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HomeMy WebLinkAbout042-1088-10-100 1 L STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS 1~4TliU SUBDIVISION / CSMf C S LOT SECTION 3l T.2V_N-R_ZF W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1" /fix s?. 'rv l'1~ d is ~ 60 :5 a~ 7v~v 10 0 INDICATE NORTH AR OW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. J A f r BENCHMARK: Scz e S l / ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION ~~pd Manufacturer: A,:dl,esre~,✓ Liquid Capacity: Setback from: Well House 4V' Other Pump: Manufacturer G~~ d Model#45!aoi, size Float seperation Gallons/cycle: Alarm Location /`-a w 5 - SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House Other ELEVATIONS See e1D Z0,-/0_-C -7,04 /~N /Jd v T Building Sewer ST Inlet: ST outlet: PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: J 3 / 9 3 : j t ; . Safety and Buildings Division SANITARY PERMIT APPLICATION 201 E. Washington Ave. ~sconsfn In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Department.of Commerce Madison, WI 53707-7969 e Attach complete plans (to the county copy only) for the system, on paper not less County than 8 Ili x 11 inches in size. STCy'o "X • See reverse side for instructions for completing this application State Sanitary Permit Number ~99aq~ The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION S' 7 - A / ;Z Property Owner Name Property Location e 4~~ 1/4 JC 1/4, S 3/ T sS 9 r N, R If E (or) Property Ow er's M iling Address Lot Number Block Number City, State Zip Code T-71,51S hone Number Subdivision Name or CSM Number n C/ 1we.- -0,V W i G ~ G G -5 35 V /C~ ICJ 7 II. TYPE F B ILDING: (check one) E] State Owned ❑ E) VII !t~age ea rest Road Public 1 or 2 Family Dwelling - No. of bedrooms 3 Town OF a /d0 Tlr s III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 6"12 I'd g*,r 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 C] Campground 7 F1 Merchandise: Sales/ Repairs 11 E] Restaurant/ Bar/ Dining 4 E] Church/ School 8 ❑ Mobile Home Park 12 E] 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) New 2. ® Replacement 3. E] Replacement of 4. E] Reconnection of 5. E] Repair of an A) 1 El 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-ln-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 16d r ? Feet j, fl Feet VII. TANK Ca acit in gallons Total # of Prefab. Site Fiber- Plastic Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass App. New Existing structed Tanks Tanks ❑ ❑ ❑ ❑ ❑ Septic Tank or Holding Tank !j® ✓ A.J Lift Pump Tank /Siphon Chamber l 7-'o r,C/ ❑ ❑ El ❑ ❑ 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) P MPRSW No.: rBusiness Phone Number: a ..J 44 t/ - Sc !~1 er Plumber's Ac dress (Street, City, State, Zip Code): . t a,) ' 4 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (IncludesGroundwater Fate ue Issuing Agent Signature (No Stamps) Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination Xv X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: 41 V DISTRIBUTION- Original to County, One copy To: Safety & Buildings Division, Owner, Plumber SOD-6398 (R.11/96) . 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, 608-266-3151. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. IL 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. RESIDENTIAL MOUND DESIGN INDEX AND TITLE SHEET Project Timmerman mound system Owner Merton Timmerman y Address 633 N. Freemont st. River Falls, WI 54022 Legal Description NE 1/4 of SE 1/4,S 31T 29, N,R 18 Township Warren County St Croix "I 1~ ~~~Vt Subdivision Name Lot No. 2 ~ Parcel ID Number ` vl~~ szj: i C L Plan ID Number V~ INDEX SHEET PAGE ONE MOUND CALCULATIONS PAGE TWO MOUND DRAWINGS PAGE THREE( PRES. DIST. CALCS. & LATERALS PAGE FOUR UPUMP TANK DRAWINGS PAGE FIVE P~ c PA6r six -e, 'v ?A& CFvr/ Designer License Number . 