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HomeMy WebLinkAbout022-1072-40-100 o m * \ƒ 2 0 e , ■ . m . $ �(D ƒ . m 3 E r , § f ; 7 � § � g 0 \ / ƒ = 7 e = m « q' « \ \ CL qƒ 4/ i k go q 7 / § ; m a i / © g @ 0 9 © ( /I� % � CD : $ � d P a _= oo,; � k / Z « § § ° m e e( § o CO) mI§ n J z 3 0 o F: } = 2 Cl) 2 � ƒ ~ § / k - g : } k ~ \ A & \ ® 0 - ; / § ƒ ƒ _ / 0 k k . ƒ � � g z 2 -1 CO) z . i o - � ■ a 0 q 0 . C" M \ --q 0) 0 § $ q B z » � 9 � � £ ^ 0 j q E± ) m d ! & § a \ _ § { \0 9@2/ .m )E\ \ ) CD ° 0 \ �0 CD E} � s -N _ \ CD ` 7e� k N 1 2 % §2E °/\ i 2 CD 0 K m < \ Z \ o \� �\ 7nt t- of stry SOIL AND SITE EVALUATION REPORT Pageof 3 r aa_ Division at safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but ` I not limited to vertical and horizontal reference point (BM) n dl! ' of slope, scale or PARCEL 1 - 7� -�!) dimensioned, north arrow, and location and distance t e r _ APPLI N I FOR TI N -P EASE INFOR&ATIO REVIEWED BY DATW P OPERTY OWNER: P TY LOCATION O ff- 4r F'iQ GO L T 114 114,Sz6 T ,N,R E PROPERTY OWNE : MAILING ADDRESS LO OC SHBB - MAMEOR CSM # '�3 �/ - ST CROIX n •— Z 2 ow 3 CITY, STATE ZIP CODE M-1 ❑VILLAGE OW 'eltnut g% L 2l ( WCE AMajA &.r,0)F- ( ] New Construction Use L4 Residential / Number s 9 [ ]Addition to existing building (�f Replacement [) Public or commercial describe Code derived daily flow _W gpd Recommended design loading rate . - 7 — bed, gpd /ft .8 trench, gpd/ft Absorption area required bed, ft2 5 tV. trench, ft Maximum design loading rate — bed, gpd /ft -- trench, gpd/ft Recommended infiltration surface elevation(s) - V. 8 ft ( referred to site an benchmark) Additional design / site considerations Parent material �C71.� 5,�✓1� ��o�E plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem E] S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U [IS ❑ U 1:1 S ❑ U SOIL DESCRIPTION REPORT Bonin # Horizon Depth Dominant Color Mottles Structure GPD /ft 9 Texture Gr. Sz. Sh. Consistence Boutciary Roots Bed rttdt in. Munsell Qu. Sz. Cont. ColQr ,,R•:tiiiiv4: �� C 1 7 1� Ground .7 /0 —01 V .T 6: AV L elev. Depth to limiting fac Remarks: y "- D/htT'.X�'+�� T6 C.r ZZ" Boring # LS K 7 8 - ... �. 2 - to 3 Ls S p SG cs — . .� Ground elev. o _ _ -- L S IM-"Al( S S �p, rL.Z rt. Dept S' - 7. — S L limiting <v< 1� factor 30 Remarks: F C € T Name:- Please Print Phone: Jr- ' Sig Address: . ;L Signature: � 6 L �o�te: CST Number: I (690AW, ANER SOIL DESCRIPTION REPORT Page? of 3 ' PARCU.I.D. # D•Z.� — [t2,72 '-� —�? Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench rw lb -2•z ZY Ground 3 / . , - 11,4 s oS G /at L C.r elev. /&& ft. 7- ®sa s — Depth to 7-S limiting factor (, _ _ F 2 , — An 1 as C /- Remarks: y – S/9�r1!/tJl�7E1) – 7tI Boring # } Ground elev. Atri W ft. Depth to limiting factor Remarks: Boring # a . Ground elev. ft. Depth to limiting factor Remarks: Boring # C1 Ground elev. Depth to limiting factor Remarks: SBD- 9330(8.05/92) ����► h h h X r z V OD ca C g !L—J i POND DRIVE 47� 1.00 26i 1. 326.91 AA r N I T O W O r W 0 C t o O n W 1m 189.00' C7 I "326.77 I uu ip IC I. C4 0 1 v O 1 ' 1 0 s. � I� IN 0.00' IM I `Q 1 iw w• � tN °'o o Q o (7 - 4 W C m 264.00' I o O C4 0 a D 264.00 I L 0 -P y 1 o C7 264.00' GENERAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR01 REAL ESTATE TOWN OF KINNICKINNIC COMPUTER NUMBER 022 - 1072 -40 -100 Parcel Number 26.28.18.403A -20 Claimed Date Re-cerMW 7 1 Relate Number: OWNER NAME: First JAMES TREVOR Last WILLIAMS CO-OW NE Mailing Address 153 PONDEROSA DR City RIVER FALLS State W I Zip 54022 - Type Vol Page Doc # Rec.Date Type Vol Page Doc # Rec.Date HISTORY WD 1575/ 515 636822 01/15/2001 AFF 1545/ 250 630503 09/25/2000 PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name- Type SD Apartment Post Office School District: 4893 - SCH D OF RIVER FALLS Special District: (1) 100 - (2) - (3) - CHIP VALLEY VOTECH Plat Code: Last Changed on: 11/14/2003 Book Number: 1 SECTION 26 TOWN 28N RANGE 18W %160 NE 1 /440 SW Map Number: 00 - Sales Area: Parcel Control 0 TAXABLE Number of Units: ZONING: Permit Number: Type: Bank Numbers: F4 -Prev, F5 -Next, F6- Legal, F7- Value, F8- History, F10 -Exit, F12 -More LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF KINNICKINNIC COMPUTER NUMBER 022 - 1072 -40 -100 Parcel Number 26.28.18.403A -20 OWNER NAME: First JAMES TREVOR Last WILLIAMS PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 26 TOWN 28N RANGE 18W 1 /4160 NE 1 /440 SW Line Description Line Description PARCE L VOLUME & PAGE HISTORY TYPE VOLUME PAGE DOC# NOTES No-.WD 1575/ 515 636822 MATZ TO WILLIAMS ..AFF 1545/ 250 630503 COMBINING REMAINDER 022 - 1072 -90 -100 W/THIS PARC ..WD 1354/232 586377 ..WD 1215/152 0 735/530 QC- 1023/65 WD- 1215/152 ..QC 1023/ 65 0 735/530 QC- 1023/65 WD- 1215/152 .. 