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034-1083-20-000
O c 1 O fJ ,G u 7! 6 k c I T M d tD � 4 U) x z N z O A T V) N O n N O 0 0 N N -p O w • :7 < C O N A M.r r 1 CO OD '. ) �o CD fD tJ7 W I @ 0 N W O O a .:� Q 3 CD a• 7 N 0 j U1 0 l t7 M m 3 o N d r.> z y a D w a A c W C Q _� O O D A N 0 iz A � ! - lo t ° co a �� O i O M O w o w! y o c y 0 0 0 0 0 7• n co c N N N A oo d O. N O `°I I O N CD r N N CD Z `v o O =i D D o � n w O � !►1 CL 0 CD �• � twl (D c I w m Z co p Z n O N S z N CD m M N CO z 3 a o cn N z w I a C O G N C I � a I m U) I I I a 1 I o a ti 0 I o A I O by n ° o CL 3 Parcel #: 034 - 1083 -10 -025 01/04/2006 09:10 AM PAGE 1 OF 2 Alt. Parcel #: 28.29.15.548A 034 - TOWN OF SPRINGFIELD Current f X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner DE SHANNON FAYERWEATHER O - FAYERWEATHER, DEAN R & SHANNON ( 2934 74TH AVE WILS6N — WI 540 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 28 T29N R1 5W LOTS 1 -8 BLK 1 VIL Block/Condo Bldg: HERSEY ALSO THOSE PTS OF ABANDONED 294TH, OAK & UNION ST & 74TH AVE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 10/15/2003 743686 2435/581 MISC 06/26/2003 727367 2288/430 WD 03/12/2003 713029 2170/73 LC 03/12/2003 713028 2170/71 AD more 2005 SUMMARY Bill M Fair Market Value: Assessed with: 82556 10,100 Valuations: Last Changed: 06/03/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 8,750 0 8,750 NO Totals for 2005: General Property 0.000 8,750 0 8,750 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 8,750 0 8,750 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f Parcel #: 034- 1083 -20 -025 01/04/2006 09:10 AM PAGE 1 OF 1 Alt. Parcel M 28.29.15.549A 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner DEAN R &SHANNON FAYERWEATHER O - FAYERWEATHER, DEAN R & SHANNON 2934 74TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 2932 74TH AVE SC 2198 GLENWOOD CITY SP 1700 W1TC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 28 T29N R1 5W LOTS 1 -8 BLK 2 VIL Block/Condo Bldg: HERSEY ALSO THOSE PTS OF ABANDONED OAK, 294TH, & INDEPENDENCE ST & 74TH AVE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 10/15/2003 743686 2435/581 MISC 06/26/2003 727367 2288/430 WD 04/02/2003 715619 2191/618 EZ -I 03/12/2003 713029 2170/73 LC more... 2005 SUMMARY Bill M Fair Market Value: Assessed with: 82557 182,600 Valuations: Last Changed: 06/0312004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 8,750 148,950 157,700 NO Totals for 2005: General Property 0.000 8,750 148,950 157,700 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 8,750 148,950 157,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 137 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 V scdRsin i :Aartment of Commerce Count Safety snd PRIVATE SEWAGE SYSTEM St. Croix Building Division INSPECTION REPORT Sanitary Permit No: 420770 0 GENERAL INFORMATION (ATTACH TO PERMIT) A fate Plan ID No: b "3 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ft = TrswS , it '± ) Permit Holder's Name: City Village X Township arcel Tax No: Fa erweather, Da bdjw Springfield Townshi 034 - 1083 -20 -000 CST BM Elev: ( Insp. BM Efev: JBIVIDescription: Section/Town /Range/Map No: Ct> . fl 0D , 3 X 28.29.15.549 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Sep c J � Dosing Alt. BM Aeration Bldg. Sewer n Czt /a /b• n� t Q3• &9 Holding St/Ht Inlet o� St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELLI BLDG. Vent to Air Intake ROAD Dt Inlet Septic 1 Dt Bottom 2( � � � u 9 �'9•�3 Dosing i t t ( Header /Man. Aeration Dist. Pipe S Z, S 2� t 9G•2� Holding Bot. System t� � , 2 Z Final Grade PUMP /SIPHON INFORMATION it I Manufacturer GPM Dema St Cover 12-11D - r Model Number -(� \� N Z-- 2�. w► �• Std I , D(. D `10• kOH Lift , Friction Loss System H • 2 DH Ft It a • � ead g 1z ;a (sK Forcemain Length I Dia tc Dist. to Well d D Z W SOIL ABSORPTION SYSTEM C0AJV I = •00 E RENCH Width No L Length 1 . Of PIT DIMENSIONS No. Of Pits Inside Dia. Liq id Depth D IMENSIONS 1 ;; Z � l SETBACK SYSTEM TO T P/L BLDG IWELL LAKE /STREAM LEA ING ufacturer. ] INFORMATION Type Of CHAMBE 3 System: L �_ �, � � (fit „•, del Number: DISTRIBUTION SYSTEM ; :�'tpg -p 1— Header /Manifold Distribution / x Hole Size x Hole Spacing Vent to Air Intake Length 7 C t Dia IL Pngth lz, Dia `i Spacing 3 M g �� �— 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 E, Yes U No Eg] Yes [] No CO A,�fV�S: v (Include g di ep�ncies, persons present, etc.) Inspection �1:`�_��� , Inspe 'on #2: Loion: 2934 74th Ave ilson,•WI 54027 (NE 1/4 SW 1/4 28 T29N R15W) Hersey Lot 178 " �^`,�/ Parcel No: 28.29.15.549 1.) Alt BM Description = S T W,0"0.6 �l9trZ� , 2.) Bldg sewer length = - amount of cover =� l Z fi 3.) Contour l Plan revision Required? ! j Yes No L Use other side for additional information. r .