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HomeMy WebLinkAbout024-1039-40-000 o o © O s m O C~ I L I O Y C N N N 0 "O N N L) 0 p O O > L co U N w O O O ~ p I N N O co C1 L O U i Y ~ N O m O O J O)O O M ~ Z U ~ O 'O w3°~ 3 (6 3 O LL E E N n - m T Q ~ N ~ X 3 Cl) v CD o Z d N _ co d m M F- (n C O y - C ~ O U i O Z d O Z fn FZ- cn N E T~ O v M E N C N Q~ C O ~ 0 - Z Z -6 O O N Z (D E (N ~1 N t6 d C tp w O c V N M 1) d O M p p d 01 !R Z > LO H FN- H d i0 0 0 w z • m a a N CL LL O CO p O N j Opi Oi } !n J C,1 p M p ~i N N O O O '0 Lo O = E p M N p O O N O CO d 1); w O 0~ 'O N N c CD ~O0 i u y O o w c C > o E O Q Q a> r v w o d o 0 o Z a~ o 0 E O c 04 > 0- v . C ° N cu H H oo v aa) jx~ ~ N N_ N = ~ Ca vi E. E_ U y' O M a U- N O N 1 O ~ r.r w L W t0 C a .:.i j X! EL ` d T • RS CL v U d C 0 V co~ i A v a 2 0 0) 0 y STC - 104 AS BUILT SANITARY SYSTEM REPORT i OWNER 4 P) L C /u" ADDRESS W 3 ~S'U ~rS O Ch tl U41 L1'* Ile- t'j SUBDIVISION / CSM# LOT # SECTION _T .20 N-R~ 7 W, Town of 19/e4 t t 1/4 ley ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Nv O i s boy ~ ~ welt I~~~wS• J INUICA`L E n1~RTu ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions.to center of septic tank manhole cover. f• BENCHMARK • t G e 3~ ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Y e du, e nre cLiquid Capacity: GG Setback from: Well /OS G House Other Pump: Manufacturer Model # / 2_ Float seperation k Size J Alarm Location , s- SOIL ABSORPTION SYSTEM Width: ? S'~ Length S~ Number of trenches Distance & Direction to nearest prop. line: /05'- Setback from: well. ~Pv House, Other ELEVATIONS Building Sewer ST Inlet. S • ST outlet PC inlet F pC bottom Fe , f S' Pump Off Header/Manifold / 0 y c/ Bottom of system Existing Grade Final grade DATE OF INSTALLATION. PLUMBER ON JOB: LICENSE NUMBER: -J~ /7 GG L~ INSPECTOR: 3/93:jt ator dDepartment Industry, L ai~orand Human n Relations PRIVATE SEWAGE SYSTEM County- Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: P ~~x LtYls, ar~riANE & FRITSf ❑ City ❑ Village R Town of: State Plan ID N o.: _ANrr AT, CST BM Elev.: Insp. B~MElev,, M Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aera ' Bldg. Sewer Holding - St/ Inlet TANK SETBACK INFORMATION St/ t Outlet a~a~ i s 91 TANK TO P/ L WELL BLHG.' nt to ROAD Dt Inlet ir Intake Septic > 4 NA Dt Bottom Dosing gy p' 3 ~ NA Header/Man. f" Aeration 9 /l 3, 7~ NA Dist. Pipe Holding - Bot. System , S,s9~ 3.c:3 PUMP FORMATION, Final Grade Manufacturer';. C° Demand Model Number GPM,)I TDH Lift, Lriction5 17 Hea m~ 0 TDHa2D.?'Ft Forcemain Length, 77 Dia. - " Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH EWidth J Length : No. Of Trenches PIT - of Pits inside Dia. Liquid Depth DIMENSIONS S DIMk I N TEM TO P/L BLDG WELL LAKE/STREAM LEACHING ufact SETBACK Type O ~p,~,,~ r CHAMBER -Model Number: INFORMATION fJa a SQ 3 rl OR UNI-T- System: YVlau n_d DISTRIBUTION SYSTEM Header/ Manifo Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air In~ake Length i Length ~S Dia. -L Spacing !r X01 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 El Yes ❑ No ❑ Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: PLEASANT VALLEY.31.28.17W, Sf , SW, CTY RD W ~`,-.ClfV_,~,i,/' ° _r`.ji~ - V~l~G ~C/ ~.t~~6•~ ~ {11~~ ~Gj~ll•K~C~f~~. Plan revision required? ❑ Yes o Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert No. t~s~L■7R SANITARY PERMIT APPLICATION Bureau and uilding Division atet In accord with ILHR 83.05, Wis. Adm. Code 201 E. Washington Ave. y P.O. Box 7969 Madison, • Attach complete plans (to the county copy only) for the system, on paper not less county WI 53707-7969 than 8 112 x 11 inches in size.0 i x • See reverse side for instructions for completing this application State Sanitary Permits NNumbee The information you provide may be used by other government agency programs .7 ~°2 r (Privacy Law, s. 15.04 (1)'(m)]. ❑ Check it revision to previous application 1. APPLI AT ION INFORMATION - PLEASE PRINT ALL INFORMATION State Plan I.D. Number Property Owner Name Shane D i ' n 71 7 Property Location Property Owner's Mailing Address SW 1/4 SW t/a, S 31 T 28 , N, R 17 E (or) W W 3450 850 th. Ave Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number Spring Valle, WI. 54767 (715) 698-2458 II. TYPE F BUILDING: (check one) El State Owned ❑ City Public 1 or 2 Family Dwelling - No. of bedrooms ❑ Village Nearest Road III. BUILDING USE: (If building type is public, check all that apply) Town Parcel Tax x Number(s) 1❑ Apartment/ Condo © 2 l (j 3 U 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 4 C] Church/ School 8 ❑ Mobile Home Park 11 E] Restaurant Bar/ Dining 5 E] Hotel/ Motel 12 E] Service Station /Car Wash 9 ❑ Office / Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box online A. Check box online B, if applicable) . E] Replacement 4_ Reconnection of A) 1 ❑ x Sy---stem------ New 2 3. E3 Replacement of System Tank Only_______________Exlsting System Exist-in- Sy tem E] 5~ ❑ Repair of B) E] A Sanitary Permit was previously issued. Permit Number 9 ` t--- V. TYPE OF SYSTEM: (Check only one) Date Issued Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 [N Mound 12 E] Seepage Trench 30 E] Specify Type 41 ❑ Holding Tank 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 14 E] System-In-Fill 43 E] Vault Privy VI. ABSORPTION SYSTEM INFORMATION: 1- Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade 450 Re17r d (sq. ft.) Propo3s75 (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 5 1.2 103 Elevation VII. TANK Capacity Feet 104.5 Feet INFORMATION In gallons Total # of site New Existin Gallons Tanks Manufacturer's Name Prefab. Fiber- Ex er. Concrete Con- Steel glass Plastic App- Tanks Tanks strutted pp - Septic Septic Tank or Holding Tank % 1000 1 ® ❑ lift Pump Tank/Siphon Chamber X Midwestern 1:1 11 ❑ ❑ VIII. RESPONSIBILITY STATEMENT 750 1 Midwestern 11 ❑ ❑ ❑ ❑ ❑ I, the undersigned, assume responsibility or installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum is Signat Sta t70e Stang ,p ' MP/MPRSW No.: Business Phone Number: MP 6646 1-715-698-2266 Plumber's Address (Street, City, State, Zip Code): 506 Willow DRive Woodville, WI. 54028- IX. CO NTY/ DEPARTMENT USE ONLY ❑ Disapproved San! pry Permit Fee (includes Groundwater ate ssue Issuing Ag t Signature (No S pproved ❑ Owner Given Initial Surcharge fee) Adverse Determination X. CO DfTIONS OF APPROVAL / REASONS FOR DISAPPROVAL: 46e dD-6398 (R. 05/94) DISTRIBUTION: Original to Counly, 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 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 isto 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; replaceriient 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. . ~ ~ SAF DI ON 9 State of Wisconsin w Department of Industry, Labor and Human Relatio March 29, 1996 2226 Rose Stres La Crosse WIC WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S96-40162 FEE RECEIVED: 180.00 LUCKING, SHANE SW,SW,31,28,17W TOWN OF PLEASANT VALLEY 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 ILHR 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 ILHR 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, yard M. im Plan Reviewer Section of Private Sewage (608) 785-9348 SU V A-7887(8. 