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HomeMy WebLinkAbout022-1006-95-000 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS/ ~ 7 7 /7 y~ 1v ,(oi3~°TS ~~s_ SUaZ3 Tr}X +-)A c~ # 02- 2 - 006, 00 0 SUBDIVISION / CSM# LOT SECTION 3' T 2W N-R ld(~2 W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM AT-TAa'jur PtOT ORIGINAL INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. TOr e0leA. , OST ~iP/(6 7/C BENCHMARK • - N&O GO T r-oAtt, - ~ csT~ - ~ ~ o . a ALTERNATE BM: TOP Of F'LA T- W Cl( C-AS/'A.3C ~ 060 /O SEPTIC TANK / PUMP CHAMBER / HOLDING.TANK INFORMATION Manufacturer: ~1EE,f's 4~27•v&l7!, 6. Liquid Capacity: / 1127D . Setback from: Well '?o t House Other 71- 30 Pump: Manufacturer Model# Size y2 Float sePeration Gallons/cycle: /r /Sy Alarm Location a45e-If tE> 7 SOIL ABSORPTION SYSTEM Width: -Length Number of trenches Distance & Direction to nearest prop, line: Setback from: well: 7y Cv0 Y House Other / ELEVATIONS No )P/S &~°S ` I l Building Sewer ST Inlet. CCU ST outlet ~ O O • SZ PC inlet ~G' SZ PC bottom 93 7' Pump Off fop ~F - , tir +I/Manifold Bottom of system y 7' 2-0 Exi.tt hg Grade ; &,ZO Final grade J7D T zruDip axl "44'0 1/'60 DATE OF INSTALLATION: .2 4 `l ~S PLUMBER ON JOB: P0,90T -ZIA/ 7 LICENSE NUMBER: ^doe_5 330 7 INSPECTOR: ► µ ko.44 h - 3/93:jt . rn y c 1T~ r 710 r m ~ Il ~ y _ v N Il ~ - .o rn r ~ W o Vi d w r~, - < w~ ~ o m 1 a n «o O I i~ y ~ °G -e O D a r~ cos II i I i F~sT ~ T - ~y Z- ~ o k o w - ~ s N U . O o I ~ ay O I a y a, _ r _I w N ~ I I ~ I Z V L9A&T,T,QX,;rt4~pp jq nic.3.28IMAT9tMftEIYSTEM County: Labor and 4uman Relations INSPECTION REPORT -Safety anhyildings Division (ATTACH TO PERMIT) sanitary ermit o.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village IR Town of: State Plan o.: i I-AMMTc!A 4 NG ikinnickinnin I I CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9400027 Z TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 60~ ` Benchmark fdJ o~ Dosing / ' C,13 /2t . v, aa' vG, 08 r- / GZI Aeratio Bldg. Sewer 30 Holding St/~W Inlet 51 ~ /da TANK SETBACK INFORMATION St/.tof outlet 8d' 1-o, s D TANKTO P/L WELL BLDG. Aelntake ROAD Dt Inlet Septic NA Dt Bottom 3 _ ' z7~ Dosing NA kr/Man. Aeration NA Dist. Pipe Z G, dS r 97Z6 r Holding" Bot. System 1917 PUMP / SlREEMIlNFORMATION Final Grade errand Manufacturer] 30 Model Number > 9~ GPM ^a 1' b'`c?~ TDH Lift7J I Lriction0 L?~' System" Forcemain Length Dia. -,2 ' Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No. Of renches PIT No. Of Pits Inside Dia. th DIMENSIONS ~ DIM I N SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING acturer: SETBACK CHA 1n~ 9 E MB Model Number: TypO P --Y 7 / OR UNIT System: - E. .3 DISTRIBUTION SYSTEM Manif Id Distribution Pipes , x Hole Size x Hole Spacing Vent To Air Intake Length Dia. 07 I Length Dia. 114V Spacing I yZ 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 Beer-Weprty-Center Bed / 44-Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Kinnickinnic.3 28.18W, Highry N Z- ~ 9 Z, 7 Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. HR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY X 57 Rx PERMIT # STATE MMI -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 15Y 3 f~ 3 f PROPERTY OWNER d PROPERTY LOCATION p ~/~',~F ~y rfl sf ' 4NP %17,5/A)6r Nt0'/a st % S T 19, N, R /L E (or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 693 -7 1-4> 51. ,V 7' • 2-5; 1 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER S. f, CITY < NEAREST ROAD 0 tV,,4 ) ❑ State Owned ❑ ILLAGE ; 4//Gb+ 7 , ll. TYPE OF BUILD71"or eck one ❑ Public 2 Fam. Dwelling-# of bedrooms ~ A 1 TAX N ) C~ Q 111. BUILDING USE: (If building type is public, check all that apply) 00 1 ❑ Apt/Condo 2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 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 O PERMIT: (Check only one in line A. Check line B if applicable) A, 1. New 2. ❑ Replacement 3.E1 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 - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 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 (s q. ft.) (Gals/day/sq. ft.) (Min./inch) 17.2- CDELEVATION 3~ f' 3P 1v/~-" Feet !a' Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New Pistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank mv /Mv ~DN Lift Pump Tank/Si hon Chamber O7 Vlll. 