HomeMy WebLinkAbout040-1294-30-000 (3)County
St. Croix
Industry Services Division
`j
1400 E Washington Ave
P.O. Box 7162
Sanitary Permit Number (to be filled in by Co.)
Madison, WI 53707-7162
—
JWr�
Sanitary Permit Application
State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
Project Address (if different than mailing address)
PurDoses in accordance with the Privacy Law, s. 15.04 1 m Stats.
516 East Cove Road
I. Application Information - Please Print All Information
Property Owner's Name
Parcel #
David & Laura Franta
040-1294-30-000
Property Owner's Mailing Address
Property Location
516 EAST Cove Road
Govt. Lot
SW %, NW '/4, Section 16
City, State
Zip Code
Phone Number
Hudson, WI
54016
(circle one)
T28N R19Eor�
II. Type of Building (check all that apply)
Lot #
Subdivision Name
® 1 or 2 Family Dwelling - Number of Bedrooms . i
13
Piney Woods
Block #
❑ Public/Commercial - Describe Use
[:1 City of
ElState Owned - Describe Use
❑ Village of
CSM Number
® Town of Troy
III.
Type of Permit: Check only one box on line A. Complete line B if applicable)
A.
❑ New System
® Replacement System
❑ Treatment/Holding Tank Replacement Only
❑ Other Modification to Existing System (explain)
B.
❑ Permit Renewal
❑ Permit Revision
❑ Change of
❑ Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration
Plumber
Owner
463389, 4/12/2005
IV.
Type of POWTS System/Component/Device: (Check all that apply)
® Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dispersal/Treatment Area Information:
Design Flow (gpd)
Design Soil Application
Dispersal Area Required (sf)
Dispersal Area Proposed (sf)
System Elevation
450
Rate(gpdsf)
643
700
97.8', 97.3'
0.7
VI. Tank Info
Capacity in
Gallons
Total
# of
Manufacturer
.n °_'
w
c �
U o
•`-'
New Tanks
Existing Tanks
Gallons
Units
o
a. U
y
in h
Y
s U
c�
0.
Septic or Holding Tank
1000
1000
1
Wieser Concrete
®
❑
❑
❑
❑
Dosing Chamber
650
650
1
Wieser Concrete
®
1 ❑
1 ❑
1 ❑
1❑
VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
PI r S' ature
MP/MPRS Number
Business Phone Number
John Schmitt
223760
715-760-0486
Plumber's Address (Street, City, State, Zip Code)
586 Valley View Trail, Somerset, WI 54025
❑ Approved ❑ Disapproved Permit Fee Date Issued Issuing Agent Signature
❑ Owner Given Reason for Denial $
IX. Conditions of Approval/Reasons for Disapproval
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x tl inches in size
SBD-6398 (R03/14)
CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name:
Franta 3 Bedroom Replacement Soil Absorption Area
Owners Name:
David & Laura Franta
Owner's Address
516 East Cove Road
Hudson, WI 54016
Legal Description:
SW1/4, NW1/4, S16, T28N, R19W
Township
Troy
County:
St. Croix
Subdivision Name:
Piney Woods
Lot Number:
13 Block Number
Parcel I.D. Number
040-1294-30-000
Plan Transaction No.
Page
1
Index and title
Page
2
Plot Plan
Page
3
Septic Tank Specifications
Page
4
Existing Tank Certification
Page
5
Effluent Filter Information
Page
6
Dose Tank Cross Section
Page
7
Pump Curve & Specifications
Page
8
System Sizing & Cross Section
Page
9
EZ Flow Information
Page
10
Management and contingency plan
Page
11
Sanitary System Ownership/Address Form
Page
12
Warranty Deed
Page
13
CSM or Plat
Attachment 1 Soil Evaluation Report
Designer: John Schmitt
Date: 11/29/2023
Licnese Number: MPRS 223760
Phone Number: 715-760-0486
Signature: L27
t.�G 12LL/
In -Ground Soil Absorption Component Manual Version 2.1 May 2022
Page 1
SYSTEM PLOT PLAN
Franta 3 Bedroom Replacement Drain field
Project Address: 516 East Cove Road227 E Lower Pine Lake
13M1 Symbol - BM Flevatiorr 92 08
BM Description: Septic Tank Manhole Cover
BM2 Symbol: p BM Elevation: 83.88'
BM Description: Dose Tank Bottom
Slope Gradient of Tested Area: (8%)
Well Symbol (if applicable)
Notes: See CSM for Complete Lot
J
r
a
2
Q.
