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HomeMy WebLinkAbout040-1239-60-000 ° �nC,• 3con §in Department of Commerce PRIVATE SEWAGE SYSTEM Count y Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Persona information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 363924 Permit Holder's Name: ❑ City ❑ Village ❑ 7ffiwn of: State Plan ID No.: Bo gut, James I Troy Township CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: 100 040- 1239 -60 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic v Benchmark Dosing Q Alt. BM C4' 3.3G, /et• 9 Z A Bldg. Sewer rA) d Hol ' St/ Ht Inlet TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Air I to ROAD Air ntake Septic ? p� r �� I NA Dt Bottom 12 Dosing ,� p 2 / 4 fr NA Header /Man. 2,2Z) 16 A ration NA Dist. Pipe 2 2,31 2. - Q Ing Bot. System 2. _ 1 o PUMP / SIPHON INFORMATION 38' Final Grade Manufacturer Demand St cover Model Number J ?� 37.r{*M R M Of?- e 2,1 e -I to ( DH Lift s Friction Systerr� / TDH �3, 1 Ft 3 D / Forcemain Length (ol Dia. H Dist. Tolle SOIL ABSORPTION SYSTEM BED/TRENCH Width r Leng4i o. Of Trenches PI No. Of Pits Inside Dia. Liquid Depth D IMENSIONS Z DIME SYSTEM TO P / L BLDG WELL LAKE / STRE AM nu acturer: SETBACK INFORMATION Type of / r Number: System: 7 / �' OR UNIT lu DISTRIBUTION SY TEM S Header/Manifold Distribution Pipe(s) ff // , x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Z Length ,S ' Dia. f� Spacing � SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (I elude code discrepancies, persons present, etc.) G : 1 6) = f00. 0 Inspection #1: � V /0 Inspection Location: 580 Country Oaks Circle, River Falls, WI 54022 (SE 1/4 SE 1/4 21 T28N R19W) - 2128191214 Country Oaks Addn. I -Lot 13 C - � �° i 1 1 M 1114_ 1.) Alt BM Description �`'�40 2.) Bldg sewer length = (a' - amount of cover= 3.) contour= /00 .0 � 2 Plan revision required? E j Yes V) No Use other side for additional information. Z SBD -6710 (R.3/97) Dat Inspector's i ature Cert. No. f� ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: s . 1 I a i i E i i } N 3 5 CsW-t. -v C Ct2GL,- " Safety and Buildings Division SANITARY PERMIT AP _TION 201 W. Washington Avenue 1 P O Box 7162 Department of Commerce In accord with Comm 83. , W' �4 ode Madison, WI 53707 -7162 • Attach complete plans (to the county copy only) for the y , on ot �s County , than 8 1/2 x 11 inches in size. • See reverse side for instructions for completing this aT tion ,� to Sanitary Permit Number o z 3 pp ( Personal information you provide may be used for secondary purposes A% 3GX Check if revision to previous! application [Privacy Law, s. 15.04 (1) (m)]. S Vate Plan Review Transaction Number 1. APPLICATION INFORMATION PLEASE PRINT 0 N �3 1 9 Prop Owne r Na Prope o n 1. Gt /x j p ,�'1`` A, S�Z I T g , N, R 19 or) W Property Owner's Mailin ddress Block Number / 0/0 I(K ) City, St ;Z j ZipCode Phone Number Subdivisi n Nam or C Nu rp_�e r I1, T YPE OF BUILDING: (check one) ❑ State Owned E] It Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms D To�ag of trd C � � �• trc• e 111 BUILDING USE (If building type is public, check all that apply) Parce Tax Numbers) 1 ❑ Apartment/ Condo All AF- !7 haQ 11R P/ tG 0A0— I P ? r 0� 6 ^ ©C1 � 2 ❑ Assembly Hall 6 ❑ Medical Facility / Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. 