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) 4WMPRSW No.: Business Phone Number: POA0 WhA/'C47- 33-0`7 ?rte 34;ro~ `00/ Plumber's Address (Street, City, State, Zip Code)* V IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Ag No Stamps) Approved El Owner Given Initial Surcharge Fee) `v 77_ Adverse Determination cif X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety a Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by t,ie permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form ySP-D 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintai iec. -.rhe septic tank_,s) rndat be pun, .ed 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 adrrikiistrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate. this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 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 in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information, Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existinc, tank, i"st t~f= total Q: :umber of tanks and manufacturer's narne, indicate prefab or site ocinst(Licted and, la,lk r~ a ,1 fur all septic, pu,-op/siphon and holding tanks for this system. Check ex;3erirnr i - era to,,Otis received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in, nanie, license nt,-ribe! with aopropri Qe prefix (e.g. MP, etc.;,, address and phone number. Plumber mu.t sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 81A x 11 inches must be ubriitled to the county. The plans must include the foliowir,g~ .A) plot plan, drawn to scale or with co pl ire t_ s, -ztion of holding tank(s), septic tank(s) or other trealwen tanks, building ~C:,.tit~,rs ;mate, {<~vater service; strearris and iak:As, pump or siphon tanks, di-,trlbution boxes:. soil absc, oi,rm systern~ ! i n,e!?t system areas; and the location of the; bUi!ding served, a) horizontal and v~,rtica. r0ore^ce C) complete specifications for pumps and controls; dose volume; elevation: iii:erences; trictior loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil ab,orotion 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 o? regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring yroondw. ter, gr,),,nC- water contamination investigations and establishment of standards. SBD-6398 (8.11/88) FINK- ULBRICHT & ,ASS TES C V 655 O'Neil Road 4Hu n J4O1 Reg. Designers of Engineering Systems • Private Sewage Consultants 715.6- J r\, "W, Il' PROJECT INDEX DILHR Plan I.D. # `s ?3- 03 16 Date G~iE f~GD/~L~ C,4MMl 5/4 i1-ND Owner IA,py ~,v5,'N Phone 7is- 3 ` Olo S~ Address &3-7 13t~ - ST-• AP-F 2-3 WLu) 6j Legal Description y5L. * St c 3 T 2-S' Town of le/,u,w G"t, G County ST C I•?O C.S.T. VL13Q1 Cl47- C`)T%i 2.4Installer Local Authority/ Supervision sT c,Po,X Cov-viy G-- PROJECT DESCRIPTION NEw l'a,uSiE'ucrio.J ~VfuJ .ale ~,v~ -s%STE'~-► . DOUBLE-UJ1 )-dAOv`fArTUPtc) IioM ( 3 13e!71°ms 4- cuASTEt /off 7- A- >J t W p t QA-j ^P3e A3T Fov.v D A? o . so 115 pe- l°Mr'AaIE' ~ z0 -0,e .G 6^ L/ sn.j4 /o-4y~ ROT' SEASouAIIy si4~tuiP,~ T-tp Ai 2y Mou.oP Sys,C7M W`A Ia sANp Ppopo,ED ~Nst~l►~ s~ 10 IoM pLy Wf4t,, Atl of CST's ?-cc oMM CA.)PA t►'o k3 S S 'v5 SEST~t~ my g.l PLOT PLAN VIEWS P g.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS <<<EOeeaaeu~;% Pg.3 PIPE LATERAL LAYOUT UUFM>ff Pg.4 DOSING CHAMBER CROSS SECTIONCanll/lOnaly 01160 Pg.5 PUMP PERFORMANCE SPECS., . aIl'~~*~~ D was. rv s?rs tpe~C~ ttR11y a PgIv,,Atj Ft,I*ICIS slh~t E it t ANC 8u~i., 3-03,964 ! SEE CORRESPONDENCE r I 33' /33 c ,yp . 