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042-1093-95-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 363805 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID o: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. (/1 7 5 Permit Holder's Name: city Vi ge X Township Parcel Tax No: _S / L-r✓v+_W Warren, Town of 042-1093-95-000 CST BM Elev: Insp. BM E14: BM Desc ' tion: ` Section/Town/Range/Map No: 33.29.18.519A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ell Z C r 7z ~ U , Dosing AEI ..HM led 17/ /07. Aeration BldgI. ~rtJ ,4- Holding St/Ht Inlet - _r_1 IV I q q l r GOh /D/,GL / 71 St/Ht Outlet TANK SETBACK INFORMATION / S TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom ~a Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade' r ILI r" PUMP/SIPHON INFORMATION NO f ock L~ - ~•7/ Manufacturer Demand St Cover GPM Z ~r S2 5 / / Model Number ~l/e,Q Q /•Cv7 / 10 7- TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG EL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type OS System: , UNIT Model Number: DISTRIBUTION SYSTEM -}v b Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of 77d/Sodried xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:1 171"' Inspection #2: Location: 1132 60th Avenue Roberts, WI 54023 (SE 1/4 SW 1/4 33 T29N R18W) NA Lot 3 ?6z Parcel No: 33.29.18.519A 1.) Alt BM Description = r , 2.) Bldg sewer length = l~ D [ C QQ Z ~YI/kCK L elrn ~Il I (IiytG t/V 1~ d- - amount of cover = ?b to- `4w~ JAAQ~~ ~J Plan revision Required? 0 Yes No u~/~~ Use other side for additional information. Date Insepctors ignature Cert. No. SBD-6710 (R.3/97) Private Interceptor Main Sewers 1 July 1, 2002, Comm Table 82.20-2 1 4 inch diameter private interceptor main sewers no longer require department review 1 Counties should review designs 1 Code change pending regarding department reviews for 2 buildings served by one POWTS 1 Defined: Means a privately owned sewer serving 2 or more buildings and not directly controlled by a public authority a~- 16 c err Private Interceptor Main Sewers J Comm 82.30 (12) 13 Yr. Setbacks, pitch, 'N- _ Cleanout installation same as = n w f . = 4" PVC for building sewers c c> `~Blllldl Comm 82.30(11)(c) A RN: Sewer (d), and (e) Frost protection same as for building ,x Pri vate Directional Fitting sewers Interceptor Frost Sleeve I CI snout r uired at Main Sewer the mo CO in Direction point of the PIMS Holding of Flow See Comm 82.35 + Tank Cleanouts 100 ft access Road apart. Cleanouts require a frost sleeve Private Interceptor Main Sewers Comm 82.30 (12) - r ® a = 4" PVC Not a PIMS when Building 2 separate pipes Sewer are used in Directional Fitting approved inlet/outlet POWTS access openings Pri vate p~ trr Openings are not . Interceptor -C Main Sewer Holding considered Taal: cleanouts because of possible / component I Access Road damage Watertight Tank Joints s Pipe to tank joints must be an approved type as n Y" well as watertight F f a .w. as :tire - No concrete joints, openings cast in place or smooth bored. V O 1 1~l{ J \ !li OS fl , m Q ~ a ~ u~ ~ P z Li~6 1 i 4 IN ~ i d tom` ~ ~ j% ~ \ ~ ,r Q ~a I 01 Co ty Sanitary Permit Application ST. CROIX COUNTY WISCONSIN G~p,~v{►~q I 4iih Chapert 12 St. Croix County Sanitary Ordinance PLANNING & ZONING DEPARTMENT t0~1~~7r information you provide may be used for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER 7 [Privacy Law. S. 15.04(1)(m)] 1101 Carmichael Road ~1, Hudson, WI 54016-7710 4 (715)386-4680 Fax (715)386-4686 ` Att ch plans for the system on paper not less than 8-1/2 x 11 inches in size. Count}l lt" ermit # ❑ Check if revision to previous application W$ ..7 Property Owner Name 1/4 SC /4, Sec 1. Application Information - Please Print all Information [Subdivision on: ~~/v L1i dIC/' 0 J N, l R E (or) Property Owner's Mailing Address mber Block Number City, State Zip Code Phone Numer Name or CSM Number 13 5 6 1 S t 11q b2 220 ; 3 1 11 TTYRP of Building: (check one) ❑ Village ,-Town of ltk 1 or 2 Family Dwelling - No. of Bedrooms: /iCc~SSG (t{~fa'~DY y I V1 pr ke- LA aiit e ❑ Public/Commercial (describe use): ❑ State-owned Nearest Road IL Type of Permit: (Check only -box on A. Check box on line B if applicable) Parcel Tax Number(s) A) J1.EJ Repair 2 =Reconnection ❑Non-plumbing 4. ❑ Rejuvenation ~ ~ b`f2-l~r3 ~ Sanitation 9 o C) C, {P p 3 0 S o ( Cr Permit Numberp Date Iss ed . /4~ B) State Sanitary Permit was previously issued 3 d C' J 1-7 IV. Type of POWT System: (Check all that apply) ❑ Non-pressurized In-ground Mound a 24 in. suitable soil Mound :s 24 in. suitable soil ❑ Mound A+0 ❑ Sand Filter ❑ Constructed Wetland ❑ Peat Filter ❑ Drip Line ❑ Pressurized In-ground ❑ Holding Tank ❑ Single Pass ❑ Other ❑ At-grade ❑ Aerobi Treatment Unit ❑ Recirculating Dispersal/Treatment Area Information: Q 61 /V D lAf <774-4,6n OD 1. Design Flow (gpd) 2. Dispersal Area 3. ispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade / Required Proposed (Gals./day/sq.ft.) (Min./i ch Elevation 6000 01% coo .SL-0 Sbd p •S /k 2 5 /0/1/- VI. Tank Informati n Capaicty in Gallons Total # of Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete structed glass Tanks Tanks ] 20C -Lc' o r,( w -b ❑ ❑ ❑ ❑ Soo co f C o~ ~n fft, ❑ ❑ ❑ ❑ VII. Responsibility Statement I, the undersigned, assume responsibility for repair/reconnenction/rejuvenationrnstallation of non-plumbing for the POWTS shown on the attached plans. A license is not required for terralift repair or the installation of non-plumbing sanitation system. Plum,looj 's Name (print) Plumberr g ure (no stamps MP/MPRS No. Business Phone Number 2 S 7, 2 2, ~7 Plumber's Address (Street, City, State, Zip Code) ~ VIII. Count se Only Disapproved Sanita Permit Fee ~O Date Issued suing Agent Approved Owner Given Initial Adverse 2 Z 5 Determination IX. Conditions of Ap rovallReasons for Disapproval: /g* SYSTEM OWNER: /T-f' G~ 1, Septic tank, effluent filter and AO- POWIJ- V-tA- rt2zf ispersal cell must be serviced / maintaine201 6r!1 d R ~~n t l as per management plan provided by plumber. 2. All setback requirements must be maintained O fav~~o ~s ~GGCpS50 Y-/V use On l a*tCl " b'Gti'""r as per applicable code/ordinances. o t ml bt u4 d as ~ 24cl d j`x2w o Lo~ CA D c~ ::E Z Lo~ _0 Z z m m 03 4FAMW~ o o sov 0 X o c- b M 00 Z ~o W cf) 1 m 4~, V W Colo d1w m D N O W -n r n m CO 0 ~ Q C7 r Z~ ~ D - G) = D N z Q;u m z o zQ m c N C/) z Z U) m cn C/) V/~ C I c -I o o ~;u Z Z m n z ' O _ 56 _ _ I = m , w m CD a a -a < v W O ° C O D) O fD (D O ID O fD O ~m ~g ? 