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018-2017-10-000 (2)
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Parcel #: 35.29.17.1136 018 -TOWN OF HAMMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10/27/2006 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -FRENCH HOMES INC FRENCH HOMES INC PO BOX 350 ROBERTS WI 54023 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description ' 667 190TH ST SP 700 WITCWIN-WOODVILLE AREA y"j~(~ ~~y /(/ ~,~ ,/f J/~ =Z~ ~Q' Legal Description: Acres: 1.950 Plat: 11-014-CROIXHILLS 1STADDN 018-06 LOTS 9/15 SEC 35 T29N R17W PT SW NW FItA OL 2 CROIX ' Block/Condo Bldg: LOT 015 06) LOT HILLS NItA CROIX HILLS 1ST ADDN ( 15 (1.950AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 35-29N-17W SW NW Notes: Parcel History: Date Doc # Vol/Page Type 10/27/2006 837504 PLAT 08/15/2006 832265 11/010 PLAT 01/17/2006 816514 WD 10/25/2004 777851 2681/415 WD more... 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/19/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.950 25,700 0 25,700 NO Totals for 2008: General Property Woodland Totals for 2007: General Property Woodland 1.950 25,700 0.000 0 1.950 25,700 0.000 0 0 25,700 0 0 25,700 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 o m m cZa < C ~^ ~ ~_ itt N '~ ~ N N ~ ~ C n d O it Z ~D cQ o N ro ~ C: Z O _ -a C ~ a 7 N v v N 3 ~ N (p 7 ~ ~ fD 7 :U fD (Q N fD CD .» ~ 7 N f O CD N O ±~ CD O T D ~ D ~ a ~' a 7 C ~ O ~~3 n'~ ~'~~. m _' fD N 3va c , OciQ N ? fD N n ~fD3 a~ `~ N "'~ ~ ~ O n O X~ N N .~n O 7 C4 Ei9 ~ O ~ °o ~ c~ to p °c °.: ~ ~ ~ ~ ~ ~ ~ ', v `; m 3 3 :r ', r: o A N cn o W 'O ' eo ~7 t~ N N VI ~ N N ~ fD fl' S a D rn 0 c~, _ ~' N O ~ A 2 v ~ ~ ~ ~ ~ ~ o N ~ o v `D m a °.: ~, 7 w D D o c 7 a CD N N v N A C N a (D N fD ID Q O :r' O •• ~! Z f m c a ~ ~ o c m ~ m ~ ~ ~* _ ~ o m ~ 3 N 3 CO N O ~ ~ J v a _ O j O O 7 O O y O C 3 .. a .. ~ d o n O, X 2 N a a A Z fOi A' Z O .. ~ O ~ < ~ ~ Z Z V1 I~ ~ ~ A 0 A L fi C V ., N N O O A 1 ti 0 li ~ C ~ ~ O ~ N a ~ ~ O O C O Z Z (N N N ~ ~ (D CD ~ 3 3 ~' ~' ~ ~ m m ~ a a i cr. Z D cc~ D ~' ~ W C Z 0 T "0 ~ c a ~ m O (D O s m ~1 m c m O m 3 a ~' a_ N < ~ O O ~ N ~ ~ ~ Z ~ X O C ~, W A ~ fn ~ a m Q a~ ~ v ~ ~ ~~ o -a ~ w ~~ m o ~n T ~. (D = 7 _ O S N O lD O ~~ o° n ncnp c °.: ~ 3 ~ ~ ~ ~ ~ ~ N O (Ji O ~ ~ O ~ ~ O m rn rn j y V y C ~ ~ ~ O a ~ d ~ o o = ~ ~ rv 3 °0 3 ~ o n O O O ~ ~ ~ ~ ~ y N N ~vvo~ f~D ,~. N ~ d, ~ m 01 ,~ N fD 3 D D o c a m y v N A N c v fD y W ~ a o' 3 0 3 ~ ~! z f cr, T C a ~ d o m ~ d ~ cD Z = W O ~ ~ ~ ~ ~ ~ O V a ~, ~ o ~ o ~ o ~ O O N o c ~ .. a .. .o 2I D ~ -1 V1 A Z n ~ A ~ A Z O •• ~ 7 (~ -1 w ~ ~ z .P ~7 ~ ~ i~ 0 cA a a N R v ti O dQ O ~ J~ a Parcel #: 018-1077-40-000 oai2ai2oos 10:00 AM PAGE 1 OF 1 Alt. Parcel #: 35.29.17.538 018 -TOWN OF HAMMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 08/15/2006 00 6 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -FRENCH HOMES INC, RETIRED RETIRED FRENCH HOMES INC Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 35 T29N R17W SW NW NKA CROIX HILLS Block/Condo Bldg: ' 06) ( Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 01/17/2006 816514 WD 10/25/2004 777851 2681/415 WD 05/17/2002 679355 1893/347 WD 07/23/1997 706/252 7nnQ CI IMM~RV Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/19/2006 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2007: General Property 0.000 0 0 0 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 00'0 00'0 00'0 lelol sa6aey~;uanbullaa saBaey~ leloadg s;uauassassy leloadg ;unouay i(.io6a;e~ apo~ leloadg ~as~ :slelaads :# yolea :a;ea uo!leo!3!l~a~ 0 :;uno~ wlel0 :~Ipaa~ /(aa~}01 0 0 000'0 PUeIPooM 000'LZ 0 000'LZ Ob£'Z ~(~adoad le~aua~ ~LOOZ ao; sle;ol 0 0 000'0 puelpooM 000'LZ 0 000'LZ Ob£'Z ~(~adoad leaaua0 ~SOOZ yob slelol ON 000`LZ 0 000`LZ Ob£'Z 6J lb'I1N341S32~ uoseaZl a}e;g le;ol anoadual pue-l saaoy ssel~ uol;dlaosap LOOZ/6 6/LO : paBuey0 ;set : SUOI~r? t11S/~ 0 :y;lnn passass~y :amen;a~laeW ned ~# II!