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HomeMy WebLinkAbout026-1137-08-000 i Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix and Building Division INSPECTION REPORT Sanitary Permit No: 405043 0 IiENEIIAL 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: P.C. Collova Builders, Inc. Richmond Township 026- 1137 -08 -000 CST BM Elev: Insp. BM Elev: I BM Description: Cm.b m. p / TANK INFORMATION LEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic s Benchmark D Alt. BM Dosing , ��• L � QAv%S re.n.s wA 1 D `f •a Aeration Bldg. Sewer Holding St/Ht Inlet 5 •� 9�f `f Z / TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ' � � /�\ 2 3 � _ _ Dt Bottom Dosing ` J Header /Man. �•bs / �l Aeration Dist. Pipe • • Holding Bot. System 9�• .VD I , PUMP /SIPHON INFORMATION Final Grade 3•b�P G TG •�6 Manufacturer emand St Cover (� 99 • f G M Model Numbe TDH Lift Fri Loss System Head TDH Ft Forcemain ength Dia. Dist. to Well SOIL ABSORPTION SYSTEM RENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMEN •�� g•' /7 SETBACK SYSTEM TO P/L `fr• LDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR 6Jb0 FFtASMd Type Of System: YP Y � UNIT Model Number: � DISTRIBUTION SYSTEM Header /Manjfel Distribution x Hole Size x Hole Spacing Vent to Air Intake Pip (s) 1 Lengt Dia Len Dia Spacing I �- 100 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of Seeded /Sodded xx Mulched xx Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes JZJ No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: _�, /�� Inspection #2:N 0�"V Location: 1497 111th Street New Richmond, WI 54017 (NW 114 NW 1/4 21 T30N R18W) Golf Vicw4cres Lot 8 Parcel No: 21.30.18.964 1.) Alt BM Description = UJL- S. -- V�&D• WJL Cw e,-. 2.) Bldg sewer length = 7 -3 f - amount of cover = > jig'� L7V 3� No vI R - �Mgpec,�,`o� �rf,( fe � r ,re ce. Plan revision Required? _ No y T O3 _ Use other side for addition - f r tion. [_�0 _ _ Date Inse ctor's Si nature Cert. No. ae SBD -6710 (R.3/97) S Wisconsin Department of Commerce County: p PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: - 405043 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: P.C. Collova Builders, Inc. I Richmond Township 026- 1137 -08 -000 CST BM Elev: Insp. BM Elev: BM Description: Section /rown/Range /Map No: 21.30.18.964 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding I I I Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bedlrrench Center Bed/Trench Edges ITopsoil g � Yes H No � Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1497 111th Street New Richmond, WI 54017 (NW 1/4 NW 1/4 21 T30N R18W) Golf View Acres Lot 08 Parcel No: 21.30.18.964 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover Plan revision Required? [ Yes j ] No j Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. —' RECEIVED APR 0 7 2003 ead Div" ` • ST. CR01 C oI�IQ w- Ave., P.O. Batt 7082 . ONING OFFICE Wl07'07 -70C SumbWFermhNmaber (lobe RbdinbyCa) De rtment of Commerce ( 26145" (9 5 Q 3 Sanitary Permit App dm ! no. Stab Piro LD. �r m aocord v4& Comm 6.21,'W Adm. Cad - petamar p oovids may bossed lbrncmdKyp himylaw►.si5W)(m) ProjectAddn=(ifdibmtdmmsiBaLS&bms) L AppRatdatInforaam lsn— Please Point Alllnferaandmat pn OWN m� ` (fit L Psaod S Lot 0 ' Biodc- P P"Inty tsA shoe zip t3oae phone Nmabet w� -5z/ads- T IL Type ofd (check all tlmtJ"*) iar2lWuftDwdi6q;— NmaberofHodmoms Name G'RldNambsr ❑ Pol idCo — Darcrbo Un / �, �C•�/ ❑ Soft Owned— Dncdb&Un Ili. Type of Pistil: (Check audy one box as line A. C.oatpiafe Jim N if appYatbie) 0 l 3 `(� — 000 A- Syrim O System ❑TnmmVffd&gT,*RmLoa MOsiy =wMMftS3I , B. ❑ P. it P1nmrtRavivar 0 Camps of O paugh Tm uft to Neer ust Paviout Pet;& roomer sod Dote homed Below Pamber Owner So 1 +3 AA 