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042-1021-70-000
n m 0 m n = 2 / \ � § a £ 2 e �Q Cl) / 2 2 / / \ 2� / / \ ` 2 2 2 2) 2 w a :$ \— . g \ { \ § \ ` k ® \ a a ( (D ] O } \ 2 \ / R / 3 % \ w . 3 = I E&( a 8 Z E (a«\ _ v f 7 2' \ — _ 0 O v � / \ \ / \ / } \ / \ n E C (D w}§7 o 3 3 } \' / } j j j \ \ / I a ƒ 2 R } \ ~ a 0 1 / k\\. 99 g § ( / .. fftA . g ; R e \ w « / \ ■ ? cn / k \ q .. \ z H = (D M < m % ; } < / \ 3 \ \ m ƒ \ w , > § \ . / \ / § \ e e/ -n . D0 % CD a . j §{ ) i 0 ƒ � \0 \ \ O\ / 3 \ 2 � \ \ ƒ 0 @ \ / $ @ \ \ \ \ I �u ul !A!I I ! :J JA v, 3, P } � 'kt. - 1's �• 4 V i I County: ' Wisconsin Departr.)ent of Commerce PRIVATE SEWAGE SYSTEM St. Croix Safety ant. S,{ilding3,vision IIIf -,% INSPECTION REPORT Sanitary Permit No: 430278 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: Campbell, Robert I Warren Township 042- 1021 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: , Q /% 08.29.18.125B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 1 1 0 •0 _ 7 Dosing (f Alt. BM O Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet _ Septic **-S \ 1 Dt Bottom •/ Dosing >� / � / Header /Man. •, 3� Aeration Dist. Pipe Holding Bot. System e ll PUMP /SIPHON INFORMATION Final Grade �• Manufacturer Demand St Cover GPM Model Number 6 1 TDH Ljft Friction Los Systen)Hea� TDH Ft I. " 03 Forcemain Length i I Dia. tt Dist. to Well f SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside D' Liquid Depth DIMENSIONS / 1�('�/ / / SETBACK SYSTEM TO �` D P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: UNIT Model Number: � 1 0, ` � ( •^_®, DISTRIBUTION SYSTEM Header /Manifold Distribution ��,t� x Hole Size p' �1 I x Hole Spacing Vent to Air Intake Length Dia t t Lengt Dia Spacin 1 p a /' 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 Bedrrrench Center Q' Bed/Trench Edges Topsoil U i _, Yes Lj', No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:�/ /,6 Inspection #2: Location: 1032 11th Street Roberts, WI 540233 (NE 1/4 SE 1/4 8 T29N R18W) NA Lot 1 & 2 Parcel No: 08.29.18.125B 1.) Alt BM Description = L1) iV0 AfM ldlj Yhk.Y' 40 �lbOk -(f� Ov�iU 0 �d . 2.) Bldg sewer length = - amount of cover l �.v� y �O CSC. • C .o+�l "' � ' 4 �7 l 1 -- - Plan revision Required? Yes 00 A6d 1 I Use other side for additional informati n. at SBD - 8710 (R.3/97) I epctors Signature Cert. No. `` • Safety and Buildings Division County IN 201 W. Washington Ave., P.U. Box 7162 �7C , 1 sconsn Madison, Wl 53707.- 7162 Sanita� ry Permit Number (to be Pilled in by Co,) Dep artment of Commerce (608) 266 -3151 a Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ! �� ` Lf may be used for secondary purposes Privacy Law, s15,040)(m) Project Address (if different than mailing address) I. Application Information - Please Print All Informatio " - -� - 8._z� Property Owner's Ne me Parcel # Lot # ^ ^ Blogk # 4�� AI 20Y 0 -102 Property Owner's M ailing Address F Property Location IQ r >- J - 2 2- &a 71 S' �� �k, S�� 'k,Section �_ I City, State Zip Code Phone Number pf �V r J` 62 3 T •� A N; R � E o le , ) - II. Type of Building (check all that apply) _ .v 11 or 2 Family Dwelling - Number of Bedrooms S-}t Subdivision Name CSM Number i ❑ .Public /Commercial - Describe Use Q. ❑ State Owned - Describe Use J �p F ❑City LO. Village*ownship of lrk k !l. III. Typ of Permit: (Check only one box on line A. Complete line B if a iGF A. New System Replacement System 7J Treatment/Holding Tank Replacement Only El Other Modification to Existing System $. ❑ Permit Renewal El Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS System: (Check all that apply) ❑ Non - Pressurized In- Ground XMound > 24 in. of suitable soil U Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leachlu Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information• S Design Flow (go) Desigp oil Applica ' n Rate(g sf) Dispersal Ar Required (sfl Disper al Area Pr sed (s System Elevarion D� N S1 a - O r' I �D 1J 11 fi .- f �3� VI. Tank Info Capacity i Total Number Manufacturer refab Site Steel Fiber Plastic Gallons Gallons of Units W 4 / Concrete Constructed Glass Now Existing / �" — ` ���0`�"� Tanks Tanks Septic or !- folding Tank Aerobic Treatment Unit Dosing Chamber , } - VII. Responsibility Statement- I, the undersigned, assume respor>SibWty for Installation of the POWTS shown on the attached plans. i Plumber's Na me (Print) Plumber's Si gnature MPRS Number Business Phone Number Plumber's Addre ss (Street, City, State, Zip Code) VIII./County Department Use Onl CD/ Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued ssuing ent Signatur o Stamps) Surcharge Fee) -J�3 s� Q/d ❑ Owner Gi ven Reason for Denial IX. Conditions of Approval/Reasons for Disapproval �•� 7�'wo rt,_ 4� � �3 33 �� " 1166 a.040 ��t yOmplele 1 W the Co ty on ) J s stem on r ao� 81/2x 11 h hea size SB -- 6�R.01/03) J PLOT PLAN Scale 1 P age 3 of C�CDUIZ�1 . GO.S' ao�1 d�Z�L 9on�or ca�+�cr CZ-- O11, oZ 'D IS R$ Ll ►�'1E i , � �� j f - Q ss' or- I 6.3 - IS' OF o / g CQ I S P21 1�1 -Jq� R � �etz. eon F� > s a ' FU MOv►� � ZS k . NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 1 pp I BD dgallon capacity manufactured by 1.y �Z : k W/ A -1900 - Z �fit. 4. Bench mark S i' 3y V E 5. Divert surface water around system to prevent ponding at the uphill side. Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin - www .comm www.wisconsin.gov www.wiscon isconsn.gov in.gov Department of Commerce C(l. _ ST ��a2 Scott McCallum, Governor Philip Edw. Albert, Secretary October 17, 2002 CUST ID No.267341 ATTN.• POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL a PLAN APPROVAL EXPIRES: 10/17/2004 Identification Numbers Transaction ID No. 795544 SITE: Site ID No. 651671 Robert & Sandra Campbell Please refer to both identification numbers, 1032 110`" Street above, in all correspondence with the agency. Town of Warren St Croix County Part ofNE1 /4, SE 1/4, S8, T29N, R18W FOR: Description: Four Bedroom Replacement Mound System Object Type: POWT System Regulated Object ID No.: 874572 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. P ® T s. Colzditiolla " ARTHUR L WEGERER Page 2 10/17/02 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 fi Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim @commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 TITLE SHEET Page of - 7 MOUND SYSTEM FOR AL BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057 P and the Pressure Distribution Manual SBD- 10573 -P C tz. b! q9� c i`. b l 4 g LOCATED IN THE N �E 1/4 OF THE S � 1/4 OF SECTION S ,T _�-9 N,R 1pj W, TOWN OF L iP�ZVL.s_) COUNTY, WISCONSIN. INDEX A A� PAGE 1 of 7 TITLE SHEET t7 ;0 � �F� PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN' F T % �F PAGE 3 of 7 PLOT PLAN ) j O PAGE 4 of 7 PLAN VIEW -CROSS SECTION ��� D0� PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT O PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION V O PAGE 7 of 7 PUMP PERFORMANCE CURVE /� PREPARED FOR R O L1Z�' R3 A> PREPARED BY WEC3EF::ZEF2 SOIL AND. (S" P.O. S�RVICF= P.O. Box 74 421 N.kfain St. River Falls, K 54022 Phone 715- 425 -0165 Fax 715 - 425 - 6864 ♦ * y ti�-'v�' g J _.A 4 • . M ...... •• I s i e• _ WEGE S . WEGEHEA G915 P fiLLSWOFiTN n •.N� <1 'J S . v L L J ,� S I G r= U DEPARTMENT of COMMERCE 060 DIVISION % ET AND BUILDINGS A �O 01 SEE CORRESP DENCE JOB NO. O Mound System Management Plan Page 2 . of - 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank "" The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and issm ter shall be assessed at least once every 3 years by ins pection. The outlet filter shall be cleaned as necess roper o er Tilt r cartrid h uld not be removed unie rovisions are ma a to retain oli ^ ugh off the filter when removed from its enc;osure. a er is uippe wi an alarm, the filter shall be serviced if is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The nk shall have its contents removed when the v I o ume of sludge and scum in the tank exceeds 1/3 the liquid volume of ; If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise r of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. • u Pump Tank � W The pump (dosing) tank shall be inspected at least once every 3 years All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is ins ta a II be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily ulched for frost protection. Gon. P Influent quality into the mound system may not exceed 220 mg /L B005, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual (SBD- 10572 -P (R. 6/99)) arid local or state rules pertaining to system maintenance and maintenance reporting. _ No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning - Office at — 1 15 - L L6 &Q ST' - ak'zo The system installer at The tank manufacturer at �ou - ZS - �l�s�j 1_J �Z The effluent filter manufacturer at `iNI)l) The pump manufacturer at — 3� Page Or 1 Approved Synthetic Covering ASTMS C33 Distribution Pipe Medium Sand H IG Topsoil F Elev. —J i - '0 . 3 E - ` b — 7. % Slope Distribution Cell of Force Main Plowed 2" to 2 Aggregate From Pump Layer E Ft. CROSS SECTION OF A MOUND SYSTEM F O . $ Ft. G o -5 R. A C Ft. H 1, O Ft. Linear Loading Rate= q GPD /LN FT B 6 Ft • /�,,,p G� Design Loading Rate =D.y IG' D /SQ FT j 13 Ft. J 6 Ft. K q Ft . 0' DncTiin L S Ft. w ? Ft. - Observation Pipe a o- �--- -� $ - - -- --- - - - - -- ------ -- - - - - -- =-- - -- 6 _, Farce Main W + - - - -- - - - - - -- --------------------- UQ> >us L`C� Distribution`rvt� 2 Pipe Cell of Z to s aggregate Observation. Pipe (Aachcr S4&C=e1Y ) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Page S of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45 fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,: threaded cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. pvC Fb� �Lateral Manitald X x x x xf1 xQ x x x I x Lateral Length — Lateral Length — p Distribution Line L PrN V t ip - -- P ` PrcGs soX --0 S pvC �=oQC� Yj pliq o -- P 3 3 Ft. Hole Diameter Inch S 3 Ft. Lateral Inches) X _-L Inches Manifold Z Inches Force.Main " Inches # of holes /pipe I1 Invert Elevation of . Laterals qt - l5 Ft. l� Y- o, .q�x b = �1 t .6Z ��►� - Combination Sept,; c: and " PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS PAGE OF VENT CAP WEATHER PROOF JUIJCTIOW 5OX . ti C.Z. VENT PIPE .APPROVED LOCKIMG 2 10' FROM DOOR, M,IIJHOLE COVER ;4JI V -iWDOW OR FRESH wARtJI►JG LXSEL s ?