HomeMy WebLinkAbout016-1062-80-000
0. 0 0 o a~ CD I
0
v ao cU N
M a c 0 y
w I
b U w
p
N y 1 N
tl 20,
(0 I
# a °r)
m c. a
CD i y 2 I
d U
° a yo
N co N
>
h -
v
°r c I
o
y°-' z aa)) oc
cc v z E
c z aN c m y
U. G ° U. C tm y
E 2 o 'c
3 -Q o 3 ~
' 0
0
¢ ~-i Q w E
~ I a3i M N Cl)
Z y I ~ y I
O O
Z m m d m
0
a m a m
w
N H ce)
to
I O I
O Z d' ! ~ I
aoi Z :~t C z
~ o
~~ww Cl)
I a~ I
~+V
c
a~
• Ai -o L I v L °
1
0 Z Z O Z Z O
M
N _ I _M z I
i a+
y O O C
c c0 ~ I ~ co E N I
0 (D
-a CL LO
CL M
N N d N U y d L`N O O
0 0 0 0 t 0 0 0 a Ln N I
U) U)
E r o v
°3 3 3 4 u) 3 a Z O
cL cL A .2 CL CL CL
a 'O O I
a~ I a~
O fn c 000 co O N T N N
U) J U N O rn
aaa o r cq 7B
A w O N
w o co a is C -
CD o v co
c
m m d cc
° 'O m N c ~ cn 0)
00 O N
N o d fn N d cn o
(V m 0 y y
7
O O C H to C C fn C i
O m 3 0 0
c d 0o 0o
C
O ° H Y a c Y c
M C C N N
C N C= cn c~
p N U-) O N C m y 4)
U) Z
cc
2 CD
Lo :3 2
cn L
*4 Ci
O Z 2 F°- fn co O Z N Z !n
O N U U)0 ~2
V E
~ Y~•a ma a
a
: c
`i►i o R 3 oo 3 oo
r
r A c~a2 ',0 mC) 0 wv
Form- S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER E.' TOWNSHIP~(y c~ t"d SEC. ~2- T 70 N-R /&-W
ADDRESS R-t-~"''~~N ST . CROIX COUNTY, WISCONSIN
3
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of 11HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
\ a /
c-A-L
~ 0
NC019 d4
R
10T
Iva A
Q
INDICATE NORTH ARROW ~
BENCHMARK: Describe the vertical reference point used ~,S-/k,~e R A _
PUMP CHAMBER
Manufacturer: kyjse-R Liquid Capacity: 76'D
Pump Model: ZZ Pump/Siphon Manufacturer:
Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle:
i
Alarm Manufacturer: -5-rF4e-67 ,0 Alarm Switch Type:
Number of feet from nearest property line:j' Front, Side, Rear O , Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: V Trench:
Width: Length:_ 7 1 Number of Lines: 3 Area Built:
Fill depth to top of pipe:
Number of feet from nearest property line: Front, Q Side, O Rear, O'
Number of feet from well: .7 9"
Number of feet from building:
(Include distances on plot plan).
SEEP GE PIT
Siz Number of pits: Diameter:
Liquid de h: Bottom of seepage pit elevation:
Area Built:
Has either a drop box or distribution box O been used on any the above soil
absorbtion sytems? (Check on
HOLDING TANK
Manufacturer: Capaci
Number of rings used: Elevat of bottom of tank:
Elevation of inlet:
Number of feet from nearest perty line: Fro , O Side, 0 Rear, 0Ft.
Numbe of feet from well:
Numbef of feet from building:
V ~-f Y 1
s !
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER -D,
ADDRESS p?8'~~ /r3~ A
(~3z'C5uaj&e'D 0 -rv UJI -S
SUBDIVISION / CSM# LOT #
SECTION ~'Tt_N-R W, Town of
a~uj~,D
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
r~
~r
/va6
W ~ ~ D r .!D B6 /2~rrlbO~p - ~9y Q~ Z'
u
A
IND CATE NORTH ARROW
13 -fit L
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
a t
BENCHMARK: O~ P e)2,L 39
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: Liquid Capacity: /&,<-t6 cD,a-t_
Setback from: Well House Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: Length Number of trenches
Distance & Direction to nearest prop. line:
Setback from: well: House Other
G~ ELEVATIONS
Building Sewer 95, ST Inlet: ,3o ST outlet:
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade Z7,2 r Final grade
DATE OF INSTALLATION:
PLUMBER ON JOB: Z,
LICENSE NUMBER: /0
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations
INSPECTION REPORT ST. CROIX
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 284314
Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.:
SCHREIBER, KEVIN GLENWOOD
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
/00 Qt,!/- 016-1062-80-000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
hod
Septic Benchmark lba,3~'
Dosing ~I
Aeration Bldg. Sewer 8 . „
Holding St/Ht Inlet 9,03, 9 Y
TANK SETBACK INFORMATION St/ Ht Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
Dosing NA Header / Man.
Aeration NA Dist. Pipe
I Bot. System
Holding
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number GPM
TDH Lift Friction System TDH Ft
Loss Forcemain Length Dia. H Dist. To Well 1 F F
SOIL ABSORPTION SYSTEM
BED / TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMEN I N
LEACHING Manufacturer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM
INFORMATION TypeO CHAMBER Model Number:
System: OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
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
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: GLENWOOD 29. 30.15.437B,/S1E~,~SW- _ -285^0 130TH AVE
I~f
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.-
SBD-6710 (R 05/91) Date Insp o s Signature Cert No_
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
1I
g { I
i
.._s a a.
SANITARY PERMIT APPLICATION COUNTY
v~~Ilrt~R In accord with ILHR 83.05, Wis. Adm. Code
STATE SANITARY ARYP~ERMIT#
-Attach complete plans (to the county copy only) for the system, on paper not less than O"O 7~i3//~(
8% X 11 inches in size. ❑ Check if revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY O NER PROPERTY LOC TION
,SC %,50JY4, S 12,7 T,50, N, R /,5E (o
PROP RTY OWNER'S MAILINQG AQD ESS LOT # BLOCK #
-4 if r Cr
QVY, STATE ~S ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
E3 CTY
]VILLAGE NEARI T ROAD /3d* if ,
II. TYPE OF BUILDIN . (Check One) ❑ State Owned E
- IA=
Ig /'l~J
Public ❑ 1 or 2 Fam. Dwelling-# of bedrooms 3 PARTOWN OF air_
CEL TAX NUMBER(S) 0 le-,, L~ -7
III. BUILDING USE: (If building type is public, check lahat apply)
1 ❑ Apt/Condo So
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ❑ New 2. ❑ Replacement 3. ❑ Replacement of 4.YfReconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
140 System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq~ft.) (Min./inch) ELEVATION
Feet Feet
VII. TANK CAPACITY Site
INFORMATION in allons Total of Manufacturer's Prefab. Fiber- Exper.
