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HomeMy WebLinkAbout038-1125-40-000 rY -0 o ° p to a o C N (D I e N ~ I ~ I n C ~ II o I ~ c I a o I fy N N N I 'C w U I N •C I O c z v, I LL 0 j 0 ~ y 27 - v I ¢ N I M v ~ I w z z = O O` m FM- Z a m 0 c o z i' d z c O U) h a) z I ~ I •m Q z z N Z N y N ~~l V V 7 R E E m LO L _ Y d . ca C) LO U) c o a c ° N (D u) cn E al O O O p a~ z •OWi p p p a a 0. y a 'E I N N(n o rn rn N fn J U U rn rn 0 0 0 t O ~i E I C) o T w D a ) 0) U ¢ > cn p I o O C O N C .r r.+ O m O O' •p C E m In N C\l W N C M C N O C = ` t\ k N L y D O O 00 M ` ; m m~ o v o E R U O M U) = N O z e d cn 4) m c^O V a • O. Z V G1 a `1 A 0 2 loinci Parcel 038-1125-40-000 02/07/2006 01:19 PM PAGE 1 OF 1 Alt. Parcel 31.31.18.516B 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner 0 - HANSON, GARY R GARY R HANSON 1881 CTY RD C SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1881 CTY RD C SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 31 T31N R1 8W NW NE COM E LINE CO HWY Block/Condo Bldg: "C" 469.7'N & 176.1'E OF SW CORNW NE TH E= S LINE NW NE 220.5'N 14 DEG E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 100'W = S LINE 214.8' TO E LINE CO HWY 31-31N-18W "C" S ON E LINE 101.62'-POB AAD'L HIST 790/376-873/432 Notes: Parcel History: Date Doc # Vol/Page Type 09/08/1997 1262/576 WD 07/23/1997 1066/196 LC 07/23/1997 1066/195 WD 07/23/1997 1066/194 oc more 2005 SUMMARY Bill M Fair Market Value: Assessed with: 119752 247,800 Valuations: Last Changed: 10/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 77,300 166,200 243,500 NO Totals for 2005: General Property 0.000 77,300 166,200 243,500 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 77,300 166,200 243,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 138 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 arCrardH m"Mn'ofIndushy' SOIL AND SITE EVALUATION REPORT eian Relations Division of Safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code Page of Attach complete site plan on paper not less than 8 1/ Fiq not limited to vertical and horizontal reference size. Plan must include, but dimensioned, north arrow, and location and d' ( o of slope, scale or APPLICANT INFORMA TION-PLEAS"~A~are PROPEOWNER: TRMA D BY DATE OPERTY LOCATION PROPERTY ; ' VT. / NER':S MAILING ADDRES$ LOT 1/4 .C_t/4,S.~/ N,R e(or ' # B OCK # SUBD. NAME OR CSM # CITY TATE ZIP COD 0 "Y .9 CITY ILLA OOWN NEAR ST fDL [JQ New Construction Used/) Residential / Num (]Replacement s ~ [ I Public or commercial desaibe [ 1 Addition to existing building Code derived daily flow gpd Recommended design loading rate 2 Absorption area required -j-ZS- bed, ft2 ~~bed, 913d/ft trench, gpd/ft2 -J~5 trench, ft2 Maximum design loading rate 2 -7 Recommended infiltration surface elevation(s). _ 9PdAt , )trench, gpd/ft2 Additional design /site considerations 99'1 ft (as referred to site plan benchmark) Parent material VENTIONAMOUND ood plain elevation, if applicable ft S =Suitable for Este m CON U =Unsuitable stem ❑ $ IOU f~ S IN SOUND PRESSURE AT-GRADE ❑ U Q U $ U S❑YSSEM IN FILL O SING TANK SOIL DESCRIPTION REPORT ~l ~u Boring # Horizon Depth Dominant Color Mottles ;ry`h in. Munsell Qu. Sz. Cont Color Texture Structure Consistence G P D/ft Gr. Sz. Sh. DY Roots L~-x - Bed Tmnch >UC Ground .3 elev k~2 ft. 7 Depth to limiting factor Remarks: Boring # 3 r around elev. gj~ ft. J•' epth to niting cto Remarks: :STName:-Please Print i dress: Phone: S- 00 ynature: Date ~~T PROPERTYOWNER_ ~gt°d SQL SOIL DESCRIPTION REPORT Page ~of" C- I PARCEL I.D. # 1524M/ Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BDjxby Roots GPD/ft , in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tn& 3 ~ Ground 3 elev. sy p 12 ft. Depth to limiting fact Remarks: Boring # Ground elev. ft Depth to limiting factor Remarks: Boring # Ground elev. ft Depth to limiting factor Remarks: Boring # yyy~~~~~~•yyg~:.: h Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) 2CIS 1161, Al" A / 34 ~uS.Cf so' ti _y /33 .B~~srf~ilcK N A COR. . SEC. I31 /90TH I~r AVE. / , 