4o r L csT s am - Tod of ro.~°.v~iP CE,ucE Pasr (f R.R. Tx E) FIEuATro.o = /001 0 oP R 3r 2-p S r ~ °y r 00 f(P Jr -4 4 _ - 9~0'1 s 133 9!, .2 In J [3 0 1C zS' 1ot~1 0~ A. W 99, 00 2 puc " f'c~RCE' MA %~J New gloo Pup c(nAM~ a PIPOVOSED 2~ " 3 Bwpm - t cat Il 2~.-~- o - (foME 51'Ti io2.0 C43 C ✓ /y~~ AiE W /000 Sal, 5~ . 3o3 PIPE CRS T ssPnc 7-,4, oA- yp +a %y CO.~c~PtTE ~ Gv~e~c'S PPIVA) TE SEWAGE SYSTEM sc~. go ,ovc ~ cvT o~ r.►aK itionally A B"J ROVED DEBT. OF INDUSTRY, LABQR.& HUMAN RELATION= DIVISION. OF SAFETY7AND BUILDIN#' - jt': L:F- V ATI'O A.) ~f 7 .J y _ SEE CORFiESPONDE,NCE I Z 15, eo Prior To Plowing- Installer will carefully S c ALE : / 30 shift or orient mound position ( toe line and area under bed agaregare) so gruutxi _ l3~C~hOE' /Di'TS elevations across slope are as uniform as possible. Suggested elevations (staked on = E'x %ST0415 i site with lathe markers) are shoran herein E l~U ~T1 o v S and on pg. 2. 1 t INVf-R T o~ ~r ~~}TC~Pf1/S X1'7. 7o - EI-6Vt7-i'0A) S 1'0 OF K oc-K _ P page z of S To OF 1 R T•E F^ L S ?7 P2_ Synthetic Covering Distribution Pipe Medium Sand H G 5 y tTEH 'i Elev,~no0 Topsoil F 97~ Zo p 3 u uAti Foy ,4 ElwlTioJ /0 % Slope uNL54tR ~t " Force Main Plowed Bed Of 2 Aggregate Layer 2- U~V~ {~ipM ToE G,~.vE _ D ~ o Ft. , Cross Section Of A Mound System Using E A8 Ft. d F ,8 Ft. A Bed For The Absorption Area G Ft. 1, DoinahimIk h A ~ Ft. H 15 Ft. W11 B Ft. bF,11 -M-0 RON ftwe K Ft. L 70 Ft. 7 Ft. 1 ~S Ft. Force Main w. 30 Ft 03 Q A „a. SY'S'i LM L rf n Pipe r - -Q F i C" It~r iJS"iiit, i.i8tWR & HUMAN RL~LATION_S_ j~ -DIVISION OF BAFEtY ~~B~7iLDiNG$~~~~ 0 0 - i:Z f~ES IaaEaCF-------- - --•I Distribution Bed Of 2 Pipe Aggregate Observation Pipe Permanent Markers y" Ale G/oP6~ s~E~~ RooS Plan View Of Mound Using A Bed For The Absorption Area A414 y 4,05 rE F/ciy l T,413 /E 0 SQ . t 7 ~~PoPosEO efts frL ' ~4REfI- < s/off;,V(~r S• •r~ ~ ,(3 x ~ ,q f 1 ~ _ - x rt /5 ) _ //p/4/ 5.0 F-- T" E , . Page 3 Of „ Void I/o/vME r'r or Z ~'uc FORCF Perforated Pipe Detail End VirM )Perforated End Cap PVC Pipe • .►o~~od`o~`0e Holes Located On Bottom, Are Equally Spaced R r: Q PVC C Manifold Pipe Distribution Ist' Pipe Mote Should Be P,epv~ Fo~P , MM ,fOIDnd a ' Si LL 1&;4 //5: Distribution Pipe Layout P 77 Ft O(~~ A R y, o • Fo'Pcf i`'7~4i~1J CO Z 5 Fr. Of ? X X9 Inches E~ Y y~ Inches 1 ~Eby /J . Hole Diameter Inca, l` Lateral Y Inch(es) k Manifold z- Inches Force Main " Z Inches DEPT. OF INDUSTRY, LABOR & HUMAN RELAIIQNf DIVISION OF UWY AND BUILDINGS # of*` holes/pipe l y7 7 In art Elevation of Laterals Ft. SEE CORRESI01q- N w t • TiSTRiL30rt0&N IIScHA RGE RATE FOR EWC 14' L0t7ER AL rRnr ©TiS 2 -7 /1/O ~ M 1 N TOTAL- "DisTR%eourloA.*, VtSGHARG E RArE FOR tJeTW0 iZ Z p M , 5 ,L1 I-N 0M UM I VA4 30 . ~ic,,~ PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS )P4 1C OF 5 VENT CAP 4"c.Z. VENT PIPE APPROVED LOCKING WEATHER PROOF JU MANHOLE COVER ' NCTION BOX / 25• FROM DOOR, 12~MIU. 4v11i(NJA)&- /A WIKJDOW OR FRESH AIR INTAKE I ~RAD~ ,rlEV~t7ioN GRADE I 'i0MIAJ. I ~ i ~ IepMlu. yy.5 COUDUIT le-114P, 0A.-' j5•C7 PROVIDE ( INLET AIRTIGHT SEAL I I I V T n`` I III 5 17 r I I ( APPROVED JOINTS APPROVED JOINT I I ( W/C.I. PIPE W/C.I. PIPE 'N 1 ~OM I III EXTEWOING 3' EXTENDIM& 3\ '~0 s 4} g i . I I ALARM ONTO SOLID SOIL OWTO SOLID SOIL 4•:. B ~I I~D ~ ~ i 11 ON Y~ ' $ y c I I FI.A NV RN R y u 2 9o y a OR B ELEV. FT. OF INDUSTRY, LAJIaG' ~_J lt~l DIVISION OF SAFETY OF F ON0Z K SP riO,J ~ RE ~ vet E I ~5 RISER EXIT PERMITTED OIJLy IF TANK MANUFACTURCR HAS SUCH APPROVAL FI CATIOUS ►7cc93 Oe7 Q SEPTIC E S P E C, I J 6 Z DOSE 4(J~~KS CO.vC~PtI~ ~p ►JUMBER OF DOSES: PER OAy TANKS MAUUFACTURER: Aso TANK SIZE: GALLONS DOSE VOLUME y ~S ~V~ L 414*M INCLUDING BACKFLOW: ALARM MAIJUFACTURER GALLONS : s7. L \ V MODEL ►.JUMBER' CAPACITIES: A= INCHES OR 32/~_ GALLOi.:C SWITCH TYPE: M cpWAy S Lot'f U, F(eAT B= 2 INCHES OK GALLONS PUMP MANUFACTURCR: C= p, S INCHES OR / GALLOWS MODEL NUMBER: 7v Y')' ff p 110 u Ds 1-7 INCHES OR 310 GALI_JNS I SWITCH TYPE: I'I669RACK /`lftuFI/ F/OAT- NOTE: PUMP AND ALARM ARE TO BE V INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RAPE GPM yQ ~ S VERTICAL DIFFERENCE BETWEEN PUMP OFF AIJO DISTRIBUTION PIPE.. FEET AAl P£GS + MINIMUM NETWORK SUPPLY PRESSURE 2.5 FEET EAC(A- , Of p -L + 2r FEET OF FARCE MAIN X s F/oo ~FRIC11010 FACTOR.. • 3 ?FEET 40r ~ S J~• Z Als• TOTAL 09MAMIC. HEAD = 7 -7 FEET 717 ,~l n y INTEKLIAL DIMLWSIONS OF TANK: LENGTH ;WIDTH a` -;LIQUID DEPTH y - 77 r a i N HEAD CAPACITY CURVE 3 7/86 1/a MODEL "98" 30 4 5/8 25 rS I T 3 5/8 ' 6 + + - O T15- tD < 4 3/16 4 o t 0 1 1!2-11 1/2 NPT it 2- N 5 1r i,~ 0 • U.S. GALLONS 10 20 30 40 50 60 70 80 UTF.RS ' 60 160 240 BFI. 0 FLOW PER MINUTE_ - >i f•r TOTAL DYNAMIC HEAD/FLOW PER M!,WTE _ EFFLUENT AND DEWATERING 12 CAPACITY HEAD UNITS/MIN FEET METERS GALS LiRS a 5 1.52 72 273 - r 10 3.05 61 271 } P - 15 4.57 45 170 20 6.10 25 95 3 5/16 Lock Valve , L r CONSULT FACTORY FOR SPECIAL APPLICATIONS :p • Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. P Mechanical alternators, for duplex systems, are available with or Double piggyback mercury float s`. ,itches are available for r: without alarm switches. variable level long cycle controls. SELECTION GUIDE at t 1. Integral float operated 2 pole mechanical switch, no external control required. Sta:~:Faird att d3ls 1?'L = eight 3S' 1.a9. - i/z H.P. 2. Single piggyback mercury float switch or double piggyback mercury. float 98 Series_ _ Control Selection switch. Refer to FM0417. Model %!>+M.s-Ph Mode Amps Simplex: Duplex 3. Mechanical alternator 10-0072 or 10-0075. M98 115 - 1 Auto 9.0. 1 or 1 &7 - 4. See FM0712, for correct model of Electrical Alternator, "E-Pak". N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 10-0225 used as a control activator, specify D98 230 1 Auto S.S 1 or 1 & 7 - duplex (3) or (4) float system. - 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in sim- ' E98 230 1 Non_: 4.L 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice. CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, FM0514; All installation of controls, protection devices and wiring should be done by a quali- Piggyback Mercury Switches, FM0477; Electrical Alternator, FM0486; Mechanical Alternator, fied licensed electrician. All electrical and safety codes should be followed inchud- FM0495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and Cimplex Control Box, Ing the most recent National Electric +4de (NEC) and the Occupational Safety and FM0732. Health Act (OSHA). 'J RESERVE POWERED DESIGN " For'unusual conditions a reserve safety factor is Oi'gineered into the design of,%very Zoeller PUMP. MAIL T0: P.O. 80X 16347 ZZMZZZj-ff OI SHIP 70. s~, KY 40256-0347 Manufacturers of . SHIP T0: 3280 01: Pdillers lane n /f.7~ Zr QUAI/1Y/'l/MPS /NCF .p A Loui vide, KY 45216 (502) 778-2731 w FAX (502) 774-3624 903964 a O I . 1 I I - I N I ' OCC w tRN ' 1 I KKCNtN pµ 1 t01114 t 1100M 1 •C, iOPT. 1 1 1 O'-3'a 3'. 9' 11 6KItN i 1# 1 ar. , CAfE 1 M'ILK'/ ' xn0 ~ t'-If i q'-q', ' I 00 1 1 ' ~ a'at f' tQNI 1 I 1 z THE I I 1 ; Ora 010Nm11AL iwN Our HOUSTON .N 12n0 tt01100M i ~OI,StN MOON I 1 11 I I I ;IS'•1•a K'-3• ; :OP. 1 µ'.3'.N'.3• LN000 t00N ; "NON MODEL NO. 7028 1 ; ; I I 1 23'. a N'-7' I i t10 tmt00Yl ORDER NO. 26,008 I ~ , I ; I 1 1 ' ; I I i , 1 ' ; I 1 1 I I I I I I 1 67'-O' I 1 i ; Lam 'bn t ; . OPr. auN - 1, I uet 1 I xns 1 , 1 1 ' xns IItOR00M SRN w 4rN w tmROOM 1 -+r N 1 , I -1•i N'-1' I M'-t•i ~]'.1' ' 1 OR. 11' , 1 VrLmy CA7M lye, 0 0 1 Or[ em". ; 1 , 3'-1•i r r ; fRERACt 1 fANLr toOr, N' , , 1 OPt CA7N 1 1 1 -x•a 17'.1.1 I THE Al. , GALVESTON 1 1 1 ' ~r0. CATM. 1 ; nlnrtr I , ; i MODEL NO. 7028 1 ; 1 If.7 s li'-1' , ; N'-I'i 13'-f ' I 1 0„N,O tOON , 1 1 I ' g N' I• • •.N~•' q=='. i•' 7 ORDER NO. 26,009 srnavx. I , sin qvN. M yet},. I • 1. R6 eAru 1 1 1„ ~r I ® 1❑ 1 , 1 1 I I ' 1 1 I 67'-O' I w~N I 1 1 ~ ~ , 7=B a I7Y 1• 1 "l""' 1 ; 1 'Oo"i I I ' DRRO NOOM ; PMKtfR INrRsAr II.3'. IG•7' ;I9-1' a q'-s' I 17 C. . i 1 fANIL1' '-a' 1 ~ ' ' ' , 1 1 ' ' ' ' 1• oPT 1 ' I . ; 1 1 1 I 1 I 1 I , .DOO11 ~ I 111Nmr ; sm eA w. nwu.Our , 1 ' 1# BEOIOOIA I 1 ; 1 I IY.N : IS'-O' THE I ; ; 1 I 1 ; 1 I ; ; ' ~ EDMONTON MODEL NO. 8028 z w ttonoor SH 3[Ot00M 4w tmga+ W a. w. 7' d-5% xf-F, p S ; R 1 , ; , ; , 1# YTN ORDER NO. 26,012 I I I ' 1 , ; I 1 1 ' ~ 1 1 I I ~ 1 I 76'- 4' F. (R~oEP~r r , 1 N , Ste' 1 Lnw JIM BEDROOM 1 1 I L1~ tea 10 BEDROOM 1 FIREPLACE i M-e". 