New is tin Gallons Tanks Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank , F-1 F-1 Q
Lift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) jlmpAAPRSW No.: Business Phone Number:
lu er's Address (Street, Ci tate, Z p Cod
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sani ry Permit Fee (Includes Groundwater Date Issued Issuing A nt Sign
j
pproved ❑ Owner Given Initial urcharge Fee)
J116
Adverse Determination /
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(R.08193) DISTRIBUTION: Original to County, One Copy To: Safety s Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3, years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwetling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or :site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
i
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
r .
l - c~vv~
4-1
f
07 _
10
0.~
6-11
i
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF AN EXISTING SEPTIC TANK
This is to certify that I have inspected the septic tank presently
serving the residence located at:
C7 Section ,-;Z S , N, R_/,:~- W, Town of
~~L~~-rt,~~r,? > Upon inspection, I certify that I have found
the tank and baffles to be in good condition, and it appears to be
functioning properly.
C
Last time serviced: 1,~9 13--
Did flow back occur from absorption system?
Yes No (If no, skip next line)
Approximate volume or length of time: gallons minutes
capacity:
Construction: Prefab Concrete X Steel Other
Manufacturer: (If known) : ~U i C---S
Age of Tank (If known) 1 ~`~j r~~°r'trG1
( g ture) (Name) Please print
(Title) (License Number)
D to
Form to be completed by licensed plumber (s.145.06, Wisconsin
Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative
Code)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Plumber (applying for sanitary permit) Certification:
In accepting the above statement regarding existing septic tank
condition, I certify that the tank to the best of my knowledge will
conform to the requirements of ILHR 83, Wis. Adm. Code (except for
inspection opening over outlet baffle).
Name - S i natu e , P MPRS 012
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OVVNER/BUYER ~i'-x-) c . t o r`
MAILING ADDRESS %c E ;his T
r7
PROPERTY ADDRESS
cr ~ j6
(location of septic system) Please obtain om the Planning Dept.
CITY/STATE
PROPERTY LOCATION S,'s7 1/4, 1/4, Section T, N-R W
ST. CROIX COUNTY, WI
TOWN OF
SUBDIVISION LOT NUMBER
CERTIFIED SURVEY MAP - , VOLUME , PAGE , LOT NUMBER
Improper use and maintenance of your septic system could result in its premature failure to handle
wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed
by licensed septic tank pumper. What you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost
of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that owners of all new systems agree to
keep their system properly maintained.
The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1)
the on-site wastewater disposal system is in proper operating condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum.
I/We, the undersigned have read the above requirements and agree to maintain the private sewage
disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expiration date.
SIGNED: AL A
DATE: i I
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
8 T C - 100
Tjhis application form is to be completed in full and signed by the
owner(s) of the property being developed. Any inadequacies will
only result in delays of the permit issuance. Should this
development be intended for resale by owner/ contractor, (spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property..
Location of property CC 1/41% 1/4, Section ,T_N-R~ `j-W
Township Mailingaddress
Address of site, -ice~: -~A%:~ny
Subdivision name - Lot no. -
Other homes on property? Yes No
Previous owner of property
Total size of property
Total size of parcel A a-,r
Date parcel was created f"n
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house) ? Yes --k=No
Volume ~3L and Page Number as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of the
property described in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. 41 , and that I (we) presently
own the proposed site for-the sewage disposal system or I (we)
obtained an easement, to run the above described property, for the
construction of said system, and the same has been duly recorded in
the office of the County Register of Deeds as Document No.
Signature of Applicant Co-Applicant
Date of tignature Date of Signature
832 rA►E 61 Lad Coorw Nwdfer
499494-7
k -4~ ■ = yam' CT hl f .t PW.Ctn. 0. vM NOWF or P" 'WO Oww,
LeRoy Moe 4451024/P.3 Mimi ' C-0 S.rvw C~ a ar.rch No.
Ok_; - Hisomsin St. Croix 036/011
t',
day of January 19 _84_~. between -Farm Credit
CM=ACr. NAM TILLS 16 7-4
OE $~a a federally chartered corporation hereinafter
Paul
N
.M whose addrea is P.O. Box 199. River Falls. Wisconsin 54022
~ f1~11~ i11 "filer. -
as "Purchaser,"
ferred to D. and Denise L. Schreiber hereinafter re
;isYin
y 1411 lioute #1, Box 13, GlprWo+Q City. Wisconsin 54013
rj~dwe _
1. seer Agrees:
(a) To 9A mad txavey to Purchaser land in the County of St. Croix State of Wi gcmgi in
daarlilled as.
Southwest Quarter (SW's) of Southeast Quarter (SE:) and East Half (E~) 0`
southeast Quarter (SEA) of Southwest Quarter (SWh)
Section Twenty-nine (29), Township Thirty North (30N), Range Fifteen West (1514).
subject to existing highways, easements, and rights-of-way of record.
Mamie der .def. to as "the land," together with all tenements, hereditatments. improvements, and appurtenances, including any
Ngtaing or pltmlbiag fixt ues, shades, venetian blinds, curtain rods, storm windows, storm doors, screens, awnings, and
war ea die bad, subject to nay applicable building and use restrictions and to any easements affecting the land.
P,xchidiag therefrom and excepting and reserving to Seller all mineral and royalty rights, interests, estates and titles heretofore reserved
or excepied of record by The Federal Land Bank of Sato Paul prior to January 22, 1986, if any, with such easements for ingress,
grey and use of surface as may be incidental or necessary to use of such rights. The foregoing exclusion, exception and reservation
stall include, but not be limited to, all oil, gas, hydrocarbons, coal and other minerals of whatsoever nature lying in or under the above-
described laeds and all royalty interests as to oil, gas and other minerals produced and saved therefrom. It is expressly understood
diet the Seller will make no warranty as to the extent of its ownership of minerals, or as to its title thereto.