150 - 224' o516H ~ 516P 63 i J _ = 516 334.4' 668' 16 516S N IN 51~/ 269.6' 262.61 LOT 1 100. '1 NW 114 - NE l/4 NW l/4 516 T 516, eT ~ 516 Ea i 16~ 1 519 A 516 U a 516 M 2 LOT 2 214.8' 200 516 B s~ N ~ O ~J f` 516D J~ 519 B 2 26.5' , LOT ro Y 6F a C .S. M. 516 L 81 VOL. 2279' / PG. 1605 516 F b/ a 215.9' 519 C 516 I #1 198' - - - 200 203.08 - - - - o LOT 1 I a 517 D a 522 6 a LOT I rya/ Q'~ N C S~M.,,i N ao' LOT 2 M 522 F N El/4-NWl/4 00, 5 W ~t LOT 3 I v N 522 G I io 1 ` / eP I STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS_ E SUBDIVISION / CSM# LOT SECTION__2 /_T , N-RgW , Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 EET OF SY TEM 0 i lo? mccSt ~5., , i i INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. c ' BENCHMARK: s ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: h );--"lS Liquid Capacity: Setback from: Well House Other 1 Pump: Manufacturer. kcu'Il< ! ~--g~~ ~ Model #Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length Number of trenches i Distance & Direction to nearest prop. liner ,r- Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet: ST outlet PC inlet PC bottom, Pump Off Header/Manifold Bottom of system_ 2Z!27 Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: ?s"~ INSPECTOR: f 3/93:jt D4'epartment of industry, PRIVATE SEWAGE SYSTEM County: )rand Human Relations _ ____ty and Buildings Division INSPECTION REPORT TCRO X GENERAL INFORMATION (ATTACH TO PERMIT) sanit 26P2398Bo.: Permit Holder's Name: ❑ City ❑ Villag Town of: State Plan ID No.: Alv ScO.N, GARY STAR PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9600211 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic )e 0 Benchmark Sy ' ,(os' /C Gtr Dosing SCE ,e/7~ Aeration Bldg. Sewer Holding St/,~f't Inlet A/).W' ~ ANK SETBACK INFORMATION St/ Outlet Vent TANK TO P/ L WELL BLDG. AirIto ntake ROAD Dt Inlet Air Septic .o , U NA Dt Bottom `11-G7 e Dosing © ('3 NA KsOW Man. Aerati n Dist. Pipe 71 160-67 r Holding._____ Bot. System 5,`f0 99,27 1 ULhffiff~lllf INFORMATION Final Grade 5. Manufacturer CG:kJ~ Demand Model Number GPM TDH Lift Ine.r. ea Friction SVsten`l~, TDH Ft Forcemai n L ength ' Dia. FDist. To Well r . I SOIL ABSORPTION SYSTEM BED/TRENCH width " Length i No. Of Trenches PIT No. Of Pits Inside Di Uqui epth DIMENSIONS DIMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEAC anufacturer: SETBACK INFORMATION Type O u r 6 CH ER Mo e System: /Yl~ UNIT DISTRIBUTION SYSTEM r / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Z/off Dia. Length J Dia. ILA Spacing 60", 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 E] Yes C] No ❑ Yes ❑ No ~t COMMENTS: (Include code discrepancies, persons present, etc.) 1,0,~a LOCATION: STAR F 'AIRI E , 31.31.1 , ,-NW , NE, C:°T°Y C 3,✓ CLQ Plan revision required? ❑ Yes v/N/ o Use other side for additional information. SB~D--667710(R05/91) Date Inspector's Signature Cert No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: CZ, i Gam, m e Safety and Buildings Division - SANITARY PERMIT APPLICATION Bureau of Building Water Systems 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 8112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number a398 The information you provide may be used by other government agency programs ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Prop" Owner Name Property Location 1/4 1/4,S T~ N, R E (or)& 13.1 Property O er's ailing Ad ess Lot Number Block NumX"' City tat" Zip Code Phone Number Subdivision Name or CSM Number II. TYPE F BUILDING: (check one) ❑ State Owned ❑ its Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms Town of Q III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 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. _N New 2. ❑ 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 R 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 Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (MinA ch) Elevation J ~_T~ 5 Feet eet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Ex per. INFORMATION New Existing Gallons Tanks Manufacturers Name Concrete Con- steel glass Plastic App structed Tanks Tanks Septic Tank or Holding Tank - ® ❑ 0 ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber I*q jg= ! ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATE-MENT I, th ndersigned, assume responsibility for inst II tion of a nsite sewage system shown on the attached plans. PlNa e: nt Plumb 's Si t S mps MP/MPRSW No.: Business Phone Number: PCity, State, Z Code): IX. COUNTY / D _i2:];:iiRTMENT USE ONLY ❑ Disapproved Sa itary Permit Fee (Includes Groundwater Date Issue Issuing A nt Sign ps) :3Pproved [3 Owner Given Initial / /)Qp Surcharge Fee) ( 7~fJ~~~So Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05194) _ DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS - , ' 1. A sanitary permit is valid for 'vto (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal an • n+e- -riteria in the Wisconsin Administrative Code will be applicable. 1 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 licens ,d 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. f SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations June 21, 1996 2226 Rose Street La Crosse WI 54603 K 0 CONSTRUCTION KIM 0 CONNELL 504 THIRD AVE OSCEOLA WI 54020 RE: PLAN S96-40622 FEE RECEIVED: 180.00 HANSON, GARY NW,NE,31,31,18W TOWN OF STAR PRAIRIE 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. cerely, enn s brens Wastewater Specialist Section of Private Sewage (608) 785-9336 SUDA-7887(8. 10184) i Private Sewage System Plan IndAMc'k&Q 6 2 2 All plan sets should be legible and permanent copies, organized into sets, bound with staples and covered by an index sheet such as this sample. No other pages need be signed as long as the index sheet for each set is signed. Your cooperation expedites your plan review and shortens plan entry time. Plan ID # Owner's ame Lega lDescription Address county 7 CityN1 i !1% 2 ifa-z Contents Comments/Special Instructions Page # Included Two copies needed for all plans 1 Plot Plan 2 Plan View/Lateral Return by Mail 3 Cross Section 4 , Tank & Pump/ Fax Letter to (County) (Submitter) 3 Siphon Information Circle One and Provide Fax ( ) S System Sizing (Public) E Lj Call for Pick-Up: ( ) A~c Other ito CFO SAFFp), 9199th 8 e~0 I, a undersigned, hereby certify that the Seal (if applicable) GS s and specifications submitted with were prepared under my direction and control. Plumber i License/Registsidon 0 r ddress City state ,o Signature For Office Use Only Attachments: Application Soil & site evaluation Fee Needed for Holding Tank Submittal: One copy of notarized holding tank agreement. (Originals to County) Needed for At-Grade Submittal: Original signed and notarized Application for "Use of an At- Grade" County on-site One additional set of plans SBDA0268 (N.01M) ft j , , r-o ;d i I i I i 1 i j i I I 91 _44/ 6 2 i~ Y`-~JW1Y+i 0 •.~0~~ 4lJ f..c./w>v+ i i ; I ; i ~ j "7 I ~ I I I ~ I I ! i ~ I 00, ' 1 t 1 I i 4s4 I . i I i i t 1 ~ fj/OCCSF' ~ I~ ~ I I I ~ I ~I j I j I ~0l'QS®~?°~► 3•~~ - a; f~ ~'6 j j 71 ~u~k 13i RRIVAT EWAGE y tNt G qM dttlon ally OVED, IV)SION OF. S #TY AND BUIRDINGS SEE GURRESPUNDENCE' . 1 PA9a22 Ot:z Perforated Pipe Detail n nd View )Perforated Led Cap PVC Pipe Noise Located On Bottom, Are Equally Spaced A s e PVC Face Main F Oisl r ih•,l ion - Pipe Lost w.a'1 To Emend Cope S96s40622 End Gap Distribution Pipe Layout P ::Z~ Ft. R pR/L'a S S'~- WAG,~!SY~T~ Y Inches M 1(2_ Inches 1.11,0 Signed: AP Hole Diameter Inch .y Lateral " Inch(es) License Number:' ~UNO/~SA Manifold " s Inches Date: s ~~0/grGS Force Main 2 Inches RFSp0N of holes/pi pew,,. ~4cF ,A12?Ft. t Elevation of Laterals P490 of , Strow. Mash Hays Or Synthetic Covering) ~Distribution Pipe Medium and Topsoll H - C sri's ii.'s f 3 E o 'Xi StOpe 800 Of f- 2 Force Moin Plows d Aggregate From Pump Layer D -fem0 Cross Section Of A (Mound System Using E 1..PSI A Bed for The Absorption Area F - Y A Ft S i fined: . H B J~, 9 Ft. License Number: I J1,_ Ft. Dates J 23 Ft. Alternate Position I Ft. 5 9 6- 4 0 6.2 of Ft. Force Main W J 3 Ft. Observation