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040-1278-60-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM county: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 569584 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Gerard, Gregory D. Troy, Town of 040-1278-60-000 CST BM Elev: Insp.BM BM Description: SectionlTown/Range/Map No: ` 16.28.19.1558 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / Benchmark 7 ? /6,7 3 1d� Dosing ; ci fsri Co V%40 Alt. J Aeration /, M It 5 j Bldg.Sewe .� Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. ent Air Intake ROAD Dt Inlet d Septic �x -7 5� 33 Dt Bottom d �� Dosing U / J _ Header/Man. 9-7-7 5AJ Aeration Dist. Pipe T'i SI 7. Holding Bot.System //.-2— )6q.-5 Final Grade 3,3 /d PUMP/SIPHON INFORMATION Manufacturer �Q f J'f Demand St Cove GPM �, ,�,�y. •a � IS.3 �9 Model Number '6� 1 � :) TDH Lift��r Friction`oas 1 System Hggd/t TDH •� t �`J�� A (� •'-i �'� ,l{, X71 AV(t' Forcemain Length Dia. i( Dist.to Well / / z /ZIP 6l s 8�. L SOIL ABSORPTION SYSTEM BEDITRENCH Width Lengt//h No.Of Trenchhecs ' A PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 �OZ 3 I Gw L9CJ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufactu r: INFORMATION CHAMBER OR y.s •1 t7•P Typ/es Of System: ` 5 I ,/] UNIT Model N*tuber: a DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent t oAiiInitaKe ,6+.g Pipe(s) Length Dia Length ��Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ���L _1 Depth Over Depth Over xx De opih f xx Seeded/S dded xx Mul he Bedfrrench Center Bed/Trench Edges Topsoil1 Yes 0 No es C; No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: 7 / /d ! Inspection#2: Location: 387 Cedar Coprnt Hudson,WI 54916 W 1/4 N 1/4 16 T2'N R19W)1 E le Bluff LJn°,t 26 I _ Parcel No: 16.28.19.1558 1.)Alt BM Description= r� , Q� C f�d�G8�n�l-�7 U'�GT�C� V/,:L,tj 2.)Bldg sewer length= �-, ^. Q _ -amount of cover= t5 , G�^-�►; �— I a i � GaJe� Plan revision Required? ❑ Yes No Use other side for additional informat on. Date 4==Insepctoe Signatu Cert.No. SBD-6710(R.3/97) pARTyE SAFETY AND BUILDINGS DIVISION Plumbing Product Review 0=5 ( N P.O.Box 2658 9 Madison,Wisconsin 53701-2658 TTY:Contact Through Relay Scott Walker,Governor SON Dave Ross,Secretary April 10,2012 INFILTRATOR SYSTEMS INC. GOVERNMENT AFFAIRS DEPARTMENT 4 BUSINESS PARK RD PO BOX 768 OLD SAYBROOK CT 06475 Re: Description: SEWAGE TANKS,THERMOPLASTIC Manufacturer: INFILTRATOR SYSTEMS INC. Product Name: SEPTIC, SEPTIC/SEPTIC, SEPTIC/PUMP, PUMP OR HOLDING Model Number(s): IM-1060 (1060 GAL. ONE-OR 2-COMPARTMENT THERMOPLASTIC SEWAGE TANK; 1247 GAL. ACTUAL CAPACITY WHEN USED AS A HOLDING TANK;713.3/356.7 GALS.; INJECTION MOLDED POLYETHYLENE OR POLYPROPYLENE RESIN, 2-SECTION TANK WITH MID-LEVEL SEAM) [44.0 IN. L.L., 6 IN. MIN.AND 48 IN. MAX. DEPTH OF BURY;507.6 G.P.D.WHEN USED AS A SEPTIC TANK;341.6 G.P.D WHEN USED AS SEPTIC/PUMP TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER; SEE TABLE 1 FOR TANK CAPACITY IN ONE-INCH INCREMENTS;TANK DIMENSIONS (OD) = 127 IN. L X 62.2 IN. W X 54.7 IN. H] Product File No: 20120143 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters SPS 382 through 384,Wisconsin Administrative Code, and Chapters 145 and 160,Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of JANUARY 2016. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • Installation and servicing of this product must be in accordance with the manufacturer's instructions. A copy of the manufacturer's installation and servicing instructions must be given to the owner of the system. • When this product receives wastewater from dwellings, it will produce an effluent quality with a maximum monthly average value for BOD5 of less than or equal to 30 mg/L,TSS of less than or equal to 30 mg/L TSS and F.O.G. of less than 30 mg/L and fecal coliform of less than or equal to 10,000 cfu/100ml. • Before this product is installed a warning label meeting the requirement of SPS s. 384.25(8)(b),Wis. Admin. Code must be securely attached to the manhole cover. SBD-10564-E(N.10/97) File Ref:12014301.DOC INFILTRATOR SYSTEMS INC. Page 2 April 10, 2012 Product File No:20120143 • BEDDING: Tank bedding consisting of native soil (without rocks or protrusions) or 4-inch depth of granular material—pea stone, sand or gravel. Anti-buoyancy control measures may be required if the IM-1060 tank is to be installed with less than 16 inches of soil backfill cover and the seasonal high groundwater table has the potential to rise above the elevation of the tank bottom. Otherwise, no control measures are required. If the seasonal high groundwater is higher than the elevation of the tank bottom at the time of installation, coverage with at least 16 inches of soil backfill cover will eliminate the need for anti-buoyancy control measures. For backfill depths of less than 16 inches,the need for anti-buoyancy control measures must be determined based on backfill cover depth and height of groundwater above the tank bottom. If the groundwater table has the potential to rise above the elevation of the tank bottom,see the attached document(s)for information on the types of controls and applicable backfill and groundwater conditions. i • This tank is approved to use the following: :9 . The tank is provided with 3 ports on each end (one from each side,one for the tank end) used for inlet and outlet piping,depending on site configuration(s); Four-inch diameter inlet and outlet piping, Schedule 40 or SDR 35. Department-approved effluent filter installed in accordance with the product approval for the filter including a properly sized and located access opening for service and maintenance. . Inlet/outlet pipe water tightness is provided though the use of a rubber gasket, Serco Septic-Tite gasket. See tank wall penetration detail in attached document(s). . Mechanisms for pump electrical connections from riser lid or other locations in riser must be completed in conformance with the riser manufacturer's instillation instructions. . Compatible risers include 24-inch-diameter riser products—Infiltrator TW Riser, EZset by Infiltrator, Polylok®, Inc.,and Tuf-Tite®Corporation;other state-approved risers recommended by Infiltrator. Maximum riser height is as per the state-approval and riser manufacturer's installation instructions. • BACKFILL: Backfill with suitable native soil. If native soil is unsuitable, replace unsuitable fraction with suitable soil. Suitable soil includes soil textural classes defined in the United States Department of Agriculture soil triangle. Suitable soil textural classes are based on the tank installation depth, as measured from finished grade to the top of tank. See detailed information on backfill suitability in the attached document(s). • Additional information is included as attachment(s)to this letter;see attachment A, B and C. This approval supersedes the approval issued on 1/12/2012 under product file number 20100475 This approval letter shall be incorporated with your previously approved plans and/or specifications approved under product file number 20100475. The department is in no way endorsing this product or any advertising, and is not responsible for any situation which may result from its use. Sincerely, Jean M. MacCubbin, CST Engineering Consultant--Plumbing