Design Flow: 450 GPD
Attach design flow calculations for
commercial plans:
Pipe Materials / ASTM Standard
Tables 384.30-3 & 384.30-5
4" SCH 40 PVC pipe ASTM- D2665
4" SCH 3034 PVC pipe ASTM-D3034
N
Scale: 1" = 60'
0 60 90 120
15'
Property Line
Existing t 000/850 Septic/Dose Tank Distribution � \ /
w/Zabel A-100 Effluent fitter Box B2 — -,104'
\ BM2 ■ \ \ ■ B3
BM1
T2—102'--
T3
85' 2" SCH 40 _��---
/ Driveway
PVC force main aT4
B1 _
Garage
\ 100'�
\
Existing 3
1
Bedroom
\
House
\
\
� J
Existing Well
T1- Existing 3'x68' Infiltrator Quick 4 Trench EI.= 99.90'
T2- Existing 3'x68' Infiltrator Quick 4 Trench El.= 99.79'
T3 Proposed 3'x70' EZ Flow trench EI.=97.80'
c
T4 Proposed 3'x70' EZ Flow trench EI.=97.30'
J
R/W East Cove Road
r
Cut De Sac
n
a`
Line
7jw-0gq-O(OoIdIM'31IJ 99-V2-5Zi-008;wnQd-ISOd 0/00 ;31'dO USL4S IM 'Na021 N301bW '0� JMH Sn 9lL�M -lvnNdW 011d3S
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Page 3
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence:
(Street address) 51s East Cove Road located
at: SW 1/a, NW '/a, Section 16 , Town 28 N, Range 19 W,
Town of Troy , St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of SPS. 384.25, and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service
Did flow back occur from absorption system? Yes No
(if no, skip next line.)
Approximate volume or length of time: gallons minutes
Tank Capacity: 1000/650
Construction: Prefab Concrete X Steel
Manufacturer (if known): Wieser Concrete
Age of Tank (if known): 6/20/2005
Permit number (if known) 463389
(Licensed Plumber Signature)
MPRS
(Title)
(Date)
John Schmitt
Other
(Print Name)
223760
(License Number) MP/MPRS
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2012
Page 4
PAGE 2of2
The interval for servicing septic tanks is set by state and local code. Throughout the United States, there is a wide difference of
opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel filter, which does not
increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped.
However, our filter is virtually self-cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged
particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFilter® alarm, you will be notified by an
alarm when the filter needs servicing.
Step 1:
Locate the outlet of the septic tank
and remove the tank cover.
Step 4:
While holding the cartridge over the
access opening, rinse off the cartridge
with fresh water, being careful to rinse
all septage material back into the tank.
Step 2:
Remove the tank cover and pump the
tank if necessary to prevent any solids
from escaping to the the drain field
when the filter is removed.
i
4
Step 5:
Insert the filter cartridge back in the
case, making sure the filter cartridge
is properly aligned and completely
inserted in the case. Replace the septic
tank cover.
Step 2:
Firmly pull the filter handle and slide
the cartridge out of the case.
Residential Applications
Certified to ANSI/NSF
Standard 46
Copyright 20M, Pulyluk. Inc. All rlghle re3ervbd
Produrt(s) covered by nna or mnre t l S and/nr International patnnta nth'%r U R And Intern Aflnnnl pafAntt may hp pandInrg
1-877-765-9565 / www.polylok.com page 5
PAGE 5OF6
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
4"rd Vent Pipe
>10 ft from
Building
Electrical must comply with
12" Min. or 2.0 ft above
SPS 316 and NEC 300
Extend manhole riser as necessary.
Established Flood Elevation
Weatherproof
(typical) Approved
pp
Junction Box
Approved Locking Manhole
Vent Cap
with Warning Label Attached
IMPORTANT:
(typi-1)
Anchor tank(s) as necessary
Conduit
4" Min. or ft above
pursuant to SPS 383.43(8)(g)
Fl2.00d
Established Flood Elevation
(typical)
Airtight Seal
Finished Grade
Quick Disconnect
CAPACITIES @ 16.25 gal/in
a.
Depth (in)
Volume (gal)
A
19
308.75
B
2.0
32.5
[C]
7
113.75
D
12
195.00
*Pump Tank Liquid Level = 40 in
Force Main Diameter = 2 in
Force Main Length = 85 ft
Force Main Void Volume = 13.85 gal
18" Min.
(typical)
*
Approved Joints with
Weep
Hole
Approved Pipe 3 ft onto
A
Solid Ground
(typical)
—Alarm
B
on
'
. PUMP -OFF
[C]
+ Pump
_off
a ELEVATION = 84.33 ft
f
D —
INSIDE BOTTOM
1
Concrete
Block
. 6. • ..
ELEVATION = 83.33 ft
3" Approved Bedding Material Beneath Tank
[C] Total Dose Volume (TDV) 1113.75 gal/dose
(5X total lateral void volume <_ TDV so . 2X design flow)
+ (force main drainback volume)
MIN. PUMP DISCHARGE RATE = 20 gpm
PUMP TANK:
Volume = 650 gal
Manufacturer: Wieser Concrete
Pump Manufacturer: Zoeller
Pump Model: 98 (See attached pump curve.)
