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HomeMy WebLinkAbout028-1044-20-000 "0 O . 0 0 o N O e» a a 0 I c I °o I N N I I ~ I I I (D C Z I C LL o =3 ~ ¢ I ~ I CL a~ ~ w I w E Zo v z a m M I- Z o i E z g ° I v w o I d Z ~ ~ z t-~ ca ~ t o I N c Z Z O o I N Z E C N [V N m ` N y d d O C O _ O CD G C a N N V~ z CL m z o I 3IL CL IL v, I ►i ~ v U)-10 Imrn0) 0) rn o Z LO N N Q N CD Cl C,4 to r- ¢ O O a L ac- I 0 O O N y C Q F°- o D o c = °0 0 r \ N N N .F c m d N N cE" v O 2! Lo c (D O C N t+" co r E rr) ayi 4) -oo H y n v 00 E a) o O L -5 E • O M F- N co (nj O Z Z o •d v~ m R ~ a a a I 'c c 0 ~~`Nww 0 ` v , m IL) CL M~ 0 V) `Parcel 028-1044-20-000 07/28/2006 09:52 AM PAGE 1 OF 1 Alt. Parcel 36.28.17.274A 028 - TOWN OF RUSH RIVER Current X'', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - TIMMERS, MICHAEL A & DANA L MICHAEL A & DANA L TIMMERS 2075 10TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 2075 10TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 36 T28N R17W E 1/2 NW NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 36-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 02/27/2006 819311 EZ-U 07/16/2002 684288 1928/130 TD 07/23/1997 999/229 LC 07/23/1997 793/234 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/12/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 11.000 1,700 0 1,700 NO UNDEVELOPED G5 7.000 4,900 0 4,900 NO OTHER G7 2.000 10,000 133,700 143,700 NO 02 Totals for 2006: General Property 20.000 16,600 133,700 150,300 Woodland 0.000 0 0 Totals for 2005: General Property 20.000 16,600 133,500 150,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 315 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _L of ' baboo and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. _ COUNTY • a{~'~ att include, but ~R~ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. *n CEL I.D. # not limited to vertical and horizontal reference point (BM), direction and %~W46e, scale or . dimensioned, north arrow, and location and distance to nearest road. -2 Ir 5 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATI mss` I AWED BY DATE PROPERTY OWNER: OPERTY_.LOCATION M ll~-e _T L yr 2Y LOT r 1/,4. ;AJ' ~ 3~cT $ AR 17 E (o W PROPERTY OWNER':S MAILIN~G(( ADDRESS z , CJC # SU E OR CSM # ue- CITY, STATE ZIP CODE PHONE NUMBER ❑CI I _ OE1 WN NEAREST ROAD t~ d t.cy ~ (.t.) ; a Z.. ('7~5) 68y - ~ Sam u.s wear /O fly f,~ve.~ 3 xst~s existing building =~-nor-n [ ] 9 9 [ J New Construction Use Residential / Number of bedrooms S Addition to N,rReplacement [ ] Public Or commercial describe Code derived daily flow 600 go Recommended design loading rate bed, gpd/ft2_~,_trench, gpd/ft2 Absorption area required I2M a bed, ft2 100' trench, ft2 Maximum design loading rate _,_S bed, gpd/ft2 ~trench, gpd/ft2 O p e _g_ It (as referred to site plan benchmark) Recommended infiltration surface elevations 917.3 ~'V- Additional design / site considerations 6mo" 5-k U.Sd 4:"j S' r 6 S , Parent material Flood plain elevation, if applicable It S = Suitable for. system CONVENTI~OyB~L M~O D 7 1 IN-GROUND PRESSURE AT-GRADEE_ / SYSTEM IN F11.L HOI r NG TAUK U =Unsuitable for s stem El S L~U 7 LAS El U ❑ S C~U M El S Liu El S [9'U HO 210 SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxxlary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer& U 5- L to ~Lv6 t Ground 3 S>;6' 10 y y _ u t1,~d~c s bk J s k, ,.,J lo q elev. { a ft. `I ~s- `l 7, s< I a < s bl~ rn a(_0 - , `I Ck (r Depth to "5 50 C) 17. is* -1 C6 L C_ S~k ML4V limiting factor Remarks: or~z0- y~ S h o.vc. ~d y~ .x"40 S " Co~6's Boring # $ c U- I Co' K (W ~D 3~ 1 ~~tIR % S l c s~ I~►1 v LL) 6 Ground elev. U5`- ft. 3_)-631 1,6V l o sb S- . . Depth to limiting fa-c~toa, ~ 6 Remarks: No~-i~o~ f a ;acs s ~cw cow cry- qc t, ow y ham- ,as7 ~,6~6 _sfc CST Name:-Please Print 2 Phone: Addr T5 -7 7 0 1- Vc4l~!7 U); Signature: Date: CST Number: 309 I- 2Z3~~ PROPERTYOWNER SOIL DESCRIPTION REPORT Page c/ of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boulc~y Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench I -6 a yR a b sL, L0 P s. 6 s' I r" sbk ~ 5 w , s. Ground 3 p ~vyR - SI~Gr sb w `L) elev. S u Ur- 9).Sft. -39 to yR l sbk w i c. s 6k u Depth to 5 y-63 (C!, lop, limiting factor 34" a 3 oG J~ias 1n za cobbl.< s~-~.~~ Remarks: bh-~zo~ ~ a Boring # E3 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) X075 -TS eCLr.zs T 1~%tAa 11 2 I C1 L-4e 1~0~ r I t-- Ex~s~~x I stagy-, ~-ru~.k kx~ sTC - 104 61 AS BUILT SANITARY SYSTEM RE PORT OWNER A L ADDRESS SUBDIVISION / CSM# LOT # SECTION~T,R N-R~WTown of ~ ST. CROIX COUNTY, WISCONSIN SHOW EVERYTHING WITHIN I 100 FEET OF SYSTEM Pve G-S -e- Sew Y16 % T L INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: lh,t n F ALTERNATE BM: _ -T6 p 16)6oe5 6EPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: /~~q~et>a5~yti , O~rsf' Liquid Capacity: /~©6 Setback from: Well 2a House Other Pump: Manufacturer 6;c(-,fa Model#--j&?L Size -:~,o X/-/' Float separation 2t Gallons/cycle: -:2D3.S5 Alarm Location SOIL ABSORPTION SYSTEM Width: 2 Length] g3 Number of trenches r CJ Distance & Direction to nearest prop. line: i Setback from: well ! House Other ELEVATIONS Building Sewer 10(o.67 ST Inlet: 141o y3 ST outlet: ! 06t PC inlet L?&.Cl PC bottom 2,2, l Pump Off .3 Header/Manifold I Bottom of system_ Existing Grade 99. 3 Final grade' DATE OF INSTALLATION: 7 - - ? PLUMBER ON JOB: LICENSE NUMBER: -2c~a c INSPECTOR: ,vv~ 3/93:jt ao ~S Aad cs~Qy 1S ,Vee iec t ,Or~~pcrl',~ dint /d~ 01" ~fil/l ~~-n r : , ~ke Tl r11 m f,{ , q S lA~v P l~e-tnv~~ P [-~~1C~CGn ) i r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: 'Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar ,P~~ 33 ~C( IY9_: Personal information you provice may be used for secondary purposes (Privacy L , s.15.04 (1)(m)]. G , / Tgrmit F1QI , NME 11Cix~c_Cl ~Lillanp Town o : State Plan ID No.: Insp. BM Elev.: BM Description`:flUSH" i11~11'; Parcel T AO; :1044-20-000 CST BM Elev.: NM TANK INFORMATION ELEVATION DATA A9700193 7~ 7 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing "Dii Aeration Bldg. Sewer , Holding St! Inlet rte/ ; TANK SETBACK INFORMATION St/pf Outlet Vent TANK TO P / L WELL BLDG. Air Ito ntake ROAD Dt Inlet Air hh.: Septic %10 NA Dt Bottom Dosing >-:,70/ 7j' >z.~J' ,j NA Weadef /Man. Aeration - NA Dist. Pipe Hol Bot. System PUMP/ INFORMATION Final Grade Manufacturer Demand ~7 Model Number GPM TDH Lift Friction System TDH Ft oss Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIM I SYSTEM TO P/ L BLDG WELL LAKE / STREAM LE_A_CMXe--]Z'E0E'urer* SETBACK CHAMBE INFORMATION Type O Model Number: System: C t~j. A,- OR U DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length --20/ 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: RUSH RIVER 36.28.17.274A,NW,NE 2075 10TH AVE I1 ,'r. ~ t y Y CU < ll 1 Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R.3/97) Date Inspector's Signature Cert. No , t r^~~i~'r'■ i SANITARY PERMIT APPLICATION BSafety and ureau o Butilding WaterlSystems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. ST CROIX • See reverse side for instructions for completing this application State Sanitary Permit Number Sq 3~I~ The information you provide may be