5New 2 r] Replacement 3. [3 Replacement of 4. ❑ Reconnection of 5_ C] Repair of an stem --- ----- System -- Tank Only ------ -- -- -- Existing System _- -_ -_ -- Extstin�5ystem B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 2l a Mound 30 []Specify Type ) Holding Tank 12 [] Seepage Trench 22 ❑ In- Ground Pressure t ( 2 C] Pit Privy 13 E] Seepage Pit t C �P,/t 3 ❑ Vault Privy 14 ❑ System -In -Fill I (JC) •Q VI. ABSORPT SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. ,Loading Rate 5. Perc. Rate 6. System Elev. 7. final Grade d 6 , Required (% ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation 7 ?S )01 Feet /0 3 _ Feet VII TANK Capacity g allon s g Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanksl Tanks Septic Tank or Holding Tank / 06 , 6 / 0 c , ey hc. ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ,1 S 0 -- �tJ ❑ ❑ ❑ I ❑ ❑ Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage em shown on the attached plans. Plumber's Name: (Print Plum er's Signature: (No Stamps) MP/ o.: Business Phone Number: /'Q S 75 Plumbs Address (Street, City, State, Zip Code) _ �/ r< ?, a ( �3 IX, COUNTY/ DEPARTM USE O ❑ Disapproved ' S nitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps) t[Approved [ Given Initial -ter Surcharge Fee) Adverse Determination 3 a� . � X. CONDITIONS OF APPROVAL / REASO_N FOR ISAPPROVAL: la l l SA S r�..z+ 1 - oA c-g C,.L_-- lr SBD -6398 (R.12/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS r 1. A sanitary permit is valid for two (2) years'" 4 2. Your sanitary permit maybe renewed before the ezpikation date;, and at a time of renewal any new criteria in the Wisconsin Administrative Code will bV app amble. 3. All revisions to this permit must be approved bV,the permit issuJPq authority. 4. Changes in ownership or plumber requires'a Sant Permit Tra sfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation f j 5. Onsite sewage systems must be properly Maintainedg,'thoieptic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. - 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the 'legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. iV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII_ Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number, Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Onry. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plank must include the following: 'A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes, soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance cAe; pump model and pump manufacturer; D) cross section of the soil absorption system if'required by the county; E) soil test data on a 115 form; and F) .all sizing information. ------------------------------------------------------------------------------------------------------ GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Safety and Buildings r 4003 N KINNEY COULEE RD 4 , NVisconsin LA CROSSE #: 1 08) 264 -8777 c www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 29, 2000 CUST ID No.220554 ATTN.- Rod Eslinger ZONING OFFICE CARL P HEISE ST CROIX COUNTY 1042 S MAIN ST 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/29/2002 Identification Numbers Transaction ID No. 326649 Site ID No. 195255 SITE: Please refer to both identification numbers, Site ID: 195255, James Bogut L above, in all correspondence with the agenc St Croix County, Town of Troy SE 1/4, SE1A, S21, T18N, RI 9W Lot 13, 1 st Addn —Country Oaks FOR: Description: New 3BR Mound Object Type: POWT System Regulated Object ID No.: 671104 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Adm. Code. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a otp ential for a law suit that may delay the effective date of the code so this status may or may not change. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. CARL P HEISE Page 2 6/29/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address q g P Y P on this letterhead. Sincerely, DATE RECEIVED 06/23/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 �ennis. BALANCE DUE $ 0.00 Wastewater Specialist (608) 785 -9336 dsorenson @commerce.state.wi.us I WiSMART code: 7633 cc: JAMES BOGUT I MOVE THE EARTH CARL HEISE EXCAVATING s 1042 South Main RIVER FALLS, WI 54022 CARL P. HEISE (715) 425.2175 Owner . . MOUND SYSTEM. FOR BEDROOM RESIDENCE' LOCATED IN THE E OF THE S OF SECTION _ , T1j� N, R_&_W, TOWN OF _T RO 1 , 57 C'e U COUNTY,WISCONSIN. INDEX PAGE 1 of 6 TITLE SHEET PAGE 2 of 6 PLQT PLAN PAGE 3 of 6 PLAN VIEW —CROSS SECTION PAGE 4 of 6 DISTRIBUTYON PIPE LAY -OUT PAGE 5 of 6 PUMPING dHAMS-ER PAGE . 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR �O � .. A � xx WA z � RIVE R FALLS W) 340 Z 2 ?oo �� 0 so /v PR P BY r P. He se CST 3314 MPRS 3378_.... 554 . . 1 042 South Main Street : SElVACE SYSTEM River •Fa31s,WI 54022 lly ROVE :i10 id OF SAFE AND Bi1ILDIIr SEE CORRESPONDENCE PEA A �� 2 SC*F I 3D . 3 rM, / 14 C °WILL 4 tJ AS i �. 4 O- P n 6t -7 rL.1oa.Od , '`t S EIS it n ally �a "3 I ft V1., .A DIVISION Of SAFE AND BUILDINGS SE CUR ESPONDENCE 17$/ • I Y � V O� K}p Synthc�' 'Tw�iy�G �� yTf �Jw�Ow Qr�l� ___ --�- N Gr - T6 so CL ,, _ -- 7 -7 r .l _.... __ _ ...... 3 d/ SC op e Tr a, c� of — 2 % � r c e YA 4►'w Plow c D � 2 re- �0,Ta Layer D 1.0 FT CIO sS Sect ior, MOµ,tVO �t51►vG� Z 1'rcr��c,5 :a. A �_ Fr G 1.0 FT <IVA`�E SEWAGE SYSTEM Pt Condt lonally FT FT :. S _Z- FT DIVISION OF SAFETY AND BUILDINGS Y 1 �._ Fr T SEE CORRESPONDENCE F.�. l--- W P�sr��buT�o►� p►pe Obser va1'►aN P�ye PeY �,�n�h7 Marker s I 'A s V4 2 1 YLMGA� S r — Designer No Date Perforated Pipe Detail End View Perforated End Cap ,y' 'PVC Pipe a .1 • Q„ Lost Hole 'Q Holes Located On Bottom Are Equally Spaced Q {ti PVC Force Main From Pump .7 s9? Q PVC Manifold Pipe ,•: Distribution Alternate Posltion Of Pipe Force Main From Pump Lost Hole Should Be In End Cap Near The Crown Of The Pipe. End Cop Distribution Pipe Layout P pRIVATE SEWAGE: SYSTEM R I �v C on ditionally x 31 va oft Y 36 <. 1! ram r R Hole Diameter 4 Inch DIVISION OF SAFETY AND BUILDINGS Lateral 1`4 Inch(es) Manifold 2 Inches SEE CORRESPONDENCE Force Main " 2 Inches Holes /Lateral 8 eq .7144 ��q� F L I ' �O� 'L 18 A run, q,vr a» ui w tTk 1 SEPT TANK 6 ' PUMP CHAMBER„ CRO SECTION A ND SPECIFIC 4 CI VENT PIPE 12" MIN. ABOVE GRADE 6 WEATH R PROOF � MANROED 26. FROM DOOR, APp WINDOW OR JUNCTION BOX HOLEt• FRESH AIR INTAKE WITH CONDUIT ,W/• HOLZ . �1�; PAD FINISHED GRADE 4t Cl RISER WARNING 7 B e ll MIN •,,'` ��M =1• ABOVE G ADE 6t MAX . ). INL T i ATER TIGHT SEA GAS- 1 ,.••k TIGHT i 4u SjSIf-t + BAFFLE SEAL ; PP NTS ' W C CII PIPE �1PG� ...L r ALM PIPE. "3�'''0 3'., E _.;_. r ON i:• $OLID�iOI so 80% 0 RISER;.. F ELEV . 8 7 £T PERMI . ► ---- OFF a� Sb S MANUFAC HAS AM A 1 0 S � O �a�PROVED BEDDINGi UNDER TANK CONCRETE PAD SSE SPECIFICATIONS i SEPTIC / DOSE , TANK MANUFACTURER: 1Y�►,�cS'e�� �rrca� NUMBER DOSES PER DAY: r a , TANK SIZES s SEPTIC 100 GAL. DOSE VOLUME INCLWDING DOSE _ � _ GAL. FLOWBACXI ..) 2.r..3,q GAL. AL�RM MANUFACTURERS jzj cc tfv CAPACITIESt A ac o2a.44 INCHES to 2 9 ' '.G MODEL NUMBER t 7 wl Aw �4 SWITCH TYPE: CYCuN B = 2 INCHES s 3 - �wi�i�Mr �r�nr PUMP MANUFACTURER: Gow1� _ C s 7 2 � INCHES MODEL NUMB ER : !.ti._.. -- J�M1 � SWITCH TYPE: _ 4r._r D : � INCHES s IO212"oi. . REQUIRED DISCHARGE RATE 27 GPM PUMP 6 ALARM WIRING AS PER ILHR is" 2' VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET ♦.. fINIMUM NETWORK SUPPLY PRESSURE • FELr'1' ♦ 7o FEET FORCEMAIN X A FT /100 . FT. FRICTION FACTOR FEET TDTAL DYNAMIC HEAD FEET INTERNAL DIMENSIONS OF' PUMP TANK: LENGTH ; WIDTH ; DIAMETER' f LIQUID DEPTH ! I SIGNEDt LICENSE NUMBER: DATE: 1/88 Goulds 0 Submersible '# Effluent Pump 3885 L C i ,.; '�z • Overicatl protection must smooth operation. Silicon can be operated continuously for.the • pe jjtovided: in starter unit. bronze impeller available as without damage. Sha�ttresded, 400 series an option. ■ Bearings: Upper and `*'qt ' �'; , ■ Caslnp: Cast iron volute lower heavy duty ball bearing >er t� • Sri gs�balLbearings type for maximum efficiency. construction. 