(b) Tint the fun consideration for the sale of the land to Purchaser is: __.Zj]Ctgen Tho usand Do1_ are nci _M/1 Of)
(s 16,000.00 ) dollars, of which tht sum of Eight Theisane3 nn11a n and d1/100
81000.00 dollars has been paid to Seller prior to the delivery hereof, the receipt of which is hereby acknowledged.
and tae ad&boaw sum of Eight Thousand Dollars and 00/100 (SA,000-O )
doom, is to be paid to Sella, with interest from the date of this contract on any part thereof at any time unpaid at the rate of 9.0
perew per si oui n while Purchaser is hot io default, and at the rate of.- 11.0 percent per annum, computed upon any sums of principal
or in wifist ant paid when due boring the period of any default is paymrnt. Such ati.i::ional purchase money and interest is to be paid
as 6onowrs: elortthly paYt mts of $166.07 First V,yment to begin on August 1, 1989-
Accrued interest to begin on July 1. 1989, - -
(AddkkmW burest away be added to the first installment if the initial period is greater than subsequent periods. ) Such payments to
be applied first upon interest and the balance on principal. All of the purchase money and interest. however, must he paid in full on
or bolero January 1, 1994 , anything herein to the contrary notwithstanding.
(e) To exeaae and deliver to Purchaser or his assigns, upon payment in full of all sums owing hereon, a limited warranty deed conveying
tide so the land, subject to abovementioned restrictions, easements and to any then unpaid mortgage or momgages but free from all
other eoanmbraoces, except such as may be herein set forth or shall have accrued or attached since the date hereof through the acts
or osnitsioae of persons other than Seller or his assigns.
(d) Suer sW upon closing provide as evidence of title, at Seller s option, either an owner's policy of title insurance or ahstract of trtlo
ow4cring the land. The effective date of the policy or certification date of the abstract is to be approximately the date of the contra,:t
Senor shall have the right to retain possession of such evidence of title during the life of this contract but upon demand shill Irnd it
so Purchaser upon the pledging of a reasonable security.
2. Purchaser Agrees:
(a) To purchase the land and pay Seller the sum aforesaid, with interest thereon as above provided.
(b) To use, miu mn and occupy the land in accordance with any and all buildings and use restrictions applicable thereto
~,ate,ci @OOK 832 PAsE 6&
eyrroar ` 7-7
(f) That he has examined the land and is satisfied with the physical condition of any structure 00000011, and hereby waives any and all
clainn on atxoumt of any encroachments on the lard or on any premises adjacent thereto.
(g) To maintain orwom and amuraw financial boob and reads for purchaser's business: and provide annual financial information (balance
sheet. operating statement. or cash flow) in a foram prescribed by, or acceptable to Seller.
3. Sedler and Purchaser Mutually Agree:
nsurance
(a) That if default is made by Purchaser in the payment of any tax or special assessment or insuntuoe premiums or in the delivery of'
as above provided. Seller may pay such tax, special assessment or premiums or procure such assurance and pay the premiums tberefcx,
and any amount so paid shall be a further harm on the land pay" by Purchaser to Seller forthwith with interest at 11.0 percent
per annum. This provision shall be effective only it Paragraph 2 (e) applies.
(b) That during the existence of this contract, any proceeds received from a hazard umninee policy covering the lad shall at Seller's
option first be used to repair the damage and restore the property. with the balance of such proceeds, if any, being distributed to Seller
and Purchaser, as their iataests may appear.
(c) That no assignment or conveyance by Purchaser "H create any liability whatsoever against Seller until a recordable duplicate thereof
duly witnessed and acknowledged, containing the residence address of the assignee, shall be delivered either personally or by certified
mail to Seller and rec cipt therefor obtained. Purchaser's liability hereunder shall not be released or aNected in any way by delivery
of such assignment, or by Seller's endorsement of receipt or acoepttanim thereon.
(d) That Purchaser shall have the right to possession of the land from and after the date hereof, unless otherwise herein provided, and
be entitled to retain possession thereof only so long as there is no default on his part in carrying out the Isms and conditions beroof.
If the lad is vacant or unimproved. Purchaser shall be deemed to be in contractive possession only, which possessory right shall cease
and terminate after service of a notice of forfeiture of this contract. Erection of signs by Purchaser on vacant or unimproved property
shall not constitute actual possession by him.
(e) That if Purchaser fails to perform this contract or any part thereof, Seller immediately after such default shall have the right to declare
this contract forfeited and void. and twin whatever may have been paid hereon. and all improvements that may have been nude upon
the land. together with add Km and accretions thereto. and consider and treat Purchaser as his tenant holding over without permission
and may take immediate possession of the land. and Purchaser and each and every other oocupsw remove ad put out. If service of
a notice of forfeiture is relied uron by Seller to terminate rights hereunder, a notice of intention of forfeit this contract shall have been
served at least fifteen (15) days prior thereto.
(f) That if proceedings are taken to enforce this contract by equitable action, after Purchaser shall have been in default for a period of
forty-five (45) days or more, the entire anxwnt owing hereon shall be due and payable forthwith. Anything herein contained to the
contrary notwithstanding.
(g) That upon 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 steal! be held and applied as the court shall direct.
(h) That time shall be deemed to be of the essence of this contract.
(i) That any declarations. nenices or papers necessary or proper to terminate, accelerate or enforce this contract shall be conclusively presumed
to hale been served upon Purchaser if such instrument was enclosed in an envelope with postage fully prepaid, addressed to Purchaser
at the address set forth in the heading of this contract or at the latest other address which may have been specified by Purchaser and
receipted for in writing by Seller. and such envelope was deposited in the United States government mail.
