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018-1089-02-000
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)]. Permit Holder's Name: City Village X Township Nieber al, Fred Hammond Townshi CST BM Elev: Insp. BM Elev: B Description: DD - 0 1 D ~ ~avnc_- $ Yh ~ -}' 1 ~ . ~ TZ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic /'l J~ /~o~ ~ja~ Dosing ~~- ~ ~.~ Aeration Holding TANK SETBACK INFORMATION TANK TO „ 1P~~ WELL BLDG. Vent to Air Intake ROAD Septic ~ O -,-J !/--~ , I ~ ~~ C Dosing ^" .~ h• Aeration Holding PUMP/SIPHON INFORMATION ~~p~-~-..~> !.~ ~:.D.f,., ~~ Manufacturer '~)d ema GPM Model Number ~ ~ s-2 3 ~r TDH Lift .~ Friction ~ Ali System ad "~ .2~ TDH Ft o •°13 Forcemaih Le h ~ Dia. ~, 2 Dist. to Well nloT ~~ ~1" SOIL ABSORPTION SYSTEM ' ELEVATION DATA County: $t. CroiX Sanitary Permit No: 420773 0 State Plan ID No: D ~~1 1 ~g Parcel Tax No: 018-1089-02-000 SectionlTown/Range/Map No: 31.29.17.707 STATION BS HI FS ELEV. Benchmark ~ ( ~ ~ Iii ~'-;l ? oo-o Alt. BM ST- Go~r>r /oS~ ~ Bldg. Sewer ~. 3 /ov. g ~ SUHt Inlet ~ Y SVHt Outlet , i ~-- Dt Inlet / / Dt Bottom ~ ~- ~ S-Z ~, Heade~~1 i1 ~ a ~ ~ Dist. Pi V~'" S„~'S ~ D I - tp Bot. System 5- o~ D Z_!s Final de • 2S /U 3 `I St over ~~j ~ I~d~-- 4' X r (ZL'' I • ne /d-t,~ I.^~-- Y BED/TRENCH Width Length ~ No. Of 7ren hes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS f ~ ~ / (~ ~~' I l ~~ SETBACK SYSTEM TO P/L BLDG WE L LAKE/STREAM L H G Manufacturer: INFORMATION CHAM R OR Type f S stem: -~- c lu ~ 12 ~ ~ ~ ' NI Model Number: - c.o ~ DISTRIBUTION SYSTE~(A ~ , /~ _ n ~ ._ . /I ~.?i1 nl)a,,. Header/Manifold # ~ ~ '' Length I" Dia Z Distribution _ / P~pe(S) / 2•.S ~ n g ~i~ Length ~ Dia C~ Spacing x Hole Si e 3 I (o " x Hole Spacing Z 3 ~~ Vent to Air Intake ~~-rc,e- o-rJ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only (.lfi ~~ a A~- Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil , Yes ~ No ~ _r', Yes ~ j No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ ~~ /~ Inspection #2: .7 /~5~ Location: 1504 64th Ave Roberts, WI 54023 (NW 1/4 SW 1/4 0 Unknown) Sunny Hill Lot 2 ~~ Parcel No: 31.29.17.707 1.) Alt BM Description =S~ `l..flV'G~ V/~!/~'~ ~ a- ~/ II ~~-S ,/~ ~ ~~ w~.t~l_ 2.) Bldg sewer length = " ~ S ~ n 0 ~/l„ . ~ ~ n,,,l„ _ ~'~f.C~... ~2Q~ (~ K- ~ (-~~yQ ~ y1.0"~-~D - amount of cover =~ f ~ ~K!(ecy~" ~ f~(J ~ ~,, _,,„/I ,, , / nty~ (~" 5,7~/ J~ nJ Plan revision Re uired? ~ ;, Yes ~'^ No T r i Use other side for additional information. ~_~__._.~ ,__ ____. SBD-6710 (R.3/97) Date Insepctor's Sign lure Cert. No. Safety and Buildings Division County ~ ~ 201 W. Washington Ave., P.O. Box 7162 ~ ~~~O~~~~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) i Qe artment of Commerce (608) 266-3151 ~ f 20 ~~-j Sanitary Permit' Application State Plan LD. Number In accord with Comm 83.21, Wis. Adm. Code, pees ~ = r+~+t4i~~a'-+ may be used for secondary purposes Privac Law, ~E~~ V E D Project Address (if different address) is'o y ~ y I. Application Information -Please Print All Informati / ~.j f -~# Z Sii ~A~K ~.~ ~ s~ Property O 's Name Parcel # Lot # Block # irL ,~j ~ ST. CROIX COUNTY Property Owner's Mailing Address Property Location / ~ 3 +~ ~ ~ u G"1 ~''/ ~~ % S i ~ City, State Zip Code Phone Number ect ., ., on _ ,!~ ~ (circle o ) II.1'ype of liuilcung (check all that apply) 4,S Prr g .,~: '' nn nn r bdi i i N ~-1 or 2 Family Dwelling -Number of Bedrooms V ~o+~d L - dL~ Q~u~ll~ Yw~e-- v on u s ame ^ Public/Commercial-Describe Use ~ // ~ M + /( ^ State Owned-Describe Use o+.SFwtitG~ , - ^City_ Village ~1'ownship of1.~~ III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) Ql8 ~ /0 8 .