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589773 040-1227-10-100
Wisconsin Department of Commerce, PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] Permit Holder's Name: City Village Township Ginger Alden (Ben Hanke) TOWN OF TROY CST BM Elev. Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 589773 State Plan ID No: Parcel Tax No: 040-1227-10-100 Section/Town/Range/Map No: 13.28.20.1109A STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/Ht Inlet SUHt Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover B EDITRENCDIMENSIONS Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSION SETBACK SYSTEM TO I P/L JBLDG IWELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR UNIT Type Of System: Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size Vent to Air Intake x Hole Spacing 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 xx Seeded/Sodded xx Mulched Red/Trench Center BedfTrench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 344 E COVE RD 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes No Use other side for additional information. Date SBD-6710 (R.3/97) Insepctor's Signature I Cart. No. 10 o t C CounTy�/ Safety and Buildings Division 0 2 7 016 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Numbs (to be filled in by Co.) a„u8 MadisoW 5 707-7162 IX COUNTY i DEVELOPMENT 61 V State Transaction Number Sanitary Permit App11G'OxQCXKFEPJ ` In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate go ---mental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Servies. Personal infdrmatio u ovide may be used for secondary purposes in accordance with the Pri Law, s. 15. 1 m Stats. -1 � J // Y L Application Infor bon - Please Print All Information Property 'Name r l�P 1-120 Pazcel p r�/ Property Owner's ling Address > i 3 d19 A Property Location Govt Lot /. y,, Section City, State Zip Code Phone Number jz � �ucle o T N; R� U E IE ype of Building (check all that apply) Lot # Subdivision ' �— Family Dwelling -Number of Bedrooms ! / �L &b ❑ City of ❑ Public!Commercial - Describe Use _ ❑ State Owned - Describe Uses ` ❑Village of — CSM Number D � W �1ik' j— 1 zz C own of W. Type of Permit: (Check only one dox on line A. Complete line B ' p icable) ew System ❑Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner , fV.,Tvpe of POWTS System/Component/Device: Check all that apply) Non-Pressuriwd 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. DispersalfIrre went Area Information• P /' Des' _Flow (gpdV I Q 0 Design Soil Application dsf Dispersal Area Required (sf) Dispersal Area Proposed sf) System Elevation S 3, C , VL Tank Info Capacity in Total # of Manufacnuzr Gallons Gallons Units a o o New Tanks Existing Tanks jF Septic or Hold'ng Tank IV,t 1-� Dosing Chamber VII. Responsibility Statement-,Kpc undersigned, assu esponsibility for installation of the POWTS shown on the attached plans. Plum s ame (Print) Plum i MP/NTRS Number Bus'ncss Phone N Sr Plumber's Addy �S`--City, State, P Code) � /`�IdU `/� ��� C VIUL County/De artment Use Only proved ❑ Dis Permit Fee Date ed Issuing- i 7—'Q S'gnature .yen Reason for DcnW #��� / IX Conditi 'stgjJLsepproval [+� '7 'I'blrigilrKaJ cell must all beaseeiivIces ! mainjg± t w �' 1 es per management plan provided by plumber. 2. AllIvotikk Tequivemwft m�rst,xle raaintairied x d4 r*s • s►, C.,^n tal r ..sro as perapplicable � / Attachto complete plans for the system and submit to the l,ounry' onl} oa paper not less than a 1rz z r r tncaes to 9z• 6.1 SBD-6398 (I 11!11) III Wo PLOT PLAN PROJECT Ben Hanke ADDRESS 230 Monroe St. N Hudson Wi 54016 1/4 1/4S 13 /T 28 N/R 20 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 832.0/931.8' 4.5' below grade DATE 6/1 /16 BEDROOM r... CONVENTIONAL IN -GROUND PRESSURE CONVENTIONAL LIFT )= HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE765 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 BENCHMARK V.R.P. Top of spike in tree ASSUME ELEVATION 100' Filter Lifetime i*"'cr ❑ BOREHOLE O WELL *H.R.P. sameasbenchmark All piping shall be ASTM SDR 30/34, within Scale = 1 /4" = 1 0 10' of tank, piping shall be ASTM F891 Vent >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 1 Grade at System Elevation I% Sl N", 100' 60' Vents B-1 40' ape 50' 2-3 X 90' Cells with >3' spacing Huffcutt Combo Tank 100 90, 20' Pro 3 Bedroom house .CC o r 1 In Not enough slope to establish contours 10 To Salishhan Drive 40 Im RIVEWAY 0 0 m i — �838 O LI I N 10.0: 1 o I � � 5.07. ro GARAGE � - FLOOR - 840.5 1 I _ h40.50. _-.-____ ____ _ __ _---_-_-14. .... ...... ......... ......... o PROPERTY LINE CO - ' SONNENTAG CONSULTING, LLC. 616 TOWER RD. HUDSON, WI 54016 PH. 651-334-3332 5V LAND S SOLUTIONS PH. 715-:4E-7529 PROJECT. BEN & NICOLE HANKE 230 MON ROE ST. N. DRAINFIELD HUDSON, WI54016 LOT 11, CSM VOL. 17 PG. 4628, SECTION 13, T28N, R20W, TOWN OF TROY, ST. CROIX COUNTY, WI — — — LEGEND: / EXISTING / PROPERTI LINE INDEX CONTOUR INTERMEDIATE CONTOUR xxx xX4- SPOT ELEVATION O FOUND 1" IRON PIN O FOUND 1.25" OUTSIDE DIAMETER IRON PIPE FOUND 1" OUTSIDE DIAMETER IRON PIPE PROPOSED %--.0 TEMPORARY SEDIMENT LOC —®— SILT FENCE 1-4 DIRECTION OF FLOW INFILTRATION BASIN LEVISION ELEVATIONS SHOWN N NAVD 1988 DATUM ED FROM ST. CROIX NTY LIDAR DATA. BY: )MS ........ •.D BY: 03/29/16 LE: 118-HANKE : BER: 118-HANKE DESC. STAFF DATE RELEASED FOR )MS 03/29/1 REVIEW CU.P )MS 05/02/' APPLICATION REVIEW )MS 061091' COMMENTS GRADING & EROSION \ CONTROL PLAN s SHEET NO. 0- — — \ 5OF6 INFILTRATION BASIN NOTES CONSTRUCTION NOTES SITE SUITABILITY - SOILS ON -SITE ARE PREDOMINANTLY DAKOTA LOAM. SOIL BORINGS 1. CONTRACTOR TO REVIEW BUILDING PLANS TO COMPLETED ON -SITE IDENTIFY LOAMY SOILS IN THE UPPER 18" AND TRANSITION TO MEDIUM VERIFY FINAL CONSTRUCTION DIMENSIONS, SAND. CONTRACTOR SHALL VERIFY SOIL CONDITIONS AT THE TIME OF CONSTRUCTION TO 2. PRIOR TO COMMENCING CONSTRUCTION, INSURE INFILTRATION WILL BE ACHIEVED. CONTRACTOR TO VERIFY SITE PLAN AND LOCAL REQUIREMENTS WITH THE LOCAL AUTHORITY. CONSTRUCTION - TO AVOID COMPACTION, THE INFILTRATION AREAS SHALL BE FENCED OFF TO 3. CONTRACTOR TO VERIFY UNDERGROUND UTILITIE PREVENT HEAVY EQUIPMENT ACCESS DURING DEVELOPMENT. WITH DIGGER'S HOTLINE PRIOR TO EXCAVATION. IF COMPACTION OCCURS, THE EFFECTED AREAS SHALL BE MITIGATED USING THE FOLLOWING METHODS: 1. INCORPORATE SOIL ADDITIVES CONSISTING OF TWO INCHES OF COMPOST MIXED INTO TWO INCHES OF TOPSOIL_ 2. THE SOIL MIX (V.C.3.B.1) SHALL BE INCORPORATED INTO THE EXISTING SOIL USING A CHISEL PLOW OR ROTARY DEVICE WITH THE CAPABILITY OF REACHING TO 12 INCHES BELOW THE XO EXISTING SURFACE. 3. THE COMPOST COMPONENT SHALL MEET THE FOLLOWING WDNR SPECIFICATION S100 �=© COMPOST. _ MAINTENANCE - IF STANDING WATER IS OBSERVED COVERING 50% OF AREA AFTER 3 DAYS, BASIN IS CLOGGED AND CORRECTIVE MEASURES SHOULD BE IMPLEMENTED. FOLLOW WI DNR TECHNICAL STANDARD 1003 SECTION VII C. QUARTERLY INSPECTIONS SHALL OCCUR TO ENSURE PROPER DRAINAGE AND TO CORRECT ANY EROSION ISSUES. -CONTACT INFORMATION ----- 1NFlLTRATiON— __ --- OWNER: BEN & NICOLE HANKE BASIN / �\`__--__. benhanke@bohelectronics.com 651-894-2440 ARCHITECT: BRUCELENZEN bruce@brucelenzendesignbuild.com 651-329-4060 J — .F-' J J SITE LAYOUT: JON SONNENTAG SEPTIC jon@gslandsolutions.com TANKS 651-334-3332 A- l Z� / 2 CONTRACTORS: (to be determined following permit process) Q u „-837.00/ y � PATIO r < , HOUSE 1ST FLOOR = 844.5 © BASEMENT=834.0 837.00/ i p ..................... .9r37.00 ` s ....... WELL ...... -- ------ \ 836 ©----°-tom© I SALISHAN C� WALKING TRAIL 0 20 40 Feet \ I Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 6/1 /16 Owner: Ben Hanke Location: Govt Lot 2 S 13 T28 N,R20W Lot 11 Salishan Troy System type: In -ground absorbtion system(conventional) Manuals Used: In -ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet 8. Dose Tank Cross Section 9. Pump i 10.