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020-1056-80-100
a o v 7 N N O (D ~_ N ~ A ~ ~ ~ N N Q- CD 7 3 ~ O O 00 T A `- ~ 3 ~ (a ~' '(4 d ~O ~ V D cD rn r '? Iu i W ~N C N O C O O 1a ~ O N ~ c (D a ~ Z' v ~ ~ a ,~ CD ~ I I o z 0 o ~° O ~ rn ~ ~ ro [] C y I i S ~, ~-\-}-~ J -, ~ ' ~\. ~ r' 1, j } 7 \ ~~"~. a~ ~. ~~ O O O I~ o~ O Q- O d 7 ~ ~ C ? O O A ! • n A ~ ~ ~ ~ ~ I d ~ A ~ 3 = ' "` 3 , ,~ x* o ~ ~ _ ~ o CO (Ii CD (D a N IV O (fl 6~ N ~ p ~ ~ ~ ~ O O r j~ ~ _ ~ ~ O Q O Q N ~ U7 O O1 C _ fD m n a d ° c .. ~ N O O C C A (`I7 = O O y B N O G ? ~ ~ ~ ~ ~ CC < ~ ~. ~ ~ ~ N y N ~ o ~ D v o v °' o f'D ~ w y d ~ ' O I ~ ~ d ~ ~ N I O 3 m i~ `° o0 Z D ~ Z = ~ v ~ o ~ N = C (D N S (D n a v ~ ~ ~ ~ 1 N n, p ? z n ~ C ~ ~ A ~ Z rn a ~ ~ .. (n -{ N W ~ ~ N O a ~ .~ z ~ ~ A T1 3 ~' m `° ~ fA ~ ~ A W N n (D CC G '" T C 3 a d fD ~~ m a; -~ ~1 '3 O C3 a .~ 0 b N O O V A + ty ^V ~ r l •..... h - -T CERTI Fi ED SURVEY MAP ..._., Located in the SW 1 /4 of the SE 1 /4 of Section 21, T29N, R 19W , Town N of Hudson, St. Croix County, Wisconsin Owner and Subdivider: Verlyn & Catherine Benoy Rt . 1 Meadow Drive Hudson, Wi. 54016 N APPROVED !Y = ~ ~ U U WW ~N ,lAN 0 8 197 .I '-1 O JI H ~I O~ UNP~ATTIFD LANOS_ _ EAST LINE OF THE S OO~S1 ~ 49'E SWI/4- SEI/4 t{'79,Q6~ ~ r ST. ~OiX C3U'++'•~TY ~:QMPr;eHEN31VE PAkiCS PLA:~~LiNG ANI) ZOi~I1NG COldM1T7EE LEGEND t9 SECTION CDR. MONUMENT ~ I° IRON PIPE FOUND 2° IRON PIPE FOUND O fk24" ROUND IRON PIPE WEIGHING 1.68L8S./LIN. FT. SET SCALE "IN FEET Bearings referenced to the South line of the SE1/4 of Section 21, assumed 589°23'51"E. Y Q 3 x ~ I. x Z 0 U ~,I a , .~ . ~ ~ ~I N ~ I N ~,_ ~IQi ~ tr1 ~I a~ m rl =i M ~I N~ Z I of ~i ` wi ~I y >i a N~ ~Lj1RStiEl~. _~AN~_ I~ 1 I ~~ N~ 1 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and ttuilding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Green, Richard Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: l7U TANK INFORMATION / ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic o Dosing Holding, TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD ra ra P Septic ~ ?~S ~ ~ 32 ' r 20 Dosing y ~~ f 3Z r Z r > ~~ r A tion - - - - - Holding i PUMP/SIPHON INFORMATION ~ tuber TDH Lift Friction Loss System He d . Z , Forcemain Le~ gth ~ Dia. ~ ~r Dist. to Weld sr 3 SOIL ABSORPTION SYSTEM A ~ / _ PM 23 1- Ft . eta county: St. Croix Sanitary Permit No: 399562 State Plan ID No: Parcel Tax No: 020-1056-80-100 STATION BS HI FS ELEV. Benchmark ~1. r , ~ Alt. BM Bldg. Sewer c St/ t Inlet 3 3. St/Ht Outlet Dt Inlet Dt Bottom It, 9~ ~ 3 Header/Man. T ~.sf ~3, f5 Dist. Pipe ~ ~ ~ . ~ 4 z ~~ Bot. System L '/. ~ 2 - Final Grade ~ ~ 3 ~~ 20 St Cover ~ / ..n BEDITRENCH DIMENSIONS Width ~ Length ~O r No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYS EM TO P/L BLDG WELL LAKE/STREAM ING Manu ctu ar: ~ T e Of S stem: YP Y }L~~ ~, ~ ~ ~ ~ ~~ UNIT Model Num e DISTRIBUTION SYSTEM Header/Manifold ~/ ~/ Distribution r x Hole Size x Hole Spacing Vent to Air Intake r 1 Pipe(s) C~ ~ / ' ~ ~ ~I Length Dia Dia Spacing Length _ SOIL COVER x Pressure Svstems Oniv xx Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil ~] Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/Q~ Inspection #2: / / Location: 556 County Uff--U Hudson, WI 54016 (SW 1/4 SE 1/4 21 T29N R19W) NA Lot 1 Parcel No: 21.29.19./2128 1.) Alt BM Description = ~1~0~, ~fi 5j~ ~•~~~ GW~tf ~ "'Q'% O 1 r _~~ 7 2.) Bldg sewer length =~ 3p` ~~~~ ~ ~~ -/amount of cover = y ~. t / ,~ , .~•~a~/~se. va~w.. er pc s irs7~~/ rte. ~ ~ t f0 ~.e t . ~ c ~ ir~ Plan revis o e~F( q~i ~~+~ Yes No ~ ~ Use other side for additional informati n. ~ L _ B ( f Date Insepct is gnature SBD-6710 (R.3/97) Cert. No. Safety and Buildings Division County ~ ~ ~~ ~~ J ~ 201 W. Washington Ave., P.O. Boz 7162 l f ~~''CV' ns~~ Madison, WI 33707 - 7162 siu Areas / '~` / ~'/ 5~ C L/ ~ t?e artment of Commerce l f~ ~•t, G Sanitary Permit Application ~~' Pernut Number Ia accord with Comm 83.21, Wis. Adm. Code. parsomi i~otmation yon provide ~7^ ~R~~ tO~--. D Check if Revision ma be used for Pri Law s1S. 1 ~ I. Application Information -Please Print All Information ~ • _ ' .,~ / State Plan LD. Number N Ptoperiy Owtur'8 Name REcEivE~ ` ' arcel Number ,~ f , , .~ ;~ ~~1~~16 ~ ~~ ~ ~ .