4031 (bwer: 2" NP7 discharge adaptable ■power Cable: Severe duty nti •:POWs c �rd _2p foot y rated, o!l and water resistant. f for slide rail systems. ;, r "'�, • starldatdalongth (optionai w Mechanical Seal: SILICON Epoxy seal on motor end ,,lengths:vailable). CARBIDE VS. SILICON provides secondary moisture r ' Sit# le CARBIDE sealing faces. barrier in case of outer jacket • /a a d' Hj' 16/3 SJTO V or 230 V+three damage and to prevent oil s r Stainless steel metal parts, gUNA -N elastomers. wicking. t ► psjy t gr yyhh ■ Shaft Corrosion - resistant ■ 0 -ring: Assures positive r I�, ,stainless $te@t'Threaded sealing against contaminants l> ` '' x , desigitk Locknut:on three and oil. leakage. �� f hase'irlodeJe.t4 guard n , �gaagaitist component damage AGENCY LISTINGS n accidentAl .. reverse rotation. rTw ;.Motor. Fully :submerged in caansmlldua><afaooa high- gradeturbine oil for IubriCat(on and efficient heat UL uftdfuwrpers labfuatorin transfer. f3Qa '1 t j gem ■ Designed for Continuous �et$1�, m , Operation. Pump ratings are p � b br ;mach niaal seal withln.the motor manufacturer's �,I F �a�14 � recommended working limits, ,1 ,�1 alsheed far -- y SERIES: 3885 A f SIZE: 4 /4 SOLIDS RPM: VARIOUS t.: i1 '!1 rots t; b / , r + t , , , ,' _--- '.-' - - —► 5 GPM - - ..T. -.. - - -- ' T * ft1 , � Tiet 4 r M � {., t • '� Y , zd ° r �`KS ��' s q y J TM �,t�tn'k yl.wk� v t TAW �'G�S Y10 ,. 30 4 0'.. 80 70 80 90 100 110 120 130OPM 10 20 30 m CAPACITY mm 1 1Ii j k 1 C Effective May, 1995 83885 I Wisconsin Department of Industry SOIL AND SITE EVALUATION / Labor and Human Relations �7_ ., age of J Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis.'s, �. Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must CO Include, but not limited to: vertical and horizontal reference point (BM), direction and `' P ' ' k al Y, ' t percent slope, scale or dimensions, north arrow, and location and distance to nearest road. pa APPLICANT INFORMATION - Please print all Information. Re e ,�J;hl aFGfCF � ate Personal Information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). �+ Property Owner e Y \ Property Location � L t�W�PEitI 695r IV • IVURI �P�}�PTN ) Govt. Lot SE 1/4 ✓ 1/4,S ,N,R (9 E (or 0 Property Owner's Mailing Address / Lot # Block# Subd. Name or CSM# Gv 9302. 49 00 T Avg. /3 / �lovT.rav - Couvrt�y o,4 s City State Zip Code Phone Number 59 Town Road RW - k FA IPS W �. Syo�Z X ) /f�$ -9032 El ❑Village 5 Town � 4 CZic /-2 03 " New Construction Use: Residential / Number of bedrooms 3 to + Addition to existing building NIP NOT El Replacement El Public or commercial - Describe i(/07' Code derived dally flow (0 00 gpd Recommended design loading rate N _bed, gpd/fl ` 3 trench, gpd/ft Absorption area required _ bed, ft trench, it Maximum design loading rate ��bed, gpd/il trench, gpd/tt Recommended infiltration surface elevallon(s) _ PI .3 ft (as referred to site plan benchmark) Additional desIgn/sIte corAfftations S''TE sv, T�FQ�E o.✓ �'/ 1t'o/e? T, &A.)" T yI�z-- il.o Parent material BZ I ' w � .