�G10►.J PtPE� A� /Fn%::n r d - IUTAKE cor�Cu�r tj w ' Grp I tj Fl Iv tS!}© I HIJD. • G�oE I _ _ 18' AIJI. 18'M11.1. ---- - - - - -- IWLET PROVIDE AtRTiGHT SEAL I ( I Approved z�- ��Ra A ( I�( Approved joint w/ {�_18D0 � joint w/ PVC pip 6 . 11 ALARM PVC pipe • I I ( I ow C, •I I - I�.3 3 I I CLOY fT. �j' I PUMP OFF 0 COUCKETE . tJ BLOCK RISER EXIT PERM17rED OIDLtJ IF TAWK MAJDUFACTURCR HAS SUCH APPROVAL 3NAAPko gEDr� t N>; SEPTIC E SPECIFICATIOILJS OOSE _ TAIJKS MALI UFACTURER: e,�Z- u{MBER OF DOSES: �� 1D � 1 Z PER DAB TA MK !AZE : — OU L 8013 GALLOk1S OCSC VOLUME z `I ALARM MAUUFACTURCR: IWCLU01AJG BACKtLOW: 1 3 't GALLONS MODEL ►DUMBER: CAPAITIES: A= 18 3 • C IAICHES OR L ��b• GALLONS SWITCH TZFE: - �� °C- ��CZ�� 5 = IWCHES'OR 4 G�LL 01.15 PUMP hMAUUFACTUR><R: C = I u CHES OR ` GALLOU5 MODEL 1JUMBER: 0= ZO Z2.2.� INCHES OR GALLOAJS SWITCH TYPE: M U 1JOTE: PUMP AUO ALARM A R TO b D - i. MIWIMUM DISCKARGE RATE L4 1'8Z GPM INSTALLED CJW 5EPARATE CIRCUITS VERTICAL DIFFEKENCE DETWEEAI PUMP OFF AAIO..DISTRIBUTIOU PIPE.. � L�Z FEET + MIIDIMUM AJETWORK SUPPLY PRESSURE , ; . , , , S� FEET (' - \ �L 1. 3 , + SS FEET OF FORCE MAIN X �' F oFLFKICTIOU FACTOR.- -Old FEET TOTAL DyWAM1C. HEAD = ZZ 119 FEET As per manufacturer. Zz gal /in. Liquid depth . 3 6 Goulds �E'7 t Submersible -� Effluent Pump 61 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. Available for automatic and Motor: tic cover with integral handle • Farms manual operation. Automatic 'and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical Dewatering RPM, , points. • Water transfer 115 230 15 Float Switch assembled and ■ Power Cable: Severe duty • built in n overload ad witit h automatic reset preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 impeller Thermo- • Solids handling capability: automatic reset. plastic Semi -open design /a' maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING r • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. CO. Canadian StandardsAssociatian • Total heads: up to 24 feet. with three prong grounding • Discharge size: 1Ile NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in 7" or "AC ".) rotary/ceramic - stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 j • Capable of running dry without damage to s 30 components. Pump: EP05 s — - - -— ..•. • Solids handling capability: 0 25 ' 3 /' maximum. a LU Capacities: up to 60 GPM. 6 20 i • Total heads: up to 31 feet. • Discharge size: 1 NPT. i • Mechanical seal: carbon- 0 5 15 �>> rotary /ceramic- stationary, i BUNA -N elastomers. 4 ! EP05 • Temperature ° 3 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. 2 i .- 5 1 J 01 o il 10 20 30 40 50 GPM 0 2 4 6 8 10 12 M CAPACITY ®1995 Goulds Pumps, Inc. Effective May, 1995 83871 r A i s Wisconsin Deperbr+ of Conwrwame SOIL EVALUATION REPOR Division of Safe b and 9ullding s In accordance with Comm 53. WI& AdnL Cede n County attach complete silo plan on paper not less than B 1/2 x 11 itches in size. Plan must include, but not limited io: vertical and hort entol reference point (BM), direction and Aarcd I.D. parcent slope, scale or dimensions, north arrow, and Iooslon and dbtanoe to nearest road. • Please pfhill' all Information. Reviewed by Dal! Psrww i wrtation you provide mey be vow for "conoafy purp0t4s (Privacy Low, 5, 16.04 (i) (M)). P roperty owner perty LO ( 3 Q � j Govt. Lo 1 2 14.5L 214 S TE ( ar W Ptvperty Ovener's Mailing Address Lot # locW UK Name GSM# ( - rb Ci See zip coft Phone Nvfter City Vllage 12 TOM Nearest Road R New Construction tJse: Z Residential l Number of bedrooms Code derived design flow rate I GPD ❑ Repiacemant ❑ Public of eonwrierciat - Describe: Parent mater;ei I �1 _ _ Flood Plain a ration If applicable � — fL General comments and recommartdptione: Y �T rJS� � I v �U� G� • " Orin ❑ Boring B oring I ❑ pit Ground aurlace elev. • 7 (l. Depth to Itmtpng factor y �� in. W1 App (oation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bound Roots GPbIR= in. I Munselt Qu. U. t pr,t. Color tar. Sr- Sh. •Eff*l OEM rF r �. BMW It ❑[daring CA �� Mt Ground surface elev. ?V — 76 . ft. Depth to limiting factor in. $oli icaticn Bute Horum Deptir Dominant Colo? Redox Description Texture Stricture Consistence Boundary RoM GPOW in. Mur"I Qu, Sz. Cont. Color Or. St. Sh •ElNF1 OF 1 z- 5 19 3 6tttusnt #2 a BOG > 30 < 2a0 r++1j/L and TSS r30 < 2 t30 mr,�l. Efflu fit m f3 t 3D m lend T5t's e s _ _ �. 9� 30 m gfL CST Noon (Please Pdril) ,.3lgncrture .