- ~ }° STATE BAR OF WISCONSIN FORM 2- 2000 Document N WARRANTY DEED THIS DEED, made between Richard O. Stout and Janet P. Stout, husband and wife, Grantor, and Allen K. Johnson and Jennifer A Johnson. Husband and Wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in County, State of Wisconsin: Lot 2 ,Plat of Emerald Acres, Town of Hammond, St. Croix County, sconsin Rccording Area ~~~~~~~ ~ KATHLEEN H. WALSH f2EGISTER OF DEEDS ST. CROIX CO. , MI RECEIVER FOR RECORD (04/24!2006 11:30A11 wARRAHTY DEED I Xt,~' i li REC FEE: 12.00 TRANS FEE: 238.20 i;OPY FGE: C.L' FL•'E: raGE~: 1 Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Name and Return Address: Edina Realty Title, Inc. 400 S. 2'~ St. -Suite 115 Hudson, WI 54016 018-1098-24-000 Parcel Identification Number (PIN) This is not homestead property. Dated this 2-~ of March, 2006. M r 5~ * Richard O. Stout an t P. Stout AUTHENTICATION Signature(s) ~;~erj grown ~~~~ry •~ authenticated this ~~t,_L~ (~~ V~1SC~T TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Peterson, Fram & Bergman -Steven H. Bruns 50 East Fifth Street, St. Paul, MN 55101 (Signatures may be authenticated or acknowledged. Both are not necessary) 'Names ofpersons signing in any capacity must be typed or printed below their signature ACKNOWLEDGMENT STATE OF WISCONSIN ) COUNTY OF ST. CROIX ) ss. Personally came before me this ,2~_ day of March, 2006, the above named Richard O. Stout and Janet P. Stout, husband and wife to me lrnown to be the person(s) who executed the foregoing instrument and aclatowledged the same. * t! N~1 bP.tWIJ Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: ~•~ 1.07 ) I( 1 of 1 WARRANTY DEED STATE BAROF WISCONSIN FORM No.2-ZOdO -100'- D O V V A I ~ m ~ J ~ j A Q I 6 ~, O v w l ~ / L ~7 I j ~ ~/ / 5.00 ACRES I / v ~ .217,800 SQ FT •?a s9 82 I ~a, . I / I tti~ 1 - ~ L-7 . I- ~ r ~ / ~ ~0--=1•-~- • ~ I. L-5 I , _ --t-- - - I-- - - - N89°45'02"E 673.70' 32.6/ • a 4'a ~ '/~ fp I /~O~•/ i 24 ~ ,~~ ~ . 5.00ACR S •% ~' N ~ ~ 17,800 FT/ /a . w~ I / ~ ~ OI i / / •~ ,~-~' -- /~• o w I ~ Na x,16/ ~ / C L-17 ~ ~ Na' ~ I ~ N89°45'02"E 673.66' - ...~ _/ I i I I ~~ ( ' ~~ I ~. ~ 25 j 5.00 ACRES I 217,800 SQ FT I I ~~ .~ 33' ~ 33' / I !-.~ , ~/ ~o°. / / ~ cs ~, ~ ~ \ ~ y ., cs ~ `. ~ ~ \ ~~ ~ ~. `` 66~ 1 , \~~ ~ ~. ~ ~~~ ~ W W W O `S~7 ~B,ssNE' r~ se ~ y> >4, / e/ a ~~ • .; ~5,, i ire, tea. ~~~ 26 . ~ ~ ~ 5.50 ACRES ~ ~/ 239,735 SQ FjT cr •a X19 a ~ v: ~- •r~ ~c