711P? 0 Signature Phone No. 1 rS 3?k ,.YI;1 Date' 'Y Notice: Tampering with this file. IN u ersons Is prohibited. Deliberate modification will rest' IA d ar r.% under s. 145.10, Wis. Stats. D SBD-10462-E (R.0419-7) Page 1 Of Alpo Kv v LDL DEPARTMENT o COMMERCE DIVJ~MN OF SAFE iY AND 6UILDINt',S SEE CO SPONDENCE 897w21213 Y RESIDENTIAL MOUND DESIGN VON Bedroom Maximum Complete information in red framed boxes as necessary. (y or n) Is the system over creviced bedrock? Slope 5 % Number of bedrooms 3 Wastewater flow rate 450 gpd 1703.3 Lpd Depth to limiting factor 36 in 91.4 cm In situ soil infiltration rate (code) 0.5 gld/ft 20.4 Urn` Contour line below the upslope edge of absorption cell 99.9 ft 30.45 m cm Use standard fill depths? I OR Designer speed depth in Place X in box to use standard depths (72, 24, A+4 inclusive) OR specify design fill depth. Center or end manifold c (c ore) Estimated hole space 3 ft Not a final calculation. Lateral spacing eft Minimum dose 10 times void volume use a 0lateral spacing for trenches. Pump tank elevation 93 ft Outside bottom of tank. Number of laterals 2 Force main diameter 2 in Force main length 100 ft Force main actual dia. 2.067 in SYSTEM SOLUTIONS Inch-pounds Metric Cell media "x" one only. Estimated daily flow 450 gpd 1703 Lpd x Aggregate and pipe Chamber and pipe Absorption cell Design load rate & area 1.2 gpdtftz 375.0 ft` 34.84 m` Linear load rate 6.0 gpd/ft 74.4 Lpd/m Design width (A) 5 ft 1.52 m Cell length (B) 75.0 ft 22.86 m Depth of cell (F) 9.7 in 24.6 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 15.0 in 38.1 cm Basal area required (gpd/infiltration rate) 900 ft 2 83.61 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.4 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.3 ft 3.14 m Upslope toe length (J) 7.3 ft 2.23 m Downslope toe length (1) 10.8 ft K7O m Total mound length (L) 95.6 ft m Total mound width (W) 23.1 ft m Project: Timmerman mound system gage 2 of Plan I.D. S97-00000►~iaJj a~i,, d, 4 ` i pE['ARIMINi F C0M:'AERCE Dly)blON Of SAEEf Y AND bUILDiNGS SEE t RESPONDENCE MOUND PLAN VIEW observation pipes (typical) I .I 7 A= 5.0 ft 1.52m F -23--11 ft W 7.04 m - C A- = B= 75 ft 22.86 m T ' g "K J= 7.3 ft 2.23m II I = 10.8 ft 3.29m K= 10.3ft 3.14m L = 95.6 ft 29.1 m typ. obs. pipe A X B refers to absorption cell width and length (anchored securely) J = upslope width I = downslope width K = end slope dimension 5' (150 mm) T MOUND CROSS SECTION r D = 12.0 in 30.5 cm topsoil H subsoil cap E = 15.0 in 38.1 cm lateral invert 101.4 ft F = 9.7 in 24.6 cm 30 91 m see note i F G = 12.0 in 30.4 cm elev. t H = 18.0 in 45.6 cm D E I ASTM C33 sys. 100.9ft \1i Sand Fill elev. 30.75 m 99.9 ft contour 5% 30.45 m slope V/Note: Absorption cell media will D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or leaching chambers and pipe F = absorption cell depth as specified Aggregate G = subsoil + topsoil depth at cell wall at right. MChamber H = subsoil + topsoil depth at cell center Designer notes: If aggregate is used, it is covered with code compliant material. Project: Timmerman mound system ° 0. ;fit, a Plan I.D. S97-00000 Co f I eif"? of ~ P PR LJ DEPARTMBI OF ('OMME-,CE DfW ON Of SAFETY AND 1301I'D)NCS Y y PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 5 ft 1.52 m Length (B) 75.0 dft 22.86 m Lateral specifications Number laterals 2 Holes/lateral 12 holes Lateral length 36.4 ft 11.0 m Perforation dia. 0.25 in 6.4 mm Lat. dis. rate 13.98 gpm 0.9 Us Sys. dis. rate 27.96 gpm 1.8 Us Hole spacing 38 in 96.5 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in/25 mm Place X in red "X" one choice 1 1/4nt32 mm X X box of chosen from the options 1 12in/40 mm X diameter. provided. 2inM mm X 13W75 mm X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in/25 mm "X" one choice 1 1/4n/32 mm None required. from the options 1 12in/40 mm No choice necessary. provided. 