�Tiif S-f - , S�OavFv Flood plain elevation, if applicable N tt S = Suitable for system Conventional Mound In- Ground Pressur AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ s Q'u 9-;Y's p u ❑ S El [] s [�-ij ❑ s p'u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft2 In. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Trench Bed / ; 1 0 10 y13 /F-TA& �t . 6e 2-- - i 7 /Pyle 313 Ground 31- ZS AJ 'A3 /o yo Co /Z— Depth to ' limiting factor i Remarks: A 'W; -;av S' Boring # /0 %3 — Ste/ 1� 4* i/e es , s 2 . Z /lQ 1 1 9 yi2 31 Si/ / s6K n" f,2 C S �f � , • 3 3 -L o a 3 Ste/ a4* slip 1h,-A C 4V Ground 2 - 35 1 0 S /J Sd/� /vn'>�je G() •— , y ; , S elev - 0, S ti►, C 4J -- , 7 1, / / Z Depth to 7 5 /(� 2.S s�8 JCL Mn /Nt v�'/ N - 61 S limiting factor 35 —In. Remarks: PFP t �;¢,g� "Gi T y ,(��'S 7// �T /1r" S 3 5-- S . /4 T 3 5 CST Name (Please Print) ROBE(? T 74 (, Signature Telephone No. R �i�iS ,386 Address Date CST Number i3 - 9�o cs 2 Z Private Sewage Consultants 855 O'Nefi Rd. Hudson, Wis. 54016 A PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z .of PARCEL 11.131 LD T E 3 _ Ca u u T 1e y O A k's Boring # Horizon Depth Dominant Color Mottles Texture Structure 2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed .Trench Z -/L 10 313 Ground 3 'D -1 /ls 3 elev. 2'-0,'S he owrk CS lo-f- YA Depth to 0 ' ✓a $. 51 G 2 Ain: Ain limiting factor Remarks: S.S-S. 2 S PER, Boring # h"^in F'3Zy . Ground elev. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench Boring # Ground elev. ft. . Depth to limiting factor — In. Remarks: Boring # Ground elev. (t. • Depth to limiting factor In. Remarks: S13DW -8330 (R. 08/95) z LOS rn o�-ti w Lq i 7� �e n � -- o 1 °T i 3 ul rn � 1 ULBRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems 715- 386 -8185 9 Private Sewage Consultants SPECIAL NOTES TO THE BUYERS/ BUILDERS, REGARDING SEPTIC SYSTEMS AND SOIL TESTING ON LOTS #8 THROUGH 20 IN COUNTRY OAKS. All of the lots evaluated will require mound type septic systems. With only a few exceptions, the soils across the 1st Addition to Country Oaks had very fine weak textured silt loam in the upper 12" of topsoil (a soil loading rate of .3 GPD /ft2). These low soil loading rates will require larger trench type mound systems by design codes. Trenches can be no wider than 48 ". It is suggested, to the installer, if a 4 bedrm. home is proposed, some test areas provided may not be lonig enough for a single 4 trench, in which case a wider mound utilizing two tenches 4 63" may be more suitable. CAUTION: since all of the soil test sites are very heavily wooded, extra careful planning and site preparation is required. Great care will need to be taken in removing trees and brush without disturbing the fine delicate silt loam topsoil. If the site is carelessly disturbed, the Zoning Dept. will reject the site and require costly new testing and designing! Do not allow anyone to drive across or compact or distuyb the topsoil. Consult with the Zoning Dept. Inspectore, a qualified plumber, or designer for advice on how to properly prepare the site for mound system construction. The owners /developers have provided a complete approved soil test area, registered with the zoning office as required by subdivision ordinances. It is difficult to imagine today where a future buyer prefers to build upon a lot. Common sense is used to select a site at this point. If the buyer intends to utilize the test area, careful planning between the owner and septic plumber (or designer) is very important. Careful planning with qualified designers/ installers is critical. THe final actual size and shape and location of the septic system is dependent on the size and type of home