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020-1454-00-088
Wisc*fsin Department of Commerce PRIVATE SEWAGE SYSTEM County St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 514828 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Bast, Kernon Hudson, Town of 020 - 1454 -00 -088 CST BM Elev: Insp. BM Elev: BM Descript�i : Section/Town /Range /Map No: /00 /Q a P C V Dom_ t 6"tJ /6/" � � ; , 4g- 36419.2903 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I J / L.P-4-12� /2 Benchmark 3c /0 66 O Dosing n f �� �� Alt. BM J � J ! tLL ?al( 044- F((( /JJJ1 m�Ln { Aeration Bldg. Sewer 3 d 3 y pi , G[1 6K •Y,3 /0e). S - Holding — St/Ht le �. a 5 �Oa. 3 TANK SETBACK INFORMATION St/Ht Outlet - 7. 65 9I• - 7 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet /� Septic / 47_ s / ( d Dt Bottom ------ � - f J T c,-,,.GGt -&-5 i �� Dosing H Man. S ,i44 4 , 6 �,.} -f- . �/ Aeration ------ Dist ipe h ) e — S t "G� Q 17),/4 5 /� d Holding $ . 3 9 7. OS ' e �/ Bo . Syst rn � ._ I-� ,k_ — y 2 ic Final Grade J � PUMP /SIPHON INFORMATION Q.-1AH 3. 7`= (030 Manufacturer Demand St Cover / I GPM T t ( °If) /0Y, (QS Model Number / I y J b trl'( y K-e v s TDH (Lift Friction Lo - System Head TDH Ft Forcemain Lengt Dia. Dist to Well SOIL ABSORPTION SYSTEM 22- 3 2/ -a 93 --/-6, BED /TRENCH Width Len th No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS - 9. g(-1 2 J 611 I y • /-/ SETBACK SYSTEM TO P/L i BLDG WELL) LAKE /STREAM LEACHING Manuf tare INFORMATION System: Model Number CH AMBE T f S -j -j .4.14:4717 IGI -.4.14:4717 �j 7S yp y { / /� oeumer: fvf hid > ► s 20 „ .0( e DI SC I BUTION SYSTEM 1 S / & Bader! nifold Distribution / 40 � / �J x Hole Size x Hole Spacing ,�Liontla Air Uptake ,(� 0 / h Pipes) t D 1 ryv N e, LAN- ®d !/v Dia / .... k Length is Spacing_ SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only m / s c-�y a Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center / Bed/Trench Edges Topsoil El Yes 0 No 0 Yes El No COMME (Include code discrepencies, persons present, etc.) Inspection #1: 35 / / / 0J ij7 Inspection #2: / / _ Location: 822 Riley Lane Hudson, WI 54016 (SW - 1/4 NW 1/4 36 T29N R19W) Cottonwood Ridge 2nd Add Lot 88 Parcel No: 36.20.19.2903 1.) Alt BM Description = U I vl it 2.) Bldg sewer length = / s { ,, / p ' ` / - amount of cover = amou o c y 3 Plan revision Required? ❑ Yes e F I ' ! 1 L 1 Use other side for additional information. - I," - __ I I — � - - S� J SBD -6710 (R.3/97) Date Insepctor's Sig ture Cert. No. , I commerce.wi.gov . Safety and Buildings Division County —1 is / ei 20i W. Washington Ave. . Box 7162 . _57CYp 4! x I SLO flS i fl Madison, WI 537 16 Sanitary Number (to be tilled in by Co.) Department et Commerce 5/4/13- Sanitary Permit Application tale Tran Pr In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governor 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 Department of Commerce. Persona information RE-COVED � formation you provide may be used for secondary sk 8z� g L , nu loses in accordance with the Privac Law, s. 15.04(1 "m , Stars. ...A_ �1. Application Information - Please Print Al formation ! Propeny Owner's Nan " i e ��.��/ 4' / p ' (� r / � �— - Parcel # L t c �� _ / Dyv a- JAN b i 3 l 1 020- /4/.../- xQ 60 - U L� (� Property Owner's Mailing Address Property Location /, Z96. 3 q a-�jQ v -4 gd ST. CROIX COUNTY Govt. Lot arb C \ f City, State I Zip Code , J1 ,g;FICL �� ,/ �� %, Sec1ivn j / l a ' Cie oae} sD,d !/!/ fr ‘.6 7l� '�8G `7T7 T i2/ N. RLorOati 11. Type of Building (check all that apply) 1 ..u( # � ' Subdivision Name ` g o'• 2 Family Dwelling, - Number of Bedrooms l _Q.H - g� f /1 0 Public /Commercial -- Describe Use _ 3 Dltwv� - -� -- j m 0 Cityof - - - —__ _ ❑ Owned _ wned - Describe Use �/ 1 - C SM Nun —. ._ - _ -_— 0 Village of ss ,.__ _ 3 v ._ _ cl t!