HomeMy WebLinkAbout008-1038-95-000c~~~y
isconsin Department of Commerce PRIVATE SEWAGE SYSTEM
oafety and Building Division
i INSPECTION REPORT I~~
GENERAL INFORMATi~N` (ATTACH TO PERMIT)
Personal information you provide may be used for secondar,~ purposes [Privacy Law, s.15.04 (1)(m)].
'ermit Holder's Name: City Village X Township `/„
Midtlin ,Duane ~/ 33~ ~"lo ~---. l~-
SST BM Elev: Insp. BM Elev: BM DescriptioP:
!0 b ' l00 ' ~~''~ ~ ~
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic ~~` !vv a
Dosing
• 1
10
Aeration
Holding -'r.-
TANK SETBACK INFORMATION
TANK TO P/L
5 WELL
r BLDG. V~ Air Intake ROAD
Septic ~ I I 0 / / ~ ~ ~ ~ /
b
Dosing ,,i ,w r r y, ~
Aeration
Holding
PUMP/SIPHON INFORMATION
Manufacturer Demand
GPM
Model Number ~ ~/ ~~,1
TDH Li^ ~ Friction Loss System Head TDH Ft
rcema' I ' Le t ~ Dia. ~i Dist. to~eli l
C
S IL BSORPTION SYSTEM
DISTR16lJTION SYSTEM
ELEVATION DATA
county: St. Croix
Sanitary Permit No:
State Plan ID No: O
Parcel Tax No:
STATION BS HI FS ELEV.
Benchmark
S3s
os~ ,
~
Alt. BM
BI .Sewer
SUHt Inlet
SUHt Outle~
u.
Dt Inlet es ~ ~ 9. 7 S
Dt Qgttom ZS ~ ~. ~Z
Header/ an.
~~
D +
Dist. Pipe
T ,~
. 7S
l D0. -7
Bot. Sys
(io29
f)
2•
/d3. o
Final Grade / ~ .~4 ~ d ~~ .
St Co LT. ~~ ~ /~
/03 . ~
~'t~~- ~. oZ. y
Header/Manifold
~ Distribution
C / ~' ~
y ~ x Hole Size
~i x Hole Spacing Vent to Air Intake
I
~ Pipe(s) )
j
./ 2 S
i
~~' Di , ~
Length Dia ng
pac
Length
a
cnn CnVFR
.. Drn~m~rn Cvc4nm~ (lniv
vv Mn~~nrl ()r D#-C;ratla SvStems Only
-~
oK
O- I
~-~ P'l°es
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil ?++'~'~ Yes ~I No i Yes No
~_ ~
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~~/~ v Inspection #2: / /
Location: /~ ,I// Parcel No: 32.30.15.488
1.) Alt BM Description = ( ( -fu Pl6f ~~~
2.) Bldg sewer length = ~ - ~',Q ~ ,~,.~}, t ~-h ~~ 6tn' IdT`~ SP.ta~cut- ~'S~G ?,d Q~,~Y°l~''t~ J
-amount of cover = ,
3.) Contour = ~ ~Gj f OZ . L'.{ 5 L~-~-~ ~ ~2~ ~,tL ~s; r!'eR~'~/~2C~""'
Plan revision Required . ~ J Yes ~ ~ I ~ ~ ®~ ~ ~ ~ ~~ ~ i
Use other side for additional information. ~ D 1 __~ --~'I--_ - -----~ i ___ '- - (. ---
Date Insepctor's Si ature Cert. No.
SBD-6710 (R.3/97)
~p~ t ~ ~'s~ ~-~
Sanitary Permit Application Safety & Bui dings Division
~~ ~ In accord with Comm 83.21, Wis. Adm. Code
See reverse side for instructions for completing this application 201 W. Washington Ave.
PO Box 7302
iscons~n Madison
WI 53707-7302
Department of Commerce personal information you provide may be used for secondary purposes
[Privacy Law, s. 15.04(1)(m)) ,
(Submit Completed forth t0 county if not
state owned.)
Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size.
Coun a State San;raN Permit Number ^ Check if revision to revious lication Plan I. D. Number
_ p a ~~
I. Application Information -Please Print all Information Location:
Property Owner N
~
~ ~ ~~ Property Location
~
,
_ ~ MAR 1 4 2002
jj(/1/4 ~ 1/4, S T N, R ,~( W
Property Owner's Mailing Address t ,_
~'~'1 ST. CROIX COUNTY Lot Number Block Number
- Ij~
F~
S-{"'. ZONING OFFICE ~^
City, State Zip Co
d
e o
ne Number Subdivision Name or CSM Number
/
~ ^~+
~
7
II. Type of Buildin (check one) ~S ~ ~p~~~ n
^ 1 or 2 Family Dwelling - No. of Bedrooms :~
- f ~ ~c ^ City
^ Village
_
^ Public/Commercial (describe use):_ ~~ 5~~~~ '~ (,(~ ~'Z~~G- 1l3 TOWn of
^ State-Owned ~ ~ ~ `~
p Z , Nearest Road
~
~
~~}}
4
D ~ S
6 t `~
Mown"
~ "
6 ~ X ~5 Paz el N o ~
S
:
c QS
III. Type ermit: (Che 1 one box on line A. Check box on line B if applicable) ('3. 2$. la. 9£s'P
A) 1. Ne Replacement 3. ^ Replacement of 4. 5. 6. Addition to
ystem Tank Only Existing System
B) Permit Number Date Issued
^ A Sanitary Permit was previously issued
IV. Type of POWT System: (Check all that apply) ~ ,
^ Non-pressurized In-ground ~ Mound ^ Sand Filter ^ Constructed Wetland
^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line
^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other:
V. Dispersal/Treatment Area Information:
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation
y ~ .o ~~~, ~~d~~
VII. Tank Capacity to Total of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing Crete structed
Tanks Tanks
;t
tC '~ ^ ^ ^ ^
~,
~ f`~
~~
/ r / ~
~
^
^
^
^
D ~s V
VIII. Responsibility Statement
I, the undersigned, assume responsibility for installatio of the PO TS shown on the attached plans.
Plumber's Name (print) er's Signatu ps): MP/MPRS No. Business Phone Number
g
/ ~~ 5
Plumber's Address treet, City, State, ip Co e
IX. County/Department Only
^ Disapproved Sanitary Permit Fee (Includes Groun water Date Issued sui Agent Signature (No stamps)
'E~pproved ^ Owner Given Initial Adverse Surch a Fee) E4~
Determination 32,x. ~--- ~ ~ ~ y ~Q~~
X. Conditions of Approval /Beaso s for Disapprove
k
~.r~-s vw~-~ ~ w~t~.,ti.`~n~~ c~ ~.C,~ ~p,rc ~ cm~R2 ~o,- ~t~..c.~.t~.w eK.~S -
~ ~4 ((
_____
SBD-6398 (R. 07/00) ~~~~~ QU~tn7 ` ~~ ~~
r ,~ ~
t
~ ~
~.scons~n
Department of Commerce
Safety and Buildings
10541 N RANCH ROAD
HAYWARD WI 54843
TDD #: (608) 264-8772
www.commen;e.state.wi. us/sb
www.wisconsin.gov
Scott McCallum, Governor
PhiliF Edw. Albert, Secretary
Mazch 12, 2002
CUST ID No.220728
CLARENCE L GLOTFELTY
ENVIltO-TECH SYSTEMS & SERVICE
N4955 SUNNY HILL RD
WEYERHAEUSER WI 54895
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 03/12/2004
ATTN: POWTS Inspector
ZONING OFFICE
ST CROIX COUNTY SPIA
1101 CARMICHAEL RD
HUDSON WI 54016
SITE:
Duane Midtling
339 2
Town of Eau Galle, 54028
St Croix County
NW1/4, SE1/4, S13, T28N, R16W
FOR: Replacement mound, 450 GPD
Object Type: POWT System Regulated Object ID No.: 829360
Identification Numbers
Transaction lD No. 708240
Site ID No.179532
Please refer to both identification numbers,
above, in all comes ondence with the a enc .
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDTTIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
General Approval Conditions:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P
( N.Ol/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment /
Systems" SBD-10706-P (N.O1/O1). ,~'~
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans. In addition,
the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of
the mound component manual aze complied with. A copy of this information must be given to the owner upon
completion of the project.
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and' 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
• The maintenance plan for this system must be given to the owner of the POWTS.
Reminder
• The orientation of the mound system must be such that the longest dimension is oriented along the surface
contour per COMM 83.44(6)(a)2.
• Limit activities in the azea 15' beyond the down slope edge of the mound per Mound Component Manual.
• Surface water drainage shall be diverted away from the system azea per Mound Component Manual.
P•~ •.
Condit
GORR1
e •1
~LARENCE L GLOTFELTY
• Materials shall conform to the requirements of COMM 84.
• Abandon failing system psr COMM 83.33.
Page 2 3/1?JOZ
• Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of
the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening
used to service the filter shall terminate at or above finished grade with a watertight cover.
• Provide frost protection per COMM 83.43(8)(c).
• Holes must be drilled with a sharp bit and all burrs and foreign matter removed before installation.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall. relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the
installation, operation or m~enancao~f the POWTS.
Sincerel
G
Patricia L Sh
POWTS Plan Reviewer ntegrat~
(715) 634-7810, Fax: (71
pshandorf @commerce.state.wi.us
M-F 7:45 am - 4:30 pm
Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
VJiSMART code:. 7633
~:. 1 "~ ~ .