735/530 0 735/530 QC- 1023/65 WD- 1215/152 Use Arrow Keys to Select, F7 -ROD, F10 -Exit i LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF KINNICKINNIC COMPUTER NUMBER 022 - 1072 -40 -100 Parcel Number 26.28.18.403A -20 OWNER NAME: First JAMES TREVOR Last WILLIAMS PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 26 TOWN 28N RANGE 18W %160 NE 1 /440 SW Line Description Line Description TOTAL ACREAGE 8.100 PLAT CSM 02/532 LOT BLK 01 SEC 26 T28N R18W 4.3A IN SW 15 02 NE LOT 2 CSM VOL 2/532 16 03 ALSO COM N1/4 COR SEC 26;TH 17 04 S 00 DEG E1306.04';TH N 88 18 05 DEG E 431.31' POB;TH N 88 19 06 DEG E 460.02';TH S 00 DEG E 20 07 300.23';TH S 88 DEG W 460.02 21 08 FT;TH N 00 DEG W 300.23' POB 22 09 (3.17A) 23 10 DESC & ASM'T INC 022 - 1072 -90 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit ' 84515' 33 U27.",7 �, 977 NNELL F— eed. � nty, • \ CERTIFIED SURVEY MAP ,` ti ARDIS SIENSON Part of the Southwest 1/4 of the Northeast 1/4 of Section 26, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. �I TOW ROAp I 3333I f S 89e58'1`7 "F _� \ O 1296.35 \ W I i' O0 I ' g�. v 57,0.35 460' F- N O �� z w &I - iJ L j `Z I 6� �� ► �f �� p Exts-r. Rcs►o. N a. N U �� to I 2.00 A C. Jc Lo-r 2 4.3 ACRE . 4 Ac `�. N, N O N LbT -J 3 mes N o cD � W � ch — I 8 0 �'� 2'1 O m ,90. O cn to ? v7 '�3 i z 6 _ Z 60 2 0 266 _ 1 60 ' 4 WZ I L��` _F- 'b Rota (>�AY J _J 1298.85' 6 M tz� — _— N 9O ° 00 00 w – -- r M SCALE I °2Q0 0 N 90 ° 0 OOU W E 1 / 4 COR• 5EG.26 ` 2614. 05 T 2 -8 N, R 18 W -'z 0 Indicates 1" x 24" iron pipe set weighing 1.13 # /ft. Description: That certain parcel of land located in the Southwest 1/4 of the Northeast 1/4 of Section 26, T 28 N, R 18 W, Town of Kinnickinnic, St. Croix County, Wisconsin, more fully described as follows; Commencing at the East 1/4 corner of said Section 26; thence go N 90 "W 2614.05 thence go N 01 "E 328.80' to �he Point of Beginning of the parcel to be herein described; thence continue N 01 16133 "E along the centerline of the Town Road 326.91 thence go S 89 "E 1296.35; thence go S 00 'W 326.21 thence go N 90 W 1298.85' to the Point of Beginning of the parcel herein described, the above described parcel containing 9.73 acres, more or less, being subject to easements for Town Road purposes over the Westerly 33' thereof and the Southerly 33' of the Westerly .838.85' thereof. ( for purposes of this description all bearings are referenced to the East -West 1/4 line of Section 26, T 28 N, R 18 W, assumed N 90° 00' 00"W ) State of Wisconsin ) County of St. Croix ) I, James L. Murphy, Registered Land Surveyor, do heresy certify that by direction of the Owner, Aniis Swenson, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236 of Wisconsin statutes and the Ordin- ances of St. Croix County; and that the above map and description are a true and correct representation thereof. Dated: 9 December 1977 Vol. 2 Page . 1­ 2 Certified Survey Maps St. Croix County, Wisconsin James L. Murphy / egistered Land Surveyor APPROVED OF THIS MINOR SUBDIVISION �� .• c. ••'S DOES NOT MEAN APPROVAL FOR :' •J� MES A PPROVAL L. °s DEC 1 5 1977 BUILDING SITE OR SEPTIC SYSTEM, ': } RUER TO N62.20 �`�URPHY J '1P , S " : c31X COUwTy $ j 04- EhIEYSIVE PAS,�S PLANNING •� ;fN: RIVER FAL,1 • ;�y` AND ZONING COMMITTEE •, �G f ,• • • •.,�`\�� u,uuuu r Wisconsin Department of Commerce E PRIVATE SEWAGE SYSTEM Count y Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 384237 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: Matz, Geoff Kinnickinnic Townshi CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: a ��U !k (k Sl 022-1072-90- TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic'_J � /DOCj Benchmark St f�L �� Q 00 ��d s ewer Ocs:,� ; S e r � O d �x /s(�•w s�- oa�l�f A S' 9 y S-t7 Ht Inlet ° �; p 9 3- (S TANK SETBACK INFORMATION S Ht Outlet 9G j 3. y9 TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet Q 9 Septic N � 7 75 ' 7 7S' ' NA Dt Bottom D Z Se + =c ��S� 1> (6p' NA Header/ Man. �. C> do h >3S� 7100' NA Dist. Pipe Bot. System PUMP/ SIPHON INFORMATION �- Final Grade Manufacturer M er St Cover (, , .A S Demand Model Number E �� `(� GPM W� J. YS� d 0 /• lOv TDH Lift /6 -� Friction /0 System TDH32 , c� Ft Forcemain Length 3(0 1 Dia. Z" Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trench s PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /Z2o ' `( r- DIMEN SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHI acturer: INFORMATION Type Of C BIER Model Num System: nnp �p > 10d, > (-0,0 ' OR UNIT fftL DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Ar Length 3 Dia. Z ~ Length `�' Dia. r /y Spacing I/ r Z SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: G /zP /o/ I #2: L tee /o/ Location: 153 Ponderosa Drive, River Falls, WI 54022 (SW 1/4 NE 1/4 26 T28N R18W) - 262818403F Q s 1.) Alt BM Description= 5-) 3 ' & fwP« - 5 - 2.) Bldg sewer length = t tp' sec �ratt.