used by other government agency programs ❑ Chec I revision to previous application lPrivacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION S97-40674 Property Owner Name Property Location MIKE TIMMERS NW 1/4 NE 1/4,S 36 T 28 , N, R 17 YXOO W Property Owner's Mailing Address Lot Number Block Number 2075 10TH AVENUE N/A N/A City, State Zi Code Phone Number Subdivision Name or CSM Number BALDWIN WI 4002 1(715 )684-2525 N/A II. TYPE F BUILDING: (check one) E] State Owned El City Nearest Road Public JK] 1 or 2 Family Dwelling - No. of bedrooms 4 Iowan OF RUSH RIVER 10TH AVENUE III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 028-1044-20 1 ❑ Apartment/ 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 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2. KI Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ® Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ 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 600 Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 1200 1200 .5 N/A 99.3 Feet 101.6 Feet VII. TANK Capacity INFORMATION in gallons Total # of Manufacturer's Name Prefab. Site - Fiber- Plastic Exper. New Existing Gallons Tanks Concrete Construtted Steel glass App. Tanks Tanks Septic Tank or Holding Tank 1200 1200 1 MIDWESTERN PRECAS ® ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 1000 1000 1 MIDWESTERN PRECAS Q ❑ ❑ ❑ ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumb 's Signature: (N Stamps) MP/MPRSW No.: Business Phone Number: BENNIE HELGESON 220292 715/772-3278 Plumber's Address (Street, City, State, Zip Code): V_ 4 W1229 770TH AVENUE, SPRING VALLEY WI 54767 IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Agent Signature (No Stamps) XApproved I F1 Surcharge Fee) Owner Given Initial Adverse Determination 1 /717 X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: IV V SBD-6398 (R. 05/94) DISTRIBUTION: original to County, one copy To: Safety & Buildings Divi.ion, Owner, Plumber s , INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and 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 on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form- IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1!2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served,- B) horizontal and vertical elevation reference points;,C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Commerce June 11, 1997 2226 Rose Street La Crosse WI 54603 HELGESON EXCAVATING W1229 770 AVE SPRING VALLEY WI 54767 RE: PLAN S97-40674 FEE RECEIVED: 180.00 TIMMERS, MIKE NW,NE,36,28,17W TOWN OF RUSK RIVER COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters Comm 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter Comm 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, Dennis Sorenson Wastewater Specialist Section of Private Sewage (608) 785-9336 SBD-7997 (R.11/96) INDEX SHEET 674 RECt/ q,) PROPERTY OWNER: MIKE TIlM11AERS JUN 1997 SAFETY i)~ PROJECT NAME: MIKE TEWMERS V PROJECT LOCATION: NW 1/4, NE 1/4, S 36, T 28, N, R, 17 W MUNICIPALITY: TOWNSHIP OF RUSH RIVER COUNTY: ST CROIX CONTENTS Page 1: Plot Plan Page 2: Cross Section & Plan View Page 3: Pipe Detail Page 4: Pump Chamber Cross Section & Specifications Page 5: Pump Model & Size Name: Bennie Helgeson Signed Address: W1229 770Th Avenue Spring Valley, WI 54767 Credential number: 220292 Date: June 9, 1997 ~o ,gam e 5 e o,r cs~Qy ~S /VA4FCSf ,~ro~perf',7 ~rnC , I1 (,k lv~lLP' v rYIV~I P ~I~ICrCGY2 Sep t'r'c 4re6" f Gal. S Cpl, e 6A/ Vi~ ta S;IQ OG;rr\ t PR IV SEWAGE SYSTEM r C' nditioni y mft z As Sh e I? BUILDINGS \DIVISION Of SAflly AND SEE CORRESPONDENCE I [ ~ c Ac a ~w rY. is k, ocj uoay . m l 0 4h Aoa. f J ~om r y~ 'Ito 2 d°l / ~ t n I Page Of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe JAe•dtam Sand Topsoil - H = a Jc~ 9 q,q F 3 3 E D PRIVATE SEWAGE S Slope, ~ conditionally Bed Of 2"- 2 -2 Force Main Plowed APpROVED Aggregate From Pump Layer DIVISION OF SAFM AND BUILDINGS D / Ft. Cross Section Of A Mound System Using E 1,16 Ft. SEE CORRESPONDENCE A Bed For The Absorption Area F ,$O Ft. G / Ft. A_ Ft. H 5 Ft. Signed: B 2.5 Ft. License Number: K jQ./ Ft. Date: L 9D.