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HomeMy WebLinkAbout020-1170-90-000 d,LiN 7, Z9. 15'• 4Zo-- l/76 -- 76 4 55 23q5 /rite'. �' rep sr FAO yoMMUNJT�o✓oLIAI '..vj%r, FIELD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER / A.C.E. 50:/1 sac EA44442,4.1s,,L..t.e, Installation Address: 3 / C�, Name: ,es k.'"7" row-6 414. Owner Name: /'17,' .e� 7~ n .etL 2r' ' Street: 3 �Qq,M„ son (.1C. G.e. Mail Address: 358" , �` ) 2d, Mail Address: /- '7 City /-4-4-i.5 Gr, State C.c' Zip 6--540/4 City �3000ei. State 4.01 Zip SY02U I { / Phone (7/ 316- Fir- Phone .074...c .7 7Fax m e- ail O/yo e-mail 4.0.50i/aF 20716C' .44'6. INSTALLATION INFORMATION Model No. Blower Brand and Serial No. Date of Installation Date of last pump-out S/uc4 Arrin40....--- Size , al. 7 .20/02 5 EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS- OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating • (if present) !/ Blower(s): .„ Air Inlet Filter Clean Blower Hood Vents Clear a� Excessive Noise Excessive Vibration Y Treatment Unit(s): • Unusual Odor , J./ a„eso, „4 ,� System Vent C / Pumpout Required: Primary Settling Zone J Aerobic Treatment Zone ���- EFFLUENT: LIMIT =IT_Estimated Daily Flow .H Standard Units 6-9 S.U. ,-I I . / __/ / ,_,i , Ii - �? , Color Clear Temperature Dissolved Oxygen(effluent) 2 mg/L Odor Slightly /ic` yt ,Op1.6-oi"itetara, -�i t C"1.-- iz/op//V. Musty odor O 1dc�f idp&,—C31 C v6 : ,?/0 60 (not septic) OWNER SIGNATURE TEC"NICIAN S URE SERVICE DATE ,,�. ., .5— ,_&-C.., / ,2o/y • 1�Zb - //70- coo RED' CROIX COuNTM ;OMMUNIV O���LOPMEN7 FIELD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: e/ / 0', Name:--:t� f, ...� Owner Name: Street: 3 /4a"4S . 4,c- \-fail Address: .35�8���ec.c� 2�[ Mail Address: 45ow"e. ' City �7`u.c�SGr7 State LA) Z p City Ca5CW62. State LZY Zip 5'W24 Phone Fe,, (7jyimLmTFax e-a}ail D/�o e-mail INSTALLATION INFORMATION Model No. Blower Brand and Serial No. Date of Installation Date of last pump-out S l Size EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS— OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panels Visual Alarm Operating Audio Alarm Operating / (if resent) V j Blower (s): 42 Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise J Excessive Vibration Treatment Unit (s): Unusual Odor t�.,., System Vent i Pum out Required: _ Primary Settling Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESTJLT j Estimated Daily Flow H Standard Units 6-9 S.U. Color Clear — 6wt0- I Temperature i Dissolved Oxygen effluent 2 m L i Odor Slightly Musty ocjo not se tc OWNER SIGNATURE I TECFIAIQAN §2 URE( j SERVICE DATE 620 1176 yo - 1160 7, 2q, /q. 10(04 #J5 o r, FIELD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: ' j (� d Name: Owner Name: Street: 3 . e-A Mail .address: 3 /Zcl, Mail Address: toe"c_ ' C'11) ALd5e,r State LJ Zip 55/0/ City Q25CrQD40i State Zip SWzO Phone C7/ 3�'4— Fir- Phone ;r/..6A4t;L7tV'Fax I e-mail 0& e-mail INSTALLATION INFORMATION :\Model No Blower Brand and Serial No. Date of Installation Date of last pump-out i 3 / Size A / EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS- OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating (if resent BIower(s): Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit (s): Unusual Odor System Vent jor�-� 2 lc�n Pum out Required: d✓ 't Primary Settling Zone Aerobic Treatment Zone ✓ S 2 3 5 4 'e- S EFFLUENT: LIMIT RESULT ort ! ce o - - Estimated Daily Flow H Standard Units 6-9 .U. Color Clear Temperature Dissolved Oxygen effluent 2 m /L Odor Slightly Musty odor not septic OWNER SIGNATURE TEC ICIAN SIG RE SERVICE DATE Ir - JAN a 6 ST CROMCOUN►r 70 / 000 - 7. 2- 9- /q , /d 4, FIELD INSPECTION & SERVICE REPORT #aAoA INSTALLATION AUTHORIZED SERVICE PROVIDER Sa ^s: ,iatioil Address: '/ 11'a o/ Name: 4, ,._. 0wner Fame: Street: 3 . G.t, \I i! Address: 3u8y` Mail Address: 45a#Mg— /ficcc�Srirr State Cc' Zip SS/D/ city (Q. C206- State Zip t'S'rrMO 3Yee— Fa, Phone (pged zS*7XrFax - aii O/fo e-mail INSTALLATION INFORMATION Model No. Blower Brand and Serial No. Date of Installation Date of last pump-out S / Size EQUIPMENT DETAILED COMMENTS OF SITE CONDITION'S — OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s) Visual alarm Operating .Audio Alarm Operating (if resent) E31o��er(s): Air Inlet Filter Clean 3'Icvver Hood Vents Clear excessive Noise �\cessive Vibration Treatment Unit (s): '—^usual Odor S�SfefTl \'enI Purn out Re uired: Primary Settling Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Dailv Flow H (Standard Units) 6.9 S.U. Color Clear — p (em pe rature Dissok ed Oxygen (effluent) ? mQ/L Odor Slightly Musty odor (not se ;c) O`VNER SIGNATURE I TECI NICIAN SIGN SERVICE DATE '01-3 026- //70.,- 90-cce, J/ 7, Z`'1 , `7 . /a04 JUN 19 Lu io X4056" ST CROIX COUNTY FIELD INSPECTION & SERVICE REPORT INSTALLATION I AUTHORIZED SERVICE PROVIDER 46.67 5o41 5,-113e Ev244.4 4.s,L,4e. installation Address;�j`�� a e c1, Name: 41.Ad. - ,.,,�.0.•r• O�r,er Name: /It,'�J , p (JF r Street: 3 j 0Qq,M,I„So.? G,� Got. ,,. . '::dress: 3c,is—, JRe /2d. Mail Address:62,.,1e. /-44-,15 e-,---) State U..) Zip S-5/6/4 City QZ3C+206i. State tO' Zip SWZ-.O Mont: (7/ 3/6- F.ar- Phone �'/5)Z -nOrFax i �O :-4; e-mail Ci.Cd.SOI/arArn6Vent.4.r(G.6 _ INSTALLATION INFORMATION __ 1. c' No. I Blower Brand and I Serial No. 1 Date of Installation l Date of last pump-out (4cJ / ,n Size I- 0 . 7 -2.07,2. 5 O EQUIPMENT . I DETAILED COMMENTS OF SITE CONDITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s) I _ is_I ;alarm Operating i ✓ _ A::ciio Alarm Operating if present) : ✓ _ t3los�er(s): — Air Inlet Filter Clean ✓ _ _ :3io—er Hood Vents Clear �1 - 1 ✓ t - - icessive Noise �- H-v.essive Vibration _ Ireatment Unit(s): t nusual Odor — System Vent Purnpout Required: Primary Settling Zone ,erooic Treatment Zone ✓ _— EFFLUENT: LIMIT RESULT ti_ q g'r , (or , ..,. cm e-Fe1- .,e-A.e,0. - Estimated Daily Flow H t e, -21 (Standard Units) 6-9 S.U. , Color j Clear I °re-/ Temperature 1 I)issols ed Oxygen (effluent) 2 mg/L t Odor Slightly es-S',..4611 Q� ��y dr y Musty odor , •(not se.ti,aism,,,,pi OWNER SIGNATURE UII-INICIAN ,NATURE I SERVICE DATE --.... i o20-- //70- 90 .- or--1Q , 9 J�N S� GR01X COVN� FIELD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER '/ ,'t' !.4: 30;1 I(5,-te EkW a. 4s,L.4 e. Installation Address:3�T / (J�) / d. Name: 'wit-w,us,;d!? ,r,�64..—. i Owner Name: /Y�,' ,r g'A n fit`' r Street: 3yp i4a,�...50.7 . (0.c, \!ail Address: 3sLg�r�-Cc.J 201. Mail Address: a. 1. Citn /fic.c.or!Srir-) State(.c' Zip $3/D/4 City 03020& State c.O/ Zip SVOZ-0 Phone (7/ 3/16- F-ax- Phone .('/; .Lf�'7 tFax e..a�ail O/}o e-mail CECG.SOi/aFr"s te ,44.6 IN_ STALLATION_INFORMATION \'todel No. Blower Brand and Serial No. Date of Installation Date of last pump-out S l c t<r i l-1srbeg.e- Size z _70/A 5 EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS- i OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED ' Electrical Panel(s) ' Visual Alarm Operating ' Audio Alarm Operating . (if present) ' Blower(s): Air Inlet Filter Clean {/ Blower Hood Vents Clear _ Excessive Noise J Excessive Vibration Treatment Unit(s): : 12 nusuaI Odor r� System Vent Pumpout Required: Primary Settling Zone _ Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Daily Flow pH (Standard Units) 6-9 S.U. �" � / Color Clear qtg r - "C L,,,,,Il II �%,,.,,1O-c„ca- lids in Zit Temperature 1p�/ 'o 1,.,,y j/��c, Dissolved Oxygen (effluent) 2 mg/L Odor Slightly \f ��j F� Musty odor 1 .� C,,l'�t�-2�d� - Y (not sep'' ■ , / OWNER SIGNATURE TE NICIAN„au, ATURE 4 SERVICE DATE 14��L5t�� Al...., - - ?--0, .2_6ta ~ o I a-0i ° I ~ °o I N ~ 0 O v> d ~o Do a~ I d 4 0 o o y Y N y U_ a) d ~ O Z i N N~ N w ~ 'o r O ~N Y c m c(D m m w € m Cc (D otsv ac 00a4) iym a C L y 'O N y (D 'a a) - to O a) a) m d m y x 2 Ma w a) N O CO N N Q E~ c - m w. m r O (D 4) m U C O O - L a) - Of O C C C c O O) o f ~~t a CL o CM (D 0 O C m i0 7 M C U a) C y C 'O O fn y E y o O a f a) N N Z m Z U U m m ur o c w c c 0 3 -m o mc 0 a~- m m - 0 n 3 m a)- a o " m._ n m C LL 'S N N _ .0 L m tF LL .0 Q ` C 01 N L 4) Z) S 3: a) 0 -0 co 0 Z, M M ''0 N N ¢ yr E z y a) Z _ O m 0 d p O a O z C V H m m d m n ~ sl m ~ I I c Ii ~ ? I I c t7 0 -0 '0 O z :t a w! 