Products Review DSPS WEST, Safety& Buildings Div. PO Box 2658 201 W Washington Ave. Madison WI 53703-2658 Phone: 608-266-0955; Fax:608-283-7456 E-mail: Jean.MacCubbin@WI.GOV PLOT PLAN PROJECT Grea Gerard ADDRESS 387 Cedar Ct. Hudson Wi 54016 NW 1/4 NW 1/4S 16 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE 6/5/14 BEDROOM 4 CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1250 LIFT TANK SIZE750 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chambers 44 BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL H.R.P. Same as Benchmark S STEM ELEVATION 98.0/97.0 5' below qrade Property Line M•* 103.5101.5 1 ' Vents y 0' -1 Vent 2-3' X 90' cells with>3' spacing 40' >6„ Quick4 Standard B-3 Leaching Chamber of Cover with 20.0 ft2 of Area 85 4' Long ;�_ 5.6ftA2/pair of end caps 15% 34" Grade at System Elevation Slope Well 60' 120' 40' B-2 90' 99.5' Existing 4 Bedroom House �<<� cutt 750 tank 40' 10, Vent-,; All piping shall be SDR 30/34,within 10' of tank,piping shall be Schedule 40. ST 25' Scale is 1" = 40' a valve is to be unless otherwise installed to use Existing system,not failed, but with 12 of water in it. noted existing system Cedar Ct. - Property Line saki wt P' yE y t "r s r y a INFILTRAT0R� N via Pr s iii ' �, 4 � fir" `fir r a ,::•,. ,,, ,',,, .a:.':• ,�> �. rte. ,i.. :' ,,o �. �. '�:.�.. r.��„r.;:. IM-1060 „'• I� �l' The Infiltrator IM-1060 is a lightweight strong and durable septic tank. This watertight tank design is offered with Infiltrator's line Of custom-fit risers and heavy-duty lids. I Infiltrator injection molded tanks provide a revolutionary improvement in plastic septic tank design,offering long-term exceptional '. strength and watertightness. • Strong injection molded polypropylene construction • Lightweight plastic construction and inboard lifting lugs allow for easy delivery and handling • Integral heavy-duty green lids that interconnect with TW" risers and pipe riser solutions • Structurally reinforced access ports eliminate distortion during installation and pump-outs • Reinforced structural ribbing and fiberglass bulkheads offer additional strength • Can be installed with 6"to 48"of cover • Can be pumped dry during pump-outs • Suitable for use as a septic tank, pump tank, or rainwater(non-potable)tank • No special installation, backfill or water filling procedures are required. Infiltrator TW Riser System I HEAVY DUTY LID CUTAWAY i Reinforced 24" structural access port i TANK CUTAWAY Partition Baffle Wall Structural bulkheads MID-SEAM CUTAWAY Reinforced water tight mid-seam gasketed connection d :. ��*�� } as� -� .� •.w��q� ,� g� i '������ �, � � R�, . "pia'!s IM-1060 General Specifications and Illustrations LFMIG SIRRP r--Po6ER(DNNERMM3 (�YPICbII ITYPICAU I I S A v A' C ` 633 0 o OJ .,o f 115801 / E%IE-DR WIDTI uF RGLUG 1•TOTRL) 137.0131161 EXIERMIR LFNGiH ------ TOP VIEW i ounR -- 1 ��Lg3 y Njy�.y p p�,np �y1 yy1� 51) I i ,a1 inje, 11Efo� .�I4Y4V Filk V 'L1! ' .• V L �. E1%1ERM)R 1 sr n fr�q 3 3d1 T l I HE* } tank lhte ( riJeG�iopn molded plastic TMPKUI T' II II I,I'I ii ij li'; des h alh ford mi seam, tit hcas recase_dimenslons NG6 W I I� rr 6 �'anrneered 3�C ,ait1f11itcCtc 's gasket nPEUI END VIEW --- a JiK deilvet mlta� hi Lt� y♦q!!Y Cm �yelt��! f 4 >7 1 �f[ t 1 n t'�-fuo 8+ I' I$ p 0 11011 0MW1q�CEE550PEMNGS WIfN LOCNM1G W5111 i ax, p % NN�kT TEE 10.11x01 RRD:6wPo) IDiW11C ETTEE Thin IM 1 � � SmbC t and t�lf ct k ..:R.•••'. 3�. 'crrwzz-�s�-v ,a`a.. .b R3,1� Y K4 cc_ h" P e .< ,,„ y 1]61 o311RaNE55 i ..... ., `y.. M.0 A- L 61 11511%21511 DER01 H6ERGL665 ST s Parameter Units Value -- . .:..: Working capacity gal(L) 1,094(4,141) SIDE VIEW Total capacity gal(L) 1,287(4,872) ........ .... Airspace % 17.6 Nominal wall thickness in(mm) 0.2(5.1) TANKTOP CONTINUOUS Length in (mm) 127.0(3,226) HALF GASKET ..... Width in(mm) 62.2(1,580) TANK INTERIOR SEAM CLIP Length-to-width ratio -" 2.3 to 1 ALIGNMENT (64) Height In (mm) 54.7(1,389) DOWEL(34) TANK BOTTOM i ._..._ ___. .. ...__ _ ........ HALF Liquid level in (mm) 44.0(1,118) Invert drop in (mm) 3(76) MID-HEIGHT SEAM SECTION Fiberglass supports - 2 Alignment dowels --- 34 Locking clips --- 68 Compartments - 1 or 2 Maximum burial depth ft(m) 4(1.2) Minimum burial depth ft(m) 0.5(0.2) INFILTRATOR' Maximum pipe diameter in (mm) 4(100) Weight Ibs(kg) 315(143) _ _ 6 Business Park Road • P.O.Box 768 Old Saybrook, CT 06475 +`.+ 860-577-7000 • FAX 860-577-7001 www.infiltratorsystems.com For technical assistance,installation instructions or customer service, call Infiltrator Systems at 1-800-221-4436 IM0209111SI-4 _ C Coimty� ) Safety and Buildings Division 201 W.Washington Ave.,P.O.Box 7162 Sanitary Petrnit Number(to be fined is by Co.) Madison,WI 53707-7162 p A State Transaction N it Appli �_--_ In accordance with SPS Adm Code,submission of this form to the appropriate governmental unit is required prior to o petmrt. Nate:Application forms for state-owned POWTS are submitted to Project Address(rf than ma0ing address) the Department of S Professional Smvies. Personal information you provide may be used for secondary in accordance with the Privacy Law s.15. 1 m L 'cation Information-Pies"Print All r ation Parcel# Property sName Q INV a Property I oer to n -7 Z, C5 d�msAam�o Govt Lot CrtY.State Zip Code Phone Number / Y,+,�i /Y�.!, Saxton (� T& N> R 1�%Pick. W Type of Building(cheek all that app Lot# Subdivision Name Family Dwelling-Number of tetra Block# d� ❑Public.Commercial-Describe Use L 1 o ❑C' of CSM Number ❑V'iilago of ❑State Owned-Describe Use I— own of 661t, w 7,7.• (' III.Type of ptxmit: (Check ont one box on line A. Complete line B if applicable) ?� A ❑New System t System ❑TreatmentlHolding Tank Replacement Only ❑Other Modification to Existing System explain) U B. ❑Permit Renewal ❑Permit Revision ❑Change of Plumber ❑Permit Transfer to New List revious Permit Number an ed Before Expiration owner IV.T Of PO IS S stem/Com oneut(Device: Check all that _pressurized hm-Ground ❑Pressurized In-GroUrd ❑At-Grade ❑Mound>_24 in.of suitable soil ❑Mound<24 in.of suitable soil e�J') G ❑Ho ding Tank ❑Other Dispersal Compwcw(expl-) ❑Pretreatment Device(explain) _ V.Dis rsailTreatment Area Information: Dispersal Area Required(sf) DispeT Area ( El �^ Desi Flow(gpd) Design Soficien �_ / G a ' p '�J VL Torok Info Capacity in Total #of 8 Gallons Gallons Units f r New Tanks Existing Teaks LI) a Lam' it Septic or Holding Tank Dosing Chamber VII,.Responsibility Statement-I,the undersigned,as a respondhility for installation of the POWTS shown on the attacbed plans. PI 's Name(Print) Plum gran- MPA4PRS Number Business Phone Number Plumber's Address(Street,City, Zip Code Conn !De artment Use Only Permit Fee Date Issu Issuing 5ignsture Approved ❑ ' rov S q-7 (p l for Denial 'j I DL Condid {tsoas for Disapproval tank,effluiant filter and dispersal cell must all be serves/maintained ft r management plan provided by plumber. . fpgettts must imaiMainid Attach to complete plans for the system and submit to the County ty only paper not less than 8 trs 111"aches in sin SBD-6398(R 11111) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 6/5/14 Owner:Greg Gerard Location: NW1/4 NW1/4 S16 T28 N,R19W 387 Cedar Ct. Troy System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet 8. Dose Tank Cross Section 9. Pump Curve 10.