-12. Sc Signature License ni PLOT PLAN PROJECT Ben Hanke ADDRESS 230 Monroe St. N Hudson Wi 54016 1/4 1/4S 13 /T 28 N/R 20 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 832.0/931.8' 4.5' below qrade 6/1 /16 d DATE BEDROOM CONVENTIONAL IN -GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE765 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 IL BENCHMARK V.R.P. Top of spike in tree ASSUME ELEVATION wo, Filter Lifetime f"Wer ❑ BOREHOLE O WELL * H.R.P. same as benchmark All piping shall be ASTM SDR 30/34, within Scale = ;- 411 = 10' 10' of tank, piping shall be ASTM F891 >6" of Cover Vent 34 Quick4 Standard Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps Grade at System Elevation l% S1 40' M.* 100' 60' Vents B -1 r50' Dpe 2-3 X 90' Cells with >3' spacing Huffcutt Combo Tank 20' Pro 3 Bedroom house M 100,1�� �� []B3 B-2 Not enough slope to establish contours No - To Salishhan Drive Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ftA2 pair of end plates Typical Installation f3' nt Grade 4„3, A/30134 Septic Tank _ To be >1' above grade / Finish grade elevation �( 836.5' Went / g /1 „ 5' 1 5' Lon �5' Long 3 6" Grade at System Elevation Spacing 5' System elevations: A 832.0' B 831.8' at System Elevation L, 2-3' X Cells Same on other end Observation tubeNent At end of cell 7 A B chambers per cell ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address 4- 3#4 e c J e. P-& .4) (Vw cation required from Planning & Zoning Department for new City/State W\ Parcel Identification Number 01 V — l )Ld--)r11� f 00 6 LEGAL DESCRIPTION C�OJ'1- 1—ot2 Property Location 1/< , 1/a , Sec. T Z i N R Subdivision Certified Survey Map # Warranty Deed # G O W, Town of tr0 Lot #. Volume � � � � Page # (I 697Z Vo tume , Page # Lot iim- identifiable yes (�) SYSTEM MAINTENANCE AND OWNER CERTIFICATION improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumpmg out the septic tank every three years or sooner, it needed, by a licensed pun4=- What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. Uwe, tine 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 staring that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date_ I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owners) of the property described above, by virtue of a W&Ira7deed recorded in Register of Deeds Office. Number of bedrooms �I SI ATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Departincut '** Include with this application 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. (REV. 08/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of 111 ILE INFORMATION Owner C l�✓ ,ti. Permit # DESIGN PARAMETERS Number of Bedrooms 3 p NA Number of Public Facility units CL:NA j Estimated flow (arage) C_ I/da i Design flaw (peak), (Estmated x 1.5) > a ida Soil Application Rate aUda le i Standarsd Influent/Effluent Quality Monthly average Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (SOD,) s220 mg/L ❑ NA Total Suspended Solids (TSS) s150 mg/L Pretreated Effluent Quality Monthly average Biome Oxygen Demand (BODs) s30 mg/L Total Suspended Solids (TSS) <_30 mg/L Fecal Cofform (geometric mean) s104 cfW100mI !Maximum Effluent Particle Size in dia. ❑,NA r Other. A 'Values typical for domestic wastewater and septic tank effluent NTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank ❑ NA Septic Tank ManufacWrer L.Capacity J' NAIE Effluent Filter Manufacturer i ❑ NA ` n�� Effluent Filter Model ❑ NA Pump Tank Capacitygal ? .� ❑ NA Pump Tank Manufacturer --0 NA Pump Manufacturer p NA Pump Model J i j 2— ❑ NA Pretreatment UnitNA ❑ Sand/Gravel Filter 0 Peat Filter 11 Mechanical Aeration ❑ Wetland M Disinfection O Other: Dispersal Cell(s) ❑ NA I Ground (gravity) ❑ In -Ground (pressurized) ❑ At -Grade ❑ Mound ® Drip -Line O Other. Other. ❑ NA Other. ❑ NA Other. ❑ NA Service Event Service Frequency linspect condition of tank(s) At least once every: 0 month(s) (Maxi a 3 years) year((Pump [INA out contents of tank(s) When combined sludge and scum equals one-third m of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ^ ❑ months) ~ Yea►(s) (Maximum 3 yeare) ElNA Clean effluent filter t once every: At leasajr 0 Y ith s) 1D NA Inspect pump, pump controls & alarm At least once every: �? month(s) _ .> ❑ NA ( lush laterals and pressure test At least once every: ❑ month(s) ❑ year(s)NA ❑ At least once every: --4NA Cl month( ❑ yeaarr((ss)) 1 ❑ r. NA MAINTENANCE INSTRUCTIONS :Inspections of tanks and dispersal cells shall be made by an individual carving one of the following licenses or certifications: Master (Plumber, Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank inspections must lindude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of wmbined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be !visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. 'The ponding of effluent on the ground surface may indicate a fading condition and requires the immediate notification of the local I-egulatory authority. When the combined accumulation mulation of sludge and scum in any tank equals one-third (3fi) or more of the tank volume, the entire contents of J:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. tall other services, including but not limited to the servicing of effluent filters, medical or pressurized components, prefteatment units, lA any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event page of , START UP AND OPERATION treatment tank(s) for the presence of painting products or other chemicals thOt For new construction, prior to use of the POWTS check treat I cell{s). If high Concentrations are detected have the contents of P may impede the treatment process and/or damage the disperse e servicing operator prior to use. tank(s) removed by a septa9 at the infiltrative surface. System start up shall not occur when soil conditions are frozen wastewaterwill be um tanks may fill above normal highwater levels. When power is restO r the backup or ssurface discharge of effluenit. During power outages pump Operator prior to restoring power to ttde discharged to the dispersal cells) in one large dose, overloading the cell(s) and may result Servicing Perato norm levels To avoid this situation have the contents of the pump tank remove drbyman�operating the pump controls to restore effluent pump or contact a Plumber or POWTS Maintainer to assist within the pump tank. disturb or Compact, the area within Do not drive or park vehicles uotanks and nd or at -grade s?a�rsal ti Do note or park over, or otherwise n the ` fe of the POV1(f G 15 feet down slope of any my improon Me- ve. the performance and prolong Reduction or elimination of the following from the wastewater stream �; dental floss; diapers; disinfectants; fat: foundation drat n antibiotics; baby wipes; cigarette butts; condoms; cotton swabs;de fe lades; meat scraps medications; oil; Ping PfOd�; (sump pump) water; fruit and vegetable peelings; gasoline; g Pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT taken of service the following steps shall be taken to insure that the system is propefilY When the POWTS faits and/or is pennanenUy er Comm 83.33, Wisconsin Administrative Code:. and safely abandoned in compliance with rthaPt • Ail piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a SePtage Senlidl Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN e a code comprrd ff the POWTS falls and cannot be repaired the following measures have been, or must be taken, to Pr°mod rep system: replacement soil