'oo o w w o .y N F I' ~ U aci ~ rn ~ c E E 0 -0 O E N N a) O N N cc 0 W - m a) (mil V O- Q-' O N O- a' C C (O 1~ N y y N can a) (a a L p d A551 m m 0 N m _U A-) O O = z m 0 Z m z O Z O: r: y w N Y E Z m aci W Lo 10 m -mi co w t~j o a r o , a« Y ~~vww a) LO c G D a` .0 a ' D a` n E J rn f2 _ _ W F- H a L L C H H H o a) v = 0 0 0 H v 0 0 0 a ca 3: m U) a~i 04 o ° caoo co 000 N J V •O z O O > z O LO n rn O N O 00 CC) C) 0 C> N Z tj~ O O N N N N N CO C) M CO O C = m C a 0 CO CO to C 'a y 6/ 00 y O O) d Q d m ¢ A U) M ¢ z U) o 0) U) ~w C as o c ) ~l ° o m H c O o"t c : m `o v E CL `o ,o ao o N M n 16 ° o a°i c c aa as c c a °o °0 0 0 0 0 y C ] y y 'O N N N N N N O ° am ! o(D p 5 c M 0 o N N l 0 r- U) C of 0 U) s o o c m M E° = r - N N 7 E C t N n 7 N O 0 m O O y O O m U • N O O 2 LL LO O z a. z m r O Z N H Z tq `O r^ ik = £ o a L: (L ~ X0.4` • O a a) y c d m c o o r A tia2 Oa0 0U)L) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 552393 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Fletcher, Michael & Ann Hudson, Town of 020-1170-90-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: M I -'ST 07.29.19.1064 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~ 1 »sl a. f AcD Benchmark z . 's4 d 7: i Dosing Alt. BM -j 'i F~ Aacatien Bldg. Sewer r"Iik, Aa lak Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 1n1~ ~~os Cc7 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD QLInIet.. Septic 91 Betio Header/Man. '*1 Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model r ber TDH L' Friction Loss System DH Ft Forcemain Length Dia. Dist. to Well i SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: L'>;P5 44-1 UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes Fm-] No N Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 348 Highview Road Hudson, WI 54016 (SE 1/4 NW 1/4 7 T29N R1 9W) iiEdgewood Estates III Lot 94-95 Parcel No: 07.29.19.1064 1.) Alt BM Description = a: tL ~ ® r/~'- 2.) Bldg sewer length = " + amount of cover= ~ 3 rZ r^ i,Gl 111 ~ WWW an revision Required? ❑ul Yes No C1 -7 i Pl Use other side for additional information. 9 / 1 SBD-6710 (R.3/97) Date Insepctor' gnatur Cert. No. $p ~ ~'+',""~i~Ety and Buildings Division County St. Croix ashington Ave., P.O. Box 7162 Madison, WI 53707-7162 Sanitary permit Number (to be filled in by Co.) M7 Sanita J~ 3 Per f~ " ' ~~Z In accordance with SPS 383.21(2), Wis. A m Co e ion ` 'r ion Number is required nor to obtainin a sanit ~ is on of this form to the p g aTY Permit. ceN e: s Department of Safety and Professional Services. Application forms for state-owned appropriate are submitted to the Personal information you provide may be used for secondary oses in accordance with the Privacy Law, s. 15.04 1 m Project Address (if different than mailing address) I. A lication Information - Please Print All Inform ton Property Owner's Name Same Mike & Ann Fletcher Parcel # Property Owner's Mailing Address 020-1170-90-000 348 Highview Road Property Location City, State ~ Hudson, WI Zip Code Phone Number Govt. Lot 54016 (715) 386-9016 SE NW Section _7 II. T pe of Building (check all that apply) (circle one) or 2 Family Dwelling -Number of Bedrooms Lot # T 29 _ N; R 1- 9 E or W 3 94 & 95 Subdivision Name Public/Commercial - Describe Use Block # Edgewood Estates III Na ❑ State Owned - Describe Use City of CSM Number Na Village of III. Type of Permit: (Check only one box on line A. 0 Town of Hudson A. El Complete line B if applicable) New System El Replacement System ❑ Treatment/Holding Tank Replacement only er o r rc ro axis ng B El explain) Permit Renewal Addition of septic tank & Fil Permit Revision El Change of Plumber ter Before Expiration ❑ Permit Transfer to New List Previous sued # 112775 issue 9/081 88 01 IV. a of POWTS S stem/Com onent/Device: Check all that a 1 Owner Non-Pressurized In-Ground ❑ Pressurized In-Ground X El Holdin T El At-Grade El Mound 124 in. of su g ank ❑ Other Dispersal component (explain) - e soil El Mound < 24 in. Pretreatment Device (expl " Sludt?e Ha e s " V. Dis ersal/Treatment Area Information: Pol Lok PL-525 effluent filter to be installed Design F low in new 750 al. se tic comer 5-46 ATU (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Pro osed s 450 Gpd 0.20/0.60 Gpd/Sq. Ft, 750 sq. p (fl System Elevation VI. Tank Info 828 Sq. Ft. Existing 88.42' Capacity in Total # of Gallons Gallons units :at 5V Manufacturer New Tanks Existing Tanks AT() Septic or Holding Tank 750 Wieser , n4J'/w y A 11000 Weeks 1,750 1& v on w t7 p Dosing Chamber Wieser & Weeks Concrete VII. Responsibility Statement- I, the uncle ~ ~ r X lt/ll Q ~ Gil i Plumber's Name (print) Pled, Plumber' me responsibility for installation of the the POWT OWTS show own on the attached plans. James K. Thompson ' Signature MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) MPRS 30021 (715) 248-7767 340 Paulson Lake Lane, Osceola, WI 54020 VII Coun /De artment Use Onl Approved i] Disapproved Permit Fee Date Issued IX. Co El Owner Given Reas on for Denial $ ~®0 . dO suing Agent atuye~ G~ %9ft [/Reasons for Disapproval / 1 Septic tank, effluent filter and~s~rvCT~~/!L dispersal cell must all be serviced / maintained / as per management plan provided b OA 2. All setback requirements must be maintained rU the system and submit tote Co 0 ty only per not less than 8 rn x 11 inches in size SBD-6398 (R. 11/11) ~ Index & Tilte Sheet - Conventional POWTS Rejuvination Project Name: Mike & Ann Fletcher Conv. Rejuvination W/ SludgeHammer ATU Owners Name: Mike & Ann Fletcher Owner's adress: 348 Highview Road, Hudson, WI 54016 Site address: Same Project Location: Subdivision: Lots 94 & 95, Plat of Edgewood III Legal Description: SE1/4 NW1/4, Sec. 7, T.29N., R. 19W., Town of Hudson, St. Croix Co., WI. Parcel ID 020-1170-90-000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calcualtions Page 4, ATU Specifications Page 5 ATU POWTS Agreement Page 6 ATU POWTS Service Contract Page 7 Filter Specifications Page 8 Septic/Filter Tank Cross Section Page 9 Septic Tank Maintenance Agreement Page 10 Certification for Utilization of existing septic tank Page 11 Parcel map Page 12 Waranty Deed Attachments: Soil Evaluaiton Report Mater PI icted Service: James K. Thompson, De 't. of Comm. Cr 1 #30021 Signature: srjy -S Date: Page 1 Of 12 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) / o6s¢~ca~ia~~i E ♦ EX,:l ~''c e l a,f Ioc~.•cp..s~ c A7, .4nrl h'/e~ /i er,D~go 3 yg h~~.fvc.~~~d Y ~I 9S/~95, f~/a~a{'Ed~[wrod, Ste. 7, r~9n., R i94z,T 19(p, 74' 010 -0 -90-4tte s~ bei•,~r. / s//acr~.s. hea~,~y E)(~sE;n~ dTS s~Cel~aU4 ex. ",)Coda SysEer, tai be ~cc~nne~'Ee.dQ~~ a 64 o~di Nt~Sr"a+'I va.PvC For / 462. UPS ~ of 1 J 2 n c ~ M e.~i! ~ 1~.. O~o''►~ '`~{3yS elty =88.y2 - /.cwn Sid, at K•u-• Cwnc r'of o ~XiS~ikJ~X sl CL) 6" cl't 9~ IOU . f ss,cmr~ a M sitid .ra~bc ar ~F„ ,ma c ~M- Li...r: Ex sz`r'~/y NIM z1v i ` ,?i~~ing Py CovGr, E> ° 9888 ' i Af,der g IIA4 1 ho (e ~n~ / ~c/G1f rte IrroPo c~~sri+ ~ ' c~cre~ sn8},Q., 4t~'r ` dyY%Sti~MJ SeP~'C trr.