proposed. Test areas large enough for a 3 -4 bedroom home has been provided, but a larger home may require new or additional soil testing. The septic system can not be shifted outside of the recorded test area. pg. 4 of 4. I it S'1' CROIX COUNTY Sr "'PTiC TANK MAINTENANCE AGREEMENT AND OWNFIZS1111' CERTIFICATION FORM Owner /Buyer .j Ar'r S 1 Mailing Address 31� S. �IQ� �Zj (�; cell S �yco2Z Property Address __-5 (verification required fionn Plan ing Department for new construction) 10 r � City /State _ �'. >A AQ - ''A (l 5 W t ___ Parcel identification Number "0— 1@'39-60 © 00 LEGAL DESCRIPTION Property Location SE ' /,, S6 ' /,, Sec: c`��, 'I' af� -IZ 1-W, Town of -IZo 4 Subdivision Cc>ov.rle -, © RV. S , Lot # i_ Certified Survey Map # , Volume , Page # Warranty Deed # (0 a 1 3 `7 , Volume 1 50 ;1 , Page # 19 b Spec ]rouse ❑ yes Ed Lot lines identifiable Cf yes O no SYSTEM MAINTENANCE 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. 'llie property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman phnnber, restricted ploniber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) afler inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. itwe, the undersigned have read (lie above requirements and agree io maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and (lie 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 Zoning Office within 30 days,o the three a xpirat' date. Co Sl NATURE OF Al' ]CANT DATE OWNER CC IZTIFICATION I (we) certify that all statements on this form are true to tlic best of my (our) knowledge. I (we) am (arc) the owner(s) �f the pr erty descr' ed bove, ntue of a warranty decd recorded in Register of Deeds Office. Sl NATURE OF Ai _ ICANT DATE * * * * ** Any infotmation that is mis- represented nay result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Inchule with this application: a stamped warranty (iced from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty (iced Vill. 1 5112 PAGE 198 STATE DAR 0I-' WISCONSIN 1`01M 11 - 1982 1621. 1$7 LAND C0NIRAC'1' KATHLEEN H. WALSH IndiAdn.l tend Cnronrtele REGISTER OF DEEDS (10 R EUSEbl ' ORAMTRANSM11ONSW1tEREOVER ST. CROIX CO. WI DOCUMENT NO. $2s ,0W IS PINANCBO AND IN 01111111 NON- MMUMER ACTTRANSMMONS) RECEIVED FOR RECORD C Otltl'aCt,by and between Lund Builders, Inc. 04 -13 -2000 900 AN (a /k /a Roy Lund Builders, Inc.) . a Wiscon LAND CONTRACT gqrp orati on _ _ _ _ ("Vendor", EXEMPT N whether one or more) and Jam T. Hogue and Brooke E. Bo CERT COPY FEE: Husband copy FEE: _ a Wife _ TRANSFER FEE: 130.50 ( "Purchaser ", whether one or more). Vendor sells RECORDING FEE: 3 and agrees to convey to Purchaser, upon the prompt and full performance of this contract by Purchaser, the following property, together with the tents, profits, fixtures and other appurtenant interests (all called the "Property "), in _. St. Croix County, State of Wisconsin: Lot number thirteen (13) t rirst Addition to Count Oaks in the ToomsTilp o� Troy TMS SPACE RESERVED FOR RECORDING DATA N AND RETURN A DDRE88 Lund Builders, Inc. 1010 North Main Street River Falls, Wi. 54022 040 - 1239 -60 -000 (Parcel Identification Number) r. This is not homestead property. (Is) (IS not) Purchaser agrees to purchase the Property and to pay to Vendor at 1010 North _Main St. ,_ River Falls Wi . 