>3 A21dNIINn$ 8002 •••a,oW 4M 56b/689Z 698LLL b00Z/5Z/06 dM b65968 9002/LL/60 1`d~d 060/61 S9ZZ£8 900Z/96/80 lt/~d b09L£8 9002/LZ/06 ad~(1 abed/Ion # ooa a;ea :tio;s!H laoaed :sa;oN MN MS ML 6-N6Z-S£ (b/6 096 b/6 Ob 6u~1-unnl-Dag) :(s);Deal (Ob'Ob£'Z) 66 10~ (90 ) Naab' 1S6 SIIIH XIO?~O `d~IN S~IIH 6 6010 ~~p18 opuoOplool8 , XIO2i0 Z 10 tf~id MN MS ld ML 6b N6Zl 5£ 03S 56/6SlOl 90-860 Nd4d1S6S~~IHX1O210-b60-66 :leld Ob£'Z :saaod :uol;dlaosaa leBa-l ~11M OOL 6 dS ~/~2~b' ~~~InaOOM-NIMa~b'8 6£ZO ~S 3nb' H199 b666 x uol;dl~osaa #;sla ad~(1 tiewud . ~ :(sa)ssa~ppy ~(~adoad leloadg = dS IooUoS = ~S :slo!~is!a £ZObS IM S12i38O2i 05£ X08 Od ONI S3WOH H~N32~d ONI S3WOH HON32id - O ~aunnp-off ~uaa~n~ _ ~ `~aunnp ~ua~~n~ = p :(s)~auMp :ssaappy xel 0 00 9002/LZ/0 6 ad~(1;luaaad # 3lw~ad # uol;eollddy ea~d sales # deW algid leol~o;slH a;ea uol;ea~~ NISNOOSIM `J.1Nf1O0 XIO~10 '1S X ;uaaan~ aNOWW`dH d0 NMOl - 860 Z£ 6 6'L 6'6Z'9£ ~# laoaed '31`d 6 d0 6 3Jb~d a~a~ wd sz~o6 soozi~ziLO 000- ~ I.-L ~OZ-8 LO ~# I d 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: Zo fi, Ro er City Village X Township Hammond Townshi CST BM Eiev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Int e Septic Dosing /,; Aeration Holding r PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL INFORMATION Type Of System: DISTRIBUTION SYSTEM ELEVATION DATA County: St. CirDIX Sanitary Permit No: 453168 0 State Plan ID No: Parcel Tax No: 018-1077-40-000 Section/Town/Range/Map No: 35.29.17.538 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/ nlet SUHt utle t Inle Dt Bottom Header/Man. Dist. Pipe Bot. System Final Gr e ove PIT v Depth LAKE/STREAM LEACHING CHAMBER OR UNIT N Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes +1 No l _, I i! Yes I No COMMENTS: (Include code discrepencies, persons present, etc.) Location: 66 St Unknown (SW 1/4 NW 1/4 35 T29N R1/7`W)~N_A Loot, 1.) Alt BM Description = ~~~ Y~G~/ ~- ~ p"~~'`~~./ 2.) Bldg sewer length = - amount of cover 3.) Contour = Plan revision Required? j] Yes ^ No j j ~~ Use other side for additional information. ~__ Date SBD-6710 (R.3/97) A Inspection #1: / / Inspection #2: / / Parcel No: 35.29.17.538 ~T. ~~ ~ ~~ ~~ d lr ~ ski l' r ~i Insepctor's Signature Cert. No. Safety and Buildings Division ~Wty /~ , l ~ " X ~ ~ ` 201 W. Washington Ave., P.O. Box 7082 _sy Q I t ,SCO~ S,~ Madison, WI 5?707 - 7082 Sanitary Permit Number (to be fill in by Co.) Department of Commerce (608) 261 X546 ~~ / ~~ Sanitary Permit Appl~`nn..... -_~~-~p~.°,a. In accord with Comm 83.21, Wis. Adm. Code, personal i format~ ~~ ~ A ,1 State Plan I.D. Number 99.5~~'7 ~'~~ ~ l,~ ~ may be used for secondary purposes Privacy Lai}, s15.04(I m) ~~~~ Pro' t Address (if different mailing address) I. Application Information PI Print All Information 1~~E'~ ~ ~ '~~~~ ~~ ~ Property Owner's Name ~C G', Y' ~° ~ ~ ~n ~- ~ >_'t~NINGOFFIGE P 1 # Lo # Block # ~j~ ~ ~~~'~~ Prope er's Mailing Address Property Location Section ~~ SL~ ~~' ~~ City, State / Zip Code Phone Number ' ' "=~- ~G'~ ~@ ~ ' ~' ' ~~~ ~ ~ ucle ) T~ N; R~E o~V pe of Buildin (check all that apply) II ~ ~ Subdivision Name CSM j~l tuber GU~ ,~j/~~lis'w[,.x.C ~C!/ sue-- N~ I or 2 Family Dwelling -Number of Bedrooms ~~ ^ Public/Commercial -Describe Use ~~ ,~j i ,,/ ^ State Owned -Describe Use / ' ` ~ k ~ Z S ~ (.t/ Z / ,~!/YL[.t ~ ^City_^Village ownship of pm/~?E:t III. Type of Permit: (Check only one box on line A. Complete line if applicable) A' New S stem ^ Replacement System g ep y ^ Treatment/Holdin Tank R lacement Onl ^ Other Modification to Existin S tem g ys B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Petmit Transfer to New Lisi 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 ^ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized [n-Ground ^ Holding Tank Peat Filter Aerobic Treatment Unit ~ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersaVT'reatriient Area Information: .Design Flow (gpd) Design Soil Application te(gpd ~ ~ ( Dispersal Area Require (sf) r Dispersal Area Pro osed (sf) ~ ~ System Elevation /a~ '~ ~ 17 " Q /875 7J Z3~3 ~ 1 ~~ VI. Tank Info Capacity in Total Number anufacturer rcfab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank C+t'~ / ~ tom. Attobic Trwtment Unit ~_ / , n /j _/ /lT L/V /p 7r~Y IbsingChamber ~~~ ~ ~ ~''C_s ~ VII. Responsibility Statement- I, the undersigned, assume res{ronsibility for installation of the POWTS shown on the attached plans. Plumber's~Name (Print~~ Plumber's Signature ~ MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) ~ Q ~~ ~ r '..i ~• ~~~ (.