~~'. eFFiyl~°rp(` a✓. j _~~fL ~as Aeoo- c( • ode„ Lawn Lod 95 i, i 9~8r~ L~q'S~o,P,n ~cGO- t,Jwa(ecl a , $2 q ~ o f 0~3 96 9s' a~ aqo xp~ C9`' ~l Q0.J,C~ W ~j 2 OIc 1.2 DISPERSAL CELL SIZING CALCULATIONS 1. (3 bedrooms)(100 gallons estimated flow)(1.5 design factor) = 450.00 Gnd design flow 2. Infiltrative capacity of native soil = 0_gpd/sq ft eff quality #1 / 0.6 gpd/sq. ft. eff. quality #2 3. Absorption area required: 750.00 sg. ft. 450 gpd/ eff. quality #2 at 0.6 gpd/sq.ft. 4. Absorption area - Existing: 828 sq. ft. Existing gravel & perforated dispersal cell installed at 18' X 46' as per inspection report. Pg. 3 of 12 SludgeHammer' Group Ltd. SludgeHammere 336 S. Division Rd. Petoskey, M11 MI 49770 Ph: 1,231,348,5866 Toll Free. 1,800,426,3349 Fax: 1.720.834.3102 www,SludgeHammer.net Sludge Hammer Specifications ?'he SludgeHammer represents the first significant advance in Aerobic Bacterial Generator biotechnology since we presented our original technology over five years ago During that period, this technology has been installed in thousands of units. Drawing on this extensive experience coupled with an active R&D program directed by the originator of the ABG concept, Dr. Daniel Wickham, vVe have dramatically improved on the original with the Sludgel-larnmer. specifications 5-86 chit S-46 unit Recommended 1; Recommenaed for larger residences for single-family and commercial residences up to r applications, bedrooms. Dimensions: Column diameter at top: 12` 12" Column dlan-leter at base:. is'" 15" Total height: 36" 36„ lectrical Service: 110 V, 60 hz.. 15 amp. 1i0 11; 60 hz. 15 amp. Power draw: 60 watts - 1. amp 40 watts - 0.5 amps Air delivery rate. 15 CFM Sul 2.0 psi 1.7 CFM c: 2,0 psi Liquid mixing rate: 30,000 gpd 4~ 4 Font depth 22,600 gpd @ 4 foot deptl: lfixed filth utilization factor: 350 gal M2/day 240 gal/ft2/day • Organic digestion rate: 3-6 lb/BOD/day 1.5-3.0 la BBD/day Minimum depth of tank; 40 inches 40 inches Maximum depth of tanks 84 inches 84 Inches Single chamber tanks: Mlnimurn 800 gal. Minimum 500 gal. c>~ Maximum 2,540 gal. Maximum i'500 gat. he `1 Multi-family or rrt commercial installations. S-86 Sludgehammers can be installed in multiples with supplemental air diffusers, Domestic headworks strength: 5-10 lb/BOD%day for single. S-86 with supplemental air. Maximurn tank volume: Contact your local dealer r c s; 'ns ;-sigh strength loads. for design details. o „ v SludgeNamrrterGroup Ltd, recommends installation in tanks prov~ding a rq' I! minirnum of ?.5°3..;' day hydraulic retention time. Air -,•,np 110 Vac pir i , _ in sip Service n v- ut,er ~ ~ ~ F„#f'4en2 ,y f !ter Inlet 1 ' Outlet Aerobic ~.luda_Hanuner ~ F Bacteria Vi ~ rc:OMS - gorous Generation ..^,rlaticn System r , r a Document No. ` II 4 II MINI III I III 1I NII III I POWTS AGREEMENT 8 0 640455 8 959767 BETH PABST Owner name and address: REGISTER OF DEEDS ST. CROIX CO., WI Michael & Ann M. Fletcher RECEIVED FOR RECORD 348.HighviewRoad 07/11/2012 3:41 PM Hudson. WI 54016 EXEMPT REC FEE: 30.00 This indenture, made by "owner" and their successors in interest, own a PAGES' 1 POWTS (Private Onsite Wastewater Treatment System) requiring regular Return to: monitoring and maintenance in accordance with the manufacturers recommended procedures. These procedures must be performed by a manufacturer authorized St. Croix County Zoning Dep't. service provider licensed by the State of Wisconsin to perform these services. 1101Carmichael Road Results of these procedures shall be reported to the appropriate Governmental Suite 1200 Unit as required by code. Hudson, W1 54016 Location of POWTS: 348 Highview Road; Lot. 94 & 95 Block: Na . Subdivision/CSM• Edgewood Estates 111, being part of. SE'/.N W'/< Section 7 T 29 N R 19 W Tn Of Hudson St Croix County, Wisconsin. Parcel Number: 020-1170-90-000 POWTS DESCRIPTION: Sludge Hammer S-86, pre-treated effluent discharged to existing in-ground dispersal component. OWNERSHIP RIGHTS AND RESPONSIBILTY FOR POWTS: Property "owner" as described holds sole ownership rights. "Owner" is responsible for insuring inspection, operation and maintenance of POWTS. lqf.ner signature) (Date) it7,cAlde/ ~77e&~ (Owner signature) (Date) Acknowled et± ment: e "ed;-Michael r, known to me o be the person execut' the foregoing 2012. Fnent. ;.0scribed and to before me this day of 7:. LO ' ~kY BL. ; tate Wisconsin !y-C.9mmis9iq ~'Expires: September 6, 2015 Instrument Drafted By: James K. Thompson 1 of 1 POWTS SERVICE CONTRACT The proper operation and maintenance of the components listed below will significantly influence the performance and life expectancy of the POWTS (Private Onsite Wastewater Treatment System). This agreement authorizes A.C.E. Soil & Site Evaluations, L.L.C. personnel (Service Provider) or their representative access to the POWTS components during regular business hours to perform regular inspections and routine maintenance of those components. It is herby agreed by and between Purchaser and Service Provider that in consideration of the payments provided for herein, Service Provider will provide a manufacturer trained and State licensed inspector to perform periodic inspections of the POWTS components as set forth below. Service Provider will prepare a written inspection report after each inspection containing any recommendations for the operation, maintenance, and or repair of the POWTS deemed appropriate by the Service Provider. A copy of the report will be provided to Purchaser and the appropriate Governmental Unit. Service Provider will supply additional services, parts, or labor only after authorization by purchaser. This agreement does not assume any responsibilities or obligations that are normally the responsibilities and obligations of the purchaser and does not cover any costs associated with operation, maintenance and or repair of the POWTS. In no event shall Service Provider be responsible for any special or consequential damages, including but not limited to, loss of time, injury to person or property, or incidental economic loss due to equipment failure for any reason whatsoever. This agreement shall remain in effect for a period of two (2) years from the date of POWTS installation, and will be automatically renewed each year thereafter unless amended or cancelled by either party with 30 days written notice. This agreement may be cancelled by Purchaser only if replaced by a service contract with another service provider authorized to inspect and maintain the specific POWTS components in question. Purchaser agrees to pay Service Provider the sum Of 125.00 per inspection. Four (4) inspections will be provided over the first two-year period at six-month intervals. Payment for the first four inspections will be included in the cost of the POWTS design. One (1) inspection per year will be conducted thereafter with inspection fees billed at the time of inspection. POWTS DESCRIPTION: One (1) Sludge Hammer S-86 pre-treatment unit, pre-treated effluent discharge through 750 gal. settling chamber to existing in-ground dispersal component. POWTS Location: 348 Highview Road,_located in: SE '/4 NW of Sec. 7, T. 29 N., R. 19 W., Tn. of Hudson, St. Croix Co., WI, Parcel # 020-1170-90-000 Owner name and address: Michael & Ann M. Fletcher 348 Highview Road Hudson, WI 54016 (Owner signature) rZ~_ (Date) Service Pro C.E. Soil Site Evaluations, L.L.C. 340 Paulson ake Road sceola, W 54020 (S Provider signature) e) Instrument Drafted By: James K. Thompson P 6 6Fi~- , • ® Filters PL-525 EFFLUENT FILTER W061ML R I L) Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters.The PL-525 is rated for over 10,000 GPD Alarm (gallons per day) making it one of accessibility Accepts PVC the largest commercial filters in its extension handle class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the new Polylok PL-525 has an automatic shut off ball installed 525 linear feet with every filter. When the filter is of 1/16' removed for cleaning, the ball will filtration slots Rated for over float up and temporarily shut off 10,000 GPD the system so the effluent won't leave the tank. No other filter on x the market can make that claim! Accepts 4° & 6° SCHD. 40 Pipe ;.x? PL-525 Maintenance: The PL-525 Effluent Filter should operate efficiently for several years under normal conditions before 6< ` requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or t' at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be Gas deflector done by a certified septic tank Automatic shut-off pumper or installer. ball when filter is removed 1. Locate the outlet of the U.S. Patent No# 6,015,488 septic tank. 5,871,640 2. Remove tank cover and pump tank if necessary. PL-525 Installation: 1. Locate the outlet of the 3. Do not use plumbing when septic tank. filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL-525 out of the housing. mercial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the 4 o tank. Make sure all solids fall or 6 outlet pipe. If the filter is not centered under the back into septic tank. access opening use a Polylok 6. Insert the filter cartridge back Extend & Lok or piece of pipe into the housing making sure to center filter. the filter is properly aligned and 4. Insert the PL-525 filter into completely inserted. its housing. 7. Replace septic tank cover. 