6 _ uyiv ° ov fD O. N C O ° O 5D O CD ED (n O cn 'O CD 3 ~ C n 0.0 ~ 3 4 O ` m n ° C n3 c w 3 3 ~ 0% 0 1< = N o ° O x y' w N d y y 0 =r w 0 CD CD O. N i ° 0 aZ 7 -0 s 7 O O D) aO O N 0 0 N D 0 3 O Q O. 3 ° O N O C CD 3 CD CD m O a o En CD CD -0 'O CAD 7 7 N N p CD j N 3 C o 3 `Z 3° c0 .0 O O `Z Z CD 0 < R r- CD m o E Ug fD O nr E 8 O L 2: 3 O C m < D-a z o CD o m m Z r z y z c m ~ m° 5 m D K o m CD w CCD 7 c CD _ _I W 'D ° m a CD a O O Z O D m 0) o m s' c o o z Z G7 Z s 3 v CD 3 y:3 CD c m m =r 0 CD O CD . El El El cr CD a 8 1 0 2 4 6 2 Document Number DOCUMC111 Title Tx:4080337 966699 St. Croix County BETH PABST REGISTER OF DEEDS Affidavit fora single POWTS ST. CROIX CO., WI servicing Two Structures via Private Interceptor Main RECEIVED FOR RECORD # PM 2/2012 XEMPT#: b), LC A-_LS 0~ 11/0 E EXEMP Nalne - (Owner) Typed or printed REC FEE: 30.00 bein (Js ul worl1 States, oath that: y s PAGES: 1 He/she is the owner/co-owner of the following parcel of land located in St. CrOix County, Wisco sin, recorded in Volume , Page Documea)t Number ~Z St. CI•oix County egister of Deeds Office. Recording Area A parcel of land located in the 51i~_ V. of tl '/4 of Section, Ine ait l eturn Address T~N - R ~W, Town ofIn~,a2eEx/ St. CrOix county, Wisconsin, L N 9g ,gT~.9r~•e being duly described as follows (include lot number and subdivision/CSM or detailed legal description): ST ~.gv~ SS/ 3 ,1-o 7- 3 o F Get'I^ 'mod Svwe-y ltf4 f rh Va ILCrMe~ll'rLea~, ~3~ _ 14V15b FLY- 3-73W aS & t l 7-26, - k-1 (N_ 1'.trcel Idcntillcation Number (I'tN) ST CrO1')~ i`vU04-Y oK 5~~!~PM'f~aY29t lqqf LAI-:q Par(-of Ir tFS c-f a~~cv~a n ~vt uvnlaer 'two a a~ l~v "~,ed Su rve L Mu 1 n Ve i u r-.e ~7e ue,,, l o GSwt e , 5 3881 U As owner of the above described property, I acknowledge that a Private On-site Wastevvater Treatnient System (POWTS) serving the primary residence is sized for L4 bedroom(s) with a design wastewater flov', ofSpD gallons/day (DW1~ calculation based on 1.50 gpd /bedroom a 2 persons per bedroom). A maximum of T, occupants are permitted. An additional accessory structure will be connected to the POWTS via Private Interceptor Main Sewer (PIM.S) in compliance with SPS 382.30(12). There axe currently a total of _ Occupants generating domestic wastewater, therefore the POWTS can be considered code- compliant at this time. However, I understand that if the cumber of occupants exceeds the maximum for POWTS design, the system will be undersized to accommodate any increased wastewater flows and/or contaminant loads and may be subject to premature failure. I also acknowledge that I will disclose this information to any parties interested in purchasing this property in the future. Dated this aZ- clay of®~/~j Y 2012. Y * AUTHENTICATION AC-KNOW LEDGI\4ENT Signature(s) STATE Of Minnesota ) )ss. Ramsey COLInty. ) ^ authenticated this day of Personally came before me this oC day of (year) \1WCr,y r -a OQ-~,( rear the above named 1be r~ Ca r 1 `or-~ * TITLE: MEMBER STATE BAR OF WISCONSIN to me known (If not, to be the person(s) who executed the foregoing instrument and acknowledge the same. Authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS :DRAFTED BY :rx'V"JENNIFER L. S11 lp~G llAiuwese n t n S ~[S 64v1R s1on.E>rnlras.4a= 31 r9t a Notary Public, tate of Minnesota (Signatures may be authenticated or acknowledged. My Commission is permanent. If not, state expiration Both are not necessary.) date: V311-4 Date: 1 l bt 1 I r? "THIS PAGE IS PART Olr THIS LEGAL DOCUMENT- DO NOT RE'N10VG" ibis inforaralion roust be complcied by submitter•: docamenr tide, ncnne c4' re/urn address and PIN ff 1-eyrri-d). other irfbrma/ion .With as the graining lames, legal description, etc. may be placed on this first page of lire docuinenr or moy be placed on additional pages of ilre docii-eiii. Noie: Uce of lhi, l of rcr page adds one page io your docitmew and $2. 00 to the recording &a. Wisconsin Sraiwas. 59.43. v ~ r o S 7 ,nom ~ 3 ~ C_ cfJ Q t ~ r d 4 M yy o ,j-• P i Gi J ~ J a w ~ J( tr`J ~e^ rv t1a LI) 6027020 Tx:4019123 935719 BETH PABST Onfwe.u S o-4 La Lk) REGISTER OF DEEDS S1- 46o Q ST. CROIX CO., WI RECEIVED FOR RECORD ,5(0( U-C Vv N, '4ve ~Du 05/03/2011 11:50 AM A1,P L S EXEMPT REC FEE: 30.00 PAGES: 3 AMENDMENT TO LAND CONTRACT THIS AMENDMENT (the "Amendment'), is made this ~C day of 2011, by and between Albert W. Carlson (the "Seller") and Michael L. Hanson (the "Purchaser"). I~WITNESSETH: WHEREAS, Seller and Purchaser entered into that certain Land Contract dated July 15, 2008, and filed of record in the office of the St. Croix County, Wisconsin, Register of Deeds on July 25, 2008 as Doc. No. 878943 (the "Land Contract"), covering the real property legally described on Exhibit A attached hereto and incorporated herein by this reference; and WHEREAS, pursuant to the existing terms of the Land Contract, all amounts due and owing thereunder become payable in full on July 1, 2011; and WHEREAS, Seller and Purchaser desire to amend the Land Contract in order to extend the date the Land Contract shall become payable in full from July 1, 2011 to July 1, 2013, as is more particularly provided hereinafter set forth. NOW, THEREFORE, in consideration of the mutual promises contained herein, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged by each of the parties thereto, it is agreed as follows: 1. Interpretation. This Amendment shall be construed with and as a part of the Land Contract. In the event of any conflict between the terms of this Amendment and the Land Contract, the terms of this Amendment shall be deemed to supersede and control. The Land Contract and this Amendment are sometimes hereinafter called the "Agreement". 2. Amendment of Pay-off Date. The Land Contract shall be payable in full on July 1, 2013 rather than on July 1, 2011. Accordingly, from and after the date of this Amendment, the Purchaser shall continue making payments to the Seller of $2,000.00 per month on the first day of each and every month until July 1, 2013, at which time all 1 of 3 amounts then outstanding under this Agreement shall be due and payable to the Seller in full. 3. Amendment of Interest Rate. Commencing July 1, 2011, all principal amounts then and thereafter outstanding under this Agreement shall accrue interest at the rate of .55% per annum until all such amounts have been paid to Seller in accordance with the terms of this Agreement. 