__L1 _ _._ _. ___._ t Inse ctor's Signature Cart. No. SBD -6710 (R.3/97) A S p g • Safety and Buildings Division County rr rr 201 W, Washington Ave., P.O. Box 7162 i I Madison, WI 53707 - Department of Commerce d43 '-`� v it"ry Ferxn x .g �ZO 7 a-0 In accord with Comm 83,21: Wis, Co de Adm. , pers nal inf 1 F-1? ❑ Check if Revision may be used for seco oses Privac Law, sl5.04 (1)(m) I. Application Information - :Please Print;All Informat' n State Pan I.D. Number MA 1 9 2003 D = ' 6' ,r,k Property Owner's Name ' Parcel Number ST. CROIX COUNTY f �p LJe �[/1r ZONING OFFICE `('- Ice,3 "Zo' ow( S T� Property Owner's Nlaigtg Address Property Location L 1 A 4 W 1 k; S O TJf N,RJ City, State Zip Code Phone Number of Numbeir B=er Subdivisio Name SM Number XILfIL - 15y ©a SEY PLA-T-- U. Type of Building (check all that apply) {,S � S v1n1 ❑City for 2 Family Dwelling - .Number of Bedrooms l r 1 ❑ age ❑ Public /Commercial Desqfibe Use �wnship 5 r, `t 1 ❑ State Owned ( °v Nearest Road III. Type of Pernnit; (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. iw 2 ❑ Replacement System 3 El Replacement of 6 11 Addition to For County use S stem Tank Only Existing System $ • ❑ Check if Sanitary Permit Previously Issued Permrt Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ❑ Non Pressurized In- Ground &-m1und 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In-Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersal/Treatment Area Information: Design Flow (gpd) Dispersal Cie) Dispersal Area Soil Application Percolation Rate ystem Elevation Final Grade Required ProposedCq Rate ls. /Days/Sq.Ft.)\ (Min./Inch) Elevation �`TT i O -- sut) 1 /5 - o ©v , / 5e) A6 "- 9.s s 7 Y7 7 7 VI. Tank in Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks T nks Septic or Holding Tank Dosing Chamber VII, Responsibility Statement- I, the undersigned, assume respoiWbility for installation of the POWTS shown on the attached plans, Plumber's Name (Print) Plumber' Sig a MP /MPRS Number Business Phone Number Plumber's Addre ($tmet, City, State, 'p ode) VIII. Count e2Ftment Use Onl Approved 13 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Is Agent Signature (No Stamps) Surcharge Fee) 0 Owner Given Initial Adverse • � S � O - Determination IX. Con of for - Disapproval � � �" �� At k or;A 6 V cu^ ' tl _ b ` i (r � � C:az � /�y'1icx.�..�tencC.Pp Yd�GU�r d� .� CA B ch complete plans (to the Co oul) fo re sy s tem on PiFwt& les awn 81/2 x 11 Inches in size SBD -6398 .05101 (R ) r - NE �lq S W % spa» � t k. oR k �+• e�c.. a{>pres�c , 5 ' e.� q ►'ot� nod � , rU. • L R S. 5'q N '> Sr- bi�11 ' o� s ( dP a Cg S•$b� > roc• �� � - 4,t a.0 .;� �• Pro P4 r+-f L; s% o, w u . (� cao a.o ..`. ,... �• S O O y . • i ce , 1}" Scb vial. aEb eo►k w. Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 iseonsin www.commerce.statemi.us /sb y Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary March 03, 2003 CUST ID No.225094 ATTN: POWT.S Inspector MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SP1A N4563 320TH ST 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/03/2005 Identification Numbers Transaction ID No. 834880 SITE: Site ID No. 655540 Dean Fayerweather Please refer to both identification numbers, 74th Avenue above, in all correspondence with the agency. Town of Springfield St Croix County NEI /4, SWl /4, S28, T29N, R15W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 890595 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during b construction and open to inspection b authorized p p y o zed representatives of the Department, which may include focal inspectors. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). P.OM.T S, Conditionah'17 P" wr" R G`V E y MICHAEL P ROGERS Page 2 3/3/03 Owner Responsibilities Continued: • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101. 