Controls/Alarm Manufacturer: Level Alarm
Controls/Alarm Model: DVL
Float switches containing mercury are prohibited.
Vertical Head = 16.50 ft
+ Min. Supply Head = ft
+ FM Friction Loss = 1.18 ft
+ Fitting Loss* =111111111111111111111. ft
*(min. supply head x 0.3)
= TOTAL DYNAMIC HEAD = 17.68 ft
SEPTIC TANK(S):
Total Volume = 1000 gal
Manufacturer(s): Wieser Concrete
Install approved effluent filter at the septic tank outlet
immediately upstream of the pump tank ' et.
Filter Manufacturer: Zabel
Filter Model: A-100
LU
1--
I u_ I PUMP PERFORMANCE CURVE
MODEL 98
25
0
6 20
U
15
z 4
0
J
F¢ 10
O
H
2
5
0
10 20 30 40 50 60 70 80
GALLONS
LITERS 0 80 160 240
FLOW PER MINUTE
TOTAL DYNAMIC HEAD,IFLOW
PER MINUTE
EFFLUENT AND DEWATERING
MODEL
98
Feet
Meters
Gal.
Liters
5
1.5
72
273
10
3.0
61
231
15
4.6
45
170
20
7.1
25
95
Shut-off Head:
23 fl.(7.0m)
OU9971
it
4 2I1/32
f
SK1102
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single
supplied with an alarm and three phase systems
• Mechanical alternators, for duplex systems, are available Double piggyback variable level float switches are available for
with or without alarm switches variable level long cycle controls
• Refer to FM1922 and FM0806 for temperatures above 130'F
98 Series
Control Selection
Model
Volts -Ph
Mode
Amps
Simplex
Duplex
M98
115 1
Auto
9.4
1
4
N98
115 1
Non
9.4
2 or 3
4
D98
230 1
Auto
4.7
1
4
E98
230 1
Non
4.7
2 or 3
4
SELECTION GUIDE
1. Integral float operated mechanical switch, no external control required.
2. For automatic use single piggyback variable level float switch or double
piggyback variable level float switch. Refer to FM0477.
3. See FM1228 for correct model of simplex control panel.
4. See FM0712 for correct model of duplex control panel or FM1663 for a
residential alternator system.
For information on additional Zoeller products refer to catalog on Piggyback Variable Level
Switches. FMO477: Electrical Alternator, FMO486: Mechanical Altemator. FM0495: Sumpl
Sewage Basins, FM0487; Single Phase Simplex Pump Control. FM1596: Alarm Systems,
FM0732,
A CAUTION
All installation of controls, protection devices and wiring should be done by a
qualified licensed electrician. All electrical and safety codes should be followed
including the most recent National Electrical Code (NEC) and the Occupational
Safety and Health Act (OSHA).
�a�y �5�rinuly
C \ \
OPTIONAL PUMP STAND PIN 10-2421
Reduces potential clogging by debris.
Replaces rocks or bricks under the pump.
Made of durable, noncorrosive ABS.
Raises pump 2" off bottom of basin.
Provides the ability to raise intake by adding sections of 1%"
or 2" PVC piping.
Attaches securely to pump.
Accommodates sump, dewatedng and effluent applications.
NOTE: Make sure float is free from obstruction.
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
MAIL TO: P.O BOX 16347
Louisville, KY 40256-0347 Manufacturers of..
SHIP TO: 3649 Cane Run Road �7O
Louisville, KY40211-1961
S0) QVi1L/TYPE/MPBSNCE ��ifiJ
2 118-2131. 1800 928-PUMP
www.zoeller.com z/ PUMP �0 ( FAX 502) 774.3624
(0 Copyright 2012 Zoeller Co. All rights reserved.
Pale 7
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Page 8
Installation Instructions for
FEZ WTM
EZflow Systems in Wisconsin
�wTM
.................................................................................
Wisconsin Department of Commerce, Safety and Buildings
5.
The Absorption area (SF) necessary for a given site shall
Division, has reviewed the specifications and/or plans for this
be sized based on maximum daily sewage flow (GPD) and
product and determined it to be in compliance with chapters ;
the Permeability for the site. If certain criteria is met, the
Comm 82 through 84, Wisconsin Admin, Code, and Chapters
EISA sizing can be used in Wisconsin, resulting in a 40%
145 and 160, Wisconsin Statutes. All sites must meet the Site ;
smaller drarnfield.
& Soil Conditions & Locations & Isolation distances as noted in ;
local regulations.
6.