1044) Page 1 of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE S96-40162 LOCATED IN THE SK3 1/4 OF THE SW 1/4 OF SECTION 31 T Z$ N, R 1'? W, TOWN OF ply-hS~N~- V I} ~L~-cr I sr. CRw COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN .PAGE 3 of 6 PLAN VIEW--CROSS SECTION : PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR SR F~We LUC4~1u6 nz~ N~ v~lltl`t, .w~ sy-~ 67 ~A~f C> 199 ~Y 6 w PREPARED BY WEGERER SOIL TEST I NC ~~o~g19l~0M~ c~. A 44 ~ ND ~ApE SY"~3ES = GtV S ~IER~J I CE p~tiVA onaily ~ i F.O. BOI 74 421 K. }UiIK ST. ? ARTHUR L. it Corti RIVES Fels. YI 54071 w`s* L EiLSb:'JRTN, WIS. j~. 01- S 1 f P ~Mp . NN. Y g0R & N g19US S e(Y AND E~~NE'3 ~~ijaS I G B1 . S pR JOB NO. 9 6 - Z9 Page 3 Of 6 Approved Synthetic Covering ~57~ C 33 Distribution Pipe Medium Sand Topsoil - H _ -~G --.J F Elev. 1 3 O 3 D E 1; - e % Slope Force Main Plowed Trench of -212 " " Aggregate From Pump Layer Undisturbed D Ft. Soil E ~.y Ft. Cross Section Of A Mound System Using F 0.9 Ft. I Trench For The Absorption Area G 1•a Ft. A S Ft. H I- S Ft. B -)S Ft. Linear Loading Rate= (--D I S Ft . Design Loading Rate= 0.3 GpD~ Q FT j -7 Ft. K 1I Ft. L OCI Ft. &4-e-me a Position of Force Main W Z.1 Ft. L J ~ Flof~ Distribution Trench Of 2 - 2 2 Pipe Aggregate I Observation Permanent 1 PipeS Markers tMchor securely) Mound Using I Trench For Absorption Area Page !-l Of Perforated Pipe DetolI 0 End View End Cop Perforated t PVC Pipe Jo~iob ooct Install permanent-marker at end of each lateral Holes Located On Bottom. Are Epuo11Y Spaced Q End Cop S PVC Force Main Distribution Pipe Lost Hole Should Be Next To End Cop Distribution Pipe Layout P 3 S Ft. X L4 Q~ Inches Y y Inches Hole Diameter Inch Lateral ) %y Inch(es) Manifold Inches Force Main Z Inches # of holes/pipe Invert Elevation of Laterals 103•S Ft. I1xl•1-) _ \ z.537 Xl z _ ZS 7Sl av," Place lst hole Zb"from tee with succeeding holes at VO" intervals. Last hole to be next to the end cap. PUMP CHAMRER CROSS SECTION AIJD SPECIFICATIONS PAGE S OF b VEWT CAP 4"C.1. VEAIT PIPC WEATHER PROOF J EATHERJ bOX • APPROVED LOCKING MANHOLE - 10 FROM DOOR, COVER WITH WARNING LABEL WINDOW OR FRESH 120MIIJ. AIR INTAKE 1 GRADE 1 I Ie~ Mlu. Co►JDUIT 18"PIIAI. • 11~ INLCT , PROVIDE I AIRTIGHT SEAL I III I III APPROVED JOINT A Tank construction shall comply 1 1!I APPROVED JOIIJTS with ILHR 83.15 and ILHR 83.20 1 111 I 11 ALARM 0 -1 II 1 I C 1 i ON 1 --LLEV. a1 FT. PUMP O OFF , ~Z. 9 Z- 00' CONCRETE BLOCK ING a3l' APPRWIED KISEK EXIT PERMITTED CJLy IF TAWK MAWUFACTURLIZ HAS SUCH APPROVAL U00 INC gEOD SPECIFICATIOAJS DOSE T_A!JKs MANUFACTURER:"IeSER Q JCKOR "R I"-7S WMBER OF DOSES: 3' S TANK WZE : -150 PER OAy bALLOWS DOSE VOLUME t ' ALARM ivAjuFACTURER: S S• Q'LQt S~{Sltrl g INCLUDING OACKFLOW. «O• ~ - GALLONS MODEL AIUMBER: 101 Nw CAPACITIES: A= IS SWITCH TYPE: I''1N`'2CUR.~-( WCHESOR -8 (',ALI,pNS 8= Z INCHES OR 140_1 G6LLOAJ5 PUMP MANUFACTURER: ZdL~-z~t- CAM P1~JVy R II L 1l0•y M a C s INCHES OR GALLOWS MODEL NUMBER: 13 j/ ES O R $ bGALLONS SWITCH TYPE' - 1''1D ZINC H MOTE: PUMP AMD ALARM ARE TO bE MIWIMUM DISCHARGE RATE Z •1 Lf GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AI,JD..DISTRIbUTIOM PIPE., l~- 3g FEET + MIAJIMUM NETWORK SUPP1-y PRESSURE , , , 2-50 FEET + Z~ s FEET OF FORCE MAIN X 1.3`7 FY. o ofEFRICTION FACTOR. FEET TOTAL DYNAMIC HEAD = 1~'~'S FEET DIAMETER - ILITERWAL. DIMEWSIOWt OF TANK: LEW6TH - ~I ;WIDTH ~LIQU10 DEPTH 3~ BOTTOM AREA - - 231_ GAL/INCH AS PER MANUFACTURER = Z p, p S GAL/INCH N + HEAD CAPACITY CURVE 3 7/8 6 1/4 n~G 6 o F G 3o MODEL "98" - 4 5/8 8 25 I A 3 5/8 = 6 20 U ~ 16.65. 