� t..01 14 ' / �" T a '"'� 5 _ h r, ( 0 C icy o f t�lG� DrfJ 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) X .Lislew System ❑ Replacement System 0 Treatment' folding Tank Replacement Only 0 Other Modification to Existing System (explain) y _ ___ List Previous Permit Number and Date Issued ft 0 Pen nit Renewal 0 Permit Revision 0 Change of Plumber 0 Permit Transfer to New Before Expiration Owner i I-- IV. Type of POWTS System /Component/Device: (Check all that apply) — ___� X Non - Pressurized In- Ground 0 Pressurized 1n•Oround U At -Grade 0 Moui > . in ofsuitable -- 1 mind < 24 in. of suitable soil 0 bolding Tank ❑ Other Dispersal Component (explain)_ _ _ 0 Pretreu:ment 1�iee.4exp ' i)___ ___.,,_ V. DispersallTreatment Area Information: '� 4 !.t % G :r= r` _ �~ Desi Flow (gpd) . Design Soil Application Rate(pdsf) Dispersal Area ^ . -.uired (st) Dispersal Ar• • -.. System Elevation V e 7 ; F5 7 •'ci 4 i5 Be ,[aA) -4.J - VI. Tank Info Capacity in Twat ' # of Manufacturer 1 Gallons Gallons Units a U u 1 N `� New Tanks Existing Tanks / L v . _ 1,„1 k d SZs a ti - i+. C.5 a Septic or Holding Tank -- D osin Chamber ^' X LBod _ C �a :e s,.. i l L_ 1'11. Responsibility Statement- 1, the undersigned, assume responsibility for instaliation oldie POWTS1b9wn on the attached plans. Plumber's Name (Print) Plumber's Signature TMPRS Nu mber I Business Ph one Number I 199 1 i 17/,5" Plumber's Address (Street, City, State. Zip Code) / / L(ZZ s e w 'I .1.1 o . _.fir ' ,.' / / VIII. County /Departtnent Use Only / / / _ y j APPruved r isapprov Perna,; Ire Date 1 s Issuing; �� ' r Given Reason for Denial ��� ' Z r4 i IX. Condi easons for Disapi.roval s ►� f' /) a r Of, sit ai, I o a re . . eM f Ac.clL.S . 0 5 4 140 7 1. Septic tank, effluent filter and _ ,00) dispersal cell must all be services / maintainer( pet' t�E.w b Aoc.- 4 Sttiew 044.41.4044.41.4- (oe(�� ACp 1 { as per management plan provided by plumber... 4-;41 L. ?.4cr, %NEt..) EkAN • 2. All setback requirements must be maintained ss tasrmpticahle eode o[dinincet 7 .t0_;l --1_0_ t•+eleAa -ti._- - - -t� ire J 11 et... hovtite4t..xc, Attoch to complete plans to. the system and submit to the County mil) uu paper not l ss than a 1/2 x 11 In cs to size / w l 0 twist..,... . N a. - e ,ot.►t...�c� / C4 to SBD -6398 (R. 01 /07) Valid thru 01/09 • .,/`'Gcti:e- ( - V / ' I A/ ‘ I I i i \ , \ V u , ,v,5 2 - ' 1 3V als ii,5-,, . Ve - Y , - , ,,,: , ,i, 4 yo` fd 4 ti ' ,% N� lS , f Lutil . cm/ye/ , ( z.' oQ w,,dndo .0d , -4 0_0,614 .‘"tilxi i / 1 k e 141 1 1 i 1 f ECOPY 1. I ./.2� ,. . , -7- 7 P AZ/ i r I t yqoz t++Yd ktovi.0.41 � ,�s T 2.6 7`ry ,r-i1ZJPG! .� 7i c7 3��XG6� Ts , ‘1 .0 11 4 , 15 -° � q� /A/ 9r , 4sconsIn SOIL EVALUATION REPORT #1651 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 . Division of Safety and Buildings O Steel's Soil Service, Inc. County Attach complete site plan on paper not less than 8% x 11 inches in;;- - - Ian must St. Croix include, but not limited to: vertical and horizontal reference point ( = 17. og -ction and percent slope, scale or dimensions, north arrow, and location and di - to nearest road. Parcel I.D. l/ ending Please print all information. Revi d By Dat Personal information you provide may be L sed for v vV �� LvJ EfV!Urivacy .aw, (1) (m)). 1 2///4 $ Property Owner Property Location Bast, Kernon _ Govt. Lot na SW1 /4, W114, S36, T2ON, R19W Property Owner's Mailing Address APR 1 3 2005 Lot # Block # Subd. Name or CSM# 948 Labarge Rd. ST. CROtCDUNTY 88 na Cottonwood Ridge 2ND Addition City State Zip Colt N ipycO ber City 1 Village ® Town Nearest Road Hudson 1 WI 1 54016 1 715 - 386 - 7775 Hudson 1 Cty Rd N ❑ New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: na Parent material Stream terraces and pitted outwash plains Flood plain elevation, if applicable na ft. General comments Conventional system, system elevation 99.10ft. Trenches spaced and depth to code 5.00ft below grade. and recommendations: 1 Boring # El Boring ❑ Pit Ground surface elev. 104.10 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. 4 Sh. *Eff#1 *Eff#2 1 0 -13 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 13 -33 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 33 -50 7.5yr4/4 none cos osg mvfr gw na .7 1.6 4 50 -120 7.5yr4/6 none cos osg ml na na .7 1.6 I 2 Boring # Boring 1 Z Pit Ground surface elev. 104.10 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont- Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 9 -24 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24-44 7.5yr4/4 none sl 2msbk mfr di na .6 1.0 4 44 -120 7.5yr4/6 none cos J osg ml na na .7 1.6 44 el fl GitP Silt inclu • ns in riz n #3 with 7.5yr5/6 Redox Features. * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 5 < 30 mg /L and TSS <30 mg/L C:: 5e T Name lea Print) f ' S nature: CST Number el 2 — v 248956 Address Date Evaluation Conducted Telephone Number Steel's Soil Service, Inc. 994 200th St. Baldwin, WI 54002 4/11/2005 715 760 SBD -8330 (R.07 /00) Zilt X - 31t Progerty Owner Bast, Kemon Parcel ID # Pending Page 2 of 3 3 Boring # El Boring El Pit Ground surface elev. 103.70 ft. Depth to limiting factor 120 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 0 - 10 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 10 -19 10yr4/4 none sic! 2msbk mfr cs na .4 .6 3 19 7.5yr4/4 none cos osg mvfr gw na .7 1.6 4 48 -120 7.5yr4/6 none cos osg ml na na .7 1.6 LI g Boring Q/ �y Boring # Pit Ground surface elev. ` Y45J ft. Depth to limiting factor ) 7 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 j 2 1 `f - D ,z7 // — L Co s o sr y►1 •e / 7 / - 3 33 - 66 7 cgs 4/ s -e. 9 z-- 1 l V k° 7.67 f t 6S o s 5. 