- ~ C ~' ~ ~ 20Q1 . lam I.occaaon r~ Ic) (/~ l/l.• $~ GAOL P ~,t .J ',(: S o~ N City, State Zrp Code ne ZO~~~F~'E Numbe Block Number : ; ~ r~u ~~6y~ ~~~ S~~G~~'~ - ). • ~ 'J Subdivision Name CSM Number ~~ ' , ,~, S , t ~~ ~ II. Type of Building (check all that apply) ~ DCity ~ 1 or 2 Family Dwelling -Number of Bedrooms ~~~ DViltage ^ Public/Commeroiat - Descn'be Uu Township SG` / ^ Smte Owned Nearest Road f III. Type of Permit: (Check only one bar on line A (numbering scheme for internal use). Complete line B if applicable) A' 1 ^ Naw 1Replacement System-. 3 ^ Replacement of 6 D Addition to For County use stem Tank Onl Exis S stem B. D Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check a~ aPPn')(nmmbering scheme is for internal use) ~ ~ ~ /!S d ~ 1 B i't o~Y ~ h ~ ~i ~ ? ~ 4a`~ Non -Pressurized in-Gcottnd 21 D Mound 47 D Sand Fitter 50 D Constracted eland ~+ ~ '~- ,(`. ~~,~ ~ ~. ~ , 22 D Pressurized In Ground 41 D Holing Tank 48 D Single Pass Si D Drip I..ine ~ ~ 45 D At-Grade 46 D Aerobic Treatment Unit 49 ~ Recimuia ' 30 D Other 2 Z °"` cs~m ~ cs V. tment Area Informati on: .t 3 x '~ ro ~o Design Flow (gpd) Dispersal Area Dispersal Area roil Application Percoladon hate System Elevation Final Grade ~~ Required ~ ~ Proposed e~ate(Gals./Days/Sq.Ft.)/ (Min.llt~ch) ~ Elevation ~~~W " V 1~'~ i ? / . VI. Tank Info Capacity in .Total Number toter Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks . Concrete Constructed Glass New Exis6ns Tents Tanks Hokt~ Tank ~~ _ 8 ~S~ (~j i~ l~ ~ (,c ~~ VII. ility Statement- I, fire ase®e responat6ltlty !or POWTS shown on the attached plains. is Name (Print) Deis RS N Busin s e s Phon e N u mber A ~, I ' J n 1 ~ + r ~ry _ ~ } Q j~' Phtmber's Address (Sweet. City, S , Zfp Code) ~ ~.~ u~ lC ~~r 1~"%1s ~ s~ ~~~ VIII. /De Use Onl ~ Approved ^ Disapproved ~P ~ t Fee (inchdes Gmnndwater Date Issued Issuing Agent Signature (No Stamps) ^ Owner Given Initial Adverse • ~ ~~ ~ S ~ / (- ,S'- 6 ~ Determination !/C3U // 17C. Conditio~os of ApprovaUReasons for Disapproval _ c.-. d-~~ ~ .~ w~ f ~~ 'Q~"~P GLvt/j.~~V`r- /.<~ ~LPiG~ "~ ~ ' t .t'~{ L6l~OLt~rce~f.-.n.e ~ ~f~5o ~-~ic~r...'E.u''.c~,n,Ct ~ ~P ~WTf~wL~. ~~i~~~~ ~ wwth~a_c.tft,.K.t~~.d .d~s.2ci~c:.4 . ~ U / -f' ~ rC `~' ka ! f SG l,cs5 -(h. k.n ~ ~ee~" o •F C e ~'~l v VfV' ~ ~~ ~ ~ 5 5 S kern j waaea coetptete pins (tie a-e ~ aWy) t~ tae s~abem ao pspee nor ~ tmn srrtY u moues io atxe `~ SBD-6398 (R. OS/O1) Safety and Buildings Division County ~ ~(~~ ~~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 ` ~sCOns~~ Madison. WI 53707 - 7162 Site A U De artment of Commerce ~~~ ~ ! ~G(. Sanitary' Permit Application ~~' Permtt Number 1n accord wish Comm 83.21. Wis. Adm. Code. persomi information yon provide ^ Check if Revision ~~~`~ "~ tna be used for Law s1S. 1 L Applic~on Information -Please Prhtt All Information n,'~l~ ~ ~ State Plan I.D. Number N ~riy ~ P '~~cl~.-~~ ~ ~~u P>r1 ~r~~ ~ ~ } REc~~v~0 ` 1 Number ~ a ~o - o s"6 - ~~1~6 property Owne~~ ~ Addre~sls ) ~ J ~ ~ n ~ ?~(~1 ! ~ ~ ~ '~ ti v ' Location n3' l/~ U.. 1.. gT CfiOiX 5i S '.f: S ~ P N City, Staae lap Code QNI~~FiGE ~ Numbe Block Number Z ~ ) ' ~ Subdivision Name CSM Number ~ ~. II. Type of Building (check all that aPPly) ~ ~, ^City ~ 1 or 2 Family Dwelling - Number of Bedrooms ^Village ^ Public/Commercial -Describe Use ®'I'owrishi SD` „/ ^ State O~ Neatest Road ~~ III. Type of Permit: (Check only one box on line A {numbering scheme for internal use). Complete line B if applicable) A' i ^ New 2 Replacement Systenn 3 ^ Replacement of 6 ^ Addition to For County use stem Tank Onl S stem B. ^ Check if Sanitary Permit Previously blued Permit Number Date Issued IV. Type of Permit: (Check a~ t apply)(ntmlbet'Ing scheme is for internal use) ~ oils o `~;,~ ay l~ n ( ! J` 44~ Non -Pressurized In-Ground 21 ^ Mound 47 ^ SaM Filter SO ^ Constructed edand LI Q ~. '~-~ ,(` ~~.~ ~ ~ 2Z ^ Pressluized In-Ground 41 ^ Hohling Tank 48 ^ Singte Pass Sl ^ Dtip Line 4S ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Rec' 30 ^ Other L Z w., c.