•~ ~Z - ~'' New System ^ Replacement System ^ TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS S stem: Check all that a 1 -/ao ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil t-Gracie ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching C er ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/Treatment Ares Information: p X X12 .S0 - Design Ftow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation Y~~ . 5 to~~ D ~ . / VI. Tan1s Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass Now Existing Tanks Tanks Septic or Holding Tank ~~~ y~ Aerobic Treatment Unit Dosing Chamber VIL Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb 's Si afore MP/MPRS Number Business Phone Number /111 Ke Igo ~ 5 c~ ~ ~ s a 3!5 - i~3 Plumber's Address treet, City, State, Zip ode) ,~~ ~ ~ j 3 a S~ l~J% ~ " S'/ VIII. Coen ! De artment Use Onl ~{ Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issu' Agent Signature o Stamps) ^ Owner Given Reason for Denial Surchazge Fee) ~ ~ ~'- _ 0 9 ~3 IX. Conditions of AnnpprovaUReasons for Disappro11val -¢- ~ ~ ~ ~,8r n .A~, ~Q~f~jaUt te~~uu9. r~ ~ v1n 4~A7~K~ a+•4 (I ~~ Ce~a fp~14~,•t6.~ctes. (' 1 t f (J~ c ~ ~-I-r v-~`1~ ~ f vNµ+1 04 ~W rH a~•ttx.~0. . 2 n ~~(~ ` --- >••»>.. w.+.pacac p.xue tw we ~uumy unryt wr me system an paper nor tess roan era z ti Inches in size ~~~ p`~~ v/L SBD-639$ (R. 01/03) w v -~- ~~~ ~ ;~~~ 0.1 - C'1o~- ~~1..,, ~. 9.,,: ,(.~~~ 1 1 o c.,a. ): o.,, d~nrC an a,.ti 1,.~ ~ ~ ~ s. ~ 1 ~~- s~~~~ l -~-- \O` ~ \~2:5' recut /0.3.0 "'/ Z .~ v C c~~w. ~c 5...1\...\ lc>Z,1~ ~ot.o; w, a., a,,, s ,,,-o . b~.,o c.e..~,t~ ~..a,,,l~. ,~. . .~----- S ~. ~ • ~P 4i•• 1~aQ,o..... 'L ~'~ ~~ `b~ ~ ~D7 ' ~a0 FKb4.rc ,4cce ss Ert,lf.MS~I ti _, ~~ ~.. ~ \~ /oio Bz - ~/(p~G wLSo: 1 ~3~~ CBI ^ ~;i~~o~ P; ~ ~ E~u'a~;o+~ ~ ~O~o~o. Sfsn('e ~¢rn bucb F,K~ y T s /ot 1 o f p~o~0o5cd ~/~ o~Sa n n y !~'/l Scc.3i r.of/~~'~ 1' ? )~uC z .R ~( cr.o.~(~e ~r r R `C ~"W.~ oz.~4~ Cg E_6,M , : T/o o{'/off S~ . ~t}~ n ~ T ~' /o'~ S~ • ~ E/e~:. ~o.Z.ZS,' scum c eW : ~ao.oo, ,p.~ 3 0~ g ~ ~i~ U ~ _~ . .. . ~e w ^ ~ .5c~/c ~ / = s~o isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary December 11, 2002 CUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING N4563 320TH ST MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/11/2004 ATTN.' POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Fred Niebergall 150th Street Town of Hammond St Croix County NW1/4, SW1/4, S31, T29N, R17W FOR: Description: Proposed Three Bedroom At-grade System Object Type: POWT System Regulated Object ID No.: 884471 Identification Numbers Transaction ID No. 817148 Site ID No. 654054 ase refer to both identification numbers, above, in all corres ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 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. • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in acco ance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a a~ei~~rd. a~2cl~t~'®~~~ll~~ ~..a.__ MICHAEL P ROGERS Page 2 12111/02 Owner Responsibilities Continued: • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:1 S pm j swim@commerce.state.wi.us Fee Required $ 300.00 Fee Received $ 300.00 Balance Due $ 0.00 WiSMt~RT code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing ~~ i c r Fred Niebergall - At-grade System Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: At-grade, SBD-10570-P (6/99) Pressure Distribution, SBD-10573-P (6199) Location: Date: Owner: Address: Plumber: Signature: License # Attachments: Lot 2, Sunny Hill NW 1/4, SW 1/4, Sec. 31, T 29 N, R 17 W Town: Hammond County: ST. Croix ~:~ December 6, 2002 ~~a'~; _~~~ ~,~,, Fred Niebergall , ~~~}:> ~~' ~ ~ ~~' ~" ~ ~ ? OZ 1834 1/2 River Ridge Road ~ ''~.;' ~'~ ,~v 0 Hudson, WI 54916 .'