Pipe A I 14 4f 0V S4 fE fI astribution Bed Of ' 2 eG~ra z RF rkcs Pipe Aggregate tObservation Pipe Permanent Markers ~F Plan View Of Mound Using A Bed For The Absorption Area b . a r• N w r• w a~f,, y cti M L N ~b ft Q A N ! fa n rt O s O O M b K C fa fD N O N b IP ►o N I a ~0 m to m Pt rt I, O R m 1 o `t In a w M a a a PA6f of 7 PUMP CHAMBER CROSS SECTION Akio SPECIFICATIONS VENT CAP 4~ VENT PIPE WEATHERPROOF APPROVED LOCKING JUAICTIOAI BOX MANHOLE CCIVGR WITM 2S' FROM DOOR, It'MIU. WINDOW OR FRESH WAMIING LABEL I AIR INTAKE GRADE I y~ MIIJ. COAJDUIT 18'Xim. 11~ IIULET PROVIDE AIRTIGHT SEAL I III R I I \v/ APPROVED JOINT A I III APPROVED JOINTS W/ PIPE SYSTEM I III W/" ~ PIPE EXTENDIIJG 3' SEyyAGE I II ALARM WENDING 3' ONTO SOLID SOIL. P B ditionally ~ II ONTO SOLID SOIL I D , i I oN LLEV. FT. - fa PUMP WWWA b OFF o~ \ N E CONCRETE DLOCK 9 v 4 RISER EXIT PERMITTED OWLS IF TAAJK MAUUFACTURCK HAS SUCH APPROVAL IWAOVEa BEDDING vAndtr TrrraK SEPTIC E SPECIFI-CATIOMS DOSE TA AI KS MAIJUFACTURER: O1 r s IJUMBER OF DOSES: PER DAy TAWK SIZE: GA LOADS DOSE VOLUME ALARM MAIJUFACTURER: INCLUDIAIG BACKFLOW: GALLONS MODEL AIUMBER: CAPACITIES: A= _WCHE5 OR GALLONS SWITCH TUPE:'~ 19 / 15 =4-ZINCHES OR Sg GALLOWS PUMP MAUUFACTURER: C ■__LLINCHES OR yGALLOIJS MODEL NUMBER: D=-~INCHES OR -71- GALLONS SWITCH TYPE: 1JOTE' PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE GPM INSTALLED OLI SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEE\I PUMP OFF ARID DISTRIBUTION PIPE.. $,61 FEET + MILAMUM NETWORK SUPPLY PRESSURE . , , . , , , , , 2 5 FEET + FEET OF FORCE MAIN X ~F/oprr.FRICTIO►1 FACTOR.. FEET TOTAL OyIUAMIC HEAD = FEET IIJTERMAL DIMEIJSIONS OF TANK: LENGTH jWIDTI4 ;LIQUID DEPTH S►GFJED: _ LICEMSE NUMBER: DATE: Performance S u ni e Curves Pumps METERS FEET 90 MODEL 3885 25 6o SIZE 3/4" Solids WE15H 70 _ 20 - WE10H - WE07H 15 50 WE05H 40 10 30 WE03M 20 WE03L 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM I L 0 10 20 30 m'/A CAPACITY UGOULDS PUMPS, INC. SeECA FN.S KEW •O 3w,. METERS FEET 120 MODEL 3885 35 110 WE151-11-1 SIZE 3/4" Solids 100 30 90 25 80 'o 70 20 60 0 WEOSHH 15 40 10 30 20 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM 0 10 20 30 ml/A CAPACITY •1965 Goulds Pumps, Inc. Effective July, 196S C78R~ coo o T _)PT•IONAL WORKSHEET 1. MOUND SYSTEM If. IN GROUND PRESSURE SYSTEM-Continued- 1. Wastewater Load, Total Dally Flow= - gal. 10. Force Main: Use section H 63.15 (3) (c), Wis. Minimum Dosing Rate = gpm• Adm. Code and PROVIDE A DETAILED Diameter = In• LIST OF SIZING ON PLANS. 11. Total Dynamic Head: System Head = 2.5 ft. 2. Depth to Limiting Factor ft. = % Vertical Lift = ft. 3. Landslope = 4. Distance from Dose Chamber to Friction Loss ft. Distribution System = 6 ft• fD,-. ft 5. Elevation Difference Between pp 12. Pump Selection: _ Pump and Distribution System = --G1- ft. Pump will discharge at least ~=5 gpm 6. Absorption Area Sizing: at -.1-22--ft. total dynamic head. Area Required = sq. ft. Pump M.C., nd manufacturer: S' L)Ed i Bed or Trench Length (B) _ ft. Bed or Trench Width (A) _ ft. 13. Dose Volume: Trench Spacing (C) = ft. 10 Times Void Volume of 7. Mound Height: Distribution Lines = gal. ~.d ft. Daily Wastewater Volume T Fill Depth Fill Depth Do _wnslope (E) 1,69 ft. 4 Doses in 24 hrs. _ gal. Bed or Trench Depth (F) _ "?s ft. Backflow = al. Cap and Topsoil Depth (G) = ._.1..Q,.._ ft. Minimum Dose = ~aI' Cap and Topsoil Depth (H) ft. 14. Dose Chamber: one 8. Mound Length: Volume = • Gam-- gal. End Slope (K) ft. Total Mound Length (L) = u~ ft. 111. CONVENTIONAL PRIVATE SEWAGE SYSTEM 9. Mound Width: 1. Wastewater Load, Total Daily Flow= gal. Upslope Correction Factor = , 97 Use section H 63.15 (3) (c), Wis. Upslope Width (1) = , 9-3- ft. Adm. Code and PROVIDE DETAILED Downslope Correction Factor = LIST OF SIZING ON PLANS. Downslope Width (1) = ft. 2. Required Septic Tank Capacity = gal. Total Mound Width (W) = ft. 3. Percolation Rate = min./in. 10. Basal Area: 4. Absorption Area Sizing: Infiltrative Capacity of Refer to Table 2 in chapter H 