Place EZflow bundle(s) in the EZflow configuration ap-
proved by system design permit specified for the particu-
The approved products are 1203H (3-12" bundles with pipe in
lar site. The top or center -most bundles containing pipe
center bundle in 5' or 10' lengths) and 1203HP (3-12" bundles
are joined end to end with an internal pipe coupler. Any
with pipe in each bundle in 5' or 10' lengths.
additional aggregate only bundles that may be required,
should be butted against the other aggregate -only bun -
A single pipe bundle contains a four inch perforated pipe sur-
dles and do not require any type of connection.
rounded by EPS aggregate and is held together with poly-
ehtylene netting. A single aggregate bundle contains aggregate ;
7.
The top of each GEO cylinder contains a filter fabric pre-
only and is held together with polyethylene netting, ;
manufactured in between the netting and aggregate. The
fabric is inserted to prevent soil intrusion. The installer
Materials and Equipment Needed
shall make sure the the GEO is positiioned upward and is
• EZflow Bundles
in contact with the fabric contained in the adjacent cylin-
• EZflow Geotextile Fabric
der before backfilling,
• EZflow Internal Pipe Couplers
• Pipe for Header and Inlet
8.
The EZflow Drainfield Systems should be installed in a
• Backhoe/Excavator
level trench in all directions (both across and along the
trench bottom) and should follow the contour of the ground
Installation Instructions
surface elevation (uniform depth), with all continuous
The instructions for installation of EZflow products are given
adjoining 10-foot cylindrical bundles placed end to end,
below. This product must be installed in accordance with state
with central bundle distribution pipe interconnected,
rules defined in chapters Cornm 82 through 84, Wisconsin Ad-
without any dams, stepdowns or other water stops.
ministrative Code, and Chapters 145 and 160, Wisconsin Stat-
utes, as well as the local health department's current design
9.
The trench top shall be graded such that water will not
manual. ;
pond. Backfill should be seeded or sodded immediately
after completion to reduce erosion.
1. After the local health department has determined sizing. ;
configuration, and layout for the EZflow systems, stake
flow EPS bundles are flexible and can fit in curved
10. EZflow
or mark with paint the location of trenches and lines. Be
trenches as may be necessary to avoid trees, boulders, or
careful to set correct tank, invert pipe, header line or dis-
other obstacles.
tribution box and trench bottom elevations before instal-
lation of pipe bundles.
11.
EPS aggregate is lighter than water, therefore, it might
•
be expected that natural buoyancy forces would tend to
2. Remove plastic EZflow shipping bags prior to placing
cause EZflow assemblies to float out of ground when
bundles in the trench(es). Remove any plastic bags in the ;
pending occurs. Field experience has shown, however,
trench before system is covered. ;
that this is not a problem when systems have a minimum
•
of 6" of soil cover as recommended by manufacturer.
3. This product must have geotextile fabric that meets re-
quirements of s. Comm 84.30 (6) (g), Wis. Adm. Code,
installed directly on top of the product and extending ;
1203H-GEO
down along the sides of the product to a point at least six ;
inches from the bottom of product.
- _ Geotextile
Barrier Material
4. When installed in a trench, the trench should be dug to
a width of 36 inches. This not only saves labor in excava-
- _ - "`'
tion. but also provides better load -bearing capacity after
___ ""'
backfilling is complete.
...........•.............................................._
_...._......................
Page 9
PAGE 4OF4
In -ground Dosed -Gravity Management Plan
IMPORTANT:
The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation and maintenance
pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this
system shall be considered a human health hazard if not maintained in accordance with this approved management
plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = 450 gpd; BOD5 <— 220 mgU1; TSS :5 150 mgU1; FOG <— 30 mgL"
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.)
o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company:
Local government unit:
John Schmitt
Phone: 715-760-0486
St. Croix County Community Development Phone: 715-386-4680
Local government unit address:
1101 Carmichael Road, Hudson, WI
ZIP: 54025
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be
abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
Page 10
ST. C R O AUNTY SANITARY SYSTEM File#:
Office Use Only
OWNERSHIP/ADDRESS FORM Created2/2021
Community Development Department will utilize this information to provide the property owner with
information regarding operation and maintenance of your new or replacement sanitary system! This
information will be provided as part of our ongoing efforts to protect public health, your well, groundwater,
surface water, property values, and county resources. Once approved, this completed form and educational
information will be sent to you by email. If you would like to view your issued sanitary permit online, you can
do so by using the Property Files Scanned weblink.