4. Affirmation of Land Contract. Except as is herein specifically altered, modified or amended, the terms and conditions of the Land Contract are hereby ratified and affirmed. IN WITNESS WHEREOF, the parties hereto have executed these presents the day and year first above written. SE ER: PURCH ER- 1~j 1 ' r r Albert W. Carlson M hael; . nson STATE OF MINNESOTA ) )Ss. COUNTY OF RAMSEY ) The foregoing instrument was acknowledged before me this day of 2011, by Albert W. Carlson. N• RALPH A. BRIDGE STATE OF MINNESOTA ) NCiTARY PUBLIC MINNESOTA ) ss. My Commission Expires Jan. 31, 2015 COUNTY OF RAMSEY ) The foregoing instrument was acknowledged before me this 23-r~- day of 2011, by Michael L. Hanson. N RALPH A. BRIDGE THIS INSTRUMENT PREPARED BY: = NOTARY Puauc MINNESOTA Christensen & Laue, P.A. My Commission Expires Jan. 31, 2015 5101 Vernon Avenue South, Suite 400 Minneapolis, Minnesota 55436 (952) 927-8855 2 2of3 EXHIBIT A LEGAL DESCRIPTION Lot Three (3) of Certified Survey Map in Volume Thirteen (13) of Certified Survey Maps, page 3738 as Document Number 611220, filed in St. Croix County Registrar of Deeds Office on September 29, 1999, being located in the Southeast Quarter of the Southwest Quarter (SE '/4 of SW 1/4 ) of Section Thirty Three (33), Township Twenty Nine (29) North, Range Eighteen (18) West being part of Lot Two (2) of Certified Survey Map in Volume Eleven (11) of Certified Survey Maps, page 3045, as Document Number 538810, Town of Warren, St. Croix County, Wisconsin. PIN: 042-1093-95-000 3 3 of 3 STATE BAR OF LANDWISCONSINCONTRACT t FORM 1 1 - 1982' 1~~~'I 8 7 I 1 8 ~II~ I 9 4 3 III ~I~II' ~I{I 1~~~ 2 Individual and Cor DOCUMENT porate 878943 NO. %26 000 BE USEI IS FINANOCED AND N OTHER NON -CONSUMER ACT TRANSACTIONS) KATHLEEN H. WALSH REGISTER OF DEEDS Contract, by and between _Albert W- Carlson, a single ST. CROIX CO., WI _~erson RECEIVED FOR RECORD (-Vendor", 07/25/2008 11:15AM whether one or more) and Michael L Hanson , LAND CONTRACT EXEMPT r ("Purchaser", whether one or more). i REC FEE: 13.00 Vendor sells and agrees to convey to Purchaser. upon the prompt and full performance TRANS FEE: 14]9.00 of this contract b Purchaser, the following property. together with the rents, profits. - fixtures and other appurtenant interests (all called the "Property"), in St. Croix - County, State of Wisconsin I Lot Three (3) of Certified Survey Map in Volume.Thirteen ~i NAME AND RETURN ADDRESS A? 13) of Certified Survey Maps, page 3738 as Document hriQrlSen CAUe ~N Number 611220, filed in St. Croix County Registrar of Deeds Office on September 29, 1999, being located in the JrJ0~ Vev- T7tle,a7, Southeast Quarter of the Southwest Quarter (SE 1/4 of SW ' 1/4) of section Thirty Three (33), Township Twenty Nine H11lnPpP01is HIM -1554CUCI (29) North, Range Eighteen (18) West being part of Lot II Two (2) of Certified Survey Map in Volume Eleven (11) of Certified Survey Maps, page 3045, as Document Number 042-1093-95-000 538810, Town of Warren, St. Croix County, Wisconsin. Parcel identification Nurturer (PIN) j I ~i This is homestead property. (Is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at designated places j; the sum of $ 47:3,0n0-0 0 In the following manner: (a) $ ZERO ($0) at the execution of this Contract; and (b) the balance of $ together with interest from date hereof on the balance outstanding from time to time at the rate of short term AFU t per annum until paid in full, as follows: the principal amount, plus interest, due under this Land Contract shall be paid in monthly installments of $2,000.00 each commencing ? 2008 and continuing on the same day of e h month thereafter until the third anniversary of the date of this Contract ( 2011), at which time the then remaining principal balance, plus all accrued but unpaid interest, shall be due and payable in full. Provided, however, the entire outstanding balance shall be paid in full on or before the ` day of oeo- 2011 (the maturity date). - N Following any default in payment, interest shall accrue at the rate of 2,4 % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity the entire principal balance). Purchaser. unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at anytime after the date of this Lalid ?[)~}yy(~.~ 4L>bl l X Contract. In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and Interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said Indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: No Exceptions. 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 the date of this Land, Contract. 101`2 LAND CONTRACT - Individual and Corporate STATE BAR OF WISCONSIN wisconsm tepal Blank Co.. Inc Form No. 11 - 1982 ke6. Wis. Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. i Purchaser shall keep the Improvements on the Property insured against loss or damage occasioned by fire, extended ' c=i%e perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of $ e value 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 Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing. insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specifled,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: ~a covenants a_rtd restrictions of record, if any. Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of 30 days following the specified due date or (b) In the event of a default in performance of any other obligation of Purchaser which continues for a period of 30 days following written notice thereof by Vendor (delivered personally or mailed by certified mail) ; then the entire outstanding balance under this contract shall become immediately due and payable In full, at 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: (1) Vendor may, at his option, terminate this Contract and Purchaser's rights, tlUe and interest In the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if Purchaser falls to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment on the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title In a qulet- title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as incurred. and shall be included in any judgment. Upon the commencement or 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 equitable Interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable In full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment or the amount then due under this Contract. Purchaser may make such payments directly to the Mortgagee if Vendor falls 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 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 rights in the subject Property and agrees to join in the execution of the (deed to be made in fulfillment hereof.) Dated this day of 2008 VE PURCHA$ (SEAL) (SEAL) -.Albert W. Carlson * Hanson (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of VVYW*6IF=9MINNES0TA lI y es. Ramsey County. JI authenticated this day of ? Personally came before me this I ~ day of 2008 , the above named Ven or (Albert W. Carlson) and Purchaser * (Michael L. Hanson) TITLE: MEMBER STATE BAR OF WISCONSIN (If not. authorized by §706.06, Wis. Slats.) to me known to be the person . $ who executed the foregoing Instrumen nd acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Joseph J. Christensen Christensen & Laue, P..A, 5101 Vernon Avenue South, #400, Edina, MN. - - - - Notary Public. County. VWs.H^/ (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, slate expiration date: necessary.) ) J~ roes of persorn signing In any capacity should be typed or printed below their signatures. 