1!'-1' sale la'-1' 1 1 UTILITY I , 10 WITH O 1 I ' Sm CATN. ST0. CAT N. © LPF.I1 FAMILY ROOY i--- I , 1 1 THE M-2' 17'- 0 I 1 I BIEaf !f0. GTII. , 1 _ 1 I 1 I _ GALVESTON II N I OPr. NDf41' MODEL NO. 7028 PANTRY 1 1 i i ; A0.i GfH~ ORDER NO. 26,013 1 SUN ROOM ( I ,RN I"BID ro•-2•. 9'-!•, , NITGIEN , I OININS ROOM LIVING ROOM 1 !re BlDN0011 IPY-S'. 13'-I' IB'-e t IS'-1, 1 11'-7'. 13'. I' I I 1 1 1 we; OATH. 1 1 Sf0.' CATN. ' I ' I , 1 Op , , OPf. sUET cLOSer ' 1 1 1 SD, BT0. LIN. I I F. I ~ ® 1 I I i I I ~ I I I a I I I I I I j I It I ~ 0. BArM I -TIL.IT1Y KITCHEN I I DINING ROOM I FAMILY ROOM BUY ( 1 DEN 1 3 - 3". 10'- 7"1 10'.9. 13'-O" IIR)'- 10"3 13'-01 110' - 1 1 1 govtRB- I I I I I I I OOO I I 1 I I ~ I I 1 ES I THE o I DI~b I r" 11 I I WINCHESTER 1 uN. S.C. Ii B I 1 I I I I 1 STD. CNTH. TNRU-OUTI i , - LIN. If I MODEL NO. 7028 1 I I ; I I I I I I ORDER NO. 26,016 N BEDROOM I I I LIVING ROOM 1 I 2e0 BEDROOM I I I a•0 ~BEDROOM 01 IS, 0" I 2e I I Ix'- li • 1!'-0" 141.9" .Il3'- 0', ; I xx'- S".I13'• Berth I I I I ' I I I ~ I I I ~ I I I 1 I 1 I I I I I I i I 1 I I I i i I 1 1 , I I I I I I I I I I I I 1 I I I I 1 -A Mell 67' 0° 1 i 1 101- gel ~-OPT i OPi. SHWR. OCT. STD. I UN J i I I 1 lj~ OPT 4 th BEDROOM LAYOUT OPT: OCT. TUB LAYOUT STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ~.r11 r E~ v x) MAILING ADDRESS 6 3 4PT l?.c> 5 PROPERTY ADDRESS / q ~ 1 S ' S qO (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 1/4, SE_ 1/4, Section , T ZR N-R /F W TOWN OF ~'y'V 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. K, S IGNED rx DATE: I `~f St. Croix County Zoning Office Govemment.. Center. 1101 Carmichael Road Hudson, WI 54016 11/93 STC-100 This application form is to be completed in full and signed by the owner(s) of the ' property bean developed. g Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then ia 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 ~i~E ~~M/r'J/'.5/~ f~►,~'!~,✓ Sl - Location of* property XW 1/4 52~_ 1/4, Section 3 , T Z0 N-R W Township Mailing address G 3 13 2"3 ~fv so Address of site Subdivision name Lot no. X114- Other homes on property? yes L-~No Previous owner of property L 4vo~ Total size of parcel 3, 764iv S Date parcel-was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes ~Io Volume D L and Page Number lC~~ 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 & 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 e G , 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 County Register of deeds as Document No. Signature of applicant Co-applicant Date of Signature Date of Signature VtT_ 09Cl1taENT NC.~ rSrIATE BAR P IhISCGNSIN FORM 11 19b2 `t THIS SPACE RESEAVE0 FCA RECORDING OATH I +r 6IM CONTRACT Individual and Corporate II 505129 ` IODF USCU MR ALL TRANSACTIONS WHERE O 00019 k iNAN ~p AND IN OTHER NON ut SUMF'k' 1 ~C~ /~~t j~ - ~CTTHANSACTI~N31 - "rC~~V~~ilrp7~~oG^f1~1~~/Sr~Vr'iRi,~CE ++rtTrb. -•'1+ •E',k}.'^• r+, ►7,i• CROUP. CO,. iii M".. _ e~ d ` Contract, by and between l e laid ► Kp ~Sall$ _ Ol?=•Qlbr i G1ari+a J. A&musaen r,~y { ('.Vendor". SEP T 1993 whether on' or more) and' ~.A.I~C1t ea S a Alt.