2in50 mm X 3in/75 mm 4in/100 mm Distribution system contains 2 lateral(s) LATERAL DIAGRAM - CENTER CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. P `I end cap IE IF X--4IFx12 I x1231 Laterals & force main of PVC Sch 40 Last hole drilled next to end cap (per COMM Table 84.30-5) Holes drilled on the bottom of the lateral, • ,permanent end marker equally spaced Inch-pounds Metric Lateral length (P) 36.0 ft 10.97 m Lateral spacing (S) 0 ft 0.00 m Manifold length 0 ft 0.00 m Hole diameter 0.25 in 6.35 mm Lateral diameter 1.25 in 32 mm Number of holes per pipe 12 Invert elevation of laterals 101.4 ft 30.81 m R 0. W. T. S Project: Timmerman mound system Plan I.D. S97-00000 Co/I~~~~~4 U r vp K V'-L U ,f DEPCiKT'41LN? 01 COMfe°ERGE DN N OF SAFETY AND BU LDINGS SEA GO SPONDENCE Total dynamic head System head = 3.25 ft 0.99 m Vertical lift = 7.30 ft 2.23 m Are laterals the highest point in the Friction loss = 1.36 ft 0.41 m system? Yes W' here. C~ Total dynamic head = 11.91 ft 3.63 m if no, what is the highest elevation Dose Volume downstream of pump? Lateral void volume = 5.6 gal 21.2 L Force main drain Minimum dose = 112.5 gal 425.9 L back to tank? f'x" one) Drain back = 17.4 gal 65.9 L x Yes Dose volume = C 129.9 gal 491.7 L No Typical Pump Chamber Layout in combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover weather proof wAvarninq label and padlock grade levels junction box grade levels quick disconect ~ alternate electric as per NEC 300 and outlet 4" vent pipe Comm 16.28 WAC location 19'(46 cm) min. 1 0 k approved ?wall of pump outlet chamber or r //I joint combination tank A 1/4" Weep Grade levels alarm on hole as pump tank manhole = 4" min. above finished grade pump on B necessary pump tank man. =100 mm min above finished grade I vent = 12" min. above finished grade pump 94.1 ft C W vent = 300 mm min. above finished grade off elev. 28.7 m D 3 " 75 mm of bedding under tank and anchor tank as necessary 93.0 ft Pump tank elevation 28.3 m bottom of tank Tank specifications: Midwestern Precast Pump tank = 17.44 gal/in Pump tank volume = 750 gal Capacities. Inches Gallons A= 23.6 410.8 Pump manufacturer: Gould ~ B = 2 34.9 Pump model number: EP-04 C = 7.4 129.9 D = 10 174.4 Project: Timmerman mound system Page 5 of Plan I.D. S97-00000 P.0.W.T. S Coll d tl oll a/ A PFK DEPARTMENT OF Coi MERCL D ON OF SAFETY AND E'UIDINOS a-E r Goulds EP04 3871 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, Y • lubrication and efficient strength, and durability. following uses: Capable of running • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for automatic and tic cover with integral handle Motor: and float switch attachment • Farms manual operation. Automatic • Heavy duty sump • EP04 Single phase: 0.4 HP, models include Mechanical Points. • Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. • automatic reset. ■ Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, construction. Pump: EP04 built in overload with ■ EP04 Impeller: Thermo- s Solids handling capability: automatic reset. plastic Semi-open design 3/4°. maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING •.Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. Co. Canadian Standards Association • Total heads: up to 24 feet. with three prong grounding - ■ EP05 Impeller: Thermo- Discharge size: 11/2° NPT. plug. Optional 20 foot (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F" or "AC".) rotary/ceramic-stationary, three prong grounding plug improved performance. BUNA-N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 1040F (400C) continuous superior strength and 140°F (600C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10-- • Capable of running dry without damage to s 30 -*--5 GPM; components. X2.5 Fr Pump: EP05 a i • Solids handling capability: 0 25 14" maximum. a • Capacities: up to 60 GPM. 6 20 - - - - - • Total heads: up to 31 feet. • Discharge size: 1 Y2' NPT. Z 5 • Mechanical sel: carbon- r 0 15 otary/ceram castatlonary, _j 4 _EP05;- - BUNA-N elastomers. o - - - - - - • Temperature: 3 10 - 104 F (400C) continuous EPO4 140°F (600C) intermittent. 