&K - amount of cover = -> /8" 3.) conto = 2.2 / =lU5 S �•) 3 Yt� l° G SI irtf S� 7 nPU/ Plan revision required? ❑ Yes (�] No Use other side for additional information. 2- SBD -6710 (8.3/97) Da a Inspecto ' ignature Cert. No. 4 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: �- F � e S � � £ . ... ,..... . , e ,,, p .... ,. .... .� 9.,..,...a,..,..,..� s . , ,� ,�.- m:, € , f £ c 33 ...3.....,,__ 4.� I „. i 3 e F 3.m T a t E A E £ g E E _a y £ i , 1 € i E 1 t E . .,.- S L __ 4 .�ee.,.. ; s.-.. p� ,.mmm pm ®gym f a.« e fff Qm g ,. .... . I a _r Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 ® ®SC®nS ®n Personal information you provide may be'used for secondaty purposes Madison, WI 53707 -7302 Department of commerce (Submit completed form to county if not [Privacy Law, s, 15.04(1)(m)) -AL state owned.) Attach complete plans (to the county copy onlyyfo the systM4 r not less Nan 8 -1/2 x 11 inches in size. County State San' Permit Number Check if relic Wtb ious applicat n State Plan I. D. Number ST- C.P�/ 38 2,3.E _ 5�1 r 3 I . Application Information - Please Print all Inform I = 4 Location: Property Owner Name ST CROU( Property Location GIC 6 ZO N ING 510 I 14A.ZI 14,S C_T9',N, (or W Property Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Sub ivision Name or CSM Number II. Type of Building: (check one) ❑ ity 1 or 2 Family Dwelling - No. of Bedrooms : _ ❑ Village ❑Public /Commercial (describe use):_ Town of • State -O ned A--1 1V41 /k ok) v1/ ,r � b Nearest Road P ' �I I G ot c (} f� n D S-, I/ Parcel Tax ZNuumb td's -JiQ - CL III. Type of Permit: (Check only one box on line A. Check b on line B if applicable) a ( , 2?. 1 $ 0 A) 1. ❑ New 2. 9 Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ❑ Non - pressurized In- ground 'I�Wound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation 600 C. db 0 y 10 / S VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks t 1Do I ❑ ❑ ❑ ❑ A1717 D IJ ., . p ❑ ❑ ❑ ❑ lw 0 l c� VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no scam s): 1 MP/MPRS No. Business Phone Number Plumber's Address (Street, City, State, Zip Code) c., id.5 l 7 IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Is ng Agent S igmture (No stamps) Approved ❑ Owner Given Initial Adverse Surch a Fee) ` Determination 325 X. Condit'ons of Approval /Reasons for Disapproval: , �E a .+n wskk' ul. P.L, m l se4to tww�a at e U '�a�Q�2 e o�Qsb / o t � � � � ( mss• �-�r �r- is -- � s - ('off e C&4&t IMkt�&a SBD -6398 (R. 07/00) o Z. rn i t lZj tv�1ZG�z�"�.0 D2 F j Q (' 8 P (iD 1 8 , E7 74"�4 - N >> L . `L11tir- \ 0 I )TES: Elevations shown are existing ground el( . Install 4" observation pipes with appro` Septic tank to be 1$0n gallon , capaci ��\ST, 10 U b 6iVL w /N� 800 GPlrt w te- / PEL F L Bench marks SEA PirSoVE . Divert surface water around system to pi '0 I Safety and Buildings : 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.us /SB Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary November 20,, 2000 CUST ID No.691727 ATTN: POWTS INSPECTOR ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 T - -; 44.0. CARMICHAEL RD RIVER FALLS WI 54022 l IaS6N WI 54016 RE: CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 11/20/2002 Trans ction ID No. 451893 Sits ")(D No. 202090 Pleas refer to both identification numbers, SITE: Uc,; -/ 6 above in all correspondence with the agency. Site ID: 202090, GEOFF & THERESA M Tz , ti ST CROIX County, Town of KINNICKINNf '15 'PONWftPSA Qk, VER FALLS 54022 FOR: Description: MOUND SYSTEM FOR GEOFF & AMk MQ ' Object Type: POWT System Regulated Object ID No.: 771333 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/,operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 11/08/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 KEITH A WILKINSON, POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 524 -3630, FAX: (715) 524 -3633 , M -F 7 AM - 3:45 PM KWILKINSON @COMMERCE.STATE.WI.US WiSMART code: 7633 cc: FOGERTY PLUMBING & PERK TESTING GEOFF MATZ (715) 262 -5336 EARLY PLUMBING & HEATING BILL EARLY W12517 695TH STREET PRESCOTT, WI 54021 Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 N *h scons i n n TDD #: (608) 264 -8777 www. com me rce sta te. wi. u s/S B Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary November 20, 2000 CUST ID No.691727 ATTN: POWTS INSPECTOR ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST _ ____ ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 `,HUDSON WI 54016 RE: CONDITIONAL APPROVAL ' x,1 �- PLAN APPROVAL EXPIRES. 