(j) Purchaser hereby agrees to reimhurse Seller when pursued in litigation of all costs and expenses, including reasonable attorney's fees,
of Seller incurred to enforce am rcrnedv hereunder to the extent not prohibited by law, and expenses of title evidence shall be added
to principal and paid by Purchaser, a. incurred. and shall he included in any judgment.
tkl It is under%t(xxl that some land included in this contract may he covered by the federal Conservation Reserve Program. Buyer agrees
not to violate any of the provisions or restrictions under said program. In the event that Buver does violate any provisions or restrictions
under said program. Buyer shall indemnify Seller for am loss. penalty or reimhursement, that Seller must pay to the federal government
as a result of said violation
1 Other Provisions.
(a) "R 139E[ X11 not m p~. ye~t~ t~~,,,s~ell or C=My any legal. q itahlo irrtelmet in the cpgL
(by ~~L~t_cf_~ C( R_1"C~1k9 IS rights .11 ' - th1.q Ctntrart rr tv ime 1asi9Q= l°lk°e-cr
z 't
_ Y _ ' _th a-~ 1dittm e~>t elf lft~inless eit+sor tho .,,t-mot +iM r
pyable =Jer this QTtt1'acl- 7~-f],Cgt-~15~ 1CL.~3~1 S>C_tbe irtangat Cm ied is a P1 eT er -;aairzM+h
of R]Cd _s ir> taf3t 1lA .S _ ldy--3g seazzt - fhr an i&Mjtcrl,eac rrF IR=
In the event of SUCK traglen. cal e, Cr_ . Uri t!hn * is un-i tte n CM MM # thn Q,r' _
ClAstfflch
WC710eP9 31e_L?r>!;' .11t?S Cxtmcr- am1l.fYmno irmyr?iataly t>>» aura rsaxsaFsln in Arl1- at Yt3dTe8_C i _ _Wlt,} tt r1X,O@.11
t xn0 tQ
P;V )ir 9
WITNESSES: PURCHASERS: logo 8.3 PAU z
~ .,A.,
REGISTER`S OFFICE Denise L. Schreiber
ST. CROIX Me W) FARM CREDIT BANK OF ST. PAUL x
Redd for No d r -
JAN 191989 By - ;r.
40 8*30 A M -
N Thomas E. Hass, Director of A00,
of do
w of 004& Federal Land Bank Association of Northwest Wisconsin
Acting as Attorney-in-fact for Farm Credit Bank of St. Paul.
- or .
YY,
Production Credit Association of r
Twe
STATE OF Wisconsin
I Ss.
COUNTY OF St. Croix
7Rh V z'
On this - day of -January 19 89 before nu a r
ppcared Kevin D. Schreiber andr
Denise L. Schreiber
- rl • v s
to me known to be the persoufsl described in and who executed the t,reguing instrument and acknowledged that 1GuaNthey) '~r•
executed the same as Wtheir) free act and decd.
My comrtussion expires 2-11-90 :2L
Nntan Puhlrr s ry Lou Levi
Pierce Wisconsin
}
County State
STATE OF Wisconsin
I, ss
COUNTY OF St. Croix
1
The foregoing instrument was acknowledged before me on / - 4
by Thomas E. Hags Director of Acn_ Pron_ of the Federal L and-Battle
%oft Tal,
3
of Northwest Wisconsin as Attomc% in-fao .,r, N.-halt ok Farm Credit Bink of St. Pai.I
My commission expires 1~~1-. LLu
Nolan Public r Ma Lou Levi
----Pierce------ Wisconsin
Ctw of % State
STATE OF
I ~
ss.
COUNTY OF 1
The foregoing instrument was acknr,wla:,eed bcforc m. +n
raw.
by - - (.f the Production Credit Assocution of
T,,
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS-
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BOX 7969 BUREAU OF PLUMBING
MADISON, Will 53707 CO
Sy DISON, 529, T30'~-RlSW NVENTIONAL O ALTERNATIVE State Plan Ij}.D. Number:
Town of Glenwood ❑ Holding Tank ❑ In-Ground Pressure Mound W40073
130th Avenue
NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTION DATE:
Kevin Schreiber Route 2, Glenwood City, WI 54013
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.:
Name of Plumber MP/MPRSW No.. County Sanitary Permit Number:
Gale W. Smith 5690 St. Croix 119508
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑YES ONO ❑YES ONO
BEDDING: VENT DIA.: VENT MATE.. HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: IVENT TO FRESH
ALARM FEET FROM LINE: II AIR INLET
❑YES ONO OYES ONO NEAREST
DOSING CHAMBER:
MANUFACTURER: BEDDING. JLIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL ILOCKING COVER
IT ROVIDED: PROVIDED:
❑YES ONO OYES ONO ❑YES ONO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY L BUILDING. A R NL07 RESH
(DIFFERENCE BETWEEN FEET FROM LINE
PUMP ON AND OFF) ❑YES NO _ NEAREST
11 1 x;TH IT"AMErER MATERIAL AND MARKING
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing
or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH: LENGTH NO. OF DISTR. PIPE SPACING: COVER INSIDE CIA.. #PITS. LIQUID
BED/TR
ENCH TRENCHES MATERIAL: PIT DEPTH: DIMENSIONS
GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. DISTR. NUMBER OF PROPERTY WELL. BUILDING: VENT TO FRESH
BELOW PIPES ABOVE COVER. ELEV. INLET ELEV. END. PIPES FEET FROM LINE. AIR INLET:
NEAREST
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
❑YES ONO
SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS
❑YES ONO OYES ONO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED. MULCHED.
CENTER. EDGES.
OYES ONO ❑YES ONO ❑YES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER:
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. 7 PIPE DISTRIBUTION PIPE MATERIAL & MARKING:
ELEV.. ELEV.: DIA.. ELEV.: PIPES: DIA.:
ELEVATION AND
DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL.
PLANS.
OYES ONO ❑YES ONO
COMMENTS: PERMANENT MARKERS: OBSERV ATION WELLS: FNE BER OF LINE PROPERTY WELL: BUILDING:
T FROM
❑YES ONO OYES ONO REST
Sk etch System on Retain in county file for audit.
