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040-1039-90-500
n CO) 0 � v c7 r� so A Fi S W T A V C c \ 1 0 3 N O O W Q D C A • N Q I�1 ��Clll . K CD N Co O N c C O N 0 0 O CO w G 1 Cl 1p N O ' 3 O. N N W CO O CD CD n 'n CT O O C) O 3 _. N N to O O N 7 n� (n Z D ? A m D N a co a co C2. O O 3 O o m o C " N 0 cn m C o o a n r CO) m I o o y w w N O c AI m 3 Q v z 0 0 0 T s: i o 000? �� �y o :t m T a a J _ N 3 .r ? N fD 3 00 CL w V Z c fA Z +: o O o CL o m m � O O C N a 3 cD -� —1 CA Z � A � � N 0 CD (D A C co C :i c) _a 3 C CC O N Z _ < � A A Co � � Q F O 0 S r+ I 3 0 3 T 7 M C C ° m Z a Cq N O � N i G) CD ° 3 m CD CD 3 CD ti m v Vo m I � A O b A 7 III < �Q H � O O o a �' LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF TROY COMPUTER NUMBER 040 - 1039 -90 -500 Parcel Number 09.28.19.134F OWNER NAME: First KENNETH L II & MELISSA J Last COOK PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 448 N GLOVER RD SECTION 9 TOWN 28N RANGE 19W 1 /4160 NW 1 /440 SW Line Description Line Description TOTAL ACREAGE 2.010 PLAT CSM 17 -4487 040/03 LOT07 BLK 01 SEC 9 T28N R19W PT SW NW 15 02 & PT NW SW; PT OF LOT 3 OF 16 03 CSM 6/1593 NKA CSM 17 -4487 17 04 LOT 7 (2.010AC) 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit isconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430107 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 Par �I Tax No: Delta Construction Troy Township ry" . - - CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 10 Iu rD 0 %a t U (b I 09.28.29. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic Benchmark 135D y.qD toy 1 , 0 Dosin Alt. BM Aeration Bldg. Sewer ��2 loo 11 Holding St/Ht Inlet f 0 St/Ht Outlet TANK SETBACK INFORMATION , j p ,;3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic C7 / > j O b , , Dt Bottom Dosing eader/ an. Aeration Dist. Pipe N T Z . I ` Holding Bot. System /J F 14 3 77 Final Grade PUMP /SIPHON INFORMATION 3.(v� l oo. .7 P Manufacturer Demand St Cover 4, sC- M S,og � , 3 � Model mber 11 1 TDH Lift Friction Loss System Head TD Ft Force in Length Dia. ell I SOIL ABSORPTION SYSTEM y„ BED/TRENCH Width Length No. Of Txwepos ce ( S PIT DIMENSIONS N DIMENSIONS 3 / Q-,, S 1 V SETBACK SYSTEM TO P/L jBLbG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR — f Type Of System: � UNIT Model Number: C . DISTRIBUTION SYSTEM ` J H eader /Manifold llp)�Pse(s) tribution x Hole Size x Hole Spacing Vent to Air Intake it / f l 7 Length Dia Length �f IW ' Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over I Depth Over Ixx Depth of u c e Bed ench Bed/Trench Edges of r, l - F1 Yes ] No Yes ._JI No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 1 / 03 0Z_ Location: 448 N Gover Rd River Falls, WI 54022 (SW 1/4 SW 1/4 9 T28N R19W) NA L Parcel No: 09.28.29. 1.) A' Description 2 length over = > `1 �- � � rr Yes No r O i art. No. II, jjjjj1,,,,,,,,1 hformati L Date Inse cto on. g �Cl r's S Safety and Buildings Division County I n \ AM 201 W. Washington Ave., P.O. Box 7162 Viscoissi Madisoi% WI 53707 - 7162 Sanitary Pe"* Number (to be filled in by Co.) 41 Departmt.nt (608) 266-3151 Commerce ' 3 0 / / Sanitary Permit Application Soft Plan LD. Numb?r In accord with Comm 8321, Wis. Adm. Code, personal R /V / than mailing address) t: Address (if diffrcnt may be used for secondary purposes Privacy Law. 915. XM) Piojpc 01 41-1 IJ I. Application Information - Please Print All Information I W W Property Owner's Na me Paitzi 0 Lot Block 9 Propiny Owner's M ' aft Address -//0- /D� ��` city, state Zip Code Pbow Number IA,,4gLAeI2M , Section (tee T Z-X N; El IL Type of BWI&ug (check all that apply) Subdivision Name CSM Nu mb . *I or 2 Family Dwelling - Number of Bedrooms j� ❑ Public/Conitnercial - Describe Use IZ,6 e- 1 7 ❑ State Owned - Describe Use - 70 - 7 - A-& ::21 OCity_Dviftge Wownship of _2!