8TACI J. HAMMOND 2EA`ND CONTRACT - Individual and Corporate - State Bar of Wisconsin, Form No. 11 - 1982 0 NOTARY PUBLIC-MINNE9pTA Mp 10=11111116 W Enyires Jan. 31, 2MO II li I II I I II I l! 1111111111 I II I! 1111111111 II I I I If! State Bar of Wisconsin Form 1-2003 * 8 7 7 8 5 7 1 WARRANTY DEED 877857 Document Number Document Name KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Timothy W. Olson 07/07/2008 08:OOAM ("Grantor," whether one or more), WARRANTY DEED and Albert W. Carlson EXEMPT r ("Grantee," whether one or more). REC FEE: 1 TRANS FEE: 141919. .00 Grantor, for a valuable consideration, conveys to Grantee the following described real PAGES: 1 estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Recording Area Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Name and RetYrr~~gb"rITLE, INC. Lot Three (3) of Certified Survey Map in Volume Thirteen (13) of Certified Survey t SUITE 200 Maps, page 3738 as Document Number 611220, filed in St. Croix County Registrar 1900 SILVER LAKE ROP.D of Deeds Office on September 29, 1999, being located in the Southeast Quarter of NEW BRIG TON MN 5 1~ the Southwest Quarter (SE 114 of SW 1/4) of Section Thirty Three (33), Township FILE N0. TMM Twenty Nine (29) North, Range Eighteen (18) West being part of Lot Two (2) of 11 Certified Survey Map in Volume Eleven (11) of Certified Survey Maps, page 3045, as Document Number 538810, Town of Warren, St. Croix County, Wisconsin 042-1093-95-000 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: easements, restrictions and reservations, if any, of record. Dated -dl,LM2~ , (SEAL '20(SEAL) ' imoth .Olson (SEAL) {SEAL) s , AUTHENTICATION ACKN rZs-- Signature(s)*rim Am M authenticated on STATE OF MINNESOTA N4g1 T J_ ) ss. COUNTY ) • TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on _f rte 30 (If not, the above-named Timothy W. Olson authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing THIS INSTRUMENT DRAFTEDBY: instrument and acknowledged the same. Kristina Oland. Estreen & Ogland 304 Locust Street. Hudson. WI 54016 No Public, State of ~YIi M ommission (is permanent) (expires. 7z_2~ (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 Type name below signatures. INFO-PRO' Legal Forms 800-655-2021 www.infoproforms.com 1 of 1 n CO) 0 z -0 0 X 3 m _ 11 1 y cn p z m z o w p CC w o i G W p • O) 0. 'b3 O» CD CA) CL N N N N N r~ N OCta O O C O W CO C CD 7 -I j OD W O N N O- N O 3 O s O C (.n 5 (z O O j n 2 :E O CO W C N N fD S A D O w o N C r0 y a v y m w I CD cs A G N Co `o m c ° o o ° rn ~I w ° o o 'I cn t, O 0 N N O 0 0 3 n r N C O ~Y CL T T -0 CD O O O <wz o D r-3 ~vvcn M N A W co {y N W li (O m N OD Z z N ~ z z ~ j Q D D o o N p ° N d O 3 O_ • O O b N N 'I p' CD lD C O CD 3 CD N p Z m O I A Z O O ~ n cn N W CD W v m m a , ~ z ° , 3 a C/) m z p CD A 'I wN0° p CL CD 7 a C W CD O G I cn S T N 3 o y. ID CD N OZ O C N ~ CD N ;L d M y O V U3 CD Q. N y Cj N k C (D ° O fD 0 N (D N ~ w yq 0 O O_ = CD b 0 ~ o CD D ~n c En O o CD a O CL ti v r 4 ,Nisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division Count Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) SanitWOW No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1. Permit Holder's Name: ❑ City ❑ Village own of:. State Plan ID No.: lson, Timothy Warrenownshlp TR..A~rs ~ = 3os~6 q CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel T ( 0(j) 1 0 -n P,9 C , - OTL h93-95-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic b e' ,6"u Benchmarks{ 1z S 3,S ofs lid Dosing f p v Alt. BM Ae a Bldg. Sewer H ing Ht Inlet /0. 7_( ) Cf , TANK SETBACK INFORMATION e Vent TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Septic Nt Z Z / NA Dt Bottom ! 9 3, Dosing > >r' / Z q f NA Header / Man. ~ Ae ion Dist. Pipe 30 30 o ding Bot. System ~•q D 9~ ZS' PUMP/ SIPHON INFORMATION , Final Grade Manufacturer Demand St cover Model Number Q v~PM N~ Q H le Od riction. l> System TDH r/ Ft TDH Lift S, F Loss Head Forcemain Length q r I Dia. Z n Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenc es PI No. Of Pits Inside Dia. Liquid Depth DIMENSION s DIME SYSTEM TO P / L BLDG WELL LAKE/STREAM L G nu acturer: SETBACK INFORMATION Type O / CHA um er: System: y~~p `16 /02, n/ O NIT DISTRIBUTION SYSTEM " . 30 Header/Manifold Distribution Pipe(9 x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Z Length VIC Dia. I Z Spacing A 3S 1' 4- 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 ME COMMENTS: (Include code discrepancies, persons present, etc.) Ins ection #1: LZ57/dv Inst)ection #2: / 9 da Location: 1132 60th Avenue, Roberts, WI 54023 (SE 1/4 SW 1/4 33 T29N R1 8W) - 3 .29.18.519A -Lot 3 1.) Alt BM Description = ba 5Uy iv~d to 6) f<Sorr lea S Irt' ,/orrd, O a pe r l ' ~t u e v e r 2.) Bldg sewer length= Zj' /s te(ordel 5~6 SZ hr C0,,j ,1j fc{ -amount of cover = t1 a,,,~ 5 3.) contour= CAA- e 8.36 R- r It-5. s5-" - of I 1> j> I S.} V" WC(I Plan revision required? ❑ Yes] No Use other side for additional information. /a 0 G SBD-6710 (R.3/97) Dat Inspector' ignature Cert r I~ Safety and Buildings Division *Isconsin SANITARY PERMIT APPLICATION 201 W. Washington Avenue P O Box 7162 Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707-7162 • Attach complete plans (to the county copy only) for the system, on paper not less Count than 81/2 x 11 inches in size. , • See reverse side for instructions for completing this application State sanitary Permit Number 36 380 Personal information you provide may be used for secondary purposes p check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan Review Transaction Number 1. APPLICATION INF RMATI N -PLEASE PRINT ALL INF RMATION O .~O Property pwner Nam Pro4erty Luo4 ~4 S 33 T oC , N, R l ator Vg - - I- - 4 Propert Y Own is Mailing ress Lot Number Block Number ';I 4AAA~ &4 e City, State Zip Code Phone Number Subdivision Name or CSM Number s (Gsl) bIZ- y o 11. TYPE IL NG: (check one) ❑ State Owned ity Nearest Road ❑ village W /i Public Eff 1 or 2 Family Dwelling - No. of bedrooms Town OF LkA1Q,_&A A- in III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo v ` d - / 0 1? - / s 1- 4000 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. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an _______~stem ________System_____________TankOnly_ Existing System Exlstin~S~rstem 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 21Mound 0 E] Specify Type 41 ❑ Holding Tank 12E] Seepage Trench 22E] In-Groun Pressure 42 ❑ Pit Privy 13E] Seepage Pit / K 1L/ 43E] Vault Privy 14E] System-In-Fill 0 VI. ABSORPTIO TEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) E4evation 60 1 1:5700 Q , 15- - g Feet Feet Capacity TANK Cain altos Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer s Name Concrete Con- steel glass Plastic App New Exist in structed Tanks Tanks Septic Tank or Holding Tank _ 1 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber I El 1:1 1:1 1:1 1:1 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu is Name: (Print) Plumb is Sign ure: (No S m s) MP/MPRSW No.: Business Phone Number: rG da o3~? his -t/ ,S Plumber'' 5 Ad ress (Street, City, State Zip C 4L,~ ~ 6© /j A) k4- IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved CD_ ary Permit Fee (Inclu es Groundwater ate Issued Issuing Agent Signature (No Stamps) V Approved [I Surcharge fee) Owner Given Initial S M Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVA L,grl(l/~ G SBD-6398 (R.12/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber -7 r, a ,1 INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation - 5. Onsite sewage systems must be properly maintained. The septic 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, contactyour 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: 1. 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 Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans 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 curve; 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 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD (608) 264-8777 N.*hsconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary April 01, 2000 CUST ID No.267341 ATTN: POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 `HUDSON WI 54016 RE: CONDITIONAL APPROVAL ' PLAN APPROVAL EXPIRES: 04/01/2002 Identifica ' hers Transaction ID o. 305069 Site ID No. 189185 SITE: i -please refer to both identification numbers, Site ID: 189185 , r .4 above, in all correspondence with the agency, x St. Croix County, Town of Warren " . } SE1/4, SW1/4, S33, T29N, R18W Facility: Timothy Olson Proposed Residefic~ , ~ ~ ~ ,.ter FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 655336 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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. 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. 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 03/29/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 (erard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)-785-9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim@commerce.state.wi.us WiSMART code: 7633 ' ' T'ITLE S ~ ~,L i , Page of 6 MOUND SYSTEM FOR A BEDROOM RESIDENCE LOCATED IN THE SE 1/4 OF THE SW 1/4 OF SECTION 33, T 29 N, R 18 W, TOWN OF W PCR~Z. , S-\, C.2UuC COUNTY, WISCONSIN. INDEX RECEIVED PAGE l 'of 6 TITLE SHEET A MAR 2 7 2000 PAGE 2 of 6 PLOT PLAN . PAGE 3 of 6 PLAN VIEW-CROSS SECTION ;~r~ 8 G's DI Vo PA GE 4 of 6 DISTRIBUTION PIPE LAYOUT LM .PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR F o W.T•S T1`MpT1-~`-f w , o~soty Z ~ ~q wl>~B~ ooU 8+~ ~ C" * itionaliy kJoo~BUQ~, Wtr~, S51ZS ROV E I, COMMERCE pkPARTMENF OF CO DINGS 1VIS~OCi ' IDENCE ~EE GGRRESP PREPARED- BY WEGEFcEF? SO I L TEST S t,4t=- ao10~~ AND . DESIGN S~RV I CE A~"~ '~0.. P.G. r- B(II 74 421 N. KAIN ST. ART4UR L • RIVE? FALLS. VI 54022 °wec_F;ER } L ?9 P < i 115ivGRTH, - 715 4c r-0!6~ a wrs. v L^ ••NrrrrrM•e a®~ SIG JOB NO. 00-68 PLOT PLAN Page Z of C Scale 1 4Z ' ~7t~ NOT C-OM-i13'At~- C)1? o."' ~ ~ b ls'fv~ 2 Q Ttf LS F~~vjj w 0 s cp~~° o "S'- % 8wt i Lit-°►.71 - i ~ ~ ~ 30 or- S ~ 2~PUCF.h. S ~ x1i~_ YZ pie op y ~ N g-~ L ° ~ rnE SUGG C%-M> 1.sxA'f1~xv 2 t .o 0 STH' 65 " ~ _ 60 ~ Svc. _ I NOTES: -1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( 7 --required) 4. -Septic tank to be Z-L0018oo gallon capacity manufactured by 5. Bench Mark Brl- L'Z mo,o" aJ SOP OF Dly~_ PVC. PIPE It-'r Chi- eL 91.60, k k K k 6. Divert surface water around system to. prevent.ponding at the uphill side. . Page 3 Of b Approved Synthetic Covering ~sTM c 33 Distribution Pipe Medium Sand Fi G Topsoil F Elev. g- n 3 E b y % Slope Force Main Plowed Trench of k"-2'2" From Pump Layer Aggregate Undisturbed D ~.o Ft. Soil E . Z Ft. Cross Section Of A Mound System Using F o. Ft. 1 Trench For The Absorption Area G ~•,u~ Ft. A S Ft. H I- S Ft. B ►Uo Ft. I \Z Ft. Linear Loading Rate= GPD/LN FT d Ft. Design Loading Rate= o•3SGPD/SQ FT K \o Ft. L ~ZO Ft. Position of Force Main W 7-S Ft. L J Terse B K Mein W Distribution Trench Of 2 2 2 11-1 Pipe Aggregate l Observation Permanent 1 Markers Pipes (Anchor securely) Mound Using I Trench For Absorption Area Page Of Perforated Pipe Detoll 0 End View End Cop )Perforated PVC Pipe 40 a"Opc Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cap * ti PVC Force Main Distribution Pipe Lost Hole Should Be Next To End Cap Distribution Pipe Layout P 4~•ZFt. X 35 Inches y 35 Inches Hole Diameter JIV Inch Lateral )111 Inch(es) Force Main Inches # of holes/pipe Invert Elevation of Laterals cIE3-S Ft. 11( I• l') 19.8 4 2.= ~ 1 . 8 6>>h W Place lst hole V111'zfrom tee with succeeding holes at '35" intervals. Last hole to be-,,next to the end cap. r , Combination Sept-icz Tank and PUMP CHAMBER CRO55 SECTION AUD -SPECIFICATIONS' PAGE S 'OF -VENT CAP WEATHER PROOr JUUCTIOIJ BOX 4"c. 1. VENT PIPC , APPROVED LOCKING -'•10' FROM DOOR, MANHOLE COVER k'JI i '+iIMDOW OR FRESH w'ARtJ11J6 L.AOEL A R IMTAKE S C~tapL11T 5">7~X . i IB"l'lIA1. y"IUSV`C'C~oN AIPt ill _ _ IM LET W/F}1tT►16ttT- SAP PROVIDE. I AIRTIGHT SEAL I III • B+ZFFL~S ' ~ I I ~ Approved A I II II Approved joint w/• Tank construction I iI joint w/ PVC pipe shall comply with I II ALARM PVC pipe ILHR ()3.15 and 33.20 r3 I II I I ow C I I I GLEY.I1o-15 FT.-- PUMP OFF D COWCRETE 0 Q BLOCK NQ 3" APPRc,,rn~ RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL -1UDDI N ~ Bi<D SEPTIC E SPECIFICATIOUS DOSE TAWK MANUFACTURER: Mkt )l'J~ p~ ST ►Jl1MEiER OF DOSES: 3'6-7 PER DA4 TAUK SIZE: `Z-W /800 GALLONS DOSE VOLUME z ALARM MANUFACTURCR: S, T-• E t;tTRp SkSTB41s IAICLUDING OACKrLOW: l GALL014c, MODEL WUMBER: ~"LA ~ CAPACITIES: A SWITCH TyPC: IWCHES OR 00.0 GALLOIJs I►JCHE PUMP MANUFACTURER: GOVT.-p~'i 8 = Z S°OR G(1LLOA15 C= 8 INCHES OR tib84 GALLONS MODEL NUMBER: D=~IMCHES OR GALLONS SWITCH TYPE: VL-1 MOTE: PUMP AMID ALARM ARE To bE MINIMUM DISCHARGE RATE 39.75 GPM INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFERENCE DETWECN PUMP OFF AIJD,.DI5TRI5UTION PIPE.. a--2L FEET f MIIJtMUM AIETWORK SUPPLY PRESSURE . . . . , . . . . . , 2.50 F'LET f - FEET OF FORCE MAtN X 3'07 F loo rT_FKICTI0W FACTOR.. 0- qz FEET TOTAL Dt JAMIC. HEAD = \-7 FEET As per nanufactuxer Z 1. OS gal/in. Liquid depth 38 'I • Y"l.~t' PCk.