~ ~ Yom/ G'V f ~ ~ ~~~~ ~ - - VII oun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee Sincludes Groundwater Surcharge Fce) ~/ ~U Date Lssued 5 Iss ' g Agent S' afar o m s) ^ ~ ~ Y~' ,~ o Owner Given Reason for Denial , onditions of Ap roval/Re ons for Disapproval ~ -- ~ ..~Q' (2•~ YSTEM OWNER: ~y~,/-~• y ~ ~„~ ~/~ ~~~~ GL~_ ~-j ~~yl~ 1 vent filter and g ~~ GU's !~ 'p (~7 • dispersal cell must all ~e §erviced / maintained ~ ! ~~ l~ " " ~ l~ mQ~ ~ as per management plan provided by plumber. ~ DD 2. All setback requirements must be maintained R~ty~ ~Yt ~'f'T ~-~ `ytjj7,fiylG~~C.e J as per applicable code/ordin c~ _ .2Gf VY ' ~/y~„ (ysthtprcortlptete ptan: (to the County oary) for ta~e.,s.~ysQ[~e(m_ oa pa~o o.,.. y....~..~.. ,...~ /" ~f~ SBD-6398 (R. 08/02) ~~~ ~~ may` o ^ So;l e/a/~a~c~ P~~ QIGUfa ~ ei, 98 9s~ gI : 94,80; g3=lol,~ ~ I .Scale: / _ ~O~ I ~i P~opo.se.d dr'~Jewe.~/ Z "sca(. ~D P. v C . Pre pos•cd ~Vi y "sue. ~o l ` ~ P. KC. bu,~id~~ i Sa.,~ i ~ ~^~, ~) i ~ • ioS.o~ a E~ ~ 4dd~~~o~ /propose.d ~...~ceaer • i - ~ ~1 pk . ~ ~ w ~oo~~ao Co tee. prepo3ecl w;ese.r~c. ~~~ m~us~-dam - wc. P /, ee~o MQ P k..,ru ~v /, 57,t3 ~~ s1. ~Y µb21 ~f-l~ Gha„~ bu; ~! %1.S.T,M. 3o3~/Rd,C. l ' ~~~ uenE. /. e~ ne ~~ e so a - d Co/'n ~'.'e/d -~~90" ioo. 4Gnc. 1 :7qo o~F ~'~ I'c-bar - - - - ioo.s~' ___---- _ --------- - - - flssu..nGd e ~e~ - / -~ __ _ _ -__= = -- ~ ~o~~ A - - - _ i~o{c ~ C1('~~i na.p brr,c-~ /-,a~A's l-p_vO $~ ~-- - ~S (u qrt -_ - ---^'"b~- I ~ by es7wt Sc.humc.~tzro~rSEr'oy/YG'. S~,r}p,nCe- AreA ~ J _--- co*'tA"'r ~ ~- ~~ Propo~ Mownd ~ ,ZG.S6 "X /y7..39 ' ~~ ~ 6'x i~s'd:s~O.ei'.sa/ eei/. ~K~(~ /a~era/1.eE /%y'X !,/.7f/'u'//p"o~,'/%'cc~s SPac.rcl a.EZ.S2; Cp~oy, P~. 80~~ commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary April 28, 2004 CUST ID No.220853 DALE E HUDSON BOLDT'S PLUMBING & HEATING, INC. 820 MAIN ST PO BOX 78 BALDWIN WI 54002 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/28/2006 SITE: Roger Zopfi Town of Hammond St Croix County SW1/4, NW1/4, S35, T29N, R17W Identification Numbers Transaction ID No. 993270 Site ID No. 682441 Please refer to both identification numbers, above, in all cones ondence with the aaenc . FOR: Description: Five Bedr Object Type: POWTS Component Manual Regulated Object ID No.: 954895 Maintenance required; 750 GPD Flow rate; 15 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/01); SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81) Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, COIZ! stats. The following conditions shall be met during construction or installation and prior to occupancy or use: f DEFARTMEI OF General Approval Requirements: a SEE CORF • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • 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. Stat DALE E HUDSON Page 2 4/28/04 • Comm 83.22(71 A copy of the approved.plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2). A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday c bratz@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 MAY-04-2004 03:26 PM A.C.E. Soil & Site E~al. Dcp't. Of Commerce Safety & Buildings Attn: Charlie 4003 N. Kinne}~ Coulee R.d. La Crosse. WI 54601 Rlr: Roger Zopfi 3 bedroom residential mound dcaign -Soil Evaluation Report site plan discrepancies. Charlie: While taking field measurements to complete the enclosed residential mound design, t discovcrr~ some discrepancies in the original Soil Evaluation Report completed by Adam Schumaker Ma~• 1 K, 2002. The site plan indicates that the system area lies 20' south of the north property line. The site actually lies 20' south of a Soy Bean filed, and is S70' south of the north lot lino of this 4U acre parcel. The site: pl:i<n shows B-3 lying south of the contour line, while