Reverse Side. nrLE:
DILHR saD 6710 (R. 01 /BZ) SIGNATURE: Zoning Administrator
=HR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUNTY CR6 /
:E
STATE SANITARY PERMI
-Attach complete plans (to the county copy only) for the system, on paper not less than I / 9so
8% x 11 inches in size. ❑ Check If revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. Cf D v 73
PROPERTY OWNER PROPERTY LOCATION
L J 'N 6'11,61 le- A' ~ - t/4, G:'/4, S;2 T, G , N, R / gRDr) W
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD
❑ State Owned O VILLAGE f!°1- E-H4~ ,mow®p~ /jr _
❑ Public 1 or 2 Fam. Dwelling-# of bedrooms -R L A NU R(
Ill. BUILDING USE: (If building type is public, check all that apply)
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. F X1 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ® Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 430 Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
7C v L y,3, Al .3 Feet f7,,19 Feet
VII. TANK CAPACITY Site
in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper.
INFORMATION New xistin Gallons Tanks Concrete strutted glass App.
Tanks Tanks
Se tic Tank or- 0 L
Lift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number:
C'~ L~ Mpg P~fi
Plumber's Address (Street, City, State, Zip Code):
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Iss ing Agent Signature (No Stamp
Surcharge Fee) 1
Approved El Owner Given Initial
) a T,- - 0 4h,
Adverse Determination , O a M'
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8, Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submmtted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; (lose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
Py De-
APPLICATION FOR SANITARY PERMIT
S T C - 100
This application form is to be completed in full and signed by the owner(s) of the
property being developed. Any inadequacies will only result in delays of the permit
issuance. Should this development be intended for resale by owner/contractpr,("spec
house"), then a second form should be retained and completed when the property is
sold and submitted to this office with the appropriate deed recording.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Owner of Property
Location of Property Section T G N - R W
Township CAL h D c~
Mailing Address /i 7 ;1--
e
Subdivision Name
Lot Number
Previous Owner of Property /)V,
Total Size of Parcel b Q 14
Date Parcel was Created 7 /J d
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house) ? Yes _X No
Volume _ and Page Number ~ as recorded with the Register of Deeds
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
1. Warranty Deed
2. Land Contract
3. Other recordings filed with the Register of Deeds Office
In addition, a certified survey, if available, would be helpful so as to avoid delays
of the reviewing process. If the deed description references to a Certified Survey
Map, the the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
I (We) eeAti4y that a,tt statement6 on thiz jonm ace true to the best oA my (oun)
knowledge; that I (we) am (ace) the owners ls) o6 the pnopeh ty de s cAibed in .thi.6
into, ma ion 4onm, by vi4 tue ob a wavcanty deed neeonded in nheh~ Ie (we) the
rnilota Ro_a..AteA 04 Deeds as Document No. y yW7aR
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969
HUMAN RELATIONS MADISON, WI 53707
(ILHR 83.0911) & Chapter 145)
LOCATION: SECTION: pp TOWNSHIP/ 44 ~ : LOT NO.: BLK. NO.: SUBDIVISION NAME:
/4,54/V4 q ~T N~RLJ*or) W 7
COUNTY: OWNER'S MAILING ADDRESS:
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: r~~~II (PROFILE DESCRIPTIONS: PERCOLATION TESTS:
Residence 3 IgNew ❑Replace ~y_'7 6- .2
RATING: S= Site suitable for system U= Site unsuitable for system O 7
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
DS U 1Z S ❑U DS CCU DS ZU ®S ❑U IV6
1VC1
If Percolation Tests are NOT required DESIGN RATE:
I If any portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: 6 /W jFloodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- f X13, g Ala ' - E71 9-u S'n,4-t -_-,v ' icd. 5"Z,
,
B- d / / c
i
ii
B- ` tiled / .
B-
B-
PERCOLATION TEST_tj~,i:
TEST DEPTH WATER IN HOLE TEST TIME DROP IN-WATER LEVEL-INCHES RATE MINUTES
,NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P R D PER INCH
f /
P-
P- / L
P-
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION J 7
10 Am r rye v'
lee
oP oFeoR &0 P- 7 y, o>
` ",tea P/ f /Jas' r"
- - - - - o,~-- r3i o t N
~y PIN
L
° SF s
q F'f,I 115
st i'.
4.
r 6T ALL
i ; _3larr,
St loc t Ci, A
8, t ti ar E' al 3i)Pnt,
a," tC. fi 1~ "rE i..v s... u~ e7.c'i1~3~1-
5 flood plain, Wes r1ot a}:ar l~ the app )x;
nor current y Jr c.c~rtifieEsti( :bie cap and rlist6bute t ",LL SOIL TESs BE FILE[ rviTH THE
L(Al-L A THOF-TY WITHIN 30 Di,YS w ':.PLETION.
I TIONS --:RTIF ED SOIL TESTERS
Sail Textures Symbols
st ,.)ver 10"}
f 3 "i 0") r
CCaC7
g
's H&, Iv- i:ff
C's wt Sant? Perc; -cc,
inec:l s Nfie&um Saari W G
fs F'-,e Sang Blticl P, ~=9
Is E ; Imy Sans Than
psi ;Ciy Loam i I in
LoaM
~sii :sift Loam
Sri cram ! Y . 'o vv
Clay Lome R - I ti
sic Clay Loam mot - N
Sr Ciay Vv%~ - VV
sic Clay fff f;
P1 t In III IN l
igh
Sig I tWxx.ures surface W;
for lic,_s ~i ~o"aste, t ist3o4 Bench PAa=.-k
- Vertical References Paint
n
54-- _S vim' ~2 9 Tic C RC /x C'!?.
ONSITE SELVAGE SYSTEM D64 b.3 4
DEPARTMENT C,"
V!S.xDai Ear } tt. S
n s
~t~aU
Sr
M 00 7"0 P
cc~l3 Ne ig )7esr-
3 T
lve, Gym v
~ p c~ e (<r,4L S~ i~11~
THN~ i
Y 1v!
