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Home My WebLink About002-1048-70-100Wiscorisin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ~. ~ ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. permit Holder's Name: City Village X Township Town of Baldwin Baldwin, Town of SST BM Efev: Insp. BM Elev: BM Description: ' ~~ ~~ ~~~ ELEVA ION DATA TANK IN FORMATION TYPE MANUFACTURER <<~ CAPACITY Septic J lJ O~ Z~6 ° v~G ~ ~ Zcb6 Aeration hti• Holding C ~S TANK SETBACK INFORMATION TANK TO ,, 11 P/L /Vo f WELL BLDG. Vent to Air Intake ROAD Septic !a ~ ~ / $~ 61 ~ ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Mode tuber T Friction Loss System Head TDH t Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 515245 0 State Plan ID No: Parcel Tax No: 002-1048-70-100 Section/Town/Range/Map No: 21.29.16.304A05 STATION BS HI FS ELEV. Benchmark a. ~ ia~.~+ i~ Alt. BM Bld .Sewer 3.z~ q~, ~ t Sewer ~ • b yZ . y z Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover M ~ 2 ~$ ~$ ~ Z~ Gay ~., Old 1 ~~ 1a-~7 ~ act I~Q ~ . z ~~, ~~ BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK G WELL E/STREAM LE Manufacturer: INFOR ON CHAMBER OR tem: er: DISTRIBUTION SYSTEM ~ Header/Manifold Distribution Size x Hole Spacing Vent to Air Intake Length ~ Dia ~ Pipe(s) Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Svstxms Orly Depth Over Depth er xx Depth of Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trenc es T Yes ~~~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: / /, Location: 2399 90th Avenue Baldwin, WI 54002 (NE 1/4 NE 1/4 21 T29N R16W) NA Lo 1 Parcel No: 1.29.16.304A05 1.) Alt BM Description = ~" "~~~ C6 v~,~ Q ~~ ~-~ ~ Cd ~~ 2.) Bldg sewer length = 3 7 ~ - amount of cover = C^ / ~'N`' ~e''''~ ~ ~ ~(`.,,-~. O\,~ ~o (v a a-~.._. Plan revision Required? °,~^r Yes No G 'r /~ Use other side for additional information. J ~B SBD-6710 (R.3/97) Date Insepctor's S" ature l~' Cert. No. ' Commerce.wi.gov Safety and Buildings Division County r T 201 W. Washington Ave., P.O. Box 7162 (/ Q/ ~ seo n s i n Madison, WI 5 3 707-7 1 62 Sanitary Permit Number (to be filled in by Co.) Sanitary Permit Application State Transaction Number Wis. Adm. Code, submission ofthis form to the appropriate governmental In accordance with s. Comm. 83.21(2) , unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing address) submitted to the Departmem of Commerce. Personal information you provide may be used for secondary ses in accordance with the Privac Law, s. 15.0 1 m , Stats. ~ ~~ ~~ ~~ ~ ~~ I. A lication Information -Please Print All Informati Property's Name ~ ~ ~q ~ 1 ~ ~ ! Parcel # ~ y I~ Oyr~ '7O- ~ G vuJh d ~% i ~ vJ o~~ AZ1 D >/e old q0 M1s; Property Owner's /Mailing Add/ress /~ f / ~~ ~ S2 / Property Location . ~ ~ A ~ ~•~• v ! ~ " ' Go .Lot City, State Zip Co de Phone Numbe r ~ry/v y., %,, Section ~ /~ ~ p / / ' J ~!/~~V/l ( U/~ t ~ ~ (d 2g g ~j~• ~ (g• ~g~~' _ (circle one) Eor~ T~~N; R~ II. Type of Building (check all that apply) Lot # _ i i N ^ 1 or 2 Family Dwelling -Number of Bedrooms on ame Subdiv s Block # ~ttbliclComtnercial-Describe Use ~h ^ City of ^ State Owned -Describe Use CSM Number l' VO ~ Z' T ^ Village of Town of ~1 l~ I ~ 4 S~ 'J a.w/ ^ i III. Type of Permit: (Check only on boa on line A. Complete line B i a licable) A. New System eplacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System (explain) B• ^ Permit Renewal ^ Permit Revision. ^ Change of Plumber ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner N. T e of POWTS S tem/Com nent/Device: Check all that a 1 ^ Non- 'zed In-Ground ^ Pressurized In-Ground ^ At-Grade ^ Mound> 24 in. of suitable soil ^ Mound <24 in. of suitable soil /Holding Tank er Dispersal Component (explain) ^ Pretreatment Device (explain) meat Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (s0 Dispersal Area Proposed (sf) System Elevation 4 ~•rl~J a -~- ~-~ ~_ VI. T nk Info Capacity in Total # of Manufacturer Gallons Gallons Units ,p l; N T nk E i tin T k `~ c ~ ~ a ~ ew a s x g an s s // `, / .