OWNER/BUYER INFORMATION
Owner/Buyer David & Laura Franta
Mailing Address 516 East Cove Road
City/State/zip Hudson, WI %4016
Phone Number (required
Email Address (requi
612-221-1773
davefranta@gmail.com
Parcel Identification Number 040-1294-30-000
(found on the property tax bill)
NEW SYSTEM: LEGAL DESCRIPTION
Property Location SW '/4 , NW 1/4 , Sec. 16 , T 28 N R 19 W, Town of Troy
Subdivision Plat: Piney Woods
Certified Survey Map # Plat
Warranty Deed # 784517
Number of bedrooms 3
New Property Address
(Staff Initials)
Lot #
, Volume Page #
(before 2006)Volume 2728 Page # 275
Spec house 0 yes o no Lot lines identifiable O yes 0 no
OFFICE USE ONLY
(Verification of new address required from Community Development Department for new construction.)
(Date)
This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications.
New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified
survey map if reference is made in the warranty deed.
Community Development Department — Land Use Division
715-386-4680 St. Croix County Government Center
cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016
715-245-4250 Fax
www. sccwc.go v
Page 11
7g4 s 1 7
U 2728P 275
STATE BAR OF WISCONSIN FORM 11 - 1982
LAND CONTRACT
Individual and Corporate
(TO BE USED FOR ALL TRANSACTIONS WHERE OVER
Document Number $25,000 1S FINANCED AND IN OTHER NON -CONSUMER
ACT TRANSACTIONS)
CONTRACT, by and between Donald O Rodahl and Joyce J.
Rodahl husband and wife as survivorship marital prooerty, ("Vendor",
whether one or more) and David G. Franta and Laura A. Franta husband
and wife as survivorship 1tlarital property "Purchaser", whether one or
more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full
performance of this contract by Purchaser, the following property, together with
the rents, profits, fixtures and other appurtenant interest (all called the
"Property"), in husband and wife as survivorship marital property. County,
State of Wisconsin:
Piney Woods Subdivision , Town of Troy
Croix County, WI
Recording Area
KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIX CO., MI
RECEIVED FOR RECORD
01/10/2005 08:00AR
LAND CONTRACT
EXEMPT it
REC FEE: 13.00
TRAITS FEE: 420.00
COPY FEEL
CC FEE:
PAGES: 2
Name and Rehm Address
Leo A. Beskar, Attorney
RODLI, BESKAR, BOLES & KRUEGER, S.C.
219 North Main Street, PO Box 138
River Falls, W1 54022
e41-A-2,z
040-1294-30-000
Parcel Identification Number (PIN)
This is not homestead property.
(is) (is not)
Purchaser agrees to purchase the Property and to pay to Vendor at such place as reasonably directed, the sum of $140,000-00 in the
following manner: (a) $35,00.00 at the execution of this Contract and (b) the balance of $105,00.00, together with interest from date hereof on the
balance outstanding from time to time at the rate of 6% percent per annum until paid in full, as follows:
Monthly payments of principal and interest of $886.05, commencing February S, 2005 and monthly thereafter provided the balance Is
paid in fuit or. or before January 5, 2020.
- - -- �ei@l�6![lid)t�l�Nlli�ldlf�tll7oYl�ltaeAAlRr�CS�kIf�Rs1G4fLxt�te8.
Following any default in payment, interest shall accrue at the rate of jr/u per annum on the entire amount in default (which shall include,
without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance).
Xif0E1>�E _ _
a�
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 any time after date of closing. ,
ME3iL1 RX
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!
Easements, covenants and restrictions of record.
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
fall purchase price is paid.
Purchaser shall be entitled to take possession of the Property on date of closing.
• Cross out one.
BAR OF W ISCONSIN
LAND CONTRACT - Individual end Corporate FORM No. I i - 198Z
Page 12
n' 2728P 276
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
n demand receipts showing such payment.
ended coverage perils and such
Purchaser shall keep the improvements on the property insured against loss or ertbe vdordin theby n sume. tof 5 ull and nsurab a value
their hazards as Vendor may require , without co-insurance, through insurers approvedY
but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the
nsuance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in
cl promtly give notice ofss to insurance
iting, the sand Venl of all policies covering the Proerty shall be deposited with Vendor- Purchaser less Purchaser and Vendor otherwise agree in carding insurance pro eeds shallbeapplied to resto at on or repair of the
rroperty damaged, provided the Vendor deems the restoration or repair to be economically feasible. coed tenantable condition
Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in g
ito the lien of this Contract, and to comply with all laws, ordinances and regulations affecting
tnd repair, to keep the Property free from liens superior
he Property. performed at
Vendor agrees that in case the Purchase price with interest and other moneys shall be fully paid and all conditions shall i fully
;he times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee sample, 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: no
exceptions.