~li3 l ~~j $ft~ 30 A f G.era~ d.ine..Ca.mm.la.a M ("Purchaser". whether one or morel. It Vendor sells and agrees to convey to Purchaser, upon the prompt and full per'+alsardDebds 1 ;t forrnance of this contract by. Purchaser, the following property, together with the, ' = - rents. profits, fixtures ar.d uth.r appurtenant Interuste (all called the "Property"), County, State of Wisconsin: IRE TURN TO in... - I . Part of NWk of SEk of Section 3-28-18. described as follows.: ' Beginning at the 1 Northeast corner,' of the NWT of SEk of Tax Parcel No i+. 1 Section 3-23-18;_. thence South` 440 feet; thence West 475 -feet, thence forth 440 feet,' " 'll 11g thence East 475 feet to the palace of beginning; except the follow* I described parcel:. Commencing7on"the North line of said NWk"of SEk 'r 475'feet West of the Northeast'coiner"thereof; thence East on said North Ir line 254 feet; thence Sly 168.5 feet; thence Wly 249.2 feet to a point 161 feet South•of.'the point of, beginning; thence North 161 feet f to the point of-beginning . 1 . . ~ r d ~F f ~p 7 s - r ~ i' 4 fhes f s not homestead property, s 4' r 1 (iU (Ia nos. Purchaser agrees to purchase the Property and to pay to eri nn na$ 'h place ars reasonablX directed 0 2 ~od.bd , the sum of ~ . ~ S rQoo ,.»...w. in the fo ante (a) S >t . ....A , i at theaxecution of this Contrast; and (b) the balance of S ...1.3 00~ OQ together with interast from date Itereutun the balance outstanding from time to, time at the rate of _M_nine per cent per annum ' until paid in full, as fullows:: Principal and'interes.t payments to be paid at the rate of $200 per month,i ~I commencing September...15t -19931 and payable ore the 15th day of each , All•.pri"ncipal and interest shall be paid in full , month thereafter:-: tF' .ire:eighteen. . <18): months41- Purchasers "shall"pay interest-from September 2 through September "15, 'x ll 1993,..with such payment being credited to principal, t 'I Provided, however, the entire outstanding halant:4 shall be paid in,full on or before the 13 t -r day of ; March.....: 19.9 5'the maturitydatel S fr s ~ adz; s t t Following any default in payment, interest ha1Se~r4e_at the rate ots~ -."1. per annum on the snore amount 't indirfault (which shalrineluda without limitetiiob a tSq to it Intara.t and upon acceleration or maturity, the entire rc principal balance). Pa niswt .1 'filrand ect oiled ills., shce pi. Vventer ..tees tip epo, Payments it, these obfigations iviver, diee. iq_ is ankount. received by ihe ~4*46V-Far payn i,- j: a1 s1►a14 nab beer+oteresa. i' bwk.9 tithes vomisetequired by in... Payments shall be.applird first to tntrereic pit the unpa d balance at the rate specified and there to ;incipat. Any nv. amount may be prepaid without premium or fee upoi; principa at any time after-. ~ . nd!r M In the event of any prepayment, this contract shalt not be treated ne in default with respect to payment so lonif i i I as the unpaid balance of principal and intvreyt (and in such case accruing interest from month to month shall be treated as unpaid principal) is lees 4han'the amount that said Indebtedness would have been hod the monthly payments been it made as first specified above: provided that monthly payments shell be continued In thu rant of credit of any proceeds _ of insurance or condemnation, the condemned premises being thereafter excluded herefrom. I Purchaser states that Purchaser is satisfied with the title as shawn by the title evidence submitted u, A 1 +1t. t for easrninationexcept: Real estate taxes shall be pro-rated as of the date at closing. or 4114 Vendors will furnish one sedating"of"abstract,twh~ch Pu'ichSsers may have i) at any time requested; all subsequent redatings will be at Purchasers' expenses. Purchasers shall give Vendors written notice of any objectionil to title and they Will correct the same within a reasonable time. I~ Purchaser agrees to pay the coat of future title evidence. If title evidence is in the form of an ahatract, it shad ~I ' be retained by Vendor until the fu!Il purchase price is paid. Purchaser shall be entitied to take possession of the Property on....da a:...of....Gl Os.l.llg . tg-... •Cw..Dot-'Jn• ' . - ` ~ - - } 1 ifi 3 VOA 1O32PAGE 56e3' Purchaser promises to pay when due all taxes and xssewaments levied on the Property or upon Vendor's Interest in it 'and to deliver to Vender on demand receipts showing such paymert. s Purchaser shall keep the improveinenta on the Property insured againtit lose or damage ocrasinned by tire, exi ` t tended coverage pcrilr. and such other hazards as Vendor may require, without co-inaurane-e, through insurers approved I Ycnd er, in the sum of t1U11Q...