~2Y'2t'~r~JCt_. Lv~.V~. ~ ci= Submersible Effluent Pump 3871 EP04 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 tic cover with integral handle • Farms Motor: manual operation. Automatic and float switch attachment • Heavy duty sump • EP04 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. ■ Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, construction. Pump: EP04 built in overload with ■ EP04 Impeller: Thermo- s Solids handling capability: automatic reset. plastic Semi-open design AGENCY LISTING 3/4° maximum. • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. Canadian Standards Association • Total heads: up to 24 feet. with three prong grounding • Discharge size: 11/2" 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 "F 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 1040F (400C) continuous superior strength and 140°F (600C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 I j • Capable of running dry without damage to 9 30 ! -i sGPnn components. E:: I I ~25Fr Pump: EP05 $ I- - i - J _ • Solids handling capability: c 25 Q 7- 1/4" maximum. • Capacities: up to 60 GPM. _ I i • Total heads: up to 31 feet. 6 20 ; • Discharge size: i'/z" NPT. Z 5 • Mechanical seal: carbon- > ! rotary/ceramic-stationary, in 4 15 t BUNA-N elastomers. o EPOS' • Temperature: 3 10 1040F (400C) continuous i - EPOa' 140°F (600C) intermittent. 2 NN~ 5 1 ! 39. I 0 00 10 20 30 40 50 GPM L 0 2 4 6 8 10 12 m3/h CAPACITY 1995 Gnuldc Pumnc Inc Wiscortsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code e- COUNTY Attach complete site plan on paper not less than 8 1/2 sin size. Plan must include, but St. Croix not limited to vertical and horizontal reference i iredtion and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and die`taniaarest road. 042-1093-95-000 APPLICANT INFORMATION-PLEASE RRINT A P.MATION WED BY DATE -VAAIA- PROPERTY OWNER: PROPERTY LOCATION Timothy W. Olson } -GPVT.LOT SE 1/4 SW 1/4,S 33T29 N,R 18 {(or)W PROPERTY OWNERS MAILING ADDRESS ~;r o R0,-'. L T # BLOCK # SUBD. NAME OR CSM # 2449 Wimbeldon Bay COUN?v 3 na 10t4a-csm CITY, STATE ZIP CODE PH01` DNtft CITY []VILLAGE [TOWN NEAREST ROAD Woodbury, MN. 55125 (6 1 702-421,R' Warren 60th. Ave. [x] New Construction Use: j Residential / Numbe'rofbedrooffis 4 [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Absorption area required 500 bed, ft2 500 trench, 2 Maximum design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 8.40 ft (as referred to site plan benchmark) Additional design / site considerations system el based on onto it 1 i ne of P1. 97.40' Parent material glacial drift Flood plain elevation, if app_Tc_aTe _ na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S O U K] S ❑ U ❑ S ®U ❑ S ®U ❑ S ® U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 0-11 10yr4/3 none sil 2msbk mfr cs if .5 1.6 2 11-21 7.5yr4/4 none scl 2msbk mfr gw if .4 .5 Ground 3 21-35 7.5yr4/4 none scl 2msbk mfr gw if .4 .5 elev. 4 35- 10yr4/4 c2p 7.5yr5/8 sicl M na na na np .2 Depth to limiting factor 35" Remarks: Boring # 1 0-10 10yr4/3 none sil 2msbk mfr cs 2f .5 .6 2 2 10-22 7.5yr4/4 none scl 2msbk mfr 9w if .4 .5 3 22-37 7./5yr4/4 none sicl 2msbk mfr 9w if .4 Ground elev. 4 37-52 10yr4/4 c2d 7.5yr5/6 sici 2csbk mfr gw na .4 .5 97.7 ft. 5 52-62 10yr5/4 none ms sOg mvfr na na .7 .8 Depth to limiting factor 37/ Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. Ave. Richmond WI 5 17 Signature: Date: 3-14-2000 CST Number: m02298 PROPERTY OWNER Tim Olson SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # 042-1093-95-000 y Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounck3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-10 10yr4/3 none sil 2msbk mfr cs 2f .5 .6 3 2 10-21 10yr4/4 none 2msbk mfr gw if .4 .5 Ground 3 21-50 7.5yr4/4 none scl 2csbk mfr gw if .4 .5 elev. 95.7ft. 4 5 62 7.5yr4/4 c2f 7.5yr5/6 scl M na na na np .2 Depth to limiting factor rn n Remarks: Boring # 13 Ground elev. ft. - Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Timothy W. Olson 1554 200th Ave. CSTM2298 SE4SW4 S33-T29N-R18W New Richmond, WI 54017 MPRSW-3254 town of Warren (715) 246-6200 lot #3-csm N f / 1"=40'✓ BM.= top of 1" pvc pipe @ el. 100.00' Alt. BM.= top of 1" pvc pipe C el. 93.60' ~I y~ ,5 NA~ 10 0 /egg GAry L. Steel 3-1 000 G~ i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP C -ERTIFICATION FORM Owner/Buyer i (Yl O'I H L~ - (J i,S O n S ~l 5 Mailing Address - '4q cI 10 t'( b le J6n Bex-~ Uj Do d bo-r~ m n Property Address 3 ~ ~ p~ (~Q 7r (rte. (1 ~ , (Verification required from Planning Department for new construction) City/State k0h2C+S , LO l 5c-lb Parcel Identification Number 0 ~(-Z--/d 9 3 LEGAL DESCRIPTION Property Location SuJ'/,, Sec. 33 T_aN-R__d W, Town of WO-f r(f,,n Subdivision Lot # 3 Certified Survey Map # Lc' l~ Volume , Page # 30y 5 Warranty Deed # L / 3 ( 7 . Volume Z q71 , Page # 3 7 Spec house ❑ yes dno Lot lines identifiable Q-'yes ❑ no SYSTEM MAINTENANCE use and maintenance of our system could result in its ma Improper y septic uld sul r pre lure failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your s c system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of thr l e ti te. - /V C// ze J A OF AP ICANT DATE OWNER CEIRTIFICATION I (we) - that all ements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope esc ' d abo , by a of a warranty deed recorded in Register of Deeds Office. F APP ANT DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed i1471P~~E 375 6 1 X964 DOCUMENT NO. KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI WARRANTY DEER RECEIVED FOR RECORD 11-11-1999 6:00 AN Darwin Fogerty and Venila Fogerty, husband and wife, Grantor, conveys W MATY DEED and warrants to Timothy W. Olson, Grantee, the following described real EXERT estate in St. Croix county, State of Wisconsin: CERT COPIII T FEE: COPY FEE: Lot Three (3) of Certified Survey Map in Volume Thirteen (131 of TRIIRSFER FEE: 345.00 Certified Survey Maps, page 3738, as document number 611220, filed in RECORDING FEE: 10.00 St. Croix County Register of Deeds Office on September 29, 1999, being PRGES: I located in the Southeast Quarter of the Southwest Quarter (SE 1/4 of SW 1/4) of Section Thirty Three (33), Township Twenty Nine (29) North, Range Eighteen (18) West, being part of Lot Two (2) of Certified Survey Map in Volume Eleven (11) of Certified Survey Maps, page 3045, as document number 538810, Town of Warren. Subject to 60th Avenue right of way. . . . . NAME AND RE711M ADDRESS St. Croix County, Wisconsin. St CM WLIEYTI7LESERVICES, M PO BOX 750 109 M. MAIN 9X RIVER FALLS. IM 54022 042-1093-95-000 Parcel IdentlflCdtlOn Numbs PIN This is not homestead property. Exception to warranties: All easements, restrictions and rights-of-way of record, if any. Dated this C~~ day of November, 1999, (SEAL) (SEAL) Darwin Fogerty (SEAL) 1.