f a default in the payment of any principal
Purchaser agrees that time is of the essence and (a) in the event oio interest which continues for s
period of J2 days following the specified due date or (b) in the event ofa default in performance ofany other obligation of Purchaser which continues
for a period of �Q days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding
abatndance under this contract Vendor shall also have the following immediately
remedies (sub ect to anble in ly limitations tat ons prosy ded byion and elaw) in addition to those provided ywhich Purchaser yor El
lawtor ck
in
equity: (i) Vendor may, at his option, terminate ty of redemption toand beconditioned Supon Purch sees full patitle and intercst hts,tyment of the entire outstanding ng balancn the Property and recover the Prop e bwith
through strict foreclosure with any eq ty Pifpurch_
interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which even[ all amounts previously pay
by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and s rental aymentoof he entire r the Property otsttandin balan a wr f is to ith inter st
(ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment
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
may declare this Contract s an end ricland remove this Contractss aue tcl udlaw oon titler the s in a quiet -title ire lactlon� f the ce or aequit blennterestfofrPurchaser is
insignificant; and (v) Vendor may have Purchaser ejected from possession of thc Property and have a receiver appointed to collect any rents, issues or
profits duringthe pendency of any action under (1), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election
ed in
en
ursu
attorneof the ys fees of Vendor recurred to enforyce any be ring emedy he eunder (whetheon Vendor ifand r abated or riot) ogthei extenon t not t prohibited l costs and by law and enses including
esSof 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 of 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
Contractor 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
en con
for an indebtedness of Purchaser. In the event of any such transfer, salleetor c full, a Vendors opt on r' th itt notice
sens the entire outstanding balance
payable under this Contract shall become immediately due and pay
Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any
mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this
Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be
considered payments made on this Contract.
Vendor may waive any default without waiving any other subsequent or prior default of Purchaser.
All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor
subject Purchaser.
(If
nd agreesowner join in Property the on of the deal Vendor
trade in valuable
fulfill consideration
on iderati n joins herein to release homestead rights in the
he
Dated this Sth day of January, 2005.
(SEAL)
• Donald O. Rodahl
(SEAL)
• ce .iG- Roda 1
AUTHENTICATION
Sianature(s)
authenticated this day of
AM,-
slfare,f�a��
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not.—r_..—. .
authorized by 6706.06. Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
_ Attorney Leo A. Beakar
RUDLI sESKAR BOLES & KRU[EGER, S. C.
(Signatures may be authenticated or solmowledged. Both Am nor necessary)
(SEAL)
David G. FrantaG. Franta
�.��� (SEAL)
• Laura A. Franta
ACKNOWLEDGMENT
STATE OF WISCONSIN 1
) ss.
PIERCE County )
Personally came before me this Sth day
January _ . 2005 the aboi
to me known to be the aerson(s) who a adiCd the smaotnz.;
instrument and acknowledged the gam w }�*: y;
v
ota Public. State o o mi
o is
sion is Perp+e"Iens FIfnot, state exPiratjp
•1
Nsrrus of persons signing In any
LAND CONTRACT . Individast end Carpersis
STATE aAR dir WISCONSIN
I MM No. I i • I903
i
GLOVER STATION
J
t
EAST LINE OF THE SW -NW
z` H
t
I (SOI.35'06'W)
t
00016 WE 666. 77'
NE -NW
423.
- -
NW -NW
241. 56'
..................................
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Page 13
Wisconsin Department of Commerce SOIL EVALUATION REPORT
Page � of 3
Ditision 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 11 inches in size. Plan must S T�
C M 1YI
Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. �Zt__CTYJZ) I
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all lntonnation. ev' wed by
Date
Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
1'
Property Owner
Property Location
C7 o N PcWt» o CE R-O'Dfrti L
Qw4 sl0 1/4 1/4 S i.%,T 7fJ N R 19 E ( W
Property Owner's Mailing Address
Lot #
Block #
Subd. Name or CSM#
pl Y�► W I)pD S
S'Y7 0_W1 NNO CT_`T-
City State Zip Code Phone Number
❑ City ❑Village ® Town
rjet'Rbad"-, -
71U�2 �..l.S Iti S�oZZ. (�tS) y2S- 6��Z
'rim`
Iry `- R.C�
New Construction Use: Residential / Number of bedrooms Code derived design flow rate
1 GPD
❑ Replacement ❑ Public or commercial - Describe:
At fl 4 VM11
Parent material OtITW Ft Sal Flood Plain elevation if applicable
P% . ST CHOIx fL
General comments
and recommendations: 3 L° BLS 1:�heit 3 �K (a Z , S Lupj il ', J/ L O vnr t_s dF
�1 �COt'rwTY
1
S-I D�w1tiD Lt: ctii�cw�aL=as Pt`'Q �L,
£ , ��
V"Swr J m 01= CZL . -M Z sc) 4' r)ezp. C 'L�'oSE F ij m p
t?-E�
FBoring
# ❑ Boring C. .AJW �"
Q "pit Ground surface elev. �� ft. Depth to limiting factor " 0 in. � • �°`�
Sal Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ft2
"01#1
'Eff#2
-t)
L!J112-312
S(1
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0133
M\
Z
Boring # Boring
1-4 ® pit Ground surface elev. 1- ft. Depth to limiting factor 7 a in.