~ ~' ~~~~ ~- ~ ~ 1` Mike Roge MP 225094 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: plan view, system cross section 5: lateral detail 6: pump tank exit detail 7: pump curve .. ~. ~ ~ ~ . ~++" 8: system management o~E~aRTMENT of con~ME~~~E IVISioNOFS FETY N B ILz~1G1`S SEE GOKRESP© ONCE page 1 of 8 i Design. Criteria YL'~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L ~ Bedrooms x 100 gaUbedroom/day x 1.5 ~~ gallons/day hydraulic load Design Cali In situ designed loading rate o •~ Depth to estimated high ground water ~• 3 ~S Depth to bedrock ~~ ~g Cross slope at system ~ Force main length 3 ~ Manifold/header length µ'~ Drain-back 5'.oY Lateral length ~ @ ~"4,1.iS Lateral elevation '~ ~ o z.b 4 Lateral hole size ~~lo in, @ Z3.o Z5 ho s lateral s Lateral volume 1 ~', ~ ~ Total lateral discharge rate 3g.Zg Network pressure compensation losses ° •~'Y Elevation difference 5". ~`t ~ulations gallons/sq. ft. per day in. in. ft. of Z in. ft. of in. gallons ft. of Z in. ft. @ bottom of lateral in. ( t . g ~ ~ ft.) Spacing holes total gallons gallons/minute @ ~' ~ ft. head ft. ft. Friction loss ~ ~ ~ Z ft. @ ~ gallons/minute Total dynamic head - o •\ b ft. Pump/siphon S~3 gpm @ ~~~ ft f h d Manufacturer ~°~«~ Dose volume ~5•S 3 Lift/siphon tank w ~ ~~ ~ ~ - ~~ ~~~ Septic tank ~~ '' '" Effluent filter ~ w~ ~ ~ t y~ Measurement pump on and off S'~ Height alarm from tank bottom ~'''~ Reserve capacity 3'~3 t specs.calcs.res . o ea Model # ~ ~^ Z gallons ~~ gallons t `~`~ gallons in. in. gallons Page Z of ~ i • • ~~.~ ~~~ J ~ ~ L ,~,,,, / n ,/n~ ~-~•/L' ~ s 7'~ Y ~ t V ~ Q..~O Q.4• • E~Cyaf;oh e ~O~o/o. S~~l'e ~ ~:~ ~e;nbuchF,.r, yT: /ct.t oFproposcd ~/a~ o{Sa n n y f~'/ o t a•l:o~.. 5~•CI'OiYCoy~~~ ~~ pp d'~nK oh 4h ~ L ~ -~ ~ s, 4 ~ ~" `'~- s 4i^ ~~~ ~~ ~ ~~ I 't ~~~ ~o'r ~~Zs' ~o~~ io3.o/ 1 ~~~,, als S((d1\o s.k. ~ 4~.~e. ~ttr•.w,nn~ s~0~ 2•o rX~..:. ~ .<<c ~•..,.~. /0.2.0; ~.~,r•._¢~, e„ ~ ,,.rte . y{b~.~•o "'tll ~M.~ ~ \4 \~~`~ ^ _.,,~ ^ ~~ ~~ ioio 8z / 1 ~/ ~ykS K~yS9i~. 370 ~ ~l F4.6krt Access' C,~,fc,.,~n t oZ.~4~ 4 E, 6.My Togo off'/oz` s~ . ~c11 a ~ T o" oj' /o'~ S~ .1 E/ec!~ s io,Z.2S,' ssum c e~ _ /ao.oo. ,p.o~ 3 0~ g t3/~' .moo ` `-1"`HiVINIYiuililillYiiliifiYSii~ l 2z •5 • 5~ 5~ ,, -Ar ~ ~ ~ S s ~ ~ 2' zc•o t o.p' `8.0' I O O S•o' its ~ 110 -~I O ~J S Q1v V~~ N r~ J NI 0 W t~~ 5,~2~~ f ~. ~~4~ b•' Y Observation We I I ~ Sip' C1.sc--~ ~~~« Distribution Lateral /- ~ ~. 2" ~; . • •. ~. ~,• '~ ~. ~ ~ 4 V • •I S~~c if / ~ L 1 v..v i o2•~ 4 ~.d ~ - 6ii ~=•: I'. •:' I •i,C\ 2o•d' u.. 2• I ..-~S'•o Soil Cover ~`~ ,..., i n z . ~4 ~~ ~ ~~ 8 U ~; 3, z+~ p ~ ~ t.9, ~ SSA 1 `~ ~ z3.a' Zl.o" I~`a~,. ~~.~" I s1.o" l o4.LS' 23.0 I l 1` (- .T~`b ~ 1,.,,1 ~ o -. 1 ..~-sw. JC ~a-~~ ~ ~~ o ,-. ~'.,..~.~ ~ x,3.0 ~ ...~ <Q~ }'> ~~ ( ~~ .-. ~,, Q ~ o d r - V ,•` -LO.CKING~GOV6R ---~ Lc/An'N it1G .l /~BE~C . GvIcK D~~GOUV-LT--~ ~ ~~ 1 0; ~~~ -~ 4" ('tic ,.~, ~T PIPE 3~ no kNolsYuaa~o sol L. i~ r aQ,~c~.ov>LD SY.ET' 3bNT'J ~ D tti. -w E c.T I O N.S ~e~. ~c ~•~S` ~ ~~ 24N I.D. Mq~tuOLE ~ A 4 D of b o - - I L , '~- b. ~~Q " '^~ ScPT~c E SPEGIFI~CAT X ~r. IOIJ$ OOSC ~,~~~ • ~q T~u..S MA-JUFACTURCR: (DUMBER OF DOJCS: } GEk GAS T^-JK SIZC; ~~~'l~wo G~LLOIJS • OOSC VOLUME _ A~ARr~ /1/WUFACTUfr,[R; S `S ~'~`<-~''s . q5..5 1 IAJCLUOINO 6AGKfLOW~ ;,~,,;,.,; MOOCL 1JUlhpCR ~ • 1 ° \ 1`} ``~ CAPACITIES; A = Z~'~ IUCHCS OK 3~3 •~ ; : ; , • . , c Z lu ks ~°a `l c 6 oa ;,,~_.