Project
Owner
MOUND SYSTEM DESIGN
Residential Application
INDEX AND TITLE SHEET
'. ~ ~-L
r ~
u~T
Address 3 ~~' `~~, y c,~- . \C ~. ~ '~.._`l Q~~ Sr>f',J
Legal Description .~Ct~-~~f 5 ~~ y~ ~ee.,. 13 ~a-~jj~( ~ (~(o ll)
Township ~,~ G ~ ~~ County _ S-f , l~~(`r~ - X_
Subdivision Name _ J~! . gQ . Lot No. ... V,
Parcel ID Number
Plan Transaction Number
Index and title sheet
Mound calculations
Mound drawings
Pres. dist. calcs. and laterals
TDH and pump tank drawing
Pump specifications
Site plan
Turn-up detail
Management plan
Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Designer Clarence lotfelt License Number
Signature Phone No.
Date _ "'~--~ ~y~~
~es; h ~ a~t~~s
~o u n d ~ v-1 nv~ ev,~{-- S 13 ~ ~ 10~9I - F~
~lV . off/ !~
~~
(/Y o/%~ J
220728
.T.s•
Ana
JF _
7Q
(715) 868-5831
Page 1 of 9
• ' r. 3 j ~ ~
MOUND SYSTEM DESIGN
Complete red boxes as necessary.
750 gpd maximum
Residential or commercial? ~(r or c)
Slope
Design flow rate ~ gpd
Depth to limiting factor in
In situ soil infiltration rate o S gpd/ft`
Contour line elevation p ft
Use standard fill depths? - OR Design depth?
Place X in box to use standard depths (2d and A+4 inclusive) OR specify desi®epth.
Center or end manifold Orifice density j/.,2 Orifices per ft`
~co or e> Orifice diameter in o.tzs. 0.156. o. ~aa. o.zto. o.z5.
Lateral spacing ft Use 0 lateral spacing for trenches. 0.281, or 0.313 inch only.
Estimated orifice space ft Not a final calculation.
Number of laterals Pump tank elevation
;. ft Outside bottom of tank.
Forcemain length ft Forcemain diameter
In 1.5,•2, 3 or 4 inch only.
~: .n Actual I.D.
SYSTEM SOLUTIONS
Design flow rate
Absorption cell
Application rate & area 1.0 gpd/rtz
Linear loading rate (LLR)
Design width (A)
Cell length (B)
Depth of cell (F)
Sand filter
Upslope fill depth (D)
Downslope fill depth (E)
Basal area required (gpd/infiltration rate)
Supporting components
Topsoil depth
Subsoil depth at center
Subsoil depth at cell wall
End slope toe length (K)
Up slope toe length (J)
Down slope toe length (I)
Total mound length {L)
Total mound width (W)
Project ~~~~ °~S~Hd ~;// (~~
Transaction Number;
C'~9Pd
~1
ft ~~e age. y~e~
gpd/ft
ft
7 ft
o in
in
in
ftz Pr~os~d 9~~ 5~ ~ "F'
3.0 in
9.0 in
3.0 in
~~.Oft
,. ft
ft Basal adjustment made.
ft
~ .,. ft
/~0.9 >~'
DIAMETER CONVERSIONS
1/8 = 0.125 1/4 = 0.250
5/32 = 0.156 9/32 = 0.281
3/16 = 0.188 5/16 = 0.313
7/32 = 0.219
Page Z of 1
~Iti ~
MOUND PLAN VIEW
obsewation pipes (typical) ''
T A` 1/6 B
~ ~F-~~ _ A = ft,
I~ ft .~~ A I J= ft
w M~ B I= ft
I ~ K _ K = ft
1 /66 = ft .
M y n ~.
L ~ft `l
~1 typ. obs. pips
(anchored securely)
' I =down slope dimension ] =absorption cell (AxB)
J = up slope dimension p =plowed area (LxW)
K =end slope dimension M = S-l..A .~ ~' (~~P~'~ ~ ~"
. MOUND CROSS SECTION
D = in
lateral topsoil G H subsoil cap
~1 E _ in
invert ~-~Jft___ _ F = ~. in
elev. -- -- --- ;;;;;;;;;;;;;;;;;;;; F G = 6.0 in
T ASTM C33 H = 12.0 In
_ M - C San--dam(- E
;.
sys. C~~. ' ft / --~ y
elev. /Q~, ft contour
3 ~~~ --~
slope
D = upslope fill depth plowed layer
E = downSlope fill depth Note: Absorption cell media wilF-consist
F =absorption cell depth of aggregate and pipe with laterals
G =subsoil ± topsoil depth at cell. wall centered across Axe media. The cell
H =subsoil + topsoil depth at cell center media is covered with geotextila fabric.
~~
M ~ ' ~~ ~ soJwd ~~ II
r,,
Project:
Transaction Number: Pagej~f~
• ~ ~ a
r
lr ~ , ~ -
l v~
~ I
Designer must
"X" one choice
from the options
provided.
PRESSURE DISTRIBUTION CALCULATIONS
Dispersal cell
Width (A) _
_ ft
Length (B) ft
Lateral specifications
Number laterals
Orifice/lateral ( holes `
Lateral length (P) "~ y 3 Q~~S
ft ~ fb/ os'~i'CG 5• c y8 X
•
Orifice diameter in h~
Lat. dis. rate o_(' ' gpm .w~ f~r»/~rt>~'~
Sys. dis. rate fpm
Orifice spacing (X) "
J in ,
Lateral diameter Pipe diameter Deafyoocuen: Dess"~no~~e
Manifold diameter
arab
"X" one choice
from the options
provided.
11n x
1 1/4 in X
1 1/2 in X X
2 in X
31n X
Place X in red
box of chosen
diameter.
F'Ipe tllameler Desicn oollonn Owslnn ehniew
1 in x
1 1/4 in x
1 1/2 in x
2 in x
3 in x
4 in x
Place X in red
box of chosen
diameter
Distribution system contains: 4 Lateral(s)
LATERAL DIAGRAM -CENTER CONNECTION
Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area.
Force main oonnvotion via tee or cross to maniFold at any point.
~E P
O -Turn-up vwball valve or If X-4IE
oleanoutpiup
Holes drliled on the bottom of the lateral.
Laterals are identic al
S
laterals h foroe main of PVC Sch 40
per COMM Table 84.0.5
Lateral length (P)
Lateral spacing (S)
Orifice spacing (X)
Manifold length
Orifice diameter
Lateral diameter
Forcemain diameter
a
~.-
ft
in
in
in
Project: - ,
Transaction Number: Paget' ~f 9
6 ' -,Z~
4" PYGVENT PZPF.. 12" MIN. AEiOVF: GRF.~I:: E
> .10' FROM DOOR, WINDOW Ol:
FRESH AIR INTAKE
I
FINISHED GRADE ~ j
18" IN.
NLET i ~ .. ~ ~'__~~
l•IEATHER PROOr
JUNCTION BOX APPROVED l~e,~.iwc,
-WITH CONDUIT MANHOLE COVE
W/ PADLtlCK l;
rr WARNING LABE1-'
~~• l_~ Iz _ ~ +_._---- tl ~~ MIN .
I WATER TIGHT' -~--~- ~, __~__
4" Plos~'c ~--13~r-r--I_L zA~3L ~ A
PIPE ~ Fr'l_UC~lT _.k_
(-1Li~.IZ. e
9~._0__~.~~' . --
D
i 1'
GAS- , '
TIGHT ~ ~,
SEAL ~ ~
ALM
' ~-; O N
~,
,1----
:::~
Fatt,e.
rnoa-~
~u
APPROVED ~{/C
JOINTS Yl/Flan'
PIPE 3' ONTO
SOLID SOIL
°t RISER EXI'1
f'Lr.M 1'r•rLD oN ~
IF TANK
MANUFACTURER
HAS APPROVAL
3 " APPROV ED BEDDING UNDER TANK
SPECIFICATIONS
S~~G/ ~osE
CONCRETE PAD
TANK MANUFACTURER: y~~, I•IUMBER DOSES PER DAY: J oIy
TANK SIZES: SL•'PTIC
DOSE ~O GnL. I)OSt' VUI.U 11: INC1..UllING
~ GAL.. ~3~.`2..xy~x o0~?~XS FLOWQACK:
~7~ 5
GAL.
~
.~-~~~Xa~/py
ALARM MANUFACTURER : ~~ ~ec.~'~, CAPACITIES : A = ;~~, INCHES = GAL .
--_( ~
1~
MODEL NUMBER : ~~ 1 ~ ~ _
.__
SWITCH TYPE: ~~~,~y •l~~,r~- B = 2
- INCHES = ~~~:AL.
PUMP MANUFACTURER: ~ ly-~3 ~~-~
'- ~,
C = ~
INCHES =
o GAL.
' MODEL NUMBER ~
SWITCH TYPE: _~~ ~"~ ~ D = (~ INCHES = o(Q_GAL.
REQUIRED DISCHARGE RATE ~ GI't1 PUMP L AL/1Rt~I WIRING A S PER ILHR 16.23 WAC
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET
~05
+ M INIMUM NETWORK SUPPLY PRESSURI; 3 ~
5 FEET
+ ~' FEET FORCEMAIN X b~FT/100 FT. FRICTION FACTOR .
oo FEET
TOTAL DYNAMIC HEAD = --~-~ - FEET
INTERNAL DIMENSIONS n ~
OF PUMP TANK: LEtdGTFI ~
; IJIDT}-1 ~~; D'.t1{l°1'E
Z'EFF-'
_
LIQUID DEP']:H y~,~ .,•
SIGNED
L.ICF.,NSE NUM(3F.R:
DATE:
1/88 a
/ e ~ s
Ln
O ~
~_~....L~'.•..l.l..f/_.u.~ ~.JAN-~~.~..........:_..._.....~i
~............:............i ..................__.__.........;.._.... ._................_.._I
Clarence Glotfelty
Enviro-Tech Systems & Services
N4955 Sunny Hill Road
Weyerhaeuser, WI 54895
P~5#3~4 ~rl.