15 4 3/16 4 P 10 2S.~y 2 1 1/2-11 1/2 NPr 5 - L 0 U.S. GALLONS 10 20 30 40 50 60 70 80 UTERS 80 160 240 0 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY 12 HEAD UNITS/MIN FEET METERS GALS LTRS 5 1.52 72 273 10 3.05 61 231 15 4.57 45 170 20 6.10 25 95 3 5/16 r Lock Valve 23 j. \ CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. • Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for without alarm switches. variable level long cycle controls. SELECTION GUIDE Standard all models - Weight 39 lbs. - r/2 H.P. 1. Integral float operated 2pole mechanical switch, noexternal control required. 98 Series 2. Single piggyback mercury float switch or double piggyback mercury, float Control Selection switch. Refer to FMO477. Model Voles-Ph Mode a4.51 E22&2- Duplex 3. Mechanical alternator 10-0072 or 10.0075. M98 115 1 Auto - 4. See FM071Z for correct model of Electrical Alternator, "E-Pak". N98 115 1 Non 3 or 4 & 5 5. Mercury sensor float switch 10.0225 used as a control activator, specify D98 230 1 Auto dOP (3) or (4) Moat system. E98 230 1 Non 3 or 4 & 5 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in sim- plex or duplex operation, 10-0002- 7. Two (2) hole "J-Pak", for watertight connection or splice. For information on additional Zoeller products refer 9 on Combination CAUTION Stafter, FM0514; Piggyback Mercury Switches, FMO477; Electrical Alternator, FM0486; Mechanic All installation controls, protection devices and wiring should be done q FM0495; Alarm Package. by FMO513; Sump/Sewage Basins, FMD487; and Simplex Control BcK fled he most electrician. National electrical and safety codes should followed includ- ing the most t recent National Electric Code (NEC) and the Occupational Safety and Health Ad (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. AWL JIO: P.O. BOX 18347 Ladsrr7le, KY 40256-0347 Manufacturers of... Q ZA01,1ZAff OI SN (502) IP 77T8..2731 • 1(80 3280 Ole! M0) illers g28928-PUMP lane for 731 0 1( 40218 'U~IL.1YPLIAAAW ,SINCE ARY„ t~ FAK (502) 774,W4 PLOT PLAN Page 3 of ~o p0 SCALE 1"= ~Ip I ti la 011 OAh ►3V-a.eZr UUe or- ~o nc►~* P'" 0800, :L- vs - eL. IUU.o'oNj 6 t GH 3/ 4~1A . ~vC ~l~~ wlLrT-~ y - eve \~~atsL rz n \t'L 4Q n e I . 'TltlS P2". n T ti 8 3 C,~, ~o~T►w ~ auruivGs- U. tiw ~ 3~ PrT L~YtiSr Z S ' ~o ►•-l ►h o u,~,p . CST51gn to ( 715 ) 4~ -n1 1400576 Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Labor and Human Relations Division of Safety & Buildings Page X Of 3 in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 1 h s S C- M X not limited to vertical and horizontal reference point (B and /o o m `include, but dimensioned, north arrow, and location le or PARCEL I.D. # and distance t o st road. L/_ l b39- APPLICANT INFORMATION-PLEASE PRINT INFO Tl*,% REVIEWED BY AoTE PROPERTY OWNER: v G l y ER TION S t L U C1rc lJV G `j PROPERTY OWNER':& MAILING ADDRESS 114 SW 1/4,S 3 T Zia N R ~I E L 3 S O g S O ` -it ~L , OT # K# SUBD. NAME OR CSM # i CITY, STATE ZIP CODE PHONE S 1--1 J /U G Uri I.,~ S q -167 (7I S) 7-121- VILLAGE ®J OWN NEAREST ROAD 546zl' ; S`rcw~ Vk~LI">• GTE ° w" [ New Construction Use Residential / Number of bedrooms 3 I J Replacement [ J Public or commercial describe [ J Additit2n to existing building Code derived daily flow LAS b gpd Recommended design loading rate --7_bed 2 Absorption area required 3 ~ S bed ft2 3~ , 9Pd/ft o • 3 gp~2 S trench, ft2 Maximum design loading rate o • -Sbed Recommended infiltration surface elevation(s) 1 Ll , O , gnc/ft~ n' b trench, gpolft2 Additional design /site considerations ft (as referred to site plan benchmark) ~ - w/ S 'X 1 s " Tl we 1"'t f►v . 