absorption systelm. suitable replacement area has been evaluated and may be utilized for the location of a rep requirled The tabreple ernerrt area should be protected from disturbance and compaction and should not be infringed upon by ment area will result in the need setbacks from existing and proposed structure, lot lines and wells. Failure to protecttthe r must comply with the ruled in for a new soil and site evaluation to establish a suitable replacement area. Replaces systems effect at that time. advances in pOWfS technotogl/ a ❑ A suitable replacement area is not available due to setback and/or soil limitations. Sawing holding tank may be installed as a last resort to replace the failed rea. Upon failure of the POVVTS. ❑ The site has not been evaluated tifya suitable replacement {f replacement area us available aaOholding tank may be installedl as must be performable ed to locate a replacement a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biorr�t at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. GEN. Do NOT «WARNING»LETHAL GASSES AND/OR SEPTIC, PUMP AND OTHER R( TREATMENT TANIf UNDER ANY CIRCUMSTANCES- DEATH IMAM OTHER RESULT. RESCUE O� A ENTER A SEPTIC, PUMP OR OTH PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS pOWTS POWTS INSTALLERENa;enZEName E Crti L Pho Phone 7� ,f �— LOCAL REGULATORY AIJT SEPTAGE SERVICING OPE OR UMIPE Name <. ` (' -- Name � Phone Phone r Adminkb*fve Code. This document was drifted in compliance with oh*er SPS 3f33.22(2){b)(1)(d}8�{f) and 383.54(1), (2) 1,(3). Wlsconsm ----- ----- 04.5200 Ol Grip bf-lwe(-n Co5c and Serpontme SECTION A -A )00 9.8 I Septic -Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Tank Model Number ' Total Tank Capacity Max. Bury Depth Filter Manufacturer Filter Model Number Inlet Miniminn Pump performance Required Ft TDH Outlet I.Vlanhole Min. 4" Above Grade With I ocking Device. Inlet Manhole < 6" Below Grade Sealed Watertight Switch Settings and Reserve Capacity Volume =_ (� GPI_ ---Tank Dimension: Inches Volume Gal. (reserve) A� 6 G c7 (alarm) B , 2 j C7 (dose) C .; (dead) D r _ Total Pump Manufacturer_ --- Pump Model Number Alarm Manufacturer Alarm Model Number Switch Type ry, t v_ Total Dynamic Head (TDH) - Feet Elevation Head Z 0 — Distal Pressure Network Loss Force Main Loss Total Manhole Min. 4" Above Grade With Locking Device 1 GENERAL INSTAiLLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation m;d the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28. 02/05 U Page of c r i o ov w < PLOW PER MINUTE IN CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420 • Over 130"F. (544C.) special quotation required. 1521153 Series 152N53 MODELS control Selection Model Voirs•Ph Mode Am s Sim lex Du lex N152 115 1 Non 8.5 t 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 El52 230 1 Non 4.3 1 2 or 3 BE152 230 Auto 4.3 Inclut 1 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 inclined 2 or 3 E153 230 t Non 5.3 11 2 or 3 6E153 230 1 1 Aulo 5.3 1 Included 1 2 or 3 p 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 Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING I MODEL 1 i52 153 t eel N1eCer5 uu;. --- I --.. I 5 1.5 I 69 261 li 77 291 61 231 70 265 �t-0--3.1 tl 5 4.6 53 1 201 61 I23t 1 44 67 52 196.t 720 25 7.6 34 129 42 I 159 30 9.'. I 23 87 33 1 125 35 0 I ; 22 85 I 40 12.2 I -- -- I 11 I 42 Lock Valve: 38.0 Ft. (i L.6m) j 44.0 Ft. ('3.4m) 3 27/ SELECTION GUIDE IN 6 3 SK2064 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Altemator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. 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 ManufacrurersOf. . SHIP T0: 3649 Cane Run Road �7p Louisville, KY 40211.1961 QlL4UTY PUMPS SNCF ��✓d u f502) 778-2731.1(600) 928-PUMP '> /°lJMP !O. FAX f502) 774-3624 httpJ/Www.zoell er. com © Copyright 2000 Zoeller Co. All rights reserved. w- -- - - AutodesK Revtt I — I — • _ D gck--- —� I a GREAT ROOM I i I I � DINING i 7, �} 81 T I GFDR0019 Ox ~� ICrtG+EN L _ I I r U _ I x III J _ I I - L. ____--- --_.— - Porch °< I 2016 Rt � t `•' m II New 2364 �' i Bruce Lenzen Designs 5022nd ST.#100 ,_— Hudson W154016 '- 651 3294060 II I t - HANKE JII. � Concept Set First Floor Plan Al Finished Autodesk' Revit Bruce Lenzen Designs 502 2nd ST. # 100 Hudson WI 54016 6513294060 HANKE Concept Set Lower Level Plan A2 I AutodesK Revit"'' I I !II! Bruce Lenzen Designs 502 2nd ST. # 100 Hudson WI54016 651 3294060 1 ' _ _ Conce_ pt Set Second Floor Plan ate, ` - - A3- Autodesl( Revit it 11 Bruce Lenzen Designs 1 502 2nCl ST # 100 Hudson WI W16 651329 4060 J'j HANKE ____ _Concept Set_ Elevations AIS Autodesl(Revit: as W U)MOm r4 W .A:m P mm ri W QOa6 f7� m 4.U0 •+(� Y' <mo Em N WOWN WW Fa>-, 1 r H U W /1 1hC0 •U� a Ua o r >XCALaa� UaWn CERTIFIED SURVEY MAP LOCATED IN GOVERNMENT LOT 2, SECTION 13, T28N, R2OW, ALL CONDITIONS, RESTRICTIONS, TOWNOF TROY, ST.CROIX COUNTY, WISCONSIN. NOTES, ETC, LISTED IN THE PREVIOUS PLAT ARE APPLICABLE UNLESS OTHERWISE INDICATED. NOTE: BEARINGS ARE OWNERS: THE ACCESS EASEMENT OVER OUTLOT I REFERENCED TO THE EDWARD HARRISON iLOT 1). TO SERVE LOT I OF SAL ISHAN WILL BE SOUTH LINE OF SAL ISHAN ASSOC. (OUTLOT 1). REPLACED WITH A NEW ACCESS GOVERNMENT LOT 2, EASEMENT AS SHOWN ON THIS MAP. SECTION i 3. ( RECORD OUTLOT I OF SAL I SHAN BEARING). ..... N87' 37' 59' E 664.99 ;O y Z.-cr................ .....,i'�...................................._;: .................. LINE p ASD 90' pPPR9X.-BLUFFI" LOT t i 8 EGRESS SEASEMENT v J°• _ 3. T7 ACRES , $ TO SERVE LOT I I :y - '� 164, 326 S0. FT. �EOLUME CORDED L07 1 )SA.I..fHAH $ MEANDER CORNER TO THE SW u° . PAGE ; y CORNER OF GOVERNMENT LOT i a t�qp 2, SECTION 13. •�i. NOO'00' 40'E \ :2 (FOUND I' IRON PIPE). N89'00'3T'w 10.00 \ co -- f---- --- — ----'— -- ----- — 36_69 N89000' 37'W 423.68' i, w R 1384.06' S89' 00' 3T E 1450. 51' P 104, 06' N48' 10 52' W �� i N88'00' 37' W SOUTH LINE OF GOVERNMENT LOT 2 38, 24' kP� Y Q — Ci r C ECT F �ERT•IF I,ED,. SURVEY„MAP E 114 CORNER OF i SECTION 13. (FOUND 2' IRON PIPE), VOL U Ufa Li .I4�5, ....PAGE..f....... o 0 = SET I' C.D. X 18' IRON PIPL WEIGHING 1.13LOS PER LINEAR FOOT I' IRON PIPE FOUND. = 2' IRON PIPE FOUND. 0 75 150 300 THIS MAP IS AN INSTRUMENT FOR AND SHOWS THE RESULTS OF AN EXCHANGE OF LAND BETWEEN ADJOINING PARCELS. THE SALISHAN HOME OWNERS ASSOCIATION "& OUTLOT I WITH DOCUMENT NUMBER 53 y (21$ AND LOT I WITH DOCUMENT NUMBER a L'Iga' THE PROPOSED LOT it WILL BE QUIT -CLAIMED TO EDWARD HARR (SON, THE OR IG 1NAL OWNER OF LOT I. NO NEW LOTS ARE CREATED BY THIS INSTRUMENT, THE REMAINING PORTION OF LOT I WILL 8E CONSIDERED PART OF OUTLOT I. 2003058A THIS INSTRUMENT DRAFTED BY JIM WEBER SHEET I OF 2 JAMES M. WEBER 51004 vmww MVI , DAMES M. NEVER-S-1604 LANDMARK SURVEYING DATED UNOFFICIALRE C E' V E D ` u 2 6 7-8 P 2 7 1 ORIGINAL7? 7�C=,? JUN 20 Z016 ST. CROIX COUMY Ch1MUTArdnGMWPM State Bar of Wisconsin Form I - 2003 WARRANTY DEED Document Name THIS DEED, made between Edward J. Harrison, a single person ("Grantor," whether one or more), and Ginger B. Alden, a married person ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 11 of Certified Survey Map recorded in Volume 17 on page 4628 as Document No. 742491 being a part of Lot 1, Plat of Salishan and a 1/10th interest in Outlot 1, together with easement for ingress and egress on said Certified Survey Map. KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/18/2004 01:30PH WARRANTY DEED EXEMPT k REC FEE: 11.00 TRANS FEE: 1050.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address Title One Premier Group, Inc . 