�� GST Nurnber Address Dots LvWvarion Conducted Telephone Nurn bet WGdd Td Wd9S : b0 Z002 L0 ' i nr r _ Pam Parcel ID # property Owner Boring # Bering Ap ication Flat® S9 , - 5(-) tt, Depth to limiting to r -in Ground surface t 1ev Soil Pit G1 Texture 31ructure sistence B0u ry Rvow Depth pgmkrant Color Redox description '£tfiM TIM 1-loriz p Gr. Sz. Sh. in. MAW tau. St. Corte Color Z F owin 0 p Bvrelg _ im pit Ground stftce etev. �] „�._._.. �- Depth to !lmtting factor S4iE Callon Rate Texture Structure Consistence Boundary Roots GPDIft Horizon Depth Dominant Color Rsdolc Descripti •Eff/1i 'Eff#2 In. Mansell Qu. 5z. Coat Color Gr. Sz. 5h. Boring # Boling ft. Depth to Umltinq factor _ in. Gramd surface elev. te r. Soil piiaaEion � pit riz Texture Structure Consistence Boundary Roots GPD/fM Hoon Depth Dominant C01or Ftedox C3escripilon Sz. SSK OEM •Etf1f2 in. Munaell Qu. Se. Cont. Color Gr, • Elttuent # . = SOD, 0 30 a 220 rngn. and TS5 m30 T 154 ct1g/L Etlluent 02 a SOD$ < 30 M9& and TSS < 90 rng& T13e Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services Or deed material in All alternate format, please cuntact the depatttnctst at 608- 266 -3151 or'' 608.264-$77 Srtl1•83301a o7mct Ed wdzi :ba Z0e2 zO •tnr ON ul�.j : woaU I , PAGE_a LOT# SCALE: 1" BM I ELEVATION Za2,—(-- BM I DESCRIPTIO BM 2 ELEvAnoN-- BM 2 DFSCklEyrTO rC 4e SYSTEM ELEVATION SYSTEM TYPE L�U as coNTOUR ELFIVATIO lo,00 T j�cw-er wi t SIGNATURE 1) Al I Ed WdLT:VO FOOP- ZO Inr 'ON XUJ WOW i Wisconsin Department of Commerge SOIL EVALUATION REPORT Page I of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County . Attach complete site plan on paper not less than 8 1/2 x 1`! inchei[i2d: Nltan rat L include, but not limited to: vertical and horizontal reference poinftl* ir coon and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. / _ 74 — Please print all information. eviewed by Date % D Personal information you provide may be used for secondary purppses (Privacy Law, s. 15.04 (1) (m)). iZy_� �fp Property Owner Property v ze � Locatiprv6 60b e arv, Govt. Lot' ff& 1/45(= 1/4 S 2 T 2 N R /'J' E (or� Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# I Icy Ci State Zip Code Phone Number ❑ City ❑ Village Ij Town Nearest Road New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material I I Flood Plain elevation if applicable - J . 1,4 ft, General comments and recommendations: r ` JT e 'P "e u, rO/( rc(�, 9Q, Od © Boring # ❑ Boring ❑ pit Ground surface elev. %. �� ft. Depth to limiting factor - 14 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 c) ( 3I2 — C 2 — �� c� 5 g -�5 ( F 5 y - F 11 Boring # ❑ Boring 9 pit Ground surface elev. �_ ft. Depth to limiting factor 2 -! in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i b� Z — r c 5 �.-� • S -� 2 - )S k r c 3 I 5 B 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) : nl a ture CST Number Ad � - 53 Address Date Evaluation Conducted Telephone Number Z4 -4009 cr� �110 (R07/00) Property Owner / Parcel ID # Page of ❑ El Boring # Boring . 3Q ft. Depth to limiting factor 2. in. Pit Ground surface elev. g R*Eff cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2 1 p - 5 1 Zf 3 2 �� AF 7 L 2 -- ❑ Boring F-1 Boring # ❑ Pit Ground surface elev. ft. .Depth to limiting factor i "• coil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ F Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity 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 (R.07 /00) i PAGE, OF NAME Ca yy, 02 h e I I LOT# LEGAL DESCRIPTION-S X&6 X ,S � o? F ,N,R, E(or� SCALE: 1 "= BM 1 ELEVATION O BM 1 DESCRIPTION do ,' l i' n " ('/t rry - ,e BM 2 ELEVATION 166, U BM 2 DESCRIPTION na ,' l , " S ('C. D SYSTEM ELEVATION q d . J SYSTEM TYPE t" 0 U 4 y (�j L v✓1 + T x CONTOUR ELEVATION `�C� . 00 I � - �, c - o , w s ass r►�a c� • C Sewer fptK `�' o pct Sysfc� WO C/ SIGNATURE r _ DATE <1 - / 3 - 0 f - Safety and Buildings f 4003 N KINNEY COULEE RD _ LA CROSSE WI 54601 -1831 Ric -IVED TDD #: (608)264 -8777 sconsin www.commerc .wis ons Department of Commerce www.wisconsin.gov • 1 7 2002 Scott McCallum, Governor Philip Edw. Albert, Secretary ZONING OFFI October 17, 2002 CUST ID No.267341 ATTN: POINTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN ST CROIX COUNTY SPIA SERVICE PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/17/2004 Identification Numbers Transaction ID No. 795544 SITE: Site ID No. 651671 Robert & Sandra Campbell Please refer to both identification 1032 110`" Street numbers, above, in all Town of Warren correspondence with the agency. St Croix County Part of NE1 /4, SE1 /4, S8, T29N, R18W FOR: Description: Four Bedroom Replacement Mound System Object Type: POWT System Regulated Object ID No.: 874572 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01 (10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. ARTHUR L WEGERER Page 2 10/17/02 • Comm 83.22(7) - 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. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101. 12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART code: 7633 cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF WARREN COMPUTER NUMBER 042 - 1021 -70 -000 Parcel Number 08.29.18.1258 OWNER NAME: First ROBERT D & SANDRA Last CAMPBELL PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 1032 110TH ST SECTION 8 TOWN 29N RANGE 18W %160 SE 1 /440 NE Line Description Line Description TOTAL ACREAGE 4.010 PLAT CSM 02/314 LOT1 BLK 01 SEC8T29NR18Wa.013AIhL 15 02 NE SE LOT 1 CSM VOL 2/314 16 03 3185 & PARC 17 04 COM NE COR CSM 27314 S 18 05 89'W 525FT; TH N 00'W 83FT 19 06 TH N 89'E 525FT; TH S 00' E 20 07 83FT ON E LN TO POB 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit i I I r Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of bor and Human Relations 'Division of Safefy & Buildings in accord with ILHR 83.05, Wis. A , COUNTY t' Attach complete site plan on paper not less than 81/2 x 11 inches in size. PI nclud , but Cd' not limited to vertical and horizontal reference point (BM), direction and % of sc di . qEl I.D. # dimensioned, north arrow, and location and distance to nearest road. ; 9����'' !.' =�� – Qo?l _ 60 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATIO RqYE ED BY DATE pp J �. PRO PERTY OW NER: ii CC PERTY LQCRT10 i:. j O i•,.