540 the sum of $ 43,50- 0 00 the following manner: (R) $500 00 _received at the execution of this Contract; and (b) the balance of $ 43, 000 .0 1 0 ,together with interest from date hereof on life balance outstanding from time to time at the rate of 8.90 percent per annum until paid in full, as follows: Scheduled payments due @ the first of each month beginning 4/1/00. The payment is to be $450.00. Balloon payment of balance will be payable at the time of closing of buyer's newly constructed home. See attached Addendum with accepted payment schedule _ Provided, however, the ehtite otdslandifig balAet shall be paid in full on or before 30 - day of — -- - April - _ . -_ - _ -- - -- - -- , 2001 _(the maturity date). ollowing any default in payment, interest shall accrue at the rate of -_ 8. 000 % per annum on the entire amount in default (which shall include, without f limitation, delinquent interest and, dhmn acceleration or maturity, the entire principal balance). Purchnser, unless excused by Vendor, ngtees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual loxes, special assessments, tare find 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 find or trustee account, but shall not beat interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at life rate specified anti then to principal. Any amount may be prepaid 2000 o R lti �^ without premium or fee upon principal at any time after April 01 ... - _ _..__ .- ( ) It, the evens of any prepayment, this contract shall not be (rented as in default with respect to payment so long as the unpaid balance of principnl, and interest (and in such case accruing interest from month In month shall be treated as unpaid principal) is less then the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any - proceeds of insurance or condemnation, the condemned premises being theteatlet excluded herefrom. Purchaset states that Putchaset Is 89tlsffed with the title, as shown by the title evidence submitted to Purchaser for examination except: Z&O'bi"Sts and re of record, -if any. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on _ __.Y_ o>_�nl1 - pmt_ -__ , clay__ - eCrma Out One. yq X 04 -03 -2000 STATE DAR OF WISCONSIN e9924984.UFD LAND CUNTItAt1 - Individaid and C"wafe FORM No, 11 -IM V(ll 15' 02PA499 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 deman4receipts „ showing, such payments. Purchaser shall keep the improvements on lire Properly insured Against loss or damage occasioned by fire, extended coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in file sum of $ but Vendor shall not require coverage in All A ll"not more than file balance owed Under this Contract. Purchaser shall pay file insurance premiums when due. 'file policies shall contain file standard clause in favor of file Vendor's intctesf slid, noless Vendor otherwise agrees itl writing, file original of All policies covering file Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser And Vendor otherwise Agree in writing, insurance proceeds shall he applied lti restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property frce from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Properly. Vendor agrees that in case flit purchase price with interest And other moneys shall be filly paid and All conditions shall he fully performed Al the times and in the manner Above specified, Vendor will on demand execute and deliver to the Purchaser, a Warranty,Ueed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: ---------- - -_ s Purchaser agrees that lime is of file essence And (n) in the event of a defauh in the payment of any principal or interest which continues for n period of days rollowing the specified clue date or (b) in the event of a default In performance of any other obligation of Purchaser which continues for a period of days following written notice thereof by Vendor (delivered personally or mailed by certified mail); then the entire outstanding