2 j 5 - - - - - _ T. cv 0[ 1- - 0 10 20~ 30 40 50 GPM i i L 0 2 4 6 8 10 12 m3/h CAPACITY ©1995 Goulds Pumps, Inc. Effective May. 1995 B3871 PLOT PLAN Scale Page of BM 1= 314sit- VNkXfi it, covft" CQ ~o St- do-V 100,00 BM2= ~1~31(0 ?"0 U/Ui UNf r yq "i MOUND C00TOVJL 99.9 To Pup' 3 3 rROK PvyAp Ali CI:EU _ De Not- ~~+~.L 32 or e A P ~~T THIS 113 loo. o w i ~3-y PEE i 5 ST' BLCU SAv-D i:%LL IoO.~ a L LOPEZ b' y93 A All elevations shown one existing ground elevations unless noted differently. Setbacks to meet or exceed the following; Mom absortion cell 5'- lot line; 10'- water service, unihabited slab, 15' - habited slab, swimming pool 4,- ovoir, high water mark 25' below grade foundation, habitable building, public water main, astern; #Ctw from septic tank (1t 2' - lot or property line; 5'- All structures, swimming pools; 10'- undergl;tIA w61,t su ply ystem or cistern 25' - well, high watermark A r% Ey DEVAR7 MEN7 Of COMMERCE DI f~NIOF SSAFLI YAND BUILDINGS SEE C6W~ ';PONDENCE Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page ! of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code . COUNTY ST. o~ca~X Attach cottiplete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. REVIEWED BY DATE ~ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION PROPERTY OWNER: PROPERTY LOCATION 'Afe"RTv Ar/ % 1 R,14bW q1f A1 GOVT. LOT UE 1/4 SE 1/4,S 31 T 2y N.R /8 E (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSfpl # 6o33 .Ilo• FiPEC~v"T Z c.sy E CITY STATE ZIP CODE PHONE NUMBER QCITY QVILLAGE WN NEAREST ROAD v~ f~-G/s w ~ Syo ZL (~i5) yit - ~~s~ w~I~RE~ /o o 4, sT. [ New Construction Use [.Residential / Number of bedrooms 3 [ ] Addition to existing building j J Replacement (J Public or commercial describe Code derived daily flow gpd Recommended design loading rate • y bed, gpd/it2,.57 trench, gWR Absorption area required 375 bed, f12 375 trench, ft2 Mabmum design loading rate y bed, gpd/ft2 -5 trench, gpd0 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) s, Additional design / site considerations SiT'ESv~7'~i3i~ /W 'YGa,-v /,f T Parent material SCS 7 S4,v7-1 %t o SE~~'Y~'"Tf Flood plain elevation, if applicable It 7771 S = Suitable for system CONVENTIOw MOOUr~ IN GROUND P URE AT-G DE SYSTEM MI FILL HOLD ING TAW U= Unsuitable fors stem ❑ S BTJ CC'S El U ❑ S Gw R'S CU [IS SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Roots JDI Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Ebindary ` 1 0 7 /v 3/2- S Z A#t $14 dS Cs 2" Ground If .5. . G elev. I/ S d •Gb /D !/,Q YA/ Sc/ 2 AN S . * Depth to limiting i faces- r. °j/ ksEJ' - .yt y/e 51fr'y*if-/o'y 14-T y0'r_ C, to - Boring # Remarks: v p-G /e Of 5'// .2 a,l fk 15f C'S' 3 f . S . ~v L - /i `oye 3/L 511 1-14 SAK Cs' Z f • Y = • 5 -je 3 --4 /G y S./ 2im do 44, fie cc• .s Ground r elev. $1 *1 eip 4411~'i S y~ ~.s~ie y(~ / ft. -lip 2' 3rC-l S G'G /D Depth to y/P y JUlf S/ limiting factor Remarks: CST Name.-Please Print ~0 aEf8T ~((rj l G GcT Phone: *715-- 3506 - SO/Jf$ - Address: 5 s 'Ae r A • tf L'00--) w/ f . Y'Wl G 5,-2- y Cl Cs?.~r Z f<~L- Date: CST Number: Signature: I JJ PROPERTY OWNER SOIL DESCRIPTION REPORT Page of PARCEL I.D. # LO T'JI- Z- N • '1' r • H r ~`aP~t ti Boring # Horizon Depth Dominant Color Motlfes Texture Structure GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed nit 13 W r o- /a 2 ,w~ sgir s c s 3 f . s 2---,P- If /oM Y13 eel CS L f y s Ground 3 1r- 36 7 Syr elev. y ee- 40, f / ' S - • y . 