63 Natural Soil = gal./sq.ft./day and PROVIDE A DETAILED LIST OF Basal Area Required = . ,14J,:C_ sq• ft. SIZING ON PLANS. Basal Area Available = sq. ft• Required Area = sq. ft. 11. If Standard Tables from Chapter Length = ft. H 63 are Used, Indicate Table No. Width = ft. 12. For the Distribution Network, Use Numbers 5-14 in Section 11. Number of Trenches = Trench Spacing = ft. it. IN-GROUND PRESSURE SYSTEM S. Distribution System: 1. Depth to Limiting Factor = ft. Lateral Length = ft. 2. Landslope = % Number of Laterals= 3. Percolation Rate = min./in. Lateral Spacing = in. 4. Proposed System Elevation = ft. Distance from Sidewall to Pipe = in. 5. Wastewater Load, Total Daily Flow: gal. System Elevation = ft. Use section H 63.15 (3) (c), Wis. Adm. Code and PROVIDE A DETAILED IV. SYSTEM-IN-FILL LIST OF SIZING ON PLANS. Fill in All Items from SeS 91~ Required Septic Tank Capacity = . 140 gal. j• 4 6. Absorption Area Sizing: L_2 /~,c~ 4 V. SEPTIC TANK Percolation Rate = ttn• 1. Capacity = al. Area Required = sq. ft. 2. Manufacturer: system Length = ft. 3. Show Site Constructed Tank Details on Plan System Width = - - n• 7. Distribution Pipe Sizing: VI. DOSING TANK Hole Sire = in. 1. Capacity = gal. Hole Spacing = - ft. 2. Manufaclurcr: Laler.d Length ft. 3. Pump Manui,iclurer. Lateral Size in. 4. Pump Model: i.aleral Spacing li. 5. Operating Head= ft. 1AS1.111ae li•oul Sidewall•141 Pipc 6. Flow Rate= gpm• 8. Uisiribulion Pipe Discharge Rale: 7. Show Site Constructed Tank Details on Plans Number of l Jules Per Pipe ~t2--- I low Per Pipe' 1L7 gPm• VII. HOLDING TANK 4. Maoilold Sizing: 1. Capacity = gal. I ype (cenlel or und) ASIA 2. Manufacturer: Length = ft. 3. Show Site Constructed Tank Details on Plans Diameter = -a--- In. -SHOW ALL INFORMATION ON PLANS- DILHR SBD-6761 (R.03/82) Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page. of Labor and Human Relations Division of Safety 3 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road, APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT X 1/4 1/4,! T- N,R,/,o i(or)00 PROPERTY OWNER'S MAILING ADDRE LOT # BLOCK # SUED. NAME OR CSM # 8 CITY STATE ZIP CODE PHONE NUMBER []CITY ILLA [TOWN NEAR ST ROAD ( - [JQ New Construction Use jo Residential /Number of bedrooms [ ] Addition to existing building j 1 Replacement [ 1 Public or commercial describe Code derived daily flow gpd Recommended design loading rate .,/.2 ed, gpol11:2_42-trench, gpolft2 Absorption area required ,37,5- bed, ft2_ trench, ft2 Ma)amum design loading rate -.gybed, gpd/ft2trench,,gpd(f Recommended infiltration surface elevation(s)ft (as referred to site plan bench mar~ U V Additional design / site considerations • Parent material 4,/9 &C2 2f*Z;:~adwl Flood plain elevation, if applicable ~z,2 ft HOLDING r=S= Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL Unsuitable fors stem ❑ S 10 U S0 U ❑ S G~ U El S Wu [I S ~ U ❑ S R UTANK U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench Z4 4 1 Ground A2 9 lev. ft - '7 9 Depth to limiting factor Remarks: Boring # / '1_g see Ground 3 elev. S6f' j - -el 1--12L A1,10 ft. Depth to limiting factor Remarks: T Name:-Please Print Phone: ?_2 91 Address. Signature: Dat : CST Number: j PROPgRTYOWNER ,,ml SOIL DESCRIPTION REPORT Page,;:2 of 3 PARCEL I.D. afl Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxlay Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench ~3 n Ground _ elev. Depth to limiting factor Remarks: Boring # 13 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-9330(R.05/92) . T ~ I t 1 I t I ~ t i 00 t t i ~ t I I I I 1 ~ ( I ' 1 t ~ I ~ t i i t ` I t ! q ~ i i ! D I i i ' I I I I ~ I ~ ~ ! ~ I I ! t I ~ f I - 1 I ` ~ f Q, , 4 i I i I f y NC 1 R i I } ; ! F I Aisle 4f~-< t I I ! ~ ~ 1 ~ I i ~ 1 I I I I t ~ ~ i_ I I I I ~ i I I i j ~ t I t i Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM Safety and Buildings Division Labor-and Human Relation; REVIEW APPLICATION Bureau of Building Water Systems Hayward Office La Crosse Office Madison Office Shawano Office Waukesha Office 209 W 1 st