0 -to , 7 ,, 6 .. );�J Ei Boring Boring # El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 <150 mg /L * Effluent #2 = BOD 5 < 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 -3151 or TTY 608 -264 -8777. SBD - 8330 (R.07 /00) Steel's Soil Service, Inc. L , 3of3 STEEL SOIL SERVICE INC. David J. Steel Kernon Bast 994 200 St. CST- POWTSM SW1 /4,NW1/4,S36,T29N,R19W Baldwin, WI 54002 Lic. #248956 Town of Hudson, St. Croix Co. Cell (715) 760 -0347 Cottonwood Ridge 2ND Add. Fax.(715) 684 -3449 Lot,88 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. Legend N 1 " = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 101.75 ft Top of 3/4" pvc pipe 1 = Borings Boring Elevations C B1= 104.10 •Top d B2 = 104.10 ft s 1 1 � ' B3 = 103.70 ft S{ — vl B4= 0.00 ft . o V;�5lrt ? (‘-- ) D 0, C r g 4 9 q 4 t 2r V? d lb 1 03, E l 3l I \ I :03/4, \ lb hZ° \ V 7v „, Feb 21 06 08:O1a Steel 's Soil Sevice Inc. 715 - 684 - 3449 p.1 STEEL'S SOIL SERVICE INC. 3 of 3 David J. Steel Kernon Bast 994 200 St. CST- POWTSM SW1/4,NW1 /4,S36,129N,R19W Baldwin, WI 54002 Lie. #248956 Town of Hudson, St Croix Co_ Cell (715) 760 -0347 Cottonwood Ridge 2ND Add. Fax_(7I5) 684 -3449 Lot,88 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. E1VE Legend N REC i» = 40> mit = Ben chm ark Ele. 100.00 ft FEB 212006 Top of 3/4" pvc pipe 0 = Alt Benchmark Ele. 101.75 ft ST CRp1X COUNTY Top of 3/4" pvc pipe • • 1 = Borings Boring Elevations . B1 = 104.10 ft ..7 B2= 104.10 ft B3 = 103.70 ft 1 �� B4 = 0.00 ft ),r w r � , k t ■ � ; .,; \ ' b 31 +' i& .1 0 1 / ,'' lb :I � v \� 3 i \ / riJL`F'- ° LlIIIU LnW1u-. • x , x x X 156.21' 1 37 . sP 364.60' \ \Z 1107.4 I_ \ o 1w \ , 1� \ 1 \� 0 1 H.W.L = 986.00 IQ k I N \ s Q° ii, 1 6 11911 / 1 0, ,„ c,„ LOT 90 P � / ' / N 263.73' "- \ \Z a 2.57 ACRES Z� ' / \\ \ g 1 SQ. FT. / /' LOT 89 \ l L.B.O. = 988.00 / / / 4.78 ACRES \ z \ / / 208279 SQ. FT. \l e 1 1- ' ' L.B.O. = 988.00 \ \\ p / / ' / / / \ �, Q c�' q ' BENCHMARK \ \ t / TOP OF REBAR \ \ rai / 4 / ELEVATION = 1039.41 1 SON R N ■ 5 682orr� 6.b 20 -�` r �S1 a � �\ 70 ' sr _ F 4 / • z \-3r� \ �'3� dOO4 l73 • �OT88 0 J • \ \ O <. r , \ 2.07 ACRES S Z 3 O tg LOT 95 �, \ \ 90119 S Q = 6, _ L. . . = 1038. 2.02 ACRES \ � � p\ Q w 0 88007 SQ. FT. \ \ \ Q \ • \ • 1- u. \ \ - O • \ l Z -4168020, 1 .6. I I I co i _ • �-��� O ( O 70.00' N89 °38'19 "W 216.84' r 96 6 _ I _ _ i 9, 16 – (c., - g SQ E F T. - . / / /0 G - DEDICATED TO THE PUBLIC —� 8 MARY JO COURT N89 °38'19 "W 282.73' / % 0\ 9 _ 61.42 - -- - - - - 221,31' - -- -- _„ - /A r 4 T f . / 1 • / / \ o ff Cr / / , ./ , ,,,,4 „.\. .• ,• ....... / / -/ . • LOT 110 . LOT 111 t` : �C `' _ ____ �! xg 17 L ►l� 1C��1� b V 'i•":'":'H• `? „ray . I r.� /tI I,I i ,4,, , ,I // !J O X I C.L,.1.4u €s$a• f3YC ',. ai: , * 4 - I�fIL,A1.� - 4 . . .. `�"/ wr fi ♦ r / � �0 f 1. yi , / la s9 o • . 'i � I ♦ OD CO CO Ar ..y.:�%1J "�% :; t s J O¢O N n �� /I� .:: /� /�!!�I \ al P4 PO � RI • P 0 •09 0101::: •lis ,q . :::: 0 - 0.: 9 i 1/, 1011 . :Iii YI :"Ii..N. 41;4. Cs # , i 1 / lir 11 7 /0" , c) ti , 6' e /. 6 p, 0 / ., i i' •"' ' . / � / 1 /gi %0 / % % / � ; � a • • h / • . .. `" k x lc co pit }�� /, " %1iI / � ��� / / i • • . r . f . . /J/ //iii / / ��,�� i a.. �.i. + .ice /ilia /�����' ��f� / • 1•- Q • / ' .rt IIII / i /,4 J�1/Ii''�!I 1 /Ill � �1/� ` � • ,, r NI O st • 4 14# , o L N 'S / / o o ¢ i % / % % �< 1_ ite. !R V ;.., ,,,t ¢O / 03 X 6 Do 11 ih : „ /' ' P tU Ltit Pa co o — O Q e / ." . A ff N I. . 3.6i( ,...,),,,,, /4 ,,,,,,:<(,,,,.., , • v;;;;;r,:// ote .,;,•,,,„,„w . a, • 0 , / 1;., L '. ' W ° �8z „ � �! ' u 01. Q , s. ,8 ef f ' I. c t t•-•. V *•• ••,:! Planntuuto,„ . .." x x — J ■ . , C- * 7 6 75 - b" 1 . Wm.w,w.m. yo, c.,oir / / // COUNTY PLAT OP: R � eu . n ?�, �"' e� ^^ / ,/ COTTONWOOD RIDGE 2ND ADDITION / � " / LOCATED IN PART OP THTHE SW!