11720/2002 .,, Identification Numbers _ - ' t Transaction ID No. 451893 `"o i `_ '� Site ID No. 202090 Please refer to both identification numbers, SITE: \ � ,�; Site ID: 202090, GEOFF & THEiESA MA'f`i above, in all correspondence with the agency. ST CROIX County, Town of KI _I5 ,TF7fi1WOSA DR, RIVER FALLS 54022 FOR: Description: MOUND SYSTEM FOR GEOF &"THERESA MATZ Object Type: POWT System Regulated Object ID No.: 771333 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/,operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 11/08/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 KEITH A WILKINSON, POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 524 -3630, FAX: (715) 524 -3633 , M -F 7 AM - 3:45 PM KWILKINSON @COMMERCE.STATE.WI.US WiSMART code: 7633 cc: FOGERTY PLUMBING & PERK TESTING GEOFF MATZ TITLE SHEET Page of 7 MOUND SYSTEM ''�I► �� : FOR �►` A y BEDROOM RESIDENCE t 4ais plan has been prepared in accordance with the Mound Component nual SBD- 1057 P and the Pressure Distribution Manual SBD- 10573 -P C Cz. 6 / gq� C R. 6 1992 LOCATED IN THE SW 1/4 OF THE NE 1/4 OF SECTION �6 , T IS N, R )8 W, TOWN OF ST'. C\2w�X COUNTY, WISCONSIN. INDEX PAGE I of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEWfCROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR GE FF RX)b - TiAL�CSA M ) 7Z \S3 QO�'��'lZ0 5 q D2cu E CZ �' Z FfltLs , kj I S o o Z2 PREPARED BY WEGEE:ZER SO S L . TEST 2 NC AND . DES Z CC;V S1 SCE P.O. Box 74 421 N.Main St. River Falls, WI 54022 Q@e�e3���lort� Phone 715- 425 -0165 '� .,C V Fax 715-425-6864 �; ••••• I ARTM/R L • 4 .. `y 6LLSW'JRtH, w5. C %c � S ' j GI 4 �' DR'ISION OF SAS EiY Ai a uulLi:,j,SS Woo �. 3 JOB NO. �O -3z3 t Mound System Management Plan Page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. Theo erating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th uti filte s hall be cleaned as necessarvl ensure roPer operatio The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off Rfer when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6199)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to the County Zoning office at - \tS- 38 6- L4 68o or to the licensed plumber who installed the system. Pf GE 3 OF? o Z m i t tv tv�ZGtiz -�`"L� D2 NAPS I d I � Q J 0 Ntw f'1 b`? 1�1 L — 1 2 C r) Al_ G P ( T �� 3t1N7dNL'D p . %too GtN-L S a M, AJ tw NOTES: �LD6 1. Elevations shown are existing groun a� Z 2. Install 4" observation pipes with a — 3. Septic tank to be l$On gallon c ST, Loob 6rcc "J/New 800 GPri. w/zs��EL 4. Bench marks SEA R�3oUE _ 5. Divert surface water around system Pace Y Approved Synthetic Covering ASTM C33 Distribution Pipe Medium. Sand H Topsoil _ ,_ '_`_ 3 E D 1'• b Slope Distribution Cell of Force Main Plowed Z" to 2- Aggregate From Pump Layer 0 0. S Ft. E ©. 7Ft. CROSS SECTION OF A MOUND SYSTEM F 0 - Ft. G o.S Ft. A Ft. H 1- Ft. Linear Loading Rate= bid GPD /LN FT B 1 00 Ft Design Loading Rate= O.Y.GPD /SQ FT I �_ Ft. J S Ft. K `a Ft. eFnrrr, M_. W ZC�s Ft. L ' } Observation Pipe Sax A o W �__ - - - - -- -- - - - - -- ---------------- - - - - -- J Force Main Distribution \-- Cell of ' " � to 2 Pipe aggregate 1 Observation Pipe (Anchor securely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Page S of - 7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each late -al up with the use of Iona turn or 4S° fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,:threaded cap or threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. 7 P CTS L C,ZDS s . 5':Z.�1 1y FV C. F\1C PV C Lateral Manifold Lateral x x x x x2 I x2 x x x x Lateral Length — Lateral Length — P Distribution Line • tom- LPrN V �� __ P Prcjcey sex hY;1.11Fs:�O S �OR� t" Rim P 4 °I Ft. Hole Diameter � Inch S 3 Ft. Lateral n Inches) X ?Z Inches Manifold " 2_ Inches Force Main " Z Inches # of holes pipe 2-S Invert Elevation of. Laterals 106. 5 Ft. . . ; PUMP CHAMBER CROS5 SECTIOW AMD SPECIFICATIONS ' PAGE OF 7 VEIJT CAP 4"C.L VENT PIPC fr i WEATHER PROOF APPROVED LOCKING MANHOLE 10' FROM OoOR. -Ti JULICTIOW BOX ' COVER WITH WARNING LABEL � 12'MIU. WINDOW OR FRESH I Alit INTAKE 1 1=L q I GRADE 1 I 4 MINI. COWDUIT — � _______ _ 18 "MINI. ; -- ---- -- , 11� IAILET PROVIDE I _T AIRTIGHT SEAL I I APPROVED JOI A Tank construction shall comply I I JOIIJ with COMM 83.15 and COMM 83.20 1 1 i II ALARIA - - 8 I I II ( I 1 I ON C 1 1 -- SZ.6 1 LLEV. FT. PUMP _ -J OFF COAICRETE DLOCK 3" APPQoVE RISER EXIT PERMI?fED ONJLy IF TAIiIK MANIUFACTURER HAS SUCH APPROVAL gE00 SPECIFICATIOUS DOSE TTANA MANUFACTURER: wEt� �� ea L'� IJUMBER OF DOSES: y' 3 S PER D" TA NK 51ZE: Sod GALLONS DOSE VOLUME r ALARM .__ MAUUFACTURGR: S-S- ��T S`I, `TI -a IUICLUDING 5ACKFLOW: C GALLONS MOOCL 1.IUM8ER: 11 Z�� Hl.J _ CAPACITIES: A= Z WCHESOF. 