&# tA ,4049 ;: 6 jo =tAV HI. Type of Permit: (Check only one bm on tine A. MIMPM71M B ff appm=w) 629ax-A A. 1gg System ❑ Re0acerneut System ❑ TvmuncnvHdwimg Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Rcvmm ❑ change of ❑ Permit Transfer to New List Previous Permit Number and Dam Issued Before Expiration pkmlba Owner IV. Type of POWTS gj=: (Om* all that =ff) "on -Pressurizedhi-oround 0 Mound >24 in. orsufthiesots ❑ mound <24 in ofsoitablesort ElAt-Grme O Singe Pass Sand Enter DConswucudWedantl Il Pressurized In- Groans 0 Holding Tank O Plat finer O Aerobic Treatment Unit ORmirculting Sa Porter ❑ R=wcukdog Synthetic Media Filter ❑ Chamber ❑ Drip Line ❑ gj� �- pip. Od-x (-Ww) V. ent Area Information: Design How (Mid) Application Rate(gpdst} Dispersat Area Required (st) Dispersal Area (st) System FJevation 6 �� pip. Z- 970-Y rf • VI. Tank Info sty in Tow Number manufacturer Prefab Site Sled Fiber Plastie E Gal = Ga llons ofUnits Concrete Constructed Glais Fidsting Sepik Tanks oW4eMing-Tank I V.1 S Aerobic Treatnient Unit Dosing Chamber I VII. Responsibility &Menieut- 1, the "dertigpied,assume rtspp4io for WAMatim of the POWTS dwwn on the ziftacbed plans. Plumber's Na me IP0VU* - W/MPRS Number Business Phone Number Fogerty Pl um bing I #221180 7Z� 1 ..t //,Po PIu-bft28&dWC0IiIKieIV9Stae. Zip Spooner, WI 54801 /rj - vr-a " 7t 101p 1*719;) VIII. Use only Approved ❑ Owner Given Reason f Sanitary Permit Flincludes G Date Is zo�wwdd Issued Signat7e" sumps) ❑ Unapproved or Denial Surcharge Pee) 0 IM Condiflons: of Approval/Reamins for Disapproval � (��Gu.��L {Z�.fc- ��o/?,a -r,�c �R= `h.�c,�J l� l�/ ��Z��''"ti`� � 1�Du1TS �'f'/� Y �13 3 -S Aamb complete plans (to the Coady only) far the system an paper not Iez than SM x 11 babes in`�- Fogerty Plumbing #221180 28288 McKenzie Rd. Spooner, WI 51801 (715) 635 -960 I O Lo7 41 7 12� \ x ✓ -,�� C o P Y Fogerty Plumbing #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) &35 - -,9 7 f I Y �Pau�• A#f =Qom,, ;s ,� =,uivaovL I ( .�.vf /.,sir •f frj1� #r a \ .v� P c =2 9pS f7 � s X so GGav� 1?D — 0 N c morn C7 ti 11 .. t OD w U co 00 .a • N v n C' It c� LL Co to 1 ''C� i �� � ♦ ` '� � • • -� � _. • .• .. ; � Gq a� O � :. . •i a c, •- U .• `� t _ ta 3 ;cad • . °' � � � ham♦ '• ' - °= : rte' °•. • . ; : c.� rA A '� H .a O it � `- • � G" 4 W ' Q3 CA a -4 C7 O s Wisconsin Department of Commerce SOIL EVALUATION REPORT e 1 of 3 Division of Safety and Buildings Pag ' in accordance with Comm 85, Wis. Adm. Code Attach Complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan mu h' s _ e 1zu \ , include, but not limited to: vertical and horizontal reference point (BM), direction an percent slope, scale or dimensions, north arrow, and location and distance to neare t road. Parcel I X1.1 G Please print all information. F E! R eZ d ate Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 O (m)). I CROfX COUNTY Property Owner Property L ti 1pY� sf,31/4 S�1 /4 S T z N R 1 1 E (or W Property Owners Mailing Address Lot # Block # Su b Name or CSM# f I GL0 V�12 �Zo I o�oS CS 1 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road 6 \..bV t� & New Construction Use: Residential / Number of bedrooms -� Code derived design flow rate 6 0 L GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material _ U `nAjP S'3 4 ti Flood Plain elevation if applicable General comments R- and recommendations: C�.L� UN > r \A �J G w y t7M of 11f S D A-I� CIt PryerR�klS PAZ ��ZL 22'21'n � r- eLLLQ - n 8 F 6 0 Boring # ❑ Boring [� Pit Ground surface elev. lq . ft. Depth to limiting factor 7 �S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 •Eff #2 E Boring # F1 Boring II IR pit Ground surface elev. ft. Depth to limiting factor '7 in. Soil Application Rate Horizon Dep7 Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. , Eff#1 •Eff#2 I o --.3 � o' �Z - ?