706 19th Street South Hudson, Wisconsin 54016 040-1227-10-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Roadways, Easements, and Restrictions of record. Dated October, 15, 2004 * AUTHENTICATION Signature(s) authenticated on s (SEAL) (SEAL) *Edward J. Wriscin (SEAL) (SEAL) ACKNOWLEDGMENT STATE OF ss COUNT )/ �V ino she on My Commission Expires TITLE: MEMBER STATE BAR OF WISCONSIN urn to be the person(s) who -Lmecuted the (If not, foregoin instrument and acknowledged the same. authorized by Wis. Stat. § 706.06) THIS INSTRLIMENT DRAFTED BY: Michael H. Forecki, Attorney Eau Claire, Wisconsin Notary Public, State of My Commission (is permanent) (expires: / 'e ) (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 STATE BAR OF WISCONSIN FORM No. 1-2003 *Type name below signatures. Anorney Miehael H Forecki 3452 Oakwood Hills Pkwy Ste 1, Eau Claire W1 54701-7929 Phone (715) 835-3029 Fax: (715) 835-4112 T6620475 ZFX Tile One Premier Group Produced with ZipForrn- by RE FormsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48o35, (800) 383-9805 www z�com wthentisign ID: L] ORIGINAL Approved by the Wisconsin Department of elation and Licensing Property Executives Realty 03-1-11 (Optional Use Date) 07-1-11 (Mandatory Use Date) Page 1 of 10, we-13 WB-13 VACANT LAND OFFER TO PURCHASE 1 LICENSEE DRAFTING THIS OFFER ON March 22, 2016 [DATE] 15 (AGENT OF BUNFER) 2 (AGENT OoE66EW 1 TING BRO - o) (AGENT OF BUYER AND SELLER) FSTRIKE THOSE NOT APPLICABLE 3 LUNERAL PR VISION The Buyer, Benjamin 0 Hanker Nicole L Hanke 4 offers to purchase the Property 5 known as [Street Address] 344 E cove Rd 6 in the Township of Troy County of St Croix Wisconsin (Insert 45 7 additional description, if any, at lines 8-464 or 526-534 or attach as an addendum per line 525), on the following terms: 8 ■ PURCHASE PRICE: Two Hundred Eighty -Five Thousand 9 Dollars ($ 285,000.00 )_ 10 ■ EARNEST MONEY of $ accompanies this Offer and earnest money of $ 5, 000.00 11 will be mailed, or commercially or personally delivered within 3 days of acceptance to listing broker or 12 13 ■ THE BALANCE OF PURCHASE PRICE will be paid in cash or equivalent at closing unless otherwise provided below. 14 ■ INCLUDED IN PURCHASE PRICE: Seller is including in the purchase price the Property, all Fixtures on the Property on the 15 date of this Offer not excluded at lines 18-19, and the following additional items: n/a 16 17 -- 18 ■ NOT INCLUDED IN PURCHASE PRICE: n/a 19 20 CAUTION: Identify Fixtures that are on the Property (see lines 290-294) to be excluded by Seller or which are rented 21 and will continue to be owned by the lessor. 22 NOTE: The terms of this Offer, not the listing contract or marketing materials, determine what items are 23 included/excluded. Annual crops are not part of the purchase price unless otherwise agreed. 24 ■ ZONING: Seller represents that the Property is zoned: Residential 25 ACCEPTANCE Acceptance occurs when all Buyers and Sellers have signed one copy of the Offer, or separate but identical 26 copies of the Offer. 27 CAUTION: Deadlines in the Offer are commonly calculated from acceptance. Consider whether short term deadlines 28 running from acceptance provide adequate time for both binding acceptance and performance. 29 LBINDING ACCEPTANCE This Offer is binding upon bath Parties only if a copy of the accepted Offer is delivered to Buyer on 30 or before March 24, 2016 . Seller may keep the Property on the 31 market and accept secondary offers after binding acceptance of this Offer. 32 CAUTION: This Offer ma be withdrawn prior to delivery of the accepted Offer. 33 OPTIONAL PROVISION TERMS OF THIS OFFER THAT ARE PRECEDED BY AN OPEN BOX([:] ) ARE PART OF THIS 34 OFFER ONLY IFTHE BOX IS MARKED SUCH AS WITH AN "X." THEYARE NOT PART OF THIS OFFER IF MARKED "N/A" 35 OR ARE LEFT BLANK. 36 DELIVERY OF DOCUMENTS AND WRITTEN NOTICES Unless otherwise stated in this Offer, delivery of documents and 37 written notices to a Party shall be effective only when accomplished by one of the methods specified at lines 38-56, 38 (1) Personal Delivery: giving the document or written notice personally to the Party, or the Party's recipient for delivery if 39 named at line 40 or 41. 40 Seller's recipient for delivery (optional): Jeremy Cudd Property Executives Realty 41 Buyer' s recipient for delivery (optional): Jeremy Cudd, Property Executives Realty 42 (2) Fax: fax transmission of the document or written notice to the following telephone number: 43 Seller: ( ) Buyer: ( ) 44 = (3) Commercial Delivery: depositing the document or written notice fees prepaid or charged to an account with a 45 commercial delivery service, addressed either to the Party, or to the Party's recipient for delivery if named at line 40 or 41, for 46 delivery to the Party's delivery address at line 49 or 50. 47 = (4) U.S. Mail: depositing the document or written notice postage prepaid in the U.S. Mail, addressed either to the Party, 48 or to the Party's recipient for delivery if named at line 40 or 41, for delivery to the Party's delivery address at line 49 or 50. 49 Delivery address for Seller: 50 Delivery address for Buyer: 51 xx (5) E-Mail: electronically transmitting the document or written notice to the Party's e-mail address, if given below at line 52 55 or 56. If this is a consumer transaction where the property being purchased or the sale proceeds are used primarily for 53 personal, family or household purposes, each consumer providing an e-mail address below has first consented electronically 54 to the use of electronic documents, e-mail delivery and electronic signatures in the transaction, as required by federal law. 55 E-Mail address for Seller (optional): jeremycudd@hotmail . cam 56 E-Mail address for Bu er (optional): jeremycudd@hotmaii . com 57 PERSONAL DELIVERY/ACTUAL RECEIPT I Personal delivery to, or Actual Receipt by, any named Buyer or Seller 5B constitutes personal delivery to, or Actual Receipt by, all Buyers or Sellers. Property Fxmudves Realty, 900 Crest View Dr Hudson, WI 54316 Phone: (715)386.8297 Fax: (651)344-0441 Hanke • vacant land loaonc Camache Produced with z Forth®bY zi L IP D oBix 18070 Fifteen Mile Road. Baser, Michigan 49026 www.zioLoaix.ctxn wthentisign ID: DS&81U a8wt,4KMDM4eJagagERrM=tze 0 R I G I N141 L Property Address: 344 E Cove Rd Hr ' )n WI 54016 Page 2 of 10, WB-13 59 SPAN Y Occupancy of the entire Property shall be given to Buyer at time of closing unless otherwise provided in this 60 Offer at lines 458-464 or 526-534 or in an addendum attached per line 525. At time of Buyer's occupancy, Property shall be 61 free of all debris and personal property except for personal property belonging to current tenants, or that sold to Buyer or left 62 with Buyer's consent. Occupancy shall be given subject to tenant's rights, if any. 63 L PROPERTY CONDITION REPRESENTATION Seller represents to Buyer that as of the date of acceptance Seller has no 64 notice or knowledge of Conditions Affecting the Property or Transaction (lines 163-187 and 246-278) other than those 65 identified in the Seller's disclosure report dated February 4, 2016 , which was received by Buyer prior to 66 Buyer signing this Offer and which is made apart of this Offer by reference COMPLETE DATE OR STRIKE AS APPLICABLE 67 and 68 ----- 69 1INSERT CONDITI NS NOT ALREADY INCLUDED IN THE DIS LOSURE REPORT 70 CLOSING This transaction is to be closed no later than August 31, 2016 71 at the place selected by Seller, unless otherwise agreed by the Parties in writing. 72 CLOSING RORATIONS The following items, if applicable, shall be prorated at closing, based upon date of closing values: 73 real estate taxes, rents, prepaid insurance (if assumed), private and municipal charges, property owners association 74 assessments, fuel and 75 CAUTION: Provide basis for utility charges, fuel or other prorations if date of closing value will not be used. 76 Any income, taxes or expenses shall accrue to Seiler, and be prorated at closing, through the day prior to closing. 