/4 OP THE NW1/4 AND PART OP THE NWI/4 OP THE OWI /1, OP SECTION ,K w.. w,... wr.1Am, -Ir. W.V.... 1 ' / �' ° / � 30, T2ON, R111/W, TOWN OP HUDSON, OT. CROIK COUNTY, WISCONSIN. ...ar k i Q" , JJ SOWN SOWN w.. w .w .m 1 '// — .. . N40•117111911 1 • ENGINEER t • 1; ._g', n r. w, 1 is D 1 ... ` 1111 ‘�. ,...n, w.e. N.b.wlaM .Nr L '� , \ \ LOT , ' ®fin ....ra L N m 1 . . _ •l . ' \, `' ,.p r a y. a i s , • a w ry . . WW N `` Ii1 i' • • •, • L A X - 1_1 q W ^t�k y \? LOTS i , ? r:� cos:" } i` i II e 94 III ` \ e t ATOM . ii 51 Xi LOT OEs • I!! f .. _ f 9 A• .4,' Y . OBYfOfW I 1 9 0°44 LOCATION SKETCH ,• tl....°.�rtro44.w 1� '44 : . e � , 4",,,,,,.;-t. ' u , �� 1 \ 1 9�T ra w A 1 I t ' ` 01 ' \ \ 1 ' M.. .� C aor 0� c P' \\. t. LOT S ww LOT 90 a • il / i n LOT 4 . �' I _. — _ —. SECTION 30, TEEN, RI OW .; i •. �"'•r•, , , p' _ mrw — — JO COURT ■ r ....7944-, '', ,7, ,Ve SCKCIN F!ET 1'.100 '8I i } .o�,w, � $` \ k SO F ', a • i� / / OT 11O ! i `J• E rin LOT 111 • ! oo' ,M roe Amami ornc2 DOG # ..n — ! � • •, . -- - -- %/a .. ibn'� g I UM is ST. C11000 CO. VELA 8075 $ 1 I aw .a ac . i i . .w.r � +2i : J.VL I I nna.. row ' �. . ,1.44 vw n It�r{{{���• y y ••••• I / Ir i I• i i r l s / i ei4*o s �. :1 / 44.44-rs � . — L.2.:41. � w_ • / ` 1 1 1 40 LOT 1 0 1 53 I t rn w cu.. w.n. ,r w,w.ro ea tw N1047.41.1.010,..•• N. .�awo wwo, LOT 99 ..+r / k i a m a 4,4444 ■..,. w .w... ! Im•o-'.- n.— ,3'.MN i *� , -__ i -- •!<11 ' i 1 \\ Maws MN* w M kW' PUT N..MN 1 ,.. q 1 $$ An NMI MONOCC611.1•44 V We row,/ w,ra,rarnawxen mw,w.r r _. __- _._ -__ • `.� .oir� , f I< c w W. o n. PE nowwnaRM,al 10 I. Q "i. LOT .4� i I I In II Ia. w , .wa.w,ur ..w LOT IOC ,, ' , ` \ Mo n . .nACumn.r ...mum S ua row Y � /i 1 • 1 «aAaa •r nr•••••PN,ww...nn i @ Ai ,' \� \\ \ , I I 8 I a. , .; , ,, .,.... w samba s 1 , le i . �� r.. �s !4 I ' il,. 1 I i X Nrr1ru W 2.47.41' \, 4 LOT fa ' sr b 11....r...l M Lm lol ` , \ 2T / '�' 33 I ■ 10001.10 1 I IL:0 e 0 _____*.\ \ \ A 6 • ,»oo .aw•.rt, -, .w 4 I - m Q ` L''1�, , i M __________‘070nRsts __ _ _ i I -- -! LOT • .ft.•1.....:.10 i •= 214.719! {.N...e+ .� • '� • i b • r..a.rN.Nro.,- iPII.':_!f O!A IM vw NMI . `R -r- napapoot r1 i Al RM a ' �j . ! ,. .4:;:=W:::...440. i i i 1� I '\ i w. ' 0411.4 w I b —. . an.w, *raut nnro j iti LOT I. 1 • �s w.n M 1 WI w nw.MO � I t .. • 1 .r • ° w.w ------'4 I 1 , .I b — _ �_ , _ 1 a j; F aor,w I w ....... _ —• � — 1 — ` 1\ ' `'. °w`"'. p ; j :a • "�. 1 Armois .r. T/IIMVJ. � Fr s w ow s,nw,.n.M.rrAtr• --- 1 Cj 4 �-- 5 �9�/ ~ _ G \_ - °lus'"� • . rwwa.nac,- .r,o.nv, I .J" ...n:Tw.,r,w,n,x.ww 11i i'i QkW 1",r- i Nst•s =a• • .'_r' „ I rIQ\ g . w o,.w ww..n Ii., i x'OIt.00 p - '- -w•.r. ' � -i Y. w +...........1', _ Vii — ••••••• -- � Y � 14 .. ..'w'�wr . . I • -a-- -- G ' . + w.., - _ jn•.,r•.wun LAM, n.W 4.401.7 an art 4144 •C•••• SHEET/ OP 2 OHEETE '--1- `-►- _ BOUMEESTER EXC 7153779620 09/14!06 07:02am P. 001 • ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AN .D OWNERSHIP CERTFICATION FORM Owner/Buyer / ,2? 4 ._ , s r Mailing Address '72?-.5 4 - L 4jZ / 0 J W � Yye_ �' -- .S'4'Gl� Property Address F - Q.. ,/P__ (Verification ,re m Planning & Ze sing Department for new construction.) teP City /State _ Parcel Identification Number LEGAL DESCRIPTION P r o p e r t y Location ,5 r / 4 , , d J u ) ; , Sec. 36 ,T Go NR /9 W, Town of zedfSG4J . Subdivision 40 Z`fe,J tv60 el 00;al „7,,0 1 - 0 1 d Lot # •e Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # • Spec house 40 no Lot lines identifiable 6) no SYSTEM MAINTENANCE AND OWNER CERTIFJCATION Improper use and maintenance of your septic system could r. cult in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three year:. or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment att in the waste disposal system. Owner maintenance responsibilities are specified in §Conan. 83.52(1) and m Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Pls nn ing & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman phunber, restricted plumber or a licensed pumper verifying that (I) the on - site wastewater disposal system is in proper operating condition and/or (21 after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce anu. the Certification stating that your septic Department of Natural Resources, .hate of Wisconsin. system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. //we certify that all statements on this foam are true to the be .t of my /our knowledge. Uwe ann/are the owners) of the property desc, . r' above by virtue of a warranty deed recorded in Re gister of Deeds Office. Nut , ero