~tQ r c~ V. ent Area Informati on: .t 3 x ? ro .o Design Flow (gpd) Dispersal Area Dispersal Area foil Application Percoladon Race System Elevation Final Grade 1 Required 3 Proposed Rate(Gab./Days/ Ft.) (Min./Inch) ~ Elevation •~~~/~ ~ ~ ~1 VI. Talc Info Capacity in .Total Number tuner Prefab Site Steel F'ber plastic Gallons Gallons of Teaks Coarete Coastntcted Glass New Existin; Tanks Tanks Iiokl'o~ Tank ~ ~-~ S ~' ~~ (c5~ W ~ eb VII. itity Statement- I, flee asamae reapo~bitlty for POWT3 shown on the attached phnts. is Name (Print) ~ N ~a ~ ~' Business Phone Number '9s`~ ~~s ~ r ~z ~ - i Plumber's Address (sweet. city, S ,Zip Code) ~ ~~ ~ ~~a ~~~ ~~ ~ Pr ~%ls ~`i, ~ Da ~ VIII. /De Use Onl ~ Apptaved ^ Disapproved ~~Y Permit Fee (inchrdes Groundwater Date baud Issuing Agent Signature (No Stamps) ^ Owner Given Initial Adverse . Surcharge Fee) '~~ ~ S ~~ / (- ,S- d / ~ ~ Determination ~~ L" IIC. Conditions of Approval/Reasons for Disappr/o-val , ,, - 1 ~ `". ~, l~lc-l f f'! ~r ~-~'1--~-t'..' Ly~.~' U2- lc. u~--P~-~ ~-~~ ~ L.d _ p p~ g ~ ~ ~~ ~ ~~ q'~"wt~~'~^"~-CG ~ l~,P ~WTf~w~G ~j~u.F~~~~'.~ l- ' L6l~ (J ~ ci~ : ~ c .~. G '(' ~rl c'h• l l SG I.GsS Y~th,n $ ~f' p ~ C o~Yil Jy~~' ~ ~v~ ~ `rM.E 5~S-~"1 , Attain complete piam (te t6e ~ cob) far the s>stm- m paper not hss than sin: u mews m size SBD-6398 (R. OSlOl) - ~ l~_4b' ~-_~o`ce1l~ ~~~ ~.~a ~ n ~rn~i ~~ rato ~^ s ~~ ,5~~ o-- sa ~ ~- r °~3.3' 9a~~ ----~-, ~5 ~ h ~ 0 ~ c~Mb~r gar. a~ ~ ~g, 3 1,vvv ~~sv 1~ov~e -. ~ ~~-well a ~.~.,~lac ~ i -II i k hi7~ CDCi~ ~DWI~IIA/l~ I lZ `1( ~s 1 ~~- b 4~~ 1 l~?Q .dc~ c~~~ Ct~~~ ~r o'~ ~b~2 c~~~~~ ~ac~. ~~'17~ ~1.. Jbl~~ vh ~t~l~o~t D~ S~c~t61 R.~c~'~~wa ~rPE~1 /~u~~o~~ Tw~,sV~i~. .~ -L ~' ~. ~ ~-~~` '~~~~ y f ~~ 3 ~~~ ~ 1 y~Qtce1/~S ~~~ ~1~~ ~ ~ ~v~~i ~~ raid ~" u„~~ ,5~~ o--~~.. 6•~ 0 G a,~, q9~S ~~ •3 qad~ .~._.~ ~ Sys em ~1~ , 9~.'~ ~.s~ v-~ D ~. C~a~,~~r r l;vuv ~-t,sv b3 `~ '~~1 ern, j ~e `~Q ~ ~ ~PU~. ptwell a ~,~,;~lac ~. ~ n~~ cods ~.a,~Pi;A~~ ~.. _~ ~ uu~~ b~n~~ Jao.~~ ~~ Cb~~~er~ Q~ ~a~~r~~~ P~~• ~a~??~ ~~r 161a"J Ott ~~~a~'1 d~ S~~Ph ~.i~~~`a ~reeh {~uC~~4h ~Wd~S~j~. w .~ o.~ /nt`Eti1.c4a ~ ~~'"'~1 ~a~v 6~ lG~3p1 D! '~ ' ~ PAGE pF ~_„ PUMP CHAMBER CROS5 SECTION ARID SPECIFICATIONS VEA1T CI1P W"C..Z. VENT PIPE APPROVED I,OCKIN 1!) y. WEATHER PROOF JudlCTlOU BOX MAtJHO~E COVER W~ ]'~I FROM DOOR, M I,VL1rryiJ1~ ;,,t:bC'` WINDOW OR FRESH {2 MIU. AIR INITAKE I GRADE I I 'i" Mlu. 18" MIIJ. COA{OU{T ~"- ___ - ------ i8'MIAI. ~~ ----------- i 11 ' ------ PROVIDE ~ ------ IAILE T AIRTIGHT SEAL ( I I ( R ~/ --~- ~ i ~ v APPROVED JOIIJT A I I ~ APPROVED JOIWTS W/C.I. PtPE ~ ~'~~.1 ~s ~~L~y~ I III M1/C.I. PIPE ..° EXTENOIWG 3' ) II ALARM EXTER{DIU6 3' ONTO SOL10 SOIL. ~ ~ h~-l'III,L J(~C~~ 1I\ ' f I CIt~ITO SOLID 5011. 8 } I 1 ou C 'I I LLEtt: ~ FT. - j PUMP--.,. __ OFF ~.. D ' GOIJCRETE BLOCK /~ -p 5.. AP~Pitav MISER EXIT PERM1TrED Ly IF'TAIJK MAWUFACTLIR6R HAS SUCH APPROVAL gEpp~N~ 5EPTIC E `~"~~~~~ SPEGIFICAT101~1S 005E ~-~~ / ¢ / . ~o,~.~. TANKS MAAIUFACTUR6R: "' '~ '/ 4-'L_. _, ,.r~..,.. NUMBER OF DOSES: ~ PER DAy TAWK 51ZE ; ~ _ 6ALLOUS DOSE VOLUME ALARM MAIJUFACTUiI;CR: ~ ,` ~ ~~.~ ~"' INCLUDIIJG BACKFLOW:.-.L~ GA~~ONS .i~= ~ A'r PtODEL IJUM6ER: CAPACITIES:,A= ©~ ` `IAICNES OR 3~. GALL01J5 SWITCH TYPE: ~..~-r~. ...:..-~ _ ~,... ... _.,.., `" `' '~~ e~ ~ #`~ g=IIJCHES OR _~~~a (rALL0AJ5 PUMP MAWUFACTURCR: ~'+~~ ~~ C= `~'}~~~• I'' 1WLHES OR 1~~7~~.~~7]] GALLOWS MODEL i-1UM9ER: ~~7/ EP~ ~' D=-L~s.LINCHES OR~1~L~.L_ GALLOAIS ~-- $ k ~~ SWITCH TYPE: , ~rt"~~' MOTE: PUMP AIJO ALARM ARE 70 8E /l~rOO gyp` ~ p~ ~, INS7ALLE0 OtJ SEPARATE CIRCUITS ,~f { MNS-MUM p{SC1{ARGE RATE ~._6PM VERTICAL OIFFER[IJLE pETWCCAI PUMP OFf AA10 p1S7R1$UTIOAI PIPE.. FEET ~{- Mi1uIMUM `uETWORK SUPPLY PRESSURE ... . ... ~ ~ .. '~ gFEET • tiEET OF FORCE MAID X ~+,q~~' F/ F loo fxFRICTlO1J FAGYOR.. EET TOTAL Oy1JAMIG HEAP :: FEET ~~ ~ ~~ r N ~ ff IIJTERWAL. DIMEW5101J>: OF TAWK: LEi~{GTH~.,_;WIDTH ~ ~.._.;LIQU10 DEPTH ~a S{GNEO: LiCE1~iSE WUM6ER: ~~~~ DATE:,..w.._ 'Y/» , t APPUCAITONS Specif~alty designed for the following rises: • Effluent systems • Homes . Fauns • Heavy duty surer • Water transfer • Dewatering SPEC1PiCAT10NS Pump: EP04 • Solids handling capability: '/; ma~amum. • Capaaties: up to 55 GPM. • Total gads: up to 24 feet. • Discharge size: l'/i NPT. • Mechanical seal: carbon- rotary/ceramicstationary, BUNA-N elastomers. • Temperature: 104°F (4f?