30 Z IFV.T 3 w ofpowlm am dot Nm4wwmimedis4irosad 0ldiomd> 24ia.ofsomies u E1momed < 24m.afssimbbsoii IlAt•Gaae f3mogoepsmssodpwor ❑ Caos� acted Wetasd [] Ps==ed b Gtooad ❑ Hob ftTmt ❑ Pest ❑ Aerobic Trdtmeat Uoit ❑ Rmmole ft surd Filter ❑ > Filler Cbmd w ❑ Line 0 Cmrd4m ❑ Odwr v Arm _ Movadow r VL Teak Iodo mil' in Total NoWba 11hma5w tac FWM Site Sled Fiber Plastic t am= OaAoen oruaft Caotmle Camwwcted (Mass New 6& T=k! Trots sepficwHdftTask pt�U Aerouio ltaroear t)e� Doft Chnnim �• T, rye tjr rya stria POWI'S a�Ma N the aetrcrsd Plmbeft1f tae(Ptim) Pamber's y � ;5// /, � �© Pbmbcet (sue (Sty. soft /- ✓tee/ �r VIII. use ` o P �; Fce (mcadeo ti<aaadwahr D.ae testae aE Agmt s' ea (,fo Sharps) 0 ownw aivm Reno for Denid C owffdm A pprewaVMMNNM VI_ cx.. vllT Cs0 i d�U�l . Aa�d►c.�piete Thus (N He�b'�i tit Nea�Ne� Ml�R aetleas Nam itR s ll hleia � it: SBD -6398 (R. 08102) i Pr - l fi hv. Soil T and System PLOT PLAN PROJECT P.C. Collova Builders Inc. A Ess P.Q. Box 489 Somerset Wi 54025 NW 1/4 NW 1 /4S 21 /T 30 N/R TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/5/03 BEDROOM 3 CONVENTIONAL XXX IN- GROUND PROGRE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 688 # of chambers 22 BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 991.8/91.6 cty Rd G Vents 2 -3' X 69' Cells with >3' Spacing B -1 5' 120' -3 10' 35' B.M. B -2 25' 100' Pro 3 Z (s 6 35' Bedroom — —� house 25' Plans Designed Using Conventional Powts Manual Version 2.0 Vent > 6 ►, Standard Infiltrator of Cover Leaching Chamber with 3 1. 1 ft2 of Area Property Line 6' Long 12" 34" Grade at System Elevation 111th St `` A- s - Soil TeA and System PLOT PLAN 'PROJECT P.C. Collova Builders Inc. A ESS P.O, Box 489 Somerset Wi 54025 NW 1/4 NW 1/4s 21 /T 30 N/R TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/5/03 BEDROOM 3 CONVENTIONAL X0C IN- GROUND P SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 688 # of chambers 22 BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE (DWELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 991.8/91.6 cty Rd G Vents 2 -3' X 69' Cells with >3' Spacing B -1 5' 120' -3 10' 35' B.M. B -2 25' 100' Pro 3 st 35' Bedroom house 25' Plans Designed Using Conventional Powts Manual Version 2.0 J>6" ent Standard Infiltrator Leaching Chamber with 31.1 ft2 of Area Property Line " Grade at System Elevation 34 111th St Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of � 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County G°)./ C /o I x Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must / include, 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. Re awed by Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). o Property Owner r l L Property Location . - 1l ✓c.- 13 14 C Govt. Lot lV � 1 /v wl /4 SA l T 56 N R E ( Property Owner's Mailing Address Lot # Block # Subd. Name or CSW 1 1 7 014j; ( ' Ctty State Zip code Phone Number ❑ City ❑ Village own Nearest Roa , s s' ) � ( II New Construction Use:;KResidential / Number of bedrooms Code derived design flow rate �J'y GPD ❑ Replacement 1 ❑ Publ'c or commercial - Describe: Parent material oL�l7� Flood Plain elevation if applicable ��� ft. General comments and recommendations: S 43 e Boring # ❑Boring J� pit Ground surface elev. ft. Depth to limiting fadof / � in. Soil Applicafm Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 3 0- 1-'14 _ 46•Z`f lo2.Z Boring # ❑ Boring q / , d pit Ground surface elev. / r ft. Depth to limiting factor /C - , 2 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 • Effluent #1 = BOD > 30 1 220 mglL and TSS >30 < 150 ffjVCJ Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L C� (Please Print) re CST Number Address Date Evaluation Conducted Telephone Number Property Owner g q Parcel ID # Page of D1 Boling # k �� Lb j� Z Pit Ground surface elev. U ft. Depth to limiting factor in. [ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtrf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boling # Bodn ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Boring # ❑ Boling Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Desaiption. Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 •Eff#2 ' Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 < 150 mglL • Effluent #2 = BOD < 30 mg/_ and TSS 130 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. sBD -8330 (ROOD) /(11 201 W. Waddopon Ave.. P.O. Box 7162 NVIscon Madison, W1 M707 - 7162 Site Address Department of Commerce t/ -30 -- 6 61 1 177 Sanitary Permit Application Samta`y er os Number In accord wA& Comm 8321. Wis. Adm. Code, F 0 Cbeck if Revision way be used foa . s15 L Application Informer#+ ton - Please Ptiit All Infaemation I I State Plan . Nmffier Property Owner's Name Paget ( 2- (.3'0. l& • 9G `� ArK 2, .004 1 cv//floc, 1 TY oz if3} t7® -OW ProPeny Owner's Mailing Address ZONING OFFICE L "Nioa jI��1, :S 2 - T340 N,R Cify, State Zip Code Phone Number e AN Block Number Subdivision Name CSM Number z� � >i. Type of Bttiitliag ( dterk an that apply) s Family Dwelling - Number of Bedrooms P � .wtc . 0 PublWCommercial - Describe Use - 0 State Owned Neatest Road (z) 3 n x S AA III. Type of Permit: (ChB only one box an Nne A (n&qbaft scheme for MtdmF tree). Complete One B le) 2 ❑ R System 3 11 of 6 ❑ Addiction to For County use Tank B. 0 Check if Sanitary Pew Pmvim* Issued Permit Number IV. Type of Permit: (Check aR mat apply)(nnmberi n scheme is ) -W "OD In - Gtowd 210 Mound 47 Sand 50 0 Constructed wethnd 22 0 P hH3ro and 410 Holding Tank 48 ❑ Pass 510 Drip Line 45 0 At-Crtada 46 0 Aerobic Treatment tide 49 ❑ 30 0 Other y, Area Inff: Design Flow (We Dispersal Area Dispersal Am Sal ye Percolation R System Elevation Find Glade Reed Proposed r.8 `i > f 1 Raw(Gals ) EL-02161M VI. Tank We Capacity in Total Number Prefab sire Steel _iffier Plastic Gelloos Gallons of Tacks Concrete Constructed Glass New Esisttag Tanks Talcs Septic or Bokr� Tads - �? Daft asunber k VII. Responsibility 1 for installation of the PO shown an the attadied plans. Name (Print) Plumber's MP/MPRS Number Business Phone �z d Plumber's Address (Street, City. Use Only Sanitary Penift Fee (includes Groundwater Date Issued tuning Agent Signsam (No sue) VI Approved 0 Disapproved sarbarge ) 0 Owner Given Initial Adverse d� - -en - >,v Descrinhatim �A �� � �. pp Y�y q for DisapprQva� . 5 e�►� L� wnu �� • auk leas tbm Sin z n mel� In s as Mink Vompade � eta rte canow =W ar fte,�a an t� SBD -6398 (R. 05101) PLOT PLAN PROJECT, P.C. Collova Builders Inc. AD RESS P.O. Box 489 Somerset Wi 54025 NW 1/4 NW 1/4s 21 /T 30 N W N Richmond COUNTY ST. CROIX 4/25/02 3 MPRS Shaun Bird 226900 DATE BEDROOM CONVENTIONAL X)OC IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 688 # of chambers 22 BENCHMARK V.R.P. Top of 1.5" PVC Pipe ASSUME ELEVATION 100' Filter Zabel A -100 [:]BOREHOLE O WELL - H. R. P. Same as Benchmark SYSTEM ELEVATION 96.0 Property Line Vent >6 „ Standard Infiltrator of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 12" Grade at System Elevation 34" 4 200' 0 ' 10' OZ 9' Cells Spacing Vents 0' 30' 30' B -2 80, A1W B -1 Pro 3 Bedroom House Plans Designed Using Conventional Powts Manual Version 2.0 Property Line 111th St I PLOT PLAN PROJECT P.C. Collova Builders Inc. AD RESS P.O. Box 489 Somerset Wi 54025 NW 1/4 IWV 1/4s 21 /T 30 N W N Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE4 /25/02 BEDROOM 3 CONVENTIONAL X)OC IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 688 # of chambers 22 IL BENCHMARK V.R.P. Top of 1.5" PVC Pipe ASSUME ELEVATION 100' Filter Zabel A -100 .� ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 96.0 Property Line Vent >6 " Standard Infiltrator of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long " 12 Grade at System Elevation 34" 40' B-3 _ 200' 9' Spacing Vents 40' Cells 30' B. #1 10' OZ 30' 2 80' B - B -1 Pro 3 Bedroom House Plans Designed Using Conventional Powts Manual Version 2.0 Property Line 111th St Wftc orisiv Department of commerce SOIL EVALUATION REPORT Page l of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must S-� • C r oi x include, 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 inf+orniavom -° Reviewed by Date Personal information you �piluacg -Lewf s 16 (�) (m)). provide may be used for secondary 3t) ?QTL Property Owner (� PropervIl- ocation R I d e SO n ; ` 'fit ' 1/4ZW 1/4 S Z / T , N R Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# Ib(o2 ! _ ri`' ° "'` gn Ggl��►evv Acres State zip Code Phone umber ST ' M City ❑ Village (ATown Nearest Road 1 -' h m ® New Construction Use: ® Residential / Number ' rba�itha ode derived design flow rate 4 5 U / CcOU GPD ❑ Replacement ❑ Public or commercial - re� i Parent material 6 y4 W a S In Flood Plain elevation if applicable fl General comments S y,S-{e W7 'r) c v. qG' ,3 and recommendations: J 4 Lf • e, I, U. 9Co• $ v F- 1 Boring # ❑ Boring ® Pit Ground surface elev. /00- d ft Depth to limiting factor l_� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 C- 1 - P -8 2 t2 -30 1 5r') ZrnSbk yy i C — y 3 -I 1 m s Qs ,�,r, l — �. Z- - ys a �f R Boring # E] Boring ® pit Ground surface elev. 10 ft Depth to limiting factor {� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr- Sz. Sh. *Efr#1 *Eff##2 l b - 1 IIJ (2 Zm C J� S 2 t2 -3a l LA 14 Si�l 2m5 m �S y 3 30 -tw 1 `— m m — . 1• Z * Effluent #1 = BOD > 30 _< 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = B013 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur CST Number — if AdorY, Schu ke,r �- - -- <-- �- 253 Address Date Evaluation Conducted Telephone Number 213 BC�r► �l lcmer w 24025 .S- } C �Ig) 2y �- '-100$ Ile Property Owner N e ISon Parcel ID# Page 2 of 3 [-3] Boring # E] Boring ❑K pit Ground surface elev. gD ft. Depth to limiting factor r'� 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eft#1 *Eff#2 I 6- to I D Z — S. I Z m c 5 1 V .p .5 s i c I Z,m - s e- S Boring # ❑ Boring ❑ 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/ff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. -Eff#1 -Eff#2 F1 Boring # E] Boring 11 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/ff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *EfF#1 *Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 m91L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264 -8777. sBD -M30 (R.07M) w PAGE 3 OF�_ NAME iU -etso n LOT# LEGAL DESCRIPTION NW '14,yw 2j T3o N,R l r E (or)do SCALE: F'= �O BM 1 ELEVATION Z2 o . o x BM 1 DESCRIPTION �� o ( /; ' Avg '�e — BM 2 ELEVATION Zdj , D SSG, Z BM 2 DESCRIPTION 4 n 1 lz "pvc SYSTEM ELEVATION 9 (0• $ro ALTERNATE ELEVATION 9'G• 5 O CONTOUR ELEVATION V1 a 5/0 1c 7 '' IA CA P-C n e $10 PC p -3 ■ P rc7 „4 G I �/ 3 • 4 4 1- ■ ■ � tarn SIGNATU G t DATE i Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the fitter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. if system fails, determine cause of failure, use aftemate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 �Ru, 51 - 3 -6 Shaun Bird #226900 FROM P C COLLOVA BURS, INC PHONE NO. : 715 549 5 Feb. 01 2001 e7:33AM P1 ST CROIX Cowry SEPTIC TANK MAINTENANCE AGREEMENT AND n OWNERSHIP CERTIFICATION FORM Owner/Buyer -_ P, .. 