I -Ir„ rAO SI1,j; ' E OF AP' CANT(S) / DATE � ** Any information that is misrepresented may result in the sanitary 1 ermit being revoked by the Planning & Zoning Department. * ** include with this application a recorded warranty deed from the Regis` er of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) POWYS OWNER'S MANUAL & MANAGEMENT PLAN Page of FiLE INFORMATION Owner XSTEM SPECIFICATIONS / y• 'a,t/ ,J. s' 7-- Septic Tank Capacity Permit # /. gal DNA Septic Tank Manufacturer �s� ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ' Pe fv:X 0 NA Number of Bedrooms 1,. _ 7' NA Effluent Filter Model Sj 5- ❑ NA Number of Public Facility Units _ I NA — ..._._ Pump Tank Capacity g Q 7 gal ❑ NA Estimated flow (average) 1 b O 0 , al /de Pump Tank Manufacturer i A 1e.. Se - ft. 0 NA Design flow (peak). (Estimated x 1.5) •....__ -- __________. ____ 4 p , a { /d pump Manufacturer o ei...t ❑ N Soil Application Rats _ Pump Model - :aI /da. /ft ❑ NA Standard Influent /Effluent Quality —I- Monthly average *' tm --- prretreatment Unit ❑ NA Fats, Oil & Grease IFOG) 30 mg /L 0 Band /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (800 5220 mg /L. 0 NA 0 Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 m fL A 0 Rleinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cells) ❑ NA Biochemical Oxygen Demand (BOO s30 mg /L 0 In-Ground ( ®ravityl 0 In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L !7 0 NA 0 At -Grade 0 Mound Fecal Coliform (geometric mean) q 9 t s 1 O cfu,r 1 QOmI 0 Dr in Ip L e ❑ Other. Maximum Effluent Particle Size Ye in dia. ❑ NA ether: ❑ NA Other: _ _._ 0 NA Ocher; DNA `Values typical for domestic wastewater and septic tank effluent. Other: 0 NA MAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of tank(s) At least once every: 6 month(si _ -- (Maximum 3 years) ❑ NA ears Y ( I Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal coins) At least once rory' ve 0 month(s) _�____. _ -- yearlsl (Maximum 3 years) ❑ NA • Glean effluent filter At least once eve f • 0 monthis) _0 NA __ / .__ �Year(el _ ___ Inspect pump, pump controls &alarm At !seat o nce every: 0 month(s) ❑ yearlsJ 'N +�� O NA _ Hush laterals and pressure test At least once every: -- 0 month(s) ❑ NA yoar(sl _ Other: - - CI month(s) _,_. At least once every: -- ❑ NA p years) Other _ — "' ._ - --- -- ❑NA MAINTENANCE INSTRUCTIONS inspections of tanks and dispersal cells shall be made by en individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tanks) to identify any missing or broken hardware, identify any cracks or leaks, rneasure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cellist shall be visually inspected to cheek the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator an. disposed f in � 8 p and d p o accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent fitters. mechanical or pressurized components, pretrtratment units, and any servicing at intervals of s12 months, shall be performed by a certified POWTS Maintainer. A service report shah be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION faAge - - -- or'. For new construction, prior to use of the POWTS check treatment !ankle) for the presence of painting products or other Chemicals that may impede the treatment process and /or damege the dispersal collie }, if high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior tp use. System start up shall not occur when soil conditions are frozen et the infiltrative surface, During power outages pump tanks may fire above normal hiphwater levels. Whey, ower- rs restored stored the excess ed to the dispersal I ss wastewater will he discharged pe sal ce lis) in one la doge Ovsrloed'rig the culls) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the PUMP tank removed by a Septage Servicing Operator prior to restoring power to the affluent pump or contact a Plumber Or POWTS Maintainer to essist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or et -grade Soil absorption area. Reduction or elimination of the following from the wastewater strewn may improve the performance and prolong the life of the POWTS: antibiotics; habv wipes; cigarette butts; ooncfcrtrs; Patton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sum pump) water; fruit p p p rwt and vegetable peelingb, ga soline; gross ©; herbicides; meat scraps: medications painting products; pesticides; sanitary napkins; tareponii; end waiter softener brine. p ABANDONMENT When the POWTS fails and /or is