` �v 1 0 �d C 16 C OA. LOT 1%t 1%4 F /d, 8 T 29 ,N,R J0 SOW PROPERTY OWNER'S MAILING ADDRESS L * ` #' U, OR CSM # a.2 00 Ue- CITY STATE ZIP CODE PHONE NUMBER (]CI I E N NEAREST R0 AD r>/s i�SC..- sva -.23 451 ," bl] New Construction Use [)q Residential /Number of bedrooms L3 Addition to existing building j J Replacement (] Public or commercial describe Code derived daily flo gpd Recommended design loading rate NP ed, gpd/ft .3 trench, gpd/ft Absorption area required t1 f P bed, ft 1660 trench, ft Ma)dmum design loading rate gi bed, gpd/ft .3 trench, gpd1ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) 5haf - Ilc�-Arnuh a f'."L b� Additional design / site consideratior� or row dire k L L � Parent material Gl �� Flood plain elevation, if applicable A.t /A It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ❑ S EaU ® S ❑ U ❑ S CR U ❑ S ® U [I S BU ❑ S S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench z M t v- O al S m 'r 3 Z .� 3 Ground 3 m elev 56k tC Depth to S' 7 " V4, rn Al limiting factor j y9 _S9 l0 Z '316 5'�. l s k M y fit AJ- Remarks: (b - i �- L S e` `kt- S pr k . , Boring # ban& 5 t o c. 3 I (o , s 4,/6 l cr S I-� e r r e 3 i V S an S D �2 (o Ground � � Q elev. ft. Depth to limiting factor Remarks: CST Name:— Please Print o L _ Phone: A ddress: / 7�U� '�ttE 1Vx /S6e Signature: �� K. Date: CST Number: /� Av a z .-e-c- /o/6;'o 045 G /o�, Page of i f PROPERTY OWNER � �w` w I t U-0 SOIL DESCRIPTION REPORT � PARCEL I.D. # �'�{ o � — /CJ o� ` �� • Depth Dominant Color Mottles 'Texture Structure Consistence Boundary Roots GPD /ft . Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rends =.M: =, ;. : : A z l S 1 rr1 c S 3 rr,, , a . •,� Ground 3 1 7-32- /0-vg, eft. �( 3' _y© /d 51._ 1 rw Sb M Fe AS 1 14 � S Depth to S yp °_ 7' AI S D rn limiting factor A48 n c Q _ Remarks: 1 o �� oc- F `� Boring # f 07 ' 5/ Ri C "•R / T n a r p . i JRA„1,. Ground elev. n Depth to limiting • factor Remarks: Boring # 10 / INA 3 fig„ 7. , :. Ground 1 8 elev., J / .5 D m M L T' t , 93.� / 0) t2) Depth to limiting ,5 factor Remarks: ' b awls Boring # w x a fi & OMAN Ground elev. n Depth to limiting factor _. Remarks: _ .. SBD- 8330(R.05192) S 1 TE PLAN 9z ME H : W�.$S�9_N� 9'1 43 s. 3 g3•� � � 5. i3 93 9Z 9lo DATE: 97 \ 9$ 99 P3. - 93' © Tcm Pot O - _ —� �, C� ( •�._ Cove � u r �. -.iY�� loo O s�1 Ste. c1 ( M•4 o to ko ZD tg.m nod — "Z-_e% 98 . 9 _ 9 .. __ - -_ -! a/oof ���__.. - r8. P7_ ! C ff -r )9 0"xra -- / /0- -' * St . of ,�ra�r�U, 1 z' z n d 8�' 09/03/20.12 11:57 715386717;: WADDELL & REED PAGE 01/01 Sal,umakar Plumbtnq FAx N©. : 7153863121 Sep. ® 21102 i0:16AM P1 ST CROIX COUNT* SEPTIC 'TANK MAINTENANCS AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _ _tea 64 r Mai." S Ad&M LOA .��•x -th ,t..,r�. ' ~ ,O.a— bo 1 admi Property Addnw I QLa I! t ; W l o 2. (VariM stioa mgaicad &= Phaniug Dept enm fnr new caumtotion City/State P=d Ideritiflcallon Number U `7 z— •l Q t MMAL JWA MTMN . J2sr3 Pt6pefty' I.ocW= .&L 1 4, 5�_ V•, Sec. Te—f N- AZZ&VTown a° 84 8ts�diviaiplz Lot /A Cerigled 1 wro M ap # 3 � � � 1 � . �dk=0 Z , # Warranty Dad 0 Volume Page # of '75 sper; bcuaa b yes X Lot line identifiable Q YNX Ito tee. P ermsLIMAar N in $inure to handle rues top c s stet could result is palmamrs stae sad maiaaonrnceaf yot,r septl y a 1 ed 'What You bft the a' needed icertc y P'm Cando of pumtrms ow dw aepRit~ W* e�v+ay dim Yom at 06M, if oaa & eot ow Amcdoa of robe septic manic as a maw= op in the waste disposal rystern. The pr aV owtaar,agrees to 3abt,ait to St a** Zoning DepaemUS a aers9f'tcation form, od by the cwcw snd by a =st+tptwabea, jattwymanp1MMber, or a hcomd put qm vwifOm brat(,) the C'p-eike wmbwausrdisposltl system it in prop .IF opwatiag eopdWm wd/or (2) afwt iarpcctian tad puMiAg (if mommy), the teak is last that V3 M Of sludge. !/pre, the xtaderatnedhawe read dw above requinosmts aad.asrae to maintain tiro prf.oue sewap diepalal system with the standards tot ford,, herein, ae net by the DgpuUnto of COM "woo tad to Uepastmeat of Natuxal Resftrces, Staue Of'Wiaee0atn. Cbrtiflaatiea datinh tbnt 7►= eapda tystetn lsaaUm usbu teed moat to cw*1eted ad retatraed to the St. CrOix Couttty 202iag Ofb;c wit 0 98 e of dw three year mrpdtwn date. S1fiN1►TtJkB OF APK1CJW DATE 9.9=- 33MMON I (are) cam' that all atiatMWM On this f0m ace txw t0 the bent of my (OW) k3owiedge. I (we) am (ere) the owner(s) cif tho desoribed above, by vlriuc of s wa maky deed twxded is Resists of Deeds Office, 0L SIGNATYJ7L8 QF APPUCAW DAIS $mess* Aay iutoroaeieu dW 1u nis- "pu+esemed may result in tbt sapdtary permit bolas rooked by the Zazking Dspertttaent. * +" • "� x* ItrdWM tirb this appiltatl= a "ed aratratV dead !lore the Resistor of Decde OXWO a copy of %# aartifaed attrvey ,pap if refa aae is made In the wsnittty deed THIe GV AC a 11941XVtG PON R[COROIHe DATA �t]CUMENT NO So BAR OF WISCONSIN FORM 1 -1 , WARRANTY DEED 401428 40.. 