~( ';/e (SEAL) 'venria P arty I AUTHBHTICATION ACKNOWLEDGMENT Signature(s) STATE OF-WE&CQW-Kt7- i"A ) as. (lyJ+ ~^iX'i►r)~ COUNTY ) authenticated this day of 19 Personally came before me thieC-~ day of November, 1999, the above named Darwin Fogerty and Venila Fogerty to me known to be the persons who executed the forego n. inst e,gti and acknowledge the same. TITLE: MEMBER STATE BAR OF WISCONSIN 7, (If not, X111' 1l~ authorized by 5706.06, Wis. State. •k THIS INSTRUMENT WAS DRAFTED BY. Notary Public },;'v; County, itzs. Leo A. Beskar, Attorney my commission is permanen (If not, expiration date: ROOLI, BESKAR, BOLES 6 KRUEGER, S.C. ~~~r~~~ryrC>n 219 Nozth Main Street, P. 0. Box 138 River Falls, NI 54022 00 d/ P 2 9 1999 11 . CERTIFIED SURVEY MAP D, nvin Fugel fart of the S'outhecist 114 of the Suutlnwest 1/4 of Section 33, T owiship 29 North, 1lan~cre 18 Wes/, "1'mw q ','cnrren, St. Crc:ix Couwy, Wisconsin, being Lot 2 of that Certified Survey Mup recorded in Volume 11, Page 3041 of 'x; • St. Croix County Certified Survey Map Records. • BEARINGS ARE REFER£NCEO rO THE SOUTH LINE wcs = OWNER'S JAQDRESS A or rHE' SSU FDDASHN 90'00400EC/ON JJ, TP9N, R/6 W, dam' /146 601h AVENUE Y `ROBERTS, W/54023 SCALE IN FEET /"-300' z M. ,ts,• 0 50 too zoo 30o coo , flaz ~ NORTH LINE SF//4 - n•~ /~L C~ Q/t~Yi ti $W 114 a 4 fl, , N89058'5,j'„E 1070.9 5, r. + t":-yB/•i~93_ 456.00' • Z. I; BARN NOTE 107 '4 CONTA/NS f~Y 32/, 608 SO. FT " OR 7.383 AC a w \r \ p sHEos ~ o b 0 * . 1`317, 252 30. FT. w sr„-c u 7085 .4C. EXC. R%WI I - - A Ity, DWEL L 11Y6 w r t 1 1 2 b O- t`iz , W CONTAINS 1,077,134 J-90. oo SO, FT. OR 24.728 AC, s 89 se' dJ" w , e 4 _ti t + /,010,863 SO. FT, OR 23206 H £LFCrR/c R' b fi L^ ; ~~a;• N AC. EXCL UD/NG ROAD RIGHT OF WAY. M ` FENCE I q ;mom .r ~I „a' , 4 W . SU/LVINO s£TOACK' LINE' , : _ • i .0,40 p~ O~ 66.00'• jl z t 44- N.;LY R/W Volh A 'g. 66.00' 1004.Z7' ....l~_»...- ~ , .Nly a • k k ")P 6Gr0h'`r_ _ ..r+ . SOUTH 114 CORNER t" 14, • s h 1 4i rH IN ° l q h 100-4. P3' 00 66.00' SEC. 33, T 29 N, R /8 W u yin NSO0 Oa'00"{9' /070.23 N900CO' IFDUNO/•//2"/•P./ N 9D 00 00 W C$.00' ' 241. 43' I 06 L t?O . 4 K ~ -N9U•GO'00"W P d 35.J1'-- y' v rH w£s r coRNER g SEC.SJ, r29N,Rld W 4,•' tedAugust3, 1999 tNlub ,CIL ' . O SET 1 "X 24 IRON P/PE (slIN. N'T. I. 4Y LB. IL.F. J rr v • FOUND 1 " IRON PIPE, ~eLAO N,. Et:.°► _ w A FOUND 1-112 "IRON PIPE « rn w M S 17PHY 13 s ->+FENCE LINE' APPROVED w . 6 SOIL BORIN6 kT, CROIX COUNTY IV FALLS y44 Nlanning Zoning ►nd puk6 CommltteC WRECORDED AS Q' SIP 2 199LAKO,,~~`` rA 44lt11t11/1~~~~~~ a, 4rt If not NQ W004 WMIA 30 days of f, ?PprnYc~ a tr2 AWOV"d l than Holt Ilnd Vold , a -1 THIS INSTRUMENT 0RAF7'E0 BY JERALD L. LARSON SHEET I ,OF 2 x~ Vol. 13 Page 3738 ' fit 4 • fj ~ h r.- -7~ 4 k d 'k CERTIFIED SURVEY MAC <a Darwin Fogerty Part of f the Southeast'I14 of the Southwest lip' of Section 33' T awnshiP -91, rt f, - Range 18 West, Town of W(7rren, St. Croix E.minty, Wisconsin, being Lot 2 , of that Certified Sun~ey Map recorded in Volume 11, Page 3045 of 4ti~ St. Croiy County E e'rlified Survey Mqp Records, 4 a 4r. 2 k is fx to t` DESCRIPTION.- That certain parcel offend located in the Southeast 114 of the Southwest I14 afSection 33 Towns iR' rr ar , V 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, being Lot 2 of that Cestif>e~ ~ Survey Map recorded in Volume 11, Page 3045 of St. Croix County Certified Survey Map Records,more' F fully described as follows: AN at the South quarter corner of said Section 33; thence N 90° 04' 00" W (assumed beam art t#tez~ t -South line of the Southwest 1/4 of said Section 33), a distance of 247,43' to the POINT OF BEGINNING of Viz` the,`parcel io be herein described; thence continuing N 90' 00'00" W, 1470.23 along said line; tli ni l R N 00!08'02"W, 1306,36' along theWestline of the Southeast 1/4 of the Southwest 1/4 of saidSection.` .Nis,. . . thence`N 89° S&' 53"E, 1070.95' along the North line of said Southeast 1/4 of the Southwest`T 46,"t . S 0000608" E,'-1306.69 (recorded as S 00 15'41 E) to the POINT OF BEGINNING, containing 32 T11` r acres`or 1;398,742 square feet, being subject to an easement over the Southerly 66.00"thereof f4 town raad`A purposes as shown on this map , and also being subject to easements of record. 'r . x Y r,~T/~ a~ 1VOTE: Eac?h parcel shown on this rnap is subject to State, `17(A my arid, Township Law:, rutes and regulations ;~i.ef"wetlands, minimum lot size, access to parcel, etc,). Before purchasing or developing any, parcel, contact , he St. Croix County Z=oning Office and appropriate Town Board for advice. ~is . . State of Wisconsin). .w..-. County of Pierce) ; j z . I, Laurence W. Murphy, Registered Land Surveyor, do hereby certii that by directiatt ofthe.Qv►itteF Darv+ttnR._ Fogerty, I 'have surveyed and divided the lands shown hereon in accordance with official records; Chapter 11, 236.34 of Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are & true and correct representation thereof. g iy Dated. Auaust,'3, 1999 ~r "Revised-this 21st Day of Sept. 1999." s a *o~11t/1111Nrth w~ < ?7~~ k~ _ qo.,,e ' ~S C 0 NSA V' ,.n.•..., Y. This I strum en tDra fled b 1 -~erad L. Larson . ~ Jv% 10 F LAU E + rn t W NY - S 1713 i;.' Y.' - !1 N IV R FALLS, .41 ~i wISC. NJ 'max::` a LAN ' r ~ Vol.13 Page 3738 i'v ~,gg SHEET Z2 0F2~ . w lay ] i LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF WARREN COMPUTER NUMBER 042-1093-95-000 Parcel Number 33.29.18.519A OWNER NAME: First TIMOTHY W Last OLSON PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1132 60TH AVE SECTION 33 TOWN 29N RANGE 18W '/4160 SW '/440 SE Line Description Line Description TOTAL ACREAGE 24.728 PLAT CSM 13/3738 LOTS BLK 01 SEC 33 T29N R18W PT SE SW 15 02 BEING LOT 2 CSM 11/3045 16 03 32 1AC NKA CSM 13/3738_ 17 04 LOT 3 4.728AC 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF WARREN COMPUTER NUMBER 042-1093-95-100 Parcel Number 33.29.18.519A-10 OWNER NAME: First DARWIN Last FOGERTY PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1146 60TH AVE SECTION 33 TOWN 29N RANGE 18W '/4160 SW '/440 SE Line Description Line Description TOTAL ACREAGE 7.383 PLAT CSM 13/3738 LOT4 BLK 01 SEC 33 T29N R18W PT SE SW 15 02 BEING LOT 2 CSM 11/3045 16 03 32.111AC NKA CSM 13/3738 17 04(L T 7.383AC 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit 7VchDepa"rgotIndustry, SOIL AND SITE EVALUATION REPORT Pa g 3 Labor. ,c Human Relations g Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY C Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but S7' not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. &FIP p A--/01 9S APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION R W ATE PROPERTY OWNER: L-(f- PROPERTY LOCATION F-/ 7- . 