it actually lies north of the contour line. Tho elevation given for this boring was inverted when calculated and should have been 101.60', not 98.40'. Lastly, both of the CSTM's original B.M.s were plowed under and destroyed when the site was cropped. l have established a now benchrtu~rk for the site, Dave established new elevations far the still recognizable soil pits, have verified the locations of those pits, and have established a new system Contour line. The elevations, contours and pit IocaGons as shown on then submitted plan dcsi}te are accurate and were field verified by myself on Monday, April 12, 2004, and more accurately reflect the site conditions than those indicated on the original Soil Evaluation Report. 1 hoF~v that this dcx:umentation will be sufficient to allow the submittal review to proceed. If additional documentation or clarification is needed, I can be reached at (7 LSj 248-7767. `! Thank ou, ~r J• es K. Thompson Dept, Of Comm. Credential #30(12 t Ce; Dale Hudson St. Croix County Zoning Dept. Adam Schumakcr file P. 01 . , '~F MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGF~ ~~ ~~ ~~0 Q Residential Application ~~O 0~, INDEX AND TITLE PAGE soi'' Project Name: Roger & Kathleen Zopfi 5 bedroom mound ~; Owner's Name: Roger & Kathleen Zopfi Owner's Address: 7179 37th Street Oakdale, MN 55128 Site Address: XXX190th Street Legal Description: SW1/4NW1/4, Sec. 35, T.29N., R.17W. Township: Hammond County: St. Croix Subdivision Name: Na Lot Number: Na Block Number: Na Parcel I.D. Number: 018-1077-40-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank ;~a,~ ~dy Page 5 System maintenance specifications ~~_ ~~.. Page 6 Management and contingency plan ~ A ~`I Page 7 Pump curve and specifications = co~~E~c Page 8 Site Plan rQ~NU ~ DiN~s Page 9 Soil Evaluation Report _ 'OND~NC~ Designer: Dale Hudson License Number: 220853 Date: 04/1~9/0~4 ~ J~ Phone Number: 715-684-3378 Signature~:,~~ti l~Cx.G . ~(/ ~ `' Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) ~_ R Residential or Commercial Design _ _ 500.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 750.00 Design Flow (gpd) 7.00 Site Slope (%) ------ _100.59 Contour Line Elevation (ft) __ 15.00 Depth to Limiting Factor (in)s/ . _ _ 0^40~ In-situ Soil Application Rate (gpd/ft2)/ Distribution Cell Information 125.00 Dispersal Cell Length Along Contour (ft) _ _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c or e) ' ~ Center or End Manifold 3.00 Lateral Spacing (ft) 4 Number of Laterals _____ __0.125 Orifice Diameter (in) (e.g. 0.25) _ 2.50 Estimated Orifice Spacing (ft) _ _ _ ^2.00 Forcemain Diameter (in) _ 40.00 Forcemain Length (ft) ,_____94.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 7.97 Vertical Lift (ft) 1.39 Friction Loss (ft) 15.86 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 -- __' 1.00 1.25 1.50 x ~ x ! ---- _ __ ___ x _ ~ 2.00 x ; _____..-__-.~ 3.00 x ___----_~ Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 6.00 Cell Width (ft) Are the laterals the highest point __ in the distribution ~ Y network? Enter Y or N If N above, enter the elevation_(ft) of the highest point L__ ___v__ 7.50 ft2/orifice Does the forcemain drain back? r Y L ~ ~ ------.. Enter Y or N 6.52 Forcemain Drainback (gal) 78.68 5x Void Volume (gal) 85.20 Minimum Dose Volume (gal) 41.19 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice - --- - _ i -- 1.25 x x 1.50 2.00 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information ~ 1001.88 Total Tank Capacity (gal) 1500.00 Septic Tank Capacity (gal) !_ 36.00 Total Working Liquid Depth (in) ____-_._ Wieser Combination iManufacturer 27.83 gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information '._____1001.88 Dose Tank Capacity (gal) ;Zabel _ _ _ jFilter Manufacturer 27.83 Dose Tank Volume (gal/in) A100 _ _~_ ;Filter Model Number ?Wieser WLP1000-MR Manufacturer Project: Roger & Kathleen Zopfi 5 bedroom mound Page 2 of 9 Mound Plan View .•.•'• 1/10 B •••'•••'•'•••'•'•'••••••••' Observation Pipe . :.~~;.:. K • aQ:. . •"5' .•.•••)• .~. .~. . : . ..F . . B . . •.