permanently taken Qut of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled w,th soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS O S falls and cannot be repaired the following meaisurea have been, or must be taken, to provide a code Compliant replacement system D A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot line' and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to *stabileh a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ,1 QC] The site es not en evaluated to identify 0 suitable replacement area. Upon failure of the POWTS a soil and site 11YY evaluation be performed to locate a suitable replegerryent area. if no replacement area is available a holding tank may b ' talle s a fast resort to replace the failed POINTS, ❑ Mound and at -grade soli absorption systems ma be ricon. t Ue i n place following r infiltrative y e ru tad g emoval of the biomat at atve surface. Reconstructions the tractions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY COCUMBTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY SE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER PO $ M iNTAINER Name ' k.A.3 1� e ft tee G�U' a0t� t R., T ._ Marna Phone '7 / 3 8 1 p ••� Phon SEPTAGE SERVICING OPERATOR (PUMPER) 'LOCAL RE ULATORY AUTHORITY Name Name � C aroi`.r Go Phone Phone 7/6 r 3g 4 4.71 4 $ This document was drafted in compliance with chapter Cornm 83.22(2 )i1)id)ik(fl and 03.54i1;, (21 & (3), Wisconsin Administrative Code. START UP AND OPERATION o+ For new construction, prior to use of the POWT5 oheck treatment tank(e) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal collie), If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen et the infiltrative surface, During power outages pump tanks may tiff above normal highwater levela. When power is restored the excess wastewater will be discharged to the dispersal cents) in one large dose, overloading effluent. To avoid this situation have the contents of the u the ceilis) and may result in the backup or surface discharge of power to the effluent pump or contact a Plumber or POINT$ Maintainer o to d essist Se m ne tts l rvoperatii Operator prior to o restore normal levels within the pump tank. y operating the pump p Conntrols trols to to Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the ar within 15 feet down slope of any mound or at -grade soil ebflorption area. area Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss: diapers; disinfectants; fat, foundation drain (sump pump) water; fruit and vegetable paejinge; gesoiine; grease; herbicides; meat scraps: medications; oil: painting products: pesticides; sanitary napkins; tarePone ; and Hater softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Conlin $3,33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system. O A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot iinea and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed se a last resort to replace the failed POWTS. I'AO The site s not en evaluated to identify a suitable replacement area. Upon failure of the POWTS site evaluation be performed to locate a suitable replacement area. if no replacement area is a ailab e a holdi g may b ' ta(le s a fast resort to replace the failed POINTS, 0 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must cofrely with the rules in effect at that time. < <WARNINt3> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAmt LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE WPFICULT OR IMROOSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name i ci� NTAINER 1\` 1A •4 S GVN i . Phone .7 /'f" ^ 3 $ '�'T �. .',3 / c� � Phone SEPTAGE SERVICING OPERATOR (PUMPER) Ll A4 AID. 111.ATORY AUTHORITY Name Name . C Phone ro,'ar _ _ �,,,. _ �� Zoe...". Ph one 7/S r ,3'8 ._ 4 /4 o This document WAS drafted in compliance with chapter Comm I) PL orn S3 b (1iisil6(fj and 83.54(1), (2) & (3), Wisconsin Administrative Code. s 2$ FROM BOOR , w: h-Dow C BOv G.tAaE �+Ear+�ERpRgoF 'AESH AIR :N:AK>r JUNCTION ECX APPRG'lED F:NISHEC ;RARE �„` 7:ETH 00NDU22 •"lANNOL CGJFR w PADLOCK i ...........3,..44„7 1,.., spj,i.r1;71;iiiiiii.;....4. 4" Cz x. StR --� WARNING =ABt1 i . .4„ ** :N.4411, r...I H i , ......., ................. ,.................• , .. t , WA:`FR TIGii: SEALS . G AS- J ' ! �A"' SIGHT, mom `pp�0YE0 _ SEAL '�i j JOINTS w 'IPE 3 ' ! 8 r ALM STi+ X 0 1 0 3 SILIO IT ON Pr O P IPS ., ,� 1 1 ; SOLID SOI L PUMP orr ELEV , F T . , _ • 1 . '�"..., p""OFr 1 Sr H$EI! EXIT ` 1 , PERMITTED CN;.Y 1........, — ...