~.: /~.1MP MA-JUFAGTURCR: " '~ ~1'S•Y3 ~ MOpCL -JUMDCR; 1SZ 1u~,5(~ D ^ ~ INCHES GR JWITCN TdPC; ~~'y"~ "` ~, J IJOTE' PUMP A1JD ALARM ARC TJ bC __ MI-JIMUM DISCHARGE RATE 3~'3 G-M INSTAlLEO 0-J R~rC C~K.- ~: VCRTIC/~L DIFFCRCIJCf DCTWCCU PUMP OFf HUO 013'TRIDUTIOIJ PIPE,. ~~$°l FEET .3~ + Miul1'1UM -JETWORK SUPPLY PFLtiLtSR E . ~ ~"~ FCCT ~ ~'~'S/ T / + 31 FCET OF FORCC MAItJ X ~~ 3 F/pp~~fRICTIO-.1 FACTOR. `~~Z FEET _ ~~~ _ TOTAL OyUAMIC. NCAO = l0'\b Fii.ET I T • I~~, ~g,l 31 J I ERI.JAL. DIMEIJSIOAJC 0I TAIJK: LE-JG.7H --.-_ ° ;W~DTH _______.~; LIQUID pEPT H 6 a ~ t~ a4.~ ~ --~ 6'~ 4 `~ z" WEATHERPROOF ~.TUN(.TIOti T o „~ k:. ~~" 40 `~.ti -! •~l.r' - - --+~. ~~wc.~c ;, H (!:r ~' / ~~ ~~ ~~ 3' o•~- c 3 ~" PwdP ~FLE, r i~ \ T 2/v : h O w 1' 1, a.. .TO,~ Z2 _1.. A L ~•Rr1 .T- ON ~~ ~,. ~„ Co~E-r~ I 6~oCK f$ r • ~. HEAD CAPACITY CURVE MODEL 152/153 w~ ~- w w ~~ 50 153 12-I 40 0 a w x ~ 30 z 8 r 20 0 4 -{ 10 oiesoe 0 20 40 60 80 100 GALLONS LITERS 0 80 160 240 320 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for'outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1521153 Series __ 1521153 MODELS Control Selection _ Model ' Volts•Ph Mode Am a Sim lex Du lex N 152 : _ 115 1 Non 8.5 1 2 or 3 BN 152? _ t 15 1 Auto 8.5 Incuded 2 or 3 E t 52 230 1 Non 4.3 1 2 or 3 BE 152 230 1 Aulo 4.3 Included 2 or 3 N 153 t 15 1 Non 10.5 1 2 or 3 BN 153 ' t 15 1 Auto 10.5 Incuded 2 or 3 E 153 230 1 Non 5.3 1 2 or 3 _ BE 230 1 Auto 5.3 Included 2 or 3 A CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. Ail electrical and safety codes should be followed including the most recent National Electric Cods (NEC) and the Occupational Safety and Health Act (OSHA). L. Lowswlle, KY 40256.0341 Manufacturers oi. . ~' SHIP T0: 3649 Cane Run Road ~ , F\~nn~ Loulsvlue, KY 40211.1961 Q PUMPS SNCE fy~,9 u httpa/www.zoeller.com P~/iV//- L L. (~2) 778-?731 ~ 1(800 928-PUMP Uaurr FAX (502) 774-3624 RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 18347 TOTAL DYNAMIC HEALS f CAPACfTY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gol. Liters Gal. Liters 5 t.5 69 261 77 291 10 3.1 61 I 231 70 265 15 4.6 53 201 61 231 20 6.1 44 167 52 197 25 7.6 34 129 42 159 ; 30 9.1 23 I 87 i 33 ~ ' 25 35 10.7 I -- ~ -- ' 22 '~ 85 ', 40 12.2 -- -- i 11 ! 42 Lock Volve: , 38.0 FL (1 ?.6m) 44.0 Ft. (' 3.4m)' 3 27/32 t2 ~2 ~i ~ !- i ~~;_-~._ ~~~s -I-F h• i ~ .L sKZOS< SELECTION GUIDE 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E•Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. ~ ~~ ~ © Copyright 2000 Zoeller Co. All rights reserved. r yw t System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the homeowner, and the homeowner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235-1 132, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . if the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal residential use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. l0. If septic or pump tanks are no longer used, they must be properly abandoned. 11. I f construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance I . The septic tank must be inspected every three years by a properly licensed person. 2. 1 f necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended, and a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. [f the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9, Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. l 0. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for residential systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 4 .~ Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT .~.......e~l~nnn ..n+h (`rvnm Rai \Aric Arlm ('rvla 1331 page 1 of 3 AGE. Soil & Site Evaluations ._ ------- -- - County -~.^~ Attach complete site plan on paper not less than 8'I: x 11 inches in siz ~~ul, -` St. Croix ' include, but not limited to: vertical and horizontal reference point eauor+~n '~ percent slope, scale or dimensions, north arrow, and location~ka'near road:.!.' ~ parcel I.D. 018-1069-40-050 r~~ _ Please print all informatioyl. ` ' : Date Personal information you provide may be used for secondary pu~ese~ (PriJ~y Lain; e..ls~(r~ir(Mi)• p2, ~A ~Y ~ t~ Steven &Re a Heinbuch Family Trust _ W 1/4 SW 1 Co "~ /4 S 31 T 29 N R 17 W Property Owners Mailing Address L.~?!X `~ ~ Blook# i • ` Subd. Name or CSM# `' 1624 Co. Hwy. C ~ > >• '~~' ' ' : ~ ~ Sunny Hill City State Zip Code Phone Nugit~eF :.. ~ City, ~ ` tllage Town Nearest Road Hammond ~ WI ~ 54015 715-796=~ ~x r ' i , ""~~ `~. y mmond 150Th Street t/ New Construction Use: y~ Residential / Number of bedroans ~ Replacement ~ Public o< commercial -Describe: Parent material Glacial drift over weathered sandstone bedrock General comments and recomrr>endations: Place At-grade system on contour elev. 102.14'. 4 Cade derived design flow rate Flood plain elevation, if applicable 6UU ~ru - na Bering # J Boring ~/ Pit Ground Surface elev. 101.26 ft. Depth to limiting factor ~ ~^ in• Sal Application Rate l i t C Descri tion R d Texture Structure Consistence Boundary Raots GP D/ft2 Horizon Depth or nan Dom o ox p e *Eff#1 *Eff#2 1 0-12 10yr2/1 none sil 2fsbk mvfr as 2fm 0.5 0.8 2 12-27 10ry4/4 none sl 2msbk mfr cs 1 fm 0.5 0.9 3 27-40 10yr6/4 none s Osg ml aw 1f 0.7 1.2 4 4x0-48 7.5yr4/4 f2d 7.5yr5/8 sl 1 csbk mfi aw - 0.4 0.6 5 48-67 10yr8/2 n'f2f 150y 6 2~ SSBR Om mfi - - 0.0 0.0 ^ Bonng # --~ ~~ ~ Pit Ground Surface elev. 101.26 ft. Depth to limiting factor - 42~-in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP *Eff#1 DIft2 *Eff#2 1 0-15 10yr2/1 none sil 2fsbk mvfr as 2fm 0.5 0.8 2 15-26 10ry4/2 none sil 2msbk mfr cs 1fm 0.5 0.8 3 26~L2 10yr4/4 none sicl 2msbk mfr aw 1f 0.4 0.6 4 42-60 10yr4/4 f2d 7.5 x5/8 Ifs 1 msbk mvfr aw - 0.4 0.6 5 60-72 10yr8/2 mf2f10y~r6%2& SSBR Om mfi - - 0.0 0.0 ~, * Effluent #1 = BOD ~ 30 <_ 220 mg/L and TSS >30 _150 mg/L * ffluent = BODS <_30 mg/L and TSS <~0 mg/L CST Name (Please Print) Signat CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceaa, WI 54020 11 /16/00 715-248-7767 R^ -property Owner Steven & Rene Heinbuch Family _ parcel ID # 018-1069-40-050 page 2 of 3 ~ Boring Boring # /J Pit Ground Surface elev. 102.55 ft. Depth to limiting factor 39T_ in. Soil Application Rate cture Str Consistence Boundary Roots Horizon Depth Dominant Color Redox Description Texture u *Eff#1 *Eff#2 1 0-12 10yr3/2 none sil 2fsbk mvfr as 2fm 0.5 0.8 2 12-30 10ry4/4 none sl 2msbk mfr cs 1fm 0.5 0.9 3 30-39 10yrfi/4 none Is 1 msbk mvfr aw 1 f 0.7 1.2 4 39-54 10yr7/6 f2d 7.5yr5/8 fs 1 csbk mvfr aw - 0.4 0.6 5 54-75 10yr8/2 m2~ f 10~~ & SSBR Om mfi - - 0.0 0.0 ti#4 contains 1/2" bands of Om 10yr4/4 Ifs at 6" -11" intervals. Redox carcentrations found in coarser sand immediatley above bands. ~ Boring ; ~ ^ Boring # ;~~ Pit Ground Surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Cofor Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate *Eff#1 *Eff#2 ~ Boring ^ Boring # J pit Ground Surface elm. ft. Depth to limiting factor in. Soil Application Rate re St t Consistence Boundary Root Horizon Depth Dominant Color Redox Description Texture ruc u *Eff#1 Eff#2 * Effluent #1 = BOD 5> 30 < 220 mgJL and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L aril TSS < 30 mglL The Deparhnent 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 aY 608-266-3151 or TTY 608-264-8777. ~r • ti Y ~ ~.3~3 Z N ~ ,SCQIC ~ / = f~ ~~_ ~: Owner:-~Y ~ G~ ~/~ r~ d~ ~ r 4 It Project Name and System Type: r~/T - G Location: /~~ SAS-~~`L Street Address ~ti tv `% s~v ry s 3/ T ~ y,v ,c'~ ~ w Legal Description ~ Township/County Private On-Site Wastewater Treatment System (POWYS) Indez and Title Sheet Contents: Page 1: ~~% Ct~ I Page 2: Page 3: Page 4: Page 5: Page 6: Page 7: ~ 5/1') ., Page 8: ~,o ~ ~/i~n Page 9: /-~ W s e ~~i~'1 Attachments: ~,~ ~,,~,~ ~ ~~ii9~ S p/ ,` ,,.. ..:_-~ PlumberlDesigner: ~ c~c Sign F - ,.....,~ ^ ~,.- Credential Number: ~ so ~ ~/ Date: 3-- 3 /- CJ 33 POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION Owner ~ ~ Permit # p DESIGN PARAMETERS' Number of Bedrooms 100gpd/bedroom ^ NA Number of Commerci Units --- NA Estimated flow (average)* oa gaUday Design flow (peak), estimated x 1.5* s gaUday Soil Application Rate gaUday ]nfluent/Effluent Quality (NA^) Monthly Average** Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) ~ 220 mg/L Total Suspended Solids (TSS) < 250 mg/L Pretreated Effluent Quality ^ Monthly Average*** Biochemical Oxygen Demand: (BODs) < 30 mg/L Total Suspended Solids {TSS) 5 30 mg/L Fecal. Coliform (geometric mean) <_10~'cfv/100m1 Maximum Effluent Particle Size 1/8 inch diameter * Wastewater Flow Verification on and calculations: (Other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank effluent. ***Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity pip gal ^ NA Septic Tank Manufacturer ~~ es,~„.~ ^ NA Effluent Filter Manufacturer 2 /~ ^ NA Effluent Filter Model ~ ^ NA Pump Tank Capacity gal ^ NA Pump Tank Manufacturer r ~ ^ NA Pump Manufacturer ~~ ; ,,u, ^ NA Pump Model ~ ^ NA Pretreatment Unit ~ ^ NA O Sand/Gravel Filter ^ Peat Filter p Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) t-grade ^ Mound ^ Drip-line ^ Other: ^ Leaching Chamber lvlanufacturer Model Approval Stipulatio n Soil Application Rate______gpd/f~ Area Req. Absorption Area Credit per unit ft Minimum Number of Chambers ^ Aggregate Design Flow/Loading Rate= min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD -1OS70-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -10567 P (8.6/99) "In Ground Absorption Component Manual" ^SBD -10705=P (N.O1I01) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD -10656-P (N.6I99) "Split Bed Recirculating Sand Filter System Component Manual" ^ SBD -10572-P (8,6/99) "Mound Component Manual" ^ SBD =10691 P (N.O1/01) "Mound Component Manual" Version 2.0 SBD -10595-P (RS/99) "Single Pass Sand'Filter Component Nlauual" ^ SBD -10657 P (8.6/99) "Drip-line Effluent Disposal Component Manual" p SBD -10573 P (R 6/99) "Pressure Distribution Component Manual" ^ SBD -10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ^ months ,year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (1/3) of tank volume Inspect dispersal cell{s) At least once every ^ months ear(s) (Maximum 3 yrs.) Clean effluent filter At-least once every D months year(s) inspect pump, pump controls & alarm At least once every O months }rear(s) ^ NA Flush laterals and pressure test At least once every ^ months ear(s) ^ NA Valves At least once every ^ months p year(s) NA Other: At least once every ^ months = ^ year(s) ' NA Yage i o11 START UP For new construction, prior to.use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a seetage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a gazbage disposal should be minirn3?prl Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain. a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ^ Valves Valves shall be operated in the following manner: ~larms !~ Alarms. should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally, a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). ~3eptic Tanks Component Tank. inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leak, measure the'volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specification's. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. (Pump ChamberlTreatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hazdwaze and the condition of the filter. Any service needs or repairs shall be promptly taken care of. p In: Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of Mound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or dischazge. Any dischazge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distn'bution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) yeazs. Pressure checks of systems with multiple laterals should be done to ensure. that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned incompliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removeci or their covers removed and tha void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWT5 fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ' ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement azea will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement azea. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement azea. If no replacement area is available a holding tank maybe installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMIVVIEEN TS POWTS INSTALLER i Name /17~~•c~ ~'orJ- ~C~r 5 I Phone 7 ~ r :~ ~ r /~ 3~2 SEPTAGE SERVICING OPERATOR (Pumper) Name Phone K:\WPDATA\EH~POWTS OWNER'S MANUAL.doc POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTHORITY Agency Phone Page of AL ~} tiY'i'iC1(I'aU)'tf ~~r>~rl~:.~ ~~~.rs~~ nl N.,-~~~rfr~~r~~ry~ ~C7I~F)~'r~~'~~ ~.! ~'Ca uV,,~~rbS1~?T'~ {-rr..T1T'it;;A~1'I~:~N 3~C~iZA~ ri::aiiu.L, Micl.c~ ,~,1.~3~ ~~~ ~ ~~sa~..~G~~`!Ol~ ~ /,, - 3'tapbiYy Ac3dl~tl3s lu~ -it# 07 r7Gr nrt ~_Ni rr .~~r-'1 0~ ~ W~/ T'/ - ~VT `Verifsoitiaa required train Planai~a L~ct;arm: nr to, pcrv aoo~tructioa)~~, C~ll'}r/'.y'L'iifr3 ~lKlYY/NtI~ L3` ~, fi/~ ~c:iyC[ ?Cltttlil'lCt<tis7t'r ~`i:l~~}CL ~~ ~ '~`+~ft:lr' d n~' d t:Jd Prop~>yry ~a~ty~n ~ Y., SW r~;. Sam`, 3 /~ ., '~ ~,N-R,~yJ. 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Croix 'ro>aiAg '~e~wtrlilCIIi a wsnl2iaation. f©-za, ~i~a~od by the owner and ~y IA~tQt'perifaltli,,=oL1~iy~iDpit~ribci, soauio4ed pl,la~lsecar~;r licru~ed purpparverilying char (1) C+~ awsitie wxstsw^rerd:syusni syat, is iA prag~ apt~ti#t~ear+t~itie~r; #sid~ar~2) sfttr iaxpacsioa ,ns nurltpin~ (if acvaa#wyj, thr• teptit, c»ni; is ksa t11ao 2/3 fu22 of 91u3,; ~Jvrs, t#st wtrj~s~csd Asve recd tha abovo rttluirersun~ sad s;;tGe res citdiAtaStt Cho privKta sewage ciiapoa#2 aysurA w+7tA cha uu.~„~ sdi iatsks. ~1ltaits. au sat'hy ohs )[„1~lalttASnt Ot' CCrSltSRtQC spd :llc pcpataxtokt aCtlyturs,l 2iescc~rcca, $t0t¢ of WLiGU3L'SA. LottifiCRt sca,tix+g ik,~t y4ur,ItptiiO syarem, hug taor-~ r-~aiawiaett au9t Le calup~oted and retutsk*d to tic St. C:rotx Gor«itty Zot11A~ AfFccc ~+rirl: ~~ da7a- a~t~~ year cxpissti0tt dare. ~~~,t *~g~~Y~~~~ Y (WC~ C~~=#~+ t~l1t sU s~tttaeai3 oit tai,. farm t-rt :n~! ca i~c host c~P my (our) ~aowicdgc. 1 (wo} Afi (uC~ tize p~y~ur ta»tz ~:oP' Ca#ot~~ad abavrt, by 5'iCNC Ol Y ~#tcar:ty dced rccordcc~ in Rsg+9tee of Dtaeds OttT:.c, r ~. / L/ ~ hA't t1~6 4F LiC D~T~ *•••'•,' AnSr iufiaim~tiva tArt is mis•ce ~+rrscead m,ay ra_~uit ir, rl,c aan~txry }+Ctn•mit boixig tsvolwd >Jy tt-t+ Zaoin~ D6p#t'W'~aiti. ' ~'~ ~ticiacCa triflt tt#is >`pplleptiaq: a staurpod 4vKrrMpcy cleed tam iha ~tRPiatar of Uaedr raYr.Yda a oflpy or ctre aeriit'ied survey m«i: if tsCcrakao t# glade it lba ~arraary ,dom4 -k u ~ ..h ~ .. '~ -c ~', ~ ~ c ~ t, .,t ~n ~f 1~J t~ ~~ H f i, ) . ,j ~'~ i ^_ r, ,. k •J v S v ~~ ~:-. ~, ~..~ tiJ ..~ Y .S, s h t~ v - r a _~ i ¢~ ,~ 3 - , .O ~ ~ L ~ s v 4 t v ~ ~ 2J w Z ~~ •~ 5 _~' 4 O ~ E. o ~- t 1~ '.' i ~ -~ ~ ._ ~ „ ~ ~ ~' r-- -- - --- ~ --- --- - 4 ~E _ ' --~ `r `I ~ ~` ~~__.y. ~ ry ~~ ,O 9 ~ ~ i, ter. I ~_ ,7-- T_?~ 1_ ~~ ~ ~~ _~ cs-- o ~ __ ! " ~ J i iii '~~~ T ~ _IL 2 Q ~ ~ ~ spy rr'( ~, _ I ~ .v ~~ .~ v ` L--- ---- ~ ~ ~n .~ti/ 4 ~ v a 3 ~5 O vl o~ _--, ~, '; ~ ~ ~ -~ - u ( a ~ ~ i5 ~ ., o - ~~~I c ~~ ~ a - ~ ~~ ~ ~ C v _o ~`---~ I/~'- yam" ~~ I 1- > v ~-, ~' H. < _ ' ~ IL I _c ' v`, 7,.v„ i ~ ,r ~ ~ d /\ ~ ~~ 'i ~ I ~ ~_ ..._ ~ ~, M ~cp ~ .-mac` )~ ~ _-..~7. i __.__.",~ ' 1 ~ ~ ''\ ` ~~V i ~ R ~ `~9 raj . ~ ^-'", ~ f1 ~~ M ~ ~.6 b ~ ~ a ~ ": -~ ,. ~ .8 -- ~ ___ ;i o ~ r ~;! ,'o V i r i ~ 71 ' -.. a --- ---- , ,~ ~ --- _ I __ , ~., ~,., _._ _. _. ~Q~ 0 ~-- _.-------~ ._~~„ t r'1 ~ ~ ~ e v- a ~' ~~ _, r \.~} ~e ~ ~ e '~ s ~' s v ~' 1~ '\ . j .. ,~~` I ~' II M •s., s -i f I `x' °_~ ~` ii. ~ .~ n y 3 1 Cl `1~ 2197P 269 DOCUMENT NO. ~ STATE BAR OF WISCONSIN FORM 2 WARRANTY DEED Herman R Heinbuch and Delores C. Heinbuch as Trustees of The Heinbuch Trust conveys and warrants to Frederick E. Niebergall and Virginia L. Niebergall the following described real estate in ST. CROIX County, State of Wisconsin: 7 1 6237 KATHLEEN N. IiALSH REGISTER OF DEEDS ST. CROIK CO., XI RECEIVED FOR RECORD 04/07/2003 09:50AM MARRANTY DEED EIl7pT t REC FEE: 11.00 TRANS FEE: 102.00 COPY FEE: CC FEE: PAGES: 1 i~ at>ruamTo Frtdc~:ck :cbcr9a II r-}~as~n, wr. sYait, L Lot 2, Sunay Hill, Town of Hammond, St. Croiz County, Wisconsin. This is not homestead property. (isxis not) Exception to warranties: Dated this ~t ~ day of March, 2003. (SEAL) s (SEAL) AUTHENTICATION Signatures authenticated this day of , 2003 TITLE: MEMBER STATE BAR OF WISCONSIN (If not. authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY (Signatwes may be authenticated or acknowledged. Both are not necessary.) Tax Parcel No: 018-1089-02-000 3 t. 2°~ . I ~ ~ ~ ~" . ~~"' "" ~ ` (SEAL) 'Heinbuch Trust by Herman R. Heinbuch ~1 0 ~.Q,.n e C.i ~ i~l ice, 10 .~. (SEAL) e ores ein c ACKNOWLEDGMENT STATE OF WISCONSIN ` J(I ss. County fi y~,, Personally came before me this'd~S day of 1 r `o-~C~, 2003 the above named Heinbuch Trust to me known to be the person wh x ted the forego~instnunent and acknowledge the same. Notary Public Ga~c u. bounty, Wis. . My Commission is permanent. (If not, state expiration date: ) era r~~~-y~~~l "Name of persons sierliny, in any capacity should be typed or printed below their signatures. WA1t11ANTY DEED tilai Y,im Fam SDOOaWI Rw. 07/15196 * j Cheryl L. ~Sandager~ RY 63/22/2003 67: p1 2706899522 NIEBERGALL PAGE 63 r ~~ l~ ~~ ~ ~ _-___- ~~ LOCATED !N "C'HE NW1/4 OF THE $W1/4 OF $ECTI~i :--~ ST. CROUC G0IJNTY, ~ EXISTING DRIVE ~ ~~° d~ ~ap~ L~'~Q~ ~~l ~ ~~°~ CONCRETE w""""----------~-- R (P.K. Fp~MID~ EAST -WEST 114 UNE JM OF 1~ - - `-.."." FOUNDAl10N __wtl4 L~`~ 5E 31 ~,~, ~ 225.25 151,90' ' 577,15' 33` 33' ~ 100' ~ 2.00 ACRES ~ 87,159 SQ. FT. ~ ~' ~ G Q BENCHMARK °8`^J~ ~ SRIKE M1 POWERPpLE i ~ U3C3 OATt1M OF 1929 El.EVATiON ~ 10Ci7.yp ~ ~o } i~ P~ ~ ~ ~~ I ~i ~ O + , Q crll a ~ it 2 ~ ` $7,tP2 Sq. FT. ~ sEE NOt'E r3 ~ ~. ..... aas.,s ;~ ,aa °~ .,.77.,5' - ~ .~~~~ r ~--~ ~. ~ - - . ---.,~ N80°3fl'38'E 680.68' . . $ - ~~~ ! ~~ ~ r ~ ~ W ~ ~~ ' ( 2.00 ACRES ~` , ~ ~ ~ ~ ~ 87,122 SQ. FT. ~ ~ ~ I ~R , MIIWMUM FIRST FLQOR ,- ELE1/ATION OF tG23.0' i ~ ~ I ~ ~