5 160• ft. 6'(,d -75 l'it' Depth to limiting factor3 S•s5 Remarks: Boring # 7 Ground elev. It. Depth to _ limiting ` factor Remarks: Boring # s 13 Ground elev. ft. Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: con "IM10 nc~no~ w r • Kr t,, .• - ---- ------- - w x 0 /1 CA • 1Ca � • mN -1 1 N w )- - o. N 1 -D M V1 - W N 0 ' ‘. \A ;T 0 I. kl f N•I0 > ' Oz O o ) i D 74. 0 R, 4 xl 1 ) . . n II > - Z _...4--,-. W r o s - -h irt It o W w I C: . T- c\ /0O A- S/ • CERTIFIED SURVEY MAP Located in part of the NE4 of the SE4 of Section 31, T29N, R18W, Town of Warren, St. Croix County, Wisconsin; being Lot 1 of Certified Survey Map recorded in the St. Croix County Register of gpeds in Volume 9, Page 2692 . N _' • Ei Corner of d A LEGEND Section 31 - Aluminum County Sectidn �' L •.r " "' Monument Found q `=' _ O c '�O , 1� N J N •� 1" Iron Pipe Found �/ II -/ �: y L • P �i l N W J M " to • p 1" x 24" Iron Pipe Set, tO W W v o N weighing 1.68 lbs. per "' W -++ - • linear foot G. W N N M t- Woo x x Existing Fenceline ro s o ) . NVD O,.- t- 10 0' Roadway Setback line •,�...,.,._ • .,.�....401.4. �A�'' ;,;;•„�..,�. 'Oral. ••.Ca y. Vi�lr'1_•�\~I � k_�� �_��r��JJ :•a.r.:..i'• .# r,T+.,,r�.l. .T'7r "' -..wta' .� N _ _ .;:.. ;mow, 33' 33' m _ - N89°43 ' 04"E 529 . 49 ' • 1 ~ • 493.15' •^ 36.34'— LOT 3 • • 3.00 Acres Including R/W 130,677 Sq. Ft. : - co 2.79 Acres Excluding R/W `o .� en N 121,709 Sq. Ft. • N N (,')I • _ o 01 r-1.,, 71 �N �I G1 M O, rn O ? I W, II - N89°43'04"E 529.49' • 36.33'-0� N wl n, 0 O WW WI �iII 493.16' = �I I—' rn '1, c M v4- Hi 1-1 I-I d' N _ O (nI <-LI o I—' I—I 'N LOT 2 c: Privy o rNi•T C1 QI m � 0 =i 11 L !I • D_I °0 3.00 Acres Including R/W o j, HI -)I a GI o 130,682 Sq. Ft. — V,L �1 n co co o )I z OD House • O N 2.79 Acres Excluding R/W Well 11 N N ..., 121,719 Sq. Ft. —► t W 03 F L V I! 66'----► �^S 1 36.31'— 4 9 3.18' • -o S89°43 ' 04"W 529 .49 ' W I A 11�1n1 n-- e Merton Timmerman `-'' - c. c. w 633 North Freemont �' N . River Falls, WI 54022 M m y O M .•I p ... L O . N Scale in Feet mm...... & SE Corner of 0 50 100 200 Section 31 8 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/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 X1:2 I, t~ 1,4e /Z4 A-' Location of property, l/4 S~ 1/4, Section 3 ,T If N-R_ Township l,Ju,rr~ ,J Mailingaddress_ 3-9Y Address of site / pd Sa o 2y Z'R A) r Subdivision name Lot no. Other homes on property? Yes No Previous owner of property 1,,41 +er 7a d Total size of property .7, 7~7 Total size of parcel 2. ?4' Date parcel was created In a 2 3- q Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes _~Z_No Volume /AS and Page Number SG,2 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. L )a S'Z 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-AppG lican _~3 7 Date of Signature Date of Signature r~ STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER a r e Ua, 1g MAILING ADDRESS `lbe rT /Q~u 3 a GJ PROPERTY ADDRESS l4D 7 S~ (location of septic system) Please obtain from the Planning Dept. CITY/STATE 4ra~ev7* ld PROPERTY LOCATION 6 1/4, 1/4, Section, T_t~N-R / do- TOWN OF LJa ✓ r e ,c/ ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIEDSURVEY MAR-/) / VOLUME/_,~_, PAGE;~OT NUMBER 2 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. i 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: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 r~ 115?eAH f; DOCUMENT NO i' STATE $AROF WISCONSIN FORM 11 •198 'J rO-sSPACE RESERVED fORRECOROIN,aDATA f) LANO CONTRACT II J! •r!' t^'°~ Individual and .o• wale - IIk S {,~~dlGn/ 1 O BE USED FOR ALL TRA NS4CT,ONS VV-ERE i 7 + $25. u00 IS FIN-ANAED NO IN OTHEP ~,ONSNON-COSUti OVER I `~,t e r';\ 4Yt . Contract, by and between-_ n -E , Timmerman J DEC i 199 ('Vendor i~t whether one or more) and : 30 M _.I.$ r> _Y-azg~_h~iban_~td w1fE _a_Y s~. ~.'