-I - s( 2 rn`fi- c 1"i Z4) Z Z3 - l0`1 IZ JI (, S ( ?N1 S k C S - . 3 3 - 1OK 231 — S �Sb� h� v`F,- Cg .14 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si ature CST Number Arthur L. Wegerer 00 d ?fib- -7 220254 Address I e g e r e r Soil T e S t i n a & Design S e r v i c e Date Evaluation Conducted Telephone Number 421 N. ! lain St. River Falls, HI'54022 715 -425 -0165 t Property Owner V S 5 1 Ci Parcel ID # Page Z of 3 a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor > 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure — Co nsist — en ce Boundary GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Z Z -3 � /� 3 �Z_q9 loYZ-V F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor j Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 •Eff#2 F-1 Boring # Boring Ground surface ❑ ❑ Pit e elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity sci vice 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 (W6100) PLOT PLAN Page of 3 I I I I 0 � 7 ? Wisconsin Department of Commerce SOIL EVALUATION REPORT e 3 Division of Safety and Buildings Page of in accordance with Comm 85, Wis. Adm. Code Attach completb site plan on paper not less than 8 172 x 11 inches in size. Plan must County S-T include, but not limited to: vertical and horizontal reference point (BM), direction and � percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. � rJ G Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location }J -S;,J fl T7 p� _ z ,--p 6e4--bet S w 1/4 SI;J S� T z N R 1 1 E or W Property Owner's Mailing Address Lot TM Block # Subd. Name or GS Gt-o V�12 ��oj 1 — I � C S1�'I C�tY State Zip Code Phone Number ❑ City Villa e Town ❑ g ® Nearest Road S V6 (� t S) 3 8 6 -13 [ 'nZp i 6 �bV New Construction Use: [sc Residential / Number of bedrooms_ Code derived design flow rate _ 6 0 ❑ - GPD Replacement ❑ Public or commercial - Describe: Parent material O U `Tlwf�j } 1�R9 �J Flood Plain elevation if applicable ND F� , General comments ft. and recommendations: Boring # ❑ Boring Pit Ground surface elev. �l� .0 ft. Depth to limiting factor � �c� in. Horizon Depth Dominant Color Redox Description Texture Structure Cons Boundary Roots Soil Application Rate in. Munsell istence GPD /ftz Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 o -� 10`2 C,,_ z - f5 k mfr G Z -� _ s Boring # ❑ Boring Pit Ground surface elev. 1 . Z ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary oil Application Rate Roo a in. Munsell rY is GPDIft Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff C) - 0=i [Z Z[ — G i ( Z `rv }- c L'i Z 23 -3 4 10`1 IZ JI (, 3 3 S U S Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TS S < 30 mg/L CST Name (Please Print) Signature _ - Arthur L. Wegerer 0 �-�fl' CST Number d " ?� _-7 22254 Address U e g e r e r S o i l T e s t i n tr Date Evaluation Conducted 421 N. !lain St. River Falls, g54022 Telephone Number 715 -425 -0165 1 �71 u G Property Owner V S r Parcel ID # Page Z of F�] 3 Boring # ❑Boing Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 I o -2► o � zL s � 1 Z�s�i eW Z`�' � s - �► Z ZI -3 � �- s� Zms V►` _I� �°S — •S ,� F-1 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 /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #1 •Eff#2 F-1 Boring # ❑Boring Ground surface elev. ft. Depth h to limiting fact ❑ Pit P 9 or in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. • Eff#1 I •Eff#2 i Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L • Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity see vice provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.6(00) i _ P LOT PLAN Page of � L� r I I 0 • 62 7 c � � hb1Z In, In m, nwc) r- 0 Eta - tDo.q` ory a y'rr Uu , 3 / g + Dc A 1.y' �s ago. u'Z -276 - 7 ?1S IZS ot ZoZS� CST Signature Date Silned Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/B� ,4� /®, JlT Mailing Address Property Address v (Verification required from Planning Department for new construction) City /State / �'nre t ee'Lzr' l Parcel Identification Number CA oC' — Ai0 LEGAL DESCRIPTION y� r Property Location 5&,l y,, !Z (:& Z_ 1�,, Sec. 9 , T ZI N- R2!LW, Town of ' ngA 1z Subdivision - - _ ,Lot # Z_ . Certified Survey Map # 7/418s4 Volume f l , Page # _ . Warranty Deed #' Volume Page # Spec house O yes CYno Lot lines identifiable CTyes O no SYSTEM MAI Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restricted plumber or a licensedpumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification sta mg that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 d s of th year expiration date. SIGNA OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property scri d above, by v1 7e of a warranty deed recorded in Register of Deeds Office. SIGNA OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed r � J POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of 'HLE NIFORMATfON SYSTEM SPECMATIONS - Owner �•- © _ . Septic Tank Capacity 0 NA 1 a : ad 981 Permit Y3Q1 O j Septic Tank Manufacturer El NA DESIGN PARAMETERS Effluent Fitter Manufacturer 13 NA Number of Bedrooms 0 NA Effluent Filter Model 0 NA Number of Public Facility Units )CNA Pump Tank Capacity gal J3 NA Estimated flow (average) d Pump Tank Manufacturer (3 NA Design flow (peak), (Estimated x 1.51 aUday Pump Manufacturer 1I NA Soil Application Rate . 7 galldayft2 Pump Model j] NA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit Q NA Fats, ON &Grease (FOG) <30 mg/L D Sand /Gravet Fitter O Peat Fitter Biochemical Oxygen Demand (BODJ 5220 mg/L 0 NA 0 Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection D Other: Pretreated Effluent Quality Monthly average Dispersal CeN(s) ❑ NA Biochemical Oxygen Demand ( BOD s) 530 mg/L In- Ground tgravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) <-30 mg/L ❑ NA 17 At -Grade 0 Mound Fecal Coliform (geometric mean) :570 cfu /100m1 13 Drip -Lime 13 Other: Maximum Effluent Particle Size Y in dia. 0 NA Other ❑ NA Other. ❑ NA Other: ❑ NA Other 0 NA "Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency In condition of tank(s) At least once every: month(s) (Maximum 3 yeses) ❑ NA Inspect FE earls) Pump out contents of tank(s) When combined sludge and scum equals one -third IY of tank volume ❑ NA eads) Inspect dispersal cell s) At least once every: 3 O y s1 (Maximum 3 years) ❑ NA y earns) ❑ month(s) ❑ NA Clean effluent filter At least once every: 1 years) ❑ month(s) jl�A Inspect pump, pump controls & alarm At least once every: p year(s) Flush laterals and pressure test At least once every: 0 m D yearns) (s) ar l Q NA Other: fl month(s) a NA At least once every: D year(s) ether: [LNA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer, POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) 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 back up or ponding of effluent on the ground surface. i The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any p ondin g of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Coale. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page L of Z- N ee UP AND OPERATION For new construction, prior to use of the POWT5 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. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter 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 another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or, must be taken, to provide a code compliant replacement system: • 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 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. (3, 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 CONTAIN 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. � #221180 en .SDOOn WI r�tStAt) (715) 635 -960 POWTS INSTALLER POWTS MAINTAINER Name I (� Name Phone S - _ 7 491 _ 3 6 Phone _ SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name G jl G(ldfx ca-L /l) 1 Phone Phone This document: was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.5411, (2) & (3), Wisconsin Administrative Code. V 2 19 1 P 2 2 5 715525 l� STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. WALSH WARRANTY DEED S7c CODfi Document Number RECEIVED FOR RECORD 'i This Deed, made between Barbara A. Geissinger, 04/02/2003 ®8 :30AN a single person, WARRANTY DEED EXDPT t Grantor, REC FEE: 11.00 and Delta Construction, Inc. it TRANS FEE: 183.00 i COPY FEE: CC FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate In St . Croix County, State of Wisconsin: i Roc xdiny Arria Name and Rerun Address ©Q 1 ' Valley Abstract and Title, Inc. 1200 Hosford Street Suite 201 I Hudson, WI 54016 040-1039-90-100 0 0 1 1 Parcei identification Number (PIN) l a This is not homestead property j (is) (is not) Part of NW 1/4 of SW 1/4 and Part of SW 1/4 4 of NW 1/4 of Section 9, Twonship 28 North, Range !' 19 West, St. Croix County, Wisconsin described as follows: Lot 7 of Certified Survey Map filed i' March 27, 2003 in Volume 17, Page 4487, as Document Number 714856. Together with right of ingress and egress over the 66 foot wide driveway I easement as shown on said Certified Survey Map. !t Exceptions to warranties: Subject to easements, reservations and restrictions of record. Dated this day of April 2003 ,I (SEAL) "` (SEAL) • BARBARA A. GEISSINGER i (SEAL) (SEAL) j. AUTHENTICATION ACKNOWLEDGMENT Signature(s) II State of Wisconsin, i ss. St. Croix authenticated this day of Personally came before me this day of I, Alp i 1_ 200 3 the above named Barbara A Geissinger i i •.i TITLE: MEMBER STATE BAR OF WISCONSIN to Of not, me known to be the person who executed the foregoing authorized by §706.06. Wis. Slats.) Ins ment and ac o he same. i , THIS INSTRUMENT WAS DRAFTED BY Stephen J. Dunlap Notary Public, State of Wisconsin i Hudson, Wisconsin My commission is permanent. (if not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not i necessary.) ra cy, L. Tamer " Names of persons siii in any capwity mum be typed or printed below their signature. t� lOtat1/ Public STAT FORM No. 2 W I SCON SIN t � l f 7 rs "' �� eu WARRANTY DEED 1996 me. W s. li State of Wisconsin Fogerty Plumbing & Perk Testing 28288 McKenzie Rd. Spooner. W154801 7 1 4 8 5 6 VOL 17 PAGE 4487 KATHLEEA H. VTX9 -- REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR WORD 03/27/2003 01:30PM CERTIFIED SURVEY MAP CERTIFIED SURVEY MAP COPY FEE: 3.00 PAGES: 2 BEING LOT 3 OF THE CERTIFIED SURVEY MAP RECORDED IN VOLUME 6 OF CERTIFIED SURVEY MAPS, PAGE 1 593, LOCATED IN THE NW 114 OF THE SW 114 AND IN THE SW 114 OF THE NW 114 OF SECTION 9, T28N, R 19W, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. WEST L INE OF THE SW 114 I W 1-14 CORNER OF SECTION 9, R•SO 54'E T28N, R19W. !FOUND ST. CROIX Z- NOO'S003'W '50'03'E ALUMINUM CAP MONUMENT. 2475.79' 150.31 SW CORNER OF SECTION 9 PREPARED FOR T28N, R 19W. ( FOUND 11J6° i BARB GE I SS I NGER ST. CRO I X COUNTY ALUMINUM CAP MONUMENT). ao 0�` S J �. a p• a a• N �O:' P C1• h 0 h JO.: HOUSE �,•' Q e �° I � NOTE BEARINGS ARE REFERENCED v 0 F TO THE WEST LINE OF THE SW 1.14. (BASED ON RECORDED DATA). OR .