1 4 1 31 - 7 GALLOWS SWITCH TZIPE: - - �") �12GUR - 5 = -- IIJCHES OR 3Q' (> GOLLONS PUMP MANUFACTURER: GO y`DS C, Z 11D IWCHE5OR ),212 GALLOWS MODEL WUMBEIC: 38HS w EW H Da g INCHES OES,R \ � - GALLONIS SWITCH TYPE: — ��Z ZY IJOTE: PUMIP AND ALAR�ARE TO a E 9 MINIIMUM DISCHARGE RATE �' - © GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEENI PUMP OFF AIJD.DISTRIBUTION PIPE.. Z3 ' 22 FEET . S- 0 t MINIMUM NETWORK SUPPLY PRESSURE .... , .... .. FLCT + 3S 2 FEET OF FORCE MA X 3 F �oFT.FKICTIOU FACTOR. 11 FEET TOTAL DyWAMIC HEAD = 12' "? L FEET -- -- As per.'manufacturer • \Q..SI gal /in. Liquid depth Lj I INCOMING 115V,1 PH ME SERIES DIMENSIONS Inches (millimeters) Model Series A B C I F ME33S & ME50S 16.8 4.09 1.03 12.13 2 RI 7 (427) (104) (26) (308) 5 6 ME33D & ME50D 18.6 4.09 1.03 12.13 (472) (104) (26) (308) TO SEAL LEAK ME75S, ME100S, ME150S 16.8 4.0 1.06 12.5 (427) (102) (27) (318) PROBES RI TO AUDIBLE OR ME75D, ME100D, ME150D 18.6 4.0 1.06 12.5 1 3 - VISUAL ALARM (472) 1 (102) 1 (27) 1 (318) MOISTU SENSOR SEAL PROBE CIRCUIT 7 _�. Relay - SSAC Inc. #LLC44A5A Socket - Standard 8 -pin plug -in type If Myers panel is used, see below. Nu soli a :'' Pumps: ME33D -11, ME50D -11, ll Required Panel : CMEP (SL) -11 S, -11 SW, -11 D or -11 DW' Pumps: ME33D -01, ME33D -21, ME50D -01, ME50D -21, ME75D -01, ME75D -21, - O� ME10OD -01, ME10OD -21, -- - -0 - -- ME150D-01, ME150D -21, - - MWHSOD -01, MWHSOD -21, MW100D -01, MW100D -21, MW150D -01, MW150D -21, MW20OD -01, MW20OD -21 Required Panel: - -I - -- CMEP(SL) -21 S, -21 SW, -21 D or -21 DW Pumps: ME33D -03, ME33D -23, ME50D -03, ME50D -23, -• I I , ME75D -03, ME75D -23, --- r - - - -� - - - } - - '- - -- -� - 1 ME10OD -03, ME10OD -23, ME150D -03, ME150D -23, MWHSOD -03, MWHSOD -23, MW100D -03, MW100D -23 ME PERFORMANCE CURVE MW150D -03, MW150D -23, MW20OD -03, MW20OD -23 CAPACITY LITERS PER MINUTE Required Panel: 0 50 100 150 200 250 300 350 400 450 CMEP(SL) -23S, -23SW, -23D or -23DW 100 Pumps: ME33D -43, 90 za ME50D -43, ME75D -43, e0 MF /so 24 ME10OD -43, ME150D -43, W 70 °j Fi oo 20 w MWHSOD -43, Z 60 M W 100D -43, MF>S 6 MW150D -43, w so < MW20OD -43 = 40 `° 0 12 Required Panel: 0 30 o CMEP(SL) -43S, -43SW, -43D or -43DW rAf a 20 a 3 3 4 10 O 10 20 30 40 50 60 70 80 90 100 110 120 130 CAPACITY GALLONS PER MINUTE lr.S�r� 23833A278 17 I MW SERIES DIMENSIONS ................... 9.63._. . . . .. .. ..... — --- - - - - -- 6.55-- ......... . ........... J .09 18.84 ... . ........ . 6.16 2.06 MW PERFORMANCE CURVE CAPACITY LITERS PER MINUTE 0 100 200 300 400 500 600 80 - 70 - -20 60 U ' 50 w - 15 LL 0 40 w )l 00 x 10 0 30 $0 0 20 10 o 0 0 20 40 60 80 100 120 140 160 180 CAPACITY GALLONS PER MINUTE 23833A278 18 ' 2 UOulos Submersible Effluent Pump ....» E 3885 APPLICATIONS • Overload protection must smooth operation. Silicon can be operated continuously Specifically designed for the be provided in starter unit. bronze impeller available as without damage. following uses: • Shaft: threaded, 400 series an option. ■ Bearings: Upper and • Homes stainless steel. ■ Casing: Cast iron volute lower heavy duty ball bearing • Farms • Bearings: ball bearings type for maximum efficiency. construction. • Trailer courts upper and lower. 2' NPT discharge adaptable • Power cord: 20 foot ■ Power Cable: Severe duty • Motels for slide rail systems. rated, oil and water resistant. • Schools standard length (optional m Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals lengths available). p p Single phase: CARBIDE VS. SILICON provides secondary moisture • Industry • and % HP ee : —16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket • Effluent systems Stainless steel metal parts, damage and to prevent oil with 115 V or 230 V three BUNA -N elastomers. wicking. SPECIFICATIONS prong plug. • 3 /4 - 1' /2HP —14/3 STO with ■ Shaft: Corrosion - resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. 3 /4 maximum. •'/2 -1'h HP —14/4 STO phase models to guard • Discharge size: 2" NPT. with bare leads. On CSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models — 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor: Fully submerged in SP Canadian Standards Association TDH. are standard. - high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat UL Underwriters Laboratories carbide -rotary seat/silicon " FEATURES transfer. carbide - stationary seat, 300 series stainless steel metal 0 Impeller: Cast iron, semi- ■ Designed for Continuous 0 eration: Pump ratings are parts, BUNA -N elastomers. open, non -clog with pump- wi the motor manufacturer's • Temperature: out vanes for mechanical seal recommended working limits, 104 °F (40 °C) continuous protection. Balanced for 140 °F (60 °C) intermittent. • Fasteners: 300 series METERS FEET stainless steel. 