-Wt. JFt.S9"7-~~~~;,~~a Alternate Position T Ft. of Force Main W_ 7 / Ft. L Observation Pipe A I - - I ~~-----7 Force Main W o Distribution Bed Of 2 2 2 Pipe Aggregate I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area P3 ~1 Vr ` / l l 1 c w\ rrVIV ell c Perforated Plpe OetoU ~0 End Vlew End Copp,. Per(Oro I ed • ob\e• PVC Pipe / Permanent End Markers s Holes Located on Bottom are Equally Spaced P PVC Force Aloin From Pump El~1p ? PVC CA hionllold Pip. I" INC. Distribution... Plpe Lost Hole Should 0e Next To End Cop S97-40%674 PRIVATE SEWAGE SYSTEM Distribution Pine Layout Conditionally 111111111111116 1066 P 30' APP VED R DmSION OF SAFETY AND BUILDINGS S / h SEE CORRESPONDENCE X Y Signed: Hole Diameter Inch License Number: Lateral " Inch (es) Date: Manifold " _ Inches Force Main " Inches S W""s per a- er4,A ~h FIFO' `79. 8 m~ al I_ vn~erS PUP'& CHA.MEER CRuS-' ~EC`IC..; AA1G -PECIFIC/.IlcJjc VEIJTGAP ~97-40674 Y"C.I. vE."JT PIPE r _ WEATHERPROOF i _APPROVED LOC.,'.'.'.;i> JUUCTIOIJ BOX MAfJHOLE COVEF. WINDOW OR FRESH 12"MIU. AIR INTAKE GRADE 411 I y„ MI1,J. I I8" M'IQ. COKIDUIT INLET PROVIDE I AIRTIGHT SEAL I I i I V I I APPROVED JOIIJT A I III APPROVED JOIUTS W/C.Z. PIPE I III W/C.I. PIPE EXTENDING 3' I II ALARM EXTENDIAIG 3' OMTO SOLID SOIL r ~~V1JA►'~ i i I OUTO SOLID SOIL ittoll allY I I om ELEV. FT. pUMP-~ D OFF B~H.D~aGS OF SAf~~~ ojAID D` ~S\ N R !__'r CONCRETE BLOCK R R. %g9r CPERMI E' D OIJL'J I~TAUK MQFACTURER HAS SUCH APPROVAL. i c3 ITQ~ SEPTIC E SPECIFICATIOUS DOSE Lf1 j TANKS MAIJUFACTURER: ~AA -_L`_ JL-12C,-fie~ f- _Pht-LGSL WIABER OF DOSES: r PER DA-4 ~Pf-~-TAAJK SIZE: - I U GALLOUS DOSE VOLUME P, rk~(~ ALARM MAUL! FACTURER: ;F-(C(-11re S .<?Cw< INCLUDING BACKFLOW: SrGALLONS / S_ 1%1 C-10ou1 MODEL IJUMBEK: LA) L CAPACITIES: A= /S IKICAES OR '-/07_6S- ALLOQ5 SWITCH TYPE: t-fr~ R 7 B= p~( IIJCHES OR '2'(2 GALLOUS PUMP MAMUFACTURER: Ij~IC3C C= IMCHES OR -~a3•S-SGALL0 rJ5 MODEL KIUMBER.1 D- INCHES OR 3T CALLOUS SWITCH TYPE: Dix -E M~-E~~C~ NOTE: PUMP AMD ALARM ARE TO BE MIWMUM DISCHARGE RATE_:,L -Yq -GPM ~INSTALLED OW 5EPARATE CIRCUITS VERTICAL DIFFEREKICE DETWEEU PUMP OFF AUD DISTRIBUTION PIPE.. 1tc~_ FEET + MINIMUM NETWORK SUPPLY PRESSSUR7E/. . . . . . . . . . . 2.5 FEET + '70 FEET OF FORCE MAIM X I-LLz OllrT.FRICTIOkJ FACYOR.. a,~~/2 FEET TOTAL DyMJAMIC. HEAD = FEET ~CS~`rGI~I~ , ~ IIJTERUAL DIMEUSIOUS OF TAK1K: E`, CtTH -7 1Q11 ;WIDTH ;L.IOIJID DEPTH 3$/~ SIGIJED:___l ?%i= L.ICE.UJ F !UMBER: -20 c ~ DATE: 7-1 vv-\ -e r l i s Submersible SIZE. MODE3/4"SOLID, p HP0.4550 Effluent Pum S97 40 74 METERS FEET 8 I 25 - - o ~ Q w g 20 :E 5- z 15 d 4 _ - - J 0 3 10 5 1 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m'/h CAPACITY ~GOULDS PUM. IS, INC. Se%ECA FA115 K N 1O--X 0I48 EI(oc ,e Octobor, 1988 BPECI~CATIONS ARE SUBJECT TO CHANCE WITHOUT NOTICE F INTED IN U.S.A. Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Lahor and Human Relations Of Division of Safety & Buildings in accord with ILHR 83.05, WIS A. am, Code COUNTY C90 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size f'to must include, but t' C90 I X not limited to vertical and horizontal reference point (BM), direction and 0% of sjbpe, score br RAAR EL I.D. # dimensioned, north arrow, and location and distance to nearest road. • Qaf -/6r~c11-~G APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATI R- S I WED BY DATE PROPERTY OWNER: ^OPERTYjM. &IWN C~ t VY 2v' fi 1ST IV ,S 3~,T $ N,R 17 E (o W _T 4 PROPERTY OWNER':S MAILING ADDRESS L11$ qME OR CSM # oro75 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY W OWN NEAREST ROAD u.r-tve~r /Ofh f{ve~ New Construction Use 3x~st, +s [ ] Residential / Number of bedrooms s.~ Boa [ ]Addition to existing building M'Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd sj Recommended design loading rate ___$--bed, gpd/ft2 ~trench, gpd/ft2 Absorption area required [)0 t3 bed, ft2 10CO trench, ft2 Maximum design loading rate , S bed, gpd/ft2 ~trench, gpd/ft2 Recommended infiltration surface elevation(s) ~ l ,3 'n It (as referred to site plan benchmark) Additional design / site considerations S'©v" 13--k U-6'e g" Y D , S ' Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTI~OIy~L MW D IN-GROUND PRESSURE AT-GRADE SYSTEM IN F~Jk HOOL rHNG TAyK U = Unsuitable fors stem ❑ S L"7U LAS ❑ U ❑ S C3"U ❑ S hl ❑ S L9'(J El S km SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. S++h. Bed Trends Si.+G I Ground l O y y OM,14)c r, cOSk CL-J O F . S elev. ft. ~S-31o O `l 7. 7 a Sc l a c s bl_ kvx1 v a-Lo - , y I'- A limiting to -SC (7`f 7, 5 -1 K 53 mu- V s ' factor ESN Remarks: t~o~izor. 1-14 S h o ue ~o y~ .2"~o s " 1"s Boring # ( o- totiR 3 - s sbk GPs c I F 's 6 Ground S l C s6 ( v v u) 1 v F . S 6 a elf 7S ft. ,-,-63 16 t~ ~>0 1 v R~ C~°J S sb v 5 . Depth to limiting factor Remarks: ©`r lI 01.' I A V,m S. ~Cw COLV~ v-V-"R CST Name:-Please Print j~ Phone: Addre 7 c -L~ ~~K V 111 ~y Signature: Date: CST Number: 3b9 - PROPERTY OWNER Alike ~rn#w-e'S SOIL DESCRIPTION REPORT Page ~ of ~ PARCELI.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench K, I Ground 3 ~Q v y s b o~ elev. '39 to `!R~ - ~~S S v sbk r a.w lu Depth to 5 7-63 to k o a ("d S Nc- s6k tMU limiting factor 34" S 10 2,6 46 Remarks: GU zo.-, a~ 3 a A~ Y Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # v.;4•:.ii: iiii h:;ii:•iiii:4::ii: Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) ~4✓ 3 w d~ 3 plot n X075 ~~1eQrCoal ~1Y~~Rh y tn-~ M I ``e- -T1 yV\ W1-e- -6 c,5 yrr Leo ?6 I.e h e c r i it / ~ C~ f~ LG art. ~a~ r w- i5 tZoa~ wc~y o~ 10" /~v~, • S T C - loo 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/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 MIKE MtIERS Location of property NW 1/4 NE 1/4, Section 36 , T 28 N-R 17 W Township RUSH RIVER Mailing address 2075 10TH AVENUE, BALDWIN WI 54002 Address of site Same subdivision name N/A Lot no. N/A Other homes on property? Yes No Previous owner of property MoxLcketJ FAM-11 N Total size of property 10c1 Ac xc-s Total size of parcel _ Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes No Volume 99L4L and Page Number a~ 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. 49 &6 yy , 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. y~ (0(D uti I L061 Sig ature of Applicant o-Applicant 60 " Date of Sionature Date of Sianat lir.P STC-105 SEPTIC TANK MAINTENANCE AGREEME NT St. Croix County OWNER/BUYER MIKE TIMMERS MAILING ADDRESS 2075 10TH AVENUE, BALDWIN WI 54002 PROPERTY ADDRESS SAME (location of septic system) Please obtain from the Planning Dept. CITY/STATE BALDWIN WI 54002 PROPERTY LOCATION NW 114, NE 1/4, Section 36 , T_N-R 17 W TOWN OF RUSH RIVER ST. CROIX COUNTY, WI SUBDIVISION N/A LOT NUMBER N/A-- CERTIFIED SURVEY MAP N/A , VOLUME PAGE , LOT NUMBER N A 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 ex iration date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road 11/93 Hudson, WI 54016 VOL PILE 229 " DOCUMENT NO. STATZ BAR OF WISCONSIN FORM 11-imam T's e'"cs "Li°1/°'O" ~O°ap1Ne DATA LAND CONTRACT 2 A" M=8 496644 ' IN~07'itiR ONw~N~U01[i~ ~ LX$70 U 1~'&ANCAND IN ACT TnANZACTIONaI I 1 as Col t~aot' by and between .PJAlL~!..E~!i!!)1x. T_r."t Q.o--u~.