710? Gc4 —' REGISTERS OFFICE r This Deed made between .......... . ST. CROIX CO., WIS. i�anl.eJt- .A,... Sul - t[Ql -s1 -_ Ad • � herd �..E,... ?. 1_ tt�l- �1.. ...................... Recd for Record " 22nd husband.. and._ tidfe.. 1 ...._. ......................... of April A.D. 19 s5 ' Grantor ........................................... ................................. and .... Robert_ D..._ CampbP- li _.and_Sandra-_liopkins- Calopbe 13.......... 1 husband.. and .xife.--- _-- _-- __----- • . . . . .. ........................................... .... ....._.. - •••••••...--•- • .............. .. Grantee, I �` Witnesseth, That the said Grantor, for a valuable consideration._____ C_____________________________ -------------------------- _------------------------- ------------------------------- RLTURN To conveys to Grantee the following described real estate Ln _St_.CYDiX ................. County, State of Wisconsin: A parcel of land located in NE} of SE} of Section 8, Township 29 North, Range 18 West, St. Croix County Tax Parcel No .............. _ --------- .. ------- ' Wisconsin described as follows:_ lot of rprt;r;p� Survey Ma oi o eds for St. Croix Count on October 22, 1976 in i Vol. O of Certi a urvey Maps, page 314, Doc. No. 336169. i d TMNSFA E FM r This __.___._! ---------------- homestead property. (isj (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And...-- ••••• .............. .• ......................................................... (� warrants that the title is good. indefeasible in fee simple and free and clear of encumbrances except it j and will warrant and defend the same. Dated this --•---..------ -1i•<= •- --- ----- --- --•- ... -_._ day of .._.. jC --- .--•- •-- ••- •------- -•--•- •--- -.- 19- i !! ) ........... .... ..••- ••----- _-- ••••- ......' SEA i ................ SEAL (') h • ' .................................. .•..-_ °_._.....� "�� ii Stanle A. ullwold __ ^• f SEAL • SEAL "t+ i - - -• - _ - - - - -. ------•-------------- --- - ------ •---- - - ............ : Vi a : .. • -Iher_esa.- E_-- Sullwold ' � S. O AUTHNNTICATION AC KNOW LBDO4&"T. ( STATE OF _V9zCoXS.iN t la's ��'•.. •* g'� P� (; Signature(s) ----------------------------- ------------------------------- .. ..................................... .....•---- _._......__..............._.... _.. .......��..�1. r�._...... - - -•- .County. �/ �_ authenticated this ........ day of ........................... to ...... Per nally came before me this ...- --__ day of ......--- •__... 19_.1. the above named (-------------------------------------------------------------------------------- husband and wif TITLE: MEMBER STATE BAR OF WISCONSIN .._.._..--•-••-----•---• ..................................•__-•-----....-------- (If not_ ______________•-•--- anthorized by 1 706.06. Wis. State.) to me known to be the persona ---------- who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY 1 i Edina_.Agaitya_. Ins._____ __________ __ ____ ___ ______ _ _____ C" �(. 4010 West 65th Street •..i.✓.r�J__..�.. � Edina; itli r:nesota 95435 Notary Public ........ ..- --_•L — � -ts c - •- --- _•• --- _--...County, Wis- (Signatures may be authenticated or acknowledged. Both MY Commission is permanent. (if not, state expiration are not necessary.) date: 1-1----- -- ------ •_•- •--••-- -._.... --- -1 1945 M •Nam+ of persona sirning in any capacity should be typed or printed below their signatures. WARRANT! DSSD STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Ine. FORM No. I — 1988 Milwa Wis. r CERTIFIED SURVEY MAP I. Arthur L. Weg;erer, registered land' surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin.. Statutes and the provisions of the St.Croix County Subdivision Ordinance and under the direction of Donald Erler, owner of said land, that such plat correctly represents all exterior boundaries and the subdivision of the land surveyed; and that this land is located in the NE4 of the SEW of Section 8, T 29 N, R 18 P1, Town of Warren, St-Croix County, Wisconsin, to -wit: Commencing at the Southeast corner of Section 8; thence N 0 °15 W along; the East line of said ection a distance o 5.78? to the point of beginning; thence S 89 '44'48 1, W 525.00 thence 11 0 W 250-00 thence N 5904414811 E 525 .00 1 to the Section line; thence S 0 °15 E 250.00t to the point of beginning. Contains 3.013 acres of land subject to existing Town Road Right -Of -Way of 0.366 acres. Dated this 7th. day of October 19760 •��'' Arthur L Wegerer 8136 �ae'�, - %� Wis. R.L.S.No. Dittloff Engineering; Company 12 11 j �c ;River Fal'1s w C W "DER ~ FILED = s "�' • �_ ELLS':+NORTH OCT 22 1976 WIS. . MAZES O' CONNELL , �' e / �� °. �•• Q Realow of Deeds +��, ( •'• °.ay. O �. ;?, 54 CMIX County, /A .,.