Soil Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GP it
'Eff#1
'Eff#2
�
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9�• o
' Effluent #1 ■ BODE > 30 < 220 mg/L I d TSS >30 < 150 mg1L emuent wz a BOD, < 30 moll. and T55 < 30 MWL
CST Name (Please Print) -.Slggphn y , 3 Number
Arthur L. Wegerer o �`31$ 220254
Address W e g e r e r Soil Testing & Design Service DateEvaluation Conduetad eiepf+ons Number
421 W. I -lain St. River Falls, WI 54022 715-425-0165
1
Property Owner 'RCi 'C�>Pi L Parcel ID # 1--1efjb 1 >v G
F:�] Boring # ❑ Boring 1 , r
i ry rot
�f�Und surface ele.. ft. t aptli to Ilrrilung factor / f b In.
Page L of
Soll Anollcation Rate
Horizon
Depth
11
Dominant Color
1 Munsetl
Redox Description
Qfj. S7 COW. Color
Texture
Structure
C-. Sz. Sh.
Consistence
Boundary
Roots
GPD/ft°
'ctf#1
r `Eff#2
o-b
luilz31z
-
L
lcsbk
w)U-6-
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-
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O SP,
t.t
Boring # ❑ BoringF-1 `� v
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
I Soil Aoolication Rate l
Horizon
Depth
in.
Dominant Color
Munsetl
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ft=
•Eff#1
'Eff#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor In.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Shucture
Gr. Sz. Sh.
Consistence
Boundary
Roots
SWi Application Raie
GPD/ft2
'Eff#1 I •Eff#2
Effluent #1 = BODE > 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 m an alternate format, please contact the department at 608-266-3151 or M 608-264-8777.
SBD-2330 (R.6d00)
PLOT PLAN
Scale 1' = S7
Page 3 of 3
gSo.oq
i / F9�1 Cl
y/ su 1`fv<ak-F Rom- Fbiz /
MAD
r
M\i;;�> o t= Fv 1vv-E
La` -r daQ Moft
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A►v� t+-Z -. ��o_o� on,
VL-Lb,-oj 715-425-0165 220254
LoT- ly
O ►-31S - 1 -1
.o
V)
-7
ri
CST Signature Date Telephone No. CST No.
Job NO.
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
PPrcnnal information vnu provide may be used for secondary purposes rPdvacy Law, s.15.04 (1)(m))
'ermit Holder's Name: City Village X Township
Franta, Dave & Laura Troy, Town of
;ST BM Elev: Insp. 6M Elev: BM Description:
ioS 1a 1 )°s/o ' 2
rANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
SeFt is
LID 1 &669—
tamA 1so
Dosing
Aeration
Holding
TANK SFTRACK INFORMATION
Vent to Air Intake
DI1UP1_Q P41P1N INFCIRMATInN _
Manufacturer
Demand
GPM O
NQode[ Number
H
U16
Friction oss
System HeJTD
�
Forcemain
Lenggth5 II
17ia. ea
Dist. to Well
rrir�.z-zv i-�.L�ri��-a���r-i,r:r���►���w����w�a_
I=LtVAIIUN 1JHlii
County
St. Croix
$enitaryPermit No'
463389 0
State Plan ID No:
Parcel Tax No
040-1294-30-000
Section/TowwRangeiMap N .
1 .28,19.1688
STATION
BS
HI
FS
ELEV.
BenchmarkAID
O
Alt. BM
Bldg. Sewer d
12•10
a • `d
St/Ht Inlet
�` �
��•83�
St/Ht Outlet
Dt Inlet
Dt Bottom 64
,t•
S ��
t
, t •
tl
134
Header/Man.
Dist. Pipe
Bot. SystemOA
1�ck
Final Grade
St Cover Q
�r•�
1 M y0
4
.2'
ot•JR
r
ENCH
DIM
Width /
Length No.pfrendhes
PIT DIMENSIONS
No. Of Pits
Inside Dia.
Liquid Depth
SETBACK
SYSTEM TO
P/L
BLDG
IWELL
LAKE/STREAM
LEACHING
Man =IU4rerIJ
INFORMATION
CHAMBER OR
Ty Of System:
I
1
Model be
UNIT
�/.