�� f► 6� vE . y�� pr o y 011TE![ ELf1Vv { vsn�ri ' E4 � �. . OVEU oo �o�a �,� G NET PROJECT AREA: APPR $ . m LOT 6: 2.3 ACRES ST. CROIX OOUNTY o L07 7: 1.02 ACRES Pie wiino ZOIBno and Pa 4a r'^' Z t d MAR 2 6 Zou �•\ (a �eoordetl wivrn 311 aaSB� yy�� N37 7' 28' W If r d 66.45' PIN' s • TI 7°� 66' WIDE DRIVEWAY � 6 N, EASEMENT TO SERVE �.c� '• $ �, I i �, LOT 7 + $ a •.9 •. S a �. �� � w �. `w +� % f LOT AREAS : _ 3 QI .RUB LOT 6: 3.01 ACRES •k' �, 60 \11 A •• ' 131, 146 SO. FT. •0 53 \ 9• i 2.96 AC. EXC, R/W \ / 128,933 SO. FT. , a3 /E Q LOT 7: 2.01 ACRES "' \ aA BT, 499 S0. FT. POE. EtEY.- .` 5 �6 ° 1. 87 AC. EXC. R,,W 114 -owwb) 81, 282 SO. FT. G� / / P• 2 s G0Nd I FQFN JAMES M. 0 SEr I" O.D. X 18' IRON PIPE WEBER WEIGHING 1.13L8S PER LINEAR 8-1804 FOOT. SPIR1 1M i�Y, Q • • I' IRON PIPE FOUND. � O� •••••• • BUILDING SETBACK LINES I " • 150' JAMES M. WEBER S -1804 LANDMARK S-QRVEYING SHEET I OF 2 DATED \- - d - 0 75 150 300 20012008 THIS INSTRUMENT DRAFTED BY JIM WEBER Vol.17 Page 4487 'ift 9 r DOCUMENT NO. STATE BAIT 1F WISCONSIN FORM 11.1982 THIS SPACE RESERVED FOR RECORDING DATA LAND f"ONTRACT }diid 492619 nvu• *and Cortgrrete �IITO RE USED FOR ALL TRA NSA( TI{)NS WHERE OVER lI SL500gISFINAN ACTTRAN TRANSACTIONS) 0NCONSUMER''EGISTr•' OFFICE si• evix Co., wi Contract, by and between ..... M. yr. t. le.,.. A.. - .,_Hanson Re fo Record Myrtle Augusta Hanson .............................................................. ............................... D C 4 81992 • ( "Vendor ", �• 2:00 °._ whether one or more) and ..13 a rb 3.., A...... G et_s s il�',e r-, ......... ..................... .......................................................................................................................... ............................... $*JAI 0 ( "Purchaser ", whether one or more)• pplslN of DOwit < Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the rent► profits, fixtures and other appurtenant interests (all called the "Property "), L_ in ......._S.r.�.... Cr01 X •.•,• ..... ............................... County, State of Wisconsin: FURN TO Lot Three (3), Vol. 6, C.S.M., Page 1593, as Doc. No. 406239, Register of Deeds'. off'_ce, St. Croix Mutry Wisconsin. /032_90 TaxParcel .... ....................... ............... /. 1 This .....is._-- not.._...,..... homesteadproper'.y. (is) (is* not) Purchaser agrees to purchase the Property and to pay to Vendor at . ..$.l1Cfl._j�13Ce...3S _.reasOnabl,y..dJ:rec.. f the auto of $ _9,5 4,0., 00. 4.0.. .. _.. . in the following manner. (a) $.-.5 .QQ QQ...- .. 00. _ at the execution of this Contract; and (b) the balance of $ .... -s O4. Q...- Q .O.........• ................... . together with interest from date hereof on the balance outstanding from time to time at the rate of ....................... .. ill- ne ...... ................... ....., percent per annum until paid in full, as follows: $76.00 per month, beginning December 15, 1992, and continuing on t he 15th day of each month thereafter. Provided, however, the entire outstanding balance shall be paid in full on or before the ..... .... ...15.th ................... day of I ............ ay.- 19..9.x.. (the maturity date). ..... . Following any default in payment, interest shall accrue at the rate of ........9 .............'90 per annum on the entire amount I in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). y 8"t;ei- .ved-b�r. %lender agrees 1 apply payrnerl Payments shall be applicd first to interest on the unpaid balance at the rate specified and then to principal. Any (I amount may be prepaid without premium or fee upon principal at any rime a:; --- • ......