°C) continuous 140°F (ti0°C) intermittent • Fasteners: 300 series Stain{8SS Sleet. • Capable of running dry wdhout damaage to components. Pump: EP05 - • Solids handling capability: ~/; ~ maximum. • Capaaties: up to 60 GPM. • Tota! gads: up to 31 feet • O'rsctrarge size: l ~" NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomms. • Temperature: 104°F (40°C) cartinuous 140°F (fi0°C) artermitterrt. • Fasteners: 300 series stainless steel. • Capable of running dry wrthotlt damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM. budE in overload with aUtairatiC reset. • EP05 Single phase: 0.5 NP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset • Power cord: l0 foot standard length,l ti/3 SJTO with three prong grounding plug. Optional 20 foot Iength,ltiJ3 SJTW with three prong grounding plug (standard on EP05). METERS FEET 10 9 30 8 25 ~E 6 o i- (, Goulds Submersible Effluent Pump .. L 3871 E ~' • Fully submerged ~ trigh grade turbine a'I for lubrication and effiaent ____. heal transfer. Available for automatic aral manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 hnpellef: Thermo- plastic Semi-open design with pump orrt vanes for mechanical seal protection. ^ EP05 Impeller. Thermo- plastic enclosed design for improved performance. ^ Casing and Base: Rugged tfwrmopla~ design provides superior strength and corrosion resistance. ^ Motm 9: Cast iron for efficient heat transfer, strer~th, and durability. ^ MOto<' Corer: Thermoplas- ticcoverwith integral handle and float switch attachment poatts. ^ Power Cable: Severe duty fated Og and water resistant. ^ Bearings: Upper and lower heavy duly bap hearing corrstrrrr~ion. AGENCY LISTING ~• ca~aa-r~-sr~arasass~uon (CSA listed model numbers end in "F° or "AC".) Q ~ x U 6 20 z - _. .__ 5 0 1s ~ 4 FQ- 0 . ... __- ---- --- 3 10 2 _ .._. 5 1 ': i 1 ~_r_ ~ . w _._... _ _ ~~SGPM . ; .___ __ ' 25FT ---1- '~ .__a._ _~ .~.___..___ ._ _°.,. _.. -. - . F_P05 EPOa l ~.- ----,-- _ . 30 40 50 GPM ~_ 0 2 4 6 8 10 12 m~lh POWTS OWNER'S 'NFORMATION o~ Owner ~ ~ ~ Eir Permit # ~~ tea, DESIGN PARArrCrCx~ ~ N'°` Number of Bedrooms - Number of Commerdal Units ^ NA Estimated flow (average) gal/day Design flow (peak), (Estimated x 1.5) gal/day Soli Application Rate gaUday/ft2 Influent/Effluent Quality Monthly average* Fats, Oil 8t Grease (FOG) s30 mg/L Biochemical Oxygen Demand (BODs) <_220 mg/L Total Suspended Solids (TSS) <_ 150 mg1L Pretreated Effluent Quality ^ NA Monthly average* * Biochemical Oxygen Demand (BODs) <_30 mg/L Total Suspended Solids (TSS) s30 mg/L Fecal Coliforrn (geometric mean) <_10' cfu/100mi Maximum Effluent Particle Size r~ inch diameter ~ wwf~/•l~i~i C SYS1f>tM sP~Lrr>IC.Ar tvn~ Septic Tank Capadty l~a~ al ^ ~ Septic Tank Manufacturer reA-vL, ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model a~ ^ N'°` Pump Tank Capadty (~,>? (pig gal ^ NA Pump Tank Manufacwrer (~1,~~ ^ NA Pump Manufacturer U ^ NA Pump Model ~~- ~ ^ NA Pretreatment Unit ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer Disp~ersal Cell(s) t9'in-ground (gravity) ^ In-ground (pressurized) ^ At-grade ~~~' ^ Mound ^ Drip-line ^ Other: * Values typical for domestic (non-commercial) wastewater and sepd~ tank effluent. * * Values typical for preveated wastewater. M.AINTbNANC.t ~~•n~~u~c Service Event Inspect condition of tank(s) At least once every Pump out contents of tank(s) When combined sludgE Inspect dispersal cell(s) At feast once every Clean effluent filter At least once every inspect pump, pump controls az:alarm Ftush laterals and pressure test At least once every At least once every Other: od,er: At least once every At least once every Service Frequency ^ months ~`'year(s)~ j(Maximum 3 yrs.) and scum equals one-third (Y~) of tank volume ^ months C~year(s)~j(Maximum 3 yrs.) ^ months (~-year(s) ^ months f,]-year(s) ~^ NA ^ months .'year(s) ~-NA ^ months ^ year(s) ^ NA ^ months ^ year(s) ^ NA MAINTfiNANCE 1NSTRliCTiONS irupectlons of tanks and dispersal cells shall be m~s b~ae~odivpOua~as Ma'tnta ne~f Septage Servidng Operator~~Tank inspectie Plumber; Master Plumber Restncted Sewer; PO P , must include a visual inspection of the tank(s) to identify anback un o~ pondi g of ffluentlon the ground surfaceeaThe dispersal volume of combined sludge and scum and to check for any P cell(s) shall be visually inspected to check the effluent found