-12. Soil Test 13. Utilization of exis ' sept' ank form Signature License number#06900 IT PLOT PLAN PROJECT Grea Gerard ADDRESS 387 Cedar Ct. Hudson Wi 54016 NW 1/4 NW 1/4S 16 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE 6/5/14 BEDROOM 4 CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1250 LIFT TANK SIZE750 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chambers 44 IL BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark S STEM ELEVATION 98.0/97.0 5' below grade Property Line •M•* 103.5101.5 1 ' Vents 0' 0' -1 Vent 2-3' X 90' cells with>3' spacing 40' >6„ Quick4 Standard B-3 Leaching Chamber of Cover with 20.0 ft2 of Area 85 12" 5.6ft^2/pair of end caps 4' Long Grade at System Elevation Sloe 34" p Well 60' 120' 40' B-2 90' 99.5' Existing 4 Bedroom House Huffcutt XO tank 40' 10, Vents; All piping shall be SDR 30/34,within 10' of tank,piping shall be Schedule 40. ST 25' Scale is 1 = 40' a valve is to be unless otherwise installed to use Existing system,not failed, but with 12 of water in it. noted existing system Cedar Ct. Property Line Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >1' above grade 5.6ft 2 pair of end plates Finish grade elevation Typical Installation 103' Vent X/ Grade Vent 3' 4" A31.A/30/34 Septic Tank 5' Long 1 5' 1" Grade at System Elevation 3 6" Grade at System Elevation Spacing 5' 2-3' X 90 ' Cells Same on other end Observation tubeNent At end of cell � A 13 22 chambers per cell System elevations: A-98.0' B 97.0' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS OVA Tank Manufacturer. / ❑ NA Permit# peptic [I Dose ❑Holding Volume:' 02 (gal) DESIGN PARAMETERS Tank Manufacturer: ❑ NA Number of Bedrooms' ❑NA ❑SepticAlDose ❑Holding Volume: jlJZj (gel) Number of Public Facility Units: A Vertical Distance Tank Bottoms)to Service Pad:ZQ {ft) Estimated(average)Flow: L (gal/day) Horizontal Distance Tank(s)to Service Pad:/Ur_-�, (ft) Specific servicing mechanics must be provided if vertical is 2,15 feet or Design(peak)Flow=(estimated x 1.5): (gay) If horizontal is>150 feet. speclflc Instructions to be provided on back. In Situ Sal Application Rate: (gaYday/f?) Effluent Fitter Manufacturer: ❑ NA Standard(Domestic)Influent/Effluent Monthly average.. Effluent Filter Model: oll ll�� Fats,Oil&Grease (FOG) s30•mg/L Pump Manufacturer:��a r�(l/� ❑ NA Biochemical Oxygen Demand (BODs) s220 ❑ NA Pomp Model: . ` Tow Solids SS s150 rr4L High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 mg/L . Manufacturer. (BO(s) >220 mg/L ❑Mechanical Aeration ❑Peat Filter SS) >150 m ❑bisinfection ❑Wetland Pretreated Effluent Monthly average ❑Sand/Gravel Filter ❑Other: (BODs) s30 mg/L Soil Absorption System (TSS) sW mg1L ❑ NA Ground(gravity) ❑in-Ground(pressure) ❑ NA Fecal Cdiform eometric mean s10 _�e ❑Mound Maximum Effluent Particle Size 36 in dia. ❑ NA ❑Drip-Line ❑Other. Other: [3 NA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Froquency Pump out contents of tank(s) tjoen combined sludge and sctun equals one-third(N of tank volume ❑When the high water alarm is activated Inspect condition of tank(s) At least once every: °"g'(s) (Maximum 3 years) ❑NA Years Inspect dispersal call(s) At least once every: °ndh(s)� s) (Maxhnum 3 ❑NA Clean effluent filter At least once every: , a)s) ❑NA Inspect pump,pump controls&alarm At lea once every: 3 months) ❑ NA st Flush laterals and pressure test `At least once every:. morth(s) ❑ NA ❑yeer(s) Other: At least once every: [I month(s) El NA ❑year(s) Other: ❑NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware,Identity any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of efluent 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 treatment tank equals one-third(%)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator(pumper)and disposed of in accordance with chapter NR 113, Wisconsin Admirdstretive Code: 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 shalt be provided to the local regulatory authority within 30 days of completion of any service event. GWW-005(02105) Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. if high concentrations are detected have the contents of the tank(s)removed�,Y a Septage Servicing Operator(pumper)prior to use Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these conditions is not recommended,as the excess wastewater will be>d'ischarged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent.and darnage to the system. To avoid this situation �� contents of the pump tank removed by a Septage Servicing Operator(pumper)prior to restoring power to the pump or POWTS Maintainer to assist in manually operating the pump controls until normal eMuent levels we restored within the pump tank. System start up shall not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soli absorption system. Do not drive or park over, or otherwise disturb or compact,the are@ within 1S 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 treatment tanks and soil absorption system: acids, antibiotics, baby wipes,-cgaretWbutts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain(sump pump)oischarge, fruit aprd vegetable peelings, gasoline, greases, herbicides, meat scraps,medications,oils,painting products,pesticides,san%V napkins,solvents,tampons,and water softener brine discharge. 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 s.Comm 83.33,Wisconsin Administrative Code:: • All piping to tanks,pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be rernoved and properly disposed of by a Septage Servicing Operator(pumper). • 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 falls 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 the time of their permit issuance. "'<A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology,a holding tank may be installed as a last resort ❑ The site has not been evaluated to identify a suitable replacement area Upon failure of the POWTS a sod 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.bioxnat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POWTS INSTALLER POWTS MAINT NER. r Name FP1hone Phone SEPTAGE SERVICING OPERATOR LIMPER LOCAL REGULATORY AUTHORITY Name �— P12. Name g Phone J�- Phone This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(bX1ud)&(f)and 83.54(1),(2)&(3),Wisconsin Administrative Code. o �_ IL d CDP LLJ Wr-- .- _ . (� LL W LL. -- � C� III ti N r � 1�- 4 M r Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Minimum Pump Performance Required Tank Model Number �� Z GPM Ft TDH Total Tank Capacity �0 Max.Bury Depth 9 — Total Dynamic Head('TDH)••Feet Pump Manufacturer ` ' Elevation Head t7 Pump Model Number $ Distal Pressure —" Alarm Manufacturer Network Pressure Loss Alarm Model Number Force Main Pressure Loss 1 Switch Type OA � Total Manhole Min.4"Above Grade With Locking Device Vent Min. 12" Weather-proof Above a Junction Box jr With Cap .. - Finished Grade - .. " '' -- - t 1 Depth of Cover._Ft .Disconnect Means 1 t Outlet S Switch Settings and Reserve Capacity ___ _ _ __ _____ Inlet ,+ Tank Volume= j -7 GPI ' '+ '>{ Dimension Inches Volume Gal. A yj >: (reserve)A 12 41 "L . B Weep (alarm) B 2 ►; Hole ' (dose) C Off Elev. C (dam) D 5 3 U Ft ;+ Total 79• 2-Ft D i Bottom of Tank Elev. ! >{►i><><>4><>t4!{!{!