•- - -- - - - -• �I 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 I 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: Seller will furnish abstract of title to purchaser within 30 days after request; purchaser to notify seller, in writing, if any defects within 15 days of receipt of abstract. Seller shall have a reasonable time to crrrect the same. ate of this contract. Real estate taxes shall be pro -rated as of d ( *Cost of abstract to be shared equally by the parties.) Purchaser agrees to pay the cost of fut•tre 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 .... da. t. e .... Q. #,. - -.. ,i. . ... cQnt.r. I . ....... ... 'Crop Out Oaa STATF. BAR OF WISCONSIN S tock No. 1 30 1 1 J FORM No. 11 -1982 PIL 984P��,� fi24 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 demanJ receipts showing such payment. Purchaser shall keep the improvements onl he Property insured s sinst loss or damag occasiohed by fro, ex- tended coverage perils and such other hazards as Vendor may require, without co insurance, through insurers apyroved by Vendor, in the sum of S .none ..7.. land, ..nrlly but Vendor shall not require coverage in tin amount more than the balance owed under this contract. Purchase pa the insurance premiums when due. 'rho policies +hell contain the standard clause in favor of the Vendors interest and y unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall he deposited wish Vendor. Purchaser "hall promptly gave notice of loss to insurance companies and Vendor. Gniess Purchaser and Veador otherwise agree In wasting, '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. Purcha.er covenants not to commit waste nor allow waste to be committed on the Property. to keep the Property in good tenantable condition and repair, t-• keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulationa affecting the Property. Vendor agrees that in case the purchase price with inter"! and otiler moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner Rbove 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 lions and encumbrance*, except _ ............. any liens or encumbrances created by the act or default of Purchaser, and except: . .......... ..... .» ..... ... -..•• ............... ........e.ase>Jne.nts....and ... rights... o f way of .... raco•> t• d. .... .... ...... ............ _...1 ..._ .................. ............................... ............. ...................................... ... . ... . _.. ..... .-... ...... .............. .............- ........... .... _1 . ....................................................................................................... ............................... .... .. ....... .. .._ I ... __..... ..::. ... .. ... _... ... ...-». .... .._ ........... ..........._............ 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 !Q .............days following the specifie -t due date or (b) in the event of a default in F of any other obligation of Purchaser which continues for a period of .......3.Q........ 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 in waives), and Vendor shall also have the following rights and remedies at his option terminate this and Purchaser's addition to those provided by law or in equity (i) Vendor may, rights, title and interest in the Property and recover the Property back through stri ct foreclosure with any equity of redemption to be conditioned upon Purchases s full payment of the entire outstanding balance, Hith 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 ae liquidated de. sages for failure to fulfill this Contract and as rental for the Property if . rurclaaser fails to redeem): or (ii) Vendor may sue for specs is