0
1
�-
■.�r�a,r.I�-Iarrr.I�avwr-•.L�a� �c.,.>. �rw�a�
!� •
Distribution
Pipw \
x Hole Size
x Hole Spacing
Vent to Air(Into
7([j
Length (x• Dia
Length Dia Spacing
Y—
AA•• AA\/aT•7 _ _ -_- ^. -`_-- ��... ..� ■a ..—A A. A•C to I Inlu
Depth Over
Depth Over
xx Depth Of
xx Seeded!Scdded
xx Mulched
Bed/Trench Center
Bed/Trench Edges
Topsoil
Yes No
!Yes No
COMM�N��.(- I d a discrepencies, persons present, etc.) Inspecton # �_�.L��GDS Inspection #2: T`---�-�
Loti.- on 516Eaove d Hudson, WI 54016 (SW 1/4 NW 1/4 17 T28N q Piney Woods of 13 P`ar 1 No: 7.28.19.16 8
1.) Alt BM Description = 5•�' �` C,�}Q`"i�BL_�i i
r A."
Rek
2.)Bldg sewer length = » 'jD S) S" S �l P,Qj
amount of cover = %p (v • V I Jy 1 CWq,- / ( 4N p .4 t
Plan revision Required? "' Yes V No
Use other side for additional inform on.
Date Insepetars 5lgnature Cart. No.
SBD-6710 (R.3l97)
Safety and Buildittgs Divi '
201 W. Washington Ave.. P 7162
NVisconsin
Cwmy
Number (m be filled In by Co.)
Madison, WI S
Sandtasy Permit
Department of Commerce (
Sanitary Perm_i_t Appli tlon
3
Plan I.D. Number N/'T
In atxord with e used for 2!eeco wY PI1 Ix in QFPC�
Roca Address (if di fare" than add—)
o yo • Z y I/ 3 0 • t7V (1
I. Application Information - Please Print All Information 1
Property Owner's Na me
p,4 U� Aj GqvL"
Parcel IfI Lot Block it
--
Property Owner's M ailing Address s r
l o b 0- s r /D Y
v" /'C/ 1-7
Si, A,Sectiaa -
Q
T 20 N R
City. State
yoo,vj� MN'
Zip Code Plane
Ss"y
Number
Gies • 2 z/ �%?3
a. Tyiro of Buildiag (check all that apply) Z S s
,p�
y(,I or 2 Family Dwelling - Number of Bedrooms 'Fcc -
Subdivision Name CSM Number
❑ Public/Commercial - Describe Use
t
❑City_❑vin"W EIT.w abip a re
❑ Sow Owned - Describe Use
w
M. Type of Permit: (Check only one box on line A. Complete line B if appitrabk) J.
A.
New System
❑Replacement System
❑ Treaullattt/Ilolding Tank Replacement Only
D Other Modification to Existing System
B.
❑ Permit Renewal
❑ Permit Revision
❑ Change of
❑ Permit Traffifer to New
list Previous Permit Number and Dace issued
Before Expiration
I Plumber
Owner
IV. TyX of POWTS System: (Check CZ
Non-Prcrized In Ground ElMound > 21 in. of suitable soil ❑ Mound < ?A io, of suitable soil ElAt-Grade ❑ Single Pass Saad Hiller
�ssu
Coahaaed Wetland ❑ Pressurized k4ramd ❑ Holding Tank LI Pat Filter ❑ Aerobic Tranoent Unit ❑ Rem Sand Filter
❑ Recircula ' S mbetic Media Filter ❑ Le d.4 Clamber ❑ Drip Line ❑ Gradd-less Pare ❑ ( W )
V. Dispersairrineatment Area Information:
tcmtS
Design Flow (gpd) Design Suil Application Rate(gt ) D' Ar �`c�(,I)DL,,,cual
r
o 7�nd(sf)
p 'lD
VI. Tack Info Capacity in TOW Number M tun C / 1 Wf_eb Sire Sled -Fiber Plastic
cr0CA to t - / Coacrese Comtracmd Glass
Gsllow Gallons of Units
New
Tanks Tanks
Septic or Holding Tank
0-VV
Aerobic Twam= Una
Dosing C'weber
f9 SQ
�S
VII. Rf8po6ldhility Statement- I, the rmda aigaed, assume responsibility for installation of the POWTS shown an the attached plans.
Plumber's Na me (Print)
s Si
4jZ2.Ce3
MPIMPRS Number Business Plrooe Number
5 7/34y
Plumber's Addre a (Street. City, State. Zip Code)
VIII. CounlyMepsuitnent Use Only
Approved
l7 Di ove��
Saoiary Permit Fees ( Groundwater
Date Issued
�lasuiagffgetn Sigoamre (No SOW)C�
❑ Owner Given Reason for Denial
Sm�arge froej
3 JI
I Z 5
�
IX. Cmililtions of ApprovaVReasons for Disapproval
SYSTEM OWNER:
1 Septic tank, effluent filter and
dispersal cell must ail be serviced) maintelW
management plan provided by p(urtlber.
as per
2. Ali setback requirements must be maintained
as per applicable Wdelordinances
Isnaea cusupme pt «o Ise s.oaoq aW) — — v.• .,,, 1- a,..... — _"-' -- •--- - --
SBD-6398 (R. 01/03)
S)