77 Real estate taxes shall be prorated at closing based on [CHECK BOX FOR APPLICABLE PRORATION FORMULA]: 78 5-_7 The net general real estate taxes for the preceding year, or the current year if available (Net general real estate 79 taxes are defined as general property taxes after state tax credits and lottery credits are deducted) (NOTE: THIS CHOICE 80 APPLIES IF NO BOX IS CHECKED) 81 Current assessment times current mill rate (current means as of the date of closing) 82 Sale price, multiplied by the municipality area -wide percent of fair market value used by the assessor in the prior 83 year, or current year if known, multiplied by current mill rate (current means as of the date of closing) 84 85 CAUTION: Buyer is informed that the actual real estate taxes for the year of closing and subsequent years may be 86 substantially different than the amount used for proration especially in transactions involving new construction, 87 extensive rehabilitation, remodeling or area -wide re -assessment. Buyer is encouraged to contact the local assessor 88 regarding possible tax changes. 89 = Buyer and Seller agree to re -prorate the real estate taxes, through the day prior to closing based upon the taxes on 90 the actual tax bill for the year of closing, with Buyer and Seller each owing his or her pro-rata share. Buyer shall, within 5 91 days of receipt, forward a copy of the bill to the forwarding address Seller agrees to provide at closing. The Parties shall 92 re -prorate within 30 days of Buyer's receipt of the actual tax bill. Buyer and Seller agree this is a post -closing obligation 93 and is the res onsibility of the Parties to complete, not the responsibility of the real estate brokers in this transaction. 94 LEASED PROPERTY If Property is currently leased and lease(s) extend beyond closing, Seller shall assign Seller's rights 95 under said leases and transfer all security deposits and prepaid rents thereunder to Buyer at closing. The terms of the 96 (written) (oral) STRIKE ONE lease(s), if any, are 97 . Insert additional terms, if any, at lines 458-464 or 526-534 or attach as an addendum per line 525. 98 0 GOVERNMENT PROGRAMS: Seller shall deliver to Buyer, within days of acceptance of this Offer, a list of all 99 federal, state, county, and local conservation, farmland, environmental, or other Land use programs, agreements, restrictions, 100 or conservation easements, which apply to any part of the Property (e.g., farmland preservation agreements, farmland 101 preservation or exclusive agricultural zoning, use value assessments, Forest Crop, Managed Forest, Conservation Reserve 102 Program, Wetland mitigation, shoreland zoning mitigation plan or comparable programs), along with disclosure of any 103 penalties, fees, withdrawal charges, or payback obligations pending, or currently deferred, if any. This contingency will be 104 deemed satisfied unless Buyer delivers to Seller, within seven (7) days of Buyer's Actual Receipt of said list and disclosure, or 105 the deadline for delivery, whichever is earlier, a notice terminating this Offer based upon the use restrictions, program 106 requirements, and/or amount of any penalty, fee, charge, or payback obligation. 107 CAUTION: If Buyer does not terminate this Offer, Buyer Is hereby agreeing that Buyer will continue In such programs, 108 as may apply, and Buyer agrees to reimburse Seller should Buyer fail to continue any such program such that Seller 109 incurs any costs, penalties, damages, or fees that are imposed because the program is not continued after sale. The 110 Parties agree this provision survives closing. 111 n a MANAGED FOREST LAND: All, or part, of the Property is managed forest land under the Managed Forest Law (MFL). 112 This designation will continue after closing. Buyer is advised as follows: The MFL is a landowner incentive program that 113 encourages sustainable forestry on private woodlands by reducing and deferring property taxes. Orders designating lands as 114 managed forest lands remain in effect for 25 or 50 years. When ownership of land enrolled in the MFL program changes, the 115 new owner must sign and file a report of the change of ownership on a form provided by the Department of Natural Resources 116 and pay a fee. By filing this form, the new owner agrees to the associated MFL management plan and the MFL program rules. 117 The DNR Division of Forestry monitors forest management plan compliance. Changes you make to property that is subject to 118 an order designating it as managed forest land, or to its use, may jeopardize your benefits under the program or may cause 119 the property to be withdrawn from the program and may result in the assessment of penalties. For more information call the 120 local DNR forester or visit http://www_.dnr.state.wi.us. Produced with zlpForm® by zipLogtx 18070 Flgeen MOe Road, Fraser, Michigan 48026 www.z!pLogix.com Hanke - vacant land wthentisign 10: W&2a489MD&4109W=40419,09XWAmM ORIGINAL Page 3 of 1 o, wB-13 121 FENCES: Wis. Stat. § 90.03 requiivs the owners of adjoining properties to keep and maintain legal fences in equal shares 122 where one or both of the properties is used and occupied for farming or grazing purposes. 123 CAUTION: Consider an agreement addressing responsibility for fences If Property or adjoining land is used and 124 occupied for farming or grazing purposes. 125 USE VALUE ASSESSMENTS: The use value assessment system values agricultural land based on the income that would be 126 generated from its rental for agricultural use rather than its fair market value. When a person converts agricultural land to a 127 non-agricultural use (e.g., residential or commercial development), that person may owe a conversion charge. To obtain more 128 information about the use value law or conversion charge, contact the Wisconsin Department of Revenue's Equalization 129 Section or visitIDD://www.revenue wi aov/. 130 FARMLAND PRESERVATION: Rezoning -a property zoned farmland preservation to another use or the early termination of a 131 farmland preservation agreement or removal of land from such an agreement can trigger payment of a conversion fee equal to 132 3 times the class 1 "use value" of the land. Contact the Wisconsin Department of Agriculture, Trade and Consumer Protection 133 Division of Agricultural Resource Management or visit httP1/www.datco.state.wi.us for more information. 134 CONSERVATION RESERVE PROGRAM (CRP): The CRP encourages farmers, through contracts with the U.S. Department 135 of Agriculture, to stop growing crops on highly erodible or environmentally sensitive land and instead to plant a protective 136 cover of grass or trees. CRP contracts run for 10 to 15 years, and owners receive an annual rent plus one-half of the cost of 137 establishing permanent ground cover. Removing lands from the CRP in breach of a contract can be quite costly. For more 138 information call the state Farm Service Agency office or visit http://www.fsa.usda.gov/. 139 SHORELAND ZONING ORDINANCES: All counties must adopt shoreland zoning ordinances that meet or are more 140 restrictive than Wis. Admin. Code Chapter NR 115. County shoreland zoning ordinances apply to all unincorporated land 141 within 1,000 feet of a navigable lake, pond or flowage or within 300 feet of a navigable river or stream and establish minimum 142 standards for building setbacks and height limits, cutting trees and shrubs, lot sizes, water runoff, impervious surface 143 standards (that may be exceeded only if a mitigation plan is adopted) and repairs to nonconforming structures. Buyers must 144 conform to any existing mitigation plans. For more information call the county zoning office or visit httpJ/www.dnr.state.wi.us/. 