+~JG ~ U rn ~ ~ ~ iz. C7 P, Sgp~rHolding Tank ~ /~ .O IYJ~/ ~ y ~/f~,,, ~~ i/ W Dossayfl~er VII. Responsibility Statement- >4 the nndersigaed, assn espoasi ty fo stallation of the POWTS shown oa the attached plans. Plumber's Name (Print) Plumber' ignature MP/MPRS Number Business Phone Number TODD L . SINZ 139462 715-235-2644 Plumber's Address (Street, City, State, Zip Code) E5609 ?OSr" AVE MENOMONIE, WI 54751 VIII. ono /De artment Use Onl Approved tsapprove Permit F~jee $ ~ ~ ' ~ D~[a~te/Is ed ~ 'a Issuing nt Signatu Given Reason for v / IX. Conditions of Approvai/Reasons for Disapproval I fit ~2 s ~ . . . a~e~. ~~ Z 5 ~ h~..4>a d ~ c~e.,r + ~ feet ~ ~ f e ~ ' Z GXbb~~~- S 5~'Ew~- Q~ ~ tSi.~~~ ~ ~ G / + ~ - --' ' - '-7 Attach to complete plans for the systg~ and submit to the County only on paper not less than Ui/2 a 11 inches in size J ~,~,'s a~,~a, ~ GENERAL NOTES ~. GENERAL. PARKNSG* STP.l.ES TO $E 10' X 20' WITH 2.RESERVED FOR ADA. ADA STALLS 1 ~' x °c'0' AND HANDICAP VAM ACCESSIBLE. AS SHOWN ON PLAN.. 2. CONTRACTOR TO FIELD VERIFY AND LOCATE ALL EXISTINGUTILITIES PRIOR TO CONSTRUC ' 3. CONTRACTOR TO COORDINATE RELOCATION OF ANY SMALL UTILITIES, AS NECESSARY. 4. 4" PVC MIN. SLOPE 1/8'/FT AND MINIMUM DEPTH OF COVER FOR SERVICES 5.5'. MIN, 2- INSULATION AT DITCH CROSSING. AT EXISTING BUILDING AND WHERE LESS THAN 5.5' C0~ 5. ELECTRIC FROM NEW SERVICE TO OLD SERVICE SEE ELECT PLANS FOR DETAILS. 6. CONTRACTOR TO PROVIDEPOWER TO PROPOSED LOCATION SEE ELECT .PLANS FOR DETAIL POLE AND LIGHT TO BE SUPPLIED ANDINSTALLED BY OWNER. SITE VERIFY {XACT LOCATION WITH OWNER. 7. OWNER WILL COORDINATE INSTALLATION OF LP TANK .AND GAS LINE TO REGULATOR. CONTRACTOR TO INSTALLREGULATOR AND ALL PIPING FROM REGULATOR. B. CONTRACTOR TO COORDINATE NEW SERVICE AND A$ANDONING EXISTING SERVICE WITH ST CROIX ELECT. TOWNSHIP TO PAY ST.. CROIX.fiECT. FEES/COSTS. 9. WATER SERVICE TO BE MINIMUM 8' BURY DEPTH. TRACER- WIRE REOUB2W PER COMM 62. 10. TELEPHONE SERVICE PROVIDER TO INSTALL 11NE FRDM f7DSIING $USLDiNG 70 NEW BUILDING. CONTRATOR TO PROVIDE ALL INTERIOR MIR97G. HOLDING TANK NOTES• 1. EXISTING SANITARY WASTE HOLDING TANK TO BE REMOtiE4 MID PROPERLY DISPOSED OF CONTRACTOR. 2. EXISTING SANITARY WASTE HOLDING TANK TO BEPUMPEO EMPTY BY IOWNSHtP. CONTACT TOWN TO SCHEDULE. 3, CONNECT EXISTING SANITARY WASTE.PIPING FROM BUIL[XNG TO NEW 4' PVC WASTE PIPMI; AT MIN. t/8"/FT SLOPE TO THE NEW PRECAST CONCRETE HOLDING TANK. VERCFY SIZE / MATERIAL OF THE EXISTING SANITARY PIPING. TANK TO BE WIESER PRECAST 4000 GALL! MODEL W4200 OR EQUAL. 4, TOWN TO COORDINATE / PROVDE COUNTY AND STATE SEPTIC PERMIT FOR HOLDING TANK TOWN WILL PAY ALL REVIEW/SUBMITTAL FEES. .ACCESSIBILITY NOTES ~, HANDICAPPARKHG SPACES SHALL NOT EXCEED 1:50 (2~ SEOPE H ANY DIRECTN7N. PARKING SPACES SHALL BE A MH. OF 96' AND ACCESS AISLES A MIN. Of 60'. TA9 ADJACENT PARKNG SPACES MAY SHARE ACpAMON ACCESS AISLE VAN ACCESS AISLES SHALL BE A'MR. OF 96'. EACH HANDICAP PARKING SPACE SHALL BE PROYXND W17H A HANDICAP PARKING SIGN. BGLT ALL SKA15 SO PDST.YATH 3/8m CADMIUM PUTED BOLTS. NUTS AND WASHERS. . 12' x 1B' EXTERIOR PARKNG SIGN TD BE CONSTRUCTED OF14 GA GALVANIZED SaEfl W1T11 A WHILE BACKGROUND, GREEN LEGEND k BORDER, WHNE H/C SYMBOL ~A' A BI:EIE BACKGROUND, AND EITHER EMBGS~ `1llIB~G OR SCREEN PR94TED 1E17ERS WERt A 8ltSEB ENAMEL FlNISH. SIGNS SNACk N09 IRIV®: CHP, iADE, OR PEEL. 12' x 6' VAN ACCESSI~E SRI 7Y7N EMBOSSED LET7IRING QAIH, i LOCAIWI!) 