{>t>i't>t>t>S><>i>i>t>t>f>S>i>S'4>i>+>S>{>{!t>t>t>i>t>4>+>i>1>4>+>4>t < + < t t t i < < i t>i•t GFMYAL INSTALLATION: The dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material,connected to the tank with watertight fittings, and laid on stable soil to prevent settling;or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the excavation and is sealed ' watertight. Electrical service complies with NEC 300 and Comm 16.28 Wis.Adm.Code. 03/051g i Page of W 4 In"f t. SEN-40 Series 4/10 hp Submersible Effluent Pump, 3/4" Solids Construction Flow-Uters/Minute 0 50 100 150 200 250 300 +t1V®r iQ> NQ$f1 C "#fit 35 10 30 9 tta ipetr Niat�ria#: �eopliit�ne� 1i sil 25 6 7 .. 20 6 Vol ttB 15 5 ' = 4 10 = M6�ilaniciid Sk1a�t tlt ±# t d 3 5 2 1 0 0 ata +i r 0 40 60 80 Flow-Gallons/Minute nA B.q + 1 0.15 6.9T 9.15 } 1 0.87 917 SEN-40-AF SEN-40 Specifications COM, "M6111 , Franklin Electric 400 East Spring Street,Bluffton,IN 46714 Tel:260.824.2900•Fax:260.824.2909 Form:996199 7.11 www.franklin-electric.com ST. CROIX COUNT'le SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer -- Mailing Address � A d �*O - Property Address _ (Verification required from Planning&Zoning Department for new construction.) City/State Parcel Identification Nui,aber ell LEGAL DESCRIPTION Property Location/ik 1/4 '/4 , Sec. �!� , T ,�N R_ Town of Subdivision , Lot# . Certified Survey Map # _ , Volume ,Page#_ Warranty Deed# 0 Q , Volume ^ ,Page# Spec house yes o Lot lines identifiabl yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 hanction of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in§Comm 83.52(1)and in Chapter 12-St. Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper 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. Uwe,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 stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning& Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on thi form are true to the best of my/our knowledge. I/we am/are the owner(s)of the property described above,by virtue of a wa tY deed recorded in Register of Deeds Office. Number of bedrooms / SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey trap if reference is made in the warranty deed. (REV.08/05) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK is to certify that I hav inspected the septic tank presentl :,erving the . 1100 t Y residence located at: Section L-� T q N � -� + R W, Town of • Upon inspection, I certify that I have f ound the t nk and baffles to be in good condition, and it appears to be functioning properly. . i_-ast time serviced: 1)1-d flow back occur�rom absorption system? Yes —/-��-- No (I f , no, skip next line) Approximate volume or length of time: gallons ' minutes ' ;'�ipacity: /9S27 Construction: Prefab Concrete Steel other Manufacturer: (If known) : . A g e o f k (If known).:lozece� �1 c gnature} (Name) Please print ("itle) (L1.cense Number) (ante ['urm to be completed by licensed plumber (s. 145.061 Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: - _ In accepting the above statement regarding existing septic tank condition, I certify that the tank to the of my knowledge will conform to the requirements of ILHR 831 W Adm. Code (except for inspection openin over outlet baffle) . Name-- - � �f Signature MP/MPRSG- L/ �� 8 5 0 1 1 7 1 State Bar of Wisconsin Form 1-2003 850117 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number Document Name ST. CROIX CO., WI RECEIVED FOR RECORD 05/08/2007 02:30PM THIS DEED,made between Robin L.Mueller WARRANTY DEED EXEMPT t ("Grantor,"whether one/r more), REC FEE: 11.00 and Gregory D.Gerard and Jacqueline M.Gerard,husband and wife TRANS FEE: 1800.00 PAGES: 1 ("Grantee,"whether one or more). Grantor,for a valuable consideration,conveys to Grantee the following described real Recording Area estate,together with the rents,profits, fixtures and other appurtenant interests, in St.Croix County,State of Wisconsin("Property")(if more space is Name and Return Address needed,please attach addendum): River Valley Abstract&Title,Inc. Lot 26,Plat of Eagle Bluff in the Town of Troy, St.Croix County,Wisconsin. 1200 Hosford Street,Suite 201 Hudson,WI 54016 File#:2694231 040-1278-60-000 Parcel Identification Number(PIN) This is not homestead property. (is)(is not) Grantor warrants that the title to the Property is good,indefeasible in fee simple and free and clear of encumbrances except: Easements,restrictions and rights-of-way of record,if any. Dated Ma y��2007 (SEAL) (SEAL) * * Robin L.Mueller vtison Po �Fa�- (SEAL) (SEAL) AUTHENTICATI \G � ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) authenticated on )ss. St.Croix COUNTY ) * Personally came before me on May 2007 , TITLE:MEMBER STATE BAR OF WISCONSIN the a ve-name obin L.Mueller (If not, authorized by Wis.Stat. §706.06) t me known to be sons)who executed the foregoing i e ac o g t o sa THIS INSTRUMENT DRAFTED BY: Attorney Doug Berg Notary Public,S of Wisconsin 1200 Hosford Street,Suite 201 Hudson,WI 54016 My Commission(is permanent)(expires: (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE:THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO.1-2003 •Type name below signatures. 1 of 1 !� P5.609 S.F +' lb4q ;�'ir` w 8 f� 2 N GV O + �► .• .0 pRANiAC Z 1 0 2.008 ACRES a EAS£1�Et C3 :C34: wy �-- X7,492 S.F. o_ ' S 8i • 00 81"pIp e t �. r N �... __.C153 N 81•gyp, _ - S 81 i�,, 4 C4�`#'C�� C65 C64 w 3 _ _ f N .36, 153' ` 31 2~ ► 1.228 ACRES I"`"-- :53,.'50'9 S.F. ap /, 3 A Q 1.299 ACRES V 2J" i,5 $"� 2 56,580 S,F S S . +h 1.202 ACMES �' '� 1.898 �A •'`� �?�` 52.346 S.F. 69.823 _ . . wh ~ry4 'g , .1.093 ACRES � 47,619 S.F, �tf S 89' 1.164 ACRES �•' ,``.,�.,,. C, 50.701 S.F. ^s .410 s ,, �---. � OUTLOT 4 3.551 ACAS D ► f 154,W S.F. 28 - , 1.200 'ACAS 1 I 1.238 ACRES '" ` 52,284 S.F. 53.906 S.F, L 47.1 8 2i. . k 819.25' 1 S 98 t 1 44' TEMPORARY CU.--DE-SAC: SOUTH UNE OF THE NW 1/4 OF THE NW 1/4- EASEWENTS, R 80' . N 04050# 42w E x0.00' UNPL A T TED L A ND TO RAMS PONT ith respect to ,� ;; 1.21 (1)Arid (2), « ► �* ' MES Q. FILKINS S-2245 EGISTERE0 LAND SURVEYOR JAMES D. OGOEN ENGINEERING COMPANY ' MKIlVS = 113 WEST WALNUT STREET t . R1 RIVER FALLS, WISCONSIN 54022 Property Owner_ Parcel ID# Page of ® Boring# ❑ Boring Pit Ground surface elev. 3 ft. Depth to limiting factor in. R*Eff#1 Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#2 % .7- S ��Z -/Z F-1 Boring# ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 I ❑ Boring# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. 5ii—Application Rate Horizon ')epth 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 =BODS>30<220 mg/L and TSS>30<150 mg/_ 'Effluent#2=BODS<30 mglL and TSS 130 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(8.6(00) P A 1 Wisconsin Departrtl4')�o)Commerce SOIL EVALUATION REPORT Page of Division of Safety k'nd Build n�U 4 pMeN� Gr(11 DLO In accordance with Comm 85,Wis. Adm. Code County / Attach com Igte wlit ian on paper not less than 8 1/2 x 11 inches in size.Plan must include,b illmited to:vertical and horizontal reference point(BM),direction and Parcel I.D. percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Please print all information. Revi by L:60/ Personal informabon you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). / Property Owner Property Location � �(r/ Govt.Lot A/(,) 1/4A)Ld 4 �j T N R E( W Property Owners Mailir§Addwss Lot# Block# Subd.Na CSIM# t o City State Zip Code Phone Number ❑City ❑Village Town N arest Road New Construction s Residential/Number of bedrooms Code derived design flow rate GPD U 9 — Replaoement ❑ Pub'c or commercial-Describe: __- Parent material Flood Plain elevation if applicable ft. General cornments and recommiendations: System Type_� l J .