• L Mound Component Dimensions A 6.00 ft E 26.04 in B 125.00 ft F 9.25 in D 21.00 in G 0.50 ft 750.00 (ft2) Dispersal Cell Area 6.00 (gpd/ft) Linear Loading Rate -, -+ 1 H 1.OOft K 11.19ft z 13.07 ft L 147.39 ft J 7.49 ft W 26.56 ft 2383.31 (ft2) Basal Area Available 12.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.11 (ft) I H teral F . • ::::: ~ Dispersal Ceii 102.84 (ft) La 102.34 (ft)-- - Invert Dispersal Cell ~~:~:':':~~~~' '~:~~~~'~':~:~:~:~ ~~~~~~~~:~:~~'~':~~~~•. ~ Elevation ~: E ~:~:~:~:~:~:~:~: D ~~~~~~~~~~: s :~:~:~:~:••• __ _ __ _ ._ _ __ _ _ __ __ __ ~.~ _ _ :~1: -~ ~ -~ -~ - - ' - ` - ~ 100.59 (ft) Contour Elevation 7.0 % Site Slope ~ Geotextile Fabric Cover Shading Key ~ ~ ~- 1~ Topsoil Cap c ~ 1.5 ft ""' Subsoil Cap ~' c ©~ ASTM C33 Sand ~ ~ ~° ~ •-i;•-i;~-]; Tilled Layer E ~ 0.5 ft 05 Aggregate v o Dispersal Cell ..~: ~ "` ' '' '•' ~"" ~' F '"Typical Lateral .:•~~:;,:; . ' 1?l' ~- A See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (Ax6). Project: Roger & Kathleen Zopfi 5 bedroom mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection uia tee or cross to manifold at any point. IE P •= Turn-up ~m'ball valve or IE X-j claanoutplug Holes drilled on the bottom of the lateral. S sL Number of Laterals 4 Lateral Diameter 1.25 in Lateral Length (P) 61.74 ft Lateral Spacing (S) 3.00 ft Lateral Flow Rate 10.30 gpm System Flow Rate 41.19 gpm Total Dynamic Head 15.86 ft Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC ~ 4 in. min. Dis\ nett ~l ~_ Laterals are identical ~I Laterals & Force main of PVC Sch 40 per COMM Table 84.30-5 Orifice Diameter 0.125 in Orifice Spacing (X) 2.52 ft Orifices per Lateral 25 Orifice Density 7.50 ft2/orifice Manifold Length 3.00 ft Manifold Diameter 1.25 in Forcemain Velocity 4.21 ft/sec Tank component is properly vented Wieser Combination Ca acit 1001.88 Volume 27.83 Manufacturer Gallons gal/inch _~ A B C D Dimension Inches Gallons A 18.06 502.70 B 2.00 55.66 C 5.44 151.30 D 10.50' 292.22 Total 36.00 1001.88 3" Beddi tank. Alarm Manuafacturer ', LevelArm Alarm Model Number ! DLV _. Pump Manufacturer 'Goulds Pump Model Number !, 3871 - EP05 Pump Must Deliver 41.19 gpm at 15.86 ft TDH E- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 94.88 D~se tank elevation (ft) 94.00 Project: Roger & Kathleen Zopfi 5 bedroom mound Page 4 of 9 Pump Specifications ^C ~~~ _;E~;c size 1';~' NPT _~ .._ ~: ataxunum ~~lotor ~~ 115V fvla~erials of Construction - _.__ ~_f'~t10~I8S11C Features and Benefits -_.. __._~~~~sn el~min~tes - ~„,~-~,,.,g _~iSfnll -i ~r1ZC c.=:'~ ,., _ .~c Sip?c'il ,'O/ c:Or'Ir!1;!U_r> U,'i~'~:ii!~~/7r+I~il !2:?Till c' ~!_i' /c. ,_; ~'c c' ,J/L..,, .. Hump 5pecitications Features and Ejenet~i ~tnu' ~HP ~. ~~~,, ~ ~~ Ui~ to GO GPNI ~u~~~ ,~un~~;~ ~~.,.... ~~1~~;(IIl1Ul11 Ili„UI ;;; .i:' ~~ .Cl~ifll;,l' __.. JiSCllar~E,' SIZE: .' r IVf~ I • ~i UJ ~~~ l ~;-c' - -_ _ _ . SO~ICIS:~~~~ 111E1XIIllrlll~ IOr Illlr v'cL} i' 'J"' .: _ Ali u7otors teal ~ ~ ~ o.;l ~ ,~~ ~ ~ ,~ v~aruig construct~o~~~ ,~~r,c t '- , - _ -~ _ . _ 5fi1~~' pLElse 115~J rcS~5l~li~~t. IVlaferials of Construction ~~`"~~ ''~``~'~' ~'`'~~~~ ~~~~ C1st iion ~ .~~n _ _ T~12(1110(?~(15(IC AUO OU!i!'~,I ~t~iill~~' S Sal'?.. •(, ~r~SJ ~ _ _ •N.,i~I~iUc ~~ _.~~'i,~,..,.. .. .. ~.1:iI1C11 U;;r'~:. •C`r;; _..__. .~._ ,_ ~ ~, 709 r 5oi ~ e/a ~c~a `-+c» P- ~ • E X•'sf '~ ,yradc e!e/a ~ 8 f : 98,9s~ " gg83=~~~; I ~i P~epostd dri~ewc~~/ ProPoszd // • /0~/,0' PeSid~e !'~ , ~l y "sue . sl0 P. KC. l'° ;, ba,'id / ~ 5 e ~..~ c.~ ~) ~ ~w~~e i • ios.o~ c ~ ~~ --'~-' ~ ~ ~,~ Wie3el ~dd~t~oa ~ ro sect ~ Po P ~ i' comic. w,,o~/S~ ,~/ x . ~ w c. P /, lR~o wr Q ~o u.in~o ~~J e-P S7"uY ~, 5zt~ ~ ~ar,bu; ~1.4.s.r,M.3o3s~Rd,c. ~e1q_,~o 'l ' l~ Z"SuS• slOP,vC, ue~E, /, e~{ tee ~~ a~ ~'u1"Ce rha,'r~ . s~ eaan~~t/~ S o ¢ 'c d Carn~'ie/d Cosh C,e/d G ZA `*ta f~ ~U7.0 0o __ _~= --- - Gnc, ~ 70~ ~ ~~ rc%ar ' . i --_- ____ _ - _ - ioo. SG' --- ___. _~_ ___ _-------_-- - _ _ -- - flssumtd e ~e% _ ~ l.