surface msay ndicate aefailingttond tioa and requires the immediaten the ground surface. The ponding of effluent on the gr notification of the local regulatory authority. the entire When the combined accumulation of sb da Sentas euServic(ng Operator land di posed o)f ~n ac~ordan eewith ch.lNR 113, Wiscor contents of the tank shall be removed y p g Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement components, and any other maintenance or monitoring at intervals of 12 months or less shall be th nol0edays of completioOn of any1seirv tie event. A service report shall be provided to the local regulatory authonty w START VP AND OPERATION For new construction, Prior to use of the POWTS check treatment tank(s) fo ~f h ghr oncentrations are detected haveththe touts that may impede the treatment process and/or damage the dispersal cell(s). nr rho rank(s'~ ramovad `•=Y z Sent,~sre servicing operator prior co use. Vac _of__ System start up shall not occur when loll conditions are frozen at site Infittntlve wrface. During power outages pump tanks may f1U above nomul highwata~ levels. When power is restored the excess wastewater will be discharge4 to the dtspersa( cell(s) In one large dose, overloadlrtg the cast(s) and may result Its the backup or surface discharge or cower to the effiue t'pump or contactha Plumbersor P01NTS Malntatn~er o asslsi I sman ally opt atlltg the pumpiconcoeStoring P restore normal levels wlthln the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drNe or park over, or otherwise diswrb or compact, the area wlthln 15 feet down slope of any mound or at•ilrade sob absorption area. Reduction or elimination of the following from the wastewater stream may Irnprovs the performance and prolong the lik of the POWYS: anUbloQa; baby wipes; dgarette butts; condoms; cottotl swabs; degreasers; dental floss; diapers; disinfectartu; fat; foundation drain (sump pump) water; frvlt and vegetable peelings; gasopne; grease] herbiddes; moat scraps; medications; oil; palntlns; croducts: aesticldes: sanican naakins: tampons; and water wftener brine. ARANDONEMENT When the POWYS fails and/or Is permanently taken out of service the following steps shall be taken to Insure that the system is proprrly and safely abandoned In compliance with ch. Comm 83.33, Wisconsin Adminlstradve Code: • All piping to tanks and piu shall be disconnected and the abandoned pipe opsnin~s sealed. The contenu of all monks and piu shall bo removed and prc+pcrty. dttposed of by a Septage Servkin;< Operator. • Aher pumping, all tanks and piu shall be excavated and removed or their covers removed and the void space filled with soil, ¢~~avel or another inert solid material. CONTINGENCY PLAN If the POWTS falls an<t cannot be repaired the Iollowing measures have been, or must be taken, W provi4e a code compliant replacement syscem: ~ A sulUbie replacement area has been evaluated and may be tiff{Ized for the location of a replacement soli absorption system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from extsting and proposed structure, lot pnes and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation w establish a suitable replacement area. Replacement systems rnust comply with the rules In effect a that t1me. O A suitable replacement area is not avaUabte due to setback andlor soli Ilmlatioris. 6aRinS advances in POWTS technology a holdin¢ tank may be lnstaped a a last resort W replact the failed POWYS. p The site fus not been evaluated to identity a suitable replacement area. Upon failure of the POWTS a loll and site evaluation must be performed to locau a sultabk rcplaceRleM area. if n0 r+eplacsnxnt area is avaAable a hol6ing tank may be instilled as a last resort w replace chr failed POWYS. O Mound and at•grade soil absorption systems may be reconstructed in place following removal of the biomat ac the InQluaclve surface. Re<oruwalons of such rystems rrwst.comply with the ruks Its effect at that time. < <WARNING> > SEPTIC, PUMP ANO OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TRIEAYMEN7 TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULl". RESCUE OF A PERSON FROM TKIE INTERIOR OF A TANK MAY afE DIFFICULT OR IMP(1CC1R1 i. ADDITIONAL COMMENTS POWT'S INSTALLER Name -"' ,4~N Phone Z, S' ~ SEPTAGE SERVICING OPERATOR (PAMPER Name Phnn• POWYS MAINTAINER I Narne Z~ r PFwne itACAL R~Gl11.ATORY AUTHORITY AiCerxy ~", v hon Wis~consinDepartmentofCommerce SOIL EVALUATION REPORT Page 1 of 3 C~%ision of Safety and Buildings ''~. in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must vV~ ~ ~T' L-~~ ~ X ~ include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D . . percent scope, scale or dimensions, north arrow, and location and distance to nearest road. O Z O _~ ~ Cj b „ ~`.