3730 GOVT. LOT S,6 1/4 SW 114,S_3 T AR E (qz2g) ~ PROPERTY OWNER MAILING ADDR L BLOCK # SUS AME ORS # 6o112 O / 315 CITY, STATE ' ZIP DE PHONE NUMBER Ele" []VILLAGE VTOWN I NEARESOAD m = 0 2 ( ) - ~6 2 cif ® 6 [/I New Construction Use Residential / Number of bedrooms y [ ] Addition to existing building j I Replacement [ ] Public or commercial describe Code derived daily flow ACO gpd Recommended design loading rate =_-bed, gpd/ft2-Z,.?-trench, gpd/ft2 Absorption area required - bed, ft2 -5-CO trench, ft2 Maximum design loading rate - bed, gpd/ft2 - trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations ltlOrr9,E ~ii'a n , S S3 47 Parent material L Flood plain elevation, if aTpplicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem [IS [Z U ZS ❑ U ❑ S VI U ❑ S Z U ❑ S m U ❑ S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench Z*i f-S 7.5- 5'5ic/- 2,M5;A1j< /Y1 FIX 9j -?M 9g• _ Ground - 3 - q/11 L -2 C t~v F c S elev. /aft. 3 - - L ? Depth to S - N t~ - : , d -S J- I F= SAX Al VEA limiting n factor Remarks: I My GU1fTf.R A6Sr%eyE'j) SCAE?riy~ ~cc~iy dO,Cr~va~ cv 1- Boring # NJ F-R- '2M -5 - Ground , 3 117--Zek L R elev. lift. - - .s -M TV . o Depth to S p 2 - £ S L, I < AA y F)?- limiting fact „ "MWANOWM 8 EC Remarks;,.,., :02 8(X CST Name:-Please Print Phone: 7Y9-36sG Address: 3O E tO--r" S-V 0 2 Signature: Date: CST Number: r .2 g 7 133 PROPERTYOWNER ! Gf,?W T► SOIL DESCRIPTION REPORT Page _ ofd , PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmndh . 4}4 3 4 PT a Ground Z 8 - L jr7 c S elev. /G12~ f t. 3 - 3 7--S--,V/4/ V L IZ S Z - - D a Depth to - Sv , S- /v13!' o -6 P S L FS • o • a limiting factor Z.p ~r Remarks: Boring # Ground o 2 .T ~fi1 0 elev. ft. D 4.S wH~LE L .v vc ~v Depth to S .Z3tJ T N L cash limiting T I C c~~ D factor C,i9 G=. G T i1/~ rt eA- E Remarks:7NAER *CUAII) ,~D,Cr~vLS: Boring # 4}}avv..~v Ground elev. ft. Depth to limiting factor Remarks: Boring # Z /0 -7 Ground elev. ft. Depth to AM I W". limiting factor Remarks: SBD-8330(8.05/92) DAVE FOMM PLUM" Lioensad~~ TT #3~ " ROM ~Si~ 028 \ Phone 749-3556 3~zG~/Pe-- \ L Ps• \ L3, Y`1`L ` 3SST 30 ~ ~ Z 137 ' ~'3 I ' X II f \ /°7~ I, \ yo d ~a I X~_ 1 32 2-'A'A./ * 3 p F /~SSu r f7- k - .4~~.vDan. ~ D i ~ ~ L=dN~iJ DoT ~o~ N~ ,c u~l Saa v~~©/T s ~-~r_,. Vic, 'e.~ f I i f r I 4J FOGEM I I Y.. f4 '--mac ""Q I DATE: /zG/Y7 86 ti .!0 P' PT: 571.0 wESr LOT JOB SP. L-FIVE i~ y i. 01411HtUA VY23M I DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS LABOR AND DIVISION HUMAN RELATIONS PERCOLATION TESTS (115) P.O. BOX 3707 7969 (H63.090) & Chapter 145.045) MADISON, WI 53707 T10 AT N: TOWNSHIP/ SUBDIVISION NAME: SW ~4I`1W~ 33 /r29 N/R18 E (o WARREN# OT NO.:BLK NO. COUNTY: WNE ST. CROIX DARWIN FOGERTY MAILIN D SS: FOGERTY HGTS. RD., ROBERTS, WI 54023 USE BEDRMS : 52 117 A D S RIPTION: DATES OBSERVATIONS MADE ~RResidence P 3 n/a ®New ❑Replaca NS: 11-5-90 11-7-90 RATING: S= Site suitable for system U-Site uncuitabie for system ONVENTI NAL: MOUND- IIV•GROUND•PR URE: S .FILL HOLDING TANK: RECQMMENDED SYSTEM:(optional) ®S ❑U ®SC1U DS ®U CAS DU DS DU conventional If Percolation Tests are NOT required DESIGN RATE: under s,H63.09(5)(b), indicate: n/a !f any portion of the tested area is in the II Floodplain, indicate Floodplain elevation: n/a PROFILE DESCRIPTIONS NUMBER DEPTH IN, ELEVATION OBSERVED BORING TOTAL PTH T R UNOWATE -INCHES CHARACTER O SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1011-9 'BK 1 3'Bnsil AND DEPTH B- .6 one > 79 .6'Bksil .9'Rdls 3.5'Bnms/cs w/gr & cob 1.61Rdsl# B. 3 108 99.7 none 108 .7'Rdsl .5'B is LSBR. 1 Bksl 2.8'Rdsl w/gr, cob 4'Bnms/cs w/gr & cob 9-4 100 101.8 none 100 .8'Bksl 1'Bnsil 3 1'Rdls ww/gr .7'Rdsl LSBR. B'S 95 97.0 none > 95 1'Bksl 'B w/gr,cob. r 6- PERCOLATION TESTS TE57 DEPTH _ WATER IN HOLE TEST TIME NUMBER INCHES AFTER SWELLING INTERVAL-MIN. D IN WAT R L L- N HES RATE IN H UTES PER INCH P- 1 76 none 30 P- P- 46 none 3 P-. P 71 6' dro in mints es. none 3 P• *3hr PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent i of land slope. NOTE: Due to highly variable soil horizons, Sy TEM ELEVATION 95.9' tester suggests adding additional field T ' - 'A BM I SCALE. 1= I I I i ± I t i cu~ --t - 301 L- ~?ai su lt~7r---t--- r- _ 1 1 i ! I I AFL boring. M -OaipCiA.~_-i 4_4 -i--=--r I fl West fine fence. . i NOTE:! X's '1 3 4 by_8,te~~` { I On s to b by Jim Thompson 11-5-90 - - r i i I I L_ i t1G~~ X i I I i t i kq the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the p)ocedures and methods specified in the Wisconsin Idministrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. DAME (print : v> p• S vswp~ TESTS WERE COMPLETED ON: Licensed Pork Tester i Plumber 11-7-90 DDR S F H ti Road CERTIFICATION NUMBER: PHONE NUMBER (oprionaq Phone 749.36 ST SIGNATURE;, ~~~N . grew a-~ ' ~~a !D F3 - c-- o~ N164 6-~,3 Q, 5m 131,3738 y \0 F11 2 9 1 p 9 SEp 11 oi ~a>f ~ C'S~1 13/378 N CERTIFIED SURVEY MAP Darwin Fogerty Part of the Southeast 114 of the Southwest 114 of Section 33, 7' ownship 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, being Lot 2 of that Certified Survey Map recorded in Volume 11, Page 3045 of St. Croix County Cerhfied Survey Map Records. SEA RINGS ARE REFERENCED TO THE SOUTH L /NE OWNER'S ADDRESS OF THE SOUTHWEST I/4, SECT/ON 33, T29 N, R18W, ASSUMED AS N 90.00' 00 "W. 1146 60/h AVENUE ROBER TS, W/54023 SCALE IN FEET /„=300, 0 50 /00 200 300 600 NORTH LINE SE114- 'L,"~ L 14 rT EZ' SW I/4 4.501, 4'±~ N89058'55"k- 1070.95 _ 614.95' i _ 456.00 r .0' - ' i BARN NOTE- LOT 4 CONTAINS a ~c\ u o LOr 4 I 321,608 S0. FT. Io SHEDS 930 OR 7383 AC. ~W srs~o we/ (317, 252 SO. FT. OR ~n I p \ 0 7.283 AC. EXC. R/W) I \p. $ Iw DWELLING M ~V Oil 'o LOT 3 W b CONTAINS 1,077,134 390.00' "Ica d SO. FT. OR 24.728 AC. ~o% O 3 _N /,0/0, 853 SO. FT. OR 23.206 % N\ ELECTRIC N ; AC. EXCL UDING ROAD RIGHT OF WAY. FENCE 3" W F.~ 41 5s 2\i`~` BUILDING SETBACK LINE N'Lr RI w 60th A 66.00' (0 1004.Z7' Lp 6600'- 7- ink ^1!~ LINE SW1,-4 /OOI. 03' SOUTH 114 CORNER SEC * 33. N90000'0011W - - N 9000000 ttw 1070. 3 N90007100"wT D / 2%Pi•#P/ w 1317.66' E60tn 66.00' ' I 247.43' /FOUN t ` A_y~NUE SOUTHWEST CORNER . N90•00'00"W 2635.32'-- SEC. 33, r29N,R18 W nTTE-n (FOUND I"/. P./ t-c• Dated: August 3, 1999 LEGEND C O ~\S Hsi o SET / X 24 IRON P/PE (M/N. W T. /3 L B. /L. F.) ~Q • FOUND I „ IRON PIPE LAU NEs•• - ~ FOUND I -//2 IRON PIPE T '•.W M RPHY i FENCE LINE APPROVED Z S tit3 s° 6 SOIL BORING NT, CROIX COUNTY Z~N IV FALLS, i kv w RECORDED AS Hldnning Bening and Parks Committee • WISC. . .0`4, • 5,,.•~• S E P 2 9 1999 LAND It nak t, WWotq \gghia 30 days of OPPraYa) 0410 APprewl shag be Rust Ono VW THIS INSTRUMENT DRAFTED BY ✓ERALD L. LARSON SHEET / OF 2 Vol.13 Page 3738