-•~~Y
FL01N ~EFt niINUTE
TOTAL DYNAMIC HEACVFIOW PER MINUTE
EFF W ENTAND DEWATERINO
CAPAC:T`r
NEAO UNtTBrMIN
FEET METERS OAI.S LTR3
S t.52 72 27a
,o a.tn et eat
,s ~.s7 ~s ,70
20 6.10 23 95
odi Valve ~ 2a'
70 t30
4 3/16
'.~
tKt10S '
• CONSULT FACTORY FC
• Electrical alternators, for duplex systems, are available and
supplied with an alarm.
• Mechanical alternators, for duplex systems, are available with
or without alarm switches.
Standard all models -Wei Itt 39 lbs. •'/: H P
~R SPECIAL APPLICATIONS
•~ Variable level float switches are available for controlling single
and three phase systems.
• Oouble piggyback variable level (loaf switches are available
for variable level long cycle controls.
' SELECTION GUIDE '
1. Integral coat operated 2 pole mechanical switch, no external col~:rol required.
98 Sertea Control Selection
Modal Volb•Ph Mode Am s Slm lex Du lex
M98 115 1 Auto 9.4 1 or 1 3 7
N98 1t5 1 Non 9.1 Tor268 ~ 43
D98 230 1 Auto 4.7 1 or 1 b 7
E98 290 1 Non 4.7 2 or 2 3 8 ~ or 4 3 5
2. Single piggyback variable level Moat switch or double piggyback variable level,
Moat switch. Refsr to FfA0177.
9. Mechanical alternator t0-0072 or t0-0075.
1. See FM0712, far eortecl model or Electrical Alternator, E-PaY
5. Control switch 10-0225 used as a control activator, specify duplex (3) or (4)
float system.
8. Four (4) hole J-Pak, iunctlon box, for walertlghl connection orwired-in
almplsx oiduplax operetlon, 10.0002.
7. Two (2) hole J-Pak for walerUght connection or splice.
CAUTION
Fark~tam>.donw+eddNbn.IZwn.rpoductanrertoatalogonComDlrotloRSlarter,FMOS1~;Pfpgyf>aelt All lnst~llatlon of eontrofa, pror~ellon deatus ind wiring should be dons by >f qusllfled
Veliable LerNSwlkMa, FMOI77; ENcYfeelAllemebr, FMO~ae; MechanicalAllemebr, fMtH95; 3umpl licensed eleetrlclen. All electrical and safety coda should be followed IRC1uding th• most
Sewage Baalrn. FMO1e7; end Single Pfuae Simplex Pump ConlroUAlartn Systems, FM07a2. ~ ream( Netloaal Ebetrle Co,:a (NEC) and the Occupetlonal Safely and Health Act (OSHA).
~ I
. RESERVE POWERED DES1c ~ ' ~.,• .
For unusual conditions a reserve safety factor is engineered into the -:'sign of every Zoeller pump.
:~.,
' - . • - .~• -.- MArc 70: p o. eox 183q •-
L" Lolis-iAe. KY 10256-0317 -Manufactuers d.. ~
o - ,~E~~,E-~ SHrPTO: J819CsneRunRoad •1
I.ous„ne,xy~olfl.r9er ~ ut~osS,vcc/9.~
" PUMP !O. (so1~ 77e-27Jr • i (800J 918-PUMP
FAX (502) 771.3611 _ ~~_ G ~~q
3 7/8
( ~®
- 6 1/4
r
4 5/8
-~
\ I 3 5/8 .
m 1
-F- -F-
4 3/16
e
1 1/Z-11 1/2 NPT
r
„~
4" PyG VENT PIPE 12" MIN . ABOVE GR~.~E ~
>_ .~~' FROM DOOR, WINDOGI OR
FRESH AIR INTAKE
FINISHED GRADE
• ~~~ ABOVt GRADE
18" MIN . _`
INLET
`\WATER TIGHT -
'+" Plasf~"c
PIPE
WEATHER PR00:
JUNCTION BOX APPROVED
Ir1ITH CONDUIT MANHOLE COVER
W / PAD L(7C K 8
~--I r----WARNING LABEL
~_~ l~-4" MIN.
A
B
~'
C
F T . -~-
D
..
.,
.~
I!,
GAS- ~ ; '
TIGHT ~ ~,
SEAL
--T
~ '~
3" APPROVED BEDDING UNDER TANK
~~
APPROVED SIG
ALM JOINTS W/Aj~;G
ON PIPE 3' ONTO
SOLID SOIL
OFF ~~~~ RISER EXIT
PERMITTED ONLY
IF TANK
MANUFACTURER
HAS APPROVAL
CONCRETE PAD
DOSE
TANK MANUFACTURER:
SPECIFICATIONS
TANK SIZE •
DOSE O~C~ GAL .
ALARM MANUFACTURER : (~~ e.~r-a
MODEL NUMBER: j w ~~ ~
SWITCH TYPE : ,~.o ~. _~' ~ 1'~c-
PUMP MANUFACTURER : ~~ err J
MODEL NUMBER:
SWITCH TYPE: ~, ~ aa~
REQUIRED DISCHARGE RATE ~ GPM
AIUMBER DOSES PER DAY: ~o
DOSE VOLUME INCLUDING
FLOWBACK: ,3j.~ GAL.
CAPACITIES: A = ~ .?j INCHES = N97 GAL.
;,~,y S~~/~~~ B = 2 INCHES =~~.3 GAL.
C = 5.3 INCHES = /,?j~, 9 GAL.
D = ~~ INCHES = I~3.~ GAL.
PUMP 8 ALARM WIRING AS PER ILHR 16.23 WAC
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE .FEET
+ MI IMUM NETWORK SUPPLY PRESSURE ~, BEET
* --~ FEET FORCEMAIN X s2. (,~ FT/ 100 FT. FRICTION FACTOR FEET
TOTAL DYNAMIC HEAD = 'I~ ~ FEET
INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ~; WIDTH 7 aN ;
LIQUID DEPTH ?jg ~ ~
SIGNED:
1/88
LICENSE NUMBER:
DATE:
~~5.~/D
Typical Turn-up Cross Section Detail
Finished Grade
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
Septic Tank
The septic tank shah be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank
shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be
assessed at least once every 3 years by inspection. The outlet filter shall. be cleaned as necessary to ensure proper operation. The filter
cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its
enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms
may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge
and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial
assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than
maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance
is generally not required. However, if such products are used they shall approved for septic tank use by the Department of Commerce,
Safety and Buildings Division.
Pump Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper
operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be
seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for
vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of he infiltrative surface within the
mound and snow compaction in the winter will promote frost penetration. Cold weather installations {October-February) dictate that the
mound be heavily mulched for frost protection.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be
flushed of accumulated solids at least once every 18 months. When a pressure testis peformed it should be compared to the initial test
when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution
within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any
levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
General
This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component
manual [SBD-10572-P (R. 6/99)] and local or state rules pertaining to system maintence and maintenance reporting.
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank
abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings
used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or
subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking
device to prevent accidental or unauthorized entry into the tank.
ContinQencv Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in
proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be repaired or replaced
immediately with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced
in its' present location by increasing basal area if toe leakage occurs or removing biologically clogged adsorption and dispersal media, and
related piping, and replacing said components as deemed necessary to bring the system into proper operating condition.
Questions on the operation or maintence of this system should be directed to your countq zoning or health inspector
S~". Crotx Zo-~~.,.~ 7 ~S- 38(0-'-1 co8o
t7~~ 9a~q
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT ~/ Page 1 of 3
Labor and :~1uman Relations , Y
Diu~t9ortof Safety & Buildings :_ _____~ ...:.~ III Irf .,., .,~ ur.., n,.l... n,.,~,. ~f~' WZ ~~J
~ - - III QVVVIV ..~LII IVI 111 VV.V V, •11V• •.v~,,. vvvv
COUNTY
but
Plan must include
lan on
a
er not less than 8 1/2 x 1 ! inches in size
Attach com
l
t
ite St . Croix
,
p
p
.
p
e
e s
p
a ~~? ~.°10 of slope, scale or
not limited to vertical and horizontal reference point (B
` PARCEL LD. #
gad. " ~
dimensioned, north arrow, and location and distanc
"'~.,
v°P 008-1039-10-000
!!
APPLICANT INFORMATION-PLEASE PR L INFD1$MATION RE IEWED BY DATE
~
am` ~
~ r - r G
~7 ?.~~
PROPERTY OWNER: ~ "` ' PROPERTY LOCATION
Duane Mid ' n ~~ ,, ~, GOVT. LOT NW ii4 SE 1ia,S 13 T 28 ,N,R 16 ~ (or) W
PROPERTY OWNER':S MAILING ADDRESS ~ " ' "~^~ LOT # BLOCK # SUBD. NAME OR CSM #
339 River Rd. ~ ST mix na na na
CITY, STATE ZIP CODE ~ NE yGE
'~
`3 [J¢ITY ^VILLAGE ®fOWN NEAREST ROAD
Woodville, WI. 54028
-
11 ~ Eau Galle River Rd.