~ - 1 ~ O Please print all information. Revie ed by Date Personal information you provide may be used for. secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~/~ S ~~ j Property Owner Property Location 1~,1.C~iLD f'riV-j 8~ L~.Ly G IZC.~ 6evs:-Lat_ Sys 1/4 ~j~ 1/4 S Z/ T Z ~1 N R 1 ~ E (or~ ' Property Owner s Mailing Address ~ y Lot # Block # Subd. Name or CSM# s s b e-ov,v`rr u v ~ esn 6 v ~ - ~ c~L , ~ 5 1~ 68 Ciry State Zip Code Phone Number ^ City , 'lla a Town Nearest Road ^ New Construction Use: ~ Residential / Number of bedrooms ~ Gode der't~ia~ow rata' U. S V GPD • _, r i~.1J [3~ Replacement ^ Public or commercial -Describe: Parent material ~'PCY.lJ7~ Q V~1,~4~' N Mood Plair{~fevati¢h~ap~~e ~ IV ~ ft. General comments , ~ :; , ,~ and recommendations: 3 ~ LS, ~e,~ 3 l X Spr LlY-~G l ~t:-f~ ~Jtfw/grt-~ ~`~ ~m 6~ ~~ 1`~f S ~D ~ w ! ~v~ ~2 L. Cl-~-~-t~-tg .~5~~~~~ a Boring # ^ Boring g 5 0 pit Ground surface elev. ~. • ft. Depth to limiting factor 7 ~~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ o - l 1 ~ ~K 2z1 - L Z ~. ~v~-• ~v Z v~ - s • ~ 2 11-37 t,~~-~,2.~16 - s1` I ZwLsbk 1~ ~ - • S .g 3 3~_lZ lb~ri; y/6 - S o s 1 - .~ ~_ z `~ t, ' Boring # ^ Boring ~ ~ 3 pit Ground surface elev. • ft. Depth to limiting factor ~ 1 t$ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ©-1~ l0-~,~zLz - L ~ ~- w~v`Pl- ~w Zvi •S -S ~ t~l-6o ib~23~b - s)`1 msb~ ~ ck, - . s -~ -3 6b-ilk 1D`t2 alb - S c~ S ~ - , ~ ~_ ~ fp~t ~ S'•cv r~ r c~hrrS ' Effluen t #1 = 8~D_ > 30 < 27n malt anri TSS ~3n c ~~ n mnn • c~~~a„f 3t7 . nnn i 7A ...w/1 ..J T[•[, i 9/. ~_n ~_---~-- ----_--•--a-- CST Name (Please Print) Si nature CST Number Arthur L. tlegerer ll~ ~ 1 -X60 220254 Address 4d e g e r e r S o i l Testing & Design S e r V i C e Date Evaluation Conducted Telephone Number 421 id. I~iain St. River r'alls, t7I 54022 1Q.16_Q) 715-425-0165 ', Property Owner ~ ~sL~J Parcel ID # ~~ ~ 1056 - ~ - ~ UO a Boring # t^~ Boring L1Sl Pit Ground surface elev. ~ g , 3 ft. Depth to limiting factor ~ ~1 ~ in Page Z- of 3 Horizon Depth in Dominant Color M ll Redox Description Texture Structure Consistence Boundary Roots soil Application Rate GPD/ft~ . unse Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 0-1.2 ~o~,2zCz. - L z~-q-- mv~- cs.~, ~~~ .s - 8 z ~Z..s Z ~p~231-b - s i ~ Zw/sb~ l~ ~w ~ - s _ g tdt• to ^ Boring # ^ Boring n Pit Ground surface elev. ft_ nohrti ~., ~:..,;F;.,,, s..,..,.. Horizon Depth in Dominant Color M ll Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ftz . unse Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ^ Boring # ^ Boring pig Ground surface elev. ft. Depth to limiting factor i~ Horizon Depth in Dominant Color M ll Redox Description Texture Structure Consistence Boundary Roots Soil Appliption Rate GPD/ftz . unse Qu. Sz. Cont. Color Gr. Sz. Sh. •Etf#1 •Eff#2 • Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODE < 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-6330 (RN00) . __ ~. • PLOT PLAid ~' Scale 1' =U0 ' Page -3 of 3 81.18 3 w ~TL 1. S.Z Xtj Sp ~ Y~11q , S v ~`t-PrR L~. a.1 I H'CC- z' IS ~' x-28 s I , 6P~z I D~"t t~4- ~ 8:3 ~-'"1 M'i 5 O ' ~~ 3 3B~2w1 ~~^'lt ~ x lS'r~wkC k-~n.~w~s u () x l ~~ / ~~! ~~ __~ ~'.-L.~.t C--..~.`~_~~~~Q.r.o1V.~}Z.{~~~ ~F L°-UNL..L~1`-.~ 1~... ._---..-- ~$~''L~:Z=-~.LOt.Sr~YU: SO(TO)"'L Ot=S(~JNG. - -____.-- ---- -~ ~VO-~° __ Gi~~Yy11Nt. ~[ .~G~II/~ CST Signature 0 _~ 6 _p ~ 715-425-0165 Date Telephone A1o. 220254 O1-Z60 CST ATo . Job Pd0 . wsconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference oint BM d' Page ~ of 3 S~- L°..