5. Replace the septic tank cover. P D z x N D .Z7 m z 61 " 84„ c D 0 A 42„ o z m -4 N -I O rn m m 0 I \ m UP 41" N 4" CAS r 0 0 3„ 37„ I 4,. I I -0 F a) j D < < -n N Fri UP 39" rn 1 r O D / 4" CAS N I \ / N V ~ ;n C m 0 T -0 p CJ O s m o 40° m °onz r m D D (n co D o m > I O D N M 0 --4 A D 00 r A mm X A C7 2 D Z 0 m c D0 D cn zA O =r Z Z D r 0 m m m 0 -4 -1O n Z ODZ p ^ > > m0 mD00D N A~ m to D O COO c7 O*Z D~Z p r ir-O m x x my z 0 pE~-1 'D9 51105 innp ipO C-) 0rV) z V) ~p 0 co m ~rZ n AZC -1cDi)C m ~m c n X m (n- r-1 ~Cm0 -0.. OZ G) N m \ z = K~ Z O m OD N Dtn~ DDS 0- K -Dirn~ N (n p Op m to I O m m rr* m -I cn n L7 to ~s c: ONO (n0~ D r D N\'n'A <Op n ~I o v n V) z c: 0- rmmr O -0 0 o Ao n 580 z 0J 0 m -)m m W 503 A i7 TI m O vii r < -n z (7W D p0 \ 2rZ rD-O :wTn u c C) a) Z 0 DA O 0~ g ~o~ o~ o D V) r A m p v ~ ~Q 0 0 0 < N co _0 p N z ;o ~ D (Z') z Vl A ~ 2 NO m r m cl) 0 v r f~ W z G Z r A D H ~ m r~ r ;o m 0 \ m WLP750-MR MIERER COt1CAETE DRAWN BY: SME SREV. 1/4"=11-0" PRE-POUR: ~ SEPTIC MANUAL W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: JANUARY 2012 DATE:. POST-POUR: \ ° REVISED JAN. 2012 800-325-8456 FILE: WLP750-MR P8 ~ dPi2. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner &64'_ .4 #In Mailing Address Property Address (Verification required from Planning & Zoning Department for new construction.) ,20-1117()-90-~V F City/State Parcel Identification Number 0 LEGAL DESCRIPTION Property Location 5 `/4 , /1&) `/4 , Sec. 7 , T -2-f N R/17_W, Town of ~ Subdivision Plat: 4.s6?_~s -224-- , Lot # 0 s-- Certified Survey Map Volume , Page # _ Warranty Deed # 5 2 ( (before 2007)Volume /o6 Page Spec house 0 y~3~-rso Lot lines identifiable e'y es SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 09/07) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF E\ISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: /,q,-/<-/e 8`-~~► ~~e~r tStreet address) 3;68 located at E 4. o,1eJ' 4. Section Town ~ N, Range_ T0~~, n of , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s)to be functioning properly. Most recent date of' inspection or service Cy Did ilovt back occur Iron absorption system? Yes No (it' 110, skip next line.) Aj)p1'0.X1111ate volume or length of time: - gallons _ minutes Tank Capacity: ~ Consu-uction: Prefab Concrete Steel Other \Ianulacturer (it ks~o~~'n): cJ~e~(S os cieee t Tank (if known): 2111 Permit lumber (if kIlown a 77 i 55ue-,/9/09 eLS icensed Plumber Signature) (Print Name) 1_11k: (License Number) : 11?IZS D,Date Form to be completed by, licensed plumber (Dept of Commerce Chapter 5 and s. 14 .06, \Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin .~tiministrative Code) R:~ . 9 2008 2224 SOIL EVALUATION REPORT Page I of 3 Wisconsin Department of Commerce A.C.E. Soil & Site Evaluations Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code PA Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan ounty St. Croix include, but not limited to: vertical and horizontal reference point (BM), directio Parecel I.D. percent slope, scale or dimensions, north arrow, and location and distance to t road. Q 0-1170-90-000 • / 0 Please print all information. F 6viewe B Date Personal information you provide may used f4W"4WDcy 1-8w'1 15.04 (1) (m)). //0 Property Owner Property Location Govt. Lot SE 1/4 NW 1/4 S 7 T 29 N R 19 W Mike & Ann Fletcher Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 348 Highview Drive ST. CROIX COUNTY 94 & 95 Edgewood Estates III City Stat 14 01$~i@ttIIG4~tl~rFICE City Village Nj Town Nearest Road Hudson )N4016 715-386-9016 Hudson Highview Drive J New Construction Use: e Residential / Number of bedrooms 3 Code deriv#o design flow lei Replacement -J Public or commercial - Describer Z / 2 -7~6rate 450 GPD 1 Parent material Glacial Till Floody Z lam el ation, rf plicable Na _ Y General comments )to/ 3 1h 71;; and recommendations: Site suitable for rep acement At rade or 6 mound placed on 96.80' contour. Existing dispersal cell to be reused by use of diversio em a ev. _ . Boring # 0 Boring ✓J Pit Ground Surface elev. 96.80 ft. Depth to limiting factor >68" in. Soil Application Rate -Strwure I -F-! Horizon Depth Dominant Color Redox Description Texture Gr. Szt Sh. Consistence Boundary Roots *Eff#~ PDEff#2 in. Munsell Qu. Sz. Cont. Color 1 0-6 1Oyr3/2 none sl 2fgr mvfr as 2fmc 0.6 1.0 2 6-32 1Oyr3/6 none Si 2fsbk mvfr cw 2fmc 0.6 1.0 3 32-46 7.5yr4/6 none sl 1csbk mfr cw 1fm 0.4 0.7 4 46-68 1 Oyr4/6 none sl/Ifs/s 1 csbk/Osg mfilml - 1 fm 0.4 0.7 Horizon #4 consists of an unsorted mixture of 10yr4/4 1 csbk sl, 10yr4/6 Osg Ifs & 10yr4/6 Osg s. Boring # 0 Boring Pit Ground Surface elev. 97.48 ft. Depth to limiting factor 48" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Cc ro stenxe Boundary Roots *Eff#1 GPDlftz *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-5 1Oyi3/2 none sl 2fgr mvfr as 2fmc 0.6 1.0 2 5-19 10yr3/6 none sl 2msbk mvfr cw 2fmc 0.6 1.0 3 19-32 1Oyr4/4 none sl lmsbk mvfr cw lfm 0.4 0.7 4 32-48 7.5yr4/6 none Ifs Osg ml aw lfm 0.5 1.0 0.2 0.5 5 48-70 10yr4/6 f2d 7.5yr5/8 Ifs/vfsl Osg/Om ml/mfi Horizon #5 consist stratifi ayers of 10yr4/6 Osg Ifs & 10yr4/4 Om vfsl too numerous to differentiate. * Effluent #1 = BODS> 30 < 220 mg/L nd TSS >30 < 50 mg/L * Effluent #2 = BODS <30 mg/L and TSS <30 mg/L Si na e: CST Number CST Name (Please 7Th 9 3602 James K. pson Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 8!17/2010 715-248-7767 340 Paulson Lake Lane, Osceola, Wl 54020 v tE 1/4 OF THE NW 1/4 AND THE 8W 1/4. OF THE mAW 1/4. HUDSON, 8T. CROIX COUNTY, I I ASWN$IN RIP[ CpRNER !M►LAT7E6' LAROI EECTIOM 7 U1CfL _ - - - - - PARCEL 34 KNOWN AS ".TROUT SNOOP[ WILL 1" A / RECORO!0 AS 333.17 1 41S.10' l ' N 7 187_03' 157.03' 00 150.00 ' 134.0 C' 140.61 'a 3 . I I~ I 10~ s 0800 W'. 105 a 'K. it A„ a 110 109 1 o I NCI „n,. `htl e NO m R! 01 • In N ~ ^ o = NM I N 89'!f'20'f O ~ za; N n J IDS:. 4 99.37' u. 1QZ N N 89,11'20'E 'r ~Jd• _ 15.00' i'11'20'E 0 Li 0' JJ do. In tar 49.4 * p °34'20''R „ 107 brwooo EC~C 4 w p y' • 99,. g'. ow 81.28' i/ ' 1~' 9 I . o I l ~1~/ N At'~ / Wo _ _ _ _ - z too. EDGEWOOD DRIVE A o o m 101 11.1 . 00' 112.00_ 108_00 2 2 , s 1e` : •Y I., o 100 go I2 x x I 101 p fe i " ' " I. m~ m f f l o ,p Z 1 Q~ 75-00' w 90 n 91 m n rn I 93 '..1 iti.oD' N N N N N N 1 1 a. 3S' S 81 34. 26' N -s- „ o cn ~ I e; : - 2118 'S, y o o I T 6:.* 98 Io 111.00' 112.00' 'i- - f0 0' _ 136.54' n ~ I I S 189'1 1'20'N. 4Z. ~ A 14000 44.78' ~ 198.78' 0' r N 84'-13120'E .oI + I cc ^I 0 280.99' n 79 mI r ; m I. 60 120 Sao m tiI 1 94.. „ oI 97 m n oo Y O SCALE IN FEET 78 o , I" tl' 3 0 I' W 1_ eD ~ I I~ >1 R I I ( w _ • N 89'11'20'E v N 89'11'20'E n - - N i04.3f' I n 280.99' :LEND 77 Z ' ~ a Q z 96 ECTN)M GORIER NO►a1MFJNT , SERNTSEN CAP ~ I~ N ~ n r X 3n• POUND IRON PIPE WEIONNO 9.66 LDS/ LRL R SET ' ~ n.I i ~ NI I N ul or," LOT COFVWRa ARE SET W TM 1• X 24' ROUND I e1e' I Ire 2" ROUND IRON PIPE ro I ROVNO IRON PIPE I - le I- I 401{ pvK WE"O Ni 1." LOS / LRL F7 2' _ t u- 49'12'E N 97'4e12'E 'O 261.00' 1,41• ROUND STEEL RESAR FOUND 11.85' 66[01' RANQHWQQO-VOLUME 5, PAGE 26OF`PL..TS g S 4e 12 53e.9e ^_1 ;NIGH VIEW RCM_0~ n I- ROUND IRON PI►E FOUND 66~ nl; W! CURVF. DATA TABLE mart usnwff to RN werm - WHEN NOT NOW At I Curve Lot Radius Ce tral Arc Chord Chord Tangent Tangent ~y f11UTY EASESEPIT ALL LOTS ARE SUS.ECT TO A No. No, Length Angle Length" Length Bearing Beating Bearing CENTER Of t - 282.001 19b30100" 95.981 95,51' S79°26'2011W 569041120"CI S89011'ZO"M r DRARUUIS EASEMENT ALONG Sac LOT LINES. .,107 182.001.,,0020!00" 1.611 1,641 N89001 120"E SECTION T road 282 u01,.f'00101001' 94.341 93.901 N79016'20"E - - 2' 348.00' 19030100" 118.441 117.871 N79026120"E S6904112011M S89011120,.w `Tf: HIGH VIEW ROAD LOOP'S THROUGH 93 348.00' 13°24'06" 81.401 81.211- N820291t7"E ~1/2' 1foN q road 348.00' 6005'54" 37.04' 37.02' N7Z°44117"E ~7 flo- ►LAT'TED LAMDS TO THE SOUTH 3' - .80!001 168043'5611 235.591 159.231 S75019122"MI NZOOI8'4d"W S90o2136"E Pti fouwo' 103 80!001 _a 60041261/ 50.37' 49.541 N38020'S311W 0f THIS PLAT , CREATING ONLY - "104 Rn.'On1 :7nbR71-; 1 10 7'71 era 111 e?