•L= L n T--------("Purchaserwhether one or more} t-- p Vendor setts and agrees to convey to Purchaser, upon the promat and full per- 7 'ormance of this contract by Purchaser, the following property, together with the ( i rents, profits, fixtures and other appurtenant Interests (ail culled V-1 'Property'), i ? 00 --County. State of Wisconsin: . RET"R.. TO - - Lot Two (2) cf Certified Survey Map in Volume `.tv`t" Ten (10) of Certified Survey Maps, Page 2764, as Document Number 517040, filed in St. Croix County Register of Deeds office on May 25, Tax ParcelNo.-_ 1994, being located in part of the Northeast Quarter of the Southeast Quarter (NEk of SEA) of Section Thirty One (31), Township Twenty Nine (29) North, Range Eighteen (18) West, Town of Warren, being Lot One (1) of C°-tified Surv'ay Map in Volume Nine (9) of Certified Survey Maps; Page 2692, Purchasers understand that county zoning may not alloy... expansion or additions to the house structure on the above-described property. a, I TLS." i This__. isS_ not } ----homesteae property. (is) (ys not 1 Purchas. r agr-Ies to p ,r. t as, the Frop~rty and to pay to Vendor at St1Ch .pace aS ree33ps 3b1 directed the sumot3 N1000 00 - the following manner: {a} t-J6~Q9~~Q4 - i at the execkitlon of tt w Goof ! 40 .nett, and (b)iha balance of S.__1_-F --.tog&ttter with interest !rom date hereof on the ba+anti outstanding from tirne to time at the rate o!--- _ II Z~~ - -percent per an«utn until paid in full, as fof ==,;3 I Principal and interest payments to be paid at the rate of $250.00 per month, commencing January 1, 1996, and payable on h 1st month thereafter. All principal and interest shall bepaid ainofull ch in four I (4) years. Provided, how sve., th-- e.1 tire outstanding balance shall be paid in full on orb-0 rw 1 January,_2000 ____(chematuritydate) y i Following any ds3d u1t in payms«t, inte:5st shall arm;rue at the rate of7~ p-Ar ~wnum on the entire, amount ~i in default (which shalt include, without limitation, delinquent Inter94t and, up,-in accel-lrat.;;n or m?'curdy,, the entire principal balance). i gat:~l-ac>Lrra?..;~,,;, - f'•~5-- W~,;..,a~ ,ate ~.:ta r..a. ts---'e,,ty..,~?,rs;r-, .r , jt- ~i -bin -~,-ter- ~?a'r--'t-•=~~&a-m3,-~--~, .s.~.t- ~~'`n`""4 rrtt"i 3R-_-eat:3>.~--~-2F,e8?~e--ti+~°r?•...'.la~ ~,aks_~ct-`$~-?wt°~.z~•- Payments sill be app;itO first to Interest on the unpaid halafxe at the rate sp~p,,Jhod and th«n to wimipai. Any amount may be pr>,pa:d wlthoiA p;o n+uin o, feni upon principal at any time after Januar' T~^'tf'.'. h•=,~.~..'~,'b'.,ET' -'7~+'t~w.r3„'r';~. ".L,t-F.A'~w"~7S-+~ t-~t::i•?'•;~`*~yl~!~'~'t.~a{~'a3,.: In the evert of any prapaymt±nt, this contract shall not be treated as In dofa-41! with riclotwt to pdyrne!it so long it as the unp--d balance of principal. and into%est (arid in such ca3e accruing iii?e 2yt frorn rri, stt, to month shall be traata3 IJ as ur,pa'd prl i pn~:) is leis' eis than the a~vynt that said indei •-dne wo,lid h,4'-9 been hed the monthly peynieots bin mare as first apExMtA g uve providd t~iat mnn'hlyr gay ; eta phill ho continued In the even' of Crarditof So of Insurance or cond._+,riAi ,n, the .rstJ r prc±r;isod being tn9rx r a 1, rafrom. y prcx ~ i9 Purc7»•• stat-- that Purchaser i9 8i.'i3?i rd with the titia ai 31%owrn by the title rW-101tee el' jbnlitied to Ploo:b 4%Om for examination except: ' ii Vendlor will furnish one reds!: ng of abstract which Purchasers will recei e I~ on or before closing;. all sub,,equent redati;tgs will be at Purchasers' experlse, Within 20 days after examination of abstract, Purchasers shall j give Vepidor written notice of auv rea,,r,nahlo tau h'3 Z'r prom"'wt to pay wh•3n due all taxes and ass+-ssmtj fs leviac: on t >2" ty OIC Vonu'V' niar<_,1 y~e r r t! L- a to d_lrfir toVe^da" on dema.d re+:?opts shaving such payma^! Yii_ P~,rcha3er shit keep the improverr. n!s on the Propel y Insured aga!nst loos or damad® occasicna' by fire IA- $ r-d coverage perils and such other ha-arts as Vendor may require, without, co-ins•.iranc9, through insurer; approved x by in the st rn cf S t'1e_ _-_J aR .