12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.statc.wi.us WiSMART code: 7633 cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 Henry F Grote , Certified Soil Testing Dean Fayerweather - Mound 4 Z00J Transaction # 4 1 0 0s D Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01 /01) Pressure Distribution, SBD - 10706 -P (01/01) Location: NE 1/4, SW 1/4, Sec. 28, T 29 N, R 15 W Town: Springfield County: St. Croix Date: February 4, 2003 Owner: Dean Fayerweather Address: 1080 Lokhorst St. Baldwin, WI 54002 Plumber: Mike Rogers Signature: License # MP 225094 Attachments: 6748 -Plan Approval Application SBD -8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section Utr1>tci4Ylt[ t lit LUYi �iL l.t 5: plan view, lateral detail FETY AND BUILDINGS 6: pump tank exit detail DIVISION' 7: pump curve ND C 8: system management SEE GORR pivi ES page 1 of 8 Design Criteria Residential Wastewater Contaminant Load: 30 mg /L < BOD < 220 mg /L Anticipated septic tank effluent 30 mg /L < TSS < 150mg /L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal /bedroom/day x 1.5 @�o gallons /day hydraulic load Design Calculations In situ designed loading rate o'16 gallons /sq. ft. per day Depth to estimated high ground water \ 9 in. Depth to bedrock > in. Cross slope at system % Force main length �°�' ft. of in. Manifold /header length ft. of 2 in. Drain -back gallons Lateral length Z @ } Z'O ft. of V t in. Lateral elevation 4 f b•oI ft. @ bottom of lateral Lateral hole size 3/i in. @ in. ( 4 "' ft.) Spacing holes /lateral 3 holes total Lateral volume 3 •�- gallons Total lateral discharge rate 2 ° g gallons /minute @ ft. head Network pressure compensation losses Elevation difference lt•'}% ft. i Friction loss ft. @ S gallons /minute Total dynamic head \ �� �°� ft. Pump /siphon '�4 gpm @ Z- ° ft. of head o Q tl� 5 Manufacturer Model # Dose volume gallons Lift /siPiqon tank �'` °�a•`' \ a - �vv (-a 6 t-"O gallons Septic tank \ Olr'o gallons Effluent filter (A Onn Measurement pump on and off 4 '-' in. Height alarm from tank bottom \Z•4 in. Reserve capacity 3 gallons specs.calcs.res Page of I� w N s c•�-c p; 5Pa , N G �,.� a.PPr�, 5'0•� 9r'ouno(. N,.Z Cr. r t�,r• e�r 5 c . � . \ CL 6 IV p Al g 4 �.• �. a, a o.00 sNup y�►i� �� O..�O •�re � ��; o � �. �w X11 > boo' e [}~ S CIJV Vi ol aE� NuuSE " J! CL '}- ova 'i n eR 4,q T -- Nr�atx \ �O SrbCO. Z 6-al i rt ' 4� 'q' �\ 0.h � ��.�.. i ii c k -� o , T l O•S , 1V O `�-Q.; \ VTt�bw. \�� ��vv►1tiA.� Z,��, T1r0�► d.� P� �OC.� �f.� K V h .w J ,� w/ ��► 4 MG. �0. Gy.,�( 1"�7 `1 N..1.A � 4r QLLL .({ a' Vw`ut �o X4L %J d16 T AL- ` \ 4-le ' a e..."t �• • � ' \ � Z N l� k � 1 � \'�C ��lr WEA�K�RPROJF LOCKING + COV ER JtiNcT c� tv.4n'N ING c 1 C . QvICK Dlac.o.,utCT --� C- - - 6 IL I Y V14,r 7177771. 4° DIPS 3' no NpISTuaE£D SOIL 2 4" %-T). 40 /ALL T ate' Q.o LD SY.ET J�M'J �FL.E, l U P ✓^ .L A L 3 o'`- c 4 Z ON — i ;,•.�...- .x.:._ E LT 1 P64 I � I i � C o .rc�r Fri i ELF" �; 1. biota i i 5CPT t _ SPCC. FI TAN -S MA►JUFACTUiLCR: Qum OF DOSES: _PfK TAWK SIZE; �'" ` GALLOAIS DOSC VOLUME �� �r INCLUDING 15ACKFLOW: A��AA1'� 1"�AWUFACTURCR; ^ODCL �4 ( CAPACITIES A= z • 4 'I IUCHCS Of< 3 swITCH Typ[: _ g a Z ' IucKEs Oa p - r^,P r5 AQUFACTURCR: �O� �r C ■ �' iUCHfS GH =� _. a MODEL IJUM�CR; iSZ D• IN�HE; CR 1 `� ' S �' SWITCH TYPE; %MQw&,-`v " IJOTE: PUMP AWD ALARM ARC TJ 6C MIWIM\UM DISCHARGE RAT[ __. C,rM IN5TALLE0 O1J Sf PARAI f C, VERTICAL DIFFERCIJC( DETWEEW PUMP OFF AUO 0WItIDUTION PIPE.. IIt• -+Z' FEET + MiuIMUM ►JCTWORK SUPPLY PRCtSUKE . , , , , . , , 2.r FLCT + L, 6 FEET OF FORCE MAIN X ��5� F �toOrtFKICTIOU FACTOR. " - FELT ZS' TOTAL O�JUAMIC. HEAD = FEET IkJTERIUAL. OIMLWStOWS �OF TA1UK: LE.W(,TH ;WIDTH `t g ;LIQUID C)CPTH 3 I TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING N MODEL 152/153 - 1 w MODE', 152 153 50 Feet Meters Gol, i Liters Col. Liters 153 5 5 69 1 261 ; 77 291 12 40 152 0 3 1 61 231 70 265 a 15 4.6 53 l 201 61 231 a z 20 6.1 44 1 52 197 Z 8— 30- 25� 9 7.6 34 12 42 r 30 91 23 87 33 25 a 20 I 35 10.7 -- - -- �22 c ° 44 1 - -— — 4 ' - - r 10 � ock Vclve. ' 38,0 F� � ! E,-, : 4 ' 4 0 `; ',' 3_.j _ /• 014508 22 .0 1 20 40 60 80 100 GALLONS �$ UTERS 0 80 160 240 320 4 3 27/32 - r 4 5/8 FLOW PER MINUTE — e CONSULT FACTORY FOR SPECIAL APPLICATIONS a. • Timed dosing panels available, O Electrical