145 Bu er is advised to check with the applicable city, town or village for additional shoreland zoning restrictions, if any. 146 BUYER'S PRE -CLOSING WALK-THROUGH Within 3 days prior to closing, at a reasonable time pre -approved by Seller or 147 Seller's agent, Buyer shall have the right to walk through the Property to determine that there has been no significant change 148 in the condition of the Property, except for ordinary wear and tear and changes approved by Buyer, and that any defects 149 Seller has a reed to cure have been repaired in the manner agreed to by the Parties. 150 PROPERTY DAMAGE BETWEEN ACCEPTANCE AND CLOSING I Seller shall maintain the Property until the earlier of 151 closing or occupancy of Buyer in materially the same condition as of the date of acceptance of this Offer, except for ordinary 152 wear and tear. If, prior to closing, the Property is damaged in an amount of not more than five percent (5%) of the selling price, 153 Seller shall be obligated to repair the Property and restore it to the same condition that it was on the day of this Offer. No later 154 than closing, Seller shall provide Buyer with lien waivers for all lienable repairs and restoration. If the damage shall exceed 155 such sum, Seller shall promptly notify Buyer in writing of the damage and this Offer may be canceled at option of Buyer. 156 Should Buyer elect to carry out this Offer despite such damage, Buyer shall be entitled to the insurance proceeds, if any, 157 relating to the damage to the Property, plus a credit towards the purchase price equal to the amount of Seller's deductible on 158 such policy, if any. However, if this sale is financed by a land contract or a mortgage to Seller, any insurance proceeds shall 159 be held in trust for the sole purpose of restoring the Property. 160 DEFINITIANC 161 ■ ACTUAL RECEIPT: "Actual Receipt" means that a Party, not the Parry's recipient for delivery, if any, has the document or 162 written notice physically in the Party's possession, regardless of the method of delivery. 163 ■ CONDITIONS AFFECTING THE PROPERTY OR TRANSACTION: "Conditions Affecting the Property or Transaction" are 164 defined to include: 165 a. Proposed, planned or commenced public improvements or public construction projects which may result in special 166 assessments or otherwise materially affect the Property or the present use of the Property. 167 b. Government agency or court order requiring repair, alteration or correction of any existing condition. 168 c. Land division or subdivision for which required state or local approvals were not obtained. 169 d. A portion of the Property in a floodplain, wetland or shoreland zoning area under local, state or federal regulations. 170 e. A portion of the Property being subject to, or in violation of, a farmland preservation agreement or in a certified farmland 171 preservation zoning district (see lines 130-133), or enrolled in, or in violation of, a Forest Crop, Managed Forest (see lines 172 111-120), Conservation Reserve (see lines 134-138), or comparable program. 173 f. Boundary or lot disputes, encroachments or encumbrances, a joint driveway or violation of fence laws (Wis. Stat. ch. 90) 174 (where one or both of the properties is used and occupied for farming or grazing). 175 g. Material violations of environmental rules or other rules or agreements regulating the use of the Property. 176 h. Conditions constituting a significant health risk or safety hazard for occupants of the Property. 177 i. Underground storage tanks presently or previously on the Property for storage of flammable or combustible liquids, i78 including, but not limited to, gasoline and heating oil. 179 j. A Defect or contamination caused by unsafe concentrations of, or unsafe conditions relating to, pesticides, herbicides, 180 fertilizer, radon, radium in water supplies, lead or arsenic in soil, or other potentially hazardous or toxic substances on the 181 premises. 182 k. Production of methamphetamine (meth) or other hazardous or toxic substances on the Property. 183 I. High voltage electric (100 KV or greater) or steel natural gas transmission lines located on but not directly serving the 184 Property. 185 m. Defects in any well, including unsafe well water due to contaminants such as coliform, nitrates and atrazine, and out-of- 186 service wells and cisterns required to be abandoned (Wis. Admin. Code § NR 812.26) but that are not closed/abandoned 187 according to applicable regulations. 188 (Definitions Continued on page 5) Produced with zipForm® by npLogix 18070 Fifteen We Road, Fraser, Michigan 48026 www.zioLonix.com Henke - vacant land wthenticign ID: M&1=8M4MAO&4oMWMg41 EE Property Address:344 E Cove Rd, H, in, WI 54016 Page4of 10, WB-13 189 IF LINE 190 IS NOT MARKED OR IS MARKED N/A, LINES 230-236 APPLY. 190 = FINANCING CONTINGENCY: This Offer is contingent upon Buyer being able to obtain a written 191 [INSERT LOAN PROGRAM OR SOURCE] first mortgage 192 loan commitment as described below, within days of acceptance of this Offer, The financing selected shall be in an 193 amount of not less than $ for a term of not less than years, amortized over not less than years. 194 Initial monthly payments of principal and interest shall not exceed $ . Monthly payments may 195 also include 1/12th of the estimated net annual real estate taxes, hazard insurance premiums, and private mortgage insurance 196 premiums. The mortgage may not include a prepayment premium. Buyer agrees to pay discount points and/or loan origination 197 fee in an amount not to exceed % of the loan. If the purchase price under this Offer is modified, the financed amount, 198 unless otherwise provided, shall be adjusted to the same percentage of the purchase price as in this contingency and the 199 monthly payments shall be adjusted as necessary to maintain the term and amortization stated above. 200 CHECK AND COMPLETE APPLICABLE FINANCING PROVISION AT LINE 201 or 202. 201 ❑ FIXED RATE FINANCING: The annual rate of interest shall not exceed %. 202 ❑ ADJUSTABLE RATE FINANCING: The initial annual interest rate shall not exceed %. The initial interest 203 rate shall be fixed for months, at which time the interest rate may be increased not more than % per 204 year. The maximum interest rate during the mortgage term shall not exceed %. Monthly payments of principal 205 and interest may be adjusted to reflect interest changes. 206 If Buyer is using multiple loan sources or obtaining a construction loan or land contract financing, describe at lines 458-464 or 207 526-534 or in an addendum attached per line 525. 208 ■ BUYER'S LOAN COMMITMENT: Buyer agrees to pay all customary loan and closing costs, to promptly apply for a 209 mortgage loan, and to provide evidence of application promptly upon request of Seller. If Buyer qualifies for the loan described 210 in this Offer or another loan acceptable to Buyer, Buyer agrees to deliver to Seller a copy of the written loan commitment no 211 later than the deadline at line 192. Buyer and Seller agree that delivery of a copy of any written loan commitment to 212 Seller (even if subject to conditions) shall satisfy the Buyer's financing contingency if, after review of the loan 213 commitment, Buyer has directed, in writing, delivery of the loan commitment. Buyer's written direction shall 214 accompany the loan commitment. Delivery shall not satisfy this contingency if accompanied by a notice of 215 unacceptability. 