[ ]New Construction Use ;~ ] Residential / Num ~ ~r ~ _, 3 [ ]Addition to existing building
jx] R_ a cement [ ] Public or commercial descrit~e
Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft2 .6 trench, gpolft2
Absorption area required .375 bed, ft2 375 trench, ft2 Maximum design loading rate . 5 bed, gpolft2 .6 trench, gpolft2
Recommended infiltration surface elevation(s) 103.40 ft (as referred to site plan benchmark)
Additional design /site considerations system el. based on contour line of el. 102.40'
Parent material limestone uplands Flood plain elevation, if applicable na ft
S =Suitable for system
U =Unsuitable fors stem CONVENTIONAL
^ S ®U MOUND
~] S ^ U IN-GROUND PRESSURE
^ S ®U AT-GRADE
^ S ®U SYSTEM IN FILL
^ S ®U HOLDING TANK
^ S ® U
SOIL DESCRIPTION REPORT
Boring #
..................
.................
..................
.................
1
Ground
elev.
101.1 ft.
Depth to
limiting
factor
~nll
Boring #
2
.................
Ground
elev.
lOl.lft.
Depth to
limiting
factor
41"
Depth Dominant Color Mottles re
T
t Structure Consistence Bounda Roots GPD/ft
Horizon in. Munsell Qu. Sz. Cont. Color ex
u Gr. Sz. Sh. ry Bed Trer>ch
1 0-9 10yr3/3 none 1 2msbk mfr cs 2f .5 ( .6
2 9-21 10yr4/3 none sil 2msbk mfr gw if .5 .6
3 21-30 10yr4/4 none 1 fs Osg mvfr gw na .5 .6
4 30-55 10yr4/4 c2d 7.5yr5/6 sicl M na na na np ; .2
Remarks:
1 0-10 10yr3/3 none 1 2msbk mfr cs 2f .5 .6
2 10-24 10yr4/3 none sil 2msbk mfr yw if .5 .6
3 24-41 10yr4/4 none scl 2msbk mfr yw if .4 .5
4 41-65 7.5yr4/4 c2d7.5yr5/6 scl M na na na np .2
Remarks:
CST Name:--Please Print Gary L. Steel Phone: 715-246-6200
Address: 1554 200th. .New Richmond WI 54017
Signature: }~ Date: 8-4-99 CST Number: m02298
PROPERTY OWNER Ihiane Midtling SOIL DESCRIPTION REPORT
PARCELLD.# 008-1039-10-000
Boring #
<:....
3
Ground
elev.
102.7 ft.
Depth to
limiting
factor
~~
Boring #
..................
.................
Ground
elev.
ft.
Depth to
limiting
factor
Boring #
4?6iii:4iiiiii}i:
Ground
elev.
ft.
Depth to
limiting
factor
Boring #
..................
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
. Page T of 3
_,
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
- yr none 1 2msbk mfr gw 2f .5 .6
2 10=21 10yr4/3 none sil 2msbk mfr gw if .5 .6
3 21-40 10yr4/4 none sicl 2msbk mfr gw na .4 .5
4 40-60 10yr6/4 none fract ed limes one na na np f np
Remarks:
Remarks:
Remarks:
SBD-8330(8.05/92)
.a
Y~ ,'
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
Duane Midtling WI 54017
CSTM2298 NWgSE4 S13-t28N-R16w New Richmond,
MPRSW-3254 town of Eau Galle (715) 246-6200
N
1"=40'
BM.= top of 1" pvc pipe C el. 100.00'
Alt. BM.= top of 1" pvc pipe C el. 98.40'
f
~~
d ~` {~ci`~ ~c N ~
~~
~ r
~~
v~
a
~~
33
~J ~
-d
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~.
~,~ ~ ~, ,
~~ r ~~
~' ~ nC C
~ -~
~ ~ 3, ~
~ ~~ ~ ~y
~ ~~
Gary L. Steel
8-4-99
ST CROIX COUNTY
SEPTIC TANK 1~IAIN'1'ENANCE AGRBEMENT
AND
OWNERSHIP CERTIFICATION FORM
-~
OwaerBuyer ~ zC~- '
Mailing Address 2 ~~' 0774 ~~-~% ~46GL y~ ~/~- j~~ G~~' d
Property Address 5.3 ~~ Z ~ C~ ~ ~t ~ ~~~n~V~"~l~ ~ ~~ l~~ yDZ~'
(Verification required from Planning Department for new construction)
City/State ~(,GY~/~//d~~ti° ~ Parcel Identification Number Oc~,~ - ~ ` 9S - GYJU
LEGAL DESCRIPTION
property Location ~(~ `/., ~ 1/., Sec. ,~,~, T? ~N-R~W, Town of
Subdivision - .Lot #
Certified Survey Map # - ,Volume _ ~ ..Page #
Warranty Deed # ~ ~D `~ ,Volume ~ ~ Page #
Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no
SYSTEM MAINTENANCE
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 throe 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.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
~stprplumber, journeymanplumber, restrictedplumber or alicensed pumper verifying that (1) the on site wastewaterdisposal system
is is proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Uwe, 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 syste has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of a ear exp' date.
__~ _ ...._ .. ,.. DATE
V W 1~1 Lit t,rn i it i~.ri i ivi.
I (we tall statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the cn'bed a , by virtue of a warranty deed recorded in Register of Deeds Office.
C SI PL CANT DATE
Any information that is aus-represented may result in the sanitary permit being revoked by the Zoning Department. ******
ss****
«« Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
' 401. ~ 8~OPR6C r74s
STATE BAR OF WISCONSIN FORM 1.2000
Doe:anentNvmt><r WATtRANTY DE)~D
This bend, made between
Auane H Midtli.ua, a sinyia »eraoa
(}rentor,
and Jerry J. Eizel and Jody L. Knutson. two single
p_eraons as "oiat tonarlta ___
tsrantce.
C3 cantor, for a valuable consideration, conveys to Granbce rho following
described real estase in St. Croix County, State of
Wiscoasia (the "Property") (if more space is needed, pleaso attach eddardum);
That part of the Nosthanat Quarter of the Southeast
Quarter (NPT ~t o! SE '~) of Section (13) lying
East of the Town Road, all is
Township (29) North, AanQe (16) Toast, Iowa o£ £au
Gallo.
FJCCEPT that part of the Northwest Quarter oP the
Southeast Qus4tte,r (NiP ~+ oir Ss zt) oP 8ectioa (13)
deacribad as follows: Comslsaoiag at flee Southeast
corner of tho N9~T '~ of the Sit; k o! Bastion 13, ttteaoa
North along the 40 lies 29 rods; 1;.henw Wast to the
Cantgr of highway) theaea Southaaatorly along eQaiaar
o! highway Co place of bagiaaiag, ail in Seatioa
(13) , Township (28) Korth, Rangs (16) -Peat, Town of
~'ogcthor with all appurtenant r;$hts, tide and interests.
669045
r:F1TiiLEEN H. WALSH
kEGISTEk QF DEEDS
.. :. Cf.OIX CO., WI
kECEIVED FOR kECORD
U1-23-2401? 8:30 AN
VARRANTY DEED
E%E11RT M
CERT COGY FEE:
CORY FEE:
TRANSFER FEE: 570.00
RECORDING FEE: 11.04
RAGES: 1
Neme sod Return
~~ ~~
6v ~i',t' /~7
This is homestead properly.
(is) (is not)
Grantor warrants that the title w the Property is good, indefeasible in flee simpi6 and free and clear of
Roadways, Sas6gneats, and Reatriatioas o£ bteeord.
Detcd this 21st day of Jaauarv 2002 .
• ~
ATJTIIENT[CATION Y pV ACIQtTOTiVLBDGMENT
~p'~~ B!~ STAT]s OF WISCONSIN j ss.
Sigaaturo(a)
~ 3t. Croix- County. )
authenticated this ~Y of PersoaaUy eamo beforo me this 21st day of
~ Jaa,,.,~., soot the above Hamad
arm=- Qysene H Mi.d ~+n..
r 1 l ~ -
TITLB; M&MB1iR STATE BAR OF WISCON
(If not, to me known to be the parson who executed
suthorized by §706.06, Wis. Seats.) the f ing i art owledsed the same.
Title assTRUMtarr wAS nRAFrw sr
m j G ~~? ~- ~i91r ~~.1C, N fie, Stale of'Wisconsin
My Commission h permanent. (If not, state expiration date:
si stores be au~etaicetod a.dmoatcd d, D~ ae aoc access
+Nmna orpersona s~yria8 is ary eapseity rrwat>x rYped or prletad blow tboir signature.
WARItANT'Y D6.BD STALE 1gAit OF'WYSCONSIN FORM No. ta000
tEOraCy Miebaef M FOroalri 1830 HrackUt Ave, ENr Clore WI 34701.4027 TS168392:1PX
Pbmrc:(713) 835-3029 Fax: (7tS) 835x1112 Miciwel k1 Pormld
p(OtluupE will) Zp-mnM ay f7E Fonn~Ner, l1C 16026 FBa.+MM PaaC, Csnron TeMOt1M, MchlOan ~ (t00I a606B06
,~~ .
~~ ~ ~
~~`~ ,ak\~~
N~~y
VOL ~ 82~PA°E 547 669049
After Recording Return To:
Loan Procesain
g KATHLEEN H. IJALSH
REGISTER OF DEEDS
The First National Bank ST. CRDIX CO., iJI
PO Hox 187
Hudson, wI 54016 RECEIVED FOR RECORD
01-23-200 8:30 AM
tgRTGAGE
Ef(EI~T it
Parcel Identifier Number: CERT COP'( FEE:
008-1038-95 CORY FEE'
TRANSFER FEE:
RECORDING FEE: 41.40
PAGES: 16
MORTGAGE
[Space Above This Line For Recording Data]
DEFINITIONS
Words used in multiple sections of this document are defined below dnd outer words arc defined in
Sections 3, 11, l3, 18, 20 and 21. Certain rules regarding the usage of words used in this document
are also provided in Section 16.