<t.oc„n1,nv DOCUMENT NO. STATE BAY OF WISCONSIN FORM I ° 1592 THIS SPACE RESERVE. POR Ix EC.QRriHZ D:.TA F k WARRANTY DEED w. 51-4 'Vol' d~LL%r'.71J1 GlYr S L'irt`idt 'This Deed. made between --CiLECORY, J...,STEELE _a_•ni.ngle, ST CROIX CO., %M ' persuli r- Peeld f6y R°rcfd 6 _ JAN 2. 4 1994 ..Lf...L..F..L. E.•T' CjiE..R.._.•.a_.il..d.._.. Grantor, j and... NI TCk1ER,•.hwsba2d..and 11-40 A. wi>_C BS sur--iv t.. ......-4 « 1 r.,,o,- _ - boom ftw6biw Grantee of i Witnesseth, That the said Grantor, for a valuable consideration...... f . I ' RETURN TO li conveys to Grantee the following described real estate in .....St; Cr1Co1X.... County, State; of Wisconsin: Tax Parcel No i jp Lots 94 and 95, Plat of Edgewood Estates III, Town of Hudson, St. Croix County, Wiscol.sin. TOGETHER WITH and SUBJECT TO reservations, restrictions, easements and F F. rights-of-way of reeQrd, if any. I homestead property. This (is) (in, not) of !j Togetber -with all and singular the hereditaments and appurtenances thereinto belonging; It And _ . • • and free and clew: of encumbrances except carrants that L'ho title ls. good, indefeasible in fe"e"s,imple• . and will wars ant and defend the ame {I -1 Dated this 2tst day of anuary...---- i9 _9 l (SEAL) VREGOR'Y (Sr AL) J STEELS„ 1 n (SEAL) (SEAL) 11. - i! f Y 4 AU'THENTICATION' ACSNOWLEDGMENT c:g tatsre(=) STATE OF WISCONSIN y l~ S( ss. - St. Croix i .....(:panty. 21` authent- ted this day of............... 19 Personally came bc.ore me the :,,day of t' •---••_---_--January_.............. 19.94_._ the above named } ° (;regory J.-,$~q eele............................... TITLE: iYLED:BEB STATE BAR OF WISCONSIN (If not. authorized by § 706.011, Wis. Stats.i to me;known orbe the person w o executed the foree0 t runw.L 11rrI ac6r led t as e. TKFS INSTRUMENT WAS ORAFTFJ BY ~ - - At torlleX..Tis,Civ..4. ;.141714 . %,rllnr,r• h 1k-ly l.tlul)ihN. S.C. 7T11 5 cored StCee!:, lluusbn," ti'1, ?!li-ib_ Nut:dv3ubliw_...t-..ra5L-..~•t.l1iA . Uount>. Fic. =:t,ent. (If n [ r ion /Sly, rrturc way he a+ILhenLicated nr aci:nowlcdgcd. );nth MY _ (dh~ti:nta~ l'`grrm - State exni • , ~•f n ra .n.. -iF ninR Any rno +rier .-h..,.'.t nr :.yr'•1 ¢ r nt.vl ~•..1.. th~,r s;c rrtu r.. ~ ' `'4nRANTY TIFFp STA TI'. Ic.tG :7F R'IRCO%G{!ti R-. -.-ir L.•cni NI:,Ek I Ir,:. ~{;Iw,.+k..•. \~"u. /~j~ FlMI 10. 1 - 1932 Parcel 020-1170-90-000 12/13/2004 04:05 PM PAGE 1 OF 1 Alt. Parcel 7.29.19.1064 020 - TOWN OF HUDSON Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * FLETCHER, MICHAEL & ANN M MICHAEL & ANN M FLETCHER 348 HIGHVIEW RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 348 HIGHVIEW RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.410 Plat: 1932-EDGEWOOD ESTATES III SEC 7 T29N R1 9W LOTS 94 & 95 EDGEWOOD Block/Condo Bldg: LOT 94 ESTATES III Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1061/452 WD 07/23/1997 1007/313 QC 07/23/1997 824/495 2004 SUMMARY Bill Fair Market Value: Assessed with: 49105 245,200 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.410 32,300 157,400 189,700 NO Totals for 2004: General Property 1.410 32,300 157,400 189,700 Woodland 0.000 0 0 Totals for 2003: General Property 1.410 32,300 157,400 189,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 110 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR LAB R & KLftAN RELATIONS SAFETY & BUILDINGS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISOI~~N, WI 53707 BUREAU OF PLUMBING SE4,NW1,7,29,19W LYCONVENTIONAL OALTERNATIVE State Planl.D.Number Town Ug Hudtson ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound (If assigned) Lot 94, Fdgewo d E,6 t, TT T NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: B 9 H Devetopment (OAin B~anws ad) 910 St. C&OiX St. N. , Hudson, WT 54 INSPECTION DATE BENCH MARK (Permanent reference 16 point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.. Name of Plumber: MP/MPRSW Nn.. County Sanitary Permit Number: UlitUam SchumakeA 6382 St. C&oix 112775 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY. TANK INLET ELEV. TANK OUTLET ELEV.: WARNING LABEL O PROVIDED. LOCKING COVER PROVIDED: BEDDING: VENTDIA_ VENT MAT t HI(1HWATER OYES ONO OYES ONO ALARM NUMBER OF ROAD: PROPERTY WELL. BUILDING. VENT TO F ESH OYES ONO FEET FROM LINE AIR INLET OYES ONO NEAREST---__ n DOSING CHAMBER: ' 11 MANUFACTURER BEDDING: LIQUID CAPA(:ITV PUMP MODEL ,.y PUMP;SIPHON MANUF AC I I1HEFI WARNING LABEL ,r LOCKING COVER OYES ONO PROVIDED PROVIDED: GALLONS PER CYCLE: PuMPANOCONTROLS OPERAr1oNAL OYES ONO OYES ONO (DIFFERENCE BETWEEN NUMBER OF PHOPERTY WELL BUILDING VENTTO FRESH PUMP ON AND OFF) FEET FROM LINE AIR INLET SOIL ABSORPTION SYSTEM. Chec YES N O NEAREST k the soil moisture at the depth of plowing „I H DI ME TER MATT RIAE AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FO _ RCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO. OF UISTH PIPE SPA(:IN(, COVER - THENCHES MATERIAL DIMENSIONS ' IT INSIDE UTA ~PIiS LIQUID DEPTH: GRAVEL I)FPfH FILL DEPTH UISTH PIPE DISTR PIPE DISTR. PIPE MATERIAL NO DISTH BELOW PIPES ABOVE COVER EI EV. INLF I ELEV. END PIPE S NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH FE ETFROM LINE. AIR INLET: NEAREST- MOUND SYSTEM: - Mound site plowed perpendicular to slope upsl rpe e: Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑YES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PE Htt1ANf N1 MAHKF HS OHSEH NATION WELLS DEPTH OVER TRENCH BED DEPTH OVER TRENCH HEU OYES ONO OYES ONO CENTER EDGES DEPT/1 OF TOPSOIL SOUDFI) SEEDED JMULCHED OYES. ONO OYES ONO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE TRENCHES. FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO UISTH DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEVATION AND ELEV. ELEV. DIA ELEV. PIPES DIAJ DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED COHHECI I V COVER MATE HIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS COMMENTS: PERMANENTMARKERS~YES ONO OYES ONO OBSERVATION WELLS: :]'FIEMTBFROM UER OF PROPERTY WELL. BUILDING: OYES ONO LINE: OYES NO NEAREST Sketch System on Reverse Side. Retain in county file for audit. SIGNATURE: TITLE: DILHR SBD 6710 (R. 01/82) zoning Ad)1L{nj,6tAato SANITARY PERMIT APPLICATION Coff In accord with ILHR 83.05, Wis. Adm. Code UX-% STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than STAT /T -'s 8'/ x 11 inches in size. E PLAN I.D. NUMBER -See reverse side for instructions for completing this application. 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PETITION FOR VARIANCE ❑ YES NO PRO ERTY OWNER Ale ~.V QL _ ~Qy PROPERTY LOCATION ,~1014,S7 T ,N,R E(or PROPERTY WNER'S AILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME We ~T err©f s T e4'~ o y' mer r rz Z-' OWN OF: CITY, STATE ZIP CODE PHONE NUMBER CITY NEA EST ROAD, LAKE OR LANDMARK VILLAGE TT OWN OF:. All-jk II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify): III. PURPOSE OF APPLICATION: (Check only one in #1. Check 2,3 or 4, if applicable) 1. a. KNew b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. E1 Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit # Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2) 1. a. Conventional b. ❑ Alternative c. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. XSee a e Bed b. ❑ Seepage Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA nABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): ED (Square Feet): 4f Feet &Private ❑ Joint 11 Public VI. TANK CAPACITY in allons Total # of Prefab. Site Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank Q O d Lift Pump Tank/Si hon Chamber ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) / MP MMPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): Name of Designer: VIII. SOIL TEST INFORMATION Certifie d Soil Tester (CST) Name CST &a A^ - I sell ?0,41 CST's ADDR S ( reet, City, State, Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit ee Groundwater ate Issuing Agent Signature (No Stamps) Approved El Owner Given Initial SujcS Fee Adverse Determination X. COMMENTS/REASONS FOR DISAPPROVAL: V SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT- APPLICATION TO THE APPLICANT: 1. This 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 the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in #1. Complete #2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in #1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; Vlll. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'% 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; dosing or pumping chambers; 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. - - - - - - - - - - - GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation.and public debate. The groundwater bill Ground ater-x included the creation of surcharges (fees) for a number of regulated practices which Wisco in's can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- f' water, groundwater contamination investigations and es-iablishment of standards. Groundwater, it's worth protecting. SBD-6398 (R.03/86) e4l ko ,Qrot^,U.3Tcl ef- • 5 pr ~ +6b, ~C. .~l 07 9Y fill/ o@ ~e a APPLICATION FOR SANITARY P4RMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of tl►e property being developed. Any inadequacies will only result in delays of the permit Isswunce. 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.. - - - - - - - - - - - T - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property I JQ In rri Lucat Lull of Property SC h f _-S~~ Section T N - R -20 W Tuwi►ship f f- LASOM MU 11Ing Address 9IU S- C_rc~ x 4, . d o d SQ rJ lJ r .S"-q c) b Subdivision Name e~ACak)m Lot Number 9,4 Ci Previuus Owner of Property _ NIB ~"ItAr j" Tutal Size of Parcel GUr_p_4-- Ilate Parcel was Created r).4. My-s' Are all corners and lot lines identifiable? 1/ Yes No 1b Lhis property being developed for resale (spec house) ? Yes No Vulume and Page Number Z4/,S;- as recorded with the Register of Ueeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 1. Land Contract 3. Other recordings filed with the Register of Deeds Office In addLtion, a certified survey, if available, would be helpful so as to avoid delays tbl Lhe reviewing process. If the deed-description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION 1 (wc,) eeAti.6y .tJLat aU ataatementa on thiA 604m aAe t4ue to .the but o6 my (uuA) kiiuwtedge; tat I (we) am (are) the owner (a) o6 the p/.open.ty de,6cA bed in t{" c1i6u4unati.un 6onm, by v.ch.tue o6 a wahAan.ty deed neeoaded in the 066iee o6 .the County Re9iAteA o6 Deed-6 as Document No. 9 p C ; and that I (we) weaenuy own .the. paopoeed aite bon the eewage poe eyetem (un 1 (we) have ub•tained an eaaemen.t, to nun with the above deaeh,i.bed pnopen.ty, bon .the euru,.tAue.t.i.on 06 said 6yatem, and the eame ha.a been duty neeonded in the 066.4ce u6 .tlie County RegizteK o6 Ueeda, as Document No. SIGNATURE F OWNS ~ SIGNATURE OF CO-OWNER (IF APPLICABLE) IMM 1GNGD DATE SIGNIiU w F ~ I .nh.ar :.0 DOCUMENt NO. STATE BAN OF WI80ON81N FORK 11.1N8 Two NAea aeatraa sea aeeeaoasa aArA LAND CONTRACT tsdivwal awe Colpnte j ITO BE USED FOR ALL TRANRACTION/ wRER= Owxa ACT 392¢20 $wan IS FINANCKD AND IN NR NON-0ONRVlI1;R y ACT TRANaACr1ONa) SP~,E44~ ' Rl"I Rt OFFICE 1 COIItrel alt,. by and between . 4 ~1.. ' ? tam t 4..M. 9RI mix Co., ~1►1i. 21 4i. 11th . IAlt10.e Reed for Re w%I Ihb , ("Vendor", day of Aaril A.D. 194 whether *no or oro) •and.... .a..i..~H.a...DAV4.19P. !..9.11.8... T.139.r.A........ al 11 :3- 0 A M. s .D A M. S~' ..@L.~:~~'c911f#,{al)...5~~.1?~~3lta~4th ("Purchaser". whether one or more). 1 Vendor sells and agrees to convey to Purchaser, upon the prompt and full per. formance of this contract by Purchaser, the following property, together with the testa, profillg fixtures old other appurtenant interests (all called the "Property"), t. CrOAA County, state of wisconslis t aerult" TaGII I N= it POSER -~ooc Sly of NA of Section 7, T29N, R19W, EXCEPT the P O. 321 Hudson WI 54016 South 30 rods thereof. ' All that part of the SE's of NEB of Section 12, Tax Pares) No T29N, R20W, lying Easterly of State Trunk f Highway "35", EXCEPT the South 32 rods thereof, and EXCEPT that part thereof lying Southerly and Westerly of the Southwesterly right-of-way tine of the easement described below. SUBJECT TO a non-exclusive easement for ingress and egress over a portion of the SE% of the NEii of Section 12-29-20, Town of Hudson, more fully described as follows: Commencing at the East quarter-corner of said Section 121 thence N90000"00"W 1,332.81 feet to the Ely right-of-way of t_ S.T.H. "35"; thence N34e27120"E 637.14 feet along said Ely right-of-way of S.T.11. "35" to the Nly line of the property deeded to Arthur F. Windolff and Mary Ann Windolff, as recorded in Vol. 519, page 25, Doc. No. 325163 in the office of the St. Croix County Register of Deeds, being This is - not homestead property. DESCRIPTION CONTINUED ON ADDENDu 1tipn (is) lie not) a Vlefldcar s residence or her written l Purchaser a •rt'ea to purchase the Property and to pay to Vendor st , ~ . c 4 335.00---------- in the following manner: (a) j 10r.... ObOb... for ~D the. sum of Pr. at the execution of this Contract; and (b) the balance of $24,395.00-T-- together with interest from date hereof on the balance outstanding from time to time at the rate of.tell.11011....................... per cent per annum until paid in full, as follows: Annual inst;;yallm--nts of $10,000.00 each, plus accrued interest, on or before the first and second anniversaries of this Contract, and the entire balance, plus accrued interest, on or before the third anniversary of this Contract. See attached ADDENDUM for provisions for release of lots and application of payments thereto. Estimted Real Estate Taxes for 1984, payable in 1985, have been prorated at closing; Purchaser shall thus pay the entire 1984 Taxes and subsequent years as due. Provided, however, the entire outstanding balance shall be paid is full on or before the...... 3rd day of Fleftltary 1987.... ( the maturity date). Following any default in payint•nt, inter.vt shall accrue at the rate of..14....% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, agrees to pay I KAM anrunl taxes, spacial assessments, fire and required insurance premiums when due. QODaC`mti and furnish copies of receipts on Vendor's written request. ! 11:17n.ents shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any »mout,t ms} be prepaid without premium or fee upon principal at any time In the event of any prepayment, this contract shall not be treated a+ in default with respect to payment so tong as the unpaid balance of principal, and interest (and in suer: care accruing interest from month to month shall be treated as unpe d principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first spoclfied al.ove; 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 tale as shown by the title evidence submitted to Purchaser 1, •xamination except. Within six (6) months hereafter, Vendor shall record a certified copy the death certificate of William F. Marty, aryl release of inheritance tax liens in 1! matter of the Estate of William F. Marty, to the satisfaction .of Purchaser's attorney. Purchaser nurser to pnc the cost of future title tvideot„ If title evidence is in the form of an abstract, It shall be retained be Vendor until ti.., fall purchase price is paid, 1x1t. Cllrchas(rr may have rteW abstracts p tel~~TtTxn• Yurcl aser shall beent:tlnt to take I,,- .,`sine of the i'roperl uu tltL cl I t ' hereof. •t'.•.• o,n u,, I LAND f'ftti IRA( 'I . A and ST.tr1' Its r of at I!It n\alY '•a ,.m Lmal Plank Cm Inc. I M.IItU II 1•,a• )I,..,.UA.