216 CAUTION: The delivered commitment may contain conditions Buyer must yet satisfy to obligate the lender to provide 217 the loan. BUYER, BUYER'S LENDER AND AGENTS OF BUYER OR SELLER SHALL NOT DELIVER A LOAN 218 COMMITMENT TO SELLER OR SELLER'S AGENT WITHOUT BUYER'S PRIOR WRITTEN APPROVAL OR UNLESS 219 ACCOMPANIED BY A NOTICE OF UNACCEPTABILITY. 220 ■ SELLER TERMINATION RIGHTS: If Buyer does not make timely delivery of said commitment, Seller may terminate this 221 Offer if Seller delivers a written notice of termination to Buyer prior to Seller's Actual Receipt of a copy of Buyer's written loan 222 commitment. 223 ■ FINANCING UNAVAILABILITY: If financing is not available on the terms stated in this Offer (and Buyer has not already 224 delivered an acceptable loan commitment for other financing to Seller), Buyer shall promptly deliver written notice to Seller of 225 same including copies of lender(s)' rejection letter(s) or other evidence of unavailability. Unless a specific loan source is 225 named in this Offer, Seller shall then have 10 days to deliver to Buyer written notice of Seller's decision to finance this 2227 transaction on the same terms set forth in this Offer and this Offer shall remain in full force and effect, with the time for closing 228 extended accordingly, If Seller's notice is not timely given, this Offer shall be null and void. Buyer authorizes Seller to obtain 229 any credit information reasonably appropriate to determine Buyer's credit worthiness for Seller financing. 230 ■ IF THIS OFFER IS NOT CONTINGENT ON FINANCING: Within 7 days of acceptance, a financial institution orthird party 231 in control of Buyer's funds shall provide Seller with reasonable written verification that Buyer has, at the time of verification, 232 sufficient funds to close. If such written verification is not provided, Seller has the right to terminate this Offer by delivering 233 written notice to Buyer. Buyer may or,may not obtain mortgage financing but does not need the protection of a financing 234 contingency. Seller agrees to allow Buyer's appraiser access to the Property for purposes of an appraisal. Buyer understands 235 and agrees that this Offer is not subject to the appraisal meeting any particular value, unless this Offer is subject to an 236 appraisal contingency, nor does the right of access for an appraisal constitute a financing contingency. 237 APPRAISAL CONTINGENCY: This Offer is contingent upon the Buyer or Buyer's lender having the Property appraised 238 at Buyer's expense by a Wisconsin licensed or certified independent appraiser who issues an appraisal report dated 239 subsequent to the date of this Offer indicating an appraised value for the Property equal to or greater than the agreed upon 240 purchase price. This contingency shall be deemed satisfied unless Buyer, within 120 days of acceptance, delivers to 241 Seller a copy of the appraisal report which indicates that the appraised value is not equal to or greater than the agreed upon 242 purchase price, accompanied by a written notice of termination. 243 CAUTION: An appraisal ordered by Buyer's lender may not be received until shortly before closing. Consider whether 244 deadlines provide adequate time for performance. Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Mkhigan 48026 www,zi°Looix,conn Hanke - vacant land ?Nisc6nsin Department of Commerce SOIL EVALUATION RT of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Coun l X Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 7 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. i percent slope, scale or dimensions, north arrow, and location and distance to nearest road. OQ O — L? Z7 —(1 _ Please print all Information. Re a Date Personal information you provide may be used for sexndary purposes (Pnvac/ Law, s. 15.04 (1) (m)). �► I owU Property Owner 1 1 . �,,��_� f,-� `l Prop Location // C/O 51 L!� �l}`�� _,. _.. Govt. of ? 1/4 — 1/4 S T N R -Z-0 E(or W� Property Owner's Mailing Address A� 200 Lot Block # Subd. Name r CS 7 City State Zip Code P one Number ;UL'NT ❑ ❑ Village [Town Nearest Road WZl FRuS wl I SY()z- ( LS) 4'� S - T1Zs,Y S H-L1SYVfiQ 2 . ® New Construction Use: Residential / Number of bedrooms Code derived design flow rate ao 0 = GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material G LPCI AL DUT WA-S N Flood Plain elevation if applicable N jc� ft. General comments and recommendations: TateC` SLL. fit}? L ` U 0' '`U%`%d F Boring # t❑ Boring 9,6 r Pit Ground surface elev. �O• ft. Depth to limiting factor in. Soil Aoplication Rate I Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ftz "Eff#1 'Eff#2 t _ ; o t o't Z Z [ Z C-is L ��'s�k rn�t-- cS 1� S I `> Boring # ❑ Boring pit Ground surface elev. R 6 o ft. Depth to limiting factor )' CPO in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 'Eff#1 •Eff#2 1 -10 oft 2 Z-1 Z - L s b'rz Y�j ��- C S Z 1 - --2.5Lie31y - c�� `� o m Li '4Z ID -IQ VI — �, S m — _1 t, Z Effluent #1 = BODS > 30 < 220 mg/L and TSS 5-30 _< 150 mg/L " Effluent #Z = BODS < 30 mg/L and T55 < 30 mg/L CST Name (Please Print) Signatur CST Number Arthur L. tJegerer C� 3 _ ) )4 220254 Address t:l e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Nain St. River Falls, UI 54022 6 -30 -0 715-425-0165 Property Owner S ON Parcel ID # El Boring Boring # ( _ N ® Pit Ground surface elev. ?13 b J ft. Horizon Depth Dominant Color Redox Description Texture in. Munsell Qu. Sz. Cont. Color <� — 2 Z�— 1 O �� ('� Depth to limiting factor % [ 3 in. Structure Consistence Boundary Gr. Sz. Sh. Page Roots Z O- I O ) uXI 1-7 10)'i fZ 3) Z t U y 3A, Es -F `� z8 —9 3 Z of 3 Soil Application Rate GPD/ftz 'Eff#1 I 'Eff#2 F] r Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizonr�T minant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1Boring # ElBoring El pit Horizon Depth I Dominant r in. Munsell Ground surface elev. ft. Depth to limiting factor in. olor Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = GODS < 30 mg/L and TSS < 30 mg/L The Department of Conunerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate fonnat, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.6/00) Property Ownei �� Y 1�, S or�_ Parcel ID # O 1 —1 "ti)QD NBoring # ❑ Boring p I bq Pit Ground surface elev. 3 ' S ft. Depth to limiting factor % l 3 in. Page Z of Soil Apmlication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ftz •Eff#1 I 'Eff#2 2- ip_11 IoLfo 3l6 .S �g 3 10`i 2 ul F-1 Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil ADplication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ftz 'Eff#1 'Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ftz 'Eff#1 'Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L 1'lie Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD 9330 (R.N00) Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings Page cf in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (EM), direction and 1 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Q 7- �0-oU0 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, S. 15.04 (1) (m)). Property Owner Ili PT1Z� _ �'i 'Q�ZS � � ProPF-ty Location Gov' Lot 114 — 1/4 S i 3 Property Owner's Mailing Address T `�'`� N R Lot # Block # Subd. Name or CSM# P l� b� S � L1 SYt�f'rt�J C�h State Zip Code Phone Number �', � � T' �SuS � � � cJ�(U Z ❑ City Village [Town Nearest Road ( G CS) 4IS -Z:7S7 �-2s, y � S �L1S ft►J �2 . ® New Construction Use: 21 Residential / Number of bedrooms Code derived design flow rate C11GPD ❑ Replacement ❑ Public or commercial -Describe: Parent material C L ^ l AL OUT Wi"-C M Flood Plain elevation if applicable Q General comments ft. and recommendations: L,��c-4 Q- horizon Boring # r❑ Boring r tLY Pit Ground surface elev. ? O. ft. oring # ❑ Boring pit Ground surface elev. Depth Dominant Color Redox Description in. Munsell Qu. Sz. Cont. Color o -! O t O--L r2 z-L 2 rZ l 10 -I 2 V/V Texture L L Depth to limiting factor '2 CP S in. Depth to limiting factor in. Structure Consistence Boundary Gr. Sz. Sh. S �k Wl CS S m 1 Cg Roots 1T Soil A.eolic2tion Rate GPD/ftz 'Eff#1 'Eff#2 • S . 