~~ ~ X percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. - OZO- 1056-~0- !00 - Please prinf all information. Reviewed by Date Personal intorrnation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location lZ1:C~''iz-D f~vj B~ L~.Ly Cj 2(5~-~, _ Sys 114 S(r 1/4 S Z/ T Z~ N R ! ~ E (or~ Property Owner's Mailing Address ~ Lot # Block # Subd. Name or CSM# 5 l~ 68 City State Zip Code Phone Number ^ City ^ Village ~ Town Nearest Road 1-~~S4~- Lv) S t-lU l ~ (~ l S ~ 3~6 ~ ~ 3 lS X17 S otv C ou ntYy " u U " ^ New Construction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate ~ S (~ GPD [3~ Replacement ^ .Public or commercial -Describe: Parent material 5' 1'C)../7~{ Q V~1>~ N Flood plain elevation ff appliphie (V General comments ft• and recommendations: S `C~--4S~ ~~ 3 ix Soy LCwG i ~`,~ g LJri~L 3o`I'-~y~,j o~ ~t~ `10 ~E ~T tt.~v ~ US•v °t Z . S ' ~b~s ~ ~~wt.~ \ '2$ta~t~! i~ b ) Boring # ^ Boring • ^' PIt Ground surface elev. q. $ • S fL Depth to limiting factor ~ ~~ rn Horizon Depth Dominant Color R in. - Munsell edox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 1 2 O- l 1 11-37 ~ D`~ izzl ~o~.~lb - _ L sll Z~9~ Z»2sbk ~i~l-U`Fi^ I~ ~-t-v ci," Z u~ - Z Boring # U csonng pit Ground surface elev. _~ $ • ~ ft rlPnth in limitnn hrtnr ~ ~. ~~. Soil Application Rate I 'Eff#1 'Eff#2 - S • £3 -s .g . ~ ~_ z Horizon Depth i Dominant Color M Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ftz n. unsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - 'Eff#2 o-t~ 1(?-t,szZLz - ~ Z ~. w~ v~y. ~w 2v~ - S - S ~ l~-6D lb`~23~b - si I ZmSbl~ ~Q Cc~, - . 5 -$ -3 5b-ll`S 1`-12 ~l6 - S C7 S ) - . ~ ~. z ' Effluen t #1 = BOD_ > 3n < 99n R,~n ~.,.~ Tee »n ~ , ~ ~ __ - - - - - - - -- -- _ •__ ...,,,.. ~.~~,.~,,.,~~ - o~.~s_ ou mcy~ ana r as c au mgiu CST Name (Please Print) Si nature CST Number Arthur L, Glegerer w•. -~ 1-X60 220254 Address W e g e r e r S o i l Testing & Design S e r V i C e Date Evaluation Conducted Telephone Number 421 i1. Main St. River r'alls, E7I 54022 1~, J6~~1 715-425-0165 Property Owner ~~~,N Parcel ID # ~~ ~ los6 ~ ~~ - ~ (J~ a goring # ^ Boring ® pit Ground surface elev. ~ g • 3 ft. Depth to limiting factor ~ ~~ ~ in. Page Z- of 3 Horizon Depth i Dominant Color M Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft2 n. unsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 0-12 t,~~,tzzLZ - L Z`Fq-- mv~P1- cs.,, ~~~ .s .8 z ~z..s z l p~ 231b - s i - Zw,sb>z 1~ ~w - - s .. ~ 3 sz_ll~ lp~tR. ~/~ - s ~ ss ~ - .--~ l_ Z ^ Boring # ^ Boring _ ^ Pit Ground surface elev. ft_ f)wnth t., i~.,,uc.,., r~..~,•. Horizon Depth in Dominant Color M Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft2 . unsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor i~ Horizon Depth i Dominant Color M Redox Description Texture Structure Consistence Boundary Roots Soil Appligflon Rate GPD/ft2 n. unsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-31 S 1 or TTY 608-264-8777. SBD-6330 (8.6/00) PLOT PLAid Scale 1' = yp ' Page 3 of 3 x-°18 ~ w~L,l. s.z ~N1 t iJ , S v ~-r-~-3 L~ g•1 I R'CZ.`cY~ IS p' GPI ~t.9.8 S I I ~hb4-. ~ I ~„~~ B;3 50' ~~3 3 B p 2w1 ~wte ~ x ~+kC x --~n,~ Lv ~ s u~~ PI '~ c`r~ v ~ ~~ J ~J _ ___ 137vT:~'~l.-=--eZ LOOO~~Oti C~}'z:.fUL3tZ~OF CU1vC~"~::~ ~; - . ---_. ------~ ~y'1.~Z-=:.:-~Tt..-lip[:Sr.~~--@0I~01''1....Ot=SIDl/VG: __._-._ ~~=~ Lto~~w ~: CST Signature Date ~ 0-16 -O 1715-425-0165 220254 01-260 Telephone Ido . CST Alo . Job P10. ST CROIX COUNTY SCPTIC TAt~iK MAtNTI~1ANCL AGttL~CMG'NT Owncc/I3u AND OWTI~RSIi[P ~' TIFICATION POR.M ~6 ~~d,d~ l~ ["~I'E'Pln Mailing Address ,~ ~~~ Pmputy Address l i(Vcxific~Goa t+oquircd fcom Planning Dcpat4acx~t foe acw coastzudioa) ' t~cylstat~c I~1~dS~n ~~~ Panxt zacti uficatton I~Iumbcr ~~~ --/~ S' ~ ~(~ s~D z.~Ax, ~u~sc~ur Propaiy Location ~' t ~ 1, ~ ~ /y Sx. ~ ~ . T ~~ N R1:LW. Town of _~S Subdivision Lot # • ~r~fifced Satvtq hLap # Volmmc ~_ Page # ~~ Warranty Deed ~ Volume P e # . Spot baase [] Svcs ~- no Lot tiucs idctytifrabk G ~ yes Q. no ~YS'lh.IVI,~4IA_'~t~ ~~~a°~0°~'°0C0f1~~esysbaueoaldnesaltiai~s ..:.. . oo~asisesofFaaSq~iageaxQ~u~ta~ P~moeto~e~es.Pnopcroc eaxixff~octtfie.fio~ouofthe ~~~aa0Q0~ifi~cadQdbps~sOdp'aa~'~yn¢p~~~ry~ ug~c'tai°i~ss_:+~ge~ial5eaasGeey~,cai, . , Frit~ccpiaa~~~~'~t0 aibmmtto St ~~kfoua4 byt~eooaaxandi~y: isiia P~~'sT~oat9od /~(IjQticoa~nccirastcaQaticrIspsocri~ ~°~'ouaat:adlac(xj aftcriospo~ion,~ C~~ the a~ kss $raa Ili Matt of idadgc. .