1 6P Parent material L~ " c o v ~T2 ~-t L ~ sA^~n =r t_ ~ Flood plain elevation, if applicable _K3 . A , ft k S =Suitable for system CONVENTIONAL MOUND U = Unsuitable fors stem El S ❑ U 11 S U IN-GROUND PRESSURE AT-GRADE Y S 11 U El S _0 U ❑ SYSTEM IN 1FILL 1 HOLDING TANK S 1111 ❑S ❑U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles in. Munsell Texture Structure Consistence GPD/ft M14Y Qu. Sz. Cont. Color Gr. Sz. Sh. Boundaty Roots I 0 - ~U `1 \Z 3 ! Z - Z s blz Bed rerxh v. S l `bZ 2 3!C sit Z`F3b1X w,'F~ CS` Ground ~ o . S o. b elev. 3 2~ 30 ~.s Asti 3e _ S 1 csblz w,u i>. cS - u, U u.s ~9`afL 3u-S0 ~ • s Y Iz 3ly ~ SycZ s16 S t#6h 035 ►Yt 9 S - Depth to 5 Su-S b 7 - S 7 tZ V! z- limiting 6 S `t R S/S S C. Ow, W, factor - - - I 30~~ S 01= w~~-s tub Remarks: Boring # M -w ) o_lo tb`12 3~Z S C). S b. Z to'o 10~~ 3/6 s.t1 Z~'sbk vwlE cg o.So•6 Ground 3 21-S43-S~tZ Y/6 ~;•S~rtZs/(; S3~ elev. b14 u-ti It, Depth to limiting factor Z~ y Remarks: CST Name:-Please Print Arthur L. We erer Phone: egerer Soil Testing & Design Service-P.O. Box 74 River iFalls,W1654022 Signature: g 2 Date: CST Number: M00576 Page ? of PROPERTY OWNER 1--v c-~ L I, SOIL DESCRIPTION REPORT PARCEL I.D. o Z - 1 0 3 9- L40 Structure Roots GPD/ft Depth Dominant Color Mottles Texture Gr. Sz. Sh. I J Consistence Boundary ged Trench . J. ~I Boring # Horizon in Munsell Qu. Sz. Cont Color o S 6 CS si I 2 `f sb ~t wt f h 0-113 3 - 31 . I Z-`s)sk lh -Fl- cs 4v Z to-ZZ Doti tZ 3!L ZZ-3y 7. S VIZ VA. - S \ Ca.\~►t Ground 3 Z - - elev. VIL ~~.SYfz. S!8 S 1 U~ m`~ i q ft. Depth to limiting factor , Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limitng factor Remarks: Boring # E3 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Shane Lucking °lj c~ v T ItsC MAILING ADDRESS W 3450 50 th. Ave. PROPERTY ADDRESS ? (location of septic system) Please obtain from the Planning Dept. CITY/STATE S rin Valle WI. 54767 PROPERTY LOCATION SW 1/4, SW 1/4, Section 31 T 28 N-R 17_W TOWN OF Pleasant Valle ST. CROIX COUNTY, WI 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: DATE: (y( 3 19to St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 This application form is to be completed in full and signed b the owner(s) of the property being developed. Any inade y quacies will only result in delays of the permit issuance. Sh ould 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 Shane Lucking ar ~ Location of property 1 4 / 1/4, ection 31 T 28 N-R 17 W Township Pleasant Valley ~ Mailing address W3450 850 th. Ave. S rin Valle WI. 54767 Address of site 7 Subdivision name Other homes on Lot no. _ property? Yes x No Previous owner of property Total size of property Total size of parcel 3 Date parcel was created Are all corners and lot lines identifiable? x Yes No Is this property being developed for (spec house) ? Yes x Volume #-11q No and Page Number 35c) 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. 5-2''5 31C own the proposed site for the sewage 'disposal tsystem) orr I e(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. Aj ASign to e of Applicant Co-Applicant a3 ' q Date igna ure Date of Signature RMAA50 I DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-198 TTHIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT Individual and Corporate ,~yy~~ (TO BE USED FOR A ION$ WHERE OVER S>✓SulG $25,000 IS FIN 1NCED NON-CONSUMER " - ` REGISTER`S OFFICE „z > _ CRODC Co.. ti Contract, by and between ....Eugen. ROdd for Rsce•.' .Eugene Swenson and- B -.t.ty...