4, e A s i re
v
,R ONSITE SEWAGE SYSTEM Page - Of
I! If?
f
Y
DEPARTMENT OF in,.:
Lri Y r ) ? tl h~ 4 ]J
DIVISION OF
Perforated PI t 101 st _
End View
Perforated
End CoP) PVC Pipe
1. J~~p;o~ce
de Holes Located On Bottom,
S Are Equally Spaced
/
/ PVC Force Main M
* ~ From Pump N/ Nil 4 6
/Q PVC
Manifold Pipe
t Alternate Poelllon of
DiSlnbuliUn
Pipe Force Main From Pump
Lost Hole Should Be
Next To End Cop
End Cop Distribution Pipe Layout P
R
S~ (l~
X L/~U
y e- Qy oC-,,V d 6? 4
10
3 Hole Diameter Inch
Signed:
2
Lateral Inch(es)
License Number: Manifold _ - Inches
Date: Force Main, Inches
4~
Page - Of
Straw, Marsh Hay, Or
, Synthetic Covering
Distribution Pipe
Medium Sand
G
Topsoil F
11
3 E D
~
u
b
ON81TE SEWAGE S)6$TfA$e
~ Bed Of 2~ - 2 Force Main Plowed
(f onlitio a t~ From Pump Layer
Aggregate
f 7 . - rte,
j
AAR"
E ~
DEPAR NT OF 1~~';IJ I i 1.D i-t ~ _
_ YoNLAN ion Of A Mound System Using -
A Bed For The Absorption Area
SEE COr~?FvPOiG~~~
/ n A Ft. H Je
Signed: B Ft.
License Number: Ft.
Date: d 1,2,? Ft.
K [l~1'z~F t .
Alternate Position L 6 Z 7 Ft.
of -
Force Main W -1Ft.
L
7- i - i
Observation Pipe---,,,
7KI
Force Main
(o
W From Pump
-
1 M
Distribution Bed Of 2 - 2 %2
Pipe Aggregate
I
Observation Pipe Permanent Markers
A
Plan View Of Mound Using A Bed For The Absorption Area
J SEPTIC TANK PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
4" CI VENT PIPE 12" MIN. ABOVE GRADE & WEATHER PROOF
2S' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED
FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER
Q
FINISHED GRADE 4" CI RISER W/ PADLOCK &
6 " MIN. WARNING LABEL
y. ABOVE GRADE _ ~~-4" MIN.
18 IN. 6" MAX.
INLET
STEM
SITE SEW L _
WATE TIG T SEA GAS-
OdZ itiona TIGHT F
4„ F A SEAL
PROVED
CI PIPE ,t ALM INTS W/ CI
3 ' ONTO B ON PE 3' ONTO
SOLID liul l1 N RELATI -F- i LID SOIL
SOIL D P TMENT Of = P 8 jq.DMIGS C i
OFF RISER EXIT
RMI
TTED ONLY
SEE CORRESPONDENGE TANK
NUFACTURER
HAS APPROVAL
3" APPROVED BEDDING UNDER TANK
CONCRETE PAD
t5~ SEPTIC / DOSE
SPECIFICATIONS
' ~H 2 •n
TANK MANUFACTURER: til NUMBER DOSES PER DAY:
TANK SIZES: SEPTIC /o-V-0 GAL. DOSE VOLUME INCLUDING
DOSE 7SO GAL. FLOWBACK: GAL.
ALARM MANUFACTURER: ST,~L rR D CAPACITIES : A = ~ INCHES = _~d2 2 GAL.
MODEL NUMBER:
O
SWITCH TYPE: B = 2 INCHES =_GAL.
PUMP MANUFACTURER: a 1L,~,+~ use rf" C INCHES = 1,2a,-7 GAL.
MODEL NUMBER:
Z97 ,fRe DFD D = INCHES = GAL.
SWITCH TYPE:
McRCy)4y
REQUIRED DISCHARGE RATE GPM PUMP 8 ALARM WIRING AS PER ILHR 16.23 WAC
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE ,.Q FEET-
MINIMUM NETWORK :SUPPLY PRESSURE 2-.-5- FEET
`FEET `FORCEMAIN X ; 6. FT/ 10'0 FT. FRICTION FACTOR FEET
TOTAL DYNAMIC HEAD = 1,2, FEET
INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH DIAMETER.
LIQUID DEPTH 'SIGNED: LICENSE NUMBER: Jyfp56y4 DATE: - - -
1/88
~STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
0WNERABU3M C%- y; A/ S RC?
ROUTE/BOX NUMBER FIRE NO.
CITY/STATE CNc Qd C~ iY ZIP !~3
PROPERTY LOCATION: 5 r 1/4 ~ 1/4, Section ,2 T 7 N, R /3- W,
Town of C°-L C tV e a St. Croix County,
Subdivision , Lot No.
Improper use and maintenance of your septic system could result in its premature
failure to handle wastes. Proper maintenance consists of pumping out the septic
tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER.
What you put into the system can affect the function of the septic tank as a
treatment stage in the waste disposal system.
St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of
$3000 of the cost of replacement of a failing system, which was in operation
prior to July 1, 1978. St. Croix County accepted this program in August of
1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their
systems properly maintained.
The property owner agrees to submit to St. Croix County Zoning 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 (2) after
inspection and pumping (if necessary), the septic tank is less than 1/3 full of
sludge and scum. Certification form will be sent approximately 30 days prior to
three year expiration.
I/WE, the undersigned, have read the above requirements and agree to maintain
the private sewage disposal system in accordance with the standards set forth,
herein, as set by the Wisconsin Department of Natural Resources. Certification
form must be completed and returned to the St.Croix County Zoning Office within
30 days of the three year expiration date.
SIGNED
DATE
St. Croix County Zoning Office
St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
(715) 386-4680
Sign, Date, and Return to above address
ST. CROIX COUNTY
k WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET 9 HUDSON, WI 54016
(715) 386-4680
May 4, 1989
Ms. Susan Larkin
Division of Safety and Building
Bureau of Plumbing-LaCrosse
2226 Rose Street
LaCrosse, WI 54603
Dear Ms. Larkin:
An on site investigation for the Kevin Schreiber property, located at
the SE, of the %h of Section 29, T30N-R15W, Town of Glenwood, St. Croix
County, revealed suitable soils at a depth of 25 inches, below which
seasonable high groundwater was noted.
This site should be suitable for a mound system.
Should you have any questions, please feel free to contact this office.
Sincerely,
C'. Ins
Thomas C. Nelson
Zoning Administrator
TCN:rms
Tr 11117 TV "T 4!~
kAd
61
yet -.,e.C w1w
- 1NnIrli~~f11wi111 t`...