11/2' WIDE STEEL U CHANNEL W17H CLOSED TOP PAINTED 1NTH GREEN ENAMEL 4'A S6HED. ~0 6AEVANZED STEEL PF.4 fl[SID NIIII CONCRETE. PART N17H IIt1.OM iRAFFlC POLYURETHANE 52x SOLIDS f CDiV1S 'I Ir •~ m I I_~ 112' x 2' DEEP CONC. FOOLING L I (3500 PSI CONC. SETTING) W11H J MH. PPE pEPTH aF te'. HANDICAP PARKING -SIGN DETAIL ----- ~\ 'AVEL EDGE ~~ II ~\J~~ ~QQ~'P P I~ STING LDING 'nNc ~R£7f BLOCK ~J/NC ^ I ~ L ~ ~ ~ .~~~'~, ~ -y~`'P~~P O ~ ~~~-P~ ~ z 0 ~ o m F K n o N 4 ~ ~ ~ ~ a ° J S W W ~ ~ ° o 0 /~ ~ o 0 / ~ ~ o a .n .n ' ~ ~ w ~ _ u o ~ +~ '>--. - ~ a.~ cn -b E m ~~~ ~ ~ - - - C~ w o R _ - L ~ ~ r- o °y.' w ~ ~ ~ W ~ s ~ om- 'v ~ ~ _ ~ m = ~ ~ H n c~C f..~ a a - L_L . ~ 1~' ~ O U N d 1 CMP l V E-724392 l V W-1144.69 -2/3 FOLC OF RT ~~ ~/ Z N Z O v D ~- W .' J ~I I . W NORTH r Z O U zX J ~ o J ~ v Q U) m Z Li ~~ m tL o w~ i z i Q I~ W t CONCRETE HOLDING TANK DESIGN INDEX AND TITLE SHEET Project Town Of Baldwin Owner Town of Baldwin Joe Hurtgen Town Chairman Address 2522 110th ave Woodville Wi 54028 Legal Description NE 1/4 NE 1/4 S21 T29N R16W Township Baldwin County St Croix Subdivision Name Parce! lD Number ObZ- /O~$-- 7b - /d0 Plan Transaction ID Number ~a' Index and title sheet Holding tank specifications Site plan Maintenance and contingency plan Designer Signature License N~ Lot No. ~ Page 1 Page 2 Page 3 Page 4 Phone No. 715-235-2644 Date 04/27/10 Designed pursuant to: Holding Tank Component Manual For POWTS SBD-10571-P (R.6199) Version 5.0 (10/05) Page 1 of 4 HOLDING TANK SPECIFICATIONS n F 2 T~t.f~S Number of bedrooms 358.0 Non-residential estimated flow (gpd) Minimum holding tank volume required (gal) 2000.0 ..Proposed holding tank capacity (gal} Huffcutt Concrete Tank Manufacturer 2000 gallon low profile holding tank Tank model number SJE Rhombus Alarm manufacturer Tank Alert Alarm model number Tank Dimensions and Data X for round tank 4 { 155.0 $ Liquid depth below inlet invert (in) Maximum depth of soil cover (fl) Height (in) Length (in) Width (in) Tank Anchor Calculations 16100 Ibs Weight of tank and cover 1.50 Safety factor Ibs Weight of anchor required 25.3 ~ Soil cover req. for anchor or 4.g yd' Concrete counter weight HOLDING TANK CROSS SECTION junction box -~ conduit blind plug to seat outlet manhole cover with locking device and finished warning label grade 4" min. 24 in. Manhole and vent locations may be reversed. IG ~ cap 17' min. vent pipe T 1 S" min. ~-.service -- - ~, 12.0 in. - --- - --- - - - -~--- -~- alarm on Note: All tank joints, and joints between tank openings and piping are Electrical as per 35.0 in. sealed watertight. All NEC 300 pipe and vent materials and Comm 16 comply with Comm 84. building sewer inlet ~~ ~{ 3 in. bedding under tank. Tank ~ anchored as necessary to negate buoyancy. Project: Town Of Baldwin Transaction Number: Page 2 of 4 vm ~~~8 Lam' IO ~p1 ~R ~Y'' ~( '~ ~D5ypA3 L t/~~~ ~ _ ~~p L ~ ~~ ~ ~~ C ~n Di pp . L ~=C~ ff~'++ p~~p~m • CrQ y 11 ~~ tZr~~~ ~~ ~~ Z'~'~ f~ ~r~r ~~v~g N ~~< °~ ~~ ~ o~ ~~ o~~g ~~ o ~ ~ ~x~~~~ PROPERTY LINE ~ ~~ ~ ~~ v I ~~JDj ~F 1'1 k~ ~3 3 3 3 ~~ N~ ~ ((~j~~~ ~1 1- ., ~~~ o~~ ~~ - VI m r m '-~ 03 vy m N ~~ ~ G ~ z ~ y~\ p\ 4 ` ~ 1 J N N ~~ ~ o ~, ~ o ~ ~~ EX. GRAVEL O~ ~~ m c+s m ~~~ ~_ ~~ ~_ ~ ~ ~~ 4 s~'~ ~~ 4~ ~~~ gp ~ gs ~~~ sus m L~ FD jy~o' `~ F F- ~ N ~ ~ r m ~ y m ~~~ ~ Q ~ g~ ~m Q~Q a ~ N z v~ ~O v ~' ~ ~ZOo ~ ~v~ ,~z~ ~ X Dx DO. Z zoN T`~ ~ZD ~z E ~~~m a m ~tC ~m2 rv~ ~~~~ ~O~h CX m 1 ~ is; p_I m ~~ m x _ I % m ~ ~_~ 10k20' ~p'~ (n 10k20' `~ '~c ~\ o r~~ ~s N ~ ~r p !D (n~D zzx ~A~ ~ s ~ ~ ~ZZ nn C (A C- n G) . (viii ~ r - m R CC 'LIGHT P LE ~ ~~ ~C. ~ SE_ E NOTE 8 pgVEp ED E ~~ v, Dp ~ V ~~ ~~~~ ~~. ~ r. ;~~_ c ~ A -1 ~~, ~~ .'10'x20' ~T~ l ~ - ~ s ~~ A ~._ ~ ~ 10k20' 6o E ~~f( z~ DrE G7 P W N -~ _ O 00 pD~O o ~~ ~~ OX nX $_ AZm yZ AZ Z $' ~ F rD- ~ ~ - F A Oa 0 N n ~ ' C,7 gym c~ n i voo°00x ~z o ^ Az -I D N ~ D yZ Am ~ l -1 ,l o< A ~t ~ FD mr*1~N $ ~ Z ~N ? ~ ~ 5 N N ~ o ° ~ `~ ~ fs " ~O N-i -G c m2 2 N CS ym£ ro r4 Z~ --1ZN p ~ Z O Z O ~O £ r Z ~ p~ Z Z j ~ m Z ~ ~ x r * Vf D ~Dp Z N v '1 O W O m N j no L D s Z W m C m m -1 m ~ v O v W'-I' ? m° o " ~~o m o m ~ -+ z v ~ ~ ~ ' £ -1 ~ > A ~ ~ ~ m o ~ S ~ OD O ~ A j V I 2 ~ __ O A O OAN ~ V O cZi O { ~ In y ENV v D Dr+~ O ~ ZZp v W < r~ !o W J P U Cr D ~Z Z~ r~OZ m: m m, 6o No~ ~~ ~z~ ~: oo r '~ $ ~ A ~l'_ j t_ ,lpl A ZA m~ti O X2-1 ~- ~'~ WOO vZi~ ~O AO F < OV ~A ~D Om N' Ap ~ Inv ~,~, ymo p ~ ,om ; v~ my ~~~ me A A C '1 0 --1 2 U 0 l O C D r Z ~~ Op ~>f.-DiD ~~A O` W N O O ~ ~N C Nm AO Oi v -1 A-aA DZ I~v~ NJ Z~ v A~ ~2 ;p 1.Z NV A 1. ArZi ~ 42 rr-A DN ~^ ~ O 2 my '1 ~v N a A~ ~ ~D VZ or- mC ~~ ~~> ~Z mD mC A D 2 D ~~ Ami p~ ~z ~s i ~~~ sy Amr c O m pm mN m z 7 c mN1n C~ ~Na ~ m m r 6~ Z~-. ~~ ~ o ~ O O m m a rAi D i v O ~ A O Z ~_ _ C N m A ~ D N 2 A O A u A v V N D C' ~ C 3 \p~~ ~1 \ ~ i i i i «~ ~ ~ ;, ~ my AA~ I Uti~ i i ~ co ~ o ~ ~ ~ _ ~ D z m 22in ' « I ~i~ vo a ~ UR 04/28/2010 17:43 FAX 715 Z35 2592 T. L. SINZ PLUBiBING, INC f~]0002/0002 T L Sinz Plumbing Inc. Baldwin Town hall Sixing for balding tanks as follows. 4 employees x 13gpd =52 4 floor drains x 25 =100 Assembly hall with 1586sf ! lOsq. ft. ! patron x 1.3 = 206 Total load = 3S8 ~~,`„~~ ~°~-' x S ~°~' ~.d ~ ^~ c~.~ 17yp Min. size tank needed is 2000 gallon ~uffcu 2000 g on tanks art being installed and are tie together.... 4.29-2010 HOLDING TANK MANAGEMENT PLAN This Private Onsite Wastewater Treatment System (POWYS) has been designed, and is to be installed and maintained according to Comm 83, Wis. Admin. Code, the Hoiding Tank Component Manual (SBD-10571-P 6/11/1999), and the St Graix County Sanitary Ordinance. 1. This POWYS is designed to accommodate an estimated domestic wastewater flow of 400.0 gpd. 2. The owner of this POWYS is responsible for system operation and maintenance, including all provisions in the attached Holding Tank Servicing Contract and Maintenance Agreements. 3. Each time the wastewater in the tank reaches 90% of the tanks} capacity or a level of 12" below the inlet (at which time the alarm will activate}, the pumper listed in the current Servicing Contrad must be called to empty the tank's contents and dispose of them in accordance with NR 113, Wis. Adm. Code. 4. At each service event, the service provider should visually inspect the condition of the tank, risers and manhole cover(s) and verify that the alarm system functions and manhole locking devices are present. Discrepancies are reported to the owner in a timely manner for corrective action. Al) corrective actions shall comply with the county sanitary ordinance and Comm 83 and 84 Wis. Adm. Code. 5. All service events or inspections of this POWYS shall be reported to the county within 10 business days. 6. The owner may not remove any of the wastes from the holding tank(s), or cause such wastes to be removed by any person not authorized to do so under Ch. 281, Wis. Staiules. The discharge of wastes tank to the ground surface, including intentional discharges and discharges caused by neglect, constitutes a failing POWYS and may result in issuance of correction orders or a citation by the county or state. No one should enter a holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within these tanks may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. 8. In the event that this POWYS fails and cannot be repaired, a code compliant replacement holding tank may be installed in the same location (a new sanitary permit is required for such a replacement). Con- nection to municipal services would also be considered at this time if they are deemed available to the property. 