�° System Elevation t, V AQ 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 GPOM in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2 8 -- Ong# Boring s Epit Ground surface elev. ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. -Eff#1 •Eff#2 Of Effluent#1 =BOD >30<220 mg1L and TSS>30<150 'Effluent#2=BOD 130 mg/L and TSS<30 nVL CST flame(Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 _S"—K� 715-246-4516 Property Owner Parcel ID# Page of Boring# ❑ Boring Pit Ground surface elev. J/ft. Depth to limiting factor in. mil lication Rate Horizon Depth Dominant Color Redox Description ETexture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2 _% Z- C� ❑ 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 GPDAf in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 I 'Eff#2 Boring# ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. F-1 ' Sal Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots GPD/ff- in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2 Effluent#1 =BOD5>30<710 mg/L and TSS>30<150 mgA- `Effluent#2=BOD5<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SOD-9330(RAM) Soil Test Plot Plan Project Name Greg Gerard Shaun 4B' Address 387 Cedar Ct. Hudson Wi 54016 CT& #226900 Lot 26 Subdivision Eagle Bluff Date 6/5/14 N W 1/4 N W 1/4S 16 T 28 N/R19 W Township Troy Boring Q Well PL Property Line County ST. CROIX IL BM or VRP Assume Elevation 100 ft. Top of steel fence post System Elevation 98.0/97.0 *HRPSame as Benchmark Property Line B 103.5101.5 0 0 Scale is 1" = 40' ' unless otherwise 0, z -1 noted 40' B-3 85' 15% Slope Well 60' 120' 40' B-2 99.5' Existing 4 Bedroom House 40' Vents ST 25' Existing system,not failed, but with 12"of water in it. Cedar Ct. Property Line Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division . INSPECTION REPORT Sanitary Permit No: 405013 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: American Classic Homes I Troy Township 040 - 1278 -60 -000 CST BM Elev: Insp. BM Elev: BM Description: 9 /. 5Z 1 -7 0/ . s z 61vi a- - 9a CsT TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. U Septic C / Z Benchmark j• 0(a IN S Dosing Alt. BM �� Ira - Aeration Bldg. Sewer Holding St/Ht Inlet // 28 9Z3• by St/Ht Outlet TANK SETBACK INFORMATION / . SI TANK TO P/L WELL BLDG. Vent to Air I take ROAD Dt Inlet Soy TLI Septic � � Dt Bottom Dosing Header an. Aeration Dist. ipe l i y Z� • d I 2, S Holding 136t. Syste i� /r• Z ry PUMP /SIPHON INFORMATION Final Grade 3-3 Manufacturer Demand St Cover GPM 7 ,32— y°Z 7- Model Numb TDH Lift Mtion Loss System Head TDH ) Ft Fo ain Length b Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / LNo. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Oj System: f CHA uNER Model Number: / DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing 6 o 'r Injake I h Pipes) '}� , )Pj(' � Length Dia Length �� / Dia ` Spacing `i SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only epth O er I Depth Over xx Depth of xx Seeded /Sodded xx Mulched ; j Bed/Tr ch Center , ( s Bed/Trench Edges Topsoil ;,� Yes No (] Yes [_I No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: to / 1 - 7 / D 2 Inspection #2: Location: 387 Cedar Court Ham o WI 54015 (NW 1/4 NW 1/4 16 T28N R19W) EAGLE BLUFF Lot 26 Parcel No: 16.28.19.1558 7P o� f • Cd'»�a.�� � eas f side. 1.) Alt BM Description = _ 2.) Bldg sewer length = -S - amount of cover Plan revis o Use other s n de for additional Yes l formation Date Insepcto Signature Cert. No. SBD -6710 (R.3/97) RESIDENTIAL APPLICATION CONVENTIONAL SYSTEM 600 GPD INDEX AND TITLE SHEET PROJECT 387 CEDAR CT LOT 26 EAGLE BLUFF OWNER AMERICAN CLASSIC HOMES LLC ADDRESS P O 4143 HASTINGS MN 55033 LEGAL DESCRIPTION NW1 /4 NW1/4 S16 T 28 R 19 W TOWNSHIP TROY COUNTY ST CROIX SUBDIVISION NAME EAGLE BLUFF LOT NO, 26 PARCEL I.D. INDEX AND TITLE SHEET PAGE 1 CROSS SECTION AND PLAN VIEW PAGE 2 PLOT PLAN PAGE 3 MAINTENCE PLAN PAGE 4 DESIGNER DARRELL HUBBELL LICENSE NUMBER 221073 SIGNATURE C Ajt 11140 PHONE 715 273 -6360 DATE 4/10102 CONVENTIONAL SBD- 10567- P (R.6/99) .Vi a ro � A 4 5/ IJ -1 o7o5' -P -CN, o 1 10 l� PL v r'Sw A•w c mair r Se c+r ors oe L 7.s vP�Tf � aYrS 15 7 • S D.r , _. _.. .... .......... ... rods Omar raft �"'r'rrw` yQ? 3.e ......� -- raw. err. NOW of i t��iy Md a p ft o= i. M dim NO Ir"Oft" sod bylaw Tom- Wb.AdO, cow �iwr try t CCU u ( cf�c Y. PAL, - q - owl ?J -4A/s 8 , 1, 4 rvC C — o2 - kj on t� r 7r Lon t csncrc l am 9 fh Z �e� 7G by Pam 3 y P[UT P Lun JCCA,Le ��_qO gw t Top o d n kwi .'h 9Yvv atl�th z° YT 13r� z q93 ,a s � c . o ( q 2 Y • S� l3 �� na.Q ��• — 3 t � {� � 9 � r��t�.Q -Ph- � L� c� - r� -�-k- ��-, Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 . 1 pisconsin Madison, WI 53707 - 7162 Site Address Department of Commerce 4 �— / J0 i �1 Sanitary Permit Application Sanitary Permit Number Comm In accord with 83.21, Wis. Adm. Code, personal information you provide Check i�v 3 may be used for second purposes Privacy Law, s15.04(1)(m) I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number QN(,zCC1r7 C:LaS5I H- olv1�' LAC p o I Z�B -bo - Property Owner's Mailing Address RECEIVED Property Location PO (30 L / / ss 3 A"&V rk4-&V-k ;S 6 T21?N,R City, State Zip Code Phon j F#'1' r 200 Lot N Ve r Block Number L� 1 IV �S40 3 3 Subdivision Name CSM Number H. Type of Building (Check all that apply.) ors C 9 14 - 4s. — ❑ City K 1 or 2 Family Dwelling - Number of Bedrooms y O Village ❑ Public /Commercial - Describe Use (I Townshi V ❑ State Owned Nearest ad 2 X 93 . / c.QQ 2s ( C e cl e` jc ou F T III. Type of Permit: (Check only one box on line A.'Nuinbering is for internal use.) (Complete line B, if applicable.) A. INLNew 3 ❑ Replacement of 6 ❑ Addition to System 2 O Replacement System Tank Only Existing System For County use B. ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued Qq 00 IV. Type of POWT System: (Check all that apply. Numbering is for internal use) l — 0 - 0 44 9, Non - Pressurized In- Ground 210 Mound 47 O Sand Filter 50 O Constructed Wetland 22 ❑ Pressurized In- Ground 41 Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 OAerobic Treatment Unit 49 O Recirculating 30 ❑Other V. Dispersal/Tr ent Area Information: F tm S od Design Flow (gpd) Dispersal ea Dispersal ea Soil Application Percolation Rate Sy tem Elevation F Grade O Requir Proposed I Y3 Rate(Gals. /Da ys /Sq.Ft.) (Min. /Inch) 9 l 7.0 Elevation �n �� 631 1 2 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank �c0 I ] 610 I C 0 u yI 1-Y C0 ^CAe ,� Dosing Chamber / �✓ �1 /� VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI ber's Signature MP /MPRS Number Business Phone Number ARRell H41;& Plumber's Address (Street, City, State, Zip Code) 4 1 6 " ql b ( 6'3 Rt°l d -ektv t `t I e w t 5 VIII. Count Department Use Onl Disapproved Date Issued Issuin Agent Signs (No Stamps) Approved O Owner Given Initial Adverse Sanitary Permit Fee ncludes Gropdwater Determination Surcharge Fee) uS- IX. Conditions ot Approval/R for Disapproval �kl se,� - 6, W.