(A) "Security Instrument" means thjs document, which is dated JANUARY 21. 2002 ,
together with all Riders to this docement.
(B) "Borrower"is _Jerry~_Fize~~a~J9S1y L•. Knutson, Single
Persons
Borrower is the mortgagor under this Security Instrument.
(C) "Lender"is The Fi.;fit National Bank Of Hudson ____~__._____
. Lender is a Corgor.;s.liion _,~ --organized
and existing under the laws of United States of Ameri~~_~_ ____.__-. Lender's
address is _1660 Eleventh Avenue. Baldwin, w;_~qQ~ ____. __._____
. Lender is the mortgagee under this Security Instrument.
(D) "Note"means the promissory note signed by Borrower and dated JANUARY 21. 2002
The Note states that Borrower owes Lender oNE HtIDmxE12~IG1ITY_S1391ZSTa*1T.~%?~ EiUDIDRED~:ND
N9_/100 ,______ Dollars (U.S. $ _~~Q,_5.00....0.0.___-) plus interest. Borrower
has promised to pay this debt in regular Periodic Payments and to pay the debt iu full not later than
FEBRUARY ~ 20'2 _ .
(E) "Property" means the property that is [lescribed below under the heading "Transfer of Rights in tltc
Property."
(F) "Loan" means the debt evidenced by the Note, plus interest, any prepayment charges and late
charges due under the Note, and all sums due under [his Security Instrument, plus interest.
(G) "Riders" means al! riders to [his Security [ns[rument that are executed by Borrower. The following
riders are to be executed by Borrower [check box as applicable]:
^ Adjustahle Rate Rider ^ Cundnminiurn Rider Ll Second Home Rider
^ Rallonn Rider U P3anned Unit 1?evelopmeut Rider ^ Olher(s) [speci(yl
CJ l-4 Family Rider ^ Oiweekly Paymem Rider
WISCONSIN-SinYlc FamilyFannlc Mee/Frcddie Dtac GNIFORb11N\TRUM ENC Funs 10;0 :I01 Qxigr I ,f lfi ixrXrr
~FIPGtp I~inribmN hY nPCO - IMMp7i?..1198 eau. I i nonua
ti~
\'
v~11820PAf,,:548
(Iq "Applicable Law" means all controlling applicable federal, state and local statutes, regulations,
ordinances and administrative rules and orders (that have the effect of law) as well as all applicable
final, non-appealable judicial opinions.
(q "Community Association Duct, Fees and Assessments" means all dues, fees, assessments and
other charges that are imposed on Borrower or the Property by a condominium association,
houtcowncrs association or similar organization.
(J) "Electronic Fmrds Transfer" means any transfer of funds, other than a transaction originated by
check, draft, or similar paper instrument, which is initiated tluough an electronic terminal, telephonic
instrument, compu[er, or magnetic tape so as to order, instruct, or authorize a financial institution io
debit or credit an account. Such term includes, but is not limited to, point-ot-sale transfers, automated
teller tttachine transactions, transfers initiated by telephone, wire transfers, and automated
clearinghouse transfers.
(K) "Escrow Items" mean those items that are described in Section 3.
(L) "Miscellaneous Proceeds "means any compensation, settlement, award of damages, or proceeds
paid by any third party (other than insurance procee(s paid under the coverages described in Section
5) for-. (i) damage to, or destruction of, the Property; (ii)condemnation or other taking of all or any part
of the Property; (iii)conveyance in lieu of condemnation; or (iv) misrepresentations of, or otnissions as
to, the value mtd/or condition of the Property.
(M) "Mortgage Insurance" means insurance protecting Lender against the nonpayment of, or default
mt, the Loan.
(N} "Periodic Payment" means the regularly scheduled amount due for (i) principal and interest under
the Note, plus (ii) any amounts under Section 3 of this Security Instrument.
(O) "liZ1;SPA" means the Real Estate Settlement Procedures Act (12 U.S.C. §2601 et seq.) and its
implementing regulation, Regulation X(24 C.F.R. Part 3500), as they might be amended from time to
time, or atty additional or successor legislation or regulation that governs the same subject [natter. As
used in this Security Instrument, "RESPA"refers to all requirements and restrictions that are imposed
in regard to ~ "federally related mortgage loan" even ifthe Loan does not qualify as a "federally related
mortgage loan" under RESPA.
(Y) "Successor in Interest of Borrower" means any party that has Eakcn'•title to the Property, whether
or not that party has assumed Borrower's obligations under the Nore and/or this Security Instrument.
TRANSFER OF RIGHTS IN THE PROPERTY
This Security Instrument secures to Lender. (i) the repayment of fhe Loan, and all renewals, ;
extensions and modifications of the Note; and (ii) the performance of Borrower's covenants and
agrecntents under this Security lnstntntent and the Note. For this purpose, Borrower does hereby
mortgage, grant and convey to Lender, with power of sale, the following described property located
ti15WNS1!!-Single Family--Fuuuic M1racR~reddlc Moe UNIFOtLNINSTntfA71~\7 Form 3050 1/01 (/w8e 10l I6 ptgrs)
~FIPCO DisirUmeJ Uy FIPCO - l&MOn2-}198 RLV. I I/1lY!(%]0
~01.18~OP~<<549
in the County of st. croix _
[Type of Recording Jurisdiction] [Name of Recording Jurisdiction]
That part of the NW 1/4 of SE 1/4 of Section 13 lying Ely of Town Road
All in Township 28 North, Range 16 West. Except that part of the
{VW 1/4 of SE 1/4 of Section 13 described as follows: Commencing at the SE
corner of the NW 1/Q of SE 1/4 of Section 13; thence North along the 40
line 29 rods; thence West to the center of highway; thence SEIy along
center of highway to place of beginning, all in Section 13, Township 28
North, Range 16 West, St. Croix County, Wisconsin.
which currently has the address of -332 2~oth s
(Street]
~lpcZrlville _ _. , Wiscottsh1442s ("Property Address"):
[City] [Zip Code]
TOGETHER W[TH all the improvements now or hereafter erected on the property, attd all
easements, appurtenances, and fixtures now or herea[er apart of the property. Ailreplacemems and
additions shall also be covered by this Security lnsttument. Allof the foregoing is referred to in this
Security Instrument as the "Property."
r
BORROWER COVBNANTSthat Borrower is lawfully seised of the estate hereby conveyed and
has the right to mortgage, grant and convey the Properly and that the Property is unencumbered,
except for cacumbranccs of rewrd. Borrower warrauts and will defend generally the title to the
Property against all claims and demands, subject to any encutnbrances of record.
THIS SECURITY[NSTRUIvIENTcombines uniform covenants for national use and non-uniform
covenants with limited variations by jurisdiction to constitute a uniform security instrument covering
real property.
UNIFORMCOVENANTS.Borrower and Cinder covenant and agree as follows:
1. Payment of Princlpal, Lttcrtxt, Escrow Items, Prepayment Charges, and Late
Charges. Borrower shall pay when due the principal of, and interest on, the debt evidenced by the
Note and any prepayment charges and late charges due under the Nnte. Borrower shall also pay
funds for Escrow Items pursuant to Section 3. Payments due under the Note and this Security
Instrument shall be made in U.S. currency. However, if any check or other instntment received by
WISC011Sll~-Sin~lc Fmnily--Fewde INaclFreddle htac In'[FOlt6[IN57ROMF.AT Furm 3010 l/01 (FnAe Jrf 161xrgex)
~PIF+LtO o.:utbuwl M rrco • twmr_++-NVa aev. nnnnuoo
iao ;,
d'
V01. ~ O~OPA,E55O
Lender as payment under the Note or this Security Instrument is returned to Lender unpaid, Lender
may require that any or all subsequent payments due under the Note and this Security Instrument be
made in oae or more of the following forms, as selected by Lender: (a) cash; (b) money order; (c)
certified check, bank check, treasurer's check or cashier's check, provided any such check is drawn
upon an institution whose deposits are insured by a federal agency, instrumentality, or entity; or (d)
Electronic Funds Transfer.
Payments are deemed received by Lender when received at the location designated in the
Note or at such other location as may be designated by Lender in accordance with the notice
provisions in Section 15. Lender tray return any payment or partial payment if the payment or partial
payments aze insufficient to bring the Loan current. Lender may accept any payment or partial
payment insufficient to bring the Loan current, without waiver of any rights hereunder or prejudice to
its rights [o refuse such payment or partial payments in the future, but Lender is not obligated to apply
such payments at the time such payments are accepted. If each Periodic Payment is applied as of its
scheduled due date, then Lender need not pay interest on unapplied funds. Lender may hold such
unapplied funds until Borrower makes payment to bring the Loan current. If Borrower does not do so
within a reasonable period of time, Lender shall either apply such funds or return them to Borrower. If
not applied earlier, such funds will be applied to the outstanding principal balance under the Note
immediately prior to foreclosure. No offset or claim which Borrower might have now or in the future
against Lender shall relieve Borrower from making payments due under the Note and this Security
Instrument or performing the covenants and agreements secured by this Security Instrument.
2. Application of Payments or Proceeds. Except as otherwise described in this Section 2,
all payments accepted and applied by Lender shall be applied in the following order of priority: (a)
interest due under the Note; (b) principal due under the Note; (c) amounts due under Section 3. Such
payments shall be applied to each Periodic Payment in the order in which it became due. Any
remaining amounts shall be applied first to late chazges, second to any other amounts due under this
Security Instrument, and then to reduce the principal balance of the Note.