9. If this POWYS is replaced, or its use discontinued, components no longer in use it shall be abandoned in accoMance with Comm 83.33 Wis. Adm. Code. 10. a b If there is a problem with, or question about this installation, the following persons should be contacted: Installer ............................ T L Sinz Plumbing Inc. Phone: 715-235-2644 Service Provider ................. Berends Sanitation Phone: 715-265-4623 _~_____w_~~_ _______.___ ___._ ___~_ _ __ _ _.__,.~ -- c. Co. Zoning or Health Dept. St Croix County Zoning _ __ ____ __ __~___ Phone: 715-386-4680 11. Project: Town Of Baldwin Transaction Number: Page 4 of 4 ~~~~~~ 6ETH PABST REGISTER OF DEEDS ST. CRO.IX CO., WI RECEIVED FOR RECDRD 12/31/2609 03:15PM CERTIFIED SURVEY MAP VGL; 24 PAGE: 5fi79 aGr ca=c • 1'3 nn CERTIFIED SURVEY MAP roPV FEE; 3.00 RAGES: 2 LOCATED IN THE NEYa OF THE NEYa OF SECTION 21, T29N, R16W, TOWN OF BALDWtN, ST. CROIX COUNTY, WISCONSIN., OWNER TOWN OF BAIDWIN 2399 90th Averwe Baldwin, WI 54002 LEGEND ~} • INDICATES SECTION CORNER ( AS NOTED )NOTED ) Q -INDICATES 1' X 18" IRON RE-BAR WEIGHING 1.502 LBS. ! LIN. FT. SET. S BOUNDARY OF ~NtEVY RIGHMIOND s wl ------INDICATE PREViWS `•~~" ~rO~Q- , TOWN HALL PROPERTY. ~~ 3 u Rv ~y OS I V~'a~IG/~QlS ~ -' 1 `~ 4z 20-~`~ ~ NY CORNER, SECTION 21 ~ M~ ~ 6t6' (SURVEY MARKER NAIL FOUND) NORTH L11~(E OF THE NE1l4 NE CORNER, SECTI 21 ""' -- -^ ' - - -_ ._._ _ _ `I ~ _ (SURVEY MARKER NAIL~ND) ~ 90TH AVENUE _ _ ~ ~ - - -' ~ ~ G° S87°'!3'30"E ~t01.09' 1 S87°13'30"E 2260.fi'T v I I ~I 1 1 1 I MOTE: NO NEW LOTS HAVE BEEN CREATED. TkE PURPOSE OF THIS MAP IS TO SHOW THE RESULTING 80UNDARY OF THE PROPERTY OWNED BY THE TOWN OF BALDWIN AFTER THE ACQUISITION OF LANDS FROM DOUG LEE. THIS ACQUISlT10N IS DESCRIBED ON THAT GEED RECORDED AS DOCUMENT NO. 878949 IN THE ST. CROIX COUNTY REGISTER OF DEEDS. BEARINGS REFERENCED TO THE NORTH LINE OF THE NEy1 OF SECTION 21, ASSUMED TO BEAR S87.13'30'E, ST. CROIX COUNTY COORDINATE SYSTEM. M -. - --. - ~- ~ _._ . S87° 13'30"E - 1 38808_ i __ . _ _ . _ I RECORDED IN 1 voL.1066, Pa. !s! 1~ PREVIOUS m ' ' I BOUNDARY LfNES PN- '~ LOT i OF THE TOWN ~ N I 109,380 SQUARE FEET 1 51 ACRES) r-1-- (2 ° . r -_': R7'Y ~ - --- - ~ . i _ ._- - -~~-- ~"' N INCLUOING RIGHT OF WAY ' IiAL~_ SHED : _ 88.230 SQUARE FEET ~ I ( 2.03 ACRES) I EXCLUDING RIGHT OF WAY I ~ ~ S g 1 C DEED ( O ~ RECORDEOON ~ ° AUO. 18, 1897 r. I I ~° L---.~-.._...--- ----------- 368.08' ~ . ~e..°..,...__. _. 133.0'1' SCALE IN FEET I'=80' a as so' 1so' THIS INSTRUMENT DRAFTED BY: ~i)SEPH W. GRANBERG 5-2295 NOJ~F~ THIS MAP IS EXEMPT FROM TOWNSHIP, COUNTY AND TOWNSHIP APPROVALS PER WISCONSIN STATUTE 236.45(Z) (3 ). 0 0 vQa EY, CORNER, SECTION 21 ( SURVEY MARKER NAIL FOUND ) ~I ~I ~1 I 1 ~i 1 ) 1 (~I I I I ~ 1 1 I ' I 1 I 1 1 L_! W ~~-. ~a i//•ww-1~ v+l~ 1 I~ 1 l+ I ~I) I I I I' ~ ~I III LL 1 4 ~ I c`5 1 I z , F-- c Stevens ENGfNEERS & PLANNERS IBBD LNHVGSTONE ROAD HUDSON Vd 51018 (715) 3865819 (811)136.2075 FAX.(7!5) 38&5879 vwwo.STEVENBENGINEERS-CON SHEET 1 OF 2 i ~ ~ N !/~Jt._. 24 Pare 5674 State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number ~~ Document Name THIS DEED, made between Udder-Lee Dairy, Inc, aka Udder Lee Dairy, Inc., a Wisconsin Corporation ~ _ ("Grantor," whether one or more), and Town of Baldwin ("Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix Cotmty, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Parcel 2 on Exhibit A attached hereto and made a part hereof. The property shown as Parcel 2 on Exhibit A is being added to the parcel shown on the documents recorded in Volume 64 of Deeds, Page 580; and in Volume 1086, Page 151, Document No. 518810, described as Parcel 1 on Exhibit A, resulting in a single parcel, and this transaction is thereby exempt from Chapter 13 of the St. Croix County Land Use Regulations prusuant to Section 