-2f? 1 } but Vendor shalt of require coverage in an amount more Ltarr t'`e balance oared under ihis Contract Purchaser sha! pa•> the Insirarco premiums when duo The ichcie_s shall szv-tar-r+ the standard clause in favor of the Vendor's Interest and, unless Vendor otinerwssa agrees in w. rting, the original of aft policies cov5rir!g the Property stail bee deposited with Vendor. Purchasar shall promptly give notice of IOz to 'i uers. ra e cornpan~ns and Vendor Unless Purchaser and Vendor other sa agree in writing, insurance pra:eeds shat: a + ed to resturalion or repair of the fa uperty damaged, provided the Var:iur dee+rns the restoration or repair 10 be ec:.rr-nenw-e!!Y fe:a_s;ble. ?„rr_haser covenants not to commit waste nor allow waits to be cornnlitted on the Property, to keep the Properly in !enar,latr!e condition, and epair. to keep the Property free from tuns superior to the lien of this Contract, aid t88 :any with all laws. ordinances ar:d regulations affecting the Property. Vtrio.or agrees Mal in case the purchase price with interest and other nlonevs shall be fully paid and all conditions si'W1 toe fully perforreed at the times and in the manner abo+e specified, Vendor will or, dernand, execite and pglivsr tr tyt,=- Purchaser, a Warranty Deed, in fee simple, of tha Property, free and clear of ail liens and sncumbranag, sxcq-pi aw:y tveii s or encumbrances creatad by the act or default of Purchaser, and axcept - - _ easements, restrictions, and rights-of-way of records if anyz Purchlaser agrees that time is of the esser.ce and (a) in the event of a default in the pay+nient of any principal or r.+ea-=e-s: which continues for a period of E0 days following the sp..iflad due date or (b) in the event of a default in peb.'1zjr-trance of any ofhe:- obligation of Purchasar which contin;;es for a period of 60 days following written notice 11111i-or-of by Vendor (doi;vered peirsonaily or mailed by certified mail), then the entire outstanding balence under this contract sif+raM, b comps imntediatef due and payable in full, at Vendor's option and without notice (which Purchasar hereby j sa*a and Vendor shall also have the folio win rights and rem idles (subject to any limitations provided by law) in adr5i4t.o.'t to those provided by law or In adulty: (t~ Vendor may, at his option, terminate this Contreet and Purchas6r*s rte, title and interest in the Property and recover the Property back through strict foreclosure with any equity of re-Jka°.pticr` to be conditioned ur.^r, Purc!'aser's full payment of the entire outstanding balance, with Interest thereon from W*, {alit' of default at the rate in effect !',n such data and other, am:aunts duo hereunder- (In which evan! all amounts pre-iousty } pp~s~,3.3 ey Purchaser shat; be forfaiteC as liquid,0ad damay-im for failure to fulfill tJs Contract and aft rental for tht { Party if Purchaser fails to red.,-m), or (ii) Vendor may sue for specific performance of this Contract to compel isrsa; ate and NO payment of the entire ouiatand^g balance, with '.ntereat therevcn at the rata In effort on 2hb dale of deAwiAtt and other amounts due heraundatr, in which event the Property' shall > a auc`:~oned at judicial We and PurchAz%'---r show-- be liable fray any 3rf,cieney; or (iii) Vendor may sus at law for the entire urpaid purchase pr+.etr or any pp~uriion ~ f, or (iv) Vendor may declare this Contract at an and and remove this Contra;-1 as a cloud on title In a qufvit-lal~* ac=::.s+a if the equitable interest of PurChas:u. is lnalgnlf;Cant; and (v) Vendor may have