�,�,,,..,1 aims ' I IF TANK MANUTACT'JRER 3" APPROVED BEDDING UNDER TANK HAS APPROVAL CONCRETV PAD 52ECZFIC1 '= °T`C / DOSE ..�. 'ANK MANUFACTURER: i _ _.g,........,,, WMiER ZQ$ES PER DAY; _ lie_ Ah'~ � - LSa'. $+ S: SEPTIC 3 ,,,.. DUI:. DUI:. d ,,,,� GAL. � vC:iJ."i£ INCLUDING DOSE .. �cr , GAL. Fp SACK: l ....... 9 ..... GAL . ,LARu MANUUFACTURER: CAP ACI:ZES : A • s - MODEL NUMBER: .cNCKI$ • ..�,......�AL. SWITCH TYPE: ..... ......, B a 't' E S IQ _ GAL . mP MANUFACTURER: MODEL NUMBER : C : INCHES +� lC 3A:,. SWITCH TYPE: ��L.RED DIgC ) D Y .4g.. I.YCHES s GAL. OE R AT .„,., 1 P "SMP i ALARM W T • ` / PUMP .RANG AS ?EX %HR 26.23 WAC � TICA K NETWORK SUPPLY OFT AND :ISTP: SU T I ON PIPE . ..14....... FEET FORCEMAIN �R E�E 42 _ FEE:' FT /100 F:'. FRIC7 :0N FACTOR . FEET ' �' I'EET TOTAL DYNAMIC MEAD s :'= �'tNAi. DIMEA';,: C�; 5 LF PUMP a � ►� . , /E',Plr���`E«.. rUM. TANK: .ENGIN -----; i wIDT$t tTER .- . • P age _ 01 _ START UP AND OPERATION ' , . For new construction, prior to use of the POWTS check treetment ;ank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal califs(. If high concentrations are detected have the contents of the tankls) removed by a septage servicing operater pr)Qr 10 use: _ ,) ;,z ; ' _: I. System start up ahall not occur when soil conditions,Arp frozen at the infiltrative surface, s • a -- 4 During power outages pump tanks may fill above rtorrnal hiehwatar levels. When power is restored the excess wastewater will be discharged to the dispersal califs) in one large dollar cyerioadinti the oaths) and may result in the backup or surface discharge of effluent. To avoid this situation have the content* of the pump lank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal *is. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade Boil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts, condorns, cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tamlona; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shalt be taken to insure that the system is properly and safely abandoned in compliance with chapter Conlin 8 .33, Wioconatn Administrative Code: • All piping to tanks and pits shall be disconnected end the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. e After pumping, elf tanks and pits shall be excavated end removed or their covers removed and the void space fiied with soil, gravel or another inert solid material, CONTINGENCY PLAN if the POWTS falls and cannot be repaired the following measures have been, or, must be taken, to provide a code compliant replacement system: O A suitable replacement area has been evaluated slid may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from dieturbpnce and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaktetion to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time: O A suitable replacement area is not ev$ifablo due to setback end /or soil limitations. Barring advances in POWTS technology a holding tank may be installed is a last resort to replace the failed POWTS. • ► rr �r.i. ff! t*' . . • , tank . rfis O Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such syattlrris must aomply with the rules In effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY COWTAIN k TIIAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK OMER Amy CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY RE DI0FICUL1 OR OYIPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER , pawn MAINTAINER __ __._..�-.. N ame 4i � 7 /, < ,, s� � ` , ,, _ Name Phone 7 l ?d"S'— ,s,, bone SEPTAGE SERVICING OPERATOR (PUMPER) ;(99AI. REGULATORY AUTHORITY Name Name ‘ • r r •\.% _, . Phone Phone /5- 3, -- . � > This document was drafted in compliance with chapter Comm 83.22(2)(b)(i)(d1401 and 83.54111, (2) & (3), Wtsconain Administrative Code. . . . . . . . . H GOULDS PUMPS Submersible Effluent Pump vow .... t 1 MODEL 4 - Ir ,. 3871 EPOS j APPLICATIONS • Fully submerged in high • EP05 Impeller: Thermoplas- • Bearings: Upper and lower Specifically designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing following uses: lubrication and efficient improved performance. construction. heat transfer. • Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance. � t • Water transfer Mechanical Float ' Canadian Standards adon • Heavy duty sump Mech Switch • Motor Housing: models S Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "F" or "C.) factory. strength, and durability. SPECIFICATIONS 1 Motor Cover: Thermoplastic cords Pangs isi509001Registered. • Solids handling capability: FEATURES cover with integral handle and g i� tY float switch attachment points. s /,N maximum. • EPO4 impeller: Thermoplas- • Power Cable: Severe duty • Capar:ities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1 v NPT, seal protection, • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104°F (40`C) continuous METERS FEET 140°F 60°C intermittent. • Fasteners: 300 series 10 —1 stainless steel. 