IfL.ender receives a payment from Borrower for a delinquent Periodic Payment which includes
a sufficient amount to pay any late chazge due, the payment may be applied to the delinquent
payment and the ]ate chazge. if more than one Periodic Payment is outstanding, Lender tray apply
any payment received from Borrower to the repayment of the Periodic Payments if, and to the extent
that, each payment can be paid in full. To the extent that any excess exists after the payment is
applied to the full payment of one or more Periodic Payments, such excess may be applied to any late
chazges due. Voluntary prepayments shall be applied first to any prepayment charges and then as
described in [he Note.
Any application of payments, insurance proceeds, or Miscellaneous Proceeds to principal due
under the Note shall not extend or postpone the due date, or change the amount, of rile Periodic
Payments.
3. 1Htitnds for Escrow ltetns. Borrower shall pay to Lender on the day Periodic Payments
aze due under the Note, until the Note is paid in full, a sum (the "l:unds") to provide for payment of
amounts due foe (a) taxes and assessments and other items which can attain priority over this
Security Instrument as a lien or encumbrance on the Property; (b) leasehold payments or ground
rents on the Property, ifany; (c) premiums for any and all insurance required by Lender under Section
5; and (d) Mortgage Insurance premiums, ifany, or any sums payable by Borrower to Lender in lieu of
WLSCONSIN-Single Family-Fnunk MaetFreddk Mac UNIFORM tNSI'RUMENY Norm 3050 1/01 fP1+8r 4 aJ l6 / u8es)
~PL~ buo-ibuud 6y FIPCO - (A0017Z1.749A REV- I I/ IDl2W 0
nor. ~ 82QPAGE 551
the payment of Mortgage Insurance premiums itt accordance with the provisions of Section 10. These
items are called "Escrow Items." Atorigination or at any time during the term of the Loan, Lender may
require that Community Association Dues, Fees, and Assessments, ifany, be escrowed by Borrower,
and such dues, fees and assessments shall be an Esctow Item. Borrower shall promptly furnish to
Lender all notices of amounts to be paid under this Section. Borrower shall pay Lender the Funds
for Escrow Items unless Lender waives Borrower's obligation to pay the Funds for any or ali Escrow
Items, Lender may waive Borrower's obligation to pay to Lender Funds for any or all Escrow items at
any time. Any such waiver may only be in writing. 1n the event of such waiver, Borrower shall pay
directly, when and where payable, the amounts due for any Escrow Items for which payment of Funds
has been waived by Lender and, if Lender requires, shall furnish to Lender receipts evidencing such
payment within such time period as Lender may require. Borrower's obligation to make such
payments and to provide receipts shall for all purposes be deemed to be a covcnattt and agreement
contained in this Security Instrument, as the phrase "covenant and agreement" is used in Section 9. [f
Borrower is obligated to pay Escrow Items directly, pursuant to a waiver, and Borrower fails to pay the
amount due for an Escrow I[em, Lender may exercise its rights under Section 9 and pay such amount
and Borrower shalt then be obligated under Section 9 to repay to Lender any such amount. Lender
may revoke the waiver as to any or all Escrow Items at any time by a notice given in accordance with
Section IS and, upon such revocation, Borrower shall pay to Lender all Funds, and in such amounts,
that aze [hen required under this Section 3.
Lender may, at any time, collect and hold Funds in an amount (a) sufficient to permit Lender
to apply the Funds at the time specified under RESPA, and (b) not to exceed the maximum amount a
lender can require under RESPA. Lender shall estimate the amount of Funds due on the basis of
current data and reasonable estimates of expenditures of future Escrow Items or otherwise in
accordance with Applicable Law.
The Funds shall be held in an institution whose deposits are insured by a federal agency,
instrumentality, or entity (including Lender, ifIxnder is an institution whose deposits are so insured) or
in any Federal Home Loan Bank. Lender shall apply [he Funds to pay the Escrow Rents no later than
the time specified under RESPA. Lender shall not charge Borrower for holding utd applying the
Funds, annually analyzing the escrow account, or verifying the Escrow items, unless Lender pays
Borrower interest on the Funds and Applicable Law permits Lender to make such a charge. Unless an
agreement is made in writing or Applicable Law requires interest to be paid on the Funds, Lender shall
not be required to pay Borrower any interest or eaznings on the Funds. Borrower and Lender can
agree in writing, however, that interest shalt be paid on the Funds. Lender shall give to Borrower,
wi[hout charge, an annual accounting of the Funds as required by RESPA.
[fthere is a surplus of Ftmds held in escrow, as defined under RESPA, Lender shall account to
Borrower for the excess funds in accordance wish RESPA. if ihcre is a shortage of Funds held in
escrow, as defined under RESPA, Lender shall notify Borrower as required by RESPA, and Borrower
shall pay to Lender the amount necessary to make up the shortage in accordance with RESPA, but in
no more than 12 monthly payments. Inhere is a deficiency of Funds held in escrow, as defined under
RESPA, Lender shall notify Borrower as required by RESPA, and Borrower shall pay to Lender the
amount necessary to make up the deficiency in accordance with RESPA, but in no more than l2
monthly payments.
Upon payment in full of all sums secured by this Security Instrument, Lender shall promptly
refund to Borrower any Funds held by Lender,
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~FIPC~ o~s,.~nm~asrnrco-ironin_~xna atv. uniuloni
~. Y01. if1C~.~VA~E552
J. Charges; Liens. Borrower shall pay all taxes, assessments, charges, Fines, and
impositions attributable to the Property which can attain priority over this Sectuity Instrument,
leasehold payments or ground rents on the Property, if any, and Cotnmttniry Association Dues, Fees,
and Assessments, if any. To the extent that these items are Escrow Items, Borrower shall pay them in
the manner provided in Section 3.
Borrower shall promptly discharge any lien which has priority over this Security Itts[rument unless
Borrower: (a) agrees in writing to the paytnettt of the obligation secured by the lien in a manner
acceptable to Lender, but only so long as Borrower is performing such agreement; (b) contests the
lien in good faith by, or defends against cnforcettteltt of the lien in, legal proceedings which in
Lender's opinion operate to prevent the enforcement of the lien while those proceedings are pending,
but only until sttclt proceedings are concluded; or (c) secures from the holder of the lien an
agreement satisfactory to Lender subordinating the lien to this Security Instalment. If Lender
determines that any part of [he Property is subject to a lien which cart attain priority over this Security
Instrument, Lender may give Borrower a notice identifying the lien. Within 10 days of the date on
which that notice is given, Borrower shall satisfy the lien or take one or more of the actions set forth
above in this Section 4.
Lender Wray require Borrower to pay aone-time charge for a real estate tax verification and/or
reporting service used by Lender in connection with this Lomt,
5. Property Insurance. Borrower shall keep the improvements now existing or hereafter
erected on the Property insured against loss by fire, hazards included within the ternt "extended
coverage," and any other hazards including, but not limited to, earthquakes and floods, for which
Lender requires insurance. This insurance shall be maintained in the amounts (including deductible
levels) and for the periods that Lender requires. What Lender requires pursuant to the preceding
sentences can change during the term of the Loan. The insurance carrier providing the insurance shall
be chosen by Borrower subject to Lender's right to disapprove Borrower's choice, which right shall
not be exercised tmreasonably. Lender may require Borrower to pay, in connection with this Loan,
either: (a) a one-time chazge for flood zone determination, certification and tracking services, or (b) a
one-time charge Cor flood zone determination and certification services and subsequent charges each
time retnappings or similar changes occur which reasonably might a~'fect such determination or
certification. Borrower shall also be responsible for the payment of any fees imposed by the Federal
L'mergency Management Agency iu conacction with the review of any flood zone determination
resulting from an objection by Borrower.
If Borrower fails to trtvntain any of the coverages described about, Lender may obtain
insurance coverage, al Lender's option and Borrower's expense. Lender is under no obligation to
purchase any particular type or amount of coverage. Therefore, such coverage shall cover Lender, but
might or might not protect Borrower, Borrower's equity in the Property, or the contents of the
Property, against any risk, hazard or liability aitd might provide greater or lesser coverage than was
previously in effect. Borrower acknowledges that the cost of rite insurance coverage so obtained
might significantly exceed the cost of insurance that Borrower could have obtained. Any amounts
disbursed by Lender under this Section 5 shall becotne additional debt of Borrower secured by this
Security Instrument. These amounts shall bear interest at the Note rate from the dace of disbursement
and shall be payable, with such interest, upon notice from Lender to Borrower rcques[ing payment.
wIS(:0~51Y-Single FalnilyFnnde ALu/Frcddic bloc UNIFOItM1itiS17tUMt:N'1' Furm 3010 t/oi (page 6 of /6 pager)
~PIPCO PuvibucW Vy FlPCO • (80DIT_?•y198 RE V, t I/IOQtrq
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All insurance policies required by Lender and renewals of such policies shall be subject to
Lender's right to disapprove such policies, shall include a standard mortgage clause, and shall name
Lender as mortgagee andlor as an additional loss payee. Lender shall have the right to hold the
policies and renewal certificates. IfLender requires, Borrower shall promptly give to Lender all receipts
of paid premiuts and renewal notices. [f Borrower obtains any form of insurance coverage, not
otherwise required by Lender, for damage to, or destruction of, the Properly, such policy shall include
a standard mortgage clause and shall name Lender as mortgagee and/or as an additional loss payee.
In the event of loss, Borrower shall give prompt notice to the insurance carrier and Lender.