-...,ld.nd... 0.111Y. but Vendor shall not require ruverajte in an amount more th;in the balance owed"under this rantract. Purchaser shall pov the insurancu premiums when dui. The pohcics shall andar interest Vendor oth a uirnltipo (tllicies• cuvuring !the Proisertyyash it he dep vat ted withnVende r. Purchaser , hallspc raptly rg ver noitetofalo to inauranee 'companies and Vendor. tlnlesa Purchaser aild Vendor otherwise agree in writing, en±urance proceeds shall 1Aig be applied to resturatio',o or repair of the Property damaged; provided the Vcndur tit-tint, the rentoratinn Or repair to be economicaily feastble Purchaser covenants not to commit waste not allow waste to he committed on the Property, to keep the Property in good telnuntaible condition and repair, to keep the Properlyy free from liens suiterior to the lien of this Contract, and to comply with all laws, ortiinancos and regulptionA affecting the Property. Vendor agrees that in case the purchase price wiih interest and other trionvvo shall he fully paid and all conditions endor will an demund, execute and dtavier to shall he fully. performed i.t the timer and in the manner above specified, Vendor, the I urchastr, a Warranty Uoed, in (ce simple,.of the Prnpcrty, free and clear of all liens and encumbrances, except any silos orrricumbrunceti crented by the act or defitult of Purchaser. and except: s~.mel~tg.:....Les..t.r...r.tion.s...... and.... rights.-of.-.wa.y...o ....record.,....i- any. : _ w - Purchaser agrees that time is of the essence and (ayin the event of a default in the payment of any principal or - . interest which continues for a period. or 60 days following the specified due date or (b) in the event *(so default in 4.: ptrfarmanet of any other obligation of Purchaser which continues for a period of ...6.0 days following written notice thereof by Vendor (dtlivtrod rersontell,y or mailed by certified mail), then the entire outstanding balance under this contract s - shall become immediate due and payalsl in full, at Vendor's option and without notice (which Purchaser heceby wai.cti): and "endue shall also have the following rights and remedies (subject to any limitations provided by law) in addition ►n thpt•e provided by law or in equity; (i) Vendor may, at his option, terminate this Contract nod Purchaser's riKhty, title anti interest to the Property and recover the troperty hack through strita foreclosure with any equit~y of `redemption tube conditioned upon Purchtrser'a full payment of the entire outstanding balance, with interest there,ri KIM the elate atdefdult of the rtttg in elfccit nn -such date and other amounts due hereunder (in which event all amounts previausly ppaid by- Purehatier sh..l he forfeited as liquidated damages for failure to fult'tll this Contract and its rental for the Prooperty if purchaser fails, to redeem); or (ad Vendor may sue her specific performance of this Contract to compel immediaw and full payment of the entire outstanding balance, with interest thereon at Ilia rate in effect on the date of e(efarlt and uther;tmorirtta due hereunder, in which event the Property tihnil bet auctioned at judicial sale and Purchaser r - rthall lie liohlt• for any deficiency; or (iii) Vendor mey sue at law. for the entire unpaid pun•hase price or any pttrtiort e = th.rt•nf or 60 Vendiq mn) ductare this Contract at tin end, and remove this Contract as a cloud on title in a quiet•tille ,:tion if thtj•equitable interest of i'urchasvr is insignificant; and (v) Vendor may have Purchaser elected from possession " ^3•; nC the Prbpt rty and have ti receiver appointed to eoUect any rents, tasues or profits during the pendency of any action : Ye tinder lip (iirnr (;v) obeys. Nutwithslnnding any ore{ or written statements or nelsons of Vendor an election of any of the foregoing, remedies skull only be binding upon Vendor stand when pursued in litigation and all et>.