90 I SERIES: 3885 • Capable of running dry 25 80 slzF r• soups WEI I I i I RPM: VARIOUS without damage to 5GPM components. 70 WE1 ! j SFr Motor < 20 60 i Single phase: _ ! EQ i I I , • % HP, 115 V, 200 V, 230 V, 2 50 i I I i 60 Hz, 1750 RPM; Y2 HP, 15 I ` 115 V, 60 Hz, 3500 RPM; '0 4o weoSH '' /2HP -1' /2HP, 230 V, a 60 Hz, 3500 RPM. i0 30 >_6 •Built -in overload with WE I; 20 r I i I I automatic reset. 5 I • Class B insulation. Three*phase: • %2HP —1' /2HP 200/230/ ° 0 ! I i 460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 so 70 80 90 100 110 120 130GPM • Class B insulation. ' 0 10 20 30 m 3 /h CAPACITY 0 1995 Goulds Pumps, Inc. Effective May, 1995 Wisco epartment of Industry SOIL AND SITE EVALUATION REPORT Page —t of 3 Labor and Human relation Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but f not limited to vertical and horizontal reference point BM , dire # I po ( ) �d�/o af, slope, scale or PARCEL I.D. dimensioned, north arrow, and location and distance to ne 1...).' r Z 2 A 910 W APPLICANT INFORMATION— PLEASE PRINT A OR AT qN EWED BY DATE PROPERTY OWNER: 10ROPERTY OCATION GOVT. LOS.. Gtl 1/4 1/0 T AR E (o PROPERTY OWNER!: MAILING ADDRE }r # $i}OCK # I S IiBB NAMEOR CSM # CITY, STATE ZIP CODE ` PHO Bl ❑CITY• ILLAGE OWN EST ROA ` ~ L 21 ( J Z r W [ ] New Construction Use L4 Residential / Number of 14 Addition to existing building (� Replacement [ ] Public or commercial describe Code derived daily flow _g�W gpd Recommended design loading rate .7 bed, gpd/ft .8 trench, gpd/ft Absorption area required bed, ft S'G» trench, ft Maximum design loading rate -- bed, gpd /ft '"' trench, gpd/ft Recommended infiltration surface elevation(s) C&,VMPt — a 8 ft (as referred to site plan benchmark) Additional design / site considerations Parent material S0 0?[?6'P, S�i�l*) s2 Flood plain elevation, if applicable A&� ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑S ❑U EIS ❑U []S ❑U ❑S ❑U El ❑U 0 El SOIL DESCRIPTION REPORT ���. I Z,Qap •� Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Banday Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench k : ji v.: :iii:•:: :i::: 2 7 5 7 - 3 " Z C F .SAK v X CS 2m .7 • JF ``'" AV cs 2E .7 j Ground oSd L elev. Depth to limiting factor c� Remarks: y .X/46! 0 Boring # —2 7,,T - 1 LS iC S 4-349 - y s &S G C3 — .� •T Ground 1 #7 elev. p — r 7-5-- Y 6 L S 2 nt S� jC At gFA AS — Depth to limiting 30 i f Remarks: # CST Name:— Please Print Phone: X 7 31 A ddress: �. 3 Signature: Date: CS T Number: V i PROPERTY OWNER SOIL DESCRIPTION REPORT Paged of 3 PARCEL I.D. # D 2-2 - /M 72 49 - Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Borrxbry Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench Ground 3 S ®S G - of /- 4—S . 7 S? • � elev. / 7•r ®Sa M4 G S — 1. 7 , V - � Depth to S O- _ IhS 61SG L S , 8 limiting factor 6 - - �' 2 _ !� t S L _ . •} 3y Remarks: y - SA�TIl�71cj� ft. XIS .E Boring # Ground elev. A: A J>A S ft. Depth to t f 'd T �' limiting � factor Remarks: Boring # ttiti} 44�.. Ground elev. ft. Depth to limiting factor Remarks: Boring # k Ground elev. ft. Depth to limiting factor 7-1 Remarks: SBD- 8330(8.05/92) o70 Ln I 00 c LO GO M ' O #H O� n N } a J� CO a Z i I I , I t , I i I , t b l ca 4 ^. I � I I I 1 I - j -- - -- : - - -- , , I I ! I I � ; 1 - ' I ! I i 1 � I } ; i ; ! i , I ' 10:30 /00 MON 10:59 FAX 715 386 9886 ST CRI CO ZONING X1001 ST. CROIX COUNT ZONTNG OFFICE CERTIFIGkTION STATEMENT FOR UTILIZATION OP AN EXISTING SEPTIC" TANK This: is to cert�fy that I have inspected the septic tank presently nerving the - le -:2 residence , located at! 4 E a4, Vid x, Sec . a ( T 0 N, . _ / $ W, Town of �K r�e� „,_ _ — � St. Croix County, Wisconsin. Upon inspection, I certify that I have fo the tank and baffles to be in good condition, and it appears to be functi oning properly. Last t ime serviced Did flew back occur from absorption system' Yes_ No (if no, skip next line. Approximate volume or length of time; gallons _ minutes capacity: 1 06C Construction: Pzab Concrete Steel Other Y _ manuf acturer (if known) ! Age of Wank (if known) Signature Dame) Please Print - (Title) (L,icense — (Date Form to be completed by licensed plumber (s. 3-45-06, Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - ti - - - - - - - - - - - - - - - -- - - Plumber (applying for paniGary permit) Certification_ In accepting the above atatentent regardirg existing septic ta:.nk condition, I certify that the tank, to the best of'iry knowledge, will conform to the requirements of TLHR 83, Wis_ Adm. Code (except for inspecrion opening over outlet baffle) . Name Signature MP /MP:* 8 Z,© 9 V TLT _- �� E66TITZ. /T- r ,0 FRI 13:12 FAX 715 386 4686 ST GKA W LUNING WjV V♦ ST CR OIX COUNW SEPTIC TANK MAHMNANCB AGP AND OWN ERSHIP CERTIFICATION FORM Owner/Buyer I. w i l d Mailing Address P _ Property Address-L 3 7 6&4vSc1 (Verification required from Planning Department for new eoaseructio °) City/State ,�� �� LvL Parcel Identification Number i gAL DESCRIPTION `-r �-� � 'W Town of �Gn1R1 (C,I�IAJh �( � Property LocatiOU ��' %,, f � 1 y�� Sec. � T�. R • Lot # Subdivision �wrceQ _ Volume _ . Page # Certified Survey Map # _�.