balance under this contract shall become immediately due And payable in foul, AI Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (f) Vendor m*y, of his option, terminate this Contract and Purchaser's rights, title and interest in Ilse Property and recover the Property back through strict fi»eclosure with any equity of redemption to be conditioned upon Purchaser's fill payment of the entire outstanding balance, with interest thereon from the dale of defaull al the rate in effect on such date and other amounts due hereunder (in which event all amounts previously pail by Purchaser shall he forfeited As liquidated damages for failure to fulfill this Contract slid as rental for file Property if Purchaser fails to redeem) or (H) Vendor may site for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon At the rate in effect on the date of defsulf slid other Amounts due hereunder, in which event the Properly shall be auctioned of judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may site At law for the entire unpaid purchase price or any portipn thereof; or (iv) Vendor may declare this Contract at An end and remove this Contract as a cloud on title in a quietAitle 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 Appoinled to collect Any rents, issues or profits during file 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 fine foregoing remedies shall only be binding upon Vendor if slid when pursued in liligalion and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses oftitle 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 of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Properly during the pendency of such action, and such rents, issues, and profits when so collected shall he held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by Assignment of Any of Purchaser's rights under this Contract or by option, long -term lease or in tiny other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or Assignment of Purchaser's interest uuler (his Contract solely as security for an indebtedness of Purchaser. In the event of arty such transfer, sale or conveyance without Vendor's written consent the entire outstanding balance payable under this Contract shall become immediately due and rable in full, At Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding Against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the Amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and Assigns of Vendor and Purchaser. (Ifnot An owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join it the execution of the deed to be made in fulfillment hereof.) � H day of Dated this * __4ameS L._ -�g Ll( * for 1 1 inrl _1 1 EI21^ "*^o taut t , Roy Lund Builders, Inc.) 'jam (— (SEAL) (SEAL) + Brooke E. Bo.Rut — + AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN, St. Croix county. I ss. Personally came before me this /O� h day o authenticated this _ day of _ 4 / R 00 O , the above name James T. Bo Bro Qke_E. J3og ut.---- -- Thorn. Lu - 11 LF: MEMBER STATE BAIL OF WISCONSIN who executed tl I me known to be the person S ±' P .1 regoing instrument and acknowledge the same. authorised by 6 706.06, Wis. Stals.) r �� d y (. THIS INSTRUMENT WASDRAFTEDBY �.e� 4r Susan M Weston Roy Lund, CFA Lund Builders, I ti tQ,;. • a c , W Notary Public .� r i O X Co un t y , My commission is permanent (If not, stale expiration dal (Signatures may be authenticated or acknowledged. Both are not necessary.) May 11, 2003 , t •Named of persons signing in any capacity should be typed or printed below their signatures. 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