--. . Betty Swenson, -h a JAN 2 Q 1995 whether one or more) and ...MAK.... Er t-~. I i.... 9:30 A,M i 1 ("Purchaser', whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per. WDee~s formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property"), - in S t.......C.XZ.Qi County, State of Wisconsin: RETURN TO Southwest Attom at Law Quarter of Southwest Quarter (SWk of SA) of Section Thirty One (31), der Fi;,lfs, Township Twenty Eight (28) North, Range Seventeen (17) West, Town of Pleasant Tax Parcel No Valley. *EXCEPT Volume 2 of Certified Survey Maps, page 469. XROS '4 'Phis Pot homestead property. U(is not) Purchaser agrees to purchase the Property and to pay to Vendor at ...SUCY1-plAG@...aa-rf asonably-directed the sum of $ 4.0.0-0.0.a W..... in the following manner. (a) $ at the execution of this Contract; and (b) the balance of $ .....30-,00.0-00 , together with interest from date hereof on the balance outstanding from time to time at the rate of SAY.en........... per cent per annum until paid in full, as follows: *An additional $1,000.00 down payment has already been paid by Purchaser Principal and interest payments in the amount of $269.66 shall be paid monthly beginning January 22, 1995 and continuing on the 22nd day of each month thereafter for a term of fifteen (15) years. In the event Purchaser wishes to borrow money and the lending institutio requires a partial release of this Land Contract for Purchaser to obtain Provided, however, the entire outstanding balance shall be paid in full on or before the...... 22.nd.._.. day of __._J.anUar_y...,.... 2010...... 4s.- _ (the maturity date). Following any default in payment, interest shall accrue at the rate of...._~.Q per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). **a loan, Vendors agree to a partial release of said Land Contract. [it P F.'s will be dejZibed in--- Payments shall be applied first to interest on the unpaid balance at the r to specified a,n{t then to principal Any amount maybe prepaid without premium or fee upon principal at any time after 4.QJlltif01...Y . the.. may be via ptepe~ awni efiprineipal III Wkeaai pet .....L . In the event of any prepayment, thia contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is lees than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Purchaser shall be fully responsible for 1995 real estate taxes on the above-described property. Vendors will furnish one redating of abstract at the execution of this Land Contract. Within 20 days after examination of abstract, Purchaser shall give Vendors written notice of any objections to title and thou . VOL 11(l~~a,F 51 Purchaser Promises to pay when due all taxes and assessments levied on the Property in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall kee the rn interest p pp against a e upon occasioned Vendor' by s fire, ex- tends coverage perils and a chlother hazar s as Vendor meayyreins~red quire,, wio- assurance, through insurers by Vendor, in thesum of$ ...none..... •.n.l approved than the balance owed land Purchaler O _ -ors ll ,ybutVendirshall not rr~~ require coverage in an amount more contain the standard lausein fa of contract. the Vendor ,s interesta d the insura Vendor otherwise agrees hen , ue. T otherwise rom tl