��'.a 1 c� p Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size f Pow 3 ve q Pt o r PL u n i t 7 � SC cil e j ..;u o . r 81N1 Top v6 Ifa & R N+ 2 1' uP o d I'` Put 13'1 N gM 2q�3•�tr" v g�6� RESIDENTIAL APPLICATION CONVENTIONAL SYSTEM 600 GPD INDEX AND TITLE SHEET PROJECT 387 CEDAR CT LOT 26 EAGLE BLUFF OWNER AMERICAN CLASSIC HOMES LLC ADDRESS P 0 4143 HASTINGS MN 55033 LEGAL DESCRIPTION NW1 /4 NW1 /4 S16 T 28 R 19 W TOWNSHIP TROY COUNTY ST CROIX SUBDIVISION NAME EAGLE BLUFF LOT NO, 26 PARCEL I.D. INDEX AND TITLE SHEET PAGE 1 CROSS SECTION AND PLAN VIEW PAGE 2 PLOT PLAN PAGE 3 MAINTENCE PLAN PAGE 4 DESIGNER DARRELL HUBBELL LICENSE NUMBER 221073 SIGNATURE ,'" PHONE 715 273 -6360 DATE 4110/02 CONVENTIONAL SBD- 10567- P(R.6 /99) PI A M V t Ew 40d Ri c ss Secri e+r Pa 9e a od y V i i inSPCc'r , 'n' ) PotTS 3�t+,� M.'vr.vt ve�TS CAN I C i j I ' ' Et a 7o! O lt' , pafe - 8 =�o d.�F FvSe� ��s � �n�t• Gu��f, c�e�• 't �� � � tY'�� a � Say 4 SX�t -ewt nod €d SYS tee L"f s -fj T)-eKc Se!'r� r T a h �c S Co�'hry c V ef S� ry be 6.ade(` 7v �e�.er►�' nd;k�of S�r{.� w a. rB.�- over S YS .'Lte1- :s Z l�e� j5ec� S d ,, Sv W !1 C kt , sys I 3 ar Y ►" or Pia" r -- 5C a�� � � , r �lo' 0 $wtf TOP u6 1)a:'L q►�2 to e at o 7 - a� z� s 2 �o rt��� JI aM s q�3-g sr s q i toe- l3ac ; i i i i � � L/ The condMonat approval of this Septic design requires that the management plan be reviewed with the owner or their agent for the building, wbia it serves. a he owner;agent wdt also be provided g crimp of the pis lndudin Mnag-Mr-nt PISA— proper f glow" of the POWTS (Prmw *a -a�G'• ax :' _= Treaunem System) �+c Nor F+r±� se ►Ktem" is signifioaudy dependent on the quality (Le. contaminants) and quantity Mo of w"t ter than 9 u;w t S If yo�s Z 69 .Fau c an d tae amanit of tft_, dw, system will f ruct bettor and last longs - simply put LESS IS ft mmaL SET7F, Typical Motu C*Mpownts include a .:� tail w show fer 6e, of solida and containment of the des and oils, and a 1/8" filter on the outlet to capture any solids that remain suspended in the wastewater. A pump tu& with a pump and- controls, whem the clarified CMwtit accumulates for dosing, and au labsorptiou con when the cluified effl=t is dispersed and recycled in a manner that is meant to protect the groundwater quality and public health. (Not all POWTS will incorporate a dosing pump.) - 1. 'tile system is designed to accept do is iUeagt t' w , 2. Install water - saving appliances whenever and wherever possible. 3. Rqmk any 'cab (ms i bow -" as Soonsm. + �i_c, 4. Never pour greases or oils }dow� any drain- or scoot. . 5. if you do leave a garbage disposal use it sparingly. 6. Tissue a the only Paper Product that should be-pit-into _ the. system. 7. No chemical of any kind should be put into the system. 8, Maintain - steady regular flows of water, spread the laundry alroughout the week tatba ihA& 4aing it all at owr_ 9. Avoid traffic over and around the absorption component - especially during the winter months. 10. Avoid planting dap - rooted plants afar the- gawp: oa c4w—a - Mafir enwree & Eondn"asy Flag 1. A property liatnsed person must inspect the septic I system every three years- The septic tame wM regWw Pumping if the total amount of scum and solids egtkals one -third or mote of the tank capacity. 2. If the tank requires pumping it mast only be doze ty a pfuWlY 1keu "C Wividual. 3. The homeowner should complete periodic observation Pipe inspections (i.e. quarterly) of the absorption cell. If ponding is Onaved, e the *aTjeWYefbe a�lt and if It,l ersuts call the installer (or other qualified individual). j +4. If the system has specific treatment components not mentioned here, maintenance requirements will a000mpany they specifications. ; , S. This system may incorporate the use of a pump: if so, flu pump has as alarm system installed, which is and :r •mot ;s•,.�aisi wired to a _ 1e c rmitL L.a the "that the alarm is activated mmimi= or. ifpossble eliminate the water use and notify the installer as soon as possible. The system is designed to allow for some nomw capacity to accumulate until the necessary repairs leave bey maw, Ow :ewve capacity 12 ra€slraal no more than a day or two should pats betwee the repairs are made. 6. wastewater ma wing of quality and gtsamity is wt a not:asl rzqMM'Wm fa' tesid i system x, %OwVM such monitoring may become necessary if probiems develop: p rijot fu jr wowwr - shall be d=c in arrordrn with the Segt meuft oft ester $3 S4'(2), pumping and hatihisg of wastewater; tray be necessary whine analysis and repaits arc iuipk,wated. Add #oval �: -, dedping, Vroonstr w"NOT.ON: caL4eaACM and installation of additional treatment its or conversion to a holding tank may be necessary a..,�a:.... ,,...!_ t.,. ^r vvet�M faihlrp VAr a aermle, ifs clogeing.mat develops at the in -dsito soil/gravel interface. it may be necessary to excavate the failing all to remove the clogging material and repair the system as n uired. No one should enter a septic tank or other treatment or holding tank for any reason witboat being in fall compliance with n etandordS for enterine 2 Confined Sp a C e. - - z Wisconsin Department of Commence SOIL EVALUATION REPORT Page I of 2 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches i s ze. County 5-t. CpLDIX include, but not limited to: vertical and horizontal reference point (B ), dire V ®arcel - 1 0. percent slope, scale or dimensions, north arrow, and location and di tance to nearest road. C Lj " 1 2 -A ' L Q U 00 Please print all information. APR 1 Revle d by , Date Personal information you provide may be used for secondary purposes (Priv y Law, e. 1 S.o4 (n (A). 2 O 2 )JJ L 1 - 20 D2— Property OwnerI�°Pf�1TY 1' At (j-A SIC S E 1/4 /) 1, 114 S I ( T Z 1 f N R i 9 W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# Pot 4- P-( .- SA 6 6 L u FF City State Zip Code Phone Number ❑ City ❑ Village 'S Town Nearest Road NA TWGs I ( ) `fKt� 0— nAK CQ u T (Z New Constructlon Use:.Z Residential / Number of bedrooms ,.._,_. _ Code derived design flow rate _ (D Lo GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material , ()W VJIAw �' A�7�j�/ _ Flood plain elevation if applicable A). General comments and recommendations: Pf DPW-TY Abtl 5 -, : '3$'1 (!j60AIQ CoU)a bWke-- CbA wok , Lt_cs �C +30R►A1c.s 8 F12on>l oR► - IeSlr DA -110C) F ®,St,%TEdliELCJ?rtto#s FQk t/01 - V%A. I"LZVR110J) ON © Boring # ® Boring StlOU� IZC AQ 01 20JI S ; ❑ Pit Ground surface elev. C 12-k,92-ft. Depth to limiting factor � � in. - " Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 Q -'7 I q � -5-1 2- Z x`114 01 4 fz -1' '4k3 /3 - t s — m 4 �r l� z to 3/ Li - si m�tir - - e,y . ( ( 26-39 104K Z -yz 10 4 1 3 i S — (V r - - z 4 -Z - Zt 1 10 1 4K L(/& 24, 8 ❑ f 8or�ng a)y to Boring # F ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 "Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number /YlA HOLL STE. ZZ 4 93Z- Address Date Evaluation Conducted Telephone Number W1175 eq� +h AdE, R►vE FAuS WT 54022 17 -© E`.