-.. OOI E Mon c eRxTrustee-,~. with. full -power_ to eonve,„•,_„-,_••,.dd _ lMvndo:~. ],993 whether one or more) and, -Michael__ A:, Tinmers and, Gana 1, „ MAR 3 Q P. _.ziaooo~r.~~..hst~~drls!_.dns~.rii~~......._._...._ ~ 1i43 . ("purchases", whetbor one or more). oraw . ilf 41si/ Vendor sdL and agrees convey to purchaser, u1 the Fvlalrt S" full per- formana of this contract by purchaser, the follewiag property. together with the teeth profits, fl=tures and other appurtenant iatensts (all called the "Propf") ia-__....._.St..IMaix.--•----.._-------------------------- Coaab. State Of Wisconsin: *=Ulm,e I 1. North Half of Southwest Quarter of Northeast Quarter (NJ of SWJ of NE*) of Section Thirty-six (36), Township Twenty-eight North (T28N), Range Seventeen West (R17W) EXCEPT West Forty (40) rods thereof. Tau Pared Na 2. East Half of Northeast Quarter (EJ of NE*) of Section Thirty-six (36), Township Twenty-eight North (T28N), Range Seventeen West (R17W), EXCEPT East Ten (10) rods of West Forty (10) rzvs of South Ten (10) rods thereof and EXCEPT part to Oscar, Violette and Rick Krevinghaus in Vol. page 584. 3. East Half of Northwest Quarter of Northeast Quarter (Ef of" NWT of !n on Thirty-six (36), Township Twenty-eight North (T?SN), Range SeYente Vast (R17W). MMN"i S '4 This i S•_nOt homestead property. ldlik (is not) Purchaser to purchase the property and to pay to Vendor at . ac......... designated desi Hated by Vendor in the folio manner: (a) d 110 Q00 QQ at the ezeention of ,.this Contract; and (b) the the balance of together ;.......a..._-'• . . with interest from data seven * hereof on the balance outstanding from time to time at the rate of----- (7xj----------- cunt 1 aaaam onto psis is sell, as fallow.: monthly payments of $985.6?, each g third ma -nn~ersary a date of hereof, and on the same date of each month thereafter. c this contract, the interest rate shall be adjusted to a figure which is two (2) percent per annual less than the then current interest rate of the First National Bank of Baldwin, Wisconsin, for farm real estate loans on similar property with a three (3) year maturity. The monthly payment shall be adjusted to reflect the same rate of amortization of this contract at the time of its execution. Provided, however, the entire outstanding balance shall be paid in full on or before f. rom_.dat.e._her_eof_........ =L...... ( the maturity date). Following any default in payment„ inta^est shall accrue at the rate of J.5.... % per annum on the entire sawant in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the sntltr principal balance). Purchasee, unless accused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antki- pated annual taxes. special ameaments, fire and required insurmes premiums when due. To them, I t received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taym assessments end insurance will be deposited into an escrow fund or trustee account, but shall not bear interest .00 unless otharwiss required by law. No more than $10, . syments shall be applied first to interest on the unpaid balance at the rate specified and then to prmdPd- a per may be prepaid without premium or fee upon principal at any time after __-.