`o$' Wisconsin N 89 E 525.00 ' 900 459. 00' 66. � Ap •" 0 0 O APPROVED � 3 N N .. _° �* OCT 2 01976 3 LOT I �_ N ° Ln w ST. CROM C MY 3.013 ACRES 0 N N COMFU 04K PAW G ' 0 0 , Argo z004ING COMW ee 0 0 J8� o z 0o 00 S go ° 463.52' 61 S 89 °44' 48" W 525.00 Z: ti 3: ti 0. F-; 0 I "X 24" IRON PIPE WEIGHING 1.13 LBS. /LINEAL FOOT. 3 SECTION LINE (V 0 0 8 C. S. M. AT z ORTH SE CORNER SCALE IN FEET APPROVAL OF THIS N DOES NOT MEAN APPROVAL FOR SWC: 200 loo o loo SYSTE6L REFER TO N62-W .� � iU VOL 126sPACE:!i09 OW z ;I STATE BAR OF WISCONSIN FORI4 11 — 1962 S658b4 Ii LAND CON ?l oCT Individual and corporate - TO BE USED FOR ALL TRANSACT ONS WHERE OVrR DOCUMENT NO. 11 125.010 IS FINANCED AND IN OTHER NON- CONSUMER i) ACT TRAM:ACTIONS) Contract, by and between rihdjntaa T gtillwald and _ REGISTER OFFICE husband. w ife, ST. CROIX CO,, WI hu - - Reo'd h► Raven ( Vendor ", :ether one or more) and RQbert Q __CaMP b °l l artd gandra SEP 2 4 199 I opki ns t impbe _husbandl and wif ( "Purchaser ", whether one or r•ore). ndor sells any avree< to convey to Purchaser, upon the prompt and full performance 4 R� stir of e,.do this contract by Purchaser, the iollowng property; together with the rents, profits, ,tures and other appurtenant interests (ail called the - PToperty "), m _ St dti- x County, State of Wisconsin: THt SPACE RESERVE FOR RECORDING DATA NAME AND RETURN ADDRESS j1 ...... ►..: %1ULA Lilz, Estreen & Ogland P.O. Box 359 (See Attached Exhibit "A ") !Lson, WT 54016 I ��= `�eL`�• �' ` PARCEL IDENTIFVCATION NUMBER , ( 1770 as Parcel A j The cel shown /on this document is beinQ added to the parcel shown on ` the docwnen recur in Vol. 710, page 475, S o i x tufty, one parce this transacton is thereny exempt from Chapter 18 of the St. Croix County Land Use Regulations pursuant to Sec. 18.05(A)(3). This i not homestead property. ,N= (is not) Purchas; r agrees to purchase the Property and to pay to Vendor at _ p Venda directs sum of s_12,Sf%O 0 - in the following manner: (a) $ 1 0 500 - 00 the exectaion of this Contracr. and (b) the balance of S31 t 000-00 , together with interest from date rcof on the balance outstanding from time to time at the rate of ni nP (9%) percent per annum until paid in full, as follows: 10nuencing on the 16th day of October, 1997, and on the 16th day of each and every month thereafter, equal monthly instalments of principal and interest in the amount of 5454.16. Provided, however, the entire outstanding balance shall be paid in full on or before the — day of Sept fflb?r- 2005 ?OpOC (the maturity ;:ate). Following anv default in payment, interest shalt accrue at the rate of —10_ per annum on the e,aire amount in default (which shall 6tde, without limitation, delinquent interest and, upon acre!eration 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 .rasmt nos fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these �hgations when due Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow ,nd or trustee account, but shall not hear interest unless otherwise required by law. Payments shall to applied fir:, to Interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid uLout premium or fee upon. principal at a..j time In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of , nncipal, and interest (and in ouch case accruing interest from month to month shall be treated as unpaid princi is less than the amount that .ud indebtedness would have b:en had the monthly payments been made as first specified above; provided that monthly payments shall be tntinued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchase: is satisfied with the title as shown by the tide evidence submitted to Purchaser for examination except: Pone Purchaser agrees to pay the cost of future tide evidence. !f title evidence is in the form of an abstract, it shall full purchase price is paid. Purchaser shall be entitled to take possession of the Property on O One STATE BAR OF WISCONSIN IND CONTRACT - Individual and Corporate Form No. 11 - 1982 Vol 1266 MUIIO Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendors interest in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of S Nth but Vendor shall not require coverage in an amount more than the balance owed under this Contract. 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 original of 0 policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of toss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specifted,Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: � aaPnwnts . , rantrictiacls and rights — of — way of recorrda if any. I Purchaser agrees that time is of the essence and (a) in the event of a dcfauh in the payment of any principal or interest which continues for a period of An days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of _60 days following written notice thereof by Vendor (delivered personally or mailed by certified mail); then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendors option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchasers rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchasers full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if Purchaser fails to redeem); or (ii) Vendor may sue for specific perforw4nce of this Contract to compel immediate and full payment on I the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet - title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and i have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as incurred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment to a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or e"itable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long -term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchasers interest under this Contract solely 't as security for an ?ndebtedness 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, at Vendor'. option without notice. f� Ver,lor 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 sucn payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments trade on this Contract. Vendor 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 representatives, successors and assigns of Vendor and Purchaser (if not an owner of the property the spouse of Vendor for a valuable consideration joins herein to release homestead tights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof) Dated this _ (,(i?�''" day of SeptgBber 19 97 (SEAL) (SEAL) • J. Sullwold D bell (SEAL) (SEAL) • M. Sul.lwold Sandr - 1 �''�,•t ,..e p, , ;At THENTICATION ACKNOWLEDGMENT sf, J. SUllwlold S'��° , Nona M. State of Wisconsin, ' V ,dtol�rt D. (Wmpbell, Sandra H00drls- ss. _ County. • autt t11le _ day of September , 19 Personally came before me this day of 19 , the above named . K rist Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, — arrhorized by 3706.06, Wis. Slats.) to me known to be the person wh ° instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland ii ra W S Notary Public, (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, % necessary.) • Names of persons signing in avy capacity should be typed or primed below their signs -nres. LAND CONTRACT - Individual and Corporate - State Bar of Wfscousin, Form No. 11 - 1982 - VOL PACE T11. EXHIBIT "A" 3 - PARCEL A- That certain parcel of land located in the Northeast 1/4 of the Southeast 1/4 of Section 8, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, more fully described as follows: Commencing at the Southeast corner of said Section 8, thence North 00 degrees 15 minutes 12 seconds West (assumed bearing on the East line of the Southeast IA of said Section 8) a distance of 1825.78 feet, to the POINT OF BEGINNING, of the parcel to be herein described; thence South 89 degrees 44 minutes 48 seconds West 525.00 feet; thence North 00 degrees minutes 12 seconds West 83.00 feet; thence North 89 degrees 44 minutes 48 seconds East 525.00; th ^nce South 00 degrees 15 minutes 12 seconds EAst 83.00 feet on the East line of the Southeast 1/4 of said Section 88 to the POINT OF BEGINNING. AND )Ao{Gk�< "f CIS Qa f D - PARCEL B- Lot 2 of Certified Survey Map filed November 27, 1996 in Volume 11, page 3185 as Document No. 552650. Being part of SE 1/4 of SE 1/4 and NE 1/4 of SE 1/4 of Section. 8, 29N, 18W. St. Croix County, Wisconsin. E i • �01/1L��' - zee Z m� e 19 Kn j N H WALSH r R episterofDeed s \� 552650 St. Croix CO., W1 ti CERTIFIED SURVEY MAP 5 J." ' , DONALD AND DORIS ERLER Part of the Southeast 1/4 of the Southeast 1/4 and the Northeast 1/4 of the Southeast 1/4 of Section 8 Township 29 North, Range 18 West, Town of Warren, St. Croix oun , If N 88'28' /7 "WN LOT C-S. M,, V 0 t ` , PA 6E 314 4 43 OS E //4 COR. SEC. 8, r29N, R/8 W, N 89. 44' 48 "E 435. 60' !COON T Y SURVEYOR'S MON.) 375. 23' 1 60:3 7' I Owner's Address C/O Tom Sullwol (Son) 1228 100Th Ave. I I o Roberts, WI 54023 I 6 6' ., , OVED LO T 2 t 3 to O 2.300 ACRES I of O 1RJ1��n[ 7 ° /08,900 S0. Fr. I O h O N O � N 2.164 ACRES EXC. ROAD R.O.W. 94, 262 SO. Fr. I 'I 1 130, YIFOIX COUNTY Q I I ;P- Plannil O 2 vJ %Z1 pabg and Q o a I I Q�o�nalt too ,, I I h S 89 44' 48. "W 435.150 Q ' i v Q 3 3 7 8. 8 7' I 5 6. 3' J 1 ' t ':9 t recovdW , W N i , 70' Q 30 days of h ROAD SETBACK LINE I •.- 4vatdato I I s• gal Shan be h a LOT3 I " M Z) J 2.500 ACRES o /08, 900 S0. Fr. I hl N W j m m N I z I W h 2. / 83 ACRES EXC. ROAD R. 0. W. 95, 173 S0. Fr. 00 , tea iU S.89-44'48"W 433. 60' I 128.04' 254.47' 53. 9' 20' �� 307.36' v I �, \Sv /2W Dated: Sept. 26, 1996 I I I =♦�� .•••• " "'••• /� ito 3 N• o Indicates 1" x 24" L ,4 I ^ I S m R W M P �•LAU HY iron pipe weighing • �_ I •• " , � 713 a.. 1.13 lbs. /lin. (n O 2.300 ACRES I ° bl ft. set. Q a /08,90/ SO. Fr, ° V ALLS, n h 2.08 ACRES EXC. ROA R.O.W. W �` SC '' *Indicates 1 Z �, 4 a I bl � ,9 •.... •• ' ,, ♦� 9/, 0/7 SO.Fr. N found .% •� iron pipe I m ► Indicates J 3 ° 31 pots lot, driveway location. h `�� �• I MI nI Laurence W.. Murphy i 'Registered Land Surveyor This instrument �" o drafted by Q 2 =1 po l c Laurence W. Murphy A j /00' 1`� obe.r� 5 U-) 239.63' 1 47.9 ' I. S 89 • 44' 48 "W 307. 56' SCALE / " : /00 UNPL A TIE LANDS SE COR. SEC. 8, r 29N, R 18 W, SURV YOR's MON.) O 23 30 /00 /50' 200' 300' ^ � E SHE ET 1 OF 2 voLUME 11 PAGE 3185