�t5 N2b -1 75 1 r FkGKRTY OWK: C 0 0 K C N A kL Es LAGE;NP: Z 2.1. GLF- BL UVF, C3 - Of MAIL W T T t1 W` D 5 flC , - F T nl R OF c p G tiGQOUA►o �+cle, I T 1 ❑� 501L POFING W/ PACKfia NO COMM 83 5�TACK pROMEM5 Q= Ha>u-D oW--� eplel& Z07,�5 nl a o. 4 o � t 9a ' LOI 2 13 Al 5M Lff-ATIM-. ,xrr OAJ J 4 SIGN( t7 C5f G Zzy93 ��.i� . " ►ZEUI t>: OLI -a -cz r)Alf: 10 - 30 -00 r n ` Wisconsin Dep artment of commerce SOIL EVALUATION REPORT Page of Division of Safery.and Buildings in accordance with Comm 85, Wis. Adm. Code County 5T, C1201 X Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must I d horizontal reference , direction and Parcel I.D. point BM Include but not limited to: vertical an P ( ) percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Dale Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Properly Owner Property Location C+iAV, _ !S 5. t^_00J.�, Gevt N W 1/4 NQ 1/4 S 1 6 T 2 - 9 N R I Qb4 Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 11$00 A13E2DG%�)o ST, NS StUTt✓ 10� Flo CAGLE 131 -tAFF City State Zip Code Phone Number ❑ City ❑ Village K Town Nearest Road S A LLt -y KE). [3L.pt W E MN a5 9 (763) 757- 56`� "f W To�.J�► V New Construction use:�Residential/ Number of bedrooms � Code derived design flow rate Od GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 5AAl1X� Flood Plain elevation if applicable _��° T ft. General comments Z and recommendations: SFSTFJn :E1 - 10n1 g 20.O' ����' • r I. r�rll /ED ; i NUV U 7 00 - I # Boring �_F [ A] Boring 0 Pit 227 3 t D epth to limiting factor 1 Ground surface elev. �_ f . P 9 it A II h ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary ql t, In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. • � r � ff#2 '/z rn y- \3 lov J — is - ml CS ! 3 13 -Zi a-V) - 24 -tn 2 \- - y� — is -LS m r O.l 112- S 14th -55 4R41� S f�5 rh1 0.uJ - f-m 0�7 1,7- ml — Im 0•-7 Lz IJgS Boring 91 edl� «- (,� �S� "�►.� 7o Y - 5� �t FBI oQw�d Boring # CATI to Pit Ground surface elev. �Z3r ft. Depth to limiting factor _ i_ in. IZ' BUJ Solt AMPOlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 QL5A m 0- b 02 Z 0 119. - 7 1,2 Z (x-13 oVRZIz ' 2 � 1 t'� T 3 )'-2to 75v+2 14 — s r Z-f- -7 _ 1 ' Z- L{ 2b S S 7.20Z U 5 m ? m .7 I,L S $ -q0 0 IZyIb f S Q m — yn 0, Z. T 3 • Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg/L and TSS 5 30 mg/L CST Name (Please Print) Sianature CST Number /A A9-V 30 1140 LUST f:i2 ZZ((23Z Address Date Evaluation Conducted Telephone Number 18"15 bQo eve. R\vEt2 Fflus wr 5402z to -3b -o0 �"115)4z{p -I��S L�Zb Z L — Property Owner COOK e- liAO - Parcel ID # _ __ Page of ❑Boring # O pit ng W � Ground surface elev. _ Z 191 ft. Depth to limiting factor 7711: in. Soil Applicatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh: 'Eff#1 'Eff#2 I 0 -5 I oyr�zl — I s 3�-m m �' 3vf- 0,1 )-Z Z 210 It)yt2z/Z- 5 5 rn) e,6 Vfc'a 3 Z6- 10y -11 m -t kV- C5 Z-F-to O.4 0, \ 39-54 a a ,� r I LA f V q 0 , 6 - 6b '✓l 4 ( 1g -'6 l7m Mk 0.W 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 ❑ Boring # ❑ Boring El Pit Ground surface elev. it. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 `Eff#2 Effluent #1 = BOD > 30:S 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 service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. SBD•8770 (R.6100) ' Y PLOf PLAN PKOPCpTY OWNFP: 0 0 0 K CH y0 Lr [ L T Zlo G LE l U FP 13M° QF I L IM L AV IF7 - 7 iA ` 6v7tAT-- GM AID sulzrA CE• Z F' T N 9 tJ WA of -r►2o c P PC- '� ��,v'LOUN� SuuR Ac>✓, I t w►sc 501L 60PW6 W/ PPCKNa NO COMM 85 %TT ACK PC;GftrM5 as W 0 cv d� �2bA �-XAJ L 44--To ���� LU�2� E L_ Z3.3 ► R t ON 40 51GNW C5( lb Z2-4 3Z. VATU; fte y of • COnt'TOt),K U NE5 FOR Li)T 1A1 E�GL6 tSi,.t,l�F SIABYJ• g o' ,,, B 26C B i. II 7 i �� -�2 B -26B l B -276 i CNI B— 45 ./ B -27C HRr It 02 08 :24a x TaalinC 4 p.l U4/11 /VZ JVU 0e:37.FAX 831 436 3417 AIOICAN CEASSIC MKS 001 Are" = i all 07: 320 �s Tool ing 4 -• •-.. ' a�vs ilt Ji; tlt FA� l�f {ISMl10 P.1 i $aOI if1481i1��`.� � CJ' fC! - -1 274 Ilia do COMM — rADW .. Tt. sL.J1 g,� UUMOOks Na dbw oil Le=am �IilY X**Mwn f ...�....__ Lit •,�, C ��t OWN/ me**, news rz 70 7 S 7 :v d 6 w - 1 8 33 , , q5� sOW ti•...7rrys a r gambow 11 No I 'I Ion 11.0ft ari i.Mi.�ft�e.�ieilakas.4..ariie »i°� �s�s�rewrre� ua�w..r�..c...i..wc4rs� ��8���r ,.+disitAri.�.a�+8rfr+.■wear�►. M�► �s/1ir�•a�.l 811�a1.riew*inaraa► } atr 1 41..os+we to alit" GfWW Mge...�rya, tt..�..��..:.�•r IDIOM riMw.w�i�r�r.ra •• � !'IrMiw.a.ANl��iM4s.ror.�ali... 1 idwwAi wpw* " iiit air db GOOSOliM a OWN v �l 1 833pri 484 13 6 - 17 KATHLEEN H. WALSH �f STATE BAR OF WISCONSIN FORM 11 - 1982 REGISTER OF DEEDS LAND CONTRACT ST. CROIX CO., WI ladividval read Co (To RE USED FOR ALL TaANSACt'IONSw. OVER II RECEIVEQ FOR RECORD DOCUMENT NO. $25A0 IS FINANCED AND IN OTHER NON-CONSUMER - ACT TRANSACr10NS) 02 -11 -2002 10:30 AM Contract, by Rnd between 'Prov Development LAND CONTRACT Corporation, a Minnesota Corporation EXEMPT N CERT COPY FEE: COPY Fce: whether one or more) and Arnpri ran f`T a�ci r Nrmmc�c . T T P TRANSFER FEE 244.20 a Minnesota Corporat - 1 - Pi-- 1; RECORDING FEE: 13.00 (•Purchaser', whether one or more). PAGES: 2 Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance i( of this contract by Purchaser, the following property, together with the rents, profits, 7 fixtu and other ap nenant Interests (( called the "Property), in Of Tro , St. C ro X I County, State of Wisconsin: tofti 26 of the P t o f a 1 Bluf in the TOWri TNIR SPACE R - O FOR RECORDINO OATH - 7, -St. Croix Co y, Wisconsin • NAME AND RETURN ADDRESS 'Troy Development Corporation Subject to Declarations of Covenants, Conditions 1111800 Aberdeen Street NE and Restrictions for Eagle Bluff, recorded in ;;Suite 100 Vol. 1589, Page 516, as Doc. No. 638946, as ;Blaine, IN 55449 ° appearing in the office of the Register of Deeds for St. Croix County, Wisconsin, and such other. 0 -000 7 0- 128 -6 easements, restrictions and reservations of PAR CEL 04 04 7DEN 2 7 8-6 NUMBER record, or in use, and the "Buyer" obligations contained in the Purchase Agreement for this lot. is not Thle (W (snot) homestead p 11800 Aberdeen Street, #100 Purchaser a es to urchaw the Property and to pay to Vendor at Blaine, IN 55449 the sum of S 81, 37 in the fdlowi ng manner: (a) S 10, 000.00 u the execution of this Contract; and (b) the balance off 71, 375.00 , together with interest kvwh.dau has on the balance outstanding from time to time at the rate of 10% percent per annum until paid in full, as follows: * Interest on the unpaid balance shall be accrued from January 1, 2002. Provided, however, the entire outstanding balance shalt be paid in full on or before the 7th day of Fahrua rN 20391]2_ (the maturity date). Following any default in payment, interest shall accrue at the rate of -- J( - % per annum on the entire amount to 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. Are 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 shalt 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 princpal. Any amount may be prepaid without premium or fee upon principal at any time after February 7 19 03 1 20 in the event of any prepayment, this contract shill not be treated as in default with respect to payment so long as the unpaid balance of Principal, and Interest (and in such care accreting 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 Dude as fire 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 Kates that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Upon payment in full of all amounts due hereunder., vendor shall