Purchw,r.sr alic fY4 frot?i of I]Nw Property and have- a recaiver appolntod to collect any rents, issues or profits durioii the pendency of any action af,,frar (ii) or (tv) ab+;ve. Notwithstanding any oral or written statements or actions o Vendor, an election of any yi oC B"'.C for-tgoing ramtx3ics shalt only be binding upon Vendor if and when pursued in litigation and alt cove and exp8tl9 .a wing reasonable dllomey's fees of Veredur incurred to enfo,c. any remady hereunder (whether abat,d Gr not) to the "2monl fw t prohibited by law and exper?setir of title evidar ,a shalt be adds J to principal and paid by Purchasar, as In- a rcl. and small be included in any judgmenf. Upon the comm.encrcrvot or during tires pendency of any ac',ion of foreclosure of this Contract, Purch r consents W 'lq!te appointment of a ravel er of the Property. Inciudinp hofrtisi:: d interest, to collect the rents, iasu~f, and profits of t the Prc;per°,y durlr!g the ;endency of such action, aid suc rants, ass;-ea, and profits whan av, coliected sha;t be hold and apF'>' ' :cl a$ th-- court shaft dire-C.t. Pu chi r. 00 not lrcnafer, sell or col;vsy any legs; or equitable Interest in the Property (by auignm! rvt of any of pi' _h<, er's rights unoe this Contract or by option, long-?arm le{,se or In any other way) wlt'sout the prtw writtew coc"- nti of Vendor tine either the outslan ding balance payable under this Contract is fir3t paid In full or the intwiAt e~ rayed i3 a pl.-ge or as ;ynmciri of Purchayar's Interest under this contract su+ely as aa,curlty for an lnlevtsi i3 of pyr -ter- in the event of any such tea"fer, sale or convafa^Ce without Vendor's written consent, the entire outsta -;l og baVa-<3 payan':e under this Cntract shall boco'no Imme.!'ata!y due and pavabie in full, at "3ndor's option without nolier--s. VtWdor shal! make alt payments when due under any mortyag: outst riding ayalnst the Property on the dx of tl=, C,,w;!rs0 ter 4;st for any mortga2e granted by l+ rch.eso;) or under any note resound thweb , po widrsf! Purer r WAOA-t timely pa . ant of the an'ounts then due under this Cool. act Purchase. may rr!ak3 any such 94ir nel-itit Jir>rce-y to t rtvi %A<:Wtgag4e 1. Vendor tails to do so and all pstym3!y:a ac made by PirrehAti- shall be consldereid payr^en!x in'adF on tatos 3'A"f, tracIt Vendor may v Sure a^y default without waiving, soy other aubae=went or prior default of Purchasar. All tertrs of this Contract shall be binding upon and Irsars to the benefits of the heirs, legal rep eurrtatlvss, s:4-_.o+&so s and a.:sigos of Vendor and Purchaser. (if not art ownar of the Property the spouse of Venuo•" for a valuat~is per-u.g rj,+cr sirs herein to relaase 'tor +asta rights in the aubjrvt Property and agrees to join In the exa:.ut:o i of it-* dF+--'to be m,Je ill fulfillment hereof :or -----1st------ -.___.dayof- -----Decertiber--- -----,ts 95--- _ d~,tik~ikL ?Z/ ._(SEAi) --N Ye- _ ------Cat) F . Merton E. Timmerman Lars M. Veva t" ISEAt.)Ge,z r~. - - - - - - - - - - - - v Sand.ca A. Vevan Al1TfiEfWTfC4Y#tlff ACKsfOWLMWE47 . . ry.;3?------ - STATE OFVVISCONSiN hisday Jf__ ifa_-_ ~°Pers<,n;r•!y..ar.a.,?'t,:acne?h!S_- .5... day of - - D2Gt'lf3il?t lg eab-7v9narn•?~± ----.---San n _-A.__Yr: T?~i~ k .?.j4 3fA Sir ^ J't1Sr'L~~fc •t _ Of Wit, - - ton t n'a tA. a - why >rPoutan~i fhb * u!;«:s then 3a.».e a•..+t>-Or.tAt4 >y 7tt•3.. , `.f4 s. stair.) fo'Pj,'Jr` l?t!~t,f'1 506452 1 CERTIFIED SURVEY MAP Located in part of the NEka of the SEa of Section 31, T29N, R18W, Town of Warren, St. Croix County, Wisconsin. N LEGEND c E} Corner of y " Section 31 Aluminum County Section Monument Found .C N c ro p 111 x 2411 Iron Pipe Set, 41 weighing 1.68 lbs. per b M linear foot w Existing Fenceline N _N 100' Roadway Setback Line o u.. 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