--hill . L.__., om 1111001UODINi'X 1iK 70M 1m17gltOSODtlOg kK l~A~l~ l~~ ~ ~ ~ In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case seeming interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly paymsats been made as first speeitUd above; provided that monthly payments shall be continued in the event of credit of mW pre ads of insurance or condemnation, the condemned promises being thereafter excluded hasirose. Purchaser states that Purchaser Is satisfied Ail and To ~ To T s1~ foe eaaminatios moq*. mortgage to Ted-era n o t.A& i s succe'a s assigns, which vendor agrees to pay when due. it _ - - 1it3 re 1 estate taxes have been prorated retie•ht'i PU"has#r to Ro- -p real estate taxes when due. Purchaser pmdm to pay when dm an taaw and asset men or you Vwifk ble ed in If and to ddfisr is Vander on dm ad receipts slowing such paymsat. Purchaser AM Remy the improvements as the Property insured without ea-iasa"M%wAP ~p 6% 410. anievei bond" coverage yacht am such a" hazards as Venda! may require, _ Vendor, in the sees of $1W-1..i fisllr' 1~1. YALLLI..., but Vender W" astaF~ b the balance owed ander this Conti Parellaeer elan pay the insurance R tls~ tl~arl~st contain the standard clause in favor of tM Verdos''s reties and, nuns VMdar in wi=l of all policies covering the p~oy~ty shall be deposited with Vendor. Purchaser obal p~ t> leis 1110 insurance companies and credos. Unless Purchaser and Vendor otherwise egsos is wiling. bxwer" pseeaois shall be applied to redoratles or repoir of the Property damaged, provided the Vendor deaaa the imlonthia of repafr t• M economically feasible. Purchaser covenants not to mommit waste nor allow waste to be committed m floe Properdpi to bur the fa good tenantable condition and repair to k the Property free from liens superior to the ilia Of Nis bs comply with al Itwa, ardisanees and regula affas:ting the Property. vendor screw that is case do parebrw price with Interest end other mamas AaU be tWW pOM Od 82 sbal be tol4 porformd at the times and In the manner above speeittd, Vendor w01 on dea OW6 iMMO MA 6SOWIWSW 0 N w the Parrshaaer, a War_anty Dead. in fee simple, of Ns Property, free d dear, of all Kent ad Keno err enwesbraaes. created the ~~tt w default of Purchaser, Md r .414 1~»~~~-• ears to r_ealove Vendors silage and to use aurchas~rs11¢nt„„ pose,~rent freerovi-deb Vendor shalt return sai_ unioaderC4!,lr pur saki- conliti_on,as they were. n.wilen received:hX:Ven ot~~,-__„~_ -~1'ux6n"r agrees that time is of the awns and (a) in the svwt of t ddu t In tbs paymed at W I tj ar iatsrest which coatinuw far a period of -..31. days following the specified dm dabs or (b) in Nos seed d • ddaus is performance of any other obligation of Purchaser which continues fora period 4# . -4 a~ Uo*e thereof by Vendor ((dde1ivsrd persona y or mailed b~ os aficd mail), them t enure sotstsadise bsdwee thf" eselteseft oral become immsdiat ly des and payable in full, at Vendor's option and iii h notie*(wbiab F+srs awr War Is waives), and Vendor shall alre: %ave the following rights and remedies (a fted is say lasirttnr provided PSrehsa~e addition to them pprovi~d by i or in ogaitt : (i) Vw~ may, at his terminate, this Contract OW ro recover x at the P belaow%wwittA 6e~is~t>assssn redemts, ptionn to be intere condition d~a~ xhw~r% full payment of the satin Nab the date of default at the robs in effect on such dabsandothsramoaabdmowC sth a ~ >isr Net aaidp~byyPoreha.nr oral be foreidted as liquidated damages for failure to