4451
slow cow a 94" M
alt. ftwix 1 I VW ftl In . a hd~wlty dwelow ao~ocatioa 1eniMlh►
1Y
btarid~er tsfaseed to ~ '•ptttctsrar." "
city-
Y
00M p llksaraaar hart in asllraay of St- amix ataee of
tttiween■in
~ M .
~.r
( ) of Mathssst Q mrttr (SAW and Past Half (E) of
1~4) of ammWent Quarter (~+ll)
(39), Zbaerttip "drtY 11~octh (30N)r PAnge P'iftaan otaat (IN)
moma"• moments, aid riots of-vay of record.
tea;
! i i~i,' wt." to~sdber with d teasweti, borrisraeats, i„poretoew, and apparlsartca, iaclad'at~ gay
9~t ,illdrlaw dais. w mmalm biiai. casasia sods. alarm widows, awraa doors, someone. 0. and
t i OF
` t M.Ir applicabe btttldia~ ar rr sadarictime and ~ ary eagetaeag aliectidq tie rand.
w *A lldlld a @*ft and aserv10 Sder AN MWW and myft nos. "Wow, eataaa and On brseeotore am'
' ' aR M11~ d watt `ip ttte 11sid land tbtab d saw Taal pier b laaskary Z2, 1956. d aaty. wilt sttdt easataeats for.
art tw at antra as wy be iac*ad ar saossary t0 ms d inch ruts. The fanesebS esejnsim exception and raserrniati t
ti *116-410*1166 bASO be lb" to, an oat. sag. laddrprbras, attar and o"r aiawals of wwsoever ttatttre IY4 in or miler rite abowtr
u **~MdIAMf~ waeMa as a e0. t!w and"Wwawa po0iad and saved d efrow. It is exparly wdaalrad
lli► lilthr7n lyre r wmu* as a i exftW d its owunbip at toiaaalt, or m a i s tide then.
tJ #A ON WWAM far ibe aWe of the load to ftcbsom is: flail
lore. a~ (~itYf
ddan. of which dte sew of Sight 'htcaswana t l.r. auk nnllAA
lairs bas been paid to salver pior m tits de ,m) bored, dw mcco of which is booby ad w*IWrad. -
awe d mJlm is g s -nn
li`11►b1► diltltJb. wM ialeewt Now the dace d dtis ottatract a any part dtereof a gay tine empe d at dw rare Of
9•
~y Rilllrlsarerlir)!lntlraari sa w dsfsaM. and at dw gee of u.opercaat per aartam, eeapta.a apoa gay seats ot~ `
ie . dw Nio/ G (MW in Primal. Back &Wonal Welme many and iaarm is a bs 11M
21N Of 21W.07. rLrst to
In nn ju
- Jim 2=0 On
JY' _ -
a f 1rr11 ~IIMML >Ae aYM to the-lint intiat X dte initial /tried s parr dnn subsequent pencils.) Such pglnCSla to
` Mtt d `yaat' I peiac+pl. AN d dw purchase aroaey and inderest. bowever, mast be
< paid i lira ea
+~iwn
anything herein to the contrary aotw.
z.:f s)~ t and esrnraJMtiaser or bas amps. vpat payment m Ndl d d sums owiap hereon. a limned warranty dead conveying
1~►S ati~tae it abevaareatieasd restriolisra, aaot wm gad a gay that ttttpoid mmpge or atortpdes. ,hat free Mont all
ti ww"Illow sack as mW be brain set fart or shah have scented or altadted sure die dads hated dtrontb dents
r' ~wlr4!1~'t)trlA~ order tbae •ager ar his assips. ~ l
saw ttt040ftalra do pwride assriieaoe o(fte, aY lairs option, eidw as owner's policy of tae insunttoe or abstract of tide.
' AmM ft *Wl Mll. 1% s dais 09101C pONF7 or oatilleatim due Of *a abstract is to be
~r>aaars tors aWoY the date of this coottad.
SWIMARtlNUftpaaaaim Of ntt# I idnoe of tide dwitp the life of dtis contract but wpm demand shdl lead N
Itmar mr* ia;pilaftft of a red eAk ammy.
~1yii~l~iMrf~ yllrwaae
d' t (N k Mao s flit 100 aldt / NOW to wttn afarosaY, w A& isseng dhereoa as above provided.
!llnl!!' 00 lend in accoadntoe surd sag and' sap barddtdp and are rewictions applicable eheroto.
is . r'.
-717, 1,
..•,+t. y~,, it , `
(t► DO hd ban 00*" Ile bled and it dOMM Ilia •s phpdeal eveftea of ally owlwa Pawed, dad bw* wtdtlrE M r ~
Chilean ate a alanal of or dmmd mmb m the bid or tea airy paratides sourer rntela
W To an de av*m add MOM mall ial blab Ile rehab Itr Paubean'a sadism: and ptrevids sand Madrid Mm* n 0dante
ever, apeaetial dtelrnn& w "A Mu) is a deeea p I by, or nmpiio to Idler.
3. Idler std hrebaear bflsbnly MW.
W TV if"lo fawA* tq itle *mw i• the pmp t dead *Aar WNW mmumm or iintaaoe pdaida a Orin ra/iwry olbnwwir
m am fwllt aft mw plot now. Vocidi ndneanae ar p mkm w pmm and insane o d prep Ibr pd.td„►tllewfde,
Mad ow alone an gal/ it be a IYnYrr Ida w id lea/ Peale by Nlmtlneer a liar rail wWA law" at -It- Parente
Par aware. TW podeiea dal be effec" ady if Par ipaph 210 aPalde,
(b) Tier *a* i =jam of tins oaetraet. MW laientdds received flan a hate ad inndsaoe policy covering ft lead ad is alt's
option 00 be cease a w f* ft d= a and =On the psaperey. wit do bdwoe of ndl ptmo mils. if say. b ft dbuinldd Ice Mail
and Pareimr. n iiir weeaate way appear.
(e) TL ao aaa PNM oranaveyseod by haeilwr dhdl eaiata day lidaft wbetaseter alien Idler and a noadeble dtpiicsee *wad
My earl NOW and admu6mbdd. caeeaimft dw residaai addtan d the a kow Idol be ddiir a oiWr a % ar by 4td 'a I x
mail a Idler and nowpt fbdae(or abuind. Pwcheaer'd 114 hmmedw did sae be released or siwid b mW wW by dellmy
d end, eadWnuea. ar by seller's adwinwas of NO* or aoapttaea Oudnne.