� _ Warranty Deed # _ ( 7 ,1 o '? 22 . Volume , Page # Spec house O yes�no Lot lines identifiable�kes ❑ no SYSTEM E CE tune failure to beadle wastes. Proper maintenance I and maintenanceof your septic systemcould restrltin its prema What u t into the system consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. you Pu can affect the function of the septic tank as a treatment stage in the waste disposal system. es to submit to St. CroiX Zoning Dent a certification form, signed by the owner and by m a The property owner acre um that (1) the on site wastewaterdisposal syste masocrPlun'ber, jo�Y�nPlnmbc�rest :ictedplumberoralieaasedp Pa�ffYi �e tic tank is Jos than l/3 full of elndge. is in Pro per opaadng condition and/or (2) after inspection and pumping (if necessary)+ to maintain the psivata sewage disposal system with the standards Vwe, tine undersigned have read the above requirements mad &&no ent n the Resources, State of Wisconsin. Certification set forth, hcrcin, as set by the D epar t men t of Commerce wad the Departm p�oe within 30 stating that your septic system has been wainbiwd must be completed and returned to the St. Croix County Zoning days of the three ar a tioa�date. ,i --- 3 / 7 / O! DATE SICrNA'IZ OF PL CANT OWNER CEI2TIFL QA - LION our larowlcd e ( ) I we am (arc) the o waet(s) of I (we) certify that all statements on this form are taste to the best o m� cf Deeds Office. the prope described abo y virtue of a warranty deed recorded in Reg '� DATE SIGNATURE OF APPLICANT • • • +• Any infonwtion that is mis- represented max result in the sanitary permit being revoked by the Zoning Depariareac. •• Include with this application: a stamped warranty dead from tho Register of Deeds oflicc a copy of the certified survey map if reference is made in the warranty decd ( PA DOCU l wlvmbtrl 63 6 $2 2 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD Geoffrey F. Matz and Theresa`, Matz kn /k /a Theresa h, Schuna), 01- 15-2001 1:45 PM Grantcr, conveys and warrants to .lames Trevor Williams, .a single. yflkkflNTY DEED person, Grantee* the following described real estate in St. Croix County: state of Wisconsin: EXEMPT N CERT COPY FEE: COPT' FEE: part of the Southwest Quarter of Northeast Quarter (SWk of NEk), TRANSFER FEE: 559.50 Section Twenty - six (26), Township Twenty Eight (28) North, Range RECORDING FEE: 10.00 Eighteen (18) West described as: Commencing at a point 400 feet East PAGES: I of the center of the town roads lying to the North and West of the Northeast Quarter of Southwest Quarter of section 26, Township 26 North, Range 18 West, then East 460 feet, then South 660 feet, then West 460 feet, then North to point of origin Also Lot Two (2) of Certified Survey Map in Volume Two (2) of Certified NAME AND RETUF�, ApDRESS Survey Maps, page 532, as document number 345533, filed in St. Croix 1'S eYum t o: County Register of Deeds on December 21, 1977, being part of Southwest Quarter of Northeast Quarter (SWk of NEk) of Section Twenty Six (26) , Edina Realty Title To nship Twenty Eight (281 North, Range Eighteen 18 West, St. Croix 4 00 South 2nd Street unty, Wisconsin. Except Lot 4 of certified Survey Map filed September 27, 2000 in Hudson, WI 54016 Vol. 14 of Certified Survey Map, page 3959 as Document No. 630671. Being part of the 9W4 of NEk of Section 26, Township 28 North, Range 022- 1072- 90-DOO 18 West, To -` / = O. / (� Parcel Identification Number Y *a /k /a James T. Williams, V. This is homestead property. Exception to warranties: All easements, restrictions and rights -of -way of record, if any. Dated this 01 7216 day of November, 2000. ` 7 _ (SEAL) (SEAL) Geoff =e a Theresa Matz (n /k /a Theresa 74. Schuna) (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signatures) STATE OF WISCONSIN ) ) ss. j r COUNTY am ) authenticated this day of 20, Personally cs a -mame before me this 27 day of November, 2000 the above named Geoffrey H. Matz and Theresa A. Matz (Schuna) to ,ape prawn to be the persons(s) who executed the fcreg iv-'In t nd acknowledge the same. theme P[lnted o[ TyDed1 /,,� •• Q✓s*..q-- t TITLE: MEMBER STATE BAR OF WISCONSIN tsiona re) lIf not, i y authorized by §706.06, Wis. Stats. ) �V • '�y_ �+ (W— 1—I'd o, * •mss THI9 I .