The pOhe or shall of all policies covering the Property shall be deposited with vendor. Purchaser shall p give of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance p the original applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration otrrepair to be economically feasible. p opair shall Purchaser ovenants comm waste commi in good tenantable condit nand repair, to keep theaPropertt ffrree f rom 1 enstsuperiiorhto heplien of this Cont Propert to comply with all laws, ordinances and regulations affecting the Property, y Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and tract, and shall be fully performed at the times and in the manner above specified, Vendor will on dema the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens andnd, en execute um~ anl and deliver to except any liens or encumbrances created by the act or default of Purchaser, and except . a$ m..n.t.s. -...x.~.S..t.>: .t.~..9.n.S.,.....aid....r ght •-o.f-waY.....o.f....recard...... i........ . any Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues fora 9Q pe yy period of...---.-----•........... ..days following the specified due date or (b) in the event of a default in oth thereof by Vendc - del vered Iigreonally or mailed by cerhtifiedma for n the entire o pe penod of days followin written notice all become immediate) d sh tstanding balance under this co y ue and ntract payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the followin rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equit , (i)Vendor may, at his option, terminate this Contract and Purchaser's right r, title and interest in the Pro rt y redemption to be conditioned u y and recover the Property back through strict foreclosure with any equit of y upon Purchaser's full payment of he entire outstanding balance, with interest thereon fro the date,)f default at the rate in effect on such date and ether amounts due hereunder (in which event all amounts previous y by Purchaser shall be forfeited as liquidated damages for fai r sped lure to fulfill this Contract and as rental for the immediate a te and rtull paytm3ent of the entire olitelanrnng balancenwith interest thereon at the rate in effect on the dam default and other amounts due hereunder, ou which event the s rforinance of this Contract to compel paishall be liable for any deficiency; or Jiii) Vendor may sue at law for the entire unpaid purchase price or an of thereof; or (iv) Vendor may declare this Contract at an end and rem Purchaser remove this Contract as a cloud on title in a action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from any portion of the Pro rty and have a receiver appointed to collect any rents, issues or profits Pur the ossession under ii), ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor an election of any any action of the foregoing remedies shall only be binding upon Vendor if and when pursued in lit i a g gtion and Pen all dency costs of and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and aid b in- curred, and shall be included in any judgment. Upon the comm ncement or duringg the paid by Purchaser, an to the appointment m a receiver of the 1'ro pendency ofgany action of foreclosure of this Contracts Purchaser consents applied as t h e court shal Pendency le the Property during the pendency of such action, and such h nrts e seuea,ra d profits when so colle issues, shall all and eld and be held and Purchaser shall not transfer sell or convey any legal or equitable interest in the Property of Purchaser's