`27. U9, _ _ _ _ -- _"- %SIoN~ q e ~~ ~' 06 - /la-Ee ~ C7r'i05'na.Q ba..,c~/na~Ks ' _ ^- ~ 8~ ~ _ _ _ ^____--~ ~ ~ b . by e57h1 emu,,-,li~r~eSf~'oyYa 99.0' _ _~ _ ~rQh; 6~4, ~_ ~-- Carito'~`~ -~ __-- Propose-~d -~v~o~.,d o~.llv.sG ;r /v7..39 ' ~'~ t~ 6'x izs' d;s~a.er3a/ cei/. ~ K~('~ /a ~~a /J a E /%y';Y !P/.~f/~~'~%p~'o~,'~'cc~s SPac~a-~,2,SZ; P~. 8~s Mound Svstem Maintenance and Operation Specifications Service Provider's Name Boldt's Plumbing -Dale Hudson; Phone715 684-3378 POWTS Regulator's Name St. Croix County Zoning Phone, 715-386-4680 Svstem Flow and Load Parameters Design Flow - Peak, Estimated Flow -Average) Septic Tank Capacity Soil Absorption Component Size Type of Wastewater 750 gpd Maximum Influent Particle Size 500 gpd Maximum BODS 1500 gal Maximum TSS 750 ft2 Maximum FOG Domestic Maximum Fecal Coliform 1/8 in 220 mg/L 150 mg/L 30 mg/L >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Fiiter Pump and Controls Alarm Pressure System Mound ,~ Ins ect and/or service once eve 3 years Should inspect and clean at least once every 3 years Test once eve 3 ears Should test month) Laterals should be flushed and pressure tested eve 1.5 ears Inspect for ponding and seepage once every 3 years 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: Roger & Kathleen Zopfi 5 bedroom mound Page 5 of 9 ~.'Jisa~nsiri Department of commerce ' SOIL EVALUATION REPORT wCivision of Safety and Buildmgs~~_,~ ~,,,.~`.~ `~ ~~ Page ~ of ~ in accoroance Hnm cornrn no, ~rvrs. rwm. w~.c Plan must i h I 1/2 11 i - ~"nry i ~ i ze. n s x nc es Attach complete site plan on paper not less than 8 include, but not limited to: vertigl and horizontal reference point (BM); direction and scale or dimensions, north arrow, and logtion and distance to nearest road. percent slope parcel LD. , Please print all information. Personal lnforrnatlon you Provide may be used for secondary Purposes (Privacy law. s. 15.04 (1) (m)). Reviewed by Date Property Owner ~~~ F.,, ~ _ r"_I~~?' ( -FU e Property Owner's Mailing Address Jl1(_ 2 C ~ ~~~z Location Go .Lot Lo # Block # ... - _ . 1/4 ,(J1~1/4 S 3 T z~ N R ~- E (or W Subd. Name a CSM# --_ _ .. . City State Zip a Phon®7J r` ~ .,~,, City _ ^ V'lllage ®Town Nearest Road [~ New Construction Use: ~ Residential /Number of bedrooms 3 Code derived design flow rate Replacement ^ Public or commerdal -Describe: Parent material ~j~ I ~ Rood Plain elevation If appligble General comments S \~L~e1Y~ ~~~ fit; ~rJ~ ~P ~ and recommendations: J_7 ~~~~~ e-~v. y9~ O GPD ~/l/~- h. ^ Boring Boring # Ground surface elev. ~ ~ ft. Depth to limiting factor ~_ In. Pit ~ oii Application Rate i H th D minant Color D Redox Description Texture Structure Consistence Boundary Roots GPD/fig or zon ep In. o Munsell Du. Sz Coot Color Gr. Sz Sh. 'Eff#1 'Eff#2 z 9-~~ ~aY~ yr - , ~~ ~~6~ ,~ ~~ ~ s - r , G -z5 k~ ~iL7s ~yi s-~ ~ 3ms5 m~~ - - , `/ ^ Boring Boring # ,M ~1 Pit Ground surface elev. ~ ft Depth to limiting factor / ~ in. Soil Application Rate l i C tion dox Descri R Texture Structure Consi~lence Bounda ry Roots GPD/ft' Horizon Depth in or nant o Dom Munsell p e Qu. Sz. Coral. Color Gr. Sz. Sh. >€ 'Eff#1 'Eff#2 . Z -/S. /p, ~ ~~ -~ ~ ~ ~ /l~ r G - , ~ ' Effluent ii1 = GODS > 30 < 220 mg/L and TSS >30 _< 15o mgt - cmuenr xc - o..,~s _ ~~ „~y~~ a~ ~~ ~ ~~ _ ~~ .~ ~~-- CST Name (Please Print) Signaturti _ CST Number ~, Address r Dale Evaluation Conducted Telephone Number 7I oAr=1: ~ nt`'1 Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page L of .. in accoroance artm c,orrrrn ao, vns, twrr+. ~C . County ~ f Plan must i i h 1!2 11 i n s ze. x es nc Attach complete site plan on paper not less than 8 InGude. but not limited to: vertical and horizontal reference point (BM); directlon and scale or dimensions, north arrow, and location and distance to nearest road. percent slope Parcel I.D. DI 'l0 ~ ~ ~ ~ !J v , Please print a/! IntFormailon. Re 'awed b Date x j,/ ~ Personal information you Provide may be used for saoondary Purposes (Privaq Law. a.15.04 (1) (m)). ~ lI - J Property Owner ~;,~'* g ~ ~ ~, ~' ¢ ~. Location. _ . .. f , ~ ( .