Street 2226 Rose Street 201 E. Washington Ave. 1340 E Green Bay Street 401 Pilot Court, Suite C Rt 8, Box 8072 LaCrosse, WI 54603 P.O. Box 7969 Suite 300 Waukesha, WI 53188 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548-8606 Phone(715)634-4804 Fax(608)785-9330 Phone(608)267-5119 Phone(715)524-3626 Fax(414)548-8614 Fax (715) 634-5150 Fax (608) 267-0592 Fax (71 5) W4 3633 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data arid submit this form together with fees and plans/information Your submittal must be received at least one working day prior to the appointment at the office where your review was scheduled Please call any of the listed offices if you need help filling out the form or ha q stions on what information to submit PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your referenc . 6-40629' 1. APPOINTMENT INFORMATION -if you have scheduled an appointment, fill in the information requested below to save time Appointment Date Revie er- 2. Name an Identification Number T 1 PROJECT INFORMATION If this review is a revision or extension to your existing plan identification number, provide that number here' Project Name _ City Village ® Town Of: County Project Lotion GOVT LOT f 1/4 1/4, T 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one). System Type t (include new and existing tanks) Up To 1,500 gallon septic tank . . $110.00 A At-Grade 1,501 - 2,500 gallon septic tank $120.00 H Holding Tank 2,501 - 5,000 gallon septic tank $160.00 M Mound 5,001 - 9,000 gallon septic tank $ 200.00 I-Oki N Non-Pressurized In-Ground (conventional) 9,001 -15,000 gallon septic tank $ 300.00 . P Pressurized In-Ground Over 15,000 gallon septic tank $500.00 . 0 Other: Up To 1,000 gallon dose chamber $ 70.00 1,001 - 2,000 gallon dose chamber $ 80.00 . Building Type (check one): 2,001 - 4,000 gallon dose chamber $ 100.00 4,001 - 8,000 gallon dose chamber $ 120.00 D Dwelling, 1 or 2 Family 8,001 -12,000gallon dose chamber $ 140.00 P Public Building Over 12,000 gallon dose chamber $ 160.00 . S State-Owned Building Up To 5,000 gallon holding tank $ 60.00 5,001 -10,000 gallon holding tank $100.00 . Code Derived Daily Flow v i gpd Over 10,000 gallon holding tank $150.00 Check If Replacing Existing System Experimental System (additional one time fee) $ 300.00 . Revisions To Approved Plan 1 $ 60 00 Petition For Variance: Setback $ 100 00 . Site Evaluation $ 225 00 Petition For Variance Plumbing $ 225 00 Revision $ 75.00 Groundwater Monitoring - Per Site . $ 60.00 . Groundwater Monitoring (other than a proposed subdivision) Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring $ 60 00 Subtotal: Priority Review: Enter same amount as Subtotal: MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: 5. SUBMITTING PARTY INFORMATION Telephone No (include area code & extension) Comp n ,me Co to Pers n No. & Street Address Or P.O. Box City, Town or Vi age, late, Zip Code Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. z Revision fees are not applicable to temporary holding tanks or extensions to existing approvals NOTE: Fees are pursuant to Wis Adm. Code, Chapter ILHR 2, and are subject to change annually The information you provide may be used by other government agency programs IPrivacy Law, s 15 04 (1) (m)I SBDW-6748 (R. 09/94) OVER 31111il Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road, APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT t~ I 114 / N,R (or)1 PROPERTY NER':S MAILING ADDRES LOT # BOCK # SUBD. NAME OR CSM # CITY STATE ZIP CODE PHONE NUMBER []CITY VILLA ®fOWN NEAR ST ROAD ( - j~ New Construction UseK, Residential/ Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate /~2 bed, gpd/ft2_4,2g_trench, gpd/ft2 Absorption area required :.3Z- bed, ft2 trench, ft2 Maximum design loading rate _Z,~bed, gpd/ft2_,~ ~'trench, gpd/ft2 Recommended infiltration surface elevation(s) 2U.2 ft (as referred to site plan benchmark) Additional design / site considerations Parent material jq,-s!'i,&-Flood plain elevation, if applicable S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S ® U WS ❑ U ❑ S Q u ❑ S W U ❑ S E41J ❑ S 14U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. AU ft. - Depth to limiting factor Remarks: Boring # ::tom:: i:.:•:- ..:fi: 42Z, d/ k}~` y\:::::iry:::vv..vv.. Z f"' 7 '9 Ground 3 elev. - - Alvo 11//'9 Depth to limiting factor _9Q Remarks: CST Name:-Please Print ) Phone: Address: Signature: ' Date: CST Number: 3 PROPERTYOWNER (~~)4ea n/45~"j SOIL DESCRIPTION REPORT Page, - - -2 of PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Baxxivy Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench Ground ? elev. s- ft. r Depth to limiting fact Remarks: Boring # 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) N"I i ~ I ~I 4 3~ f! o j So 1 ~ a ' I °yi .30 41 Q~~ sef ~,JccK ~ , STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County \ OWNERBUYER GAR ~'7 M O~ U 4 A d SQA1 MAILING ADDRESS g C-FO P C `1 PROPERTY ADDRESS f r eTA ( C I' (location of septic system) Please obtain from the Planning Dept. CITY/STATE SD A(( S' ~~'^'`t4 Z PROPERTY LOCATION 1/4, L,-- 1/4, Section T_3j _N-R_Zl__W TOWN OF S~re~ ' A Ija t E ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER sl6 g 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 ex ' tion SIGNED: DATE: 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 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 C, R lam`-`t' "Rq 0 4'b 466150A] Location of property 1/4 1/4, Section 31 , T 1 N-R 1$ W Township Sri Ar~~~{q Ic-ZIE Mailing address S l CT A Address of site /V6) L' oL.LAI-r -r'Ru cV, 4te,)kY rC' Subdivision name Lot no.l6 Other homes on property? Yes__.2!~_No Previous owner of property ZE1-~- Total size of property APP pX, Q, 6 a Total size of parcel A-? oX, 0,(b 4Q5-;>E Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes _ X No Volume 066 and Page Numbe 6 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. S/33K n 3 , 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. Sig at e of'ApplicarYt Co-Applicant ~ AA Date ignature Date of Siqnature • N L4 COR. SEC. 31 190TH AVE. 150 - 224 2 516 P 63 ~ 0 516H J 516 334.4 66.8 16 516 S / O 'V IN 51C~ ' 269.6' 262.61 LOT 1 100 3'1 NW 114 - NE l/4 N W 114 516 T N ~z 516N81 Q; 0 516E $i 519 A 516 M of 516 U 21a.e' 1 200 LOT 2 516 B sl N O ~ s 516 D S2 5196 LOT 0 g 6 P I Y C.S.M. N 516 L VOL. 6, 2279 / PG. 1605 516 F b/ w , 215.9 519 C 516 I 19 ' - - - - - 200 203.08 O' Q i o LOT 1 I N 517 D/ I Q.~ N 522 B LOT 1 i N N . v..6,e.lr 5 a~1 - 85. a.1 LOT 2 M 522 F N > I i El/4-NW 114 001 SW U 1 I ~ LOT 3 ~ v N 522 G ~z ` eP VOL 1066PAGE 196 r UCC.UMENT No. ~ STATE I3AR OF WISCONSIN FORM 11-1982 THIS SPACE R!5[RVEO FOR R[coaol,.a Jw*• LAND CONTRACT ,i IaJ, J •1 ■uJ 1 yu,~1e 513386 110 11B SF1f Ali) it AM. T1tAN~119'IUNS O N OVER fLJ,Ul1O IS FINANI'FIl ANl] IN Ill ll F:It NON-CONSUMER, At.r TIfANSA(.IIUNSI rG cv Ccint1t'tCt, by and between Syrlx.ia..L___Aalze_la..__..... ("Vendor", 2 3 1994 whether one or more) and 4:15 P. Gary--R...Haxu ,-•a-si lE-man ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- aro!=c formance of this contract by Purchaser, the following property, together with the i rents, profits, fixtures and other appurtenant interests (all called the "Property"), in ....................5-t... craiX............................. County, State of Wisconsin: RETURN To I! An undivided one-half interest in the followinn parcel of real estate: Part a `ne Northwest Quarter of the Northeast Quarter (NW-1/4 of NE-1/4) of Section Thirty-one (31), Township Tax Parcel No............................. 1. Thirty-one (31) North, of Range Eighteen (18) West, A.. I jj described as follows: Commencing at the Fast line of County Trunk Highway licit, !j 469.7 feet North and 176.1 feet East of the Southwest corner of said Northwest I Quarter of Northeast Quarter (NW-1/4 of NE-1/4); thence East parallel with the ~j South line of said Northwes8 Quarter of Northeast Quarter (NW-1/4 of NE-1/4), 220.5 feet; thence North 14 58' East 100.0 feet; thence West, parallel with said South line, 214.8 feet to said East line