~ Nu Cnrpurau Ole (Mito 446 `s Purchaser promises to lay when due ail taxes and assessments levied on the Property or upon Vendor's Interest in pit and to deliver to Vendor on derrand receipts showing such payment. Purchaser shall keep tine improvements on the property insured against loss or damage occasioned by fire, ex. ' tended coverage perils and such other hazards as Vendor may roquire, without CID-insurance, through manners approved by Vendor, in the sum of $n/a V ?s!? -la? . but Vendor shall not require coverage is an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when du . Thag ptolicies origins) i contain the standard claws in favor of the Vendor's interest and, unless Vendor otherwise agrees in.writin he notice of ton to } of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give shall Insurance companies and Vendor. Unless Purchaser and Vend`~~~erw se do edin wrthng, insurance of ocee s to be the repair be applied to restoration or repair of the Property damaged, p economically feasible. Property, to keep the Property allow waste to be committed on the F Y Purchaser covenants not to repair commit waste nor In good tenantable condition and repair to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances an4 rsgulations affecting the Property. price with interest and other moneys shall be fully paid and all conditions +`'sea that in come purchase d, execute and del Vendor c i tfied, e ~ nd4.r will on deman shall be fully M •er to i rforarr at anty the Deed, in t mss tee and In the simple, of the manner above Propert 517c Erse and clear of . all liens and encumbrances, except the Purchaser, s Warr e the i any liens or encumbrances ereata~ by the act or default of Pu chaser and except: presently-. revozded•• eA9enents as set forth in the legal descri~t~on a~ovf~. the restrictions al transfer slx~m See attact>rls.. JI (I4 ..or..Prav isials modifying Purchaser agrees that time is of the essence and (a) in the event of a default in the payment o any principal interest which continues for a period of .3q.... days following the specified due date (.r (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of.30...-. days following written notice thereof by Vendor (delivered personally or msiled h certified nfail), then the entire outstanding balance under this contract shall become immediately due and payable in fully at Vendor 0a option: and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and rer:IMlies (60iject to any limitations provided by law) in addition to those provided by law or in equity: Vendor may, at his option, terminate tHs Contract and Purchaser's rights, title and interest in the Property and re- over the Property back ti rough strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full pa\tnunt of t1w entire oUtaalAing balauPe, mith interest the-e4.ntrom the date of default at the rate to effect on such (late andntheramountsdue hereuader (inHhirheventall amounts preciously aid by Purchaser shall be forefeit:ed as liquidated darrar•es for failure t - fulfill tilis Contract and as rental for the Property if purchaser fails to redeem) ; or Vendor may sue for specifi, performanr c of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctinned at judicial sal- and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this (•ontractasseloud on title in a ;lulel-title action if the equitable Interest of Purchaser is insignificant; and (v) Vendor nim have iurchaser ejected fr,,n1 1,os~4-wn of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of :oiv ar•t';m under (1), (ii) or (I•) above. Notwithstanding any oral or written statements or action- of Vendor, an vI, t. : •.f un} of the foregoing remedies shall only be binding upon Vendor if told when parsuid in litigation and all cr,•ts a ..I eIi.cnres Including reasonable attorneys fees of Vendor incurred to enforce any reinedy hereunder (whether abut>d 1 nr•t) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Pure ::4-er, as in- curred, and shall be included In any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser cons.nts to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Propertq during the pendency of such action, and such rents. issues. and profits when so collected shall be held and applied as the court shall direct. Is Purchaser shall not transfer, Al or convey any legal or equitAile interest in the Property (by u-signment of any of Purchaser's rights under this Contract or by option, long-term lease or in any other wny) without the prior written k consent of Vendor unless either the outstanding balance payable under this Cnnirect is first paid in full or the interest * conveyed is it pledge or assignment of Purchaser's interest under this Contract w4e1.% ns security for an indcbtcdneps of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire (•:a<tanding * balance payable( under this Contract shall become immediatclydue and payable in full, at Vendor's option wit) ' notice Vendor shall make all payments w1•en due under nne mortoar, out: tandinsr scninst the Property • r tr date (If this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts titer due under this Contract. Purchaser cony make any such payments directly to the Mortgnree If Vendor falls to do so and all payments so made by Purcha•er sbttll be r• i idered payments made on this Contract. Vendor may waive any default without waiving any other suh~vq lent or prior 14 fault of Purchaser. All terms of this Contract shalt he binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (if not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) )rated this 23rd day of February 19 84 B. & N. DMI-101'd M', INC. (Purchaser) }l'~ a-. t.L<4 (SEAL) y' nalel E. :3 jcYrnstad, President Anita P. Marty (Vendor) ~ (SFAi.) An : ",a" C ~ jgli~l.~r~• ter. William L . 111 rwe 11, Secre UU3r •t " ~i is 'C• AUTHENTICATION ACKNOWLEDOMEN 'LO Signature(s) ......Anita.. PMarty a single STATF; OF WISCONSIN 1 a ? of r ''"%ar~rfn,e WPMP~(?r Si. MIX (,Aunty. 23rd F Authen 'cat d tth!9 23 -..d y ofj~.`.•:••. . rY../.L 989_- I'visonally came heforc me this day of 1 I 19 84 t! nice named 1 i,... ` • . Donald E. B~ornstad, President, ai>d . Pubert F. Wall William C. Harwell,. . Secretar),, rf said TITLE ?NF:At HER . NSIN Corporation, wixr ackmvIedged that they : STATE BAR OF ~VISC'(1 executed this instruttrnt as such officc:rs • r~ ~ ztion ~y its a~ •r u exocutX, and Yw 1~ w i rru thorit the authorized by It 706.011, Wis. Mats.) of 1'. mi• s} widm n ti r f, rey i~ rt+slInn" ;I x"t acknhwkllKt tf:p~sntne- 1.415 INSrRt MU-4" WA' ORAF1Ft1 m' Wi1lialn J. Gilbert, Atty. • Willi;Lm J. Gilhrrt GILBM, MUDGE & POM-tl . Croix P.O. Box 321, Hudson Wl 5401(, N.,t,r f'' I'' ioccaisoe~ t t `it nature r n,: l be :nttl-entwated or neknowlvdged. :,rr not e,r.r-sat}•.) Yi]thtJC.ti T ;~'•1C' 1• •tinnn., of p.r=.,.m ,i/nmR fn .ny ni i •n r.l 1.. t..., ,h, . y (.:!11'nt~5N11 t5 Pefmancnt f fi g, w 'VOL 4~ ADDENDUM Page A CO.*TINVATION OF. PROPERTY DESCRIPTIONS the Nly line of the South 32 rods of said SEk of NEk of Section 12-29-20; thence N90000100"E along said Nly line of said Windolff property for ( 248.49 feet to the centerline and Point of Beginning of said 60 foot.wide l easement, being described along said centerline as follows; thence N12655100"W 199.43 feet; thence NWly on a curve concave to the SW, having a radius of 99.45 feet, whose chord bears N46005100"W 108.82 feet; thence N79015020"W 111.50 feet, more or less, to the Ely right-of-way of S.T.H. "35" and the Point of Termination of said easement. (For the purposes 'of this description, all bearings are referenced to the East-West quarter-section line of Section 12-29-20, assumed N90000'00"W). SUBJECT TO recorded easements for electric and telephone lines. SUBDIVISION AND RELEASE OF LOTS: Vendor agrees that Purchaser may subdivide said Property, with all costs associated therewith to be paid by Purchaser, and that Vendor will join in execution of any plat(s), certified survey map(s) and other instruments necessary for such subdivision, except that Vendor's interest shall not be _subordinated to any indebtedness incurred by Purchaser. Purchaser may develop, improve and sell subdivided lots, with or without buildings being constructed thereon by Purchaser. Vendor agrees to release such lots upon sale thereof by Purchaser, by Vendor's ececution of Warranty Deeds thereto to Purchaser; Purchaser shall prepare and fur- nish at Purchaser's expense all such Warranty Deeds and the associated w Real Estate Transfer Returns, except the final Warranty Deed and Transfer. Return conveying the remaining part of said Property which shall be at Vendor's expense. Upon such release and conveyance of lots, the value of each released lot shall, for calculation of the transfer fee, be determined by rounding off the acreage of the lot(s) released to the nearest even number and multiplying same by $1,500.00 per acre; the transfer fee shall be paid by Vendor. Upon conveyance of the remaining part of said Property, the balance of the transfer fee not paid upon lot releases shall then be paid by Vendor regardless