alternators, for duplex systems, are available and supplied with e J an alarm. l • Variable level control switches are available for controlling single phase systems. Double piggyback variable level float switches are available for variable _ level long and short cycle controls. T Sealed Qwik -Box available for outdoor installations. See FM1420. _ Over 130 °F. (54 °C.) special quotation required. _ 1521153 Series _ 152/153 MODELS Control Selection Model Volts -Ph Mode Am s simplex Duplex N152_ 115 t Non 8.5 1 2or3 BN 152 115 1 Auto 8.5 Included 2 or 3 V E152 _ 2 1 Non 4.3 1 2 or 3 1 s�as4 _ BE 152 _23 1 Auto 4.3 Included 2 or 3 N 153 15 1 Non 10.5 1 2 or 3 BN t15 1 Auto 10.5 Included 2or3 SELECTION GUIDE E 153 230 1 Non 5.3 1 2 or - 3 1 1. Single back variable level float switch or double p ig gy back variable level float BE 153 230 1 Auto 5.3 1 Included 2 or 3 t p p 99Y —� switch. Refer to FM0477. v CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 - 0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA), or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256 -0347 Manufacturers of. . k 4 i2 SHIP TO: 3649 Cane Run Road Louisville, KY 40211.1961 O (502) 778. X (50 928 -PUMP httpa /www.zoeller.com L FAX (502) 774.3 774.3624 © Copyright 2000 Zoeller Co. All rights reserved. System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235-1132, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet -rock and /or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 11. I f construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back- washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompan% their specifications. 6. The ptunping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 J s NORTHLAND PLUMBING, INC. FAX NO. : 715 - 643 -2520 Mar. 03 2003 08:40AM P5 54 tL 'EVALUAT - ;:: REPO .,...r�..� +h',a>rara�n pep�Rrr.�rtt o� ^,�,n+marea �:,; 14 � � vis,ar of s.y' end dw+d'"n� sr, sG4ordrnc► w;ch Lamm 06, W »" an 0'7 nat t� ind»t► in isite�'; D1�oel f D• AWO � to � W d °" ind di +aN to nee :�, ; ue�• 11t MOM pm a p opes 51 1 YCPY� e1W D� 11d0 Mr WMiNN woo"* !. > ,, may err► or o� Pod q � ,� �� �r rile ...,,,,. -� pubde er enn++nNeW • �!er�hs -^tW 4-v sir' /r� A . � ae�+o �eu�e� g„ 3; �� � �Pd: m � rrtl�+o Mme►.,,,, -�' i;:r.tf11M'� � �atvti New In ca is, , COW :`"" A� Jot 5 t pill) f0'�R #�'�.. 81 r Set 'S , .m a .� • a.. .20 d U. won po eR�r w' . tie�ar► rie � 10 16L h.. i r.« ,r r+►N w rMW yr rN m to —V r fn `� E " m8 � CO j pA IIA a e v w 0 a z x . r 9d WbTV :80 200E 20 'arW OZSZ- 079 -Sti2- 'ON XUA 'ONI `JNIawn QNd1Hi8ON WONA Wisconsin Department of Commerce SOIL EVALLIAT Y-1 REPORT Page �, of Division of Safety and Buildings in accordance with Comm 65, Wis. Adm CO fe Cou Attmch oomptate slte plan on paper not Isar then 9112 x 11 inches in size. Plan m .,st include, but not Umitsd to: vertical and horizontal reference point (BM), direction at ud Parcel I.D. peroerA slope, scale or dimensions, north arrow, and location and distance to nsa , yet i oed. Date please print all Inf'ormadon. seed by Personal Information you provide May be used for te0o raaary put IVaO I.sw, S. 16.01 (1 i I n1i), pro Be owner 0 0 =vt.. 114 SA), 14 S -M) T N R / $ 1 (o :Y' Property owner's Mang teas MA LN � 0�' ock Subd. Name ar CSMIU l O- okhtrr•� Sf, ,. Y ZON N F� Via�en NMroet Road New Cor�structiOrt tJse: QS- Residentfai ! Nwnber of bedrooms Cc de Jorhod design flow rata ❑ Reptaosrnent © Public or commercial - Describe: Parent ma0arfal � - I v► - e 5,(,, r,.�, Flood Ptah elevation if applicable General oomi»arb and reoonirnertdations: Q0_11+1_ U o' 0 S w o f 8 I F- � 0 [] Boring ptt Ground aurfooe elev, 94 • !v 9 ft, Depth to tmltJnp factor w y in. Soli Ra CIPON Horizon Depth Dominant Color Redox Description Consistence eery Root •6flllil ' In. Muroo Qu, Sz. Cont, Color �, ��; Sh' n1 . $ • 8 v- �J S .2 .5 3 - 1 6 `t1Z 4/4 ►� s 05�, ` ►7� 1 S /. 5 -3 �•sYR � �-- ° _ , s R'f/4 . SY1C`l S d 5 �, �e WL l J S / • .�- Wing * p emww sutfsbe eisV. 1�c�� 9 - - ft Depth to Ilmldng factor in. ad Alipp RoteQ 4PDI� Motlson Depth l�oatir M Color Raft Description Texture �ri.ttttn Conabtenoe Boundary Boob In, Munsell Qu. 92. Cont. Color C;r�Et. Sh. I t o lawk VYR 3 S 3 sb !'11 r s own .5 3 19 --fo 5YR_ 4 / �l� ,s e-S s s S bs sin / g s /"`- . '� 1• S -- �-p - ¢ .5ya. I .5 Ye 5 /8 3 e af - I OK S 0 9 �• � l S 43 0 ?. SY)t 4 /f •('r t 7 • Syie % + Effka tt 01 a BOD 930 < 220 moll. and T3$ >30 s 1so molt. • F.13AN #2 • 000 j : ! 