rights under this Contract or by option, long-term consent of Vendor unless either the outstanding balance payable unlease or in any other way) wittut der this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest undethis Contract coley as security. for an ndebtedne stof Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mo this Contract (except for an morta e ranted b Purchser) o~u deruanta note sagainst therebyyoPerty, on the date er makes timely payment of the amounts then due under this ContracK Purchaser may make any euch~payments directly to the Mortgagee 1f Vendor fails to do so and all payments ao made by Purchaser shall be considered rovlded Purchaser this Contract. Vendor may waive any default without waivin an other subs Paymenter made on All terms of this Contract shalt be binding u nand inure tou the be efiyteeof the heire h egal representatives, conside ration denaihe ll to en reer homesteaders hta int the subject Ptopertrty and at~eea to join in the execution of the deeds e at made in fulfillment hereof.) ~ P otr Vendor for ti valuable Dated this _...----•.-1 . day of........ J ]RPA 'y.... (SEAL) 4.4 , tr . • ~`lady..--- _z .tS.ch _ <SFAL ene.._ S .e.nson._.-a k a•.•Eugene Swenson (SEAL) t (SEAL) . . . .................Be J Swenson a/k/a Betty Swenson AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN - as. ......5..t....... C. 1: 9.i X................. County. authenticate this day of . lg............ Personall J.ccaime be ore me this .....i 8..th........ day of Y........., 19...95..the above named Eugene F.,.....Sw~zi ~o.II..:..~.at.t.y..... J................ ....Szven.s.on,.....an.d'.Mary-....Frlt.s.eh_................ • s+a. TITLE: MEMBER STATE BAR OF WISCONSIN (If not..__....WP . . k;ioWn to be the persona ...................who executed the 1ng instrument and acknowledge the same. authorized 06, Wis: Stats.) a r = L 1 8Q P"cE283 544315 F I I T SREGISTER'S OFFICE CROIX CO., WI Rec'd for Record MAY 2 8 1996 This affidavit being made b Mar Fritsch a/k/a Mar Luck```""'° by y y Lucking, L at 4: 00 P. M is to be posted to the deed for the following real property in St. Croix County, State of Wisconsi n: KdM,,,,-A _ Register of Deeds The Northwest ten ( 10) acres of the Southwest (quarter of Southwest Quarter (SW 1 /4 of SW 1 /4) of Section Thi rty one (31 Townshi p Twenty Eight (28) North, (range Seventeen (17) West, Town of 46) 3 Pleasant Valley. EXCEPT Vol ume 2 of Certified Survey Maps, page 469. %0v~ A new home is to be constructed on this property. This home is being constructed as a three 5574,7 bedroom home. This home is to be used as a three bedroom home and will be referred to as a three bedroom home. For the purposes of sale this home will be solicited as a three bedroom home. The septic system for this home is constructed to accommodate a three bedroom home. a~- .............(SEAL Mary tsch a/k/a Mary Lucking ACKNOWLEDGMENT STATE OF WISCONSIN ) 'r ss. ..--.--County } Personallu came before me this day of 4-- 19.9 the above named Mary Frith a/k/a Mary Lucking to me known to be the person who executed t instrument and acknowledge the same: f.~ V~ F 4 _ Notary Pu4c.. ...................f Co tt~aWi's. My Comm~n is perr y nt. (If not, state expirat- n date:....... .C'~ . ........3 19 OF b v 0 ul b r-i Iy L '-I a m o a a ~o O a) h T J I D' L, S~ , ~~V 43 N e' N 9 44 2 ' T~ m o^ m~ N ~ro• 04- / nt d' ~ N / i o •r-I rd r i fA U) •rI S4 1 x a) s p~ c ~ ~ W 4 o 0 r. a s4 In v r o a~ •r-4 .I-1 r-I r- > 4 tv N G W W H ~ H O 7,r-IN f`' 4 7 c ~L 0