Lender tray make proof of loss if not made promptly by Borzower. Unless Lender and Borrower
otherwise agree in writing, any insurance proceeds, wlredter or not the underlying insurance was
required by Lender, shall be applied to restoration or repair of the Property, ifthc restoration or repair
is economically feasible and Lender's security is not lessened. During such repair and restoration
period, Lender shall have the right to hold such insurance proceeds until Lender has had an
opportunity to inspect such Property to ensure the work has been completed to Lender's satisfaction,
provided that such inspection shall be undertaken promptly. Lender may disburse proceeds t'nr the
repairs and restoration in a single payment or in a series of progress payments as the work is
completed. Unless an agreement is made in writing or Applicable Law requires interest to be paid on
such insurance proceeds, Lender shall not be required to pay Borrower any interest or earnings on
such proceeds. Fees for public adjusters, or other third parties, retained by Burrower shall Itot be paid
out of the insurance proceeds and shall be the sole obligation of Borrower. Ifthe restoration or repair
is not economically feasible or Lender's security would be lessened, the insurance proceeds shall be
applied to the sums secured by this Security htstrument, whether or not then due, with the excess, if
any, paid to Borrower. Such insurance proceeds shall be applied in the order provided for in Section
2.
If Borrower abandons the Property, Lender may file, negotiate and settle any available
insurance claim and related matters. If Borrower does not respond within 30 days to a notice from
Lender that the insurance carrier has offered to settle a claim, then Lender may negotiate and settle
the claim. The 30-day period willbegin when the notice is given. In either event, or if Lender acquires
the Property under Section 22 or otherwise, Borrower hereby assigns to Lender (a) Borrower's rights
to any insurvtce proceeds in an amount not to exceed the amounts unpaid under the Note or this
Security Instrument, and (b) any other of Borrower's rights (other than the right to any refund of
unearned premiums paid by Borrower) under all insurance policies covering the Property, insofar as
such rights aze applicable to the coverage of the Property. Lender may use the insurance proceeds
either to repair or restore the Property or to pay amounts unpaid under the Note or this Security
Instrument, whether or not then due.
6. Occupancy. Borrower shall occupy, estaUlish, and use the Property as Borrower's
principal residence within 60 days after the execution of [his Security Instrument attd shall continue to
occupy the Propetty as Borrower's principal residence for at least one year after the date of
occupancy, unless Lender otherwise agrees in writing, which consent shall not be unreasonably
withheld, or unless extenuating circumstances exist which are beyond Borrower's control.
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7. Preservat[on, Maintenance and Protection of the Property; Inspections. Borrower
shall not destroy, damage or impair the Properly, allow the Property to deteriorate or commit waste on
the Property. Whether or not Borrower is residing in the Property, Borrower shall rttaintain the Property
in order to prevent the Property from deteriorating or decreasing in value due to its condition. Unless it
is determined pursuant to Section 5 chat repair or restoration is not economically feasible, Borrower
shall promptly repair the Property ifdamaged to avoid further deterioration or dazuage. If insurance or
condeltwation proceeds are paid in connection with damage to, or the taking of, the Property,
Borrower shall be responsible for repairing or restoring the Property only if Lender has released
proceeds for such purposes. Leader may disburse proceeds for the repairs and restoration in a single
payment or in a series of progress payments as the work is completed. If the insurance or
condemnation proceeds are not sufficient to repair or restore the Property, Borrower is not relieved of
Borrower's obligation for the completion of such repair or restoration.
lxnder or its agent may make reasonable entries upon and inspections of the Property. Tf it
Itas reasonable cause, Lender may inspect the interior of the improventettts on the Property. Lender
shall give Borrower notice at the time of or prior to such an interior inspection specifying such
reasonable cause.
8. Borrower's Loan Application. Borrower shall be in default if,during the Loan application
process, Bottawer or any persons or entities acting at the direction of Borrower or with Bottower's
knowledge or consent gave materially false, misleading, or inaccurate information or statements to
Lender (ot failed to provide Lender with material information) in connection with the Loan. Material
representations include, but are not limited to, representations concerning Borrower's occupancy of
the Property as Borrower's principal residence.
9. Protection of Lender's Lrterest in the Property and Rights Under this Security
Ltstrument. If(a) Borrower fails to perform the covenants and agreements contained in this Security
instrument, (b) there is a legal proceeding that might significantly affect Lender's interest in the
Property and/or rights under this Security Instrument (such as a proceeding in bankruptcy, probate,
for condemnation or forfeiture, for enforcement of a lien which nray attain priority over this Security
Instrument or to enforce laws or regulations), or (c) Borrower has abandoned the Property, then
Lender may do and pay for whatever is reasonable or appropriate to protect Lender's interest in the
Property and rights under this Security Instrument, including protecting and/or assessing the value of
the Property, and securing and/or repairing the Property. Lender's actions can include, but are no[
limited to: (a) paying any sums secured by a lien which has priority over this Security Instrument; (b)
appearing in court; and (c) paying Reasonable Attorneys' Fees (as defined in Section 25) to protect its
interest in the Property and/or rights under this Security Instrument, including its secured position in a
bankruptcy proceeding. Securing the Property includes, but is not limited to, entering the Property to
make repairs, change locks, replace or board up doors and windows, drain water from pipes,
eliminate building or outer code violations or dangerous conditions, and have utilities turned on or off.
Although Lender tnay take action under this Section 9, Lender does not have to do so and is not
under any duty or obligation to do so. It is agreed that Lender incurs no liabilityfor not taking any or all
actions authorized uuder this Section 9.
wLSCONSLWSinylc ramity••Fmmic Mae/F7cddie Mac UNIFORM INSI'RUIVII:\T Form 7050 1/Ot U~nge 8 J 16inga'1
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Any amounts disbursed by Lender under this Section 9 shall become additional debt of
Borrower secured by this Security Instrument. These amounts shall bear interest at the Note rate fmm
the date of disbursement and shall be payable, with such interest, upon notice from Lender to
Borrower requesting payment.
lCthis Security Instrument is on a leasehold, Borrower shall comply with all the provisions of
the lease. If Borrower acquires fce title to the Property, the leasehold and the fcc title shall not ntergc
unless Lender agrees to the merger in writing.
10. Mortgage Insurance. If Lender required Mortgage Tnsurattce as a condition of making
the Loan, Borrower shall pay the premiums required to maintain the Mortgage Insurance in effect. [f,
for any reason, the Mortgage Insurance coverage required by Lender ceases to be available from the
mortgage insurer that previously provided such insurance and Borrower was required to make
separately designated payments toward the premiums for Mortgage Insurance, Borrower shall pay the
premiums required to obtain coverage substantially equivalent to the Mortgage Insurance previously
in effect, at a cost substantially equivalent to the cost to Borrower of the Mortgage Insurance
previously in effect, from an alternate mortgage insurer approved by Lender. Ifsubstantially equivalent
Mortgage Insurance coverage is not available, Borrower shall contiltue to pay to Lender the amount of
the separately designated payments That were due when the insurance coverage ceased to lx: in
effect. Lender wilfaccept, use and retain these payments as anon-refundable loss reserve in lieu of
Mortgage insurance. Such loss reserve shall be non-refundable, notwithstanding the fact that the Loan
is ultimately paid in full,and Lender shat! nol be required to pay Borrower any interest or earnings on
such loss reserve. Lender can no longer require loss reserve payments if Mortgage Insurazlce
coverage (in the amount and for the period that Lender requires) provided by an insurer selected by
Lender again becomes available, is obtained, and Lender requires separately designated payments
towazd the premiums for Mortgage Insurance. IfLender required Mortgage Insurance as a condition of
making the Loan and Borrower was required to make separately designated payments toward the
premiums for Mortgage Insurance, Borrower shall pay the premiums required to maintain Mortgage
Insurance in effect, or to provide a non-refundable loss reserve, until [he Lender's reyuirenlcnt for
Mortgage Insurance ends in accordance with any written agreement between Borrower and Lender
providing for such termination or until termination is required by Applicable Law. Nothing in this
Section IO affects Borrower's obligation to pay interest at the rate provided in dle Note.
Mortgage Insurance reimburses Lender (or any entity that purchases the Note) for certain
losses it may incur if Borrower does not repay the Loan as agreed. Borrower is not a party to the
Mortgage Insurance.
Mortgage insurers evaluate tkeir total risk on all such insurance in force from time to tune, and
may enter into agreements with other parties that share or modify [heir risk, or reduce losses. These
agreements are on terms and conditions that are satisfactory to the mortgage insurer and the other
party (or patties) to these agreements. These agreements may require the mortgage insurer to [[take
payments using any source of funds that the mortgage insurer Wray have available (which may include
funds obtained from Mortgage Insurance prcntiums).
As a result of these agreements, Lender, any purchaser of the Note, another insurer, any
reinsurer, any other entity, or any affiliate of any of the foregoing, may receive (directly or indirectly)
amounts that derive from (or might be characterized as) a portion of Borrower's payments for
Mortgage Insurance, in exchange for sharing or modifying the mortgage insurer's risk, or reducing
R1SCO:VSnV-Singk PamilyFmole Mae/Frcddie Mx l1NIFUltM INS7RMIF,NT Form 3050 1/01 (pagr 9 aJ l6 ynFes)
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tosses. If such agreement provides that an affiliate of Lender takes a share of the insurer's risk iu
exchange for a share o[ the premiums paid to the insurer, the arrangement is often termed "captive
reinsurance." Further:
(a) Atty such agreements will not affect the amounts that Borrower has agreed to pay
for Mortgage Insurance, or any other terms of the Loan. Such agreements will not increase the
amount Borrower will owe for Mortgage insurance, and they will not entitle Borrower to arty
refund.
(b) Auy such agreements will not affect the rights Borrower has - if any -with respect to
the Mortgage Insurance corder the Homeowners Protection Act of 1998 or any other law. These
rights may include the right to receive certain disclosures, to request and obtain cancellation of
the Mortgage Insurmtce, to have the Mortgage Insurance terminated automatically, andlor to
receive a refund of arty Mortgage Insurance premiums that were unearned at the time of such
cancellation or termirtatiou.