provide a partial release of all of its mortgages secured by this lot. The terms, conditions and obligations contained in the Purchase Agreement for this lot shall survive the term and the payoff of this Land Contract. Purchaser agrees to pay the cot of future title evidence. U 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 Propeny on February 7 -19 200 ' class out on LAND CONTRACT - IndirW -1 and Carponte STATE rm W O Wt 1 SIN WlwAmM � aMw Go..tIn. to V01 9 83 3PAGE 485 on dcmattd receipts rhowitg Such paymat Purelraer promises to pay when due t. all taus and assessments levied on the Property or upon Vendork Interest In it and to deliver to Vendor Purchaser shall keep the Improvements on the Property insured against lees or damage occasioned by fire, ext aM such other hazards as Vendor may require, without coinsurance. through Insurers approved by Vendor, in the sum of S 1w %? Ul but Vendor dull na require coverage in an amount more than the balance owed under this Concoct. Purchaser shall pay the insurance premium when due. The policies shall contain the standard clause in favor of the Vendors interest and, unless Vendor otherwise agrees in writing, the Oft 1 of all Policies eovaing the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Wndor, 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. ttg Purchaser eoveronts not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable cond ition and repair, ro kxp the Property fm from liens superior to the lien of thin Contras, and to comply with all laws, ordinances and ulubro alleeting the Property. V(:ndor agrees that in case the purchase price with Interest and aher moneys shall be fully paid and all condluons shall be fully pedonned at the tltnes and N tit manner above speci Vmdrn will on demand, execute and deliver to the Purchaser, a Wartuuy Geed, in lee simple, of the Property, ttce and clan of dl Ikna and etncumbnnca, except any liens or mcumbrences crested by the act or delsul[ of Purchaser, and except: e exceptions list on age I o Purchaser agrees that time Is of the essence and (a) in the event of a default in the Payment of any pprr1incipal 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 o(any other obligation of Purchsder which continua fora period of 1_ days following written notice thereof by Vendor (delivered personally or mailed by certified mail); then the entire ouaanding balance under this contract shall become immediately due and payable in full, at Wndorlt 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: (t) Vendor may, at his option, terminate this Contract and Purchaser) 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) full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such due 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 redee ; or (U) Vendor may site for specific performance of this Contract to compel immediate and full payment on 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 DO Vendor may declare this Contract at an end and remove this Contra a 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 collea any rents, issues or profits during the pendency of any action under (1), 00 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 trot) 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 during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment to It receiver of the Property, including hottestad 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 shag not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchased 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 Purchased Interest under this Contract solely a security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendors written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, a Vendod 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 amount then due under this Contract. Purchaser may make 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. VMdor may waive any default without waiving other subsequent or prior default of Purchase. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representative, successors and assigns of Vendor and Purchaser. (1f not an owner of the property the spouse of Vendor for a valuable consideration joins herein to rekuse homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this 7th day of February t9 2002 1 L� f C�io tic (SEAL) • __Charles S. Cook, President • _Don Nelson. P sits nt Troy Devel opment C orporation (SW American Classic Homes, LLC (sPPAU AUTHENTICATION ACKNOWLEDGMENT Minnesota Signature(s) State ofai M. Asir, ss. Anoka Carat authenticated this day of , 19_ Personally come before me this th day of rphrua ry 4+- the above named Cha Les S. Cook, President Troy Development COrgorat on TiTIM MEMBER STATE BAR OF WISCONSIN Don n, ident (it not Rican Nelso Class Pres c Htmles, LhC authorized by 1706.06, Wis Stitt.) to me known to be the person who executed the foregoing instrument and acknowledge the Same. THIS INSTRUMENT WAS DRAFTED BY Troy Developtttent Corporation --- -- )tick A. Johnson Charles S. Cook President Notary Public, Anoka County, Nis. MINN. (Signatures may be authenticated or acknowledged. Bah are not My commission is permanent. (If not, state expiration date; iia necessary.) T06 Nsmta d w pans stptip In any aps q sWuld bt typed a printed below their stputuea. A � LAND CONTRACT - Individual and Corporate - State oar of wiseonsia. Fern, No. It - 1982 C- � W001111MO i 117 JANJARI 31. am • E��CORQ 9d 1'2BIL R,Bw l: r TIE x , a sE LOC ATI ON r T1[ W ,MAP T I ON 5 .� . • T HE MN SECTION OF t/ TM. Rt a / aE ll 7 NE TN[ M 1/4 ° a pia °8 A'"L HE NE 1 /4 OF SET �a IN a . TORN OF TIM. sr. ao lx OOIMY, wi>i0OO11N. .UDING ALL OF LOT 1 13. DOCUMENT #49aM q a , M a Nc-ac M-411 IE-Bw AV • I 1. TOMISy al/ si-mr TO R�AD6Ie i I y�1{y w ix K 1/4 SCALE IN FEET ERDFtNON NE-HE E M ON" ROAD 12 ( / 13 I $ s.ac 6c-aE sw-Nw 3E-4w ROAD IAN AOM , n , 0 150 300 600 1 g 1006400 sF. _ 70330 31. 1 SCALE- 1" 2OW 41 J I I 0 ND ,, 04• II 1 0 OMXIY SECTION CORER 12RADIT, x Iwofflzm •PR NLIL•, WT. 1 1 I ALWIxY CM. FQIO. WILDING XMICK u![ (Q 141E a). � � Q+11\ g • 14 IRO11•IPE. FIRM (DIAMETER MM). tv w,a trtlLln rnBmrt. I ■ u P REIAR. FOLIO. OMIWAK FAfeOR (Dimsmoom go". 11 '� s1. r a ]0• IROII PIPE : 24 R[IRNIM ,P 3. IIENt 2.042 Af71E! `` • FOaOfy./�S,EIT�.A�1• • IRON FE'AEI ON No BUI DIM OF my RiMOIf 1812 STN 7�1 BI.B4O Sf� \ `� NO OVfLOT OCDE1 e f AT ALL OTHER LOT VMIANK AFIIq� ft110� 11. 2000. PRVIOIILY 10IKO IMPMATICH. ► F 1•Ba/�{ IKM FOOT. �QIINO � I N 1/4 CORNER 2318 ACRES \ OF BEGWNWG UNPLA TIED LAh10 TM samm Is— RION, URBAN u. N M'aB'00• E 2016]O' NORiN lJE OF THE Nw 1/4 CORM 37LIT U�61y \ SECTION , i7 / � J061Y corm m TO THE ` I'm It ON BI(�r FOlB O N \ I IMI ACRES \\ 20 117,41 F �[ �SOA13 SF. \ 24y ACRES y ^I I177 IWA r s _ sW WI TOP 9 , _ We (\ \\ (1EV "FV 1.1 , Q OI D27/ �_ AQFM XI" ACRES SORO I q t5D3N 3r. \ 1� / 94ABS Sr. 7 \ , TOP O I- RI 7 2.616 ACRES 1011,803 1 E12VA / I u. i s u7 18 I MA1�7) , �A �s I. r \ 1 ACRES 2" 4sias u 2" A7CIEd �i 1 _ ��..•. sAr.+(� 1 1 7� �11d Ra. � �••� DRABMR( a 1Q \ I NAACRES EASDOIT a \ I _ S.F. \ \ N C4I � r C41'. w 31 + = ACRES 1 1288 67.600 u. O 1 32 I= ACNE Q1 • F' 11 1p 34 �jp 1 '1 4b •1' 1 I V �/ , 29 �T 060 OBS 1 it6 �' 4742 (1 9 ACRES u. 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