- NSTRUMENT WAS DRAFTED BY: NotaTry iC 4 County, Wis. Stuart ,7. Krueger My c - rmapent. (If not, expiration date:) Rodli, Beskar, Boles & Krueger, S.C. t _ - - - -1 ��•.-,/ m 7¢ a�� / / P.o. Box 136 �l . r River Falls, WI 54022 1 1 -0 0 ty ,fI1MM'r'' ., Q � �- .� � -� � a `sa �_ � � �. DOCC (UMBER WARRANTY DEED Geoffrey H* Matz and Theresa A. Matz (n /k /a Theresa A. Schuna, Grantor, conveys and warrants to James Trevor Williams, a single person, Grantee, the following described real estate in St. Croix County, State of Wisconsin: Part of the Southwest Quarter of Northeast Quarter (SW4 of NE's), Section Twenty -six (26), Township Twenty Eight (28) North, Range Eighteen (18) West described as: Commencing at a point 400 feet East of the center of the town roads lying to the North and West of the Northeast Quarter of Southwest Quarter of Section 26, Township 28 North, Range 18 West, then East 460 feet, then South 660 feet, then West 460 feet, then North to point of origin 660 feet. Also Lot Two (2) of Certified Survey Map in Volume Two (2) of Certified NAME AND RETURN ADDRESS Survey Maps, page 532, as document number 345533, filed in St. Croix County Register of Deeds on December 21, 1977, being part of Southwest Quarter of Northeast Quarter (SW's of NE's) of Section Twenty Six (26), Township Twenty Eight (28) North, Range Eighteen 18 West, St. Croix County, Wisconsin. Except Lot 4 of Certified Survey Map filed September 27, 2000 in Vol. 14 of Certified Survey Map, page 3959 as Document No. 630671. Being part of the SW of NEB of Section 26, Township 28 North, Range 22 - 1 72 - 9 —� 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. Parcel Identification Number i s This is homestead property. Exception to warranties: All easements, restrictions and rights -of -way of record, if any. Dated this 01 I '!!� day of November, 2000. SA� // (SEAL) Geoffre a (SEAL) Theresa A. Matz (n /k /a heresa A. Schuna) (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. COUNTY ) authenticated this _ day of 20_ Personally came before me this 27" day of November, 2000 the above named Geoffrey H. Matz and Theresa A. Matz (Signature) (Schuna) to me known to be the persons (s) who executed the foreg my intt1-.u�� t nd acknowledge the same. (Name Printed or Typed) TITLE: MEMBER STATE BAR OF WISCONSIN QA�.✓M. (Signature) (If not, authorized by §706.06, Wis. Stats. ) * �• V' {N ��•. (Name Printed or Typed) THIS INSTRUMENT WAS DRAFTED BY: Notary Public _ �. County, Wis. Stuart J. Krueger My comrr.i_3ion iS permanent. (If not, expiration date:) Rodli, Beskar, Boles & Krueger, S.C. o� ,, �r P.O. Box 138 ^�" - /O i O� ego River Falls, WI 54022 4- DOCUM N'b . ' WARRANTY DEED Gerald F. Eggenberger, a single person, Grantor, conveys and warrants to Goeffrey H. Matz and Theresa M. Matz, husband and wife as survivorship martial property, Grantee, the following described real estate in St. Croix County, State of Wisconsin: Part of the Southwest Quarter of Northeast Quarter (SW 1/4 of NE 1/4), Section Twenty -six (26), Township Twenty eight (28) North, Range Eighteen (18) West described as: Commencing at a point 400 feet East of the center of the town roads lying to the North and West of the Northeast Quarter of Southwest Quarter of Section 26, Township 28 North, Range 18 West, thence East 460 feet, thence South 660 feet, thence West 460 feet, thence North to point of origin 660 feet. Also Lot Two (2) of Certified Survey Map in volume Two (2) of Certified Survey Maps, Page 532, as document number 345533, filed in St. Croix County Register of Deeds on December 21, 1977, being part of Southwest Quarter of Northeast Quarter (SW 1/4 of NE 1/4) of Section Twenty Six (26), Township Twenty Eight (28) North, Range Eighteen (18) West. _ . . . . . . . . . . . . . . . . . . . . . . NAME AND RETURN ADDRESS 022- 1072 -90 Parcel Identification Number (PIN) This is homestead property. Exception to warranties: n rights-of-way of record if an All easements, restrictions and Y Dated this — day of August, 1998. (SEAL) n SEAL) Jd F. Eg nbe e / (SEAL) ,(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. COUNTY ) authenticated this day of 19_ Personally came before me this a day of August, 1998, the above named Gerald P. Lggenberger to me known to be the person who executed the foregoing instrument and acknowledge the same. * ` I TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by 5706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY: Notary Public �i �yC L County, Wis. Leo A. Beskar, Attorney My commission is permanent. (If not, expiration date: RODLI, BESKAR, BOLES & KRUEGER, S.C. 219 North Main Street, P. O. Box 138 River Falls, WI 54022