II. Assigtmteut of Miscellaneous Proceeds; Forfeiture. A)IMiscellaneous Proceeds are
hereby assigned to and shall be paid to Lender.
If the Property is damaged, such Miscellaneous Proceeds shall be applied to restoration or
repair of the Property, if the restoration or repair is economically feasible and Lender's security is not
lessened. During such repair and restoration period, Lender shall have the right to hold such
Miscellaneous Proceeds until Lender has had an opportu»iry to inspect such Property to ensure the
work has been completed to Lender's satisfaction, provided that such inspection shall be undert'tken
protuptly. Lender may pay for the repairs and restoration in a single disbursement or in a series of
progress payments as the work is completed. Unless tut agreement is made in writing or Applicable
Law requires interest to be paid on such Miscellaneous Proceeds, Lender shall not be required to pay
Burrower any interest or castings on such Miscellaneous Proceeds. lfthe restoration or repair is not
economically feasible or Lender's security would be lessened, ttte Miscellaneous Proceeds shall be
applied to the sums secured by this Security Instrument, whether or not then due, with the excess, if
any, paid to Borrower. Such Miscellaneous Proceeds shall be applied in Uie order provided for in
Section 2.
In the event of a total taking, destruction, or loss in value of the' Property, the Miscellaneous
Proceeds shall be applied to the sums secured by [his Security Instrument, whether or no[ then due,
with the excess, if any, paid to Borrower.
In the event of a partial taking, destruction, or loss in value of the Property in which the fair
market value of the Property immediately before the partial taking, destruction, or loss in value is equal
to or greater than the amount of the Burns secured by this Security Instrument immediately before the
partial taking, destruction, or loss in value, unless Borrower and Lender otherwise agree in writing, the
sums secured by this Security Instrument shall be reduced by the amount of the Miscellaneous
Proceeds multiplied by the following fraction: (a) the total amount of the sums secured immediately
before the partiak taking, destruction, or loss in value divided by (b) the fair market value of the
Property immediately before the partial taking, destruction, or loss in value. Any balance shall be paid
to Borrower.
In the event of a partial taking, destruction, or loss in value of the Property in which the fair marke[
value of the Property immediately before the partial taking, destruction, or loss in value is less than the
amount of the sums secured immediately before the partial taking, destruction, or loss in
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value, unless Borrower and Lender otherwise agree in writing, the Miscellaneous Proceeds shall be
applied to the sums secured by this Security Instrument whether or not the sums are then due.
If the Property is abandoned by Borrower, or if, after notice by Lender to Borrower that the
Opposing Party (as defined in the nett sentence) offers to make an award to settle a claim for
damages, Borrower fails to respond to Lender within 30 days after the date the notice is given, Lender
is authorized to collect and apply the Misceltaneous Proceeds either to restoration or repair of the
Property or to the sums secured by this Security Instrument, whether or not then due. "Opposing
Party" means cite third pazty that owes Borrower Miscellaneous Proceeds or the party against whom
Borrower has a right of action in regazd to Miscellaneous Proceeds.
Borrower shall be in default if any action or proceeding, whether civil or criminal, is began
that, in Lender's judgment, could result in forfeiture of the Property or other material impainnent of
Lender's interest in the Property or rights under this Security Instrument. Borrower catr cure such a
default and, ifacceleration has occurred, reinstate as provided in Section 19, by causing the action or
proceeding to be dismissed with a ruling that, in Lender's judgment, precludes forfeiture of the
Property or other material impairment of Lender's interest in the Properly or rights under this Security
Instrument. The proceeds of any award or claim for damages that are attributable to the impairment of
Lender's interest in the Property are hereby assigned and sha]] be paid to Lender.
AIIMiscellaneous Proceeds that are not applied to restoration or repair of the Property shall
be applied in the order provided for in Section 2.
12. Borrower Not Released; Forbearance By Lender Not a R'aiver. Extension of the time
for payment or modification of amortization of the sutras secured by this Security Instrument granted
by Lender to Borrower or any Successor in Interest of Borrower shall not operate to release the
liability of Borrower or any Successors in Interest of Borrower. Lender shall not be required to
commence proceedings against any Successor in Interest of Borrower or to refuse to extend time for
payment or otherwise modify amortization of the sums secured by this Security Instrument by reason
of any demand made by the original Borrower or any Successors in Interest of Borrower. Any
forbearance by Lender in exercising any right or remedy including, without limitation, Lender's
acceptance of payments from third persons, entities or Successors in Interest of Borrower or in
amounts less than the amount then due, shalt not be a waiver of or preclude the exercise of any right
or remedy.
13. Joint and Several Liability; Co-signers; Successors attd Assigns Bound. Borrower
covenants and agrees that Borrower's obligations and liability shall be joint and several. However, any
Borrower who co-signs this Security Instrument but does not execute [he Note (a "co-signer"): (a) is
co-signing this Security Instrument only to mortgage, grant and convey the co-signer's interest in the
Aroperty under the terms of this Security Instrument; (b) is not personally obligated to pay the sums
secured by this Security Instrument; and (c) agrees that Lender and any other Borrower can agree to
extend, modify, forbear or make any accommodations with regard to the terms of [his Security
Instrument or the Note without the co-signer's consent.
Subject to the provisions of Section LR, any Successor in Interest of Borrower who assutttes
$orrower's obligations under this Security Instrument in writing, and is approved by Lender, shall
obtain all of Borrower's rights and benefits under this Security Instrument. Borrower shall not be
released from Bonower's obligations and liabilityunder this Security Instrument unless Lender agrees
to such release in writing. The covenants and agreements of this Security Instrument shall bind
(except as provided in Section 20) and benefit the successors and assigns of Lender.
WISf.ONSIN-Sin01e Family-Famde MndFredda Mote lA7FORMIRSTRIIMF.M' Farm 3050 1/01 (~xtXe 11 of 16 ~rnge.r)
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~scons~n
Department of Commerce
Safety and Buildings
10541 N RANCFi ROAD
HAYWARD WI 54843
TDD #: (608) 264-8777
www.commerce.state.wi.us/sb
www.wiscorisin.gov
Scott McCallum, Governor
Philip Edw. Albert, Secretary
Mazch 12, 2002
CUST ID No.220728
CLARENCE L GLOTFELTY
ENVIItO-TECH SYSTEMS & SERVICE
N4955 SUNNY HILL RD
WEYERHAEUSER WI 54895
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 03/12/2004
ATTN: POWTS Inspector
ZONING OFFICE
ST CROIX COUNTY SPIA
1101 CARMICHAEL RD
HUDSON WI 54016
SITE:
Duane Midtling
339 270TH St
Town of Eau Galle, 54028
St Croix County
NW1/4, SE1/4, S13, T28N, R16W
FOR: Replacement mound, 450 GPD
Object Type: POWT System Regulated Object ID No.: 829360
Identification Numbers
Transaction ID No. 708240
Site ID No. 179532
Please refer to both identification numbers,
above, in all comes ondence with the a enc .
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
General Approval Conditions:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P
( N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment
Systems" SBD-10706-P (N.O1/O1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans. In addition,
the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of
the mound component manual aze complied with. A copy of this information must be given to the owner upon
completion of the project.
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
• The maintenance plan for this system must be given to the owner of the POWTS.
Reminder
• The orientation of the mound system must be such that the longest dimension is oriented along the surface
contour per COMM 83.44(6)(a)2.
• Limit activities in the azea 15' beyond the down slope edge of the mound per Mound Component Manual.
• Surface water drainage shall be diverted away from the system area per Mound Component Manual.
CLARENCE L GLOTFELTY Page 2 3/12102
• Materials shall conform to the requirements of COMM 84.
• Abandon failing system per COMM 83.E 3.
• Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of
the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening
used to service the filter shall terminate at or above finished grade with a watertight cover.
• Provide frost protection per COMM 83.43(8)(c).
• Holes must be drilled with a sharp bit and all burrs and foreign matter removed before installation.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the
installation, operation or map' terrar-ee,of the POWTS.
Sincerel ~
Patricia L Sha
POWTS Plan Reviewer ntegrate ervices
(715) 634-7810, Fax: (71 150 , M-F 7:45 am - 4:30 pm
pshandorf @ commerce. state. wi. us
Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
WiSMART code: 7633
properly Address
City/State
Parcel Identification Number ~P" ' - o '3 g - 9 S - °`'~
~~O
LEGAL DESCRIPTION
property Location-i/4, ~~ `/., Sec. ~„~, T~N R~.W, Town of -~~
Subdivision . `'°t #
-~-~
Pa e #
Certified Survey Map # ~ ,Volume -•. g
Warranty Deed # ~ ,Volume .Page #
Spec house ^ yes ^ no Lot lines identifiable j~+ yes ^ no
SYSTEM MAINTENANCE
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 syst°m
can affect the function of the septic tank as a treatment stage is the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
mastorplumber, journeymanplumber, rastrictedplumber or a licensedpumper verifying that (1) the on site wastewaterdisposal system
is is proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Uwe, the uadersigncd 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 Commerc:, 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 Zoning Office within 30
of the three year expiration te.
~ ~ _ ~ / /
SIGNATURE OF APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge I (we) am (are) the owaei{s) of
e p perry described a ve, y virtue of a warranty deed recorded is Register of Deeds Office.
~ l / /~
SIGNATURE OF APPLICANT DATE
««««««
«««««« Aay information that is mis-represented may result is the sanitary permit being revoked by the Zoning Department.
«« Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made is the warranty deed
- .. - r~ -
(Verificationrequired from Planning Department for new construction)
ST CROIX COUNTY
J ~ SEPTIC TANK MAIl~ITENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM