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018-1071-80-000
~~ ~l 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)]. 'ermit Holder's Name: City Village X Township Moll, Bruce Hammond, Town of ;ST BM Elev: Insp. BM Elev: BM Description: .c7 I OO .a ~ CtT gl~u~' ~ TANK INFORMATION TYPE rr M~^,ANUFACTURER /~ /~ CAPACITY Septic ~ / Ot'(nJ Dosing ~~ w I _ C: }-c'y_~ fJ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~5, i ~ ~ ~ / r Dosing u u rt ti 3bt Aeration Holding v PUMP/SIPHON INFORMATION _~ Manufacturer errand ~ s, 8 GPM ,~ 2 ~ Model Number ~ D S , ` j `~( T Lift Friction Loss System Head Ft TDH Forcemain Length I 0 Dia. ~ r t Dist. to Well i3 SOIL ABSORPTIdN SYSTEM ELEVATION DATA County: St. CrOIX Sanitary Permit No 463414 0 Sta Plan ID No: Parcel Tax No: 018-1071-80-000 Section/Town/Range/Map No: 32.29.17.497 STATION BS HI FS ELEV. Benchmark ~ /~ ./ C d0 ~ ; t •O Alt. BM Bldg. Sewer 'Z •~ St/Ht Inlet ~Z 3 •O~ I O~ SUHt Outlet -L~~f qo . Dt Inlet Dt Bottom ~.lsS t .O ~, i // ~~[[ ~b •TS Header/Man. Z,1 ~1 Dist. Pipe • Z pr_ I Q ~ Bot. System ~ f.~~ ~ ~ ~ ~ ~ Final Grade St Curer ~-,~.(,r ~ 9~ ~~ ~ ~'7" Width Length No. Of iser~ehes PIT DIMENSIONS No. Of Pit In a Dia. Liq Depth IMENSIONS ~ ~ f ~ ; „o c SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHI Manufacturer: TION O M CHAMBER- INF R A Type Of System: I 35 ~ ~O r ~' SD ~~ UNIT _ odel Number: r11STRIRIITII)N SYSTEM / 13Zb ~ ~D \ /~~ ,.1.,... L., ~ ra, te,o rV _ ) Header/Manifold v Distribution / ~ ~ x Hol ize ,t x Hole Spacing '` ~ /ent to Air Intake •~ Di Pipe(s) l 2-S i `w th `-~ • 3~a• li L / S/ 3 Z Z Zb Length a pac ng eng I a SC)11 CnVFR ., o.e~~....e c..~*e..,~ nnr.. Yv Mnunrl (7r ot_Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil s-' Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspectio #1: Odh ~ Inspection #2: ~`~/' ~ i/K°S Location: 622 170th St et Hammond, WI 54015 (NW 1~4 SE 1/4 32 T29N R17W) 40 ages of Parcel Noy. 32.29.17.497 1 1.) Alt BM Description = D T' ~~' " - C~~~ ~ Gt ~ ~~ 2.) Bldg sewer length = ~ 35 . ~ „ , ,, -amount of cover = ~Z a~ A~I~ ~'^~,,.~~'- ,~ J_~'D._^""~_ Plan revision Required? ', Yes o ~ ~ ~~ ~~~~'~ _ ~ ~ / Use other side for additional information. b _L . - ~ J Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) ~~ • • ~ S d Idioms ivision 201 W ~ un .f~ ~y ~~4~ X ~ m m ` . as ., ! ~scons~n Madison, 7 San azy Permit Number (to be filled in by Co.) Department of Commerce (608) 2 ~O 3 ,. Sanitary Permit Applicati 19 s~te n I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information ou prove Gov ~ ~l z3 Z 5 7 may be used for secondary purposes Privacy Law, s 15.04(1) ) O\X AF ct Address (if different than mailing address) GA O 'C • 6 j 7~~ ~~' I. Application Information -Please Print All Information ti (o2Z Property Owner' Name Parcel # Lot # Block # ~ ~ Property Owner's Mailing Address Property Location /j 8'~l~ Co (~ ~,~ Q V ~. N fit./ % 5 ~ '/ S ti ~ Z City State ~~ ~ Zip Code Phone Number ,,c ,, ec on - `` ~~ Gt~/Y/Yl1s'10~- `-1 V ~ j J ~O ~ Jr (circle T a / N R~ 7 E II. Type of Building (check all that apply) Ok 4 g J" {~e ~ e ~a 1 ; , p¢ , _ ~ , ~~ S bdi i i •• I 2 F a'~r il D lli N b f B d u v s on Name CSM Number ! or am y we ng - um E;r o e rooms ^ Public/Commercial -Describe U'se ~f - / ~ ~G ¢- dr ^ State Owned -Describe Use ,n, X ^City ^Village Township of ryy~/lYJD III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ew System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existimg 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 ^ Non -Pressurized In-Ground ound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ C p Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Lie ^ Gravel-le Pipe ^ Other (explain) ~-Q cJ ~' / ~Q ~ J V. Dis ersal/I'reatment Area Information: , ~•~- Design Flow (gpd) Design Soil Application Ra dsf) °' Dispersal Area Required (s 5 Dispersal Area Proposed ~ ystem Elevation 750 ~ . ~ ~y,w ,'~ ~~~ ~~ 7,,~0 . ; Z ~ 97. s~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units I Q -- Concrete Constructed Glass New Existing A l e IS ^ ;(' Ip lf/ ~c•r ° Tanks Tanks ' .rN Septic olding Tank ~ ~ Z / 1 ~•+~~ l~ cJ Aerobic Treatment Unit ~~ ~ ~, Dosing Cham . Responsibility Statement- I, the undersigned, assume responsibility for insta f the POWTS shown on the attached plans. 1 tier's Name (Print tier's Signature /M umber Business Phone Number PI tier's Address (Street, City, State, Zip e) "~ ~ ~9 s~ ~`` ~"~ ~(.. u c 1; Gtr ; v`~~~ VIII. Conn /De artment Use Onl Approved oved Sanitary Permit Fee (includes Groundwater Date Issued Issuing nt Signature (No ps en Reaso nial Surchazge Fee) ~ 5 Za d C ~ J IX. Conditions of Approval/Reasons for Disapproval ~,~~-~or.g ~~ ~~ ~ fb~a~ L`~ SYSTE WNER: ((te~nn~ Septic tank. effluent filter a_nd c~,te_ ~ va e~t-t~c..~'- c.~l.!•~,,. ef~.''~, dispersal cell must all be serviced /maintained L1 ~ 9 / ~ ® as per managemen n provided by plumber. ~~ l'1, f /V . U ~d~ 2 aback requirements must be mam~ned ~•J as per applicable code/ordinances. !Attach complete plans (to the l:ounly only) for the system on paper not teas than S12 x 11 inches in size l.o SBD-6398 (R. 01/03) .~ ;. • . `,~ ~, r` `n ''b rJ ~ `, ~~.. ~ ~ n ~ ~ 1 -~ 0 W U ~ Cl ~. T r~ ~~ ~~ 3 V ~~ a `~, r.~ ~W v 1 i -~ o ~ ~, ~:' ,, =~ J 1 ^~ C ~ C ~ c v re ~d~ nl- n(, .~ _~ ~ r'1, ~ b ~ -~ l ' "~- ~1 ~ a ~ a ~ ._. v N "'~ --S ~` ~ ~ ~~ ~ ~ ~ i 1 1' ~ ~ ^ ~~ tj C ~ c.f i 1 ~ ^ ~ ww `` V I~ „~ u ' V ~ V \ ~ .~ 5 v rJ ~ W rJ ~~ N . ~~ w O ~\ 2 C w ~~~ `O W V I M n :, 3 (~ v ~~ h (.~- ~ ~~~ ~. ~. n ~''~' ~. ~' y ~ ;~ '~ ~ ~ .F---- ~ nv, ~ ~o 1 v ~ ~11 ~ hJ 1 ~ a_ O O 1 ~ V v n ~ ~ ~ h ~ C -~ 2 ~ ~ ~ <~ ~ ~' a 4 ~ '~ ~ ~ 1 ~ ~ ~ 1 1 ~ ~ ~~ ~ ~a1 ~C~ 111 _ ~ P t ~ ~ `~ ~ ~ ~I w ~, ~3 - ~ n ~ , 1 ~. ~ :, ~, .~. VJ ~ ~~ 1 y ~ ~ ~ 11 ~ ~ ~ h s ~ \ ~ ~ o ~ o n~ ~ f ~ ~ ~ c ~ P - Z ----~ ~J ~~ ` ~ ~~ ~ 4 Iv ~ j ~ ~~ ' ~ ~ ~J rJ ~j ~ ~ r 1 ~ ~ ~ `' W j ~ M ~ (~ s ~ ~ v 1 W ~QQ 'v O ~ /~ ~~ ~ ~ ~~ ~+ Q ~ ~ cj ~ ~,~ ~ ~ tJ ~- ~ ~,~ ~ ~ .~ ~ ~. c~ 7' ~? ~ ~ tj \ -~: ~ i ,~ ~ V L~ 1 ti ~ I -- \ 3 ~ ~ ~' d~ D ~`~'` ~ ~ ~ I~ ~ M n a .i l MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application RECEIVED IiWDEX AND TITLE PAGE MAR 3 1 2005 Project Name: Bruce Moll 5 Bedroom Mound S~~ Sc B1.DGS,. DIV. Owner's Name: Bruce moll Owner's Address: 1840 60th Ave. Hammond WI 54015 715-796-5491 Legal Description: NW1/4SE1/4 Sec. 32 T29N-R17W Township: Hammond County: St. Croix Subdivision Name: NA Lot Number: NA Block Number: NA Parcel I.D. Number: 018-1071-30-000 Plan Transaction No.: T ~ ~ ~ ~~ Page 1 Index and title • • • • C(1lll~ld(I"lln`~~ Page 2 Data entry y Page 3 Mound drawings ;~ ~ ~ ~ "~ ~ ~ ` ; Page 4 Pa e 5 lateral and dose tank ecifications i n n e s S t t , ~ ~ , g em ma n e a c p ys crvNRT~r~ f ~r cor.~~.tl~cE Page 6 Management and contingency plan 1`lIS~CJN OF SgFE7Y AN BUILDINGS page 7 Pump curve and specifications ~ ~ Page 8 Plot Plan SE CORF;ESPONDENCE ! /Z 3~ S7 Designer: Jacque Hawkins License Number: MPRS# 222872 Date: 03/25/05 - Phone Number: 715) 472-8446 Signatur . Desicned Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01101), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.11 (R. 06101) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residentiai or Commercial Design 500.00 Estimated Wastewater Fiow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 750.00 Design Flow (gpd) 7.00 Site Siope (%) 96.50 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.40 In-situ Soii Application Rate (gpd/ftz) Distribution Cell Information 94.00 Dispersal Celi Length .Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate {gpd/ft~) 1 influent Wastewater Quality (1 or 2) Pressure Disribution Informatiol~ (c ore) c Center or End Manifold 3.99 Lateral Spacing (ft) 4 Number of Laterals 0.156 Orifice Diameter (in) (e.g. 0.25) 2.25 Estimated Orifice Spa~:ing (ft) _ 2.00 Forcemain Diameter (in) 75.00 Forcemain Length (ft) 88.00 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 9.00 Vertical Lift (ft) 3.11 Friction Loss (ft} 16.66 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calcxdations assume a Table 83-d4-3 in-situ soil treatment for fecal colifomt of <= 3g inches. 7.98 Cell Width (ft) Are the laterals the highest int in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 8.93 ftZJorifice Does the forcemain drain back? ~~ Enter Y or N 12.23 Forcemain Drainback (gal) 85.02 5x Void Volume (gal} 97.25 Minimum Dose Volume (gal) 45.23 System Demand (gpm) Manifold Diameter Selection in. dia. o lions choice 1.25 1.50 x x 2.00 x 3.00 Gallonsllnch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1600.00 Septic Tank Capaci#y ;gal) Total Working Liquid Depth (in) Skaw Precast Manufacturer gal/in (enter result in cell B49) Dose Tank Information Efftueirt Filter Information 1033.68 Dose Tank Capacity (gal) Zabel Filter Manufacturer 28.32 Dose Tank Volume (gaUin) A100 Filter Model Number Skaw Precast Manufacturer Project: Bruce Moll 5 Bedroom Mound Page 2 of 8 Mound Plan View 1_ 1 /10 B . ' - .. - ~ Observation ~P'rpe • 'Q ' . K~ ~ C~ ... a - - - B._ .l_. - L y _~ _~ -I Mound Component Dimensions Down slo ~s toe extension made. A 7.98 ft E 18.7E in H 1.00 ft K 9.21 ft B 94.00 ft F 9.5C in z 11.97 ft L 112.43 ft D 12.00 in G 0.5C ft J 5.68 ft W 25.63 ft 750.12 (ft2) Dispersal Cell Area 1875.00 (ftz} Basal Area Available 7.98 (gpd/ft) Linear Loadinca Rate 9.40 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.29 (ft) -- ..,., -:f:. ~ I H ,;,ffffifr z fr~frfs,, _ _ '•f _ ! ffJfi f} l f/f F !/f1o'f F . • : ~ : ' f ~~"~~~~'~ 98.00 (ft) Lateral Dispersal Cell 97.50 (ft) --- - ,. =_ : ~ Invert Dispersal Cell ' ~' ~ ~ . ~ Elevation E ~ ' D ' ~3 ..~ .. L. ~ .... .. ... •'• -•- '® 96.50 (ft) Contour Elevation 7.C % Site Slope Geotextiie Fabric Cover Shading Key ~ c. ~~ Dispersal Celi See lateral details on 10 ~ Topsoil Cap ~ ~ 1.5 ft Page 4 for number, size, ® "'}' Subsoil Cap H o _ ~ Q /'~Q ~ and spacing of laterals. ASTM C33 Sand ~ ~ ~ / F Laterals are equally [g~ ~ Tilled Layer ~ ~ 0.5 `t Typical Lateral spaced from the Q5 0 Aggregate ~ c ~_ ~ ~ distribution cell s centerline in the ~"~ A -"`* distribution cep (Ax6). Project: Bruce Mol! 5 Bedroom Mound Page 3 of 8 Center Connection Lateral Layout Daigram force mai n c~nection via tee or crass to marriEoid at ang poet. 1E ~ P •=Turn-upv~dt~silvalve or ~.~.X-_-.~~_xt2 x12~I cleanautplug Holes drilled on the bottom of the lateral. Laterals are identic al s Laterals & Earce main of PVC Sch 40 per COMM Table 84.30-5 Number of Laterals 4 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X} Lateral Length (P} 46.33 ft Orifices per Lateral Lateral Spacing (S} 3.99 ft Orifice Density Lateral Flow Rate 11.31 gpm Manifold Length System Flow Rate 45.23 gpm Manifold Diameter Total Dynamic Head 16.66 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and --- - Comm 16.28 WAC Disconnect _I ~_ Tank component is properly vented Straw Precast Ca aci 1033.68 Volume 28.32 Dimension Inches A -q t~:~ B 2.00 C 3 5 3~4f D 12.00 Total 36.50 9 033.68 Manufacturer Gallons gaUinch A 5 3g Gallons ~~ B ~~~ C 56.64 97.25 339.84 D ,.J 3" Bedding under tank. Alarm Manuafacturer S.J. Electro Alarm Model Number 101-01H Pump Manufacturer Goulds _ Pump Mode! Number EPO5-#3871 '~- Pump Must Deliver 45.23 gpm at 16.66 ft TDH Project: Bruce Molf 5 Bedroom Mound 56 in 26 ft 21 I Y. o~- 8'~3! 1.50 in 4.62 ftl Locking cover with warning label and lodting device and sealed watertight 4 in. min. F- Aftemate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 89.00 Dose tank elevation (ft) ~- 88.00 Page 4 of 8 Mound Svstem Maintenance and Oaeration Saecifications Service Provider's Name Tri-County Sanitation Phone 715 386-0114 POWTS Regulator's Name St. Croix Coun Zonin Phone (715 386-4680 System Flow and Load Parameters Design Flow -Peak 750 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 500 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1600 gal Maximum TSS 150 mg/L Soil Absorption Component Size 750.12 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 Iris t and/or service once eve 3 ears Should ins and clean at feast once eve 3 ors Test once eve 3 ears Should test month) Laterals shculd be flushed and ressure tested eve 1.5 ears !ns ° for ndin and see a 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. 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 45 Degree Bends Same Diameter as Lateral Project: Bruce Moll 5 Bedroom Mound Page 5 of 8 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 rotes 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. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Arty opening deemed unsound, defective, or subject to failure must be replaced. Exposed 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 NR 113, Wis. /\dm. 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 ensurr, proper operation. The fitter 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 if 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 enha ice 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. Pumo Tank The pump (dosing) tank shah be inspected at fast once every 3 years. Ail switches, alarms, and pumps shall tie tested to verify proper operation. If an effluent fitter is installed within the tank tt shah be inspected and serviced as necessary. Mound and Pressure Distribu8on System 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 (o#her than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infikrative surface within the mound and snow Compaction in the winter wilt 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 mglL SODS, 30 mg/L TSS, 10 mgft FOG, and 10" cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specked in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and tt 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 Dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal Cell. Observation pipes within the dispersal cell shall be chedc2d for effluent ponding. Ponding levels shall 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) shah be immediatey 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, tt 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Bruce Moll 5 Bedroom Mound Page 6 of 8 .~ ~~ ' ~~ GOU LDS PU M P5 ; ~:. .~ . Page 7 of 8 Submersible Effluent Pump 3~~~ EP05 APPUCarlows • Fully submerged in high grade turbine oil for lubrication and effiaent heat transfer. ^ EPOS ImpeNer: Thermoplas- tic enclosed design for improved performance. ^ casing and ease: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficiertt heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic cover with integral handle and float sviritch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and heavy duty ball bearing construction. Speaficaily designed for the following uses; • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIpNS • Solids handling capability: 't," maximum. • Capacities: up to 60 GPM. • Tota{ heads: up to 31 feet. • Discharge size: 1'/z" NP7. • Mechanical seat: carbor-- natary/ceramic-stationary, BUNA-N elastomers. • Temperatwe: 104°F j40gC) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel • Capable of running dry without damage to components. MOtOf: • EP04 Single phase: 0.4 NP, 115 or 230 V, 60 Hz, 1550 RPM, built in ove-ioad with automatic reset. •EP05 Single phase: 0.5 HP, 115 V ~ 230V, 60 Ht, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length, 1613 SJTOW with three prong grounding plug. Optional 20 foot length,16/3 S1T1N with three prong grounding plug (standard on EP05). ® 2002 Goulds Pumps Effective May, 2001 83871 Available for automatic and mama! operatirxt. Auto- Mechanical Fiat Switch assembled and preset at the factory. FEATURES ^ EPOa impeller: Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. MEFERS FEET 10 9 3p----~""_ a 25 0 7 ~ W S 6 v 20 g Z 5 0 2s ~ a O ~ 3 10 z s 2 0 0 0 10 o z AGENCY LISTING ~' c Startderds Assorie6or2 (CSA listed mode! numbers end in "C" or "F".) coin Pimps is tso Soot 5 GPM ~, 2 z.s rr ~ o ,H3 r ~ 2(-3~ w~ ' EP05 20 30 4 6 8 carACrrv ~ I 50 GPM 10 { 1 z tn3/h Goul~s Pumps 4~i iTT Industries 04/13/2005 07:11 7152686545 CEBERY EXCAVAT/TRUCK V0' Ae' ~dJ RVi~ V I •}ii Ctia f 1J G7N rVw J,l '~3~A ~~~ +~w.rn~-+ ~~ (-~y~ GV Y I~ • QWI~IE~,SHT~' C~TIFiGAT~pN F(~M o.~sur~ Mailer Atha ~° Z~ ~ ~[~ . ,~. PAGE _02/02 /:( •44ty~$t~tc _,.1~~~,.4 ~ °~ 1~ . Pac+oel IdlentiRvadan Number ~ c ~' ~ 1Q,? ~"~' ~ ice? ~{ 0~ ~`/~? z-o~ d ~'~ ~~ - S f. ~Y /1 .~' ~ ~ / Propatly Lacstioa ~ w.. y. , ;~„'/+, Sac. 3 ~ ~' ~ R~,.W, Tama of ,~~~.-~,~; -t ~~"/ ~# \r~ ~aI'V4Y ~P ~' ... ~ -- ~ Yaiwcae ~,,,,,,.,., gdQiC •~ .,;~,_ W~rrt~ty Ured ~ 7Z 3 ~ `-~ ,.,~„_,; volpau ~ Z~ Pete : ~? ~._ spec bones yew ~ Lot? ~ ~ao ttwe cad o>'y~oar wrpha aywtem could tilt b !le pe~weAraure aelltta to bitsdk r-~aeoor, Proper mnintemnaw aa~ei6lr ~dtp+mpls= a~u the wepde eenk every three yarn +~ saeaer. Nmeebd by ~ lieen~ed p~pee. ` lrt ycx~ pvt mno tlts tyNieeue reel tulNect the fidet~oa e-f ~ wwpde ttnac sw t< ansees+trat ems m ~ wt11m t{it~oetd t~~ Qvwsr sin gtwwce taponrrfbQttluo- ice A1a~ ~ ~ Coaaaa fS.sT(t) and is Chepnm 1Z - fit. t~+odtc Cot~mty Suait+ay ~dlaMaoa 7'~e pttopatf~r ~wr w to etdl~adt to St: debt Depwt a boa Poewe` ' ~ the owner cad by a ecadoor p~bsr,~ttmeyeap raedaatt ylumbes a a~ 1b~ed puti>ps.saGri~ t'bat (u ~ t>orwiee x•. tti~ wywowm iw is paw opeeadp~ a~+~ Q'! r~Or ba~e~ioa cad ~pu Gre~'~ ew~hc 4~1c sw io6 . t~ 1~ ti~i~10!' tx~ 7Jwe, dre ntttie~d~d ~mtts cad ~ ebave rmqutcsme>*1a wad `pee a mafse~io tie p~vt1, wvvw~t p~, l~d~w w~decdw wet #rath, pia u eat by Asptnettsat al'Gaa tmd the Depta~tt o;t crater ~xrn!aat, >~sem ~ C toe stating tbwt yon eyseai iw ban as.batdaed Rowe be cautpleta4 e»d•relweaod as the arc, t~+oi~c c . ~Y zo~t~ ~epaetment w1+~io 30 ~~y~;r date. ~~,~- / ~l/21 s SK3NAT~J1i;B dP APP'GiCA'N'~' . DATB Q4~~a+d~t~ au eW. ~ ~a uuo tw the 6wt el~rleur iowwted~e. vwc mare t~ oan t(s) ortbe pr by riep~w f t- dwell csoorded ~s Refit atDaeds Q~II~ce ~~~~ SI OF APPLTCAl~'I' DA'L'ly '«~' Any qa tba ~ meted cartY awdt bt tb0 oordtery pltsteit bttt~ erv0leed by the Zoniat$1k~ sftriettt. s:eesr Include with tbkt gorttlm s ~s~ deed the Rtgieoec of Dttedw O~ot acid tt daily of the t~illec ~ ;f ~~~~ :~ r~ ~ Y ~0 fi~ 04111/Ob BiON OT:31 FAX T13 386 4686 ST CRS CO ZONING f~003 y ` ~ POWTS QVIfNER`S IWANUA6 & IVIANAGEMSN'r PLAN pw• ~ cw Fu.E MfFpRMATfoN owner ~ o `1 Permit ~ ne~eaa reauu~oa Number of Bedrooms G ~ NwtAber of PubNas Facility units -0'fVA Eetimsted flow laiveragel '7 S'o elide Design slow {paakl, tEsdrnated x 1.5} ~ d der Soil ARP ~ /• ~ alld Ifts standard intiuenNlHlusnt fluaity Monthly everege* FaRa, OII & Grease (FpQ} ~O i~R Bioohemigal Oxygen Demand {BQD,i 6220 mpil O NA Total Suspended 6cida ITSS} rC160 mail Prette8ted EMluent Qualhy Monthly average Biochemical Oxygen Demand {13pD,} S3O nq/L 't`otal Suspended Soils {TSS} 53O rng/L DNA Fecd Conform (pe0rnetriG rrtllen} f10~ edu1100m1 Maxirrwm Effkwnt Partbb Slse Y, 6ti die. O NA O NA `YakrM tYplcat fw domestic wastewater end aepti0 tsNe sfflwnt. eviceeu a'~FrnwTroNs 3.ptia Tank Capacity ~ z~'~ a ~, Septic Tank M+trwfacturor S!'lGi, ~,.~ Q NA Effluent FUtar Manufacturer ~ a ~£' ~ D HA Effluent f~lter Model /~ / U U Q NA Bump Tank Capacity / a a o ai ~ NA Pump lank Manufacturer S~a, „~ O NA Pump Mv~ui'saturer . ~ ~ d 5 D NA Pump ModN Z P U.~ DNA Pretreatmenc unit D Sendiarave- Purer Q Mechenicd Aeration d bisiafaction ©Peat Ricer G Wet1Ar-d O Other: DNA uiap.r,ss CeYts) © in-OroufMd Igravitl+? O AtJGrade Q Drip-Lino a NA 0 ir~Grrwnd ipress~rizrdl ~~+~ O Qther: Other: ~ NA n Q NA Other. p NA liliAB11'iSiIAIYCE 1NSTRUCTIOHS Inspections of tanks and dispersal colts ihai bs mods by an individual carrying one of tho fdlowinq licenses or eert~fidations: Master Pkrmber; Master Plumber R~estrioted Sewer; POWTS Inspector; PQWTS Mointeiner; Septage Servlcha Operator. Tank inspeeebns must include a ~aual inspection of rile tsnkls! to identify any mfsdns ar broken hardware, identify any crooks or Wales, maMUra the volume of combined sludge and scum end to check for any beck up err ponding of effluent on the ground surface. The diapersffi ceits} shell be visuaiy inspected to check the affiuertt Ievsle In the oboelndiaat~ s airing condtc tton fared rn°~tlondi~ of efiluerrt on the ground outface. The pondinq cf affluent on the ground eurtace may itnmediata notification of the boel regulatory aenhority. When the combined accumulation of eludes and scum in anY tank equals pnathird If',i or more of the tank volume, the entire contents of the tank shad ixt removed by a Septage Servicing t?perator and disposed of in accordance with chapter NR 113, Wieoonain Adn,ir~rsrratlve Code. All othet services, including but not limits[! to t!w servicing o! effluent titters, mechanical or pressurized components, pretreatment units, end any aenrioing at intarvsls of X12 months, shall ba performed by * certified POYVT5 Maintainer. A service report shat) be provided to the local regulatory suthOrity within 1Q days of completion of anY aerv}ce avant. 04/].1/05 MON 07:32 FAx 715 386 4686 ST GRg GO ZONING f~j004 3. ~ ~ Z~ Mound and ~e~t-grads rail absorption systems may bs reconatruated m Plaoo faYowinq removes of die bbmat at tho infiltrative ~rfa~. Reconstruct~oru of such aystertu must comply with ~® solos h effect et that tirrie. START IJP ANO OPl:R11TION For new construction, prior to uaa of the POWTS chock treatment tenkiel for the Poe Of t~intinfi produon or other dlelnfeal8 that may impede the treatmart Process and/or damage the dispersal wlital• If high conosntradonx are detected have the contents of the tsrriclei remowd by a septege s¢rviein@ oper'ate' prior to use. System start up shall not ooeur when soft oonditians are froaen et the infiltrative surtaae. 15urinq power outages pump tanks may ill sbova normal hi~hwater levels. When power is reatared the excess wastewater wiB be d'rsohar$ed to the dispersal ceillsl In one forge dose, overbedinq the celllsl and may result in the backup ar surface diseharge of effluent. To avoid this actuation have the contents of the pump tank removed by a Septage Servkinq Operator prior to r~estoHng power to the affluent pump or contact s Plumber or POWTS Maintainer to assist in msrwally operating the pump controls to restore nannel levels within tfw pump tank. De not drive or park vahbles over tanks and dispersal cells. Do not drive or park aver, or otherwi~ disturb or compact. the area wffhin 16 feet down slope of any mound ar at•grede sotl absorption area. Reducl?wn or edminadon of firs folbwtng from the westsweter stream May Improve the Performance and prolong the ifs of the pOWTS: antibiotics; baby wipes; clgarotts butts: condoms; cotton swabs; dagreaaera; dental flora; diapers: dtsirrfeetants; fat: foundation drain Isurnp pump! water: ftuk, end vegetable poefinga; gasdine; grease; herbickfes; meat scraps; ntediaations; oil; painting products; pesticides: sanhary napkins; tampons: and water softener brine, pBANDOftlMENT When the POWTS fads endlor is psmtenantly taken out of service the fdlowinq atePs shall be taken to insure that the system fa properly and safety abandoned kr compliance with chapter Cornet 83.33, Wisconsin Administrative Gods: • Ap pip's~g to tanks arrd pKs shall be dlsbor-nectad and the abandoned pipe opaninga sealed. • 't`he contents of aH tanks and pits shalt ba removed and properly dtaposad of by a Ssptage Servbing pperator. . • Attar pumphrg, atl tanks and pits shell be axcaveted and removed or their owrere removed end the void epees filled with soli, Brevet or another inert so-id material. CgNTIN~CNt"Y F'L'AN ff the F'OVVTS fells and cannot ba rapatred the folbwing measures have been, or.rrxrst be taken, to provide a code co~liarrt ropiaoan-arit sysam: D A suitable rsplaosmorrt area has boon evaluated and may be utiNaed for the boation of a replacemertt evil absorption system. The rsplaoement eras should bo protected from d'~sturbariea and compaction and should not bs infringed upon by reaufrad setbacks from exUtfng and proposed structure, lot fines and wets. Failure to prouet the naptacernent area will resuh In the need for a new aait end site evaluation to eatobC~sf~ a suhabte replacement area. Raplaosnrent systems must comply with ~ rules in effect at that time. la A wttablo replacement aroa is not available due to setback l~~dlor soil Gmttetions. t3erring advances in POWTS technology a balding tank may be insrelled ~ a fast resort to replace the failed Powys. _ f~ ng dank r! 0 0~11~ try ~~2. N !.du~'f7~~ti17N u s <WARNtNa> ~ b`EPTiC, PUMP AND OTHER TREATMENT TANK6 MAY fyONTAW i,ETHAI. QABSL$ ANDIt?R WSUPEtC1ENT OXYGt3~[. DO NOT FftT6t A fEEPTiC, PUMP pR OTHER TREATMENT TANK UND~I ANY CIRCUMSTANCES. pF.ATH MAY RESULT. RESCUE OF A PERSON Fff~M THE INTERIOR OP A TANK MAY !3E DIFFICULT OR IMPOSSIBLE. AD OVAL GOMMENTB pOWTti INSTAt.I~R P4W7"S MAINTAINER Name a„" ~`l ', !~ 5 SF` --" ~ ~:- Neme w ~ r- S ~ -~ " ~ i+hons 7 I ~ - Y7 Z -- ~ ~ Z I Phone ~~.r - ~ 7 z ~ ~ zf L l ecnrena Qr.QVir!iivr. nRr.RSrert rr-L1MP0II LOCAL REGULATORY AUTHORITY rw .~.•~~ Noma - ~______ 4~S ,r Phone "'~/~ ~$'Cv- (~ L~ This dooexnent wee dratted in oamplhncs with chapter Comm 88.22f2-fblftttdl<l and 88.64111. t^+.t b 131. Wisconsin Adnlinlttratrve Code. t r ~ ~ ~Q RECEIVE wisconsinDepartrnento~ SOIL EVALUATI N REPORT Division of Safety and Bui gs I fi RI a^, ~ ~ n n c- Page ~ of m actor ante wnn Comm ov, ~vru.r+am. aue County ~ Attach com lete site lan on er not less than 1/2 ~1'I ~ a Pi n mu a 1 p p p p ~ ib indude, but not limited to: vertical and horizontal eferenc~~ n an Parcel I.D. ii l Q ~- O ~ ~ ~(/~ percent slope, scale or dimensions, north arrow, o near t road. 1 1 U (J Please print all information. eview Dat Personal iMormation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ G,i~~ / ~ ~ 5 Properly Owner Property Location n ~ r(~(~Q~ ~~ Govt. Lot d~ N R 1 /4 1 /4 S ~ E ( ) W Property Owner's ailing Address Lot # lock # Subd. Name or CSM# n tl City Sta a Zip Code Phone Number ~ City ^ Vllage Nearest Road ~ S` of ~ (~/~~ ~ ~ 7~~ ~~ ~ U Replacement Parent material General corrunerlts and recommendations: ~~ C vl -- .s.~.- Residential i Number of bedrooms P~ub~lic or/commerdal -Describe G~Gl7~/~L(%d~ ~~ ~l. -n ~ j~~ l:fi~CY1 ~T~-~ ~~ ~ UU lc.~ tom' tom. ~~ ~~SC ~a~- >~~ ~ ~ ~~~ Code derived design flow rate ~ ~_ GPD 7~' lit Ong # ,~ Bonng 7 Q~ /~ . Pit Ground surface elev. G ~ R. Depth to limiting factor ,=(~/- in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 0- ,~3! ~---- ~ , ~. c7 ®~~ # ^ Boring 1/ `~ ~ 2 ,Pit Ground surtace elev. _~~ / ! / ft. Depth to limiting factor J u ~~ Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 D~tz. l 3lL .~1 ~~ . ~ Iz-3v ~ ~y 3 0-- ~-,m -- •~'~~ J ' Effiuent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 ` >=muent ii1 = t3UU < su mgi~ ana i a~ < su rr-9rL CST Name (Please Print) Si re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Con cted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~~~a ~B 715-246-4516 c Property Owner Parcel 10 # Page of a Ong # ^ Boring ~ O~ Pit Ground surface elev. ~~ V ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Descxiption Texture Structure Consistence Boundary Roots GP D/Ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0- D ~~ -!"~ ~ o 3 y y ~- ~ r-- rr~- ~ ~ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP O/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil icadon Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. •Etf#1 •Eff#2 • Effluent #1 = BODE > 30 < 710 mg/L and TSS >30 < 150 mglL • Effluent #2 =GODS < 30 mg/L and TSS < 30 mglL 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-8370 (8.6/00) Soil Test Plot Plan Project Name Bruce Moll Shau Address 1840 60th Ave Hammod Wi 54015 Lot ------ Subdivision -------- N W 1/4 SE 1/4S 32 T 29 N/R17 W CSTM #226900 Date 12/22/04 Township Hammond Boring ~ Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post with orange ribbon System Elevation 95.5 *HRpSame as Benchmark Alternate Benchmark Top of Steel Fence Post with ribbon @ 100.9' y(}G~ 170th St. Scale is 1" = 40' unless otherwise 1320' Property Line noted 7% Slope B.M. 40' ~~ 1t.B.M. B-2 175' 95' B-3 70' 20' 40' 97' B-1 1326 ~ ~. da~~~ ronerty Line Parcel #: 018-107'1-80-000 ~~ 01/04/2005 10:00 AM PAGE 1 OF 1 Alt. Parcel #: 32.2 17.497 018 -TOWN OF HAMMOND Current ^X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' =Current Owner "MOLL, BRUCE J & JOANN BRUCE J & JOANN MOLL 1840 60TH AVE HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Descriptio ~ Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 32 T29N R WNW SE 40A Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 05/30/2003 723694 2257/479 W D 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 56576 87,000 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANC G6 40.000 72,800 0 72,800 NO Totals for 2004: General Property 40.000 72,800 0 72,800 Woodland 0.000 0 0 Totals for 2003: General Property 40.000 72,800 0 72,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 018-1071-70-000 01/04/2005 10:06 AM PAGE 1 OF 1 Alt. Parcel #: 32.29.17.496A 018 - TOWN OF HAMMOND Current OX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner * MOLL, BRUCE J & JOANN BRUCE J & JOANN MOLL 1840 60TH AVE HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 W ITC Legal Description: Acres: 20.215 lat: N/A-NOT AVAILABLE SEC 32 T29N R17W NE SE EXC PT TO CSM 10/2749 Block/Condo Bldg: ~"-- Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-29N-17W Notes: Parcel History: Date Doc # VollPage Type 05/30/2003 723694 2257/479 WD 9AAd CI IMMARV Bill #: Fair Market Value: Assessed with: 56573 43,500 Valuations: Last Changed: 10/24/2001 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANC G6 20.215 36,400 0 36,400 NO Totals for 2004: General Property 20.215 36,400 0 36,400 Woodland 0.000 0 0 Totals for 2003: General Property 20.215 36,400 0 36,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 018-1072-00-000 I 01/04/2005 10:04 AM PAGE10F1 Alt. Parcel #: 32.29.17.499 018 - TOWN OF HAMMOND Current ^X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner * MOLL, BRUCE J & JOANN BRUCE J & JOANN MOLL 1840 60TH AVE HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 32 T29N R17W SE SE 40A Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 05/30/2003 723694 2257/479 W D 7(1(ld CI IMMARY Bil) #: Fair Market Value: Assessed with: 56578 96,800 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANC G6 40.000 81,000 0 81,000 NO Totals for 2004: General Property 40.000 81,000 0 81,000 Woodland 0.000 0 0 Totals for 2003: General Property 40.000 81,000 0 81,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~ HAMMOND PLAT T-29-N • R-17-W ~l ~ :. (Landowners) ~, ERIN PRAIRIE PAGE 52 ~ Page 112 For Addltlonal Names. 1500 1800 1700 1800 120th 1900 1201h AVE E 2100 tr WlOiam ao •• -_ Lurie $ sw eY A Conshnce Y~~ @@ Ken .'~ WR P\~1521 ~~ ~ Dawn ~~ ^ ~~~ ^ ~ F ~ Karm ~ ~ ~ t~ 19 ~ Errol & ~ 9 3~ ~ g 1 $° ,F Marshall uM ~ etal ~ °c Goodhl8 ,~y~ ~ °-~ aac F- 22 Ro~~ ~ \ ae.1 i1 a E ]59 ~ ~ rn n ~ @wr~i s. :Si o F g June w o L s~_ ~~~~ t James 177 ~ (~ ~ ~ °° Samm ~' a-s ~ o Lp y `~ Emmat Gnu S acohson • ~ Morrow so 40 40 r`aa ao = 00 8 M~9 21 ~ \86 ,~ ^ p ~ T gv^, ~ BUSHNELL ~ NancY g u~ o~~ ~Wk` g 10 200 a- ° 40 160 40 77 ,11w LAKE 160 s• 416 Johnwn 78 30 S•s1eWa~ N tl~ 70 n ,p ~`"'~' S ~ d 1Na~ron 4 R~ "•u`m 10th AVE a tai) ~ e9 r tl ~ ~ D & ° ~'9y ~P ~ 40 ~ 120 ~' ~O6 79 70 Fr 12 ° 5 ~~ 9~S UOOiiA MW ~ Geraldi7le RObeit N 150 ~8 SS @ Naaq I ~+~ w~ Frank rn & Nina 40 161 Eldora 80 •~• a 80 ~ Crtpe • `- ua S}~ey do Vernon D•~aree @ g Roxanne .n a Susan Nelson ~~ r" Josephine Karl & Che9aller Frederick ~ q'a a°o Baldwin t- Farm 1 Gausman n° Richard ,...~ T~ ~ Ulferts \ Gkaa @ ~ ~`m Kuebker ^ ,S a LD[.C~ r lac 175 ~ Brooks pp ,~ irn~sty \ DOS Trnst ~$~ N~ ~?!?;~g 222 - 60 m 39 100th VE 161 ~~ '~'B °°'-'~ 63 ~ ^ 316 20 ~ °D 5 LeaorSd ~+ lobe @ ~ Mask R 14 E 237 2 217 1 300 ^ Carols ~ Eady iJtcan a a~ al a c1 ssLwidt Jacobson SZ ao Sweao- @ SeSm ' e 39 40 $ ,^. X39 68 Gausmae ~. to ~ wkhs Nan ~ S ~ ~+ S ! N G ~ a Io~ii °`)d"'gse 1 ~v~ud 9 6 ^ 80 ~' ~ 69 M~9 80 ,m S ~' _ 40 F~Y~ Ta 78 38 ~°e \ NR & Nancy Hone a y ~d g ~ a Inc u~ ~ ~ LP 310 Lewis v 3~~ Richard~n 80 Iums AWikkerink N790 oral 00 a XXX g Ka ~ ^ 12 157 ~~ a u, 76 ,~~ 235 n HoBe~~ 156 ~ 109 200 7 ~ ~~~ 85 ~> ~ E /Ohn Q[ RlcLad Ro6est Sx d ^ s st6er~ Satha ^ ~ w )90th$ VE a.~ w • B ro $ 7homQaoa Halle s7m cl® @ 3 86th E 3 RlchaSd 37 s1~ orlon au ° aaleoe ~- ao '°. a w~i i~ IwLCm~56 Hums 108 n ~ 160 AvE °°roSM I ~ ~ sS~m , Richad a 6 s'~nw.-` W~ yl 114 ~~ ~o ~ RivQ coK ~ ~ y ~ ~ i,°3~~ d3a~ s.~. v 23 4 y Land o„y 2 115 3b 71 ao 120 Tom ~ wells caul & E= tLC Inc ~ 52 Brian gg s N E Fora $0.b, e~aum F ~°~ 135 ss 3m~ $~~ ~ e ^ ~ Do~hmea ~ n GCoe- ~~~ ~ ~ I ~~3 ~ ~ ~ ~~ ~ Q 142 ~ 51 147 Sm 137 N 7S5 ~^ 2 c @ xma ~ ' 12 I6 •• GW1s ~ 3 L m 1~ s~ 2 1 Q G gg ~ 31 _ ~c 121 ~ 3 ^ Mast ~ ao Tx ~-• @~ma..sr 1•n do a Dorn +- y Richud ~ 100 X114 ~ ~~ ~. "~~ ~ °~ P~ C StoJu~t ~ 68 s @ xua Fem 117 ; '"°"" ss ~f 108 r C ~ 2 4 ISI ~ ~'„ wBUam HA MO D Ho~lm~an z Ken • 155 ~~ Genet I } ~~~s sarr ~' 3e~ ~~ 6 ~-BA DWIN 3 149 6 158 ~ s 75 so sei6id 80 40 Pe0ef0e 293 71 Ofh AVE , n )om , m ~e A @~~ ~ ~9yZ ~riyNk` ^ Srbc~ I m - °o° J $ ] u b c,m, o ~ 6 . Ion F,aads @ °5 , !o ~ ~ 0p m 120 = De Mdl ~' a tDeloras C ~ Glm m ~ ~~ rn r. yp~ Iarm y `' 35 117 eo lMMAaa1rrs~~s~,` 1 Hefe6uc6 80 77 V Mohn~ T ,~~ O a tnc ~ Fla.Sido3 1 l0 8~ ~ 90 95 ]55 pGp~ AtM .- a a e ~~ 4 KenRlch N~~ ~ L RIVER ~~ ~~tg gS,~ ^ ~. w ltwt ~ Famly x 1~ @ "°°°° ~a Fumslnc s Trust Wayne ~ @ `a~ 4s .~ Trust N R $i1 GC1°'~k ate, ,• ~`m°u v,iix ~ 159 115 100 ~ s 155 ~~120 ao V 3 7s 160 3~~~ x B DWIN 60th AVE '~ PLEASANT VALLEY PAGE 20 60th AVE RUSH RIVER PAGE 20 ANDERSON EXCAVATING, DOD INC. ~~+~ M~~L In Business Since 1947 ~ ~ ~~~ • FREE ESTIMATES WE WILL MOVE THE EARTH FOR YOU! Exit I-94 & County Rd. B (Exit 24) Woodville, WI 54028 OFFICE: 715-684-2124 Phone (715) 698.2481 Joe: 715-684-2949 120 Hwy 12 E. Fax (715) 698-3260 Cotton: 715-684-2510 P.O. Box 104 • Exceptionally Clean, Quiet & Comfortable • Direct Dial FAX: 715'684-2848 Baldwin, WI 54002 Phones, Color TV, VCR, AC • Major Credit Cards Accepted • Plug Ins • No Smoking Rooms _ i ST. C1tODC COIINTY, WISCONSIN vely long perbds in spring and after heavy -il is well spited to corn, oats, and alfalfa. It is y used for corn. Controlling erosion is an im- 'actor of good management Capability unit -odland group lol_ 1! reeoa s7t loam, sabs~atnm, 2 to 6 to This sotl ~s on w ndges of ground . Moat areas are oblong and range from 5 to .n size. .il has a profile sinnt7ar to the one described as ative of the series, bat the substratum con- e silt and clay and the snbBOt7 and substratum ated with water for longer periods. ~d with this sot? in mapping are a few areas e so~1 is underlain by shale r+esidnnm. Also are small areas of Arland, Benova, Santiago, and Vlasaty sods. is slow, and the harard of erosion is slight. water capacity is emery high. Permeability om moderate in the aubso~l to moderately slow ibstratum. The lower part of the subsoil is with water for bug periods throughout the sonal wetness delays gage and plant growth. real of this soil are cnltavated_ A few areas are The soil is wed salted to Dorn, oats, clover, and controlling erosion is as important factor of Wages t Carpabtlity wit :II~1; woodland 1. -~reea ' t `s~ 6 to 12 lopes, eroded. This so is on low ridges of ioraines. Most areas are elongated or oblong from 5 to 20 acres in size. it has a profile sim0ar to the one described as ative of the series, bat the sorface layer is Bored and the sahatratum conatains more silt also, the subsoil ~d ted ~ for.o "this sal. in _ - g are a few areas a soil is underlain b9 shale residuum. Also u-e a few areas of Arland, Benova, Santiago, and ~lasaty sals and a few areas where slopes inn 6 percent or more than 12 percent. is medium, sad the hazard of erosion is mod- ailable water capacity is very high. Perme- ;nges from moderate in the subsoil to y slow in the subatratam. The lower part of it is saturated with water for long periods it the year. Seasonal wet conditions delay d plant growth_ In many areas, erosion has e filth to deteriorate and has r+ednced the organic matte in the smrface layer. ens of this sotl are caltivated. A few areas are The soil is suited to oats, alfalfa, and a limited corn and other row crops. Contrdling erosion :wining tfith sad organic matter content are factors of good manage~t Capability unit ~odland group loL series thaw series ooasists of gently sloping and ~mewhat eaces~ivply drained sods on stream -ntwash plains, and areas of pitted outwash 31 plains. These are sandy soils underlain by loose, fine sand. Native vegetation was oak savanna. In a representative profile-the surface layer is very dark grayish brown loamy fine sand about 6 inches thick. The subsoil is about 24 inches thick. It is dark brown, dark yellowish brown, and brown, very friable loamy fine sand. The substratum, to a depth of about 60 inches, is brown fine sand that has bands of dark reddish brown fine sandy loam. Available water capacity is low, and permeability is rapid. Natural fertility and the organic matter content of the surface layer are low. Most areas of these soils are in pasture. Some of the gently sloping soils are used for corn, soybeans; and garden vegetables. Where irrigated and fertilized, these soils are well suited to potatoes and other special vegetable crops. Representative profile of Gotham loamy fine sand, 2 to 6 percent slopes, in a cultivated area, 370 yards north and 200 yards west of southeast corner of sec. 13, T. 28 N., R. 20 W.: Ap-0 to 6 inches; very dark grayish brown (10YR 3/2) loamy fine sand; brown (10YR 5/3) dry; weak fine subangular blocky struc- ture; very friable; common roots; strongly acid ; abrupt smooth boundary. B1-6 to 13 inches; dark brown (lOYR 3/3) loamy fine sand; pale brown (10YR 6/3) dry; weak medium subangular blocky struc- ture; very friable; common roots; strongly acid ; abrupt smooth boundary. B12-13 to 24 inches; dark yellowish brown (10YR 4/4) loamy fine sand; weak medium subangular blocky structure; very friable; common roots; medium acid; abrupt smooth boundary. B2t-24 to 30 inches; brown (7.5YR 4/4) loamy fine sand; moderate medium subangular blocky structure; very friable; clay bridging between sand grains and in pores ; common roots ; strongly acid ; abrupt smooth boundary. C-30 to 60 inches; brown (7.5YR 4/4) fine sand containing bands of dark reddish brown (5YR 3/4) fine sandy loam; single grained; loose; medium acid. The solum ranges from 24 to 40 inches in thickness. The A horizon is very dark brown or very dark grayish brown loamy fine sand or loamy sand 6 to 15 inches thick. The Bt horizon is loamy fine sand or light sandy loam. The C horizon consists of fine sand that has bands of sandy loam or heavy loamy fine sand. The B horizon is strongly acid or medium acid, and the C horizon is medium acid to slightly acid. Gotham soils are associated with Dickman and Plain- field soils. Gotham soils have slightly more clay and silt in the B horizon and they have a darker colored A hori- zon than Plainfield soils. They contain slightly less silt and clay in the upper part of the solum than Dickman soils. GoB--Gotham loamy fine sand, 2 to 6 percent slopes. This soil is on stream terraces and outwash plains. Most areas are irregular in shape and range from 10 to 40 30 SOIL SURVLrY black ash. These soils have a seasonal high water table at a depth of 0 to 1 foot. Included with these soils in mapping are small areas of Duelm, Halder, Orion, Rib, and Seelyeville soils and Fluvaquents and Saprists and Aquents. Runoff is slow, and the hazard of erosion is slight. Available water capacity, permeability, and natural fertility are too variable to rate. The organic matter content of the surface layer is moderate. Most areas are flooded frequently, especially in spring. Fresh alluvial sediment is deposited during each flood. Some places are dissected by the streams, sloughs, and old stream channels. Streambank erosion is a hazard in some places. Most areas of these soils are in trees, brush, and marsh vegetation, and they are used for wildlife habitat. Where flooding is less frequent, a few small areas are pastured or cultivated. Capability unit Vw-14; woodland group 4w2. Freeon Series The Freeon series consists of gently sloping and sloping, moderately well drained soils. These soils are on low ridges and foot slopes of ground moraines. They formed in silty sediment and the underlying reddish sandy loam till. Native vegetation was mainly white pine, hard maple, and red oak. The lower part of the subsoil is saturated with water for long periods during the year. In a representative profile the surface layer is about 8 inches of very dark grayish brown silt loam. The subsurface layer is brown silt loam about 10 inches thick. The subsoil is about 16 inches thick. The upper part is dark brown, mottled, friable silt loam ; the middle part is reddish brown, mottled, friable to firm loam ; and the lower part is reddish brown, mottled, firm loam. The substratum, to a depth of 60 inches, is yellowish red, mottled, firm sandy loam. Available water capacity is high, and permeability is moderate. Natural fertility is medium. Tillage is delayed for relatively long periods in spring and after heavy rain. Most areas of these soils are in corn, oats, and grasses. Representative profile of Freeon silt loam, 2 to 6 per- cent slopes, in a cultivated area, 220 Yai'dl easecan321 T yards south of northwest corner of SW /~,, 30 N., R. 16 W.: Ap-0 to 8 inches; very dark grayish brown (10YR 3/2) silt loam, light brownish gray (10YR 6/2) dry; moderate medium subangular blocky structure ; friable ; common roots ; slightly acid; clear smooth boundary. A2-8 to 11 inches; brown (10YR 5/3) silt loam; moderate medium and thick platy struc- tare;very friable; common roots; slightly acid ;clear wavy boundary. A&8-11 to 18 inches; brown (10YR 5/3) tongues of silt loam (A2) ; moderate medium platy structure ; dark brown (10YR 4/3) ;slightly heavier silt loam (B21t) ; moderate medium subangular blocky structure; friable; common roots; slightly acid ; clear wavy boundary. IIB21t-18 to 23 inches; dark brown (7.5YIt 4/4) loam ; common fine and medium distinct strong brown (7.5YR 5/6) mottles; mod- erate medium subangular blocky straw ture; friable; common roots; uncoated silt and fine sand grains on faces of peds; few thin patchy clay films ;common roots ; about 15 percent coarse fragments by volume; strongly acid; clear wavy bound- ary. IIB22t-23 to 29 inches; reddish brown (5YR 4/4) loam ; common medium distinct strong brown (7.5YR 5/6) mottles; moderate medium subangular blocky structure ; firm ; clean silt and fine sand coatings on faces of peds; few thin patchy clay films; few roots; about 15 percent coarse frag- ments by volume; few black (10YR 2/1) concretions ; strongly acid ; clear wavy boundary. IIB3-29 to 34 inches; reddish brown (5YR 4/4) loam ; common fine distinct strong brown (7.5YR 5/6) mottles and few fine prom- '. inent grayish brown (10YR 5/2) mottles; weak coarse subangular blocky structure ; { firm ; clean silt and fine sand coatings on ~ faces of peds; few thin patchy clay films; about 15 percent coarse fragments by J volume; few black (10YR 2/1) concre-i, tions; strongly acid; gradual wavy boundary. IIC-34 to 60 inches; yellowish red (5YR 4/6) sandy loam ; common fine and medium distinct brown (lOYR 5/3) and common medium prominent grayish brown (10Y8 5/2) mottles ; massive ; firm ; about 15 percent coarse fragments by vol~-e; strongly acid. The solum ranges from 24 to 40 inches in thickness. The silty mantle is 15 to 30 inches thick. The Ap hori zon is dark grayish brown or very dark grayish bm and 6 to 9 inches thick. The Bt horizon is loam or heavy sandy loam in th lower part. The IIC horizon is a sandy loam or ligh loam. The IIB and IIC horizons are 5 to 15 percen coarse fragments. The subsoil is strongly acid, and th substratum ranges from strongly acid to slightly acid_ Freeon soils are near Magnor and Santiago so Freeon soils are not so well drained as Santiago so' and have mottling in the B horizon which Santiago soil lack. Freeon soils lack gray mottles in the upper pa~ of the Bt horizon which are characteristic of Magn soils and are better drained than Magnor soils. a FnB-Freeon silt loam, 2 to 6 percent slopes. This soil is on low ridges and foot slopes of ridges. Mos! areas are oblong and range from 10 to 80 acres in size" This soil has the profile described as representative ad the series. Included with this soil in mapping are a few areas d Magnor and Santiago soils. Also included are a fea areas of sandy loam and a few areas where slopes are slightly less than 2 percent or more than 6 percent. Runoff is slow, and the hazard of erosion is slight Tillage is delayed because this soil remains saturates commerce.wi.gov isconsin Department of Commerce Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264-8777 www. commerce.wi.gov/s b/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary Apri101, 2005 OUST ID No.222872 JACQUES M HAWKINS HAWKINS SOIL TESTING & SEPTIC 2659 150TH ST LUCK WI 54853 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/01/2007 SITE: Bruce Moll 170TH St Town of Hammond St Croix County NW1/4, SE1/4, S32, T29N, R17W FOR: Identification Numbers Transaction ID No. 1123257 Site ID No. 696473 Please refer to both identification numbers, above, in all corres ondence with the a enc . Description: Mound System for Bruce Moll Object Type: POWTS Component Manual, Regulated Object ID No.: 1011181 Maintenance required; 750 GPD Flow rate; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.OI /01) 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 following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P (N.O1/O1). • The pressure network is to be constructed in accordance with publications SBD-10706- P (NO1/O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". 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. All permits required by the state or the local municipality shall be obtained prior to commencement of con struction/installation/operation. r JACQUES M HAWKINS Page 2 4/1/2005 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, LA ~ ~ -~. Keith A Wilkinson POWTS Plan Reviewer ,Integrated Services (715) 524-3630, Fax: (715) 524-3633 , M-f 7:45 am - 4:30 pm kwilkinson@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 • - ~ J 2257P y79 I STATE BAR OF WISCONSIN FORM 2 - 2000 Document Number WARRANTY DEED This Deed, made between Eugene F. Neuendorf 723694 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 05/30/2003 09:30A1! MARRAHTY DEED E%E.MPT # Grantor, and Bruce J. Moll and JoAnn Moll, husband and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix _ County, State of Wisconsin (if more space is needed, please attach addendtun:) East Half of Southeast Quarter (E 1/2 of SE 1/4) and Northwest Quarter of Southeast Quarter (NW 1/4 of SE 114) of Section Thirty-two (32), Township Twenty-nine (29) North, Range Seventeen (17) West, EXCEPT part of the Northeast Quarter of Southeast Quarter (N'% 1/4 of SE 1/4) described as follows: Certified Survey May in Vol. "10", Page 2749. REC FEE: 11.00 TRANS FEE: 1350.00 COPY FEE: CC FEE: PAGES: 1 Area Name and Return Address Thomas A. McCormack PO Boa 2120 Baldwin, WI 54002 01&1071-70, 018-1071-80, 018-1072-00 Parcel Identification Number (PIl~ 'l~s is not homestead property. (~) (is not) Exceptions to warranties: Easements and restrictions of record. Dated this ~ ~ /' day of / "~ * * Signature(s) authenticated this * AUTHENTICATION day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack s ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. fit. Croix County ) /y, ~P~~ersonally came before me this o~~~ day of / r ~v 2003 the above named Eage F. Neuendorf to me known to be the person(s) who a led the;,foregoing instrument cknowl~dged the s .. - ~ '~` _~"""~-~.._ V . O Notary Public, State of WLSCON ~~°~~ ~ c • Baldwin, WI 54002 My Commission is permanent. ( 1 t~,ex~atieij date: :~ (Signatures may be authenticated or aclmowlodged Both are not necessary.) ~ ~ ~~ ~ ~ - •) * Names of persons signing in any capacity must be typed or printed below their signature. . WARRANTY DEED STATE BAR OF WLSCONSIN INfO-PRO FORM No. 2 - 2000 (80055-2021 www.infoproforms.com * Eugene F. Neuendorf Parcel #: 018-1071-$~-~0~ 04/19/2005 04:43 PM PAGE 1 OF 1 Alt. Parcel #: 32.29.17.497 018 -TOWN OF HAMMOND Current ' X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " =Current Owner "MOLL, BRUCE J & JOANN BRUCE J & JOANN MOLL 1840 60TH AVE HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 32 T29N R17W NW SE 40A Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-29N-17W Notes: Parcel History: Date Doc # VollPage Type 05/30/2003 723694 2257/479 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 56576 87,000 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANC G6 40.000 72,800 0 72,800 NO Totals for 2004: General Property 40.000 72,800 0 72,800 Woodland 0.000 0 0 Totals for 2003: General Property 40.000 72,800 0 72,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STATE BAR OF WISCONSIN FORM 2 - 2000 Document Number WARRANTY DEED This Deed, made between Eugene F. Neuendorf Grantor, and Bruce J. Moll and JoAnn Moll, husband and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croiz County, State of Wisconsin (if more space is needed, please attach addendum:) East Half of Southeast Quarter (E 1/2 of SE 1/4) and Northwest Quarter of Southeast Quarter (NW 1/4 of SE 1/4) of Section Thirty-two (32), Township Twenty-nine (29) North, Range Seventecn (17) Wes:, EXCEPT part of the Northeast Quarter of Southeast Quarter (NE 1/4 of SE 1/4) described as follows: Certified Survey May in Vol. "10", Page 2749. Exceptions to warranties: Easements and restrictions of record. Dated this ,~ ~ ~ day of AUTHENTICATION STATE OF WISCONS Name and Return Address Thomas A. McCormack PO Boa 2120 Baldwin, WI 54(102 018-1071-70, 018-1071-80, 018-1072-00 Parcel Identification Number (P1N) This is not homestead groperty. (is not) ACKNOWLEDGMENT Signature(s) authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706,06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Baldwin, WI 54002 (Signatures may be authenticated or aclmowledged Both are not necessary.) St. Croiz Area IN ) } ss. County ) r Personally came before me this o~ ~~ day of / ~ 2~3 the above named Euge F. Neuendorf to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, State of WISCONSIN My Commission is permanent. (If not, state expiration date: •) * Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN INFO-PRO (80055-2021 www.infoprofom~s.com FORM No. 2 - 2000 * Eugene F. Nenendorf