of the acreage of such remaining part. Upon Vendor's release of lot(s) as aforesaid, Purchaser shall have paid or shall then pay to Vendor an amount equal to 50% of the selling price paid to Purchaser for such lot(s) released; provided, however, that the $10,000.00 annual payments due on the first and second anniversaries of this Contract shall be deemed advance payment toward such release-payments, thus entitling Purchasers to release of lot(s) for .:ales up to $20,000.00 for each such annual payment, and Purchaser shall be obligated only to pay 50% of the selling prices that exceeds $20,000.00 aggregate with respect to such credit ' for each annual paymei,t. All payments received shall be applied first to interest and then to principal. The $10,000.00 down payment paid at the execution of this Contract shall not be applied to any release of lots, but instead shall be deemed to be advance payment toward Vendor's release and joinder in the dedication of public roads and of any parkland or' similar areas which Purchaser may be required to dedicate pursuant to the subdivision, of said Property. It is the belief of the parties that such y $10,000.00 down payment, applied to release and dedication of lands to the ; Town of Hudson for public use, is exempt from real estate transfer fee pursuant to Sec. 77.25(2), Wis. Stats., and that transfer fees will thus be due only upon ;84,395.00, to be paid by Vendor as provided above. i s 's I~ i vW 685PXE448~ Page B Nothwithstanding the aforsaid method of calculating the amount to be paid to Vendor for release of lots, Purchaser shall be obligated to pay such additional amount, if any, for lot releases to assure that the remaining acreage not theretofore released as lots or dedicated to the public, if multiplied by $1,500.00 per acre, does not exceed the remaining balance due under this Contract. The foregoing provisions shall be deemed to modify any conflicting term this Contract which prohibits or restricts transfer or conveyance of aid Property, to the extent necessary to give full force and effect to f the foregoing provisions. f (4\ ~t in y S T C 10. r- Y SEPTIC TANK MAINTENA CE ACKEEMENT St, Croix ousty ~1 y UWNEk/BUYEK T 'i KOUTE/BOX NUMBER ~ld4~ ---Fire Number,---, CITY/STATE_ 0A1 4'1/1 • z1P $-y0f~ PkOPEkTY LOCATION: SE k. E k, Section.jc-~,__. T a9 N. h.2.6 _-W, Town of St. Croix County. Subdivision 6&01d J~"Lot uumberlT_9S_- improper use,and maintenance of your septic hystvm could result in its premature failure to handle wasted. Prupur maintenance con- vibts of pumping out the septic tank every tlkrec years or suoiier, it needed, by a licensed septic tank 2umger. What you I,ut info the system can affect the function o'f• tats svpcic tank as d treat- ment stage in the waste disposal system. St. Croix County residents mux be eligible to receive a grant for a w.,ximum of 60Z of Cho cost of replacement of a failing system, which was in operation privc ..--..S.t. Croix County accepted this program in August'of 1980, with the requirewent t1,at owners of all new systems agree to keep their systems properly maintained. - - The property owner agrees to submit to St. Croix County Zoning a certification form, signed by Lite owner and by a muster plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-hits wastewater disposal system is in proper operating condition and (2) after inspection and pumping (it nec- essary), the septic 'tank is less than 1/3 full of sludge and scull. Certification form will be sent approximately 30 days prior to three year expiration, H 0 >e I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- v ment of Natural &esourcae. Certification farm must be completed and returned to the St. Croix County Zoning Offkre within 30 days of the three year expiration date. SIGNED DATE St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. INDUVT NI OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MAD-.. BOX 7969 HUMAN RELATIONS ISON', W1 3 07 (H63.0911) & Chapter 146.046) LOCATION: N SECTiON: TO N_LHPJ =Z4 UNICIPALITY: T N0. NO.: SUBDIVIS N NAM : 04 s '/w'/ ~ Tz9N/819 ( Wr 14 ~XSoti 94 L\64iwooo COUNTY: EFEWBUYEAT NAME: MAILING ADDRESS- CIL, A DAQi(L 9-\6Qtis'ti_~b USE DATES OBSERVATIONS MADE AL DESCRIPTION: LE DESCRIP`T1 IERbOLATION [td~.lReslclence N oNew ❑Replace. A A ZZ / / o u 49 Sa►LS n, -2 - nrf:aK N /v RATING: S- Site suitable for "an U- Site unsuitable for system t c,&2 - 4J AKMp1,0 "V NTIONAL: L O N TANK: RECOMMENDED SYSTEM:(opti na1) O S ~U M u S IR4 S ❑U S• U [IS CO NT-14 If Percolation Tests are NOT re DESIGN RATE: if any portion of the tested area is in the under s.H63.09(5) (b), indicate:quired C T Floodplain, indicate Floodplain elevation: /y DAL F'T PROFILE DESCRIPTIONS BORING AL ELEVATION T R-I H A A THICKNESS COLOR. TEXTURE, AND DEPTH NUMBER DEPTM TO ED OCK IF OBSERVED SEE ABBRV. ON BACK.) B- &&-7 .'7 I o > p b7 5" ~LLTes ! S x 91~Krs 1`75 c 56'►cS 8- Z .b~ 94,b Now > .(,-7 " 1_&. ►g~. S ~ z "IP4 R SL &**k, &N MSit44 B- 3 /p,Ub 1.33 N6 1 > /D ,pp /048CLT-S 11$"ge~jL /9"CrBa„►S~L O''kagou Sr L V4 - /4"9& SL 46' Ra$f:N M S B- 4 'l 11.33 9 9. og Iv o ~ > , 3 3 ~ S 9 ScvlG, e $>xNN►S-~ ~ YhS B- 1~•u~ ~!.`~SS aN~ >lo,bv 9"$cc7s J St /S"RAID 5L ~a'Ra MS B- qa aF-/►,s D c . PERCOLATION TESTS TEST DR3P IN WATER LIVEL-INCRES NUMBER 40M AFTERSWELLING IN ERVAL-MIN. PER NCH S P_ t 166 ori-W 19f1,&0 3? > Z > Z P- Z . LsU P- 3 ,00 N OD { T P- IEI.ILNZ P- PLOT PLAN: Show locations of percolation tests, soil borings and the d Mansions of suitable soil area. Indicate scale or distonoss. Describe what are the hori- zontal and vertical elevation reference points and show their location on he plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION" 9/,OD BEN"►ti►-w~.k- S~I~1i) ~ c,~~ec►~ t , ~ OA AWTdfs WiiE 4 , , 9 41 : : j._ i f..._ l.... 1 H L . ' co : : ls' ~I , I I i I I l r L t .1 J. 1, the undersigned, hereby certify that the soil tests reported on this form were made by rig-n accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME print : TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NU BER(optional): /,/u o~ ti✓► Sao I 3 3~~ ~ ~~3$ SI TUBE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (8.02/62) - OVER - 440929 took 821 P4111:f 208 REGISTER'S OFFICE ST. CROIX CO., WI Recd for Record A F F I D A V I T a' 291988 at 11:30 A ~ STATE OF WISCONSIN) SS a Cwe.a ST. CR4Ix COUNTY ~~Rlgislor of Dee& I. Harvey G. 36hnson, registered Wisconsin Land Surveyor, hereby depose and say: That I have surveyed and platted Edgewood Estates III, located in the NW 1 /4 of Section 7, T29N, R 19W , Town of Hudson, St. Croix County, Wisconsin; That there is a proposed on-site liquid waste disposal system intended for, and a percolation test completed on Lot 94 of said plat; That said system is untended to serve a home intended to be built on Lot 95 of said plat; And that I make this affidavit to inform all future purchasers of said Lots 94 and 95 of the possible existence of said system. Subscribed and swawn to before me this 79 day of August, 1988. REG ER "S E Notary Public, State of Wisconsin $TMy commission expires- I~ 24 Rat This instrument drafted by: Harvey G . Johnson w ~r 0 4 r 4 /T 09 '5`0 7 821 rci 209 REGISTER'S OFFICE ST. CROIX CO., WI Rec'd for Record A F F I D A V I T ►,l is 2 91988 • at 11:30 A /nMnn STATE OF WISCONSIN (0 e"~C SS Register of Doeds ST. CROIX COUNTY I, Harvey G. Johnson, Registered Wisconsin Land Surveyor, hereby depose and say: That I have surveyed and platted Edgewood Estates III, located in the NW1/4 of Section 7, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; That there is a proposed on-site liquid waste disposal system intended for, and a percolation test completed on Lots 96 and 97 of said plat; That said system is intended to serve a home'intended to be built on Lots 96 and 97 of said-plat; And that I make this affidavit to inform all future purchasers of said Lots 96 and 97 of the possible dxistence of said system. Subscribed and sworn to before me this 9 day of August, 1988. 0 RE t. To x co FF ~ E S Notar Public, State of Wisconsin RAC` r Re rd My co mission expires at M This instrument drafted by: Harvey G. Johnson Register of Do$& t