(d) Tine Peabtnr deal bade the rgla b poasdnidn of fie lead flan and alert a teas bared. oddre n- im bdeaia paef1A sad
be aniilad le semis pl aateafw rntoaf 4dy do bell a idea is r doll dt N ble part is carryii ant do ream add aaadldwn badger:
. of dta bred b v aoW ormdwon ed. lereb ea ebti be dds■ed b be imaoeewtive poasewion wady. vrhii Parneaady dot del aeisn
and umitet sfbr wMM of a entice of bdfiflnw of Me aapact Beaceiw of dW by Pwrbasar ae gasnt w eti~ee~wd p ll "
dhal doe eenti`ne acid ponedan by bin.
(e) Tint i(hrdh fats se pordwn New , P i or add part awed, Salbr ineaddieasbr it each dddtatlt i■ heave the airltla dneleae
ib aanraot bd WW and void. and resin w hasewr aley bare bees paid iwwon, andal i.peerieaetad it gasp here ben wads Win
the lead. tog4lhdr wrii ndIIdM ad aocratias iaao. and eoaalder and treat Pbehna as his was bddfal mer vrllboa pes i do
and day vibe been dive patemion of the Med, aid Faclia er and cub and away crier oecepoae mom and pat an. K atniea d
a sake d in hilwe is relied trpoe by Seller a seaeitwe rights hereunder, a notice of intention of fordsit lie eaeetaot Y bave bare
sued at km Auden (13) days prior thereto.
(f) Thw if prooeedWp are taken to enforce this contact by equitable action, alter Purchder shall have been is ddadt for a period of
forty-five (43) days or more, the entire amount owing hereon shall be due end payable forthwith. Aayiing hernia contained to dw
contrary notwithstanding.
(ft) That upon comahaoandn or during the pendency of any action of foreclosure of this contract, purchaser eoneem to the appoiaeawat
of a receiver d the property, including homestead inlet eat, to collect the rests. issues, and pro " of the property dtsrittl dal l , am P)
of such action, and such rents. issues. and profits when so collated shall be held and applied as tie ooart dad diseet.
(h) The time shall be deemed to be of the essence of this contract.
(i) That any declarations. notices or papers necessary or Proper to terminate. accelerate or enforce that extract sill be eaaclasivdy praarahed
to have been served upon purchaser if such instrument was enclosed in an envelope with postage fully prepaid. addressed to ptachaasr
at the address set forth in the heading of this contract or at the latest other address which may have been specified by PlMiehanr ad
receipted for in writing by Seller, and such envelope was deposited in the United States government mail
0) Purdwer hereby agrees to reimburse Seller when pursued in litigation of all costs and expenses, including reasonable aslwneys (tea.
Of Seller incurred to enforce any remedy hereunder to the extent not prohibited by law, and expenses of title evidence doll be added
to Principal and pad by Purchaser, as incurred, and shall be included in any judgment,
(k) It is understood that some land included in this contract may be covered by the federal Conservation Reserve Prograre. BUM as a
not to violate any of the provisions or restrictions under said program. In the event that Buyer does violate any provisions or reeleieakad
under said program. Buyer shall indemnify Seller for any loss, penalty or reimbursement, that Seller must pay to the 0edaal prrerarnaas
as a result of said violation.
4 Other Provisions:
(d)
(by "RZ d1er3tC_
dull not t on d w, Sall x atw_ay lad sl ey, finrit•Ai•+lo i.tece ft in t bed WA*M&V-
in aeaiaattertt of sty aE nt+a~.-
sty cthtt Wily) - - - • T T a
Pmewe llydw t~dtttctt ff12 trial •t of Vii rt+l01111111 asa~th - - eytotmm- bwwa o -crrmmrk t~1>j8 ]8 ta>L ~n fii11 er, t•hn 4.d -No & er" nlarl-m
of M's irlbtewat tatcbr "-Ii QTlttart ,nlely ag M%g i r, &
an inra.,rs..r ..s
In the ant Cf ~ Adt ~ '1v r,.• .a.,.+ •A ` r•tlm
autetanchrla balartoe nertrbt. s
9 beams iansepiJhr,elV An a,A .,RAsa0 in
w,t t
'~+y)' ~ s y er y . ~ t, Fix f`
a): df
KW~n D.
Dmniae r. 9che ibw
ST. Cm Me 1M
d VARN c~or, ~uac or sr. rrw..
tad forRoom
JAN 191999 By:
8:30 A ZtIOomss E. Haas. Directcc at
11c1a.
bow of
Federal Land Bank Awmistm of
Acting as Attorney-in-fact for Farm Credit Bast of SL ftWL
or: +
Production Credit AuocuKm of ; . y
.r
By:4u
STATE OF Fliaoonsin
•
Vol
COUNTY OF St. Croix f
On dWs
doy
of Janu y 19 2_ before me appeared Kevin D
Deniae L Schreiber
b ma kt+owtt b be lire penonfs) described in and wbo executed the foregoing instrument and acknowledged that makw6itij,
.
execttltd the tame as WXtbeir) free act and deed.
my com imim etFina 2-11-90
Notan Public r Lou Levi
Pierce Wiscamin
'
Count) State r.
r'
STATE OF Wisca_n_ ain a' 4
COUNTY OF St. Croix )
TW g mPft intrmrteat wat w1mwledged before me on
lac
h
by 3bQM E. Haan Directc_sr o Acts Em= of the Federal .Limd.IMt
Tok t :Ca
' 41
Of Hart}Want! Wi scan ai in as Attorney to-fact on behalf Farm Credit ~t IB; •j #
My oommwioo expires 2-11-9C
!votary Public , Ma* Lou T ~d -
Pierce Wiaconair►
,t
Count% Sum
STATE OF
1 ss. Ita_,
COUNTY OF 1
The fore50108 imtmnwm was acknowWrted before me in
_
N of the Production Credit Anaci*ntl of t"t
Tak
on bewf of mid mmmwkmm~