~, ~ Ias~ne,cad ibe abor~c a~+~ooe ~ aniotamt the ~~' ~~~~'~ofQ~cn~+oesade~cDc~cta~tofNabuaa`~`di~ai tysLcm~cBie t~ndaitis ~Y~~systcattias'6ocaaaaiamsstbc Sr~tcofWisooasaa. Q~~i~ioa ' ~ I~dazc~. °°d~'°~'t~'p~i0dtotE,cStQeoae!~yZ~aa~gtJffi,xwiBino.3o s~~~ OF ~uc,~z~lr- ~Q ,~d,Gf DR.1E O W N ~ ~t ; ~ G' ~ X2 .~C A .' ~ O N I ~~j ccciif~ tbat ttI oat ~ fona aac tend to ttbe b«t of lay (oatj baowlodg~. I (we) aia (arcj the owau(s) of ~ abates by vic~ae ora ~7LptY flood rooocdod is of Dcods O$'ioa, S[(x'I`LA.Z'ttR}3 OF APPI.iClINT DATE ss~sss ~ inforntatioa that is mis-c~t~csca~todm~y t,~t in the riaituy pcxmit being revoked by, tic Zoning Depac~moad. 4~~sM. s• Iadadc rrlth thls aprlicauoa: a :aanpod ~„~y mod tiooaa tree ttcgistcr of Doody o0[,~oc a Dopy of tt~o catiGtcd auvcy ,,,~, it rcfcrcnoc is axndc is the waccanty dcod ~ ~ ~ DOCUMENT NO 4413'8 S5':~TE: BAR r1F ~~ISi(1\~.IN F(TK~I l -19P2 rrr~~~ sr,ce nceEnven raw NccanotNa oAr• WARRANTY DEED This lleed, made h~tw,.e Shexx'y A. Benoy f/k~a Sherry. A, Mayer, a sir~te person Grantor, -and Richard A. careen and Bever:y A. Ll.~een - _ Granter, L~11C11esseth, That the said Grantor, for a valuable consideration Sherry A. Benoy f/k/a Sherry A. Mayer utme;,s to l;rantee the following described real estate in ~c-rt, Croix. Countc, State of ~~•isconsin: ~tsr~s o~c~ ST. CROIX ~.. W~ Reed. for Reoord Ihi~ 14 t h of Sept . I-.D. 19 88 10:20 ~ M, ,. sl o«a L RE'~HN i0 of of Certified Survey Map filed in the Tax Parcel No : ................._....._...-. Office of the Register of Deeds for St. Cm ix County, Wisconsin, in Vol. 6, Page~B_ as Doc. Tdo. 421227, located in the Southwes er~of Southeast Quarter of Section 21, Township 29 North, Range 19 West, Town of Hudson. ~~A1~~ 00 FEH This _ l.$_. _ __ hamestead property. tis) (is not) Together with al: and singular the tiered talients and appurter.,,nces thereunto belonging; and _ Sherry A. Benoy f/k~a Sherry A. Mayer warrants that the title is guod, inilefeusibie in fee simple and free and clear of er,cumhrances except easements, restrictions and rights-of-way of record, if any, and wile warl'ant and dafend the same. *"~ Se tember Dated this _ _ _~ ~ _ _ _- dal- of p (SEAL) _- __ _ - (SF.~1Li AUTHENTICATION Signature(s) - - -- ---- - - :....- -- - authenticated this _.. -day of ---. 19...--. i....----- .-..- '-----.__. TITLE: JIF.:4IBER ST:1TE BAI2 ~)F ~VISCf)`FiV (If not. _. --- . ___. _- . authorized br i~R.06, R"i:;. Stats.) THIS ~^1 iTR U'+.'1' '7115 G~- 1F; E7 RY 1Cr ist ina 0 glared Lundeen Attorney at Law lSi.•nah.ra_ rn .n, V,., ,.~„t{-.....f;,.., t~.,t ,._ ., ,.~, ..,....t,.. t... .t n_.. is 88 7 • .Sherry A. Benoy f k=a S berry A . Mayer (SE.~Li ACKNO W LE:OGMENT ST.1TE OF ~~ISCr~~Siti ~s. St CT'O1X _ _ .Count.. -. - - . ~: ftrsonallti came before me ti•ia ~_-L ff~_dav of Se tember ~$ p - _ .-- ~9-_ __. the above named Sherry A Benoy f k a Sherry..- ... ---.... A . P~[ayer to me '~nr~•.cn to f,e thr nrr~nn -_ u'i~r, ex<~c~-ttrd the t fo~~ni intru~St~r\t ;iT I ~y'"gorclc~l~c titp <<lnte. R ~ A ' 1 . Alice J. F'~eischauer lrrtfl ~-'. ~,,~filir StAL.IG't9.~E1SCHAUER~n•~i!tt~:, jj 1~. \T..' (nn,.,.~:i/`~n i- nt~rturu,uaL.Ifl .nnt ., ~,., , ~ r•.t.,... ,.. J'c .a..__.._.~._...._.._-_.__... ..._ .. CERT1 F! ED SURVEY N! AP Located in the SW 1 /4 of the SE 1 /4 of Section 21, T29N, R 19W , Town of: Hudson, St. Croix County, Wisconsin _ Owner and Subdivider: Vexlyn & Catherine Benoy Rt . 1 I~Jleadow Drive Hudson, Wi. 5016 N ~~ ~ l^.~ ~~1~ V J(~N o„ o ~,c,~ ,. ~~ w •JAT~~J ~; .~ RUa~~~ w , ~ ` V" ~'1~~ w H ~ n Y ~~ ~ ~. wta .r~,~ ~~ ti~ • ? ~ g ~~ 4 y ~ ~ ~ li~ d ~.~ V ~~ ~~ ~~~R~VEU' UNP~AST,~D_j,{3N,QS_ _ EAST LINE OF THE s OQ~5S~49"~ swl/a- sEl/a 479.2E' LC;,..,P.;;.ri:-:r';llvt H:.•r:K , ,.~.ti. 3t•iG J~t:O Z~)illNi. C~Jt'••KliikE LFG~'ND _~ SECTION COF.. MONUME1~17 I" IRON PIPE FOUND t~ 'l.'~ IRON PIPE FOUND O rka'~ ROUND IRON PIPE WEIGHR~G 1.6di9S./lltf. FT. 5ET BCA;E YN FEET }3earin~;s roforen:•ed t:o file South li~ie of the SE'./4 of Secti:.~n 21, assurnc~d S8~j°23'51"E. 'L ~ .b .h0oo ~ 3ya~a ~ ~3: ISO UV W Ld ~~ I- I 0 J' H ~, of r a 3 x s r z 0 u 3 ( 'a'I ~ -i '~ Y ~ N MI (r1 i ~, I . (U 01 w~^~ .w ~ a l _ t/1 t*I `- - it m H ~ ti ~t ~ I ~ I ~I ~I f ~i > 1 O -~ N, -- ~ , - ~_ LA_R.~E!L. <.hN.E_ '-` - - - I ~,~ a~ ~N~ 2~ =Oy