4 110VA r Mailing Address y ® X Ll 8 9 5041U -5 U-0-5 Property Address (Verification required from Planning Deparunent for new construction) City/State 1 V• � VY161' & �� Parcel Identiftcatiott Number LEGAL DTSCRIPTIQN Property Location N W _ %,, N VJ '/,, Sec. 2 1. T 3b N -R W, Town of "\O `MMCC Subdivision ��\� t �� �� S1c�J� - Lot if �. Centred Survey I122n 11 vots:n e Page l/ 1 �OIi2IIlc j�3 g C� Spec: Louse ❑ no Lat lincs idetstiGablc ❑ no SYSTEM MAINTENANCE Improper use and maintenince of your septic system could result in its pre:natsre failure to 4wnd1c w;istcs. Proper maiutenaace consists of ptunping out the septic teak every th= years or sooner, if needed by a liceased pumptr. Whit you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St Croix Zoning Department a certification form, signed by th- owner and by a masterplumber, joumeymtnpl u tber. restricted plumber or a licensed pumper verifying tlut (1) the on -site wastewaterdispmal systt:m is in proper operating condition and/or (2) alter inspection and pumping (if amcsmrj), the septic tank is less than 1/3 full of sludge, Uwe, the uadctsigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set fortk herein, as Set by the Department of Coramerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system lass ca maintained must be completed and returned to the St. Croix County Zoning Office within 30 da three y e iratio da e. GI AT OF APPLICANT DATE oNVNER CERTIFICATI I ) certify that aII statements on this form are true to the best of ny (cur) kaowledge, I (we) ant (are) the ownet(s) of the p described above, by virtue of a warranty decd recorded in Register of Deeds Office. GNAWU OP APPLICANT DATE •' +* �+ Any information that 1S mis repr esented may result in die sanitary permit being revoked by dtc Zoning Department. • " "' Include with this application: a stamped warranty dccd from the Register of Deeds ot'rtce a copy of the certified survey map if reference is made in the warranty dccd U 1871 P �3 . 022 STATE BAR OF WISCONSIN FORM 11 - 1982 _ 6 7 6 0 1 9 LAND CON KATH LEEN LEEN H. NALS H Individual and Corporate REGISTER OF DEEDS (TO BE USED FOR ALL TRANSACTIONS WHERE OVER ST. CROIX CO., MI (25,000 IS FINANCED AND IN OTHER NON- CONSUMER Document Number ACT TRANSACTIONS) RECEIVED FOR RECORD 04 -11 -2002 9:35 AM CONTRACT, by and between Hillvale Development Limited, a LAND CONTRACT Minnesota Limited Liability Partnership, EXEMPT # — — REC FEE: 13.00 _ TRANS FEE: 499.20 ("Vendor", whether one or more) and P. C. Collova Builders, Inc. COPY FEE: -- CERT COPY FEE: - - _— PAGES: 2 ("Purchaser ", whether one or more). Vendor sells and agrees to convey to Recording Area Purchaser, upon the prompt and full performance of this contract by Purchaser, Name and Return Address the following property, together with the rents, profits, fixtures and other KRISTINA OGLAND appurtenant interests (all called the "Property "), in St. Croix ATTORNEY AT LAW County, State of Wisconsin: P.O. BOX 359 HUDSON, WI 54013 Pt 026 -1060- 80,026 - 1063 - 95,026. 1064 -10 an 026 - 1060 -10 - _ (Parcel Identification Number) L-06. 11, 25, 27, and 34, Golfview Acres, St. Croix County, Wisconsin. This is not homestead property. (jB) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at place Ve ndor dire cts [he sum ol'$ 1 66,400.00 in the following manner. (a) $ 5, - - -- at the execution of this Contract; and (b) the balance of $ 161,300.00 together with interest from date hereof on the balance outstanding from time to time at the rate of S e e Below __% percent per annum until paid in full, as follows: Vendor shall release the above lots upon payment as follows: Lot (for $27,900.00; Lot 9 for $27,900.00; Lot I I for 526,900.00; Lot 25 for $26,900.00; Lot 27 for 29,900.00 and Lot 34 for $26,900.00. Interest