13.1{B)(3). IIIII(!IIlI IIII! !IIlI (III! IIIlI I1lI I!I!!I III! (II! X 3 1 8 77 9 0 ~~--'~yy 9 2 ~f~~V~ P~ATHLEEN H. WALSH REGISTER OF DEEDS ~T. CROIX CO., WI RtCETI~ED FOR RECORD 07/2.4/2008 11;20AM 4'dARRANTY DEED EXEMPT t REC FEE: 13.00 TRANS FEE: 45.00 FAGES: 2 Area Name and Retum Address Thomas A. McCormack PO Box 2120 Baldwin WI 54002 002-1049-10-000 Parcel Identification Number (PIN) This is not homestead property. (is not) Exceptions to warranties: Easements and restrictions of record. Dated '~ - ~;?) - (; (SEAL) (SEAT.) authenticated on AUTHENTICATION * -i'7YUrM N z N /~I,Gc 012~1~1 (lJ,tr. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ authorized by Wis. Slat. § 706.06 ) THIS INSTRUMENT DRAFTED BY: Thomas A. McCormack Baldwin WI 54~"' Udd'erq-Lee Dairy, Inc., aka Udder Lee Dairy, lnc. c,C/~~~~~.. J`~`-~~ (SEAL) * Douglas ee, President ~j /Ym. _ `v/Dl (SEAL) * Dianne Lee, Secretary ACICNUWLEDCMENT STATE OF WISCONSIN ) ss. ST. CROIX COUNTY ) Personally came before me on the above-named Douglas Lee and Dianne Lee to me known to be the person(s) who executed the foregoing insttument and acknowledged the same. Notary Public, State of WISCONSIN My commission (is permanent) (expires: (Sigpatures may be authenticated or acknowledged. Both are not necessary.) IS 1S A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRAN ®2003 STATE BAR OF WISCONSIN FORM N0.2-2003 •TyQe name :S. INFO-PROTM Legal Forma • (80055-2021 • irHOprofams.com 3 1 of 2 4 Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT ,PAID of m acu~ruanc:e wnn ~.ornm ao, vvis. ram. t,oae ~ ~ ~ County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size Plan must . r I . indude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date en ~ Personal information you provide may be used for ry p i~ 15.04 ( ) (m)). Property Owner ~~ ( ' ~ Prope ovation ~ 9 6 ?Q~/~ ~ ~ V vt. Lot ~ T 1/4N£ 1/4 S N R E (or W Property Owners Mailing Address CO ~ Lot # TM lock # Subd. Name or CS 3 S T, CROIX ~ -.t- ,. FICE City State Zip Code Phon IH ity village Town Meares Road ^ New Construction Use: ^ Residential /Number of bedrooms Code der/ived ig ow rate GPD eplaoement nn ,,,, ~~ublic or com r~al -Describe: ~~?~~_~._S c'2i~._ ___ Parent material SC..~.~ f7lTP/~, ~ r ~ Flood Plain elevation if applicable ft. General continents f~rld f9fbfrVf19r1('t9rIQl1S' System Type k System Elevation ~ IJ ~lJ a Boring # ° Bonne L o~ pit Ground surface elev. ~ ~ ft. Depth to limiting factor ~ in. Soil lication Rate Worizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Etf#2 ~ 30 l'Z Q ~ s l~ ~~~ n/1 ~~ # ^ 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 GPD/f~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 - , 3r z ---- m B Z - ~- 6 s t' < ~~ . Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 'Effluent #2 = BOD < 30 mg/L and T55 < 30 mglL CST NamQ (PI@ase Print) Si CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~~~ / ~ _ ~Jl' 715-246-4516 Property Owner Parcel ID # Page of ® Ong # ^ 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 D/ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 D- 0 3l -------- ~~~ ~., , 3 13-3o I ~ b ~ ~ S ~' ~/, ~ ,- G ^ 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 D1fF 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 ication Rate Horizon ')epth Dominant Color Redox Desrxiption. Texture Structure Consistence. Boundary Roots GP DIfP +n. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mglL 'Effluent #2 = BODS < 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. 5868330 (R.6AD0) ,. Property Owner _ Parcel ID # I ~ 1 Boring # ^ Boring _r~r /w-s~ i7 Page of ~ yam- rr[ ~..,..,,.. ~,.,,a,.o o,~.y ~~, • ~.. .,=Nun ~~ ~~~~~~u~~y ~aU~ ~, ~~~. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ d - 0 3 I ~- ~ ~~`' ,,,~,, , ~ ~13 31i: ~' b ~' 3 13-3o I ~ b ~ S ~' 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 D/fF 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. Sal ication Rate Horizon 'lepth Dominant Caor Redox Descxiption. Texture Stncture Consistence. Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Caor Gr. Sz. Sh. •Eff#1 'Eff#2 Effluent #1 = 8OD5 > 30 < 220 mg/L and TSS >30 < 150 ntg/L 'Effluent #2 =GODS < 30 mglL and TSS < 30 ntgll. 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. sao-s33o pt.~oo> ,~ foil Test Plot Pla Project Name Town of Baldwin Sha Bi <Address ~` Woodville Wi 540 8 M #226900 Lot ------ Subdivision 11!13109 "-"-'--' Dat NE 1/4 NE 1/4S 21 T 29 N/R 16 W Township Baldwin Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of siding System Elevation TBD *HRpSameasBenchmark 90th Ave Scale is 1" = 40' unless otherwise noted Pro area for town hall t 0 ' Property Line 2% Slope B-2 0' 30' 40' 40' ' ~ Well B.M. Existing Town shop 2 employees, l floor drain, does not discharge into -1 catch basin, B-3 ~.. _ 40' Existing holding tank 240th St. HOLDING TANK SERVICING CONTRACT Contract Date `~ ~ ~ I iv This contract is made between the Holding Tank Owner(s) Name(s) and Pum er's Name I (1 W h. -~ ~l : P U '~'~ ~cc.. L GI (~t) 1 t-V t J(. ~..Q/l.Q~vtG~Y We acknowledge the installation of (a) holding tank(s) on the following property: (Provide legal descriptions:) 1. The owner agrees to file a copy of this contract with the local governmental unit that has signed the pumping agreement required in Comm 83.52(1)(c)1. Wis. Adm. Code and the approved Holding Tank Component Manual. This agreement will also be filed with the St. Croix County Zoning Department. 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local governmental unit that has signed the pumping agreement and to the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volume in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with local governmental unit and the County named above within ten (10) business days from the date of change to this service contract. Owners} Name(s) (Print) { o E ~f ~.n -iL~ e s~ Owner's Signature(s) ~. ~-~ Subscribed and sworn to me on this date: Today's Date P-+u'mper's Nam-~,e~(P?ri~nt) /' Pumper's Signature/~ ~n+ Notary blic Signature ~JCJJS ~ ~ +/ • ~3 Q r~.h EIS ,~ ~ p~ ~ - tlJ.Q~ t~'~ ~Y ~ublic-State of Wi~ensln C~\~"'~'T AAy Commission Expires Oct. 17, 2010_.. Pumper's Registration Number Commission Expiration St. Croix County Ho/ding Tank Agreement Permi//t~~ Number - ~.//~ d~ i~cil 6!(,.lr ice. Name - (Owner) Typed or printed being duly sworn ,states, under oath, that: I . He/she is the owner/part owner of the following pazcel of land located in St. Croix County, Wisconsin, recorded in Volume '- Page - Document Number ~-rsctio9 5t. Croix County Register of Deeds Office: A pazcel of land located in the s~E '/a of the A1E %4 of Section Z, l , T Z`i N - R ~_ W, Town of ~ct f ~~,~.~ , St. Croix County, Wisconsin, being duly described as follows (include lot no. and subdivision/CSM or detailed legal description): ~a,~ ~ GSr~ Z'~' SC.,7`~ Agreement Date: ~ .~ !b l llllli l~lll 11111 ~ili1 Illll lull 1111 llll~4111411!! X15359 BETH PABST REGISTER OF DEEDS ST, CROIX CO., Wi RECEIVED FOR RECORD 04!30/2010 10:10AM HOLDING TANK AGREEMENT EXEMPT le REC FEE: 11,00 PAGES: 1 Name and Return Address ~ s~~x- r~~ /{ u l~ t/c•od.r.: (1r .., sr` We acknowledge that application is being made for the installation of (a) holding tank(s) on the above described property or that continued use of the existing premises requires that a holding tank be inslailed on the property for the purpose of proper containment of sewage. Also, tfie property cannot now be served by a municipal sewer, or any other type of private