~U 2 Q Go .Lot 1/4 ~(Jtn1 /4 S ~ T Z-l N R E (or W Property Owner's Mailing Address ~ ~,1~ ~ Lo # Block # Subd. Name or CSM# ~~~~ City State Zip a Phon@N r~ , `, ;_. • Road City _ ^ Village ®Town Near e/s fit • r~ ~ ~ ~ V ~~ + / / / ~ ` [~ New Construction Use: ~ Residential /Number of bedrooms 3 Code derived design flow rate ~ GPD ^ Replacement ^ Public or oornmercial - Desaibe: Parent material T ~ ~ ~ Flood Plain elevation if appligble ~fl//~7 h• / General comments C, v~ feyy~ e% (yf~ ~~~ ~P ~ r '~ ~~~ ~ G ~ /~.~~ d ~~•1 and recommendations: / e'~~ ` u ~ ~~ ~n~v ~ f f~ Boring # ^ Boring ` ~ pit Ground surface elev. ~• d ft. Depth to limiting factor,~_ in. Soil Applicailon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz ConL Color Gr. Sz Sh. •Eff#1 'Eff#2 -ZS ,~ Gl~7s ,~ y/ 5, ~ ~ 3ms~ r-~~r -- - ~, `/ , n Boring # ^ Boring l ~ 1 ~ pit Ground surface elev. Ic~• D fL Depth to limiting fa r ~ ~ in• Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture SWCture ', Co Boundary Roots GPD/fi= Munsell Du. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 in . 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >3u < tau mgrs cu~uarn xc - ovvs ~ .,v . y... o.... , .+.+ _ .... •••~.- CST Name (Please Print) Signature CST Number Address ~ Date Evaluation Conducted Telephone Number -;~, Property Owner a Parcel ID # page ~ of Boring # ^ Boring n,~ ,Jv. ~. _ , Pit Ground surface elev.` 7 R Depth to limitlng factor ~~ in. • : ~ Soll Appliption I Horizon Depth Dominant Color Redax Description Texture Structure Consistence Boundary Roots GPD/ftz . -. ln. Mansell t]u. Sz. Corsi Color , .• ,~.'. Cr. Sz. Sh. 'Eff#1 'Eff ~ ~~ 13-~ I ~' 10 ~' 1U ~ - 7 i'' ;'.c ~%G~ ~ mil ~ ~ YYL r c -- - - ~ ~~ . ~ - `- Boring # ^ Boring ^ Pit Gnwnd surface elev. R Depth to limiting factor in. Soil Application F Horizon Depth . Dominant Color Redox Desaipbon .... • .Texture .Structure Consistence Boundary Roots GPD/ftZ in. Mansell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 •Efti Boring # ^ Boring - _. ^ Pit ~ Ground surface elev. ft Depth to Gmitrng factor in. Soil AppligGon R. Horizon Depth Dominant Color Redox Description Texture .Structure Consistence Boundary Roots GPD/ft~ in. Mansell Uu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Eff# - ' Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 =BOO < 30 m - , g/4 and TSS < 30 mg/L .... r 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. SBDi770 (R07/00) ~. PAGE~OF ~ NAME ~U~-CS-t~+' LOT# LEGAL DESCRIPTIONSGLI ~ti~~,~ ~~7~>L~I,R J~~(or)W SCALE:I"= ~ ~ BM 1 ELEVATION lDU• O BM I DESCRIPTION ~ cT-~ l ~ Ov G- ~~{' ~` I! BM 2 ELEVATION q9 U d BM 2 DESCRIPTION G ~ ~ __.__~- _ _..___-- ~ -~~~_ ~~ . ~ ~ -~~ ~~ ,~'~ C~ SYSTEM ELEVATION ~4/~p d !i SYSTEM TYPE o u nG~ ~C¢ C w~ CONTOUR ELEVATION 99 ~d i . _ _ ~ ,o_ . > > ~ _ ,~ ja~- ~~~ ~~~a~ ~ NO c5 ~" 5~ 82 ~+ /o~ $~' ~~ v 9~% r SIGNATURE ~~~ ~ "" r DATE ST CROIX COUNTY SEPTiC TANK MAIN~AIj7~E AQrREEMENT OWNERSHIP CERTIFICATION' FORM OwntxBuycr Mailing Address Property Address ~9~ ~ ~, (Verification rcquirc~d from Planning Dcpartimcaf for new coashtrction) City/State ~~~l/~G~ ~~'l/s ~ , Parcel Identification Number ~~ 8- /C~7'~-- ~~ ~ ~~~ LEGAL DESCRIPTION Property Locations~~ '/<, ~"G4.~ ;, Sec. y`~ TT ~N-R f 7 W, Town of ~!'9~'/~QYt~p` Subdivision Ct:rtified Survey Map # wamaaty Deed # ~ / 9,:~~ Spec ~oase ^ yes (i~ no Lot # ~~~~ Volume .Page # Volume .~ ~ Page # --~~ Lot lints idt;utifiable f(~d'yes ^ no S~'~-~AIIVTENANCE . - ~ Imp~pauseaadmaimtcaaaoeofyourupticsystca~couldtnsaltmixspo~xrefa~arttobandleenstcs.Propcraiaiabcaan~oc ooasists of patnping oat the sgrtic tangy evrrYthroe y~ or if needed by zt ~ansod pinmpec What Yar pat into the system ua =ffod$a~- of the septic taalt-as_ i ttstag~e is ire traste.