30 Moll stud TSS 130 MOIL CST Number CS T carne cP"u PrM1� ro 2 4 V . 85 At,,. f``'Q / a. c t^ I Evnlu�on Condttoted TeUphone NuMber Addiress 3 13&bL- A 6".weed ` 7 t w/ S 461 3 o - ll� �i5- a- 6s - 4 /G► „,�,� 1.l1tti Pwww Mww.•.w• Property Owner - c Parcel ID ' # Pape -of � 9o`M° iii ❑ K pft Ground surface olev. 9 s/ Depth to limiting /actor In. Sol A Rai - Horizon 'Depth Dominant Color Redox Descrption Texture 6044ure Consistence Boundary Roots GPD& in. Munew Qu. S& Cont. Color t ar. Oz. Sh. *FM •E4Y#2 si l 3sdk M acc� v -ail 04 5 / I 3 9,5 3 al-3o �,sYR n. O s . ��« iyc 9S 30 -48 SYR 41 rtn ceL /j? 0 5 . 7 1 , A A 5 `t8'SD SyR 4 ���. SYR 5 �8s n`s �gc�b6 /yL 3 El Bork►g # ❑ Boring ❑ Pit Ground surfoos elev. , _ _„ft. Depth to Umistng IWO In. Soil Apolketlon to Horizon Depth Dominant Color Redoc Description Texture 5tnaturo Consistence Boundary Roots G W in. Munew Qu. Sz. Cant. Color Gr uz. Sh. `Eff#1 'Eff#2 OWN # B t U It factor. In. am arotatd surface slev . ft. Depth � ._.�......_.. ❑Pit Iloetlon Rate Horizon NO DornkN0 Cotar Ro t Dwiptlon Taxturo 5truoture Conehtente Boundary Root Mae in. Mtanee>l flu. St. Cori. Color �Gr. Ea. Sh. 'EfNM •L� Nerd #1 a goo,;, 30 c 220 nV& and TSS >30 _< 150 mglL ' EMuent #2 : BO% c 30 mglL and TSS !S 30 mglL The Department of Commerce is an equal opportunity service provide- raid employer. If you need assistanoe to access servioes or need mataW is an diem to ftut, p1e990 contact the depwtaroetnt at 608-266.3151 or TTY 608- 264 -8777. dst��o pt.a7roc� SOIL EVALUAT ; � ff' REPORT -�-� ' d►'�xcor»�n paportm+�nt of �mmota c�a 99 0►vjwm. of salty a nd l9wWi 0cmdonc� with Comm �, WS, +wdtsh bounty S ��d11C pri Papor not � tEstA !! 11Z x 11 ino4wx ir+ site GIA� . � r`" Pl�pd I.C. 4 hooky , M joc MO IM 10; vMCW +And hnrlsar�bll "W" !Dale or � + ►arrow, �d tiooet�oa wr�d dl�u+ar to nil+ .�� � cad• � 1y per,. a inlbrar�do+s. , ` 0 � Pfs9on111tt�rnMi► Y p►� way be um to town Ow�P M Liwf rep 6 �� taao Lt/�l �5-� l y y tjd mom o �, r S� G Lv l 54a� a- - 7 1 5 g `I -5� P _.. spo G� � P NVWJW New Q or eom:+ w* • ......�. •- C1 �^� Mead .�tr �Mwtio�+ K � i hrant 'C' dd,� -K ��.� -''' -� -�-�' � / �s•� eater dv�.r�r�dh 1 b -1 /- D.''- end rw+a+ MV*Ors h g3.840 t D colts t to I ...�� •--t d � � Skaund tea• o� .......... --.. ..w• �laaiolw'� � lloa� Olo ti�or Roder n Qu. �, Cant. G�IOr ,....• p�.v 3!0'l . 5 . • NfM.• . yN1 (011OLL 2- nt JS post l � � p►s Q r011a+d or' . ^' �` �M�'�' .i1Y V.Yf'1 � ��� Yr urr airwrahYd • •! Lowt 3Da T" M, u, pi. Cord. Oolor 6 y.rW ..ArW wN a .WMM I . wfI 3 Proper Owrw - -- Pool rrr.•• r °�""'""'"' +� ptt �daound wres •iw. �,,,.. �. ��N:h. r ttrsdlknp Iw4o► .r„....i..... H"n Oapth mi Iiolor Red" O"GrOwn T tuns .• + fueNur CerMilbtsM t>w�doN Now C 1n, Qu, 4L Card. Color ter. flt, P. qn ., I u•MI I Yµ•wr YY• �wMY Ww'�M• „w •M.Kr p around ruha IWV, .,.•,,.,,.r cove to .wlYr• li o11 Color PErdO,t Daoriptlon Toth" I#rudw dw ma eoww " Rom C l (s* Ids• �f. h• Cenli cow •i, N.wlMM� wwiMM 1 w.rYr ♦Yw°YM r4MM•� iMr•NiIIM „rYYY rr Y tiraundwrhta •IMr, � � Gppt to Iltt'd�'p �.... —.-- -� .rwMMr mm Houton Dow Tow^ *ruoWrs Caa++ri �+e tlou+daY 11aM it a<s, . C ad• Golar tar! b, Ih. •wrM •� r•r MNA• • r. wrr .w..ro D"tang Of C roe it 0 egtut WmWty M Vin pmwdo W4 IM;90Y'u, 1Syou d WWW" to woes swim or wed awl in m aiAMO but. piste at 608.2 0151 or TV 6aw4m, .t co z 4 L A rk, N a4 to �Q n L M f� 0 a v oL ,d v 1 QO 40 i rt �" Q V r a Z s r� CJ- Y Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner: Project Name and System Type: Location: 7 v t S re Street Address Legal Description 5 QC 101 4 - r,, Z Township/Co Contents: Page 1: Page 2: da A4 Page 3: Page 4• 6L.'1 r Page 5: 5p ,ai, L Page 6: i(/m d 5m " 1 5 - 15 644 wIM:r S� Page 7: , A Page 8: Page 9: a call Attachments: Plumber/Designer: Signed: i L e , :5 Credential Number: Date: 3 ;/ - 7 d I POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION I SYSTEM SPECIFICATIONS Owner ld- Septic Tank Capacity p gal p NA At Permit # If2o Septic Tank Manufacturer A r 5,-4— ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer p NA Number of Bedrooms 100gpd/bedroom p Effluent