43 •S -9 •� 1, Z ' Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BOD < 30 ST Name (Please Print) Signatus _ mg/L and TSS < 30 mg/L ''� r CST Number Arthur L. Wegerer - _ J )� ddress �, 220254 T e e r e r Soil Testing & Design Service r v i C e Date Evaluation Conducted Telephone Number 421 N. Ilain St.. River rails, t;7I 54022 6 -30 -U3 715-425-0165 Page of Scale 1'=-��' i s`z�TQ cA n J CST Signature Pteuu� G\-wUt-.L 1�j P w��-Z - �t . fib• S6' c7.� S P11� `' �Z ` B-� yp' 1'T RIOD _ 14 R-�-R�iv1'cfiE c�S A �� I o \ I aIA ®o S.z y(03, f?t�3b° 4-3 6 &)'T 715-425-0165 '220254 CO3 Date Telephone No. CST No. Job NO. Lz-r Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT ��� C Page of 3 *6or and Human Relations r �kf ti / .NA; A i r �% �- r .._..�_ III dUUUIU 1NIr11 ILr1r1 O.J.UJ, rria. nw,,. CO S T- G < Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point (BM), direction and %of slope, scale or EL, dimensioned, north arrow, and location and distance to nearest road. REVIEWEDB�(/ A� %7 APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION PROPERTY OWNER: �p�� QYgp� vv Cp 8 Cu) > PROPERTY LOCATION"S1 1/4 ?A E (o GW C �o S`C�-l� -?v GU�1� G T Z ,,N,R PROPERTY OWNER':S MAILING ADDRESS OT # j 1 BLOCK # — SUBD. NAME OR CSM # SAl 1SH PAN i�n1>D5t� ?%-hT OF - l\ZO �1tJ� �VDGI TiJ2bvi=~ CITY, STATE ZIP CODE PHONE NUMBER ❑VILLAGE ®TOWN NEAREST ROAD Rev 5 w I Syoz2 (71S) c(ZS- Z-)S-) SST' C0U9 RbP16 New Construction Use Residential / Number of bedrooms L4 [ ) AdditiQn to existing building j ] Replacement ( ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate 0-1 bed, gpolft2 o S trench, gpd/ft2 Absorption area required � E F3 bed, ft2 -)S O trench, ft2 Maximum design loading rate c-_7 bed, gpd/ft2 0. 8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 5 El� PPP GE 3 of 3 ft (as referred to site plan benchmark) Additional design/ site considerations "Z>oSED TC��C1i �`S t4Rj�i �-C�or"I� rER'b�-D - Parent material S t `1^1 S fo � vt ear o u L=Tk S NKY0 Utz rtu� Flood plain elevation, if applicable IV - A • ft S = Suitable for system CONVENTIONAL ®S ❑U MOUND ®S ❑U IN -GROUND PRESSURE C3S ❑U AT -GRADE [9S ❑U SYSTEM IN FILL ®S ❑U HOLDING TANK EIS ®U U=Unsuitable fors stem Boring # -1 Ground elev. g�e.5 ft. Depth to limiting factor -,Ar,, Boring # �x�•LC^\COS Ground elev. -�'�,.3 ft Depth to limiting factor „ SOIL DESCRIPTION REPORT Horizon Depth in Dominant Color Munsell Mottles Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft Bed Tmnch o-1i 1o`f2 zlZ - L Z F5 C S o-S o•6 Z 11-I No �t Q '3 1. — 'L Z 5 e S L 3 I$-L)Z .S'1(Z :%)y - Gh VS 0 S") i �^-S o-�1 o. S i �I2-q0 10Yf2'�/y - U Sg p.�o.S �•�,Tfou S Pt S o 1= Romark - . 1 OEM Remarks: /Z /.i I Name: -Please Print Arthur L. Wegerer Phone. 715-425-0165 gerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Date: CST Numt 10gnature. ( YID f 93-C) �'IS-`l3 M00576 � PROPERTYOWNER tCWp SOIL DESCRIPTION REPORT PARCEL I.D. # Page of Boring # Ground elev. VIS - S ft, Depth to limiting , Y 41DI, Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 Bed Trench lbi2 Z.IZ L +s S 0 10--so IS 'M aiv Remarks: Boring # y .0 Ground elev. %3s. q ft. Depth to limiting factor 7,6-1" S S 2 9-23 ID -fa 3. 1'F5 --).S'/P- 3./5/ c,,.- Is 0 Sg Yn V/V Remarks: Boring # Ground elev. , eiks." ft. Depth to limiting factor 7 S'6" Boring # 0 Ground elev. ft. Depth to limiting factor 0-9 )0-17- -Z-/-L \L -'S! b- L Z 4-16 10,ltz S b�r m 0.s Io.L Cb^J N S S Of M S Remarks: SBD-8330(R-05/92) PROPERTYOWNER SOIL DESCRIPTION REPORT Page Z.of 3 PARCEL I.D. # Boring # } Ground elev. S 3S • S ft. Depth to IimiUng , . f� RO', Boring # LIJVA•3• Ground elev. 'n s , q ft, Depth to limiting factor 7 V Boring # z> Ground elev. $:�S •'I ft. Depth to limiting factor 7 6 S' Boring # Ground elev. ft. Depth to limiting factor Horizon Depth in Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence BoLmx Roots GPD/ft Bed Tm—nch as o,s o,L 0.9 3 3o-ao t 07� y! Sg m i Rcm�rl�e• ►o-tz zl Z L . Z--S1vv rn�- cS o. S; o•� Z -23 1oyR 3/6 -- 1_ Z'FS 6►z fi �h c- o. 5 o• IQ 3 2.3-31 -1. S Ye 3-1y — G,- Is cs S w, if 36- <3l t C `12 v/V — S O S vy, $ I I Remarks: 0-9 l��Q z/Z — L 2`FSdk rn'Fti- c5 o•S� Z 9-18 2- vn L /y o s') i U.5 L QZ-ab r0 ij S O S9 'Yq 3 02" .v S po,s O yr v f w S I Remarks: Remarks: SBD-8330(R.05/92) visconsinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Labor and Human Relations Divisionof Safety & Buildings in acenrri with 11 HP Al nr, Wie Brim (`nrin Page \ of 3 COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but S T` C.\ztj tX' PARCEL I.D. # . not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: \APct2.QlS0�1 C.voA 8 +:VDp PROPERTYLOCATION c- _S f=U GOVT. LOT Z 1/4 1/4,S 13 T 'Z S N,R ZZ E (0 PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # \\Z.O MIDGE n2f U�" ) - t�TzopOSea pk PT OF Sfvk,ISIipkw CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®TOWN NEAREST ROAD 2,vC12 lSqoZZ(-)Is) gts_z-1s-7 iehST coup RAI�o PQ New Construction Use [j(] Residential / Number of bedrooms 14 [) AddifiQn to existing building j) Replacement [ ] Public or commercial describe Code derived daffy flow 600 gpd Recommended design loading rate o- 7 bed, gpd/ft2 0 . trench, gpd/ t2 Absorption area r red $ S $ bed, g2 1 S d, trench bsaP etlu ft2 = Ma)dmum design loading rate o-_7 bed, gpd/ft2 0 • 13 trench, 9Pdtft2 Recommended infiltration surface elevation(s) S a' PIZE 3 or- 3 ft (as referred to site plan benchmark) Additional design / site considerations s D� p Parent material s t'-n Sft %v4®uT- o u TiR S f"►)vp 4 6"Uet- Flood plain elevation, 'ff applicable N - A . ft S = Spillable for system U=unsdtable for. tem CONVENTIONAL ®S ❑ U I MOUND ® S nu IN GflOI ND PRESSURE [as [IU AT -GRADE cgs ❑ U SnIEM IN FILL ®S ❑ U HUDING TAN( ❑-S ®U Boring # CU7 Ground elev. $ _6b- S fL Depth to limiting factor �Q� Ground elev. t36.3 ft Depth to limiting f; b9n SOIL DESCRIPTION REPORT Horizon Depth in. Dominant Color Mutsell - Motges Qu. Sz. Coat Color Texture Structure Gr. Sz. Sh. Consisbenoe Boufclary Roots GPDfft Bed ITiench 1 0-0 L Z'�s S o.s o.6 2 11-113 to Q sJ6 —" L Z fs bh �� c s b. S o- L 3 IPBIZ 7.S `1R 3Jy — G►. \s o o-S y uZ-q0 10 Y 2 �//y' `- � U sg 1rn 1 � • � o • 8 Iry A., S 0 I=- ih t4 5 Remarks: I W, 0 FMFM wn, mmm� nemancs: t �Y T Narne:—Please Print Phone: Arthur L. We erer 715-425-0165 g rer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 Si nadue. �13-p 3 _ 1 Date: J_ I $ q CST Number: - 3 M00576 L_p C AYL O IJ PLOT PLAN Page of 3 SCALE 1"= SO' ® o ° o6 A nS r , � O O O \` 07 0 a� tt.� , $-t--L.&36.56'0+j SPlYz!` 1'�z` ABove 6[t-ovw p Imo = li %JSQ- -U e3 F)T LNFAS'r ZS' I=1ZOw'1 I�\�r'ifl�J1�►�'Lt°�s , trLL �t 5 �3o�ul�r of SLtST-L-wj5 TU 3(Z- P)T' �LEAJ• b3Z-"2- T S)i - LTL. 837.76, oil, S P\ ve- "butr G[inuw,t> J Lit g35 � a.l 1 S l`rp LQ- I'M`� Fl RO1', ) 1.1117 h L i 7-)Qb 1N 0L42 K) s `I S`it'�-? S 1 1 � 1 � I 1 t LL a -16 L-- 835 9 O I2 t U ts1.W ^ -( ki Y,\St: )t t�l r w �`vkwR``{ �kSE h Diu T LuT- Ltrue CL:a;,.�, '� /- ZI- 93 (715 ) 425-01 65 TRI00576 CST Signature Date Signed Telephone No. CST #