performance of this Contract t - compel of immediate and fall payment of the entire outstanding balance with interest thereon at the rate i w ale in Purchas th cats e default and othe"c amounts due hereunder, in which event the P6perty shall be auctioned at ju rchase a g e Bale aner shall be liable fir any deficiency; or (iii) Vendor may sue at law for the entire unpaid pu 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 Propperty 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 shalt only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attornevs fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by !d.i . and expenses of title evidence shall be added to principal and paid by Purchaser, as in- cuffed, and shall be included to any judgment. Upon the commencement or during the Pendency of any action cf foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homeatead interest to collect the rents, e s , and erofita of the Property during the pendency of such action, aid such rents, issues, and profits when so collected d shhall 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' righta under thisontract or oy 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 sledge le assignment of Purchaser'" interest under this Contract soley as aecurtty for an indebtedness of or 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 pa meat of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to da so and all payments so made by Purchaser shell 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 ot` 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.) D �hii ..... •.dayo f..... Member._......... - 19.9 ...........I..... . .... ......- ...... �.... I...... /' � / 1 ......- (SEAL) _ Gd ...�L....:�SI�acS�! r a.> ba.x.a.... A.......G..is. a..ng�.�c .................. Myrtle A....... Hanson. ::...a. k...a....._..... Myrtle Augusta H '�nson (SEAL) ....... . .. ........ ............................... rtli- �Nezr...�� � .............. ...�...........( SEAL) .... ..- .................... /�-..� 12, ........1 ................... • .....fit t,b t a.�.......,._ • .+._ .......... J VIRGINIA Z. CLARK ' NOTARY PUBLIC _ MINNESOTA AUTHENTIC RAMSEY COUNTY ACKNOWLEDGMENT My Comm. Expires Fee, to, 1998 • v.~ • Signature(s) ..... Barbara A,.. ,Gei s.singer.......... STAT OF WISCONSIN P� ss. and Mxr -t 1e A Hanson .............. .............- .- ............................ .....County. � ..... -. . - day of Personally came before me thi4 ...- . : ........... .... ` ............. .............. ...........,19.. a� -:the above named ` authenticated this ............ day of..N.QY.elTlbe.r, 19....9.x.. t � ... .... ........................,.. ....................... 1, ............................. ............................... a+. •...� Jo rd ........................... ......................... . ..... �► "..r�1�,�p J c ._ ... TITLE: MEMBER STATE BAR OF WISCONSIN to me known 1!o be Rbedo_' s. who execu foregoing instrument - sel(1 a same. i� r (If not ........... ............................... ......... ........ .................... ... _ _ t �c. authorized by 1 706.06, Wis. StatsJ G THIS INSTRUMENT WAS GRAFTED BY ` . 1 ......:.. :. sa ;yt ....... L ,.......Ga.y.lard......A.t.t.o. one Y ............................. ya y - '• '' t� by . .- ......... : : .............. :... RiverFal l s..t....WL.._.. 5 Co 4022 ........... Notary Public........._ :� co unty. W . :.. ............ °° ° "" ' M Commission is not, stn state a n c (Signatures maybe authenticated or acknowledged. Both y J� Q are not necessary.) date •. / .'.`.e..._J .. , 19.!..........) _ •Names of persona signing in any capacity should be typed or printed .......... _. � below their signatures.