talOil PPrroo if parehaaeefait to redeem), or (ii) Vendor may sue for sp dfk performnrse of NY COdtMR f smMb-^i"-' Immediate and fall payment of the entire outstanding balance, with int z 1' threes ati the MOO, fit ~ on the dais Of default and other amsaste des hereunder, In which even t the Property abases be wsdieuet at healthy "Be. a" shat be liable for any defideeq- or (III) Vendor may sec at law for the mile uapdd Ranks" w a4 they d; or (iv) Vendor may recUre this Contract at an end and remove Nis cmi raa~taaadeed to a~~... action if the equitable iatwmt of Purchaser is insignificant; and (v) Vender may have of the Property and be" a r.aiim appointed to count any rents, imam W protlls tb. of W ender ((i), (ii) or (fi shove. Notwithstanding any oral or written ststsm= or 60606 d V an clodiss at am d the foregoingr remedies shall only be binding upon Vendor if and when punn" ht 110WA a aid uhf euta and M induding anonable attoreys few at Vendor incurroil to esdormany herwadst i abs~nl or s=tmt not prohibited by law and cqm mw of tide evidence shall be to pei.d , ~ IV ~ - Burred, and shall be included In say judgment. re Upon the commencement or dnriuCths pandeosy of any nay action at floesd0aare so thv Co I I IMM 1, 11111 AF. to the appointment of a reesiver of the Property ~~nd homestead hMsesst, b co t i the Property curiae the npt dsmsy of such action. and rich route, iaguss, and De's .-w 41191i" obbe-lisk _ applied u the can. shall direct. Purchaser shall not transfer, sell or convoy any legal or equitable inters I in the ice' tllleen ad Purchaser's rights under this Contract or by option, long-term lass or in and other way War, consent of Vendor unless either the outstanding balance payable under Nis Centrist to ~ to is aR Basveyed Is a pledge or ardaomest of Purchaser's interest under this Contrast salsa ws f alt pd ent •.ny such trander, ace or conveyance witboot-Vaaderb written Purchaser. In the an a balance payable under this Contrast shall beeoase immediatelydes and payabe in fol. at Y= Vendor sbal lab all payments whew due under any mo o aLalaa< so IP q=ed this Contract (ozeept for any mortgage granted by Purchaser) or undo any nob assured Neeir, pegW&QS : males timely payment of the amounts then due under this Cc ntraeL Parehassr msy sake asy satle the Mortgages If Vendor falls to do so and all payments so mds by Purchaser dull be this Contract PnlralWatrsepr Vendor may wave any default without waiving nay other snDfis duet or prim defanlt ll Vilhps !ice! sl Al term. of this Contract abase be binding apace and hmre i do Dsna/ir d Nos bas soommore and assigns (d Vendor and Purebamr. (It rat an owner of the Prspol-ft the "Moss eeadderadon joins herein to reieoss homestead rights in the sable* P!'l **.alhd somw1w jds is tltlhssethtlleeL /hIp- - dead to be made in fbifl>imeat boesot ) Dated this .-Ift day of ---/__y1.V~'- . = 1l.. MDNI EN FAMILY TRUSS r' `'........(BSAL) bit« " It - A.ViA -A ha 1 Ti - •_.RStiilRi<,..klORj(Rklos_fC'031<R~a.._ = S...e...A:. - (B*AS} Dana L Timers ' • - ...x . AUZasxslCATION At7ssfOWL OllESllp'li< FRA" OF WIMNBtlh , . - ..St,+ Cryri_,~,r: Mme` PMOMMOON :atientiested this _...._~0y at ..............1/~--- J~ - ease beft* aW : x WMA: 312=231 BTAT Z BAs or vocoNent It =46 ( bs i 7M.aR sell: st I' to n».68~0 +>l . fengsiy i ,E 5 c o B ~r '7~+ a0 75 way %S /Vecv-61 Prof c-1-11 ~0 .1 c rr Ta ~ d t~ i~'l e r' T 1 m r"~ n N~,~kQ 1 n f, I s ~ S ~~tAv~r~~v~►ni~ e~c~rari 1 tS , I ) \ 3y ~ s p h'c ~r~V G Ar~~ ~b~o6 c r~ i l~w Gat. ~SCPF4 e ;r o,{ u ;lo SC., gh ed SCc~I~ ~ ~ C ~t r'c-. ~CtY rn ~ Baresf {~roPer~y T