of County Trunk Highway "C" thence South on said East line, 101.62 feet to point of beginning. TOGETHER with all , land between Easterly line of ab6Ve described parcel and Westerly shoreline of Apple River, and between the North and South lines of above described parcel extended Easterly to said Westerly shoreline. F=': Fb This _....."i.s__w......... homestead property. (is) (is not) Vendor's residence or as Vendor - - Purchaser ul rce+ to purchase the Property and to pay to Vendor at otherwise directs in writinq .the sum of l n,000 the following manner: (a) 5_._.t~0 _.db OQ:-------------------in _ 0. 00 at the execution of this Contract; and (b) the balance of ; 9,50- . together with interest from date - 8$ ---..Q..__ ----r cent per annum hereof on the balance outstanding from time to time at the rate of__ ei ht until paid in full, as follows: Two (2) annual installments of principal of 4,50.00 each, it plus all accrued interest on the entire unpaid balance through the date of payment of ii each installment, respectively due and payable on or before the first and second anniversaries of the date of execution of this Land Contract. it Vendor shall pay the entire real estate taxes levied for 1993, payable in 1994, and Purchaser shall pay the entire real estate taxes levied for 1994, payable in 1995, and for subsequent years. /of rincipal and accrued inte~~$t ~ Pruvided, however, the entire outstanding halance shall fe paid in full on or before the. ltl0.... -_,Yed.CS~X ~K I ---••--•--------•-••-••-•-----•--•--....I)MXXXXKXIMKIkW0X)MXi*X after the date of execution hereof. FUlluwing any default in payment, interest shall accrue at the rate of ..8------- % per annum on the entire amount , in default (which Shull include, without limitation, delinquent interest find, upon acceleration tr maturity, the entire principal balance). I vV vv vvvyyx vYY vvvy yyyl(y Y~yyYyyyyyyyyyyyyyyyyyyyyyVV ~Xr~XIK,~Ir;XK►~:sH~>K:Xdr%~`++yPC~ntM~,~Xc~3l'tAf~'litA1(1.ilt~ttlVi.~A116Y`fiflAttlitl`S'tiY'f(TitflCltt`~ayNn~csYix-t~+ q~,~. 7~ XXIXJ XXXXXXx X~6xdfXKXl6~W6xJkxt Xldx/xXd4ai4J(„x~F?4x14J6i4XxxxX,x~(JGXxtXXJl,XxbxX~xXtyxx d(i4xJGxJfuuX ~(IX X. Xxkc~xxacxa~xxxxac~~x~cxac~~c~x~cX~cx~xxxa~K>z~xar:x~cXxx~cXalxxxwxlx~xx~carxxx~c~~Xa~>xX~cl~cixxxl~x~cx~t~xxx ~rxx~(x~( x~x~c~~c~x~tkK=xxKx~c~mcKacxx~xaca(ax~cacXaaXa~x>~x~cx~clx~cx~c~~~x~x:>~x~acxxa~ac~xa~x~ca~x~axxxo~xa~x ~9(yX XyE~~!-X7~lEX~x9(1X90(kXR4(`f(•X Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any umouat may he prepaid without premium or fee upon principal at any Little (tX*X-X.X.X_XX-XX-X-X-XXXX-ylxx xxxxmx tlGxokXX%XX)Qk-XKXkXO*IKfx((d(XK)DXXXkXD(*XtAXO(IXX*)6KM)6(XO(XAKU)tX In the event of any prepayment, this contract shall not he treated as in default with respect to payment so long as Lite unpaid balance of principal, and interest (and in such rase accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebted uess would have been had the monthly payments been ~t mule as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds i of insurance or condemnation, the condemned premises being thereafter excluded herefrn-n. Purchaser states that Purchaser is sutisfied with the title us shown by the title evidence submitted to Purchaser for examination except: ( Vkvlonsin. Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT 1/4 1/4,S T N,R E (or) W PROPERTY WNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE DOwWppII NEAR ROAD [ LkN~ew Construction Use [c ]-FI'esidential / Number of bedrooms o'~ [ ] Addition to existing building j ] Replacement [ ] Public or commercial desaibe Code derived daily flow gpd. Recommended design loading rate bed; gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd1ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL OUND IN-GROUNDD PR_WURE AT-GRADE S DE ETIJ ❑YST IN FILL (S DING TANK U = Unsuitable for stem ❑ S E111- I ETS- 11 U S E? SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rends ig M f -19 C' Ground elev. Depth to limiting factor r - =L~ tam 7(j z F > U ~2 ' . m~- 5 r1w Initial. Date