•ett anal .xpcne err : 3 including reasonable ottorneyet fees of Vendor incurred to enforce any remedy hereunder (whether abnted or not) to the dxtept not prohibited by law and expenses of title evidence shalt be added to principal and paid by Purchaser, as in cursed, and shall be included In siny judgment : Upon the ci-aimencemtnt or durin~gg the ppendency of any action of foreclosure of this Contract. Purchaser trnsents to the appointment of a, receiver of the Properly, one it i in r homestead u►terrst, to collect the rents. trues, am prnfls of the Prespert}}• during the ppendency of such Action. and Hucb rents, issues, amt profits when so ember d blond be7teld and apphsd ass tharoort. shat) direct. Purchaser- shalt not transfer sell or convey any ItCol or equitable tnierest in the Property (by assignment o any tit 1 yeharer's rights under this Gtontraet or by option, Ic.ng•tggrm lease or in any other way) without the- prier written cnn,rnt.of.Vendor untrin either the outstanding balance payable under this Contract is lir+t paid in full or the interest ,;onveyed-se u pledge or aateignment of Purchaser's inters>t under this Contract holey as yacurity for att indebt.'dutsis of iturchaecr. in the event of any such transfer, soli or conVevance without Vendor's wrtttcn c.tnsrett, the entiretaN+tand(nlt - balance payable under this Contract shalt become immertintcly due :end payable in fold. at Vendor . oplinn without nituce: 'Vendor shat{ make alt payments when due under any mortgage outstanding against the Pruprrty on the date of I by Purchaser) or under any notr. secured thrrct+y provided Purchaser tlu, f ontract (except for any mortgage ttrante( makes. timely pityinent of the asnounts llten due- unJer this Contract. Purchaser may makw any such payments direedy to the %Virtgagote if Vendor. fails to do sts and all payments so made by Purchaser shall be ronside. payments msds on thib Contrue;L Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms, of this Contract shall ht binding upon and inure to the benefitis of the heirs to". I represeniatives, successors and assignx of Vendor and Purchaser. (if not an ownor of the Proper! the spouse u? Vendor tar is vnluuMe consideration joins Heroin to release homestead rights in the subject Property and agrees to join in the exeruttoo of the dude to be made in fulfihmcnt hereof.) - Date d thi 31s day of.....August.......... .19...Q3t f 4 so Leland R Wolff adreas...C... en ' ng . tSEAW (SCAL) •Gioria J. Aern-seat;:. •..'GL'~idline Ca.n...is.,H.. AUTHENTICATION ACKNOWLEnOMENT STAIF Or WISCONSIN ' signature(s).... .4: a.i► a;:, . Rcilf glint. ee, , and Gloria J Asmussen...tf.: `....t.... .....1`uuruy. 3l . Personally came before me this day of authenticated then day, of 93 , 19 93 the ahnve named „A., teas MenSing.an a1~.i raise /J rc. 4 • L• Gayle TITLE WMEtER STATF; 13AR OF WISCONSIN t me known he the irsrson S who, executed the o foregoing instr ent and acknowledge the same (lf not.,. .'{lit. authonted by.. § 90f106, Wis.bless ) 000, THIS INSTAUMENT WA3 ORAFTEO By /r C. [ . Gaylord,...A,ttor,ney • / V e.>~ ..F'a l l s , S+1.L....:.54.02 2 Na X"IPublic...... e',~r Cooney. Wis. My Commission is anent. (If not, state exptratton ISignntures maybe authenticated or acknowledged. Aoth are not nectesarYJ date:..../!?' . t9t73 •N"M*1 4 perevns AijlninR sit any espscity should be tYpeel or printed