onsite wastewater treatment system as permitted under Ch. Comm 83, Wis. Adm. Code, or Ch. 145, Wis. Scats. As an inducement to the county to issue a sankary permit for the above-described property, we agree to do the following: 1 . Owner agrees to conform to all applicable requirements of Ch. Comm 83, Wis. Adm. Code relating to holding tanks. If the owner fails to have the holding tank properly serviced in response to orders issued by the governmental unit or the Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Stets., the governmental unit (Town) may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Stets. 2. The owner agrees, pursuant to s. Comm 83.54 (2), and Comm 82.40(3)(e), Wis. Adm. Code, to have a water meter installed in the structure. The water meter shall be installetl by a plumber authorized by the Department of Commerce to make such installations, wtth said installation complying with State regulations and manufacturers specifications. The owner agrees to be flnanGally responsible for the purchase, installation, maintenance, and repair of the water meter, and agrees to allow the governmental unit or the Department of Commerce to enter the above-described property on a regular basis to read and/or inspect the water meter. 3. Owner agrees to pay all charges and costs incurred by the governmental unit or county for inspection, pumping, hauling, or othervvise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. The governmental unit shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roil as a special assessment fat the abatement of a human health hazard, and the tax shall be collected as provided by law. 4. The owner, agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adm. Code, to have the holding tank serviced and to fife a copy of the contract with the governmental unit. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the governmental unit within ten (10) business days from the date of change to the service contract. 5. The owner agrees to contract with a person licensed under Ch. NR 113, Wis. Adm. Code, who shall submit to the county on a semiannual basis a report detailing the servicing of the holding tank. The governmental unit or county may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained. y. This agreement will remain in effect only until the county office responsible for the regulation of private onsite wastewater treatment systems certifies that the property is served by eKher a municipal sewer or a private onsite wastewater treatment system that complies with Ch. Comm 83, Wis. Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which wilt permit the existence of the certification to be determined by reference to the property. 7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and Lhe agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. Owner(s) Name(s) -Please Print .~1os~pGt L . ~ur~~'erl, L~htcrrmcvt Subscribed and sworn to before me on this data: ~ 30 oF~"~~ Not ized Owner's Signature(s) ~ ~~ y N ro j ~ye~.L. • :a. -' (/v/~emmental Uni/t~/O, fficial Name, Title -Please Print ~tVr. ~4 / r ~~,A /\~. /~ , ~ ~ i ~ ~ t:e ex~ ~ Zd ^^llff~~ r~ -.I Governm al Unit ircial Si lure Dratted by: ~ OF 1 °~ e5 f! PersgiFial infor4iAfion ~ev_prrr/ide may be used for secondary purpd§es [Privacy Law s. 15.04(1}(m)] // "THFS PAGE iS PART OF THiS LEGAL DOCUMENT - DO NOT REMOVE^ ~hss's information must be completed by submitter• document tit/a. Mme & return address. and P/N (if required). Other information such as the rdnting clauses, leggal description, etc. maybe placed vn this first page of the document or may be p/aced on additional pages of the document. Note: Use of this cover page adds one page to your document and 32.00 to the recpLdino tae. Wisconsin Statutes, 59.517.