~ystcm. . _ Thy Y~ ow~cr agtres to s~to St Qroac Zaruag Department i _oatifiixtioa form, signed by the .o~ and by a • ~Pphambcr;mtac~edplrrmbcrorsliicCasodpampcrre:ifyiIIgthat(Ijthaoa~itewastca~aterdrsposatsystem is in pmpcr opaa~ng ooaditioa andlor (2) after cn nerd P_Cff aoocssary), the scptictanlcis less than U3 ~futl of sladge. . >'fwe„ ffic na~gnod have ttad the above ngair and agave to mamtaia tibe private sewage disposal system with the standards . set ford, .'as set by tha Dcparta,,cm of Coa~muve nerd the Dgsar6m~t of PIatatal R,esour~oes; state of wisoonsm.. Ccrtifiatioa that y~r:epac system has boar maintainAd must be oompletod and rcasm+od to flit St. (~oix.Coaaty Zoning t~ce within 30 days~o tbro year ~ go SI g DATE OWNER CER'~~CATION . I (we) oatify that all statemarts on this form are true to the best of my (our) Icnowtodge. I (we) am (are) the ownex(s) of ~ ~esixi'bed abo b a warranty dcod recorded is lLegister of Deeds Office. y,~,~y DATE "«««• Auy information that is mis trscntod ma rrsult in the rani w,g ~ ng Dep~~ +f ••~• '~P Y tart' permit be' revoked the Zoni ent. `~ Iadude ~vlth this application: a stamped warranty doed from the Register. of Dcods ofTice a copy of tha certified survey map if r~efercace is made in the Warranty decd LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER 018-1077-30-050 Parcel Number 35.29.17.537A OWNER NAME: First DENNIS J & TERI A Last FOERSTER PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 35 TOWN 29N RANGE 17W '/<160 NW '/440 NW Line Description Line Description TOTAL ACREAGE 37.557 PLAT LOT BLK 01 SEC 35 T29 411-P-T-Pd~-N 15 02 EXC N 50' EXC CSM 16/4339 05 19 u~(f~~~ ~ ~~ 06 20 D 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit GENERAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR01 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER 018 - 1077-40-000 Parcel Number 35.29.17.538 Claimed Date Re-certified / / Relate Number; OWNER NAME: First ROGER W JR & KATHLEEN M Last ZOPFI CO-OWNER Mailing Address 951 65TH AVE City ROBERTS State WI Zip 54023 - Type Vol Page Doc # Rec.Date Type Vol Page Doc # Rec.Date HISTORY WD 1893/ 347 679355 05/17/2002 706/ 252 07/23/1997 PROPERTY ADDRESS: Hse # 1/2 PD --Street Name- Type SD Apartment Post Office School District: 231 - BALDWIN-WOODVILLEAREA Special District: (1) 1700 - (2) - {3) - WITC Plat Code: Last Changed on: 04/21/2004 Book Number: 1 SECTION 35 TOWN 29N RANGE 17W '/<160 '/<40 Map Number: 00 - Sales Area: Parcel Control 0 TAXABLE Number of Units: ZONING: Permit Number: Type: Bank Numbers F4-Prev, F5-Next, F6-Legal, F7-Value, F8-History, F10-Exit, F12-More U 1Q93P 3`I7 I STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number It WARRANTY DEED , 'This Deed, made between Dennis J. Foerster and Teri A. Foerster, husband and wife, as joint tenants .~ Grantor, and Roger W. Zopfi, Jr. and Kathleen M. Zopfi, husband and wife ~+T**~ ~+e*,nnr5 __ HJ Grantee. Grantor, for a vatuabie consideration, conveys and warrants to Grantee the following described real estate in St. Croix Cotutty, State of Wisconsin (if more space is needed, please attach addendum): The Southwest Quarter of the Northwest Quarter SW 1 4) of ection trty- the owns tp wenty-nine (29) North, Range Seventeen (17) West. ~V a-~~~ L 679355 KATHLEEN H. WALSH REGISTER OF DEEDS ` ST. CROIX CO., MI RECEIVED FOR RECORD 05-17-2002 9:00 PM WRR(tRNTY DEED EAEMPT i REC FEE: 11.00 TRAHS FEE: 360.00 COPY FEES CERT COPY FEE: PAGES: 1 Recording Area Name and Return Address _, WESTCONSIN CREDIT UNION PO BOX 308 RIVER FALLS WI 54022 Ol&1077-40-000 Pane! Identification Number {PIN) This is not homestead progeny. (is not) Exceptions to warranties: Easements and restrictions of record. Dated this ~y- - --- day of .2002 }.~ A + Dennis J. Foerster - y`~ _~~~ --_.._-_ - • Teri A. Foerster ~_.-.- AUTHENTICATION Signature(s) authenticated this day of Pers pally came before me this I t~~"` day of 2002 the above named J. Foerster a ri A. Foerster *~~_ s TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) (lf not, in fume t sad ac)ytowipc)ged the authorized by § 706.06, Wis. Stats.) TH[S INSTRUMENT WAS DRAFTED BY Thomas A. McCormack ublic, S[a[e of Baldwin, WI 54002 My Commission is p (Signatures may be authenticated or acknowledged. Both are not necessary.) " Names of persons signing in any capacity must be typed or printed btlow their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 -1999 ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County } ~ I 'rrrr~l~o'~.) Irdor malwn-Professionals CanpanY. Fob u~1~2~