9 30. .._ ... _ ,..._. --ar --5 GPM ....... , • Capable of running dry without damage to 8 i 2.5 FT components. 25 ............ Motor: x • EPO4 Single phase: 0.4 HP, y 6 20 115 or 230 V, 60 Hz, 1550 RPM, built in overload with 5 ! ._ . ___ _.. _ _ .. . _... 15' automatic reset. 4 • EP05 Single phase: 0.5 HP, o r r EPOS 115 V, 60 Hz, 1 RPM, ____... i_. 3 14 built in overload with ERA automatic reset. 2 - • Power cord: 10 foot s . standard length, 16/3 1 ` SJTOW with three prong grounding plug. Optional 20 0 - 00 J zc 30 40 50 _ . GPM foot length, 16/3 SJTW with three prong grounding plug o 2 y 6 e 10 1 2 mVh (standard on EPOS). CAPACITY Goulds Pumps 0 2000 Goulds Pumps ITT Industries Effective February, 2000 83871 . U 2 1 3 5 P 3 5 5 7'0aEl a0 KATHLEEN H. MALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., MI Neil L. Wilcoxson and Mary J. Wilcoxson, a /k/a RECEIVED FOR RECORD Mary Jo. Wilcoxson, husband and wife, conveys 02/07/2003 02:00PN and warrants to Kernon J. Bast the following EXEMPT # described real estate in St. Croix County, State of REC FEE: 11.00 Wisconsin: TRANS FEE: 2880.00 COPY FEE: CERT COPY FEE: PAGES: 1 Exception to warranties: all easements and restrictions of record. This is not homestead property. Parcel Identification Number(s): 20- 1109 -40 -000; 20- 11 -9 -20 -000; 20- 1109 -10 -000; and 20- 11 -90 -55 -000 Name and R t al 1 • A parcel of land located in part of the Southeast '4 of the Ina - ealty Title Northwest 1/4 , part of the Southwest' /. of the Northwest 400 South 2nd Street 1/4 , part of the Northeast 1/4 of the Southwest 1/4, and part Suite #115 of the Northwest 1 /4 of the Southwest 1/4, all in Section 36, �, 1 � I J , I j ip son, WI 54016 Township 29 North, Range 19 West, Town of Hudson, St. 5 1 `1 Croix County, Wisconsin described as follows: Commencing at the South %4 corner of said Section 36; thence North 00 degrees 10 minutes, 01 seconds West along the north - south' /4 line, 1634.77 feet to the Northeast comer of a parcel of land described in Volume 526, page 259 at the St. Croix County Register of Deeds Office, being the point of beginning; thence continuing North 00 degrees, 10 minutes, 01 seconds West along said North - South' /4 line, 1977.22 feet to the South line of the North 350 feet of said Southeast %4 of the Northwest 1/4; thence South 88 degrees, 49 minutes, 51 seconds West, along said South line and the Westerly extension of said line, 1324.14 feet; thence South 00 degrees, 09 minutes, 43 seconds East 2,096.73 feet to the centerline of County Trunk Highway "N" being a point on 1,999.00 foot radius curve, concave southerly, whose central angle measures 03 degrees, 00 minutes, 19 seconds, whose chord bears South 80 degrees, 02 minutes, 21.5 seconds East and measures 104.84 feet; thence Easterly, along the arc of said curve and centerline, 104.85 feet to the point of tangency; thence South 78 degrees, 32 minutes, 12 seconds East along said centerline, 712.54 feet to the West line of said parcel described in Volume 526, Page 259, thence North 00 degrees, 10 minutes, 01 seconds West along said West line 304.75 feet to the North line of said parcel; thence North 89 degrees, 49 minutes, 59 seconds East along said North line 523.00 feet to the point of beginning, all in Section 36, Township 29 North, Range 19 West, St. Croix County, Wisconsin. Dated this _ day of JGfrziCLO-7 , 2003. e.i)t_pc.,9_AA) 6_7, ti,iev,,,,,,,,/,,,, 1 1,7W ilcoxson Mary J. on ACKNOWLEDGMENT ..co; ::Z;,,' if , STATE OF WISCONSIN ) ,..4..-- OW Flap.. Ii e 6 COUNTY OF ST. CROIX ) 3�tA- / . �/ f Personally came before me this day of /a ? 2003, the above • -med Neil L. Wilcoxxof d Mary . i,, - � Wilcoxson to me k to be the persons who executed th fo oing instrume acknowledge the 4 / i N >� Nota Public _ _ .. ,r J ► 2g My commission expires: b / � (j / ��J 9�C'pF W1SO.ey� This instrument drafted by Robert F. Wall. WilcoxsontoBastWD03 -1 hh -• I