shall not accrue until 6 months after the closing of this Contract. The down payment on this Contract shall be a credit to the last lot released. Provided, however, the entire outstanding balance shall be paid in full on or before the 1 0th day of April _ 2003 (the maturity date). Following any default in payment, interest shall accrue at the rate of % per annual on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the enti .. principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after d of closing XXXX}p In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the armor that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrotn. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: First mortgage to Builders Mortgage Company, LLC Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on day of clo sing. XXXX ' Cross out one. LAND CONTRACT - Individual and State Bar of Wisconsin Corporate Form No. 11 - 1982 Information Professionals company, Fond du Lac, WI 800- 555.2021 • U 1871P 023 Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest iq it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by lire, ex- tended coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of $ N/A , but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, tree and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: Easements, restrict and rights -of -way of record, if any. Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of _ _ days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of days following written notice thereof by Vendor (delivered personalty or mailed by certified mail), then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet -tille action ifthe equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long -term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately duc and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this I " day of April 2002 Hillvq pme Limt — AL) — ate— !SEAL) + By tcTiard Nel Vendor . . Col va, President Purchaser (SEAL.) (SEAL) + Vendor ' Purchaser AUTHENTICATION ACKNOWLEDGMENT Signature(s) Hillvale Development Li a Minnesota STATE OF WISCONSIN ) Limited Liability Partnership, b Richard Nelson; P. C. ) ss. _ COUNTY) O311Ct,�,p t. �.I11C' 17 P. C. 0311 0m, 1?>e6ldatt Personally came before me this _ day of autfignti� the above named oldN)tp of April 2002 '� MA SiATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing ' instrument and acknowledge the same. �ut(rgri by § 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY + Attorney K ristina Oeland - Notary Public County, Wisconsin Hudson, WI 54016 _ My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both arc not ) necessary.) -- • Names of persons signing in any capacity should be typed or printed below their signatures. LAND CONTRACT- Individual and Corporate- State Bar of Wismasin Form No. 11 . 1982 Information Professionals Company, Fond du L.C. WI 800- 655 -2021 I o O v ^c•.r3i.,�Noe 43 * W O `-' ( St. !✓fC1Y. CoU"�� "I ;�a:,_, —868.06' — w 217.00' 217.00' 217.22' 440.72' 427.34' r- I � � io C'4 - I .� J r I i r 7 M I � 87,137 sq.ft. I I 87,938 sq.ft. Z 2.00 acres I 2.02 acres Ir -- 100' -- I �'r%2 - 1 3, S1 9 0 w 4638N� ao Z 87,580 sq.ft. V 11 acres C� — — 89,782 sq.ft. 20 � / 2.06 acres CO / J I \ o > I C / \ I I I , = . C3 123. C ° I \ / _ T Or- �0 C11��\ —c12_ S" S00 , -50 50' j 6 . 12. - -- T100 90,218 sq.ft. I to 2.07 acres O C co 87,231 sq.ft. ' N 2.00 acres I I >0 0� N ? i 100,724 sq.ft. iF r o s0 2.31 acres h S03 "E 329.45 z ` �� � N West line of the or I ''o co NW 1/4 of Sec. 21 21 _ _ _ _ _ _ b o os o ` �� _. —. \ ^ �` N00 054'45 "W — 1251.3, 8W �_ \y � °'' saf 3s 0 S y - - -- East line of the i \ ° Gam. �'t- c�_ • ?,. B' n NF 1 A of Sec. 20. 3ST