Filter Model NA ❑ NA Number of Commercial Units x NA Pump Tank Capacity o gal p NA Estimated flow (average)* p gal/day Pump Tank Manufacturer wi , p NA Design ow (peak), x 1.5* gal/day Pump Manufacturer p NA 8n . (P )� O g Y del N Soil Application Rate 6 gal/day Pum Unit ❑ NA Influent/Effluent Quality (NAP) Monthly Average ** ❑ Sand/Gravel Filter ❑ Peat Filter Fats. Oil & Grease (FOG) 5 30 mg/L p Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) p Disinfection p Other: Total Suspended Solids TSS 5 220 mg/L P ( ) Manufacturer: Model: : 5 250 mg/L Dispersal Cell(s) Pretreated Effluent Quality p Monthly Average * ** ❑ in- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BODs) < 30 mg/L ❑ At-grade 69 Mound Total Suspended Solids (TSS) Fecal Coliform (geometric mean) 5 30 mg/L ❑ Drip-line r_3 Other: <leau/100ml ❑ Leaching Chamber Manufacturer Maximum Effluent Particle Size 1/8 inch diameter Model Approval Stipulation *Wastewater Flow Verification on and calculations: Soil Application Rate �g polf Area Req. (Other than bedroom based) Absorption Area Credit per unit fe Minimum Number of Chambers ❑ Aggregate Design Flow/Loading Rate= T min ** Values typical for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ***Values typical for pretreated wastewater. and approval letters. DESIGN CRIT ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) El "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ -"Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 E3 "Design of Conventional Soil Absorption Trenches and Beds ". RJ. Otis —ASAE Publications 5 -77 and "Design Manual — Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 ❑ SBD — 10570 —P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ❑ SBD — 10567 P (R.6/99) "In Ground Absorption Component Manual" ❑ SBD — 10705 --P (N.01101) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD — 10628 —P (N.6/99) "Recirculating Sand Filter System Component Manual" ❑ SBD — 10656 —P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" E3 SBD - 10572 P (8.6)99) "Mound Component Manual" p SBD 10691 —P (N.01 /01) "Mound Component Manual" Version 2.0 ❑ SBD 10595 —P (86/99) "Single Pass Saud Filter Component Manual" p SBD - 10657—P (8.6/99) "Drip -line Effluent Disposal Component Manual" p SBD - 10573 —P (R 6/99) "Pressure Distribution Component Manual" ❑ SBD - 10706 —P (N.01 /01) "Pressure Distribution Component Manual" Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once every ❑ months 3 pLyear(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months// W year(s) Inspect pump, pump controls & alarm At least once every ❑ months V year(s) [3 NA Flush laterals and pressure test At least once every ❑ months up year(s) ❑ NA Valves At least once every .D months ❑ year(s) IV NA Other: At least once every p months = ❑ years) 1Z NA Page�_of� I START up For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). 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 at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ❑ Valves Valves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). 'Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specification's. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. jV2T=p Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care o£ p In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page-2—of- ' a At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple - laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. 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 with soil, gravel or other 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: ❑ 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 lines and wells. Failure to protect the replacement area will result in the need for a new soil 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 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 as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. 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 comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN 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 DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INST ER POWTS MAINTAINER Name r Name Phone 7/s 3 J- i 3 Z Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency 6r- LRO I X Co %&KKj Phone Phone S", 3 g6 , KAWPDATMEB)POWTS OWNER'S MAWALdoc Page 3 of 3 it 2191P 619 EASEMENT AGREEMENT AGREEMENT MADE By and between Beverly K. Johnson, a single person, hereinafter called First Party, and Dean R. Fayerweather and Shannon Fayerweather, husband and wife, hereinafter called Second Party; WITNESSETH: WHEREAS, The First Party is the owner of the following- described lands: All of Block Three (3) of the Original Plat of the Village of Hersey, St. Croix County, Wisconsin; and WHEREAS, The Second Party is owner of the following - described lands: All of Block Two (2) of the Original Plat of the Village of Hersey, St. Croix County, Wisconsin, and WHEREAS, The Second Party is desirous of obtaining an Easement over and across a portion of the lands owned by the First Party, and WHEREAS, The First Party is desirous of granting such an Easement to the Second Party; NOW, THEREFORE, IT IS MUTUALLY AGREED AS FOLLOWS: 1. The First Party does hereby grant and Second Party does hereby accept, and easement for ingress and egress, over and across the following parcel of land, to -wit: Commencing at the intersection of 293rd Street and 74th Avenue with the Southwest Corner of Block 3, Village of Hersey; thence Northeasterly along the present driveway to Block 2, Village of Hersey, owned by Second Party. 2. Second Party, their successors and assigns shall be responsible for the maintenance and repairs of said driveway. 3. Said Easement shall constitute a covenant running with the land, and shall be binding upon the parties hereto, their heirs, assigns and successors in interest. 1 i if 03/12/2003 02:30 1715235494 GREAT AMERICAN HOMES PAGE 01 Fm" flomm PM,.l.r' BS FAX NO. : 725 2M W67 .Fan. 97 =3 W2WM Pe "T C8[llt')C Coubrry Tit�t''TiC 'I`A�I �',CBN!►hi�G$ �8t3�iT A, OWNStSM MTMC&TuW FORM oWna"OWW Soh AA&m ;2-1 4 A j d- (v 5 iepftd 60Ma PON ee. D«�pru�rpienr C*S=o Pam Fdeati&adm NW*�r _..._ LAwo CAviMA- � Spec bww a Iml Ymaridesh 13 ILdiff �OOpaa rr*aewarfar y'a� aieaytarawdowd WAk impnmdm w ee hawk ae .Pmvw aa.:rre Mf ` 4 d! INOW eats 0"17 wee yeua or d owftd by _ moamrod lwui YM FM mw *0 tea. MW IMOV r awmMr MPON aD sAbM* I* St. CWft zoogg DapMCUM t a oldiag"MjW". bi ma to a saw io ia oa�a � (l � =d pu mpWC �tyin� tY) se oa a�ar�eaMt t�aeomwsr� � sa.�air iM teas � tts mst arses, va me � bom rmd 6A a sm aMraa as Mg i&W8 for 1 di se+rspr dLVWd e+xalen 7tt 60 dm &m& fft ft& akrMIar D*Kft"e[OWMAUft.Ma mmDepuftumatNatmat lAcuwmk am aR' VUeNN& ftooMfi so* ow P sy i:a cao *ftd =kd xMcwd ao the sa. Qmbc C mmW offi 30 days of ft iteM ywr eoePI" M, &06 amm �. (w�) oastib 16.r a� saa+MSr.ar ssi ibis iiima► are srue ea tlrs beat ero:<y tared ]arte, t t*re3 seas (� �aontasd� ar IM gMMps draat�ad abaia. by A� a vmwamty do" gwar&ad to pcooa ad'tiaatls oigm (W APPLICAPi'!' � A► dfoenatkm dW is mbeWnsmo4m y ="t lb 6, *=,My pennia befig i "&*A b� trs s0*0" U. 2191P 620 4. This Easement Agreement shall be binding upon the parties hereto, their heirs, assigns and successors in interest. IN WITNESS WHEREOF, The parties hereto have set their Hands and Seals the date so indicated below. SEAL) �- 1 \- EAL) ev . Johnson Dean R. Fayerweather Date 1 4 -1- y 3 Date Shannon FajervYeather Date /&p/2-0- ACKNOWLEDGMENT STATE OF WISCONSIN ) COUNTY OF i ) Personally came before me this S day of 2003, the foregoing named Beverly K. Johnson, Dean R. Fayerwea er and Shannon Fayerweather, to me known to be the persons who executed the foregoing instrument and acknowledged the same. Notary Public State of Wisconsin My Commission Expires AP /4 AAQ This Instrument Drafted By: Attorney Jon D. Seifert PO Box 206 Durand, WI 54736 State Bar No. 1001245 2 U 219 1 P 61 8 715619 EASEMENT AGREEMENT KATHLEEN H. MALSH Document Number Title of Document REGISTER OF DEEDS ST. CROIX CO., NI RECEIVED FOR RECORD 04/02/2003 11:30AM EASEMENT EXEMPT # REC FEE: 15.00 'TRANS FEE: COPY FEE:' CC FEE: PAGES: 3 Record this document with the Register of Dbeeds Name and Return Address: Goethel, Seifert & Schultz, S.C. PO Box 206 Durand, WI 54736 l- SLY 2, 034- to V3 20- 000 gLr' 3 03L(-10$3 - 3v (Parcel Identification Number) THIS PAGE IS PART OF THIS LEGAL DOCUMENT -DO NOT REMOVE information Professbnais Company Fond du Lac. Wisconsin 800- 655.2021 STATE BAR OF WISCONSIN FORM 11 - 1982 (� Z,,1 0P 7 3 LAND CONTRACT 7 1 3 fD 2 9 Individual and Corporate A (TO BE USED FOR ALL TRANSACTIONS WHERE OVER KATHLEEN H. WALSH $25.000 IS FINANCED AND IN OTHER NON - CONSUMER REGISTER OF DEEDS Document Number ACT TRANSACTIONS ST. CROIX CO., WI RECEIVED FOR RECORD CONTRACT, by and between Beverly K. Johnson, a single person, 03/12/2003 03:00PK ( "Vendor ", whether one or more) and Dean R. Fayerweather and Shannon Fayerweather, husband and wife as survivorship marital property, EXEMPT # ( "Purchaser ", whether one or more). Vendor sells and agrees to convey to REC FEE: 13.00 Purchaser, upon the prompt and full performance of this contract by TRANS FEE: 81.00 Purchaser, the following property, together with the rents, profits, fixtures and COPY FEE: 3.00 CERT COPY FEE: other appurtenant interests (all called the "Property "), in County, State of PAGES: 2 „ Wisconsin: Recording Area Name and Return Address Goethel, Seifert & Schultz, S. C. Lots 1, 2, 3 and 4, Block 10; All of Blocks 11, 1, and 2, of the Original Plat PO Box 206 of the Village of Hersey, St. Croix County, Wisconsin Durand, WI 54736 Beverly K. Johnson hereby grants a Right of First Refusal to Dean R. Fayerweather and Shannon Fayerweather to purchase of Block 3 of the Original Plat of the Village of Hersey, St. Croix County, Wisconsin, in the event she desires to sell the same. _ 034-1083-10-000; 034 1084 -50 -000; 034- 1083 -20- 000;034- 1083 -95 -000 (Parcel Identification Number) I This not homestead property. Vendor at her residence, the sum of 27 000.00 in the following manner: (a) Purchaser agrees to purchase the Pro e Pur Property and to pay to 8t' P 55000_00 at the execution of this Contract; and (b) the balance of $22,000.00, together with interest from date hereof on the balance outstanding from time to time at the rate of five and one -half ner'cent (5.50961 per annum until paid in full, as follows: The sum of Three Hundred Dollars ($300.00) per month, the first such payment due and payable one (1) month from the date of the execution of this contract, and the same day of each successive month thereafter, until paid in full. Following any default in payment, interest shall accrue at the rate of 5.50% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated 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 date hereof. 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 amount 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 herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: 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 date hereof . *Cross out one. :1 2170P 07`1 Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand r4eipts shNing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of the full insurable value 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, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: no exceptions c 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 30 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 30 days following written notice thereof by Vendor (delivered personally 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 -title action if the 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 incurred, and shall be included in any judgment. Upon the commencement or du rin g pendency nd of action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of y a 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 due 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 day of 2003. (SEAL) �. (SEAL) *Beverly K. Johnson Vendor *Dean R. Fayerweathel Purchaser (SEAL) _ )�� - Q loo (SEAL) Vendor *Shannon Fayerweather Purchaser AUTHENTICATION ACKNOWLEDGMENT Signatures of Beverly K. Johnson, Dean R. Fayerweather and STATE OF WISCONSIN ) kon Fayer eather uthentica this �� day of )§ COUNTY) Personally came before me this day of , the above named to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. * on D. Seifert TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by ' 706.06, Wis. Stats.) Notary Public County, My Commission is permanent. (If not, state expiration date: THIS INSTRUMENT WAS DRAFTED BY ) Jon D. Seifert Goethel, Seifert & Schultz, S. C. (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures. LAND CONTRACT - Indtvldual and Corporate - State Bar of Wisconsin Form No. 11 -1882 Information Professionals Company Fond du lac, Wisconsin 800 - 655.2021